Sample records for extended inpro case

  1. INPRO Assessment of an INS in the Area of Safety of Fuel Cycle Installations

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

    Raj, B.; Busurin, Y.; Depisch, F.

    2006-07-01

    INPRO has defined requirements organized in a hierarchy of Basic Principles, User Requirements and Criteria (consisting of an indicator and an acceptance limit) to be met by innovative nuclear reactor systems (INS) in six areas, namely: economics, safety, waste management, environment, proliferation resistance, and infrastructure. If an INS meets all requirements in all areas it represents a sustainable system for the supply of energy, capable of making a significant contribution to meeting the energy needs of the 21. century. Draft manuals have been developed, for each INPRO area, to provide guidance for performing an assessment of whether an INS meetsmore » the INPRO requirements in a given area. The manuals set out the information that needs to be assembled to perform an assessment and provide guidance on selecting the acceptance limits and, for a given INS, for determining the value of the indicators for comparison with the associated acceptance limits. Each manual also includes an example of a specific assessment to illustrate the guidance. This paper discusses the manual for performing an INPRO assessment in the area of safety of fuel cycle installations. The example, chosen solely for the purpose of illustrating the INPRO methodology, describes an assessment of an MOX fuel fabrication plant based on sol-gel technology and illustrates an assessment performed for an INS at an early stage of development. The safety issues and the assessment steps are presented in detail in the paper. (authors)« less

  2. An Example of an INPRO Assessment of an INS in the Area of Waste Management

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

    Allan, C.; Busurin, Y.; Depisch, F.

    2006-07-01

    Following a resolution of the General Conference of the IAEA in the year 2000 the International Project on Innovative Nuclear Reactors and Fuel Cycles, referred to as INPRO, was initiated. INPRO has defined requirements organized in a hierarchy of Basic Principles, User Requirements and Criteria (consisting of an indicator and an acceptance limit) to be met by innovative nuclear reactor systems (INS) in six areas, namely: economics, safety, waste management, environment, proliferation resistance, and infrastructure. If an INS meets all requirements in all areas it represents a sustainable system for the supply of energy, capable of making a significant contributionmore » to meeting the energy needs of the 21. century. Draft manuals have been developed, for each INPRO area, to provide guidance for performing an assessment of whether an INS meets the INPRO requirements in a given area. The manuals set out the information that needs to be assembled to perform an assessment and provide guidance on selecting the acceptance limits and, for a given INS, for determining the value of the indicators for comparison with the associated acceptance limits. Each manual also includes an example of a specific assessment to illustrate the guidance. This paper discusses the example presented in the manual for performing an INPRO assessment in the area of waste management. The example, chosen solely for the purpose of illustrating the INPRO methodology, describes an assessment of an INS based on the DUPIC fuel cycle. It is assumed that uranium is mined, milled, converted, enriched, and fabricated into LWR fuel in Canada. The LWR fuel is assumed to be leased to a utility in the USA. The spent LWR fuel is assumed to be returned to Canada where it is processed into CANDU DUPIC fuel, which is then burned in CANDU reactors. The assessment steps and the results are presented in detail in the paper. The example illustrates an assessment performed for an INS at an early stage of development. (authors)« less

  3. InPRO: Automated Indoor Construction Progress Monitoring Using Unmanned Aerial Vehicles

    NASA Astrophysics Data System (ADS)

    Hamledari, Hesam

    In this research, an envisioned automated intelligent robotic solution for automated indoor data collection and inspection that employs a series of unmanned aerial vehicles (UAV), entitled "InPRO", is presented. InPRO consists of four stages, namely: 1) automated path planning; 2) autonomous UAV-based indoor inspection; 3) automated computer vision-based assessment of progress; and, 4) automated updating of 4D building information models (BIM). The works presented in this thesis address the third stage of InPRO. A series of computer vision-based methods that automate the assessment of construction progress using images captured at indoor sites are introduced. The proposed methods employ computer vision and machine learning techniques to detect the components of under-construction indoor partitions. In particular, framing (studs), insulation, electrical outlets, and different states of drywall sheets (installing, plastering, and painting) are automatically detected using digital images. High accuracy rates, real-time performance, and operation without a priori information are indicators of the methods' promising performance.

  4. Assessment of a French scenario with the INPRO methodology

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

    Vasile, A.; Fiorini, G.L.; Cazalet, J.

    2006-07-01

    This paper presents the French contribution to the Joint Study of the IAEA International Project on Innovative Nuclear Reactors and Fuel Cycles (INPRO). It concerns the application of the INPRO methodology to a French scenario, on the transition from present LWRs to EPRs in a first phase and to 4. generation fast reactors in a second phase during the 21. century. The scenario also considers the renewal of the present fuel cycle facilities by the third and the fourth generation ones. Present practice of plutonium recycling in PWR is replaced by the middle of the century by a global recyclingmore » of actinides, uranium, plutonium and minor actinides in fast reactors. The status and the evolution of the INPRO criteria and the corresponding indicators during the studied period are analyzed for each of the six considered areas: economics, safety, environment, waste management, proliferation resistance and infrastructure. Improvements on economic and safety are expected for both the EPR and the 4. generation systems having these improvements among their basic goals. The use of fast reactors and global recycling of actinides leads to a significant improvement on environment indicators and in particular on the natural resources utilization. The envisaged waste management policy results in significant reductions on mass, thermal loads and radiotoxicity of the final waste which only contains fission products. The use of fuels that do not relay on enriched uranium and separated plutonium increases the proliferation resistance characteristics of the future fuel cycle. The paper summarizes also some recommendations on the data, codes and methods used to support the continuous improvement of the INPRO methodology and help future assessors. (authors)« less

  5. Overview of the INPRO Project

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

    Kupitz, J.; Depisch, F.; Zou, Y.

    2004-10-03

    During the last fifty years remarkable results are achieved in the application of nuclear technology for the production of electricity. Looking ahead to the next fifty years it is clear that the demand for energy will grow considerably and also the requirements for the way the energy will be supplied. Within the International Project on Innovative Nuclear Reactors and Fuel Cycles (INPRO), the future of the energy demand and supply was explored and several scenario's identified. A leading requirement for energy supply is coming up and will play a crucial role: sustainability of the way the energy supply will bemore » realized. Fulfilling the growing need for energy in developing countries is as well an important issue. Based on these scenario's for the next fifty years, an inventory of requirements for the future of nuclear energy systems has been collected as well a methodology developed by INPRO to assess innovative nuclear systems and fuel cycles. On the base of this assessment, the need for innovations and breakthroughs in existing technology can be defined. To facilitate the deployment of innovative nuclear systems also the infrastructure, technical as well as institutional has to be adjusted to the anticipated changes in the world such as the globalization. As a contribution to the conference the main messages of INPRO will be presented.« less

  6. Fuel Cycle Analysis Framework Base Cases for the IAEA/INPRO GAINS Collaborative Project

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

    Brent Dixon

    Thirteen countries participated in the Collaborative Project GAINS “Global Architecture of Innovative Nuclear Energy Systems Based on Thermal and Fast Reactors Including a Closed Fuel Cycle”, which was the primary activity within the IAEA/INPRO Program Area B: “Global Vision on Sustainable Nuclear Energy” for the last three years. The overall objective of GAINS was to develop a standard framework for assessing future nuclear energy systems taking into account sustainable development, and to validate results through sample analyses. This paper details the eight scenarios that constitute the GAINS framework base cases for analysis of the transition to future innovative nuclear energymore » systems. The framework base cases provide a reference for users of the framework to start from in developing and assessing their own alternate systems. Each base case is described along with performance results against the GAINS sustainability evaluation metrics. The eight cases include four using a moderate growth projection and four using a high growth projection for global nuclear electricity generation through 2100. The cases are divided into two sets, addressing homogeneous and heterogeneous scenarios developed by GAINS to model global fuel cycle strategies. The heterogeneous world scenario considers three separate nuclear groups based on their fuel cycle strategies, with non-synergistic and synergistic cases. The framework base case analyses results show the impact of these different fuel cycle strategies while providing references for future users of the GAINS framework. A large number of scenario alterations are possible and can be used to assess different strategies, different technologies, and different assumptions about possible futures of nuclear power. Results can be compared to the framework base cases to assess where these alternate cases perform differently versus the sustainability indicators.« less

  7. Water Resources Development in Louisiana 1987.

    DTIC Science & Technology

    1987-01-01

    DISTRICT V4 GULF OF MEXICO V ARM *ftNG4MIR AND COftGIOUEW xVI % %,vJi:,, WP. Foreword This booklet presents current information on the scope Tensas...latitude ol the to\\xn of Simmesport to River. the (full of Mexico . ’ eOuahithe fR r Meio. aSabine River Basin-tributary area of the Sabine River s. Ouachita...ccntury riscr had [ederal action began in 1866 \\%hen Congress soted to sc\\eral mouths to the Gulf of Mexico . At each of these inproe the mouth ol the

  8. [Ranking of radionuclides and pathways according to their contribution to the dose burden to the population resulting from NPP releases].

    PubMed

    Spiridonov, S I; Karpenko, E I; Sharpan, L A

    2013-01-01

    Approaches are described towards estimating the consequences of radioactive contamination of ecosystems by nuclear fuel cycle enterprises with the rationale for the optimal specification level for nuclear power plants (NPP) operating in the normal mode. Calculations are made based on the initial data of the IAEA project, INPRO ENV, dealing with the ranking of radionuclides escaping to the environment from the operating NPPs. Influence of various factors on rankings of radionuclides and pathways of public exposure is demon- strated. An important factor is the controlled radionuclide composition of atmospheric NPP releases. It has been found that variation in the dose coefficients for some radionuclides leads to significant changes not only in the ranking results but also in the estimates of total dose burdens. Invariability is shown of the estimation concerning the greatest contribution of the peroral route to the population dose of irradiation in the situation considered. A conclusion was drawn on the need of taking into consideration uncertainties of different factors when comparing effects on the environment from enterprises of conventional and innovative nuclear fuel cycles.

  9. 42 CFR 412.82 - Payment for extended length-of-stay cases (day outliers).

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... 42 Public Health 2 2012-10-01 2012-10-01 false Payment for extended length-of-stay cases (day outliers). 412.82 Section 412.82 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... Certain Replaced Devices Payment for Outlier Cases § 412.82 Payment for extended length-of-stay cases (day...

  10. 42 CFR 412.82 - Payment for extended length-of-stay cases (day outliers).

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 2 2013-10-01 2013-10-01 false Payment for extended length-of-stay cases (day outliers). 412.82 Section 412.82 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... Certain Replaced Devices Payment for Outlier Cases § 412.82 Payment for extended length-of-stay cases (day...

  11. 42 CFR 412.82 - Payment for extended length-of-stay cases (day outliers).

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 2 2011-10-01 2011-10-01 false Payment for extended length-of-stay cases (day outliers). 412.82 Section 412.82 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... Certain Replaced Devices Payment for Outlier Cases § 412.82 Payment for extended length-of-stay cases (day...

  12. 42 CFR 412.82 - Payment for extended length-of-stay cases (day outliers).

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 2 2010-10-01 2010-10-01 false Payment for extended length-of-stay cases (day outliers). 412.82 Section 412.82 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF... Certain Replaced Devices Payment for Outlier Cases § 412.82 Payment for extended length-of-stay cases (day...

  13. Optimal Surgery for Mid-Transverse Colon Cancer: Laparoscopic Extended Right Hemicolectomy Versus Laparoscopic Transverse Colectomy.

    PubMed

    Matsuda, Takeru; Sumi, Yasuo; Yamashita, Kimihiro; Hasegawa, Hiroshi; Yamamoto, Masashi; Matsuda, Yoshiko; Kanaji, Shingo; Oshikiri, Taro; Nakamura, Tetsu; Suzuki, Satoshi; Kakeji, Yoshihiro

    2018-04-02

    Although the feasibility and safety of laparoscopic surgery for transverse colon cancer have been shown by the recent studies, the optimal laparoscopic approach for mid-transverse colon cancer is controversial. We retrospectively analyzed the data of patients with the mid-transverse colon cancer at our institutions between January 2007 and April 2017. Thirty-eight and 34 patients who received extended right hemicolectomy and transverse colectomy, respectively, were enrolled. There were no significant differences in operating time, blood loss, and hospital stay between the two groups. Postoperative complications developed in 10 of 34 patients (29.4%; wound infection: 2 cases, anastomotic leakage: 2 cases, bowel obstruction: 1 case, incisional hernia: 2 cases, others: 3 cases) for the transverse colectomy group and in 4 of 38 patients (10.5%; wound infection: 1 case, anastomotic leakage: 0 case, bowel obstruction: 2 cases, incisional hernia: 0 case, others: 1 case) for the extended right hemicolectomy group (P = 0.014). Although the median number of harvested #221 and #222 LNs was similar between the two groups (6 vs. 8, P = 0.710, and 3 vs. 2, P = 0.256, respectively), that of #223 was significantly larger in extended right hemicolectomy than in transverse colectomy (3 vs. 1, P = 0.038). The 5-year disease-free and overall survival rates were 92.4 and 90.3% for the extended right hemicolectomy group, and 95.7 and 79.6% for the transverse colectomy group (P = 0.593 and P = 0.638, respectively). Laparoscopic extended right hemicolectomy and laparoscopic transverse colectomy offer similar oncological outcomes for mid-transverse colon cancer. Laparoscopic extended right hemicolectomy might be associated with fewer postoperative complications.

  14. Extended Kinship in the United States: Competing Models and the Case of La Familia Chicana.

    ERIC Educational Resources Information Center

    Sena-Rivera, Jaime

    1979-01-01

    Extended kinship among Chicanos is explored through intensive open-ended interviews with four cases of three generations of Mexican-descent families. "La familia chicana" is posited as a modified extended or kin-integrated family extending over time and space from Mexico at the turn of the century to present day industrial America. (Author)

  15. 78 FR 34099 - FCC Extends Pleading Cycle for Indecency Cases Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-06-06

    ... FEDERAL COMMUNICATIONS COMMISSION [GN Docket No. 13-86; DA 13-1071] FCC Extends Pleading Cycle for Indecency Cases Policy AGENCY: Federal Communications Commission. ACTION: Notice. SUMMARY: In this document, the Federal Communications Commission Enforcement Bureau and Office of General Counsel extend the...

  16. A better outlook for schizophrenics living in extended families.

    PubMed

    El-Islam, E F

    1979-10-01

    Cases of schizophrenia and schizophreniform attacks living in extended families have been compared to cases with similar diagnoses in nuclear families. Both diagnostic groups living in extended families presented earlier: they had lower rates of withdrawal symptoms and higher rates of behavioural disturbances and subjective suffering. Inter-generational conflict was a significantly more common precipitating factor in patients living in extended families; this was therapeutically utilized to induce family support. Patients from extended families had a lower tendency to deteriorate into with drawn, affectively blunted residual states.

  17. Review of extended producer responsibility: A case study approach.

    PubMed

    Gupt, Yamini; Sahay, Samraj

    2015-07-01

    Principles of extended producer responsibility have been the core of most of the recent policies and legislation dealing with the end-of-life management of recyclable goods. This article makes an exploratory review of 27 cases of extended producer responsibility from developed and developing economies with and without informal recycling, to ascertain the most important aspect of extended producer responsibility. A comparative analysis of the cases with respect to role of stakeholders in the upstream and downstream stages of the extended producer responsibility has been carried out. Further, the study uses exploratory factor analysis to determine the important aspects of the extended producer responsibility in practice using 13 variables identified from the review. Findings of the comparative analysis reveal that financial responsibility of the producers and separate collecting and recycling agencies contributed significantly to the success of the extended producer responsibility-based environmental policies. Regulatory provisions, take-back responsibility and financial flow come out to be the three most important aspects of the extended producer responsibility. Presence of informal sector had a negative impact on the regulatory provisions. The outcomes of this study could serve as a guideline for designing of effective extended producer responsibility-based policies. © The Author(s) 2015.

  18. Extended Venous Thromboembolism Prophylaxis after Radical Cystectomy: A Call for Adherence to Current Guidelines.

    PubMed

    Klaassen, Zachary; Arora, Karan; Goldberg, Hanan; Chandrasekar, Thenappan; Wallis, Christopher J D; Sayyid, Rashid K; Fleshner, Neil E; Finelli, Antonio; Kutikov, Alexander; Violette, Philippe D; Kulkarni, Girish S

    2018-04-01

    Radical cystectomy is inherently associated with morbidity. We assess the timing and incidence of venous thromboembolism, review current guideline recommendations and provide evidence for considering extended venous thromboembolism prophylaxis in all patients undergoing radical cystectomy. We searched PubMed® for available literature on radical cystectomy and venous thromboembolism, focusing on incidence and timing, evidence supporting extended venous thromboembolism prophylaxis in patients undergoing radical cystectomy or abdominal oncologic surgery, current guideline recommendations, safety considerations and direct oral anticoagulants. Search terms included "radical cystectomy," "venous thromboembolism," "prophylaxis," and "extended oral anticoagulants" and "direct oral anticoagulants" alone and in combination. Relevant articles were reviewed, including original research, reviews and clinical guidelines. References from review articles and guidelines were also assessed to develop a narrative review. The incidence of symptomatic venous thromboembolism in short-term followup after radical cystectomy is 3% to 11.6%, of which more than 50% of cases will occur after hospital discharge. Meta-analyses of clinical trials in patients undergoing major abdominal oncologic operations suggest a decreased risk of venous thromboembolisms for patients receiving extended (4 weeks) venous thromboembolism prophylaxis. Extended prophylaxis should be considered in all radical cystectomy cases. Although the relative risk of bleeding also increases, the overall net benefit of extended prophylaxis clearly favors use for at least 28 days postoperatively. Extrarenal eliminated prophylaxis agents are preferred given the risk of renal insufficiency in radical cystectomy cases, with newer oral anticoagulants providing an alternative route of administration. Patients undergoing radical cystectomy are at high risk for venous thromboembolism after hospital discharge. There is strong evidence that extended prophylaxis significantly decreases the risk of venous thromboembolism in oncologic surgery cases. Use of extended prophylaxis after radical cystectomy has been poorly adopted, emphasizing the need for better adherence to current urology procedure specific guidelines as extended prophylaxis for radical cystectomy is the standard of care. Specific and rare circumstances may require case by case assessment. Copyright © 2018 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

  19. 40 CFR 147.1955 - Requirements for wells authorized by permit.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... (ii) Cemented back to the surface by recirculating the cement; and (2) Long string casing and tubing... volume. (3) For new enhanced recovery wells, install tubing or long string casing extending to the injection zone. (4) For new salt water disposal wells, install long string casing and tubing extending to...

  20. [Ischemic cholangiopathy induced by extended burns].

    PubMed

    Cohen, Laurence; Angot, Emilie; Goria, Odile; Koning, Edith; François, Arnaud; Sabourin, Jean-Christophe

    2013-04-01

    Ischemic cholangiopathy is a recently described entity occurring mainly after hepatic grafts. Very few cases after intensive care unit (ICU) for extended burn injury were reported. We report the case of a 73-year-old woman consulting in an hepatology unit, for a jaundice appearing during a hospitalisation in an intensive care unit and increasing from her leaving from ICU, where she was treated for an extended burn injury. She had no pre-existing biological features of biliary disease. Biological tests were normal. Magnetic resonance imaging acquisitions of biliary tracts pointed out severe stenosing lesions of diffuse cholangiopathy concerning intrahepatic biliary tract, mainly peri-hilar. Biopsie from the liver confirmed the diagnosis, showing a biliary cirrhosis with bile infarcts. This case is the fourth case of ischemic cholangiopathy after extended burn injury, concerning a patient without a prior history of hepatic or biliary illness and appearing after hospitalisation in intensive care unit. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

  1. Estimation of soil pH at Mount Beigu Wetland based on visible and near infrared reflectance spectroscopy

    NASA Astrophysics Data System (ADS)

    Hu, Yongguang; Li, Pingping; Mao, Hanping; Chen, Bin; Wang, Xi

    2006-12-01

    pH of the wetland soil is one of the most important indicators for aquatic vegetation and water bodies. Mount Beigu Wetland, just near the Yangtse River, is under ecological recovery. Visible and near infrared reflectance spectroscopy was adopted to estimate soil pH of the wetland. The spectroradiometer, FieldSpec 3 (ASD) with a full spectral range (350-2500 nm), was used to acquire the reflectance spectra of wetland soil, and soil pH was measured with the pH meter of IQ150 (Spectrum) and InPro 3030 (Mettler Toledo). 146 soil samples were taken with soil sampler (Eijkelkamp) according to different position and depth, which covered the wider range of pH value from 7.1 to 8.39. 133 samples were used to establish the calibration model with the method of partial least square regression and principal component analysis regression. 13 soil samples were used to validate the model. The results show that the model is not good, but the mean error and root mean standard error of prediction are less (1.846% and 0.186 respectively). Spectral reflectancebased estimation of soil pH of the wetland is applicable and the calibration model needs to be improved.

