Sample records for evaluation protocol aep

  1. [Evaluation of the appropriateness of hospital admissions using the iso-gravity classification systems APR-DRG and Disease Staging and the Italian version of Appropriateness Evaluation Protocol (AEP)].

    PubMed

    D'Andrea, G; Capalbo, G; Volpe, M; Marchetti, M; Vicentini, F; Capelli, G; Cambieri, A; Cicchetti, A; Ricciardi, G; Catananti, C

    2006-01-01

    Our main purpose was to evaluate the organizational appropriateness of admissions made in a university hospital, by comparing two iso-gravity classification systems, APR-DRG and Disease Staging, with the Italian version of AEP (PRUO). Our analysis focused on admissions made in 2001, related to specific Diagnosis Related Groups (DRGs), which, according an Italian Law, would be considered at high risk of inappropriateness, if treated as ordinary admissions. The results obtained by using the 2 classification systems did not show statistically significant differences with respect to the total number of admissions. On the other hand, some DRGs showed statistically significant differences due to different algorithms of attribution of the severity levels used by the two systems. For almost all of the DRGs studied, the AEP-based analysis of a sample of medical records showed an higher number of inappropriate admissions in comparison with the number expected by iso-gravity classification methods. The difference is possibly due to the percentage limits of tolerability fixed by the Law for each DRG. Therefore, the authors suggest an integrated use of the two methods to evaluate organizational appropriateness of hospital admissions.

  2. Maternal immunomodulation of the offspring's immunological system.

    PubMed

    Campos, Sylvia M N; de Oliveira, Vivian L; Lessa, Leonardo; Vita, Melissa; Conceição, Marcia; Andrade, Luiz Antonio Botelho; Teixeira, Gerlinde Agate Platais Brasil

    2014-11-01

    The mother's and the offspring's immunological system are closely related thus one can influence the other. This hypothesis drove our aim to study the impact of the mother's immunological status over the immunological response of their offspring. For this, female mice tolerant or allergic to peanuts were exposed or not to a challenge diet containing peanuts during the gestation-lactation period (TEP/AEP; TNEP/ANEP, respectively). After weaning the offspring was submitted to the peanut allergy or peanut tolerization protocol and then challenged with a peanut diet. Our results showed that when the offspring is submitted to the allergy induction protocol, they behave differently depending on their mother's immunological status. Offspring born to TEP mothers produced the lowest antibody titters while those born to AEP mothers produced the highest antibody titters compared to mice born to TNEP and ANEP. On the other hand when the offspring was submitted to the tolerization protocol all groups presented low antibody titers with no significant difference between groups, independent of the mothers immunological status and/or contact with peanuts during the gestation-lactation period. The analysis of the histological profile of the offspring correlates well to the serological response. In other words, offspring born to TEP mothers and submitted to the allergy induction protocol presented a normal histological profile, while the offspring born to AEP mothers produced the worst gut inflammation. These results indicate that mothers, exposed to the antigen (by the oral route) during gestation, actively influence the immune response of their offspring. This work sheds some light on the importance of the immunomodulation induced by dietary antigens during gestation and their influence on the immunological response of their offspring. However, more work is needed to elucidate the molecular and cellular components of this regulatory phenomenon. Copyright © 2014 Elsevier GmbH. All rights reserved.

  3. The expression of asparaginyl endopeptidase promotes growth potential in epithelial ovarian cancer.

    PubMed

    Zhu, Qinyi; Tang, Meiling; Wang, Xipeng

    2017-04-03

    Epithelial ovarian cancer (EOC) is the most common and lethal cancer-related death among females in the world. Asparaginyl endopeptidase (AEP) is a member of C13 family peptidases and expressed in the extracellular matrix and tumor cells. The aim of this article is to explore the function of asparaginyl endopeptidase in epithelial ovarian cancer. The expression of AEP was examined in 20 EOC samples, 3 EOC metastasis samples, 6 fallopian tube metastasis samples, 4 peritoneum metastasis samples and 20 benign ovarian tumor samples by immunohistochemistry. The expression of AEP was also evaluated in serum and ascites of EOC patients by elisa. And we used a lentiviral vector to overexpress AEP in human epithelial ovarian cancer cell lines SKOV3ip and detected the function of AEP-SKOV3ip cells both in vitro and in vivo. The growth of AEP-SKOV3ip cells was observed by MTT, migration and tube formation assays in vitro. Additionally, the subcutaneous mice model was used to identify the tumor growth and metastasis in vivo. Mice tumors were stained for CD31 to determine the microvessel density (MVD). We demonstrated that AEP was highly expressed in the EOC patient tissues and ascites. The AEP transfected SKOV3ip cells could both promote tumor growth in vitro and in vivo. The MVD in AEP-SKOV3ip group was higher than that in NC-SKOV3ip group. Therefore, our results demonstrated that AEP could induce EOC growth and progressionboth in vitro and in vivo.

  4. An Evaluative Overview of the Gloria Floyd Community School Academic Excellence Program.

    ERIC Educational Resources Information Center

    Dade County Public Schools, Miami, FL. Office of Educational Accountability.

    The Gloria Floyd Academic Excellence Program (AEP) was designed as a school-based enrichment program for average and above-average students in grades one through six. The evaluation of this program involved discussions with the school administrator and program teacher, as well as a questionnaire-survey of AEP students, their parents, and regular…

  5. Reduction in inappropriate hospital use based on analysis of the causes

    PubMed Central

    2012-01-01

    Background To reduce inappropriate admissions and stays with the application of an improvement cycle in patients admitted to a University Hospital. The secondary objective is to analyze the hospital cost saved by reducing inadequacy after the implementation of measures proposed by the group for improvement. Methods Pre- and post-analysis of a sample of clinical histories studied retrospectively, in which the Appropriateness Evaluation Protocol (AEP) was applied to a representative hospital sample of 1350 clinical histories in two phases. In the first phase the AEP was applied retrospectively to 725 admissions and 1350 stays. The factors associated with inappropriateness were analysed together with the causes, and specific measures were implemented in a bid to reduce inappropriateness. In the second phase the AEP was reapplied to a similar group of clinical histories and the results of the two groups were compared. The cost of inappropriate stays was calculated by cost accounting. Setting: General University Hospital with 426 beds serving a population of 320,000 inhabitants in the centre of Murcia, a city in south-eastern Spain. Results Inappropriate admissions were reduced significantly: 7.4% in the control group and 3.2% in the intervention group. Likewise, inappropriate stays decreased significantly from 24.6% to 10.4%. The cost of inappropriateness in the study sample fell from 147,044 euros to 66,642 euros. The causes of inappropriateness for which corrective measures were adopted were those that showed the most significant decrease. Conclusions It is possible to reduce inadequacy by applying measures based on prior analysis of the situation in each hospital. PMID:23075150

  6. [Hospital emergencies arising from nursing homes in a region: evolution, characteristics and appropriateness].

    PubMed

    Sánchez-Pérez, Inma; Comes Garcia, Nuri; Romero Piniella, Lola; Prats Martos, Gemma; Arnau Bataller, Gemma; Coderch, Jordi

    Hospital emergencies (HE) arising from nursing homes (NH) are on the rise. We analyse the evolution, characteristics and appropriateness of HE of NH residents in a region, as well as resulting hospital admissions. Retrospective descriptive study between 2010 and 2013 of institutionalised residents of 11 NH located in Baix Empordà (704 beds) and Palamós Hospital. Gender, age, morbidity and relative weight according to clinical risk groups (CRG), NH, length of stay, diagnosis of the emergency, appropriateness of HE according to Bermejo's criteria and the HE appropriateness protocol (HEAP), and appropriateness of hospitalisations according to the Appropriateness Evaluation Protocol (AEP). Sample to evaluate appropriateness: 159 HE and 91 hospitalisations. frequency, mean, standard deviation, percentiles, Fisher's exact test and ANOVA, with a confidence interval of 95% and using IBM SPSS Statistics 23. 1,474 people were enrolled, of which 73% were women. Group ≥85 years increased to 60.3% and the mean weight of morbidity was 3.2 to 4.0 (p <0.001). 1,805 HE were generated. The annual rate per 1,000 stays arising from NH increased from 1.64 to 2.05, of which 90.6% were appropriate according to Bermejo's criteria and 93.7% according to the HEAP. Of these, 502 involved hospitalisation. The annual rate per 10 emergencies fell from 2.96 to 2.64 and 98.9% were appropriate according to the AEP. Hospital emergencies and hospitalisations of NH residents are increasing and are appropriate. Increasing age and disease burden could explain this phenomenon. NH and hospitals should react appropriately, considering the specific needs of this population sector. Copyright © 2017 SESPAS. Publicado por Elsevier España, S.L.U. All rights reserved.

  7. Evaluation of Different Antiretroviral Drug Protocols on Naturally Infected Feline Immunodeficiency Virus (FIV) Cats in the late Phase of the Asymptomatic Stage of Infection

    PubMed Central

    Gómez, Nélida V.; Fontanals, Adriana; Castillo, Víctor; Gisbert, María A.; Suraniti, Adriana; Mira, Graciela; Pisano, Paola B.

    2012-01-01

    The aim of this study was to evaluate the efficacy of the antiretrovirals: Zidovudine (ZDV) alone; ZDV + Recombinant Human Interferon-α (rHuIFN-α); ZDV + Lamivudine (3TC) and ZDV + valproic acid (Valp) on naturally feline immunodeficiency virus (FIV)-infected cats, in the late phase of the asymptomatic stage of infection. The follow-up was performed over one year, through clinical evaluation and the determination of viral loads and CD4+/CD8+ ratios. Neurological signs were studied by visual and auditory evoked potentials (VEP, AEP) and the responses were abnormal in 80% of the FIV-infected cats. After one year, an improvement in VEP and AEP was observed in the ZDV + Valp group and a worsening in the group receiving ZDV + rHuIFN-α. The CD4+/CD8+ ratio showed a significant increase (both intra and inter-groups) only in ZDV and ZDV + 3TC, between their pre-treatment and one year values, as well as among the other groups. Viral load only showed a significant decrease in ZDV and ZDV + 3TC groups, when comparing the values at one year of treatment vs. pre-treatment values and when the different groups were compared. In addition, the viral load decrease was significantly more pronounced in the ZDV + 3TC vs. ZDV group. We conclude that ZDV and ZDV + 3TC produce significant reductions in viral load and stimulate a recovery of the CD4+/CD8+ ratio, compared with the other protocols. It is clear that the addition of 3TC resulted in a greater reduction in viral load than use of ZDV as a single drug. Therefore, the combination ZDV + 3TC could be more effective than the sole use of ZDV. PMID:22816032

  8. Partial characterization and antioxidant and antiproliferative activities of the aqueous extracellular polysaccharides from the thermophilic microalgae Graesiella sp.

    PubMed

    Trabelsi, Lamia; Chaieb, Olfa; Mnari, Amira; Abid-Essafi, Salwa; Aleya, Lotfi

    2016-07-12

    For thousands of years, Tunisian geothermal water has been used in bathing. Indeed, thermal baths "Hammam" were recommended in the treatment of different type of illnesses as, for instance, for relaxing joints and soothing. The ability of microalgae to sustain at the high temperature makes them potential producers of high value thermostable bio-products. This study aimed to explore the therapeutic potential of the aqueous extracellular polysaccharides (AEPS) of the Tunisian thermophilic microalgae Graesiella sp. and to evaluate its physico-chemical characteristics. Different parameters were used to characterize the AEPS. The dry weight, volatile dry weight, elemental analysis, monosaccharide composition and IR-spectroscopy analysis. Carbohydrate, uronic acid, ester sulfate and protein concentrations were also determined using colorimetric assay. AEPS was analyzed for its antioxidant propriety by means of total antioxidant capacity, DPPH radicals scavenging assay, ferrous chelating ability and hydroxyl and superoxide radical scavenging activity. The antiproliferative activity of AEPS was evaluated for HepG2 and Caco-2 cells using the MTT assay. The Graesiella sp. AEPS is found to be a hetero-sulfated-anionic polysaccharides that contain carbohydrate (52 %), uronic acids (23 %), ester sulfate (11 %) and protein (12 %). The carbohydrate fraction was formed by eight neutral sugars glucose, galactose, mannose, fucose, rhamnose, xylose, arabinose and ribose. The FT-IR revealed the presence of carboxyl, hydroxyl, amine and sulfate groups. AEPS showed high activity as reducing agent, high ferrous chelating capacity and caused a significant decrease in a concentration-dependent manner of hydroxyl radical. A moderate DPPH scavenging activity and a poor superoxide radical scavenging ability were also observed. AEPS treatment (from 0.01 to 2.5 mg/ml) caused also a clear decrease of cell viabilities in a dose-dependent manner. The IC50 values obtained in HepG2 and Caco-2 cells were 1.06 mg/ml and 0.3 mg/ml respectively. This study evidenced that the Graesiella sp. AEPS exhibits antioxidant and antiproliferative activities. The biological activities of this extract depend on its fine structural features. Further work will identify and purify the active polysaccharides to enhance our understanding of their complete structure and relationships with its function.

  9. Real association of factors with inappropriate hospital days.

    PubMed

    Huet, Bernard; Cauterman, Maxime

    2005-01-01

    Several studies of inappropriate (in the sense of the AEP) hospital days highlighted associations between two factors (rate of inappropriateness and reasons for inappropriateness, rate of inappropriateness and appropriate setting of care,..). The aim of this communication is to present a study on real associations, at constant factor, between five factors associated with hospital inappropriate days: medical management process, reason for inappropriateness, scheduled admission, rate of inappropriateness, length of stay. We used the European version of Appropriateness Evaluation Protocol for evaluation of inappropriate days and the French protocol ;for analysis of inappropriate days. The study set in three Parisian hospitals, four clinical departments, three specialities. 523 patients were included in the study, 5663 days were evaluated on a wide variety of pathologies: 27 Medical Management Processes. Results show that there are real associations (elimination of transitive associations) between five factors : medical management process and discharge processes, reason for inappropriateness, scheduled admission, rate of inappropriate days, length of stay. Multiple Correspondence Analysis on all "groups of contiguous days related with the same reason for inappropriateness" shows five profiles of queues integrating various medical management processes.

  10. Regulation of the production of extracellular pectinase, cellulase, and protease in the soft rot bacterium Erwinia carotovora subsp. carotovora: evidence that aepH of E. carotovora subsp. carotovora 71 activates gene expression in E. carotovora subsp. carotovora, E. carotovora subsp. atroseptica, and Escherichia coli.

    PubMed Central

    Murata, H; Chatterjee, A; Liu, Y; Chatterjee, A K

    1994-01-01

    The production of pectolytic enzymes (pectate lyase [Pel] and polygalacturonase [Peh]), cellulase (Cel), and protease (Prt) is activated in the soft rot bacterium Erwinia carotovora subsp. carotovora by aepA (activator of extracellular protein production) and celery extract (Y. Liu, H. Murata, A. Chatterjee, and A. K. Chatterjee, Mol. Plant-Microbe Interact. 6:299-308, 1993). We recently isolated a new class of mutants of strain E. carotovora subsp. carotovora 71 which overproduces Pel, Peh, Cel, and Prt. From the overproducing strain AC5034, we identified an activator locus, designated aepH*, which stimulated Pel, Peh, Cel, and Prt production in E. carotovora subsp. carotovora 71 or its derivatives. The nucleotide sequence of the aepH* DNA segment revealed an open reading frame of 141 bp that could encode a small (5.45-kDa) highly basic (pI 11.7) protein of 47 amino acid residues. Analyses of deletions and MudI insertions indicated that the activator function required the 508-bp DNA segment which contains this open reading frame. The wild-type locus, aepH+, is localized within a DNA segment upstream of aepA. An AepH- strain constructed by exchanging aepH+ with aepH*::MudI was deficient in Pel, Peh, Cel, and Prt production; exoenzyme production was restored upon the introduction of a plasmid carrying aepH+ or aepH*. Plasmids carrying either aepH+ or aepH* activated the production of Pel-1, Peh-1, and Cel in Escherichia coli HB101 carrying the cognate genes. The aepH effect in E. coli was due to the activation of transcription, as indicated by assays of pel-1 and peh-1 mRNAs. The aepH+ and aepH* plasmids also stimulated Pel, Peh, Cel, and Prt production in other wild-type E. carotovora subsp. carotovora strains as well as in E. carotovora subsp. atroseptica. Although the stimulatory effect was generally more pronounced with aepH* than with aepH+, the extent of activation in the wild-type strains depended upon the bacterial strain and the growth medium. Southern blot hybridization revealed the presence of aepH homologs in E. carotovora subsp. carotovora and E. carotovora subsp. atroseptica, and provided physical evidence for linkage between aepA and aepH homologs in genomes of these bacteria. We conclude that aepH-mediated activation of exoprotein gene expression is a feature common to most strains of E. carotovora. Images PMID:7944360

  11. Using Curriculum-Based Assessment to Determine Eligibility: Time for a Paradigm Shift?

    ERIC Educational Resources Information Center

    McLean, Mary

    2005-01-01

    Comments on an article by Macy et al. The authors supports the potential use of the Assessment, Evaluation and Programming System for Infants and Children (AEPS:E) as an instrument for determining eligibility with toddler-aged children (18 to 36 months). Much work remains to be done before the AEPS:E should be recommended for use in determining…

  12. Suppression of asparaginyl endopeptidase attenuates breast cancer-induced bone pain through inhibition of neurotrophin receptors.

    PubMed

    Yao, Peng; Ding, Yuanyuan; Han, Zhenkai; Mu, Ying; Hong, Tao; Zhu, Yongqiang; Li, Hongxi

    2017-01-01

    Objective Cancer-induced bone pain is a common clinical problem in breast cancer patients with bone metastasis. However, the mechanisms driving cancer-induced bone pain are poorly known. Recent studies show that a novel protease, asparaginyl endopeptidase (AEP) plays crucial roles in breast cancer metastasis and progression. We aim to determine the functions and targeted suppress of AEP in a mouse model of breast cancer-induced bone pain. Methods Breast cancer cells with AEP knocked-down or overexpression were constructed and implanted into the intramedullary space of the femur to induce pain-like behavior in mice. AEP-specific inhibitors or purified AEP proteins were further used in animal model. The histological characters of femur and pain ethological changes were measured. The expressions of AEP and neurotrophin receptors (p75NTR and TrkA) in dorsal root ganglion and spinal cord were examined. Results Femur radiographs and histological analysis revealed that cells with AEP knocked-down reduced bone destruction and pain behaviors. However, cells with AEP overexpression elevated bone damage and pain behaviors. Further, Western blot results found that the expressions of p75NTR and TrkA in dorsal root ganglions and spinal cords were reduced in mice inoculated with AEP knocked-down cells. Targeted suppression of AEP with specific small compounds significantly reduced the bone pain while purified recombinant AEP proteins increased bone pain. Conclusions AEP aggravate the development of breast cancer bone metastasis and bone pain by increasing the expression of neurotrophin receptors. AEP might be an effective target for treatment of breast cancerinduced bone pain.

  13. Hearing Sensation Levels of Emitted Biosonar Clicks in an Echolocating Atlantic Bottlenose Dolphin

    PubMed Central

    Li, Songhai; Nachtigall, Paul E.; Breese, Marlee; Supin, Alexander Ya.

    2012-01-01

    Emitted biosonar clicks and auditory evoked potential (AEP) responses triggered by the clicks were synchronously recorded during echolocation in an Atlantic bottlenose dolphin (Tursiops truncatus) trained to wear suction-cup EEG electrodes and to detect targets by echolocation. Three targets with target strengths of −34, −28, and −22 dB were used at distances of 2 to 6.5 m for each target. The AEP responses were sorted according to the corresponding emitted click source levels in 5-dB bins and averaged within each bin to extract biosonar click-related AEPs from noise. The AEP amplitudes were measured peak-to-peak and plotted as a function of click source levels for each target type, distance, and target-present or target-absent condition. Hearing sensation levels of the biosonar clicks were evaluated by comparing the functions of the biosonar click-related AEP amplitude-versus-click source level to a function of external (in free field) click-related AEP amplitude-versus-click sound pressure level. The results indicated that the dolphin's hearing sensation levels to her own biosonar clicks were equal to that of external clicks with sound pressure levels 16 to 36 dB lower than the biosonar click source levels, varying with target type, distance, and condition. These data may be assumed to indicate that the bottlenose dolphin possesses effective protection mechanisms to isolate the self-produced intense biosonar beam from the animal's ears during echolocation. PMID:22238654

  14. Hearing sensation levels of emitted biosonar clicks in an echolocating Atlantic bottlenose dolphin.

    PubMed

    Li, Songhai; Nachtigall, Paul E; Breese, Marlee; Supin, Alexander Ya

    2012-01-01

    Emitted biosonar clicks and auditory evoked potential (AEP) responses triggered by the clicks were synchronously recorded during echolocation in an Atlantic bottlenose dolphin (Tursiops truncatus) trained to wear suction-cup EEG electrodes and to detect targets by echolocation. Three targets with target strengths of -34, -28, and -22 dB were used at distances of 2 to 6.5 m for each target. The AEP responses were sorted according to the corresponding emitted click source levels in 5-dB bins and averaged within each bin to extract biosonar click-related AEPs from noise. The AEP amplitudes were measured peak-to-peak and plotted as a function of click source levels for each target type, distance, and target-present or target-absent condition. Hearing sensation levels of the biosonar clicks were evaluated by comparing the functions of the biosonar click-related AEP amplitude-versus-click source level to a function of external (in free field) click-related AEP amplitude-versus-click sound pressure level. The results indicated that the dolphin's hearing sensation levels to her own biosonar clicks were equal to that of external clicks with sound pressure levels 16 to 36 dB lower than the biosonar click source levels, varying with target type, distance, and condition. These data may be assumed to indicate that the bottlenose dolphin possesses effective protection mechanisms to isolate the self-produced intense biosonar beam from the animal's ears during echolocation.

  15. Preparation, characterization and bioactivities of Athelia rolfsii exopolysaccharide-zinc complex (AEPS-zinc).

    PubMed

    Dong, Jinman; Li, Hongmei; Min, Weihong

    2018-07-01

    A new Athelia rolfsii exopolysaccharides (AEPS) were purified by Sephacryl S-300 and S-200. The physicochemical characteristics of AEPS fractions were assayed by HPGPC and GC methods. The structures of AEPS and AEPS‑zinc complex were characterized by SEM, FTIR and NMR. Moreover, the bioactivities of complex were also evaluated by experiments in vitro and in vivo. AEPSI consisted of glucose, galacturonic acid, talose, galactose, mannose and xylose, the relative contents of them were 24.74, 19.60, 33.65, 8.77, 7.97 and 5.28%, respectively. AEPSII consisted of glucose, inositol, galacturonic acid, ribitol, gluconic acid, talose and xylose, whose relative contents were 36.06, 21.21, 12.78, 11.07, 6.58, 5.45 and 6.82%, respectively. The Mw and Mn of AEPSI were 6.1324×10 4 and 1.4218×10 4 Da, those of AEPSII were 517 and 248Da. SEM observations showed that microstructures of AEPS and AEPS‑zinc complex were obviously different both in size and shape. FTIR and NMR analysis indicated that AEPS might chelate with zinc ion through hydroxy and carboxy group. In vitro experiments showed that AEPS‑zinc complex had a good bioavailability, in vivo experiments showed that it had good effect on improving zinc deficiency and antioxidant activities, which suggested that it could be used as zinc supplementation with high antioxidant activities. Copyright © 2018 Elsevier B.V. All rights reserved.

  16. Market assessment of PFBC ash use

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

    Bland, A. E.; Brown, T. H., Western Research Institute

    1998-01-01

    Pressurized fluidized bed combustion (PFBC) of coal is undergoing demonstration in the United States, as well as throughout the world. American Electric Power`s (AEP`s) bubbling PFBC 70 MWe Tidd demonstration program in Ohio and pilot-scale development at Foster Wheeler Energia Oy 10 MWth circulating PFBC at Karhula, Finland, have demonstrated the advantages of PFBC technology. Further technology development in the US is planned with the deployment of the technology at the MacIntosh Clean Coal project in Lakeland, Florida. Development of uses for solid wastes from PFBC coal-fired power systems is being actively pursued as part of the demonstration of PFBCmore » technologies. Ashes collected from Foster Wheeler Energia Oy pilot circulating PFBC tests in Karhula, Finland, operating on (1) low sulfur subbituminous and (2) high sulfur bituminous coal; and ash from the AEP`s high-sulfur bituminous coal-fired bubbling PFBC in Brilliant, Ohio, were evaluated in laboratory and pilot-scale ash use testing at Western Research Institute (WRI).« less

  17. Characterization of a gut-associated asparaginyl endopeptidase of Clonorchis sinensis.

    PubMed

    Kang, Jung-Mi; Lee, Jinyoung; Ju, Hye-Lim; Ju, Jung Won; Kim, Jong-Hyun; Pak, Jhang Ho; Kim, Tong-Soo; Hong, Yeonchul; Sohn, Woon-Mok; Na, Byoung-Kuk

    2015-06-01

    Asparaginyl endopeptidases (AEP: EC 3.4.22.34) are a family of cysteine proteases classified into the MEROPS clan CD, family C13. In this study, we characterized the biochemical and antigenic properties of an AEP of Clonorchis sinensis (CsAEP). The recombinant CsAEP showed hydrolytic activity at pH values ranging from acidic to neutral with optimum activity at pH 6.0. While the recombinant CsAEP was stable at neutral pHs, it was unstable at acidic pHs and resulted in loss of enzymatic activity. The recombinant enzyme was effectively inhibited by iodoacetic acid and N-ethylmaleimide, but not by E-64. The partially purified native CsAEP showed biochemical properties similar to the recombinant enzyme. Native CsAEP is likely to be cleaved into an N-terminal mature enzyme and a C-terminal fragment via autocatalytic activation at acidic pHs. Polyclonal antibody raised against the recombinant CsAEP recognized three forms of CsAEP, proenzyme, the N-terminal mature enzyme and the C-terminal fragment, in the worm extract (WE) of C. sinensis. However, only the C-terminal fragment was mainly found in the excretory and secretory (ES) products of the parasite. Strong CsAEP activity was found in the WE, but only a trace level of CsAEP activity was detected in the ES products of the parasite. CsAEP was expressed in various developmental stages of C. sinensis, from metacercariae to adults, and was found to be localized in the intestine of the parasite as well as in intestinal contents. Sera from rats experimentally infected with C. sinensis reacted with CsAEP beginning 4 weeks after infection. These results suggest that CsAEP is a gut-associated enzyme synthesized in the intestine of C. sinensis and subsequently secreted into the intestinal lumen of the parasite. Copyright © 2015 Elsevier Inc. All rights reserved.

  18. Development of a 13 kW Hall Thruster Propulsion System Performance Model for AEPS

    NASA Technical Reports Server (NTRS)

    Stanley, Steven; Allen, May; Goodfellow, Keith; Chew, Gilbert; Rapetti, Ryan; Tofil, Todd; Herman, Dan; Jackson, Jerry; Myers, Roger

    2017-01-01

    The Advanced Electric Propulsion System (AEPS) program will develop a flight 13kW Hall thruster propulsion system based on NASA's HERMeS thruster. The AEPS system includes the Hall Thruster, the Power Processing Unit (PPU) and the Xenon Flow Controller (XFC). These three primary components must operate together to ensure that the system generates the required combinations of thrust and specific impulse at the required system efficiencies for the desired system lifetime. At the highest level, the AEPS system will be integrated into the spacecraft and will receive power, propellant, and commands from the spacecraft. Power and propellant flow rates will be determined by the throttle set points commanded by the spacecraft. Within the system, the major control loop is between the mass flow rate and thruster current, with time-dependencies required to handle all expected transients, and additional, much slower interactions between the thruster and cathode temperatures, flow controller and PPU. The internal system interactions generally occur on shorter timescales than the spacecraft interactions, though certain failure modes may require rapid responses from the spacecraft. The AEPS system performance model is designed to account for all these interactions in a way that allows evaluation of the sensitivity of the system to expected changes over the planned mission as well as to assess the impacts of normal component and assembly variability during the production phase of the program. This effort describes the plan for the system performance model development, correlation to NASA test data, and how the model will be used to evaluate the critical internal and external interactions. The results will ensure the component requirements do not unnecessarily drive the system cost or overly constrain the development program. Finally, the model will be available to quickly troubleshoot any future unforeseen development challenges.

  19. Advanced Extravehicular Protective System (AEPS) study

    NASA Technical Reports Server (NTRS)

    Williams, J. L.; Webbon, B. W.; Copeland, R. J.

    1972-01-01

    A summary is presented of Advanced Extravehicular Protective Systems (AEPS) for the future missions beyond Skylab in earth orbit, on the lunar surface, and on the Martian surface. The study concentrated on the origination of regenerable life support concepts for use in portable extravehicular protective systems, and included evaluation and comparison with expendable systems, and selection of life support subsystems. The study was conducted in two phases. In the first phase, subsystem concepts for performing life support functions in AEPS which are regenerable or partially regenerable were originated, and in addition, expendable subsystems were considered. Parametric data for each subsystem concept were evolved including subsystem weight and volume, power requirement, thermal control requirement; base regeneration equipment weight and volume, requirement. The second phase involved an evaluation of the impact of safety considerations involving redundant and/or backup systems on the selection of the regenerable life support subsystems. In addition, the impact of the space shuttle program on regenerable life support subsystem development was investigated.

  20. High-efficiency surfactant prepared from phenolic resin for multi-walled carbon nanotube aqueous suspension

    NASA Astrophysics Data System (ADS)

    Li, Yutong; Wei, Haixu; Li, Lizhi; Wang, Jie; Qian, Xin; He, Liu; Wang, Xuefei; Ouyang, Qin; Chen, Yousi; Zhang, Yonggang; Li, Yong

    2018-06-01

    Carbon nanotubes (CNTs) have been widely exploited to be used in many fields due to its perfect mechanical properties, but CNT agglomerates severely prevent CNTs' excellent properties from performing. Many dispersants were synthesized to resolve the difficulty reported in recent years. In this paper, a healthier and cheaper dispersant with phenolic resin as original reagent was synthesized (denoted as AEP-4). Fourier transform infrared spectroscopy, nuclear magnetic resonance, and mass spectra were carried out to characterize chemical structure of reagent and products. Ultraviolet-visible spectroscopy and transmission electron microscopy were employed to evaluate the dispersibility of multi-walled carbon nanotubes (MWCNTs) in aqueous solution. The results showed that AEP-4 containing tertiary ammonium cations exhibited strong ability to disperse MWCNTs in aqueous solution, which showed better dispersion ability than sodium dodecyl benzene sulfonate. The scanning electron microscope results of MWCNT/carbon fiber reinforcements showed that many single MWCNTs showed up and uniformly covered carbon fiber surface in the case of carbon fiber treated by MWCNT/AEP-4 suspension, which reflected that MWCNT suspension with AEP-4 had good dispersion.

  1. Considering Weight Loss Programs and Public Health Partnerships in American Evangelical Protestant Churches.

    PubMed

    Miller, D Gibbes

    2018-06-01

    The obesity epidemic is a critical public health threat facing the USA. With the advent of American Evangelical Protestant (AEP) weight loss guides and narratives, AEP churches could potentially aid public health agencies in combatting obesity, and some scholars have called for investment in partnerships between public health agencies and religious institutions. This paper examines the theological and social underpinnings of AEP weight loss programs and considers the potential benefits and risks of public health partnerships with AEP churches to combat obesity. While AEP churches may be successful at empowering people to lose weight, AEP weight loss also carries several risks. These risks include reinforcing gendered bodily norms, stigmatizing both overweight bodies and unhealthy behaviors deemed to be sinful (for example, overeating), and failing to acknowledge social factors that promote obesity. These risks must be assessed and minimized to create appropriate public health weight loss partnerships with AEP communities.

  2. Preconceptional motivational interviewing interventions to reduce alcohol-exposed pregnancy risk.

    PubMed

    Ingersoll, Karen S; Ceperich, Sherry D; Hettema, Jennifer E; Farrell-Carnahan, Leah; Penberthy, J Kim

    2013-04-01

    Alcohol exposed pregnancy (AEP) is a leading cause of preventable birth defects. While randomized controlled trials (RCTs) have shown that multi-session motivational interviewing-based interventions reduce AEP risk, a one-session intervention could facilitate broader implementation. The purposes of this study were to: (1) test a one-session motivational AEP prevention intervention for community women and (2) compare outcomes to previous RCTs. Participants at risk for AEP (N=217) were randomized to motivational interviewing+assessment feedback (EARLY), informational video, or informational brochure conditions. Outcomes were drinks per drinking day (DDD), ineffective contraception rate, and AEP risk at 3 and 6 months. All interventions were associated with decreased DDD, ineffective contraception rate, and AEP risk. Participants who received EARLY had larger absolute risk reductions in ineffective contraception and AEP risk, but not DDD. Effect sizes were compared to previous RCTs. The one-session EARLY intervention had less powerful effects than multi-session AEP prevention interventions among community women, but may provide a new option in a continuum of preventive care. Copyright © 2013 Elsevier Inc. All rights reserved.

  3. Convergence of online daily diaries and timeline followback among women at risk for alcohol exposed pregnancy.

    PubMed

    Chow, Philip I; Lord, Holly R; MacDonnell, Kirsten; Ritterband, Lee M; Ingersoll, Karen S

    2017-11-01

    Researchers and clinicians interested in assessing drinking and unprotected sex in evaluating risk for alcohol-exposed pregnancy (AEP) have limited options. The current investigation examined the degree to which data collected from online prospectively collected daily diaries (Diaries) converged with data from interviewer-administered retrospective timeline follow back (TLFB), the standard in AEP intervention studies. 71 women (M age =27.7, SD=6.2) at risk for AEP were recruited via online advertising and were randomly assigned to an online patient education condition or a tailored, online internet intervention to reduce AEP risk. All participants were administered both Diaries and TLFB at baseline and 6months after intervention. Key outcomes were variables of drinking rates and unprotected sex that combined to indicate risk for AEP. Zero-order and intra-class correlations (ICC) between Diaries and TLFB were strong for each outcome. Examination of ICC confidence intervals indicated that condition assignment did not have a significant impact on the degree of convergence between Diaries and TLFB. With the exception of proportion of days drinking and proportion of days with unprotected sex at baseline, none of the paired t-tests reached significance. Examination of descriptive statistics revealed that 63% of participants reported problem alcohol use and unprotected sex in both the 10-day Diaries and 90-day TLFB at baseline, with 70% agreement at post 6-month follow up. Findings indicate overall strong agreement between TLFB and Diaries in detecting alcohol use and unprotected sex in women at risk for AEP, and each method has benefits and challenges that should be weighed carefully by researchers and treatment providers. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. Acute Eosinophilic Pneumonia: Correlation of Clinical Characteristics With Underlying Cause.

    PubMed

    De Giacomi, Federica; Decker, Paul A; Vassallo, Robert; Ryu, Jay H

    2017-08-01

    Acute eosinophilic pneumonia (AEP) is an uncommon disease, often indistinguishable from ARDS or community-acquired pneumonia at initial presentation. AEP can be idiopathic, but identifiable causes include medications and inhalational exposures, including cigarette smoke. Using a computer-assisted search, we retrospectively identified and reviewed the medical records of all patients diagnosed with AEP between January 1, 1998, and June 30, 2016, at our institution. Demographic and clinical data were extracted, including exposures (occupational, environmental, recreational, pharmacologic, and smoking), laboratory and radiologic findings, treatments, hospitalization (including ICU stay), and subsequent clinical course. Among 36 consecutive patients with AEP, 11 were smoking-related cases, six were medication-related cases and 19 were idiopathic. Smoking-related AEP included six first-time smokers and five ex-smokers who had resumed smoking after a period of abstinence. Patients with smoking-related AEP were younger compared with both medication-related and idiopathic AEP cases (median age: 22 vs 47.5 vs 55 years, respectively; P = .004). Patients with smoking-related AEP were less likely to be associated with peripheral eosinophilia at presentation (36% vs 50% vs 58%; P = .52) but more likely to be hospitalized (100% vs 50% vs 63%; P = .039), including a longer ICU stay, compared with medication-related and idiopathic cases. AEP is associated with a good prognosis when recognized and treated promptly. Compared with medication-related and idiopathic AEP, smoking-related AEP was less likely to be associated with peripheral eosinophilia at presentation but was characterized by more severe disease manifestations. Copyright © 2017 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.

  5. High-Intensity Interval Training for Cognitive and Mental Health in Adolescents.

    PubMed

    Costigan, Sarah A; Eather, Narelle; Plotnikoff, Ronald C; Hillman, Charles H; Lubans, David R

    2016-10-01

    Emerging literature suggests that physical activity and fitness may have a positive effect on cognitive and mental health in adolescents. The purpose of the current study was to evaluate the efficacy of two high-intensity interval training (HIIT) protocols for improving cognitive and mental health outcomes (executive function, psychological well-being, psychological distress, and physical self-concept) in adolescents. Participants (n = 65; mean age = 15.8 ± 0.6 yr) were randomized to three conditions: aerobic exercise program (AEP; n = 21), resistance and aerobic program (RAP; n = 22), and control (n = 22). HIIT sessions (8-10 min per session) were delivered during physical education lessons or at lunchtime three times per week for 8 wk. Assessments were conducted at baseline and immediately postintervention to detect changes in executive function (trail making test), psychological well-being, psychological distress, and physical self-description by researchers blinded to treatment allocation. Intervention effects were examined using linear mixed models. Cohen's d effect sizes and clinical inference were also calculated. While results were not significant, small improvements in executive function (mean change (95% CI) -6.69 (-22.03, 8.64), d = -0.32) and psychological well-being (mean change (95% CI) 2.81 (-2.06, 7.68), d = 0.34) were evident in the AEP group; and moderate improvements in executive function (mean change (95% CI) -10.73 (-26.22, 4.76), d = -0.51), and small improvements in well-being (mean change (95% CI) 2.96 (-1.82, 7.75), d = 0.36) and perceived appearance (mean change (95% CI) 0.32 (-0.25, 0.86), d = 0.35), were observed for the RAP group. Mean feeling state scores improved from preworkout to postworkout in both HIIT conditions, with significant results for the AEP (P = 0.001). This study highlights the potential of embedding HIIT within the school day for improving cognitive and mental health among adolescents.

  6. IBM Academic Information Systems University AEP Conference: "Tools for Learning" (2nd, San Diego, California, April 5-8, 1986). Agenda [and Abstracts].

    ERIC Educational Resources Information Center

    International Business Machines Corp., Milford, CT. Academic Information Systems.

    This agenda lists activities scheduled for the second IBM (International Business Machines) Academic Information Systems University AEP (Advanced Education Projects) Conference, which was designed to afford the universities participating in the IBM-sponsored AEPs an opportunity to demonstrate their AEP experiments in educational computing. In…

  7. The distribution of the h-index among academic emergency physicians in the United States.

    PubMed

    DeLuca, Lawrence A; St John, Alex; Stolz, Uwe; Matheson, Lincoln; Simpson, Allan; Denninghoff, Kurt R

    2013-10-01

    Hirsch's h-index (h) attempts to measure the combined academic impact and productivity of a scientist by counting the number of publications by an author, ranked in descending order by number of citations, until the paper number equals the number of citations. This approach provides a natural number or index of the number of publications and the number of citations per publication. H was first described in physics and was demonstrated to be highly predictive of continued academic activity, including recognized measures of scientific excellence such as membership in the National Academy of Sciences and being a Nobel laureate. Citation rates, research environments, and years of experience all affect h, making any comparisons appropriate only for scientists working in the same field for a similar time period. The authors are unaware of any report describing the distribution of h among academic emergency physicians (AEPs). The objective was to describe the distribution of h for AEPs and to determine whether Hirsch's demonstration of the h-index as a predictor of continued scholarly activity among physicists would also apply to AEPs. Academic EPs were identified from lists provided on allopathic U.S. emergency medicine (EM) residency program websites. "Harzing's Publish or Perish," a free program available on the Web that queries Google Scholar, was used to calculate h for each AEP. Agreement between raters was analyzed on a subset of 100 EPs. An analysis of the 20 EPs with the top h-indices was performed to characterize the entire body of their scholarly work, and their h-indices were calculated at 12 and 24 years into their careers. A total of 4,744 AEPs from 136 programs were evaluated. Nine programs did not publicly list the faculty at their institutions and were excluded. A linear weighted kappa was used to measure rater concordance, with agreement of 98.3% and κ = 0.92 (95% confidence interval [CI] = 0.861 to 0.957). The majority of AEPs had h-indices of zero or one (59%), 85% had h-indices less than six, 95% less than 13, and 99% less than 24. Ten percent of AEPs had h/(years in publication) of 0.5 or greater. For the top 20 EPs, the mean (± standard deviation [±SD]) h-index increased from 7.6 (±4.6) to 23.5 (±9.4) between years 12 and 24. The mean (±SD) increase in h-index was 15.8 (±7.6). The h-index can be used to characterize the academic productivity of AEPs. An h/year of 0.5 or greater is characteristic of the most productive EPs and represents only 10% of all AEPs. The 12-year h-index of top-performing EPs was strongly related to their future academic productivity. The distribution of h among EPs may provide a means for individual investigators and academic leaders to evaluate performance and identify EPs with future success in EM research. © 2013 by the Society for Academic Emergency Medicine.

  8. Invariance of evoked-potential echo-responses to target strength and distance in an echolocating false killer whale

    NASA Astrophysics Data System (ADS)

    Supin, Alexander Ya.; Nachtigall, Paul E.; Au, Whitlow W. L.; Breese, Marlee

    2005-06-01

    Brain auditory evoked potentials (AEPs) were recorded in a false killer whale Pseudorca crassidens trained to accept suction-cup EEG electrodes and to detect targets by echolocation. AEP collection was triggered by echolocation pulses transmitted by the animal. The target strength varied from -22 to -40 dB the distance varied from 1.5 to 6 m. All the records contained two AEP sets: the first one of a constant latency (transmission-related AEP) and a second one with a delay proportional to the distance (echo-related AEP). The amplitude of echo-related AEPs was almost independent of both target strength and distance, though combined variation of these two parameters resulted in echo intensity variation within a range of 42 dB. The amplitude of transmission-related AEPs was independent of distance but dependent on target strength: the less the target strength, the higher the amplitude. Recording of transmitted pulses has not shown their intensity dependence on target strength. It is supposed that the constancy of echo-related AEP results from variation of hearing sensitivity depending on the target strength and release of echo-related responses from masking by transmitted pulses depending on the distance. .

  9. Target distance-dependent variation of hearing sensitivity during echolocation in a false killer whale.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Breese, Marlee

    2010-06-01

    Evidence of varying hearing sensitivity according to the target distance was obtained in a false killer whale Pseudorca crassidens during echolocation. Auditory evoked potentials (AEPs) triggered by echolocation clicks were recorded. The target distance varied from 1 to 6 m. The records contained AEPs to the self-heard emitted click and AEPs to the echoes. Mean level of echolocation clicks depended on distance (the longer the distance, the higher the click level), however, the effect of click level on AEP amplitude was eliminated by extracting AEPs to clicks of certain particular levels. The amplitude of the echo-provoked AEP was almost independent of distance, however, the amplitude of the AEP to the emitted click, did depend on distance within a range from 1 to 4 m: the longer the distance, the higher the amplitude. The latter result is interpreted as confirmational evidence that the animal is capable of varying hearing sensitivity according to target distance. The variation of hearing sensitivity may help to compensate for the echo attenuation with distance; as a secondary effect, this variation manifested itself in a variation of the amplitude of the AEP to emitted clicks.

  10. Invariance of evoked-potential echo-responses to target strength and distance in an echolocating false killer whale.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Au, Whitlow W L; Breese, Marlee

    2005-06-01

    Brain auditory evoked potentials (AEPs) were recorded in a false killer whale Pseudorca crassidens trained to accept suction-cup EEG electrodes and to detect targets by echolocation. AEP collection was triggered by echolocation pulses transmitted by the animal. The target strength varied from -22 to -40 dB; the distance varied from 1.5 to 6 m. All the records contained two AEP sets: the first one of a constant latency (transmission-related AEP) and a second one with a delay proportional to the distance (echo-related AEP). The amplitude of echo-related AEPs was almost independent of both target strength and distance, though combined variation of these two parameters resulted in echo intensity variation within a range of 42 dB. The amplitude of transmission-related AEPs was independent of distance but dependent on target strength: the less the target strength, the higher the amplitude. Recording of transmitted pulses has not shown their intensity dependence on target strength. It is supposed that the constancy of echo-related AEP results from variation of hearing sensitivity depending on the target strength and release of echo-related responses from masking by transmitted pulses depending on the distance.

  11. Source-to-sensation level ratio of transmitted biosonar pulses in an echolocating false killer whale.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Breese, Marlee

    2006-07-01

    Transmitted biosonar pulses, and the brain auditory evoked potentials (AEPs) associated with those pulses, were synchronously recorded in a false killer whale Pseudorca crassidens trained to accept suction-cup EEG electrodes and to detect targets by echolocation. AEP amplitude was investigated as a function of the transmitted biosonar pulse source level. For that, a few thousand of the individual AEP records were sorted according to the spontaneously varied amplitude of synchronously recorded biosonar pulses. In each of the sorting bins (in 5-dB steps) AEP records were averaged to extract AEP from noise; AEP amplitude was plotted as a function of the biosonar pulse source level. For comparison, AEPs were recorded to external (in free field) sound pulses of a waveform and spectrum similar to those of the biosonar pulses; amplitude of these AEPs was plotted as a function of sound pressure level. A comparison of these two functions has shown that, depending on the presence or absence of a target, the sensitivity of the whale's hearing to its own transmitted biosonar pulses was 30 to 45 dB lower than might be expected in a free acoustic field.

  12. Comparison of in-air evoked potential and underwater behavioral hearing thresholds in four bottlenose dolphins (Tursiops truncatus).

    PubMed

    Finneran, James J; Houser, Dorian S

    2006-05-01

    Traditional behavioral techniques for hearing assessment in marine mammals are limited by the time and access required to train subjects. Electrophysiological methods, where passive electrodes are used to measure auditory evoked potentials (AEPs), are attractive alternatives to behavioral techniques; however, there have been few attempts to compare AEP and behavioral results for the same subject. In this study, behavioral and AEP hearing thresholds were compared in four bottlenose dolphins. AEP thresholds were measured in-air using a piezoelectric sound projector embedded in a suction cup to deliver amplitude modulated tones to the dolphin through the lower jaw. Evoked potentials were recorded noninvasively using surface electrodes. Adaptive procedures allowed AEP hearing thresholds to be estimated from 10 to 150 kHz in a single ear in about 45 min. Behavioral thresholds were measured in a quiet pool and in San Diego Bay. AEP and behavioral threshold estimates agreed closely as to the upper cutoff frequency beyond which thresholds increased sharply. AEP thresholds were strongly correlated with pool behavioral thresholds across the range of hearing; differences between AEP and pool behavioral thresholds increased with threshold magnitude and ranged from 0 to + 18 dB.

  13. Effects of propofol, sevoflurane, remifentanil, and (S)-ketamine in subanesthetic concentrations on visceral and somatosensory pain-evoked potentials.

    PubMed

    Untergehrer, Gisela; Jordan, Denis; Eyl, Sebastian; Schneider, Gerhard

    2013-02-01

    Although electroencephalographic parameters and auditory evoked potentials (AEP) reflect the hypnotic component of anesthesia, there is currently no specific and mechanism-based monitoring tool for anesthesia-induced blockade of nociceptive inputs. The aim of this study was to assess visceral pain-evoked potentials (VPEP) and contact heat-evoked potentials (CHEP) as electroencephalographic indicators of drug-induced changes of visceral and somatosensory pain. Additionally, AEP and electroencephalographic permutation entropy were used to evaluate sedative components of the applied drugs. In a study enrolling 60 volunteers, VPEP, CHEP (amplitude N2-P1), and AEP (latency Nb, amplitude Pa-Nb) were recorded without drug application and at two subanesthetic concentration levels of propofol, sevoflurane, remifentanil, or (s)-ketamine. Drug-induced changes of evoked potentials were analyzed. VPEP were generated by electric stimuli using bipolar electrodes positioned in the distal esophagus. For CHEP, heat pulses were given to the medial aspect of the right forearm using a CHEP stimulator. In addition to AEP, electroencephalographic permutation entropy was used to indicate level of sedation. With increasing concentrations of propofol, sevoflurane, remifentanil, and (s)-ketamine, VPEP and CHEP N2-P1 amplitudes decreased. AEP and electroencephalographic permutation entropy showed neither clinically relevant nor statistically significant suppression of cortical activity during drug application. Decreasing VPEP and CHEP amplitudes under subanesthetic concentrations of propofol, sevoflurane, remifentanil, and (s)-ketamine indicate suppressive drug effects. These effects seem to be specific for analgesia.

  14. A Quick Drinking Screen for identifying women at risk for an alcohol-exposed pregnancy.

    PubMed

    Dum, Mariam; Sobell, Linda Carter; Sobell, Mark B; Heinecke, Nicholas; Voluse, Andrew; Johnson, Kenneth

    2009-09-01

    Two previous studies comparing the Quick Drinking Screen (QDS) with the Timeline Followback (TLFB) found that these two instruments yielded similar reports of alcohol use for clinical and nonclinical populations of problem drinkers. The current study evaluated the correspondence between these two drinking measures with women at risk of an Alcohol-Exposed Pregnancy (AEP). Participants were 355 women who voluntarily participated in a research study during 2005 through 2007 designed to prevent AEPs. All women were screened by phone for eligibility using the QDS and approximately 2 weeks later completed a 3-month TLFB by mail. Results of this study, analyzed in 2008, paralleled previous studies showing that the QDS and the TLFB, two very different drinking measures, collected similar aggregate drinking data for women who drink heavily and are at risk of an AEP. Correspondence between the two drinking measures met acceptable levels of reliability. The present study found that the QDS has demonstrated efficacy for screening women whose level of alcohol use puts them at risk for an AEP. Although the QDS does not yield detailed drinking information, it could be used when it is not possible or necessary to gather daily drinking data.

  15. Effects of visual working memory on brain information processing of irrelevant auditory stimuli.

    PubMed

    Qu, Jiagui; Rizak, Joshua D; Zhao, Lun; Li, Minghong; Ma, Yuanye

    2014-01-01

    Selective attention has traditionally been viewed as a sensory processing modulator that promotes cognitive processing efficiency by favoring relevant stimuli while inhibiting irrelevant stimuli. However, the cross-modal processing of irrelevant information during working memory (WM) has been rarely investigated. In this study, the modulation of irrelevant auditory information by the brain during a visual WM task was investigated. The N100 auditory evoked potential (N100-AEP) following an auditory click was used to evaluate the selective attention to auditory stimulus during WM processing and at rest. N100-AEP amplitudes were found to be significantly affected in the left-prefrontal, mid-prefrontal, right-prefrontal, left-frontal, and mid-frontal regions while performing a high WM load task. In contrast, no significant differences were found between N100-AEP amplitudes in WM states and rest states under a low WM load task in all recorded brain regions. Furthermore, no differences were found between the time latencies of N100-AEP troughs in WM states and rest states while performing either the high or low WM load task. These findings suggested that the prefrontal cortex (PFC) may integrate information from different sensory channels to protect perceptual integrity during cognitive processing.

  16. Spectral binning for energy production calculations and multijunction solar cell design

    DOE PAGES

    Garcia, Iván; McMahon, William E.; Habte, Aron; ...

    2017-09-14

    Currently, most solar cells are designed for and evaluated under standard spectra intended to represent typical spectral conditions. However, no single spectrum can capture the spectral variability needed for annual energy production (AEP) calculations, and this shortcoming becomes more significant for series-connected multijunction cells as the number of junctions increases. For this reason, AEP calculations are often performed on very detailed yearlong sets of data, but these pose 2 inherent challenges: (1) These data sets comprise thousands of data points, which appear as a scattered cloud of data when plotted against typical parameters and are hence cumbersome to classify andmore » compare, and (2) large sets of spectra bring with them a corresponding increase in computation or measurement time. Here, we show how a large spectral set can be reduced to just a few 'proxy' spectra, which still retain the spectral variability information needed for AEP design and evaluation. The basic 'spectral binning' methods should be extensible to a variety of multijunction device architectures. In this study, as a demonstration, the AEP of a 4-junction device is computed for both a full set of spectra and a reduced proxy set, and the results show excellent agreement for as few as 3 proxy spectra. This enables much faster (and thereby more detailed) calculations and indoor measurements and provides a manageable way to parameterize a spectral set, essentially creating a 'spectral fingerprint,' which should facilitate the understanding and comparison of different sites.« less

  17. Spectral binning for energy production calculations and multijunction solar cell design

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

    Garcia, Iván; McMahon, William E.; Habte, Aron

    Currently, most solar cells are designed for and evaluated under standard spectra intended to represent typical spectral conditions. However, no single spectrum can capture the spectral variability needed for annual energy production (AEP) calculations, and this shortcoming becomes more significant for series-connected multijunction cells as the number of junctions increases. For this reason, AEP calculations are often performed on very detailed yearlong sets of data, but these pose 2 inherent challenges: (1) These data sets comprise thousands of data points, which appear as a scattered cloud of data when plotted against typical parameters and are hence cumbersome to classify andmore » compare, and (2) large sets of spectra bring with them a corresponding increase in computation or measurement time. Here, we show how a large spectral set can be reduced to just a few 'proxy' spectra, which still retain the spectral variability information needed for AEP design and evaluation. The basic 'spectral binning' methods should be extensible to a variety of multijunction device architectures. In this study, as a demonstration, the AEP of a 4-junction device is computed for both a full set of spectra and a reduced proxy set, and the results show excellent agreement for as few as 3 proxy spectra. This enables much faster (and thereby more detailed) calculations and indoor measurements and provides a manageable way to parameterize a spectral set, essentially creating a 'spectral fingerprint,' which should facilitate the understanding and comparison of different sites.« less

  18. The interaction of outgoing echolocation pulses and echoes in the false killer whale's auditory system: Evoked-potential study

    NASA Astrophysics Data System (ADS)

    Supin, Alexander Ya.; Nachtigall, Paul E.; Au, Whitlow W. L.; Breese, Marlee

    2004-06-01

    Brain auditory evoked potentials (AEP) associated with echolocation were recorded in a false killer whale Pseudorca crassidens trained to accept suction-cup EEG electrodes and to detect targets by echolocation. AEP collection was triggered by echolocation pulses transmitted by the animal. The target was a hollow aluminum cylinder of strength of -22 dB at a distance from 1 to 8 m. Each AEP record was obtained by averaging more than 1000 individual records. All the records contained two AEP sets: the first one of a constant latency and a second one with a delay proportional to the distance. The timing of these two AEP sets was interpreted as responses to the transmitted echolocation pulse and echo, respectively. The echo-related AEP, although slightly smaller, was comparable to the outgoing click-related AEP in amplitude, even though at a target distance as far as 8 m the echo intensity was as low as -64 dB relative to the transmitted pulse in front of the head. The amplitude of the echo-related AEP was almost independent of distance, even though variation of target distance from 1 to 8 m influenced the echo intensity by as much as 36 dB.

  19. The interaction of outgoing echolocation pulses and echoes in the false killer whale's auditory system: evoked-potential study.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Au, Whitlow W L; Breese, Marlee

    2004-06-01

    Brain auditory evoked potentials (AEP) associated with echolocation were recorded in a false killer whale Pseudorca crassidens trained to accept suction-cup EEG electrodes and to detect targets by echolocation. AEP collection was triggered by echolocation pulses transmitted by the animal. The target was a hollow aluminum cylinder of strength of -22 dB at a distance from 1 to 8 m. Each AEP record was obtained by averaging more than 1000 individual records. All the records contained two AEP sets: the first one of a constant latency and a second one with a delay proportional to the distance. The timing of these two AEP sets was interpreted as responses to the transmitted echolocation pulse and echo, respectively. The echo-related AEP, although slightly smaller, was comparable to the outgoing click-related AEP in amplitude, even though at a target distance as far as 8 m the echo intensity was as low as -64 dB relative to the transmitted pulse in front of the head. The amplitude of the echo-related AEP was almost independent of distance, even though variation of target distance from 1 to 8 m influenced the echo intensity by as much as 36 dB.

  20. A comparison of underwater hearing sensitivity in bottlenose dolphins (Tursiops truncatus) determined by electrophysiological and behavioral methods.

    PubMed

    Houser, Dorian S; Finneran, James J

    2006-09-01

    Variable stimulus presentation methods are used in auditory evoked potential (AEP) estimates of cetacean hearing sensitivity, each of which might affect stimulus reception and hearing threshold estimates. This study quantifies differences in underwater hearing thresholds obtained by AEP and behavioral means. For AEP estimates, a transducer embedded in a suction cup (jawphone) was coupled to the dolphin's lower jaw for stimulus presentation. Underwater AEP thresholds were obtained for three dolphins in San Diego Bay and for one dolphin in a quiet pool. Thresholds were estimated from the envelope following response at carrier frequencies ranging from 10 to 150 kHz. One animal, with an atypical audiogram, demonstrated significantly greater hearing loss in the right ear than in the left. Across test conditions, the range and average difference between AEP and behavioral threshold estimates were consistent with published comparisons between underwater behavioral and in-air AEP thresholds. AEP thresholds for one animal obtained in-air and in a quiet pool demonstrated a range of differences of -10 to 9 dB (mean = 3 dB). Results suggest that for the frequencies tested, the presentation of sound stimuli through a jawphone, underwater and in-air, results in acceptable differences to AEP threshold estimates.

  1. Flooding in the Northeastern United States, 2011

    USGS Publications Warehouse

    Suro, Thomas P.; Roland, Mark A.; Kiah, Richard G.

    2015-12-31

    The annual exceedance probability (AEP) for 327 streamgages in the Northeastern United States were computed using annual peak streamflow data through 2011 and are included in this report. The 2011 peak streamflow for 129 of those streamgages was estimated to have an AEP of less than or equal to 1 percent. Almost 100 of these peak streamflows were a result of the flooding associated with Hurricane Irene in late August 2011. More extreme than the 1-percent AEP, is the 0.2-percent AEP. The USGS recorded peak streamflows at 31 streamgages that equaled or exceeded the estimated 0.2-percent AEP during 2011. Collectively, the USGS recorded peak streamflows having estimated AEPs of less than 1 percent in Connecticut, Delaware, Maine, Maryland, Massachusetts, Ohio, Pennsylvania, New Hampshire, New Jersey, New York, and Vermont and new period-of-record peak streamflows were recorded at more than 180 streamgages resulting from the floods of 2011.

  2. Surgical monitoring with auditory evoked potentials.

    PubMed

    Lüders, H

    1988-07-01

    This comprehensive review of surgical monitoring with auditory evoked potentials (AEPs) includes a detailed discussion of techniques used for recording brainstem auditory evoked potentials, direct eight-nerve potentials, and electrocochleograms. The normal waveform of these different potentials is discussed, and the typical patterns of abnormalities seen with different insults to the peripheral or central auditory pathways are presented. The mechanisms most probably responsible for changes in AEPs during surgical procedures are analyzed. A critical analysis is made of what represents a significant change in AEPs. Also considered is the predictive value of intrasurgical changes of AEPs. Finally, attempts are made to determine whether AEPs monitoring can assist the surgeon in the prevention of postsurgical complications.

  3. Modulation of mGlu2 Receptors, but Not PDE10A Inhibition Normalizes Pharmacologically-Induced Deviance in Auditory Evoked Potentials and Oscillations in Conscious Rats

    PubMed Central

    Ahnaou, Abdallah; Biermans, Ria; Drinkenburg, Wilhelmus H.

    2016-01-01

    Improvement of cognitive impairments represents a high medical need in the development of new antipsychotics. Aberrant EEG gamma oscillations and reductions in the P1/N1 complex peak amplitude of the auditory evoked potential (AEP) are neurophysiological biomarkers for schizophrenia that indicate disruption in sensory information processing. Inhibition of phosphodiesterase (i.e. PDE10A) and activation of metabotropic glutamate receptor (mGluR2) signaling are believed to provide antipsychotic efficacy in schizophrenia, but it is unclear whether this occurs with cognition-enhancing potential. The present study used the auditory paired click paradigm in passive awake Sprague Dawley rats to 1) model disruption of AEP waveforms and oscillations as observed in schizophrenia by peripheral administration of amphetamine and the N-methyl-D-aspartate (NMDA) antagonist phencyclidine (PCP); 2) confirm the potential of the antipsychotics risperidone and olanzapine to attenuate these disruptions; 3) evaluate the potential of mGluR2 agonist LY404039 and PDE10 inhibitor PQ-10 to improve AEP deficits in both the amphetamine and PCP models. PCP and amphetamine disrupted auditory information processing to the first click, associated with suppression of the P1/N1 complex peak amplitude, and increased cortical gamma oscillations. Risperidone and olanzapine normalized PCP and amphetamine-induced abnormalities in AEP waveforms and aberrant gamma/alpha oscillations, respectively. LY404039 increased P1/N1 complex peak amplitudes and potently attenuated the disruptive effects of both PCP and amphetamine on AEPs amplitudes and oscillations. However, PQ-10 failed to show such effect in either models. These outcomes indicate that modulation of the mGluR2 results in effective restoration of abnormalities in AEP components in two widely used animal models of psychosis, whereas PDE10A inhibition does not. PMID:26808689

  4. mPEG-PLA Micelle for Delivery of Effective Parts of Andrographis Paniculata.

    PubMed

    Yao, Hailu; Song, Shiyong; Miao, Xiaolu; Liu, Xiao; Zhao, Junli; Wang, Zhen; Shao, Xiaoting; Zhang, Yu; Han, Guang

    2018-01-01

    Many studies have shown that Andrographis paniculata (Burm. f.) Nees has a good anti-tumor effect, but poor solubility in water and poor bioavailability hinder the modernization of it. To formulate the effective parts (mainly diterpene lactones) of Andrographis paniculata (AEP) into targeting drug delivery system, a series of poly(ethylene glycol)-poly(D.L-lactic acid)(mPEG-PLA) with different ratio of hydrophilic and hydrophobic segment was synthetized to encapsulate AEP. AEP micelles were prepared by a simple solvent-evaporation method. According to the loading capacity, the best polymer was chosen. mPEG-PLA micelles were characterized in terms of drug entrapping efficiency, loading capacity, size, the crystalline state of AEP, stability and release profile. Meanwhile, the cytotoxicity of micelles on mouse breast cancer 4T-1 was investigated. These micelle (mPEG-PLA-AEP) particles had a size of (92.84±5.63) nm and a high entrapping efficiency and loading capacity of (91.00±11.53)% and (32.14±3.02)%(w/w), respectively. The powder DSC showed that drugs were well encapsulated in the core of micelles. mPEG-PLA-AEP had a good stability against salt dissociation, protein adsorption and anion substitution and the solubility of andrographolide (AG) and 14-deoxy-11,12-didehydroandrographolide(DDAG) in AEP increased 4.51 times and 2.12 times in water, and the solubility of DAG showed no difference. mPEG-PLA-AEP had the same release profile in different dissolution medium. Cytotoxicity testing in vitro demonstrated that mPEG-PLA-AEP exhibited higher cell viability inhibition in mouse breast cancer 4T-1 than free AEP. mPEG-PLA micelles offer a promising alternative for TCM therapy with higher solubility and improved antitumor effect. Copyright© Bentham Science Publishers; For any queries, please email at epub@benthamscience.org.

  5. Prevalence and characteristics of women at risk for an alcohol-exposed pregnancy (AEP) in the United States: estimates from the National Survey of Family Growth.

    PubMed

    Cannon, Michael J; Guo, Jing; Denny, Clark H; Green, Patricia P; Miracle, Heidi; Sniezek, Joseph E; Floyd, R Louise

    2015-04-01

    Non-pregnant women can avoid alcohol-exposed pregnancies (AEPs) by modifying drinking and/or contraceptive practices. The purpose of this study was to estimate the number and characteristics of women in the United States who are at risk of AEPs. We analyzed data from in-person interviews obtained from a national probability sample (i.e., the National Survey of Family Growth) of reproductive-aged women conducted from January 2002 to March 2003. To be at risk of AEP, a woman had to have met the following criteria in the last month: (1) was drinking; (2) had vaginal intercourse with a man; and (3) did not use contraception. During a 1-month period, nearly 2 million U.S. women were at risk of an AEP (95 % confidence interval 1,760,079-2,288,104), including more than 600,000 who were binge drinking. Thus, 3.4 %, or 1 in 30, of all non-pregnant women were at risk of an AEP. Most demographic and behavioral characteristics were not clearly associated with AEP risk. However, pregnancy intention was strongly associated with AEP risk (prevalence ratio = 12.0, P < 0.001) because women often continued to drink even after they stopped using contraception. Nearly 2 million U.S. women are at AEP risk and therefore at risk of having children born with fetal alcohol spectrum disorders. For pregnant women and women intending a pregnancy, there is an urgent need for wider implementation of prevention programs and policy approaches that can reduce the risk for this serious public health problem.

  6. Normalization of auditory evoked potential and visual evoked potential in patients with idiot savant.

    PubMed

    Chen, X; Zhang, M; Wang, J; Lou, F; Liang, J

    1999-03-01

    To investigate the variations of auditory evoked potentials (AEP) and visual evoked potentials (VEP) of patients with idiot savant (IS) syndrome. Both AEP and VEP were recorded from 7 patients with IS syndrome, 21 mentally retarded (MR) children without the syndrome and 21 normally age-matched controls, using a Dantec concerto SEEG-16 BEAM instrument. Both AEP and VEP of MR group showed significantly longer latencies (P1 and P2 latencies of AEP, P < 0.01; N1 and N2 latencies of VEP, P < 0.01/0.05), lower P2 amplitudes (P < 0.01) and higher P3 amplitudes (P < 0.01), as compared with normal controls. But none of above-mentioned changes was found with IS group. Almost all MR patients (90.1%) presented P4 component in both AEP and VEP, which was also in sharp contrast with its incidence in other 2 groups (IS: 14.3%; normal controls: 9.5%). Patients with idiot savant syndrome presented normalized AEP and VEP.

  7. Asparagine endopeptidase cleaves α-synuclein and mediates pathologic activities in Parkinson's disease.

    PubMed

    Zhang, Zhentao; Kang, Seong Su; Liu, Xia; Ahn, Eun Hee; Zhang, Zhaohui; He, Li; Iuvone, P Michael; Duong, Duc M; Seyfried, Nicholas T; Benskey, Matthew J; Manfredsson, Fredric P; Jin, Lingjing; Sun, Yi E; Wang, Jian-Zhi; Ye, Keqiang

    2017-08-01

    Aggregated forms of α-synuclein play a crucial role in the pathogenesis of synucleinopathies such as Parkinson's disease (PD). However, the molecular mechanisms underlying the pathogenic effects of α-synuclein are not completely understood. Here we show that asparagine endopeptidase (AEP) cleaves human α-synuclein, triggers its aggregation and escalates its neurotoxicity, thus leading to dopaminergic neuronal loss and motor impairments in a mouse model. AEP is activated and cleaves human α-synuclein at N103 in an age-dependent manner. AEP is highly activated in human brains with PD, and it fragments α-synuclein, which is found aggregated in Lewy bodies. Overexpression of the AEP-cleaved α-synuclein 1-103 fragment in the substantia nigra induces both dopaminergic neuronal loss and movement defects in mice. In contrast, inhibition of AEP-mediated cleavage of α-synuclein (wild type and A53T mutant) diminishes α-synuclein's pathologic effects. Together, these findings support AEP's role as a key mediator of α-synuclein-related etiopathological effects in PD.

  8. Dolphin hearing during echolocation: evoked potential responses in an Atlantic bottlenose dolphin (Tursiops truncatus).

    PubMed

    Li, Songhai; Nachtigall, Paul E; Breese, Marlee

    2011-06-15

    Auditory evoked potential (AEP) responses were recorded during echolocation in an Atlantic bottlenose dolphin (Tursiops truncatus) trained to accept suction-cup EEG electrodes and detect targets by echolocation. AEP recording was triggered by the echolocation clicks of the animal. Three targets with target strengths of -34, -28 and -22 dB were used at a target distance of 2 to 6.5 m for each target. The results demonstrated that the AEP appeared to both outgoing echolocation clicks and echoes during echolocation, with AEP complexes consisting of alternative positive and negative waves. The echo-related AEP amplitudes were obviously lower than the outgoing click-related AEP amplitudes for all the targets at the investigated target distances. However, for targets with target strengths of -22 and -28 dB, the peak-to-peak amplitudes of the echo-related AEPs were dependent on the target distances. The echo-related AEP response amplitudes increased at further target distances, demonstrating an overcompensation of echo attenuation with target distance in the echo-perception system of the dolphin biosonar. Measurement and analysis of outgoing click intensities showed that the click levels increased with target distance (R) by a factor of approximately 10 to 17.5 logR depending on target strength. The results demonstrated that a dual-component biosonar control system formed by intensity compensation behavior in both the transmission and receiving phases of a biosonar cycle exists synchronously in the dolphin biosonar system.

  9. 78 FR 65636 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-01

    ...-001 Applicants: AEP Texas Central Company Description: TCC-TNC-South Texas Electric Cooperative Amd... p.m. ET 11/15/13 Docket Numbers: ER13-2289-001 Applicants: AEP Texas North Company Description: TCC...: AEP Texas Central Company Description: TCC-TNC-Texas New Mexico Power Company ERCOT TSA to be...

  10. 77 FR 65872 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-31

    ...-000. Applicants: AEP Texas Central Company. Description: TCC-Sendero Wind Energy PDA to be effective...: AEP Texas Central Company. Description: TCC-Midway Farms Wind IA to be effective 9/24/2012. Filed Date.... Docket Numbers: ER13-177-000. Applicants: AEP Texas North Company. Description: TNC-Higher Power Energy...

  11. 77 FR 1474 - Application To Export Electric Energy; AEP Energy Partners, Inc.

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-10

    ... DEPARTMENT OF ENERGY [OE Docket No. EA-318-B] Application To Export Electric Energy; AEP Energy Partners, Inc. AGENCY: Office of Electricity Delivery and Energy Reliability, DOE. ACTION: Notice of application. SUMMARY: AEP Energy Partners, Inc. (AEPEP) has applied to renew its authority to transmit...

  12. Advanced extravehicular protective systems study, volume 2

    NASA Technical Reports Server (NTRS)

    Sutton, J. G.; Heimlich, P. F.; Tepper, E. H.

    1972-01-01

    The results of the subsystem studies are presented. Initial identification and evaluation of candidate subsystem concepts in the area of thermal control, humidity control, CO2 control/O2 supply, contaminant control and power supply are discussed. The candidate concepts that were judged to be obviously noncompetitive were deleted from further consideration and the remaining candidate concepts were carried into the go/no go evaluation. A detailed parametric analysis of each of the thermal/humidity control and CO2 control/O2 supply subsystem concepts which passed the go/no go evaluation is described. Based upon the results of the parametric analyses, primary and secondary evaluations of the remaining candidate concepts were conducted. These results and the subsystem recommendations emanating from these results are discussed. In addition, the parametric analyses of the recommended subsystem concepts were updated to reflect the final AEPS specification requirements. A detailed discussion regarding the selection of the AEPS operating pressure level is presented.

  13. 75 FR 8325 - AEP Retail Energy Partners, LLC; Supplemental Notice That Initial Market-Based Rate Filing...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-02-24

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. ER10-727-000] AEP Retail Energy Partners, LLC; Supplemental Notice That Initial Market-Based Rate Filing Includes Request for... proceeding of AEP Retail Energy Partner, LLC's application for market-based rate authority, with an...

  14. Comparison of Alaskan Flood Stages: Annual Exceedance Probability vs. Impact Based Stages and Recommendations for the Future

    NASA Astrophysics Data System (ADS)

    Anderson, B. J.

    2016-12-01

    The Alaska River Forecasting Center (APRFC) issues water level forecasts that are used in conjunction with established flood stages to provide flood warning and advisory information to the public. The APRFC typically establishes flood stages based on observed impacts but Alaska has sparse empirical data (e.g., few impact surveys). Thus service hydrologists in Alaska use flood frequency analysis (LP3 distribution) to estimate flood stages from annual exceedance probabilities (AEPs) (Curran et al, 2016). Previously, the APRFC has maintained that bankfull stage corresponds to the 50% AEP, minor to 10-20% AEP, moderate to 2.5-7% AEP, and major to 1-2% AEP, but we now need to statistically verify this relationship. Our objective is therefore to validate the relationship between flood stages and stage associated with the 50, 20, 10, 4, 2, 1, 0.2, and 0.5 AEPs to provide recommendations for improved flood forecasting. We studied the relationship between AEP and flood stage for all gages (56) used by the APRFC that had rating curves not older than 3 years, flood stages based on observed impacts, and at least 10 years of peak annual stage data. The analysis found relatively strong relationships for all flood stages, except for bankfull stage, but with some differences when compared to the traditionally referenced relationship. Major flood stage appears to be most similar to the 1-.2% AEP (100-500 year RI) while moderate flood stage best fits the 2-4% AEP (25-50 year interval). Gages showing a difference in stage of 2 ft or greater exhibited this difference across all flood stages, which we link to site specific qualities such as susceptibility to ice-jam flooding. We present this method as a possible application to Alaskan Rivers as a general flood stage guideline.

  15. Using a single binge drinking question to identify Russian women at risk for an alcohol-exposed pregnancy.

    PubMed

    Balachova, Tatiana; Sobell, Linda Carter; Agrawal, Sangeeta; Isurina, Galina; Tsvetkova, Larissa; Volkova, Elena; Bohora, Som

    2015-07-01

    Low rates of contraception and at-risk drinking place many Russian women at risk of an alcohol-exposed pregnancy (AEP). The only realistic way to determine when women are at risk of AEP is by self-reports. A U.S. study found that a single binge-drinking question (SBD) effectively identified nearly all women whose drinking placed them at risk of AEP. The present study replicated the U.S. Participants were 689 non-pregnant Russian women of childbearing age who were at AEP risk. Their answers to SBD, "During the previous three months, how often did you have four or more drinks on one occasion", were compared with their reports of binge drinking on a 90-day Timeline Followback (TLFB) calendar. The SBD identified 99% of at-risk Russian women as binge drinkers, replicating U.S. Only 8% of the women were identified at-risk using a second AEP criterion of ≥8 drinks on average per week. Although Russian women did not report heavy weekly drinking and two-thirds did not meet AUDIT criteria for problem drinking, when they did drink, 40% of the time it was binge drinking. Almost all Russian women who were at risk of an AEP were identified by a single binge-drinking question. Results from this study suggest that Russian health care practitioners can use SBD to successfully screen women for AEP risk. SBD identified 99% of Russian women who were at AEP risk. Consequently, it is recommended that SBD be incorporated into routine health care screenings at OB/GYN clinic visits. Copyright © 2015 Elsevier Ltd. All rights reserved.

  16. Hybrid DNA i-motif: Aminoethylprolyl-PNA (pC5) enhance the stability of DNA (dC5) i-motif structure.

    PubMed

    Gade, Chandrasekhar Reddy; Sharma, Nagendra K

    2017-12-15

    This report describes the synthesis of C-rich sequence, cytosine pentamer, of aep-PNA and its biophysical studies for the formation of hybrid DNA:aep-PNAi-motif structure with DNA cytosine pentamer (dC 5 ) under acidic pH conditions. Herein, the CD/UV/NMR/ESI-Mass studies strongly support the formation of stable hybrid DNA i-motif structure with aep-PNA even near acidic conditions. Hence aep-PNA C-rich sequence cytosine could be considered as potential DNA i-motif stabilizing agents in vivo conditions. Copyright © 2017 Elsevier Ltd. All rights reserved.

  17. Implementation in action: how Australian Exercise Physiologists approach exercise prescription for people with mental illness.

    PubMed

    Stanton, Robert; Rosenbaum, Simon; Lederman, Oscar; Happell, Brenda

    2018-04-01

    Accredited Exercise Physiologists (AEPs) are trained to deliver exercise and physical activity interventions for people with chronic and complex health conditions including those with mental illness. However, their views on exercise for mental illness, their exercise prescription practices, and need for further training are unknown. To examine the way in which Australian AEPs prescribe exercise for people with mental illness. Eighty-one AEPs (33.3 ± 10.4 years) completed an online version of the Exercise in Mental Illness Questionnaire. Findings are reported using descriptive statistics. AEPs report a high level of knowledge and confidence in prescribing exercise for people with mental illness. AEPs rate exercise to be at least of equal value to many established treatments for mental illness, and frequently prescribe exercise based on current best-practice principles. A need for additional training was identified. The response rate was low (2.4%) making generalisations from the findings difficult. Exercise prescription practices utilised by AEPs are consistent with current best-practice guidelines and there is frequent consultation with consumers to individualise exercise based on their preferences and available resources. Further training is deemed important.

  18. Behavioral and auditory evoked potential audiograms of a false killer whale (Pseudorca crassidens)

    NASA Astrophysics Data System (ADS)

    Yuen, Michelle M. L.; Nachtigall, Paul E.; Breese, Marlee; Supin, Alexander Ya.

    2005-10-01

    Behavioral and auditory evoked potential (AEP) audiograms of a false killer whale were measured using the same subject and experimental conditions. The objective was to compare and assess the correspondence of auditory thresholds collected by behavioral and electrophysiological techniques. Behavioral audiograms used 3-s pure-tone stimuli from 4 to 45 kHz, and were conducted with a go/no-go modified staircase procedure. AEP audiograms used 20-ms sinusoidally amplitude-modulated tone bursts from 4 to 45 kHz, and the electrophysiological responses were received through gold disc electrodes in rubber suction cups. The behavioral data were reliable and repeatable, with the region of best sensitivity between 16 and 24 kHz and peak sensitivity at 20 kHz. The AEP audiograms produced thresholds that were also consistent over time, with range of best sensitivity from 16 to 22.5 kHz and peak sensitivity at 22.5 kHz. Behavioral thresholds were always lower than AEP thresholds. However, AEP audiograms were completed in a shorter amount of time with minimum participation from the animal. These data indicated that behavioral and AEP techniques can be used successfully and interchangeably to measure cetacean hearing sensitivity.

  19. Continuous time wavelet entropy of auditory evoked potentials.

    PubMed

    Cek, M Emre; Ozgoren, Murat; Savaci, F Acar

    2010-01-01

    In this paper, the continuous time wavelet entropy (CTWE) of auditory evoked potentials (AEP) has been characterized by evaluating the relative wavelet energies (RWE) in specified EEG frequency bands. Thus, the rapid variations of CTWE due to the auditory stimulation could be detected in post-stimulus time interval. This approach removes the probability of missing the information hidden in short time intervals. The discrete time and continuous time wavelet based wavelet entropy variations were compared on non-target and target AEP data. It was observed that CTWE can also be an alternative method to analyze entropy as a function of time. 2009 Elsevier Ltd. All rights reserved.

  20. Annual exceedance probabilities and trends for peak streamflows and annual runoff volumes for the Central United States during the 2011 floods

    USGS Publications Warehouse

    Driscoll, Daniel G.; Southard, Rodney E.; Koenig, Todd A.; Bender, David A.; Holmes, Robert R.

    2014-01-01

    During 2011, excess precipitation resulted in widespread flooding in the Central United States with 33 fatalities and approximately $4.2 billion in damages reported in the Red River of the North, Souris, and Mississippi River Basins. At different times from late February 2011 through September 2011, various rivers in these basins had major flooding, with some locations having multiple rounds of flooding. This report provides broadscale characterizations of annual exceedance probabilities and trends for peak streamflows and annual runoff volumes for selected streamgages in the Central United States in areas affected by 2011 flooding. Annual exceedance probabilities (AEPs) were analyzed for 321 streamgages for annual peak streamflow and for 211 streamgages for annual runoff volume. Some of the most exceptional flooding was for the Souris River Basin, where of 11 streamgages considered for AEP analysis of peak streamflow, flood peaks in 2011 exceeded the next largest peak of record by at least double for 6 of the longest-term streamgages (75 to 108 years of peak-flow record). AEPs for these six streamgages were less than 1 percent. AEPs for 2011 runoff volumes were less than 1 percent for all seven Souris River streamgages considered for AEP analysis. Magnitudes of 2011 runoff volumes exceeded previous maxima by double or more for 5 of the 7 streamgages (record lengths 52 to 108 years). For the Red River of the North Basin, AEPs for 2011 runoff volumes were exceptional, with two streamgages having AEPs less than 0.2 percent, five streamgages in the range of 0.2 to 1 percent, and four streamgages in the range of 1 to 2 percent. Magnitudes of 2011 runoff volumes also were exceptional, with all 11 of the aforementioned streamgages eclipsing previous long-term (62 to 110 years) annual maxima by about one-third or more. AEPs for peak streamflows in the upper Mississippi River Basin were not exceptional, with no AEPs less than 1 percent. AEPs for annual runoff volumes indicated less frequent recurrence, with 11 streamgages having AEPs of less than 1 percent. The 2011 runoff volume for streamgage 05331000 (at Saint Paul, Minnesota) exceeded the previous record (112 years of record) by about 24 percent. An especially newsworthy feature was prolonged flooding along the main stem of the Missouri River downstream from Garrison Dam (located upstream from Bismarck, North Dakota) and extending downstream throughout the length of the Missouri River. The 2011 runoff volume for streamgage 06342500 (at Bismarck) exceeded the previous (1975) maximum by about 50 percent, with an associated AEP in the range of 0.2 to 1 percent. In the Ohio River Basin, peak-streamflow AEPs were less than 2 percent for only four streamgages. Runoff-volume AEPs were less than 2 percent for only three streamgages. Along the lower Mississippi River, the largest streamflow peak in 91 years was recorded for streamgage 07289000 (at Vicksburg, Mississippi), with an associated AEP of 0.8 percent. Trends in peak streamflow were analyzed for 98 streamgages, with 67 streamgages having upward trends, 31 with downward trends, and zero with no trend. Trends in annual runoff volume were analyzed for 182 streamgages, with 145 streamgages having upward trends, 36 with downward trends, and 1 with no trend. The trend analyses used descriptive methods that did not include measures of statistical significance. A dichotomous spatial distribution in trends was apparent for both peak streamflow and annual runoff volume, with a small number of streamgages in the northwestern part of the study area having downward trends and most streamgages in the eastern part of the study area having upward trends.

  1. [Classification and monitoring of the appropriateness of emergency admissions in a tertiary hospital].