  2. Extended endoscopic transsphenoidal approach infrachiasmatic corridor.

    PubMed

    Ceylan, Savas; Anik, Ihsan; Koc, Kenan; Cabuk, Burak

    2015-01-01

    An extended endoscopic transsphenoidal approach is required for skull base lesions extending to the suprasellar area. Inferior approach using the infrachiasmatic corridor allows access to the lesions through the tumor growth that is favorable for the extended transsphenoidal approaches. Infrachiasmatic corridor is a safer route for the inferior approaches that is made up by basal arachnoid membrane and Liliequist's membrane with its leaves (diencephalic and mesencephalic leaf). This area extends from the optic canal and tuberculum sella to the corpus mamillare. We performed extended endoscopic approach using the infrachiasmatic corridor in 52 cases, including tuberculum sella meningiomas (n:23), craniopharyngiomas (n:16), suprasellar Rathke's cleft cyst (n:6), pituitary adenoma (n:2), fibrous dysplasia (n:1), infundibular granulosa cell tumor (n:2), and epidermoid tumor (n:2). Total resection was achieved in 17 of 23 (74%) with tuberculum sellae meningioma using infrachiasmatic approach. Twenty patients presented with visual disorders and 14 of them improved. There were two postoperative cerebrospinal fluid (CSF) leakages and one transient diabetes insipidus and one permanent diabetes insipidus. Sixteen patients were operated on by the infrachiasmatic approach for craniopharyngiomas. Improvement was reached in seven of eight patients presented with visual disorders. Complete tumor resection was performed in 10 of 16 cases and cyst aspiration in 4 cases, and there were remnants in two cases. Postoperative CSF leakage was seen in two patients. Infrachiasmatic corridor provides an easier and safer inferior route for the removal of middle midline skull base lesions in selected cases.

  3. 38 CFR 21.188 - “Extended evaluation” status.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2012-07-01 2012-07-01 false âExtended evaluationâ.... Chapter 31 Case Status § 21.188 “Extended evaluation” status. (a) Purpose. The purposes of extended evaluation status are to: (1) Identify a veteran for whom a period of extended evaluation is needed; and (2...

  4. 38 CFR 21.188 - “Extended evaluation” status.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2011-07-01 2011-07-01 false âExtended evaluationâ.... Chapter 31 Case Status § 21.188 “Extended evaluation” status. (a) Purpose. The purposes of extended evaluation status are to: (1) Identify a veteran for whom a period of extended evaluation is needed; and (2...

  5. 38 CFR 21.188 - “Extended evaluation” status.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false âExtended evaluationâ.... Chapter 31 Case Status § 21.188 “Extended evaluation” status. (a) Purpose. The purposes of extended evaluation status are to: (1) Identify a veteran for whom a period of extended evaluation is needed; and (2...

  6. 38 CFR 21.188 - “Extended evaluation” status.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2014-07-01 2014-07-01 false âExtended evaluationâ.... Chapter 31 Case Status § 21.188 “Extended evaluation” status. (a) Purpose. The purposes of extended evaluation status are to: (1) Identify a veteran for whom a period of extended evaluation is needed; and (2...

  7. 38 CFR 21.188 - “Extended evaluation” status.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2013-07-01 2013-07-01 false âExtended evaluationâ.... Chapter 31 Case Status § 21.188 “Extended evaluation” status. (a) Purpose. The purposes of extended evaluation status are to: (1) Identify a veteran for whom a period of extended evaluation is needed; and (2...

  8. Outcome of urinary tract infections caused by extended spectrum β-lactamase-producing Enterobacteriaceae in children.

    PubMed

    Tratselas, Athanasios; Iosifidis, Elias; Ioannidou, Maria; Saoulidis, Stamatis; Kollios, Konstantinos; Antachopoulos, Charalampos; Sofianou, Danai; Roilides, Emmanuel J

    2011-08-01

    The outcome of patients with urinary tract infections caused by extended spectrum β-lactamases (ESBL)-producing bacteria (cases) was compared with that of matched controls with urinary tract infections caused by non-extended spectrum β-lactamases-producing isolates. Significantly, more case patients received inappropriate empiric therapy than controls. Nevertheless, clinical and microbiologic outcomes as well as formation of renal scars did not differ between the 2 groups.

  9. Inequalities of extended beta and extended hypergeometric functions.

    PubMed

    Mondal, Saiful R

    2017-01-01

    We study the log-convexity of the extended beta functions. As a consequence, we establish Turán-type inequalities. The monotonicity, log-convexity, log-concavity of extended hypergeometric functions are deduced by using the inequalities on extended beta functions. The particular cases of those results also give the Turán-type inequalities for extended confluent and extended Gaussian hypergeometric functions. Some reverses of Turán-type inequalities are also derived.

  10. Estimation of three-dimensional radar tracking using modified extended kalman filter

    NASA Astrophysics Data System (ADS)

    Aditya, Prima; Apriliani, Erna; Khusnul Arif, Didik; Baihaqi, Komar

    2018-03-01

    Kalman filter is an estimation method by combining data and mathematical models then developed be extended Kalman filter to handle nonlinear systems. Three-dimensional radar tracking is one of example of nonlinear system. In this paper developed a modification method of extended Kalman filter from the direct decline of the three-dimensional radar tracking case. The development of this filter algorithm can solve the three-dimensional radar measurements in the case proposed in this case the target measured by radar with distance r, azimuth angle θ, and the elevation angle ϕ. Artificial covariance and mean adjusted directly on the three-dimensional radar system. Simulations result show that the proposed formulation is effective in the calculation of nonlinear measurement compared with extended Kalman filter with the value error at 0.77% until 1.15%.

  11. 50. THIRD FLOOR, HALL, LOOKING SOUTH. Note ceiling extends down ...

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

    50. THIRD FLOOR, HALL, LOOKING SOUTH. Note ceiling extends down over window case and exterior frieze extends halfway down top light of sash - Robinson-Aiken House, 48 Elizabeth Street, Charleston, Charleston County, SC

  12. A prolonged outbreak of invasive meningococcal disease in an extended Irish Traveller family across three Health Service Executive (HSE) areas in Ireland, 2010 to 2013.

    PubMed

    O'Connor, L; Ward, M; Bennett, D; Mulhall, R; O'Lorcain, P; Cunney, R; McDermott, R; Neville, E; Heslin, J; FitzGerald, R; Meyler, K; Conlon, M; Clarke, A; Corcoran, B; Fitzpatrick, G; O'Connor, B; Flanagan, P; O'Flanagan, D; Cotter, S

    2015-05-28

    Between March 2010 and November 2013 eight laboratory-confirmed cases of serogroup B, invasive meningococcal disease (IMD) were identified in an extended Irish Traveller family across three Health Service Executive (HSE) areas of Ireland. Cases were aged between 5 and 46 months, and were either a cousin or sibling of another case. All eight cases survived. Chemoprophylaxis was given to relevant nuclear family members and close contacts on each occasion, but failed to prevent further cases. Neisseria meningitidis isolates from six cases were highly related, belonging to the ST-41/44 clonal complex, and shared the porA designation 7–2,4. In November 2013, the outbreak control team recommended that directly observed ciprofloxacin chemoprophylaxis be administered simultaneously to the extended family, and that the four component meningococcal B (4CMenB) vaccine be administered to family members aged 2 months to 23 years inclusive and relevant close contacts of the eighth case. Subsequently these recommendations were implemented at three regional clinics. Additionally pharyngeal swabs (n=112) were collected to assess carriage rates of N. meningitidis in this extended family. Pharyngeal carriage of N. meningitidis was detected in 15 (13%) family members. From the epidemiological investigation and carriage study overcrowding was the most likely risk factor identified in this outbreak. To date, the combination of directly observed ciprofloxacin chemoprophylaxis and use of 4CMenB vaccine have controlled the outbreak with no further cases diagnosed.

  13. Debating Race, Race-ing Debate: An Extended Ethnographic Case Study of Black Intellectual Insurgency in U.S. Intercollegiate Debate

    ERIC Educational Resources Information Center

    Peterson, David Kent

    2014-01-01

    The following study is an extended ethnographic case study of a "black intellectual insurgency" within the predominantly white space of the U.S. intercollegiate policy debate activity. A growing number of black students are entering the debate activity and insisting that "whiteness" be confronted and interrogated and that…

  14. Outbreak of hepatitis A in an extended family after importation by non-immune travellers.

    PubMed

    Kumbang, J; Ejide, S; Tedder, R S; Ngui, S L

    2012-10-01

    The incidence of hepatitis A in England has declined in recent years, but travel-related cases and imported infections remain a challenge. We report an outbreak of hepatitis A in an extended family where two primary cases were infected while in Pakistan and two secondary cases were infected in England. All four were infected by the same genotype IIIA virus. Testing of the children in the extended family by dried blood spots (DBS) determined that three had evidence of recent past infections (anti-HAV IgM positive), one had a current asymptomatic infection (anti-HAV IgM and HAV RNA positive) and one was incubating the virus (anti-HAV IgM negative, HAV RNA positive). HAV RNA from the DBS was identical to the adult cases. This outbreak demonstrates secondary spread of hepatitis A by asymptomatic children after importation from abroad and highlights the importance of preventing travel-associated hepatitis A infection.

  15. Is there a place for extended assessments in addressing child sexual abuse allegations? How sensitivity and specificity impact professional perspectives.

    PubMed

    Williams, Javonda; Nelson-Gardell, Debra; Coulborn Faller, Kathleen; Tishelman, Amy; Cordisco-Steele, Linda

    2014-01-01

    Using data from a survey of perceptions of 932 child welfare professionals about the utility of extended assessments, the researchers constructed a scale to measure respondents' views about sensitivity (ensuring sexually abused children are correctly identified) and specificity (ensuring nonabused children are correctly identified) in child sexual abuse evaluations. On average, respondents scored high (valuing sensitivity) on the sensitivity versus specificity scale. Next, the researchers undertook bivariate analyses to identify independent variables significantly associated with the sensitivity versus specificity scale. Then those variables were entered into a multiple regression. Four independent variables were significantly related to higher sensitivity scores: encountering cases requiring extended assessments, valuing extended assessments among scarce resources, less concern about proving cases in court, and viewing the goal of extended assessments as understanding needs of child and family (adjusted R2 = .34).

  16. Reconciling the Knowledge of Scholars & Practitioners: An Extended Case Analysis of the Role of Theory in Student Affairs

    ERIC Educational Resources Information Center

    Kimball, Ezekiel

    2016-01-01

    This paper utilizes a critical post-pragmatist epistemological lens in tandem with an extended case analysis to explore how student affairs professionals process truth claims related to student experience. Findings from the study, which include the limited usage of formal theory and the iterative reconstruction of informal theory, are used to…

  17. Extended endoscopic endonasal surgery for clival chordoma and chondrosarcoma: Our experience in 14 cases.

    PubMed

    Culebras, Diego; Torales, Jorge; Reyes, Luis Alberto; Zapata, Luis; García, Sergio; Roldán, Pedro; Langdon, Cristóbal; Alobid, Issam; Enseñat, Joaquim

    2018-04-21

    To report our experience in the management of chordoma and chondrosarcoma with extended endoscopic endonasal surgery. We performed a retrospective analysis of a series of 14 patients with clival chordoma or chondrosarcoma who had extended endoscopic endonasal surgery from 2008 to 2016 performed by the same multidisciplinary team. We had fourteen patients (male/female 2:1), with a mean age of 49years for chordoma and 32 for chondrosarcoma. The most common clinical presentation was diplopia in 78.5% of cases, followed by dysphagia in 28.6%. Histologically, 71.4% were chordomas and 28.6% were chondrosarcomas. In addition, invasion of at least two thirds or more of the clivus was found in 81% of the cases; in 57.1% there was intradural invasion, and in 35.7% invasion of the sella turcica. In 42.8% of cases, the degree of resection was total and in 21.5% subtotal. The most common complication was CSF fistula, occurring in 28.6% of the cases, with only one case requiring surgery to repair it. Adjuvant treatment with Proton Beam was performed in 35.7% of cases and with conventional radiotherapy in 21.5%. Mean follow-up was 53.5months and tumour recurrence or progression was found in 21.5% of the cases, two of which had not received adjuvant treatment. There were no deaths. The extended endoscopic endonasal approach (EEEA) performed by an experienced team is a good alternative for the management of these lesions. Intradural invasion may be related to an increased risk of complications and worse clinical presentation, in addition to a lower rate of total resection. Copyright © 2018 Sociedad Española de Neurocirugía. Publicado por Elsevier España, S.L.U. All rights reserved.

  18. Physical Examination for Men and Women With Urologic Chronic Pelvic Pain Syndrome: A MAPP (Multidisciplinary Approach to the Study of Chronic Pelvic Pain) Network Study.

    PubMed

    Yang, Claire C; Miller, Jane L; Omidpanah, Adam; Krieger, John N

    2018-06-01

    To examine the feasibility of implementing a standardized, clinically relevant genitourinary examination for both men and women, and to identify physical examination findings characteristic of urologic chronic pelvic pain syndrome (UCPPS). This study analyzed 2 samples: men and women with UCPPS who participated in the Multidisciplinary Approach to the Study of Chronic Pelvic Pain (MAPP) Research Network Epidemiology and Phenotyping (EP) Study, and age-matched controls who were either positive for chronic fatigue syndrome or healthy (pain-free). We compared physical examination findings in both positive and healthy controls with UCPPS cases: findings from both the EP examinations and from an extended genitourinary examination. EP and extended examinations were performed on 143 participants: 62 UCPPS cases (30 women, 32 men), 42 positive controls (15 women, 27 men), and 39 healthy controls (22 women, 17 men). EP examinations showed that pelvic floor tenderness was more prevalent in cases (55.0%) than in positive (14.6%) or healthy controls (10.5%). Extended examinations revealed specific areas of tenderness in the pelvic floor musculature. Cases were also more likely than healthy controls to report tenderness in multiple areas, including suprapubic, symphysis pubis, and posterior superior iliac spine, and on bimanual examination. No comparative findings were specific to biological sex, and no evidence of pudendal neuropathy was observed on extended examination of cases or controls. The extended genitourinary examination is an easily administered addition to the assessment of men and women during evaluation for UCPPS. Physical findings may help to better categorize patients with UCPPS into clinically relevant subgroups for optimal treatment. Published by Elsevier Inc.

  19. GPS Receivers Use-Case Information : GPS Adjacent Band Compatibility Assessment Workshop

    DOT National Transportation Integrated Search

    2014-09-18

    Topics 1. Background. 2. Use Case Template. 3. Description of Submitted UseCases from DOT Extended Pos/Nav Working Group. 4. Utilization of UseCase Information. 5. Request of Information for Additional UseCases from GPS Receiver Manufacturer...

  20. Comparison of semi-extended and standard lymph node dissection in radical prostatectomy: A single-institute experience.

    PubMed

    Hoshi, Senji; Hayashi, Natuho; Kurota, Yuuta; Hoshi, Kiyotsugu; Muto, Akinori; Sugano, Osamu; Numahata, Kenji; Bilim, Vladimir; Sasagawa, Isoji; Ohta, Shoichiro

    2015-09-01

    Standard lymphadenectomy for prostate cancer is limited to the obturator lymph nodes (LNs), although the internal and external iliac LNs represent the primary landing zone for prostatic lymphatic drainage. We performed anatomically semi-extended pelvic lymph node dissection (PLND) to assess the incidence of LN metastasis in cases of clinically localized prostate cancer. A total of 730 consecutive patients underwent radical prostatectomy with either semi-extended PLND, comprising 6 selective fields, namely the external iliac, internal iliac and obturator LNs bilaterally, or standard LND (obturator LNs alone). A total of 131 patients undergoing semi-extended PLND were compared with 599 patients undergoing standard LND. The patients were stratified into high-risk [prostate-specific antigen (PSA)>20 ng/ml, Gleason score (GS)≥8], intermediate-risk (PSA 10-20 ng/ml, GS=4+3) and low-risk (PSA<10 ng/ml, GS≤3+4) subgroups. Following semi-extended LND, positive LNs were detected in 12/61 (20%) of the high-risk, 1/30 (3%) of the intermediate-risk and 0/40 (0%) of the low-risk cases. Following standard LND, positive LNs were detected in 13/182 (7%) of the high-risk, 1/164 (0.6%) of the intermediate-risk and 0/253 (0%) of the low-risk cases. In high-risk patients, the detection rate of LN metastasis was significantly higher following extended LND compared with standard LND (P<0.01). In 9 of 13 patients (69%), metastases were identified in the internal and external iliac regions, despite negative obturator LNs. There were no significant differences regarding intraoperative and postoperative complications or blood loss in the two groups. There was no lymphocele formation in patients undergoing either standard or semi-extended LND. Extended pelvic LND (PLND) is associated with a high rate of LN metastasis detection outside the fields of standard LND in cases with clinically localized prostate cancer. Therefore, LND including the internal and external iliac LNs should be performed in all patients with high-risk prostate cancer; however, in the low-risk group, PLND may be omitted.

  1. Bilateral Breast Reconstruction with Extended Thoracodorsal Artery Perforator Propeller Flaps and Implants

    PubMed Central

    Gunnarsson, Gudjon L.; Børsen-Koch, Mikkel; Nielsen, Henrik T.; Salzberg, Andrew

    2015-01-01

    Summary: We present our experience of bilateral total breast reconstruction using a double-sided extended thoracodorsal artery perforator propeller flap in a case series of 10 patients. Reconstruction was successfully achieved in all cases with few complications. The median time for surgery was 275 minutes (200–330), and the average implant size used was 350 cm3 (195–650). We demonstrate how the extended thoracodorsal artery perforator propeller flap allows for a swift and reliable direct to implant bilateral total breast reconstruction in a simple setting and is a valuable adjunct to our armamentarium of techniques for single-stage bilateral breast reconstruction. PMID:26180736

  2. Open cycle ocean thermal energy conversion steam control and bypass system

    DOEpatents

    Wittig, J. Michael; Jennings, Stephen J.

    1980-01-01

    Two sets of hinged control doors for regulating motive steam flow from an evaporator to a condenser alternatively through a set of turbine blades in a steam bypass around the turbine blades. The evaporator has a toroidal shaped casing situated about the turbine's vertical axis of rotation and an outlet opening therein for discharging motive steam into an annular steam flow path defined between the turbine's radially inner and outer casing structures. The turbine blades extend across the steam flow path intermediate the evaporator and condenser. The first set of control doors is arranged to prevent steam access to the upstream side of the turbine blades and the second set of control doors acts as a bypass around the blades so as to maintain equilibrium between the evaporator and condenser during non-rotation of the turbine. The first set of control doors preferably extend, when closed, between the evaporator casing and the turbine's outer casing and, when open, extend away from the axis of rotation. The second set of control doors preferably constitute a portion of the turbine's outer casing downstream from the blades when closed and extend, when open, toward the axis of rotation. The first and second sets of control doors are normally held in the open and closed positions respectively by locking pins which may be retracted upon detecting an abnormal operating condition respectively to permit their closing and opening and provide steam flow from the evaporator to the condenser.

  3. The self-trapping transition in the non-half-filled strongly correlated extended Holstein-Hubbard model in two-dimensions

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

    Sankar, I. V., E-mail: ivshankar27@gmail.com; Chatterjee, Ashok, E-mail: ivshankar27@gmail.com

    2014-04-24

    The two-dimensional extended Holstein-Hubbard model (EHH) has been considered at strong correlation regime in the non-half-filled band case to understand the self-trapping transition of electrons in strongly correlated electron system. We have used the method of optimized canonical transformations to transform an EHH model into an effective extended Hubbard (EEH) model. In the strong on-site correlation limit an EH model can be transformed into a t-J model which is finally solved using Hartree-Fock approximation (HFA). We found that, for non-half-filled band case, the transition is abrupt in the adiabatic region whereas it is continuous in the anti-adiabatic region.

  4. School Leaders' Perceptions of the Impact of Extended Services on Families and Communities: The Case of One Local Authority

    ERIC Educational Resources Information Center

    Peterson, Andrew; Durrant, Ian

    2013-01-01

    The move in England towards extended services was a core part of the educational policy of successive Labour governments throughout the 2000s. Sitting alongside like-minded initiatives, school leaders were encouraged to envision, plan for and operate a range of activities and services aimed at deepening and extending schools' relationships with…

  5. Supporting Pupils and Families: A Case Study of Two English Extended Secondary Schools

    ERIC Educational Resources Information Center

    Rose, Richard; Smith, Andy; Feng Yan,

    2009-01-01

    The Department for Education and Skills (DfES, 2005a) described an extended school as one providing activities and services, often beyond the school day, to address the needs of its pupils, their families and the wider community. Extended schools have been established to provide a hub upon which services can be focused and where additional…

  6. Extended Policies case

    EIA Publications

    2016-01-01

    The Annual Energy Outlook 2016 (AEO2016) Extended Policies case includes selected policies that go beyond current laws and regulations. Existing tax credits that have scheduled reductions and sunset dates are assumed to remain unchanged through 2040. Other efficiency policies, including corporate average fuel economy standards, appliance standards, and building codes, are expanded beyond current provisions; and the U.S. Environmental Protection Agency (EPA) Clean Power Plan (CPP) regulations that reduce carbon dioxide emissions from electric power generation are tightened after 2030.

  7. Assembly for facilitating inservice inspection of a reactor coolant pump rotor

    DOEpatents

    Veronesi, Luciano

    1990-01-01

    A reactor coolant pump has an outer casing with an internal cavity holding a coolant and a rotor rotatably mounted in the cavity within the coolant. An assembly for permitting inservice inspection of the pump rotor without first draining the coolant from the casing cavity is attached to an end of the pump. A cylindrical bore is defined through the casing in axial alignment with an end of pump rotor and opening into the internal cavity. An extension attached on the rotor end and rotatable therewith has a cylindrical coupler member extending into the bore. An outer end of the coupler member has an element configured to receive a tool for performance of inservice rotor inspection. A hollow cylindrical member is disposed in the bore and surrounds the coupler member. The cylindrical member is slidably movable relative to the coupler member along the bore between a retracted position wherein the cylindrical member is stored for normal pump operation and an extended position wherein the cylindrical member is extended for permitting inservice rotor inspection. A cover member is detachably and sealably attached to the casing across the bore for closing the bore and retaining the cylindrical member at its retracted position for normal pump operation. Upon detachment of the cover member, the cylindrical member can be extended to permit inservice rotor inspection.