    PubMed

    López-Picazo Ferrer, J J; Tomás García, N; Cubillana Herrero, J D; Gómez Company, J A; de Dios Cánovas García, J

    2014-01-01

    To measure the appropriateness of hospital admissions, to classify its Clinical Services (CS) according to the level of inappropriateness, and to determine the usefulness of applying rapid assessment techniques (lot quality assurance sampling) in these types of measurements. A descriptive, retrospective study was conducted in a tertiary hospital to assess the clinical records of emergency admissions to the 12 CS with a higher volume of admissions, using the Appropriateness Evaluation Protocol (AEP). A four-level («A» to «D») increasingly inadequate admissions scale was constructed setting both standard and threshold values in every stratum. Every CS was classified in one of them using lot quality assurance sampling (LQAS). A total of 156 cases (13 cases from every CS) were assessed. The assessment effort (devoted time) was also estimated. There were 22.4±6.3% of inadequate admissions. In the CS classification, 9 (75%) got a good or acceptable appropriateness level, and only 1 (8%) got an inacceptable level. The time devoted was estimated at 17 hours. AEP is useful to assess the admission appropriateness and may be included in the «Emergencies» process management, although its variability prevents the use for external comparisons. If both LQAS and the appropriateness classification level and the global estimation (by unifying lot samples) are combined, the monitoring is affordable without a great effort. To extend these tools to other quality indicators requiring direct observation or clinical records, manual assessment could improve the monitoring efficiency. Copyright © 2013 SECA. Published by Elsevier Espana. All rights reserved.

  2. Proceedings of the IBM Academic Information Systems University AEP Conference: "Tools for Learning" (2nd, San Diego, California, April 5-8, 1986).

    ERIC Educational Resources Information Center

    Dwyer, Frederick D., Ed.

    Advanced Education Projects (AEPs) are a series of multidisciplinary, advanced experiments in educational computing supported by IBM and currently in progress at 19 leading universities. Each AEP has established a series of curricular experiments to explore the use of workstations and network technologies as part of the instructional process. The…

  3. Preventing Alcohol-Exposed Pregnancies: A Randomized Controlled Trial of a Self-Administered Version of Project CHOICES with College Students and Nonstudents.

    PubMed

    Sobell, Linda Carter; Sobell, Mark B; Johnson, Kenneth; Heinecke, Nicholas; Agrawal, Sangeeta; Bolton, Burt

    2017-06-01

    Alcohol-exposed pregnancies (AEPs) are a preventable cause of birth defects and developmental disabilities for which many women are at risk. The initial 5-session Project CHOICES intervention was found to prevent AEPs. In the ensuing decade, there have been several additional CHOICES-like studies. This study, Project Healthy CHOICES, had 2 objectives: (i) to compare outcomes for students versus nonstudents; and (ii) to test a self-administered mail-based version of the Project CHOICES intervention. A randomized controlled trial (RCT) compared 2 interventions for women of childbearing age (18 to 44) who were at risk of an AEP: (i) motivational feedback based on Project CHOICES and (ii) information only. Advertisements recruited 354 women (145 college students; 209 nonstudents) at risk of an AEP. Intervention and study materials were available in English and Spanish. Of the 354 women, 44% were minorities (25% identified as Hispanics). At the 6-month follow-up, the interventions did not differ and there was no Intervention by Student Study interaction. However, over the entire 6-month follow-up, significantly more students (68%) than nonstudents (46%) were not at risk of an AEP (2.1 odds ratio; confidence interval = 1.47 to 2.95). For all groups, risk reduction occurred primarily through effective contraception. There was no significant difference between the 2 interventions. However, over the entire 6-month follow-up interval, college students were significantly more likely than nonstudents to not be at risk of an AEP and to use effective contraception. While the student groups had significantly higher reduced risk of AEP outcomes, there was also substantial risk reduction for women in the information only condition. These results suggest that the most effective AEP prevention efforts would be to inform women at risk that they could become pregnant. Because about half of all pregnancies are unplanned, identifying women at risk and preventing the risk of AEPs should be a public health priority. Copyright © 2017 by the Research Society on Alcoholism.

  4. Refining the aggregate exposure pathway.

    PubMed

    Tan, Yu-Mei; Leonard, Jeremy A; Edwards, Stephen; Teeguarden, Justin; Egeghy, Peter

    2018-03-01

    Advancements in measurement technologies and modeling capabilities continue to result in an abundance of exposure information, adding to that currently in existence. However, fragmentation within the exposure science community acts as an obstacle for realizing the vision set forth in the National Research Council's report on Exposure Science in the 21 st century to consider exposures from source to dose, on multiple levels of integration, and to multiple stressors. The concept of an Aggregate Exposure Pathway (AEP) was proposed as a framework for organizing and integrating diverse exposure information that exists across numerous repositories and among multiple scientific fields. A workshop held in May 2016 followed introduction of the AEP concept, allowing members of the exposure science community to provide extensive evaluation and feedback regarding the framework's structure, key components, and applications. The current work briefly introduces topics discussed at the workshop and attempts to address key challenges involved in refining this framework. The resulting evolution in the AEP framework's features allows for facilitating acquisition, integration, organization, and transparent application and communication of exposure knowledge in a manner that is independent of its ultimate use, thereby enabling reuse of such information in many applications.

  5. Cellular generators of the cortical auditory evoked potential initial component.

    PubMed

    Steinschneider, M; Tenke, C E; Schroeder, C E; Javitt, D C; Simpson, G V; Arezzo, J C; Vaughan, H G

    1992-01-01

    Cellular generators of the initial cortical auditory evoked potential (AEP) component were determined by analyzing laminar profiles of click-evoked AEPs, current source density, and multiple unit activity (MUA) in primary auditory cortex of awake monkeys. The initial AEP component is a surface-negative wave, N8, that peaks at 8-9 msec and inverts in polarity below lamina 4. N8 is generated by a lamina 4 current sink and a deeper current source. Simultaneous MUA is present from lower lamina 3 to the subjacent white matter. Findings indicate that thalamocortical afferents are a generator of N8 and support a role for lamina 4 stellate cells. Relationships to the human AEP are discussed.

  6. Auditory evoked potential measurements in elasmobranchs

    NASA Astrophysics Data System (ADS)

    Casper, Brandon; Mann, David

    2005-04-01

    Auditory evoked potentials (AEP) were first used to examine hearing in elasmobranchs by Corwin and Bullock in the late 1970s and early 1980s, marking the first time AEPs had been measured in fishes. Results of these experiments identified the regions of the ear and brain in which sound is processed, though no actual hearing thresholds were measured. Those initial experiments provided the ground work for future AEP experiments to measure fish hearing abilities in a manner that is much faster and more convenient than classical conditioning. Data will be presented on recent experiments in which AEPs were used to measure the hearing thresholds of two species of elasmobranchs: the nurse shark, Ginglymostoma cirratum, and the yellow stingray, Urobatis jamaicencis. Audiograms were analyzed and compared to previously published audiograms obtained using classical conditioning with results indicating that hearing thresholds were similar for the two methods. These data suggest that AEP testing is a viable option when measuring hearing in elasmobranchs and can increase the speed in which future hearing measurements can be obtained.

  7. Otoacoustic emissions, auditory evoked potentials and self-reported gender in people affected by disorders of sex development (DSD).

    PubMed

    Wisniewski, Amy B; Espinoza-Varas, Blas; Aston, Christopher E; Edmundson, Shelagh; Champlin, Craig A; Pasanen, Edward G; McFadden, Dennis

    2014-08-01

    Both otoacoustic emissions (OAEs) and auditory evoked potentials (AEPs) are sexually dimorphic, and both are believed to be influenced by prenatal androgen exposure. OAEs and AEPs were collected from people affected by 1 of 3 categories of disorders of sex development (DSD) - (1) women with complete androgen insensitivity syndrome (CAIS); (2) women with congenital adrenal hyperplasia (CAH); and (3) individuals with 46,XY DSD including prenatal androgen exposure who developed a male gender despite initial rearing as females (men with DSD). Gender identity (GI) and role (GR) were measured both retrospectively and at the time of study participation, using standardized questionnaires. The main objective of this study was to determine if patterns of OAEs and AEPs correlate with gender in people affected by DSD and in controls. A second objective was to assess if OAE and AEP patterns differed according to degrees of prenatal androgen exposure across groups. Control males, men with DSD, and women with CAH produced fewer spontaneous OAEs (SOAEs) - the male-typical pattern - than control females and women with CAIS. Additionally, the number of SOAEs produced correlated with gender development across all groups tested. Although some sex differences in AEPs were observed between control males and females, AEP measures did not correlate with gender development, nor did they vary according to degrees of prenatal androgen exposure, among people with DSD. Thus, OAEs, but not AEPs, may prove useful as bioassays for assessing early brain exposure to androgens and predicting gender development in people with DSD. Copyright © 2014 Elsevier Inc. All rights reserved.

  8. Otoacoustic Emissions, Auditory Evoked Potentials and Self-Reported Gender in People Affected by Disorders of Sex Development (DSD)

    PubMed Central

    Wisniewski, Amy B.; Espinoza-Varas, Blas; Aston, Christopher E.; Edmundson, Shelagh; Champlin, Craig A.; Pasanen, Edward G.; McFadden, Dennis

    2014-01-01

    Both otoacoustic emissions (OAEs) and auditory evoked potentials (AEPs) are sexually dimorphic, and both are believed to be influenced by prenatal androgen exposure. OAEs and AEPs were collected from people affected by 1 of 3 categories of disorders of sex development (DSD) – (1) women with complete androgen insensitivity syndrome (CAIS); (2) women with congenital adrenal hyperplasia (CAH); and (3) individuals with 46, XY DSD including prenatal androgen exposure who developed a male gender despite initial rearing as females (men with DSD). Gender identity (GI) and role (GR) were measured both retrospectively and at the time of study participation, using standardized questionnaires. The main objective of this study was to determine if patterns of OAEs and AEPs correlate with gender in people affected by DSD and in controls. A second objective was to assess if OAE and AEP patterns differed according to degrees of prenatal androgen exposure across groups. Control males, men with DSD, and women with CAH produced fewer spontaneous OAEs (SOAEs) – the male-typical pattern – than control females and women with CAIS. Additionally, the number of SOAEs produced correlated with gender development across all groups tested. Although some sex differences in AEPs were observed between control males and females, AEP measures did not correlate with gender development, nor did they vary according to degrees of prenatal androgen exposure, among people with DSD. Thus, OAEs, but not AEPs, may prove useful as bioassays for assessing early brain exposure to androgens and predicting gender development in people with DSD. PMID:25038289

  9. The influence of aerosols and land-use type on NO2 satellite retrieval over China

    NASA Astrophysics Data System (ADS)

    Liu, Mengyao; Lin, Jintai; Boersma, Folkert; Eskes, Henk; Chimot, Julien

    2017-04-01

    Both aerosols and surface reflectance have a strong influence on the retrieval of NO2 tropospheric vertical column densities (VCDs), especially over China with its heavy aerosol loading and rapid changes in land-use type. However, satellite retrievals of NO2 VCDs usually do not explicitly account for aerosol optical effects and surface reflectance anisotropy (BRDF) that varies in space and time. We develop an improved algorithm to derive tropospheric AMFs and VCDs over China from the OMI instrument - POMINO and DOMINO. This method can also be applied to TropOMI NO2 retrievals in the future. With small pixels of TropOMI and higher probability of encountering clear-sky scenes, the influence of BRDF and aerosol interference becomes more important than for OMI. Daily aerosol information is taken from the GEOS-Chem chemistry transport model and the aerosol optical depth (AOD) is adjusted via MODIS AOD climatology. We take the MODIS MCD43C2 C5 product to account for BRDF effects. The relative altitude of NO2 and aerosols is critical factor influencing the NO2 retrieval. In order to evaluate the aerosol extinction profiles (AEP) of GEOS-Chem improve our algorithm, we compare the GEOS-Chem simulation with CALIOP and develop a CALIOP AEP climatology to regulate the model's AEP. This provides a new way to include aerosol information into the tracer gas retrieval for OMI and TropOMI. Preliminary results indicate that the model performs reasonably well in reproducing the AEP shape. However, it seems to overestimate aerosols under 2km and underestimate above. We find that relative humidity (RH) is an important factor influencing the AEP shape when comparing the model with observations. If we adjust the GEOS-Chem RH to CALIOP's RH, the correlations of their AEPs also improve. Besides, take advantage of our retrieval method, we executed sensitivity tests to analyze their influences on NO2 trend and spatiotemporal variations in retrieval. It' the first time to investigate influence from aerosols and surface reflectance in 10-year period (2005-2015) in the real retrieval. We find their influences are largely time and space dependent, but their effects on trend are small, leading relative 7% differences in different areas.

  10. A multicenter study on the appropriateness of hospitalization in obstetric wards: application of Obstetric Appropriateness Evaluation Protocol (Obstetric AEP).

    PubMed

    Mannocci, Alice; Specchia, Maria Lucia; Poppa, Giuseppina; Boccia, Giovanni; Cavallo, Pierpaolo; De Caro, Francesco; Vetrano, Giuseppe; Aleandri, Vincenzo; Capunzo, Mario; Ricciardi, Walter; Boccia, Antonio; Firenze, Alberto; Malvasi, Antonio; La Torre, Giuseppe

    2015-09-01

    The cross-sectional study has been based on the implementation of the Obstetric Appropriateness Evaluation Protocol (OAEP) in seven hospitals to determine inappropriate hospital admissions and days of stay. The outcomes were: inappropriateness of admission and "percentage of inappropriateness" for one hospitalization. A total number of 2196 clinical records were reviewed. The mean percentage of inappropriateness for hospitalization was 22%. The percentage of inappropriateness for the first 10 d of hospitalization peaked in correspondence of the fourth (42%). The logistic regression model on inappropriated admission reported that emergency admission was a protective factor (OR = 0.4) and to be hospitalized in wards with ≥30 beds risk factor (OR = 5.12). The second linear model on "percentage of inappropriateness" showed that inappropriated admission and wards with ≥30 beds increased the percentage (p < 0.001); whereas the admission in Teaching Hospitals was inversely associated (p < 0.001). The present study suggests that the percentage of inappropriate admission depends especially on the inappropriate admission and the large number of beds in obstetric wards. This probably indicates that management of big hospitals, which is very complex, needs improving the processes of support and coordination of health professionals. The OAEP tool seems to be an useful instrument for the decision-makers to monitor and manage the obstetric wards.

  11. Influence of Reynolds Number on Multi-Objective Aerodynamic Design of a Wind Turbine Blade.

    PubMed

    Ge, Mingwei; Fang, Le; Tian, De

    2015-01-01

    At present, the radius of wind turbine rotors ranges from several meters to one hundred meters, or even more, which extends Reynolds number of the airfoil profile from the order of 105 to 107. Taking the blade for 3MW wind turbines as an example, the influence of Reynolds number on the aerodynamic design of a wind turbine blade is studied. To make the study more general, two kinds of multi-objective optimization are involved: one is based on the maximum power coefficient (CPopt) and the ultimate load, and the other is based on the ultimate load and the annual energy production (AEP). It is found that under the same configuration, the optimal design has a larger CPopt or AEP (CPopt//AEP) for the same ultimate load, or a smaller load for the same CPopt//AEP at higher Reynolds number. At a certain tip-speed ratio or ultimate load, the blade operating at higher Reynolds number should have a larger chord length and twist angle for the maximum Cpopt//AEP. If a wind turbine blade is designed by using an airfoil database with a mismatched Reynolds number from the actual one, both the load and Cpopt//AEP will be incorrectly estimated to some extent. In some cases, the assessment error attributed to Reynolds number is quite significant, which may bring unexpected risks to the earnings and safety of a wind power project.

  12. Loudness- and time-dependence of auditory evoked potentials is blunted by the NMDA channel blocker MK-801.

    PubMed

    Teichert, Tobias

    2017-10-01

    Amplitudes of auditory evoked potentials (AEP) increase with the intensity/loudness of sounds (loudness-dependence of AEP, LDAEP), and the time between adjacent sounds (time-dependence of AEP, TDAEP). Both, blunted LDAEP and blunted TDAEP are markers of altered auditory function in schizophrenia (SZ). However, while blunted LDAEP has been attributed to altered serotonergic function, blunted TDAEP has been linked to altered NMDA receptor function. Despite phenomenological similarities of the two effects, no common pharmacological underpinnings have been identified. To test whether LDAEP and TDAEP are both affected by NMDA receptor blockade, two rhesus macaques passively listened to auditory clicks of 5 different intensities presented with stimulus-onset asynchronies ranging between 0.2 and 6.4s. 8 AEP components were analyzed, including the N85, the presumed human N1 homolog. LDAEP and TDAEP were estimated as the slopes of AEP amplitude with intensity and the logarithm of stimulus-onset asynchrony, respectively. On different days, AEPs were collected after systemic injection of MK-801 or vehicle. Both TDAEP and LDAEP of the N85 were blunted by the NMDA blocker MK-801 and recapitulate the SZ phenotype. In summary, LDAEP and TDAEP share important pharmacological commonalities that may help identify a common pharmacological intervention to normalize both electrophysiological phenotypes in SZ. Copyright © 2017 Elsevier B.V. All rights reserved.

  13. Overview of the Development and Mission Application of the Advanced Electric Propulsion System (AEPS)

    NASA Technical Reports Server (NTRS)

    Herman, Daniel A.; Tofil, Todd; Santiago, Walter; Kamhawi, Hani; Polk, James E.; Snyder, John Steven; Hofer, Richard R.; Picha, Frank; Jackson, Jerry; Allen, May

    2017-01-01

    NASA remains committed to the development and demonstration of a high-power solar electric propulsion capability for the Agency. NASA is continuing to develop the 14 kilowatt Advanced Electric Propulsion System (AEPS), which has recently completed an Early Integrated System Test and System Preliminary Design Review. NASA continues to pursue Solar Electric Propulsion (SEP) Technology Demonstration Mission partners and mature high-power SEP mission concepts. The recent announcement of the development of a Power and Propulsion Element (PPE) as the first element of an evolvable human architecture to Mars has replaced the Asteroid Redirect Robotic Mission as the most probable first application of the AEPS Hall thruster system. This high-power SEP capability, or an extensible derivative of it, has been identified as a critical part of an affordable, beyond-low-Earth-orbit, manned-exploration architecture. This paper presents the status of the combined NASA and Aerojet AEPS development activities and updated mission concept for implementation of the AEPS hardware as part of the ion propulsion system for a PPE.

  14. Parameter estimation for the 4-parameter Asymmetric Exponential Power distribution by the method of L-moments using R

    USGS Publications Warehouse

    Asquith, William H.

    2014-01-01

    The implementation characteristics of two method of L-moments (MLM) algorithms for parameter estimation of the 4-parameter Asymmetric Exponential Power (AEP4) distribution are studied using the R environment for statistical computing. The objective is to validate the algorithms for general application of the AEP4 using R. An algorithm was introduced in the original study of the L-moments for the AEP4. A second or alternative algorithm is shown to have a larger L-moment-parameter domain than the original. The alternative algorithm is shown to provide reliable parameter production and recovery of L-moments from fitted parameters. A proposal is made for AEP4 implementation in conjunction with the 4-parameter Kappa distribution to create a mixed-distribution framework encompassing the joint L-skew and L-kurtosis domains. The example application provides a demonstration of pertinent algorithms with L-moment statistics and two 4-parameter distributions (AEP4 and the Generalized Lambda) for MLM fitting to a modestly asymmetric and heavy-tailed dataset using R.

  15. Overview of the Development of the Advanced Electric Propulsion System (AEPS)

    NASA Technical Reports Server (NTRS)

    Herman, Daniel; Tofil, Todd; Santiago, Walter; Kamhawi, Hani; Polk, James; Snyder, John Steven; Hofer, Richard; Picha, Frank; Schmidt, George

    2017-01-01

    NASA is committed to the demonstration and application of high-power solar electric propulsion to meet its future mission needs. It is continuing to develop the 14 kW Advanced Electric Propulsion System (AEPS) under a project that recently completed an Early Integrated System Test (EIST) and System Preliminary Design Review (PDR). In addition, NASA is pursuing external partnerships in order to demonstrate Solar Electric Propulsion (SEP) technology and the advantages of high-power electric propulsion-based spacecraft. The recent announcement of a Power and Propulsion Element (PPE) as the first major piece of an evolvable human architecture to Mars has replaced the Asteroid Redirect Robotic Mission (ARRM) as the most likely first application of the AEPS Hall thruster system. This high-power SEP capability, or an extensible derivative of it, has been recognized as a critical part of a new, affordable human exploration architecture for missions beyond-low-Earth-orbit. This paper presents the status of AEPS development activities, and describes how AEPS hardware will be integrated into the PPE ion propulsion system.

  16. Overview of the Development and Mission Application of the Advanced Electric Propulsion System (AEPS)

    NASA Technical Reports Server (NTRS)

    Herman, Daniel A.; Tofil, Todd A.; Santiago, Walter; Kamhawi, Hani; Polk, James E.; Snyder, John S.; Hofer, Richard R.; Picha, Frank Q.; Jackson, Jerry; Allen, May

    2018-01-01

    NASA remains committed to the development and demonstration of a high-power solar electric propulsion capability for the Agency. NASA is continuing to develop the 14 kW Advanced Electric Propulsion System (AEPS), which has recently completed an Early Integrated System Test and System Preliminary Design Review. NASA continues to pursue Solar Electric Propulsion (SEP) Technology Demonstration Mission partners and mature high-power SEP mission concepts. The recent announcement of the development of a Power and Propulsion Element (PPE) as the first element of an evolvable human architecture to Mars has replaced the Asteroid Redirect Robotic Mission (ARRM) as the most probable first application of the AEPS Hall thruster system. This high-power SEP capability, or an extensible derivative of it, has been identified as a critical part of an affordable, beyond-low-Earth-orbit, manned exploration architecture. This paper presents the status of the combined NASA and Aerojet Rocketdyne AEPS development activities and updated mission concept for implementation of the AEPS hardware as part of the ion propulsion system for a PPE.

  17. Lysophosphatidic acid induces neuronal cell death via activation of asparagine endopeptidase in cerebral ischemia-reperfusion injury.

    PubMed

    Wang, Chao; Zhang, Jie; Tang, Junchun; Li, Yi-Yi; Gu, YanXia; Yu, Ying; Xiong, Jing; Zhao, Xueqing; Zhang, Zheng; Li, Ting-Ting; Chen, Jutao; Wan, Qi; Zhang, Zhaohui

    2018-04-17

    Lysophosphatidic acid (LPA), an extracellular signaling molecule, influences diverse biological events, including the pathophysiological process induced after ischemic brain injury. However, the molecular mechanisms mediating the pathological change after ischemic stroke remain elusive. Here we report that asparagine endopeptidase (AEP), a lysosomal cysteine proteinase, is regulated by LPA during stroke. AEP proteolytically cleaves tau and generates tauN368 fragments, triggering neuronal death. Inhibiting the generation of LPA reduces the expression of AEP and tauN368, and alleviates neuronal cell death. Together, this evidence indicates that the LPA-AEP pathway plays a key role in the pathophysiological process induced after ischemic stroke. Inhibition of LPA could be a useful therapeutic for treating neuronal injury after stroke. Copyright © 2018 Elsevier Inc. All rights reserved.

  18. Haematological profile of rats (Rattus norvegicus) induced BCG and provided leaf extract of Plectranthus amboinicus Lour Spreng)

    NASA Astrophysics Data System (ADS)

    Silitonga, Melva; Silitonga, Pasar M.

    2017-08-01

    Plectranthus amboinicus Lour Spreng is a medicinal plant that has many benefits, such as an antioxidant, hepatoprotective and immunostimulan. Immune status can be seen from hematological profile. This study aims to investigate hematology profile on rats induced BCG and leaf extract of Plectranthus amboinicus. 24 male rats aged 3 months and weighing between 140-200 grams divided equally into six groups, P0, P1, P2, P3, P4 and P5. P0 as controle was given aquadest. The P1, P2, P3, P4 and P5 treatment groups were given 19 g / kg AEP + BCG, 31.5 g / kg AEP + BCG, 19g / kg AEP, 31.5 g / kg AEP and BCG consecutively. The BCG were used as antigen. The AEP was administered orally for 30 days and 100 µl BCG were intramusculary administered on day 14 th and day 21. On day 31st, the rats we decapitated and their blood were collected for hematology (leucocyte (WBC), Erythrocyte (RBC), thrombocyte (PLT) count, Haemoglobin (Hb), erythrocyte sedimentation rate (ESR), MCV, MHC, and MHCH analysis. Data were analyzed with ANOVA. WBC increased significantly in treatment AEP 31.5 g / kg bw, 31.5 g AEP / kg bw + BCG and so were only given BCG. RBC tend to increase in all AEP treatment but tends to increase again when given a BCG. Hb increased in treatment P1, P2, T3 and P4, but the improvement was significant only in treatment P1. While PLT increase significantly in all treatments compared to the controls. HCT did not show significant differences but all of them were in the normal range. EAP without BCG and with the addition of BCG lowered ESR significantly, whereas BCG alone increased the ESR significantly. MCV increased significantly only in the treatment of P1 and show the same pattern with the MHC and MHCH. The conclusion that Plectranthus amboinicus Lour a positive impact on blood profiles with and without BCG. Plectranthus amboinicus Lour managed blood profile when administered together with BCG

  19. Aggregate Exposure Pathways in Support of Risk Assessment

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

    Tan, Yu-Mei; Leonard, Jeremy A.; Edwards, Stephen

    Over time, risk assessment has shifted from establishing relationships between exposure to a single chemical and a resulting adverse health outcome, to evaluation of multiple chemicals and disease outcomes simultaneously. As a result, there is an increasing need to better understand the complex mechanisms that influence risk of chemical and non-chemical stressors, beginning at their source and ending at a biological endpoint relevant to human or ecosystem health risk assessment. Just as the Adverse Outcome Pathway (AOP) framework has emerged as a means of providing insight into mechanism-based toxicity, the exposure science community has seen the recent introduction of themore » Aggregate Exposure Pathway (AEP) framework. AEPs aid in making exposure data applicable to the FAIR (i.e., findable, accessible, interoperable, and reusable) principle, especially by (1) organizing continuous flow of disjointed exposure information;(2) identifying data gaps, to focus resources on acquiring the most relevant data; (3) optimizing use and repurposing of existing exposure data; and (4) facilitating interoperability among predictive models. Herein, we discuss integration of the AOP and AEP frameworks and how such integration can improve confidence in both traditional and cumulative risk assessment approaches.« less

  20. Aggregate Exposure Pathways in Support of Risk Assessment

    DOE PAGES

    Tan, Yu-Mei; Leonard, Jeremy A.; Edwards, Stephen; ...

    2018-03-29

    Over time, risk assessment has shifted from establishing relationships between exposure to a single chemical and a resulting adverse health outcome, to evaluation of multiple chemicals and disease outcomes simultaneously. As a result, there is an increasing need to better understand the complex mechanisms that influence risk of chemical and non-chemical stressors, beginning at their source and ending at a biological endpoint relevant to human or ecosystem health risk assessment. Just as the Adverse Outcome Pathway (AOP) framework has emerged as a means of providing insight into mechanism-based toxicity, the exposure science community has seen the recent introduction of themore » Aggregate Exposure Pathway (AEP) framework. AEPs aid in making exposure data applicable to the FAIR (i.e., findable, accessible, interoperable, and reusable) principle, especially by (1) organizing continuous flow of disjointed exposure information;(2) identifying data gaps, to focus resources on acquiring the most relevant data; (3) optimizing use and repurposing of existing exposure data; and (4) facilitating interoperability among predictive models. Herein, we discuss integration of the AOP and AEP frameworks and how such integration can improve confidence in both traditional and cumulative risk assessment approaches.« less

  1. Case report of electronic cigarettes possibly associated with eosinophilic pneumonitis in a previously healthy active-duty sailor.

    PubMed

    Thota, Darshan; Latham, Emi

    2014-07-01

    Electronic cigarettes (e-cigarettes) are a technology that has been touted as a safe and effective alternative to traditional cigarettes. There is, however, a paucity of literature showing the adverse outcomes of e-cigarettes and a correlation with acute eosinophilic pneumonia (AEP). To present a possible association between e-cigarettes and AEP. A 20-year-old previously healthy man was found to develop AEP after smoking an e-cigarette. He was treated with antibiotics and steroids and his symptoms improved. Though an alternative to traditional cigarettes, e-cigarettes can have unpredictable and potentially serious adverse effects. More research needs to be conducted to determine their safety. If seeing a patient in the ED with pulmonary symptoms after use of e-cigarettes, AEP should be considered in the differential. Published by Elsevier Inc.

  2. Ultrasound-assisted extraction of flaxseed oil using immobilized enzymes.

    PubMed

    Long, Jing-jing; Fu, Yu-jie; Zu, Yuan-gang; Li, Ji; Wang, Wei; Gu, Cheng-bo; Luo, Meng

    2011-11-01

    An aqueous enzymatic process assisted by ultrasound extraction (AEP-UE) was applied to the extraction of oil from flaxseed (Linum usitatissimum L.). The highest oil recovery of 68.1% was obtained when ground flaxseed was incubated with 130 U/g of cellulase, pectinase, and hemicellulase for 12h, at 45°C and pH 5.0. The IC(50) values of oil obtained by AEP-UE and organic solvent extraction (OSE), as measured by DPPH scavenging activity essay, were 2.27 mg/mL and 3.31 mg/mL. The AEP-UE-derived oil had a 1.5% higher content of unsaturated fatty acids than the OSE-derived oil. AEP-UE is therefore a promising environmentally friendly method for large-scale preparation of flaxseed oil. Copyright © 2011 Elsevier Ltd. All rights reserved.

  3. Continuous- and discrete-time stimulus sequences for high stimulus rate paradigm in evoked potential studies.

    PubMed

    Wang, Tao; Huang, Jiang-hua; Lin, Lin; Zhan, Chang'an A

    2013-01-01

    To obtain reliable transient auditory evoked potentials (AEPs) from EEGs recorded using high stimulus rate (HSR) paradigm, it is critical to design the stimulus sequences of appropriate frequency properties. Traditionally, the individual stimulus events in a stimulus sequence occur only at discrete time points dependent on the sampling frequency of the recording system and the duration of stimulus sequence. This dependency likely causes the implementation of suboptimal stimulus sequences, sacrificing the reliability of resulting AEPs. In this paper, we explicate the use of continuous-time stimulus sequence for HSR paradigm, which is independent of the discrete electroencephalogram (EEG) recording system. We employ simulation studies to examine the applicability of the continuous-time stimulus sequences and the impacts of sampling frequency on AEPs in traditional studies using discrete-time design. Results from these studies show that the continuous-time sequences can offer better frequency properties and improve the reliability of recovered AEPs. Furthermore, we find that the errors in the recovered AEPs depend critically on the sampling frequencies of experimental systems, and their relationship can be fitted using a reciprocal function. As such, our study contributes to the literature by demonstrating the applicability and advantages of continuous-time stimulus sequences for HSR paradigm and by revealing the relationship between the reliability of AEPs and sampling frequencies of the experimental systems when discrete-time stimulus sequences are used in traditional manner for the HSR paradigm.

  4. Influence of Reynolds Number on Multi-Objective Aerodynamic Design of a Wind Turbine Blade

    PubMed Central

    Ge, Mingwei; Fang, Le; Tian, De

    2015-01-01

    At present, the radius of wind turbine rotors ranges from several meters to one hundred meters, or even more, which extends Reynolds number of the airfoil profile from the order of 105 to 107. Taking the blade for 3MW wind turbines as an example, the influence of Reynolds number on the aerodynamic design of a wind turbine blade is studied. To make the study more general, two kinds of multi-objective optimization are involved: one is based on the maximum power coefficient (C Popt) and the ultimate load, and the other is based on the ultimate load and the annual energy production (AEP). It is found that under the same configuration, the optimal design has a larger C Popt or AEP (C Popt//AEP) for the same ultimate load, or a smaller load for the same C Popt//AEP at higher Reynolds number. At a certain tip-speed ratio or ultimate load, the blade operating at higher Reynolds number should have a larger chord length and twist angle for the maximum C popt//AEP. If a wind turbine blade is designed by using an airfoil database with a mismatched Reynolds number from the actual one, both the load and C popt//AEP will be incorrectly estimated to some extent. In some cases, the assessment error attributed to Reynolds number is quite significant, which may bring unexpected risks to the earnings and safety of a wind power project. PMID:26528815

  5. Cyclic Peptides Arising by Evolutionary Parallelism via Asparaginyl-Endopeptidase–Mediated Biosynthesis[C][W

    PubMed Central

    Mylne, Joshua S.; Chan, Lai Yue; Chanson, Aurelie H.; Daly, Norelle L.; Schaefer, Hanno; Bailey, Timothy L.; Nguyencong, Philip; Cascales, Laura; Craik, David J.

    2012-01-01

    The cyclic miniprotein Momordica cochinchinensis Trypsin Inhibitor II (MCoTI-II) (34 amino acids) is a potent trypsin inhibitor (TI) and a favored scaffold for drug design. We have cloned the corresponding genes and determined that each precursor protein contains a tandem series of cyclic TIs terminating with the more commonly known, and potentially ancestral, acyclic TI. Expression of the precursor protein in Arabidopsis thaliana showed that production of the cyclic TIs, but not the terminal acyclic TI, depends on asparaginyl endopeptidase (AEP) for maturation. The nature of their repetitive sequences and the almost identical structures of emerging TIs suggest these cyclic peptides evolved by internal gene amplification associated with recruitment of AEP for processing between domain repeats. This is the third example of similar AEP-mediated processing of a class of cyclic peptides from unrelated precursor proteins in phylogenetically distant plant families. This suggests that production of cyclic peptides in angiosperms has evolved in parallel using AEP as a constraining evolutionary channel. We believe this is evolutionary evidence that, in addition to its known roles in proteolysis, AEP is especially suited to performing protein cyclization. PMID:22822203

  6. Underwater psychophysical audiogram of a young male California sea lion (Zalophus californianus).

    PubMed

    Mulsow, Jason; Houser, Dorian S; Finneran, James J

    2012-05-01

    Auditory evoked potential (AEP) data are commonly obtained in air while sea lions are under gas anesthesia; a procedure that precludes the measurement of underwater hearing sensitivity. This is a substantial limitation considering the importance of underwater hearing data in designing criteria aimed at mitigating the effects of anthropogenic noise exposure. To determine if some aspects of underwater hearing sensitivity can be predicted using rapid aerial AEP methods, this study measured underwater psychophysical thresholds for a young male California sea lion (Zalophus californianus) for which previously published aerial AEP thresholds exist. Underwater thresholds were measured in an aboveground pool at frequencies between 1 and 38 kHz. The underwater audiogram was very similar to those previously published for California sea lions, suggesting that the current and previously obtained psychophysical data are representative for this species. The psychophysical and previously measured AEP audiograms were most similar in terms of high-frequency hearing limit (HFHL), although the underwater HFHL was sharper and occurred at a higher frequency. Aerial AEP methods are useful for predicting reductions in the HFHL that are potentially independent of the testing medium, such as those due to age-related sensorineural hearing loss.

  7. Underwater hearing in the loggerhead turtle (Caretta caretta): a comparison of behavioral and auditory evoked potential audiograms.

    PubMed

    Martin, Kelly J; Alessi, Sarah C; Gaspard, Joseph C; Tucker, Anton D; Bauer, Gordon B; Mann, David A

    2012-09-01

    The purpose of this study was to compare underwater behavioral and auditory evoked potential (AEP) audiograms in a single captive adult loggerhead sea turtle (Caretta caretta). The behavioral audiogram was collected using a go/no-go response procedure and a modified staircase method of threshold determination. AEP thresholds were measured using subdermal electrodes placed beneath the frontoparietal scale, dorsal to the midbrain. Both methods showed the loggerhead sea turtle to have low frequency hearing with best sensitivity between 100 and 400 Hz. AEP testing yielded thresholds from 100 to 1131 Hz with best sensitivity at 200 and 400 Hz (110 dB re. 1 μPa). Behavioral testing using 2 s tonal stimuli yielded underwater thresholds from 50 to 800 Hz with best sensitivity at 100 Hz (98 dB re. 1 μPa). Behavioral thresholds averaged 8 dB lower than AEP thresholds from 100 to 400 Hz and 5 dB higher at 800 Hz. The results suggest that AEP testing can be a good alternative to measuring a behavioral audiogram with wild or untrained marine turtles and when time is a crucial factor.

  8. Foreign-trained dentists in advanced education in prosthodontics programs in the United States: demographics, perspectives on current training, and future goals.

    PubMed

    Al-Sowygh, Zeyad H; Sukotjo, Cortino

    2011-02-01

    This study investigated the perspectives of foreign-trained dentists (FTDs) in comparison with US-trained Dentists (USTDs) in Advanced Education in Prosthodontics (AEP) programs on their current clinical training and future goals. This study was conducted by analyzing data from previously published literature. When appropriate, Chi-square statistical analysis was conducted to determine the influence of where the AEP residents earned their DMD/DDS degree (FTDs/USTDs) on all variables. Only results that yielded significant differences were discussed. A majority of both FTDs and USTDs were male. Most USTDs were married, while most FTDs were single. Most FTDs were not US citizens and most originated from Asia, followed by the Middle East, South America, and Europe. Significantly more FTDs had higher ranks in their dental schools, had more advanced degrees, and spent more time practicing before entering the AEP programs. In selecting AEP programs, FTDs placed significantly higher values on a program's reputation and research opportunities. During their AEP training, FTDs paid significantly higher tuition and received lower stipends, but obtained more financial support from families. On the other hand, USTDs received significantly more financial aid and earned income from part-time work, but had significantly higher total educational debts. USTDs showed a significantly higher interest in becoming a student member of the American College of Prosthodontists and participated actively in prosthodontics organizations. USTDs were more interested in becoming maxillofacial prosthodontists, while FTDs were more interested in pursuing academic careers. FTDs differed from USTDs in several ways. Because of their interests in academics and research, FTDs may potentially have a positive impact on the development of the prosthodontics discipline. This information may be beneficial for AEP program directors in accommodating the needs of FTDs, and for FTDs in better preparing for their AEP training. © 2010 by The American College of Prosthodontists.

  9. Ketamine produces lasting disruptions in encoding of sensory stimuli.

    PubMed

    Maxwell, Christina R; Ehrlichman, Richard S; Liang, Yuling; Trief, Danielle; Kanes, Stephen J; Karp, Jonathan; Siegel, Steven J

    2006-01-01

    The current study analyzed the acute, chronic, and lasting effects of ketamine administration in four inbred mouse strains (C3H/HeHsd, C57BL/6Hsd, FVB/Hsd, and DBA/2Hsd) to evaluate vulnerability to ketamine as a drug of abuse and as a model of schizophrenia. Serum half-life of ketamine was similar between all strains (approximately 13 min). Also, the ratio of brain-to-serum ketamine levels was 3:1. Examination of multiple phases of auditory processing using auditory-evoked potentials (AEPs) following acute ketamine (0, 5, and 20 mg/kg) treatment revealed C3H/HeHsd mice to be most vulnerable to ketamine-induced alterations in AEPs, whereas FVB/Hsd mice exhibited the least electrophysiological sensitivity to ketamine. Overall, the precortical P1-evoked potential component increased in amplitude and latency, whereas the cortically generated N1 and P2 components decreased in amplitude and latency following acute ketamine across all strains. Brain catecholamine analyses indicated that ketamine decreased hippocampus epinephrine levels in C3H/HeHsd but elevated hippocampus epinephrine levels in FVB/Hsd, suggesting one potential mechanism for AEP vulnerability to ketamine. Based on results of the acute study, the immediate and lasting effects of chronic low-dose ketamine on AEPs were examined among C3H/HeHsd (sensitive) and FVB/Hsd (insensitive) mice. We observed a decrement of the N1 amplitude that persisted at least 1 week after the last exposure to ketamine across both strains. This lasting deficit in information processing occurred in the absence of acute changes among the FVB/Hsd mice. Implications for both ketamine abuse and N-methyl-D-aspartate hypofunction models of schizophrenia are discussed.

  10. Ontogenetic investigation of underwater hearing capabilities in loggerhead sea turtles (Caretta caretta) using a dual testing approach.

    PubMed

    Lavender, Ashley L; Bartol, Soraya M; Bartol, Ian K

    2014-07-15

    Sea turtles reside in different acoustic environments with each life history stage and may have different hearing capacity throughout ontogeny. For this study, two independent yet complementary techniques for hearing assessment, i.e. behavioral and electrophysiological audiometry, were employed to (1) measure hearing in post-hatchling and juvenile loggerhead sea turtles Caretta caretta (19-62 cm straight carapace length) to determine whether these migratory turtles exhibit an ontogenetic shift in underwater auditory detection and (2) evaluate whether hearing frequency range and threshold sensitivity are consistent in behavioral and electrophysiological tests. Behavioral trials first required training turtles to respond to known frequencies, a multi-stage, time-intensive process, and then recording their behavior when they were presented with sound stimuli from an underwater speaker using a two-response forced-choice paradigm. Electrophysiological experiments involved submerging restrained, fully conscious turtles just below the air-water interface and recording auditory evoked potentials (AEPs) when sound stimuli were presented using an underwater speaker. No significant differences in behavior-derived auditory thresholds or AEP-derived auditory thresholds were detected between post-hatchling and juvenile sea turtles. While hearing frequency range (50-1000/1100 Hz) and highest sensitivity (100-400 Hz) were consistent in audiograms pooled by size class for both behavior and AEP experiments, both post-hatchlings and juveniles had significantly higher AEP-derived than behavior-derived auditory thresholds, indicating that behavioral assessment is a more sensitive testing approach. The results from this study suggest that post-hatchling and juvenile loggerhead sea turtles are low-frequency specialists, exhibiting little differences in threshold sensitivity and frequency bandwidth despite residence in acoustically distinct environments throughout ontogeny. © 2014. Published by The Company of Biologists Ltd.

  11. A Critical Examination of the Technical Adequacy of a Curriculum-Based Assessment Using Rasch Analyses

    ERIC Educational Resources Information Center

    Winchell, Brooke

    2011-01-01

    The purpose of the study was to (a) examine the psychometric properties of The Assessment, Evaluation, and Programming System for Infants and Children (AEPS Test); (b) provide a process for establishing psychometric properties for other Curriculum Based Assessments (CBAs); and (c) identify and guide evaluation and subsequent revisions of the AEPS…

  12. A conceptual framework to support exposure science research ...

    EPA Pesticide Factsheets

    While knowledge of exposure is fundamental to assessing and mitigating risks, exposure information has been costly and difficult to generate. Driven by major scientific advances in analytical methods, biomonitoring, computational tools, and a newly articulated vision for a greater impact in public health, the field of exposure science is undergoing a rapid transition that allows it to be more agile, predictive, and data- and knowledge-driven. A necessary element of this evolved paradigm is an organizational and predictive framework for exposure science that furthers the application of systems-based approaches. To enable such systems-based approaches, we proposed the Aggregate Exposure Pathway (AEP) concept to organize data and information emerging from an invigorated and expanding field of exposure science. The AEP framework is a layered structure that describes the elements of an exposure pathway, as well as the relationship between those elements. The basic building blocks of an AEP adopt the naming conventions used for Adverse Outcome Pathways (AOPs): Key Events (KEs) to describe the measurable, obligate steps through the AEP; and Key Event Relationships (KERs) describe the linkages between KEs. Importantly, the AEP offers an intuitive approach to organize exposure information from sources to internal site of action, setting the stage for predicting stressor concentrations at an internal target site. These predicted concentrations can help inform the r

  13. Comparison of physical activity sensors and heart rate monitoring for real-time activity detection in type 1 diabetes and control subjects.

    PubMed

    Manohar, Chinmay; O'Keeffe, Derek T; Hinshaw, Ling; Lingineni, Ravi; McCrady-Spitzer, Shelly K; Levine, James A; Carter, Rickey E; Basu, Ananda; Kudva, Yogish C

    2013-09-01

    Currently, patients with type 1 diabetes decide on the amount of insulin to administer based on several factors, including current plasma glucose value, expected meal input, and physical activity (PA). One future therapeutic modality for patients with type 1 diabetes is the artificial endocrine pancreas (AEP). Incorporation of PA could enhance the efficacy of AEP significantly. We compared the main technologies used for PA quantitation. Data were collected during inpatient studies involving healthy control subjects and type 1 diabetes. We report PA quantified from accelerometers (acceleration units [AU]) and heart rate (HR) monitors during a standardized activity protocol performed after a dinner meal at 7 p.m. from nine control subjects (four were males, 37.4±12.7 years old, body mass index of 24.8±3.8 kg/m(2), and fasting plasma glucose of 4.71±0.63 mmol/L) and eight with type 1 diabetes (six were males, 45.2±13.4 years old, body mass index of 25.1±2.9 kg/m(2), and fasting plasma glucose of 8.44±2.31 mmol/L). The patient-to-patient variability was considerably less when examining AU compared with HR monitors. Furthermore, the exercise bouts and rest periods were more evident from the data streams when AUs were used to quantify activity. Unlike the AU, the HR measurements provided little insight for active and rest stages, and HR data required patient-specific standardizations to discern any meaningful pattern in the data. Our results indicated that AU provides a reliable signal in response to PA, including low-intensity activity. Correlation of this signal with continuous glucose monitoring data would be the next step before exploring inclusion as input for AEP control.

  14. Evaluation of the expected moments algorithm and a multiple low-outlier test for flood frequency analysis at streamgaging stations in Arizona

    USGS Publications Warehouse

    Paretti, Nicholas V.; Kennedy, Jeffrey R.; Cohn, Timothy A.

    2014-01-01

    Flooding is among the costliest natural disasters in terms of loss of life and property in Arizona, which is why the accurate estimation of flood frequency and magnitude is crucial for proper structural design and accurate floodplain mapping. Current guidelines for flood frequency analysis in the United States are described in Bulletin 17B (B17B), yet since B17B’s publication in 1982 (Interagency Advisory Committee on Water Data, 1982), several improvements have been proposed as updates for future guidelines. Two proposed updates are the Expected Moments Algorithm (EMA) to accommodate historical and censored data, and a generalized multiple Grubbs-Beck (MGB) low-outlier test. The current guidelines use a standard Grubbs-Beck (GB) method to identify low outliers, changing the determination of the moment estimators because B17B uses a conditional probability adjustment to handle low outliers while EMA censors the low outliers. B17B and EMA estimates are identical if no historical information or censored or low outliers are present in the peak-flow data. EMA with MGB (EMA-MGB) test was compared to the standard B17B (B17B-GB) method for flood frequency analysis at 328 streamgaging stations in Arizona. The methods were compared using the relative percent difference (RPD) between annual exceedance probabilities (AEPs), goodness-of-fit assessments, random resampling procedures, and Monte Carlo simulations. The AEPs were calculated and compared using both station skew and weighted skew. Streamgaging stations were classified by U.S. Geological Survey (USGS) National Water Information System (NWIS) qualification codes, used to denote historical and censored peak-flow data, to better understand the effect that nonstandard flood information has on the flood frequency analysis for each method. Streamgaging stations were also grouped according to geographic flood regions and analyzed separately to better understand regional differences caused by physiography and climate. The B17B-GB and EMA-MGB RPD-boxplot results showed that the median RPDs across all streamgaging stations for the 10-, 1-, and 0.2-percent AEPs, computed using station skew, were approximately zero. As the AEP flow estimates decreased (that is, from 10 to 0.2 percent AEP) the variability in the RPDs increased, indicating that the AEP flow estimate was greater for EMA-MGB when compared to B17B-GB. There was only one RPD greater than 100 percent for the 10- and 1-percent AEP estimates, whereas 19 RPDs exceeded 100 percent for the 0.2-percent AEP. At streamgaging stations with low-outlier data, historical peak-flow data, or both, RPDs ranged from −84 to 262 percent for the 0.2-percent AEP flow estimate. When streamgaging stations were separated by the presence of historical peak-flow data (that is, no low outliers or censored peaks) or by low outlier peak-flow data (no historical data), the results showed that RPD variability was greatest for the 0.2-AEP flow estimates, indicating that the treatment of historical and (or) low-outlier data was different between methods and that method differences were most influential when estimating the less probable AEP flows (1, 0.5, and 0.2 percent). When regional skew information was weighted with the station skew, B17B-GB estimates were generally higher than the EMA-MGB estimates for any given AEP. This was related to the different regional skews and mean square error used in the weighting procedure for each flood frequency analysis. The B17B-GB weighted skew analysis used a more positive regional skew determined in USGS Water Supply Paper 2433 (Thomas and others, 1997), while the EMA-MGB analysis used a more negative regional skew with a lower mean square error determined from a Bayesian generalized least squares analysis. Regional groupings of streamgaging stations reflected differences in physiographic and climatic characteristics. Potentially influential low flows (PILFs) were more prevalent in arid regions of the State, and generally AEP flows were larger with EMA-MGB than with B17B-GB for gaging stations with PILFs. In most cases EMA-MGB curves would fit the largest floods more accurately than B17B-GB. In areas of the State with more baseflow, such as along the Mogollon Rim and the White Mountains, streamgaging stations generally had fewer PILFs and more positive skews, causing estimated AEP flows to be larger with B17B-GB than with EMA-MGB. The effect of including regional skew was similar for all regions, and the observed pattern was increasingly greater B17B-GB flows (more negative RPDs) with each decreasing AEP quantile. A variation on a goodness-of-fit test statistic was used to describe each method’s ability to fit the largest floods. The mean absolute percent difference between the measured peak flows and the log-Pearson Type 3 (LP3)-estimated flows, for each method, was averaged over the 90th, 75th, and 50th percentiles of peak-flow data at each site. In most percentile subsets, EMA-MGB on average had smaller differences (1 to 3 percent) between the observed and fitted value, suggesting that the EMA-MGB-LP3 distribution is fitting the observed peak-flow data more precisely than B17B-GB. The smallest EMA-MGB percent differences occurred for the greatest 10 percent (90th percentile) of the peak-flow data. When stations were analyzed by USGS NWIS peak flow qualification code groups, the stations with historical peak flows and no low outliers had average percent differences as high as 11 percent greater for B17B-GB, indicating that EMA-MGB utilized the historical information to fit the largest observed floods more accurately. A resampling procedure was used in which 1,000 random subsamples were drawn, each comprising one-half of the observed data. An LP3 distribution was fit to each subsample using B17B-GB and EMA-MGB methods, and the predicted 1-percent AEP flows were compared to those generated from distributions fit to the entire dataset. With station skew, the two methods were similar in the median percent difference, but with weighted skew EMA-MGB estimates were generally better. At two gages where B17B-GB appeared to perform better, a large number of peak flows were deemed to be PILFs by the MGB test, although they did not appear to depart significantly from the trend of the data (step or dogleg appearance). At two gages where EMA-MGB performed better, the MGB identified several PILFs that were affecting the fitted distribution of the B17B-GB method. Monte Carlo simulations were run for the LP3 distribution using different skews and with different assumptions about the expected number of historical peaks. The primary benefit of running Monte Carlo simulations is that the underlying distribution statistics are known, meaning that the true 1-percent AEP is known. The results showed that EMA-MGB performed as well or better in situations where the LP3 distribution had a zero or positive skew and historical information. When the skew for the LP3 distribution was negative, EMA-MGB performed significantly better than B17B-GB and EMA-MGB estimates were less biased by more closely estimating the true 1-percent AEP for 1, 2, and 10 historical flood scenarios.

  15. The Use of Observational Strategies for the Development of a Summative Evaluation Model.

    ERIC Educational Resources Information Center

    Smith, Louis M.

    The first year of a proposed five year evaluation of the extended pilot trials of CEMREL's Aesthetic Education Program, AEP, is discussed. This program envisions the development of an aesthetic education curriculum for grades K-12 and is an attempt to involve the children in integrated arts experiences - music, drama, dance, art, and literature.…

  16. Structure of the Escherichia coli phosphonate binding protein PhnD and rationally optimized phosphonate biosensors.

    PubMed

    Alicea, Ismael; Marvin, Jonathan S; Miklos, Aleksandr E; Ellington, Andrew D; Looger, Loren L; Schreiter, Eric R

    2011-12-02

    The phnD gene of Escherichia coli encodes the periplasmic binding protein of the phosphonate (Pn) uptake and utilization pathway. We have crystallized and determined structures of E. coli PhnD (EcPhnD) in the absence of ligand and in complex with the environmentally abundant 2-aminoethylphosphonate (2AEP). Similar to other bacterial periplasmic binding proteins, 2AEP binds near the center of mass of EcPhnD in a cleft formed between two lobes. Comparison of the open, unliganded structure with the closed 2AEP-bound structure shows that the two lobes pivot around a hinge by ~70° between the two states. Extensive hydrogen bonding and electrostatic interactions stabilize 2AEP, which binds to EcPhnD with low nanomolar affinity. These structures provide insight into Pn uptake by bacteria and facilitated the rational design of high signal-to-noise Pn biosensors based on both coupled small-molecule dyes and autocatalytic fluorescent proteins. Copyright © 2011 Elsevier Ltd. All rights reserved.

  17. Structure of the Escherichia coli Phosphonate Binding Protein PhnD and Rationally Optimized Phosphonate Biosensors

    PubMed Central

    Alicea, Ismael; Marvin, Jonathan S.; Miklos, Aleksandr E.; Ellington, Andrew D.; Looger, Loren L.; Schreiter, Eric R.

    2012-01-01

    The phnD gene of Escherichia coli encodes the periplasmic binding protein of the phosphonate uptake and utilization pathway. We have crystallized and determined structures of E. coli PhnD (EcPhnD) in the absence of ligand and in complex with the environmentally abundant 2-aminoethylphosphonate (2AEP). Similar to other bacterial periplasmic binding proteins, 2AEP binds near the center of mass of EcPhnD in a cleft formed between two lobes. Comparison of the open, unliganded structure with the closed 2AEP-bound structure shows that the two lobes pivot around a hinge by ~70° between the two states. Extensive hydrogen bonding and electrostatic interactions stabilize 2AEP, which binds to EcPhnD with low nanomolar affinity. These structures provide insight into phosphonate uptake by bacteria and facilitated the rational design of high signal-to-noise phosphonate biosensors based both on coupled small molecule dyes and autocatalytic fluorescent proteins. PMID:22019591

  18. Structure of the Escherichia coli Phosphonate Binding Protein PhnD and Rationally Optimized Phosphonate Biosensors

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

    Alicea, Ismael; Marvin, Jonathan S.; Miklos, Aleksandr E.

    2012-09-17

    The phnD gene of Escherichia coli encodes the periplasmic binding protein of the phosphonate (Pn) uptake and utilization pathway. We have crystallized and determined structures of E. coli PhnD (EcPhnD) in the absence of ligand and in complex with the environmentally abundant 2-aminoethylphosphonate (2AEP). Similar to other bacterial periplasmic binding proteins, 2AEP binds near the center of mass of EcPhnD in a cleft formed between two lobes. Comparison of the open, unliganded structure with the closed 2AEP-bound structure shows that the two lobes pivot around a hinge by {approx}70{sup o} between the two states. Extensive hydrogen bonding and electrostatic interactionsmore » stabilize 2AEP, which binds to EcPhnD with low nanomolar affinity. These structures provide insight into Pn uptake by bacteria and facilitated the rational design of high signal-to-noise Pn biosensors based on both coupled small-molecule dyes and autocatalytic fluorescent proteins.« less

  19. Application of at-site peak-streamflow frequency analyses for very low annual exceedance probabilities

    USGS Publications Warehouse

    Asquith, William H.; Kiang, Julie E.; Cohn, Timothy A.

    2017-07-17

    The U.S. Geological Survey (USGS), in cooperation with the U.S. Nuclear Regulatory Commission, has investigated statistical methods for probabilistic flood hazard assessment to provide guidance on very low annual exceedance probability (AEP) estimation of peak-streamflow frequency and the quantification of corresponding uncertainties using streamgage-specific data. The term “very low AEP” implies exceptionally rare events defined as those having AEPs less than about 0.001 (or 1 × 10–3 in scientific notation or for brevity 10–3). Such low AEPs are of great interest to those involved with peak-streamflow frequency analyses for critical infrastructure, such as nuclear power plants. Flood frequency analyses at streamgages are most commonly based on annual instantaneous peak streamflow data and a probability distribution fit to these data. The fitted distribution provides a means to extrapolate to very low AEPs. Within the United States, the Pearson type III probability distribution, when fit to the base-10 logarithms of streamflow, is widely used, but other distribution choices exist. The USGS-PeakFQ software, implementing the Pearson type III within the Federal agency guidelines of Bulletin 17B (method of moments) and updates to the expected moments algorithm (EMA), was specially adapted for an “Extended Output” user option to provide estimates at selected AEPs from 10–3 to 10–6. Parameter estimation methods, in addition to product moments and EMA, include L-moments, maximum likelihood, and maximum product of spacings (maximum spacing estimation). This study comprehensively investigates multiple distributions and parameter estimation methods for two USGS streamgages (01400500 Raritan River at Manville, New Jersey, and 01638500 Potomac River at Point of Rocks, Maryland). The results of this study specifically involve the four methods for parameter estimation and up to nine probability distributions, including the generalized extreme value, generalized log-normal, generalized Pareto, and Weibull. Uncertainties in streamflow estimates for corresponding AEP are depicted and quantified as two primary forms: quantile (aleatoric [random sampling] uncertainty) and distribution-choice (epistemic [model] uncertainty). Sampling uncertainties of a given distribution are relatively straightforward to compute from analytical or Monte Carlo-based approaches. Distribution-choice uncertainty stems from choices of potentially applicable probability distributions for which divergence among the choices increases as AEP decreases. Conventional goodness-of-fit statistics, such as Cramér-von Mises, and L-moment ratio diagrams are demonstrated in order to hone distribution choice. The results generally show that distribution choice uncertainty is larger than sampling uncertainty for very low AEP values.

  20. Evaluation of flood inundation in Crystal Springs Creek, Portland, Oregon

    USGS Publications Warehouse

    Stonewall, Adam; Hess, Glen

    2016-05-25

    Efforts to improve fish passage have resulted in the replacement of six culverts in Crystal Springs Creek in Portland, Oregon. Two more culverts are scheduled to be replaced at Glenwood Street and Bybee Boulevard (Glenwood/Bybee project) in 2016. Recently acquired data have allowed for a more comprehensive understanding of the hydrology of the creek and the topography of the watershed. To evaluate the impact of the culvert replacements and recent hydrologic data, a Hydrologic Engineering Center-River Analysis System hydraulic model was developed to estimate water-surface elevations during high-flow events. Longitudinal surface-water profiles were modeled to evaluate current conditions and future conditions using the design plans for the culverts to be installed in 2016. Additional profiles were created to compare with the results from the most recent flood model approved by the Federal Emergency Management Agency for Crystal Springs Creek and to evaluate model sensitivity.Model simulation results show that water-surface elevations during high-flow events will be lower than estimates from previous models, primarily due to lower estimates of streamflow associated with the 0.01 and 0.002 annual exceedance probability (AEP) events. Additionally, recent culvert replacements have resulted in less ponding behind crossings. Similarly, model simulation results show that the proposed replacement culverts at Glenwood Street and Bybee Boulevard will result in lower water-surface elevations during high-flow events upstream of the proposed project. Wider culverts will allow more water to pass through crossings, resulting in slightly higher water-surface elevations downstream of the project during high-flows than water-surface elevations that would occur under current conditions. For the 0.01 AEP event, the water-surface elevations downstream of the Glenwood/Bybee project will be an average of 0.05 ft and a maximum of 0.07 ft higher than current conditions. Similarly, for the 0.002 AEP event, the water-surface elevations will be an average of 0.04 ft and a maximum of 0.19 ft higher than current conditions.

  1. Advanced error-prediction LDPC with temperature compensation for highly reliable SSDs

    NASA Astrophysics Data System (ADS)

    Tokutomi, Tsukasa; Tanakamaru, Shuhei; Iwasaki, Tomoko Ogura; Takeuchi, Ken

    2015-09-01

    To improve the reliability of NAND Flash memory based solid-state drives (SSDs), error-prediction LDPC (EP-LDPC) has been proposed for multi-level-cell (MLC) NAND Flash memory (Tanakamaru et al., 2012, 2013), which is effective for long retention times. However, EP-LDPC is not as effective for triple-level cell (TLC) NAND Flash memory, because TLC NAND Flash has higher error rates and is more sensitive to program-disturb error. Therefore, advanced error-prediction LDPC (AEP-LDPC) has been proposed for TLC NAND Flash memory (Tokutomi et al., 2014). AEP-LDPC can correct errors more accurately by precisely describing the error phenomena. In this paper, the effects of AEP-LDPC are investigated in a 2×nm TLC NAND Flash memory with temperature characterization. Compared with LDPC-with-BER-only, the SSD's data-retention time is increased by 3.4× and 9.5× at room-temperature (RT) and 85 °C, respectively. Similarly, the acceptable BER is increased by 1.8× and 2.3×, respectively. Moreover, AEP-LDPC can correct errors with pre-determined tables made at higher temperatures to shorten the measurement time before shipping. Furthermore, it is found that one table can cover behavior over a range of temperatures in AEP-LDPC. As a result, the total table size can be reduced to 777 kBytes, which makes this approach more practical.

  2. Auditory evoked potentials.

    PubMed

    De Cosmo, G; Aceto, P; Clemente, A; Congedo, E

    2004-05-01

    Auditory evoked potentials (AEPs) are an electrical manifestation of the brain response to an auditory stimulus. Mid-latency auditory evoked potentials (MLAEPs) and the coherent frequency of the AEP are the most promising for monitoring depth of anaesthesia. MLAEPs show graded changes with increasing anaesthetic concentration over the clinical concentration range. The latencies of Pa and Nb lengthen and their amplitudes reduce. These changes in features of waveform are similar with both inhaled and intravenous anaesthetics. Changes in latency of Pa and Nb waves are highly correlated to a transition from awake to loss of consciousness. MLAEPs recording may also provide information about cerebral processing of the auditory input, probably because it reflects activity in the temporal lobe/primary cortex, sites involved in sounds elaboration and in a complex mechanism of implicit (non declarative) memory processing. The coherent frequency has found to be disrupted by the anaesthetics as well as to be implicated in attentional mechanism. These results support the concept that the AEPs reflects the balance between the arousal effects of surgical stimulation and the depressant effects of anaesthetics. However, AEPs aren't a perfect measure of anaesthesia depth. They can't predict patients movements during surgery and the signal may be affected by muscle artefacts, diathermy and other electrical operating theatre interferences. In conclusion, once reliability of the AEPs recording became proved and the signal acquisition improved it is likely to became a routine feature of clinical anaesthetic practice.

  3. Magnitude of flood flows for selected annual exceedance probabilities for streams in Massachusetts

    USGS Publications Warehouse

    Zarriello, Phillip J.

    2017-05-11

    The U.S. Geological Survey, in cooperation with the Massachusetts Department of Transportation, determined the magnitude of flood flows at selected annual exceedance prob­abilities (AEPs) at streamgages in Massachusetts and from these data developed equations for estimating flood flows at ungaged locations in the State. Flood magnitudes were deter­mined for the 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent AEPs at 220 streamgages, 125 of which are in Massachusetts and 95 are in the adjacent States of Connecticut, New Hamp­shire, New York, Rhode Island, and Vermont. AEP flood flows were computed for streamgages using the expected moments algorithm weighted with a recently computed regional skew­ness coefficient for New England.Regional regression equations were developed to estimate the magnitude of floods for selected AEP flows at ungaged sites from 199 selected streamgages and for 60 potential explanatory basin characteristics. AEP flows for 21 of the 125 streamgages in Massachusetts were not used in the final regional regression analysis, primarily because of regulation or redundancy. The final regression equations used general­ized least squares methods to account for streamgage record length and correlation. Drainage area, mean basin elevation, and basin storage explained 86 to 93 percent of the variance in flood magnitude from the 50- to 0.2-percent AEPs, respec­tively. The estimates of AEP flows at streamgages can be improved by using a weighted estimate that is based on the magnitude of the flood and associated uncertainty from the at-site analysis and the regional regression equations. Weighting procedures for estimating AEP flows at an ungaged site on a gaged stream also are provided that improve estimates of flood flows at the ungaged site when hydrologic characteristics do not abruptly change.Urbanization expressed as the percentage of imperviousness provided some explanatory power in the regional regression; however, it was not statistically significant at the 95-percent confidence level for any of the AEPs examined. The effect of urbanization on flood flows indicates a complex interaction with other basin characteristics. Another complicating factor is the assumption of stationarity, that is, the assumption that annual peak flows exhibit no significant trend over time. The results of the analysis show that stationarity does not prevail at all of the streamgages. About 27 percent of streamgages in Massachusetts and about 42 percent of streamgages in adjacent States with 20 or more years of systematic record used in the study show a significant positive trend at the 95-percent confidence level. The remaining streamgages had both positive and negative trends, but the trends were not statistically significant. Trends were shown to vary over time. In particular, during the past decade (2004–2013), peak flows were persistently above normal, which may give the impression of positive trends. Only continued monitoring will provide the information needed to determine whether recent increases in annual peak flows are a normal oscillation or a true trend.The analysis used 37 years of additional data obtained since the last comprehensive study of flood flows in Massa­chusetts. In addition, new methods for computing flood flows at streamgages and regionalization improved estimates of flood magnitudes at gaged and ungaged locations and better defined the uncertainty of the estimates of AEP floods.

  4. Flood Map for the Winooski River in Waterbury, Vermont, 2014

    USGS Publications Warehouse

    Olson, Scott A.

    2015-01-01

    High-water marks from Tropical Storm Irene were available for seven locations along the study reach. The highwater marks were used to estimate water-surface profiles and discharges resulting from Tropical Storm Irene throughout the study reach. From a comparison of the estimated water-surface profile for Tropical Storm Irene with the water-surface profiles for the 1- and 0.2-percent annual exceedance probability (AEP) floods, it was determined that the high-water elevations resulting from Tropical Storm Irene exceeded the estimated 1-percent AEP flood throughout the Winooski River study reach but did not exceed the estimated 0.2-percent AEP flood at any location within the study reach.

  5. 77 FR 41398 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-07-13

    ... Energy Partners, Inc., CSW Energy Services, Inc., AEP Texas Central Company, AEP Retail Energy Partners...: 5 p.m. ET 7/24/12. Docket Numbers: ER12-2200-000. Applicants: Mehoopany Wind Energy LLC. Description: MBR Application of Mehoopany Wind Energy LLC to be effective 8/31/2012. Filed Date: 7/3/12 Accession...

  6. Preventing Alcohol-Exposed Pregnancy among American-Indian Youth

    ERIC Educational Resources Information Center

    Jensen, Jamie; Kenyon, DenYelle Baete; Hanson, Jessica D.

    2016-01-01

    Research has determined that the prevention of alcohol-exposed pregnancies (AEP) must occur preconceptually, either by reducing alcohol intake in women planning pregnancy or at risk for becoming pregnant, or by preventing pregnancy in women drinking at risky levels. One such AEP prevention programme with non-pregnant American-Indian (AI) women is…

  7. α-Synuclein stimulation of monoamine oxidase-B and legumain protease mediates the pathology of Parkinson's disease.

    PubMed

    Kang, Seong Su; Ahn, Eun Hee; Zhang, Zhentao; Liu, Xia; Manfredsson, Fredric P; Sandoval, Ivette M; Dhakal, Susov; Iuvone, P Michael; Cao, Xuebing; Ye, Keqiang

    2018-06-15

    Dopaminergic neurodegeneration in Parkinson's disease (PD) is associated with abnormal dopamine metabolism by MAO-B (monoamine oxidase-B) and intracellular α-Synuclein (α-Syn) aggregates, called the Lewy body. However, the molecular relationship between α-Syn and MAO-B remains unclear. Here, we show that α-Syn directly binds to MAO-B and stimulates its enzymatic activity, which triggers AEP (asparagine endopeptidase; legumain) activation and subsequent α-Syn cleavage at N103, leading to dopaminergic neurodegeneration. Interestingly, the dopamine metabolite, DOPAL, strongly activates AEP, and the N103 fragment of α-Syn binds and activates MAO-B. Accordingly, overexpression of AEP in SNCA transgenic mice elicits α-Syn N103 cleavage and accelerates PD pathogenesis, and inhibition of MAO-B by Rasagiline diminishes α-Syn-mediated PD pathology and motor dysfunction. Moreover, virally mediated expression of α-Syn N103 induces PD pathogenesis in wild-type, but not MAO-B-null mice. Our findings thus support that AEP-mediated cleavage of α-Syn at N103 is required for the association and activation of MAO-B, mediating PD pathogenesis. © 2018 The Authors.

  8. Estimation and evaluation of COSMIC radio occultation excess phase using undifferenced measurements

    NASA Astrophysics Data System (ADS)

    Xia, Pengfei; Ye, Shirong; Jiang, Kecai; Chen, Dezhong

    2017-05-01

    In the GPS radio occultation technique, the atmospheric excess phase (AEP) can be used to derive the refractivity, which is an important quantity in numerical weather prediction. The AEP is conventionally estimated based on GPS double-difference or single-difference techniques. These two techniques, however, rely on the reference data in the data processing, increasing the complexity of computation. In this study, an undifferenced (ND) processing strategy is proposed to estimate the AEP. To begin with, we use PANDA (Positioning and Navigation Data Analyst) software to perform the precise orbit determination (POD) for the purpose of acquiring the position and velocity of the mass centre of the COSMIC (The Constellation Observing System for Meteorology, Ionosphere and Climate) satellites and the corresponding receiver clock offset. The bending angles, refractivity and dry temperature profiles are derived from the estimated AEP using Radio Occultation Processing Package (ROPP) software. The ND method is validated by the COSMIC products in typical rising and setting occultation events. Results indicate that rms (root mean square) errors of relative refractivity differences between undifferenced and atmospheric profiles (atmPrf) provided by UCAR/CDAAC (University Corporation for Atmospheric Research/COSMIC Data Analysis and Archive Centre) are better than 4 and 3 % in rising and setting occultation events respectively. In addition, we also compare the relative refractivity bias between ND-derived methods and atmPrf profiles of globally distributed 200 COSMIC occultation events on 12 December 2013. The statistical results indicate that the average rms relative refractivity deviation between ND-derived and COSMIC profiles is better than 2 % in the rising occultation event and better than 1.7 % in the setting occultation event. Moreover, the observed COSMIC refractivity profiles from ND processing strategy are further validated using European Centre for Medium-Range Weather Forecasts (ECMWF) analysis data, and the results indicate that the undifferenced method reduces the noise level on the excess phase paths in the lower troposphere compared to the single-difference processing strategy.

  9. A Community-Based Approach to Leading the Nation in Smart Energy Use

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

    None, None

    2013-12-31

    Project Objectives The AEP Ohio gridSMART® Demonstration Project (Project) achieved the following objectives: • Built a secure, interoperable, and integrated smart grid infrastructure in northeast central Ohio that demonstrated the ability to maximize distribution system efficiency and reliability and consumer use of demand response programs that reduced energy consumption, peak demand, and fossil fuel emissions. • Actively attracted, educated, enlisted, and retained consumers in innovative business models that provided tools and information reducing consumption and peak demand. • Provided the U.S. Department of Energy (DOE) information to evaluate technologies and preferred smart grid business models to be extended nationally. Projectmore » Description Ohio Power Company (the surviving company of a merger with Columbus Southern Power Company), doing business as AEP Ohio (AEP Ohio), took a community-based approach and incorporated a full suite of advanced smart grid technologies for 110,000 consumers in an area selected for its concentration and diversity of distribution infrastructure and consumers. It was organized and aligned around: • Technology, implementation, and operations • Consumer and stakeholder acceptance • Data management and benefit assessment Combined, these functional areas served as the foundation of the Project to integrate commercially available products, innovative technologies, and new consumer products and services within a secure two-way communication network between the utility and consumers. The Project included Advanced Metering Infrastructure (AMI), Distribution Management System (DMS), Distribution Automation Circuit Reconfiguration (DACR), Volt VAR Optimization (VVO), and Consumer Programs (CP). These technologies were combined with two-way consumer communication and information sharing, demand response, dynamic pricing, and consumer products, such as plug-in electric vehicles and smart appliances. In addition, the Project incorporated comprehensive cyber security capabilities, interoperability, and a data assessment that, with grid simulation capabilities, made the demonstration results an adaptable, integrated solution for AEP Ohio and the nation.« less

  10. Maximization of the annual energy production of wind power plants by optimization of layout and yaw-based wake control: Maximization of wind plant AEP by optimization of layout and wake control

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

    Gebraad, Pieter; Thomas, Jared J.; Ning, Andrew

    This paper presents a wind plant modeling and optimization tool that enables the maximization of wind plant annual energy production (AEP) using yaw-based wake steering control and layout changes. The tool is an extension of a wake engineering model describing the steady-state effects of yaw on wake velocity profiles and power productions of wind turbines in a wind plant. To make predictions of a wind plant's AEP, necessary extensions of the original wake model include coupling it with a detailed rotor model and a control policy for turbine blade pitch and rotor speed. This enables the prediction of power productionmore » with wake effects throughout a range of wind speeds. We use the tool to perform an example optimization study on a wind plant based on the Princess Amalia Wind Park. In this case study, combined optimization of layout and wake steering control increases AEP by 5%. The power gains from wake steering control are highest for region 1.5 inflow wind speeds, and they continue to be present to some extent for the above-rated inflow wind speeds. The results show that layout optimization and wake steering are complementary because significant AEP improvements can be achieved with wake steering in a wind plant layout that is already optimized to reduce wake losses.« less

  11. State-dependent changes in cortical gain control as measured by auditory evoked responses to varying intensity stimuli.

    PubMed

    Phillips, Derrick J; Schei, Jennifer L; Meighan, Peter C; Rector, David M

    2011-11-01

    Auditory evoked potential (AEP) components correspond to sequential activation of brain structures within the auditory pathway and reveal neural activity during sensory processing. To investigate state-dependent modulation of stimulus intensity response profiles within different brain structures, we assessed AEP components across both stimulus intensity and state. We implanted adult female Sprague-Dawley rats (N = 6) with electrodes to measure EEG, EKG, and EMG. Intermittent auditory stimuli (6-12 s) varying from 50 to 75 dBa were delivered over a 24-h period. Data were parsed into 2-s epochs and scored for wake/sleep state. All AEP components increased in amplitude with increased stimulus intensity during wake. During quiet sleep, however, only the early latency response (ELR) showed this relationship, while the middle latency response (MLR) increased at the highest 75 dBa intensity, and the late latency response (LLR) showed no significant change across the stimulus intensities tested. During rapid eye movement sleep (REM), both ELR and LLR increased, similar to wake, but MLR was severely attenuated. Stimulation intensity and the corresponding AEP response profile were dependent on both brain structure and sleep state. Lower brain structures maintained stimulus intensity and neural response relationships during sleep. This relationship was not observed in the cortex, implying state-dependent modification of stimulus intensity coding. Since AEP amplitude is not modulated by stimulus intensity during sleep, differences between paired 75/50 dBa stimuli could be used to determine state better than individual intensities.

  12. Estimation of annual energy production using dynamic wake meandering in combination with ambient CFD solutions

    NASA Astrophysics Data System (ADS)

    Hahn, S.; Machefaux, E.; Hristov, Y. V.; Albano, M.; Threadgill, R.

    2016-09-01

    In the present study, combination of the standalone dynamic wake meandering (DWM) model with Reynolds-averaged Navier-Stokes (RANS) CFD solutions for ambient ABL flows is introduced, and its predictive performance for annual energy production (AEP) is evaluated against Vestas’ SCADA data for six operating wind farms over semi-complex terrains under neutral conditions. The performances of conventional linear and quadratic wake superposition techniques are also compared, together with the in-house implemention of successive hierarchical merging approaches. As compared to our standard procedure based on the Jensen model in WindPRO, the overall results are promising, leading to a significant improvement in AEP accuracy for four of the six sites. While the conventional linear superposition shows the best performance for the improved four sites, the hierarchical square superposition shows the least deteriorated result for the other two sites.

  13. Magnitude of flood flows for selected annual exceedance probabilities in Rhode Island through 2010

    USGS Publications Warehouse

    Zarriello, Phillip J.; Ahearn, Elizabeth A.; Levin, Sara B.

    2012-01-01

    Heavy persistent rains from late February through March 2010 caused severe widespread flooding in Rhode Island that set or nearly set record flows and water levels at many long-term streamgages in the State. In response, the U.S. Geological Survey, in partnership with the Federal Emergency Management Agency, conducted a study to update estimates of flood magnitudes at streamgages and regional equations for estimating flood flows at ungaged locations. This report provides information needed for flood plain management, transportation infrastructure design, flood insurance studies, and other purposes that can help minimize future flood damages and risks. The magnitudes of floods were determined from the annual peak flows at 43 streamgages in Rhode Island (20 sites), Connecticut (14 sites), and Massachusetts (9 sites) using the standard Bulletin 17B log-Pearson type III method and a modification of this method called the expected moments algorithm (EMA) for 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent annual exceedance probability (AEP) floods. Annual-peak flows were analyzed for the period of record through the 2010 water year; however, records were extended at 23 streamgages using the maintenance of variance extension (MOVE) procedure to best represent the longest period possible for determining the generalized skew and flood magnitudes. Generalized least square regression equations were developed from the flood quantiles computed at 41 streamgages (2 streamgages in Rhode Island with reported flood quantiles were not used in the regional regression because of regulation or redundancy) and their respective basin characteristics to estimate magnitude of floods at ungaged sites. Of 55 basin characteristics evaluated as potential explanatory variables, 3 were statistically significant—drainage area, stream density, and basin storage. The pseudo-coefficient of determination (pseudo-R2) indicates these three explanatory variables explain 95 to 96 percent of the variance in the flood magnitudes from 20- to 0.2-percent AEPs. Estimates of uncertainty of the at-site and regression flood magnitudes are provided and were combined with their respective estimated flood quantiles to improve estimates of flood flows at streamgages. This region has a long history of urban development, which is considered to have an important effect on flood flows. This study includes basins that have an impervious area ranging from 0.5 to 37 percent. Although imperviousness provided some explanatory power in the regression, it was not statistically significant at the 95-percent confidence level for any of the AEPs examined. Influence of urbanization on flood flows indicates a complex interaction with other characteristics that confounds a statistical explanation of its effects. Standard methods for calculating magnitude of floods for given AEP are based on the assumption of stationarity, that is, the annual peak flows exhibit no significant trend over time. A subset of 16 streamgages with 70 or more years of unregulated systematic record indicates all but 4 streamgages have a statistically significant positive trend at the 95-percent confidence level; three of these are statistically significant at about the 90-percent confidence level or above. If the trend continues linearly in time, the estimated magnitude of floods for any AEP, on average, will increase by 6, 13, and 21 percent in 10, 20, and 30 years' time, respectively. In 2010, new peaks of record were set at 18 of the 21 active streamgages in Rhode Island. The updated flood frequency analysis indicates the peaks at these streamgages ranged from 2- to 0.2-percent AEP. Many streamgages in the State peaked at a 0.5- and 0.2-percent AEP, except for streamgages in the Blackstone River Basin, which peaked from a 4- to 2-percent AEP.

  14. A Pilot RCT of an Internet Intervention to Reduce the Risk of Alcohol-Exposed Pregnancy.

    PubMed

    Ingersoll, Karen; Frederick, Christina; MacDonnell, Kirsten; Ritterband, Lee; Lord, Holly; Jones, Brogan; Truwit, Lauren

    2018-06-01

    Preventing alcohol-exposed pregnancies (AEPs) could reduce the incidence of fetal alcohol spectrum disorders. Previous face-to-face interventions significantly reduced risk for AEP, but a scalable intervention is needed to reach more women at risk. This study compared a 6 Core automated, interactive, and tailored Internet intervention, the Contraception and Alcohol Risk Reduction Internet Intervention (CARRII), to a static patient education (PE) website for its effect on AEP risk. Participants were recruited online to a pilot randomized clinical trial (RCT) with baseline, 9 weeks posttreatment, and 6-month (6-M) follow-up assessments. Seventy-one women completed online questionnaires and telephone interviews and were randomized to CARRII (n = 36) or PE (n = 35). Primary outcomes were rates of risky drinking, unprotected sex episodes, and AEP risk, collected from online prospective diaries. CARRII participants showed significant reductions in rate of unprotected sex from pretreatment (88.9%) to posttreatment (70.6%) (p < 0.04) and to 6-M follow-up (51.5%) (p = 0.001); rate of risky drinking from pretreatment (75.0%) to posttreatment (50.0%) (p < 0.02), but insignificant change from pretreatment to 6-M follow-up (57.6%) (p < 0.09); and rate of AEP risk from pretreatment (66.7%) to posttreatment (32.4%) (p = 0.001) and to 6-M follow-up (30.3%) (p = 0.005). PE participants demonstrated no significant changes on all 3 variables across all time points. Intent-to-treat group-by-time tests were not significant, but power was limited by missing diaries. Over 72% of CARRII participants completed all 6 Cores. Exploratory analyses suggest that higher program utilization is related to change. These data show that CARRII was acceptable, feasible, promising to reduce AEP risk, and merits further testing in a fully powered RCT. Copyright © 2018 by the Research Society on Alcoholism.

  15. Estimation of flood discharges at selected annual exceedance probabilities for unregulated, rural streams in Vermont, with a section on Vermont regional skew regression

    USGS Publications Warehouse

    Olson, Scott A.; with a section by Veilleux, Andrea G.

    2014-01-01

    This report provides estimates of flood discharges at selected annual exceedance probabilities (AEPs) for streamgages in and adjacent to Vermont and equations for estimating flood discharges at AEPs of 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent (recurrence intervals of 2-, 5-, 10-, 25-, 50-, 100-, 200-, and 500-years, respectively) for ungaged, unregulated, rural streams in Vermont. The equations were developed using generalized least-squares regression. Flood-frequency and drainage-basin characteristics from 145 streamgages were used in developing the equations. The drainage-basin characteristics used as explanatory variables in the regression equations include drainage area, percentage of wetland area, and the basin-wide mean of the average annual precipitation. The average standard errors of prediction for estimating the flood discharges at the 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent AEP with these equations are 34.9, 36.0, 38.7, 42.4, 44.9, 47.3, 50.7, and 55.1 percent, respectively. Flood discharges at selected AEPs for streamgages were computed by using the Expected Moments Algorithm. To improve estimates of the flood discharges for given exceedance probabilities at streamgages in Vermont, a new generalized skew coefficient was developed. The new generalized skew for the region is a constant, 0.44. The mean square error of the generalized skew coefficient is 0.078. This report describes a technique for using results from the regression equations to adjust an AEP discharge computed from a streamgage record. This report also describes a technique for using a drainage-area adjustment to estimate flood discharge at a selected AEP for an ungaged site upstream or downstream from a streamgage. The final regression equations and the flood-discharge frequency data used in this study will be available in StreamStats. StreamStats is a World Wide Web application providing automated regression-equation solutions for user-selected sites on streams.

  16. 76 FR 9812 - Notice Pursuant to the National Cooperative Research and Production Act of 1993-Marinenet, LLC

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ..., evaluating, testing and developing a process or service to establish and support a platform for the... invoking the Act's provisions limiting the recovery of antitrust plaintiffs to actual damages under... are: ACL Transportation Services LLC, Jeffersonville, IN; Ingram Barge Company, Nashville, TN; and AEP...

  17. Correlates of Risky Sexual Activity for Urban African American Youth in an Alternative Education Program

    ERIC Educational Resources Information Center

    Carswell, Steven B.; Hanlon, Thomas E.; Watts, Amy M.; O'Grady, Kevin E.