  8. Non-variable TeV emission from the extended jet of a blazar in the stochastic acceleration scenario: the case of the hard TeV emission of 1ES 1101-232

    NASA Astrophysics Data System (ADS)

    Yan, Dahai; Zeng, Houdun; Zhang, Li

    2012-08-01

    The detections of X-ray emission from the kiloparsec-scale jets of blazars and radio galaxies could imply the existence of high-energy electrons in these extended jets, and these electrons could produce high-energy emission through the inverse Compton (IC) process. In this paper, we study the non-variable hard TeV emission from a blazar. The multiband emission consists of two components: (i) the traditional synchrotron self-Compton (SSC) emission from the inner jet; (ii) the emission produced via SSC and IC scattering of cosmic microwave background (CMB) photons (IC/CMB) and extragalactic background light (EBL) photons by relativistic electrons in the extended jet under the stochastic acceleration scenario. Such a model is applied to 1ES 1101-232. The results indicate the following. (i) The non-variable hard TeV emission of 1ES 1101-232, which is dominated by IC/CMB emission from the extended jet, can be reproduced well by using three characteristic values of the Doppler factor (δD = 5, 10 and 15) for the TeV-emitting region in the extended jet. (ii) In the cases of δD = 15 and 10, the physical parameters can achieve equipartition (or quasi-equipartition) between the relativistic electrons and the magnetic field. In contrast, the physical parameters largely deviate from equipartition for the case of δD = 5. Therefore, we conclude that the TeV emission region of 1ES 1101-232 in the extended jet should be moderately or highly beamed.

  9. Isolation of coagulase-negative staphylococci from extended-wear soft contact lenses in asymptomatic patients.

    PubMed

    Faghri, Jamshid

    2008-05-01

    Coagulase-negative staphylococci and diphtheroids are normal inhabitants of the outer surface of the human eye. These microorganisms serve as part of the defense mechanism of the ocular anatomy in preventing colonization and infection by pathogenic bacteria. Nevertheless, infections associated with contaminated solutions and cases became serious problems for people who wear soft contact lenses. The aim of this study is to isolate and identify aerobic bacteria, particularly, gram-negative species associated with the use of extended-wear soft contact lenses. Extended-wear contact lenses were collected, using aseptic technique, from the eyes of individuals after 30 days of extended wear (5-7 day intermittent periods) and were examined for adhered aerobic bacteria. Coagulase-negative staphylococci were isolated from 74% of the lenses. Serratia marcescens was found at an incidence of 10% and Pseudomonas aeruginosa at an incidence of 6%. The presence of species of bacteria, including P. aeruginosa and S. marcescens, which have been associated with daily wear soft contact lenses, solutions, and cases also seem to be associated with extended-wear lenses.

  10. Extended artistic appreciation.

    PubMed

    Wilson, Robert A

    2013-04-01

    I propose that in at least some cases, objects of artistic appreciation are best thought of not simply as causes of artistic appreciation, but as parts of the cognitive machinery that drives aesthetic appreciation. In effect, this is to say that aesthetic appreciation operates via extended cognitive systems.

  11. Socially Extended Cognition and Shared Intentionality

    PubMed Central

    Lyre, Holger

    2018-01-01

    The paper looks at the intersection of extended cognition and social cognition. The central claim is that the mechanisms of shared intentionality can equally be considered as coupling mechanisms of cognitive extension into the social domain. This claim will be demonstrated by investigating a detailed example of cooperative action, and it will be argued that such cases imply that socially extended cognition is not only about cognitive vehicles, but that content must additionally be taken into account. It is finally outlined how social content externalism can in principle be grounded in socially extended cognition. PMID:29892254

  12. Full-wave generalizations of the fundamental Gaussian beam.

    PubMed

    Seshadri, S R

    2009-12-01

    The basic full wave corresponding to the fundamental Gaussian beam was discovered for the outwardly propagating wave in a half-space by the introduction of a source in the complex space. There is a class of extended full waves all of which reduce to the same fundamental Gaussian beam in the appropriate limit. For the extended full Gaussian waves that include the basic full Gaussian wave as a special case, the sources are in the complex space on different planes transverse to the propagation direction. The sources are cylindrically symmetric Gaussian distributions centered at the origin of the transverse planes, the axis of symmetry being the propagation direction. For the special case of the basic full Gaussian wave, the source is a point source. The radiation intensity of the extended full Gaussian waves is determined and their characteristics are discussed and compared with those of the fundamental Gaussian beam. The extended full Gaussian waves are also obtained for the oppositely propagating outwardly directed waves in the second half-space. The radiation intensity distributions in the two half-spaces have reflection symmetry about the midplane. The radiation intensity distributions of the various extended full Gaussian waves are not significantly different. The power carried by the extended full Gaussian waves is evaluated and compared with that of the fundamental Gaussian beam.

  13. Extended operating times are more efficient, save money and maintain a high staff and patient satisfaction.

    PubMed

    Herron, Jonathan Blair Thomas; French, Rachel; Gilliam, Andrew Douglas

    2018-01-01

    Current public sector austerity measures necessitate efficiency savings throughout the NHS. Performance targets have resulted in activity being performed in the private sector, waiting list initiative lists and requests for staff to work overtime. This has resulted in staff fatigue and additional agency costs. Adoption of extended operating theatre times (0800-1800 hours) may improve productivity and efficiency, with potentially significant financial savings; however, implementation may adversely affect staff morale and patient compliance. A pilot period of four months of extended operating times (4.5 hour sessions) was completed and included all theatre surgical specialties. Outcome measures included: the number of cases completed, late starts, early finishes, cancelled operations, theatre overruns, preoperative assessment and 18-week targets. The outcomes were then compared to pre-existing normal working day operating lists (0900-1700). Theatre staff, patient and surgical trainee satisfaction with the system were also considered by use of an anonymous questionnaire. The study showed that in-session utilisation time was unchanged by extended operating hours 88.7% (vs 89.2%). The service was rated as 'good' or 'excellent' by 87.5% of patients. Over £345,000 was saved by reducing premium payments. Savings of £225,000 were made by reducing privately outsourced operation and a further £63,000 by reviewing staff hours. Day case procedures increased from 2.8 to 3.2 cases/day with extended operating. There was no significant increase in late starts (5.1% vs 6.8%) or cancellation rates (0.75% vs 1.02%). Theatre over-runs reduced from 5% to 3.4%. The 18 weeks target for surgery was achieved in 93.7% of cases (vs 88.3%). The number of elective procedures increased from 4.1 to 4.89 cases/day. Only 13.33% of trainees (n = 33) surveyed felt that extended operating had a negative impact on training. The study concludes that extended operating increased productivity from 2.8 patients per session to 3.2 patients per session with potential savings of just over £2.4 million per financial year. Extrapolating this to the other 155 trusts in England could be a potential saving of £372 million per year. Staff, trainee and patient satisfaction was unaffected. An improved 18 weeks target position was achieved with a significant reduction in private sector work. However, some staff had difficulty with arranging childcare and taking public transport and this may prevent full implementation.

  14. Variable laterality of corticospinal tract axons that regenerate after spinal cord injury as a result of PTEN deletion or knock-down

    PubMed Central

    Willenberg, Rafer; Zukor, Katherine; Liu, Kai; He, Zhigang; Steward, Oswald

    2016-01-01

    Corticospinal tract (CST) axons from one hemisphere normally extend and terminate predominantly in the contralateral spinal cord. We previously showed that deleting PTEN in the sensorimotor cortex enables CST axons to regenerate after spinal cord injury and that some regenerating axons extend along the “wrong” side. Here, we characterize the degree of specificity of regrowth in terms of laterality. PTEN was selectively deleted via cortical AAV-Cre injections in neonatal PTEN-floxed mice. As adults, mice received dorsal hemisection injuries at T12 or complete crush injuries at T9. CST axons from one hemisphere were traced by unilateral BDA injections in PTEN-deleted mice with spinal cord injury and in non-injured PTEN-floxed mice that had not received AAV-Cre. In non-injured mice, 97.9 ± 0.7% of BDA-labeled axons in white matter and 88.5 ± 1.0% of BDA-labeled axons in grey matter were contralateral to the cortex of origin. In contrast, laterality of CST axons that extended past a lesion due to PTEN deletion varied across animals. In some cases, regenerated axons extended predominantly on the ipsilateral side, in other cases, axons extended predominantly contralaterally, and in others, axons were similar in numbers on both sides. Similar results were seen in analyses of cases from previous studies using shRNA-mediated PTEN knock-down. These results indicate that CST axons that extend past a lesion due to PTEN deletion or knock-down do not maintain the contralateral rule of the non-injured CST, highlighting one aspect for how resultant circuitry from regenerating axons may differ from that of the uninjured CST. PMID:26878190

  15. Digital Immigrant Teacher Perceptions of an Extended Cyberhunt Strategy

    ERIC Educational Resources Information Center

    du Plessis, Andre; Webb, Paul

    2012-01-01

    This quantitative and qualitative interpretive exploratory case study investigates whether exposure to an Internet based "Extended Cyberhunt" strategy enables teachers to attain a set of outcomes similar to Prensky's "Essential 21st Century Skills" and the "Critical Outcomes of the South African National Curriculum…

  16. [The extended endoscopic endonasal transsphenoidal approach in surgery for epidermoid cysts of the chiasmatic region].

    PubMed

    Fomichev, D V; Kalinin, P L; Kutin, M A; Sharipov, O I; Chernov, I V

    Surgical treatment for epidermoid cysts of the chiasmatic region is a challenge because of the tendency to a massive spread of epidermoid masses through the cerebrospinal fluid pathways and a significant lesion deviation from the midline. To analyze capabilities of the extended endoscopic endonasal transsphenoidal approach in surgery for epidermoid cysts. The study included 6 patients with epidermoid cysts of the chiasmatic region who were operated on using the extended anterior endoscopic endonasal transsphenoidal approach at the Burdenko Neurosurgical Institute in the past 5 years. Epidermoid masses were completely removed in 5 patients; in none of the cases, complete removal of the epidermoid cyst capsule was achieved. There were no cases of vision deterioration and the development of new focal neurological symptoms. One female patient developed hypopituitary disorders in the postoperative period. There was no recurrence of epidermoid cysts during follow-up. Removal of epidermoid cysts of the chiasmatic region using the extended anterior endoscopic transsphenoidal approach may be an alternative to transcranial microsurgery.

  17. Extended pancreatectomy as defined by the ISGPS: useful in selected cases of pancreatic cancer but invaluable in other complex pancreatic tumors.

    PubMed

    Mitra, Abhishek; Pai, Esha; Dusane, Rohit; Ranganathan, Priya; DeSouza, Ashwin; Goel, Mahesh; Shrikhande, Shailesh V

    2018-03-01

    Extended pancreatectomy aimed at R0 resection of pancreatic tumors with adjacent vessel and organ involvement may be the only option for cure. This study was done with an objective to analyze the short- and long-term outcomes of extended pancreatic resections. All pancreatectomies performed between 2006 and 2015 were included. The pancreatectomies were classified as standard or extended, as per the International Study Group for Pancreatic Surgery. All surgical complications and terminologies were according to Clavien-Dindo classification and International Study Group for Pancreatic Surgery guidelines. Morbidity and mortality were primary outcomes and disease-free survival was a secondary outcome. Sixty-three extended and 620 standard pancreatectomies were performed. Major morbidity (Clavien grades III, IV and V) (37 vs. 29%, p = 0.21) and mortality (6 vs. 4%, p = 0.3) for extended pancreatectomies were comparable to those for standard pancreatectomies. Blood loss > 855 ml, need for blood transfusion, and tumor size were independent risk factors for morbidity, and the latter two for mortality. Standard pancreatectomies were associated with better 3-year disease-free survival than extended pancreatectomies (67 vs. 41%, p < 0.001). Extended pancreatectomies resulted in a significantly better median disease-free survival for non-pancreatic adenocarcinoma vs. pancreatic adenocarcinoma (33.3 vs. 9.5 months, p = 0.01). Extended pancreatectomies resulted in similar peri-operative morbidity and mortality compared to standard pancreatectomies. Although the survival of patients undergoing these complex procedures is inferior to standard pancreatectomies, they should be undertaken not only in selected cases of pancreatic cancer but even more so in other complex pancreatic tumors.

  18. Translation Invariant Extensions of Finite Volume Measures

    NASA Astrophysics Data System (ADS)

    Goldstein, S.; Kuna, T.; Lebowitz, J. L.; Speer, E. R.

    2017-02-01

    We investigate the following questions: Given a measure μ _Λ on configurations on a subset Λ of a lattice L, where a configuration is an element of Ω ^Λ for some fixed set Ω , does there exist a measure μ on configurations on all of L, invariant under some specified symmetry group of L, such that μ _Λ is its marginal on configurations on Λ ? When the answer is yes, what are the properties, e.g., the entropies, of such measures? Our primary focus is the case in which L=Z^d and the symmetries are the translations. For the case in which Λ is an interval in Z we give a simple necessary and sufficient condition, local translation invariance ( LTI), for extendibility. For LTI measures we construct extensions having maximal entropy, which we show are Gibbs measures; this construction extends to the case in which L is the Bethe lattice. On Z we also consider extensions supported on periodic configurations, which are analyzed using de Bruijn graphs and which include the extensions with minimal entropy. When Λ subset Z is not an interval, or when Λ subset Z^d with d>1, the LTI condition is necessary but not sufficient for extendibility. For Z^d with d>1, extendibility is in some sense undecidable.

  19. Ultra-wide-field and autofluorescence imaging of choroidal dystrophies.

    PubMed

    Yuan, Alex; Kaines, Andrew; Jain, Atul; Reddy, Shantan; Schwartz, Steven D; Sarraf, David

    2010-10-28

    The authors retrospectively identified 2 cases of gyrate atrophy, 3 cases of choroideremia, and 1 case of the carrier state of choroideremia who underwent ultra-wide-field fundus photography and fluorescein angiography. The findings were studied and compared to standard fundus photography and fluorescein angiography. Gyrate atrophy demonstrated a diffuse confluent extent of chorioretinal atrophy extending from the anterior to the posterior pole to the periphery. Choroideremia demonstrated a patchy irregular pattern of chorioretinal atrophy extending from the posterior pole to the periphery. Peripheral reticular degeneration without chorioretinal atrophy was appreciated in the carrier state. Ultra-wide-field imaging of these choroidal dystrophies demonstrated distinctive patterns that may aid in their identification and diagnosis. Copyright 2010, SLACK Incorporated.

  20. Interaction between paliperidone extended release and TS-1(®), an oral anticancer drug containing a 5-fluorouracil derivative, in a schizophrenic patient.

    PubMed

    Yasui-Furukori, Norio; Hashimoto, Kojiro; Kubo, Kazutoshi; Tomita, Tetsu

    2013-01-01

    Until now there has been no information available on drug interaction between paliperidone and TS-1(®), an oral anticancer drug containing a 5-fluorouracil derivative. The patient in the case presented here was a 39-year-old man with a 15-year history of schizophrenia. The patient's usual treatment of 2 mg/day of risperidone was changed to 3 mg/day of paliperidone extended release. He experienced worsening psychotic symptoms after switching from risperidone to paliperidone while he was also receiving TS-1. Retrospective analyses showed plasma concentration of paliperidone was consistently lower during the treatment with TS-1 than without TS-1. This case suggests there is drug interaction between paliperidone extended-release tablets and TS-1.

  1. Hypertext Interchange Using ICA.

    ERIC Educational Resources Information Center

    Rada, Roy; And Others

    1995-01-01

    Discusses extended ICA (Integrated Chameleon Architecture), a public domain toolset for generating text-to-hypertext translators. A system called SGML-MUCH has been developed using E-ICA (Extended Integrated Chameleon Architecture) and is presented as a case study with converters for the hypertext systems MUCH, Guide, Hyperties, and Toolbook.…

  2. An evaluation of the effectiveness of FreshCase technology to extend the storage life of whole muscle beef and ground beef.

    PubMed

    Yang, X; Woerner, D R; Hasty, J D; McCullough, K R; Geornaras, I; Sofos, J N; Belk, K E

    2016-11-01

    The objective of this study was to identify the maximum time of refrigerated storage before aerobic psychrotrophic bacteria (APB) grew to a level indicative of spoilage (7 log cfu/g) or other indicators of spoilage were observed for whole muscle beef and ground beef packaged using FreshCase technology. Storage life for beef steaks stored in FreshCase packages at 4°C was 36 d, with ground beef stored in FreshCase packages at 4°C lasting 10 d. Additionally, greater ( < 0.05) a* (redness) values were detected in FreshCase packaged samples of both beef steaks and ground beef over storage time. At the point of spoilage, off-odors were detected at very low levels in all samples along with low thiobarbituric acid values (< 2 mg malonaldehyde/kg). Therefore, use of FreshCase technology in whole muscle beef and ground beef is a viable option to extend storage life.

  3. The effect of viscosity on steady transonic flow with a nodal solution topology

    NASA Technical Reports Server (NTRS)

    Owocki, Stanley P.; Zank, Gary P.

    1991-01-01

    The effect of viscosity on a steady, transonic flow for which the inviscid limit has a nodal solution topology near the critical point is investigated. For the accelerating case, viscous solutions tend to repel each other, so that a very delicate choice of initial conditions is required to prevent them from diverging. Only the two critical solutions extend to arbitrarily large distances into both the subsonic and supersonic flows. For the decelerating case, the solutions tend to attract, and so an entire two-parameter family of solutions now extends over large distances. The general effect of viscosity on the solution degeneracy of a nodal topology is thus to reduce or limit it for the accelerating case and to enhance it for the decelerating case. The astrophysical implications of these findings are addressed.

  4. Expanded Outreach at Clemson University. A Case Study.

    ERIC Educational Resources Information Center

    Bennett, A. Wayne

    This paper summarizes recent strategic planning activities at Clemson University, focusing on outreach and extended education goals at the university. Specific benchmarks for outreach and extended education include: (1) by May 1994, each department will develop an operational definition of its public service mission, an action plan to integrate…

  5. Extended Stay: Factors Contributing to Success or Failure When African Presidents Attempt to Amend Constitutions to Hold on to Power

    DTIC Science & Technology

    2017-06-01

    not. Specifically, the study focuses on societal factors that impose constraints upon leaders attempting to extend or abolish term limits, paying...others have not. Specifically, the study focuses on societal factors that impose constraints upon leaders attempting to extend or abolish term limits... case methodology, the study investigates Blaise Compaore’s twenty-seven-year rule in Burkina Faso, comparing his successful extension of his mandate

  6. Device for remote operation of electrical disconnect

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

    Coleman, Jody Rustyn; Bobbitt, III, John Thomas

    Provided is a device for remote operation of an electrical disconnect. The device can include a handle clamp configured to be secured to an extending member of the electrical disconnect. The device can further include a case clamp configured to be secured to a rigid portion of the electrical disconnect. The device can further include a cable having an exterior sheath coaxially surrounding an inner cable. The inner cable can be coaxially slidable with respect to the exterior sheath. The inner cable can extend through an opening of the case clamp and be secured to the handle clamp. The devicemore » can further include an actuator configured to coaxially slide the inner cable such that the handle clamp is actuated towards the case clamp.« less

  7. Successful combined surgical approach in a rare case of retrotracheal goitre in a patient with anatomical impediments.

    PubMed

    Spartalis, E; Damaskos, C; Moris, D; Athanasiou, A; Spartalis, M; Karagkiouzis, G; Schizas, D; Dimitroulis, D; Tomos, P

    2018-01-01

    Diving goitres can descend the cervical region expanding directly into the thoracic cavity. In most cases, diving goitres extend into the anterosuperior compartment, but they may also extend behind the trachea. We herein present a case of a male patient with retrotracheal goitre and history of left thyroid lobectomy and median sternotomy for thoracic aortic aneurysm repair with graft placement. After detailed preoperative evaluation, the patient underwent surgical resection of the mass through a combined approach; the existing cervical incision and a right posterolateral mini-thoracotomy. The postoperative course of the patient was uncomplicated. One year after surgery, the patient is asymptomatic and disease-free. (Folia Morphol 2018; 77, 1: 166-169).

  8. Putting the Learning in Case Learning? The Effects of Case-Based Approaches on Student Knowledge, Attitudes, and Engagement

    ERIC Educational Resources Information Center

    Krain, Matthew

    2016-01-01

    This study revisits case learning's effects on student engagement and assesses student learning as a result of the use of case studies and problem-based learning. The author replicates a previous study that used indirect assessment techniques to get at case learning's impact, and then extends the analysis using a pre- and post-test experimental…

  9. Robotic Surgical Education: a Collaborative Approach to Training Postgraduate Urologists and Endourology Fellows

    PubMed Central

    Mirheydar, Hossein; Jones, Marklyn; Koeneman, Kenneth S.