    2014-01-01

    This study examined the link between developmental risk and protective factors and risky sexual activity among 222 urban African American youth attending an alternative education program (AEP) because of problematic behavior. Self-report information provided by these AEP participants revealed that, for the risk and protective factors examined, the…

  18. 78 FR 15739 - Notice of Lodging of Proposed Third Modification to Consent Decree Under the Clean Air Act

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-12

    .... (``AEP'') agreed to substantially reduce sulfur dioxide (SO 2 ) and nitrogen oxides (NO X ) from the AEP... addressed to the Assistant Attorney General, Environment and Natural Resources Division, and should refer to... Enforcement Section, Environment and Natural Resources Division. [FR Doc. 2013-05601 Filed 3-11-13; 8:45 am...

  19. The Art of Collaboration: Promising Practices for Integrating the Arts and School Reform. AEP Research and Policy Brief

    ERIC Educational Resources Information Center

    Nelson, Andrew L.

    2008-01-01

    In June 2007, the Arts Education Partnership (AEP) convened the directors of eight collaborative entities to discuss promising practices for integrating the arts into the lives and curricula of urban public schools as a means of fostering system-wide educational improvement. The seven school-community collaboratives and one higher education…

  20. Development and outcomes of an online-onsite hybrid dental admissions enhancement pilot program.

    PubMed

    Hanson, Carrie L; Van Ness, Chris; Gadbury-Amyot, Cynthia C; Crain, Geralyn

    2014-10-01

    The University of Missouri-Kansas City (UMKC) School of Dentistry has piloted two years of an Admissions Enhancement Program (AEP) with students from underrepresented minority groups and/or economically disadvantaged areas of Missouri interested in applying to dental school. The AEP utilizes an innovative online-onsite hybrid format to elevate students' foundational knowledge in biology, chemistry, organic chemistry, and quantitative reasoning. The online component includes interaction with UMKC instructors using tablet technology and Wimba virtual classroom sessions. The onsite component engages students in academic and professional development, enrichment activities targeting skills training, experience in dental labs and clinics, and mentoring in preparing the dental school application, essay writing, and interviewing. Results to date indicate overall program satisfaction among AEP participants and a dental school acceptance rate of 73.7 percent (14/19 students). Participants reported the mock interviews and essay-writing portions contributed to their becoming competitive candidates for the admission process, and the online material enhanced their preparation for the Dental Admission Test (DAT). Pre- and post-AEP data show participant DAT Academic Average scores increased by two points. The school will continue to monitor program participants in subsequent years.

  1. Pressurized fluidized bed combustion of coal for electric power generation the AEP approach

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

    Markowsky J.J.; Wickstrom, B.

    1982-08-01

    American Electric Power (AEP), STAL-LAVAL Turbine A.B. (SL), and Deutsche Babcock Anlagen AG (DBA) are working on a program estimated to cost $250 million that will lead toward the construction of a large (170,000 KW) commercial demonstration of an advanced electric power plant incorporating Pressurized Fluidized Bed Combustion (PFBC) of coal. A pilot plant test program carried out during 1977-1980 verified combustor performance and demonstrated long gas turbine blade life. Parallel efforts during this period involved the design of the 170,000 kW Commercial Demonstration Plant (CDP) and a 500,000 kW Commercial Plant which essentially consists of two CDP combustors-gas turbinemore » modules and a larger capacity steam cycle. These efforts showed considerable economic advantages of PFBC-combined cycle power generation over other alternative technologies. A 15,000 KW (thermal) component test facility (CTF) is presently under construction in Sweden. Extensive testing is scheduled to begin in early 1982. Upon successful completion of these tests, AEP intends to start construction of the CDP in 1983; the plant is expected to supply power to the AEP network by 1986.« less

  2. [The evoked activity of the lateral hypothalamus during extinction and differential inhibition].

    PubMed

    Vanetsian, G L

    1995-01-01

    Character of interaction between symmetric points of the cat's auditory cortex (A1) and the lateral hypothalamus (HL) was determined by calculating Spearman correlation coefficients between averaged summed sound-evoked activity (AEP) of the structures before, during elaboration, extinction and restoration, as well as differentiation of food-procuring conditioned reflex and in the eating full. Close mutual co-tuning between the cortex and hypothalamus characteristic for stable conditioned reflex was found to disrupted during its extinction, elaboration of differentiation and fullness eat inhibition due to entire reduction of hypothalamic AEP and disappearance of correlated with negativity of HL AEP "doubling" of the first positive wave of A1 AEP. Hyperactivity stage, expressed at the beginning of extinction and at the end of differentiation, preceded inactivation of hypothalamic afferents during elaboration of conditioned inhibition. The stage of hyperactivity, initiated by the elevated emotional state of the animal, testifies to an important role of emotional brain structures in the process of internal inhibition. The stage of HL and A1 hyperactivity initiated by emotional stress of the animal and following HL inactivation during inhibition of the conditioned response point to an important role of emotional subcortical brain structures in the mechanisms of inhibitory conditioning.

  3. An application of the Aggregate Exposure Pathway (AEP) and Adverse Outcome Pathway (AOP) frameworks to mechanistically integrate data sources across multiple species into cumulative risk assessment (CRA)

    EPA Science Inventory

    Toxicologists use dose-response data from both in vivo and in vitro experiments to evaluate the effects of chemical contaminants on organisms. Cumulative risk assessments (CRAs) consider the effects of multiple stressors on multiple endpoints, and utilize environmental exposure ...

  4. A Web-Based Intervention to Reduce Alcohol-Exposed Pregnancies in the Community

    ERIC Educational Resources Information Center

    Tenkku, Leigh E.; Mengel, Mark B.; Nicholson, Robert A.; Hile, Matthew G.; Morris, Daniel S.; Salas, Joanne

    2011-01-01

    Despite warnings that drinking during pregnancy is unsafe, many women are still at risk for an alcohol-exposed pregnancy (AEP). This article describes the outcomes of a web-based, self-guided change intervention designed to lower the risk for AEPs in a community. A sample of 458 women, between the ages of 18 and 44 years and at risk for an AEP…

  5. Wind turbine power production and annual energy production depend on atmospheric stability and turbulence

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

    St. Martin, Clara M.; Lundquist, Julie K.; Clifton, Andrew

    Using detailed upwind and nacelle-based measurements from a General Electric (GE) 1.5sle model with a 77 m rotor diameter, we calculate power curves and annual energy production (AEP) and explore their sensitivity to different atmospheric parameters to provide guidelines for the use of stability and turbulence filters in segregating power curves. The wind measurements upwind of the turbine include anemometers mounted on a 135 m meteorological tower as well as profiles from a lidar. We calculate power curves for different regimes based on turbulence parameters such as turbulence intensity (TI) as well as atmospheric stability parameters such as the bulk Richardson number ( Rmore » B). We also calculate AEP with and without these atmospheric filters and highlight differences between the results of these calculations. The power curves for different TI regimes reveal that increased TI undermines power production at wind speeds near rated, but TI increases power production at lower wind speeds at this site, the US Department of Energy (DOE) National Wind Technology Center (NWTC). Similarly, power curves for different R B regimes reveal that periods of stable conditions produce more power at wind speeds near rated and periods of unstable conditions produce more power at lower wind speeds. AEP results suggest that calculations without filtering for these atmospheric regimes may overestimate the AEP. Because of statistically significant differences between power curves and AEP calculated with these turbulence and stability filters for this turbine at this site, we suggest implementing an additional step in analyzing power performance data to incorporate effects of atmospheric stability and turbulence across the rotor disk.« less

  6. T-complex measures in bilingual Spanish-English and Turkish-German children and monolingual peers.

    PubMed

    Rinker, Tanja; Shafer, Valerie L; Kiefer, Markus; Vidal, Nancy; Yu, Yan H

    2017-01-01

    Lateral temporal neural measures (Na and T-complex Ta and Tb) of the auditory evoked potential (AEP) index maturation of auditory/speech processing. These measures are also sensitive to language experience in adults. This paper examined neural responses to a vowel sound at temporal electrodes in four- to five-year-old Spanish-English bilinguals and English monolinguals and in five- to six-year-old Turkish-German bilinguals and German monolinguals. The goal was to determine whether obligatory AEPs at temporal electrode sites were modulated by language experience. Language experience was defined in terms of monolingual versus bilingual status as well as the amount and quality of the bilingual language experience. AEPs were recorded at left and right temporal electrode sites to a 250-ms vowel [Ɛ] from 20 monolingual (American)-English and 18 Spanish-English children from New York City, and from 11 Turkish-German and 13 monolingual German children from Ulm, Germany. Language background information and standardized verbal and non-verbal test scores were obtained for the children. The results revealed differences in temporal AEPs (Na and Ta of the T-complex) between monolingual and bilingual children. Specifically, bilingual children showed smaller and/or later peak amplitudes than the monolingual groups. Ta-amplitude distinguished monolingual and bilingual children best at right electrode sites for both the German and American groups. Amount of experience and type of experience with the target language (English and German) influenced processing. The finding of reduced amplitudes at the Ta latency for bilingual compared to monolingual children indicates that language specific experience, and not simply maturational factors, influences development of the neural processes underlying the Ta AEP, and suggests that lateral temporal cortex has an important role in language-specific speech perception development.

  7. Wind turbine power production and annual energy production depend on atmospheric stability and turbulence

    DOE PAGES

    St. Martin, Clara M.; Lundquist, Julie K.; Clifton, Andrew; ...

    2016-11-01

    Using detailed upwind and nacelle-based measurements from a General Electric (GE) 1.5sle model with a 77 m rotor diameter, we calculate power curves and annual energy production (AEP) and explore their sensitivity to different atmospheric parameters to provide guidelines for the use of stability and turbulence filters in segregating power curves. The wind measurements upwind of the turbine include anemometers mounted on a 135 m meteorological tower as well as profiles from a lidar. We calculate power curves for different regimes based on turbulence parameters such as turbulence intensity (TI) as well as atmospheric stability parameters such as the bulk Richardson number ( Rmore » B). We also calculate AEP with and without these atmospheric filters and highlight differences between the results of these calculations. The power curves for different TI regimes reveal that increased TI undermines power production at wind speeds near rated, but TI increases power production at lower wind speeds at this site, the US Department of Energy (DOE) National Wind Technology Center (NWTC). Similarly, power curves for different R B regimes reveal that periods of stable conditions produce more power at wind speeds near rated and periods of unstable conditions produce more power at lower wind speeds. AEP results suggest that calculations without filtering for these atmospheric regimes may overestimate the AEP. Because of statistically significant differences between power curves and AEP calculated with these turbulence and stability filters for this turbine at this site, we suggest implementing an additional step in analyzing power performance data to incorporate effects of atmospheric stability and turbulence across the rotor disk.« less

  8. T-complex measures in bilingual Spanish-English and Turkish-German children and monolingual peers

    PubMed Central

    Rinker, Tanja; Shafer, Valerie L.; Kiefer, Markus; Vidal, Nancy; Yu, Yan H.

    2017-01-01

    Background Lateral temporal neural measures (Na and T-complex Ta and Tb) of the auditory evoked potential (AEP) index maturation of auditory/speech processing. These measures are also sensitive to language experience in adults. This paper examined neural responses to a vowel sound at temporal electrodes in four- to five-year-old Spanish-English bilinguals and English monolinguals and in five- to six-year-old Turkish-German bilinguals and German monolinguals. The goal was to determine whether obligatory AEPs at temporal electrode sites were modulated by language experience. Language experience was defined in terms of monolingual versus bilingual status as well as the amount and quality of the bilingual language experience. Method AEPs were recorded at left and right temporal electrode sites to a 250-ms vowel [Ɛ] from 20 monolingual (American)-English and 18 Spanish-English children from New York City, and from 11 Turkish-German and 13 monolingual German children from Ulm, Germany. Language background information and standardized verbal and non-verbal test scores were obtained for the children. Results The results revealed differences in temporal AEPs (Na and Ta of the T-complex) between monolingual and bilingual children. Specifically, bilingual children showed smaller and/or later peak amplitudes than the monolingual groups. Ta-amplitude distinguished monolingual and bilingual children best at right electrode sites for both the German and American groups. Amount of experience and type of experience with the target language (English and German) influenced processing. Conclusions The finding of reduced amplitudes at the Ta latency for bilingual compared to monolingual children indicates that language specific experience, and not simply maturational factors, influences development of the neural processes underlying the Ta AEP, and suggests that lateral temporal cortex has an important role in language-specific speech perception development. PMID:28267801

  9. Effects of intensity and order of stimuli presentation on AEPs: an analysis of the consistency of EP augmenting/reducing in the auditory modality.

    PubMed

    Carrillo-de-la-Peña, M T

    1999-05-01

    (1) To achieve a better understanding of the intensity dependence function of AEPs recorded at fronto-central and temporal electrode sites; (2) To assess the possible influence of the order of stimuli presentation on this function; and (3) To investigate if a subject's AEPs augmenting or reducing (A/R) tendency is consistent throughout two intra-session runs. Two sequences of 288 stimuli of different intensities (60, 80, 90 and 110 dB SPL) were delivered to 29 psychology students. In the first run, stimuli were presented in 4 consecutive blocks of 72 tones of each intensity, either in an ascendant (from lowest to loudest stimuli) or descendent (from loudest to lowest) way. In the second run, a pseudo-randomized sequence of stimuli of the 4 intensities was presented. (1) AEPs recorded at fronto-central electrodes showed a stronger intensity dependence than those recorded at temporal leads; (2) The delivery of tones of different intensities in an aleatory sequence provoked higher amplitudes at Fz and Cz - especially for the loudest tones - but not at temporal leads; (3) The individual's AEP responses to stimuli of increasing intensity are highly consistent throughout two intra-session runs. The different findings obtained for the fronto-central N1P2 and the T complex in relation to the effect of intensity and order of stimuli presentation may be explained in terms of the cortical origin of those components. The higher amplitudes found with an aleatory sequence, especially for the highest intensity stimuli, may reflect that these stimuli capture the subject's attention and provoke an enhancement of the N1 component. The implications of the present results for investigation into A/R and the clinical relevance of this phenomenon are discussed.

  10. 100-Year flood–it's all about chance

    USGS Publications Warehouse

    Holmes, Robert R.; Dinicola, Karen

    2010-01-01

    In the 1960's, the United States government decided to use the 1-percent annual exceedance probability (AEP) flood as the basis for the National Flood Insurance Program. The 1-percent AEP flood was thought to be a fair balance between protecting the public and overly stringent regulation. Because the 1-percent AEP flood has a 1 in 100 chance of being equaled or exceeded in any 1 year, and it has an average recurrence interval of 100 years, it often is referred to as the '100-year flood'. The term '100-year flood' is part of the national lexicon, but is often a source of confusion by those not familiar with flood science and statistics. This poster is an attempt to explain the concept, probabilistic nature, and inherent uncertainties of the '100-year flood' to the layman.

  11. Advanced Extravehicular Protective Systems (AEPS) study

    NASA Technical Reports Server (NTRS)

    Williams, J. L.; Copeland, R. J.; Webbon, B. W.

    1971-01-01

    A description is given of life support subsystem concepts for advanced extravehicular protective systems (AEPS) intended for use on future orbital, lunar surface, and Mars surface missions in the late 1970's and 1980's. Primary interest was centered around the thermal control and carbon dioxide control subsystems because they offer the greatest potential for total weight savings. Emphasis was placed on the generation of regenerable subsystem concepts; however, partially regenerable and expendable concepts were also considered. Previously conceived and developed subsystem concepts were included in the study. Concepts were evaluated on the basis of subsystem weight and volume, and subsystem contribution to parent vehicle weight and volume, which included spares, regeneration equipment, expendables, expandables storage penalty, power penalty, and process heating or cooling penalty. Results are presented showing total weight and volume penalty as a function of total mission extravehicular activity (EVA) hours, and showing EVA weight and volume as a function of EVA duration. Subsystem concepts are recommended for each life support function, and secondary concepts which should be developed are also identified.

  12. On wavelet analysis of auditory evoked potentials.

    PubMed

    Bradley, A P; Wilson, W J

    2004-05-01

    To determine a preferred wavelet transform (WT) procedure for multi-resolution analysis (MRA) of auditory evoked potentials (AEP). A number of WT algorithms, mother wavelets, and pre-processing techniques were examined by way of critical theoretical discussion followed by experimental testing of key points using real and simulated auditory brain-stem response (ABR) waveforms. Conclusions from these examinations were then tested on a normative ABR dataset. The results of the various experiments are reported in detail. Optimal AEP WT MRA is most likely to occur when an over-sampled discrete wavelet transformation (DWT) is used, utilising a smooth (regularity >or=3) and symmetrical (linear phase) mother wavelet, and a reflection boundary extension policy. This study demonstrates the practical importance of, and explains how to minimize potential artefacts due to, 4 inter-related issues relevant to AEP WT MRA, namely shift variance, phase distortion, reconstruction smoothness, and boundary artefacts.

  13. AEP Ohio gridSMART Demonstration Project Real-Time Pricing Demonstration Analysis

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

    Widergren, Steven E.; Subbarao, Krishnappa; Fuller, Jason C.

    2014-02-01

    This report contributes initial findings from an analysis of significant aspects of the gridSMART® Real-Time Pricing (RTP) – Double Auction demonstration project. Over the course of four years, Pacific Northwest National Laboratory (PNNL) worked with American Electric Power (AEP), Ohio and Battelle Memorial Institute to design, build, and operate an innovative system to engage residential consumers and their end-use resources in a participatory approach to electric system operations, an incentive-based approach that has the promise of providing greater efficiency under normal operating conditions and greater flexibility to react under situations of system stress. The material contained in this report supplementsmore » the findings documented by AEP Ohio in the main body of the gridSMART report. It delves into three main areas: impacts on system operations, impacts on households, and observations about the sensitivity of load to price changes.« less

  14. In vitro activity of pineapple extracts (Ananas comosus, Bromeliaceae) on Rhipicephalus (Boophilus) microplus (Acari: Ixodidae).

    PubMed

    Domingues, Luciana Ferreira; Giglioti, Rodrigo; Feitosa, Karina Alves; Fantatto, Rafaela Regina; Rabelo, Márcio Dias; Oliveira, Márcia Cristina de Sena; Oliveira, Gilson Pereira de; Bechara, Gervasio Henrique; Chagas, Ana Carolina de Souza

    2013-07-01

    Measures to control the cattle tick, Rhipicephalus (Boophilus) microplus, based only on chemical products are becoming unsustainable, mainly because of the development of resistance. The objective of this study was to test the effect of the aqueous extract of pineapple skin (AEPS) and bromelain extracted from the stem (Sigma-Aldrich®, B4882) on engorged females and larvae of R. (B.) microplus in vitro. These substances were diluted in water and evaluated at eight concentrations. Engorged females were collected and distributed in groups of 10, with three repetitions for each treatment. After immersion in the solutions, the females were placed in an incubator for observation of survival, oviposition and larval hatching. The larval packet method was used, also with three repetitions with about 100 larvae each. The packets were incubated and the readings were performed after 24 h. The estimated reproduction and efficacy of the solutions were calculated. The LC(50) and LC(90) were estimated using the Probit procedure of the SAS program. The eight concentrations were compared within each treatment by the Tukey test. For the experiment with engorged females, the most effective concentrations were 125, 250 and 500 mg/mL: 33%, 48% and 59% for the AEPS and 27%, 51% and 55% for the bromelain. The LC(50) and LC(90) values were, respectively, 276 and 8691 mg/mL for AEPS and 373 and 5172 mg/mL for bromelain. None of the dilutions tested was effective against the larvae of R. (B.) microplus. This is the first report of the action of pineapple extracts or their constituents on cattle ticks. The results demonstrate that further studies regarding composition of tick cuticle, with evaluation of other solvents and formulations, should be conducted seeking to enhance the effect of pineapple extracts and compounds against this ectoparasite. Copyright © 2013 Elsevier Inc. All rights reserved.

  15. Reduction in alert fatigue in an assisted electronic prescribing system, through the Lean Six Sigma methodology.

    PubMed

    Cuéllar Monreal, Mª Jesús; Reig Aguado, Jorge; Font Noguera, Isabel; Poveda Andrés, José Luis

    2017-01-01

    To reduce the alert fatigue in our Assisted Electronic Prescribing System (AEPS), through the Lean Six Sigma (LSS) methodology. An observational (transversal) and retrospective study, in a general hospital with 850 beds and AEPS. The LSS methodology was followed in order to evaluate the alert fatigue situation in the AEPS system, to implement improvements, and to assess outcomes. The alerts generated during two trimesters studied (before and after the intervention) were analyzed. In order to measure the qualitative indicators, the most frequent alert types were analyzed, as well as the molecules responsible for over 50% of each type of alert. The action by the prescriber was analyzed in a sample of 496 prescriptions that generated such alerts. For each type of alert and molecule, there was a prioritization of the improvements to be implemented according to the alert generated and its quality. A second survey evaluated the pharmacist action for the alerts most highly valued by physicians. The problem, the objective, the work team and the project schedule were defined. A survey was designed in order to understand the opinion of the client about the alert system in the program. Based on the surveys collected (n = 136), the critical characteristics and the quanti/qualitative indicators were defined. Sixty (60) fields in the alert system were modified, corresponding to 32 molecules, and this led to a 28% reduction in the total number of alerts. Regarding quality indicators, false po sitive results were reduced by 25% (p < 0.05), 100% of those alerts ignored with justification were sustained, and there were no significant differences in user adherence to the system. The project improvements and outcomes were reviewed by the work team. LSS methodology has demonstrated being a valid tool for the quantitative and qualitative improvement of the alert system in an Assisted Electronic Prescription Program, thus reducing alert fatigue. Copyright AULA MEDICA EDICIONES 2014. Published by AULA MEDICA. All rights reserved.

  16. A Case Study Application of the Aggregate Exposure Pathway (AEP) and Adverse Outcome Pathway (AOP) Frameworks to Facilitate the Integration of Human Health and Ecological End Points for Cumulative Risk Assessment (CRA)

    EPA Science Inventory

    Cumulative risk assessment (CRA) methods promote the use of a conceptual site model (CSM) to apportion exposures and integrate risk from multiple stressors. While CSMs may encompass multiple species, evaluating end points across taxa can be challenging due to data availability an...

  17. Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network.

    PubMed

    Woodhams, Victoria; de Lusignan, Simon; Mughal, Shakeel; Head, Graham; Debar, Safia; Desombre, Terry; Hilton, Sean; Al Sharifi, Houda

    2012-06-10

    Internationally health services are facing increasing demands due to new and more expensive health technologies and treatments, coupled with the needs of an ageing population. Reducing avoidable use of expensive secondary care services, especially high cost admissions where no procedure is carried out, has become a focus for the commissioners of healthcare. We set out to identify, evaluate and share learning about interventions to reduce avoidable hospital admission across a regional Academic Health and Social Care Network (AHSN). We conducted a service evaluation identifying initiatives that had taken place across the AHSN. This comprised a literature review, case studies, and two workshops. We identified three types of intervention: pre-hospital; within the emergency department (ED); and post-admission evaluation of appropriateness. Pre-hospital interventions included the use of predictive modelling tools (PARR - Patients at risk of readmission and ACG - Adjusted Clinical Groups) sometimes supported by community matrons or virtual wards. GP-advisers and outreach nurses were employed within the ED. The principal post-hoc interventions were the audit of records in primary care or the application of the Appropriateness Evaluation Protocol (AEP) within the admission ward. Overall there was a shortage of independent evaluation and limited evidence that each intervention had an impact on rates of admission. Despite the frequency and cost of emergency admission there has been little independent evaluation of interventions to reduce avoidable admission. Commissioners of healthcare should consider interventions at all stages of the admission pathway, including regular audit, to ensure admission thresholds don't change.

  18. Stream-channel and watershed delineations and basin-characteristic measurements using lidar elevation data for small drainage basins within the Des Moines Lobe landform region in Iowa

    USGS Publications Warehouse

    Eash, David A.; Barnes, Kimberlee K.; O'Shea, Padraic S.; Gelder, Brian K.

    2018-02-14

    Basin-characteristic measurements related to stream length, stream slope, stream density, and stream order have been identified as significant variables for estimation of flood, flow-duration, and low-flow discharges in Iowa. The placement of channel initiation points, however, has always been a matter of individual interpretation, leading to differences in stream definitions between analysts.This study investigated five different methods to define stream initiation using 3-meter light detection and ranging (lidar) digital elevation models (DEMs) data for 17 streamgages with drainage areas less than 50 square miles within the Des Moines Lobe landform region in north-central Iowa. Each DEM was hydrologically enforced and the five stream initiation methods were used to define channel initiation points and the downstream flow paths. The five different methods to define stream initiation were tested side-by-side for three watershed delineations: (1) the total drainage-area delineation, (2) an effective drainage-area delineation of basins based on a 2-percent annual exceedance probability (AEP) 12-hour rainfall, and (3) an effective drainage-area delineation based on a 20-percent AEP 12-hour rainfall.Generalized least squares regression analysis was used to develop a set of equations for sites in the Des Moines Lobe landform region for estimating discharges for ungaged stream sites with 50-, 20-, 10-, 4-, 2-, 1-, 0.5-, and 0.2-percent AEPs. A total of 17 streamgages were included in the development of the regression equations. In addition, geographic information system software was used to measure 58 selected basin-characteristics for each streamgage.Results of the regression analyses of the 15 lidar datasets indicate that the datasets that produce regional regression equations (RREs) with the best overall predictive accuracy are the National Hydrographic Dataset, Iowa Department of Natural Resources, and profile curvature of 0.5 stream initiation methods combined with the 20-percent AEP 12-hour rainfall watershed delineation method. These RREs have a mean average standard error of prediction (SEP) for 4-, 2-, and 1-percent AEP discharges of 53.9 percent and a mean SEP for all eight AEPs of 55.5 percent. Compared to the RREs developed in this study using the basin characteristics from the U.S. Geological Survey StreamStats application, the lidar basin characteristics provide better overall predictive accuracy.

  19. Acceptance of background noise, working memory capacity, and auditory evoked potentials in subjects with normal hearing.

    PubMed

    Brännström, K Jonas; Zunic, Edita; Borovac, Aida; Ibertsson, Tina

    2012-01-01

    The acceptable noise level (ANL) test is a method for quantifying the amount of background noise that subjects accept when listening to speech. Large variations in ANL have been seen between normal-hearing subjects and between studies of normal-hearing subjects, but few explanatory variables have been identified. To explore a possible relationship between a Swedish version of the ANL test, working memory capacity (WMC), and auditory evoked potentials (AEPs). ANL, WMC, and AEP were tested in a counterbalanced order across subjects. Twenty-one normal-hearing subjects participated in the study (14 females and 7 males; aged 20-39 yr with an average of 25.7 yr). Reported data consists of age, pure-tone average (PTA), most comfortable level (MCL), background noise level (BNL), ANL (i.e., MCL - BNL), AEP latencies, AEP amplitudes, and WMC. Spearman's rank correlation coefficient was calculated between the collected variables to investigate associations. A principal component analysis (PCA) with Varimax rotation was conducted on the collected variables to explore underlying factors and estimate interactions between the tested variables. Subjects were also pooled into two groups depending on their results on the WMC test, one group with a score lower than the average and one with a score higher than the average. Comparisons between these two groups were made using the Mann-Whitney U-test with Bonferroni correction for multiple comparisons. A negative association was found between ANL and WMC but not between AEP and ANL or WMC. Furthermore, ANL is derived from MCL and BNL, and a significant positive association was found between BNL and WMC. However, no significant associations were seen between AEP latencies and amplitudes and the demographic variables, MCL, and BNL. The PCA identified two underlying factors: One that contained MCL, BNL, ANL, and WMC and another that contained latency for wave Na and amplitudes for waves V and Na-Pa. Using the variables in the first factor, the findings were further explored by pooling the subjects into two groups according to their WMC (WMClow and WMChigh). It was found that the WMClow had significantly poorer BNL than the WMChigh. The findings suggest that there is a strong relationship between BNL and WMC, while the association between MCL, ANL, and WMC seems less clear-cut. American Academy of Audiology.

  20. Missed Opportunities: Screening and Brief Intervention for Risky Alcohol Use in Women's Health Settings

    PubMed Central

    Cockrell, Stephanie; Russo, Jennifer; Corder-Mabe, Joan; Yowell-Many, Alycia; Chisholm, Christian; Ingersoll, Karen

    2015-01-01

    Abstract Background: Although women's health settings could provide access to women for screening, brief intervention, and referral to treatment (SBIRT) for risky alcohol use, little is known about rates of alcohol use or associated risk for alcohol-exposed pregnancy (AEP) among women's health patients, receipt of SBIRT services in these settings, or patient attitudes towards SBIRT services. Methods: This study reports the results of a self-administered survey to a convenience sample of women's health patients attending public clinics for family planning or sexually transmitted infection visits. Results: Surveys were analyzed for 199 reproductive-aged women who had visited the clinic within the past year. The rate of risky drinking among the sample was (44%) and risk for AEP was (17%). Despite this, many patients did not receive SBIRT services, with more than half of risky drinking patients reporting that they were not advised about safe drinking limits (59%) and similar rates of patients at risk for AEP reporting that their medical provider did not discuss risk factors of AEP (53%). Patient attitudes towards receipt of SBIRT services were favorable; more than 90% of women agreed or strongly agreed that if their drinking was affecting their health, their women's health provider should advise them to cut down. Conclusions: Women's health clinics may be an ideal setting to implement SBIRT and future research should address treatment efficacy in these settings. PMID:26230758

  1. The 2-Aminoethylphosphonate-Specific Transaminase of the 2-Aminoethylphosphonate Degradation Pathway

    PubMed Central

    Kim, Alexander D.; Baker, Angela S.; Dunaway-Mariano, Debra; Metcalf, W. W.; Wanner, B. L.; Martin, Brian M.

    2002-01-01

    The 2-aminoethylphosphonate transaminase (AEPT; the phnW gene product) of the Salmonella enterica serovar Typhimurium 2-aminoethylphosphonate (AEP) degradation pathway catalyzes the reversible reaction of AEP and pyruvate to form phosphonoacetaldehyde (P-Ald) and l-alanine (l-Ala). Here, we describe the purification and characterization of recombinant AEPT. pH rate profiles (log Vm and log Vm/Km versus pH) revealed a pH optimum of 8.5. At pH 8.5, Keq is equal to 0.5 and the kcat values of the forward and reverse reactions are 7 and 9 s−1, respectively. The Km for AEP is 1.11 ± 0.03 mM; for pyruvate it is 0.15 ± 0.02 mM, for P-Ald it is 0.09 ± 0.01 mM, and for l-Ala it is 1.4 ± 0.03 mM. Substrate specificity tests revealed a high degree of discrimination, indicating a singular physiological role for the transaminase in AEP degradation. The 40-kDa subunit of the homodimeric enzyme is homologous to other members of the pyridoxalphosphate-dependent amino acid transaminase superfamily. Catalytic residues conserved within well-characterized members are also conserved within the seven known AEPT sequences. Site-directed mutagenesis demonstrated the importance of three selected residues (Asp168, Lys194, and Arg340) in AEPT catalysis. PMID:12107130

  2. A repeated short educational intervention improves asthma control and quality of life.

    PubMed

    Plaza, Vicente; Peiró, Meritxell; Torrejón, Montserrat; Fletcher, Monica; López-Viña, Antolín; Ignacio, José María; Quintano, José Antonio; Bardagí, Santiago; Gich, Ignasi

    2015-11-01

    We assessed the effectiveness of an asthma educational programme based on a repeated short intervention (AEP-RSI) to improve asthma control (symptom control and future risk) and quality of life. A total of 230 adults with mild-to-moderate persistent uncontrolled asthma participated in a 1-year cluster randomised controlled multicentre study. The AEP-RSI was given in four face-to-face sessions at 3-month intervals, and included administration of a written personalised action plan and training on inhaler technique. Centres were randomised to the AEP-RSI (intervention) group or usual clinical practice group. Specialised centres using a standard educational programme were the gold standard group. A significant improvement in the Asthma Control Test score was observed in all three groups (p<0.001), but improvements were higher in the intervention and gold standard groups than in the usual clinical practice group (p=0.042), which also showed fewer exacerbations (mean±sd; 1.20±2.02 and 0.56±1.5 versus 2.04±2.72, respectively) and greater increases in the Mini Asthma Quality of Life Questionnaire scores (0.95±1.04 and 0.89±0.84 versus 0.52±0.97, respectively). The AEP-RSI was effective in improving asthma symptom control, future risk and quality of life. Copyright ©ERS 2015.

  3. Impact of the CHOICES Intervention in Preventing Alcohol-Exposed Pregnancies in American Indian Women.

    PubMed

    Hanson, Jessica D; Nelson, Morgan E; Jensen, Jamie L; Willman, Amy; Jacobs-Knight, Jacque; Ingersoll, Karen

    2017-04-01

    Fetal alcohol spectrum disorders (FASD) comprise a continuum of lifelong outcomes in those born prenatally exposed to alcohol. Although studies have shown no differences in rates by race, FASD is of particular concern for American Indian communities. One tribally run prevention program is the Oglala Sioux Tribe (OST) CHOICES Program, which is modeled after the evidence-based CHOICES program that was focused on preconceptional prevention of alcohol-exposed pregnancy (AEP) by reducing risky drinking in women at risk for pregnancy and/or preventing unintended pregnancy. The OST CHOICES Program was made culturally appropriate for American Indian women and implemented with 3 communities, 2 on the reservation and 1 off. Data on drinking, sexual activity, and contraception use were collected at baseline and 3 and 6 months postintervention. Data were analyzed using descriptive statistics, 1-way analysis of variance, and a random intercept generalized estimating equation model. A total of 193 nonpregnant American Indian women enrolled in the OST CHOICES Program, and all were at risk for AEP because of binge drinking and being at risk for an unintended pregnancy. Fifty-one percent of participants completed both 3- and 6-month follow-ups. Models showed a significant decrease in AEP risk from baseline at both 3- and 6-month follow-ups, indicating the significant impact of the OST CHOICES intervention. Women in the OST CHOICES Program were more likely to reduce their risk for AEP by utilizing contraception, rather than decreasing binge drinking. Even with minor changes to make the CHOICES intervention culturally and linguistically appropriate and the potential threats to program validity those changes entail, we found a significant impact in reducing AEP risk. This highlights the capacity for the CHOICES intervention to be implemented in a wide variety of settings and populations. Copyright © 2017 by the Research Society on Alcoholism.

  4. Exercise physiologists emerge as allied healthcare professionals in the era of non-communicable disease pandemics: a report from Australia, 2006-2012.

    PubMed

    Cheema, Birinder S; Robergs, Robert A; Askew, Christopher D

    2014-07-01

    Exercise can be prescribed to prevent, manage, and treat many leading non-communicable diseases (NCDs) and underlying risk factors. However, surprisingly, Australia is one of only a few countries where allied healthcare professionals with specialized university education and training in exercise prescription and delivery provide services within a government-run healthcare system (Medicare). This article presents data on Medicare-funded services provided by accredited exercise physiologists (AEPs) from the inclusion of the profession in the allied healthcare model (January, 2006) to the end of 2012. We conceptualize these data in relation to current NCD trends, and outline recommendations that can potentially help curtail the current chronic disease burden through the further integration of exercise professionals into the healthcare system in Australia, and internationally. From 2006 to 2012, the number of AEPs in Australia has increased 563 %. This rise in AEPs has been paralleled by increased delivery of services for eligible patients with a chronic medical condition (+614 %), type 2 diabetes mellitus (+211 to 230 %), and of Aboriginal and Torres Strait Islander descent (+343 %). These trends, which were developed through the "early years" of the profession, are encouraging and suggest that AEPs have taken up a vital position within the healthcare system. However, the total number of services provided by AEPs currently remains very low in relation to the prevalence of overweight-obesity and type 2 diabetes in Australia. Furthermore, services for Aboriginal Australians are very low considering the extreme burden of chronic diseases in these vulnerable populations. We provide some recommendations that may help the exercise physiology profession play a greater role in tackling the NCD burden and shift the healthcare model in a direction that is more proactive and focused on disease prevention and health, including the early identification and treatment of major upstream risk factors.

  5. Biology of Alkylphosphonic Acids. A Review of the Distribution, Metabolism, and Structure of Naturally Occuring Alkylphosphonic Acids.

    DTIC Science & Technology

    1977-12-22

    Residues Quin found that a delipidated residue of the anemone M. dianthus contained 1.1% AEP by dry weight. Evidence for the occurrence of AEP in...and 40% protein has ben prepared from M. dianthus (Hilderbrand et al., 1973). Amino acid analysis showed the presence of high relative amounts of...Myers, T.C., 1971. Characterization of a phospi onate-rich macromolecular complex from Metridium dianthus utilizing 3IP NMR. Fed.Proc.A~bstr. 30(3

  6. Balance of Performance Parameters for Survivability and Mobility in the Demonstrator for Novel Design (DFND) Vehicle Concepts

    DTIC Science & Technology

    2011-08-01

    Standardization Agency, "Procedures For Evaluating the Protection Level of Logistic and Light Armoured Vehicles", NATO/PfP STANAG 4569, AEP- 55, Volume 2, 2006...not be used for advertising or product endorsement purposes. 0.00 0.10 0.20 0.30 0.40 0.50 0.60 0.70 0.80 0.90 1.00 Az Center Blast Static

  7. Estimating urban flood risk - uncertainty in design criteria

    NASA Astrophysics Data System (ADS)

    Newby, M.; Franks, S. W.; White, C. J.

    2015-06-01

    The design of urban stormwater infrastructure is generally performed assuming that climate is static. For engineering practitioners, stormwater infrastructure is designed using a peak flow method, such as the Rational Method as outlined in the Australian Rainfall and Runoff (AR&R) guidelines and estimates of design rainfall intensities. Changes to Australian rainfall intensity design criteria have been made through updated releases of the AR&R77, AR&R87 and the recent 2013 AR&R Intensity Frequency Distributions (IFDs). The primary focus of this study is to compare the three IFD sets from 51 locations Australia wide. Since the release of the AR&R77 IFDs, the duration and number of locations for rainfall data has increased and techniques for data analysis have changed. Updated terminology coinciding with the 2013 IFD release has also resulted in a practical change to the design rainfall. For example, infrastructure that is designed for a 1 : 5 year ARI correlates with an 18.13% AEP, however for practical purposes, hydraulic guidelines have been updated with the more intuitive 20% AEP. The evaluation of design rainfall variation across Australia has indicated that the changes are dependent upon location, recurrence interval and rainfall duration. The changes to design rainfall IFDs are due to the application of differing data analysis techniques, the length and number of data sets and the change in terminology from ARI to AEP. Such changes mean that developed infrastructure has been designed to a range of different design criteria indicating the likely inadequacy of earlier developments to the current estimates of flood risk. In many cases, the under-design of infrastructure is greater than the expected impact of increased rainfall intensity under climate change scenarios.

  8. Cloud-based adaptive exon prediction for DNA analysis.

    PubMed

    Putluri, Srinivasareddy; Zia Ur Rahman, Md; Fathima, Shaik Yasmeen

    2018-02-01

    Cloud computing offers significant research and economic benefits to healthcare organisations. Cloud services provide a safe place for storing and managing large amounts of such sensitive data. Under conventional flow of gene information, gene sequence laboratories send out raw and inferred information via Internet to several sequence libraries. DNA sequencing storage costs will be minimised by use of cloud service. In this study, the authors put forward a novel genomic informatics system using Amazon Cloud Services, where genomic sequence information is stored and accessed for processing. True identification of exon regions in a DNA sequence is a key task in bioinformatics, which helps in disease identification and design drugs. Three base periodicity property of exons forms the basis of all exon identification techniques. Adaptive signal processing techniques found to be promising in comparison with several other methods. Several adaptive exon predictors (AEPs) are developed using variable normalised least mean square and its maximum normalised variants to reduce computational complexity. Finally, performance evaluation of various AEPs is done based on measures such as sensitivity, specificity and precision using various standard genomic datasets taken from National Center for Biotechnology Information genomic sequence database.

  9. Early diagnosis based on clinical history and BALF for successful management of smoking-induced acute eosinophilic pneumonia without unnecessary antibiotic usage: a case report.

    PubMed

    Song, Jee In; Kim, Yang-Ki; Hwang, Jung Hwa; Yang, Hyeon-Jong

    2016-01-01

    Acute eosinophilic pneumonia (AEP) is a rapid onset and severe respiratory illness characterized by acute febrile respiratory insufficiency, eosinophilic infiltration in the lungs and unique findings on chest imaging. Difficulty in differentiating from other respiratory distress caused by community-acquired pneumonia may result in a delayed diagnosis or treatment with empirical antibiotics. Sixteen-year-old boy who developed AEP with marked eosinophilia in bronchoalveolar lavage fluid (BALF, 36.6%), decreased diffusion capacity of the lung for carbon monoxide (62%) and unique radiological findings. Although he initially denied tobacco use, on repeated thorough clinical history questioning, he eventually admitted beginning smoking 19 days before the onset of symptoms with gradually increasing frequency. His symptoms resolved quickly without use of antibiotics after cessation of tobacco and treatment with corticosteroids. Careful clinical history taking regarding tobacco use combined with early examination of BALF and recognition of unique radiological findings are critical for proper management of AEP.

  10. Static yields and quality issues: Is the agri-environment program the primary driver?

    PubMed

    Peltonen-Sainio, Pirjo; Salo, Tapio; Jauhiainen, Lauri; Lehtonen, Heikki; Sieviläinen, Elina

    2015-10-01

    The Finnish agri-environmental program (AEP) has been in operation for 20 years with >90 % farmer commitment. This study aimed to establish whether reduced nitrogen (N) and phosphorus (P) use has impacted spring cereal yields and quality based on comprehensive follow-up studies and long-term experiments. We found that the gap between genetic yield potential and attained yield has increased after the AEP was imposed. However, many contemporary changes in agricultural practices, driven by changes in prices and farm subsidies, also including the AEP, were likely reasons, together with reduced N, but not phosphorus use. Such overall changes in crop management coincided with stagnation or decline in yields and adverse changes in quality, but yield-removed N increased and residual N decreased. Further studies are needed to assess whether all the changes are environmentally, economically, and socially sustainable, and acceptable, in the long run. The concept of sustainable intensification is worth considering as a means to develop northern European agricultural systems to combine environmental benefits with productivity.

  11. Customer Engagement in AEP gridSMART Residential Transactive System

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

    Widergren, Steven E.; Marinovici, Maria C.; Fuller, Jason C.

    — In 2013, AEP Ohio (AEP) operated a 5-minute real-time price (RTP) electricity market system on 4 distribution feeders as part of their gridSMART® demonstration project. The RTP households were billed for their electricity usage according to an RTP tariff approved by the Public Utility Commission of Ohio. They were given the incentive that their annual bill would be no greater than if they were on the flat-rate tariff, but they had financial incentives to shift consumption from high price periods to low price periods. Incentives were also available for response under high prices from local events, such as reachingmore » the distribution feeder capacity or a critical peak pricing event. An analysis of this transactive system experiment was completed in early 2014. This paper describes the incentive provided to the customer, the nature of their interaction with the smart thermostat that provided automated response to the transactive signal, and their level of satisfaction with the program.« less

  12. Prurigo, pruritic folliculitis, and atopic eruption of pregnancy: Facts and controversies.

    PubMed

    Roth, Maria Magdalena; Cristodor, Patricia; Kroumpouzos, George

    2016-01-01

    Prurigo (PP) and pruritic folliculitis of pregnancy (PFP) are poorly characterized entities. Traditionally classified under specific dermatoses of pregnancy, they were reclassified under a new umbrella entity, atopic eruption of pregnancy (AEP), which also includes atopic dermatitis (AD) that can worsen or present for the first time in pregnancy. Still, several aspects of AEP have not been adequately elucidated. It needs to be clarified whether it is the intrinsic ("nonallergic" or "atopiform dermatitis") or extrinsic (immunoglobulin E-associated) AD that is affected by pregnancy. Future studies need to examine the postpartum prognosis of AD that develops for the first time during gestation. A revision of diagnostic criteria of AEP will allow a more accurate estimate of its prevalence, as well as clarification of the relationship between AD and specific dermatoses, such as PP and PFP. In this context, this review discusses the history, epidemiologic data, clinicopathologic features, and management of these entities. Copyright © 2016 Elsevier Inc. All rights reserved.

  13. Triumph of hope over experience: learning from interventions to reduce avoidable hospital admissions identified through an Academic Health and Social Care Network

    PubMed Central

    2012-01-01

    Background Internationally health services are facing increasing demands due to new and more expensive health technologies and treatments, coupled with the needs of an ageing population. Reducing avoidable use of expensive secondary care services, especially high cost admissions where no procedure is carried out, has become a focus for the commissioners of healthcare. Method We set out to identify, evaluate and share learning about interventions to reduce avoidable hospital admission across a regional Academic Health and Social Care Network (AHSN). We conducted a service evaluation identifying initiatives that had taken place across the AHSN. This comprised a literature review, case studies, and two workshops. Results We identified three types of intervention: pre-hospital; within the emergency department (ED); and post-admission evaluation of appropriateness. Pre-hospital interventions included the use of predictive modelling tools (PARR – Patients at risk of readmission and ACG – Adjusted Clinical Groups) sometimes supported by community matrons or virtual wards. GP-advisers and outreach nurses were employed within the ED. The principal post-hoc interventions were the audit of records in primary care or the application of the Appropriateness Evaluation Protocol (AEP) within the admission ward. Overall there was a shortage of independent evaluation and limited evidence that each intervention had an impact on rates of admission. Conclusions Despite the frequency and cost of emergency admission there has been little independent evaluation of interventions to reduce avoidable admission. Commissioners of healthcare should consider interventions at all stages of the admission pathway, including regular audit, to ensure admission thresholds don’t change. PMID:22682525

  14. Simulated and observed 2010 floodwater elevations in the Pawcatuck and Wood Rivers, Rhode Island

    USGS Publications Warehouse

    Zarriello, Phillip J.; Straub, David E.; Smith, Thor E.

    2014-01-01

    Heavy, persistent rains from late February through March 2010 caused severe flooding that set, or nearly set, peaks of record for streamflows and water levels at many long-term U.S. Geological Survey streamgages in Rhode Island. In response to this flood, hydraulic models of Pawcatuck River (26.9 miles) and Wood River (11.6 miles) were updated from the most recent approved U.S. Department of Homeland Security-Federal Emergency Management Agency flood insurance study (FIS) to simulate water-surface elevations (WSEs) for specified flows and boundary conditions. The hydraulic models were updated to Hydrologic Engineering Center-River Analysis System (HEC-RAS) using steady-state simulations and incorporate new field-survey data at structures, high resolution land-surface elevation data, and updated flood flows from a related study. The models were used to simulate the 0.2-percent annual exceedance probability (AEP) flood, which is the AEP determined for the 2010 flood in the Pawcatuck and Wood Rivers. The simulated WSEs were compared to high-water mark (HWM) elevation data obtained in a related study following the March–April 2010 flood, which included 39 HWMs along the Pawcatuck River and 11 HWMs along the Wood River. The 2010 peak flow generally was larger than the 0.2-percent AEP flow, which, in part, resulted in the FIS and updated model WSEs to be lower than the 2010 HWMs. The 2010 HWMs for the Pawcatuck River averaged about 1.6 feet (ft) higher than the 0.2-percent AEP WSEs simulated in the updated model and 2.5 ft higher than the WSEs in the FIS. The 2010 HWMs for the Wood River averaged about 1.3 ft higher than the WSEs simulated in the updated model and 2.5 ft higher than the WSEs in the FIS. The improved agreement of the updated simulated water elevations to observed 2010 HWMs provides a measure of the hydraulic model performance, which indicates the updated models better represent flooding at other AEPs than the existing FIS models.

  15. [Immunisation schedule of the Spanish Association of Paediatrics: 2013 recommendations].

    PubMed

    Moreno-Pérez, D; Álvarez García, F J; Arístegui Fernández, J; Barrio Corrales, F; Cilleruelo Ortega, M J; Corretger Rauet, J M; González-Hachero, J; Hernández-Sampelayo Matos, T; Merino Moína, M; Ortigosa Del Castillo, L; Ruiz-Contreras, J

    2013-01-01

    The Advisory Committee on Vaccines of the Spanish Association of Paediatrics (CAV-AEP) updates the immunisation schedule every year, taking into account epidemiological data as well as evidence on the safety, effectiveness and efficiency of vaccines. The present schedule includes levels of recommendation. We have graded as routine vaccinations those that the CAV-AEP consider all children should receive; as recommended those that fit the profile for universal childhood immunisation and would ideally be given to all children, but that can be prioritised according to the resources available for their public funding; and as risk group vaccinations those that specifically target individuals in situations of risk. Immunisation schedules tend to be dynamic and adaptable to ongoing epidemiological changes. Nevertheless, the achievement of a unified immunisation schedule in all regions of Spain is a top priority for the CAV-AEP. Based on the latest epidemiological trends, CAV-AEP follows the innovations proposed in the last year's schedule, such as the administration of the first dose of the MMR and the varicella vaccines at age 12 months and the second dose at age 2-3 years, as well as the administration of the Tdap vaccine at age 4-6 years, always followed by another dose at 11-14 years of age, preferably at 11-12 years. The CAV-AEP believes that the coverage of vaccination against human papillomavirus in girls aged 11-14 years, preferably at 11-12 years, must increase. It reasserts its recommendation to include vaccination against pneumococcal disease in the routine immunisation schedule. Universal vaccination against varicella in the second year of life is an effective strategy and therefore a desirable objective. Vaccination against rotavirus is recommended in all infants due to the morbidity and elevated healthcare burden of the virus. The Committee stresses the need to vaccinate population groups considered at risk against influenza and hepatitis A. Finally, it emphasizes the need to bring incomplete vaccinations up to date following the catch-up immunisation schedule. Copyright © 2012 Asociación Española de Pediatría. Published by Elsevier España, S.L. All rights reserved.

  16. Simulated and observed 2010 floodwater elevations in selected river reaches in the Pawtuxet River Basin, Rhode Island

    USGS Publications Warehouse

    Zarriello, Phillip J.; Olson, Scott A.; Flynn, Robert H.; Strauch, Kellan R.; Murphy, Elizabeth A.

    2014-01-01

    Heavy, persistent rains from late February through March 2010 caused severe flooding that set, or nearly set, peaks of record for streamflows and water levels at many long-term streamgages in Rhode Island. In response to this event, hydraulic models were updated for selected reaches covering about 56 river miles in the Pawtuxet River Basin to simulate water-surface elevations (WSEs) at specified flows and boundary conditions. Reaches modeled included the main stem of the Pawtuxet River, the North and South Branches of the Pawtuxet River, Pocasset River, Simmons Brook, Dry Brook, Meshanticut Brook, Furnace Hill Brook, Flat River, Quidneck Brook, and two unnamed tributaries referred to as South Branch Pawtuxet River Tributary A1 and Tributary A2. All the hydraulic models were updated to Hydrologic Engineering Center-River Analysis System (HEC-RAS) version 4.1.0 using steady-state simulations. Updates to the models included incorporation of new field-survey data at structures, high resolution land-surface elevation data, and updated flood flows from a related study. The models were assessed using high-water marks (HWMs) obtained in a related study following the March– April 2010 flood and the simulated water levels at the 0.2-percent annual exceedance probability (AEP), which is the estimated AEP of the 2010 flood in the basin. HWMs were obtained at 110 sites along the main stem of the Pawtuxet River, the North and South Branches of the Pawtuxet River, Pocasset River, Simmons Brook, Furnace Hill Brook, Flat River, and Quidneck Brook. Differences between the 2010 HWM elevations and the simulated 0.2-percent AEP WSEs from flood insurance studies (FISs) and the updated models developed in this study varied with most differences attributed to the magnitude of the 0.2-percent AEP flows. WSEs from the updated models generally are in closer agreement with the observed 2010 HWMs than with the FIS WSEs. The improved agreement of the updated simulated water elevations to observed 2010 HWMs provides a measure of the hydraulic model performance, which indicates the updated models better represent flooding at other AEPs than the existing FIS models.

  17. Artificial equilibrium points in binary asteroid systems with continuous low-thrust

    NASA Astrophysics Data System (ADS)

    Bu, Shichao; Li, Shuang; Yang, Hongwei

    2017-08-01

    The positions and dynamical characteristics of artificial equilibrium points (AEPs) in the vicinity of a binary asteroid with continuous low-thrust are studied. The restricted ellipsoid-ellipsoid model of binary system is employed for the binary asteroid system. The positions of AEPs are obtained by this model. It is found that the set of the point L1 or L2 forms a shape of an ellipsoid while the set of the point L3 forms a shape like a "banana". The effect of the continuous low-thrust on the feasible region of motion is analyzed by zero velocity curves. Because of using the low-thrust, the unreachable region can become reachable. The linearized equations of motion are derived for stability's analysis. Based on the characteristic equation of the linearized equations, the stability conditions are derived. The stable regions of AEPs are investigated by a parametric analysis. The effect of the mass ratio and ellipsoid parameters on stable region is also discussed. The results show that the influence of the mass ratio on the stable regions is more significant than the parameters of ellipsoid.

  18. Reconfiguration of NASA GRC's Vacuum Facility 6 for Testing of Advanced Electric Propulsion System (AEPS) Hardware

    NASA Technical Reports Server (NTRS)

    Peterson, Peter; Kamhawi, Hani; Huang, Wensheng; Yim, John; Haag, Tom; Mackey, Jonathan; McVetta, Mike; Sorrelle, Luke; Tomsik, Tom; Gilligan, Ryan; hide

    2016-01-01

    The NASA Hall Effect Rocket with Magnetic Shielding (HERMeS) 12.5 kilowatt Hall thruster has been the subject of extensive technology maturation in preparation for development into a flight propulsion system. The HERMeS thruster is being developed and tested at NASA GRC and NASA JPL through support of the Space Technology Mission Directorate and is intended to be used as the electric propulsion system on the Power and Propulsion Element of the recently announced Deep Space Gateway. The Advanced Electric Propulsion System (AEPS) contract was awarded to Aerojet Rocketdyne to develop the HERMeS system into a flight system for use by NASA. To address the hardware test needs of the AEPS project, NASA GRC launched an effort to reconfigure Vacuum Facility 6 for high-power electric propulsion testing including upgrades and reconfigurations necessary to conduct performance, plasma plume, and system level integration testing. Results of the verification and validation testing with HERMeS Technology Demonstration Unit (TDU) 1 and TDU-3 Hall thrusters are also included.

  19. Reconfiguration of NASA GRC's Vacuum Facility 6 for Testing of Advanced Electric Propulsion System (AEPS) Hardware

    NASA Technical Reports Server (NTRS)

    Peterson, Peter Y.; Kamhawi, Hani; Huang, Wensheng; Yim, John; Haag, Tom; Mackey, Jonathan; McVetta, Mike; Sorrelle, Luke; Tomsik, Tom; Gilligan, Ryan; hide

    2017-01-01

    The NASA Hall Effect Rocket with Magnetic Shielding (HERMeS) 12.5 kilowatt Hall thruster has been the subject of extensive technology maturation in preparation for development into a flight propulsion system. The HERMeS thruster is being developed and tested at NASA GRC and NASA JPL through support of the Space Technology Mission Directorate and is intended to be used as the electric propulsion system on the Power and Propulsion Element of the recently announced Deep Space Gateway. The Advanced Electric Propulsion System (AEPS) contract was awarded to Aerojet Rocketdyne to develop the HERMeS system into a flight system for use by NASA. To address the hardware test needs of the AEPS project, NASA GRC launched an effort to reconfigure Vacuum Facility 6 for high-power electric propulsion testing including upgrades and reconfigurations necessary to conduct performance, plasma plume, and system level integration testing. Results of the verification and validation testing with HERMeS Technology Demonstration Unit (TDU) 1 and TDU-3 Hall thrusters are also included.

  20. Reconfiguration of NASA GRC's Vacuum Facility 6 for Testing of Advanced Electric Propulsion System (AEPS) Hardware

    NASA Technical Reports Server (NTRS)

    Peterson, Peter Y.; Kamhawi, Hani; Huang, Wensheng; Yim, John T.; Haag, Thomas W.; Mackey, Jonathan A.; McVetta, Michael S.; Sorrelle, Luke T.; Tomsik, Thomas M.; Gilligan, Ryan P.; hide

    2018-01-01

    The NASA Hall Effect Rocket with Magnetic Shielding (HERMeS) 12.5 kW Hall thruster has been the subject of extensive technology maturation in preparation for development into a flight propulsion system. The HERMeS thruster is being developed and tested at NASA GRC and NASA JPL through support of the Space Technology Mission Directorate (STMD) and is intended to be used as the electric propulsion system on the Power and Propulsion Element (PPE) of the recently announced Deep Space Gateway (DSG). The Advanced Electric Propulsion System (AEPS) contract was awarded to Aerojet-Rocketdyne to develop the HERMeS system into a flight system for use by NASA. To address the hardware test needs of the AEPS project, NASA GRC launched an effort to reconfigure Vacuum Facility 6 (VF-6) for high-power electric propulsion testing including upgrades and reconfigurations necessary to conduct performance, plasma plume, and system level integration testing. Results of the verification and validation testing with HERMeS Technology Demonstration Unit (TDU)-1 and TDU-3 Hall thrusters are also included.

  1. Auditory evoked potential (AEP) measurements in stranded rough-toothed dolphins (Steno bredanensis)

    NASA Astrophysics Data System (ADS)

    Cook, Mandy L. H.; Manire, Charles A.; Mann, David A.

    2005-04-01

    Thirty-six rough-toothed dolphins (Steno bredanensis) live-stranded on Hutchinson Island, FL on August 6, 2004. Seven animals were transported to Mote Marine Laboratory for rehabilitation. Two auditory evoked potential (AEP) measurements were performed on each of five of these dolphins in air using a jawphone to present acoustic stimuli. Modulation rate transfer functions (MRTFs) were measured to establish how well the auditory system follows the temporal envelope of acoustic stimuli. A 40 kHz stimulus carrier was amplitude modulated (AM) with varying rates ranging from 200 Hz to 1800 Hz, in 200 Hz steps. The best AM-rate from the first dolphin tested was 1500 Hz. This AM rate was used in subsequent AEP measurements to determine evoked-potential hearing thresholds between 5000 and 80000 Hz. These findings show that rough-toothed dolphins can detect sounds between 5 and 80 kHz, and are most likely capable of detecting frequencies much higher than 80 kHz. MRTF data suggest that rough-toothed dolphins have a high temporal resolution, similar to that of other cetaceans.

  2. Expanding on Successful Concepts, Models, and Organization

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

    Teeguarden, Justin G.; Tan, Yu-Mei; Edwards, Stephen W.

    In her letter to the editor1 regarding our recent Feature Article “Completing the Link between Exposure Science and Toxicology for Improved Environmental Health Decision Making: The Aggregate Exposure Pathway Framework” 2, Dr. von Göetz expressed several concerns about terminology, and the perception that we propose the replacement of successful approaches and models for exposure assessment with a concept. We are glad to have the opportunity to address these issues here. If the goal of the AEP framework was to replace existing exposure models or databases for organizing exposure data with a concept, we would share Dr. von Göetz concerns. Instead,more » the outcome we promote is broader use of an organizational framework for exposure science. The framework would support improved generation, organization, and interpretation of data as well as modeling and prediction, not replacement of models. The field of toxicology has seen the benefits of wide use of one or more organizational frameworks (e.g., mode and mechanism of action, adverse outcome pathway). These frameworks influence how experiments are designed, data are collected, curated, stored and interpreted and ultimately how data are used in risk assessment. Exposure science is poised to similarly benefit from broader use of a parallel organizational framework, which Dr. von Göetz correctly points out, is currently used in the exposure modeling community. In our view, the concepts used so effectively in the exposure modeling community, expanded upon in the AEP framework, could see wider adoption by the field as a whole. The value of such a framework was recognized by the National Academy of Sciences.3 Replacement of models, databases, or any application with the AEP framework was not proposed in our article. The positive role broader more consistent use of such a framework might have in enabling and advancing “general activities such as data acquisition, organization…,” and exposure modeling was discussed in some detail. Like Dr. von Göetz, we recognized the challenges associated with acceptance of the terminology, definitions, and structure proposed in the paper. To address these challenges, an expert workshop was held in May, 2016 to consider and revise the “basic elements” outlined in the paper. The attendees produced revisions to the terminology (e.g., key events) that align with terminology currently in use in the field. We were also careful in our paper to acknowledge a point raised by Dr. von Göetz, that the term AEP implies aggregation, providing these clarifications: “The simplest form of an AEP represents a single source and a single pathway and may more commonly be referred to as an exposure pathway,”; and “An aggregate exposure pathway may represent multiple sources and transfer through single pathways to the TSE, single sources and transfer through multiple pathways to the target site exposure (TSE), or any combination of these.” These clarifications address the concern that the AEP term is not accurate or logical, and further expands upon the word “aggregate” in a broader context. Our use of AEP is consistent with the definition for “aggregate exposure”, which refers to the combined exposures to a single chemical across multiple routes and pathways.3 The AEP framework embraces existing methods for collection, prediction, organization, and interpretation of human and ecological exposure data cited by Dr. von Göetz. We remain hopeful that wider recognition and use of an organizing concept for exposure information across the exposure science, toxicology and epidemiology communities advances the development of the kind of infrastructure and models Dr. von Göetz discusses. This outcome would be a step forward, rather than a step backward.« less

  3. Floods of 2011 in New York

    USGS Publications Warehouse

    Lumia, Richard; Firda, Gary D.; Smith, Travis L.

    2014-01-01

    Record rainfall combined with above-average temperatures and substantial spring snowmelt resulted in record flooding throughout New York during 2011. Rainfall totals in eastern New York were the greatest since 1895 and as much as 60 percent above the long-term average within the Catskill Mountains area and the Susquehanna River Basin. This report documents the three largest storms and resultant flooding during the year: (1) spring storm during April and May, (2) Tropical Storm Irene during August, and (3) remnants of Tropical Storm Lee during September. According to the Federal Emergency Management Agency (FEMA), the cost of these three storms exceeded $1 billion in Federal disaster assistance. A warm and wet spring in northern New York resulted in record flooding at 21 U.S. Geological Survey (USGS) active streamgages during late April to early May with the annual exceedance probabilities (AEPs) of 11 peak discharges equaling or exceeding 1 percent. Nearly 5 inches of rain during late April combined with a rapidly melting snowpack caused widespread flooding throughout northern New York, resulting in many road closures, millions of dollars in damages, and 23 counties declared disaster areas and eligible for public assistance. On May 6, Lake Champlain recorded its highest lake level in over 140 years. Hurricane Irene entered New York State on August 28 as a tropical storm and traveled up the eastern corridor of the State, leaving a path of destruction and damage never seen in many parts of New York. Thirty-one counties in New York were declared disaster areas with damages of over $1.3 billion dollars and 10 reported deaths. Storm rainfall exceeded 18 inches in the Catskill Mountains area of southeastern New York with many other areas of eastern New York receiving over 7 inches. Catastrophic flooding resulted from the extreme rainfall in many locations, including Schoharie Creek and its tributaries, the eastern Delaware River Basin, the Ausable and Bouquet River Basins in northeastern New York, and several other stream basins throughout southeastern New York. Downstream reaches of the Mohawk River also had substantial flooding. Sixty-two USGS streamgages throughout eastern New York documented record high stream flows and elevations with AEPs of 25 peak discharges equaling or exceeding 1 percent. The USGS streamgage for the Schoharie Creek at Prattsville recorded its greatest peak discharge in 109 years of record at 120,000 cubic feet per second (greater than the 0.2-percent AEP discharge) on August 28. The peak water-surface elevation at the streamgage in Prattsville was 5 feet higher than its previous record in 1996. USGS personnel surveyed 184 high-water marks (HWMs) at 30 locations along an 84-mile reach of Schoharie Creek and compared the elevations to those published by FEMA for the 10-, 2-, 1-, and 0.2-percent AEP floods. Elevations in the lower reaches of the basin exceeded published elevations for the 0.2-percent AEP flood. Remnants of Tropical Storm Lee brought a third major storm to New York in September 2011. Moisture from Lee began moving into New York on September 7 and intensified over the already saturated Susquehanna River Basin. Most of the rain fell on September 8 with storm totals nearing 13 inches in some areas (12.73 inches at Apalachin in Tioga County). Major disaster declarations were issued for 15 counties in and around central New York, making them eligible for individual or public assistance. Ten USGS streamgages within the Susquehanna River Basin documented record-high stream discharges and elevations on September 8, and all were greater than the 1-percent AEP discharge. USGS personnel surveyed 20 HWMs at 18 locations along a 114- mile reach of the Susquehanna River and compared the elevations to those published by FEMA for the 10-, 2-, 1-, and 0.2-percent AEP floods. Several of the surveyed HWMs exceeded published elevations for the 0.2-percent AEP flood.

  4. Cloud-based adaptive exon prediction for DNA analysis

    PubMed Central

    Putluri, Srinivasareddy; Fathima, Shaik Yasmeen

    2018-01-01

    Cloud computing offers significant research and economic benefits to healthcare organisations. Cloud services provide a safe place for storing and managing large amounts of such sensitive data. Under conventional flow of gene information, gene sequence laboratories send out raw and inferred information via Internet to several sequence libraries. DNA sequencing storage costs will be minimised by use of cloud service. In this study, the authors put forward a novel genomic informatics system using Amazon Cloud Services, where genomic sequence information is stored and accessed for processing. True identification of exon regions in a DNA sequence is a key task in bioinformatics, which helps in disease identification and design drugs. Three base periodicity property of exons forms the basis of all exon identification techniques. Adaptive signal processing techniques found to be promising in comparison with several other methods. Several adaptive exon predictors (AEPs) are developed using variable normalised least mean square and its maximum normalised variants to reduce computational complexity. Finally, performance evaluation of various AEPs is done based on measures such as sensitivity, specificity and precision using various standard genomic datasets taken from National Center for Biotechnology Information genomic sequence database. PMID:29515813

  5. [Effect of remifentanil on clinical and electroencephalographic parameters of depth of anesthesia in balanced anesthesia with propofol, enflurane or isoflurane].

    PubMed

    Bischoff, P; Plümer, L; Scholz, J; Drögemeier, K; von Knobelsdorff, G; Schulte am Esch, J

    1998-01-01

    Electrophysiological parameters are well-suited to detect changes in cerebral function. The present study investigates whether balanced anaesthesia with remifentanil during nociceptive stimulation is associated with changes in clinical and electrophysiological parameters indicating inadequate depth of anaesthesia. Following IRB approval and written informed consent, 23 patients (ASA: I; age: 36 +/- 11) scheduled for elective gynaecological laparoscopy were included in the study. Without any premedication, anaesthesia was induced with remifentanil (1.0 microgram/kg bolus injection), propofol (0.5 mg/kg added by repetitive (10 mg) bolus injections every 10 s until unconciousness) and vecuronium (0.1 mg/kg). Following endotracheal intubation (normoventilation: PetCO2: 36 bis 38 mmHg), remifentanil infusion was started with continuous doses of 0.5 microgram/kg/min over 5 minutes and maintained with 0.25 microgram/kg/min during surgery. Remifentanil was randomly combined with propofol (group 1: 100 micrograms/kg/min; n = 7), enflurane (group 2: 0.5 MAC; n = 8) or isoflurane (group 3: 0.5 MAC; n = 8). Monitoring included: heart rate (beats/min), mean arterial pressure (mmHg), oxygen saturation (%), endtidal CO2 (mmHg) and endtidal enflurane and isoflurane (%). EEG: 2-channel recordings of Fz versus mastoid and ECG (artefact control) during steady-state anaesthesia and surgery. Following fast-fourier-transformation (4 s; 256/s; 0.5 to 35.0 Hz), spectral power densities were calculated for the selected frequency bands. Auditory evoked potentials (AEP; middle latency) were registered simultaneously after binaural stimulation via head-phones click-stimulation (6 Hz; 75 dB above hearing threshold; 512 stimulations per average). Bandpass was 0.01 to 2.0 kHz. Na, Pa, Nb (latencies; ms) and peak-to-peak amplitudes (NaPa, PaNb; microV). EEG and AEP recording technique [15]. The study protocol included baseline values from pre-intubation, pre-surgery, the respective post-stimulation values (1 min, 3 min, 5 min) and all data at five-minute intervals during surgery until emergence from anaesthesia. During steady-state study conditions with defined remifentanil applications, mean data indicate that in response to nociceptive stimuli no changes in clinical or electrophysiological parameters were observed. In contrast to other studies using different anaesthetic techniques, the present data from remifentanil indicate very stable haemodynamic and electrophysiological parameters (EEG, AEP) during noxious stimulations. Adjustable and with no plasma accumulation, remifentanil demonstrates potent antinociceptive effects resulting in signs of adequate anaesthesia.

  6. Overview and Recommendations for Medical Screening and Diagnostic Evaluation of Postdeployment Lung Disease in Returning US Warfighters

    DTIC Science & Technology

    2012-06-01

    EPIDEMIOLOGY Since 2001, approximately two million US military personnel have deployed to Iraq or Afghanistan in support of Operation Iraqi Freedom (OIF) or...and eosinophilia in bronchoalveolar lavage and/or lung biopsy. In 2004, 18 cases of AEP (including two fatalities) were reported among 183,000 military...per- sonnel deployed in or near Iraq between March 2003 and March 2004.21 Epidemiologic investigation showed no evidence of a com- mon source

  7. Sensory-motor interactions for vocal pitch monitoring in non-primary human auditory cortex.

    PubMed

    Greenlee, Jeremy D W; Behroozmand, Roozbeh; Larson, Charles R; Jackson, Adam W; Chen, Fangxiang; Hansen, Daniel R; Oya, Hiroyuki; Kawasaki, Hiroto; Howard, Matthew A

    2013-01-01

    The neural mechanisms underlying processing of auditory feedback during self-vocalization are poorly understood. One technique used to study the role of auditory feedback involves shifting the pitch of the feedback that a speaker receives, known as pitch-shifted feedback. We utilized a pitch shift self-vocalization and playback paradigm to investigate the underlying neural mechanisms of audio-vocal interaction. High-resolution electrocorticography (ECoG) signals were recorded directly from auditory cortex of 10 human subjects while they vocalized and received brief downward (-100 cents) pitch perturbations in their voice auditory feedback (speaking task). ECoG was also recorded when subjects passively listened to playback of their own pitch-shifted vocalizations. Feedback pitch perturbations elicited average evoked potential (AEP) and event-related band power (ERBP) responses, primarily in the high gamma (70-150 Hz) range, in focal areas of non-primary auditory cortex on superior temporal gyrus (STG). The AEPs and high gamma responses were both modulated by speaking compared with playback in a subset of STG contacts. From these contacts, a majority showed significant enhancement of high gamma power and AEP responses during speaking while the remaining contacts showed attenuated response amplitudes. The speaking-induced enhancement effect suggests that engaging the vocal motor system can modulate auditory cortical processing of self-produced sounds in such a way as to increase neural sensitivity for feedback pitch error detection. It is likely that mechanisms such as efference copies may be involved in this process, and modulation of AEP and high gamma responses imply that such modulatory effects may affect different cortical generators within distinctive functional networks that drive voice production and control.

  8. Effects of GABA-B receptor positive modulator on ketamine-induced psychosis-relevant behaviors and hippocampal electrical activity in freely moving rats.

    PubMed

    Ma, Jingyi; Stan Leung, L

    2017-10-01

    Decreased GABA B receptor function is proposed to mediate some symptoms of schizophrenia. In this study, we tested the effect of CGP7930, a GABA B receptor positive allosteric modulator, on ketamine-induced psychosis-relevant behaviors and hippocampal electrical activity in behaving rats. Electrodes were bilaterally implanted into the hippocampus, and cannulae were placed into the lateral ventricles of Long-Evans rats. CGP7930 or vehicle was injected intraperitoneally (i.p.) or intracerebroventricularly (i.c.v.), alone or 15 min prior to ketamine (3 mg/kg, subcutaneous) injection. Paired click auditory evoked potentials in the hippocampus (AEP), prepulse inhibition (PPI), and locomotor activity were recorded before and after drug injection. CGP7930 at doses of 1 mg/kg (i.p.) prevented ketamine-induced deficit of PPI. CGP7930 (1 mg/kg i.p.) also prevented the decrease in gating of hippocampal AEP and the increase in hippocampal gamma (65-100 Hz) waves induced by ketamine. Unilateral i.c.v. infusion of CGP7930 (0.3 mM/1 μL) also prevented the decrease in gating of hippocampal AEP induced by ketamine. Ketamine-induced behavioral hyperlocomotion was suppressed by 5 mg/kg i.p. CGP7930. CGP7930 alone, without ketamine, did not significantly affect integrated PPI, locomotion, gating of hippocampal AEP, or gamma waves. CGP7930 (1 mg/kg i.p.) increased heterosynaptically mediated paired pulse depression in the hippocampus, a measure of GABA B receptor function in vivo. CGP7930 reduces the behavioral and electrophysiological disruptions induced by ketamine in animals, and the hippocampus may be one of the neural targets where CGP7930 exerts its actions.

  9. Long-term follow-up of Norwegian horses affected with acquired equine polyneuropathy.

    PubMed

    Hanche-Olsen, S; Kielland, C; Ihler, C F; Hultin Jäderlund, K

    2017-09-01

    Acquired equine polyneuropathy (AEP), a neurological disease clinically characterised by knuckling of metatarsophalangeal joints, has been described in numerous Nordic horses during the last 20 years. Although clinical recovery has been reported, large-scale data on long-term follow-up of survivors have been lacking. To describe long-term survival of AEP affected horses registered in Norway, with a focus on athletic performance and possible residual clinical signs connected to the disease. A retrospective cohort study. The study includes 143 horses recorded with AEP in Norway from 2000 to 2012, with the follow-up period continuing until 2015. Participating owners of survivors completed a standardised questionnaire, providing information on disease and convalescence, management, performance-level and possible residual clinical signs. To investigate the follow-up of survivors, we performed 2 multivariable linear regression models. The follow-up time of survivors was 1.0-14.5 years (median 5.3, interquartile range 2.5-7.2). Fifty-seven horses survived and all but 3 horses returned to previous or higher level of performance. However, possible disease-related residual clinical signs were reported in 14/57 horses. Forty-nine of the survivors were in athletic use at time of contact. The majority of survivors were categorised with low severity-grades at time of diagnosis and the initial grade was significantly associated with time to resumed training. Only 3 horses had experienced relapse/new attack during the follow-up period. Athletic performance was judged by owners, which renders a possible source of bias. Although AEP is a potential fatal disease, most survivors will recover and return to minimum previous level of athletic performance. Some horses display residual clinical signs, but often without negative effect on performance and relapse of disease is rare. © 2017 EVJ Ltd.

  10. Sensory-Motor Interactions for Vocal Pitch Monitoring in Non-Primary Human Auditory Cortex

    PubMed Central

    Larson, Charles R.; Jackson, Adam W.; Chen, Fangxiang; Hansen, Daniel R.; Oya, Hiroyuki; Kawasaki, Hiroto; Howard, Matthew A.

    2013-01-01

    The neural mechanisms underlying processing of auditory feedback during self-vocalization are poorly understood. One technique used to study the role of auditory feedback involves shifting the pitch of the feedback that a speaker receives, known as pitch-shifted feedback. We utilized a pitch shift self-vocalization and playback paradigm to investigate the underlying neural mechanisms of audio-vocal interaction. High-resolution electrocorticography (ECoG) signals were recorded directly from auditory cortex of 10 human subjects while they vocalized and received brief downward (−100 cents) pitch perturbations in their voice auditory feedback (speaking task). ECoG was also recorded when subjects passively listened to playback of their own pitch-shifted vocalizations. Feedback pitch perturbations elicited average evoked potential (AEP) and event-related band power (ERBP) responses, primarily in the high gamma (70–150 Hz) range, in focal areas of non-primary auditory cortex on superior temporal gyrus (STG). The AEPs and high gamma responses were both modulated by speaking compared with playback in a subset of STG contacts. From these contacts, a majority showed significant enhancement of high gamma power and AEP responses during speaking while the remaining contacts showed attenuated response amplitudes. The speaking-induced enhancement effect suggests that engaging the vocal motor system can modulate auditory cortical processing of self-produced sounds in such a way as to increase neural sensitivity for feedback pitch error detection. It is likely that mechanisms such as efference copies may be involved in this process, and modulation of AEP and high gamma responses imply that such modulatory effects may affect different cortical generators within distinctive functional networks that drive voice production and control. PMID:23577157

  11. Experimental investigation into the fault response of superconducting hybrid electric propulsion electrical power system to a DC rail to rail fault

    NASA Astrophysics Data System (ADS)

    Nolan, S.; Jones, C. E.; Munro, R.; Norman, P.; Galloway, S.; Venturumilli, S.; Sheng, J.; Yuan, W.

    2017-12-01

    Hybrid electric propulsion aircraft are proposed to improve overall aircraft efficiency, enabling future rising demands for air travel to be met. The development of appropriate electrical power systems to provide thrust for the aircraft is a significant challenge due to the much higher required power generation capacity levels and complexity of the aero-electrical power systems (AEPS). The efficiency and weight of the AEPS is critical to ensure that the benefits of hybrid propulsion are not mitigated by the electrical power train. Hence it is proposed that for larger aircraft (~200 passengers) superconducting power systems are used to meet target power densities. Central to the design of the hybrid propulsion AEPS is a robust and reliable electrical protection and fault management system. It is known from previous studies that the choice of protection system may have a significant impact on the overall efficiency of the AEPS. Hence an informed design process which considers the key trades between choice of cable and protection requirements is needed. To date the fault response of a voltage source converter interfaced DC link rail to rail fault in a superconducting power system has only been investigated using simulation models validated by theoretical values from the literature. This paper will present the experimentally obtained fault response for a variety of different types of superconducting tape for a rail to rail DC fault. The paper will then use these as a platform to identify key trades between protection requirements and cable design, providing guidelines to enable future informed decisions to optimise hybrid propulsion electrical power system and protection design.

  12. [Immunisation schedule of the Spanish Association of Paediatrics: 2016 recommendations].

    PubMed

    Moreno-Pérez, D; Álvarez García, F J; Arístegui Fernández, J; Cilleruelo Ortega, M J; Corretger Rauet, J M; García Sánchez, N; Hernández Merino, A; Hernández-Sampelayo Matos, T; Merino Moína, M; Ortigosa del Castillo, L; Ruiz-Contreras, J

    2016-01-01

    The Advisory Committee on Vaccines of the Spanish Association of Paediatrics (CAV-AEP) annually publishes the immunisation schedule which, in our opinion, estimates optimal for children resident in Spain, considering available evidence on current vaccines. We acknowledge the effort of the Ministry of Health during the last year in order to optimize the funded unified Spanish vaccination schedule, with the recent inclusion of pneumococcal and varicella vaccination in early infancy. Regarding the funded vaccines included in the official unified immunization schedule, taking into account available data, CAV-AEP recommends 2+1 strategy (2, 4 and 12 months) with hexavalent (DTPa-IPV-Hib-HB) vaccines and 13-valent pneumococcal conjugate vaccine. Administration of Tdap and poliomyelitis booster dose at the age of 6 is recommended, as well as Tdap vaccine for adolescents and pregnant women, between 27-36 weeks gestation. The two-dose scheme should be used for MMR (12 months and 2-4 years) and varicella (15 months and 2-4 years). Coverage of human papillomavirus vaccination in girls aged 11-12 with a two dose scheme (0, 6 months) should be improved. Information for male adolescents about potential beneficial effects of this immunisation should be provided as well. Regarding recommended unfunded immunisations, CAV-AEP recommends the administration of meningococcal B vaccine, due to the current availability in Spanish communitary pharmacies, with a 3+1 scheme (3, 5, 7 and 13-15 months). CAV-AEP requests the incorporation of this vaccine in the funded unified schedule. Vaccination against rotavirus is recommended in all infants. Annual influenza immunisation and vaccination against hepatitis A are indicated in population groups considered at risk. Copyright © 2015 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  13. Putative mechanisms mediating tolerance for audiovisual stimulus onset asynchrony.

    PubMed

    Bhat, Jyoti; Miller, Lee M; Pitt, Mark A; Shahin, Antoine J

    2015-03-01

    Audiovisual (AV) speech perception is robust to temporal asynchronies between visual and auditory stimuli. We investigated the neural mechanisms that facilitate tolerance for audiovisual stimulus onset asynchrony (AVOA) with EEG. Individuals were presented with AV words that were asynchronous in onsets of voice and mouth movement and judged whether they were synchronous or not. Behaviorally, individuals tolerated (perceived as synchronous) longer AVOAs when mouth movement preceded the speech (V-A) stimuli than when the speech preceded mouth movement (A-V). Neurophysiologically, the P1-N1-P2 auditory evoked potentials (AEPs), time-locked to sound onsets and known to arise in and surrounding the primary auditory cortex (PAC), were smaller for the in-sync than the out-of-sync percepts. Spectral power of oscillatory activity in the beta band (14-30 Hz) following the AEPs was larger during the in-sync than out-of-sync perception for both A-V and V-A conditions. However, alpha power (8-14 Hz), also following AEPs, was larger for the in-sync than out-of-sync percepts only in the V-A condition. These results demonstrate that AVOA tolerance is enhanced by inhibiting low-level auditory activity (e.g., AEPs representing generators in and surrounding PAC) that code for acoustic onsets. By reducing sensitivity to acoustic onsets, visual-to-auditory onset mapping is weakened, allowing for greater AVOA tolerance. In contrast, beta and alpha results suggest the involvement of higher-level neural processes that may code for language cues (phonetic, lexical), selective attention, and binding of AV percepts, allowing for wider neural windows of temporal integration, i.e., greater AVOA tolerance. Copyright © 2015 the American Physiological Society.

  14. Towards neural correlates of auditory stimulus processing: A simultaneous auditory evoked potentials and functional magnetic resonance study using an odd-ball paradigm

    PubMed Central

    Milner, Rafał; Rusiniak, Mateusz; Lewandowska, Monika; Wolak, Tomasz; Ganc, Małgorzata; Piątkowska-Janko, Ewa; Bogorodzki, Piotr; Skarżyński, Henryk

    2014-01-01

    Background The neural underpinnings of auditory information processing have often been investigated using the odd-ball paradigm, in which infrequent sounds (deviants) are presented within a regular train of frequent stimuli (standards). Traditionally, this paradigm has been applied using either high temporal resolution (EEG) or high spatial resolution (fMRI, PET). However, used separately, these techniques cannot provide information on both the location and time course of particular neural processes. The goal of this study was to investigate the neural correlates of auditory processes with a fine spatio-temporal resolution. A simultaneous auditory evoked potentials (AEP) and functional magnetic resonance imaging (fMRI) technique (AEP-fMRI), together with an odd-ball paradigm, were used. Material/Methods Six healthy volunteers, aged 20–35 years, participated in an odd-ball simultaneous AEP-fMRI experiment. AEP in response to acoustic stimuli were used to model bioelectric intracerebral generators, and electrophysiological results were integrated with fMRI data. Results fMRI activation evoked by standard stimuli was found to occur mainly in the primary auditory cortex. Activity in these regions overlapped with intracerebral bioelectric sources (dipoles) of the N1 component. Dipoles of the N1/P2 complex in response to standard stimuli were also found in the auditory pathway between the thalamus and the auditory cortex. Deviant stimuli induced fMRI activity in the anterior cingulate gyrus, insula, and parietal lobes. Conclusions The present study showed that neural processes evoked by standard stimuli occur predominantly in subcortical and cortical structures of the auditory pathway. Deviants activate areas non-specific for auditory information processing. PMID:24413019

  15. Serial auditory-evoked potentials in the diagnosis and monitoring of a child with Landau-Kleffner syndrome.

    PubMed

    Plyler, Erin; Harkrider, Ashley W

    2013-01-01

    A boy, aged 2 1/2 yr, experienced sudden deterioration of speech and language abilities. He saw multiple medical professionals across 2 yr. By almost 5 yr, his vocabulary diminished from 50 words to 4, and he was referred to our speech and hearing center. The purpose of this study was to heighten awareness of Landau-Kleffner syndrome (LKS) and emphasize the importance of an objective test battery that includes serial auditory-evoked potentials (AEPs) to audiologists who often are on the front lines of diagnosis and treatment delivery when faced with a child experiencing unexplained loss of the use of speech and language. Clinical report. Interview revealed a family history of seizure disorder. Normal social behaviors were observed. Acoustic reflexes and otoacoustic emissions were consistent with normal peripheral auditory function. The child could not complete behavioral audiometric testing or auditory processing tests, so serial AEPs were used to examine central nervous system function. Normal auditory brainstem responses, a replicable Na and absent Pa of the middle latency responses, and abnormal slow cortical potentials suggested dysfunction of auditory processing at the cortical level. The child was referred to a neurologist, who confirmed LKS. At age 7 1/2 yr, after 2 1/2 yr of antiepileptic medications, electroencephalographic (EEG) and audiometric measures normalized. Presently, the child communicates manually with limited use of oral information. Audiologists often are one of the first professionals to assess children with loss of speech and language of unknown origin. Objective, noninvasive, serial AEPs are a simple and valuable addition to the central audiometric test battery when evaluating a child with speech and language regression. The inclusion of these tests will markedly increase the chance for early and accurate referral, diagnosis, and monitoring of a child with LKS which is imperative for a positive prognosis. American Academy of Audiology.

  16. Forward-masking based gain control in odontocete biosonar: an evoked-potential study.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Breese, Marlee

    2009-04-01

    Auditory evoked potentials (AEPs) were recorded during echolocation in a false killer whale Pseudorca crassidens. An electronically synthesized and played-back ("phantom") echo was used. Each electronic echo was triggered by an emitted biosonar pulse. The echo had a spectrum similar to that of the emitted biosonar clicks, and its intensity was proportional to that of the emitted click. The attenuation of the echo relative to the emitted click and its delay was controlled by the experimenter. Four combinations of echo attenuation and delay were tested (-31 dB, 2 ms), (-40 dB, 4 ms), (-49 dB, 8 ms), and (-58 dB, 16 ms); thus, attenuation and delay were associated with a rate of 9 dB of increased attenuation per delay doubling. AEPs related to emitted clicks displayed a regular amplitude dependence on the click level. Echo-related AEPs did not feature amplitude dependence on echo attenuation or emitted click levels, except in a few combinations of the lowest values of these two variables. The results are explained by a hypothesis that partial forward masking of the echoes by the preceding emitted sonar pulses serves as a kind of automatic gain control in the auditory system of echolocating odontocetes.

  17. Flood recovery maps for the White River in Bethel, Stockbridge, and Rochester, Vermont, and the Tweed River in Stockbridge and Pittsfield, Vermont, 2014

    USGS Publications Warehouse

    Olson, Scott A.

    2015-01-01

    Eighteen high-water marks from Tropical Storm Irene were available along the studied reaches. The discharges in the Tropical Storm Irene HEC–RAS model were adjusted so that the resulting water-surface elevations matched the high-water mark elevations along the study reaches. This allowed for an estimation of the water-surface profile throughout the study area resulting from Tropical Storm Irene. From a comparison of the estimated water-surface profile of Tropical Storm Irene to the water-surface profiles of the 1- and 0.2-percent AEP floods, it was determined that the high-water elevations resulting from Tropical Storm Irene exceeded the estimated 1-percent AEP flood throughout the White River and Tweed River study reaches and exceeded the estimated 0.2-percent AEP flood in 16.7 of the 28.6 study reach miles. The simulated water-surface profiles were then combined with a geographic information system digital elevation model derived from light detection and ranging (lidar) data having a 18.2-centimeter vertical accuracy at the 95-percent confidence level and 1-meter horizontal resolution to delineate the area flooded for each water-surface profile.

  18. Ecosystem performance monitoring of rangelands by integrating modeling and remote sensing

    USGS Publications Warehouse

    Wylie, Bruce K.; Boyte, Stephen P.; Major, Donald J.

    2012-01-01

    Monitoring rangeland ecosystem dynamics, production, and performance is valuable for researchers and land managers. However, ecosystem monitoring studies can be difficult to interpret and apply appropriately if management decisions and disturbances are inseparable from the ecosystem's climate signal. This study separates seasonal weather influences from influences caused by disturbances and management decisions, making interannual time-series analysis more consistent and interpretable. We compared the actual ecosystem performance (AEP) of five rangeland vegetation types in the Owyhee Uplands for 9 yr to their expected ecosystem performance (EEP). Integrated growing season Normalized Difference Vegetation Index data for each of the nine growing seasons served as a proxy for annual AEP. Regression-tree models used long-term site potential, seasonal weather, and land cover data sets to generate annual EEP, an estimate of ecosystem performance incorporating annual weather variations. The difference between AEP and EEP provided a performance measure for each pixel in the study area. Ecosystem performance anomalies occurred when the ecosystem performed significantly better or worse than the model predicted. About 14% of the Owyhee Uplands showed a trend of significant underperformance or overperformance (P<0.10). Land managers can use results from weather-based rangeland ecosystem performance models to help support adaptive management strategies.

  19. Accelerated transport and growth with symmetrized dynamics

    NASA Astrophysics Data System (ADS)

    Merikoski, Juha

    2013-12-01

    In this paper we consider a model of accelerated dynamics with the rules modified from those of the recently proposed [Dong et al., Phys. Rev. Lett. 109, 130602 (2012), 10.1103/PhysRevLett.109.130602] accelerated exclusion process (AEP) such that particle-vacancy symmetry is restored to facilitate a mapping to a solid-on-solid growth model in 1+1 dimensions. In addition to kicking a particle ahead of the moving particle, as in the AEP, in our model another particle from behind is drawn, provided it is within the "distance of interaction" denoted by ℓmax. We call our model the doubly accelerated exclusion process (DAEP). We observe accelerated transport and interface growth and widening of the cluster size distribution for cluster sizes above ℓmax, when compared with the ordinary totally asymmetric exclusion process (TASEP). We also characterize the difference between the TASEP, AEP, and DAEP by computing a "staggered" order parameter, which reveals the local order in the steady state. This order in part explains the behavior of the particle current as a function of density. The differences of the steady states are also reflected by the behavior of the temporal and spatial correlation functions in the interface picture.

  20. [Intraoperative pain stimuli change somatosensory evoked potentials, but not auditory evoked potentials during isoflurane/nitrous oxide anesthesia].

    PubMed

    Rundshagen, I; Kochs, E; Bischoff, P; Schulte am Esch, J

    1997-10-01

    Evoked potentials are used for intraoperative monitoring to assess changes of cerebral function. This prospective randomised study assesses the influence of surgical stimulation on midlatency components of somatosensory (SEPs) and auditory evoked potentials (AEPs) in anaesthetised patients. After approval of the Ethics Committee and written informed consent 36 orthopaedic patients (34 +/- 15 y, 73 +/- 14 kg. 1.71 +/- 0.07 m, ASA I-II) were randomly included in the study. Anaesthesia was induced with 1.5 micrograms/kg fentanyl, 0.3 mg/kg etomidate and 0.1 mg/kg vecuronium. The lungs were intubated and patients normoventilated in steady state anaesthesia with isoflurane (end-tidal 0.6%) and 66% nitrous oxide. 18 patients (group 1) were assigned to the SEP group: median nerve stimulation, recording at Erb, C 6 and the contralateral somatosensory cortex (N20, P25, N35) vs Fz. AEPs were recorded in group 2 (n = 18): binaural stimulation, recording at Cz versus linked mastoid (V, Na, Pa, Nb). Recordings were performed during 30 min before the start of surgery (baseline: BL), at skin incision (SURG1) and at the preparation of the periost (SURG2). Heart rate, mean arterial blood pressure, oxygen saturation, endtidal pCO2 and isoflurane (PetISO) concentrations were registered simultaneously. Data were analysed by one-way analysis of variance. Post hoc comparison were made by Mann-Whitney U-Wilcoxon Rank Sum Test with p < 0.05 significant. During steady state isoflurane anaesthesia surgical stimulation (SURG2) resulted in significant increases of N20 P25 amplitudes compared with BL (BL: 1.4 +/- 0.7 microV; SURG2: 2.0 +/- 0.8 microV; p < 0.05). Latencies of SEPs and midlatency components of AEPs did not change over time. There were no differences in autonomic parameters between SEP and AEP groups. MAP increased from 76 +/- 6 mmHg at BL to 93 +/- 16 mmHg at SURG1 and 96 +/- 17 mmHg at SURG2 (n = 36; p < 0.05). HR increased from BL (60 +/- 8 beats/min) to SURG2 (76 +/- 12 beats/min). Increases of amplitudes of midlatency SEP amplitudes indicate increased nociceptive signal transmission which is not blunted by isoflurane-nitrous oxide anaesthesia. In contrast, unchanged AEPs indicate adequate levels of the hypnotic components of anaesthesia.

  1. The Ohio River Valley CO2 Storage Project AEP Mountaineer Plan, West Virginia

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

    Neeraj Gupta

    2009-01-07

    This report includes an evaluation of deep rock formations with the objective of providing practical maps, data, and some of the issues considered for carbon dioxide (CO{sub 2}) storage projects in the Ohio River Valley. Injection and storage of CO{sub 2} into deep rock formations represents a feasible option for reducing greenhouse gas emissions from coal-burning power plants concentrated along the Ohio River Valley area. This study is sponsored by the U.S. Department of Energy (DOE) National Energy Technology Laboratory (NETL), American Electric Power (AEP), BP, Ohio Coal Development Office, Schlumberger, and Battelle along with its Pacific Northwest Division. Anmore » extensive program of drilling, sampling, and testing of a deep well combined with a seismic survey was used to characterize the local and regional geologic features at AEP's 1300-megawatt (MW) Mountaineer Power Plant. Site characterization information has been used as part of a systematic design feasibility assessment for a first-of-a-kind integrated capture and storage facility at an existing coal-fired power plant in the Ohio River Valley region--an area with a large concentration of power plants and other emission sources. Subsurface characterization data have been used for reservoir simulations and to support the review of the issues relating to injection, monitoring, strategy, risk assessment, and regulatory permitting. The high-sulfur coal samples from the region have been tested in a capture test facility to evaluate and optimize basic design for a small-scale capture system and eventually to prepare a detailed design for a capture, local transport, and injection facility. The Ohio River Valley CO{sub 2} Storage Project was conducted in phases with the ultimate objectives of demonstrating both the technical aspects of CO{sub 2} storage and the testing, logistical, regulatory, and outreach issues related to conducting such a project at a large point source under realistic constraints. The site characterization phase was completed, laying the groundwork for moving the project towards a potential injection phase. Feasibility and design assessment activities included an assessment of the CO{sub 2} source options (a slip-stream capture system or transported CO{sub 2}); development of the injection and monitoring system design; preparation of regulatory permits; and continued stakeholder outreach.« less

  2. Selective processing of auditory evoked responses with iterative-randomized stimulation and averaging: A strategy for evaluating the time-invariant assumption.

    PubMed

    Valderrama, Joaquin T; de la Torre, Angel; Medina, Carlos; Segura, Jose C; Thornton, A Roger D

    2016-03-01

    The recording of auditory evoked potentials (AEPs) at fast rates allows the study of neural adaptation, improves accuracy in estimating hearing threshold and may help diagnosing certain pathologies. Stimulation sequences used to record AEPs at fast rates require to be designed with a certain jitter, i.e., not periodical. Some authors believe that stimuli from wide-jittered sequences may evoke auditory responses of different morphology, and therefore, the time-invariant assumption would not be accomplished. This paper describes a methodology that can be used to analyze the time-invariant assumption in jittered stimulation sequences. The proposed method [Split-IRSA] is based on an extended version of the iterative randomized stimulation and averaging (IRSA) technique, including selective processing of sweeps according to a predefined criterion. The fundamentals, the mathematical basis and relevant implementation guidelines of this technique are presented in this paper. The results of this study show that Split-IRSA presents an adequate performance and that both fast and slow mechanisms of adaptation influence the evoked-response morphology, thus both mechanisms should be considered when time-invariance is assumed. The significance of these findings is discussed. Crown Copyright © 2016. Published by Elsevier B.V. All rights reserved.

  3. Reexamining the frequency range of hearing in silver (Hypophthalmichthys molitrix) and bighead (H. nobilis) carp

    USGS Publications Warehouse

    Vetter, Brooke J.; Brey, Marybeth; Meninger, Allen F.

    2018-01-01

    Silver (Hypophthalmichthys molitrix) and bighead (H. nobilis) carp (collectively bigheaded carp) are invasive fish that threaten aquatic ecosystems in the upper Midwest United States and the Laurentian Great Lakes. Controlling bigheaded carp is a priority of fisheries managers and one area of focus involves developing acoustic deterrents to prevent upstream migration. For an acoustic deterrent to be effective however, the hearing ability of bigheaded carp must be characterized. A previous study showed that bigheaded carp detected sound up to 3 kHz but this range is narrower than what has been reported for other ostariophysans. Therefore, silver and bighead carp frequency detection was evaluated in response to 100 Hz to 9 kHz using auditory evoked potentials (AEPs). AEPs were recorded from 100 Hz to 5 kHz. The lowest thresholds were at 500 Hz for both species (silver carp threshold: 80.6 ± 3.29 dB re 1 μPa SPLrms, bighead carp threshold: 90.5 ± 5.75 dB re 1 μPa SPLrms; mean ± SD). These results provide fisheries managers with better insight on effective acoustic stimuli for deterrent systems, however, to fully determine bigheaded carp hearing abilities, these results need to be compared with behavioral assessments.

  4. Hypnosis control based on the minimum concentration of anesthetic drug for maintaining appropriate hypnosis.

    PubMed

    Furutani, Eiko; Nishigaki, Yuki; Kanda, Chiaki; Takeda, Toshihiro; Shirakami, Gotaro

    2013-01-01

    This paper proposes a novel hypnosis control method using Auditory Evoked Potential Index (aepEX) as a hypnosis index. In order to avoid side effects of an anesthetic drug, it is desirable to reduce the amount of an anesthetic drug during surgery. For this purpose many studies of hypnosis control systems have been done. Most of them use Bispectral Index (BIS), another hypnosis index, but it has problems of dependence on anesthetic drugs and nonsmooth change near some particular values. On the other hand, aepEX has an ability of clear distinction between patient consciousness and unconsciousness and independence of anesthetic drugs. The control method proposed in this paper consists of two elements: estimating the minimum effect-site concentration for maintaining appropriate hypnosis and adjusting infusion rate of an anesthetic drug, propofol, using model predictive control. The minimum effect-site concentration is estimated utilizing the property of aepEX pharmacodynamics. The infusion rate of propofol is adjusted so that effect-site concentration of propofol may be kept near and always above the minimum effect-site concentration. Simulation results of hypnosis control using the proposed method show that the minimum concentration can be estimated appropriately and that the proposed control method can maintain hypnosis adequately and reduce the total infusion amount of propofol.

  5. Mountaineer Commercial Scale Carbon Capture and Storage Project Topical Report: Preliminary Public Design Report

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

    Guy Cerimele

    2011-09-30

    This Preliminary Public Design Report consolidates for public use nonproprietary design information on the Mountaineer Commercial Scale Carbon Capture & Storage project. The report is based on the preliminary design information developed during the Phase I - Project Definition Phase, spanning the time period of February 1, 2010 through September 30, 2011. The report includes descriptions and/or discussions for: (1) DOE's Clean Coal Power Initiative, overall project & Phase I objectives, and the historical evolution of DOE and American Electric Power (AEP) sponsored projects leading to the current project; (2) Alstom's Chilled Ammonia Process (CAP) carbon capture retrofit technology andmore » the carbon storage and monitoring system; (3) AEP's retrofit approach in terms of plant operational and integration philosophy; (4) The process island equipment and balance of plant systems for the CAP technology; (5) The carbon storage system, addressing injection wells, monitoring wells, system monitoring and controls logic philosophy; (6) Overall project estimate that includes the overnight cost estimate, cost escalation for future year expenditures, and major project risks that factored into the development of the risk based contingency; and (7) AEP's decision to suspend further work on the project at the end of Phase I, notwithstanding its assessment that the Alstom CAP technology is ready for commercial demonstration at the intended scale.« less

  6. Interaction of emitted sonar pulses and simulated echoes in a false killer whale: an evoked-potential study.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Breese, Marlee

    2011-09-01

    Auditory evoked potentials (AEP) were recorded during echolocation in a false killer whale Pseudorca crassidens. An electronically synthesized and played-back (simulated) echo was triggered by an emitted biosonar pulse, and its intensity was proportional to that of the emitted click. The delay and transfer factor of the echo relative to the emitted click was controlled by the operator. The echo delay varied from 2 to 16 ms (by two-fold steps), and the transfer factor varied within ranges from -45 to -30 dB at the 2-ms delay to -60 to -45 dB at the 16-ms delay. Echo-related AEPs featured amplitude dependence both on echo delay at a constant transfer factor (the longer the delay, the higher amplitude) and on echo transfer factor at a constant delay (the higher transfer factor, the higher amplitude). Conjunctional variation of the echo transfer factor and delay kept the AEP amplitude constant when the delay to transfer factor trade was from -7.1 to -8.4 dB per delay doubling. The results confirm the hypothesis that partial forward masking of the echoes by the preceding emitted sonar pulses serves as a time-varying automatic gain control in the auditory system of echolocating odontocetes. © 2011 Acoustical Society of America

  7. A whale better adjusts the biosonar to ordered rather than to random changes in the echo parameters.

    PubMed

    Supin, Alexander Ya; Nachtigall, Paul E; Breese, Marlee

    2012-09-01

    A false killer whale's (Pseudorca crassidens) sonar clicks and auditory evoked potentials (AEPs) were recorded during echolocation with simulated echoes in two series of experiments. In the first, both the echo delay and transfer factor (which is the dB-ratio of the echo sound-pressure level to emitted pulse source level) were varied randomly from trial to trial until enough data were collected (random presentation). In the second, a combination of the echo delay and transfer factor was kept constant until enough data were collected (ordered presentation). The mean click level decreased with shortening the delay and increasing the transfer factor, more at the ordered presentation rather than at the random presentation. AEPs to the self-heard emitted clicks decreased with shortening the delay and increasing the echo level equally in both series. AEPs to echoes increased with increasing the echo level, little dependent on the echo delay at random presentations but much more dependent on delay with ordered presentations. So some adjustment of the whale's biosonar was possible without prior information about the echo parameters; however, the availability of prior information about echoes provided additional whale capabilities to adjust both the transmitting and receiving parts of the biosonar.

  8. 13kW Advanced Electric Propulsion Flight System Development and Qualification

    NASA Technical Reports Server (NTRS)

    Jackson, Jerry; Allen, May; Myers, Roger; Soendker, Erich; Welander, Benjamin; Tolentino, Artie; Hablitzel, Sam; Yeatts, Chyrl; Xu, Steven; Sheehan, Chris; hide

    2017-01-01

    The next phase of robotic and human deep space exploration missions is enhanced by high performance, high power solar electric propulsion systems for large-scale science missions and cargo transportation. Aerojet Rocketdynes Advanced Electric Propulsion System (AEPS) program is completing development, qualification and delivery of five flight 13.3kW EP systems to NASA. The flight AEPS includes a magnetically-shielded, long-life Hall thruster, power processing unit (PPU), xenon flow controller (XFC), and intrasystem harnesses. The Hall thruster, originally developed and demonstrated by NASAs Glenn Research Center and the Jet Propulsion Laboratory, operates at input powers up to 12.5kW while providing a specific impulse over 2600s at an input voltage of 600V. The power processor is designed to accommodate an input voltage range of 95 to 140V, consistent with operation beyond the orbit of Mars. The integrated system is continuously throttleable between 3 and 13.3kW. The program has completed the system requirement review; the system, thruster, PPU and XFC preliminary design reviews; development of engineering models, and initial system integration testing. This paper will present the high power AEPS capabilities, overall program and design status and the latest test results for the 13.3kW flight system development and qualification program.

  9. What's what in auditory cortices?

    PubMed

    Retsa, Chrysa; Matusz, Pawel J; Schnupp, Jan W H; Murray, Micah M

    2018-08-01

    Distinct anatomical and functional pathways are postulated for analysing a sound's object-related ('what') and space-related ('where') information. It remains unresolved to which extent distinct or overlapping neural resources subserve specific object-related dimensions (i.e. who is speaking and what is being said can both be derived from the same acoustic input). To address this issue, we recorded high-density auditory evoked potentials (AEPs) while participants selectively attended and discriminated sounds according to their pitch, speaker identity, uttered syllable ('what' dimensions) or their location ('where'). Sound acoustics were held constant across blocks; the only manipulation involved the sound dimension that participants had to attend to. The task-relevant dimension was varied across blocks. AEPs from healthy participants were analysed within an electrical neuroimaging framework to differentiate modulations in response strength from modulations in response topography; the latter of which forcibly follow from changes in the configuration of underlying sources. There were no behavioural differences in discrimination of sounds across the 4 feature dimensions. As early as 90ms post-stimulus onset, AEP topographies differed across 'what' conditions, supporting a functional sub-segregation within the auditory 'what' pathway. This study characterises the spatio-temporal dynamics of segregated, yet parallel, processing of multiple sound object-related feature dimensions when selective attention is directed to them. Copyright © 2018 Elsevier Inc. All rights reserved.

  10. Magnitude, frequency, and trends of floods at gaged and ungaged sites in Washington, based on data through water year 2014

    USGS Publications Warehouse

    Mastin, Mark C.; Konrad, Christopher P.; Veilleux, Andrea G.; Tecca, Alison E.

    2016-09-20

    An investigation into the magnitude and frequency of floods in Washington State computed the annual exceedance probability (AEP) statistics for 648 U.S. Geological Survey unregulated streamgages in and near the borders of Washington using the recorded annual peak flows through water year 2014. This is an updated report from a previous report published in 1998 that used annual peak flows through the water year 1996. New in this report, a regional skew coefficient was developed for the Pacific Northwest region that includes areas in Oregon, Washington, Idaho and western Montana within the Columbia River drainage basin south of the United States-Canada border, the coastal areas of Oregon and western Washington, and watersheds draining into Puget Sound, Washington. The skew coefficient is an important term in the Log Pearson Type III equation used to define the distribution of the log-transformed annual peaks. The Expected Moments Algorithm was used to fit historical and censored peak-flow data to the log Pearson Type III distribution. A Multiple Grubb-Beck test was employed to censor low outliers of annual peak flows to improve on the frequency distribution. This investigation also includes a section on observed trends in annual peak flows that showed significant trends (p-value < 0.05) in 21 of 83 long-term sites, but with small magnitude Kendall tau values suggesting a limited monotonic trend in the time series of annual peaks. Most of the sites with a significant trend in western Washington were positive and all the sites with significant trends (three sites) in eastern Washington were negative.Multivariate regression analysis with measured basin characteristics and the AEP statistics at long-term, unregulated, and un-urbanized (defined as drainage basins with less than 5 percent impervious land cover for this investigation) streamgages within Washington and some in Idaho and Oregon that are near the Washington border was used to develop equations to estimate AEP statistics at ungaged basins. Washington was divided into four regions to improve the accuracy of the regression equations; a set of equations for eight selected AEPs and for each region were constructed. Selected AEP statistics included the annual peak flows that equaled or exceeded 50, 20, 10, 4, 2, 1, 0.5 and 0.2 percent of the time equivalent to peak flows for peaks with a 2-, 5-, 10-, 25-, 50-, 100-, 200-, and 500-year recurrence intervals, respectively. Annual precipitation and drainage area were the significant basin characteristics in the regression equations for all four regression regions in Washington and forest cover was significant for the two regression regions in eastern Washington. Average standard error of prediction for the regional regression equations ranged from 70.19 to 125.72 percent for Regression Regions 1 and 2 on the eastern side of the Cascade Mountains and from 43.22 to 58.04 percent for Regression Regions 3 and 4 on the western side of the Cascade Mountains. The pseudo coefficient of determination (where a value of 100 signifies a perfect regression model) ranged from 68.39 to 90.68 for Regression Regions 1 and 2, and 92.35 to 95.44 for Regions 3 and 4.The calculated AEP statistics for the streamgages and the regional regression equations are expected to be incorporated into StreamStats after the publication of this report. StreamStats is the interactive Web-based map tool created by the U.S. Geological Survey to allow the user to choose a streamgage and obtain published statistics or choose ungaged locations where the program automatically applies the regional regression equations and computes the estimates of the AEP statistics.

  11. 32 CFR 191.1 - Purpose.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... EEO Program, the establishment of Special Emphasis Programs (SEPs) entitled the Federal Women's...), the Asian/Pacific Islander Employment Program (AEP), the American Indian/Alaskan Native Employment...

  12. 32 CFR 191.1 - Purpose.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... EEO Program, the establishment of Special Emphasis Programs (SEPs) entitled the Federal Women's...), the Asian/Pacific Islander Employment Program (AEP), the American Indian/Alaskan Native Employment...

  13. 32 CFR 191.1 - Purpose.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... EEO Program, the establishment of Special Emphasis Programs (SEPs) entitled the Federal Women's...), the Asian/Pacific Islander Employment Program (AEP), the American Indian/Alaskan Native Employment...

  14. Temporal resolution of the Florida manatee (Trichechus manatus latirostris) auditory system.

    PubMed

    Mann, David A; Colbert, Debborah E; Gaspard, Joseph C; Casper, Brandon M; Cook, Mandy L H; Reep, Roger L; Bauer, Gordon B

    2005-10-01

    Auditory evoked potential (AEP) measurements of two Florida manatees (Trichechus manatus latirostris) were measured in response to amplitude modulated tones. The AEP measurements showed weak responses to test stimuli from 4 kHz to 40 kHz. The manatee modulation rate transfer function (MRTF) is maximally sensitive to 150 and 600 Hz amplitude modulation (AM) rates. The 600 Hz AM rate is midway between the AM sensitivities of terrestrial mammals (chinchillas, gerbils, and humans) (80-150 Hz) and dolphins (1,000-1,200 Hz). Audiograms estimated from the input-output functions of the EPs greatly underestimate behavioral hearing thresholds measured in two other manatees. This underestimation is probably due to the electrodes being located several centimeters from the brain.

  15. [Compliance with the PECARN and AEP guidelines in diagnostic approach of mild head trauma in patients younger than 24 months old].

    PubMed

    Velasco, R; Arribas, M; Valencia, C; Zamora, N; Fernández, S M; Lobeiras, A; Urbaneja, E; Garrote, R; González, L; Benito, H

    2015-09-01

    Mild head trauma is a frequent complaint in Pediatric Emergency Departments. Several guidelines have been published in the last few years. However, significant variability can be appreciated in terms of the demand for image tests. The aim of this study is to determine the level of compliance with PECARN and AEP guidelines in the management of patients younger than 24 months old in four different hospitals. A multicenter retrospective study was conducted on patients presenting with mild head trauma between October 1st, 2011 and March 31st, 2013 in the Emergency Departments of four hospitals. In the analysis of the results obtained, only one of the four hospitals complied with the AEP guidelines in more than 50% of the patients. The other three hospitals had a level of compliance lower than 50%. Management was more suitable according to PECARN guidelines, with 3 of the 4 hospitals having a level of compliance greater than 50%. However, the best compliance achieved by a hospital was only of 70%. The study shows that the level of compliance with guidelines for management of mild head trauma in patients younger than 24 months old is low. Copyright © 2014 Asociación Española de Pediatría. Published by Elsevier España, S.L.U. All rights reserved.

  16. Live CT imaging of sound reception anatomy and hearing measurements in the pygmy killer whale, Feresa attenuata.

    PubMed

    Montie, Eric W; Manire, Charlie A; Mann, David A

    2011-03-15

    In June 2008, two pygmy killer whales (Feresa attenuata) were stranded alive near Boca Grande, FL, USA, and were taken into rehabilitation. We used this opportunity to learn about the peripheral anatomy of the auditory system and hearing sensitivity of these rare toothed whales. Three-dimensional (3-D) reconstructions of head structures from X-ray computed tomography (CT) images revealed mandibles that were hollow, lacked a bony lamina medial to the pan bone and contained mandibular fat bodies that extended caudally and abutted the tympanoperiotic complex. Using auditory evoked potential (AEP) procedures, the modulation rate transfer function was determined. Maximum evoked potential responses occurred at modulation frequencies of 500 and 1000 Hz. The AEP-derived audiograms were U-shaped. The lowest hearing thresholds occurred between 20 and 60 kHz, with the best hearing sensitivity at 40 kHz. The auditory brainstem response (ABR) was composed of seven waves and resembled the ABR of the bottlenose and common dolphins. By changing electrode locations, creating 3-D reconstructions of the brain from CT images and measuring the amplitude of the ABR waves, we provided evidence that the neuroanatomical sources of ABR waves I, IV and VI were the auditory nerve, inferior colliculus and the medial geniculate body, respectively. The combination of AEP testing and CT imaging provided a new synthesis of methods for studying the auditory system of cetaceans.

  17. A novel amperometric immunosensor based on acetone-extracted propolis for the detection of the HIV-1 p24 antigen.

    PubMed

    Kheiri, F; Sabzi, R E; Jannatdoust, E; Shojaeefar, E; Sedghi, H

    2011-07-15

    A novel amperometric immunosensor for the detection of the p24 antigen (p24Ag) from HIV-1 was constructed using gold nanoparticles (GNP), multi-walled carbon nanotubes (MWCNTs), and an acetone-extracted propolis film (AEP). First, amino-functionalized MWCNTs (MWCNTNH₂) were prepared and dispersed in an HAuCl₄ solution to synthesize GNPs in situ. Next, the GNP/CNT/AEP nanocomposite was prepared by mixing an AEP solution and the GNP/CNT powder. The nanocomposite was dripped onto a gold electrode (GE), and then p24 antibody (anti-p24 Ab) was immobilized on the resulting modified gold electrode to construct the immunosensor. The assembly process was characterized using cyclic voltammetry (CV) and electrochemical impedance spectroscopy (EIS). The factors that were likely to influence the performance of the proposed immunosensor were studied in detail. Under optimal conditions, the proposed immunosensor exhibited good electrochemical sensitivity to the presence of p24 in a concentration range of 0.01 to 60.00 ng/mL, with a relatively low detection limit of 0.0064 ng/mL (S/N = 3). Moreover, the proposed immunosensor showed a rapid (≤ 18 s) and highly sensitive amperometric response (0.018 and 1.940 μA/ng/mL) to p24 with acceptable stability and reproducibility. Copyright © 2011 Elsevier B.V. All rights reserved.

  18. Centipod WEC, Advanced Controls, Resultant LCOE

    DOE Data Explorer

    McCall, Alan

    2016-02-15

    Project resultant LCOE model after implementation of MPC controller. Contains AEP, CBS, model documentation, and LCOE content model. This is meant for comparison with this project's baseline LCOE model.

  19. Changes on auditory physiology in response to the inactivation of amygdala nuclei in high anxiety rats expressing learned fear.

    PubMed

    Nobre, Manoel Jorge

    2013-06-13

    The inferior colliculus (IC) is primarily involved in the processing of acoustic stimuli, including those emitted by prey and predators. The role of the central nucleus of the IC (CIC) in fear and anxiety has been suggested based on electrophysiological, behavioral and immunohistochemical studies. The reactivity of high-anxiety rats (HA) to diverse challenges is different from low-anxiety ones (LA). In humans and laboratory animals, pathological anxiety is often accompanied by heightened vigilance and alertness, hyperactivity of the amygdala (AM), and increased amplitude of the auditory evoked potentials (AEP) from the IC. This study aims to evaluate the influence of the inactivation of the central (CEA) and basolateral (BLA) nuclei of the amygdala, after local infusions of the full GABAA agonist muscimol (1nmol/0.2μl), on the AEP elicited in the CIC of rats tested under a learned fear state. Our results showed that both BLA and CEA inactivation change the expression of conditioned fear, in a paradigm using the context as the conditioned stimulus (CS). These changes are correlated to the innate anxiety levels of the animals. It is supposed that this shortcoming is in addition to the imbalance between the regulatory role of the top-down and bottom-up processes in the control of anxiety. Copyright © 2013 Elsevier Inc. All rights reserved.

  20. Effective recovery of poly-β-hydroxybutyrate (PHB) biopolymer from Cupriavidus necator using a novel and environmentally friendly solvent system.

    PubMed

    Fei, Tao; Cazeneuve, Stacy; Wen, Zhiyou; Wu, Lei; Wang, Tong

    2016-05-01

    This work demonstrates a significant advance in bioprocessing for a high-melting lipid polymer. A novel and environmental friendly solvent mixture, acetone/ethanol/propylene carbonate (A/E/P, 1:1:1 v/v/v) was identified for extracting poly-hydroxybutyrate (PHB), a high-value biopolymer, from Cupriavidus necator. A set of solubility curves of PHB in various solvents was established. PHB recovery of 85% and purity of 92% were obtained from defatted dry biomass (DDB) using A/E/P. This solvent mixture is compatible with water, and from non-defatted wet biomass, PHB recovery of 83% and purity of 90% were achieved. Water and hexane were evaluated as anti-solvents to assist PHB precipitation, and hexane improved recovery of PHB from biomass to 92% and the purity to 93%. A scale-up extraction and separation reactor was designed, built and successfully tested. Properties of PHB recovered were not significantly affected by the extraction solvent and conditions, as shown by average molecular weight (1.4 × 10(6) ) and melting point (175.2°C) not being different from PHB extracted using chloroform. Therefore, this biorenewable solvent system was effective and versatile for extracting PHB biopolymers. © 2016 American Institute of Chemical Engineers Biotechnol. Prog., 32:678-685, 2016. © 2016 American Institute of Chemical Engineers.

  1. A novel integration effort to reduce the risk for alcohol-exposed pregnancy among women attending urban STD clinics.

    PubMed

    Hutton, Heidi E; Chander, Geetanjali; Green, Patricia P; Hutsell, Catherine A; Weingarten, Kimberly; Peterson, Karen L

    2014-01-01

    Alcohol-exposed pregnancy (AEP) is a significant public health problem in the United States. Sexually transmitted disease (STD) clinics serve female clients with a high prevalence of heavy alcohol consumption coupled with ineffective contraceptive use. Project CHOICES (Changing High-Risk AlcOhol Use and Increasing Contraception Effectiveness) is an evidence-based, brief intervention to lower risk of AEP by targeting alcohol and contraceptive behaviors through motivational interviewing and individualized feedback. We describe our experience integrating and implementing CHOICES in STD clinics. This endeavor aligns with CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention's program collaboration and service integration strategic priority to strengthen collaborative work across disease areas and integrate services provided by related programs at the client level.

  2. A Novel Integration Effort to Reduce the Risk for Alcohol-Exposed Pregnancy Among Women Attending Urban STD Clinics

    PubMed Central

    Hutton, Heidi E.; Chander, Geetanjali; Green, Patricia P.; Hutsell, Catherine A.; Weingarten, Kimberly

    2014-01-01

    Alcohol-exposed pregnancy (AEP) is a significant public health problem in the United States. Sexually transmitted disease (STD) clinics serve female clients with a high prevalence of heavy alcohol consumption coupled with ineffective contraceptive use. Project CHOICES (Changing High-Risk AlcOhol Use and Increasing Contraception Effectiveness) is an evidence-based, brief intervention to lower risk of AEP by targeting alcohol and contraceptive behaviors through motivational interviewing and individualized feedback. We describe our experience integrating and implementing CHOICES in STD clinics. This endeavor aligns with CDC's National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention's program collaboration and service integration strategic priority to strengthen collaborative work across disease areas and integrate services provided by related programs at the client level. PMID:24385650

  3. [Auditory evoked potential and personality traits in chronic primary insomniacs].

    PubMed

    Shen, Jian; Shui, Ren-de; Feng, Lei; Liu, Yu-Hong; He, Wei; Huang, Jing-Yi; Wang, Wei

    2009-05-01

    To investigate the personality traits and intensity dependence of auditory evoked potentials (AEPs) in chronic primary insomnia. Thirty-seven patients with chronic primary insomnia (insomnia group) and 44 healthy subjects (control group) were enrolled in the study. The AEPs were examined in insomnia and control groups; the personality traits were studied by Zuckerman's Sensation Seeking Scales (SSS) and Zuckerman-Kuhlman's Personality Questionnaire (ZKPQ); and the mood states by Plutchik-van Praag's Depression Inventory (PVP). The scores of neuroticism-anxiety and depression in insomnia group were significantly higher than those in control group (P<0.01); and the scores of impulsivity and aggression-hostility were also higher than those in control group (P<0.05); N1-P2 amplitude of AEP increased with stimulus intensity, which were significantly different in 70, 80, 90,100 dB (P<0.01). There were significant correlations between activity and N1 latency at 80 dB, activity and P2 latency at 100 dB (r=0.270, r=0.276, P<0.05); and between total scores of sensation seeking scale and N1-P2 amplitude (r=0.3746, r=0.35329, P<0.01) at 70 and 90 dB stimulus intensity in insomnia group. There were significant correlations among experience seeking and N1-P2 amplitude, experience seeking and slope rate (P<0.01) at 70, 80, 90, 100 dB stimulus intensity in insomnia group (r=0.539, r=0.3439, r=0.439, r=0.3278). There were significant correlations between sensation seeking of boredom susceptibility and slope rate (r=-0.282998, P<0.05) in insomnia group. There were significant correlations between thrill and adventure seeking and N1-P2 amplitude(r=0.2789, P<0.05) at 90 dB stimulus intensity in insomnia group; there were significant correlations between PVP and N1-P2 amplitude (r=-0.3434, r=-0.3158, P<0.05) at 70 dB and N1 latency at 80 dB in insomnia group. Chronic primary insomnia sufferers have higher levels of neuroticism-anxiety, depression, aggression-hostility and impulsivity, and some are correlated with stimulus intensity dependence in AEP.

  4. Cortical Measures of Binaural Processing Predict Spatial Release from Masking Performance

    PubMed Central

    Papesh, Melissa A.; Folmer, Robert L.; Gallun, Frederick J.

    2017-01-01

    Binaural sensitivity is an important contributor to the ability to understand speech in adverse acoustical environments such as restaurants and other social gatherings. The ability to accurately report on binaural percepts is not commonly measured, however, as extensive training is required before reliable measures can be obtained. Here, we investigated the use of auditory evoked potentials (AEPs) as a rapid physiological indicator of detection of interaural phase differences (IPDs) by assessing cortical responses to 180° IPDs embedded in amplitude-modulated carrier tones. We predicted that decrements in encoding of IPDs would be evident in middle age, with further declines found with advancing age and hearing loss. Thus, participants in experiment #1 were young to middle-aged adults with relatively good hearing thresholds while participants in experiment #2 were older individuals with typical age-related hearing loss. Results revealed that while many of the participants in experiment #1 could encode IPDs in stimuli up to 1,000 Hz, few of the participants in experiment #2 had discernable responses to stimuli above 750 Hz. These results are consistent with previous studies that have found that aging and hearing loss impose frequency limits on the ability to encode interaural phase information present in the fine structure of auditory stimuli. We further hypothesized that AEP measures of binaural sensitivity would be predictive of participants' ability to benefit from spatial separation between sound sources, a phenomenon known as spatial release from masking (SRM) which depends upon binaural cues. Results indicate that not only were objective IPD measures well correlated with and predictive of behavioral SRM measures in both experiments, but that they provided much stronger predictive value than age or hearing loss. Overall, the present work shows that objective measures of the encoding of interaural phase information can be readily obtained using commonly available AEP equipment, allowing accurate determination of the degree to which binaural sensitivity has been reduced in individual listeners due to aging and/or hearing loss. In fact, objective AEP measures of interaural phase encoding are actually better predictors of SRM in speech-in-speech conditions than are age, hearing loss, or the combination of age and hearing loss. PMID:28377706

  5. Cortical Measures of Binaural Processing Predict Spatial Release from Masking Performance.

    PubMed

    Papesh, Melissa A; Folmer, Robert L; Gallun, Frederick J

    2017-01-01

    Binaural sensitivity is an important contributor to the ability to understand speech in adverse acoustical environments such as restaurants and other social gatherings. The ability to accurately report on binaural percepts is not commonly measured, however, as extensive training is required before reliable measures can be obtained. Here, we investigated the use of auditory evoked potentials (AEPs) as a rapid physiological indicator of detection of interaural phase differences (IPDs) by assessing cortical responses to 180° IPDs embedded in amplitude-modulated carrier tones. We predicted that decrements in encoding of IPDs would be evident in middle age, with further declines found with advancing age and hearing loss. Thus, participants in experiment #1 were young to middle-aged adults with relatively good hearing thresholds while participants in experiment #2 were older individuals with typical age-related hearing loss. Results revealed that while many of the participants in experiment #1 could encode IPDs in stimuli up to 1,000 Hz, few of the participants in experiment #2 had discernable responses to stimuli above 750 Hz. These results are consistent with previous studies that have found that aging and hearing loss impose frequency limits on the ability to encode interaural phase information present in the fine structure of auditory stimuli. We further hypothesized that AEP measures of binaural sensitivity would be predictive of participants' ability to benefit from spatial separation between sound sources, a phenomenon known as spatial release from masking (SRM) which depends upon binaural cues. Results indicate that not only were objective IPD measures well correlated with and predictive of behavioral SRM measures in both experiments, but that they provided much stronger predictive value than age or hearing loss. Overall, the present work shows that objective measures of the encoding of interaural phase information can be readily obtained using commonly available AEP equipment, allowing accurate determination of the degree to which binaural sensitivity has been reduced in individual listeners due to aging and/or hearing loss. In fact, objective AEP measures of interaural phase encoding are actually better predictors of SRM in speech-in-speech conditions than are age, hearing loss, or the combination of age and hearing loss.

  6. Simulated and observed 2010 flood-water elevations in selected river reaches in the Moshassuck and Woonasquatucket River Basins, Rhode Island

    USGS Publications Warehouse

    Zarriello, Phillip J.; Straub, David E.; Westenbroek, Stephen M.

    2014-01-01

    Heavy persistent rains from late February through March 2010 caused severe flooding and set, or nearly set, peaks of record for streamflows and water levels at many long-term U.S. Geological Survey streamgages in Rhode Island. In response to this flood, hydraulic models were updated for selected reaches covering about 33 river miles in Moshassuck and Woonasquatucket River Basins from the most recent approved Federal Emergency Management Agency flood insurance study (FIS) to simulate water-surface elevations (WSEs) from specified flows and boundary conditions. Reaches modeled include the main stem of the Moshassuck River and its main tributary, the West River, and three tributaries to the West River—Upper Canada Brook, Lincoln Downs Brook, and East Branch West River; and the main stem of the Woonasquatucket River. All the hydraulic models were updated to Hydrologic Engineering Center-River Analysis System (HEC-RAS) version 4.1.0 and incorporate new field-survey data at structures, high-resolution land-surface elevation data, and flood flows from a related study. The models were used to simulate steady-state WSEs at the 1- and 2-percent annual exceedance probability (AEP) flows, which is the estimated AEP of the 2010 flood in the Moshassuck River Basin and the Woonasquatucket River, respectively. The simulated WSEs were compared to the high-water mark (HWM) elevation data obtained in these basins in a related study following the March–April 2010 flood, which included 18 HWMs along the Moshassuck River and 45 HWMs along the Woonasquatucket River. Differences between the 2010 HWMs and the simulated 2- and 1-percent AEP WSEs from the FISs and the updated models developed in this study varied along the reach. Most differences could be attributed to the magnitude of the 2- and 1-percent AEP flows used in the FIS and updated model flows. Overall, the updated model and the FIS WSEs were not appreciably different when compared to the observed 2010 HWMs along the Woonasquatucket and Moshassuck Rivers.

  7. Does clinical governance influence the appropriateness of hospital stay?

    PubMed

    Specchia, Maria Lucia; Poscia, Andrea; Volpe, Massimo; Parente, Paolo; Capizzi, Silvio; Cambieri, Andrea; Damiani, Gianfranco; Ricciardi, Walter; De Belvis, Antonio Giulio

    2015-04-03

    Clinical Governance provides a framework for assessing and improving clinical quality through a single coherent program. Organizational appropriateness is aimed at achieving the best health outcomes and the most appropriate use of resources. The goal of the present study is to verify the likely relationship between Clinical Governance and appropriateness of hospital stay. A cross-sectional study was conducted in 2012 in an Italian Teaching Hospital. The OPTIGOV(©) (Optimizing Health Care Governance) methodology was used to quantify the level of implementation of Clinical Governance globally and in its main dimensions. Organizational appropriateness was measured retrospectively using the Italian version of the Appropriateness Evaluation Protocol to analyze a random sample of medical records for each clinical unit. Pearson-correlation and multiple linear regression were used to test the relationship between the percentage of inappropriate days of hospital stay and the Clinical Governance implementation levels. 47 Units were assessed. The percentage of inappropriate days of hospital stay showed an inverse correlation with almost all the main Clinical Governance dimensions. Adjusted multiple regression analysis resulted in a significant association between the percentage of inappropriate days and the overall Clinical Governance score (β = -0.28; p < 0.001; R-squared = 0.8). EBM and Clinical Audit represented the Clinical Governance dimensions which had the strongest association with organizational appropriateness. This study suggests that the evaluation of both Clinical Governance and organizational appropriateness through standardized and repeatable tools, such as OPTIGOV(©) and AEP, is a key strategy for healthcare quality. The relationship between the two underlines the central role of Clinical Governance, and especially of EBM and Clinical Audit, in determining a rational improvement of appropriateness levels.

  8. Evaluating the longer-term cognitive effects of adjunctive perampanel compared to lacosamide in a naturalistic outpatient setting.

    PubMed

    Meschede, Carolin; Witt, Juri-Alexander; Rademacher, Michael; von Wrede, Randi D; Elger, Christian E; Helmstaedter, Christoph

    2018-04-22

    This retrospective longitudinal study aims to compare the longer-term cognitive and behavioral side effects of adjunctive antiepileptic treatment with perampanel (PER) and lacosamide (LCM), two third generation antiepileptic drugs with suggested favorable cognitive profiles. The two drugs were monitored according to a previously established routine diagnostic protocol (Helmstaedter et al. E&B 2013;26:182-7) which facilitates the retrospective comparison of antiepileptic drug tolerability in a naturalistic outpatient setting. Records from 94 patients were evaluated who underwent neuropsychological assessment before and under adjunctive treatment with either PER (n = 57) or LCM (n = 37). Cognition was assessed using the EpiTrack screening for executive functions and a VLMT short form for verbal memory. Subjective assessments included a German QOLIE-10 adaptation (quality of life) and an extended Adverse Events Profile (AEP). The median follow-up interval was 36 weeks. Multivariate repeated measures statistics revealed a non-significant trend towards an interaction effect "time - treatment arm" on both executive function and memory. When analyzed separately executive functions and memory scores significantly improved under LCM (t = -2.76 p < 0.01 and t = -2.44 p < 0.05 respectively). Subjectively, PER was associated with improvements in 2/18 physiological domains and in the LCM group 1/9 cognitive domains deteriorated. Seizure freedom was achieved for five patients treated with LCM (14%) and 15 treated with PER (26%, χ 2  = 2.2, n.s.). In a naturalistic outpatient setting, chronic adjunctive treatment with PER and LCM did not negatively affect cognition and LCM may even improve cognition. Neither drug increased self-reported irritability or aggression. This suggests favorable longer-term tolerability. Copyright © 2018 British Epilepsy Association. Published by Elsevier Ltd. All rights reserved.

  9. Direct costs associated with the appropriateness of hospital stay in elderly population

    PubMed Central

    Mould-Quevedo, Joaquín F; García-Peña, Carmen; Contreras-Hernández, Iris; Juárez-Cedillo, Teresa; Espinel-Bermúdez, Claudia; Morales-Cisneros, Gabriela; Sánchez-García, Sergio

    2009-01-01

    Background Ageing of Mexican population implies greater demand of hospital services. Nevertheless, the available resources are used inadequately. In this study, the direct medical costs associated with the appropriateness of elderly populations hospital stay are estimated. Methods Appropriateness of hospital stay was evaluated with the Appropriateness Evaluation Protocol (AEP). Direct medical costs associated with hospital stay under the third-party payer's institutional perspective were estimated, using as information source the clinical files of 60 years of age and older patients, hospitalized during year 2004 in a Regional Hospital from the Mexican Social Security Institute (IMSS), in Mexico City. Results The sample consisted of 724 clinical files, with a mean of 5.3 days (95% CI = 4.9–5.8) of hospital stay, of which 12.4% (n = 90) were classified with at least one inappropriate patient day, with a mean of 2.2 days (95% CI = 1.6 – 2.7). The main cause of inappropriateness days was the inexistence of a diagnostic and/or treatment plan, 98.9% (n = 89). The mean cost for an appropriate hospitalization per patient resulted in US$1,497.2 (95% CI = US$323.2 – US$4,931.4), while the corresponding mean cost for an inappropriate hospitalization per patient resulted in US$2,323.3 (95% CI = US$471.7 – US$6,198.3), (p < 0.001). Conclusion Elderly patients who were inappropriately hospitalized had a higher rate of inappropriate patient days. The average of inappropriate patient days cost is considerably higher than appropriate days. In this study, inappropriate hospital-stay causes could be attributable to physicians and current organizational management. PMID:19698130

  10. 78 FR 64488 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-10-29

    ..., Mariposa Energy, LLC, CPV Sentinel, LLC. Description: Notice of Non-Material Change in Status of the DGC... filings: Docket Numbers: ES14-2-000. Applicants: AEP Generation Resources Inc. Description: Amendment and...

  11. Field hearing measurements of the Atlantic sharpnose shark Rhizoprionodon terraenovae.

    PubMed

    Casper, B M; Mann, D A

    2009-12-01

    Field measurements of hearing thresholds were obtained from the Atlantic sharpnose shark Rhizoprionodon terraenovae using the auditory evoked potential method (AEP). The fish had most sensitive hearing at 20 Hz, the lowest frequency tested, with decreasing sensitivity at higher frequencies. Hearing thresholds were lower than AEP thresholds previously measured for the nurse shark Ginglymostoma cirratum and yellow stingray Urobatis jamaicensis at frequencies <200 Hz, and similar at 200 Hz and above. Rhizoprionodon terraenovae represents the closest comparison in terms of pelagic lifestyle to the sharks which have been observed in acoustic field attraction experiments. The sound pressure levels that would be equivalent to the particle acceleration thresholds of R. terraenovae were much higher than the sound levels which attracted closely related sharks suggesting a discrepancy between the hearing threshold experiments and the field attraction experiments.

  12. Personal experience with the AEP Faculty Internship Program. [Conference paper

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

    Thorp, J.S.

    1980-01-01

    The American Electric Power (AEP) Faculty Intern Program allows a continuing association with the industry that has been beneficial to the power program at Cornell. The first necessary condition for a successful internship is than the intern be interested in power and willing to make a commitment to learning. A selection of a problem area that allows the intern to make significant contributions to the project is very important. A single assignment that spans a number of areas rather than a number of narrow assignments seems desirable. Supplemental training through course work and travel and working with excellent people inmore » an ideal environment enriches the internship. The continued consulting after the internship is more valuable even than the internship itself. Continued contact with current problems keeps the academic program relevant and maintains faculty enthusiasm.« less

  13. Integrating Aggregate Exposure Pathway (AEP) and Adverse ...

    EPA Pesticide Factsheets

    High throughput toxicity testing (HTT) holds the promise of providing data for tens of thousands of chemicals that currently have no data due to the cost and time required for animal testing. Interpretation of these results require information linking the perturbations seen in vitro with adverse outcomes in vivo and requires knowledge of how estimated exposure to the chemicals compare to the in vitro concentrations that show an effect. This abstract discusses how Adverse Outcome Pathways (AOPs) can be used to link HTT with adverse outcomes of regulatory significance and how Aggregate Exposure Pathways (AEPs) can connect concentrations of environment stressors at a source with an expected target site concentration designed to provide exposure estimates that are comparable to concentrations identified in HTT. Presentation at the ICCA-LRI and JRC Workshop: Fit-For-Purpose Exposure Assessment For Risk-Based Decision Making

  14. Flooding in the southern Midwestern United States, April–May 2017

    USGS Publications Warehouse

    Heimann, David C.; Holmes, Robert R.; Harris, Thomas E.

    2018-03-09

    Excessive rainfall resulted in flooding on numerous rivers throughout the southern Midwestern United States (southern Midwest) in late April and early May of 2017. The heaviest rainfall, between April 28 and 30, resulted in extensive flooding from eastern Oklahoma to southern Indiana including parts of Missouri, Arkansas, and Illinois.Peak-of-record streamflows were set at 21 U.S. Geological Survey (USGS) streamgages in the southern Midwest during the resulting April–May 2017 flooding and each of the five States included in the study area had at least one streamgage with a peak of record during the flood. The annual exceedance probability (AEP) estimates for the April–May 2017 peak streamflows indicate that peaks at 5 USGS streamgages had AEPs of 0.2 percent or less (500-year recurrence interval or greater), and peak streamflows at 15 USGS streamgages had AEPs in the range from greater than 0.2 to 1 percent (500- to 100-year recurrence intervals).Examination of the magnitude of the temporal changes in median annual peak streamflows indicated positive increases, in general, throughout the study area for each of the 1930–2017, 1956–2017, 1975–2017, and 1989–2017 analysis periods. The median increase in peak streamflows was greatest in 1975–2017 and 1989–2017 with maximum increases of 8 to 10 percent per year. No stations in the 1975–2017 or 1989–2017 analysis period had median negative changes in peak streamflows.

  15. Interactions of Cd and Cu in anaerobic estuarine sediments. 1: Partitioning in geochemical fractions of sediments

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

    Rule, J.H.; Alden, R.W. III

    1996-04-01

    Partitioning of Cd and Cu between geochemical fractions of an anaerobic estuarine sediment was determined after equilibrating fine-sandy sediment with different combinations of added Cd (0, 2.5, 5 mg/kg) and Cu(0, 12.5, 25 mg/kg). Sediments were placed in aquaria with 20 ppt seawater where bioassay test organisms were exposed for 14 d. At the start and conclusion of the experimental period, sediments were sequentially extracted to determine the elemental content of the exchangeable (EP), easily reducible (ERP), organic- sulfide (OSP), moderately reducible (MRP), and acid extractable (AEP) phases. Partitioning of the metals in both the native and treated sediments was,more » for Cd: OSP {much_gt} ERP > AEP > EP (MRP was below detection) and for Cu: OSP {much_gt} AEP > ERP > MRP > EP. Cadmium extracted in all phases and Cu in the EP, RP, and OSP were proportional to the respective treatments. The EP-Cd, ERP-Cd, and OSP-Cd were affected by the Cu treatment and significant interactions occurred between Cd and Cu for the EP-Cd, ERP-Cd, OSP-Cd, EP-Cu, and ERP-Cu. Increasing levels of applied Cd and Cu resulted in greater amounts of EP-Cd and ERP-Cd, fractions that are the most bioavailable and the most readily available for desorption into the water column. A significant conclusion is that the input of nontoxic metals may affect the geochemical phase distribution, potential bioavailability, and toxicity of native sediment metals.« less

  16. Development and Testing of PRD-66 Hot Gas Filters

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

    Chambers, J.A.; Garnier, J.E.; McMahon, T. J.

    1996-12-31

    The overall objective of this program is to develop and commercialize PRD-66 hot gas filters for application in pressurized fluidized bed combustors (PFBC) and Integrated Gas Combined Cycle (IGCC) power generation systems. The work is being carried out in phases with the following specific objectives: 1. Demonstrate acceptable mechanical, chemical, and filtration properties in exposure tests. 2. Produce and qualify selected prototype design filter elements in high temperature high pressure (HTHP) simulated PFBC exposure tests. 3. (Option) Generate a manufacturing plan to support commercial scale-up. 4. (Option) Recommend process equipment upgrades and produce 50 candle filters. Since the beginning ofmore » this program, a parallel evaluation of DuPont Lanxide Composites Inc. (DLC) PRD-66 hot gas candle filters took place using AEP`s TIDD PFBC facility. Several PRD-66 filters experienced damage during the final testing phase at TIDD, after highly successful testing in earlier runs. During the past year, DLC has undertaken a study under this contract to understand the mechanism of damage sustained in TIDD Test Segment 5. DLC has formulated a hypothesis for the damage mechanism based on the available evidence, and verified that the damage mechanism is possible given the conditions known to exist in TIDD. Improvements to the filter design to eliminate the root cause of the failure have been undertaken. This report details DLC`s conclusions regarding the failure mechanism, the evidence supporting the conclusions, and steps being taken to eliminate the root cause.« less

  17. Reducing uncertainty with flood frequency analysis: The contribution of paleoflood and historical flood information

    NASA Astrophysics Data System (ADS)

    Lam, Daryl; Thompson, Chris; Croke, Jacky; Sharma, Ashneel; Macklin, Mark

    2017-03-01

    Using a combination of stream gauge, historical, and paleoflood records to extend extreme flood records has proven to be useful in improving flood frequency analysis (FFA). The approach has typically been applied in localities with long historical records and/or suitable river settings for paleoflood reconstruction from slack-water deposits (SWDs). However, many regions around the world have neither extensive historical information nor bedrock gorges suitable for SWDs preservation and paleoflood reconstruction. This study from subtropical Australia demonstrates that confined, semialluvial channels such as macrochannels provide relatively stable boundaries over the 1000-2000 year time period and the preserved SWDs enabled paleoflood reconstruction and their incorporation into FFA. FFA for three sites in subtropical Australia with the integration of historical and paleoflood data using Bayesian Inference methods showed a significant reduction in uncertainty associated with the estimated discharge of a flood quantile. Uncertainty associated with estimated discharge for the 1% Annual Exceedance Probability (AEP) flood is reduced by more than 50%. In addition, sensitivity analysis of possible within-channel boundary changes shows that FFA is not significantly affected by any associated changes in channel capacity. Therefore, a greater range of channel types may be used for reliable paleoflood reconstruction by evaluating the stability of inset alluvial units, thereby increasing the quantity of temporal data available for FFA. The reduction in uncertainty, particularly in the prediction of the ≤1% AEP design flood, will improve flood risk planning and management in regions with limited temporal flood data.

  18. Alternating evolutionary pressure in a genetic algorithm facilitates protein model selection

    PubMed Central

    Offman, Marc N; Tournier, Alexander L; Bates, Paul A

    2008-01-01

    Background Automatic protein modelling pipelines are becoming ever more accurate; this has come hand in hand with an increasingly complicated interplay between all components involved. Nevertheless, there are still potential improvements to be made in template selection, refinement and protein model selection. Results In the context of an automatic modelling pipeline, we analysed each step separately, revealing several non-intuitive trends and explored a new strategy for protein conformation sampling using Genetic Algorithms (GA). We apply the concept of alternating evolutionary pressure (AEP), i.e. intermediate rounds within the GA runs where unrestrained, linear growth of the model populations is allowed. Conclusion This approach improves the overall performance of the GA by allowing models to overcome local energy barriers. AEP enabled the selection of the best models in 40% of all targets; compared to 25% for a normal GA. PMID:18673557

  19. [Immunisation schedule of the Spanish Association of Paediatrics: 2014 recommendations].

    PubMed

    Moreno-Pérez, D; Alvarez García, F J; Arístegui Fernández, J; Cilleruelo Ortega, M J; Corretger Rauet, J M; García Sánchez, N; Hernández Merino, A; Hernández-Sampelayo Matos, T; Merino Moína, M; Ortigosa Del Castillo, L; Ruiz-Contreras, J

    2014-01-01

    The Advisory Committee on Vaccines of the Spanish Association of Paediatrics (CAV-AEP) updates the immunisation schedule every year, taking into account epidemiological data as well as evidence on safety, effectiveness and efficiency of vaccines. The present schedule includes levels of recommendation. We have graded, as routine vaccinations, those that the CAV-AEP consider all children should receive; as recommended those that fit the profile for universal childhood immunisation and would ideally be given to all children, but that can be prioritised according to the resources available for their public funding; and as risk group vaccinations those that specifically target individuals in special situations. Immunisation schedules tend to be dynamic and adaptable to ongoing epidemiological changes. Based on the latest epidemiological trends, CAV-AEP recommends the administration of the first dose of MMR and varicella vaccines at age 12 months, with the second dose at age 2-3 years; the administration of DTaP or Tdap vaccine at age 4-6 years, always followed by another Tdap dose at 11-12 years; and the three meningococcal C scheme at 2 months, 12 months and 12 years of age. It reasserts its recommendation to include vaccination against pneumococcal disease in the routine immunisation schedule. The CAV-AEP believes that the coverage of vaccination against human papillomavirus in girls aged 11-12 years must be increased. Universal vaccination against varicella in the second year of life is an effective strategy, and the immediate public availability of the vaccine is requested in order to guarantee the right of healthy children to be vaccinated. Vaccination against rotavirus is recommended in all infants due to the morbidity and elevated healthcare burden of the virus. The Committee stresses the need to vaccinate population groups considered at risk against influenza and hepatitis A. The recently authorised meningococcal B vaccine has opened a chapter of hope in the prevention of this disease. In anticipation of upcoming national and international studies, the Committee recommends the vaccine for the control of disease outbreaks, and insists on the need to be available in pharmacies. Finally, it emphasises the need to bring incomplete vaccinations up to date following the catch-up immunisation schedule. Copyright © 2013 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  20. Electromagnetically Driven Plasma-Field Dynamics in Modified Ionosphere

    NASA Astrophysics Data System (ADS)

    Kochetov, Andrey; Terina, Galina

    Under sounding of an artificial ionospheric turbulence by short probing radio pulses of ordinary polarization the two types of scattered signals were observed: a "caviton" signal (CS) and a "plasma" signal (PS), which appeared with the heating transmitter switching on and disap-peared after its switching off (G.I. Terina J. Atm. Terr. Phys, 57, 1995, 273, Izv. VUZov, Radiofizika, 39, 1998, 203). The scattered signal of PS type was revealed also after the heating switching off. It was called an "aftereffect plasma signal" (AEPS) (G.I. Terina Izv .VUZov, Radiofizika, 43, 2000, 958). This signal had large time and spatial delays and appeared mostly when corresponding PS had envelope fluctuations. The aftereffect phenomenon was expressed at time on CS by amplitude increasing at once after the heating transmitter turning off. The theoretical model of this phenomenon is proposed in and some peculiarities of the aftereffect phenomena of the scattered signals in modified ionospheric plasma are considered and discussed. For theoretical interpretation of the characteristics of CS and AEPS the numerical solution of nonlinear Shrüdinger equation (NSE) with driven extension were carried out in inhomogeneous plasma layer with linear electron density profile (A.V. Kochetov, V.A. Mironov, G.I. Terina, Adv. Space Reseacrh, 29, 2002, 1369) and for the one with prescribed density depletion (and A.V. Kochetov, G.I. Terina, Adv. Space Reseacrh, 38, 2006, 2490). The simulation results obtained for linear inhomogeneous plasma layer and for plasma one with density depletion al-low us to interpret the aftereffect of CS and PS qualitatively. The field amplitude increase at relaxation stage displayed at calculations allows us to interpret of CS aftereffect. The large time delays of AEPS can be explained as a result of powerful radio waves trapping in the forming at the plasma resonance regions density depletions (E. Mjøhus, J. Geophys. Res. 103, 1998, 14711; B. Eliasson and L. Stenflo, J. Geophys. Res., 113, 2008, A02305). It should be noted that PS and CS are analogous to different components of the stimulated electromagnetic emis-sion (SEE): "broad continuum" (BC) and narrow continuum" (NC) accordingly (see, e.g. (B. Isham, C. La Hoz, M.T. Rietveld, T. Hagfors, T.B. Leyser, Phys. Rev. Lett., 83, 1999, 2576)). AEPS is corresponded to Diagnostic SEE at the relaxation stage. The work was supported in part by RFBR grant 09-02-01150-a.

  1. Atypical energetic particle events observed prior energetic particle enhancements associated with corotating interaction regions

    NASA Astrophysics Data System (ADS)

    Khabarova, Olga; Malandraki, Olga; Zank, Gary; Jackson, Bernard; Bisi, Mario; Desai, Mihir; Li, Gang; le Roux, Jakobus; Yu, Hsiu-Shan

    2017-04-01

    Recent studies of mechanisms of particle acceleration in the heliosphere have revealed the importance of the comprehensive analysis of stream-stream interactions as well as the heliospheric current sheet (HCS) - stream interactions that often occur in the solar wind, producing huge magnetic cavities bounded by strong current sheets. Such cavities are usually filled with small-scale magnetic islands that trap and re-accelerate energetic particles (Zank et al. ApJ, 2014, 2015; le Roux et al. ApJ, 2015, 2016; Khabarova et al. ApJ, 2015, 2016). Crossings of these regions are associated with unusual variations in the energetic particle flux up to several MeV/nuc near the Earth's orbit. These energetic particle flux enhancements called "atypical energetic particle events" (AEPEs) are not associated with standard mechanisms of particle acceleration. The analysis of multi-spacecraft measurements of energetic particle flux, plasma and the interplanetary magnetic field shows that AEPEs have a local origin as they are observed by different spacecraft with a time delay corresponding to the solar wind propagation from one spacecraft to another, which is a signature of local particle acceleration in the region embedded in expanding and rotating background solar wind. AEPEs are often observed before the arrival of corotating interaction regions (CIRs) or stream interaction regions (SIRs) to the Earth's orbit. When fast solar wind streams catch up with slow solar wind, SIRs of compressed heated plasma or more regular CIRs are created at the leading edge of the high-speed stream. Since coronal holes are often long-lived structures, the same CIR re-appears often for several consecutive solar rotations. At low heliographic latitudes, such CIRs are typically bounded by forward and reverse waves on their leading and trailing edges, respectively, that steepen into shocks at heliocentric distances beyond 1 AU. Energetic ion increases have been frequently observed in association with CIR's shocks, and these shocks to be believed to accelerate ions up to several MeV per nucleon. In this paradigm particle acceleration is commonly believed to occur mainly at the well-formed reverse shock at 2-3 AU with particles streaming back from the shocks from the outer heliosphere to 1 AU (Malandraki et al., 2007). However, AEPEs observed for many hours before the crossing of the forward shock (or even before the leading edge of a CIR without well-formed forward shock) cannot be explained within the framework of this paradigm. We have recently found that the effect of pre-CIR AEPEs occurs mainly as a result of the formation of a region filled with magnetic islands compressed between the high-density leading edge of a CIR and the HCS (Khabarova et al. ApJ, 2016). We show here that any kind of complicated stream-CIR interactions may lead to the same effect due to the formation of magnetic cavities in front of CIRs. The analysis of in situ multi-spacecraft measurements often suggests very complicated ways of propagation of streams and current sheets that form magnetic cavities. In the case of multiple stream-stream interaction, comparisons of data from distant spacecraft may be puzzling and even useless for understanding the large-scale topology of the region of particle acceleration, because even several point measurements cannot reconstruct approximate forms of the magnetic cavities and shed light on the pre-history of their origin and evolution. We employ interplanetary scintillation tomographic data for reconstructions of the solar wind speed, density and interplanetary magnetic field profiles to understand a 3-D picture of stream interactions responsible for pre-CIR AEPEs. This project has received funding from the European Union's Horizon 2020 research and innovation programme under grant agreement No 637324

  2. Correlation between auditory function and internal auditory canal pressure in patients with vestibular schwannomas.

    PubMed

    Lapsiwala, Samir B; Pyle, G Mark; Kaemmerle, Ann W; Sasse, Frank J; Badie, Behnam

    2002-05-01

    Hearing loss is the most common presenting symptom in patients who harbor a vestibular schwannoma (VS). Although mechanical injury to the cochlear nerve and vascular compromise of the auditory apparatus have been proposed, the exact mechanism of this hearing loss remains unclear. To test whether pressure on the cochlear nerve from tumor growth in the internal auditory canal (IAC) is responsible for this clinical finding, the authors prospectively evaluated intracanalicular pressure (ICaP) in patients with VS and correlated this with preoperative brainstem response. In 40 consecutive patients undergoing a retrosigmoid-transmeatal approach for tumor excision, ICaP was measured by inserting a pressure microsensor into the IAC before any tumor manipulation. Pressure recordings were correlated with tumor size and preoperative auditory evoked potential (AEP) recordings. The ICaP, which varied widely among patients (range 0-45 mm Hg), was significantly elevated in most patients (median 16 mm Hg). Although these pressure measurements directly correlated to the extension of tumor into the IAC (p = 0.001), they did not correlate to total tumor size (p = 0.2). In 20 patients in whom baseline AEP recordings were available, the ICaP directly correlated to wave V latency (p = 0.0001), suggesting that pressure from tumor growth in the IAC may be responsible for hearing loss in these patients. Tumor growth into the IAC results in elevation of ICaP and may play a role in hearing loss in patients with VS. The relevance of these findings to the surgical treatment of these tumors is discussed.

  3. 77 FR 9914 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-21

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 1 Take notice.... Applicants: Consumers Energy Company. Description: Response of Consumers Energy Company to January 12, 2012.... Docket Numbers: ER12-1025-000. Applicants: AEP Texas North Company. Description: 20120208 TNC-Kaiser...

  4. Improvement of AEP Predictions Using Diurnal CFD Modelling with Site-Specific Stability Weightings Provided from Mesoscale Simulation

    NASA Astrophysics Data System (ADS)

    Hristov, Y.; Oxley, G.; Žagar, M.

    2014-06-01

    The Bolund measurement campaign, performed by Danish Technical University (DTU) Wind Energy Department (also known as RISØ), provided significant insight into wind flow modeling over complex terrain. In the blind comparison study several modelling solutions were submitted with the vast majority being steady-state Computational Fluid Dynamics (CFD) approaches with two equation k-epsilon turbulence closure. This approach yielded the most accurate results, and was identified as the state-of-the-art tool for wind turbine generator (WTG) micro-siting. Based on the findings from Bolund, further comparison between CFD and field measurement data has been deemed essential in order to improve simulation accuracy for turbine load and long-term Annual Energy Production (AEP) estimations. Vestas Wind Systems A/S is a major WTG original equipment manufacturer (OEM) with an installed base of over 60GW in over 70 countries accounting for 19% of the global installed base. The Vestas Performance and Diagnostic Centre (VPDC) provides online live data to more than 47GW of these turbines allowing a comprehensive comparison between modelled and real-world energy production data. In previous studies, multiple sites have been simulated with a steady neutral CFD formulation for the atmospheric surface layer (ASL), and wind resource (RSF) files have been generated as a base for long-term AEP predictions showing significant improvement over predictions performed with the industry standard linear WAsP tool. In this study, further improvements to the wind resource file generation with CFD are examined using an unsteady diurnal cycle approach with a full atmospheric boundary layer (ABL) formulation, with the unique stratifications throughout the cycle weighted according to mesoscale simulated sectorwise stability frequencies.

  5. Two proteins for the price of one: Structural studies of the dual-destiny protein preproalbumin with sunflower trypsin inhibitor-1.

    PubMed

    Franke, Bastian; James, Amy M; Mobli, Mehdi; Colgrave, Michelle L; Mylne, Joshua S; Rosengren, K Johan

    2017-07-28

    Seed storage proteins are both an important source of nutrition for humans and essential for seedling establishment. Interestingly, unusual napin-type 2S seed storage albumin precursors in sunflowers contain a sequence that is released as a macrocyclic peptide during post-translational processing. The mechanism by which such peptides emerge from linear precursor proteins has received increased attention; however, the structural characterization of intact precursor proteins has been limited. Here, we report the 3D NMR structure of the Helianthus annuus PawS1 ( p repro a lbumin w ith s unflower trypsin inhibitor- 1 ) and provide new insights into the processing of this remarkable dual-destiny protein. In seeds, PawS1 is matured by asparaginyl endopeptidases (AEPs) into the cyclic peptide SFTI-1 ( s un f lower t rypsin i nhibitor- 1 ) and a heterodimeric 2S albumin. The structure of PawS1 revealed that SFTI-1 and the albumin are independently folded into well-defined domains separated by a flexible linker. PawS1 was cleaved in vitro with recombinant sunflower HaAEP1 and in situ using a sunflower seed extract in a way that resembled the expected in vivo cleavages. Recombinant HaAEP1 cleaved PawS1 at multiple positions, and in situ , its flexible linker was removed, yielding fully mature heterodimeric albumin. Liberation and cyclization of SFTI-1, however, was inefficient, suggesting that specific seed conditions or components may be required for in vivo biosynthesis of SFTI-1. In summary, this study has revealed the 3D structure of a macrocyclic precursor protein and provided important mechanistic insights into the maturation of sunflower proalbumins into an albumin and a macrocyclic peptide. © 2017 by The American Society for Biochemistry and Molecular Biology, Inc.

  6. Spatial assessment of soil contamination by heavy metals from informal electronic waste recycling in Agbogbloshie, Ghana

    PubMed Central

    Greve, Klaus; Atiemo, Sampson M.

    2016-01-01

    Objectives This study examined the spatial distribution and the extent of soil contamination by heavy metals resulting from primitive, unconventional informal electronic waste recycling in the Agbogbloshie e-waste processing site (AEPS) in Ghana. Methods A total of 132 samples were collected at 100 m intervals, with a handheld global position system used in taking the location data of the soil sample points. Observing all procedural and quality assurance measures, the samples were analyzed for barium (Ba), cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), mercury (Hg), nickel (Ni), lead (Pb), and zinc (Zn), using X-ray fluorescence. Using environmental risk indices of contamination factor and degree of contamination (Cdeg), we analyzed the individual contribution of each heavy metal contamination and the overall Cdeg. We further used geostatistical techniques of spatial autocorrelation and variability to examine spatial distribution and extent of heavy metal contamination. Results Results from soil analysis showed that heavy metal concentrations were significantly higher than the Canadian Environmental Protection Agency and Dutch environmental standards. In an increasing order, Pb>Cd>Hg>Cu>Zn>Cr>Co>Ba>Ni contributed significantly to the overall Cdeg. Contamination was highest in the main working areas of burning and dismantling sites, indicating the influence of recycling activities. Geostatistical analysis also revealed that heavy metal contamination spreads beyond the main working areas to residential, recreational, farming, and commercial areas. Conclusions Our results show that the studied heavy metals are ubiquitous within AEPS and the significantly high concentration of these metals reflect the contamination factor and Cdeg, indicating soil contamination in AEPS with the nine heavy metals studied. PMID:26987962

  7. Spatial assessment of soil contamination by heavy metals from informal electronic waste recycling in Agbogbloshie, Ghana.

    PubMed

    Kyere, Vincent Nartey; Greve, Klaus; Atiemo, Sampson M

    2016-01-01

    This study examined the spatial distribution and the extent of soil contamination by heavy metals resulting from primitive, unconventional informal electronic waste recycling in the Agbogbloshie e-waste processing site (AEPS) in Ghana. A total of 132 samples were collected at 100 m intervals, with a handheld global position system used in taking the location data of the soil sample points. Observing all procedural and quality assurance measures, the samples were analyzed for barium (Ba), cadmium (Cd), cobalt (Co), chromium (Cr), copper (Cu), mercury (Hg), nickel (Ni), lead (Pb), and zinc (Zn), using X-ray fluorescence. Using environmental risk indices of contamination factor and degree of contamination (C deg ), we analyzed the individual contribution of each heavy metal contamination and the overall C deg . We further used geostatistical techniques of spatial autocorrelation and variability to examine spatial distribution and extent of heavy metal contamination. Results from soil analysis showed that heavy metal concentrations were significantly higher than the Canadian Environmental Protection Agency and Dutch environmental standards. In an increasing order, Pb>Cd>Hg>Cu>Zn>Cr>Co>Ba>Ni contributed significantly to the overall C deg . Contamination was highest in the main working areas of burning and dismantling sites, indicating the influence of recycling activities. Geostatistical analysis also revealed that heavy metal contamination spreads beyond the main working areas to residential, recreational, farming, and commercial areas. Our results show that the studied heavy metals are ubiquitous within AEPS and the significantly high concentration of these metals reflect the contamination factor and C deg , indicating soil contamination in AEPS with the nine heavy metals studied.

  8. Sensory transduction of weak electromagnetic fields: role of glutamate neurotransmission mediated by NMDA receptors.

    PubMed

    Frilot, C; Carrubba, S; Marino, A A

    2014-01-31

    Subliminal electromagnetic fields (EMFs) triggered nonlinear evoked potentials in awake but not anesthetized animals, and increased glucose metabolism in the hindbrain. Field detection occurred somewhere in the head and possibly was an unrecognized function of sensory neurons in facial skin, which synapse in the trigeminal nucleus and project to the thalamus via glutamate-dependent pathways. If so, anesthetic agents that antagonize glutamate neurotransmission would be expected to degrade EMF-evoked potentials (EEPs) to a greater extent than agents having different pharmacological effects. We tested the hypothesis using ketamine which blocks N-methyl-d-aspartate (NMDA) receptors (NMDARs), and xylazine which is an α₂-adrenoreceptor agonist. Electroencephalograms (EEGs) of rats were examined using recurrence analysis to observe EEPs in the presence and absence of ketamine and/or xylazine anesthesia. Auditory evoked potentials (AEPs) served as positive controls. The frequency of observation of evoked potentials in a given condition (wake or anesthesia) was compared with that due to chance using the Fisher's exact test. EEPs were observed in awake rats but not while they were under anesthesia produced using a cocktail of xylazine and ketamine. In another experiment each rat was measured while awake and while under anesthesia produced using either xylazine or ketamine. EEPs and AEPs were detected during wake and under xylazine (P<0.05 in each of the four measurements). In contrast, neither EEPs nor AEPs were observed when anesthesia was produced partly or wholly using ketamine. The duration and latency of the EEPs was unaltered by xylazine anesthesia. The afferent signal triggered by the transduction of weak EMFs was likely mediated by NMDAR-mediated glutamate neurotransmission. Copyright © 2013 IBRO. Published by Elsevier Ltd. All rights reserved.

  9. Atmospheric turbulence affects wind turbine nacelle transferfunctions

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

    St. Martin, Clara M.; Lundquist, Julie K.; Clifton, Andrew

    Despite their potential as a valuable source of individual turbine power performance and turbine array energy production optimization information, nacelle-mounted anemometers have often been neglected because complex flows around the blades and nacelle interfere with their measurements. This work quantitatively explores the accuracy of and potential corrections to nacelle anemometer measurements to determine the degree to which they may be useful when corrected for these complex flows, particularly for calculating annual energy production (AEP) in the absence of other meteorological data. Using upwind meteorological tower measurements along with nacelle-based measurements from a General Electric (GE) 1.5sle model, we calculate empiricalmore » nacelle transfer functions (NTFs) and explore how they are impacted by different atmospheric and turbulence parameters. This work provides guidelines for the use of NTFs for deriving useful wind measurements from nacelle-mounted anemometers. Corrections to the nacelle anemometer wind speed measurements can be made with NTFs and used to calculate an AEP that comes within 1 % of an AEP calculated with upwind measurements. We also calculate unique NTFs for different atmospheric conditions defined by temperature stratification as well as turbulence intensity, turbulence kinetic energy, and wind shear. During periods of low stability as defined by the Bulk Richardson number ( RB), the nacelle-mounted anemometer underestimates the upwind wind speed more than during periods of high stability at some wind speed bins below rated speed, leading to a more steep NTF during periods of low stability. Similarly, during periods of high turbulence, the nacelle-mounted anemometer underestimates the upwind wind speed more than during periods of low turbulence at most wind bins between cut-in and rated wind speed. Based on these results, we suggest different NTFs be calculated for different regimes of atmospheric stability and turbulence for power performance validation purposes.« less

  10. Comparison of tolerability and adverse symptoms in oxcarbazepine and carbamazepine in the treatment of trigeminal neuralgia and neuralgiform headaches using the Liverpool Adverse Events Profile (AEP).

    PubMed

    Besi, E; Boniface, D R; Cregg, R; Zakrzewska, J M

    2015-01-01

    Adverse effects of drugs are poorly reported in the literature . The aim of this study was to examine the frequency of the adverse events of antiepileptic drugs (AEDs), in particular carbamazepine (CBZ) and oxcarbazepine (OXC) in patients with neuralgiform pain using the psychometrically tested Liverpool Adverse Events Profile (AEP) and provide clinicians with guidance as to when to change management. The study was conducted as a clinical prospective observational exploratory survey of 161 patients with idiopathic trigeminal neuralgia and its variants of whom 79 were on montherapy who attended a specialist clinic in a London teaching hospital over a period of 2 years. At each consultation they completed the AEP questionnaire which provides scores of 19-76 with toxic levels being considered as scores >45. The most common significant side effects were: tiredness 31.3 %, sleepiness 18.2 %, memory problems 22.7 %, disturbed sleep 14.1 %, difficulty concentrating and unsteadiness 11.6 %. Females reported significantly more side effects than males. Potential toxic dose for females is approximately 1200 mg of OXC and 800 mg of CBZ and1800mg of OXC and 1200 mg of CBZ for males. CBZ and OXC are associated with cognitive impairment. Pharmacokinetic and pharmacodynamic differences are likely to be the reason for gender differences in reporting side effects. Potentially, females need to be prescribed lower dosages in view of their tendency to reach toxic levels at lower dosages. Side effects associated with AED could be a major reason for changing drugs or to consider a referral for surgical management.

  11. Determination of hemispheric emotional valence in individual subjects: a new approach with research and therapeutic implications.