    2009-01-01

    Objective: Currently, robotic training for inexperienced, practicing surgeons is primarily done vis-à-vis industry and/or society-sponsored day or weekend courses, with limited proctorship opportunities. The objective of this study was to assess the impact of an extended-proctorship program at up to 32 months of follow-up. Methods: An extended-proctorship program for robotic-assisted laparoscopic radical prostatectomy was established at our institution. The curriculum consisted of 3 phases: (1) completing an Intuitive Surgical 2-day robotic training course with company representatives; (2) serving as assistant to a trained proctor on 5 to 6 cases; and (3) performing proctored cases up to 1 year until confidence was achieved. Participants were surveyed and asked to evaluate on a 5-point Likert scale their operative experience in robotics and satisfaction regarding their training Results: Nine of 9 participants are currently performing robotic-assisted laparoscopic radical prostatectomy (RALP) independently. Graduates of our program have performed 477 RALP cases. The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice. The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills. Conclusion: Our robotic program, with extended proctoring, has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community. PMID:19793464

  10. Robotic surgical education: a collaborative approach to training postgraduate urologists and endourology fellows.

    PubMed

    Mirheydar, Hossein; Jones, Marklyn; Koeneman, Kenneth S; Sweet, Robert M

    2009-01-01

    Currently, robotic training for inexperienced, practicing surgeons is primarily done vis-à-vis industry and/or society-sponsored day or weekend courses, with limited proctorship opportunities. The objective of this study was to assess the impact of an extended-proctorship program at up to 32 months of follow-up. An extended-proctorship program for robotic-assisted laparoscopic radical prostatectomy was established at our institution. The curriculum consisted of 3 phases: (1) completing an Intuitive Surgical 2-day robotic training course with company representatives; (2) serving as assistant to a trained proctor on 5 to 6 cases; and (3) performing proctored cases up to 1 year until confidence was achieved. Participants were surveyed and asked to evaluate on a 5-point Likert scale their operative experience in robotics and satisfaction regarding their training. Nine of 9 participants are currently performing robotic-assisted laparoscopic radical prostatectomy (RALP) independently. Graduates of our program have performed 477 RALP cases. The mean number of cases performed within phase 3 was 20.1 (range, 5 to 40) prior to independent practice. The program received a rating of 4.2/5 for effectiveness in teaching robotic surgery skills. Our robotic program, with extended proctoring, has led to an outstanding take-rate for disseminating robotic skills in a metropolitan community.

  11. Renal cell carcinoma with inferior vena cava thrombus extending to the right atrium diagnosed during pregnancy.

    PubMed

    Ghanney, Efe C; Cavallo, Jaime A; Levin, Matthew A; Reddy, Ramachandra; Bander, Jeffrey; Mella, Maria; Stone, Joanne; Schwartz, Myron; Haines, Kenneth; Gidwani, Umesh; Mehrazin, Reza

    2017-12-01

    Only one case of renal cell carcinoma (RCC) with inferior vena cava (IVC) tumor thrombus diagnosed and treated during pregnancy has been reported in the literature. In that report, the tumor thrombus extended to the infrahepatic IVC (level II tumor thrombus). In the present case, a 37-year-old woman with lupus anticoagulant antibodies was diagnosed with RCC and IVC tumor thrombus extending to the right atrium (level IV tumor thrombus) at 24 weeks of pregnancy. The fetus was safely delivered by cesarean section at 30 weeks of gestation. At 4 days later, an open right radical nephrectomy and IVC and right atrial thrombectomy were performed on cardiopulmonary bypass (CPB) once the patient's hemodynamic status had been optimized. Fetal and maternal concerns included the risk of a thromboembolic event (due to increased hypercoagulability from pregnancy, active malignancy, and lupus anticoagulant), intraoperative hemorrhage risk (due to extensive venous collaterals and anticoagulation), and fetal morbidity and mortality (due to fetal lung immaturity). Standardized guidelines for treatment of RCC with or without IVC tumor thrombus during pregnancy are unavailable due to the infrequency of such cases. Treatment decisions are therefore individualized and this case report may inform the management of future patients diagnosed with RCC with level IV tumor thrombus during pregnancy.

  12. 36 CFR 13.148 - Permit application.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 36 Parks, Forests, and Public Property 1 2011-07-01 2011-07-01 false Permit application. 13.148... 1, 1978 § 13.148 Permit application. In order to obtain, renew or extend a permit, a claimant shall submit a written application. In the case of an application to renew or extend a permit issued pursuant...

  13. 36 CFR 13.148 - Permit application.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 36 Parks, Forests, and Public Property 1 2010-07-01 2010-07-01 false Permit application. 13.148... 1, 1978 § 13.148 Permit application. In order to obtain, renew or extend a permit, a claimant shall submit a written application. In the case of an application to renew or extend a permit issued pursuant...

  14. Extended Metaphors for Pedagogy: Using Sameness and Difference

    ERIC Educational Resources Information Center

    Carter, Susan; Pitcher, Rod

    2010-01-01

    This article looks at the use of extended metaphor in teaching. Our case studies as two teachers using metaphor in different settings show how metaphor is experienced by learners to different pedagogical effect. The article demonstrates that metaphor can be used not only for the similarity between vehicle and target systems, but also for the…

  15. Extended Attribute Constructions in German Radio Newscasts: Analysis and Implications

    ERIC Educational Resources Information Center

    Wipf, Joseph

    2004-01-01

    Although a number of word-frequency lists exist in German, there is an absence of studies investigating the relative frequency with which various grammatical structures are used. Traditionally, extended modifiers have been most prevalent in written German. Based on an analysis of authentic radio news broadcasts, this article makes the case that…

  16. Simultaneous Generalizations of the Theorems of Ceva and Menelaus for Field Planes

    ERIC Educational Resources Information Center

    Houston, Kelly B.; Powers, Robert C.

    2009-01-01

    In 1992, Klamkin and Liu proved a very general result in the Extended Euclidean Plane that contains the theorems of Ceva and Menelaus as special cases. In this article, we extend the Klamkin and Liu result to projective planes "PG"(2, F) where F is a field. (Contains 2 figures.)

  17. Water supply management using an extended group fuzzy decision-making method: a case study in north-eastern Iran

    NASA Astrophysics Data System (ADS)

    Minatour, Yasser; Bonakdari, Hossein; Zarghami, Mahdi; Bakhshi, Maryam Ali

    2015-09-01

    The purpose of this study was to develop a group fuzzy multi-criteria decision-making method to be applied in rating problems associated with water resources management. Thus, here Chen's group fuzzy TOPSIS method extended by a difference technique to handle uncertainties of applying a group decision making. Then, the extended group fuzzy TOPSIS method combined with a consistency check. In the presented method, initially linguistic judgments are being surveyed via a consistency checking process, and afterward these judgments are being used in the extended Chen's fuzzy TOPSIS method. Here, each expert's opinion is turned to accurate mathematical numbers and, then, to apply uncertainties, the opinions of group are turned to fuzzy numbers using three mathematical operators. The proposed method is applied to select the optimal strategy for the rural water supply of Nohoor village in north-eastern Iran, as a case study and illustrated example. Sensitivity analyses test over results and comparing results with project reality showed that proposed method offered good results for water resources projects.

  18. Possible Very Distant or Optically Dark Cluster of Galaxies

    NASA Technical Reports Server (NTRS)

    Vikhlinin, Alexey; Mushotzky, Richard (Technical Monitor)

    2003-01-01

    The goal of this proposal was an XMM followup observation of the extended X-ray source detected in our ROSAT PSPC cluster survey. Approximately 95% of extended X-ray sources found in the ROSAT data were optically identified as clusters of galaxies. However, we failed to find any optical counterparts for C10952-0148. Two possibilities remained prior to the XMM observation: (1) This is was a very distant or optically dark cluster of galaxies, too faint in the optical, in which case XMM would easily detect extended X-ray emission and (2) this was a group of point-like sources, blurred to a single extended source in the ROSAT data, but easily resolvable by XMM due to a better energy resolution. The XMM data have settled the case --- C10952-0148 is a group of 7 relatively bright point sources located within 1 square arcmin. All but one source have no optical counterparts down to I=22. Potentially, this can be an interesting group of quasars at a high redshift. We are planning further optical and infrared followup of this system.

  19. Asymptotics of QCD traveling waves with fluctuations and running coupling effects

    NASA Astrophysics Data System (ADS)

    Beuf, Guillaume

    2008-09-01

    Extending the Balitsky-Kovchegov (BK) equation independently to running coupling or to fluctuation effects due to pomeron loops is known to lead in both cases to qualitative changes of the traveling-wave asymptotic solutions. In this paper we study the extension of the forward BK equation, including both running coupling and fluctuations effects, extending the method developed for the fixed coupling case [E. Brunet, B. Derrida, A.H. Mueller, S. Munier, Phys. Rev. E 73 (2006) 056126, cond-mat/0512021]. We derive the exact asymptotic behavior in rapidity of the probabilistic distribution of the saturation scale.

  20. Retropharyngeal abscess with mediastinal extension in an infant--still existing?

    PubMed

    Bakshi, Rijuneeta; Grover, Gogia

    2009-03-01

    The objective of the present case report was to note that despite the low incidence of retropharyngeal abscess in the present antibiotic era, children, especially infants, can develop this condition. If early diagnosis is missed, the abscess may extend into the mediastinum and can be life threatening. Case reports of mediastinal abscess in the past literature along with the current case. The present case was successfully managed by surgical drainage of the abscess via transcervical route along with intravenous antibiotic therapy, and the recovery was uneventful. Although the incidence of retropharyngeal abscess has declined with the widespread use of antibiotics, the presenting symptom can be overlooked in a pediatric population, especially infants, and can extend along the fascial planes to the mediastinum when the recovery becomes difficult. The present report is an effort to draw attention to this life-threatening complication of retropharyngeal abscess, emphasize the role of early diagnosis, and prompt surgical management.

  1. VEB-1 Extended-Spectrum β-lactamase–producing Acinetobacter baumannii, France1

    PubMed Central

    Coignard, Bruno; Carbonne, Anne; Blanckaert, Karine; Bajolet, Odile; Bernet, Claude; Verdeil, Xavier; Astagneau, Pascal; Desenclos, Jean-Claude; Nordmann, Patrice

    2006-01-01

    VEB-1 extended-spectrum β-lactamase–producing Acinetobacter baumannii was responsible for an outbreak in hospitals in France. A national alert was triggered in September 2003 when 4 hospitals reported clusters of A. baumannii infection with similar susceptibility profiles. Case definitions and laboratory guidelines were disseminated, and prospective surveillance was implemented; strains were sent to a single laboratory for characterization and typing. From April 2003 through June 2004, 53 hospitals reported 290 cases of A. baumannii infection or colonization; 275 isolates were blaVEB-1-positive and clonally related. Cases were first reported in 5 districts of northern France, then in 10 other districts in 4 regions. Within a region, interhospital spread was associated with patient transfer. In northern France, investigation and control measures led to a reduction of reported cases after January 2004. The national alert enabled early control of new clusters, demonstrating the usefulness of early warning about antimicrobial drug resistance. PMID:16965700

  2. Bussing Structure In An Electrochemical Cell

    DOEpatents

    Romero, Antonio L.

    2001-06-12

    A bussing structure for bussing current within an electrochemical cell. The bussing structure includes a first plate and a second plate, each having a central aperture therein. Current collection tabs, extending from an electrode stack in the electrochemical cell, extend through the central aperture in the first plate, and are then sandwiched between the first plate and second plate. The second plate is then connected to a terminal on the outside of the case of the electrochemical cell. Each of the first and second plates includes a second aperture which is positioned beneath a safety vent in the case of the electrochemical cell to promote turbulent flow of gasses through the vent upon its opening. The second plate also includes protrusions for spacing the bussing structure from the case, as well as plateaus for connecting the bussing structure to the terminal on the case of the electrochemical cell.

  3. An Extended Case Study Methoology for Investigating Influence of Cultural, Organizational, and Automation Factors on Human-Automation Trust

    NASA Technical Reports Server (NTRS)

    Koltai, Kolina Sun; Ho, Nhut; Masequesmay, Gina; Niedober, David; Skoog, Mark; Johnson, Walter; Cacanindin, Artemio

    2014-01-01

    This paper discusses a case study that examined the influence of cultural, organizational and automation capability upon human trust in, and reliance on, automation. In particular, this paper focuses on the design and application of an extended case study methodology, and on the foundational lessons revealed by it. Experimental test pilots involved in the research and development of the US Air Forces newly developed Automatic Ground Collision Avoidance System served as the context for this examination. An eclectic, multi-pronged approach was designed to conduct this case study, and proved effective in addressing the challenges associated with the cases politically sensitive and military environment. Key results indicate that the system design was in alignment with pilot culture and organizational mission, indicating the potential for appropriate trust development in operational pilots. These include the low-vulnerabilityhigh risk nature of the pilot profession, automation transparency and suspicion, system reputation, and the setup of and communications among organizations involved in the system development.

  4. The dynamics of utilization review: a case study of 44 Massachusetts hospitals.

    PubMed

    Gertman, P M; Egdahl, R E

    1978-10-01

    Utilization review programs have existed on a national basis for over a decade, but relatively little is known about the patients who are scrutinized and what actions are taken to correct unnecessary use. In the fall of 1976, 44 of the 122 Massachusetts hospitals participated in a two-week in depth study of their utilization review activities. Over 22,000 admission and extended stay reviews were performed during this time period, and of these, 2,120 patients' continued stays in the hospital were questioned. In five admission review cases and 79 extended stay review cases, the UR committee formally terminated continued health insurance benefits, and in 12 admission reviews and 74 extended stay reviews, questioning by the UR committee led the attending physician to discharge the patient earlier than would have otherwise occurred. Ninety-four percent of the terminations occurred in Medicare patients and the median age of these patients exceeded 80 years. For medical patients, a disproportionate share of all those cases questioned and of those terminated occurred in chronic illness categories, such as cancer, heart failure, and organic brain syndromes. A higher than expected percentage of surgical cases questioned by the UR committee were in neurosurgical, cardiovascular and orthopedic procedure groups. The frequency with which UR committees identified and acted upon cases suggests that effective self-policing is occurring. A large portion of the utilization problem, however, may be related to the unavailability of appropriate sub-acute care for patients with chronic medical illness or surgical procedures which require long postoperative rehabilitation and recuperation.

  5. Snapshots of Student Thinking: An Exploration of Video Cases for Extending Prospective Teachers' Knowledge

    ERIC Educational Resources Information Center

    Pitts Bannister, Vanessa R.; Mariano, Gina J.

    2013-01-01

    The purpose of this article is to explore the relationships between prospective teachers' content knowledge, student understanding, and pedagogy using video cases. The emphasis was on the extent to which the participants utilized constructs of Technology Pedagogy And Content Knowledge. Ten prospective teachers viewed video cases of students…

  6. NUCLEAR REACTOR

    DOEpatents

    Starr, C.

    1963-01-01

    This patent relates to a combination useful in a nuclear reactor and is comprised of a casing, a mass of graphite irapregnated with U compounds in the casing, and at least one coolant tube extending through the casing. The coolant tube is spaced from the mass, and He is irtroduced irto the space between the mass and the coolant tube. (AEC)

  7. Mineral scale management. Part 1, Case studies

    Treesearch

    Peter W. Hart; Alan W. Rudie

    2006-01-01

    Mineral scale increases operating costs, extends downtime, and increases maintenance requirements. This paper presents several successful case studies detailing how mills have eliminated scale. Cases presented include calcium carbonate scale in a white liquor strainer, calcium oxalate scale in the D0 stage of the bleach plant, enzymatic treatment of brown stock to...

  8. Extending the boundaries of the Declaration of Helsinki: a case study of an unethical experiment in a non-medical setting

    PubMed Central

    Richter, E.; Barach, P.; Berman, T.; Ben-David, G; Weinberger, Z.

    2001-01-01

    To examine the ethical issues involved in governmental decisions with potential health risks, we review the history of the decision to raise the interurban speed limit in Israel in light of its impact on road death and injury. In 1993, the Israeli Ministry of Transportation initiated an "experiment" to raise the interurban speed limit from 90 to 100 kph. The "experiment" did not include a protocol and did not specify cut-off points for early termination in the case of adverse results. After the raise in the speed limit, the death toll on interurban roads rose as a result of a sudden increase in speeds and case fatality rates. The committee's decision is a case study in unfettered human experimentation and public health risks when the setting is non-medical and lacks a defined ethical framework. The case study states the case for extending Helsinki type safeguards to experimentation in non-medical settings. Key Words: Declaration of Helsinki • human experimentation • speed limit PMID:11314157

  9. Venusian extended ejecta deposits as time-stratigraphic markers

    NASA Technical Reports Server (NTRS)

    Izenberg, Noam R.

    1992-01-01

    Use of impact crater ejects at time-stratigraphic markers was established during lunar geologic mapping efforts. The basic premise is that the deposition of impact ejecta, either by itself or mixed with impact-excavated material, is superimposed on a surface. The deposit becomes an observable, mappable unit produced in a single instant in geologic time. Up to two-thirds of Venus craters exhibit extended ejecta deposits. A reconnaissance survey of 336 craters (about 40 percent of the total population) was conducted. About half the craters examined were located in and around the Beta-Atla-Themis region, and half were spread over the western hemisphere of the planet. The survey was conducted using primarily C1-MIDR images. The preliminary survey shows: (1) of the 336 craters, 223 were found to have extended ejecta deposits. This proportion is higher than that found in other Venus crater databases by up to a factor of 2. (2) 53 percent of all extended ejecta craters were unambiguously superimposed on all volcanic and tectonic units. Crater Annia Faustina's associated parabolic ejecta deposit is clearly superimposed on volcanic flows coming from Gula Mons to the west. Parabola material from Faustina has covered the lava flows, smoothing the surface and reducing its specific backscatter cross section. The stratigraphy implies that the parabola material is the youngest observable unit in the region. (3) 12 percent of extended ejecta deposits are superimposed by volcanic materials. Crater Hwangcini has extended ejecta that has been covered by volcanic flows from a dome field to the northwest, implying that the volcanic units were emplaced subsequent to the ejecta deposit and are the youngest units in the locality. (4) It is difficult to determine the stratigraphic relationships of the remaining extended ejecta deposits in SAR at C1-MIDR resolution. Examination of higher resolution images and application of the other Magellan datasets in systematic manner should resolve most of the ambiguous cases. Results from the preliminary survey indicate that extended ejecta deposits are effective time-statigraphic markers for the localities. If stratigraphic relationships between the deposits and surrounding units are studied on a case-by-case basis over the whole planet, they should provide useful constraints on Venus history and development of the surface through time. The continuation of the research will expand the study to include the entire crater population and the Magellan emissivity, altimetry, reflectivity, and rms slope datasets.

  10. Incidental irradiation of mediastinal and hilar lymph node stations during 3D-conformal radiotherapy for non-small cell lung cancer.

    PubMed

    Kepka, Lucyna; Bujko, Krzysztof; Zolciak-Siwinska, Agnieszka; Garmol, Dariusz

    2008-01-01

    To estimate the doses of incidental irradiation in particular lymph node stations (LNS) in different extents of elective nodal irradiation (ENI) in 3D-conformal radiotherapy (3D-CRT) for non-small cell lung cancer (NSCLC). METHODS; Doses of radiotherapy were estimated for particular LNS delineated according to the recommendations of the University of Michigan in 220 patients treated using 3D-CRT with different (extended, limited and omitted) extents of ENI. Minimum doses and volumes of LNS receiving 40 Gy or more (V40) were compared for omitted vs. limited+ extended ENI and limited vs. extended ENI. For omission of the ENI the minimum doses and V40 for particular LNS were significantly lower than for patients treated with ENI. For the limited ENI group, the minimum doses for LNS 5, 6 lower parts of 3A and 3P (not included in the elective area) did not differ significantly from doses given to respective LNS for extended ENI group. When the V40 values for extended and limited ENI were compared, no significant differences were seen for any LNS, except for group 1/2R, 1/2L. Incidental irradiation of untreated LNS seems play a part in case of limited ENI, but not in cases without ENI. For subclinical disease the delineation of uninvolved LNS 5, 6, and lower parts of 3A, 3P may be not necessary, because these stations receive the substantial part of irradiation incidentally, if LNS 4R, 4L, 7, and ipsilateral hilum are included in the elective area while this is not case for stations 1 and 2.

  11. Application Of The Iberdrola Licensing Methodology To The Cofrentes BWR-6 110% Extended Power Up-rate

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

    Mata, Pedro; Fuente, Rafael de la; Iglesias, Javier

    Iberdrola (spanish utility) and Iberdrola Ingenieria (engineering branch) have been developing during the last two years the 110% Extended Power Up-rate Project (EPU 110%) for Cofrentes BWR-6. IBERDROLA has available an in-house design and licensing reload methodology that has been approved by the Spanish Nuclear Regulatory Authority. This methodology has been already used to perform the nuclear design and the reload licensing analysis for Cofrentes cycles 12 to 14. The methodology has been also applied to develop a significant number of safety analysis of the Cofrentes Extended Power Up-rate including: Reactor Heat Balance, Core and Fuel performance, Thermal Hydraulic Stability,more » ECCS LOCA Evaluation, Transient Analysis, Anticipated Transient Without Scram (ATWS) and Station Blackout (SBO) Since the scope of the licensing process of the Cofrentes Extended Power Up-rate exceeds the range of analysis included in the Cofrentes generic reload licensing process, it has been required to extend the applicability of the Cofrentes licensing methodology to the analysis of new transients. This is the case of the TLFW transient. The content of this paper shows the benefits of having an in-house design and licensing methodology, and describes the process to extend the applicability of the methodology to the analysis of new transients. The case of analysis of Total Loss of Feedwater with the Cofrentes Retran Model is included as an example of this process. (authors)« less

  12. Extending the range of differential diagnosis of chronic traumatic encephalopathy of the boxer: Insights from a case report

    PubMed Central

    Caixeta, Leonardo; Dangoni, Iron; de Sousa, Rafael Dias; Soares, Pedro Paulo Dias; Mendonça, Andreia Costa Rabelo

    2018-01-01

    ABSTRACT Sports activities associated with repetitive cranial trauma have become a fad and are popular in gyms and even among children. It is important to consistently characterize the consequences of such sports activities in order to better advise society on the real risks to the central nervous system. We present the case of a former boxer reporting cognitive and behavioral symptoms that began six years after his retirement as a boxer, evolving progressively with parkinsonian and cerebellar features suggestive of probable chronic traumatic encephalopathy (CTE). Using our case as a paradigm, we extended the range of differential diagnosis of CTE, including corticobasal degeneration, multiple system atrophy, vitamin B12 deficiency, neurosyphilis, frontotemporal dementia and Alzheimer’s disease. PMID:29682240

  13. On Faraday's law in the presence of extended conductors

    NASA Astrophysics Data System (ADS)

    Bilbao, Luis

    2018-06-01

    The use of Faraday's Law of induction for calculating the induced currents in an extended conducting body is discussed. In a general case with arbitrary geometry, the solution to the problem of a moving metal object in the presence of a magnetic field is difficult and implies solving Maxwell's equations in a time-dependent situation. In many cases, including cases with good conductors (but not superconductors) Ampère's Law can be neglected and a simpler solution based solely in Faraday's law can be obtained. The integral form of Faraday's Law along any loop in the conducting body is equivalent to a Kirkhhoff's voltage law of a circuit. Therefore, a numerical solution can be obtained by solving a linear system of equations corresponding to a discrete number of loops in the body.