    PubMed

    Schiffer, Fredric; Teicher, Martin H; Anderson, Carl; Tomoda, Akemi; Polcari, Ann; Navalta, Carryl P; Andersen, Susan L

    2007-03-06

    Much has been theorized about the emotional properties of the hemispheres. Our review of the dominant hypotheses put forth by Schore, Joseph, Davidson, and Harmon-Jones on hemispheric emotional valences (HEV) shows that none are supported by robust data. Instead, we propose that individual's hemispheres are organized to have differing HEVs that can be lateralized in either direction. Probe auditory evoked potentials (AEP) recorded during a neutral and an upsetting memory were used to assess HEV in 28 (20 F) right-handed subjects who were either victims of childhood maltreatment (N = 12) or healthy controls. In a sub-population, we determined HEV by emotional response to lateral visual field stimulation (LVFS), in which vision is limited to one, then the other hemifield. We compare a number of morphometric and functional brain measures between individuals who have right-negative versus left-negative HEV. Using AEPs to determine HEV, we found 62% of controls and 67% of maltreated subjects had right negative HEV. There was a strong interaction between HEV-laterality and gender, which together accounted for 60% of individual variability in total grey matter volume (GMV). HEV-laterality was associated with differences in hippocampal volume, amygdala/hippocampal ratios, and measures of verbal, visual and global memory. HEV-laterality was associated also with different constellations of symptoms comparing maltreated subjects to controls. Emotional response to LVFS provided a convenient and complementary measure of HEV-laterality that correlated significantly with the HEVs determined by AEPs. Our findings suggest that HEV-laterality, like handedness or gender, is an important individual difference with significant implications for brain and behavioral research, and for guiding lateralized treatments such as rTMS.

  12. [Immunisation schedule of the Spanish Association of Paediatrics: 2017 recommendations].

    PubMed

    Moreno-Pérez, David; Álvarez García, Francisco José; Arístegui Fernández, Javier; Cilleruelo Ortega, María José; Corretger Rauet, José María; García Sánchez, Nuria; Hernández Merino, Ángel; Hernández-Sampelayo Matos, Teresa; Merino Moína, Manuel; Ortigosa Del Castillo, Luis; Ruiz-Contreras, Jesús

    2017-02-01

    The Advisory Committee on Vaccines of the Spanish Association of Paediatrics (CAV- AEP) annually publishes the immunisation schedule which, in our opinion, is considered optimal for children resident in Spain, taking into account the evidence available on current vaccines. Pneumococcal and varicella immunisation in early childhood is already included in all funded vaccines present in the regional immunisation programmes. Furthermore, this committee establishes recommendations on vaccines not included in official calendars (non-funded immunisations), such as rotavirus, meningococcal B, and meningococcal ACWY. As regards funded immunisations, 2+1 strategy (2, 4, 11-12 months) with hexavalent (DTaP-IPV-Hib-HB) and 13-valent pneumococcal vaccines is recommended. Administration of the 6-year booster dose with DTaP is recommended, as well as a poliomyelitis dose for children who had received the 2+1 scheme, with the Tdap vaccine for adolescents and pregnant women between 27 and 32 weeks gestation. The two-dose scheme should be used for MMR (12 months and 2-4 years) and varicella (15 months and 2-4 years). Coverage of human papillomavirus vaccination in girls aged 12 with a two-dose scheme (0, 6 months) should be improved. Information and recommendations for male adolescents about potential beneficial effects of the tetravalent HPV vaccine should also be provided. ACWY meningococcal vaccine is the optimal choice in adolescents. For recommended unfunded immunisations, the CAV-AEP recommends the administration of meningococcal B vaccine, due to the current availability in Spanish community pharmacies, with a 3+1 scheme. CAV-AEP requests the incorporation of this vaccine in the funded unified schedule. Vaccination against rotavirus is recommended in all infants. Copyright © 2016 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  13. Atmospheric turbulence affects wind turbine nacelle transferfunctions

    DOE PAGES

    St. Martin, Clara M.; Lundquist, Julie K.; Clifton, Andrew; ...

    2017-06-02

    Despite their potential as a valuable source of individual turbine power performance and turbine array energy production optimization information, nacelle-mounted anemometers have often been neglected because complex flows around the blades and nacelle interfere with their measurements. This work quantitatively explores the accuracy of and potential corrections to nacelle anemometer measurements to determine the degree to which they may be useful when corrected for these complex flows, particularly for calculating annual energy production (AEP) in the absence of other meteorological data. Using upwind meteorological tower measurements along with nacelle-based measurements from a General Electric (GE) 1.5sle model, we calculate empiricalmore » nacelle transfer functions (NTFs) and explore how they are impacted by different atmospheric and turbulence parameters. This work provides guidelines for the use of NTFs for deriving useful wind measurements from nacelle-mounted anemometers. Corrections to the nacelle anemometer wind speed measurements can be made with NTFs and used to calculate an AEP that comes within 1 % of an AEP calculated with upwind measurements. We also calculate unique NTFs for different atmospheric conditions defined by temperature stratification as well as turbulence intensity, turbulence kinetic energy, and wind shear. During periods of low stability as defined by the Bulk Richardson number ( RB), the nacelle-mounted anemometer underestimates the upwind wind speed more than during periods of high stability at some wind speed bins below rated speed, leading to a more steep NTF during periods of low stability. Similarly, during periods of high turbulence, the nacelle-mounted anemometer underestimates the upwind wind speed more than during periods of low turbulence at most wind bins between cut-in and rated wind speed. Based on these results, we suggest different NTFs be calculated for different regimes of atmospheric stability and turbulence for power performance validation purposes.« less

  14. SMALL-SCALE MAGNETIC ISLANDS IN THE SOLAR WIND AND THEIR ROLE IN PARTICLE ACCELERATION. II. PARTICLE ENERGIZATION INSIDE MAGNETICALLY CONFINED CAVITIES

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

    Khabarova, Olga V.; Zank, Gary P.; Li, Gang

    2016-08-20

    We explore the role of heliospheric magnetic field configurations and conditions that favor the generation and confinement of small-scale magnetic islands associated with atypical energetic particle events (AEPEs) in the solar wind. Some AEPEs do not align with standard particle acceleration mechanisms, such as flare-related or simple diffusive shock acceleration processes related to interplanetary coronal mass ejections (ICMEs) and corotating interaction regions (CIRs). As we have shown recently, energetic particle flux enhancements may well originate locally and can be explained by particle acceleration in regions filled with small-scale magnetic islands with a typical width of ∼0.01 au or less, whichmore » is often observed near the heliospheric current sheet (HCS). The particle energization is a consequence of magnetic reconnection-related processes in islands experiencing either merging or contraction, observed, for example, in HCS ripples. Here we provide more observations that support the idea and the theory of particle energization produced by small-scale-flux-rope dynamics (Zank et al. and Le Roux et al.). If the particles are pre-accelerated to keV energies via classical mechanisms, they may be additionally accelerated up to 1–1.5 MeV inside magnetically confined cavities of various origins. The magnetic cavities, formed by current sheets, may occur at the interface of different streams such as CIRs and ICMEs or ICMEs and coronal hole flows. They may also form during the HCS interaction with interplanetary shocks (ISs) or CIRs/ICMEs. Particle acceleration inside magnetic cavities may explain puzzling AEPEs occurring far beyond ISs, within ICMEs, before approaching CIRs as well as between CIRs.« less

  15. The Aggregate Exposure Pathway (AEP): A conceptual framework for advancing exposure science research and applications

    EPA Science Inventory

    Historically, risk assessment has relied upon toxicological data to obtain hazard-based reference levels, which are subsequently compared to exposure estimates to determine whether an unacceptable risk to public health may exist. Recent advances in analytical methods, biomarker ...

  16. Phosphorus sorption on marine carbonate sediment: phosphonate as model organic compounds.

    PubMed

    Huang, Xiao-Lan; Zhang, Jia-Zhong

    2011-11-01

    Organophosphonate, characterized by the presence of a stable, covalent, carbon to phosphorus (C-P) bond, is a group of synthetic or biogenic organophosphorus compounds. The fate of these organic phosphorus compounds in the environment is not well studied. This study presents the first investigation on the sorption of phosphorus (P) in the presence of two model phosphonate compounds, 2-aminothylphosphonoic acid (2-AEP) and phosphonoformic acid (PFA), on marine carbonate sediments. In contrast to other organic P compounds, no significant inorganic phosphate exchange was observed in seawater. P was found to adsorb on the sediment only in the presence of PFA, not 2-AEP. This indicated that sorption of P from phosphonate on marine sediment was compound specific. Compared with inorganic phosphate sorption on the same sediments, P sorption from organic phosphorus is much less in the marine environment. Further study is needed to understand the potential role of the organophosphonate compounds in biogeochemical cycle of phosphorus in the environment. Copyright © 2011 Elsevier Ltd. All rights reserved.

  17. Bisensory stimulation increases gamma-responses over multiple cortical regions.

    PubMed

    Sakowitz, O W; Quiroga, R Q; Schürmann, M; Başar, E

    2001-04-01

    In the framework of the discussion about gamma (approx. 40 Hz) oscillations as information carriers in the brain, we investigated the relationship between gamma responses in the EEG and intersensory association. Auditory evoked potentials (AEPs) and visual evoked potentials (VEPs) were compared with bisensory evoked potentials (BEPs; simultaneous auditory and visual stimulation) in 15 subjects. Gamma responses in AEPs, VEPs and BEPs were assessed by means of wavelet decomposition. Overall maximum gamma-components post-stimulus were highest in BEPs (P < 0.01). Bisensory evoked gamma-responses also showed significant central, parietal and occipital amplitude-increases (P < 0.001, P < 0.01, P < 0.05, respectively; prestimulus interval as baseline). These were of greater magnitude when compared with the unisensory responses. As a correlate of the marked gamma responses to bimodal stimulation we suggest a process of 'intersensory association', i.e. one of the steps between sensory transmission and perception. Our data may be interpreted as a further example of function-related gamma responses in the EEG.

  18. Expanding on Successful Concepts, Models, and Organization

    EPA Science Inventory

    If the goal of the AEP framework was to replace existing exposure models or databases for organizing exposure data with a concept, we would share Dr. von Göetz concerns. Instead, the outcome we promote is broader use of an organizational framework for exposure science. The f...

  19. Sifting the Data

    ERIC Educational Resources Information Center

    Waters, John K.

    2013-01-01

    Students who search for broad terms on the Internet can be deluged by useless or offensive information. Dave Gladney, project manager for the Association of Educational Publishers (AEP), says what's needed is a commonly agreed-upon vocabulary for describing content for education search. The Learning Resource Metadata Initiative (LRMI) has a…

  20. 77 FR 54908 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-09-06

    ...-000 Applicants: AEP Texas Central Company Description: Petronila Wind Farm PDA to be effective 7/31... Wind Energy, LLC Description: Request for Waiver of Open Access Requirements of NaturEner Rim Rock Wind... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 1 Take notice...

  1. 77 FR 6553 - Combined Notice of Filings #2

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-02-08

    .... Applicants: American Electric Power Service Corporation, AEP Energy Partners, Inc., CSW Energy Services, Inc., Central and South West Services, Inc. Description: Notice of change in status of American Electric Power.... Applicants: Black Hills/Colorado Electric Utility Co, LP, Black Hills Colorado IPP, LLC, Black Hills Power...

  2. 78 FR 43875 - Combined Notice of Filings #2

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-22

    ... Company submits TCC-Sendero Wind Energy IA to be effective 6/26/2013. Filed Date: 7/15/13. Accession... Texas Central Company. Description: AEP Texas Central Company submits TCC-Patriot Wind Farm IA to be... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 2 Take notice...

  3. The Aggregate Exposure Pathway (AEP): A conceptual framework for advancing exposure science research and transforming risk assessment

    EPA Science Inventory

    Recent advances in analytical methods, biomarker discovery, cell-based assay development, computational tools, sensor/monitor, and omics technology have enabled new streams of exposure and toxicity data to be generated at higher volumes and speed. These new data offer the opport...

  4. 78 FR 38705 - Combined Notice of Filings #2

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-27

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 2 June 20, 2013. Take notice that the Commission received the following electric rate filings: Docket Numbers: ER13-1164-001. Applicants: Ohio Power Company, American Electric Power Service Corporation, PJM Interconnection, L.L.C. Description: Ohio Power & AEP...

  5. State of the States, 2012: Arts Education State Policy Summary

    ERIC Educational Resources Information Center

    Arts Education Partnership (NJ1), 2012

    2012-01-01

    The "State of the States 2012" summarizes state policies for arts education identified in statute or code for all 50 states and the District of Columbia. Information is based primarily on results from the AEP Arts Education State Policy Survey conducted in 2010-11, and updated in April 2012.

  6. 75 FR 2140 - Clean Air Act Operating Permit Program; Petition for Objection to Federal Operating Permit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-14

    ... Objection to Federal Operating Permit for American Electric Power Service Corporation, Southwest Electric... object to the American Electric Power Service Corporation, Southwest Electric Power Company (AEP... Permits Section, Multimedia Planning and Permitting Division, EPA Region 6, 1445 Ross Avenue, Dallas...

  7. Frameworks for organizing exposure and toxicity data - the Aggregate Exposure Pathway (AEP) and the Adverse Outcome Pathway (AOP)

    EPA Science Inventory

    The Adverse Outcome Pathway (AOP) framework organizes existing knowledge regarding a series of biological events, starting with a molecular initiating event (MIE) and ending at an adverse outcome. The AOP framework provides a biological context to interpret in vitro toxicity dat...

  8. 77 FR 31842 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-05-30

    ...-5152. Comments Due: 5 p.m. ET 6/11/12. Docket Numbers: ER12-1825-000. Applicants: EDF Industrial Power Services (CA), LLC. Description: EDF Industrial Power Services (CA), LLC submits tariff filing per 35.12... following electric securities filings: Docket Numbers: ES12-13-000. Applicants: AEP Texas North Company...

  9. 76 FR 73608 - Reliability Technical Conference, North American Electric Reliability Corporation, Public Service...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... or municipal authority play in forming your bulk power system reliability plans? b. Do you support..., North American Electric Reliability Corporation (NERC) Nick Akins, CEO of American Electric Power (AEP..., EL11-62-000] Reliability Technical Conference, North American Electric Reliability Corporation, Public...

  10. Improving influence of insulin on cognitive functions in humans.

    PubMed

    Kern, W; Peters, A; Fruehwald-Schultes, B; Deininger, E; Born, J; Fehm, H L

    2001-10-01

    Insulin receptors have been identified in limbic brain structures, but their functional relevance is still unclear. In order to characterize some of their effects, we evaluated auditory evoked brain potentials (AEP) in a vigilance task, behavioral measures of memory (recall of words) and selective attention (Stroop test) during infusion of insulin. The hormone was infused at two different rates (1.5 mU/kg x min, "low insulin", and 15 mU/kg x min, "high insulin"), inducing respectively serum levels of 543 +/- 34 and 24,029 +/- 1,595 pmol/l. This experimental design allowed to compare cognitive parameters under two conditions presenting markedly different insulin levels, but with minimal incidence on blood glucose concentrations since these were kept constant by glucose infusion. A "no insulin treatment" group was not included in order to avoid leaving patients infused with glucose without insulin treatment. Measures were taken during a baseline phase preceding insulin infusion and every 90 min during the 360 min of insulin infusion. Compared with "low insulin", "high insulin" induced a slow negative potential shift in the AEP over the frontal cortex (average amplitude, high insulin: 0.27 +/- 0.48 microV; low insulin: 1.87 +/- 0.48 microV, p < 0.005), which was paralleled by enhanced memory performance (words recalled, high insulin: 22.04 +/- 0.93; low insulin: 19.29 +/- 0.92, p < 0.05). Also, during "high insulin" subjects displayed enhanced performance on the Stroop test (p < 0.05) and expressed less difficulty in thinking than during "low insulin" (p < 0.03). Results indicate an improving effect of insulin on cognitive function, and may provide a frame for further investigations of neurobehavioral effects of insulin in patients with lowered or enhanced brain insulin, i.e., patients with Alzheimer's disease or diabetes mellitus. Copyright 2001 S. Karger AG, Basel

  11. Evaluation of the magnitude and frequency of floods in urban watersheds in Phoenix and Tucson, Arizona

    USGS Publications Warehouse

    Kennedy, Jeffrey R.; Paretti, Nicholas V.

    2014-01-01

    Flooding in urban areas routinely causes severe damage to property and often results in loss of life. To investigate the effect of urbanization on the magnitude and frequency of flood peaks, a flood frequency analysis was carried out using data from urbanized streamgaging stations in Phoenix and Tucson, Arizona. Flood peaks at each station were predicted using the log-Pearson Type III distribution, fitted using the expected moments algorithm and the multiple Grubbs-Beck low outlier test. The station estimates were then compared to flood peaks estimated by rural-regression equations for Arizona, and to flood peaks adjusted for urbanization using a previously developed procedure for adjusting U.S. Geological Survey rural regression peak discharges in an urban setting. Only smaller, more common flood peaks at the 50-, 20-, 10-, and 4-percent annual exceedance probabilities (AEPs) demonstrate any increase in magnitude as a result of urbanization; the 1-, 0.5-, and 0.2-percent AEP flood estimates are predicted without bias by the rural-regression equations. Percent imperviousness was determined not to account for the difference in estimated flood peaks between stations, either when adjusting the rural-regression equations or when deriving urban-regression equations to predict flood peaks directly from basin characteristics. Comparison with urban adjustment equations indicates that flood peaks are systematically overestimated if the rural-regression-estimated flood peaks are adjusted upward to account for urbanization. At nearly every streamgaging station in the analysis, adjusted rural-regression estimates were greater than the estimates derived using station data. One likely reason for the lack of increase in flood peaks with urbanization is the presence of significant stormwater retention and detention structures within the watershed used in the study.

  12. 78 FR 42061 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-15

    ... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 1 Take notice... effective 6/1/2013. Filed Date: 7/3/13. Accession Number: 20130703-5125. Comments Due: 5 p.m. e.t. 7/24/13.... Description: Application of AEP Generation Resources Inc. for Market-Based Rate Authority to be effective 1/1...

  13. 78 FR 51686 - Approval and Promulgation of Implementation Plans; Oklahoma; Regional Haze and Interstate...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-21

    ... American Electric Power/Public Service Company of Oklahoma AGENCY: Environmental Protection Agency (EPA... addressing the Best Available Retrofit Technology (BART) requirements for sulfur dioxide (SO 2 ) and oxides of nitrogen (NO X ) for Units 3 and 4 of the American Electric Power/Public Service Company (AEP/PSO...

  14. 77 FR 33206 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-06-05

    ... Reliability Standard CIP- 006--Cyber Security--Physical Security of Critical Cyber Assets. Filed Date: 5/23/12... Company, LLC. Description: Certificate of Concurrence to be effective 7/12/2012. Filed Date: 5/24/12.... Comments Due: 5 p.m. ET 6/14/12. Docket Numbers: ER12-1845-000. Applicants: AEP Texas North Company...

  15. Estimation of peak discharge quantiles for selected annual exceedance probabilities in Northeastern Illinois.

    DOT National Transportation Integrated Search

    2016-06-01

    This report provides two sets of equations for estimating peak discharge quantiles at annual exceedance probabilities (AEPs) of 0.50, 0.20, 0.10, : 0.04, 0.02, 0.01, 0.005, and 0.002 (recurrence intervals of 2, 5, 10, 25, 50, 100, 200, and 500 years,...

  16. 76 FR 17642 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-30

    ... Central Company. Description: AEP Texas Central Company submits tariff filing per 35.15: 20110322 TCC...): 20110322 TCC-Magic Valley GIA to be effective 2/25/ 2011. Filed Date: 03/22/2011. Accession Number...(a)(2)(iii): 20110322 TCC-Los Vientos GIA to be effective 3/7/ 2011. Filed Date: 03/22/2011...

  17. Music Matters: How Music Education Helps Students Learn, Achieve, and Succeed

    ERIC Educational Resources Information Center

    Arts Education Partnership (NJ1), 2011

    2011-01-01

    Beyond the intrinsic value of music to cultures worldwide, education in music has benefits for young people that transcend the musical domain. The Arts Education Partnership (AEP) reviewed an extensive body of research to identify high-quality, evidence-based studies that document student learning outcomes associated with an education in and…

  18. 78 FR 40968 - Notice of Extension of Deadline to Commence Construction Under Clean Air Act Prevention of...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-09

    ...'') has extended the Prevention of Significant Deterioration (``PSD'') permit deadline for commencing construction for a final Clean Air Act PSD permit that authorizes Avenal Power Center, LLC (``APC'') to...: EPA's PSD permit for the AEP became effective on August 18, 2011, and included a deadline for...

  19. Integrating Aggregate Exposure Pathway (AEP) and Adverse Outcome Pathway (AOP) Frameworks to Estimate Exposure-relevant Responses

    EPA Science Inventory

    High throughput toxicity testing (HTT) holds the promise of providing data for tens of thousands of chemicals that currently have no data due to the cost and time required for animal testing. Interpretation of these results require information linking the perturbations seen in vi...

  20. Farmers as Consumers of Agricultural Education Services: Willingness to Pay and Spend Time

    ERIC Educational Resources Information Center

    Charatsari, Chrysanthi; Papadaki-Klavdianou, Afroditi; Michailidis, Anastasios

    2011-01-01

    This study assessed farmers' willingness to pay for and spend time attending an Agricultural Educational Program (AEP). Primary data on the demographic and socio-economic variables of farmers were collected from 355 farmers selected randomly from Northern Greece. Descriptive statistics and multivariate analysis methods were used in order to meet…

  1. Power performance optimization and loads alleviation with active flaps using individual flap control

    NASA Astrophysics Data System (ADS)

    Pettas, Vasilis; Barlas, Thanasis; Gertz, Drew; Madsen, Helge A.

    2016-09-01

    The present article investigates the potential of Active Trailing Edge Flaps (ATEF) in terms of increase in annual energy production (AEP) as well as reduction of fatigue loads. The basis for this study is the DTU 10 MW Reference Wind Turbine (RWT) simulated using the aeroelastic code HAWC2. In an industrial-oriented manner the baseline rotor is upscaled by 5% and the ATEFs are implemented in the outer 30% of the blades. The flap system is kept simple and robust with a single flap section and control with wind speed, rotor azimuth, root bending moments and angle of attack in flap's mid-section being the sensor inputs. The AEP is increased due to the upscaling but also further due to the flap system while the fatigue loads in components of interest (blade, tower, nacelle and main bearing) are reduced close to the level of the original turbine. The aim of this study is to demonstrate a simple and applicable method that can be a technology enabler for rotor upscaling and lowering cost of energy.

  2. C/EBPβ regulates delta-secretase expression and mediates pathogenesis in mouse models of Alzheimer's disease.

    PubMed

    Wang, Zhi-Hao; Gong, Ke; Liu, Xia; Zhang, Zhentao; Sun, Xiaoou; Wei, Zheng Zachory; Yu, Shan Ping; Manfredsson, Fredric P; Sandoval, Ivette M; Johnson, Peter F; Jia, Jianping; Wang, Jian-Zhi; Ye, Keqiang

    2018-05-03

    Delta-secretase cleaves both APP and Tau to mediate the formation of amyloid plaques and neurofibrillary tangle in Alzheimer's disease (AD). However, how aging contributes to an increase in delta-secretase expression and AD pathologies remains unclear. Here we show that a CCAAT-enhancer-binding protein (C/EBPβ), an inflammation-regulated transcription factor, acts as a key age-dependent effector elevating both delta-secretase (AEP) and inflammatory cytokines expression in mediating pathogenesis in AD mouse models. We find that C/EBPβ regulates delta-secretase transcription and protein levels in an age-dependent manner. Overexpression of C/EBPβ in young 3xTg mice increases delta-secretase and accelerates the pathological features including cognitive dysfunctions, which is abolished by inactive AEP C189S. Conversely, depletion of C/EBPβ from old 3xTg or 5XFAD mice diminishes delta-secretase and reduces AD pathologies, leading to amelioration of cognitive impairment in these AD mouse models. Thus, our findings support that C/EBPβ plays a pivotal role in AD pathogenesis via increasing delta-secretase expression.

  3. Counter Selection Substrate Library Strategy for Developing Specific Protease Substrates and Probes

    PubMed Central

    Poreba, Marcin; Solberg, Rigmor; Rut, Wioletta; Lunde, Ngoc Nguyen; Kasperkiewicz, Paulina; Snipas, Scott J.; Mihelic, Marko; Turk, Dusan; Turk, Boris; Salvesen, Guy S.; Drag, Marcin

    2018-01-01

    SUMMARY Legumain (AEP) is a lysosomal cysteine protease that is a lysosomal cysteine protease that was first characterized in leguminous seeds and later discovered in higher eukaryotes. AEP up-regulation is linked to a number of diseases including inflammation, arteriosclerosis and tumorigenesis. Thus legumain is an excellent molecular target for the development of new chemical markers. We deployed a hybrid combinatorial substrate library (HyCoSuL) approach to obtain P1-Asp fluorogenic substrates and biotin-labeled inhibitors that targeted legumain. Since this approach led to probes that were also recognized by caspases, we introduced a Counter Selection Substrate Library (CoSeSuL) approach that biases the peptidic scaffold against caspases, thus delivering highly selective legumain probes. The selectivity of these tools was validated using M38L and HEK293 cells. We also propose that the CoSeSuL methodology can be considered as a general principle in the design of selective probes for other protease families where selectivity is difficult to achieve by conventional sequence-based profiling. PMID:27478158

  4. The Effect of Mounting Vortex Generators on the DTU 10MW Reference Wind Turbine Blade

    NASA Astrophysics Data System (ADS)

    Skrzypiński, Witold; Gaunaa, Mac; Bak, Christian

    2014-06-01

    The aim of the current work is to analyze possible advantages of mounting Vortex Generators (VG's) on a wind turbine blade. Specifically, the project aims at investigating at which radial sections of the DTU 10 MW Reference Wind Turbine blade it is most beneficial to mount the VG's in order to increase the Annual Energy Production (AEP) under realistic conditions. The present analysis was carried out in several steps: (1) The clean two dimensional airfoil characteristics were first modified to emulate the effect of all possible combinations of VG's (1% high at suction side x/c=0.2-0.25) and two Leading Edge Roughness (LER) values along the whole blade span. (2) The combinations from Step 1, including the clean case were subsequently modified to take into account three dimensional effects. (3) BEM computations were carried out to determine the aerodynamic rotor performance using each of the datasets from Step 2 along the whole blade span for all wind speeds in the turbine control scheme. (4) Employing the assumption of radial independence between sections of the blades, and using the results of the BEM computations described in Step 3, it is possible to determine for each radial position independently whether it is beneficial to install VG's in the smooth and LER cases, respectively. The results indicated that surface roughness that corresponds to degradation of the power curve may to some extent be mitigated by installation of VG's. The present results also indicated that the optimal VG configuration in terms of maximizing AEP depends on the degree of severity of the LER. This is because, depending on the condition of blade surface, installation of VG's on an incorrect blade span or installation of VG's too far out on the blade may cause loss in AEP. The results also indicated that the worse condition of the blade surface, the more gain may be obtained from the installation of VG's.

  5. Analysis of floods, including the tropical storm Irene inundation, of the Ottauquechee River in Woodstock, Bridgewater, and Killington and of Reservoir Brook in Bridgewater and Plymouth, Vermont

    USGS Publications Warehouse

    Flynn, Robert H.

    2014-01-01

    In addition to the two digital flood inundation maps, flood profiles were created that depict the study reach flood elevation of tropical storm Irene of August 2011 and the 10-, 2-, 1-, and 0.2-percent AEP floods, also known as the 10-, 50-, 100-, and 500-year floods, respectively. The 10-, 2-, 1-, and 0.2-percent AEP flood discharges were determined using annual peak flow data from the USGS Ottauquechee River near West Bridgewater, Vt. streamgage (station 01150900). Flood profiles were computed for the Ottauquechee River and Reservoir Brook by means of a one-dimensional step-backwater model. The model was calibrated using documented high-water marks of the peak of the tropical storm Irene flood of August 2011 as well as stage discharge data as determined for USGS Ottauquechee River near West Bridgewater, Vt. streamgage (station 01150900). The simulated water-surface profiles were combined with a digital elevation model within a geographic information system to delineate the areas flooded during tropical storm Irene and for the 1-percent AEP water-surface profile. The digital elevation model data were derived from light detection and ranging (lidar) data obtained for a 3,281-foot (1,000-meter) corridor along the Ottauquechee River study reach and were augmented with 33-foot (10- meter) contour interval data in the modeled flood-inundation areas outside the lidar corridor. The 33-foot (10-meter) contour interval USGS 15-minute quadrangle topographic digital raster graphics map used to augment lidar data was produced at a scale of 1:24,000. The digital flood inundation maps and flood profiles along with information regarding current stage from USGS streamgages on the Internet provide emergency management personnel and residents with information that is critical for flood response activities, such as evacuations and road closures, as well as for post-flood recovery efforts.

  6. Source analysis of short and long latency vestibular-evoked potentials (VsEPs) produced by left vs. right ear air-conducted 500 Hz tone pips.

    PubMed

    Todd, N P M; Paillard, A C; Kluk, K; Whittle, E; Colebatch, J G

    2014-06-01

    Todd et al. (2014) have recently demonstrated the presence of vestibular dependent changes both in the morphology and in the intensity dependence of auditory evoked potentials (AEPs) when passing through the vestibular threshold as determined by vestibular evoked myogenic potentials (VEMPs). In this paper we extend this work by comparing left vs. right ear stimulation and by conducting a source analysis of the resulting evoked potentials of short and long latency. Ten healthy, right-handed subjects were recruited and evoked potentials were recorded to both left- and right-ear sound stimulation, above and below vestibular threshold. Below VEMP threshold, typical AEPs were recorded, consisting of mid-latency (MLR) waves Na and Pa followed by long latency AEPs (LAEPs) N1 and P2. In the supra-threshold condition, the expected changes in morphology were observed, consisting of: (1) short-latency vestibular evoked potentials (VsEPs) which have no auditory correlate, i.e. the ocular VEMP (OVEMP) and inion response related potentials; (2) a later deflection, labelled N42/P52, followed by the LAEPs N1 and P2. Statistical analysis of the vestibular dependent responses indicated a contralateral effect for inion related short-latency responses and a left-ear/right-hemisphere advantage for the long-latency responses. Source analysis indicated that the short-latency effects may be mediated by a contralateral projection to left cerebellum, while the long-latency effects were mediated by a contralateral projection to right cingulate cortex. In addition we found evidence of a possible vestibular contribution to the auditory T-complex in radial temporal lobe sources. These last results raise the possibility that acoustic activation of the otolith organs could potentially contribute to auditory processing. Copyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.

  7. 78 FR 17651 - Combined Notice of Filings #1

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-22

    ...-002; ER11-46-005; ER11-47-002; ER10-2975-005; ER10-2981-002. Applicants: BlueStar Energy Services Inc... rate authority for AEP West by BlueStar Energy Services Inc., et al. Filed Date: 3/14/13. Accession...: Wisconsin Power and Light Company. Description: Wisconsin Power and Light Company submits WPL's Changes in...

  8. 78 FR 47311 - Ohio Power Company; AEP Generation Resources, Inc.; Notice of Application for Transfer of License...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-05

    ... Project, FERC No. 2570, located at the U.S. Corps of Engineers Racine Locks and Dam on the Ohio River in... McDonough, Assistant General Counsel--Real Estate, American Electric Power Service Corporation, 1 Riverside..., American Electric Power Service Corporation, 40 Franklin Road, Roanoke, VA 24011, telephone (540) 985-2875...

  9. Kodak Skills Enhancement Program Curriculum: Math for Manufacturing and Quality Control. Report No. AEP-93-01.

    ERIC Educational Resources Information Center

    Beaudin, Bart P.; And Others

    This teacher's guide is intended for use in helping Kodak Corporation employees develop the basic mathematics skills required to perform the manufacturing and quality control tasks expected of them. The following topics are covered in the first five modules: the four basic functions (adding, subtracting, multiplying, and dividing), calculations…

  10. Kodak Skills Enhancement Program Curriculum: Applying Written Information in the Workplace. Report No. AEP-93-03.

    ERIC Educational Resources Information Center

    Beaudin, Bart P.; And Others

    This teacher's guide is intended for use in helping Kodak Corporation employees develop the basic reading skills required in their workplace. The following topics are covered in the individual modules: identifying and summarizing key ideas; mastering four techniques for accessing information (i.e., skimming, scanning, sequencing, and identifying a…

  11. Kodak Skills Enhancement Program Curriculum: Effective Written Communication in the Workplace. Report No. AEP-93-02.

    ERIC Educational Resources Information Center

    Beaudin, Bart P.; And Others

    This teacher's guide is intended for use in presenting a course to help Kodak Corporation employees develop the basic reading skills required in their workplace. The following topics are covered in the modules: prewriting thinking skills; information identification and organization strategies; awareness of the receiver's characteristics and needs;…

  12. Hearing conspecific vocal signals alters peripheral auditory sensitivity

    PubMed Central

    Gall, Megan D.; Wilczynski, Walter

    2015-01-01

    We investigated whether hearing advertisement calls over several nights, as happens in natural frog choruses, modified the responses of the peripheral auditory system in the green treefrog, Hyla cinerea. Using auditory evoked potentials (AEP), we found that exposure to 10 nights of a simulated male chorus lowered auditory thresholds in males and females, while exposure to random tones had no effect in males, but did result in lower thresholds in females. The threshold change was larger at the lower frequencies stimulating the amphibian papilla than at higher frequencies stimulating the basilar papilla. Suprathreshold responses to tonal stimuli were assessed for two peaks in the AEP recordings. For the peak P1 (assessed for 0.8–1.25 kHz), peak amplitude increased following chorus exposure. For peak P2 (assessed for 2–4 kHz), peak amplitude decreased at frequencies between 2.5 and 4.0 kHz, but remained unaltered at 2.0 kHz. Our results show for the first time, to our knowledge, that hearing dynamic social stimuli, like frog choruses, can alter the responses of the auditory periphery in a way that could enhance the detection of and response to conspecific acoustic communication signals. PMID:25972471

  13. Total mercury in muscles and liver of Mugil spp. from three coastal lagoons of NW Mexico: concentrations and risk assessment.

    PubMed

    Delgado-Alvarez, C G; Frías-Espericueta, M G; Ruelas-Inzunza, J; Becerra-Álvarez, M J; Osuna-Martínez, C C; Aguilar-Juárez, M; Osuna-López, J I; Escobar-Sánchez, O; Voltolina, D

    2017-07-01

    Total mercury (Hg) concentrations were determined by atomic absorption spectrophotometry in muscles and liver of composite samples of Mugil cephalus and M. curema collected during November 2013 and in January, April, and July 2014 from the coastal lagoons Altata-Ensenada del Pabellón (AEP), Ceuta (CEU), and Teacapán-Agua Brava (TAG) of Sinaloa State. The mean Hg contents and information on local consumption were used to assess the possible risk caused by fish ingestion. Mean total mercury levels in the muscles ranged from 0.11 to 0.39 μg/g, while the range for liver was 0.12-3.91 μg/g. The mean Hg content of the liver was significantly (p < 0.001) higher than that of the muscles only in samples collected from AEP. Although total Hg levels in the muscles were lower than the official permissible limit, the HQ values for methyl mercury calculated for the younger age classes of one fishing community were >1, indicating a possible risk for some fishing communities of the Mexican Pacific coast.

  14. Effects of single cycle binaural beat duration on auditory evoked potentials.

    PubMed

    Mihajloski, Todor; Bohorquez, Jorge; Özdamar, Özcan

    2014-01-01

    Binaural beat (BB) illusions are experienced as continuous central pulsations when two sounds with slightly different frequencies are delivered to each ear. It has been shown that steady-state auditory evoked potentials (AEPs) to BBs can be captured and investigated. The authors recently developed a new method of evoking transient AEPs to binaural beats using frequency modulated stimuli. This methodology was able to create single BBs in predetermined intervals with varying carrier frequencies. This study examines the effects of the BB duration and the frequency modulating component of the stimulus on the binaural beats and their evoked potentials. Normal hearing subjects were tested with a set of four durations (25, 50, 100, and 200 ms) with two stimulation configurations, binaural dichotic (binaural beats) and diotic (frequency modulation). The results obtained from the study showed that out of the given durations, the 100 ms beat, was capable of evoking the largest amplitude responses. The frequency modulation effect showed a decrease in peak amplitudes with increasing beat duration until their complete disappearance at 200 ms. Even though, at 200 ms, the frequency modulation effects were not present, the binaural beats were still perceived and captured as evoked potentials.

  15. Transactive System: Part II: Analysis of Two Pilot Transactive Systems using Foundational Theory and Metrics

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

    Lian, Jianming; Sun, Y.; Kalsi, Karanjit

    This document is the second of a two-part report. Part 1 reviewed several demonstrations of transactive control and compared them in terms of their payoff functions, control decisions, information privacy, and mathematical solution concepts. It was suggested in Part 1 that these four listed components should be adopted for meaningful comparison and design of future transactive systems. Part 2 proposes qualitative and quantitative metrics that will be needed to compare alternative transactive systems. It then uses the analysis and design principles from Part 1 while conducting more in-depth analysis of two transactive demonstrations: the American Electric Power (AEP) gridSMART Demonstration,more » which used a double –auction market mechanism, and a consensus method like that used in the Pacific Northwest Smart Grid Demonstration. Ultimately, metrics must be devised and used to meaningfully compare alternative transactive systems. One significant contribution of this report is an observation that the decision function used for thermostat control in the AEP gridSMART Demonstration has superior performance if its decision function is recast to more accurately reflect the power that will be used under for thermostatic control under alternative market outcomes.« less

  16. Integration of active and passive microwave signatures for characterization of soil properties

    NASA Astrophysics Data System (ADS)

    Laulhe, Sebastien

    The reaction between an aminooxy moiety (RONH2) and a carbonyl group of either an aldehyde or a ketone --- known as an oximation reaction --- is a versatile click chemistry coupling that generates a robust oxime ether linkage. The oximation reaction is chemoselective and can be performed under mild conditions in a large variety of solvents, including water. The attractive properties of the aminooxy group and derived oximation reactions, reviewed in Chapter 1, inspired us to use this chemistry as a key feature of our research. Specifically, we prepare functionalized aminooxy compounds so that the oximation chemistry can then serve as a prelude to new synthetic or analytical methods. For example, Chapter 2 presents an improved preparation of O-(diphenylphosphinyl)hydroxylamine (DPPH), an aminooxy-containing reagent, using the classic Schotten-Baumann conditions. We show how DPPH can then be used as a chemoselective nitrogen transfer reagent for a one-pot aldehyde-to-nitrile functional group transformation. Sixteen aldehydes were smoothly transformed to their corresponding nitriles by heating at 85 °C with DPPH in toluene. The reaction can be accomplished in the presence of alcohol, ketone, ester, or amine functionality. In another application, we use functionalized aminooxy reagents to achieve quantitative multiplexed gas chromatography-mass spectrometry (GC-MS) analysis. Specifically, we chemoselectively derivatize carbonyl (aldehyde and ketone) metabolites using the aminooxy-containing reagents. Chapter 3 presents a focused fundamental study of the propensity of oxime ethers to undergo MS-induced fragmentations, such as the McLafferty rearrangement. In particular, we studied structural factors that promoted alpha,beta-fragmentation in oximes of both ketones and aldehydes, as well as the derived silyl ethers of these adducts. We determined that 1) the propensity of the McLafferty rearrangement was greatly enhanced by oxygen at the b-position of silyl oxime ethers, 2) the McLafferty rearrangement is more prominent for E-isomers of oxime and silyl oxime ethers than for the corresponding Z-isomers, and 3) Z-isomers of silyl oxime ethers with CH2 at the b-position generate nitrilium ions to a greater extent than their corresponding E-isomers. Chapter 4 describes the 3-step synthesis of a new class of stable isotope-labeled derivatizing reagents ---- a&barbelow;minooxye&barbelow;thyl p&barbelow;ropionate reagents (AEP) ---- that enable multiplexed GC-MS analysis of small molecule carbonyl compounds. The AEP reagents contain 1) an aminooxy moiety, and 2) a propionate ester moiety that generates a reporter isotope-labeled mass spectral tag (MST) in the form of an ethyl carbenium ion via an ester a-cleavage. The AEP MSTs appear in an m/z zone of minimal interference (ZMI) in the range m/z 32-34. This is a key feature in that unobstructed observation of reporter MSTs in this zone significantly improves simultaneous quantitation of carbonyl analytes from multiple samples without recourse to MS peak deconvolution strategies. Also, and in contrast to known isotope coding reagents for GC-MS, AEP reagents are not affected by the chromatographic isotope effect. The versatility of the technology for carbonyl metabolite profiling and absolute quantification is demonstrated by an analysis of turmeric extract, serving as a representative complex biological sample. A series of analogous methyl ketones were profiled from characteristic MS fragmentations of the AEP-derived oxime ether adducts, and two members, 2-nonanone and 2-undecanone, were quantified using AEP-labeled external standards. Finally, Chapter 5 concludes with additional demonstrations of click chemistry. We used oximation to ligate linker molecules to fluorophores and gold nanoparticles (AuNPs) to generate a fluorescent nano-entity for breast cancer location and diagnosis. Five homologous linkers, each consisting of a thiol-terminated hydrophobic domain coupled to an aminooxy-terminated PEG-based domain, were prerared using a 6-step synthesis in 7-25% overall yield. The aminooxy end subsequently was reacted with an aldehyde-functionalized cypate fluorophore, and the thiol end was used for attachment to gold nanoparticles. Linker attachment to cypate in this manner was superior to previously investigated amide coupling involving linker amines and cypate carboxylic acid. Collectively, the results from these investigations demonstrates a novel strategy that employs functionalized aminooxy substrates and reagents to first exploit the high yielding and selective click coupling with carbonyl substrates to set the stage for secondary synthetic or analytical operations. Approaches developed in this multifaceted study appear to be applicable to a variety of synthetic problems ranging from those of a purely chemical nature to other impacting biological systems.

  17. Potential Audiological and MRI Markers of Tinnitus.

    PubMed

    Gopal, Kamakshi V; Thomas, Binu P; Nandy, Rajesh; Mao, Deng; Lu, Hanzhang

    2017-09-01

    Subjective tinnitus, or ringing sensation in the ear, is a common disorder with no accepted objective diagnostic markers. The purpose of this study was to identify possible objective markers of tinnitus by combining audiological and imaging-based techniques. Case-control studies. Twenty adults drawn from our audiology clinic served as participants. The tinnitus group consisted of ten participants with chronic bilateral constant tinnitus, and the control group consisted of ten participants with no history of tinnitus. Each participant with tinnitus was closely matched with a control participant on the basis of age, gender, and hearing thresholds. Data acquisition focused on systematic administration and evaluation of various audiological tests, including auditory-evoked potentials (AEP) and otoacoustic emissions, and magnetic resonance imaging (MRI) tests. A total of 14 objective test measures (predictors) obtained from audiological and MRI tests were subjected to statistical analyses to identify the best predictors of tinnitus group membership. The least absolute shrinkage and selection operator technique for feature extraction, supplemented by the leave-one-out cross-validation technique, were used to extract the best predictors. This approach provided a conservative model that was highly regularized with its error within 1 standard error of the minimum. The model selected increased frontal cortex (FC) functional MRI activity to pure tones matching their respective tinnitus pitch, and augmented AEP wave N₁ amplitude growth in the tinnitus group as the top two predictors of tinnitus group membership. These findings suggest that the amplified responses to acoustic signals and hyperactivity in attention regions of the brain may be a result of overattention among individuals that experience chronic tinnitus. These results suggest that increased functional MRI activity in the FC to sounds and augmented N₁ amplitude growth may potentially be the objective diagnostic indicators of tinnitus. However, due to the small sample size and lack of subgroups within the tinnitus population in this study, more research is needed before generalizing these findings. American Academy of Audiology

  18. Use of auditory evoked potentials for intra-operative awareness in anesthesia: a consciousness-based conceptual model.

    PubMed

    Dong, Xuebao; Suo, Puxia; Yuan, Xin; Yao, Xuefeng

    2015-01-01

    Auditory evoked potentials (AEPs) have been used as a measure of the depth of anesthesia during the intra-operative process. AEPs are classically divided, on the basis of their latency, into first, fast, middle, slow, and late components. The use of auditory evoked potential has been advocated for the assessment of Intra-operative awareness (IOA), but has not been considered seriously enough to universalize it. It is because we have not explored enough the impact of auditory perception and auditory processing on the IOA phenomena as well as on the subsequent psychological impact of IOA on the patient. More importantly, we have seldom tried to look at the phenomena of IOP from the perspective of consciousness itself. This perspective is especially important because many of IOA phenomena exist in the subconscious domain than they do in the conscious domain of explicit recall. Two important forms of these subconscious manifestations of IOA are the implicit recall phenomena and post-operative dreams related to the operation. Here, we present an integrated auditory consciousness-based model of IOA. We start with a brief description of auditory awareness and the factors affecting it. Further, we proceed to the evaluation of conscious and subconscious information processing by auditory modality and how they interact during and after intra-operative period. Further, we show that both conscious and subconscious auditory processing affect the IOA experience and both have serious psychological implications on the patient subsequently. These effects could be prevented by using auditory evoked potential during monitoring of anesthesia, especially the mid-latency auditory evoked potentials (MLAERs). To conclude our model with present hypothesis, we propose that the use of auditory evoked potential should be universal with general anesthesia use in order to prevent the occurrences of distressing outcomes resulting from both conscious and subconscious auditory processing during anesthesia.

  19. Bookending the Opportunity to Lower Wind’s LCOE by Reducing the Uncertainty Surrounding Annual Energy Production

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

    Bolinger, Mark

    Reducing the performance risk surrounding a wind project can potentially lead to a lower weighted-average cost of capital (WACC), and hence a lower levelized cost of energy (LCOE), through an advantageous shift in capital structure, and possibly also a reduction in the cost of capital. Specifically, a reduction in performance risk will move the 1-year P99 annual energy production (AEP) estimate closer to the P50 AEP estimate, which in turn reduces the minimum debt service coverage ratio (DSCR) required by lenders, thereby allowing the project to be financed with a greater proportion of low-cost debt. In addition, a reduction inmore » performance risk might also reduce the cost of one or more of the three sources of capital that are commonly used to finance wind projects: sponsor or cash equity, tax equity, and/or debt. Preliminary internal LBNL analysis of the maximum possible LCOE reduction attainable from reducing the performance risk of a wind project found a potentially significant opportunity for LCOE reduction of ~$10/MWh, by reducing the P50 DSCR to its theoretical minimum value of 1.0 (Bolinger 2015b, 2014) and by reducing the cost of sponsor equity and debt by one-third to one-half each (Bolinger 2015a, 2015b). However, with FY17 funding from the U.S. Department of Energy’s Atmosphere to Electrons (A2e) Performance Risk, Uncertainty, and Finance (PRUF) initiative, LBNL has been revisiting this “bookending” exercise in more depth, and now believes that its earlier preliminary assessment of the LCOE reduction opportunity was overstated. This reassessment is based on two new-found understandings: (1) Due to ever-present and largely irreducible inter-annual variability (IAV) in the wind resource, the minimum required DSCR cannot possibly fall to 1.0 (on a P50 basis), and (2) A reduction in AEP uncertainty will not necessarily lead to a reduction in the cost of capital, meaning that a shift in capital structure is perhaps the best that can be expected (perhaps along with a modest decline in the cost of cash equity as new investors enter the market).« less

  20. Test Plan Development for Plastic Ammunition Containers. Volume 1

    DTIC Science & Technology

    1989-03-15

    1850 Black Canyon Stage¶I Packaging division (SMCAR-AEP) Picatinny Phoenix, Arizona 85027 Arsenal, New Jersey 07806-5000 86. NAME OF FUNDING...packaging containers. The report is presented in two separate volumes. Volume I contains the Final Technical Report and includes the analysis of... Division of the U.S. Army Armament Research, Development and Engineering Center. Mr. Jasper C. Griggs and Mr. D. E. Jones served as technical consultants

  1. How do albino fish hear?

    PubMed Central

    Lechner, W; Ladich, F

    2011-01-01

    Pigmentation disorders such as albinism are occasionally associated with hearing impairments in mammals. Therefore, we wanted to investigate whether such a phenomenon also exists in non-mammalian vertebrates. We measured the hearing abilities of normally pigmented and albinotic specimens of two catfish species, the European wels Silurus glanis (Siluridae) and the South American bronze catfish Corydoras aeneus (Callichthyidae). The non-invasive auditory evoked potential (AEP) recording technique was utilized to determine hearing thresholds at 10 frequencies from 0.05 to 5 kHz. Neither auditory sensitivity nor shape of AEP waveforms differed between normally pigmented and albinotic specimens at any frequency tested in both species. Silurus glanis and C. aeneus showed the best hearing between 0.3 and 1 kHz; the lowest thresholds were 78.4 dB at 0.5 kHz in S. glanis (pigmented), 75 dB at 1 kHz in S. glanis (albinotic), 77.6 dB at 0.5 kHz in C. aeneus (pigmented) and 76.9 dB at 1 kHz in C. aeneus (albinotic). This study indicates no association between albinism and hearing ability. Perhaps because of the lack of melanin in the fish inner ear, hearing in fishes is less likely to be affected by albinism than in mammals. PMID:21552308

  2. How do albino fish hear?

    PubMed

    Lechner, W; Ladich, F

    2011-03-01

    Pigmentation disorders such as albinism are occasionally associated with hearing impairments in mammals. Therefore, we wanted to investigate whether such a phenomenon also exists in non-mammalian vertebrates. We measured the hearing abilities of normally pigmented and albinotic specimens of two catfish species, the European wels Silurus glanis (Siluridae) and the South American bronze catfish Corydoras aeneus (Callichthyidae). The non-invasive auditory evoked potential (AEP) recording technique was utilized to determine hearing thresholds at 10 frequencies from 0.05 to 5 kHz. Neither auditory sensitivity nor shape of AEP waveforms differed between normally pigmented and albinotic specimens at any frequency tested in both species. Silurus glanis and C. aeneus showed the best hearing between 0.3 and 1 kHz; the lowest thresholds were 78.4 dB at 0.5 kHz in S. glanis (pigmented), 75 dB at 1 kHz in S. glanis (albinotic), 77.6 dB at 0.5 kHz in C. aeneus (pigmented) and 76.9 dB at 1 kHz in C. aeneus (albinotic). This study indicates no association between albinism and hearing ability. Perhaps because of the lack of melanin in the fish inner ear, hearing in fishes is less likely to be affected by albinism than in mammals.

  3. Representation of complex vocalizations in the Lusitanian toadfish auditory system: evidence of fine temporal, frequency and amplitude discrimination

    PubMed Central

    Vasconcelos, Raquel O.; Fonseca, Paulo J.; Amorim, M. Clara P.; Ladich, Friedrich

    2011-01-01

    Many fishes rely on their auditory skills to interpret crucial information about predators and prey, and to communicate intraspecifically. Few studies, however, have examined how complex natural sounds are perceived in fishes. We investigated the representation of conspecific mating and agonistic calls in the auditory system of the Lusitanian toadfish Halobatrachus didactylus, and analysed auditory responses to heterospecific signals from ecologically relevant species: a sympatric vocal fish (meagre Argyrosomus regius) and a potential predator (dolphin Tursiops truncatus). Using auditory evoked potential (AEP) recordings, we showed that both sexes can resolve fine features of conspecific calls. The toadfish auditory system was most sensitive to frequencies well represented in the conspecific vocalizations (namely the mating boatwhistle), and revealed a fine representation of duration and pulsed structure of agonistic and mating calls. Stimuli and corresponding AEP amplitudes were highly correlated, indicating an accurate encoding of amplitude modulation. Moreover, Lusitanian toadfish were able to detect T. truncatus foraging sounds and A. regius calls, although at higher amplitudes. We provide strong evidence that the auditory system of a vocal fish, lacking accessory hearing structures, is capable of resolving fine features of complex vocalizations that are probably important for intraspecific communication and other relevant stimuli from the auditory scene. PMID:20861044

  4. Completing the Link between Exposure Science and Toxicology for Improved Environmental Health Decision Making: The Aggregate Exposure Pathway Framework

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

    Teeguarden, Justin G.; Tan, Yu-Mei; Edwards, Stephen W.

    Driven by major scientific advances in analytical methods, biomonitoring, and computational exposure assessment, and a newly articulated vision for a greater impact in public health, the field of exposure science is undergoing a rapid transition from a field of observation to a field of prediction. Deployment of an organizational and predictive framework for exposure science analogous to the computationally enabled “systems approaches” used in the biological sciences is a necessary step in this evolution. Here we propose the aggregate exposure pathway (AEP) concept as the natural and complementary companion in the exposure sciences to the adverse outcome pathway (AOP) conceptmore » in the toxicological sciences. The AEP framework offers an intuitive approach to successful organization of exposure science data within individual units of prediction common to the field, setting the stage for exposure forecasting. Looking farther ahead, we envision direct linkages between aggregate exposure pathway and adverse outcome pathways, completing the source to outcome continuum and setting the stage for more efficient integration of exposure science and toxicity testing information. Together these frameworks form and inform a decision making framework with the flexibility for risk-based, hazard-based or exposure-based decisions.« less

  5. Tropical storm Irene flood of August 2011 in northwestern Massachusetts

    USGS Publications Warehouse

    Bent, Gardner C.; Olson, Scott A.; Massey, Andrew J.

    2016-09-02

    The simulated 1-percent AEP discharge water-surface elevations (nonregulatory) from recent (2015–16) hydraulic models for river reaches in the study area, which include the Deerfield, Green, and North Rivers in the Deerfield River Basin and the Hoosic River in the Hoosic River Basin, were compared with water-surface profiles in the FISs. The water-surface elevation comparisons were generally done downstream and upstream from bridges, dams, and major tributaries. The simulated 1-percent AEP discharge water-surface elevations of the recent hydraulic studies averaged 2.2, 2.3, 0.3, and 0.7 ft higher than water-surface elevations in the FISs for the Deerfield, Green, North, and Hoosic Rivers, respectively. The differences in water-surface elevations between the recent (2015–16) hydraulic studies and the FISs likely are because of (1) improved land elevation data from light detection and ranging (lidar) data collected in 2012, (2) detailed surveying of hydraulic structures and cross sections throughout the river reaches in 2012–13 (reflecting structure and cross section changes during the last 30–35 years), (3) updated hydrology analyses (30–35 water years of additional peak flow data at streamgages), and (4) high-water marks from the 2011 tropical storm Irene flood being used for model calibration.

  6. Evoked-potential recovery during double click stimulation in a beluga whale: implications for biosonar gain control.

    PubMed

    Supin, Alexander Ya; Popov, Vladimir V

    2015-05-01

    Auditory evoked potentials (AEPs) were recorded in a beluga whale Delphinapterus leucas using a double-pulse stimulation paradigm, specifically measuring the recovery (release from masking) of the second (test) response as a function of delay after the first (conditioning) pulse at various levels of the conditioning and test stimuli. The conditioning/test stimulus level ratio influenced the recovery time (the higher the ratio, the longer the recovery). This interrelation was used to evaluate the intensity/time trade in release from forward masking. Trade was evaluated as 32.2 dB per time decade. Data were considered as simulating interactions between the transmitted pulse and echo during echolocation, assuming that a transmitted sonar pulse produces forward masking of the echo response. With increased target distance, the attenuation of the echo may be compensated by the release from masking. According to the model, the compensation results in substantial stabilization of the echo response even if the intensity/time trade of release from masking is not precisely equal to the rate of echo attenuation with distance.

  7. Equipment Sustainment Data in Standard Army Management Information Systems: Needs, Gaps, and Opportunities

    DTIC Science & Technology

    2012-01-01

    colleagues Lionel Galway and Louis Miller, who provided thoughtful reviews of this document. - xix - Glossary AEL Army Equipment Loss AEPS...quality ( Galway and Hanks, 1996) noted that a key to better execution of data policies may be ensuring that organizations that generate the data...understand how it will be used. More specifically, Galway and Hanks (1996:15) observed that the persistence of missing, invalid, and inaccurate data

  8. Objective and automated protocols for the evaluation of biomedical search engines using No Title Evaluation protocols.

    PubMed

    Campagne, Fabien

    2008-02-29

    The evaluation of information retrieval techniques has traditionally relied on human judges to determine which documents are relevant to a query and which are not. This protocol is used in the Text Retrieval Evaluation Conference (TREC), organized annually for the past 15 years, to support the unbiased evaluation of novel information retrieval approaches. The TREC Genomics Track has recently been introduced to measure the performance of information retrieval for biomedical applications. We describe two protocols for evaluating biomedical information retrieval techniques without human relevance judgments. We call these protocols No Title Evaluation (NT Evaluation). The first protocol measures performance for focused searches, where only one relevant document exists for each query. The second protocol measures performance for queries expected to have potentially many relevant documents per query (high-recall searches). Both protocols take advantage of the clear separation of titles and abstracts found in Medline. We compare the performance obtained with these evaluation protocols to results obtained by reusing the relevance judgments produced in the 2004 and 2005 TREC Genomics Track and observe significant correlations between performance rankings generated by our approach and TREC. Spearman's correlation coefficients in the range of 0.79-0.92 are observed comparing bpref measured with NT Evaluation or with TREC evaluations. For comparison, coefficients in the range 0.86-0.94 can be observed when evaluating the same set of methods with data from two independent TREC Genomics Track evaluations. We discuss the advantages of NT Evaluation over the TRels and the data fusion evaluation protocols introduced recently. Our results suggest that the NT Evaluation protocols described here could be used to optimize some search engine parameters before human evaluation. Further research is needed to determine if NT Evaluation or variants of these protocols can fully substitute for human evaluations.

  9. The Role of Auditory Evoked Potentials in the Context of Cochlear Implant Provision.

    PubMed

    Hoth, Sebastian; Dziemba, Oliver Christian

    2017-12-01

    : Auditory evoked potentials (AEP) are highly demanded during the whole process of equipping patients with cochlear implants (CI). They play an essential role in preoperative diagnostics, intraoperative testing, and postoperative monitoring of auditory performance and success. The versatility of AEP's is essentially enhanced by their property to be evokable by acoustic as well as electric stimuli. Thus, the electric responses of the auditory system following acoustic stimulation and recorded by the conventional surface technique as well as by transtympanic derivation from the promontory (Electrocochleography [ECochG]) are used for the quantitative determination of hearing loss and, additionally, electrically evoked compound actions potentials (ECAP) can be recorded with the intracochlear electrodes of the implant just adjacent to the stimulation electrode to check the functional integrity of the device and its coupling to the auditory system. The profile of ECAP thresholds is used as basis for speech processor fitting, the spread of excitation (SOE) allows the identification of electrode mislocations such as array foldover, and recovery functions may serve to optimize stimulus pulse rate. These techniques as well as those relying on scalp surface activity originating in the brainstem or the auditory cortex accompany the CI recipient during its whole life span and they offer valuable insights into functioning and possible adverse effects of the CI for clinical and scientific purposes.

  10. Regional ash fall hazard II: Asia-Pacific modelling results and implications

    NASA Astrophysics Data System (ADS)

    Jenkins, Susanna; McAneney, John; Magill, Christina; Blong, Russell

    2012-09-01

    In a companion paper (this volume), the authors propose a methodology for assessing ash fall hazard on a regional scale. In this study, the methodology is applied to the Asia-Pacific region, determining the hazard from 190 volcanoes to over one million square kilometre of urban area. Ash fall hazard is quantified for each square kilometre grid cell of urban area in terms of the annual exceedance probability (AEP), and its inverse, the average recurrence interval (ARI), for ash falls exceeding 1, 10 and 100 mm. A surrogate risk variable, the Population-Weighted Hazard Score: the product of AEP and population density, approximates the relative risk for each grid cell. Within the Asia-Pacific region, urban areas in Indonesia are found to have the highest levels of hazard and risk, while Australia has the lowest. A clear demarcation emerges between the hazard in countries close to and farther from major subduction plate boundaries, with the latter having ARIs at least 2 orders of magnitude longer for the same thickness thresholds. Countries with no volcanoes, such as North Korea and Malaysia, also face ash falls from volcanoes in neighbouring countries. Ash falls exceeding 1 mm are expected to affect more than one million people living in urban areas within the study region; in Indonesia, Japan and the Philippines, this situation could occur with ARIs less than 40 years.

  11. Allowances for evolving coastal flood risk under uncertain local sea-level rise

    NASA Astrophysics Data System (ADS)

    Buchanan, M. K.; Kopp, R. E.; Oppenheimer, M.; Tebaldi, C.

    2015-12-01

    Sea-level rise (SLR) causes estimates of flood risk made under the assumption of stationary mean sea level to be biased low. However, adjustments to flood return levels made assuming fixed increases of sea level are also inaccurate when applied to sea level that is rising over time at an uncertain rate. To accommodate both the temporal dynamics of SLR and their uncertainty, we develop an Average Annual Design Life Level (AADLL) metric and associated SLR allowances [1,2]. The AADLL is the flood level corresponding to a time-integrated annual expected probability of occurrence (AEP) under uncertainty over the lifetime of an asset; AADLL allowances are the adjustment from 2000 levels that maintain current risk. Given non-stationary and uncertain SLR, AADLL flood levels and allowances provide estimates of flood protection heights and offsets for different planning horizons and different levels of confidence in SLR projections in coastal areas. Allowances are a function primarily of local SLR and are nearly independent of AEP. Here we employ probabilistic SLR projections [3] to illustrate the calculation of AADLL flood levels and allowances with a representative set of long-duration tide gauges along U.S. coastlines. [1] Rootzen et al., 2014, Water Resources Research 49: 5964-5972. [2] Hunter, 2013, Ocean Engineering 71: 17-27. [3] Kopp et al., 2014, Earth's Future 2: 383-406.

  12. Vestibular receptors contribute to cortical auditory evoked potentials.

    PubMed

    Todd, Neil P M; Paillard, Aurore C; Kluk, Karolina; Whittle, Elizabeth; Colebatch, James G

    2014-03-01

    Acoustic sensitivity of the vestibular apparatus is well-established, but the contribution of vestibular receptors to the late auditory evoked potentials of cortical origin is unknown. Evoked potentials from 500 Hz tone pips were recorded using 70 channel EEG at several intensities below and above the vestibular acoustic threshold, as determined by vestibular evoked myogenic potentials (VEMPs). In healthy subjects both auditory mid- and long-latency auditory evoked potentials (AEPs), consisting of Na, Pa, N1 and P2 waves, were observed in the sub-threshold conditions. However, in passing through the vestibular threshold, systematic changes were observed in the morphology of the potentials and in the intensity dependence of their amplitude and latency. These changes were absent in a patient without functioning vestibular receptors. In particular, for the healthy subjects there was a fronto-central negativity, which appeared at about 42 ms, referred to as an N42, prior to the AEP N1. Source analysis of both the N42 and N1 indicated involvement of cingulate cortex, as well as bilateral superior temporal cortex. Our findings are best explained by vestibular receptors contributing to what were hitherto considered as purely auditory evoked potentials and in addition tentatively identify a new component that appears to be primarily of vestibular origin. Copyright © 2013 The Authors. Published by Elsevier B.V. All rights reserved.

  13. Plastic brain mechanisms for attaining auditory temporal order judgment proficiency.

    PubMed

    Bernasconi, Fosco; Grivel, Jeremy; Murray, Micah M; Spierer, Lucas

    2010-04-15

    Accurate perception of the order of occurrence of sensory information is critical for the building up of coherent representations of the external world from ongoing flows of sensory inputs. While some psychophysical evidence reports that performance on temporal perception can improve, the underlying neural mechanisms remain unresolved. Using electrical neuroimaging analyses of auditory evoked potentials (AEPs), we identified the brain dynamics and mechanism supporting improvements in auditory temporal order judgment (TOJ) during the course of the first vs. latter half of the experiment. Training-induced changes in brain activity were first evident 43-76 ms post stimulus onset and followed from topographic, rather than pure strength, AEP modulations. Improvements in auditory TOJ accuracy thus followed from changes in the configuration of the underlying brain networks during the initial stages of sensory processing. Source estimations revealed an increase in the lateralization of initially bilateral posterior sylvian region (PSR) responses at the beginning of the experiment to left-hemisphere dominance at its end. Further supporting the critical role of left and right PSR in auditory TOJ proficiency, as the experiment progressed, responses in the left and right PSR went from being correlated to un-correlated. These collective findings provide insights on the neurophysiologic mechanism and plasticity of temporal processing of sounds and are consistent with models based on spike timing dependent plasticity. Copyright 2010 Elsevier Inc. All rights reserved.

  14. Flood-inundation maps for the Tippecanoe River at Winamac, Indiana

    USGS Publications Warehouse

    Menke, Chad D.; Bunch, Aubrey R.

    2015-09-25

    For this study, flood profiles were computed for the Tippecanoe River reach by means of a one-dimensional step-backwater model. The hydraulic model was calibrated by using the most current stage-discharge relations at the Tippecanoe River streamgage, in combination with the current (2014) Federal Emergency Management Agency flood-insurance study for Pulaski County. The calibrated hydraulic model was then used to determine nine water-surface profiles for flood stages at 1-foot intervals referenced to the streamgage datum and ranging from bankfull to the highest stage of the current stage-discharge rating curve. The 1-percent annual exceedance probability (AEP) flood stage (flood with recurrence intervals within 100 years) has not been determined yet for this streamgage location. The rating has not been developed for the 1-percent AEP because the streamgage dates to only 2001. The simulated water-surface profiles were then used with a geographic information system (GIS) digital elevation model (DEM, derived from Light Detection and Ranging [lidar]) in order to delineate the area flooded at each water level. The availability of these maps, along with Internet information regarding current stage from the USGS streamgage 03331753, Tippecanoe River at Winamac, Ind., and forecast stream stages from the NWS AHPS, provides emergency management personnel and residents with information that is critical for flood response activities such as evacuations and road closures, as well as for post-flood recovery efforts.

  15. "You Want to Be a Part of Everything": The Arts, Community, & Learning. A Report from the September 2003 Forum of the Arts Education Partnership (Lincoln Center, New York City)

    ERIC Educational Resources Information Center

    Smyth, Laura; Stevenson, Lauren

    2003-01-01

    On September 18th 2003, the director of the Human Creativity youth arts program at Central Falls High School in Central Falls, Rhode Island, and four of its youth leaders enter Lincoln Center in New York City. They are there to present their program's work at a national forum held by the Arts Education Partnership (AEP). The forum is one of three…

  16. Synthetic peptides derived from salivary proteins and the control of surface charge densities of dental surfaces improve the inhibition of dental calculus formation.

    PubMed

    Grohe, Bernd

    2017-08-01

    Peptides descended from the salivary proteins statherin and histatin were recently identified in saliva and the acquired enamel pellicle (AEP), a proteomic layer coated on enamel. In particular, the statherin phosphopeptide DpSpSEEKFLR (DSS) was found to adsorb to enamel-like hydroxyapatite and inhibit plaque-related crystal formation. To determine the mechanism of these processes, we studied peptide-crystal interactions based on the sequences DSS and RKFHEKHHSHRGYR (RKF). The latter is a basic histatin sequence showing antimicrobial effects. To initiate crystallization we used calcium oxalate monohydrate (COM), a rather secondary phase in the oral environment, however highly amenable to experimental analyses of nucleation and growth processes. Using electron microscopy we found that the peptides DSS, DSS-RKF and DSS-DSS all inhibit crystal formation; with DSS-DSS showing the strongest effects while RKF showed no effect. In addition, using either enamel-like or mica substrates, we found that the ratio of the substrate's surface charge densities was directly correlated with the ratio of COM nucleation rates on theses surfaces. The findings suggest that mineralization processes on enamel/AEP-films are controllable by the degree of peptide phosphorylation/acidity and the level of the enamel surface charge density. Both parameters can, when well adjusted, help to overcome periodontal disease and dental calculus formation. In addition, the presence of antimicrobial RKF will reduce the buildup of bacterial plaque. Copyright © 2017 Elsevier B.V. All rights reserved.

  17. Energetic Particles of keV–MeV Energies Observed near Reconnecting Current Sheets at 1 au

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

    Khabarova, Olga V.; Zank, Gary P.

    2017-07-01

    We provide evidence for particle acceleration up to ∼5 MeV at reconnecting current sheets in the solar wind based on both case studies and a statistical analysis of the energetic ion and electron flux data from the five Advanced Composition Explorer Electron, Proton, and Alpha Monitor (EPAM) detectors. The case study of a typical reconnection exhaust event reveals (i) a small-scale peak of the energetic ion flux observed in the vicinity of the reconnection exhaust and (ii) a long-timescale atypical energetic particle event (AEPE) encompassing the reconnection exhaust. AEPEs associated with reconnecting strong current sheets last for many hours, evenmore » days, as confirmed by statistical studies. The case study shows that time-intensity profiles of the ion flux may vary significantly from one EPAM detector to another partially because of the local topology of magnetic fields, but mainly because of the impact of upstream magnetospheric events; therefore, the occurrence of particle acceleration can be hidden. The finding of significant particle energization within a time interval of ±30 hr around reconnection exhausts is supported by a superposed epoch analysis of 126 reconnection exhaust events. We suggest that energetic particles initially accelerated via prolonged magnetic reconnection are trapped and reaccelerated in small- or medium-scale magnetic islands surrounding the reconnecting current sheet, as predicted by the transport theory of Zank et al. Other mechanisms of initial particle acceleration can contribute also.« less

  18. Flood of September 13-16, 2008, in northeastern Illinois

    USGS Publications Warehouse

    Fazio, David J.; Sharpe, Jennifer B.

    2012-01-01

    Major flooding occurred in northeastern Illinois during September 13–16, 2008, following extended storm activity. Rainfall recorded at select Illinois State Water Survey (ISWS), National Weather Service (NWS), and U.S. Geological Survey (USGS) rain gages in northeastern Illinois, ranged from 2.39 to 10.51 inches throughout a 51-hour period during September 12–14, 2008. The rainfall resulted in extensive urban drainage and riverine flooding, causing the evacuation of thousands of residents, millions of dollars in damages, hundreds of road closings, and two water-related fatalities in the greater Chicago area. Nine counties in northeastern Illinois (16 counties throughout the State) were declared Federal disaster areas. USGS streamgages recorded new record-peak streamflows at 13 locations as a result of the heavy rainfall. Four streamgages had a calculated annual exceedance probability (AEP) ranging from 0.2 to 1 percent, and one streamgage had a calculated AEP of less than 0.2 percent. During this flood event, USGS crews made 48 streamflow measurements at 45 streamgages. After the high-water had subsided, USGS crews set 230 high-water marks in over 40 communities along 131 miles of streams. The elevations for 117 high-water marks along approximately 100 miles of streams were measured by the Metropolitan Water Reclamation District of Greater Chicago (MWRDGC) and the Illinois Department of Natural Resources–Office of Water Resources (IDNR–OWR). Flood peak water-surface profiles for select streams are plotted from the high-water mark data.

  19. Effect of site-directed mutagenesis of His373 of yeast enolase on some of its physical and enzymatic properties.

    PubMed

    Brewer, J M; Glover, C V; Holland, M J; Lebioda, L

    1997-06-20

    The X-ray structure of yeast enolase shows His373 interacting with a water molecule also held by residues Glu168 and Glu211. The water molecule is suggested to participate in the catalytic mechanism (Lebioda, L. and Stec, B. (1991) Biochemistry 30, 2817-2822). Replacement of His373 with asparagine (H373N enolase) or phenylalanine (H373F enolase) reduces enzymatic activity to ca. 10% and 0.0003% of the native enzyme activity, respectively. H373N enolase exhibits a reduced Km for the substrate, 2-phosphoglycerate, and produces the same absorbance changes in the chromophoric substrate analogues TSP1 and AEP1, relative to native enolase. H373F enolase binds AEP less strongly, producing a smaller absorbance change than native enolase, and reacts very little with TSP. H373F enolase dissociates to monomers in the absence of substrate; H373N enolase subunit dissociation is less than H373F enolase but more than native enolase. Substrate and Mg2+ increase subunit association in both mutants. Differential scanning calorimetric experiments indicate that the interaction with substrate that stabilizes enolase to thermal denaturation involves His373. We suggest that the function of His373 in the enolase reaction may involve hydrogen bonding rather than acid/base catalysis, through interaction with the Glu168/Glu211/H2O system, which produces removal or addition of hydroxyl at carbon-3 of the substrate.

  20. Development of an HPV Educational Protocol for Adolescents

    PubMed Central

    Wetzel, Caitlin; Tissot, Abbigail; Kollar, Linda M.; Hillard, Paula A.; Stone, Rachel; Kahn, Jessica A.

    2007-01-01

    Study Objectives To develop an educational protocol about HPV and Pap tests for adolescents, to evaluate the protocol for understandability and clarity, and to evaluate the protocol for its effectiveness in increasing knowledge about HPV. Design In phase 1, investigators and adolescents developed the protocol. In phase 2, adolescents evaluated the protocol qualitatively, investigators evaluated its effectiveness in increasing HPV knowledge in a sample of adolescents, and the protocol was revised. In phase 3, investigators evaluated the effectiveness of the revised protocol in an additional adolescent sample. Setting Urban, hospital-based teen health center. Participants A total of 252 adolescent girls and boys in the three study phases. Main Outcome Measures Pre- and post-protocol knowledge about HPV, measured using a 10- or 11-item scale. Results Scores on the HPV knowledge scale increased significantly (p<.0001) among adolescents who participated in phases 2 and 3 after they received the protocol. Initial differences in scores based on race, insurance type and condom use were not noted post-protocol. Conclusion The protocol significantly increased knowledge scores about HPV in this population, regardless of sociodemographic characteristics and risk behaviors. Effective, developmentally appropriate educational protocols about HPV and Pap tests are particularly important in clinical settings as cervical cancer screening guidelines evolve, HPV DNA testing is integrated into screening protocols, and HPV vaccines become available. In-depth, one-on-one education about HPV may also prevent adverse psychosocial responses and promote healthy sexual and Pap screening behaviors in adolescents with abnormal HPV or Pap test results. Synopsis The investigators developed an educational protocol about HPV and Pap tests and evaluated its effectiveness in increasing knowledge about HPV among adolescents. PMID:17868894

  1. Demonstration and Certification of Amphibian Ecological Risk Assessment Protocol. Cost and Performance Report (Version 2)

    DTIC Science & Technology

    2009-07-01

    sediment protocol, respectively). The soil protocol evaluates impacts to adult salamanders and the sediment protocol evaluates impacts to larval tadpoles ...the sediment protocol evaluates impacts to larval tadpoles . When selecting appropriate receptors to derive ERA-based remedial goals, amphibians...Sediment tests are conducted with recently hatched tadpoles (i.e., Rana pipiens; Gosner Stages 17-20). Young tadpoles are placed in beakers

  2. Chapter 2: Commercial and Industrial Lighting Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W; Gowans, Dakers; Telarico, Chad

    The Commercial and Industrial Lighting Evaluation Protocol (the protocol) describes methods to account for gross energy savings resulting from the programmatic installation of efficient lighting equipment in large populations of commercial, industrial, and other nonresidential facilities. This protocol does not address savings resulting from changes in codes and standards, or from education and training activities. A separate Uniform Methods Project (UMP) protocol, Chapter 3: Commercial and Industrial Lighting Controls Evaluation Protocol, addresses methods for evaluating savings resulting from lighting control measures such as adding time clocks, tuning energy management system commands, and adding occupancy sensors.

  3. Development of models to inform a national Daily Landslide Hazard Assessment for Great Britain

    NASA Astrophysics Data System (ADS)

    Dijkstra, Tom A.; Reeves, Helen J.; Dashwood, Claire; Pennington, Catherine; Freeborough, Katy; Mackay, Jonathan D.; Uhlemann, Sebastian S.; Chambers, Jonathan E.; Wilkinson, Paul B.

    2015-04-01

    The British Geological Survey (BGS) provides landside hazard information as part of its strategic role. This includes, among others, the issuing of a national Daily Landslide Hazard Assessment (DLHA) one of the hazards assessments issued by the Natural Hazard Partnership. A range of tools are currently under development to further develop reliability and enhance the granularity of these assessments. The BGS has three datasets that support and underpin this research; the National Landslide Database (NLD), the DiGMap mass movement layer and GeoSure. The NLD holds more than 16,500 records of landslides across Great Britain (GB) stored in an Oracle database that is accessible through an ESRI ® ArcGIS interface. DiGMap comprises a digital map layer with outlines of all landslides recorded by field geologists. GeoSure is a BGS product that assesses the potential for ground movement across GB in six layers, one of which is landslide potential. The GeoSure landslide potential layer incorporates information on conditioning factors, such as local geology, geotechnical parameters and topography. These are combined within a GIS to derive a map showing where a landslide may occur under favourable conditions (e.g. persistent wet conditions due to adverse weather). Different types of terrain will be affected by different modes of landsliding and a series of hierarchical landslide domains have been established capturing the spatial consistency of slope deformation response. Each landslide domain represents an area of similar physiographic and geological characteristics which has shaped the style of landsliding (recognising relic, active and potentially active processes). In turn, this enables development of regional thresholds that are relevant to characteristic landslides in these domains. The wet period from summer 2012 into early spring 2013 resulted in a surge of recorded landslides, particularly in SW England and S Wales. Approximations of regional effective precipitation were combined with records of observed landslide events to establish which antecedent effective precipitation (AEP) signatures of different duration could be used as a pragmatic proxy for the occurrence of landslides. It was established that 1, 7, and 90 days AEP provided the most significant correlations and these were used to calculate the probability of at least one landslide occurring. The method was then extended over the period 2006 to 2014 and the results evaluated against observed occurrences. It is recognised that AEP is a relatively poor proxy for simulating effective stress conditions along potential slip surfaces. However, the temporal pattern of landslide probability compares well to the observed occurrences and provides a potential benefit to assist with the DLHA. Further work is continuing to fine-tune the model for landslide type, better spatial resolution of effective precipitation input and cross-reference to models that capture changes in water balance and conditions along slip surfaces. The latter is facilitated by intensive research at several field laboratories, such as the Hollin Hill site in Yorkshire, England. At this site, a decade of activity has generated a broad range of research and a wealth of data. This paper reports on one example of recent work; the characterisation of near surface hydrology using infiltration experiments where hydrological pathways are captured, among others, by electrical resistivity tomography. This research, which has further developed our understanding of soil moisture movement in a heterogeneous landslide complex, has highlighted the importance of establishing detailed ground models to enable determination of landslide potential at high resolution. In turn, the knowledge gained through this research is used to enhance the expertise for the daily landslide hazard assessments at a national scale.

  4. Modeled future peak streamflows in four coastal Maine rivers

    USGS Publications Warehouse

    Hodgkins, Glenn A.; Dudley, Robert W.

    2013-01-01

    To safely and economically design bridges and culverts, it is necessary to compute the magnitude of peak streamflows that have specified annual exceedance probabilities (AEPs). Annual precipitation and air temperature in the northeastern United States are, in general, projected to increase during the 21st century. It is therefore important for engineers and resource managers to understand how peak flows may change in the future. This report, prepared in cooperation with the Maine Department of Transportation (MaineDOT), presents modeled changes in peak flows at four basins in coastal Maine on the basis of projected changes in air temperature and precipitation. To estimate future peak streamflows at the four basins in this study, historical values for climate (temperature and precipitation) in the basins were adjusted by different amounts and input to a hydrologic model of each study basin. To encompass the projected changes in climate in coastal Maine by the end of the 21st century, air temperatures were adjusted by four different amounts, from -3.6 degrees Fahrenheit (ºF) (-2 degrees Celsius (ºC)) to +10.8 ºF (+6 ºC) of observed temperatures. Precipitation was adjusted by three different percentage values from -15 percent to +30 percent of observed precipitation. The resulting 20 combinations of temperature and precipitation changes (includes the no-change scenarios) were input to Precipitation-Runoff Modeling System (PRMS) watershed models, and annual daily maximum peak flows were calculated for each combination. Modeled peak flows from the adjusted changes in temperature and precipitation were compared to unadjusted (historical) modeled peak flows. Annual daily maximum peak flows increase or decrease, depending on whether temperature or precipitation is adjusted; increases in air temperature (with no change in precipitation) lead to decreases in peak flows, whereas increases in precipitation (with no change in temperature) lead to increases in peak flows. As the magnitude of air temperatures increase in the four basins, peak flows decrease by larger amounts. If precipitation is held constant (no change from historical values), 17 to 26 percent decreases in peak flow occur at the four basins when temperature is increased by 7.2°F. If temperature is held constant, 26 to 38 percent increases in peak flow result from a 15-percent increase in precipitation. The largest decreases in peak flows at the four basins result from 15-percent decreases in precipitation combined with temperature increases of 10.8°F. The largest increases in peak flows generally result from 30-percent increases in precipitation combined with 3.6 °F decreases in temperatures. In many cases when temperature and precipitation both increase, small increases or decreases in annual daily maximum peak flows result. For likely changes projected for the northeastern United States for the middle of the 21st century (temperature increase of 3.6 °F and precipitation increases of 0 to 15 percent), peak-flow changes at the four coastal Maine basins in this study are modeled to be evenly distributed between increases and decreases of less than 25 percent. Peak flows with 50-percent and 1-percent AEPs (equivalent to 2-year and 100-year recurrence interval peak flows, respectively) were calculated for the four basins in the study using the PRMS-modeled annual daily maximum peak flows. Modeled peak flows with 50-percent and 1-percent AEPs with adjusted temperatures and precipitation were compared to unadjusted (historical) modeled values. Changes in peak flows with 50-percent AEPs are similar to changes in annual daily maximum peak flow; changes in peak flows with 1-percent AEPs are similar in pattern to changes in annual daily maximum peak flow, but some of the changes associated with increasing precipitation are much larger than changes in annual daily maximum peak flow. Substantial decreases in maximum annual winter snowpack water equivalent are modeled to occur with increasing air temperatures at the four basins in the study. (Snowpack is the snow on the ground that accumulates during a winter, and water equivalent is the amount of water in a snowpack if it were melted.) The decrease in modeled peak flows with increasing air temperature, given no change in precipitation amount, is likely caused by these decreases in winter snowpack and resulting decreases in snowmelt runoff. This Scientific Investigations Report, prepared in cooperation with the Maine Department of Transportation, presents a summary of modeled changes in peak flows at four basins in coastal Maine on the basis of projected changes in air temperature and precipitation. The full Fact Sheet (Hodgkins and Dudley, 2013) is available at http://pubs.usgs.gov/fs/2013/3021/.

  5. Arabinofuranose 1,2,5-orthobenzoate as a single precursor of linear α(1 → 5)-linked oligoarabinofuranosides.

    PubMed

    Panova, Maria V; Podvalnyy, Nikita M; Okun, Eugene L; Abronina, Polina I; Chizhov, Alexander O; Kononov, Leonid O

    2018-02-01

    Selectively protected mono-, di- and trisaccharide thioglycoside building blocks with unprotected primary hydroxy group at the non-reducing end, available in only one step from 3-O-benzoyl β-d-arabinofuranose 1,2,5-orthobenzoate, were used in the synthesis of linear α(1 → 5)-linked oligoarabinofuranosides up to octasaccharide. The obtained oligosaccharides contain 4-(2-chloroethoxy)phenyl (CEP) or 4-(2-azidoethoxy)phenyl (AEP) pre-spacer aglycons that allow preparation of neoglycoconjugates. Copyright © 2017 Elsevier Ltd. All rights reserved.

  6. AEP Turk Station, Hempstead County Hunting Club Request to Withdraw Petition

    EPA Pesticide Factsheets

    This document may be of assistance in applying the Title V air operating permit regulations. This document is part of the Title V Petition Database available at www2.epa.gov/title-v-operating-permits/title-v-petition-database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  7. Calculating weighted estimates of peak streamflow statistics

    USGS Publications Warehouse

    Cohn, Timothy A.; Berenbrock, Charles; Kiang, Julie E.; Mason, Jr., Robert R.

    2012-01-01

    According to the Federal guidelines for flood-frequency estimation, the uncertainty of peak streamflow statistics, such as the 1-percent annual exceedance probability (AEP) flow at a streamgage, can be reduced by combining the at-site estimate with the regional regression estimate to obtain a weighted estimate of the flow statistic. The procedure assumes the estimates are independent, which is reasonable in most practical situations. The purpose of this publication is to describe and make available a method for calculating a weighted estimate from the uncertainty or variance of the two independent estimates.

  8. [Seasonal influenza vaccination in children and adolescents. Recommendations of the CAV-AEP for the campaign].

    PubMed

    Moreno-Pérez, D; Arístegui Fernández, J; Ruiz-Contreras, J; Alvarez García, F J; Merino Moína, M; González-Hachero, J; Corretger Rauet, J M; Hernández-Sampelayo Matos, T; Ortigosa del Castillo, L; Cilleruelo Ortega, M J; Barrio Corrales, F

    2012-01-01

    The Advisory Committee on Vaccines of the Spanish Association of Paediatrics establishes annual recommendations on influenza vaccination in childhood before the onset of influenza season. Routine influenza vaccination is particularly beneficial when the strategy is aimed at children older than 6 months of age with high-risk conditions and their home contacts. The recommendation of influenza vaccination in health workers with children is also emphasized. Copyright © 2011 Asociación Española de Pediatría. Published by Elsevier Espana. All rights reserved.

  9. The Influence of Uncompensated Solution Resistance on the Determination and Standard Electrochemical Rate Constants Using Cyclic Voltammetry, and Some Comparisons with AC Voltammetry.

    DTIC Science & Technology

    1987-09-25

    rate constants, k2r using cyclic voltametry . The res tss are expressed in terms of systematic deviations oP sapparent measured" rate constants, k~b(app...concentration was taken to be lum unless otherwise noted. The voltammetric sweep rate was set at 20 V sŕ unless specified otherwise. The general procedure...peaks for the negative- and positive-going potential sweeps have opposite signs, the measured cathodic-anodic peak separation, AEp, will clearly be

  10. AEP Turk Station, Hempstead County Hunting Club Petition to Object to Title V Operating Permit

    EPA Pesticide Factsheets

    This document may be of assistance in applying the Title V air operating permit regulations. This document is part of the Title V Petition Database available at www2.epa.gov/title-v-operating-permits/title-v-petition-database. Some documents in the database are a scanned or retyped version of a paper photocopy of the original. Although we have taken considerable effort to quality assure the documents, some may contain typographical errors. Contact the office that issued the document if you need a copy of the original.

  11. A Performance Evaluation of NACK-Oriented Protocols as the Foundation of Reliable Delay- Tolerant Networking Convergence Layers

    NASA Technical Reports Server (NTRS)

    Iannicca, Dennis; Hylton, Alan; Ishac, Joseph

    2012-01-01

    Delay-Tolerant Networking (DTN) is an active area of research in the space communications community. DTN uses a standard layered approach with the Bundle Protocol operating on top of transport layer protocols known as convergence layers that actually transmit the data between nodes. Several different common transport layer protocols have been implemented as convergence layers in DTN implementations including User Datagram Protocol (UDP), Transmission Control Protocol (TCP), and Licklider Transmission Protocol (LTP). The purpose of this paper is to evaluate several stand-alone implementations of negative-acknowledgment based transport layer protocols to determine how they perform in a variety of different link conditions. The transport protocols chosen for this evaluation include Consultative Committee for Space Data Systems (CCSDS) File Delivery Protocol (CFDP), Licklider Transmission Protocol (LTP), NACK-Oriented Reliable Multicast (NORM), and Saratoga. The test parameters that the protocols were subjected to are characteristic of common communications links ranging from terrestrial to cis-lunar and apply different levels of delay, line rate, and error.

  12. Extra-Vehicular Activity (EVA) glove evaluation test protocol

    NASA Technical Reports Server (NTRS)

    Hinman-Sweeney, E. M.

    1994-01-01

    One of the most critical components of a space suit is the gloves, yet gloves have traditionally presented significant design challenges. With continued efforts at glove development, a method for evaluating glove performance is needed. This paper presents a pressure-glove evaluation protocol. A description of this evaluation protocol, and its development is provided. The protocol allows comparison of one glove design to another, or any one design to bare-handed performance. Gloves for higher pressure suits may be evaluated at current and future design pressures to drive out differences in performance due to pressure effects. Using this protocol, gloves may be evaluated during design to drive out design problems and determine areas for improvement, or fully mature designs may be evaluated with respect to mission requirements. Several different test configurations are presented to handle these cases. This protocol was run on a prototype glove. The prototype was evaluated at two operating pressures and in the unpressurized state, with results compared to bare-handed performance. Results and analysis from this test series are provided, as is a description of the configuration used for this test.

  13. Interhemispheric coupling between the posterior sylvian regions impacts successful auditory temporal order judgment.

    PubMed

    Bernasconi, Fosco; Grivel, Jeremy; Murray, Micah M; Spierer, Lucas

    2010-07-01

    Accurate perception of the temporal order of sensory events is a prerequisite in numerous functions ranging from language comprehension to motor coordination. We investigated the spatio-temporal brain dynamics of auditory temporal order judgment (aTOJ) using electrical neuroimaging analyses of auditory evoked potentials (AEPs) recorded while participants completed a near-threshold task requiring spatial discrimination of left-right and right-left sound sequences. AEPs to sound pairs modulated topographically as a function of aTOJ accuracy over the 39-77ms post-stimulus period, indicating the engagement of distinct configurations of brain networks during early auditory processing stages. Source estimations revealed that accurate and inaccurate performance were linked to bilateral posterior sylvian regions activity (PSR). However, activity within left, but not right, PSR predicted behavioral performance suggesting that left PSR activity during early encoding phases of pairs of auditory spatial stimuli appears critical for the perception of their order of occurrence. Correlation analyses of source estimations further revealed that activity between left and right PSR was significantly correlated in the inaccurate but not accurate condition, indicating that aTOJ accuracy depends on the functional decoupling between homotopic PSR areas. These results support a model of temporal order processing wherein behaviorally relevant temporal information--i.e. a temporal 'stamp'--is extracted within the early stages of cortical processes within left PSR but critically modulated by inputs from right PSR. We discuss our results with regard to current models of temporal of temporal order processing, namely gating and latency mechanisms. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  14. A novel method for device-related electroencephalography artifact suppression to explore cochlear implant-related cortical changes in single-sided deafness.

    PubMed

    Kim, Kyungsoo; Punte, Andrea Kleine; Mertens, Griet; Van de Heyning, Paul; Park, Kyung-Joon; Choi, Hongsoo; Choi, Ji-Woong; Song, Jae-Jin

    2015-11-30

    Quantitative electroencephalography (qEEG) is effective when used to analyze ongoing cortical oscillations in cochlear implant (CI) users. However, localization of cortical activity in such users via qEEG is confounded by the presence of artifacts produced by the device itself. Typically, independent component analysis (ICA) is used to remove CI artifacts in auditory evoked EEG signals collected upon brief stimulation and it is effective for auditory evoked potentials (AEPs). However, AEPs do not reflect the daily environments of patients, and thus, continuous EEG data that are closer to such environments are desirable. In this case, device-related artifacts in EEG data are difficult to remove selectively via ICA due to over-completion of EEG data removal in the absence of preprocessing. EEGs were recorded for a long time under conditions of continuous auditory stimulation. To obviate the over-completion problem, we limited the frequency of CI artifacts to a significant characteristic peak and apply ICA artifact removal. Topographic brain mapping results analyzed via band-limited (BL)-ICA exhibited a better energy distribution, matched to the CI location, than data obtained using conventional ICA. Also, source localization data verified that BL-ICA effectively removed CI artifacts. The proposed method selectively removes CI artifacts from continuous EEG recordings, while ICA removal method shows residual peak and removes important brain activity signals. CI artifacts in EEG data obtained during continuous passive listening can be effectively removed with the aid of BL-ICA, opening up new EEG research possibilities in subjects with CIs. Copyright © 2015 Elsevier B.V. All rights reserved.

  15. Increased Evoked Potentials to Arousing Auditory Stimuli during Sleep: Implication for the Understanding of Dream Recall

    PubMed Central

    Vallat, Raphael; Lajnef, Tarek; Eichenlaub, Jean-Baptiste; Berthomier, Christian; Jerbi, Karim; Morlet, Dominique; Ruby, Perrine M.

    2017-01-01

    High dream recallers (HR) show a larger brain reactivity to auditory stimuli during wakefulness and sleep as compared to low dream recallers (LR) and also more intra-sleep wakefulness (ISW), but no other modification of the sleep macrostructure. To further understand the possible causal link between brain responses, ISW and dream recall, we investigated the sleep microstructure of HR and LR, and tested whether the amplitude of auditory evoked potentials (AEPs) was predictive of arousing reactions during sleep. Participants (18 HR, 18 LR) were presented with sounds during a whole night of sleep in the lab and polysomnographic data were recorded. Sleep microstructure (arousals, rapid eye movements (REMs), muscle twitches (MTs), spindles, KCs) was assessed using visual, semi-automatic and automatic validated methods. AEPs to arousing (awakenings or arousals) and non-arousing stimuli were subsequently computed. No between-group difference in the microstructure of sleep was found. In N2 sleep, auditory arousing stimuli elicited a larger parieto-occipital positivity and an increased late frontal negativity as compared to non-arousing stimuli. As compared to LR, HR showed more arousing stimuli and more long awakenings, regardless of the sleep stage but did not show more numerous or longer arousals. These results suggest that the amplitude of the brain response to stimuli during sleep determine subsequent awakening and that awakening duration (and not arousal) is the critical parameter for dream recall. Notably, our results led us to propose that the minimum necessary duration of an awakening during sleep for a successful encoding of dreams into long-term memory is approximately 2 min. PMID:28377708

  16. Women’s Alcohol Consumption and Risk for Alcohol-Exposed Pregnancies in Russia

    PubMed Central

    Balachova, Tatiana; Bonner, Barbara; Chaffin, Mark; Bard, David; Isurina, Galina; Tsvetkova, Larissa; Volkova, Elena

    2011-01-01

    Aims Alcohol-exposed pregnancies (AEP) are the direct cause of Fetal Alcohol Spectrum Disorders (FASD). This study examines drinking patterns among pregnant and non-pregnant women of childbearing age in Russia, a country with one of the highest levels of alcohol consumption in the world. Design Cross-sectional survey. Setting 7 public women’s clinics in two locations: St. Petersburg (SPB) and the Nizhny Novgorod region (NNR). Participants 648 pregnant and non-pregnant childbearing age women. Measurements A face-to-face structured interview assessed alcohol consumption, pregnancy status/possibility of becoming pregnant and consumption before and after pregnancy recognition. Findings 89% of non-pregnant women reported consuming alcohol and 65% reported binge drinking in the past three months. 47% in NNR and 28% in SPB reported binges at least monthly. Women who might become pregnant consumed alcohol similarly to women who were not likely to become pregnant, and 32% of women in SPB and 54% in NNR were categorized as at-risk for AEP. There was a significant decline in drinking after pregnancy identification. 20% of pregnant women reported consuming alcohol and 6% in SBP (none in NNR) reported binge drinking; however, a high prevalence of binge drinking was found among women who might become pregnant or who were trying to conceive. Conclusions Russian women substantially reduce drinking after pregnancy recognition compared to pre-pregnancy levels. No reductions were found prior to pregnancy recognition, either when a woman might become pregnant or when she was trying to conceive. The preconception period presents a risk window and, therefore, a prevention opportunity. PMID:21752144

  17. Evaluating anesthetic protocols for functional blood flow imaging in the rat eye

    NASA Astrophysics Data System (ADS)

    Moult, Eric M.; Choi, WooJhon; Boas, David A.; Baumann, Bernhard; Clermont, Allen C.; Feener, Edward P.; Fujimoto, James G.

    2017-01-01

    The purpose of this study is to evaluate the suitability of five different anesthetic protocols (isoflurane, isoflurane-xylazine, pentobarbital, ketamine-xylazine, and ketamine-xylazine-vecuronium) for functional blood flow imaging in the rat eye. Total retinal blood flow was measured at a series of time points using an ultrahigh-speed Doppler OCT system. Additionally, each anesthetic protocol was qualitatively evaluated according to the following criteria: (1) time-stability of blood flow, (2) overall rate of blood flow, (3) ocular immobilization, and (4) simplicity. We observed that different anesthetic protocols produced markedly different blood flows. Different anesthetic protocols also varied with respect to the four evaluated criteria. These findings suggest that the choice of anesthetic protocol should be carefully considered when designing and interpreting functional blood flow studies in the rat eye.

  18. The use of high-fidelity human patient simulation as an evaluative tool in the development of clinical research protocols and procedures.

    PubMed

    Wright, Melanie C; Taekman, Jeffrey M; Barber, Linda; Hobbs, Gene; Newman, Mark F; Stafford-Smith, Mark

    2005-12-01

    Errors in clinical research can be costly, in terms of patient safety, data integrity, and data collection. Data inaccuracy in early subjects of a clinical study may be associated with problems in the design of the protocol, procedures, and data collection tools. High-fidelity patient simulation centers provide an ideal environment to apply human-centered design to clinical trial development. A draft of a complex clinical protocol was designed, evaluated and modified using a high-fidelity human patient simulator in the Duke University Human Simulation and Patient Safety Center. The process included walk-throughs, detailed modifications of the protocol and development of procedural aids. Training of monitors and coordinators provided an opportunity for observation of performance that was used to identify further improvements to the protocol. Evaluative steps were used to design the research protocol and procedures. Iterative modifications were made to the protocol and data collection tools. The success in use of human simulation in the preparation of a complex clinical drug trial suggests the benefits of human patient simulation extend beyond training and medical equipment evaluation. Human patient simulation can provide a context for informal expert evaluation of clinical protocol design and for formal "rehearsal" to evaluate the efficacy of procedures and support tools.

  19. More effective assessment of adverse effects and comorbidities in epilepsy: results of a Phase II communication study.

    PubMed

    Stern, John M; Labiner, David M; Gilliam, Frank G; Penovich, Patricia E; Onofrey, Meaghan; Eagan, Corey A; Holmes, Gregory L

    2011-11-01

    Research was conducted to evaluate conversations about epilepsy between community-based neurologists and patients. Adverse effects of antiepileptic drugs and mood/behavioral issues were infrequently discussed, and neurologists and patients disagreed about these issues postvisit. Follow-up research was conducted to assess the impact of a previsit assessment tool on discussions of epilepsy. Twenty neurologists reviewed a tool incorporating questions from validated instruments (Adverse Events Profile [AEP] and Neurological Disorders Depression Inventory for Epilepsy [NDDI-E]). Naturally occurring interactions between neurologists and 60 patients were recorded. Neurologists and patients were interviewed separately. All components were transcribed and analyzed using sociolinguistics. Using the previsit assessment tool increased the number of discussions about adverse effects and mood/behavioral issues and increased neurologist-patient agreement about issues postvisit. Visit length did not increase significantly when the tool was used. Ten months after follow-up research, 50% of neurologists reported continuing to use the tool in everyday practice with patients with epilepsy. Copyright © 2011 Elsevier Inc. All rights reserved.

  20. Development and validation of a remote home safety protocol.

    PubMed

    Romero, Sergio; Lee, Mi Jung; Simic, Ivana; Levy, Charles; Sanford, Jon

    2018-02-01

    Environmental assessments and subsequent modifications conducted by healthcare professionals can enhance home safety and promote independent living. However, travel time, expense and the availability of qualified professionals can limit the broad application of this intervention. Remote technology has the potential to increase access to home safety evaluations. This study describes the development and validation of a remote home safety protocol that can be used by a caregiver of an elderly person to video-record their home environment for later viewing and evaluation by a trained professional. The protocol was developed based on literature reviews and evaluations from clinical and content experts. Cognitive interviews were conducted with a group of six caregivers to validate the protocol. The final protocol included step-by-step directions to record indoor and outdoor areas of the home. The validation process resulted in modifications related to safety, clarity of the protocol, readability, visual appearance, technical descriptions and usability. Our final protocol includes detailed instructions that a caregiver should be able to follow to record a home environment for subsequent evaluation by a home safety professional. Implications for Rehabilitation The results of this study have several implications for rehabilitation practice The remote home safety evaluation protocol can potentially improve access to rehabilitation services for clients in remote areas and prevent unnecessary delays for needed care. Using our protocol, a patient's caregiver can partner with therapists to quickly and efficiently evaluate a patient's home before they are released from the hospital. Caregiver narration, which reflects a caregiver's own perspective, is critical to evaluating home safety. In-home safety evaluations, currently not available to all who need them due to access barriers, can enhance a patient's independence and provide a safer home environment.

  1. Flood inundation maps and water-surface profiles for tropical storm Irene and selected annual exceedance probability floods for Flint Brook and the Third Branch White River in Roxbury, Vermont

    USGS Publications Warehouse

    Ahearn, Elizabeth A.; Lombard, Pamela J.

    2014-01-01

    Flint Brook, a tributary to the Third Branch White River in Roxbury, Vermont, has a history of flooding the Vermont Fish and Wildlife Department’s Roxbury Fish Culture Station (the hatchery) and surrounding infrastructure. Flooding resulting from tropical storm Irene on August 28–29, 2011, caused widespread destruction in the region, including extensive and costly damages to the State-owned hatchery and the transportation infrastructure in the Town of Roxbury, Vermont. Sections of State Route 12A were washed out, and several bridges and culverts on Oxbow Road, Thurston Hill Road, and the New England Central Railroad in Roxbury were heavily damaged. Record high peak-discharge estimates of 2,140 cubic feet per second (ft3/s) and 4,320 ft3/s were calculated for Flint Brook at its confluence with the Third Branch White River and for the Third Branch White River at about 350 feet (ft) downstream from the hatchery, respectively. The annual exceedance probabilities (AEPs) of the peak discharges for Flint Brook and the Third Branch White River were less than 0.2 percent (less than a one in 500 chance of occurring in a given year). Hydrologic and hydraulic analyses of Flint Brook and the Third Branch White River were done to investigate flooding at the hatchery in Roxbury and support efforts by the Federal Emergency Management Agency to assist State and local mitigation and reconstruction efforts. During the August 2011 flood, the majority of flow from Flint Brook (97 percent or 2,070 ft3/s) diverged from its primary watercourse due to a retaining wall failure immediately upstream of Oxbow Road and inundated the hatchery. Although a minor amount of flow from the Third Branch White River could have overtopped State Route 12A and spilled into the hatchery, the Third Branch White River did not cause flood damages or exacerbate flooding at the hatchery during the August 2011 flood. The Third Branch White River which flows adjacent to the hatchery does not flood the hatchery for the 10-, 2-, 1, or 0.2-percent annual exceedance probabilities. The simulated water-surface elevations for August 2011 flood equal the elevations of State Route 12A about 500 ft downstream of Thurston Hill Road adjacent to the troughs between the rearing ponds. Four flood mitigation alternatives being considered by the Vermont Agency of Transportation to improve the hydraulic performance of Flint Brook and reduce the risk of flooding at the hatchery include: (A) no changes to the infrastructure or existing alignment of Flint Brook (existing conditions [2014]), (B) structural changes to the bridges and the existing retaining wall along Flint Brook, (C) realignment of Flint Brook to flow along the south side of Oxbow Road to accommodate larger stream discharges, and (D) a diversion channel for flows greater than 1-percent annual exceedance probability. Although the 10-, 2-, and 1-percent AEP floods do not flood the hatchery under alternative A (no changes to the infrastructure), the 0.2-percent AEP flow still poses a flooding threat to the hatchery because flow will continue to overtop the existing retaining wall and flood the hatchery. Under the other mitigation alternatives (B, C, and D) that include some variation of structural changes to bridges, a retaining wall, and (or) channel, the peak discharges for the 10-, 2-, 1-, and 0.2-percent annual exceedance probabilities do not flood the hatchery. Water-surface profiles and flood inundation maps of the August 2011 flood and the 10-, 2-, 1-, and 0.2-percent AEPs for four mitigation alternatives were developed for Flint Brook and the Third Branch White River in the vicinity of the hatchery and can be used by the Federal, State, and local agencies to better understand the potential for future flooding at the hatchery.

  2. Assessing older drivers: a primary care protocol to evaluate driving safety risk.

    PubMed

    Murden, Robert A; Unroe, Kathleen

    2005-08-01

    Most articles on elder drivers offer either general advice, or review testing protocols that divide drivers into two distinct groups: safe or unsafe. We believe it is unreasonable to expect any testing to fully separate drivers into just these two mutually exclusive groups, so we offer a protocol for a more practical approach. This protocol can be applied by primary care physicians. We review the justification for the many steps of this protocol, which have branches that lead to identifying drivers as low risk, high risk (for accidents) or needing further evaluation. Options for further evaluation are provided.

  3. Who needs inpatient detox? Development and implementation of a hospitalist protocol for the evaluation of patients for alcohol detoxification.

    PubMed

    Stephens, John R; Liles, E Allen; Dancel, Ria; Gilchrist, Michael; Kirsch, Jonathan; DeWalt, Darren A

    2014-04-01

    Clinicians caring for patients seeking alcohol detoxification face many challenges, including lack of evidence-based guidelines for treatment and high recidivism rates. To develop a standardized protocol for determining which alcohol dependent patients seeking detoxification need inpatient versus outpatient treatment, and to study the protocol's implementation. Review of best evidence by ad hoc task force and subsequent creation of standardized protocol. Prospective observational evaluation of initial protocol implementation. Patients presenting for alcohol detoxification. Development and implementation of a protocol for evaluation and treatment of patients requesting alcohol detoxification. Number of admissions per month with primary alcohol related diagnosis (DRG), 30-day readmission rate, and length of stay, all measured before and after protocol implementation. We identified one randomized clinical trial and three cohort studies to inform the choice of inpatient versus outpatient detoxification, along with one prior protocol in this population, and combined that data with clinical experience to create an institutional protocol. After implementation, the average number of alcohol related admissions was 15.9 per month, compared with 18.9 per month before implementation (p = 0.037). There was no difference in readmission rate or length of stay. Creation and utilization of a protocol led to standardization of care for patients requesting detoxification from alcohol. Initial evaluation of protocol implementation showed a decrease in number of admissions.

  4. A protocol for evaluating video trackers under real-world conditions.

    PubMed

    Nawaz, Tahir; Cavallaro, Andrea

    2013-04-01

    The absence of a commonly adopted performance evaluation framework is hampering advances in the design of effective video trackers. In this paper, we present a single-score evaluation measure and a protocol to objectively compare trackers. The proposed measure evaluates tracking accuracy and failure, and combines them for both summative and formative performance assessment. The proposed protocol is composed of a set of trials that evaluate the robustness of trackers on a range of test scenarios representing several real-world conditions. The protocol is validated on a set of sequences with a diversity of targets (head, vehicle and person) and challenges (occlusions, background clutter, pose changes and scale changes) using six state-of-the-art trackers, highlighting their strengths and weaknesses on more than 187000 frames. The software implementing the protocol and the evaluation results are made available online and new results can be included, thus facilitating the comparison of trackers.

  5. Chapter 15: Commercial New Construction Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W.; Keates, Steven

    This protocol is intended to describe the recommended method when evaluating the whole-building performance of new construction projects in the commercial sector. The protocol focuses on energy conservation measures (ECMs) or packages of measures where evaluators can analyze impacts using building simulation. These ECMs typically require the use of calibrated building simulations under Option D of the International Performance Measurement and Verification Protocol (IPMVP).

  6. [Monitoring of brain function].

    PubMed

    Doi, Matsuyuki

    2012-01-01

    Despite being the most important of organs, the brain is disproportionately unmonitored compared to other systems such as cardiorespiratory in anesthesia settings. In order to optimize level of anesthesia, it is important to quantify the brain activity suppressed by anesthetic agents. Adverse cerebral outcomes remain a continued problem in patients undergoing various surgical procedures. By providing information on a range of physiologic parameters, brain monitoring may contribute to improve perioperative outcomes. This article addresses the various brain monitoring equipments including bispectral index (BIS), auditory evoked potentials (AEP), near-infrared spectroscopy (NIRS), transcranial Doppler ultrasonography (TCD) and oxygen saturation of the jugular vein (Sjv(O2)).

  7. Likely Age-Related Hearing Loss (Presbycusis) in a Stranded Indo-Pacific Humpback Dolphin (Sousa chinensis).

    PubMed

    Li, Songhai; Wang, Ding; Wang, Kexiong; Hoffmann-Kuhnt, Matthias; Fernando, Nimal; Taylor, Elizabeth A; Lin, Wenzhi; Chen, Jialin; Ng, Timothy

    2016-01-01

    The hearing of a stranded Indo-Pacific humpback dolphin (Sousa chinensis) in Zhuhai, China, was measured. The age of this animal was estimated to be ~40 years. The animal's hearing was measured using a noninvasive auditory evoked potential (AEP) method. The results showed that the high-frequency hearing cutoff frequency of the studied dolphin was ~30-40 kHz lower than that of a conspecific younger individual ~13 year old. The lower high-frequency hearing range in the older dolphin was explained as a likely result of age-related hearing loss (presbycusis).

  8. Electrochemistry and Spectroelectrochemistry of 1,8-Naphthalene and 1,8- Anthracene-Linked Cofacial Binuclear Metallophthalocynanines. New Mixed Valence Metallopthalocyanines

    DTIC Science & Technology

    1990-05-10

    slope of a plot of peak current vs. sweep rate to the charge should be equal to nF/4RT, where n is the number of electrons per adsorbed species and...overlapping waves. b) Values ofAEp : (Ep. - Epe) are given at a potential sweep rate of 50 mV/s. c) data fom ref.8g. d) Potentials are approximate because...cyclic voltametry at 200, 100, 50 and 20 mV/s, Average data being E : (Eps + Epc)/2 are reported. Data in parenthesis are estimated from overlapping

  9. Experimental Comprehensive Solar Flare Indices for Major and Certain Lesser Flares 1975-1979

    DTIC Science & Technology

    1981-07-01

    iß o \\ß in H ’la«i»*.V-K»«J>«^’ StCURITV CLASS FICATION OF THIS PACE (Whm OmmMMttmm "AEP^^T DOCUMENTATION PAGE 7 I. REPORT NUMBER AFGL- TR ...iiarii’imiiilt ■lillMMiili’- Tr . rrf-j,,..,.»;-^...^,..^.--. ,^..^............^ mm •" ■.ii"" » ||1 0*<VP£TPtfrj xfctt^ tICUWITv CLAtlirif.^TION OF THIS...jw,.™,.,,™! ,,,111.1,11 «n,» o 00 6 < AFGL- TR -82-0146 WORLD DATA CENTER A for Solar-Terrestrial Physics EXPERIMENTAL

  10. A multicentre evaluation of two intensive care unit triage protocols for use in an influenza pandemic.

    PubMed

    Cheung, Winston K; Myburgh, John; Seppelt, Ian M; Parr, Michael J; Blackwell, Nikki; Demonte, Shannon; Gandhi, Kalpesh; Hoyling, Larissa; Nair, Priya; Passer, Melissa; Reynolds, Claire; Saunders, Nicholas M; Saxena, Manoj K; Thanakrishnan, Govindasamy

    2012-08-06

    To determine the increase in intensive care unit (ICU) bed availability that would result from the use of the New South Wales and Ontario Health Plan for an Influenza Pandemic (OHPIP) triage protocols. Prospective evaluation study conducted in eight Australian, adult, general ICUs, between September 2009 and May 2010. All patients who were admitted to the ICU, excluding those who had elective surgery, were prospectively evaluated using the two triage protocols, simulating a pandemic situation. Both protocols were originally developed to determine which patients should be excluded from accessing ICU resources during an influenza pandemic. Increase in ICU bed availability. At admission, the increases in ICU bed availability using Tiers 1, 2 and 3 of the NSW triage protocol were 3.5%, 14.7% and 22.7%, respectively, and 52.8% using the OHPIP triage protocol (P < 0.001). Re-evaluation of patients at 12 hours after admission using Tiers 1, 2 and 3 of the NSW triage protocol incrementally increased ICU bed availability by 19.2%, 16.1% and 14.1%, respectively (P < 0.001). The maximal cumulative increases in ICU bed availability using Tiers 1, 2 and 3 of the NSW triage protocol were 23.7%, 31.6% and 37.5%, respectively, at 72 hours (P < 0.001), and 65.0% using the OHPIP triage protocol, at 120 hours (P < 0.001). Both triage protocols resulted in increases in ICU bed availability, but the OHPIP protocol provided the greatest increase overall. With the NSW triage protocol, ICU bed availability increased as the protocol was escalated.

  11. A comparative study of routing protocols of heterogeneous wireless sensor networks.

    PubMed

    Han, Guangjie; Jiang, Xu; Qian, Aihua; Rodrigues, Joel J P C; Cheng, Long

    2014-01-01

    Recently, heterogeneous wireless sensor network (HWSN) routing protocols have drawn more and more attention. Various HWSN routing protocols have been proposed to improve the performance of HWSNs. Among these protocols, hierarchical HWSN routing protocols can improve the performance of the network significantly. In this paper, we will evaluate three hierarchical HWSN protocols proposed recently--EDFCM, MCR, and EEPCA--together with two previous classical routing protocols--LEACH and SEP. We mainly focus on the round of the first node dies (also called the stable period) and the number of packets sent to sink, which is an important aspect to evaluate the monitoring ability of a protocol. We conduct a lot of experiments and simulations on Matlab to analyze the performance of the five routing protocols.

  12. Evaluation of the University of Florida lomustine, vincristine, procarbazine, and prednisone chemotherapy protocol for the treatment of relapsed lymphoma in dogs: 33 cases (2003-2009).

    PubMed

    Fahey, Christine E; Milner, Rowan J; Barabas, Karri; Lurie, David; Kow, Kelvin; Parfitt, Shannon; Lyles, Sarah; Clemente, Monica

    2011-07-15

    To evaluate the toxicity and efficacy of a modification of a previously evaluated combination of lomustine, vincristine, procarbazine, and prednisone (LOPP) as a rescue protocol for refractory lymphoma in dogs. Retrospective case series. Animals-33 dogs with a cytologic or histologic diagnosis of lymphoma that developed resistance to their induction chemotherapy protocol. Lomustine was administered on day 0 of the protocol. Vincristine was administered on day 0 and again 1 time on day 14. Procarbazine and prednisone were administered on days 0 through 13 of the protocol. This cycle was repeated every 28 days. Median time from initiation to discontinuation of the University of Florida LOPP protocol was 84 days (range, 10 to 308 days). Overall median survival time was 290 days (range, 51 to 762 days). Overall response rate with this protocol was 61% (20/33), with 36% (12) having a complete response and 24% (8) having a partial response. Toxicosis rates were lower than for the previously published LOPP protocol. The University of Florida LOPP protocol may be an acceptable alternative to the mechlorethamine, vincristine, procarbazine, and prednisone protocol as a rescue protocol for dogs with lymphoma.

  13. Sensitivity comparison of sequential monadic and side-by-side presentation protocols in affective consumer testing.

    PubMed

    Colyar, Jessica M; Eggett, Dennis L; Steele, Frost M; Dunn, Michael L; Ogden, Lynn V

    2009-09-01

    The relative sensitivity of side-by-side and sequential monadic consumer liking protocols was compared. In the side-by-side evaluation, all samples were presented at once and evaluated together 1 characteristic at a time. In the sequential monadic evaluation, 1 sample was presented and evaluated on all characteristics, then returned before panelists received and evaluated another sample. Evaluations were conducted on orange juice, frankfurters, canned chili, potato chips, and applesauce. Five commercial brands, having a broad quality range, were selected as samples for each product category to assure a wide array of consumer liking scores. Without their knowledge, panelists rated the same 5 retail brands by 1 protocol and then 3 wk later by the other protocol. For 3 of the products, both protocols yielded the same order of overall liking. Slight differences in order of overall liking for the other 2 products were not significant. Of the 50 pairwise overall liking comparisons, 44 were in agreement. The different results obtained by the 2 protocols in order of liking and significance of paired comparisons were due to the experimental variation and differences in sensitivity. Hedonic liking scores were subjected to statistical power analyses and used to calculate minimum number of panelists required to achieve varying degrees of sensitivity when using side-by-side and sequential monadic protocols. In most cases, the side-by-side protocol was more sensitive, thus providing the same information with fewer panelists. Side-by-side protocol was less sensitive in cases where sensory fatigue was a factor.

  14. Chapter 6: Residential Lighting Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W; Dimetrosky, Scott; Parkinson, Katie

    Given new regulations, increased complexity in the market, and the general shift from CFLs to LEDs, this evaluation protocol was updated in 2017 to shift the focus of the protocols toward LEDs and away from CFLs and to resolve evaluation uncertainties affecting residential lighting incentive programs.

  15. EVALUATION OF THE PROTOCOL FOR THE NATURAL ATTENUATION OF CHLORINATED SOLVENTS: CASE STUDY AT THE TWIN CITIES ARMY AMMUNITION PLANT

    EPA Science Inventory

    At the request of staff in the EPA Regions, EPA?s Office of Research and Development carried out an independent evaluation of the Technical Protocol for Evaluating Natural Attenuation of Chlorinated Solvents in Ground Water (EPA/600/R-98/128). The Protocol was developed around c...

  16. Field validation of protocols developed to evaluate in-line mastitis detection systems.

    PubMed

    Kamphuis, C; Dela Rue, B T; Eastwood, C R

    2016-02-01

    This paper reports on a field validation of previously developed protocols for evaluating the performance of in-line mastitis-detection systems. The protocols outlined 2 requirements of these systems: (1) to detect cows with clinical mastitis (CM) promptly and accurately to enable timely and appropriate treatment and (2) to identify cows with high somatic cell count (SCC) to manage bulk milk SCC levels. Gold standard measures, evaluation tests, performance measures, and performance targets were proposed. The current study validated the protocols on commercial dairy farms with automated in-line mastitis-detection systems using both electrical conductivity (EC) and SCC sensor systems that both monitor at whole-udder level. The protocol for requirement 1 was applied on 3 commercial farms. For requirement 2, the protocol was applied on 6 farms; 3 of them had low bulk milk SCC (128×10(3) cells/mL) and were the same farms as used for field evaluation of requirement 1. Three farms with high bulk milk SCC (270×10(3) cells/mL) were additionally enrolled. The field evaluation methodology and results were presented at a workshop including representation from 7 international suppliers of in-line mastitis-detection systems. Feedback was sought on the acceptance of standardized performance evaluation protocols and recommended refinements to the protocols. Although the methodology for requirement 1 was relatively labor intensive and required organizational skills over an extended period, no major issues were encountered during the field validation of both protocols. The validation, thus, proved the protocols to be practical. Also, no changes to the data collection process were recommended by the technology supplier representatives. However, 4 recommendations were made to refine the protocols: inclusion of an additional analysis that ignores small (low-density) clot observations in the definition of CM, extension of the time window from 4 to 5 milkings for timely alerts for CM, setting a maximum number of 10 milkings for the time window to detect a CM episode, and presentation of sensitivity for a larger range of false alerts per 1,000 milkings replacing minimum performance targets. The recommended refinements are discussed with suggested changes to the original protocols. The information presented is intended to inform further debate toward achieving international agreement on standard protocols to evaluate performance of in-line mastitis-detection systems. Copyright © 2016 American Dairy Science Association. Published by Elsevier Inc. All rights reserved.

  17. Zoom Reconstruction Tool: Evaluation of Image Quality and Influence on the Diagnosis of Root Fracture.

    PubMed

    Queiroz, Polyane Mazucatto; Santaella, Gustavo Machado; Capelozza, Ana Lúcia Alvares; Rosalen, Pedro Luiz; Freitas, Deborah Queiroz; Haiter-Neto, Francisco

    2018-04-01

    This study evaluated the image quality and the diagnosis of root fractures when using the Zoom Reconstruction tool (J Morita, Kyoto, Japan). A utility wax phantom with a metal sample inside was used for objective evaluation, and a mandible with 27 single-rooted teeth (with and without obturation and with and without vertical or horizontal fractures) was used for diagnostic evaluation. The images were acquired in 3 protocols: protocol 1, field of view (FOV) of 4 × 4 cm and a voxel size of 0.08 mm; protocol 2, FOV of 10 × 10 cm and a voxel size of 0.2 mm; and protocol 3, Zoom Reconstruction of images from protocol 2 (FOV of 4 × 4 cm and a voxel size of 0.08 mm). The objective evaluation was achieved by measuring the image noise, and the diagnosis of fractures was performed by 3 evaluators. The area under the receiver operating characteristic curve was used to calculate accuracy, and analysis of variance compared the accuracy and image quality of the protocols. Regarding quality, protocol 1 was superior to protocol 2 (P < .0001) and Zoom Reconstruction (P < .0001). Additionally, images of protocol 2 presented less noise than the Zoom Reconstruction image (P < .0001); however, for diagnosis, Zoom Reconstruction was superior in relation to protocol 2 (P = .011) and did not differ from protocol 1 (P = .228) for the diagnosis of a vertical root fracture in filled teeth. The Zoom Reconstruction tool allows better accuracy for vertical root fracture detection in filled teeth, making it possible to obtain a higher-resolution image from a lower-resolution examination without having to expose the patient to more radiation. Copyright © 2017 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  18. Preliminary efficacy and feasibility of embedding high intensity interval training into the school day: A pilot randomized controlled trial.

    PubMed

    Costigan, S A; Eather, N; Plotnikoff, R C; Taaffe, D R; Pollock, E; Kennedy, S G; Lubans, D R

    2015-01-01

    Current physical activity and fitness levels among adolescents are low, increasing the risk of chronic disease. Although the efficacy of high intensity interval training (HIIT) for improving metabolic health is now well established, it is not known if this type of activity can be effective to improve adolescent health. The primary aim of this study is to assess the effectiveness and feasibility of embedding HIIT into the school day. A 3-arm pilot randomized controlled trial was conducted in one secondary school in Newcastle, Australia. Participants (n = 65; mean age = 15.8(0.6) years) were randomized into one of three conditions: aerobic exercise program (AEP) (n = 21), resistance and aerobic exercise program (RAP) (n = 22) and control (n = 22). The 8-week intervention consisted of three HIIT sessions per week (8-10 min/session), delivered during physical education (PE) lessons or at lunchtime. Assessments were conducted at baseline and post-intervention to detect changes in cardiorespiratory fitness (multi-stage shuttle-run), muscular fitness (push-up, standing long jump tests), body composition (Body Mass Index (BMI), BMI-z scores, waist circumference) and physical activity motivation (questionnaire), by researchers blinded to treatment allocation. Intervention effects for outcomes were examined using linear mixed models, and Cohen's d effect sizes were reported. Participants in the AEP and RAP groups had moderate intervention effects for waist circumference (p = 0.024), BMI-z (p = 0.037) and BMI (not significant) in comparison to the control group. A small intervention effect was also evident for cardiorespiratory fitness in the RAP group.

  19. Clinical correlates of memory complaints during AED treatment.

    PubMed

    Mula, M; von Oertzen, T J; Cock, H R; Lozsadi, D A; Agrawal, N

    2016-11-01

    To investigate clinical correlates of memory complaints (MC) during anti-epileptic drug (AEDs) treatment in adults with epilepsy with special attention to the role of depression, using user-friendly standardized clinical instruments which can be adopted in any outpatient setting. Data from a consecutive sample of adult outpatients with epilepsy assessed with the Neurological Disorder Depression Inventory for Epilepsy (NDDIE), the Adverse Event Profile (AEP) and the Emotional Thermometer (ET) were analysed. From a total sample of 443 patients, 28.4% reported MC as 'always' a problem. These patients were less likely to be seizure free (18.3% vs 34.3%; P < 0.001), had a high number of previous AED trials (4 vs 3; P < 0.001) and high AEP total scores (49 vs 34.2; P < 0.001). There was no correlation with specific AED type or combination. Depression was the major determinant with a 2-fold increased risk (95%CI 1.15-3.86; P = 0.016). When depression was already known and under treatment, patients with MC were less likely to be in remission from depression despite antidepressant treatment (11.9% vs 1.6% P < 0.001). Among patients without depression, those reporting MC presented with significantly high scores for depression (3.3 vs 2; t = 3.07; P = 0.003), anxiety (4.5 vs 2.7; t = 4.43; P < 0.001), anger (3 vs 2; t = 2.623; P = 0.009) and distress (3.8 vs 2.2; t = 4.027; P < 0.001) than those without MC. Depression has to be appropriately treated and full remission from depression should represent the ultimate goal as subthreshold or residual mood and anxiety symptoms can contribute to MC. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  20. Overnight switching from oxcarbazepine to eslicarbazepine acetate: an observational study.

    PubMed

    Schmid, E; Kuchukhidze, G; Kirschner, M; Leitinger, M; Höfler, J; Rohracher, A; Kalss, G; Wendling, A-S; Steinhoff, B J; Trinka, E

    2017-04-01

    There are clinical situations where it might be appropriate to switch patients from immediate-release oxcarbazepine (OXC) to eslicarbazepine acetate (ESL). We investigated the effects of transitioning patients overnight from OXC to ESL. A retrospective, single-center study was conducted in which patients with drug-resistant focal epilepsy on a stable dose of immediate-release OXC for at least 4 weeks were switched overnight to ESL. Patients were switched because they experienced persistent seizures with OXC but were unable to tolerate increased OXC dosing due to adverse events. Tolerability was assessed using the Adverse Events Profile (AEP), quality of life was assessed using the Quality of Life in Epilepsy Inventory 10 (QOLIE-10), and alertness was assessed as reaction time using a subtest of the Test Battery for Attention Performance version 2.3. Assessments were performed immediately prior to and 5 days after switching from OXC to ESL (days 0 and 5, respectively). The analysis included 21 patients (12 women, 9 men; mean age 36 years). After switching from OXC to ESL, there were significant improvements in mean scores for AEP (P<.001), QOLIE-10 (P=.001), and alertness (P<.05). Adverse Events Profile total scores improved for 21/21 (100.0%) patients, QOLIE-10 total scores improved for 17/21 (81.0%) patients, and alertness scores improved for 16/21 (76.2%) patients. In this short-term, single-center study, an overnight switch from twice-daily OXC to once-daily ESL in patients with drug-resistant focal epilepsies resulted in improvements in side effects, quality of life, and alertness. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  1. A framework for the case-specific assessment of Green Infrastructure in mitigating urban flood hazards

    NASA Astrophysics Data System (ADS)

    Schubert, Jochen E.; Burns, Matthew J.; Fletcher, Tim D.; Sanders, Brett F.

    2017-10-01

    This research outlines a framework for the case-specific assessment of Green Infrastructure (GI) performance in mitigating flood hazard in small urban catchments. The urban hydrologic modeling tool (MUSIC) is coupled with a fine resolution 2D hydrodynamic model (BreZo) to test to what extent retrofitting an urban watershed with GI, rainwater tanks and infiltration trenches in particular, can propagate flood management benefits downstream and support intuitive flood hazard maps useful for communicating and planning with communities. The hydrologic and hydraulic models are calibrated based on current catchment conditions, then modified to represent alternative GI scenarios including a complete lack of GI versus a full implementation of GI. Flow in the hydrologic/hydraulic models is forced using a range of synthetic rainfall events with annual exceedance probabilities (AEPs) between 1-63% and durations from 10 min to 24 h. Flood hazard benefits mapped by the framework include maximum flood depths and extents, flow intensity (m2/s), flood duration, and critical storm duration leading to maximum flood conditions. Application of the system to the Little Stringybark Creek (LSC) catchment shows that across the range of AEPs tested and for storm durations equal or less than 3 h, presently implemented GI reduces downstream flooded area on average by 29%, while a full implementation of GI would reduce downstream flooded area on average by 91%. A full implementation of GI could also lower maximum flow intensities by 83% on average, reducing the drowning hazard posed by urban streams and improving the potential for access by emergency responders. For storm durations longer than 3 h, a full implementation of GI lacks the capacity to retain the resulting rainfall depths and only reduces flooded area by 8% and flow intensity by 5.5%.

  2. Eosinophilic pneumonia caused by daptomycin: Six cases from two institutions and a review of the literature.

    PubMed

    Hirai, Jun; Hagihara, Mao; Haranaga, Shusaku; Kinjo, Takeshi; Hashioka, Hiroe; Kato, Hideo; Sakanashi, Daisuke; Yamagishi, Yuka; Mikamo, Hiroshige; Fujita, Jiro

    2017-04-01

    Here we report six cases of daptomycin (DAP)-induced eosinophilic pneumonia (DIEP) encountered at two medical centers and present a review of 43 DIEP patients from 26 studies to compare the clinical characteristics and radiographic findings of acute and chronic eosinophilic pneumonia (AEP; CEP). Four of the six patients did not exhibit respiratory symptoms, and one patient with only fever was misdiagnosed with DAP-induced fever. According to our literature review and the present findings, male sex and old age were dominant risk factors for DIEP. Fever and fine crackles were the most common clinical manifestations. The DAP dose and duration of administration were not significant risk factors for DIEP, and we also could not find any association between allergic predisposition and DIEP. Among the reviewed patients, 51.8% did not show more than 25% eosinophils in bronchoalveolar lavage, which is a criterion for the diagnosis of drug-induced eosinophilic pneumonia. Chest images of all patients showed CEP patterns such as multiple reticulonodular infiltrates in the subpleural region and diffuse bilateral pulmonary infiltrates with ground-glass opacities. However, 66.7% of patients also exhibited pleural effusion, a feature specific to AEP. All patients showed prompt recovery after DAP withdrawal. Our results suggest that clinicians should consider DIEP as a differential diagnosis when patients receiving DAP therapy, particularly men and elderly patients, present with fever, even in the absence of respiratory symptoms. Furthermore, they should be aware that the occurrence of DIEP is independent of the DAP dose and administration duration, and allergic reaction. Copyright © 2016 Japanese Society of Chemotherapy and The Japanese Association for Infectious Diseases. Published by Elsevier Ltd. All rights reserved.

  3. Robust G2 pausing of adult stem cells in Hydra.

    PubMed

    Buzgariu, Wanda; Crescenzi, Marco; Galliot, Brigitte

    2014-01-01

    Hydra is a freshwater hydrozoan polyp that constantly renews its two tissue layers thanks to three distinct stem cell populations that cannot replace each other, epithelial ectodermal, epithelial endodermal, and multipotent interstitial. These adult stem cells, located in the central body column, exhibit different cycling paces, slow for the epithelial, fast for the interstitial. To monitor the changes in cell cycling in Hydra, we established a fast and efficient flow cytometry procedure, which we validated by confirming previous findings, as the Nocodazole-induced reversible arrest of cell cycling in G2/M, and the mitogenic signal provided by feeding. Then to dissect the cycling and differentiation behaviors of the interstitial stem cells, we used the AEP_cnnos1 and AEP_Icy1 transgenic lines that constitutively express GFP in this lineage. For the epithelial lineages we used the sf-1 strain that rapidly eliminates the fast cycling cells upon heat-shock and progressively becomes epithelial. This study evidences similar cycling patterns for the interstitial and epithelial stem cells, which all alternate between the G2 and S-phases traversing a minimal G1-phase. We also found interstitial progenitors with a shorter G2 that pause in G1/G0. At the animal extremities, most cells no longer cycle, the epithelial cells terminally differentiate in G2 and the interstitial progenitors in G1/G0. At the apical pole ~80% cells are post-mitotic differentiated cells, reflecting the higher density of neurons and nematocytes in this region. We discuss how the robust G2 pausing of stem cells, maintained over weeks of starvation, may contribute to regeneration. Copyright © 2014 International Society of Differentiation. Published by Elsevier B.V. All rights reserved.

  4. Cathepsin B-Deficient Mice Resolve Leishmania major Inflammation Faster in a T Cell-Dependent Manner

    PubMed Central

    Mériaux, Véronique; Khan, Erin M.; Borde, Chloé; Ciulean, Ioana S.; Fitting, Catherine; Manoury, Bénédicte; Cavaillon, Jean-Marc; Doyen, Noëlle

    2016-01-01

    A critical role for intracellular TLR9 has been described in recognition and host resistance to Leishmania parasites. As TLR9 requires endolysosomal proteolytic cleavage to achieve signaling functionality, we investigated the contribution of different proteases like asparagine endopeptidase (AEP) or cysteine protease cathepsins B (CatB), L (CatL) and S (CatS) to host resistance during Leishmania major (L. major) infection in C57BL/6 (WT) mice and whether they would impact on TLR9 signaling. Unlike TLR9-/-, which are more susceptible to infection, AEP-/-, CatL-/- and CatS-/- mice are as resistant to L. major infection as WT mice, suggesting that these proteases are not individually involved in TLR9 processing. Interestingly, we observed that CatB-/- mice resolve L. major lesions significantly faster than WT mice, however we did not find evidence for an involvement of CatB on either TLR9-dependent or independent cytokine responses of dendritic cells and macrophages or in the innate immune response to L. major infection. We also found no difference in antigen presenting capacity. We observed a more precocious development of T helper 1 responses accompanied by a faster decline of inflammation, resulting in resolution of footpad inflammation, reduced IFNγ levels and decreased parasite burden. Adoptive transfer experiments into alymphoid RAG2-/-γc-/- mice allowed us to identify CD3+ T cells as responsible for the immune advantage of CatB-/- mice towards L. major. In vitro data confirmed the T cell intrinsic differences between CatB-/- mice and WT. Our study brings forth a yet unappreciated role for CatB in regulating T cell responses during L. major infection. PMID:27182703

  5. [Effects of phosphorus fertilization on biomass accumulation and phosphorus use efficiency of trellis-cultivated melon].

    PubMed

    Chen, Bo-lang; Wu, Hai-hua; Luo, Jia; Hao, Li-na; Qi, Xiao-chen; Zhao, Ku

    2016-02-01

    A field experiment applying six rates of P fertilizer (P2O5, 0, 150, 225, 300, 375 and 450 kg . hm-2, respectively) was conducted to investigate the effects of P fertilization on dry matter accumulation (DMA), P uptake and accumulation (PUA) and P use efficiency (PUE) of trellis-cultivated melon. Results showed that, P application increased DMA and PUA, for 150 and 225 kg P2O5 . hm-2 treatments, being 19.9% and 26.3%, 23.0% and 26.3% higher than that in no P fertilizer treatment at fruiting stage. With plant growth, DMA and PUA of different organs and the whole plant gradually increased. DMA and PUA were mainly distributed in the leaves during the early stage of the growth and in the fruit during the latter stage. P application decreased the recovery efficiency of applied P (REP), agronomic efficiency of applied P (AEP) and partial factor productivity of applied P (PFP). At 150 kg . hm-2 P application rate, the maximum REP, AEP and PFP were 11.1%, 152.9 kg . kg-1 and 476.3 kg . kg-1, respectively. Compared with no P fertilizer treatment, melon yields of 150 and 225 kg P2O5 . hm2 treatments increased by 47.3% and 39.7%, respectively. In summary, the vining stage and fruit expanding stage were the key periods for P application in trellis-cultivated melon system. Based on synthesized economic yield and P fertilizer efficiency, the recommendation of P fertilizer for trellis-cultivated melon is 150-225 kg P2O5 . hm-2 under the climatic condition of the experimental area.

  6. Gender disparities in prosthodontics: authorship and leadership, 13 years of observation.

    PubMed

    Kongkiatkamon, Suchada; Yuan, Judy Chia-Chun; Lee, Damian J; Knoernschild, Kent L; Campbell, Stephen D; Sukotjo, Cortino

    2010-10-01

    The purpose of this study was to examine gender disparities in prosthodontics by reviewing the trend of female authorship in prosthodontic journals and exploring the role of female leadership in prosthodontic organizations and Advanced Education in Prosthodontic (AEP) programs. Three journals representing the prosthodontic specialty were selected to analyze the percentage of female dentist first and last (senior) authors for the years 1995, 2000, 2005, and 2008. Article inclusion criteria were restricted to the first or last authors who held at least a DMD/DDS/BDS degree and were from U.S. institutions. Data on female leadership in prosthodontic organizations and advanced education programs were collected, and the trends were studied. Descriptive statistics were used to analyze the data. A linear regression analysis was performed to investigate the proportion of female authorship compared to male in the dental literature. A Fisher's Exact Test was performed to contrast differences of female first and last authorship in the selected journals between years 1995 and 2008. Overall, there was no statistically significant linear increase in the proportion of either first or last female authorship compared to male authorship over time. With respect to each journal, the linear regression analysis showed that the increase of first female authorship was statistically significant (p= 0.016) compared to male authorship only in the Journal of Prosthetic Dentistry. The percentage of female presidents of prosthodontic organizations has been very limited. A similar trend was also observed in AEP program director positions. Over the past 13 years, female dentists' participation in prosthodontics literature authorship has not increased significantly in the United States. Furthermore, female involvement in prosthodontics leadership has been limited over the past decades. © 2010 by The American College of Prosthodontists.

  7. Consciousness and Quantum Physics: Empirical Research on the Subjective Reduction of the Statevector

    NASA Astrophysics Data System (ADS)

    Bierman, Dick J.; Whitmarsh, Stephen

    There are two major theoretical perspectives on the relation between quantum physics and consciousness. The first one is the proposal by Hameroff and Penrose CHEXX[16] that consciousness arises from the collapse of the statevector describing nonconscious brainstates. The second perspective is the proposition that consciousness acts as the ultimate measurement device, i. e. a measurement is defined as the collapse of the statevector describing the external physical system, due to interaction with a conscious observer. The latter (dualistic) proposition has resulted in the thought experiment with Schrodinger's cat and is generally considered as extremely unlikely. However, that proposition is, under certain assumptions, open to empirical verification. This was originally done by Hall et al. CHEXX[15]. A refined experiment to test the "subjective" reduction' interpretation of the measurement problem in quantum physics was reported by Bierman CHEXX[3]. In the latter experiment, auditory evoked potentials (AEPs) of subjects observing (previously unobserved) radioactive decay were recorded. These were compared with AEPs from events that were already observed and thus supposedly already collapsed into a singular state. Significant differences in brain signals of the observer were found. In this chapter we report a further replication that is improved upon the previous experiments by adding a nonquantum event as control. Differential effects of preobservation were expected not to appear in this classical condition since the quantum character of the event is presumed crucial. No differential effects were found in either condition, however. Marginal differences were found between the quantum and classical conditions. Possible explanations for the inability to replicate the previous findings are given as well as suggestions for further research.

  8. Functional dissociation between regularity encoding and deviance detection along the auditory hierarchy.

    PubMed

    Aghamolaei, Maryam; Zarnowiec, Katarzyna; Grimm, Sabine; Escera, Carles

    2016-02-01

    Auditory deviance detection based on regularity encoding appears as one of the basic functional properties of the auditory system. It has traditionally been assessed with the mismatch negativity (MMN) long-latency component of the auditory evoked potential (AEP). Recent studies have found earlier correlates of deviance detection based on regularity encoding. They occur in humans in the first 50 ms after sound onset, at the level of the middle-latency response of the AEP, and parallel findings of stimulus-specific adaptation observed in animal studies. However, the functional relationship between these different levels of regularity encoding and deviance detection along the auditory hierarchy has not yet been clarified. Here we addressed this issue by examining deviant-related responses at different levels of the auditory hierarchy to stimulus changes varying in their degree of deviation regarding the spatial location of a repeated standard stimulus. Auditory stimuli were presented randomly from five loudspeakers at azimuthal angles of 0°, 12°, 24°, 36° and 48° during oddball and reversed-oddball conditions. Middle-latency responses and MMN were measured. Our results revealed that middle-latency responses were sensitive to deviance but not the degree of deviation, whereas the MMN amplitude increased as a function of deviance magnitude. These findings indicated that acoustic regularity can be encoded at the level of the middle-latency response but that it takes a higher step in the auditory hierarchy for deviance magnitude to be encoded, thus providing a functional dissociation between regularity encoding and deviance detection along the auditory hierarchy. © 2015 Federation of European Neuroscience Societies and John Wiley & Sons Ltd.

  9. Internalization of exogenous cystatin F supresses cysteine proteases and induces the accumulation of single-chain cathepsin L by multiple mechanisms.

    PubMed

    Colbert, Jeff D; Matthews, Stephen P; Kos, Janko; Watts, Colin

    2011-12-09

    Cystatin F is an unusual member of the cystatin family of protease inhibitors, which is made as an inactive dimer and becomes activated by proteolysis in the endo/lysosome pathway of the immune cells that produce it. However a proportion is secreted and can be taken up and activated by other cells. We show here that cystatin F acquired in this way induces a dramatic accumulation of the single-chain form of cathepsin L (CatL). Cystatin F was observed in the same cellular compartments as CatL and was tightly complexed with CatL as determined by co-precipitation studies. The observed accumulation of single-chain CatL was partly due to cystatin F-mediated inhibition of the putative single-chain to two-chain CatL convertase AEP/legumain and partly to general suppression of cathepsin activity. Thus, cystatin F stabilizes CatL leading to the dramatic accumulation of an inactive complex composed either of the single-chain or two-chain form depending on the capacity of cystatin F to inhibit AEP. Cross-transfer of cystatin F from one cell to another may therefore attenuate potentially harmful effects of excessive CatL activity while paradoxically, inducing accumulation of CatL protein. Finally, we confirmed earlier data (Beers, C., Honey, K., Fink, S., Forbush, K., and Rudensky, A. (2003) J. Exp. Med. 197, 169-179) showing a loss of CatL activity, but not of CatL protein, in macrophages activated with IFNγ. However, we found equivalent loss of CatL activity in wild type and cystatin F-null macrophages suggesting that an inhibitory activity other than cystatin F quenches CatL activity in activated macrophages.

  10. Profiles in fibromyalgia: algometry, auditory evoked potentials and clinical characterization of different subtypes.

    PubMed

    Triñanes, Yolanda; González-Villar, Alberto; Gómez-Perretta, Claudio; Carrillo-de-la-Peña, María T

    2014-11-01

    The heterogeneity found in fibromyalgia (FM) patients has led to the investigation of disease subgroups, mainly based on clinical features. The aim of this study was to test the hypothesis that clinical FM subgroups are associated with different underlying pathophysiological mechanisms. Sixty-three FM patients were classified in type I or type II, according to the Fibromyalgia Impact Questionnaire (FIQ), and in mild/moderate versus severe FM, according to the severity of three cardinal symptoms considered in the American College of Rheumatology (ACR) 2010 criteria (unrefreshed sleep, cognitive problems and fatigue). To validate the subgroups obtained by these two classifications, we calculated the area under the receiver operating characteristic curves for various clinical variables and for two potential biomarkers of FM: Response to experimental pressure pain (algometry) and the amplitude/intensity slopes of the auditory evoked potentials (AEPs) obtained to stimuli of increasing intensity. The variables that best discriminated type I versus type II were those related to depression, while the indices of clinical or experimental pain (threshold or tolerance) did not significantly differ between them. The variables that best discriminated the mild/moderate versus severe subgroups were those related to the algometry. The AEPs did not allow discrimination among the generated subsets. The FIQ-based classification allows the identification of subgroups that differ in psychological distress, while the index based on the ACR 2010 criteria seems to be useful to characterize the severity of FM mainly based on hyperalgesia. The incorporation of potential biomarkers to generate or validate classification criteria is crucial to advance in the knowledge of FM and in the understanding of pathophysiological pathways.

  11. Depressive and anxiety disorders in epilepsy: do they differ in their potential to worsen common antiepileptic drug-related adverse events?

    PubMed

    Kanner, Andres M; Barry, John J; Gilliam, Frank; Hermann, Bruce; Meador, Kimford J

    2012-06-01

    To compare the effect of anxiety disorders, major depressive episodes (MDEs), and subsyndromic depressive episodes (SSDEs) on antiepileptic drug (AED)-related adverse events (AEs) in persons with epilepsy (PWE). The study included 188 consecutive PWE from five U.S. outpatient epilepsy clinics, all of whom underwent structured interviews (SCID) to identify current and past mood disorders and other current Axis I psychiatric diagnoses according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, Text Revision (DSM-IV-TR) criteria. A diagnosis of SSDE was made in patients with total Beck Depression Inventory-II (BDI-II) scores >12 or the Centers of Epidemiologic Studies-Depression (CES-D) > 16 (in the absence of any DSM diagnosis of mood disorder. The presence and severity of AEs was measured with the Adverse Event Profile (AEP). Compared to asymptomatic patients (n = 103), the AEP scores of patients with SSDE (n = 26), MDE only (n = 10), anxiety disorders only (n = 21), or mixed MDE/anxiety disorders (n = 28) were significantly higher, suggesting more severe AED-related AEs. Univariate analyses revealed that having persistent seizures in the last 6 months and taking antidepressants was associated with more severe AEs. Post hoc analyses, however, showed that these differences were accounted for by the presence of a depressive and/or anxiety disorders. Depressive and anxiety disorders worsen AED-related AEs even when presenting as a subsyndromic type. These data suggest that the presence of psychiatric comorbidities must be considered in their interpretation, both in clinical practice and AED drug trials. Wiley Periodicals, Inc. © 2012 International League Against Epilepsy.

  12. The effect of native-language experience on the sensory-obligatory components, the P1–N1–P2 and the T-complex

    PubMed Central

    Wagner, Monica; Shafer, Valerie L.; Martin, Brett; Steinschneider, Mitchell

    2013-01-01

    The influence of native-language experience on sensory-obligatory auditory-evoked potentials (AEPs) was investigated in native-English and native-Polish listeners. AEPs were recorded to the first word in nonsense word pairs, while participants performed a syllable identification task to the second word in the pairs. Nonsense words contained phoneme sequence onsets (i.e., /pt/, /pət/, /st/ and /sət/) that occur in the Polish and English languages, with the exception that /pt/ at syllable onset is an illegal phonotactic form in English. P1–N1–P2 waveforms from fronto-central electrode sites were comparable in English and Polish listeners, even though, these same English participants were unable to distinguish the nonsense words having /pt/ and /pət/ onsets. The P1–N1–P2 complex indexed the temporal characteristics of the word stimuli in the same manner for both language groups. Taken together, these findings suggest that the fronto-central P1–N1–P2 complex reflects acoustic feature processing of speech and is not significantly influenced by exposure to the phoneme sequences of the native-language. In contrast, the T-complex from bilateral posterior temporal sites was found to index phonological as well as acoustic feature processing to the nonsense word stimuli. An enhanced negativity for the /pt/ cluster relative to its contrast sequence (i.e., /pət/) occurred only for the Polish listeners, suggesting that neural networks within non-primary auditory cortex may be involved in early cortical phonological processing. PMID:23643857

  13. Effects of Temperature on Auditory Sensitivity in Eurythermal Fishes: Common Carp Cyprinus carpio (Family Cyprinidae) versus Wels Catfish Silurus glanis (Family Siluridae)

    PubMed Central

    Maiditsch, Isabelle Pia; Ladich, Friedrich

    2014-01-01

    Background In ectothermal animals such as fish, -temperature affects physiological and metabolic processes. This includes sensory organs such as the auditory system. The reported effects of temperature on hearing in eurythermal otophysines are contradictory. We therefore investigated the effect on the auditory system in species representing two different orders. Methodology/Principal Findings Hearing sensitivity was determined using the auditory evoked potentials (AEP) recording technique. Auditory sensitivity and latency in response to clicks were measured in the common carp Cyprinus carpio (order Cypriniformes) and the Wels catfish Silurus glanis (order Siluriformes) after acclimating fish for at least three weeks to two different water temperatures (15°C, 25°C and again 15°C). Hearing sensitivity increased with temperature in both species. Best hearing was detected between 0.3 and 1 kHz at both temperatures. The maximum increase occurred at 0.8 kHz (7.8 dB) in C. carpio and at 0.5 kHz (10.3 dB) in S. glanis. The improvement differed between species and was in particular more pronounced in the catfish at 4 kHz. The latency in response to single clicks was measured from the onset of the sound stimulus to the most constant positive peak of the AEP. The latency decreased at the higher temperature in both species by 0.37 ms on average. Conclusions/Significance The current study shows that higher temperature improves hearing (lower thresholds, shorter latencies) in eurythermal species from different orders of otophysines. Differences in threshold shifts between eurythermal species seem to reflect differences in absolute sensitivity at higher frequencies and they furthermore indicate differences to stenothermal (tropical) species. PMID:25255456

  14. [Audit as a tool to assess and promote the quality of medical records and hospital appropriateness: metodology and preliminary results].

    PubMed

    Poscia, Andrea; Cambieri, Andrea; Tucceri, Chiara; Ricciardi, Walter; Volpe, Massimo

    2015-01-01

    In the actual economic context, with increasing health needs, efficiency and efficacy represents fundamental keyword to ensure a successful use of the resources and the best health outcomes. Together, the medical record, completely and correctly compiled, is an essential tool in the patient diagnostic and therapeutic path, but it's becoming more and more essential for the administrative reporting and legal claims. Nevertheless, even if the improvement of medical records quality and of hospital stay appropriateness represent priorities for every health organization, they could be difficult to realize. This study aims to present the methodology and the preliminary results of a training and improvement process: it was carried out from the Hospital Management of a third level Italian teaching hospital through audit cycles to actively involve their health professionals. A self assessment process of medical records quality and hospital stay appropriateness (inpatients admission and Day Hospital) was conducted through a retrospective evaluation of medical records. It started in 2012 and a random sample of 2295 medical records was examined: the quality assessment was performed using a 48-item evaluation grid modified from the Lombardy Region manual of the medical record, while the appropriateness of each days was assessed using the Italian version of Appropriateness Evaluation Protocol (AEP) - 2002ed. The overall assessment was presented through departmental audit: the audit were designed according to the indication given by the Italian and English Ministry of Health to share the methodology and the results with all the involved professionals (doctors and nurses) and to implement improvement strategies that are synthesized in this paper. Results from quality and appropriateness assessment show several deficiencies, due to 40% of minimum level of acceptability not completely satisfied and to 30% of inappropriateness between days of hospitalization. Furthermore, there are great discrepancies among departments and among Care Units: the higher problems are centered in DHs, which are generally lacking on both profiles. Finally, our audit model, that could be considered a good project according the NHS (score of 20/25), has allowed to involve in 34 editions 480 professionals of different care Unit which are satisfied and stimulated to keep going in continuous improvement of the quality and appropriateness with these arrangements. The tools used in the project have proven their value for measuring the minimum quality of healthcare documentation and organizational appropriateness: furthermore, the audit has been shown as an effective methodology for their introduction because it ensures their acceptability among the staff and creates the basis for a rapid and quantifiable improvement that, through the promotion of accountability and transparency, could support the risk management activities and ensure greater efficiency in hospitalization.

  15. Chapter 23: Combined Heat and Power Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W.; Simons, George; Barsun, Stephan

    The main focus of most evaluations is to determine the energy-savings impacts of the installed measure. This protocol defines a combined heat and power (CHP) measure as a system that sequentially generates both electrical energy and useful thermal energy from one fuel source at a host customer's facility or residence. This protocol is aimed primarily at regulators and administrators of ratepayer-funded CHP programs; however, project developers may find the protocol useful to understand how CHP projects are evaluated.

  16. Efficiency Improvement in a Busy Radiology Practice: Determination of Musculoskeletal Magnetic Resonance Imaging Protocol Using Deep-Learning Convolutional Neural Networks.

    PubMed

    Lee, Young Han

    2018-04-04

    The purposes of this study are to evaluate the feasibility of protocol determination with a convolutional neural networks (CNN) classifier based on short-text classification and to evaluate the agreements by comparing protocols determined by CNN with those determined by musculoskeletal radiologists. Following institutional review board approval, the database of a hospital information system (HIS) was queried for lists of MRI examinations, referring department, patient age, and patient gender. These were exported to a local workstation for analyses: 5258 and 1018 consecutive musculoskeletal MRI examinations were used for the training and test datasets, respectively. The subjects for pre-processing were routine or tumor protocols and the contents were word combinations of the referring department, region, contrast media (or not), gender, and age. The CNN Embedded vector classifier was used with Word2Vec Google news vectors. The test set was tested with each classification model and results were output as routine or tumor protocols. The CNN determinations were evaluated using the receiver operating characteristic (ROC) curves. The accuracies were evaluated by a radiologist-confirmed protocol as the reference protocols. The optimal cut-off values for protocol determination between routine protocols and tumor protocols was 0.5067 with a sensitivity of 92.10%, a specificity of 95.76%, and an area under curve (AUC) of 0.977. The overall accuracy was 94.2% for the ConvNet model. All MRI protocols were correct in the pelvic bone, upper arm, wrist, and lower leg MRIs. Deep-learning-based convolutional neural networks were clinically utilized to determine musculoskeletal MRI protocols. CNN-based text learning and applications could be extended to other radiologic tasks besides image interpretations, improving the work performance of the radiologist.

  17. An Evaluation of Protocol Enhancing Proxies and File Transport Protocols for Satellite Communication

    NASA Technical Reports Server (NTRS)

    Finch, Patrick Eugene; Sullivan, Donald; Ivancic, William D.

    2012-01-01

    NASA is utilizing Global Hawk aircraft in high-altitude, long-duration Earth science missions. Communications with the onboard research equipment and sensors (the science payload) is via Ku-Band radio utilizing satellites in geostationary orbits. All payload communications use standard Internet Protocols and routing, and much of the data to be transferred is comprised of very large files. The science community is interested in fully utilizing these communication links to retrieve data as quickly and reliably as possible. A test bed was developed at NASA Ames to evaluate modern transport protocols as well as Protocol Enhancing Proxies (PEPs) to determine what tools best fit the needs of the science community. This paper describes the test bed used, the protocols, the PEPs that were evaluated, the particular tests performed and the results and conclusions.

  18. Evaluating Tidal Energy Resource Assessment Guidelines

    NASA Astrophysics Data System (ADS)

    Haas, K. A.

    2016-02-01

    All tidal energy projects require resource assessments for determining the feasibility of a particular site, performing the project layout design and providing the projected annual energy production (AEP). The methods for the different resource assessments depend on both the assessment scope as well as the project scale. To assist with the development of the hydrokinetic industry as a whole, much work over the past decade has been completed to develop international technical standards that can be used by the full range of stakeholders in the hydrokinetic industry. In particular, a new International Electrotechnical Commission (IEC) Technical Specification (TS) has recently been published outlining a standardized methodology for performing tidal energy resource assessments. This presentation will cover the various methods for performing the different types of tidal resource assessments (national reconnaissance, regional feasibility and layout design). Illustrations through case studies will be presented for each type of resource assessment. In particular, the ability of a grid refinement technique which satisfies the TS grid resolution requirements for the assessment of tidal current energy while maintaining low computational expenses will be evaluated. Example applications will be described for mapping the tidal resources near two facilities (Portsmouth Naval Shipyard in Maine and Key West Naval Station in Florida) for possible future deployments of Marine Hydro-Kinetic (MHK) technologies. These assessments will include and demonstrate the importance of the effect of energy extraction as required by the TS.

  19. PFB Coal Fired Combined Cycle Development Program. Quarterly report, July-September 1978

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

    Not Available

    1978-01-01

    The System Analysis report was completed and is currently undergoing internal review prior to submission to DOE. Exposures of up to 6000 hours in the small burner rigs during Phase II identified PFB-5PM, aluminided PFB-6PM and GE-2541 as the most corrosion resistant cladding alloys. Three alloy modifications each of GE-2541 and PFB-5PM have been ordered as prealloyed powder to evaluate the effect of the modifications. Test 9 at CURL was terminated after twenty-one hours' operation due to a failure in the bellows between the combustor and Aerodyne cyclone. Initial data reduction of the total ninety-one hours of testing (combined Testsmore » 8 and 9) is in progress. All 24 mini-airfoil specimens exposed in the four cascades of the 91 hours CURL PFB Tests 8/9 were received for evaluation. The Aerodyne two-in-one cyclone was removed from the CURL facility and disassembled in order to determine the cause of the anomalies which occurred during Tests number 8 and number 9. The consensus after review and investigation by representatives from Aerodyne, CURL, and GE indicated a number of causes which are detailed. Test planning for the upcoming 1000 hour test at CURL was initiated. Effort is concentrated at integrating the test objectives of the program participants (DOE, EPRI, CURL, GE, AEP, Stal Laval, and B and W Ltd.).« less

  20. Using Colored Stochastic Petri Net (CS-PN) software for protocol specification, validation, and evaluation

    NASA Technical Reports Server (NTRS)

    Zenie, Alexandre; Luguern, Jean-Pierre

    1987-01-01

    The specification, verification, validation, and evaluation, which make up the different steps of the CS-PN software are outlined. The colored stochastic Petri net software is applied to a Wound/Wait protocol decomposable into two principal modules: request or couple (transaction, granule) treatment module and wound treatment module. Each module is specified, verified, validated, and then evaluated separately, to deduce a verification, validation and evaluation of the complete protocol. The colored stochastic Petri nets tool is shown to be a natural extension of the stochastic tool, adapted to distributed systems and protocols, because the color conveniently takes into account the numerous sites, transactions, granules and messages.

  1. Evaluation of Interoperability Protocols in Repositories of Electronic Theses and Dissertations

    ERIC Educational Resources Information Center

    Hakimjavadi, Hesamedin; Masrek, Mohamad Noorman

    2013-01-01

    Purpose: The purpose of this study is to evaluate the status of eight interoperability protocols within repositories of electronic theses and dissertations (ETDs) as an introduction to further studies on feasibility of deploying these protocols in upcoming areas of interoperability. Design/methodology/approach: Three surveys of 266 ETD…

  2. The "ComPAS Trial" combined treatment model for acute malnutrition: study protocol for the economic evaluation.

    PubMed

    Lelijveld, Natasha; Bailey, Jeanette; Mayberry, Amy; Trenouth, Lani; N'Diaye, Dieynaba S; Haghparast-Bidgoli, Hassan; Puett, Chloe

    2018-04-24

    Acute malnutrition is currently divided into severe (SAM) and moderate (MAM) based on level of wasting. SAM and MAM currently have separate treatment protocols and products, managed by separate international agencies. For SAM, the dose of treatment is allocated by the child's weight. A combined and simplified protocol for SAM and MAM, with a standardised dose of ready-to-use therapeutic food (RUTF), is being trialled for non-inferior recovery rates and may be more cost-effective than the current standard protocols for treating SAM and MAM. This is the protocol for the economic evaluation of the ComPAS trial, a cluster-randomised controlled, non-inferiority trial that compares a novel combined protocol for treating uncomplicated acute malnutrition compared to the current standard protocol in South Sudan and Kenya. We will calculate the total economic costs of both protocols from a societal perspective, using accounting data, interviews and survey questionnaires. The incremental cost of implementing the combined protocol will be estimated, and all costs and outcomes will be presented as a cost-consequence analysis. Incremental cost-effectiveness ratio will be calculated for primary and secondary outcome, if statistically significant. We hypothesise that implementing the combined protocol will be cost-effective due to streamlined logistics at clinic level, reduced length of treatment, especially for MAM, and reduced dosages of RUTF. The findings of this economic evaluation will be important for policymakers, especially given the hypothesised non-inferiority of the main health outcomes. The publication of this protocol aims to improve rigour of conduct and transparency of data collection and analysis. It is also intended to promote inclusion of economic evaluation in other nutrition intervention studies, especially for MAM, and improve comparability with other studies. ISRCTN 30393230 , date: 16/03/2017.

  3. Evolution of Natural Attenuation Evaluation Protocols

    EPA Science Inventory

    Traditionally the evaluation of the efficacy of natural attenuation was based on changes in contaminant concentrations and mass reduction. Statistical tools and models such as Bioscreen provided evaluation protocols which now are being approached via other vehicles including m...

  4. A multigear protocol for sampling crayfish assemblages in Gulf of Mexico coastal streams

    Treesearch

    William R. Budnick; William E. Kelso; Susan B. Adams; Michael D. Kaller

    2018-01-01

    Identifying an effective protocol for sampling crayfish in streams that vary in habitat and physical/chemical characteristics has proven problematic. We evaluated an active, combined-gear (backpack electrofishing and dipnetting) sampling protocol in 20 Coastal Plain streams in Louisiana. Using generalized linear models and rarefaction curves, we evaluated environmental...

  5. Semi-Structured Interview Protocol for Constructing Logic Models

    ERIC Educational Resources Information Center

    Gugiu, P. Cristian; Rodriguez-Campos, Liliana

    2007-01-01

    This paper details a semi-structured interview protocol that evaluators can use to develop a logic model of a program's services and outcomes. The protocol presents a series of questions, which evaluators can ask of specific program informants, that are designed to: (1) identify key informants basic background and contextual information, (2)…

  6. The Evaluation of Vocational Programming in Secondary School Settings: A Suggested Protocol

    ERIC Educational Resources Information Center

    George, Jennifer C.; Seruya, Francine M.

    2018-01-01

    The primary purpose of this project was to determine if a therapist-created protocol to develop a prevocational program provided sufficient information for a practitioner to implement a vocational program within another high school setting. The developed protocol was evaluated on feasibility and efficacy for replication within another setting by…

  7. Developing an evidence-based practice protocol: implications for midwifery practice.

    PubMed

    Carr, K C

    2000-01-01

    Evidence-based practice is defined and its importance to midwifery practice is presented. Guidelines are provided for the development of an evidence-based practice protocol. These include: identifying the clinical question, obtaining the evidence, evaluating the validity and importance of the evidence, synthesizing the evidence and applying it to the development of a protocol or clinical algorithm, and, finally, developing an evaluation plan or measurement strategy to see if the new protocol is effective.

  8. Development of a Virtual Reality Exposure Tool as Psychological Preparation for Elective Pediatric Day Care Surgery: Methodological Approach for a Randomized Controlled Trial.

    PubMed

    Eijlers, Robin; Legerstee, Jeroen S; Dierckx, Bram; Staals, Lonneke M; Berghmans, Johan; van der Schroeff, Marc P; Wijnen, Rene Mh; Utens, Elisabeth Mwj

    2017-09-11

    Preoperative anxiety in children is highly prevalent and is associated with adverse outcomes. Existing psychosocial interventions to reduce preoperative anxiety are often aimed at distraction and are of limited efficacy. Gradual exposure is a far more effective way to reduce anxiety. Virtual reality (VR) provides a unique opportunity to gradually expose children to all aspects of the operating theater. The aims of our study are (1) to develop a virtual reality exposure (VRE) tool to prepare children psychologically for surgery; and (2) to examine the efficacy of the VRE tool in a randomized controlled trial (RCT), in which VRE will be compared to care as usual (CAU). The VRE tool is highly realistic and resembles the operating room environment accurately. With this tool, children will not only be able to explore the operating room environment, but also get accustomed to general anesthesia procedures. The PREoperative Virtual reality Intervention to Enhance Wellbeing (PREVIEW) study will be conducted. In this single-blinded RCT, 200 consecutive patients (aged 4 to 12 years) undergoing elective day care surgery for dental, oral, or ear-nose-throat problems, will be randomly allocated to the preoperative VRE intervention or CAU. The primary outcome is change in child state anxiety level between baseline and induction of anesthesia. Secondary outcome measures include child's postoperative anxiety, emergence delirium, postoperative pain, use of analgesics, health care use, and pre- and postoperative parental anxiety. The VRE tool has been developed. Participant recruitment began March 2017 and is expected to be completed by September 2018. To our knowledge, this is the first RCT evaluating the effect of a VRE tool to prepare children for surgery. The VRE intervention is expected to significantly diminish preoperative anxiety, postoperative pain, and the use of postoperative analgesics in pediatric patients. The tool could create a less stressful experience for both children and their parents, in line with the modern emphasis on patient- and family-centered care. Netherlands Trial Registry: NTR6116; http://www.trialregister.nl/trialreg/admin/rctview.asp?TC=6116 (Archived by WebCite at http://www.webcitation.org/6ryke7aep). ©Robin Eijlers, Jeroen S Legerstee, Bram Dierckx, Lonneke M Staals, Johan Berghmans, Marc P van der Schroeff, Rene MH Wijnen, Elisabeth MWJ Utens. Originally published in JMIR Research Protocols (http://www.researchprotocols.org), 11.09.2017.

  9. Evaluation of the clinical protocol quality for family planning services of people living with HIV/AIDS.

    PubMed

    Brasil, Raquel Ferreira Gomes; Silva, Maria Josefina da; Moura, Escolástica Rejane Ferreira

    2018-01-01

    To evaluate the quality of a clinical protocol for family planning care for people living with HIV/AIDS. An evaluative study based on the six domains of the Appraisal of Guidelines for Research & Evaluation II and on Pearson's Coefficient of Variation. The protocol reached between 88.8% and 100.0% quality in the domains of the Appraisal of Guidelines for Research & Evaluation II and 93.3% in the overall evaluation. The obtained Pearson's coefficient of variation was between zero and 18.6. Considering that a minimum percentage of 70.0% was adopted for the quality attributed by the evaluators, quality has been achieved for all domains of the Appraisal of Guidelines for Research & Evaluation II. As a coefficient for all domains was less than 25%, we can infer that the scores attributed by the evaluators were linear or homogeneous, meaning high agreement between them. The protocol was evaluated as a quality instrument, recommended for use by health professionals who deal with family planning for people living with HIV/AIDS.

  10. EVALUATION OF AMMONIUM PERCHLORATE IN THE ENDOCRINE DISRUPTOR SCREENING AND TESTING PROGRAM'S MALE PUBERTAL PROTOCOL: ABILITY TO DETECT EFFECTS OF THYROID ENDPOINTS.

    EPA Science Inventory

    The U.S EPA Endocrine Disruptor Screening Program Tier 1 male pubertal protocol was designed to detect reproductive development and thyroid function. One purpose of this in vivo protocol is to detect thyrotoxicants via a number of different mechanisms of action. Here we evaluate ...