  14. ECG denoising using angular velocity as a state and an observation in an Extended Kalman Filter framework.

    PubMed

    Akhbari, Mahsa; Shamsollahi, Mohammad B; Jutten, Christian; Coppa, Bertrand

    2012-01-01

    In this paper an efficient filtering procedure based on Extended Kalman Filter (EKF) has been proposed. The method is based on a modified nonlinear dynamic model, previously introduced for the generation of synthetic ECG signals. The proposed method considers the angular velocity of ECG signal, as one of the states of an EKF. We have considered two cases for observation equations, in one case we have assumed a corresponding observation to angular velocity state and in the other case, we have not assumed any observations for it. Quantitative evaluation of the proposed algorithm on the MIT-BIH Normal Sinus Rhythm Database (NSRDB) shows that an average SNR improvement of 8 dB is achieved for an input signal of -4 dB.

  15. [Chemotherapy in metastasing breast cancer--is it beneficial?].

    PubMed

    Høgsberg, I M; Nielsen, M M; Cold, S; Rose, C

    1994-10-31

    Carcinoma of the breast is the most common type of cancer among women in Denmark (3,000 new cases a year). About half of the patients will at some time develop metastases. Treatment of extended disease is controversial. Public discussion has focused on whether it is desirable to treat these patients with chemotherapy or not. This case story describes four cases with long term survival (nine, ten, 14, 19 years after début of metastases). This underlines that it is possible within the existing types of treatment to achieve both extended survival and acceptable life quality. The doctor's dilemma is that he does not know whom treatment helps. We conclude that treatment should be offered to all patients. This will be of benefit to the whole group.

  16. Lithium carbonate as a treatment for paliperidone extended-release-induced leukopenia and neutropenia in a patient with schizoaffective disorder; a case report.

    PubMed

    Matsuura, Hiroki; Kimoto, Sohei; Harada, Izumi; Naemura, Satoshi; Yamamuro, Kazuhiko; Kishimoto, Toshifumi

    2016-05-26

    Antipsychotic drug treatment can potentially lead to adverse events such as leukopenia and neutropenia. Although these events are rare, they represent serious and life-threatening hematological side effects. We present a case study of a patient with schizoaffective disorder in a 50-year-old woman. We report a case of paliperidone extended-release (ER)-induced leukopenia and neutropenia in a female patient with schizoaffective disorder. Initiating lithium carbonate treatment and decreasing the dose of valproic acid improved the observed leukopenia and neutropenia. This treatment did not influence psychotic symptoms. The combination of paliperidone ER and valproic acid induces increased paliperidone ER plasma levels. Lithium carbonate was successfully used to treat paliperidone ER-induced leukopenia and neutropenia.

  17. LETTER TO THE EDITOR: On the relations between the zero-field splitting parameters in the extended Stevens operator notation and the conventional ones used in EMR for orthorhombic and lower symmetry

    NASA Astrophysics Data System (ADS)

    Rudowicz, C.

    2000-06-01

    Electron magnetic resonance (EMR) studies of paramagnetic species with the spin S ≥ 1 at orthorhombic symmetry sites require an axial zero-field splitting (ZFS) parameter and a rhombic one of the second order (k = 2), whereas at triclinic sites all five ZFS (k = 2) parameters are expressed in the crystallographic axis system. For the spin S ≥ 2 also the higher-order ZFS terms must be considered. In the principal axis system, instead of the five ZFS (k = 2) parameters, the two principal ZFS values can be used, as for orthorhombic symmetry; however, then the orientation of the principal axes with respect to the crystallographic axis system must be provided. Recently three serious cases of incorrect relations between the extended Stevens ZFS parameters and the conventional ones have been identified in the literature. The first case concerns a controversy concerning the second-order rhombic ZFS parameters and was found to have lead to misinterpretation, in a review article, of several values of either E or b22 published earlier. The second case concerns the set of five relations between the extended Stevens ZFS parameters bkq and the conventional ones Dij for triclinic symmetry, four of which turn out to be incorrect. The third case concerns the omission of the scaling factors fk for the extended Stevens ZFS parameters bkq. In all cases the incorrect relations in question have been published in spite of the earlier existence of the correct relations in the literature. The incorrect relations are likely to lead to further misinterpretation of the published values of the ZFS parameters for orthorhombic and lower symmetry. The purpose of this paper is to make the spectroscopists working in the area of EMR (including EPR and ESR) and related spectroscopies aware of the problem and to reduce proliferation of the incorrect relations.

  18. 76 FR 35403 - Certain Frozen Fish Fillets From the Socialist Republic of Vietnam: Final Results of the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-06-17

    ... opportunity to comment on the Preliminary Results and, based upon our analysis of the comments and information... reviews. We extended the deadlines for submission of surrogate value comments and case briefs.\\2\\ On March..., Office 9, to Interested Parties: Extending Surrogate Value Submission & Briefing Schedule for New Shipper...

  19. Extending Library Services to Remote Sites: Regis University as Case Study.

    ERIC Educational Resources Information Center

    Potter, Susan; Boyd, Sandra Hughes

    This report considers the ways that the Regis University (Colorado) library has addressed needs created by new adult education programs offered at 10 campus locations in the region, 15 prison sites, a number of corporations, and through independent study. Creation of a new position for a full-time librarian for extended library services and…

  20. Extended School Year: Legal and Practical Considerations for Educators

    ERIC Educational Resources Information Center

    Burke, Meghan M.; Decker, Janet R.

    2017-01-01

    This article clarifies what extended school year (ESY) is and who is eligible for it. It also describes, how it looks different for individual students, where and when it can be provided, and how to determine whether students are eligible. To illustrate common challenges in determining ESY, vignettes are provided based on four students' cases.…

  1. 78 FR 44121 - FCC Extends Reply Comment Dates for Indecency Cases Policy

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-23

    ... FEDERAL COMMUNICATIONS COMMISSION [GN Docket No. 13-86; DA 13-1560] FCC Extends Reply Comment... number of this Notice, GN Docket No. 13-86, on the front page. The Public Notice, DA 13-1560, released... documents from BCPI, please provide the appropriate FCC document number DA 13-1560. The Public Notice is...

  2. 13 CFR 120.839 - Case-by-case application to make a 504 loan outside of a CDC's Area of Operations.

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... 504 loan outside of a CDC's Area of Operations. 120.839 Section 120.839 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Development Company Loan Program (504) Extending A Cdc's Area of Operations § 120.839 Case-by-case application to make a 504 loan outside of a CDC's Area of...

  3. 13 CFR 120.839 - Case-by-case application to make a 504 loan outside of a CDC's Area of Operations.

    Code of Federal Regulations, 2010 CFR

    2010-01-01

    ... 504 loan outside of a CDC's Area of Operations. 120.839 Section 120.839 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Development Company Loan Program (504) Extending A Cdc's Area of Operations § 120.839 Case-by-case application to make a 504 loan outside of a CDC's Area of...

  4. 13 CFR 120.839 - Case-by-case application to make a 504 loan outside of a CDC's Area of Operations.

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... 504 loan outside of a CDC's Area of Operations. 120.839 Section 120.839 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Development Company Loan Program (504) Extending A Cdc's Area of Operations § 120.839 Case-by-case application to make a 504 loan outside of a CDC's Area of...

  5. 13 CFR 120.839 - Case-by-case application to make a 504 loan outside of a CDC's Area of Operations.

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... 504 loan outside of a CDC's Area of Operations. 120.839 Section 120.839 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Development Company Loan Program (504) Extending A Cdc's Area of Operations § 120.839 Case-by-case application to make a 504 loan outside of a CDC's Area of...

  6. 13 CFR 120.839 - Case-by-case application to make a 504 loan outside of a CDC's Area of Operations.

    Code of Federal Regulations, 2013 CFR

    2013-01-01

    ... 504 loan outside of a CDC's Area of Operations. 120.839 Section 120.839 Business Credit and Assistance SMALL BUSINESS ADMINISTRATION BUSINESS LOANS Development Company Loan Program (504) Extending A Cdc's Area of Operations § 120.839 Case-by-case application to make a 504 loan outside of a CDC's Area of...

  7. Exclusion Bounds for Extended Anyons

    NASA Astrophysics Data System (ADS)

    Larson, Simon; Lundholm, Douglas

    2018-01-01

    We introduce a rigorous approach to the many-body spectral theory of extended anyons, that is quantum particles confined to two dimensions that interact via attached magnetic fluxes of finite extent. Our main results are many-body magnetic Hardy inequalities and local exclusion principles for these particles, leading to estimates for the ground-state energy of the anyon gas over the full range of the parameters. This brings out further non-trivial aspects in the dependence on the anyonic statistics parameter, and also gives improvements in the ideal (non-extended) case.

  8. Bupropion XL-induced motor and vocal tics.

    PubMed

    Kayhan, Fatih; Uguz, Faruk; Kayhan, Ayşegül; Toktaş, Fikriye Ilay

    2014-01-01

    Tics are stereotypical repetitive involuntary movements (motor tics) or sounds (vocal tics). Although the emergence of tics were reported in a few cases with the use of selective serotonin reuptake inhibitors, there was no case with bupropion extended-release (Bupropion XL). The current case report presents a male patient developing motor and vocal tics with the use of bupropion XL.

  9. 75 FR 26199 - Certain Frozen Fish Fillets from the Socialist Republic of Vietnam: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-05-11

    ... deadlines for submission of surrogate value data, surrogate value rebuttal comments, case and rebuttal briefs. See Memorandum to the File, from Javier Barrientos, Senior Case Analyst, Certain Frozen Fish... extended the deadlines for submission of case and rebuttal briefs. See Memorandum to the File, from Javier...

  10. 75 FR 30374 - Certain Frozen Fish Fillets from the Socialist Republic of Vietnam: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-06-01

    ... for submission of surrogate value data, surrogate value rebuttal comments, case and rebuttal briefs. See Memorandum to the File, from Javier Barrientos, Senior Case Analyst, Certain Frozen Fish Fillets... extended the deadlines for submission of case and rebuttal briefs. See Memorandum to the File, from Javier...

  11. The case of Ms B: suicide's slippery slope?

    PubMed

    Keown, J

    2002-08-01

    In the case of Ms B, the High Court ruled that as Ms B was a competent adult patient, her doctors acted unlawfully in overriding her refusal of life-preserving ventilation. This commentary considers whether this case supports the proposition that in English law the right to refuse treatment extends even to refusals which are clearly suicidal.

  12. The effect of nabilone on neuropsychological functions related to driving ability: an extended case series.

    PubMed

    Kurzthaler, Ilsemarie; Bodner, Thomas; Kemmler, Georg; Entner, Tanja; Wissel, Joerg; Berger, Thomas; Fleischhacker, W Wolfgang

    2005-06-01

    The primary goal of this prospective extended case series was to obtain the first data about the potential influence of nabilone intake on driving ability related neuropsychological functions. Six patients were investigated within a placebo controlled, double-blind crossover study of this synthetic cannabinoid (2 mg/day) in patients with multiple sclerosis and spasticity associated pain. Five neuropsychological functions (reaction time, working memory, divided attention, psychomotor speed and mental flexibility) were assessed. No indication was found of a deterioration of any of the five investigated neuropsychological functions during the 4-week treatment period with nabilone. Copyright 2005 John Wiley & Sons, Ltd.

  13. Nonlinear multivariable design by total synthesis. [of gas turbine engine control systems

    NASA Technical Reports Server (NTRS)

    Sain, M. K.; Peczkowski, J. L.

    1982-01-01

    The Nominal Design Problem (NDP) is extended to nonlinear cases, and a new case study of robust feedback synthesis for gas turbine control design is presented. The discussion of NDP extends and builds on earlier Total Synthesis Problem theory and ideas. Some mathematical preliminaries are given in which a bijection from a set S onto a set T is considered, with T admitting the structure of an F-vector space. NDP is then discussed for a nonlinear plant, and nonlinear nominal design is defined and characterized. The design of local controllers for a turbojet and the scheduling of these controls into a global control are addressed.

  14. Impaired inference in a case of developmental amnesia.

    PubMed

    D'Angelo, Maria C; Rosenbaum, R Shayna; Ryan, Jennifer D

    2016-10-01

    Amnesia is associated with impairments in relational memory, which is critically supported by the hippocampus. By adapting the transitivity paradigm, we previously showed that age-related impairments in inference were mitigated when judgments could be predicated on known pairwise relations, however, such advantages were not observed in the adult-onset amnesic case D.A. Here, we replicate and extend this finding in a developmental amnesic case (N.C.), who also shows impaired relational learning and transitive expression. Unlike D.A., N.C.'s damage affected the extended hippocampal system and diencephalic structures, and does not extend to neocortical areas that are affected in D.A. Critically, despite their differences in etiology and affected structures, N.C. and D.A. perform similarly on the task. N.C. showed intact pairwise knowledge, suggesting that he is able to use existing semantic information, but this semantic knowledge was insufficient to support transitive expression. The present results suggest a critical role for regions connected to the hippocampus and/or medial prefrontal cortex in inference beyond learning of pairwise relations. © 2016 The Authors Hippocampus Published by Wiley Periodicals, Inc. © 2016 The Authors. Wiley Periodicals, Inc.

  15. Improving rational thermal comfort prediction by using subpopulation characteristics: A case study at Hermitage Amsterdam

    PubMed Central

    Kramer, Rick; Schellen, Lisje; Schellen, Henk; Kingma, Boris

    2017-01-01

    ABSTRACT This study aims to improve the prediction accuracy of the rational standard thermal comfort model, known as the Predicted Mean Vote (PMV) model, by (1) calibrating one of its input variables “metabolic rate,” and (2) extending it by explicitly incorporating the variable running mean outdoor temperature (RMOT) that relates to adaptive thermal comfort. The analysis was performed with survey data (n = 1121) and climate measurements of the indoor and outdoor environment from a one year-long case study undertaken at Hermitage Amsterdam museum in the Netherlands. The PMVs were calculated for 35 survey days using (1) an a priori assumed metabolic rate, (2) a calibrated metabolic rate found by fitting the PMVs to the thermal sensation votes (TSVs) of each respondent using an optimization routine, and (3) extending the PMV model by including the RMOT. The results show that the calibrated metabolic rate is estimated to be 1.5 Met for this case study that was predominantly visited by elderly females. However, significant differences in metabolic rates have been revealed between adults and elderly showing the importance of differentiating between subpopulations. Hence, the standard tabular values, which only differentiate between various activities, may be oversimplified for many cases. Moreover, extending the PMV model with the RMOT substantially improves the thermal sensation prediction, but thermal sensation toward extreme cool and warm sensations remains partly underestimated. PMID:28680934

  16. Improving rational thermal comfort prediction by using subpopulation characteristics: A case study at Hermitage Amsterdam.

    PubMed

    Kramer, Rick; Schellen, Lisje; Schellen, Henk; Kingma, Boris

    2017-01-01

    This study aims to improve the prediction accuracy of the rational standard thermal comfort model, known as the Predicted Mean Vote (PMV) model, by (1) calibrating one of its input variables "metabolic rate," and (2) extending it by explicitly incorporating the variable running mean outdoor temperature (RMOT) that relates to adaptive thermal comfort. The analysis was performed with survey data ( n = 1121) and climate measurements of the indoor and outdoor environment from a one year-long case study undertaken at Hermitage Amsterdam museum in the Netherlands. The PMVs were calculated for 35 survey days using (1) an a priori assumed metabolic rate, (2) a calibrated metabolic rate found by fitting the PMVs to the thermal sensation votes (TSVs) of each respondent using an optimization routine, and (3) extending the PMV model by including the RMOT. The results show that the calibrated metabolic rate is estimated to be 1.5 Met for this case study that was predominantly visited by elderly females. However, significant differences in metabolic rates have been revealed between adults and elderly showing the importance of differentiating between subpopulations. Hence, the standard tabular values, which only differentiate between various activities, may be oversimplified for many cases. Moreover, extending the PMV model with the RMOT substantially improves the thermal sensation prediction, but thermal sensation toward extreme cool and warm sensations remains partly underestimated.

  17. Effect of casing yield stress on bomb blast impulse

    NASA Astrophysics Data System (ADS)

    Hutchinson, M. D.

    2012-08-01

    An equation to predict blast effects from cased charges was first proposed by U. Fano in 1944 and revised by E.M. Fisher in 1953 [1]. Fisher's revision provides much better matches to available blast impulse data, but still requires empirical parameter adjustments. A new derivation [2], based on the work of R.W. Gurney [3] and G.I. Taylor [4], has resulted in an equation which nearly matches experimental data. This new analytical model is also capable of being extended, through the incorporation of additional physics, such as the effects of early case fracture, finite casing thickness, casing metal strain energy dissipation, explosive gas escape through casing fractures and the comparative dynamics of blast wave and metal fragment impacts. This paper will focus on the choice of relevant case fracture strain criterion, as it will be shown that this allows the explicit inclusion of the dynamic properties of the explosive and casing metal. It will include a review and critique of the most significant earlier work on this topic, contained in a paper by Hoggatt and Recht [5]. Using this extended analytical model, good matches can readily be made to available free-field blast impulse data, without any empirical adjustments being needed. Further work will be required to apply this model to aluminised and other highly oxygen-deficient explosives.

  18. Jet stability and wall impingement flow field in a thermal striping experiment

    DOE PAGES

    Lomperski, S.; Obabko, A.; Merzari, E.; ...

    2017-08-10

    We present velocity and temperature field measurements for a 0.9 x 0.9 x 1.7 m glass tank in which two air jets at Re=10000 mix and impinge upon the lid at ambient temperature and pressure. Flow patterns are characterized across a 350 x 200 mm plane located 3 mm below the lid for two inlet geometries: 1) “extended”, in which inlet channels protrude above the tank base, and 2) “flush”, a flat base without protrusions. This minor geometry variation produced distinct changes in the lid flow field, appearing as three stagnant regions for the extended case and only one formore » flush. The dichotomy is attributed to system stability characteristics: jets are stable in the extended case and unstable for flush. In a separate set of nonisothermal tests, the impingement temperature field was measured for inlet temperature mismatches of 4 oC and jets near Re=10000. A 50 m-long fiber optic distributed temperature sensor positioned 2 mm below the lid measured at 1350 locations. Like the velocity fields, the temperature fields differ for the two inlet geometries: good thermal mixing for the flush case and subdued mixing for the extended case. Simulations with the spectral element code Nek5000 replicated the observed stability dichotomy, duplicating the number of stagnant regions observed in the experiment and matching their locations within ±10 mm. Simulation data suggests that flush case instability is due to interactions between jets and wall flows at the bottom of the tank. The clear flow dichotomy exhibited by this two-jet setup presents an unambiguous case to test the ability of CFD tools to predict subtle flow field changes driven by minor modifications in geometry in the context of thermal striping.« less

  19. Jet stability and wall impingement flow field in a thermal striping experiment

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

    Lomperski, S.; Obabko, A.; Merzari, E.

    We present velocity and temperature field measurements for a 0.9 x 0.9 x 1.7 m glass tank in which two air jets at Re=10000 mix and impinge upon the lid at ambient temperature and pressure. Flow patterns are characterized across a 350 x 200 mm plane located 3 mm below the lid for two inlet geometries: 1) “extended”, in which inlet channels protrude above the tank base, and 2) “flush”, a flat base without protrusions. This minor geometry variation produced distinct changes in the lid flow field, appearing as three stagnant regions for the extended case and only one formore » flush. The dichotomy is attributed to system stability characteristics: jets are stable in the extended case and unstable for flush. In a separate set of nonisothermal tests, the impingement temperature field was measured for inlet temperature mismatches of 4 oC and jets near Re=10000. A 50 m-long fiber optic distributed temperature sensor positioned 2 mm below the lid measured at 1350 locations. Like the velocity fields, the temperature fields differ for the two inlet geometries: good thermal mixing for the flush case and subdued mixing for the extended case. Simulations with the spectral element code Nek5000 replicated the observed stability dichotomy, duplicating the number of stagnant regions observed in the experiment and matching their locations within ±10 mm. Simulation data suggests that flush case instability is due to interactions between jets and wall flows at the bottom of the tank. The clear flow dichotomy exhibited by this two-jet setup presents an unambiguous case to test the ability of CFD tools to predict subtle flow field changes driven by minor modifications in geometry in the context of thermal striping.« less

  20. First-Year Students' Perceptions of Extended National Diploma Programmes: The Case of a Comprehensive South African University (2012)

    ERIC Educational Resources Information Center

    Mavunga, George; Cachalia, Fahmida

    2014-01-01

    This study compared how the cohort of extended diploma students enrolled at a comprehensive South African university in 2012 perceived the programmes for which they were enrolled at the beginning of their first year and towards the end of the year. Data were gathered using questionnaires and semi-structured interviews involving students enrolled…

  1. Extending the Use of Spanish Computer-Assisted Anomia Rehabilitation Program (CARP-2) in People with Aphasia

    ERIC Educational Resources Information Center

    Adrian, Jose A.; Gonzalez, Mercedes; Buiza, Juan J.; Sage, Karen

    2011-01-01

    Purpose: To extend the use of the Spanish Computer-assisted Anomia Rehabilitation Program (CARP-2) for anomia from a single case to a group of 15 people with aphasia. To evaluate whether the treatment is active (Phase 1) for this group (Robey & Schultz, 1998), providing potential explanations as to why. Methods: Fifteen participants with chronic…

  2. 40 CFR 86.446-2006 - What are the provisions for extending compliance deadlines for small-volume manufacturers under...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... EMISSIONS FROM NEW AND IN-USE HIGHWAY VEHICLES AND ENGINES Emission Regulations for 1978 and Later New... Office of Transportation and Air Quality may extend the compliance deadline for you to meet new or... taken all possible business, technical, and economic steps to comply. (i) In the case of importers, show...