  11. Implementation of a timed, electronic, assessment-driven potassium-replacement protocol.

    PubMed

    Zielenski, Christopher; Crabtree, Adam; Le, Tien; Marlatt, Alyse; Ng, Dana; Tran, Alan

    2017-06-15

    The adherence to and effectiveness and safety of a timed, electronic, assessment-driven potassium-replacement protocol (TARP) were compared with an electronic nurse-driven replacement protocol (NRP) are reported. A retrospective observational study was conducted in a community hospital evaluating protocol adherence, effectiveness, and safety for 2 potassium-replacement protocols. All adults on medical units with an order for potassium replacement per protocol during the 3-month trial periods were reviewed. All patients requiring potassium replacement per protocol were included in the analysis. Adherence to the protocol was assessed by evaluating the dose of potassium administered and performance of reassessments. Effectiveness of the protocol was assessed by evaluating the time to achieve target potassium levels. Safety was assessed by evaluating the route of administration and occurrence of hyperkalemia. A total of 300 patients treated using potassium-replacement protocols required potassium replacement during the study period, with 148 patients in the NRP group requiring 491 instances of potassium replacement. In the TARP group a total of 564 instances requiring potassium replacement corresponded to 152 patients. Of the 491 instances requiring replacement in the NRP group, the correct dose was administered and reassessment performed 117 times (23.8%). Overall adherence ( p < 0.05), correct dose given ( p < 0.05), average time from blood draw to potassium replacement ( p < 0.0001), use of oral replacement ( p < 0.05), and time to achieve target potassium level within 12 hours ( p < 0.05) were significantly improved in the TARP group. The TARP improved the effectiveness and safety of potassium-replacement therapy over the traditional NRP without negatively affecting timeliness of care. Copyright © 2017 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  12. Evaluation of a single-scan protocol for radiochromic film dosimetry.

    PubMed

    Shimohigashi, Yoshinobu; Araki, Fujio; Maruyama, Masato; Nakaguchi, Yuji; Kuwahara, Satoshi; Nagasue, Nozomu; Kai, Yudai

    2015-03-08

    The purpose of this study was to evaluate a single-scan protocol using Gafchromic EBT3 film (EBT3) by comparing it with the commonly used 24-hr measurement protocol for radiochromic film dosimetry. Radiochromic film is generally scanned 24 hr after film exposure (24-hr protocol). The single-scan protocol enables measurement results within a short time using only the verification film, one calibration film, and unirradiated film. The single-scan protocol was scanned 30 min after film irradiation. The EBT3 calibration curves were obtained with the multichannel film dosimetry method. The dose verifications for each protocol were performed with the step pattern, pyramid pattern, and clinical treatment plans for intensity-modulated radiation therapy (IMRT). The absolute dose distributions for each protocol were compared with those calculated by the treatment planning system (TPS) using gamma evaluation at 3% and 3 mm. The dose distribution for the single-scan protocol was within 2% of the 24-hr protocol dose distribution. For the step pattern, the absolute dose discrepancies between the TPS for the single-scan and 24-hr protocols were 2.0 ± 1.8 cGy and 1.4 ± 1.2 cGy at the dose plateau, respectively. The pass rates were 96.0% for the single-scan protocol and 95.9% for the 24-hr protocol. Similarly, the dose discrepancies for the pyramid pattern were 3.6 ± 3.5cGy and 2.9 ± 3.3 cGy, respectively, while the pass rates for the pyramid pattern were 95.3% and 96.4%, respectively. The average pass rates for the four IMRT plans were 96.7% ± 1.8% for the single-scan protocol and 97.3% ± 1.4% for the 24-hr protocol. Thus, the single-scan protocol measurement is useful for dose verification of IMRT, based on its accuracy and efficiency.

  13. Evaluation of a single‐scan protocol for radiochromic film dosimetry

    PubMed Central

    Araki, Fujio; Maruyama, Masato; Nakaguchi, Yuji; Kuwahara, Satoshi; Nagasue, Nozomu; Kai, Yudai

    2015-01-01

    The purpose of this study was to evaluate a single‐scan protocol using Gafchromic EBT3 film (EBT3) by comparing it with the commonly used 24‐hr measurement protocol for radiochromic film dosimetry. Radiochromic film is generally scanned 24 hr after film exposure (24‐hr protocol). The single‐scan protocol enables measurement results within a short time using only the verification film, one calibration film, and unirradiated film. The single‐scan protocol was scanned 30 min after film irradiation. The EBT3 calibration curves were obtained with the multichannel film dosimetry method. The dose verifications for each protocol were performed with the step pattern, pyramid pattern, and clinical treatment plans for intensity‐modulated radiation therapy (IMRT). The absolute dose distributions for each protocol were compared with those calculated by the treatment planning system (TPS) using gamma evaluation at 3% and 3 mm. The dose distribution for the single‐scan protocol was within 2% of the 24‐hr protocol dose distribution. For the step pattern, the absolute dose discrepancies between the TPS for the single‐scan and 24‐hr protocols were 2.0±1.8 cGy and 1.4±1.2 cGy at the dose plateau, respectively. The pass rates were 96.0% for the single‐scan protocol and 95.9% for the 24‐hr protocol. Similarly, the dose discrepancies for the pyramid pattern were 3.6±3.5 cGy and 2.9±3.3 cGy, respectively, while the pass rates for the pyramid pattern were 95.3% and 96.4%, respectively. The average pass rates for the four IMRT plans were 96.7%±1.8% for the single‐scan protocol and 97.3%±1.4% for the 24‐hr protocol. Thus, the single‐scan protocol measurement is useful for dose verification of IMRT, based on its accuracy and efficiency. PACS number: 87.55.Qr PMID:26103194

  14. A review on transport layer protocol performance for delivering video on an adhoc network

    NASA Astrophysics Data System (ADS)

    Suherman; Suwendri; Al-Akaidi, Marwan

    2017-09-01

    The transport layer protocol is responsible for the end to end data transmission. Transmission control protocol (TCP) provides a reliable connection and user datagram protocol (UDP) offers fast but unguaranteed data transfer. Meanwhile, the 802.11 (wireless fidelity/WiFi) networks have been widely used as internet hotspots. This paper evaluates TCP, TCP variants and UDP performances for video transmission on an adhoc network. The transport protocol - medium access cross-layer is proposed by prioritizing TCP acknowledgement to reduce delay. The NS-2 evaluations show that the average delays increase linearly for all the evaluated protocols and the average packet losses grow logarithmically. UDP produces the lowest transmission delay; 5.4% and 5.8% lower than TCP and TCP variant, but experiences the highest packet loss. Both TCP and TCP Vegas maintain packet loss as low as possible. The proposed cross-layer successfully decreases TCP and TCP Vegas delay about 0.12 % and 0.15%, although losses remain similar.

  15. Enhanced just-in-time plus protocol for optical burst switching networks

    NASA Astrophysics Data System (ADS)

    Rodrigues, Joel J. P. C.; Gregório, José M. B.; Vasilakos, Athanasios V.

    2010-07-01

    We propose a new one-way resource reservation protocol for optical burst switching (OBS) networks, called Enhanced Just-in-Time Plus (E-JIT+). The protocol is described in detail, and its formal specification is presented, following an extended finite state machine approach. The performance evaluation of E-JIT+ is analyzed in comparison with other proposed OBS protocols (JIT+ and E-JIT) for the following network topologies: rings; degree-two, degree-three, and degree-four chordal rings; mesh-torus; NSFNET; ARPANET; FCCN-NET; and the European Optical Network. We evaluate and compare the performance of the different protocols in terms of burst loss probability, taking into account the most important OBS network parameters. It was shown that E-JIT+ performs better than available one-way resource reservation protocols for all the evaluated network topologies. Moreover, the scalability of E-JIT+ was observed, and when the network traffic increases, the burst loss probability also increases, leading to a worse network performance.

  16. Developing the Fourth Evaluation Dimension: A Protocol for Evaluation of Video From the Patient's Perspective During Major Incident Exercises.

    PubMed

    Haverkort, J J Mark; Leenen, Luke P H

    2017-10-01

    Presently used evaluation techniques rely on 3 traditional dimensions: reports from observers, registration system data, and observational cameras. Some of these techniques are observer-dependent and are not reproducible for a second review. This proof-of-concept study aimed to test the feasibility of extending evaluation to a fourth dimension, the patient's perspective. Footage was obtained during a large, full-scale hospital trauma drill. Two mock victims were equipped with point-of-view cameras filming from the patient's head. Based on the Major Incident Hospital's first experience during the drill, a protocol was developed for a prospective, standardized method to evaluate a hospital's major incident response from the patient's perspective. The protocol was then tested in a second drill for its feasibility. New insights were gained after review of the footage. The traditional observer missed some of the evaluation points, which were seen on the point-of-view cameras. The information gained from the patient's perspective proved to be implementable into the designed protocol. Use of point-of-view camera recordings from a mock patient's perspective is a valuable addition to traditional evaluation of trauma drills and trauma care. Protocols should be designed to optimize and objectify judgement of such footage. (Disaster Med Public Health Preparedness. 2017;11:594-599).

  17. Interaction Between the Atmospheric Boundary Layer and Wind Energy: From Continental-Scale to Turbine-Scale

    NASA Astrophysics Data System (ADS)

    St. Martin, Clara Mae

    Wind turbines and groups of wind turbines, or "wind plants", interact with the complex and heterogeneous boundary layer of the atmosphere. We define the boundary layer as the portion of the atmosphere directly influenced by the surface, and this layer exhibits variability on a range of temporal and spatial scales. While early developments in wind energy could ignore some of this variability, recent work demonstrates that improved understanding of atmosphere-turbine interactions leads to the discovery of new ways to approach turbine technology development as well as processes such as performance validation and turbine operations. This interaction with the atmosphere occurs at several spatial and temporal scales from continental-scale to turbine-scale. Understanding atmospheric variability over continental-scales and across plants can facilitate reliance on wind energy as a baseload energy source on the electrical grid. On turbine scales, understanding the atmosphere's contribution to the variability in power production can improve the accuracy of power production estimates as we continue to implement more wind energy onto the grid. Wind speed and directional variability within a plant will affect wind turbine wakes within the plants and among neighboring plants, and a deeper knowledge of these variations can help mitigate effects of wakes and possibly even allow the manipulation of these wakes for increased production. Herein, I present the extent of my PhD work, in which I studied outstanding questions at these scales at the intersections of wind energy and atmospheric science. My work consists of four distinct projects. At the coarsest scales, I analyze the separation between wind plant sites needed for statistical independence in order to reduce variability for grid-integration of wind. At lower wind speeds, periods of unstable and more turbulent conditions produce more power than periods of stable and less turbulent conditions, while at wind speeds closer to rated wind speed, periods of unstable and more turbulent conditions produce less power than periods of stable and less turbulent conditions. Using these new, stability- and turbulence-specific power curves to calculate annual energy production (AEP) estimates results in smaller AEPs than if calculated using no stability and turbulence filters, which could have implications for manufacturers and operators. In my third project, I address the problem of expensive power production validation. Rather than erecting towers to provide upwind wind measurements, I explore the utility of using nacelle-mounted anemometers for power curve verification studies. I calculate empirical nacelle transfer functions (NTFs) with upwind tower and turbine measurements. The fifth-order and second-order NTFs show a linear relationship between upwind wind speed and nacelle wind speed at wind speeds less than about 9 m s-1 , but this relationship becomes non-linear at wind speeds higher than about 9 m s-1. The use of NTFs results in AEPs within 1 % of an AEP using upwind wind speeds. Additionally, during periods of unstable conditions as well as during more turbulent conditions, the nacelle-mounted anemometer underestimates the upwind wind speed more than during periods of stable conditions and less turbulence conditions at some wind speed bins below rated speed. Finally, in my fourth project, I consider spatial scales on the order of a wind plant. Using power production data from over 300 turbines from four neighboring wind farms in the western US along with simulations using the Weather Research and Forecasting model's Wind Farm Parameterization (WRF-WFP), I investigate the advantage of using the WFP to simulate wakes. During this case, winds from the west and north-northwest range from about 5 to 11 m s-1. A down-ramp occurs in this case study, which WRF predicts too early. The early prediction of the down-ramp likely affects the error in WRF-predicted power, the results of which show exaggerated wake effects. While these projects span a range of spatio-temporal scales, a unifying theme is the important aspect of atmospheric variation on wind power production, wind power production estimates, and means for facilitating the integration of wind-generated electricity into power grids. Future work, such as universal NTFs for sites with similar characteristics, NTFs for waked turbines, or the deployment of lidars on turbine nacelles for operation purposes, should continue to study the mutually-important interconnections between these two fields. (Abstract shortened by ProQuest.).

  18. A lightweight neighbor-info-based routing protocol for no-base-station taxi-call system.

    PubMed

    Zhu, Xudong; Wang, Jinhang; Chen, Yunchao

    2014-01-01

    Since the quick topology change and short connection duration, the VANET has had unstable routing and wireless signal quality. This paper proposes a kind of lightweight routing protocol-LNIB for call system without base station, which is applicable to the urban taxis. LNIB maintains and predicts neighbor information dynamically, thus finding the reliable path between the source and the target. This paper describes the protocol in detail and evaluates the performance of this protocol by simulating under different nodes density and speed. The result of evaluation shows that the performance of LNIB is better than AODV which is a classic protocol in taxi-call scene.

  19. Design and Evaluation of a Protocol to Assess Electronic Travel Aids for Persons Who Are Visually Impaired

    ERIC Educational Resources Information Center

    Havik, Else M.; Steyvers, Frank J. J. M.; van der Velde, Hanneke; Pinkster, J. Christiaan; Kooijman, Aart C.

    2010-01-01

    This study evaluated a protocol that was developed to assess how beneficial electronic travel aids are for persons who are visually impaired. Twenty persons with visual impairments used an electronic travel device (Trekker) for six weeks to conform to the protocol, which proved useful in identifying successful users of the device. (Contains 2…

  20. Altered Mental Status: Current Evidence-based Recommendations for Prehospital Care.

    PubMed

    Sanello, Ashley; Gausche-Hill, Marianne; Mulkerin, William; Sporer, Karl A; Brown, John F; Koenig, Kristi L; Rudnick, Eric M; Salvucci, Angelo A; Gilbert, Gregory H

    2018-05-01

    In the United States emergency medical services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with an acute change in mental status and to compare these recommendations against the current protocols used by the 33 EMS agencies in the State of California. We performed a literature review of the current evidence in the prehospital treatment of a patient with altered mental status (AMS) and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the AMS protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were patient assessment, point-of-care tests, supplemental oxygen, use of standardized scoring, evaluating for causes of AMS, blood glucose evaluation, toxicological treatment, and pediatric evaluation and management. Protocols across 33 EMS agencies in California varied widely. All protocols call for a blood glucose check, 21 (64%) suggest treating adults at <60mg/dL, and half allow for the use of dextrose 10%. All the protocols recommend naloxone for signs of opioid overdose, but only 13 (39%) give specific parameters. Half the agencies (52%) recommend considering other toxicological causes of AMS, often by using the mnemonic AEIOU TIPS. Eight (24%) recommend a 12-lead electrocardiogram; others simply suggest cardiac monitoring. Fourteen (42%) advise supplemental oxygen as needed; only seven (21%) give specific parameters. In terms of considering various etiologies of AMS, 25 (76%) give instructions to consider trauma, 20 (61%) to consider stroke, and 18 (55%) to consider seizure. Twenty-three (70%) of the agencies have separate pediatric AMS protocols; others include pediatric considerations within the adult protocol. Protocols for patients with AMS vary widely across the State of California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols.

  1. Development of a neuro early mobilisation protocol for use in a neuroscience intensive care unit.

    PubMed

    Brissie, Megan A; Zomorodi, Meg; Soares-Sardinha, Sharmila; Jordan, J Dedrick

    2017-10-01

    Through evaluation of the literature and working with a team of multidisciplinary healthcare providers, our objective was to refine an interprofessional Neuro Early Mobilisation Protocol for complex patients in the Neuroscience Intensive Care Unit. Using the literature as a guide, key stakeholders, from multiple professions, designed and refined a Neuro Early Mobilisation Protocol. This project took place at a large academic medical center in the southeast United States classified as both a Level I Trauma Center and Comprehensive Stroke Center. Goals for protocol development were to: (1) simplify the protocol to allow for ease of use, (2) make the protocol more generalizable to the patient population cared for in the Neuroscience Intensive Care Unit, (3) receive feedback from those using the original protocol on ways to improve the protocol and (4) ensure patients were properly screened for inclusion and exclusion in the protocol. Using expert feedback and the evidence, an evidence-based Neuro Early Mobilisation Protocol was created for use with all patients in the Neuroscience Intensive Care Unit. Future work will consist of protocol implementation and evaluation in order to increase patient mobilisation in the Neuroscience Intensive Care Unit. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Evaluation of an adult insulin infusion protocol at an academic medical center.

    PubMed

    Petrov, Katerina I; Burns, Tammy L; Drincic, Andjela

    2012-05-01

    Acknowledging evidence of possible detrimental effects of tightly controlled blood glucose levels, the American Association of Clinical Endocrinologists and the American Diabetes Association published a consensus statement recommending less strict control for most diabetic patients. As a result of these recommendations, our academic center at Creighton University Medical Center revised its adult insulin infusion protocol to target blood glucose levels ranging from 120 to 180 mg/dL for regular (standard) glycemic control and 80 to 120 mg/dL for tight control; previous targets had ranged from 80 to 180 mg/dL and 70 to 110 mg/dL, respectively. The primary objective was to evaluate the time that blood glucose values were within the target range for patients receiving the new protocol, compared with patients receiving the previous protocol. Our study was designed to evaluate the effectiveness and safety of the revised protocol. Using a retrospective chart review, we collected data for 4 months from patients on the old insulin protocol (May to August 2009) and for 4 months from patients on the new protocol (September to December 2009). Secondary endpoints included the number of hypoglycemic episodes (blood glucose below 70 mg/dL) and severe hypoglycemic episodes (blood glucose 40 mg/dL or lower) experienced by patients receiving the new insulin protocol compared with those receiving the former protocol. Patient characteristics were similar at baseline. Blood glucose values stayed within the target range for a significantly shorter time with the new protocol than with the former protocol (44.6% vs. 56.8%, respectively; P < 0.001), probably because of the narrower target range in the revised protocol. No statistically significant differences in hypoglycemia were observed after the protocol was changed. Hypoglycemia occurred in 31% of the former-protocol patients compared with 18% of the revised-protocol patients. Severe hypoglycemia was experienced by 2.1% of patients on the old protocol and by 3.1% of patients on the new protocol. Rates of severe hypoglycemia were low (2.6%) with the original protocol. Patients' blood glucose levels were within the target range for a shorter time with the new protocol. Fewer episodes of hypoglycemia were recorded with the new protocol, but rates of severe hypoglycemia were similar with both protocols.

  3. Influence of basis images and skull position on evaluation of cortical bone thickness in cone beam computed tomography.

    PubMed

    Nascimento, Monikelly do Carmo Chagas; Boscolo, Solange Maria de Almeida; Haiter-Neto, Francisco; Santos, Emanuela Carla Dos; Lambrichts, Ivo; Pauwels, Ruben; Jacobs, Reinhilde

    2017-06-01

    The aim of this study was to assess the influence of the number of basis images and the orientation of the skull on the evaluation of cortical alveolar bone in cone beam computed tomography (CBCT). Eleven skulls with a total of 59 anterior teeth were selected. CBCT images were acquired by using 4 protocols, by varying the rotation of the tube-detector arm and the orientation of the skull (protocol 1: 360°/0°; protocol 2: 180°/0°; protocol 3: 180°/90°; protocol 4: 180°/180°). Observers evaluated cortical bone as absent, thin, or thick. Direct observation of the skulls was used as the gold standard. Intra- and interobserver agreement, as well as agreement of scoring between the 3 bone thickness classifications, were calculated by using the κ statistic. The Wilcoxon signed-rank test was used to compare the 4 protocols. For lingual cortical bone, protocol 1 showed no statistical difference from the gold standard. Higher reliability was found in protocol 3 for absent (κ = 0.80) and thin (κ = 0.47) cortices, whereas for thick cortical bone, protocol 2 was more consistent (κ = 0.60). In buccal cortical bone, protocol 1 obtained the highest agreement for absent cortices (κ = 0.61), whereas protocol 4 was better for thin cortical plates (κ = 0.38) and protocol 2 for thick cortical plates (κ = 0.40). No consistent effect of the number of basis images or head orientation for visual detection of alveolar bone was detected, except for lingual cortical bone, for which full rotation scanning showed improved visualization. Copyright © 2017 Elsevier Inc. All rights reserved.

  4. The consideration of atmospheric stability within wind farm AEP calculations

    NASA Astrophysics Data System (ADS)

    Schmidt, Jonas; Chang, Chi-Yao; Dörenkämper, Martin; Salimi, Milad; Teichmann, Tim; Stoevesandt, Bernhard

    2016-09-01

    The annual energy production of an existing wind farm including thermal stratification is calculated with two different methods and compared to the average of three years of SCADA data. The first method is based on steady state computational fluid dynamics simulations and the assumption of Reynolds-similarity at hub height. The second method is a wake modelling calculation, where a new stratification transformation model was imposed on the Jensen an Ainslie wake models. The inflow states for both approaches were obtained from one year WRF simulation data of the site. Although all models underestimate the mean wind speed and wake effects, the results from the phenomenological wake transformation are compatible with high-fidelity simulation results.

  5. MANEMO Routing in Practice: Protocol Selection, Expected Performance, and Experimental Evaluation

    NASA Astrophysics Data System (ADS)

    Tazaki, Hajime; van Meter, Rodney; Wakikawa, Ryuji; Wongsaardsakul, Thirapon; Kanchanasut, Kanchana; Dias de Amorim, Marcelo; Murai, Jun

    Motivated by the deployment of post-disaster MANEMO (MANET for NEMO) composed of mobile routers and stations, we evaluate two candidate routing protocols through network simulation, theoretical performance analysis, and field experiments. The first protocol is the widely adopted Optimized Link State Routing protocol (OLSR) and the second is the combination of the Tree Discovery Protocol (TDP) with Network In Node Advertisement (NINA). To the best of our knowledge, this is the first time that these two protocols are compared in both theoretical and practical terms. We focus on the control overhead generated when mobile routers perform a handover. Our results confirm the correctness and operational robustness of both protocols. More interestingly, although in the general case OLSR leads to better results, TDP/NINA outperforms OLSR both in the case of sparse networks and in highly mobile networks, which correspond to the operation point of a large set of post-disaster scenarios.

  6. Evaluation of a discharge education protocol for pediatric patients with gastrostomy tubes.

    PubMed

    Schweitzer, Michelle; Aucoin, Julia; Docherty, Sharron L; Rice, Henry E; Thompson, Julie; Sullivan, Dori Taylor

    2014-01-01

    To evaluate the impact of a preprocedure education protocol for children who receive a gastrostomy tube (GT). A preintervention-postintervention design, using surveys and comparison between preprotocol and postprotocol cohorts, was used to evaluate the effect of implementation of a standardized GT education protocol with 26 subjects on caregiver, patient, and provider outcomes. The use of a preprocedure education protocol resulted in improved patient outcomes and increased caregiver knowledge and confidence and was considered a positive change by the providers. Often education is a forgotten part of a medical procedure, and the importance of education is typically only recognized after an adverse event occurs. Establishing a standardized evidence-based education protocol for GT care improves overall care and satisfaction. Use of a systematic and family-centered interdisciplinary approach markedly improves patient care. Copyright © 2014 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

  7. Performance Evaluation of a Routing Protocol in Wireless Sensor Network

    DTIC Science & Technology

    2005-12-01

    OF A ROUTING PROTOCOL IN WIRELESS SENSOR NETWORKS by Cheng Kiat Amos, Teo December 2005 Thesis Advisors: Gurminder Singh John C...Evaluation of a Routing Protocol in Wireless Sensor Network 6. AUTHOR(S) Cheng Kiat Amos, Teo 5. FUNDING NUMBERS 7. PERFORMING ORGANIZATION NAME(S...need to be strategically positioned and have topologies engineered. As such, recent research into wireless sensor networks has attracted great

  8. Multitask protocols to evaluate activities of daily living performance in people with COPD: a systematic review.

    PubMed

    Paes, Thaís; Machado, Felipe Vilaça Cavallari; Cavalheri, Vinícius; Pitta, Fabio; Hernandes, Nidia Aparecida

    2017-07-01

    People with chronic obstructive pulmonary disease (COPD) present symptoms such as dyspnea and fatigue, which hinder their performance in activities of daily living (ADL). A few multitask protocols have been developed to assess ADL performance in this population, although measurement properties of such protocols were not yet systematically reviewed. Areas covered: Studies were included if an assessment of the ability to perform ADL was conducted in people with COPD using a (objective) performance-based protocol. The search was conducted in the following databases: Pubmed, EMBASE, Cochrane Library, PEDro, CINAHL and LILACS. Furthermore, hand searches were conducted. Expert commentary: Up to this moment, only three protocols had measurement properties described: the Glittre ADL Test, the Monitored Functional Task Evaluation and the Londrina ADL Protocol were shown to be valid and reliable whereas only the Glittre ADL Test was shown to be responsive to change after pulmonary rehabilitation. These protocols can be used in laboratory settings and clinical practice to evaluate ADL performance in people with COPD, although there is need for more in-depth information on their validity, reliability and especially responsiveness due to the growing interest in the accurate assessment of ADL performance in this population.

  9. Feasibility of dietary assessment methods, other tools and procedures for a pan-European food consumption survey among infants, toddlers and children.

    PubMed

    Ocké, Marga; Brants, Henny; Dofkova, Marcela; Freisling, Heinz; van Rossum, Caroline; Ruprich, Jiri; Slimani, Nadia; Temme, Elisabeth; Trolle, Ellen; Vandevijvere, Stefanie; Huybrechts, Inge; de Boer, Evelien

    2015-08-01

    To test the feasibility of tools and procedures for a pan-European food consumption survey among children 0-10 years and to recommend one of two tested dietary assessment methods. Two pilot studies including 378 children were conducted in Belgium and the Czech Republic in the Pilot studies for Assessment of Nutrient intake and food Consumption among Kids in Europe. One protocol included a 3-day food diary which was checked with a parent, and data were entered afterwards using EPIC-Soft. The alternative protocol consisted of two non-consecutive 1-day food diaries followed by EPIC-Soft completion interviews. Both protocols included general and food propensity questionnaires and anthropometric measurements. The protocols were compared using evaluation questionnaires among the participating parents and study personnel. The parents found the questionnaires and instructions for filling in the food diaries understandable. Food description and food quantification was evaluated as problematic by 29 and 15% of the participants for the 3-day diaries versus 15 and 12% for the 1-day diaries. The protocol with 1-day food diaries was evaluated as less burdensome by the parents and logistically more challenging by the interviewers. Both dietary assessment methods with related tools and administration protocols were evaluated as feasible. The administration protocol with two 1-day food diaries with completion interviews offers more advantages for the future pan-European survey in children 0-10 years. The positive evaluation of feasibility of tools and materials is an important step towards harmonised food consumption data at European level among the younger age groups.

  10. [Enhanced Recovery after Surgery from Theory to Practice
What do We Need to Do?

    PubMed

    Che, Guowei; Liu, Lunxu; Zhou, Qinghua

    2017-04-20

    Enhanced recovery after surgery (ERAS) is a paradigm shift in perioperative care, resulting in substantial improvements in clinical outcomes, shorter length of hospital stay and cost savings. But the current ERAS either by application of breadth or depth is not enough, why? The main reason is the lack of "operability, evaluation, repetition" ERAS protocol and suitable for clinical extensive application protocol. How to form the clinical available protocol? Operational mainly refers to the clinical scheme is simple and feasible, and protocol compliance is good; Evaluate refers to the methods used before, during and after are the objective evaluation criteria and plan; Repeatable is clinical scheme repeatability in the process of single or multiple center.

  11. Apples to apples: the origin and magnitude of differences in asbestos cancer risk estimates derived using varying protocols.

    PubMed

    Berman, D Wayne

    2011-08-01

    Given that new protocols for assessing asbestos-related cancer risk have recently been published, questions arise concerning how they compare to the "IRIS" protocol currently used by regulators. The newest protocols incorporate findings from 20 additional years of literature. Thus, differences between the IRIS and newer Berman and Crump protocols are examined to evaluate whether these protocols can be reconciled. Risks estimated by applying these protocols to real exposure data from both laboratory and field studies are also compared to assess the relative health protectiveness of each protocol. The reliability of risks estimated using the two protocols are compared by evaluating the degree with which each potentially reproduces the known epidemiology study risks. Results indicate that the IRIS and Berman and Crump protocols can be reconciled; while environment-specific variation within fiber type is apparently due primarily to size effects (not addressed by IRIS), the 10-fold (average) difference between amphibole asbestos risks estimated using each protocol is attributable to an arbitrary selection of the lowest of available mesothelioma potency factors in the IRIS protocol. Thus, the IRIS protocol may substantially underestimate risk when exposure is primarily to amphibole asbestos. Moreover, while the Berman and Crump protocol is more reliable than the IRIS protocol overall (especially for predicting amphibole risk), evidence is presented suggesting a new fiber-size-related adjustment to the Berman and Crump protocol may ultimately succeed in reconciling the entire epidemiology database. However, additional data need to be developed before the performance of the adjusted protocol can be fully validated. © 2011 Society for Risk Analysis.

  12. Chapter 19: HVAC Controls (DDC/EMS/BAS) Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W.; Romberger, Jeff

    The HVAC Controls Evaluation Protocol is designed to address evaluation issues for direct digital controls/energy management systems/building automation systems (DDC/EMS/BAS) that are installed to control heating, ventilation, and air-conditioning (HVAC) equipment in commercial and institutional buildings. (This chapter refers to the DDC/EMS/BAS measure as HVAC controls.) This protocol may also be applicable to industrial facilities such as clean rooms and labs, which have either significant HVAC equipment or spaces requiring special environmental conditions.

  13. Automating Security Protocol Analysis

    DTIC Science & Technology

    2004-03-01

    language that allows easy representation of pattern interaction. Using CSP, Lowe tests whether a protocol achieves authentication. In the case of...only to correctly code whatever protocol they intend to evaluate. The tool, OCaml 3.04 [1], translates the protocol into Horn clauses and then...model protocol transactions. One example of automated modeling software is Maude [19]. Maude was the intended language for this research, but Java

  14. Clinical Simulation: A Protocol for Evaluation of Mobile Technology.

    PubMed

    Mather, Carey; Jensen, Sanne; Cummings, Elizabeth

    2017-01-01

    For mobile technology to be accepted at point of care in healthcare environments there is a need to demonstrate benefits whilst ameliorating the risks and challenges. To provide a standardised approach to evaluation of mobile technology a simulation protocol was developed to provide guidance for its use in healthcare environments. Simulated conditions provide the opportunity to assess intended and unintended consequences and identify potential workarounds when using technology. The protocol can also be used to demonstrate the importance of the development of digital professionalism by end-users prior to students entering the clinical practice setting. The mobile technology protocol was adapted from a health information systems protocol developed and used at the ITX Lab, Denmark for use in other simulation laboratories. Use case scenarios were developed to enable evaluation of mobile technology for mobile learning of nurses, nurse supervisors, students and patients. The scenarios can be used in a range of simulated environments including hospital bedside, outpatient clinic or community settings. A case study exemplar of a nurse and patient is included to demonstrate how the mobile technology protocol can be applied.

  15. Optimization of 64-MDCT urography: effect of dual-phase imaging with furosemide on collecting system opacification and radiation dose.

    PubMed

    Portnoy, Orith; Guranda, Larisa; Apter, Sara; Eiss, David; Amitai, Marianne Michal; Konen, Eli

    2011-11-01

    The purpose of this study was to compare opacification of the urinary collecting system and radiation dose associated with three-phase 64-MDCT urographic protocols and those associated with a split-bolus dual-phase protocol including furosemide. Images from 150 CT urographic examinations performed with three scanning protocols were retrospectively evaluated. Group A consisted of 50 sequentially registered patients who underwent a three-phase protocol with saline infusion. Group B consisted of 50 sequentially registered patients who underwent a reduced-radiation three-phase protocol with saline. Group C consisted of 50 sequentially registered patients who underwent a dual-phase split-bolus protocol that included a low-dose furosemide injection. Opacification of the urinary collecting system was evaluated with segmental binary scoring. Contrast artifacts were evaluated, and radiation doses were recorded. Results were compared by analysis of variance. A significant reduction in mean effective radiation dose was found between groups A and B (p < 0.001) and between groups B and C (p < 0.001), resulting in 65% reduction between groups A and C (p < 0.001). This reduction did not significantly affect opacification score in any of the 12 urinary segments (p = 0.079). In addition, dense contrast artifacts overlying the renal parenchyma observed with the three-phase protocols (groups A and B) were avoided with the dual-phase protocol (group C) (p < 0.001). A dual-phase protocol with furosemide injection is the preferable technique for CT urography. In comparison with commonly used three-phase protocols, the dual-phase protocol significantly reduces radiation exposure dose without reduction in image quality.

  16. Evaluation of Protocol Uniformity Concerning Laparoscopic Cholecystectomy in The Netherlands

    PubMed Central

    Goossens, Richard H. M.; van Eijk, Daan J.; Lange, Johan F.

    2008-01-01

    Background Iatrogenic bile duct injury remains a current complication of laparoscopic cholecystectomy. One uniform and standardized protocol, based on the “critical view of safety” concept of Strasberg, should reduce the incidence of this complication. Furthermore, owing to the rapid development of minimally invasive surgery, technicians are becoming more frequently involved. To improve communication between the operating team and technicians, standardized actions should also be defined. The aim of this study was to compare existing protocols for laparoscopic cholecystectomy from various Dutch hospitals. Methods Fifteen Dutch hospitals were contacted for evaluation of their protocols for laparoscopic cholecystectomy. All evaluated protocols were divided into six steps and were compared accordingly. Results In total, 13 hospitals responded—5 academic hospitals, 5 teaching hospitals, 3 community hospitals—of which 10 protocols were usable for comparison. Concerning the trocar positions, only minor differences were found. The concept of “critical view of safety” was represented in just one protocol. Furthermore, the order of clipping and cutting the cystic artery and duct differed. Descriptions of instruments and apparatus were also inconsistent. Conclusions Present protocols differ too much to define a universal procedure among surgeons in The Netherlands. The authors propose one (inter)national standardized protocol, including standardized actions. This uniform standardized protocol has to be officially released and recommended by national scientific associations (e.g., the Dutch Society of Surgery) or international societies (e.g., European Association for Endoscopic Surgery and Society of American Gastrointestinal and Endoscopic Surgeons). The aim is to improve patient safety and professional communication, which are necessary for new developments. PMID:18224485

  17. Evaluation of the use of automatic exposure control and automatic tube potential selection in low-dose cerebrospinal fluid shunt head CT.

    PubMed

    Wallace, Adam N; Vyhmeister, Ross; Bagade, Swapnil; Chatterjee, Arindam; Hicks, Brandon; Ramirez-Giraldo, Juan Carlos; McKinstry, Robert C

    2015-06-01

    Cerebrospinal fluid shunts are primarily used for the treatment of hydrocephalus. Shunt complications may necessitate multiple non-contrast head CT scans resulting in potentially high levels of radiation dose starting at an early age. A new head CT protocol using automatic exposure control and automated tube potential selection has been implemented at our institution to reduce radiation exposure. The purpose of this study was to evaluate the reduction in radiation dose achieved by this protocol compared with a protocol with fixed parameters. A retrospective sample of 60 non-contrast head CT scans assessing for cerebrospinal fluid shunt malfunction was identified, 30 of which were performed with each protocol. The radiation doses of the two protocols were compared using the volume CT dose index and dose length product. The diagnostic acceptability and quality of each scan were evaluated by three independent readers. The new protocol lowered the average volume CT dose index from 15.2 to 9.2 mGy representing a 39 % reduction (P < 0.01; 95 % CI 35-44 %) and lowered the dose length product from 259.5 to 151.2 mGy/cm representing a 42 % reduction (P < 0.01; 95 % CI 34-50 %). The new protocol produced diagnostically acceptable scans with comparable image quality to the fixed parameter protocol. A pediatric shunt non-contrast head CT protocol using automatic exposure control and automated tube potential selection reduced patient radiation dose compared with a fixed parameter protocol while producing diagnostic images of comparable quality.

  18. Optimizing Equivalence-Based Instruction: Effects of Training Protocols on Equivalence Class Formation

    ERIC Educational Resources Information Center

    Fienup, Daniel M.; Wright, Nicole A.; Fields, Lanny

    2015-01-01

    Two experiments evaluated the effects of the simple-to-complex and simultaneous training protocols on the formation of academically relevant equivalence classes. The simple-to-complex protocol intersperses derived relations probes with training baseline relations. The simultaneous protocol conducts all training trials and test trials in separate…

  19. Sample of Second Grade Classroom Protocols from Special Study A of the Beginning Teacher Evaluation Study for the California Commission for Teacher Preparation and Licensing.

    ERIC Educational Resources Information Center

    Tikunoff, William J.; And Others

    Second grade classroom protocols collected within this volume are examples of the protocols developed by the ethnographers associated with Special Study A: "An Ethnographic Study of the Forty Classrooms of the Beginning Teacher Evaluation Study." Twenty teachers at both the second and fifth grades were observed for one week by an…

  20. Sample of Fifth Grade Classroom Protocols from Special Study A of the Beginning Teacher Evaluation Study for the California Commission for Teacher Preparation and Licensing.

    ERIC Educational Resources Information Center

    Tikunoff, William J.; And Others

    Classroom protocols collected within this volume are examples of the protocols from grade 5 developed by the ethnographers associated with Special Study A: "An Ethnographic Study of the Forty Classrooms of the Beginning Teacher Evaluation Study." Twenty teachers at both the second and fifth grades were observed for one week by an…

  1. Evaluation of counterfactuality in counterfactual communication protocols

    NASA Astrophysics Data System (ADS)

    Arvidsson-Shukur, D. R. M.; Barnes, C. H. W.; Gottfries, A. N. O.

    2017-12-01

    We provide an in-depth investigation of parameter estimation in nested Mach-Zehnder interferometers (NMZIs) using two information measures: the Fisher information and the Shannon mutual information. Protocols for counterfactual communication have, so far, been based on two different definitions of counterfactuality. In particular, some schemes have been based on NMZI devices, and have recently been subject to criticism. We provide a methodology for evaluating the counterfactuality of these protocols, based on an information-theoretical framework. More specifically, we make the assumption that any realistic quantum channel in MZI structures will have some weak uncontrolled interaction. We then use the Fisher information of this interaction to measure counterfactual violations. The measure is used to evaluate the suggested counterfactual communication protocol of H. Salih et al. [Phys. Rev. Lett. 110, 170502 (2013), 10.1103/PhysRevLett.110.170502]. The protocol of D. R. M. Arvidsson-Shukur and C. H. W. Barnes [Phys. Rev. A 94, 062303 (2016), 10.1103/PhysRevA.94.062303], based on a different definition, is evaluated with a probability measure. Our results show that the definition of Arvidsson-Shukur and Barnes is satisfied by their scheme, while that of Salih et al. is only satisfied by perfect quantum channels. For realistic devices the latter protocol does not achieve its objective.

  2. Acoustic-Emergent Phonology in the Amplitude Envelope of Child-Directed Speech

    PubMed Central

    Leong, Victoria; Goswami, Usha

    2015-01-01

    When acquiring language, young children may use acoustic spectro-temporal patterns in speech to derive phonological units in spoken language (e.g., prosodic stress patterns, syllables, phonemes). Children appear to learn acoustic-phonological mappings rapidly, without direct instruction, yet the underlying developmental mechanisms remain unclear. Across different languages, a relationship between amplitude envelope sensitivity and phonological development has been found, suggesting that children may make use of amplitude modulation (AM) patterns within the envelope to develop a phonological system. Here we present the Spectral Amplitude Modulation Phase Hierarchy (S-AMPH) model, a set of algorithms for deriving the dominant AM patterns in child-directed speech (CDS). Using Principal Components Analysis, we show that rhythmic CDS contains an AM hierarchy comprising 3 core modulation timescales. These timescales correspond to key phonological units: prosodic stress (Stress AM, ~2 Hz), syllables (Syllable AM, ~5 Hz) and onset-rime units (Phoneme AM, ~20 Hz). We argue that these AM patterns could in principle be used by naïve listeners to compute acoustic-phonological mappings without lexical knowledge. We then demonstrate that the modulation statistics within this AM hierarchy indeed parse the speech signal into a primitive hierarchically-organised phonological system comprising stress feet (proto-words), syllables and onset-rime units. We apply the S-AMPH model to two other CDS corpora, one spontaneous and one deliberately-timed. The model accurately identified 72–82% (freely-read CDS) and 90–98% (rhythmically-regular CDS) stress patterns, syllables and onset-rime units. This in-principle demonstration that primitive phonology can be extracted from speech AMs is termed Acoustic-Emergent Phonology (AEP) theory. AEP theory provides a set of methods for examining how early phonological development is shaped by the temporal modulation structure of speech across languages. The S-AMPH model reveals a crucial developmental role for stress feet (AMs ~2 Hz). Stress feet underpin different linguistic rhythm typologies, and speech rhythm underpins language acquisition by infants in all languages. PMID:26641472

  3. Acquired external punctal stenosis: surgical management and long-term follow-up.

    PubMed

    Kashkouli, Mohsen Bahmani; Beigi, Bijan; Astbury, Nick

    2005-06-01

    To introduce and assess the results of a long-term follow-up of a one-snip punctoplasty with monocanalicular stent (Mini Monoka) for acquired external punctal stenosis (AEPS) with and without associated internal punctal and canalicular stenosis. Prospective non-comparative interventional case series. Thirty-five eligible patients (53 eyes) with AEPS underwent a horizontal one-snip punctoplasty and Mini Monoka tube insertion by or under supervision of a consultant Oculoplastic surgeon from June 1999 to May 2002. Diagnostic probing and irrigation were performed before operation and after operation at the last follow-up. Patients with canalicular obstruction, nasolacrimal duct stenosis and obstruction, and those with less than 6 months' follow-up were excluded. The Chi-square (X(2)), Fisher's exact, Pearson correlation, and multiple logistic regression analysis tests, with 95% confidence interval when appropriate, were used for statistical analysis. The age range was 39 to 90 years (mean: 67.2, SD: 11.8, SE: 2). Twenty-seven patients (77.1%) were female. There was a normal canalicular system in 21 (39.6%), lower canalicular stenosis in 10 (18.8%), and internal punctal stenosis in 22 (41.5%) eyes. Postoperative follow-up was from 6 to 41 months (mean: 18.5, SD: 9.2, SE: 1.2). There was a 77.4% complete functional success, 7.5% partial functional success, and 96.2% anatomical success at the last follow-up. The success rate was not significantly different between the eyes with and without preoperative internal punctal and canalicular stenosis (p = 0.4). The lower success rate was significantly correlated with a final abnormal probing and irrigation (p < 0.01). The use of a monocanalicular Mini Monoka stent together with a one-snip punctoplasty is helpful to prevent the recurrence of punctal stenosis in the healing phase and addresses the associated internal punctal and canalicular stenosis.

  4. Climate change impacts on flood risk and asset damages within mapped 100-year floodplains of the contiguous United States

    NASA Astrophysics Data System (ADS)

    Wobus, Cameron; Gutmann, Ethan; Jones, Russell; Rissing, Matthew; Mizukami, Naoki; Lorie, Mark; Mahoney, Hardee; Wood, Andrew W.; Mills, David; Martinich, Jeremy

    2017-12-01

    A growing body of work suggests that the extreme weather events that drive inland flooding are likely to increase in frequency and magnitude in a warming climate, thus potentially increasing flood damages in the future. We use hydrologic projections based on the Coupled Model Intercomparison Project Phase 5 (CMIP5) to estimate changes in the frequency of modeled 1 % annual exceedance probability (1 % AEP, or 100-year) flood events at 57 116 stream reaches across the contiguous United States (CONUS). We link these flood projections to a database of assets within mapped flood hazard zones to model changes in inland flooding damages throughout the CONUS over the remainder of the 21st century. Our model generates early 21st century flood damages that reasonably approximate the range of historical observations and trajectories of future damages that vary substantially depending on the greenhouse gas (GHG) emissions pathway. The difference in modeled flood damages between higher and lower emissions pathways approaches USD 4 billion per year by 2100 (in undiscounted 2014 dollars), suggesting that aggressive GHG emissions reductions could generate significant monetary benefits over the long term in terms of reduced flood damages. Although the downscaled hydrologic data we used have been applied to flood impacts studies elsewhere, this research expands on earlier work to quantify changes in flood risk by linking future flood exposure to assets and damages on a national scale. Our approach relies on a series of simplifications that could ultimately affect damage estimates (e.g., use of statistical downscaling, reliance on a nationwide hydrologic model, and linking damage estimates only to 1 % AEP floods). Although future work is needed to test the sensitivity of our results to these methodological choices, our results indicate that monetary damages from inland flooding could be significantly reduced through substantial GHG mitigation.

  5. A false killer whale adjusts its hearing when it echolocates.

    PubMed

    Nachtigall, Paul E; Supin, Alexander Y

    2008-06-01

    The use of auditory evoked potential (AEP) measurements has added considerably to knowledge of the hearing mechanisms of marine mammals. We have recently measured the hearing of a stranded infant Risso's dolphin, the audiograms of white-beaked dolphins temporarily caught and released, and the hearing of anaesthetized polar bears. Most small toothed whales echolocate and hear very high frequency sounds underwater. While much has previously been learned about the echolocation performance and characteristics of the outgoing signals of echolocating dolphins and small whales, the hearing processes occurring while these animals actively echolocate have not previously been examined. Working with a well-trained echolocating false killer whale (Pseudorca crassidens) wearing latex surface suction cup electrodes, we have measured echolocation hearing AEPs in response to outgoing echolocation clicks, returning echoes, and comparable simulated whale clicks and echoes in a variety of situations. We have found that: (1) the whale may hear her loud outgoing clicks and much quieter returning echoes at comparable levels, (2) the whale has protective mechanisms that dampen the intensity of her outgoing signals - she hears her outgoing signals at a level about 40 dB lower than similar signals presented directly in front of her, (3) when echo return levels are lowered either by making the targets smaller or by placing the targets farther away - without changing the levels of her outgoing signals - the hearing of these echoes remains at almost the same level, (4) if targets are made much smaller and harder to echolocate, the animal will modify what she hears of her outgoing signal - as if to heighten overall hearing sensitivity to keep the echo level hearable, (5) the animal has an active 'automatic gain control' mechanism in her hearing based on both forward masking that balances outgoing pulse intensity and time between pulse and echo, and active hearing control. Overall, hearing during echolocation appears to be a very active process.

  6. Acoustic-Emergent Phonology in the Amplitude Envelope of Child-Directed Speech.

    PubMed

    Leong, Victoria; Goswami, Usha

    2015-01-01

    When acquiring language, young children may use acoustic spectro-temporal patterns in speech to derive phonological units in spoken language (e.g., prosodic stress patterns, syllables, phonemes). Children appear to learn acoustic-phonological mappings rapidly, without direct instruction, yet the underlying developmental mechanisms remain unclear. Across different languages, a relationship between amplitude envelope sensitivity and phonological development has been found, suggesting that children may make use of amplitude modulation (AM) patterns within the envelope to develop a phonological system. Here we present the Spectral Amplitude Modulation Phase Hierarchy (S-AMPH) model, a set of algorithms for deriving the dominant AM patterns in child-directed speech (CDS). Using Principal Components Analysis, we show that rhythmic CDS contains an AM hierarchy comprising 3 core modulation timescales. These timescales correspond to key phonological units: prosodic stress (Stress AM, ~2 Hz), syllables (Syllable AM, ~5 Hz) and onset-rime units (Phoneme AM, ~20 Hz). We argue that these AM patterns could in principle be used by naïve listeners to compute acoustic-phonological mappings without lexical knowledge. We then demonstrate that the modulation statistics within this AM hierarchy indeed parse the speech signal into a primitive hierarchically-organised phonological system comprising stress feet (proto-words), syllables and onset-rime units. We apply the S-AMPH model to two other CDS corpora, one spontaneous and one deliberately-timed. The model accurately identified 72-82% (freely-read CDS) and 90-98% (rhythmically-regular CDS) stress patterns, syllables and onset-rime units. This in-principle demonstration that primitive phonology can be extracted from speech AMs is termed Acoustic-Emergent Phonology (AEP) theory. AEP theory provides a set of methods for examining how early phonological development is shaped by the temporal modulation structure of speech across languages. The S-AMPH model reveals a crucial developmental role for stress feet (AMs ~2 Hz). Stress feet underpin different linguistic rhythm typologies, and speech rhythm underpins language acquisition by infants in all languages.

  7. Review: Biological and Molecular Differences between Tail Regeneration and Limb Scarring in Lizard: An Inspiring Model Addressing Limb Regeneration in Amniotes.

    PubMed

    Alibardi, Lorenzo

    2017-09-01

    Tissue regeneration in lizards represents a unique model of regeneration and scarring in amniotes. The tail and limb contain putative stem cells but also dedifferentiating cells contribute to regeneration. Following tail amputation, inflammation is low and cell proliferation high, leading to regeneration while the intense inflammation in the limb leads to low proliferation and scarring. FGFs stimulate tail and limb regeneration and are present in the wound epidermis and blastema while they disappear in the limb wound epidermis 2-3 weeks postamputation in the scarring outgrowth. FGFs localize in the tail blastema and the apical epidermal peg (AEP), an epidermal microregion that allows tail growth but is absent in the limb. Inflammatory cells invade the limb blastema and wound epidermis, impeding the formation of an AEP. An embryonic program of growth is activated in the tail, dominated by Wnt-positive and -negative regulators of cell proliferation and noncoding RNAs, that represent the key regenerative genes. The balanced actions of these regulators likely impede the formation of a tumor in the tail tip. Genes for FACIT and fibrillar collagens, protease inhibitors, and embryonic keratins are upregulated in the regenerating tail blastema. A strong downregulation of genes for both B and T-lymphocyte activation suggests the regenerating tail blastema is a temporal immune-tolerated organ, whereas a scarring program is activated in the limb. Wnt inhibitors, pro-inflammatory genes, negative regulators of cell proliferation, downregulation of myogenic genes, proteases, and oxidases favoring scarring are upregulated. The evolution of an efficient immune system may be the main limiting barrier for organ regeneration in amniotes, and the poor regeneration of mammals and birds is associated with the efficiency of their mature immune system. This does not tolerate embryonic antigens formed in reprogrammed embryonic cells (as for neoplastic cells) that are consequently eliminated impeding the regeneration of lost organs. © 2017 Wiley Periodicals, Inc.

  8. Precision measurement of the weak charge of the proton

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

    None

    The weak charge of the proton Q_W^p sets the strength of the proton's interaction with other particles via the neutral electroweak force, just as the electric charge sets the strength of the purely electromagnetic (EM) interaction. The standard model (SM) of electroweak particle physics predicts that Q_W^p is suppressed, due to a near-cancellation between the weak charges of the proton's three constituent quarks. This small SM "background" makes Q_W^p especially sensitive to potential new parity-violating (PV) interactions beyond those of the SM. Parity symmetry (invariance under spatial inversion (x,y,z) --> (-x,-y,-z)) is violated in the weak interaction, but not inmore » the other three forces of nature. Therefore PV provides a unique tool to isolate the weak interaction in order to observe the proton's weak charge1. Earlier experiments2 have measured parity-violating electron-scattering (PVES) asymmetries in kinematic regimes that are more sensitive to the proton's extended structure than to its weak charge. Here we report the most precise measurement of the PV electron-proton scattering asymmetry (A_ep = -226.5 ± 9.3 ppb, 1 ppb=10-9), in a kinematic regime where the theoretical uncertainties involved in determining Q_W^p are small. We use this measurement of A_ep to determine Q_W^p, obtaining consistent results using several methods which vary the degree of experimental and theoretical input. Our result for Q_W^p (0.0719 ± 0.0045) is in excellent agreement with the SM3. We employ energy-scale-dependent quantum corrections to relate Q_W^p to the electroweak mixing angle sin^2 theta_W, a fundamental SM parameter with which we are also in good agreement. In addition, we use our precise Q_W^p result to set TeV-scale constraints on potential new semi-leptonic PV physics not described by the SM.« less

  9. The testis-specific VAD1.3/AEP1 interacts with β-actin and syntaxin 1 and directs peri-nuclear/Golgi expression with bipartite nucleus localization (BNL) sequence.

    PubMed

    Zuo, Yan; Gao, Jing; Yeung, William S B; Lee, Kai-Fai

    2010-10-15

    VAD1.3 (AEP1), a novel testis-specific gene, was first isolated from the testis of a retinol-treated vitamin-A-deficient (VAD) rat model. It is expressed at the acrosomal region of spermatids from postnatal day 25. VAD1.3 immunoreactivity is present in rat, human, monkey and porcine spermatids and spermatozoa, suggesting that VAD1.3 may play a role in acrosome formation. However, direct evidence on the detailed sub-cellular localization of the VAD1.3 protein in the acrosome and how VAD1.3 is involved in acrosome formation remains largely unknown. Here, we isolated and identified VAD1.3 interacting proteins by immunoprecipitation followed by mass spectrometry, and determined the functional motifs of VAD1.3 that were important for its specific sub-cellular location in vitro. We found that VAD1.3 bound to syntaxin 1 and β-actin proteins in vitro. Immunogold electron microscopic study localized VAD1.3 immunoreactivity to the acrosome membranes and matrix, and colocalized it with the β-actin protein. The full-length GFP-VAD (1-3601) and GFP-VAD (1-730) fusion proteins that contain the bipartite nucleus localization (BNL) signal were located in the peri-nucleus/Golgi of the transfected cells. In addition, the GFP signal colocalized with the endoplasmic reticulum marker and the syntaxin 1 protein in the transfected HeLa and GC-2spd cells. The C-terminal GFP-VAD (1770-3601) was expressed in the nucleus. Taken together, VAD1.3 interacts with β-actin and syntaxin 1 in vitro. The BNL signal may mediate the peri-nuclei localization of the protein that may interact with syntaxin 1 and β-actin for acrosome formation in spermatogenesis. Crown Copyright © 2010. Published by Elsevier Inc. All rights reserved.

  10. Multifunctional phosphate-based inorganic-organic hybrid nanoparticles.

    PubMed

    Heck, Joachim G; Napp, Joanna; Simonato, Sara; Möllmer, Jens; Lange, Marcus; Reichardt, Holger M; Staudt, Reiner; Alves, Frauke; Feldmann, Claus

    2015-06-17

    Phosphate-based inorganic-organic hybrid nanoparticles (IOH-NPs) with the general composition [M](2+)[Rfunction(O)PO3](2-) (M = ZrO, Mg2O; R = functional organic group) show multipurpose and multifunctional properties. If [Rfunction(O)PO3](2-) is a fluorescent dye anion ([RdyeOPO3](2-)), the IOH-NPs show blue, green, red, and near-infrared fluorescence. This is shown for [ZrO](2+)[PUP](2-), [ZrO](2+)[MFP](2-), [ZrO](2+)[RRP](2-), and [ZrO](2+)[DUT](2-) (PUP = phenylumbelliferon phosphate, MFP = methylfluorescein phosphate, RRP = resorufin phosphate, DUT = Dyomics-647 uridine triphosphate). With pharmaceutical agents as functional anions ([RdrugOPO3](2-)), drug transport and release of anti-inflammatory ([ZrO](2+)[BMP](2-)) and antitumor agents ([ZrO](2+)[FdUMP](2-)) with an up to 80% load of active drug is possible (BMP = betamethason phosphate, FdUMP = 5'-fluoro-2'-deoxyuridine 5'-monophosphate). A combination of fluorescent dye and drug anions is possible as well and shown for [ZrO](2+)[BMP](2-)0.996[DUT](2-)0.004. Merging of functional anions, in general, results in [ZrO](2+)([RdrugOPO3]1-x[RdyeOPO3]x)(2-) nanoparticles and is highly relevant for theranostics. Amine-based functional anions in [MgO](2+)[RaminePO3](2-) IOH-NPs, finally, show CO2 sorption (up to 180 mg g(-1)) and can be used for CO2/N2 separation (selectivity up to α = 23). This includes aminomethyl phosphonate [AMP](2-), 1-aminoethyl phosphonate [1AEP](2-), 2-aminoethyl phosphonate [2AEP](2-), aminopropyl phosphonate [APP](2-), and aminobutyl phosphonate [ABP](2-). All [M](2+)[Rfunction(O)PO3](2-) IOH-NPs are prepared via noncomplex synthesis in water, which facilitates practical handling and which is optimal for biomedical application. In sum, all IOH-NPs have very similar chemical compositions but can address a variety of different functions, including fluorescence, drug delivery, and CO2 sorption.

  11. Autism-epilepsy phenotype with macrocephaly suggests PTEN, but not GLIALCAM, genetic screening.

    PubMed

    Marchese, Maria; Conti, Valerio; Valvo, Giulia; Moro, Francesca; Muratori, Filippo; Tancredi, Raffaella; Santorelli, Filippo M; Guerrini, Renzo; Sicca, Federico

    2014-02-27

    With a complex and extremely high clinical and genetic heterogeneity, autism spectrum disorders (ASD) are better dissected if one takes into account specific endophenotypes. Comorbidity of ASD with epilepsy (or paroxysmal EEG) has long been described and seems to have strong genetic background. Macrocephaly also represents a well-known endophenotype in subgroups of ASD individuals, which suggests pathogenic mechanisms accelerating brain growth in early development and predisposing to the disorder. We attempted to estimate the association of gene variants with neurodevelopmental disorders in patients with autism-epilepsy phenotype (AEP) and cranial overgrowth, analyzing two genes previously reported to be associated with autism and macrocephaly. We analyzed the coding sequences and exon-intron boundaries of GLIALCAM, encoding an IgG-like cell adhesion protein, in 81 individuals with Autism Spectrum Disorders, either with or without comorbid epilepsy, paroxysmal EEG and/or macrocephaly, and the PTEN gene in the subsample with macrocephaly. Among 81 individuals with ASD, 31 had concurrent macrocephaly. Head circumference, moreover, was over the 99.7th percentile ("extreme" macrocephaly) in 6/31 (19%) patients. Whilst we detected in GLIALCAM several single nucleotide variants without clear pathogenic effects, we found a novel PTEN heterozygous frameshift mutation in one case with "extreme" macrocephaly, autism, intellectual disability and seizures. We did not find a clear association between GLIALCAM mutations and AEP-macrocephaly comorbidity. The identification of a novel frameshift variant of PTEN in a patient with "extreme" macrocephaly, autism, intellectual disability and seizures, confirms this gene as a major candidate in the ASD-macrocephaly endophenotype. The concurrence of epilepsy in the same patient also suggests that PTEN, and the downstream signaling pathway, might deserve to be investigated in autism-epilepsy comorbidity. Working on clinical endophenotypes might be of help to address genetic studies and establish actual causative correlations in autism-epilepsy.

  12. Effects of Temperature on Sound Production and Auditory Abilities in the Striped Raphael Catfish Platydoras armatulus (Family Doradidae)

    PubMed Central

    Papes, Sandra; Ladich, Friedrich

    2011-01-01

    Background Sound production and hearing sensitivity of ectothermic animals are affected by the ambient temperature. This is the first study investigating the influence of temperature on both sound production and on hearing abilities in a fish species, namely the neotropical Striped Raphael catfish Platydoras armatulus. Methodology/Principal Findings Doradid catfishes produce stridulation sounds by rubbing the pectoral spines in the shoulder girdle and drumming sounds by an elastic spring mechanism which vibrates the swimbladder. Eight fish were acclimated for at least three weeks to 22°, then to 30° and again to 22°C. Sounds were recorded in distress situations when fish were hand-held. The stridulation sounds became shorter at the higher temperature, whereas pulse number, maximum pulse period and sound pressure level did not change with temperature. The dominant frequency increased when the temperature was raised to 30°C and the minimum pulse period became longer when the temperature decreased again. The fundamental frequency of drumming sounds increased at the higher temperature. Using the auditory evoked potential (AEP) recording technique, the hearing thresholds were tested at six different frequencies from 0.1 to 4 kHz. The temporal resolution was determined by analyzing the minimum resolvable click period (0.3–5 ms). The hearing sensitivity was higher at the higher temperature and differences were more pronounced at higher frequencies. In general, latencies of AEPs in response to single clicks became shorter at the higher temperature, whereas temporal resolution in response to double-clicks did not change. Conclusions/Significance These data indicate that sound characteristics as well as hearing abilities are affected by temperatures in fishes. Constraints imposed on hearing sensitivity at different temperatures cannot be compensated even by longer acclimation periods. These changes in sound production and detection suggest that acoustic orientation and communication are affected by temperature changes in the neotropical catfish P. armatulus. PMID:22022618

  13. Chapter 3: Commercial and Industrial Lighting Controls Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Kurnik, Charles W.; Carlson, Stephen

    This Commercial and Industrial Lighting Controls Evaluation Protocol (the protocol) describes methods to account for energy savings resulting from programmatic installation of lighting control equipment in large populations of commercial, industrial, government, institutional, and other nonresidential facilities. This protocol does not address savings resulting from changes in codes and standards, or from education and training activities. When lighting controls are installed in conjunction with a lighting retrofit project, the lighting control savings must be calculated parametrically with the lighting retrofit project so savings are not double counted.

  14. Feasibility and limitations of the round robin test for assessment of in vitro chondrogenesis evaluation protocol in a tissue-engineered medical product.

    PubMed

    Yokoi, Masako; Hattori, Koji; Narikawa, Koichi; Ohgushi, Hajime; Tadokoro, Mika; Hoshi, Kazuto; Takato, Tsuyoshi; Myoui, Akira; Nanno, Katsuhiko; Kato, Yukio; Kanawa, Masami; Sugawara, Katsura; Kobo, Tomoko; Ushida, Takashi

    2012-07-01

    Tissue-engineered medical products (TEMPs) should be evaluated before implantation. Therefore, it is indispensable to establish evaluation protocols in regenerative medicine. Whether or not such evaluation protocols are reasonable is generally verified through a 'round robin' test. However, the round robin test for TEMPs intrinsically includes a deficiency, because 'identical' specimens can not be prepared for TEMPs. The aim of the study was to assess the feasibility and limitations of the round robin test for TEMPs by using a prepared evaluation protocol. We adopted tissue-engineered cartilage constructs as delivered specimens and a protocol of measuring sGAG content as an evaluation protocol proposed to ISO TC150/SC7, which is an invasive, but usually applied, method, although non-invasive methods are keenly required in evaluating TEMPs. The results showed that: (a) the coefficient of variation (CV) of the measured sGAG contents in intralaboratory tests was ~5% at most; (b) the CV of sGAG content in the scheme where each participating laboratory measured different constructs was comparable with that in the scheme where each participating laboratory measured one half of a construct along with the organizing laboratory; (c) the CV caused by factors other than the specimen was ~15%, comparable to that in reproducible experiments in biomedical fields. Based on these results, the study concludes that a round robin test for a TEMP could be valuable, under the condition that the delivered TEMPs are sufficiently reproducible so that the CV of the measured values is < 5% in the organizing laboratory. Copyright © 2011 John Wiley & Sons, Ltd.

  15. Comparing Voice-Therapy and Vocal-Hygiene Treatments in Dysphonia Using a Limited Multidimensional Evaluation Protocol

    ERIC Educational Resources Information Center

    Rodriguez-Parra, Maria J.; Adrian, Jose A.; Casado, Juan C.

    2011-01-01

    Purpose: This study evaluates the effectiveness of two different programs of voice-treatment on a heterogeneous group of dysphonic speakers and the stability of therapeutic progress for longterm follow-up post-treatment period, using a limited multidimensional protocol of evaluation. Method: Forty-two participants with voice disorders were…

  16. Adding Dimension to Evaluative Research Through the Use of Protocol Material.

    ERIC Educational Resources Information Center

    Tittle, Carol Kehr

    A rationale and illustration of the use of original records or protocol materials in an evaluation research report are described. Records of school observations and audiotape transcripts were selected to represent the concepts or categories which were developed in the process of evaluation. These qualitative data were collected in a project which…

  17. METHODS AND ANALYSES FOR IMPLEMENTING NATURAL ATTENUATION PROTOCOLS

    EPA Science Inventory

    Technical protocols for evaluating natural attenuation at petroleum hydrocarbon and chlorinated solvent contaminated sites specify the analysis of electron acceptors and metabolic by-products for identifying and quantifying natural attenuation processes. However, these protocols ...

  18. Economic evaluation of an intensive group training protocol compared with usual care physiotherapy in patients with chronic low back pain.

    PubMed

    van der Roer, Nicole; van Tulder, Maurits; van Mechelen, Willem; de Vet, Henrica

    2008-02-15

    Economic evaluation from a societal perspective conducted alongside a randomized controlled trial with a follow-up of 52 weeks. To evaluate the cost effectiveness and cost utility of an intensive group training protocol compared with usual care physiotherapy in patients with nonspecific chronic low back pain. The intensive group training protocol combines exercise therapy, back school, and behavioral principles. Two studies found a significant reduction in absenteeism for a graded activity program in occupational health care. This program has not yet been evaluated in a primary care physiotherapy setting. Participating physical therapists in primary care recruited 114 patients with chronic nonspecific low back pain. Eligible patients were randomized to either the protocol group or the guideline group. Outcome measures included functional status (Roland Morris Disability Questionnaire), pain intensity (11-point numerical rating scale), general perceived effect and quality of life (EuroQol-5D). Cost data were measured with cost diaries and included direct and indirect costs related to low back pain. After 52 weeks, the direct health care costs were significantly higher for patients in the protocol group, largely due to the costs of the intervention. The mean difference in total costs amounted to [Euro sign] 233 (95% confidence interval: [Euro sign] -2.185; [Euro sign] 2.764). The cost-effectiveness planes indicated no significant differences in cost effectiveness between the 2 groups. The results of this economic evaluation showed no difference in total costs between the protocol group and the guideline group. The differences in effects were small and not statistically significant. At present, national implementation of the protocol is not recommended.

  19. Optimal early active mobilisation protocol after extensor tendon repairs in zones V and VI: A systematic review of literature.

    PubMed

    Collocott, Shirley Jf; Kelly, Edel; Ellis, Richard F

    2018-03-01

    Early mobilisation protocols after repair of extensor tendons in zone V and VI provide better outcomes than immobilisation protocols. This systematic review investigated different early active mobilisation protocols used after extensor tendon repair in zone V and VI. The purpose was to determine whether any one early active mobilisation protocol provides superior results. An extensive literature search was conducted to identify articles investigating the outcomes of early active mobilisation protocols after extensor tendon repair in zone V and VI. Databases searched were AMED, Embase, Medline, Cochrane and CINAHL. Studies were included if they involved participants with extensor tendon repairs in zone V and VI in digits 2-5 and described a post-operative rehabilitation protocol which allowed early active metacarpophalangeal joint extension. Study designs included were randomised controlled trials, observational studies, cohort studies and case series. The Structured Effectiveness Quality Evaluation Scale was used to evaluate the methodological quality of the included studies. Twelve articles met the inclusion criteria. Two types of early active mobilisation protocols were identified: controlled active motion protocols and relative motion extension splinting protocols. Articles describing relative motion extension splinting protocols were more recent but of lower methodological quality than those describing controlled active motion protocols. Participants treated with controlled active motion and relative motion extension splinting protocols had similar range of motion outcomes, but those in relative motion extension splinting groups returned to work earlier. The evidence reviewed suggested that relative motion extension splinting protocols may allow an earlier return to function than controlled active motion protocols without a greater risk of complication.

  20. Altered Mental Status: Current Evidence-based Recommendations for Prehospital Care

    PubMed Central

    Sanello, Ashley; Mulkerin, William; Sporer, Karl A.; Brown, John F.; Koenig, Kristi L.; Rudnick, Eric M.; Salvucci, Angelo A.; Gilbert, Gregory H.

    2018-01-01

    Introduction In the United States emergency medical services (EMS) protocols vary widely across jurisdictions. We sought to develop evidence-based recommendations for the prehospital evaluation and treatment of a patient with an acute change in mental status and to compare these recommendations against the current protocols used by the 33 EMS agencies in the State of California. Methods We performed a literature review of the current evidence in the prehospital treatment of a patient with altered mental status (AMS) and augmented this review with guidelines from various national and international societies to create our evidence-based recommendations. We then compared the AMS protocols of each of the 33 EMS agencies for consistency with these recommendations. The specific protocol components that we analyzed were patient assessment, point-of-care tests, supplemental oxygen, use of standardized scoring, evaluating for causes of AMS, blood glucose evaluation, toxicological treatment, and pediatric evaluation and management. Results Protocols across 33 EMS agencies in California varied widely. All protocols call for a blood glucose check, 21 (64%) suggest treating adults at <60mg/dL, and half allow for the use of dextrose 10%. All the protocols recommend naloxone for signs of opioid overdose, but only 13 (39%) give specific parameters. Half the agencies (52%) recommend considering other toxicological causes of AMS, often by using the mnemonic AEIOU TIPS. Eight (24%) recommend a 12-lead electrocardiogram; others simply suggest cardiac monitoring. Fourteen (42%) advise supplemental oxygen as needed; only seven (21%) give specific parameters. In terms of considering various etiologies of AMS, 25 (76%) give instructions to consider trauma, 20 (61%) to consider stroke, and 18 (55%) to consider seizure. Twenty-three (70%) of the agencies have separate pediatric AMS protocols; others include pediatric considerations within the adult protocol. Conclusion Protocols for patients with AMS vary widely across the State of California. The evidence-based recommendations that we present for the prehospital diagnosis and treatment of this condition may be useful for EMS medical directors tasked with creating and revising these protocols. PMID:29760852

  1. Protocol adherence and the ability to achieve target haemoglobin levels in haemodialysis patients.

    PubMed

    Chan, Kevin; Moran, John; Hlatky, Mark; Lafayette, Richard

    2009-06-01

    Anemia management remains complicated in patients with endstage renal disease on hemodialysis. We wished to evaluate the effect of protocol adherence to EPO and intravenous iron dosing on achieving the desired range of hemoglobin levels. A cohort of hemodialysis patients was studied to evaluate the rate of adherence to EPO and iron dosing protocols over a 5 month period. A database was completed to evaluate all known comorbidities, demographic factors, and facility issues that might affect hemoglobin levels. A logistic regression model was employed to evaluate the effect of adherence to the anemia protocols on the probability of achieving a hemoglobin level below, within or above the targeted range of 11-12.5 g/dl. Among 2114 patients, we found that adherence to both the EPO and iron dosing protocol resulted in the greatest probability of achieving the target hemoglobin range (56 +/- 5% in anemia protocol adherent patients versus 42 +/- 7% in non adherent patients). This was predominantly due to a lowered risk of having above target hemoglobin levels rather than below. The use of the anemia protocols was associated with lower rates of hospitalization (9 +/- 0.7 visits/100 months in adherent group vs 15 +/- 2 in non adherent group) and lower utilization of both EPO and intravenous iron. Furthermore, patients in the adherent groups had less variability of their hemoglobin levels month by month, at least as judged by standard deviation. Adherence to anemia protocols, as practiced in the dialysis units included in this cohort, may improve hemodialysis patients' ability to achieve target hemoglobin levels, and by avoiding above target hemoglobin values, lower drug utilization and reduce variability of hemoglobin levels.

  2. Robust Multi-unit Auction Protocol against False-name Bids

    NASA Astrophysics Data System (ADS)

    Yokoo, Makoto; Sakurai, Yuko; Matsubara, Shigeo

    This paper presents a new multi-unit auction protocol (IR protocol) that is robust against false-name bids. Internet auctions have become an integral part of Electronic Commerce and a promising field for applying agent and Artificial Intelligence technologies. Although the Internet provides an excellent infrastructure for executing auctions, the possibility of a new type of cheating called false-name bids has been pointed out. A false-name bid is a bid submitted under a fictitious name. A protocol called LDS has been developed for combinatorial auctions of multiple different items and has proven to be robust against false-name bids. Although we can modify the LDS protocol to handle multi-unit auctions, in which multiple units of an identical item are auctioned, the protocol is complicated and requires the auctioneer to carefully pre-determine the combination of bundles to obtain a high social surplus or revenue. For the auctioneer, our newly developed IR protocol is easier to use than the LDS, since the combination of bundles is automatically determined in a flexible manner according to the declared evaluation values of agents. The evaluation results show that the IR protocol can obtain a better social surplus than that obtained by the LDS protocol.

  3. Of taps and toilets: quasi-experimental protocol for evaluating community-demand-driven projects.

    PubMed

    Pattanayak, Subhrendu K; Poulos, Christine; Yang, Jui-Chen; Patil, Sumeet R; Wendland, Kelly J

    2009-09-01

    Sustainable and equitable access to safe water and adequate sanitation are widely acknowledged as vital, yet neglected, development goals. Water supply and sanitation (WSS) policies are justified because of the usual efficiency criteria, but also major equity concerns. Yet, to date there are few scientific impact evaluations showing that WSS policies are effective in delivering social welfare outcomes. This lack of an evaluation culture is partly because WSS policies are characterized by diverse mechanisms, broad goals and the increasing importance of decentralized delivery, and partly because programme administrators are unaware of appropriate methods. We describe a protocol for a quasi-experimental evaluation of a community-demand-driven programme for water and sanitation in rural India, which addresses several evaluation challenges. After briefly reviewing policy and implementation issues in the sector, we describe key features of our protocol, including control group identification, pre-post measurement, programme theory, sample sufficiency and robust indicators. At its core, our protocol proposes to combine propensity score matching and difference-in-difference estimation. We conclude by briefly summarizing how quasi-experimental impact evaluations can address key issues in WSS policy design and when such evaluations are needed.

  4. Chapter 18: Variable Frequency Drive Evaluation Protocol. The Uniform Methods Project: Methods for Determining Energy Efficiency Savings for Specific Measures

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

    Romberger, Jeff

    An adjustable-speed drive (ASD) includes all devices that vary the speed of a rotating load, including those that vary the motor speed and linkage devices that allow constant motor speed while varying the load speed. The Variable Frequency Drive Evaluation Protocol presented here addresses evaluation issues for variable-frequency drives (VFDs) installed on commercial and industrial motor-driven centrifugal fans and pumps for which torque varies with speed. Constant torque load applications, such as those for positive displacement pumps, are not covered by this protocol.

  5. Psychological treatment of Comorbid Asthma and Panic Disorder: A Pilot Study

    PubMed Central

    Lehrer, Paul M.; Karavidas, Maria Katsamanis; Lu, Shou-En; Feldman, Jonathan; Kranitz, Linda; Abraham, Smrithy; Sanderson, William; Reynolds, Russ

    2008-01-01

    We evaluated two protocols for treating adults with comorbid asthma and panic disorder. The protocols included elements of Barlow’s “panic control therapy” and several asthma education programs, as well as modules designed to teach participants how to differentiate asthma and panic symptoms, and how to apply specific home management strategies for each. Fifty percent of subjects dropped out of a 14-session protocol by the eighth session; however, 83% of patients were retained in an eight-session protocol. Clinical results were mostly equivalent: significant decreases of >50% in panic symptoms, clinically significant decreases in asthma symptoms, improvement in asthma quality of life, and maintenance of clinical stability in asthma. Albuterol use decreased significantly in the 14-session protocol and at a borderline level in the 8-session protocol, while pulmonary function was maintained. A controlled evaluation of this procedure is warranted. PMID:17693054

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

    Duan, Sisi; Li, Yun; Levitt, Karl N.

    Consensus is a fundamental approach to implementing fault-tolerant services through replication where there exists a tradeoff between the cost and the resilience. For instance, Crash Fault Tolerant (CFT) protocols have a low cost but can only handle crash failures while Byzantine Fault Tolerant (BFT) protocols handle arbitrary failures but have a higher cost. Hybrid protocols enjoy the benefits of both high performance without failures and high resiliency under failures by switching among different subprotocols. However, it is challenging to determine which subprotocols should be used. We propose a moving target approach to switch among protocols according to the existing systemmore » and network vulnerability. At the core of our approach is a formalized cost model that evaluates the vulnerability and performance of consensus protocols based on real-time Intrusion Detection System (IDS) signals. Based on the evaluation results, we demonstrate that a safe, cheap, and unpredictable protocol is always used and a high IDS error rate can be tolerated.« less

  7. Quick-low-density parity check and dynamic threshold voltage optimization in 1X nm triple-level cell NAND flash memory with comprehensive analysis of endurance, retention-time, and temperature variation

    NASA Astrophysics Data System (ADS)

    Doi, Masafumi; Tokutomi, Tsukasa; Hachiya, Shogo; Kobayashi, Atsuro; Tanakamaru, Shuhei; Ning, Sheyang; Ogura Iwasaki, Tomoko; Takeuchi, Ken

    2016-08-01

    NAND flash memory’s reliability degrades with increasing endurance, retention-time and/or temperature. After a comprehensive evaluation of 1X nm triple-level cell (TLC) NAND flash, two highly reliable techniques are proposed. The first proposal, quick low-density parity check (Quick-LDPC), requires only one cell read in order to accurately estimate a bit-error rate (BER) that includes the effects of temperature, write and erase (W/E) cycles and retention-time. As a result, 83% read latency reduction is achieved compared to conventional AEP-LDPC. Also, W/E cycling is extended by 100% compared with conventional Bose-Chaudhuri-Hocquenghem (BCH) error-correcting code (ECC). The second proposal, dynamic threshold voltage optimization (DVO) has two parts, adaptive V Ref shift (AVS) and V TH space control (VSC). AVS reduces read error and latency by adaptively optimizing the reference voltage (V Ref) based on temperature, W/E cycles and retention-time. AVS stores the optimal V Ref’s in a table in order to enable one cell read. VSC further improves AVS by optimizing the voltage margins between V TH states. DVO reduces BER by 80%.

  8. Re-Evaluation of Phylogenetic Relationships among Species of the Mangrove Genus Avicennia from Indo-West Pacific Based on Multilocus Analyses.

    PubMed

    Li, Xinnian; Duke, Norman C; Yang, Yuchen; Huang, Lishi; Zhu, Yuxiang; Zhang, Zhang; Zhou, Renchao; Zhong, Cairong; Huang, Yelin; Shi, Suhua

    2016-01-01

    Avicennia L. (Avicenniaceae), one of the most diverse mangrove genera, is distributed widely in tropical and subtropical intertidal zones worldwide. Five species of Avicennia in the Indo-West Pacific region have been previously described. However, their phylogenetic relationships were determined based on morphological and allozyme data. To enhance our understanding of evolutionary patterns in the clade, we carried out a molecular phylogenetic study using wide sampling and multiple loci. Our results support two monophyletic clades across all species worldwide in Avicennia: an Atlantic-East Pacific (AEP) lineage and an Indo-West Pacific (IWP) lineage. This split is in line with biogeographic distribution of the clade. Focusing on the IWP branch, we reconstructed a detailed phylogenetic tree based on sequences from 25 nuclear genes. The results identified three distinct subclades, (1) A. rumphiana and A. alba, (2) A. officinalis and A. integra, and (3) the A. marina complex, with high bootstrap support. The results strongly corresponded to two morphological traits in floral structure: stigma position in relation to the anthers and style length. Using Bayesian dating methods we estimated diversification of the IWP lineage was dated to late Miocene (c. 6.0 million years ago) and may have been driven largely by the fluctuating sea levels since that time.

  9. Re-Evaluation of Phylogenetic Relationships among Species of the Mangrove Genus Avicennia from Indo-West Pacific Based on Multilocus Analyses

    PubMed Central

    Li, Xinnian; Duke, Norman C.; Yang, Yuchen; Huang, Lishi; Zhu, Yuxiang; Zhang, Zhang; Zhou, Renchao; Zhong, Cairong; Huang, Yelin; Shi, Suhua

    2016-01-01

    Avicennia L. (Avicenniaceae), one of the most diverse mangrove genera, is distributed widely in tropical and subtropical intertidal zones worldwide. Five species of Avicennia in the Indo-West Pacific region have been previously described. However, their phylogenetic relationships were determined based on morphological and allozyme data. To enhance our understanding of evolutionary patterns in the clade, we carried out a molecular phylogenetic study using wide sampling and multiple loci. Our results support two monophyletic clades across all species worldwide in Avicennia: an Atlantic-East Pacific (AEP) lineage and an Indo-West Pacific (IWP) lineage. This split is in line with biogeographic distribution of the clade. Focusing on the IWP branch, we reconstructed a detailed phylogenetic tree based on sequences from 25 nuclear genes. The results identified three distinct subclades, (1) A. rumphiana and A. alba, (2) A. officinalis and A. integra, and (3) the A. marina complex, with high bootstrap support. The results strongly corresponded to two morphological traits in floral structure: stigma position in relation to the anthers and style length. Using Bayesian dating methods we estimated diversification of the IWP lineage was dated to late Miocene (c. 6.0 million years ago) and may have been driven largely by the fluctuating sea levels since that time. PMID:27716800

  10. Heuristic Evaluation of E-Learning Courses: A Comparative Analysis of Two E-Learning Heuristic Sets

    ERIC Educational Resources Information Center

    Zaharias, Panagiotis; Koutsabasis, Panayiotis

    2012-01-01

    Purpose: The purpose of this paper is to discuss heuristic evaluation as a method for evaluating e-learning courses and applications and more specifically to investigate the applicability and empirical use of two customized e-learning heuristic protocols. Design/methodology/approach: Two representative e-learning heuristic protocols were chosen…

  11. Dual-energy CT for the characterization of urinary calculi: In vitro and in vivo evaluation of a low-dose scanning protocol.

    PubMed

    Thomas, C; Patschan, O; Ketelsen, D; Tsiflikas, I; Reimann, A; Brodoefel, H; Buchgeister, M; Nagele, U; Stenzl, A; Claussen, C; Kopp, A; Heuschmid, M; Schlemmer, H-P

    2009-06-01

    The efficiency and radiation dose of a low-dose dual-energy (DE) CT protocol for the evaluation of urinary calculus disease were evaluated. A low-dose dual-source DE-CT renal calculi protocol (140 kV, 46 mAs; 80 kV, 210 mAs) was derived from the single-energy (SE) CT protocol used in our institution for the detection of renal calculi (120 kV, 75 mAs). An Alderson-Rando phantom was equipped with thermoluminescence dosimeters and examined by CT with both protocols. The effective doses were calculated. Fifty-one patients with suspected or known urinary calculus disease underwent DE-CT. DE analysis was performed if calculi were detected using a dedicated software tool. Results were compared to chemical analysis after invasive calculus extraction. An effective dose of 3.43 mSv (male) and 5.30 mSv (female) was measured in the phantom for the DE protocol (vs. 3.17/4.57 mSv for the SE protocol). Urinary calculi were found in 34 patients; in 28 patients, calculi were removed and analyzed (23 patients with calcified calculi, three with uric acid calculi, one with 2,8-dihyxdroxyadenine-calculi, one patient with a mixed struvite calculus). DE analysis was able to distinguish between calcified and non-calcified calculi in all cases. In conclusion, dual-energy urinary calculus analysis is effective also with a low-dose protocol. The protocol tested in this study reliably identified calcified urinary calculi in vivo.