  3. 75 FR 56093 - Eagle Rock Desoto Pipeline, LP; Notice of Motion for Extension of Rate Case Filing Deadline

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-09-15

    ... pipelines to extend the cycle for such reviews from three to five years.\\1\\ Therefore, Eagle Rock requests... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission [Docket No. PR09-1-002] Eagle Rock... notice that on September 8, 2010, Eagle Rock Desoto Pipeline, L.P. (Eagle Rock) filed a request to extend...

  4. Comparative study on five different commercial extenders for boar semen.

    PubMed

    Vyt, P; Maes, D; Dejonckheere, E; Castryck, F; Van Soom, A

    2004-02-01

    Increasing interest in a longer preservation of diluted boar sperm raises questions in the field concerning the choice of the extender. The aim of this study was to evaluate the longevity of boar sperm extended in currently used commercial semen extenders. Three long-term extenders and two short-term extenders were compared for different semen quality parameters that can be assessed under routine laboratory conditions. Sperm morphology, motility, pH and bacteriological contamination were investigated during a 7-day period. The number of dead spermatozoa did not differ significantly among the extenders (p > 0.05). Sperm motility was not only related with storage period but most of all with pH, especially in long-term extenders. Differences between the different extenders were prominent (p < 0.05); the sperm preserved in only one long-term extender showed good motility during the whole test period. In all cases, the pH of the extended semen increased by 0.3-0.5 in the first days of storage and was significantly correlated with a decrease in motility. Bacteriological quality had no significant influence on motility or pH of the semen. In conclusion, we can state that in both short-term extenders and in only one long-term extender, sperm longevity, as evaluated by the parameters used in this study, was sufficient during the preservation period. To preserve the quality of diluted boar semen during long-term storage, the choice of the long-term extender is important. In addition, the monitoring of the pH of extended boar semen in our study emphasizes the importance of the buffering capacity of semen extenders.

  5. University-Community Engagement: Case Study of University Social Responsibility

    ERIC Educational Resources Information Center

    Chile, Love M.; Black, Xavier M.

    2015-01-01

    Corporatisation of universities has drawn parallels between contemporary universities and business corporations, and extended analysis of corporate social responsibility to universities. This article reports on a case study of university-community engagement with schools and school communities through youth engagement programmes to enhance…

  6. Fuel burner and combustor assembly for a gas turbine engine

    DOEpatents

    Leto, Anthony

    1983-01-01

    A fuel burner and combustor assembly for a gas turbine engine has a housing within the casing of the gas turbine engine which housing defines a combustion chamber and at least one fuel burner secured to one end of the housing and extending into the combustion chamber. The other end of the fuel burner is arranged to slidably engage a fuel inlet connector extending radially inwardly from the engine casing so that fuel is supplied, from a source thereof, to the fuel burner. The fuel inlet connector and fuel burner coact to anchor the housing against axial movement relative to the engine casing while allowing relative radial movement between the engine casing and the fuel burner and, at the same time, providing fuel flow to the fuel burner. For dual fuel capability, a fuel injector is provided in said fuel burner with a flexible fuel supply pipe so that the fuel injector and fuel burner form a unitary structure which moves with the fuel burner.

  7. Painlevé equations, elliptic integrals and elementary functions

    NASA Astrophysics Data System (ADS)

    Żołądek, Henryk; Filipuk, Galina

    2015-02-01

    The six Painlevé equations can be written in the Hamiltonian form, with time dependent Hamilton functions. We present a rather new approach to this result, leading to rational Hamilton functions. By a natural extension of the phase space one gets corresponding autonomous Hamiltonian systems with two degrees of freedom. We realize the Bäcklund transformations of the Painlevé equations as symplectic birational transformations in C4 and we interpret the cases with classical solutions as the cases of partial integrability of the extended Hamiltonian systems. We prove that the extended Hamiltonian systems do not have any additional algebraic first integral besides the known special cases of the third and fifth Painlevé equations. We also show that the original Painlevé equations admit the first integrals expressed in terms of the elementary functions only in the special cases mentioned above. In the proofs we use equations in variations with respect to a parameter and Liouville's theory of elementary functions.

  8. Student Perceptions of Peer versus Instructor Facilitation of Asynchronous Online Discussions: Further Findings from Three Cases

    ERIC Educational Resources Information Center

    Hew, Khe Foon

    2015-01-01

    This study aims to extend a previous work on the role of peer facilitation of asynchronous online discussions. Specifically, in this paper I report three cases that examine students' preference for peer or instructor facilitation of online discussion forums, as well as their respective reasons for it. These three cases involved the following…

  9. "Cisneros v. CCISD" the Desegregation of the Corpus Christi Independent School District

    ERIC Educational Resources Information Center

    Trevino, John Albert

    2010-01-01

    The purpose of this historical case study was to add to the literature an analysis of the landmark legal case of Jose Cisneros v. CCISD. The outcome of this case established Mexican Americans as an ethnic minority and set the legal precedent that the 1954 Brown v. Board of Education Topeka ruling could be extended to other minorities beyond…

  10. Abduction, Deduction and Induction: Can These Concepts Be Used for an Understanding of Methodological Processes in Interpretative Case Studies?

    ERIC Educational Resources Information Center

    Åsvoll, Håvard

    2014-01-01

    Within the area of interpretative case studies, there appears to be a vast amount of literature about theoretical interpretations as the main analytical strategy. In light of this theoretically based strategy in case studies, this article presents an extended perspective based on Charles Sanders Peirce's concepts of abduction, deduction and…

  11. Probabilistic Solar Energetic Particle Models

    NASA Technical Reports Server (NTRS)

    Adams, James H., Jr.; Dietrich, William F.; Xapsos, Michael A.

    2011-01-01

    To plan and design safe and reliable space missions, it is necessary to take into account the effects of the space radiation environment. This is done by setting the goal of achieving safety and reliability with some desired level of confidence. To achieve this goal, a worst-case space radiation environment at the required confidence level must be obtained. Planning and designing then proceeds, taking into account the effects of this worst-case environment. The result will be a mission that is reliable against the effects of the space radiation environment at the desired confidence level. In this paper we will describe progress toward developing a model that provides worst-case space radiation environments at user-specified confidence levels. We will present a model for worst-case event-integrated solar proton environments that provide the worst-case differential proton spectrum. This model is based on data from IMP-8 and GOES spacecraft that provide a data base extending from 1974 to the present. We will discuss extending this work to create worst-case models for peak flux and mission-integrated fluence for protons. We will also describe plans for similar models for helium and heavier ions.

  12. No Sunset and Extended Policies Cases (released in AEO2010)

    EIA Publications

    2010-01-01

    The Annual Energy Outlook 2010 Reference case is best described as a current laws and regulations case, because it generally assumes that existing laws and fully promulgated regulations will remain unchanged throughout the projection period, unless the legislation establishing them specifically calls for them to end or change. The Reference case often serves as a starting point for the analysis of proposed legislative or regulatory changes, a task that would be difficult if the Reference case included projected legislative or regulatory changes.

  13. Extending 'Deep Blue' aerosol retrieval coverage to cases of absorbing aerosols above clouds: sensitivity analysis and first case studies

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

    Sayer, Andrew M.; Hsu, C.; Bettenhausen, Corey

    Cases of absorbing aerosols above clouds (AAC), such as smoke or mineral dust, are omitted from most routinely-processed space-based aerosol optical depth (AOD) data products, including those from the Moderate Resolution Imaging Spectroradiometer (MODIS). This study presents a sensitivity analysis and preliminary algorithm to retrieve above-cloud AOD and liquid cloud optical depth (COD) for AAC cases from MODIS or similar

  14. Extended inflation from higher dimensional theories

    NASA Technical Reports Server (NTRS)

    Holman, Richard; Kolb, Edward W.; Vadas, Sharon L.; Wang, Yun

    1990-01-01

    The possibility is considered that higher dimensional theories may, upon reduction to four dimensions, allow extended inflation to occur. Two separate models are analayzed. One is a very simple toy model consisting of higher dimensional gravity coupled to a scalar field whose potential allows for a first-order phase transition. The other is a more sophisticated model incorporating the effects of non-trivial field configurations (monopole, Casimir, and fermion bilinear condensate effects) that yield a non-trivial potential for the radius of the internal space. It was found that extended inflation does not occur in these models. It was also found that the bubble nucleation rate in these theories is time dependent unlike the case in the original version of extended inflation.

  15. Explicit methods in extended phase space for inseparable Hamiltonian problems

    NASA Astrophysics Data System (ADS)

    Pihajoki, Pauli

    2015-03-01

    We present a method for explicit leapfrog integration of inseparable Hamiltonian systems by means of an extended phase space. A suitably defined new Hamiltonian on the extended phase space leads to equations of motion that can be numerically integrated by standard symplectic leapfrog (splitting) methods. When the leapfrog is combined with coordinate mixing transformations, the resulting algorithm shows good long term stability and error behaviour. We extend the method to non-Hamiltonian problems as well, and investigate optimal methods of projecting the extended phase space back to original dimension. Finally, we apply the methods to a Hamiltonian problem of geodesics in a curved space, and a non-Hamiltonian problem of a forced non-linear oscillator. We compare the performance of the methods to a general purpose differential equation solver LSODE, and the implicit midpoint method, a symplectic one-step method. We find the extended phase space methods to compare favorably to both for the Hamiltonian problem, and to the implicit midpoint method in the case of the non-linear oscillator.

  16. Extended bidirectional reflectance distribution function for polarized light scattering from subsurface defects under a smooth surface.

    PubMed

    Shen, Jian; Deng, Degang; Kong, Weijin; Liu, Shijie; Shen, Zicai; Wei, Chaoyang; He, Hongbo; Shao, Jianda; Fan, Zhengxiu

    2006-11-01

    By introducing the scattering probability of a subsurface defect (SSD) and statistical distribution functions of SSD radius, refractive index, and position, we derive an extended bidirectional reflectance distribution function (BRDF) from the Jones scattering matrix. This function is applicable to the calculation for comparison with measurement of polarized light-scattering resulting from a SSD. A numerical calculation of the extended BRDF for the case of p-polarized incident light was performed by means of the Monte Carlo method. Our numerical results indicate that the extended BRDF strongly depends on the light incidence angle, the light scattering angle, and the out-of-plane azimuth angle. We observe a 180 degrees symmetry with respect to the azimuth angle. We further investigate the influence of the SSD density, the substrate refractive index, and the statistical distributions of the SSD radius and refractive index on the extended BRDF. For transparent substrates, we also find the dependence of the extended BRDF on the SSD positions.

  17. Uniportal subxiphoid video-assisted thoracoscopic approach for thymectomy: a case series.

    PubMed

    Weaver, Helen; Ali, Jason M; Jiang, Lei; Yang, Chenlu; Wu, Liang; Jiang, Gening; Aresu, Giuseppe

    2017-01-01

    Minimally invasive techniques are becoming increasingly popular in thoracic surgery. Although median sternotomy is the traditional approach for thymectomy, video-assisted thoracoscopic surgery (VATS) approaches now predominate. This study reports a case series of the novel uniportal subxiphoid-VATS approach to extended thymectomy. Over the period of study (October 2014-January 2017) 17 patients underwent uniportal subxiphoid-VATS extended thymectomy for a thymic nodule at the Shanghai Pulmonary Centre. Ten patients were female, and the mean age of the cohort was 55 years. The mean size of nodule was 23.6 mm. The mean operative duration was 2.5 hours, with one conversion to thoracotomy for bleeding. The mean operative blood loss was 115 mL. The median length of hospital stay was 4 days. There were no episodes of phrenic nerve palsies. The 30-day survival was 100%. Uniportal subxiphoid-VATS is a feasible and safe surgical approach to extended thymectomy in selected patients, with good post-operative outcomes.

  18. How should forensic anthropologists correct national weather service temperature data for use in estimating the postmortem interval?

    PubMed

    Dabbs, Gretchen R

    2015-05-01

    This study examines the correlation between site-specific and retrospectively collected temperature data from the National Weather Service (NWS) over an extended time period. Using iButtonLink thermochrons (model DS1921G), hourly temperature readings were collected at 15 sites (1 validation; 14 experimental) from December 2010 to January 2012. Comparison between the site-specific temperature data and data retrieved from an official reporter of NWS temperature data shows statistically significant differences between the two in 71.4% (10/14) of cases. The difference ranged between 0.04 and 2.81°C. Examination of both regression and simple adjustment of the mean difference over extended periods (1, 2, 3, 4, 5, 6, & 9 months) suggests that on the timescale typical in forensic anthropology cases neither method of correction is consistent or reliable and that forensic anthropologists would be better suited using uncorrected NWS temperature data when the postmortem interval is extended. © 2015 American Academy of Forensic Sciences.

  19. Extended time-interval analysis

    NASA Astrophysics Data System (ADS)

    Fynbo, H. O. U.; Riisager, K.

    2014-01-01

    Several extensions of the halflife analysis method recently suggested by Horvat and Hardy are put forward. Goodness-of-fit testing is included, and the method is extended to cases where more information is available for each decay event which allows applications also for e.g. γ decay data. The results are tested with Monte Carlo simulations and are applied to the decays of 64Cu and 56Mn.

  20. New Whole-House Solutions Case Study: Advanced Extended Plate and Beam Wall System in a Cold-Climate House

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

    None

    2016-02-10

    A zero energy ready home was recently completed that features an innovative wall system. This highly insulated (high-R) light-frame wall system, called the extended plate and beam, is for use above grade in residential buildings. The Building America research team Home Innovation Research Labs featured this system in a new construction test house.

  1. Defining boundaries across borders: a case study extending a major land resource area into Mexico

    Treesearch

    Rebecca MacEwen; Roy S. Mann; Philip Heilman; Jeffry J. Stone; Alicia Melgoza Castillo; D. Phillip Guertin

    2005-01-01

    Geographic information science (GIS) and field work were applied to extend Major Land Resource Area (MLRA) 41, Southeastern Arizona Basin and Range, from Arizona and New Mexico into Sonora and Chihuahua, Mexico. The result of this analysis is a tentative boundary line that delineates MLRA 41 for both the United States and Mexico based on elevation, soils, temperature,...

  2. Extended Le Chatelier's formula for carbon dioxide dilution effect on flammability limits.

    PubMed

    Kondo, Shigeo; Takizawa, Kenji; Takahashi, Akifumi; Tokuhashi, Kazuaki

    2006-11-02

    Carbon dioxide dilution effect on the flammability limits was measured for various flammable gases. The obtained values were analyzed using the extended Le Chatelier's formula developed in a previous study. As a result, it has been found that the flammability limits of methane, propane, propylene, methyl formate, and 1,1-difluoroethane are adequately explained by the extended Le Chatelier's formula using a common set of parameter values. Ethylene, dimethyl ether, and ammonia behave differently from these compounds. The present result is very consistent with what was obtained in the case of nitrogen dilution.

  3. CT Findings of Ruptured Intramural Hematoma of the Aorta Extending Along the Pulmonary Artery

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

    Sueyoshi, Eijun, E-mail: EijunSueyoshi@aol.com; Sakamoto, Ichiro; Uetani, Masataka

    Mediastinal hematoma extending along the pulmonary artery is a rare complication of Stanford type A classic (double-barreled) aortic dissection. Rupture from the posterior aspect of the aortic root penetrates the shared adventitia of the aorta and pulmonary artery. From this location, hematoma can spread along the adventitial planes of the pulmonary arteries out into the lungs. We report a case of ruptured intramural hematoma of the aorta (IMH) extending along the pulmonary artery. To our knowledge, this finding in patients with IMH has not been reported in the literature.

  4. Weak Lie symmetry and extended Lie algebra

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

    Goenner, Hubert

    2013-04-15

    The concept of weak Lie motion (weak Lie symmetry) is introduced. Applications given exhibit a reduction of the usual symmetry, e.g., in the case of the rotation group. In this context, a particular generalization of Lie algebras is found ('extended Lie algebras') which turns out to be an involutive distribution or a simple example for a tangent Lie algebroid. Riemannian and Lorentz metrics can be introduced on such an algebroid through an extended Cartan-Killing form. Transformation groups from non-relativistic mechanics and quantum mechanics lead to such tangent Lie algebroids and to Lorentz geometries constructed on them (1-dimensional gravitational fields).

  5. Extended Interneuronal Network of the Dentate Gyrus.

    PubMed

    Szabo, Gergely G; Du, Xi; Oijala, Mikko; Varga, Csaba; Parent, Jack M; Soltesz, Ivan

    2017-08-08

    Local interneurons control principal cells within individual brain areas, but anecdotal observations indicate that interneuronal axons sometimes extend beyond strict anatomical boundaries. Here, we use the case of the dentate gyrus (DG) to show that boundary-crossing interneurons with cell bodies in CA3 and CA1 constitute a numerically significant and diverse population that relays patterns of activity generated within the CA regions back to granule cells. These results reveal the existence of a sophisticated retrograde GABAergic circuit that fundamentally extends the canonical interneuronal network. Copyright © 2017 The Author(s). Published by Elsevier Inc. All rights reserved.

  6. An evaluation of the effectiveness of FreshCase technology to extend the storage life of whole-muscle pork and ground pork sausage.

    PubMed

    Yang, X; Woerner, D R; McCullough, K R; Hasty, J D; Geornaras, I; Smith, G C; Sofos, J N; Belk, K E

    2016-11-01

    The objective of this study was to identify the maximum time of refrigerated storage before aerobic psychrotrophic bacteria grew to a level indicative of spoilage (7 log cfu/g) or other indicators of spoilage were observed for whole-muscle pork and ground pork sausage packaged using FreshCase technology. Pork chops and pork sausage were packaged using conventional vacuum packaging without nitrite in film (Control) or using FreshCase technology and were compared with respect to microbial counts, pH, instrumental color measurements, lipid oxidation level, and sensory properties. The storage life was 45 d for pork chops stored in FreshCase packages at 1°C and 19 d for ground pork sausage stored under the same condition. Results indicated that both pork chops and sausage stored in FreshCase packages retained redder color ( < 0.05) than those stored in Control packages. No differences ( > 0.05) existed between Control and FreshCase packaged samples for any off-odor detection for either pork chops or sausage. Moreover, levels of oxidative rancidity in all packages had low thiobarbituric acid reactive substances values. The results indicated that FreshCase technology can be used to extend storage life of pork products without having adverse effects on pork quality.

  7. Extended nonlinear Schrödinger equation with higher-order odd and even terms and its rogue wave solutions.

    PubMed

    Ankiewicz, Adrian; Wang, Yan; Wabnitz, Stefan; Akhmediev, Nail

    2014-01-01

    We consider an extended nonlinear Schrödinger equation with higher-order odd (third order) and even (fourth order) terms with variable coefficients. The resulting equation has soliton solutions and approximate rogue wave solutions. We present these solutions up to second order. Moreover, specific constraints on the parameters of higher-order terms provide integrability of the resulting equation, providing a corresponding Lax pair. Particular cases of this equation are the Hirota and the Lakshmanan-Porsezian-Daniel equations. The resulting integrable equation admits exact rogue wave solutions. In particular cases, mentioned above, these solutions are reduced to the rogue wave solutions of the corresponding equations.

  8. Radionuclide bone scanning of osteosarcoma: falsely extended uptake patterns.

    PubMed

    Chew, F S; Hudson, T M

    1982-07-01

    The pathologic specimens of 18 osteosarcomas of long bones were examined to correlate histologic abnormalities with abnormalities seen on preoperative 99mTc pyrophosphate or methylene diphosphonate bone scans. Seven scans accurately represented the extent of the tumor. Eleven scans disclosed increased activity extending beyond the radiographic abnormalities. In eight of these, there was no occult tumor extension and in the other three, the scan activity did not accurately portray the skip metastases that were present. Therefore, these 11 scans demonstrated the falsely extended pattern of uptake beyond the true limits of the tumors. Pathologic slides were available for 10 of the 11 areas of bone that exhibited extended uptake. In two instances, there was no pathologic abnormality. In the other eight cases we found marrow hyperemia, medullary reactive bone, or periosteal new bone. This is the first description of these histologic abnormalities of medullary bone in areas of extended uptake on radionuclide bone scans.

  9. Clinical and pathological aspects of microscopic thymoma with myasthenia gravis and review of published reports.

    PubMed

    Fukuhara, Mitsuro; Higuchi, Mitsunori; Owada, Yuki; Inoue, Takuya; Watanabe, Yuzuru; Yamaura, Takumi; Muto, Satoshi; Hasegawa, Takeo; Suzuki, Hiroyuki

    2017-06-01

    Microscopic thymomas, defined as epithelial proliferations smaller than 1 mm in diameter, characteristically occur in patients with myasthenia gravis without macroscopic thymic epithelial tumors. However, some clinical and pathological aspects of this entity are still unclear. This retrospective study includes five consecutive patients who had undergone extended thymectomy for myasthenia gravis at our institution from April 2007 to March 2016 and in whom microscopic thymomas were diagnosed by histopathological examination of the resected specimens. During the same period, we performed 32 extended transsternal thymothymectomies/thymectomies in patients with myasthenia gravis, including the above five cases. We here review 18 cases of microscopic thymoma, including our five cases and 13 previously reported cases. The incidence of previously undiagnosed microscopic thymoma in patients undergoing thymectomy for myasthenia gravis in our institution is 15.2%. Serum preoperative anti-acetylcholine receptor antibody (anti-AchR Ab) titers were abnormally high in all of our five cases h (74.4±53.3 nmol/L) and decreased significantly after surgery (11.7±13.5 nmol/L, P=0.037). We divided our cases into the following three groups: microscopic thymoma group (Group M), thymoma group (Group T) and non-thymic tumor group (Group N). The mean preoperative anti-AchR Ab titers of these groups were 74.4, 26.5, and 368 nmol/L, respectively. All these values decreased postoperatively. The mean anti-AchR Ab titer was significantly higher in Group M than in Group T (P=0.034). All five cases in Group M were found by post-operative pathological examination to have multifocal type A thymomas. Microscopic thymomas tend to be multifocal type A thymomas. Anti-AchR Ab titers decreased significantly in all groups. It is very important to both perform complete extended thymectomies in patients with myasthenia gravis and pathological examination of thin slices of thymic tissue to maximize detection of microscopic thymomas.

  10. Filicide as a part of extended suicide: An experience of psychotherapy with the survivor.

    PubMed

    Manjula, M; Chandrashekar, C R

    2014-04-01

    The tragedy of maternal filicide and extended suicides has occurred throughout history. Maternal filicide-suicide perpetrators most often suffer from depression, suicidality, or psychosis. Interventions in such cases are not commonly reported in the psychiatric settings, and the components of psychotherapeutic approach and its efficacy are also not known. Here we present a long-term therapy carried out with a 36-year-old married lady, with the complaints of low mood, suicidal ideation, severe guilt feelings, and depressive cognitions. There was positive family history of depression, past history of dysthymia, suicidal attempt, and severe marital discord. Therapy was carried out for a period of 9 months with follow-up for 4 years and addressed existential issues and grief with the components of existential therapy, grief therapy, narratives, religious beliefs, and interpersonal acceptance. The case highlights the need for blending of multiple approaches to meet the challenges such cases can pose.

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

    Batiste, Merida; Bentz, Misty C.; Manne-Nicholas, Emily R.

    We present new bulge stellar velocity dispersion measurements for 10 active galaxies with secure M {sub BH} determinations from reverberation mapping. These new velocity dispersion measurements are based on spatially resolved kinematics from integral-field (IFU) spectroscopy. In all but one case, the field of view of the IFU extends beyond the effective radius of the galaxy, and in the case of Mrk 79 it extends to almost one half the effective radius. This combination of spatial resolution and field of view allows for secure determinations of stellar velocity dispersion within the effective radius for all 10 target galaxies. Spatially resolvedmore » maps of the first ( V ) and second ( σ {sub ⋆}) moments of the line of sight velocity distribution indicate the presence of kinematic substructure in most cases. In future projects we plan to explore methods of correcting for the effects of kinematic substructure in the derived bulge stellar velocity dispersion measurements.« less

  12. Single-Stage Reconstruction of Achilles Tendon and Overlying Tissue With the Extended Temporoparietal Fasciagaleal Flap--23-Year Follow-Up and the Review of the Literature.

    PubMed

    Dobke, Marek; Suliman, Ahmed; Mackert, Gina A; Herrera, Fernando A; Singer, Robert; Nelson, Jeffrey

    2016-05-01

    In the absence of an established "gold standard" for complex Achilles tendon and regional soft tissue defect reconstruction, many techniques have been advocated. Two cases describing a novel technique of successful repair with the review of literature are presented. The underlying problem consisted of Achilles tendon necrosis with local inflammation in the first case and tendon contracture with foot malposition due to a burn injury in the other. Each patient, upon debridement, had a 6-cm Achilles tendon defect with associated overlying soft tissue deficits reconstructed with an extended temporoparietal fasciagaleal flap and a split thickness skin graft. Both cases highlight the successful functional and aesthetic quality as well as the durability of concurrent vascularized tendon and soft tissue replacement and coverage in 2 distinct clinical scenarios.

  13. The BRAVE Program. I. Improved Bulge Stellar Velocity Dispersion Estimates for a Sample of Active Galaxies

    NASA Astrophysics Data System (ADS)

    Batiste, Merida; Bentz, Misty C.; Manne-Nicholas, Emily R.; Onken, Christopher A.; Bershady, Matthew A.

    2017-02-01

    We present new bulge stellar velocity dispersion measurements for 10 active galaxies with secure MBH determinations from reverberation mapping. These new velocity dispersion measurements are based on spatially resolved kinematics from integral-field (IFU) spectroscopy. In all but one case, the field of view of the IFU extends beyond the effective radius of the galaxy, and in the case of Mrk 79 it extends to almost one half the effective radius. This combination of spatial resolution and field of view allows for secure determinations of stellar velocity dispersion within the effective radius for all 10 target galaxies. Spatially resolved maps of the first (V) and second (σ⋆) moments of the line of sight velocity distribution indicate the presence of kinematic substructure in most cases. In future projects we plan to explore methods of correcting for the effects of kinematic substructure in the derived bulge stellar velocity dispersion measurements.

  14. PIES free boundary stellarator equilibria with improved initial conditions

    NASA Astrophysics Data System (ADS)

    Drevlak, M.; Monticello, D.; Reiman, A.

    2005-07-01

    The MFBE procedure developed by Strumberger (1997 Nucl. Fusion 37 19) is used to provide an improved starting point for free boundary equilibrium computations in the case of W7-X (Nührenberg and Zille 1986 Phys. Lett. A 114 129) using the Princeton iterative equilibrium solver (PIES) code (Reiman and Greenside 1986 Comput. Phys. Commun. 43 157). Transferring the consistent field found by the variational moments equilibrium code (VMEC) (Hirshmann and Whitson 1983 Phys. Fluids 26 3553) to an extended coordinate system using the VMORPH code, a safe margin between plasma boundary and PIES domain is established. The new EXTENDER_P code implements a generalization of the virtual casing principle, which allows field extension both for VMEC and PIES equilibria. This facilitates analysis of the 5/5 islands of the W7-X standard case without including them in the original PIES computation.

  15. Fish bone penetration of the duodenum extending into the pancreas: report of a case.

    PubMed

    Yasuda, Takashi; Kawamura, Shiro; Shimada, Etsuji; Okumura, Shuichi

    2010-07-01

    We report a case of fish bone penetration of the duodenum extending into the pancreatic head, which was successfully treated by surgery. A 73-year-old woman was admitted with upper abdominal dull pain that had persisted for 3 days. Computed tomography showed a linear calcified body, which appeared to penetrate the posterior wall of the duodenal bulb into the pancreatic head. A laparotomy was performed based on the preoperative diagnosis of localized peritonitis caused by penetration of the duodenum into the pancreas by an ingested foreign body. The foreign body was safely removed from both the pancreas and duodenum and was found to be a fish bone, measuring 4 cm in length. Neither an abscess nor hematoma was detected at the site of the pancreatic head. The postoperative course was uneventful. This case demonstrates an unusual presentation of fish bone penetration of the duodenum with a migration to the pancreas.

  16. On an Extension of the Rasch Model to the Case of Polychotomously Scored Items.

    ERIC Educational Resources Information Center

    Vogt, Dorothee K.

    The Rasch model for the probability of a person's response to an item is extended to the case where this response depends on a set of scoring or category weights, in addition to person and item parameters. The maximum likelihood approach introduced by Wright for the dichotomous case is applicable here also, and it is shown to yield a unique…

  17. Prospects of Sino-India Relations 2020

    DTIC Science & Technology

    2011-06-01

    there has been a realization among analysts in India that the prospects of Sino-India relations are not a case of conflict OR cooperation, but conflict...29 Peter J. Katzenstein and Nobua Okowara, "Japan, Asian-Pacific Security, and the Case for...Thesis F. CHAPTER OUTLINE This thesis is based upon the single case study of Sino-India relations extending over the past six decades. Chapter II

  18. A debate on the certainty of etiology in a case of syncope.

    PubMed

    Dan, Anca Rodica; Daha, Ioana; Buzea, C A; Dan, G A

    2013-01-01

    We present the case of a 47-year-old woman with reccurent syncope. The investigations for establishing the etiology of syncope were extended over 4 years and multiple possible mecahisms for the syncope were identified. Even if the guidelines mention a good diagnostic yield for history and initial evaluation, for some selected cases the initial diagnostic supposition should be revised.

  19. Yet More Frogs

    ERIC Educational Resources Information Center

    Shutler, Paul M. E.

    2011-01-01

    Extending a recent paper by Derek Holton, we show how to represent the algorithm for the Frog Problem diagrammatically. This diagrammatic representation suggests a simpler proof of the symmetrical case (equal numbers of frogs of each colour) by allowing the even and odd cases to be treated together. It also provides a proof in the asymmetrical…

  20. A Case Against First Amendment Protections for Commercial Advertising.

    ERIC Educational Resources Information Center

    Middleton, Kent R.

    Although extending constitutional protection to commercial expression might benefit the consumer, the First Amendment is the wrong instrument for carrying out what are basically economic policies. While in most First Amendment cases the nature of the content determines whether it is constitutionally protected, advertising is distinct in that it…

  1. The Regional Accreditation Process at Community Colleges: A Case Study of Effectiveness

    ERIC Educational Resources Information Center

    Young, Alissa L.

    2013-01-01

    This companion dissertation reports the findings of applied case study research on four community college organizational units that consistently meet or exceed standard performance measures. In addition, prior ample evidence confirms that performance extended significantly beyond what might be explained by available tangible resources alone. The…

  2. Electromagnetic pump stator frame having power crossover struts

    DOEpatents

    Fanning, Alan W.; Olich, Eugene E.

    1995-01-01

    A stator frame for an electromagnetic pump includes a casing joined to a hub by a plurality of circumferentially spaced apart struts. At least one electrically insulated power crossover lead extends through the hub, through a crossover one of the struts, and through the casing for carrying electrical current therethrough.

  3. NCI International EBV-Gastric Cancer Consortium

    Cancer.gov

    A collaboration among NCI and extramural investigators, established by DCEG in 2006, that utilizes data and biospecimens from completed and ongoing case series and observational studies of gastric cancer to replicate and extend findings from previous studies hindered by small numbers of EBV-positive cases, and to stimulate multidisciplinary research in this area.

  4. Meta-Analysis of Single-Case Research Design Studies on Instructional Pacing.

    PubMed

    Tincani, Matt; De Mers, Marilyn

    2016-11-01

    More than four decades of research on instructional pacing has yielded varying and, in some cases, conflicting findings. The purpose of this meta-analysis was to synthesize single-case research design (SCRD) studies on instructional pacing to determine the relative benefits of brisker or slower pacing. Participants were children and youth with and without disabilities in educational settings, excluding higher education. Tau-U, a non-parametric statistic for analyzing data in SCRD studies, was used to determine effect size estimates. The article extraction yielded 13 instructional pacing studies meeting contemporary standards for high quality SCRD research. Eleven of the 13 studies reported small to large magnitude effects when two or more pacing parameters were compared, suggesting that instructional pacing is a robust instructional variable. Brisker instructional pacing with brief inter-trial interval (ITI) produced small increases in correct responding and medium to large reductions in challenging behavior compared with extended ITI. Slower instructional pacing with extended wait-time produced small increases in correct responding, but also produced small increases in challenging behavior compared with brief wait-time. Neither brief ITI nor extended wait-time meets recently established thresholds for evidence-based practice, highlighting the need for further instructional pacing research. © The Author(s) 2016.

  5. Physician-assisted suicide: the legal slippery slope.

    PubMed

    Walker, R M

    2001-01-01

    In Oregon, physicians can prescribe lethal amounts of medication only if requested by competent, terminally ill patients. However, the possibility of extending the practice to patients who lack decisional capacity exists. This paper examines why the legal extension of physician-assisted suicide (PAS) to incapacitated patients is possible, and perhaps likely. The author reviews several pivotal court cases that have served to define the distinctions and legalities among "right-to-die" cases and the various forms of euthanasia and PAS. Significant public support exists for legalizing PAS and voluntary euthanasia in the United States. The only defenses against sliding from PAS to voluntary euthanasia are adhering to traditional physician morality that stands against it and keeping the issue of voluntary euthanasia legally framed as homicide. However, if voluntary euthanasia evolves euphemistically as a medical choice issue, then the possibility of its legalization exists. If courts allow PAS to be framed as a basic personal right akin to the right to refuse treatment, and if they rely on right-to-die case precedents, then they will likely extend PAS to voluntary euthanasia and nonvoluntary euthanasia. This would be done by extending the right to PAS to incapacitated patients, who may or may not have expressed a choice for PAS prior to incapacity.

  6. Retroperitoneal liposarcoma extending into the thigh.

    PubMed

    Salemis, Nikolaos S; Nisotakis, Konstantinos; Patouras, Paraskevas; Karagkiouzis, Grigorios; Gourgiotis, Stavros

    2011-05-01

    The authors describe a case of a giant retroperitoneal liposarcoma that extended into the thigh along the course of the iliopsoas muscle. The tumor was successfully excised en bloc through an abdominal and a proximal thigh incision. Histopathologic examination revealed a well-differentiated, lipoma-like liposarcoma with clear surgical margins. The patient remains well without any evidence of tumor recurrence 18 months after surgery. Copyright © 2011 Elsevier Inc. All rights reserved.

  7. Extended analysis of the 5g. -->. 4f emissions in H/sub 2/

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

    Chang, E.S.; Pulchtopek, S.; Eyler, E.E.

    1984-01-15

    An analysis starting from Hund's case d has been used to extend the work of Herzberg and Jungen on the 5g..-->..4f emissions in H/sub 2/. A simple analytical expression for the line intensities is presented that agrees with their calculations is about 1%. All of the experimentally observed lines have been accounted for by including higher vibrational levels in our calculations.

  8. Estimating V̄s(30) (or NEHRP site classes) from shallow velocity models (depths < 30 m)

    USGS Publications Warehouse

    Boore, David M.

    2004-01-01

    The average velocity to 30 m [V??s(30)] is a widely used parameter for classifying sites to predict their potential to amplify seismic shaking. In many cases, however, models of shallow shear-wave velocities, from which V??s(30) can be computed, do not extend to 30 m. If the data for these cases are to be used, some method of extrapolating the velocities must be devised. Four methods for doing this are described here and are illustrated using data from 135 boreholes in California for which the velocity model extends to at least 30 m. Methods using correlations between shallow velocity and V??s(30) result in significantly less bias for shallow models than the simplest method of assuming that the lowermost velocity extends to 30 m. In addition, for all methods the percent of sites misclassified is generally less than 10% and falls to negligible values for velocity models extending to at least 25 m. Although the methods using correlations do a better job on average of estimating V??s(30), the simplest method will generally result in a lower value of V??s(30) and thus yield a more conservative estimate of ground motion [which generally increases as V??s(30) decreases].

  9. Breast-volume displacement using an extended glandular flap for small dense breasts.

    PubMed

    Ogawa, Tomoko; Hanamura, Noriko; Yamashita, Masako; Kimura, Hiroko; Kashikura, Yumi

    2011-01-01

    We defined the glandular flap including fat in the subclavicular area as an extended glandular flap, which has been used for breast-conserving reconstruction in the upper portion of the breast. Indication. The excision volume was 20% to 40% of the breast volume, and the breast density was dense. Surgical Technique. The upper edge of the breast at the subclavicular area was drawn in the standing position before surgery. After partial mastectomy, an extended glandular flap was made by freeing the breast from both the skin and the pectoralis fascia up to the preoperative marking in the subclavicular area. It is important to keep the perforators of the internal mammary artery and/or the branches of the lateral thoracic artery intact while making the flap. Results. Seventeen patients underwent remodeling using an extended glandular flap. The cosmetic results at 1 year after the operation: excellent in 11, good in 1, fair in 3, and poor in 2. All cases of unacceptable outcome except one were cases with complications, and more than 30% resection of moderate or large size breasts did not obtain an excellent result for long-term followup. Conclusion. This technique is useful for performing the breast-conserving reconstruction of small dense breasts.

  10. Outcome following right-extended split liver transplantation in the recent transplant era: Single-centre analysis of a German transplant centre.

    PubMed

    Herden, Uta; Fischer, Lutz; Koch, Martina; Li, Jun; Achilles, Eike-Gert; Nashan, Björn

    2018-05-20

    When a sufficiently high-quality liver is available, classic liver graft splitting is performed. In such cases, a small child receives the left-lateral split graft, with subsequent transplantation of the right-extended graft in an adult. We analysed 64 patients who received right-extended liver grafts from 2007-2015, and compared outcomes between cases of external versus in-house graft splitting. We found excellent donor data and comparable recipient characteristics. Cold ischemic time was significantly longer for external (14±2 h; n=38) versus internal (12±2 h; n=26) liver graft splitting. Compared to the internal splitting group, the external liver graft splitting group showed significantly reduced 1- and 5-year patient survival (100% versus 84%; P=.035) and higher rates of biliary (24% versus 12%) and vascular (8% versus 0%) complications. The outcomes following right-extended split LTX are disappointing given the excellent organ quality. External liver graft splitting was associated with worse outcome and surgical complication rates. This may be related to the prolonged cold ischemic time due to two-fold transportation, as well as the ignorance of the splitting procedure details and related pitfalls. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  11. "Finding What Doesn't Fit": Adjusting the Focus on Education in Country Towns as a Limiting Case for the "Learning or Earning" Years

    ERIC Educational Resources Information Center

    Funnell, Robert

    2008-01-01

    Limiting, or nonconforming cases are good tests in research for extending a concept's reach and broadening generalisations, but the method is under utilised in the formation and assessment of educational policy. In this paper a rural town is described as a case, among others, not fitting policy regulations for "learning or earning" in…

  12. Packer arrangements for oil wells and the like

    DOEpatents

    Harvey, Andrew C.; McFadden, David H.

    1981-11-24

    The packer includes an elongated tubular casing, and a metal ring is disposed in its entirety within an annular recess in the casing. The recess has a circumferential opening extending entirely around the peripheral outer surface of the casing. Hydraulic fluid is flowed into the recess to apply pressure to the inner peripheral surface of the metal ring to expand the ring radially outwardly and force its outer peripheral surface through the circumferential opening and into annular sealing engagement with the opposed surface of the well casing.

  13. The multicategory case of the sequential Bayesian pixel selection and estimation procedure

    NASA Technical Reports Server (NTRS)

    Pore, M. D.; Dennis, T. B. (Principal Investigator)

    1980-01-01

    A Bayesian technique for stratified proportion estimation and a sampling based on minimizing the mean squared error of this estimator were developed and tested on LANDSAT multispectral scanner data using the beta density function to model the prior distribution in the two-class case. An extention of this procedure to the k-class case is considered. A generalization of the beta function is shown to be a density function for the general case which allows the procedure to be extended.

  14. Target modelling for SAR image simulation

    NASA Astrophysics Data System (ADS)

    Willis, Chris J.

    2014-10-01

    This paper examines target models that might be used in simulations of Synthetic Aperture Radar imagery. We examine the basis for scattering phenomena in SAR, and briefly review the Swerling target model set, before considering extensions to this set discussed in the literature. Methods for simulating and extracting parameters for the extended Swerling models are presented. It is shown that in many cases the more elaborate extended Swerling models can be represented, to a high degree of fidelity, by simpler members of the model set. Further, it is shown that it is quite unlikely that these extended models would be selected when fitting models to typical data samples.

  15. Developmental Complexity in Student Conduct: An Extended Case Analysis of Student Board Members

    ERIC Educational Resources Information Center

    Bittinger, Joshua D.; Reif, Gabriel; Kimball, Ezekiel W.