  12. Safety and efficacy of an intensive insulin protocol in a burn-trauma intensive care unit.

    PubMed

    Cochran, Amalia; Davis, Lynn; Morris, Stephen E; Saffle, Jeffrey R

    2008-01-01

    Aggressive glycemic management in critically ill patients with acute burn injury or life-threatening soft-tissue infections has not been thoroughly evaluated. An intensive insulin protocol with target glucose values of less than 120 mg/dl was implemented in October 2005 in our regional Burn-Trauma intensive care unit. We reviewed our initial experience with this protocol to evaluate the safety and efficacy of aggressive glycemic control in these patient groups. Patients were placed on the intensive insulin protocol based upon the need for glycemic management during their hospitalization for burn or soft-tissue disease. Patient information prospectively collected while on protocol included all measured blood glucose values, total daily insulin use, and incidence of hypoglycemic episodes, defined as serum glucose <60 mg/dl. Thirty patients (17 burns, 13 soft-tissue infections) were placed on the intensive insulin protocol during the first 16 months of use. The mean daily blood glucose level for burn patients was 115.9 mg/dl and for soft-tissue disease patients was 119.5 mg/dl. There was a 5% incidence of hypoglycemic episodes per protocol day. All hypoglycemic episodes were treated by holding the insulin infusion, and no episode had known adverse effects. Hyperglycemia in critically ill patients with burns and extensive soft-tissue disease can be effectively managed with an insulin protocol that targets blood glucose values of less than 120 mg/dl with minimal incidence of hypoglycemia. A multicenter prospective randomized trial would provide the ideal forum for evaluating clinical outcome benefits of using an intensive insulin protocol.

  13. A comparison of the use of bony anatomy and internal markers for offline verification and an evaluation of the potential benefit of online and offline verification protocols for prostate radiotherapy.

    PubMed

    McNair, Helen A; Hansen, Vibeke N; Parker, Christopher C; Evans, Phil M; Norman, Andrew; Miles, Elizabeth; Harris, Emma J; Del-Acroix, Louise; Smith, Elizabeth; Keane, Richard; Khoo, Vincent S; Thompson, Alan C; Dearnaley, David P

    2008-05-01

    To evaluate the utility of intraprostatic markers in the treatment verification of prostate cancer radiotherapy. Specific aims were: to compare the effectiveness of offline correction protocols, either using gold markers or bony anatomy; to estimate the potential benefit of online correction protocol's using gold markers; to determine the presence and effect of intrafraction motion. Thirty patients with three gold markers inserted had pretreatment and posttreatment images acquired and were treated using an offline correction protocol and gold markers. Retrospectively, an offline protocol was applied using bony anatomy and an online protocol using gold markers. The systematic errors were reduced from 1.3, 1.9, and 2.5 mm to 1.1, 1.1, and 1.5 mm in the right-left (RL), superoinferior (SI), and anteroposterior (AP) directions, respectively, using the offline correction protocol and gold markers instead of bony anatomy. The subsequent decrease in margins was 1.7, 3.3, and 4 mm in the RL, SI, and AP directions, respectively. An offline correction protocol combined with an online correction protocol in the first four fractions reduced random errors further to 0.9, 1.1, and 1.0 mm in the RL, SI, and AP directions, respectively. A daily online protocol reduced all errors to <1 mm. Intrafraction motion had greater impact on the effectiveness of the online protocol than the offline protocols. An offline protocol using gold markers is effective in reducing the systematic error. The value of online protocols is reduced by intrafraction motion.

  14. An evaluation of the hemiplegic subject based on the Bobath approach. Part II: The evaluation protocol.

    PubMed

    Corriveau, H; Guarna, F; Dutil, E; Riley, E; Arsenault, A B; Drouin, G

    1988-01-01

    A protocol of evaluation of the hemiplegic patient based on the Bobath approach to treatment is presented. Six parameters are evaluated: sensorium, muscle tone, reflex activity, active movement, postural reactions and pain. The first and last of these are included because of their possible effects on the motor recovery process of the hemiplegic patient. The other four are directly borrowed from the Bobath modality of treatment. For each of these parameters, the procedures are given for its evaluation along with its respective rating scales. These scales are of an ordinal nature ranging from 0 to 3. It is suggested that this new evaluation protocol is fully compatible with the therapeutic modality developed by Bobath and as well is adequate to quantify patient progress in the principle aspects treated by this well used rehabilitation approach.

  15. Tiered protocol implementation improves treatment of hypoglycaemia in a neurosciences critical care and surgical intensive care unit.

    PubMed

    Van Berkel, Megan A; MacDermott, Jennifer; Dungan, Kathleen M; Cook, Charles H; Murphy, Claire V

    2017-12-01

    Although studies demonstrate techniques to limit hypoglycaemia in critically ill patients, there are limited data supporting methods to improve management of existing hypoglycaemia. Assess the impact and sustainability of a computerised, three tiered, nurse driven protocol for hypoglycaemia treatment. Retrospective pre and post protocol study. Neurosciences and surgical intensive care units at a tertiary academic medical centre. Patients with a hypoglycaemic episode were included during a pre-protocol or post-protocol implementation period. An additional six-month cohort was evaluated to assess sustainability. Fifty-four patients were included for evaluation (35 pre- and 19 post-protocol); 122 patients were included in the sustainability cohort. Hypoglycaemia treatment significantly improved in the post-protocol cohort (20% vs. 52.6%, p=0.014); with additional improvement to 79.5% in the sustainability cohort. Time to follow-up blood glucose was decreased after treatment from 122 [Q1-Q3: 46-242] minutes pre-protocol to 25 [Q1-Q3: 9-48] minutes post protocol (p<0.0001). This reduction was maintained in the sustainability cohort [median of 29min (Q1-Q3: 20-51)]. Implementation of a nurse-driven, three-tiered protocol for treatment of hypoglyacemia significantly improved treatment rates, as well as reduced time to recheck blood glucose measurement. These benefits were sustained during a six-month period after protocol implementation. Copyright © 2017 Elsevier Ltd. All rights reserved.

  16. Hybrid-PIC Simulation of Backsputtered Carbon Transport in the Near-Field Plume of a Hall Thruster

    NASA Technical Reports Server (NTRS)

    Choi, Maria; Yim, John T.; Williams, George J.; Herman, Daniel A.; Gilland, James H.

    2017-01-01

    Magnetic shielding has eliminated boron nitride erosion as the life limiting mechanism in a Hall thruster but has resulted in erosion of the front magnetic field pole pieces. Recent experiments show that the erosion of graphite pole covers, which are added to protect the magnetic field pole pieces, causes carbon to redeposit on other surfaces, such as boron nitride discharge channel and cathode keeper surfaces. As a part of the risk-reduction activities for AEPS thruster development, this study models transport of backsputtered carbon from the graphite front pole covers and vacuum facility walls. Fluxes, energy distributions, and redeposition rates of backsputtered carbon on the anode, discharge channel, and graphite cathode keeper surfaces are predicted.

  17. International Aerospace and Ground Conference on Lightning and Static Electricity (8th), Lightning Technology Roundup. Held in Fort Worth, Texas on 21-23 June 1983. Addendum

    DTIC Science & Technology

    1983-10-01

    PHOTOGRAPH THIS SHEET !𔃻P...vTEjAT//V,41 AEP.oSPfqc-/ &rJ Raulvn (C MFCeAX.NC; CA) D LEVEL INVENTORY’z.~~F/ er-/lcn I - CD . A-DDENDUM L’&/NTCJG...061 DATE RECEIVED IN I)TI( REGISTERED OR CERTIFIED NO. PHOTOGRAPH THIS SHEET AM) RI-TURN TO I)TIC-I)I)AC OTIC FORM 70A I’IMNT PRO(ESSIN( SHI’ET...New Jersey 08405 15. Supplementary Noses The NICG consists of members from the U.S. Air Force, U.S. Army, U.S. Navy, NASA , NOAA, and the FAA. lt 16

  18. Rapid Bacterial Testing for Spacecraft Water

    NASA Technical Reports Server (NTRS)

    Lisle, John T.; Pyle, Barry H.; McFeters, Gordon A.

    1996-01-01

    Evaluations of the fluorogenic stains and probes will continue. E. coli 0157:H7 will be used as the reference strain for optimizing protocols. We anticipate the continued use of the fluorescent antibodies (TRITC and FITC labeled) in conjunction with CTC, Rhl23, DiBAC4(3), DAPI and acridine orange. Chemunex, the manufacturer of the ChemScan analyzer system, also makes a fluorogenic probe, Chemchrome B, which will be incorporated into the suite of probes to evaluate once their system is on site. Regardless of the combination of stains and probes all will be evaluated on membrane filters. Development of a FISH protocol that will be applicable to our conditions will be continued. Complimentary 16s rRNA probes to Ps. aeruginosa and currently in our laboratory will be evaluated first. Once this protocol has been adequately optimized other probes will be ordered for u a select number of other species. Currently, protocols to evaluate the effects of disinfection and the resulting lethality, injury on stain and/or probe specificity and reliability are being developed. E. coli 0157:H7 is the reference strain and chlorine the disinfectant the reference protocol is being developed around. Upon completion of this work, the resulting protocol will be extended to other species and disinfectants (e.g., iodine). Similar disinfectant experiments will then be conducted on the same species after starvation to evaluate the effects of starvation on disinfection resistance and the applicability of the stains and probes. Development of the immunomagnetic separation system will continue. Combined with the rapid methods described above, with enumeration by the ChemScan, we anticipate that this will provide a highly sensitive technique for the detection of specific, active bacteria.

  19. A simplified protocol for molecular identification of Eimeria species in field samples.

    PubMed

    Haug, Anita; Thebo, Per; Mattsson, Jens G

    2007-05-15

    This study aimed to find a fast, sensitive and efficient protocol for molecular identification of chicken Eimeria spp. in field samples. Various methods for each of the three steps of the protocol were evaluated: oocyst wall rupturing methods, DNA extraction methods, and identification of species-specific DNA sequences by PCR. We then compared and evaluated five complete protocols. Three series of oocyst suspensions of known number of oocysts from Eimeria mitis, Eimeria praecox, Eimeria maxima and Eimeria tenella were prepared and ground using glass beads or mini-pestle. DNA was extracted from ruptured oocysts using commercial systems (GeneReleaser, Qiagen Stoolkit and Prepman) or phenol-chloroform DNA extraction, followed by identification of species-specific ITS-1 sequences by optimised single species PCR assays. The Stoolkit and Prepman protocols showed insufficient repeatability, and the former was also expensive and relatively time-consuming. In contrast, both the GeneReleaser protocol and phenol-chloroform protocols were robust and sensitive, detecting less than 0.4 oocysts of each species per PCR. Finally, we evaluated our new protocol on 68 coccidia positive field samples. Our data suggests that rupturing the oocysts by mini-pestle grinding, preparing the DNA with GeneReleaser, followed by optimised single species PCR assays, makes a robust and sensitive procedure for identifying chicken Eimeria species in field samples. Importantly, it also provides minimal hands-on-time in the pre-PCR process, lower contamination risk and no handling of toxic chemicals.

  20. Low-Contrast and Low-Radiation Dose Protocol in Cardiac Computed Tomography: Usefulness of Low Tube Voltage and Knowledge-Based Iterative Model Reconstruction Algorithm.

    PubMed

    Iyama, Yuji; Nakaura, Takeshi; Yokoyama, Koichi; Kidoh, Masafumi; Harada, Kazunori; Oda, Seitaro; Tokuyasu, Shinichi; Yamashita, Yasuyuki

    This study aimed to evaluate the feasibility of a low contrast, low-radiation dose protocol of 80-peak kilovoltage (kVp) with prospective electrocardiography-gated cardiac computed tomography (CT) using knowledge-based iterative model reconstruction (IMR). Thirty patients underwent an 80-kVp prospective electrocardiography-gated cardiac CT with low-contrast agent (222-mg iodine per kilogram of body weight) dose. We also enrolled 30 consecutive patients who were scanned with a 120-kVp cardiac CT with filtered back projection using the standard contrast agent dose (370-mg iodine per kilogram of body weight) as a historical control group. We evaluated the radiation dose for the 2 groups. The 80-kVp images were reconstructed with filtered back projection (protocol A), hybrid iterative reconstruction (HIR, protocol B), and IMR (protocol C). We compared CT numbers, image noise, and contrast-to-noise ratio among 120-kVp protocol, protocol A, protocol B, and protocol C. In addition, we compared the noise reduction rate between HIR and IMR. Two independent readers compared image contrast, image noise, image sharpness, unfamiliar image texture, and overall image quality among the 4 protocols. The estimated effective dose (ED) of the 80-kVp protocol was 74% lower than that of the 120-kVp protocol (1.4 vs 5.4 mSv). The contrast-to-noise ratio of protocol C was significantly higher than that of protocol A. The noise reduction rate of IMR was significantly higher than that of HIR (P < 0.01). There was no significant difference in almost all qualitative image quality between 120-kVp protocol and protocol C except for image contrast. A 80-kVp protocol with IMR yields higher image quality with 74% decreased radiation dose and 40% decreased contrast agent dose as compared with a 120-kVp protocol, while decreasing more image noise compared with the 80-kVp protocol with HIR.

  1. Verification and large scale clinical evaluation of a national standard protocol for Salmonella spp./Shigella spp. screening using real-time PCR combined with guided culture.

    PubMed

    Tang, Xi-Jun; Yang, Ze; Chen, Xin-Bin; Tian, Wen-Fang; Tu, Cheng-Ning; Wang, Hai-Bo

    2018-02-01

    Salmonella spp./Shigella spp. are often associated with food poisoning and fecal-oral transmission of acute gastroenteritis that requires strict monitoring, especially among people who would handle food and water. In 2014, the National Health and Family Planning Commission of the P. R. China issued a national standard protocol (recommendatory) for the screening of Salmonella spp./Shigella spp.. However, its performance has not been fully studied. Whether it was suitable for use in our laboratory was still unknown. In the current study, the new protocol was first verified by various experiments and then its clinical performance was evaluated in about 20,000 stool samples over a three-year period. Verification results showed that the new protocol was highly specific and reproducible. Sensitivity (as defined as the lower limit of detection) of the new protocol at the PCR step was 10 3 CFU/mL and 10 1 CFU/mL for Salmonella spp. and Shigella spp., while that at the guided culture step was 10 4 CFU/mL and 10 3 CFU/mL, respectively. The large scale clinical evaluation indicated that the new protocol could increase the positivity rate by two fold and decrease the workload/median turnaround time significantly. In conclusion, the protocol was verified and evaluated and was proven to be a valuable platform for the rapid, specific, sensitive and high-throughput screening of Salmonella spp./Shigella spp. Copyright © 2017 Elsevier B.V. All rights reserved.

  2. Protocols for the Initial Treatment of Moderately Severe Juvenile Dermatomyositis: Results of a Children's Arthritis and Rheumatology Research Alliance Consensus Conference

    PubMed Central

    Huber, Adam M.; Giannini, Edward H.; Bowyer, Suzanne L.; Kim, Susan; Lang, Bianca; Lindsley, Carol B.; Pachman, Lauren M.; Pilkington, Clarissa; Reed, Ann M.; Rennebohm, Robert M.; Rider, Lisa G.; Wallace, Carol A.; Feldman, Brian M.

    2010-01-01

    Objective To use juvenile dermatomyositis (JDM) survey data and expert opinion to develop a small number of consensus treatment protocols which reflect current initial treatment of moderately severe JDM. Methods A consensus meeting was held in Toronto, Ontario, Canada on December 1-2, 2007. Nominal group technique was used to achieve consensus on treatment protocols which represented typical management of moderately severe JDM. Consensus was also reached on which patients these protocols would be applicable to (inclusion and exclusion criteria), initial investigations which should be done prior to initiating one of these protocols, data which should be collected to evaluate these protocols, concomitant interventions that would be required or recommended. Results Three protocols were developed which described the first 2 months of treatment. All protocols included corticosteroids and methotrexate. One protocol also included intravenous gammaglobulin. Consensus was achieved for all issues that were addressed by conference participants, although there were some areas of controversy Conclusions This study shows that it is possible to achieve consensus on the initial treatment of JDM, despite considerable variation in clinical practice. Once these protocols are extended beyond 2 months, these protocols will be available for clinical use. By using methods which account for differences between patients (confounding by indication), the comparative effectiveness of the protocols will be evaluated. In the future, the goal will be to identify the optimal treatment of moderately severe JDM. PMID:20191521

  3. Evaluation of a Modified Pamidronate Protocol for the Treatment of Osteogenesis Imperfecta.

    PubMed

    Palomo, Telma; Andrade, Maria C; Peters, Barbara S E; Reis, Fernanda A; Carvalhaes, João Tomás A; Glorieux, Francis H; Rauch, Frank; Lazaretti-Castro, Marise

    2016-01-01

    Intravenous pamidronate is widely used to treat children with osteogenesis imperfecta (OI). In a well-studied protocol ('standard protocol'), pamidronate is given at a daily dose of 1 mg per kg body weight over 4 h on 3 successive days; infusion cycles are repeated every 4 months. Here, we evaluated renal safety of a simpler protocol for intravenous pamidronate infusions (2 mg per kg body weight given in a single infusion over 2 h, repeated every 4 months; 'modified protocol'). Results of 18 patients with OI types I, III, or IV treated with the modified protocol for 12 months were compared to 18 historic controls, treated with standard protocol. In the modified protocol, mild transient post-infusion increases in serum creatinine were found during each infusion but after 12 months serum creatinine remained similar from baseline [0.40 mg/dl (SD: 0.13)] to the end of the study [0.41 mg/dl (SD: 0.11)] (P = 0.79). The two protocols led to similar changes in serum creatinine during the first pamidronate infusion [modified protocol: +2% (SD: 21%); standard protocol: -3% (SD: 8%); P = 0.32]. Areal lumbar spine bone mineral density Z-scores increased from -2.7 (SD: 1.5) to -1.8 (SD: 1.4) with the modified protocol, and from -4.1 (SD: 1.4) to -3.1 (SD: 1.1) with standard protocol (P = 0.68 for group differences in bone density Z-score changes). The modified pamidronate protocol is safe and may have similar effects on bone density as the standard pamidronate protocol. More studies are needed with longer follow-up to prove anti-fracture efficacy.

  4. Developing family planning nurse practitioner protocols.

    PubMed

    Hawkins, J W; Roberto, D

    1984-01-01

    This article focuses on the process of development of protocols for family planning nurse practitioners. A rationale for the use of protocols, a definition of the types and examples, and the pros and cons of practice with protocols are presented. A how-to description for the development process follows, including methods and a suggested tool for critique and evaluation. The aim of the article is to assist nurse practitioners in developing protocols for their practice.

  5. Study protocol of a mixed-methods evaluation of a cluster randomized trial to improve the safety of NSAID and antiplatelet prescribing: data-driven quality improvement in primary care.

    PubMed

    Grant, Aileen; Dreischulte, Tobias; Treweek, Shaun; Guthrie, Bruce

    2012-08-28

    Trials of complex interventions are criticized for being 'black box', so the UK Medical Research Council recommends carrying out a process evaluation to explain the trial findings. We believe it is good practice to pre-specify and publish process evaluation protocols to set standards and minimize bias. Unlike protocols for trials, little guidance or standards exist for the reporting of process evaluations. This paper presents the mixed-method process evaluation protocol of a cluster randomized trial, drawing on a framework designed by the authors. This mixed-method evaluation is based on four research questions and maps data collection to a logic model of how the data-driven quality improvement in primary care (DQIP) intervention is expected to work. Data collection will be predominately by qualitative case studies in eight to ten of the trial practices, focus groups with patients affected by the intervention and quantitative analysis of routine practice data, trial outcome and questionnaire data and data from the DQIP intervention. We believe that pre-specifying the intentions of a process evaluation can help to minimize bias arising from potentially misleading post-hoc analysis. We recognize it is also important to retain flexibility to examine the unexpected and the unintended. From that perspective, a mixed-methods evaluation allows the combination of exploratory and flexible qualitative work, and more pre-specified quantitative analysis, with each method contributing to the design, implementation and interpretation of the other.As well as strengthening the study the authors hope to stimulate discussion among their academic colleagues about publishing protocols for evaluations of randomized trials of complex interventions. DATA-DRIVEN QUALITY IMPROVEMENT IN PRIMARY CARE TRIAL REGISTRATION: ClinicalTrials.gov: NCT01425502.

  6. Heavy vehicle driver workload assessment. Task 5, workload assessment protocol

    DOT National Transportation Integrated Search

    This report presents a description of a prescriptive workload assessment protocol for use in evaluating in-cab devices in heavy vehicles. The primary objective of this heavy vehicle driver workload assessment protocol is to identify the components an...

  7. Developing the protocol for the evaluation of the health foundation's 'engaging with quality initiative' – an emergent approach

    PubMed Central

    Soper, Bryony; Buxton, Martin; Hanney, Stephen; Oortwijn, Wija; Scoggins, Amanda; Steel, Nick; Ling, Tom

    2008-01-01

    In 2004 a UK charity, The Health Foundation, established the 'Engaging with Quality Initiative' to explore and evaluate the benefits of engaging clinicians in quality improvement in healthcare. Eight projects run by professional bodies or specialist societies were commissioned in various areas of acute care. A developmental approach to the initiative was adopted, accompanied by a two level evaluation: eight project self-evaluations and a related external evaluation. This paper describes how the protocol for the external evaluation was developed. The challenges faced included large variation between and within the projects (in approach, scope and context, and in understanding of quality improvement), the need to support the project teams in their self-evaluations while retaining a necessary objectivity, and the difficulty of evaluating the moving target created by the developmental approach adopted in the initiative. An initial period to develop the evaluation protocol proved invaluable in helping us to explore these issues. PMID:18973650

  8. New approach to enhance and evaluate the performance of vehicle-infrastructure integration and its communication systems, final report.

    DOT National Transportation Integrated Search

    2010-09-01

    Initial research studied the use of wireless local area networks (WLAN) protocols in Inter-Vehicle Communications : (IVC) environments. The protocols performance was evaluated in terms of measuring throughput, jitter time and : delay time. This re...

  9. Evaluation of a Sexual Assault Risk Reduction and Self-Defense Program: A Prospective Analysis of a Revised Protocol

    ERIC Educational Resources Information Center

    Orchowski, Lindsay M.; Gidycz, Christine A.; Raffle, Holly

    2008-01-01

    The current study extends the development and evaluation of an existing and previously evaluated sexual assault risk reduction program with a self-defense component for college women (N = 300). The program protocol was revised to address psychological barriers to responding assertively to risky dating situations, and a placebo-control group was…

  10. Increasing power generation in horizontal axis wind turbines using optimized flow control

    NASA Astrophysics Data System (ADS)

    Cooney, John A., Jr.

    In order to effectively realize future goals for wind energy, the efficiency of wind turbines must increase beyond existing technology. One direct method for achieving increased efficiency is by improving the individual power generation characteristics of horizontal axis wind turbines. The potential for additional improvement by traditional approaches is diminishing rapidly however. As a result, a research program was undertaken to assess the potential of using distributed flow control to increase power generation. The overall objective was the development of validated aerodynamic simulations and flow control approaches to improve wind turbine power generation characteristics. BEM analysis was conducted for a general set of wind turbine models encompassing last, current, and next generation designs. This analysis indicated that rotor lift control applied in Region II of the turbine power curve would produce a notable increase in annual power generated. This was achieved by optimizing induction factors along the rotor blade for maximum power generation. In order to demonstrate this approach and other advanced concepts, the University of Notre Dame established the Laboratory for Enhanced Wind Energy Design (eWiND). This initiative includes a fully instrumented meteorological tower and two pitch-controlled wind turbines. The wind turbines are representative in their design and operation to larger multi-megawatt turbines, but of a scale that allows rotors to be easily instrumented and replaced to explore new design concepts. Baseline data detailing typical site conditions and turbine operation is presented. To realize optimized performance, lift control systems were designed and evaluated in CFD simulations coupled with shape optimization tools. These were integrated into a systematic design methodology involving BEM simulations, CFD simulations and shape optimization, and selected experimental validation. To refine and illustrate the proposed design methodology, a complete design cycle was performed for the turbine model incorporated in the wind energy lab. Enhanced power generation was obtained through passive trailing edge shaping aimed at reaching lift and lift-to-drag goals predicted to optimize performance. These targets were determined by BEM analysis to improve power generation characteristics and annual energy production (AEP) for the wind turbine. A preliminary design was validated in wind tunnel experiments on a 2D rotor section in preparation for testing in the full atmospheric environment of the eWiND Laboratory. These tests were performed for the full-scale geometry and atmospheric conditions. Upon making additional improvements to the shape optimization tools, a series of trailing edge additions were designed to optimize power generation. The trailing edge additions were predicted to increase the AEP by up to 4.2% at the White Field site. The pieces were rapid-prototyped and installed on the wind turbine in March, 2014. Field tests are ongoing.

  11. Systematic Evaluation of the Patient-Reported Outcome (PRO) Content of Clinical Trial Protocols

    PubMed Central

    Kyte, Derek; Duffy, Helen; Fletcher, Benjamin; Gheorghe, Adrian; Mercieca-Bebber, Rebecca; King, Madeleine; Draper, Heather; Ives, Jonathan; Brundage, Michael; Blazeby, Jane; Calvert, Melanie

    2014-01-01

    Background Qualitative evidence suggests patient-reported outcome (PRO) information is frequently absent from clinical trial protocols, potentially leading to inconsistent PRO data collection and risking bias. Direct evidence regarding PRO trial protocol content is lacking. The aim of this study was to systematically evaluate the PRO-specific content of UK National Institute for Health Research (NIHR) Health Technology Assessment (HTA) programme trial protocols. Methods and Findings We conducted an electronic search of the NIHR HTA programme database (inception to August 2013) for protocols describing a randomised controlled trial including a primary/secondary PRO. Two investigators independently reviewed the content of each protocol, using a specially constructed PRO-specific protocol checklist, alongside the ‘Standard Protocol Items: Recommendations for Interventional Trials’ (SPIRIT) checklist. Disagreements were resolved through discussion with a third investigator. 75 trial protocols were included in the analysis. Protocols included a mean of 32/51 (63%) SPIRIT recommendations (range 16–41, SD 5.62) and 11/33 (33%) PRO-specific items (range 4–18, SD 3.56). Over half (61%) of the PRO items were incomplete. Protocols containing a primary PRO included slightly more PRO checklist items (mean 14/33 (43%)). PRO protocol content was not associated with general protocol completeness; thus, protocols judged as relatively ‘complete’ using SPIRIT were still likely to have omitted a large proportion of PRO checklist items. Conclusions The PRO components of HTA clinical trial protocols require improvement. Information on the PRO rationale/hypothesis, data collection methods, training and management was often absent. This low compliance is unsurprising; evidence shows existing PRO guidance for protocol developers remains difficult to access and lacks consistency. Study findings suggest there are a number of PRO protocol checklist items that are not fully addressed by the current SPIRIT statement. We therefore advocate the development of consensus-based supplementary guidelines, aimed at improving the completeness and quality of PRO content in clinical trial protocols. PMID:25333349

  12. Mobile Virtual Private Networking

    NASA Astrophysics Data System (ADS)

    Pulkkis, Göran; Grahn, Kaj; Mårtens, Mathias; Mattsson, Jonny

    Mobile Virtual Private Networking (VPN) solutions based on the Internet Security Protocol (IPSec), Transport Layer Security/Secure Socket Layer (SSL/TLS), Secure Shell (SSH), 3G/GPRS cellular networks, Mobile IP, and the presently experimental Host Identity Protocol (HIP) are described, compared and evaluated. Mobile VPN solutions based on HIP are recommended for future networking because of superior processing efficiency and network capacity demand features. Mobile VPN implementation issues associated with the IP protocol versions IPv4 and IPv6 are also evaluated. Mobile VPN implementation experiences are presented and discussed.

  13. Comparative evaluation of total RNA extraction methods in Theobroma cacao using shoot apical meristems.

    PubMed

    Silva, D V; Branco, S M J; Holanda, I S A; Royaert, S; Motamayor, J C; Marelli, J P; Corrêa, R X

    2016-03-04

    Theobroma cacao is a species of great economic importance with its beans used for chocolate production. The tree has been a target of various molecular studies. It contains many polyphenols, which complicate the extraction of nucleic acids with the extraction protocols requiring a large amount of plant material. These issues, therefore, necessitate the optimization of the protocols. The aim of the present study was to evaluate different methods for extraction of total RNA from shoot apical meristems of T. cacao 'CCN 51' and to assess the influence of storage conditions for the meristems on the extraction. The study also aimed to identify the most efficient protocol for RNA extraction using a small amount of plant material. Four different protocols were evaluated for RNA extraction using one shoot apical meristem per sample. Among these protocols, one that was more efficient was then tested to extract RNA using four different numbers of shoot apical meristems, subjected to three different storage conditions. The best protocol was tested for cDNA amplification using reverse transcription-polymerase chain reaction; the cDNA quality was determined to be satisfactory for molecular analyses. The study revealed that with the best RNA extraction protocol, one shoot apical meristem was sufficient for extraction of high-quality total RNA. The results obtained might enable advances in genetic analyses and molecular studies using reduced amount of plant material.

  14. A Protocol for Evaluating Contextual Design Principles

    PubMed Central

    Stamps, Arthur

    2014-01-01

    This paper explains how scientific data can be incorporated into urban design decisions, such as evaluating contextual design principles. The recommended protocols are based on the Cochrane Reviews that have been widely used in medical research. The major concepts of a Cochrane Review are explained, as well as the underlying mathematics. The underlying math is meta-analysis. Data are reported for three applications and seven contextual design policies. It is suggested that use of the Cochrane protocols will be of great assistance to planners by providing scientific data that can be used to evaluate the efficacies of contextual design policies prior to implementing those policies. PMID:25431448

  15. Comparison of two cooling protocols for llama semen: with and without collagenase and seminal plasma in the medium.

    PubMed

    Carretero, M I; Giuliano, S M; Arraztoa, C C; Santa Cruz, R C; Fumuso, F G; Neild, D M

    2017-08-01

    Seminal plasma (SP) of South American Camelids could interfere with the interaction of spermatozoa with the extenders; therefore it becomes necessary to improve semen management using enzymatic treatment. Our objective was to compare two cooling protocols for llama semen. Twelve ejaculates were incubated in 0.1% collagenase and then were divided into two aliquots. One was extended in lactose and egg yolk (LEY) (Protocol A: collagenase and SP present). The other aliquot was centrifuged, and the pellet was resuspended in LEY (Protocol B: collagenase and SP absent). Both samples were maintained at 5°C during 24 hr. Routine and DNA evaluations were carried out in raw and cooled semen. Both cooling protocols maintained sperm viability, membrane function and DNA fragmentation, with Protocol A showing a significantly lowered total and progressive motility (p < .05) and Protocol B showing a significant increase in chromatin decondensation (p < .05). Protocol A avoids centrifugation, reducing processing times and making application in the field simpler. However, as neither protocol showed a significant superiority over the other, studies should be carried out in vivo to evaluate the effect on pregnancy rates of the presence of collagenase and SP in semen samples prior to either cooling or freeze-thawing. © 2016 Blackwell Verlag GmbH.

  16. A False-name-Proof Double Auction Protocol for Arbitrary Evaluation Values

    NASA Astrophysics Data System (ADS)

    Sakurai, Yuko; Yokoo, Makoto

    We develop a new false-name-proof double auction protocol called the Generalized Threshold Price Double auction (GTPD) protocol. False-name-proofness generalizes strategy-proofness by incorporating the possibility of false-name bids, e.g., bids submitted using multiple e-mail addresses. An existing protocol called TPD protocol is false-name-proof but can handle only the cases where marginal utilities of each agent always decrease, while our new GTPD protocol can handle arbitrary evaluation values. When marginal utilities can increase, some bids cannot be divided into a single unit (e.g., an all-or-nothing bid). Due to the existence of such indivisible bids, meeting supply/demand becomes difficult. Furthermore, a seller/buyer can submit a false-name-bid by pretending to be a potential buyer/seller to manipulate allocations and payments. In the GTPD protocol, the auctioneer is required to absorb the supply-demand imbalance up to a given upper-bound. Also, the GTPD incorporate a new false-name-proof one-sided auction protocol that is guaranteed to sell/buy a certain number of units. Simulation results show that when the threshold price is set appropriately, this protocol can obtain a good social surplus, and the number of absorbed units is much smaller than the given upper-bound.

  17. A Comparison of the Use of Bony Anatomy and Internal Markers for Offline Verification and an Evaluation of the Potential Benefit of Online and Offline Verification Protocols for Prostate Radiotherapy

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

    McNair, Helen A.; Hansen, Vibeke N.; Parker, Christopher

    2008-05-01

    Purpose: To evaluate the utility of intraprostatic markers in the treatment verification of prostate cancer radiotherapy. Specific aims were: to compare the effectiveness of offline correction protocols, either using gold markers or bony anatomy; to estimate the potential benefit of online correction protocol's using gold markers; to determine the presence and effect of intrafraction motion. Methods and Materials: Thirty patients with three gold markers inserted had pretreatment and posttreatment images acquired and were treated using an offline correction protocol and gold markers. Retrospectively, an offline protocol was applied using bony anatomy and an online protocol using gold markers. Results: Themore » systematic errors were reduced from 1.3, 1.9, and 2.5 mm to 1.1, 1.1, and 1.5 mm in the right-left (RL), superoinferior (SI), and anteroposterior (AP) directions, respectively, using the offline correction protocol and gold markers instead of bony anatomy. The subsequent decrease in margins was 1.7, 3.3, and 4 mm in the RL, SI, and AP directions, respectively. An offline correction protocol combined with an online correction protocol in the first four fractions reduced random errors further to 0.9, 1.1, and 1.0 mm in the RL, SI, and AP directions, respectively. A daily online protocol reduced all errors to <1 mm. Intrafraction motion had greater impact on the effectiveness of the online protocol than the offline protocols. Conclusions: An offline protocol using gold markers is effective in reducing the systematic error. The value of online protocols is reduced by intrafraction motion.« less

  18. Failure of antiarrhythmic drugs to prevent experimental reperfusion ventricular fibrillation.

    PubMed

    Naito, M; Michelson, E L; Kmetzo, J J; Kaplinsky, E; Dreifus, L S

    1981-01-01

    Ninety-nine adult mongrel dogs underwent acute ligation of the proximal left anterior descending coronary artery. Thirty minutes later, the occlusion was released to evaluate the effectiveness of five antiarrhythmic protocols in eliminating reperfusion ventricular fibrillation. The five protocols included: protocol 1 --i.v. lidocaine, preligation and prerelease (n = 19); protocol 2 -- i.v. lidocaine, prereperfusion only (n = 22); protocol 3 -- chronic, oral, daily amiodarone for 2 weeks preligation (n = 19); protocol 4 -- i.v. procainamide, preligation and prereperfusion (n = 21); and protocol 5 -- i.v. verapamil, prereperfusion (n = 18). Each regimen was evaluated with respect to the incidence of reperfusion ventricular fibrillation in dogs that survived to reperfusion, and the results were compared to 77 control dogs that underwent identical coronary artery occlusion and release procedures without drug therapy. The incidence of reperfusion ventricular fibrillation was as follows: protocol 1 -- seven of 15 dogs (47%); protocol 2 -- six of 18 (33%); protocol 3 -- 11 of 16 dogs (69%); protocol 4 -- eight of 17 dogs (47%); and protocol 5 -- 10 of 17 dogs (59%), compared with 36 of 60 (60%) in control dogs. Using chi-square analysis, protocol 2 was beneficial (p < 0.05). The dogs were then stratified into high- and low-risk subgroups based on the arrhythmic events of the antecedent coronary artery ligation periods, and predictive risk indexes for the occurrence of reperfusion ventricular fibrillation were developed. the Mantel-Haenszel method of statistical analysis revealed that none of these protocols resulted in a statistically significant reduction in the incidence of reperfusion ventricular fibrillation. Thus, use of these predictive indexes plus appropriate statistical methods has revealed, unexpectedly, limitations in the efficacy of a spectrum of antiarrhythmic agents in preventing reperfusion ventricular fibrillation.

  19. Web usability evaluation with screen reader users: implementation of the partial concurrent thinking aloud technique.

    PubMed

    Federici, Stefano; Stefano, Federici; Borsci, Simone; Stamerra, Gianluca

    2010-08-01

    A verbal protocol technique, adopted for a web usability evaluation, requires that the users are able to perform a double task: surfing and talking. Nevertheless, when blind users surf by using a screen reader and talk about the way they interact with the computer, the evaluation is influenced by a structural interference: users are forced to think aloud and listen to the screen reader at the same time. The aim of this study is to build up a verbal protocol technique for samples of visual impaired users in order to overcome the limits of concurrent and retrospective protocols. The technique we improved, called partial concurrent thinking aloud (PCTA), integrates a modified set of concurrent verbalization and retrospective analysis. One group of 6 blind users and another group of 6 sighted users evaluated the usability of a website using PCTA. By estimating the number of necessary users by the means of an asymptotic test, it was found out that the two groups had an equivalent ability of identifying usability problems, both over 80%. The result suggests that PCTA, while respecting the properties of classic verbal protocols, also allows to overcome the structural interference and the limits of concurrent and retrospective protocols when used with screen reader users. In this way, PCTA reduces the efficiency difference of usability evaluation between blind and sighted users.

  20. Clomiphene citrate 'stair-step' protocol vs. traditional protocol in patients with polycystic ovary syndrome: a randomized controlled trial.

    PubMed

    Deveci, Canan Dura; Demir, Berfu; Sengul, Ozlem; Dilbaz, Berna; Goktolga, Umit

    2015-01-01

    To evaluate the efficacy of the stair-step protocol using clomiphene citrate (CC) and to assess the uterine and systemic side effects in patients with polycystic ovary syndrome (PCOS). A total of 60 PCOS patients who failed to respond to 50 mg/day for 5 days of CC treatment within the cycle were randomly allocated to the control (traditional protocol) and study (stair-step protocol) groups. In the stair-step protocol,patients were treated with CC 50 mg/day for 5 days and then in nonresponsive patients, the dosage was increased to 100 mg/day for 5 days in the same cycle. Patients who failed the 50 mg/day CC treatment in the previous cycle were stimulated with 100 mg/day CC and were accepted as the control group. Ovulation and pregnancy rates, duration of treatment and uterine and systemic side effects were evaluated. Ovulation and pregnancy rates were similar between the stair-step and the control group (43.3 vs. 33.3 %, respectively) (16.7 vs. 10 %, respectively). The duration of treatment was significantly shorter in stair-step compared to traditional protocol (20.5 ± 2.0 vs. 48.6 ± 2.4 days, respectively). There were no significant differences in the systemic side effects between the groups. Uterine side effects were evaluated with endometrial thickness and uterine artery Doppler ultrasound; no significant differences were observed in stair-step compared to traditional protocol. The stair-step protocol was determined to have a significantly shorter treatment period without any detrimental effect on the ovulation and pregnancy rates.

  1. Brazilian version of the Protocole Montréal d'Evaluation de la Communication (Protocole MEC): normative and reliability data.

    PubMed

    Fonseca, Rochele Paz; Joanette, Yves; Côté, Hélène; Ska, Bernadette; Giroux, Francine; Fachel, Jandyra Maria Guimarães; Damasceno Ferreira, Gabriela; Parente, Maria Alice de Mattos Pimenta

    2008-11-01

    The lack of standardized instruments to evaluate communication disorders related to the right hemisphere was verified. A new evaluation tool was developed: Protocole Montréal d'Evaluation de la Communication--Protocole MEC, adapted to Brazilian Portuguese--Bateria Montreal de Avaliação da Comunicação--Bateria MAC (Montreal Evaluation of Communication Battery). The purpose was to present stratified normative data by age and educational level, and to verify the reliability parameters of the MEC Battery. 300 individuals, between the ages of 19 and 75 years, and levels of formal education between 2 and 35 years, participated in this study. They were divided equally into six normative groups, according to three age categories (young adults, intermediary age, and seniors) and two educational levels (low and high). Two procedures were used to check reliability: Cronbach alpha and reliability between evaluators, Results were established at the 10th percentile, and an alert point per task for each normative group. Cronbach's alpha was, in general, between .70 and .90 and the average rate of agreement between evaluators varied from .62 to .94. Standards of age and education were established. The reliability of this instrument was verified. The psychometric legitimization of the MEC Battery will contribute to the diagnostic process for communicative disorders.

  2. An Evaluation of Protocols for UAV Science Applications

    NASA Technical Reports Server (NTRS)

    Ivancic, William D.; Stewart, David E.; Sullivan, Donald V.; Finch, Patrick E.

    2012-01-01

    This paper identifies data transport needs for current and future science payloads deployed on the NASA Global Hawk Unmanned Aeronautical Vehicle (UAV). The NASA Global Hawk communication system and operational constrains are presented. The Genesis and Rapid Intensification Processes (GRIP) mission is used to provide the baseline communication requirements as a variety of payloads were utilized in this mission. User needs and desires are addressed. Protocols are matched to the payload needs and an evaluation of various techniques and tradeoffs are presented. Such techniques include utilization rate-base selective negative acknowledgement protocols and possible use of protocol enhancing proxies. Tradeoffs of communication architectures that address ease-of-use and security considerations are also presented.

  3. Evaluation of dose from kV cone-beam computed tomography during radiotherapy: a comparison of methodologies

    NASA Astrophysics Data System (ADS)

    Buckley, J.; Wilkinson, D.; Malaroda, A.; Metcalfe, P.

    2017-01-01

    Three alternative methodologies to the Computed-Tomography Dose Index for the evaluation of Cone-Beam Computed Tomography dose are compared, the Cone-Beam Dose Index, IAEA Human Health Report No. 5 recommended methodology and the AAPM Task Group 111 recommended methodology. The protocols were evaluated for Pelvis and Thorax scan modes on Varian® On-Board Imager and Truebeam kV XI imaging systems. The weighted planar average dose was highest for the AAPM methodology across all scans, with the CBDI being the second highest overall. A 17.96% and 1.14% decrease from the TG-111 protocol to the IAEA and CBDI protocols for the Pelvis mode and 18.15% and 13.10% decrease for the Thorax mode were observed for the XI system. For the OBI system, the variation was 16.46% and 7.14% for Pelvis mode and 15.93% to the CBDI protocol in Thorax mode respectively.

  4. Efficacy of Chinese auriculotherapy for stress in nursing staff: a randomized clinical trial

    PubMed Central

    Kurebayashi, Leonice Fumiko Sato; da Silva, Maria Júlia Paes

    2014-01-01

    Objective this randomized single blind clinical study aimed to evaluate the efficacy of auriculotherapy with and without a protocol for reducing stress levels among nursing staff. Method a total of 175 nursing professionals with medium and high scores according to Vasconcelos' Stress Symptoms List were divided into 3 groups: Control (58), Group with protocol (58), Group with no protocol (59). They were assessed at the baseline, after 12 sessions, and at the follow-up (30 days). Results in the analysis of variance, statistically significant differences between the Control and Intervention groups were found in the two evaluations (p<0.05) with greater size of effect indices (Cohen) for the No protocol group. The Yang Liver 1 and 2, Kidney, Brain Stem and Shen Men were the points most used. Conclusion individualized auriculotherapy, with no protocol, could expand the scope of the technique for stress reduction compared with auriculotherapy with a protocol. NCT: 01420835 PMID:25029046

  5. Evaluation of a 15-week CHOP protocol for the treatment of canine multicentric lymphoma.

    PubMed

    Burton, J H; Garrett-Mayer, E; Thamm, D H

    2013-12-01

    Dose intense CHOP protocols have been shown to improve outcome for people with non-Hodgkin's lymphoma, but evaluation of dose intense CHOP protocols for canine lymphoma is currently limited. The hypothesis of this retrospective study was that a 15-week dose intense CHOP protocol would have shorter treatment duration with similar efficacy to other doxorubicin-based multidrug protocols. Thirty-one client owned dogs with multicentric lymphoma were treated with a 15-week CHOP chemotherapy protocol with an overall response rate of 100% and a median progression-free interval (PFI) of 140 days [95% confidence interval (CI) 91-335 days]. Dogs that had two or more treatment delays had significantly prolonged PFI and overall survival in multivariate analysis. Dose intensity did not correlate with patient outcome. Dogs experiencing multiple treatment delays secondary to adverse events may receive their individual maximally tolerated dose while dogs with no adverse events may be underdosed. Future studies should focus on individual patient dose optimization. © 2012 Blackwell Publishing Ltd.

  6. An Efficient Mutual Authentication Framework for Healthcare System in Cloud Computing.

    PubMed

    Kumar, Vinod; Jangirala, Srinivas; Ahmad, Musheer

    2018-06-28

    The increasing role of Telecare Medicine Information Systems (TMIS) makes its accessibility for patients to explore medical treatment, accumulate and approach medical data through internet connectivity. Security and privacy preservation is necessary for medical data of the patient in TMIS because of the very perceptive purpose. Recently, Mohit et al.'s proposed a mutual authentication protocol for TMIS in the cloud computing environment. In this work, we reviewed their protocol and found that it is not secure against stolen verifier attack, many logged in patient attack, patient anonymity, impersonation attack, and fails to protect session key. For enhancement of security level, we proposed a new mutual authentication protocol for the similar environment. The presented framework is also more capable in terms of computation cost. In addition, the security evaluation of the protocol protects resilience of all possible security attributes, and we also explored formal security evaluation based on random oracle model. The performance of the proposed protocol is much better in comparison to the existing protocol.

  7. Thermo-chemical pretreatment of rice straw for further processing for levulinic acid production.

    PubMed

    Elumalai, Sasikumar; Agarwal, Bhumica; Sangwan, Rajender S

    2016-10-01

    A variety of pretreatment protocols for rice straw fiber reconstruction were evaluated under mild conditions (upto 0.2%wt. and 121°C) with the object of improving polymer susceptibility to chemical attack while preserving carbohydrate sugars for levulinic acid (LA) production. Each of the protocols tested significantly enhanced pretreatment recoveries of carbohydrate sugars and lignin, and a NaOH protocol showed the most promise, with enhanced carbohydrate preservation (upto 20% relative to the other protocols) and more effective lignin dissolution (upto 60%). Consequently, post-pretreatment fibers were evaluated for LA preparation using an existing co-solvent system consisting of HCl and THF, in addition supplementation of DMSO was attempted, in order to improve final product recovery. In contrast to pretreatment response, H2SO4 protocol fibers yielded highest LA conc. (21%wt. with 36% carbohydrate conversion efficiency) under the modest reaction conditions. Apparent spectroscopic analysis witnessed for fiber destruction and delocalization of inherent constituents during pretreatment protocols. Copyright © 2016 Elsevier Ltd. All rights reserved.

  8. Evaluation of Hydroxyatrazine in the Endocrine Disruptor Screening and Testing Program’s Male and Female Pubertal Protocols.

    EPA Science Inventory

    Evaluation of Hydroxyatrazine in the Endocrine Disruptor Screening and Testing Program’s Male and Female Pubertal Protocols. ABSTRACT Two critical components of the validation of any in vivo screening assay are to demonstrate sensitivity (ability to detect weak endocrine ...

  9. DEVELOPMENT AND APPLICATION OF PROTOCOLS FOR EVALUATION OF OIL SPILL BIOREMEDIATION (RESEARCH BRIEF)

    EPA Science Inventory

    Protocols were developed and evaluated to assess the efficacy and environmental safety of commercial oil spill bioremediation agents (CBAs). Test systems that simulate oil slicks on open water or oiled sandy beaches were used to test the effectiveness of CBAs. Gravimetric and gas...

  10. Tracheal decannulation protocol in patients affected by traumatic brain injury.

    PubMed

    Zanata, Isabel de Lima; Santos, Rosane Sampaio; Hirata, Gisela Carmona

    2014-04-01

    Introduction The frequency of tracheostomy in patients with traumatic brain injury (TBI) contrasts with the lack of objective criteria for its management. The study arose from the need for a protocol in the decision to remove the tracheal tube. Objective To evaluate the applicability of a protocol for tracheal decannulation. Methods A prospective study with 20 patients, ranging between 21 and 85 years of age (average 33.55), 4 of whom were women (20%) and 16 were men (80%). All patients had been diagnosed by a neurologist as having TBI, and the anatomical region of the lesion was known. Patients were evaluated following criteria for tracheal decannulation through a clinical evaluation protocol developed by the authors. Results Decannulation was performed in 12 (60%) patients. Fourteen (70%) had a score greater than 8 on the Glasgow Coma Scale and only 2 (14%) of these were not able to undergo decannulation. Twelve (60%) patients maintained the breathing pattern with occlusion of the tube and were successfully decannulated. Of the 20 patients evaluated, 11 (55%) showed no signs suggestive of tracheal aspiration, and of these, 9 (82%) began training on occlusion of the cannula. The protocol was relevant to establish the beginning of the decannulation process. The clinical assessment should focus on the patient's condition to achieve early tracheal decannulation. Conclusion This study allowed, with the protocol, to establish six criteria for tracheal decannulation: level of consciousness, respiration, tracheal secretion, phonation, swallowing, and coughing.

  11. Tracheal Decannulation Protocol in Patients Affected by Traumatic Brain Injury

    PubMed Central

    Zanata, Isabel de Lima; Santos, Rosane Sampaio; Hirata, Gisela Carmona

    2014-01-01

    Introduction The frequency of tracheostomy in patients with traumatic brain injury (TBI) contrasts with the lack of objective criteria for its management. The study arose from the need for a protocol in the decision to remove the tracheal tube. Objective To evaluate the applicability of a protocol for tracheal decannulation. Methods A prospective study with 20 patients, ranging between 21 and 85 years of age (average 33.55), 4 of whom were women (20%) and 16 were men (80%). All patients had been diagnosed by a neurologist as having TBI, and the anatomical region of the lesion was known. Patients were evaluated following criteria for tracheal decannulation through a clinical evaluation protocol developed by the authors. Results Decannulation was performed in 12 (60%) patients. Fourteen (70%) had a score greater than 8 on the Glasgow Coma Scale and only 2 (14%) of these were not able to undergo decannulation. Twelve (60%) patients maintained the breathing pattern with occlusion of the tube and were successfully decannulated. Of the 20 patients evaluated, 11 (55%) showed no signs suggestive of tracheal aspiration, and of these, 9 (82%) began training on occlusion of the cannula. The protocol was relevant to establish the beginning of the decannulation process. The clinical assessment should focus on the patient's condition to achieve early tracheal decannulation. Conclusion This study allowed, with the protocol, to establish six criteria for tracheal decannulation: level of consciousness, respiration, tracheal secretion, phonation, swallowing, and coughing. PMID:25992074

  12. Evaluation of the effects of footwear hygiene protocols on nonspecific bacterial contamination of floor surfaces in an equine hospital.

    PubMed

    Stockton, Kelly A; Morley, Paul S; Hyatt, Doreene R; Burgess, Brandy A; Patterson, Gage; Dunowska, Magda; Lee, David E

    2006-04-01

    To evaluate the effects of footwear hygiene protocols on bacterial contamination of floor surfaces in an equine hospital. Field trial. Footwear hygiene protocols evaluated included use of rubber overboots with footbaths and footmats containing a quaternary ammonium disinfectant, rubber overboots with footbaths and footmats containing a peroxygen disinfectant, and no restrictions on footwear type but mandatory use of footbaths and footmats containing a peroxygen disinfectant. Nonspecific aerobic bacterial counts were determined via 2 procedures for sample collection and bacterial enumeration (contact plates vs swabbing combined with use of spread plates), and the effects of each footwear hygiene protocol were compared. There were no consistent findings suggesting that any of the protocols were associated with differences in numbers of bacteria recovered from floor surfaces. Although there were detectable differences in numbers of bacteria recovered in association with different footwear hygiene protocols, differences in least square mean bacterial counts did not appear to be clinically relevant (ie, were < 1 log10). Although cleaning and disinfection of footwear are important aids in reducing the risk of nosocomial transmission of infectious agents in veterinary hospitals, the numbers of aerobic bacteria recovered from floor surfaces were not affected by use of rubber overboots or the types of disinfectant used in this study. Further study is warranted to evaluate the usefulness of footwear hygiene practices relative to their efficacy for reducing transmission of specific pathogens or decreasing nosocomial disease risk.

  13. Standardization of a Videofluoroscopic Swallow Study Protocol to Investigate Dysphagia in Dogs.

    PubMed

    Harris, R A; Grobman, M E; Allen, M J; Schachtel, J; Rawson, N E; Bennett, B; Ledyayev, J; Hopewell, B; Coates, J R; Reinero, C R; Lever, T E

    2017-03-01

    Videofluoroscopic swallow study (VFSS) is the gold standard for diagnosis of dysphagia in veterinary medicine but lacks standardized protocols that emulate physiologic feeding practices. Age impacts swallow function in humans but has not been evaluated by VFSS in dogs. To develop a protocol with custom kennels designed to allow free-feeding of 3 optimized formulations of contrast media and diets that address limitations of current VFSS protocols. We hypothesized that dogs evaluated by a free-feeding VFSS protocol would show differences in objective swallow metrics based on age. Healthy juvenile, adult, and geriatric dogs (n = 24). Prospective, experimental study. Custom kennels were developed to maintain natural feeding behaviors during VFSS. Three food consistencies (thin liquid, pureed food, and dry kibble) were formulated with either iohexol or barium to maximize palatability and voluntary prehension. Dogs were evaluated by 16 swallow metrics and compared across age groups. Development of a standardized VFSS protocol resulted in successful collection of swallow data in healthy dogs. No significant differences in swallow metrics were observed among age groups. Substantial variability was observed in healthy dogs when evaluated under these physiologic conditions. Features typically attributed to pathologic states, such as gastric reflux, were seen in healthy dogs. Development of a VFSS protocol that reflects natural feeding practices may allow emulation of physiology resulting in clinical signs of dysphagia. Age did not result in significant changes in swallow metrics, but additional studies are needed, particularly in light of substantial normal variation. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.

  14. In-shoe plantar pressure measurements for the evaluation and adaptation of foot orthoses in patients with rheumatoid arthritis: A proof of concept study.

    PubMed

    Tenten-Diepenmaat, Marloes; Dekker, Joost; Steenbergen, Menno; Huybrechts, Elleke; Roorda, Leo D; van Schaardenburg, Dirkjan; Bus, Sicco A; van der Leeden, Marike

    2016-03-01

    Improving foot orthoses (FOs) in patients with rheumatoid arthritis (RA) by using in-shoe plantar pressure measurements seems promising. The objectives of this study were to evaluate (1) the outcome on plantar pressure distribution of FOs that were adapted using in-shoe plantar pressure measurements according to a protocol and (2) the protocol feasibility. Forty-five RA patients with foot problems were included in this observational proof-of concept study. FOs were custom-made by a podiatrist according to usual care. Regions of Interest (ROIs) for plantar pressure reduction were selected. According to a protocol, usual care FOs were evaluated using in-shoe plantar pressure measurements and, if necessary, adapted. Plantar pressure-time integrals at the ROIs were compared between the following conditions: (1) no-FO versus usual care FO and (2) usual care FO versus adapted FO. Semi-structured interviews were held with patients and podiatrists to evaluate the feasibility of the protocol. Adapted FOs were developed in 70% of the patients. In these patients, usual care FOs showed a mean 9% reduction in pressure-time integral at forefoot ROIs compared to no-FOs (p=0.01). FO adaptation led to an additional mean 3% reduction in pressure-time integral (p=0.05). The protocol was considered feasible by patients. Podiatrists considered the protocol more useful to achieve individual rather than general treatment goals. A final protocol was proposed. Using in-shoe plantar pressure measurements for adapting foot orthoses for patients with RA leads to a small additional plantar pressure reduction in the forefoot. Further research on the clinical relevance of this outcome is required. Copyright © 2016. Published by Elsevier B.V.

  15. SU-E-I-57: Evaluation and Optimization of Effective-Dose Using Different Beam-Hardening Filters in Clinical Pediatric Shunt CT Protocol

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

    Gill, K; Aldoohan, S; Collier, J

    Purpose: Study image optimization and radiation dose reduction in pediatric shunt CT scanning protocol through the use of different beam-hardening filters Methods: A 64-slice CT scanner at OU Childrens Hospital has been used to evaluate CT image contrast-to-noise ratio (CNR) and measure effective-doses based on the concept of CT dose index (CTDIvol) using the pediatric head shunt scanning protocol. The routine axial pediatric head shunt scanning protocol that has been optimized for the intrinsic x-ray tube filter has been used to evaluate CNR by acquiring images using the ACR approved CT-phantom and radiation dose CTphantom, which was used to measuremore » CTDIvol. These results were set as reference points to study and evaluate the effects of adding different filtering materials (i.e. Tungsten, Tantalum, Titanium, Nickel and Copper filters) to the existing filter on image quality and radiation dose. To ensure optimal image quality, the scanner routine air calibration was run for each added filter. The image CNR was evaluated for different kVps and wide range of mAs values using above mentioned beam-hardening filters. These scanning protocols were run under axial as well as under helical techniques. The CTDIvol and the effective-dose were measured and calculated for all scanning protocols and added filtration, including the intrinsic x-ray tube filter. Results: Beam-hardening filter shapes energy spectrum, which reduces the dose by 27%. No noticeable changes in image low contrast detectability Conclusion: Effective-dose is very much dependent on the CTDIVol, which is further very much dependent on beam-hardening filters. Substantial reduction in effective-dose is realized using beam-hardening filters as compare to the intrinsic filter. This phantom study showed that significant radiation dose reduction could be achieved in CT pediatric shunt scanning protocols without compromising in diagnostic value of image quality.« less

  16. Evaluation of Dogs with Border Collie Collapse, Including Response to Two Standardized Strenuous Exercise Protocols.

    PubMed

    Taylor, Susan; Shmon, Cindy; Su, Lillian; Epp, Tasha; Minor, Katie; Mickelson, James; Patterson, Edward; Shelton, G Diane

    2016-01-01

    Clinical and metabolic variables were evaluated in 13 dogs with border collie collapse (BCC) before, during, and following completion of standardized strenuous exercise protocols. Six dogs participated in a ball-retrieving protocol, and seven dogs participated in a sheep-herding protocol. Findings were compared with 16 normal border collies participating in the same exercise protocols (11 retrieving, five herding). Twelve dogs with BCC developed abnormal mentation and/or an abnormal gait during evaluation. All dogs had post-exercise elevations in rectal temperature, pulse rate, arterial blood pH, PaO2, and lactate, and decreased PaCO2 and bicarbonate, as expected with strenuous exercise, but there were no significant differences between BCC dogs and normal dogs. Electrocardiography demonstrated sinus tachycardia in all dogs following exercise. Needle electromyography was normal, and evaluation of muscle biopsy cryosections using a standard panel of histochemical stains and reactions did not reveal a reason for collapse in 10 dogs with BCC in which these tests were performed. Genetic testing excluded the dynamin-1 related exercise-induced collapse mutation and the V547A malignant hyperthermia mutation as the cause of BCC. Common reasons for exercise intolerance were eliminated. Although a genetic basis is suspected, the cause of collapse in BCC was not determined.

  17. Kilovoltage cone-beam CT: Comparative dose and image quality evaluations in partial and full-angle scan protocols

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

    Kim, Sangroh; Yoo, Sua; Yin Fangfang

    2010-07-15

    Purpose: To assess imaging dose of partial and full-angle kilovoltage CBCT scan protocols and to evaluate image quality for each protocol. Methods: The authors obtained the CT dose index (CTDI) of the kilovoltage CBCT protocols in an on-board imager by ion chamber (IC) measurements and Monte Carlo (MC) simulations. A total of six new CBCT scan protocols were evaluated: Standard-dose head (100 kVp, 151 mA s, partial-angle), low-dose head (100 kVp, 75 mA s, partial-angle), high-quality head (100 kVp, 754 mA s, partial-angle), pelvis (125 kVp, 706 mA s, full-angle), pelvis spotlight (125 kVp, 752 mA s, partial-angle), and low-dosemore » thorax (110 kVp, 271 mA s, full-angle). Using the point dose method, various CTDI values were calculated by (1) the conventional weighted CTDI (CTDI{sub w}) calculation and (2) Bakalyar's method (CTDI{sub wb}). The MC simulations were performed to obtain the CTDI{sub w} and CTDI{sub wb}, as well as from (3) central slice averaging (CTDI{sub 2D}) and (4) volume averaging (CTDI{sub 3D}) techniques. The CTDI values of the new protocols were compared to those of the old protocols (full-angle CBCT protocols). Image quality of the new protocols was evaluated following the CBCT image quality assurance (QA) protocol [S. Yoo et al., ''A quality assurance program for the on-board imager registered ,'' Med. Phys. 33(11), 4431-4447 (2006)] testing Hounsfield unit (HU) linearity, spatial linearity/resolution, contrast resolution, and HU uniformity. Results: The CTDI{sub w} were found as 6.0, 3.2, 29.0, 25.4, 23.8, and 7.7 mGy for the new protocols, respectively. The CTDI{sub w} and CTDI{sub wb} differed within +3% between IC measurements and MC simulations. Method (2) results were within {+-}12% of method (1). In MC simulations, the CTDI{sub w} and CTDI{sub wb} were comparable to the CTDI{sub 2D} and CTDI{sub 3D} with the differences ranging from -4.3% to 20.6%. The CTDI{sub 3D} were smallest among all the CTDI values. CTDI{sub w} of the new protocols were found as {approx}14 times lower for standard head scan and 1.8 times lower for standard body scan than the old protocols, respectively. In the image quality QA tests, all the protocols except low-dose head and low-dose thorax protocols were within the tolerance in the HU verification test. The HU value for the two protocols was always higher than the nominal value. All the protocols passed the spatial linearity/resolution and HU uniformity tests. In the contrast resolution test, only high-quality head and pelvis scan protocols were within the tolerance. In addition, crescent effect was found in the partial-angle scan protocols. Conclusions: The authors found that CTDI{sub w} of the new CBCT protocols has been significantly reduced compared to the old protocols with acceptable image quality. The CTDI{sub w} values in the point dose method were close to the volume averaging method within 9%-21% for all the CBCT scan protocols. The Bakalyar's method produced more accurate dose estimation within 14%. The HU inaccuracy from low-dose head and low-dose thorax protocols can render incorrect dose results in the treatment planning system. When high soft-tissue contrast data are desired, high-quality head or pelvis scan protocol is recommended depending on the imaging area. The point dose method can be applicable to estimate CBCT dose with reasonable accuracy in the clinical environment.« less

  18. SU-E-T-148: Benchmarks and Pre-Treatment Reviews: A Study of Quality Assurance Effectiveness

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

    Lowenstein, J; Nguyen, H; Roll, J

    Purpose: To determine the impact benchmarks and pre-treatment reviews have on improving the quality of submitted clinical trial data. Methods: Benchmarks are used to evaluate a site’s ability to develop a treatment that meets a specific protocol’s treatment guidelines prior to placing their first patient on the protocol. A pre-treatment review is an actual patient placed on the protocol in which the dosimetry and contour volumes are evaluated to be per protocol guidelines prior to allowing the beginning of the treatment. A key component of these QA mechanisms is that sites are provided timely feedback to educate them on howmore » to plan per the protocol and prevent protocol deviations on patients accrued to a protocol. For both benchmarks and pre-treatment reviews a dose volume analysis (DVA) was performed using MIM softwareTM. For pre-treatment reviews a volume contour evaluation was also performed. Results: IROC Houston performed a QA effectiveness analysis of a protocol which required both benchmarks and pre-treatment reviews. In 70 percent of the patient cases submitted, the benchmark played an effective role in assuring that the pre-treatment review of the cases met protocol requirements. The 35 percent of sites failing the benchmark subsequently modified there planning technique to pass the benchmark before being allowed to submit a patient for pre-treatment review. However, in 30 percent of the submitted cases the pre-treatment review failed where the majority (71 percent) failed the DVA. 20 percent of sites submitting patients failed to correct their dose volume discrepancies indicated by the benchmark case. Conclusion: Benchmark cases and pre-treatment reviews can be an effective QA tool to educate sites on protocol guidelines and to minimize deviations. Without the benchmark cases it is possible that 65 percent of the cases undergoing a pre-treatment review would have failed to meet the protocols requirements.Support: U24-CA-180803.« less

  19. A Simple XML Producer-Consumer Protocol

    NASA Technical Reports Server (NTRS)

    Smith, Warren; Gunter, Dan; Quesnel, Darcy

    2000-01-01

    This document describes a simple XML-based protocol that can be used for producers of events to communicate with consumers of events. The protocol described here is not meant to be the most efficient protocol, the most logical protocol, or the best protocol in any way. This protocol was defined quickly and it's intent is to give us a reasonable protocol that we can implement relatively easily and then use to gain experience in distributed event services. This experience will help us evaluate proposals for event representations, XML-based encoding of information, and communication protocols. The next section of this document describes how we represent events in this protocol and then defines the two events that we choose to use for our initial experiments. These definitions are made by example so that they are informal and easy to understand. The following section then proceeds to define the producer-consumer protocol we have agreed upon for our initial experiments.

  20. Evaluating the efficacies of Maximum Tolerated Dose and metronomic chemotherapies: A mathematical approach

    NASA Astrophysics Data System (ADS)

    Guiraldello, Rafael T.; Martins, Marcelo L.; Mancera, Paulo F. A.

    2016-08-01

    We present a mathematical model based on partial differential equations that is applied to understand tumor development and its response to chemotherapy. Our primary aim is to evaluate comparatively the efficacies of two chemotherapeutic protocols, Maximum Tolerated Dose (MTD) and metronomic, as well as two methods of drug delivery. Concerning therapeutic outcomes, the metronomic protocol proves more effective in prolonging the patient's life than MTD. Moreover, a uniform drug delivery method combined with the metronomic protocol is the most efficient strategy to reduce tumor density.

  1. Visual grading characteristics and ordinal regression analysis during optimisation of CT head examinations.

    PubMed

    Zarb, Francis; McEntee, Mark F; Rainford, Louise

    2015-06-01

    To evaluate visual grading characteristics (VGC) and ordinal regression analysis during head CT optimisation as a potential alternative to visual grading assessment (VGA), traditionally employed to score anatomical visualisation. Patient images (n = 66) were obtained using current and optimised imaging protocols from two CT suites: a 16-slice scanner at the national Maltese centre for trauma and a 64-slice scanner in a private centre. Local resident radiologists (n = 6) performed VGA followed by VGC and ordinal regression analysis. VGC alone indicated that optimised protocols had similar image quality as current protocols. Ordinal logistic regression analysis provided an in-depth evaluation, criterion by criterion allowing the selective implementation of the protocols. The local radiology review panel supported the implementation of optimised protocols for brain CT examinations (including trauma) in one centre, achieving radiation dose reductions ranging from 24 % to 36 %. In the second centre a 29 % reduction in radiation dose was achieved for follow-up cases. The combined use of VGC and ordinal logistic regression analysis led to clinical decisions being taken on the implementation of the optimised protocols. This improved method of image quality analysis provided the evidence to support imaging protocol optimisation, resulting in significant radiation dose savings. • There is need for scientifically based image quality evaluation during CT optimisation. • VGC and ordinal regression analysis in combination led to better informed clinical decisions. • VGC and ordinal regression analysis led to dose reductions without compromising diagnostic efficacy.

  2. Clinically applied procedures for human ovarian tissue cryopreservation result in different levels of efficacy and efficiency.

    PubMed

    Bastings, Lobke; Westphal, Johan R; Beerendonk, Catharina C M; Bekkers, Ruud L M; Zusterzeel, Petra L M; Hendriks, Jan C M; Braat, Didi D M; Peek, Ronald

    2016-12-01

    Different protocols are being used worldwide for the cryopreservation of human ovarian tissue for fertility preservation purposes. The efficiency and efficacy of the majority of these protocols has not been extensively evaluated, possibly resulting in sub-optimally cryopreserved ovarian tissue. To address the impact of this issue, we assessed the effects of two clinically successful human ovarian tissue slow-freezing cryopreservation procedures on the quality of the cryopreserved tissue. To differentiate between cryopreservation ( C ) versus thawing ( T ) related effects, four combinations of these two (A and B) very different cryopreservation/thawing protocols (A C A T , A C B T , B C A T , B C B T ) were studied. Before and after cryopreservation and thawing, the percentage of living and morphologically normal follicles, as well as the overall tissue viability, was assessed. Our experiments revealed that the choice of the cryopreservation protocol noticeably affected the overall tissue viability and percentage of living follicles, with a higher viability after protocol B C when compared to A C . No statistically significant differences in tissue viability were observed between the two thawing protocols, but thawing protocol B T required considerably more human effort and materials than thawing protocol A T . Tissue morphology was best retained using the B C A T combination. Our results indicate that extensive and systematical evaluation of clinically used protocols is warranted.

  3. Toward Fairness in Assessing Student Groupwork: A Protocol for Peer Evaluation of Individual Contributions

    ERIC Educational Resources Information Center

    Fellenz, Martin R.

    2006-01-01

    A key challenge for management instructors using graded groupwork with students is to find ways to maximize student learning from group projects while ensuring fair and accurate assessment methods. This article presents the Groupwork Peer-Evaluation Protocol (GPEP) that enables the assessment of individual contributions to graded student…

  4. Evaluating an Organizational Protocol to Implement Effective Leadership Meetings

    ERIC Educational Resources Information Center

    Anderson, Erika

    2009-01-01

    The problem on which this study focused was the need to organize and implement effective leadership meetings that led to improved professional collaboration. The purpose was to evaluate the use of a protocol in organizing and implementing such meetings. The research questions were framed around the four levels of the Kirkpatrick (1996) evaluation…

  5. 40 CFR 8.8 - Comprehensive environmental evaluation.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... evaluate the CEE to determine if the CEE meets the requirements under Article 8 and Annex I to the Protocol... operator, the EPA will inform the operator if EPA, with the concurrence of the National Science Foundation... Article 8 and Annex I of the Protocol and the provisions of this part. This notification will occur within...

  6. 40 CFR 8.8 - Comprehensive environmental evaluation.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... evaluate the CEE to determine if the CEE meets the requirements under Article 8 and Annex I to the Protocol... operator, the EPA will inform the operator if EPA, with the concurrence of the National Science Foundation... Article 8 and Annex I of the Protocol and the provisions of this part. This notification will occur within...

  7. 40 CFR 8.8 - Comprehensive environmental evaluation.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... evaluate the CEE to determine if the CEE meets the requirements under Article 8 and Annex I to the Protocol... operator, the EPA will inform the operator if EPA, with the concurrence of the National Science Foundation... Article 8 and Annex I of the Protocol and the provisions of this part. This notification will occur within...

  8. 40 CFR 8.8 - Comprehensive environmental evaluation.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... evaluate the CEE to determine if the CEE meets the requirements under Article 8 and Annex I to the Protocol... operator, the EPA will inform the operator if EPA, with the concurrence of the National Science Foundation... Article 8 and Annex I of the Protocol and the provisions of this part. This notification will occur within...

  9. Re-evaluation of broiler carcass scalding protocols for impact on the recovery of Campylobacter from breast skin after defeathering

    USDA-ARS?s Scientific Manuscript database

    This research re-evaluated the impact of scalding protocols on the recovery of Campylobacter from breast skin following defeathering after preliminary processing trials detected Campylobacter from breast skin for 4/8 carcasses that had vents plugged and sutured prior to scalding. Published research...

  10. 30 CFR 254.45 - Verifying the capabilities of your response equipment.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE... Protocol for the Evaluation of Oil-Spill Containment Booms,” available from BSEE, for guidance. Performance... document “Suggested Test Protocol for the Evaluation of Oil Spill Skimmers for the OCS,” available from...

  11. 30 CFR 254.45 - Verifying the capabilities of your response equipment.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., DEPARTMENT OF THE INTERIOR OFFSHORE OIL-SPILL RESPONSE REQUIREMENTS FOR FACILITIES LOCATED SEAWARD OF THE... Protocol for the Evaluation of Oil-Spill Containment Booms,” available from BSEE, for guidance. Performance... document “Suggested Test Protocol for the Evaluation of Oil Spill Skimmers for the OCS,” available from...

  12. Comparison of Bruce treadmill exercise test protocols: is ramped Bruce equal or superior to standard bruce in producing clinically valid studies for patients presenting for evaluation of cardiac ischemia or arrhythmia with body mass index equal to or greater than 30?

    PubMed

    Bires, Angela Macci; Lawson, Dori; Wasser, Thomas E; Raber-Baer, Donna

    2013-12-01

    Clinically valid cardiac evaluation via treadmill stress testing requires patients to achieve specific target heart rates and to successfully complete the cardiac examination. A comparison of the standard Bruce protocol and the ramped Bruce protocol was performed using data collected over a 1-y period from a targeted patient population with a body mass index (BMI) equal to or greater than 30 to determine which treadmill protocol provided more successful examination results. The functional capacity, metabolic equivalent units achieved, pressure rate product, and total time on the treadmill as measured for the obese patients were clinically valid and comparable to normal-weight and overweight patients (P < 0.001). Data gathered from each protocol demonstrated that the usage of the ramped Bruce protocol achieved more consistent results in comparison across all BMI groups in achieving 80%-85% of their age-predicted maximum heart rate. This study did not adequately establish that the ramped Bruce protocol was superior to the standard Bruce protocol for the examination of patients with a BMI equal to or greater than 30.

  13. Evaluation of a protocol for the non-operative management of perforated peptic ulcer.

    PubMed

    Marshall, C; Ramaswamy, P; Bergin, F G; Rosenberg, I L; Leaper, D J

    1999-01-01

    The non-operative management of perforated peptic ulcer has previously been shown to be both safe and effective although it remains controversial. A protocol for non-operative management was set up in this hospital in 1989. Adherence to the guidelines in the protocol has been audited over a 6-year period with a review of outcome. The case-notes of patients with a diagnosis of perforated peptic ulcer were reviewed. Twelve guidelines from the protocol were selected for evaluation of compliance to the protocol. Forty-nine patients underwent non-operative treatment initially. Eight patients failed to respond and underwent operation. Complications included abscess formation (seven patients), renal failure (one), gastric ileus (one), chest infection (two), and cardiac failure and stroke (one). Four deaths occurred in this group. Adherence to certain protocol guidelines was poor, notably those concerning prevention of thromboembolism, use of antibiotics, use of contrast examination to confirm the diagnosis and referral for follow-up endoscopy. Two gastric cancers were detected on subsequent endoscopy. This experience demonstrates that non-operative treatment can be used successfully in a general hospital. Adherence to protocol guidelines was found to be variable and the protocol has therefore been simplified. This study highlights the need for an accurate diagnosis and the importance of follow-up endoscopy.

  14. Evaluating the Process of Generating a Clinical Trial Protocol

    PubMed Central

    Franciosi, Lui G.; Butterfield, Noam N.; MacLeod, Bernard A.

    2002-01-01

    The research protocol is the principal document in the conduct of a clinical trial. Its generation requires knowledge about the research problem, the potential experimental confounders, and the relevant Good Clinical Practices for conducting the trial. However, such information is not always available to authors during the writing process. A checklist of over 80 items has been developed to better understand the considerations made by authors in generating a protocol. It is based on the most cited requirements for designing and implementing the randomised controlled trial. Items are categorised according to the trial's research question, experimental design, statistics, ethics, and standard operating procedures. This quality assessment tool evaluates the extent that a generated protocol deviates from the best-planned clinical trial.

  15. Flammability screening tests of resins

    NASA Technical Reports Server (NTRS)

    Arhart, R. W.; Farrar, D. G.; Hughes, B. M.

    1979-01-01

    Selected flammability characteristics of glass cloth laminates of thermosetting resins are evaluated. A protocol for the evaluation of the flammability hazards presented by glass cloth laminates of thermosetting resins and the usefulness of that protocol with two laminates are presented. The glass laminates of an epoxy resin, M-751 are evaluated for: (1) determination of smoke generation from the laminates; (2) analysis of products of oxidative degradation of the laminates; (3) determination of minimum oxygen necessary to maintain flaming oxidation; (4) evaluation of toxicological hazards.

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

    Duan, Sisi; Nicely, Lucas D; Zhang, Haibin

    Modern large-scale networks require the ability to withstand arbitrary failures (i.e., Byzantine failures). Byzantine reliable broadcast algorithms can be used to reliably disseminate information in the presence of Byzantine failures. We design a novel Byzantine reliable broadcast protocol for loosely connected and synchronous networks. While previous such protocols all assume correct senders, our protocol is the first to handle Byzantine senders. To achieve this goal, we have developed new techniques for fault detection and fault tolerance. Our protocol is efficient, and under normal circumstances, no expensive public-key cryptographic operations are used. We implement and evaluate our protocol, demonstrating that ourmore » protocol has high throughput and is superior to the existing protocols in uncivil executions.« less

  17. An empirical evaluation of lightweight random walk based routing protocol in duty cycle aware wireless sensor networks.

    PubMed

    Mian, Adnan Noor; Fatima, Mehwish; Khan, Raees; Prakash, Ravi

    2014-01-01

    Energy efficiency is an important design paradigm in Wireless Sensor Networks (WSNs) and its consumption in dynamic environment is even more critical. Duty cycling of sensor nodes is used to address the energy consumption problem. However, along with advantages, duty cycle aware networks introduce some complexities like synchronization and latency. Due to their inherent characteristics, many traditional routing protocols show low performance in densely deployed WSNs with duty cycle awareness, when sensor nodes are supposed to have high mobility. In this paper we first present a three messages exchange Lightweight Random Walk Routing (LRWR) protocol and then evaluate its performance in WSNs for routing low data rate packets. Through NS-2 based simulations, we examine the LRWR protocol by comparing it with DYMO, a widely used WSN protocol, in both static and dynamic environments with varying duty cycles, assuming the standard IEEE 802.15.4 in lower layers. Results for the three metrics, that is, reliability, end-to-end delay, and energy consumption, show that LRWR protocol outperforms DYMO in scalability, mobility, and robustness, showing this protocol as a suitable choice in low duty cycle and dense WSNs.

  18. Modified Lung Ultrasonographic Technique for Evaluation of Idiopathic Pulmonary Fibrosis: Lateral Decubitus Position.

    PubMed

    Vassalou, Evangelia E; Raissaki, Maria; Magkanas, Eleftherios; Antoniou, Katerina M; Karantanas, Apostolos H

    2017-12-01

    To compare lung ultrasonography (US) in the sitting or supine positions and the lateral decubitus position, with regard to the feasibility, duration, patient convenience, and assessment of B-lines, in patients with idiopathic pulmonary fibrosis. Twenty consecutive patients with idiopathic pulmonary fibrosis were prospectively enrolled. Lung US included scanning of 56 intercostal spaces. Each patient was examined twice by 2 protocols. During protocol 1, patients were examined in the supine and sitting positions for the anterior and dorsal chest, respectively. During protocol 2, patients were examined in the left lateral decubitus position for the evaluation of the right hemithorax and the reverse. Total, anterior, and posterior US scores resulted from the sum of B-lines at the whole, anterior, and posterior chest, respectively. High-resolution computed tomography (CT) was considered the reference standard. The duration of each protocol was recorded. Patients were questioned about which protocol they preferred. There was no difference regarding feasibility between the protocols. A significant correlation was found between total US scores for both protocols and high-resolution CT findings (P < .0001), with protocol 2 showing a slightly higher correlation. A positive correlation was found between the protocols regarding total, anterior, and posterior US scores (P < .0001). The mean duration of protocol 2 was less than that of protocol 1 (P < .005). Nineteen patients (95%) reported a preference for protocol 2. Lung US in the lateral decubitus position seems to be faster and more convenient. There appears to be no difference regarding feasibility and the number of B-lines, whereas it shows slightly higher correlation with high-resolution CT, compared with the sitting or supine positions in patients with idiopathic pulmonary fibrosis. © 2017 by the American Institute of Ultrasound in Medicine.

  19. Statistical controversies in clinical research: comparison of primary outcomes in protocols, public clinical-trial registries and publications: the example of oncology trials.

    PubMed

    Perlmutter, A S; Tran, V-T; Dechartres, A; Ravaud, P

    2017-04-01

    Protocols are often unavailable to peer-reviewers and readers. To detect outcome reporting bias (ORB), readers usually have to resort to publicly available descriptions of study design such as public clinical trial registries. We compared primary outcomes in protocols, ClinicalTrials.gov and publications of oncology trials and evaluated the use of ClinicalTrials.gov as compared with protocols in detecting discrepancies between planned and published outcomes. We searched for phase III oncology trials registered in ClinicalTrials.gov and published in the Journal of Clinical Oncology and New England Journal of Medicine between January 2014 and June 2015. We extracted primary outcomes reported in the protocol, ClinicalTrials.gov and the publication. First, we assessed the quality of primary outcome descriptions by using a published framework. Second, we evaluated modifications of primary outcomes between each source. Finally, we evaluated the agreement, specificity and sensitivity of detecting modifications between planned and published outcomes by using protocols or ClinicalTrials.gov. We included 65 trials, with 81 primary outcomes common among the 3 sources. The proportion of primary outcomes reporting all items from the framework was 73%, 22%, and 75% for protocols, ClinicalTrials.gov and publications, respectively. Eight (12%) trials presented a discrepancy between primary outcomes reported in the protocol and in the publication. Twelve (18.5%) trials presented a discrepancy between primary outcomes registered at ClinicalTrials.gov and in publications. We found a moderate agreement in detecting discrepant reporting of outcomes by using protocols or ClinicalTrials.gov [κ = 0.53, 95% confidence interval (0.25-0.81)]. Using ClinicalTrials.gov to detect discrepant reporting of outcomes showed high specificity (89.5%) but lacked sensitivity (75%) as compared with use of protocols. In oncology trials, primary outcome descriptions in ClinicalTrials.gov are often of low quality and may not reflect what is in the protocol, thus limiting the detection of modifications between planned and published outcomes. © The Author 2016. Published by Oxford University Press on behalf of the European Society for Medical Oncology. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  20. NASA Exercise Physiology and Countermeasures Project Overview

    NASA Technical Reports Server (NTRS)

    Loerch, Linda; Ploutz-Snyder, Lori

    2009-01-01

    Efficient exercise countermeasures are necessary to offset or minimize spaceflight-induced deconditioning and to maximize crew performance of mission tasks. These countermeasure protocols should use the fewest crew and vehicle resources. NASA s Exercise Physiology and Countermeasures (ExPC) Project works to identify, collect, interpret, and summarize evidence that results in effective exercise countermeasure protocols which protect crew health and performance during International Space Station (ISS) and future exploration-class missions. The ExPC and NASA s Human Research Program are sponsoring multiple studies to evaluate and improve the efficacy of spaceflight exercise countermeasures. First, the Project will measure maximal aerobic capacity (VO2max) during cycle ergometry before, during, and after ISS missions. Second, the Project is sponsoring an evaluation of a new prototype harness that offers improved comfort and increased loading during treadmill operations. Third, the Functional Tasks Test protocol will map performance of anticipated lunar mission tasks with physiologic systems before and after short and long-duration spaceflight, to target system contributions and the tailoring of exercise protocols to maximize performance. In addition to these studies that are actively enrolling crewmember participants, the ExPC is planning new studies that include an evaluation of a higher-intensity/lower-volume exercise countermeasure protocol aboard the ISS using the Advanced Resistive Exercise Device and second-generation treadmill, studies that evaluate bone loading during spaceflight exercise, and ground-based studies that focus on fitness for duty standards required to complete lunar mission tasks and for which exercise protocols need to protect. Summaries of these current and future studies and strategies will be provided to international colleagues for knowledge sharing and possible collaboration.

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