    2018-01-01

    College students frequently serve on boards that hear cases of alleged student misconduct. These students contribute to decisions that can affect their peers' lives and make their colleges vulnerable to litigation and negative media coverage. It is critical that student board members carefully interpret all information presented in disciplinary…

  16. Meta-Analysis of Interventions for Basic Mathematics Computation in Single-Case Research

    ERIC Educational Resources Information Center

    Methe, Scott A.; Kilgus, Stephen P.; Neiman, Cheryl; Riley-Tillman, T. Chris

    2012-01-01

    This study examined interventions for addition and subtraction that were implemented through single-case design (SCD) research studies. We attempted to extend prior SCD meta-analyses by examining differences in effect sizes across several moderating variables and by including a novel index of effect, improvement rate difference (IRD). We also…

  17. Educational JavaBeans: a Requirements Driven Architecture.

    ERIC Educational Resources Information Center

    Hall, Jon; Rapanotti, Lucia

    This paper investigates, through a case study, the development of a software architecture that is compatible with a system's high-level requirements. The case study is an example of an extended customer/supplier relationship (post-point of sale support) involved in e-universities and is representative of a class of enterprise without current…

  18. Pedagogical Leadership in Action: Two Case Studies in English Schools

    ERIC Educational Resources Information Center

    Male, Trevor; Palaiologou, Ioanna

    2017-01-01

    This paper explores the construct of pedagogical leadership in action in two case-study schools in England. Both schools investigated had headteachers who were recognized as excellent practitioners who had led their schools from a failing position to being judged as "outstanding" and had successfully sustained and extended this status.…

  19. Subjective Vitality and Patterns of Acculturation: Four Cases

    ERIC Educational Resources Information Center

    Ehala, Martin; Vedernikova, Elena

    2015-01-01

    The article presents a comparative analysis of the subjective vitalities (SVs) of the minority groups of Latvia (Russian-speakers), Lithuania (Russian-speakers and Poles) and Mari El (Maris) in the Russian Federation, with a particular focus on the Mari case. The same extended version of the SV questionnaire was used in quantitative surveys in all…

  20. Examining the Role of Reflection in ePortfolios: A Case Study

    ERIC Educational Resources Information Center

    Landis, Cynthia M.; Scott, Susan B.; Kahn, Susan

    2015-01-01

    Extended institutional experience with ePortfolios grounded and framed this qualitative case study guided by the research question: Why, how, and with what success is reflection, as a teaching/learning process, employed among ePortfolio projects at Indiana University-Purdue University Indianapolis (IUPUI)? Thirty-two representatives of 16 varied…

  1. Constriction of the Stomach by an Unusual Peritoneal Band

    PubMed Central

    Kassem, Mohammad W; Iwanaga, Joe; Loukas, Marios; Tubbs, R. Shane

    2018-01-01

    Compression of intraabdominal contents can occur due to anomalous congenital bands. Herein, we describe, to our knowledge, the first case of compression of the stomach by an anomalous band extending from the lesser omentum to the greater omentum. Relevant literature is reviewed and the clinical implications of such a case are described. PMID:29632757

  2. Constriction of the Stomach by an Unusual Peritoneal Band.

    PubMed

    Kassem, Mohammad W; Patel, Mayank; Iwanaga, Joe; Loukas, Marios; Tubbs, R Shane

    2018-02-03

    Compression of intraabdominal contents can occur due to anomalous congenital bands. Herein, we describe, to our knowledge, the first case of compression of the stomach by an anomalous band extending from the lesser omentum to the greater omentum. Relevant literature is reviewed and the clinical implications of such a case are described.

  3. Analogical Encoding with and without Instructions for Case Comparison of Scientific Phenomena

    ERIC Educational Resources Information Center

    Mason, Lucia; Tornatora, Maria Caterina

    2016-01-01

    The study aimed to extend current research on conditions that better support analogical encoding through mutual alignment. We focused on two variables that have not been examined independently in previous studies: the joint presentations of two cases of a scientific phenomenon and the explicit instructions for comparison. One hundred and…

  4. Lipoedematous scalp: is there an association with fatty infiltration of the parotid?

    PubMed

    Law, Sarah; Jayarajan, Rajshree

    2017-10-09

    Lipoedematous scalp (LS) is an extremely rare condition characterised by a soft and boggy consistency in the scalp due to an increased layer of subcutaneous tissue.In this report, we present a case of LS in a 64-year-old Indian woman. Clinical examination revealed only vague boggy lumpiness involving the whole of occipital scalp extending to parietal scalp. MRI scalp showed diffuse fatty infiltration of the scalp, particularly at the posterior parietal and occipital convexity extending to both lateral aspects of the cranium, with homogeneous signal in keeping with fat. Incidentally MRI also found diffuse fatty infiltration of the parotids.The aethiopathogenesis of LS is still unknown, however it is believed that the hormone leptin could be the key hormone in the dysregulation of fat deposition and distribution. This case report highlights the subtle features with which these cases can present and explores the literature on reported cases of LS. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  5. Seating arrangement and structure of a spool within a well casing

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

    Lien, N.C.; Olsen, D.G.

    1990-07-10

    This patent describes a well construction having a vertical well casing and a spool. It comprises: the spool being insertable into the well casing and the spool having a flange with a skirt that bottoms against a collar in the well casing to form a seated contact engagement between the skirt and the collar, a support web connected to the flange and extending substantially perpendicular to the skirt. The support web has an undersurface which extends upwardly and radially inwardly from the flange,a sleeve section connected to the web radially inwardly thereof from which a pipe section is suspended therefrom,more » and a ring portion at a junction of the support web and the sleeve about which transmitted forces are resolved, the skirt and the collar being angled at an angle {theta} relative to the vertical such that {theta} has a value less than tan {theta} equal to 1/{mu} and greater than tan {theta} equal to {mu} where {mu} equals the coefficient of static friction between the skirt and the collar.« less

  6. Extended lymphadenectomy in bladder cancer.

    PubMed

    Dorin, Ryan P; Skinner, Eila C

    2010-09-01

    Radical cystectomy with pelvic lymph node dissection (PLND) is the preferred treatment for invasive bladder cancer. It not only results in the best disease-free term survival rates, but also provides the most accurate disease staging and most effective local symptom control. Recent investigations have demonstrated a clinical benefit to performance of an extended PLND, including all lymphatic tissue to the level of the aortic bifurcation. This review will summarize recent findings regarding the clinical benefits of radical cystectomy with extended lymphadenectomy, and will also examine the latest surgical techniques for optimizing the performance of this technically demanding procedure. Recent studies have demonstrated increased recurrence-free survival and overall survival rates in patients undergoing radical cystectomy with extended PLND, even in cases of pathologically lymph node negative disease. The growing use of minimally invasive techniques has prompted interest in robotic radical cystectomy and extended PLND, and recent reports have demonstrated the feasibility of this technique. The standardization of extended PLND templates has also been a focus of contemporary research. Contemporary research strongly suggests that all patients undergoing radical cystectomy for bladder cancer should undergo concomitant extended PLND. Randomized trials are still needed to confirm the benefits of extended over 'standard' PLND, and to clarify which patients may receive the greatest benefit from this procedure.

  7. A Comprehensive Prediction Model of Hydraulic Extended-Reach Limit Considering the Allowable Range of Drilling Fluid Flow Rate in Horizontal Drilling.

    PubMed

    Li, Xin; Gao, Deli; Chen, Xuyue

    2017-06-08

    Hydraulic extended-reach limit (HERL) model of horizontal extended-reach well (ERW) can predict the maximum measured depth (MMD) of the horizontal ERW. The HERL refers to the well's MMD when drilling fluid cannot be normally circulated by drilling pump. Previous model analyzed the following two constraint conditions, drilling pump rated pressure and rated power. However, effects of the allowable range of drilling fluid flow rate (Q min  ≤ Q ≤ Q max ) were not considered. In this study, three cases of HERL model are proposed according to the relationship between allowable range of drilling fluid flow rate and rated flow rate of drilling pump (Q r ). A horizontal ERW is analyzed to predict its HERL, especially its horizontal-section limit (L h ). Results show that when Q min  ≤ Q r  ≤ Q max (Case I), L h depends both on horizontal-section limit based on rated pump pressure (L h1 ) and horizontal-section limit based on rated pump power (L h2 ); when Q min  < Q max  < Q r (Case II), L h is exclusively controlled by L h1 ; while L h is only determined by L h2 when Q r  < Q min  < Q max (Case III). Furthermore, L h1 first increases and then decreases with the increase in drilling fluid flow rate, while L h2 keeps decreasing as the drilling fluid flow rate increases. The comprehensive model provides a more accurate prediction on HERL.

  8. Pattern of venous collateral development after splenic vein occlusion in an extended Whipple procedure : comparison with collateral vein pattern in cases of sinistral portal hypertension.

    PubMed

    Strasberg, Steven M; Bhalla, Sanjeev; Sanchez, Luis A; Linehan, David C

    2011-11-01

    The risks of developing sinistral portal hypertension as a result of occlusion of the splenic vein close to its termination during a Whipple procedure are unclear. Our purpose was to compare the pattern of venous collateral development after splenic vein ligation in an extended Whipple procedure with the pattern of collateral development in cases of sinistral portal hypertension. Five patients underwent an extended Whipple procedure in which the splenic vein was divided and not reconstructed. Six to eight months later detailed mapping of venous return from the spleen was determined by contrast-enhanced multidetector computed tomography or in one case by 3D contrast-enhanced MRI. Spleen size and length of residual patent splenic vein were also measured. The literature on sinistral portal hypertension was evaluated to ascertain whether the venous collateral pattern in cases of left-sided portal hypertension was similar to the pattern that developed when the splenic vein was ligated at its termination in the Whipple procedure. A length of splenic vein remained patent in all five patients, measuring 4.5 to 11.5 cm from the spleen. Splenomegaly did not develop. Blood returned from the spleen by multiple collaterals including collaterals in the omentum and mesocolon. These types of collaterals do not develop in sinistral portal hypertension, nor is residual patent splenic vein seen. Ligation of the splenic vein close to its termination in five patients resulted in a pattern of venous return different from patients that have developed left-sided portal hypertension.

  9. Upgrading the Gleason Score in Extended Prostate Biopsy: Implications for Treatment Choice

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

    Moreira Leite, Katia Ramos; Laboratory of Surgical and Molecular Pathology - Hospital Sirio Libanes, Sao Paulo; Camara-Lopes, Luiz H.A.

    2009-02-01

    Purpose: To determine the incidence of overestimation of Gleason score (GS) in extended prostate biopsy, and consequently circumventing unnecessary aggressive treatment. Methods and Materials: This is a retrospective study of 464 patients who underwent prostate biopsy and radical prostatectomy between January 2001 and November 2007. The GS from biopsy and radical prostatectomy were compared. The incidence of overestimation of GS in biopsies and tumor volume were studied. Multivariate analysis was applied to find parameters that predict upgrading the GS in prostate biopsy. Results: The exact agreement of GS between prostate biopsy and radical prostatectomy occurred in 56.9% of cases. Inmore » 29.1% cases it was underestimated, and it was overestimated in 14%. One hundred and six (22.8%) patients received a diagnosis of high GS (8, 9, or 10) in a prostate biopsy. In 29.2% of cases, the definitive Gleason Score was 7 or lower. In cases in which GS was overestimated in the biopsy, tumors were significantly smaller. In multivariate analysis, the total percentage of tumor was the only independent factor in overestimation of GS. Tumors occupying less than 33% of cores had a 5.6-fold greater chance of being overestimated. Conclusion: In the extended biopsy era and after the International Society of Urological Pathology consensus on GS, almost one third of tumors considered to have high GS at the biopsy may be intermediate-risk cancers. In that condition, tumors are smaller in biopsy. This should be remembered by professionals involved with prostate cancer to avoid overtreatment and undesirable side effects.« less

  10. Circumscribed malformation and nerve cell alterations in the entorhinal cortex of schizophrenics. Pathogenetic and clinical aspects.

    PubMed

    Jakob, H; Beckmann, H

    1994-01-01

    A postmortem histological comparison of 5 selected cases of schizophrenia with 5 non-schizophrenic controls showed a circumscribed malformation of the entorhinal cortex. The cortical alterations consisted mainly of a lack or a change of the characteristic island formations in layer II pre-alpha. Further, there were atypical neurons in layers II and III showing a conspicuous decrease of volume, often a change of the shape. They lay either in clusters or in columnar formations. These cells were considered "young neurons". The changes varied considerably from case to case and sometimes extended to all entorhinal layers. In one case the extension of the changes is described by means of serial sections in steps which extend over the whole rostral entorhinal region. Here, the striking architectural changes were formed in an exactly circumscribed sector and did not extend to the rostral hippocampal formation. On the whole, the changes are regarded as local migrational disturbances that occur during the second trimester of brain development. Neuronal displacements like these could give rise to various aberrant connections within the limbic system and related structures (e.g. the central position of the entorhinal region in circuits such as the entorhino-hippocampal loop, entorhinol-insula and entorhino-orbitofrontal reciprocal connections). Whereas alterations of the genetic programming of cell migrations may be suspected, various environmental influences (e.g. viral infections during the months III-V of pregnancy) appear to play a significant role. The malformations may be a decisive vulnerability factor for the later manifestation of the illness.

  11. Hamiltonian Anomalies from Extended Field Theories

    NASA Astrophysics Data System (ADS)

    Monnier, Samuel

    2015-09-01

    We develop a proposal by Freed to see anomalous field theories as relative field theories, namely field theories taking value in a field theory in one dimension higher, the anomaly field theory. We show that when the anomaly field theory is extended down to codimension 2, familiar facts about Hamiltonian anomalies can be naturally recovered, such as the fact that the anomalous symmetry group admits only a projective representation on the Hilbert space, or that the latter is really an abelian bundle gerbe over the moduli space. We include in the discussion the case of non-invertible anomaly field theories, which is relevant to six-dimensional (2, 0) superconformal theories. In this case, we show that the Hamiltonian anomaly is characterized by a degree 2 non-abelian group cohomology class, associated to the non-abelian gerbe playing the role of the state space of the anomalous theory. We construct Dai-Freed theories, governing the anomalies of chiral fermionic theories, and Wess-Zumino theories, governing the anomalies of Wess-Zumino terms and self-dual field theories, as extended field theories down to codimension 2.

  12. Applications of singular value analysis and partial-step algorithm for nonlinear orbit determination

    NASA Technical Reports Server (NTRS)

    Ryne, Mark S.; Wang, Tseng-Chan

    1991-01-01

    An adaptive method in which cruise and nonlinear orbit determination problems can be solved using a single program is presented. It involves singular value decomposition augmented with an extended partial step algorithm. The extended partial step algorithm constrains the size of the correction to the spacecraft state and other solve-for parameters. The correction is controlled by an a priori covariance and a user-supplied bounds parameter. The extended partial step method is an extension of the update portion of the singular value decomposition algorithm. It thus preserves the numerical stability of the singular value decomposition method, while extending the region over which it converges. In linear cases, this method reduces to the singular value decomposition algorithm with the full rank solution. Two examples are presented to illustrate the method's utility.

  13. Cognitive and Learning Strategies for Longstanding Temporal Lobe Lesions in a Child Who Suffered from "Herpes Simplex" Virus Encephalitis: A Case Study over 10 Years

    ERIC Educational Resources Information Center

    van Schoor, A. N.; Naude, H.; van Rensburg, M.; Pretorius, E.; Boon, J. M.

    2005-01-01

    This article presents a case study indicating that "Herpes simplex" virus (HSV) encephalitis may cause permanent learning disabilities due to damage to the temporal lobes as it discusses the results of a case study extending over 10 years to determine the long-term effects on both the anatomy of the brain and the intellectual functioning of the…

  14. Acute Esophageal Necrosis: A Case Series

    PubMed Central

    Mavilia, Marianna G; Gurvits, Grigoriy E

    2018-01-01

    Acute esophageal necrosis (AEN) is a particularly rare syndrome with an incidence of only 0.1-0.28%, whose appearance is notable for proximal extensions of black, necrotic appearing mucosa extending proximally in the esophagus and abruptly interrupted at the gastroesophageal junction. In this case series, we explore the cases of two males: one middle-aged and one elderly, who after presenting with emesis, were found to have acute esophageal necrosis on esophagogastroduodenoscopy. PMID:29850386

  15. Cognitive and Learning Strategies for Longstanding Temporal Lobe Lesions in a Child Who Suffered from "Herpes Simplex" Virus Encephalitis: A Case Study over 10 Years

    ERIC Educational Resources Information Center

    van Schoor, A. N.; Naude, H.; van Rensburg, M.; Pretorius, E.; Boon, J. M.

    2004-01-01

    This article presents a case study indicating that "Herpes simplex" virus (HSV) encephalitis may cause permanent learning disabilities due to damage to the temporal lobes, as it discusses the results of a case study extending over 10 years to determine the long-term effects on both the anatomy of the brain and the intellectual functioning of the…

  16. The Use of Extended Wear Contact Lenses in the Aviation Environment: An Army-wide Study.

    DTIC Science & Technology

    1992-09-01

    immediately. Special instructions were provided to these flight surgeons regarding identification, treatment , and disposition of these subjects. This...conjunctivitis; two cases of anterior uveitis /iritis; and one case of a severe allergic reaction. Many of the above conditions were probably not...contact lens related, although the anterior uveitis cases may have been related to a temporary tight lens condition. In order to rule out a tight lens fit

  17. Sphenoethmoidal mucoceles with intracranial extension.

    PubMed

    Close, L G; O'Conner, W E

    1983-08-01

    Mucoceles of the paranasal sinuses are benign, expansile, locally destructive lesions that are thought to occur secondary to obstruction of the sinus ostia. Nasal and/or ocular signs and symptoms are the usual clinical manifestations of mucoceles arising in the ethmoid and sphenoid sinuses, and intracranial extension is rare. We describe three cases of widely destructive sphenoethmoidal mucoceles extending intracranially, with bone erosion and dural exposure in all cases and brain necrosis in one case.

  18. A new skin flap method for total auricular reconstruction in microtia patients with a reconstructed ear canal: extended scalp and extended mastoid postauricular skin flaps.

    PubMed

    Hwang, Euna; Kim, Young Soo; Chung, Seum

    2014-06-01

    Before visiting a plastic surgeon, some microtia patients may undergo canaloplasty for hearing improvement. In such cases, scarred tissues and the reconstructed external auditory canal in the postauricular area may cause a significant limitation in using the posterior auricular skin flap for ear reconstruction. In this article, we present a new method for auricular reconstruction in microtia patients with previous canaloplasty. By dividing a postauricular skin flap into an upper scalp extended skin flap and a lower mastoid extended skin flap at the level of a reconstructed external auditory canal, the entire anterior surface of the auricular framework can be covered with the two extended postauricular skin flaps. The reconstructed ear shows good color match and texture, with the entire anterior surface of the reconstructed ear being resurfaced with the skin flaps. Clinical question/level of evidence; therapeutic level IV. Copyright © 2014 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  19. Endoscopic surgical management of sinonasal inverted papilloma extending to frontal sinuses.

    PubMed

    Takahashi, Yukiko; Shoji, Fumi; Katori, Yukio; Hidaka, Hiroshi; Noguchi, Naoya; Abe, Yasuhiro; Kakuta, Risako Kakuta; Suzuki, Takahiro; Suzuki, Yusuke; Ohta, Nobuo; Kakehata, Seiji; Okamoto, Yoshitaka

    2016-11-10

    Sinonasal inverted papilloma has been traditionally managed with external surgical approaches. Advances in imaging guidance systems, surgical instrumentation, and intraoperative multi-visualization have led to a gradual shift from external approaches to endoscopic surgery. However, for anatomical and technical reasons, endoscopic surgery of sinonasal inverted papilloma extending to the frontal sinuses is still challenging. Here, we present our experience in endoscopic surgical management of sinonasal inverted papilloma extending to one or both frontal sinuses. We present 10 cases of sinonasal inverted papilloma extending to the frontal sinuses and successfully removed by endoscopic median drainage (Draf III procedure) under endoscopic guidance without any additional external approach. The whole cavity of the frontal sinuses was easily inspected at the end of the surgical procedure. No early or late complications were observed. No recurrence was identified after an average follow-up period of 39.5 months. Use of an endoscopic median drainage approach to manage sinonasal inverted papilloma extending to one or both frontal sinuses is feasible and seems effective.

  20. Cosmological singularity theorems and splitting theorems for N-Bakry-Émery spacetimes

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

    Woolgar, Eric, E-mail: ewoolgar@ualberta.ca; Wylie, William, E-mail: wwylie@syr.edu

    We study Lorentzian manifolds with a weight function such that the N-Bakry-Émery tensor is bounded below. Such spacetimes arise in the physics of scalar-tensor gravitation theories, including Brans-Dicke theory, theories with Kaluza-Klein dimensional reduction, and low-energy approximations to string theory. In the “pure Bakry-Émery” N = ∞ case with f uniformly bounded above and initial data suitably bounded, cosmological-type singularity theorems are known, as are splitting theorems which determine the geometry of timelike geodesically complete spacetimes for which the bound on the initial data is borderline violated. We extend these results in a number of ways. We are able tomore » extend the singularity theorems to finite N-values N ∈ (n, ∞) and N ∈ (−∞, 1]. In the N ∈ (n, ∞) case, no bound on f is required, while for N ∈ (−∞, 1] and N = ∞, we are able to replace the boundedness of f by a weaker condition on the integral of f along future-inextendible timelike geodesics. The splitting theorems extend similarly, but when N = 1, the splitting is only that of a warped product for all cases considered. A similar limited loss of rigidity has been observed in a prior work on the N-Bakry-Émery curvature in Riemannian signature when N = 1 and appears to be a general feature.« less

  1. Cosmological singularity theorems and splitting theorems for N-Bakry-Émery spacetimes

    NASA Astrophysics Data System (ADS)

    Woolgar, Eric; Wylie, William

    2016-02-01

    We study Lorentzian manifolds with a weight function such that the N-Bakry-Émery tensor is bounded below. Such spacetimes arise in the physics of scalar-tensor gravitation theories, including Brans-Dicke theory, theories with Kaluza-Klein dimensional reduction, and low-energy approximations to string theory. In the "pure Bakry-Émery" N = ∞ case with f uniformly bounded above and initial data suitably bounded, cosmological-type singularity theorems are known, as are splitting theorems which determine the geometry of timelike geodesically complete spacetimes for which the bound on the initial data is borderline violated. We extend these results in a number of ways. We are able to extend the singularity theorems to finite N-values N ∈ (n, ∞) and N ∈ (-∞, 1]. In the N ∈ (n, ∞) case, no bound on f is required, while for N ∈ (-∞, 1] and N = ∞, we are able to replace the boundedness of f by a weaker condition on the integral of f along future-inextendible timelike geodesics. The splitting theorems extend similarly, but when N = 1, the splitting is only that of a warped product for all cases considered. A similar limited loss of rigidity has been observed in a prior work on the N-Bakry-Émery curvature in Riemannian signature when N = 1 and appears to be a general feature.

  2. 40 CFR 147.1655 - Requirements for wells authorized by permit.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... New York § 147.1655 Requirements for wells authorized by permit. (a) The owner or operator of a Class... largest casing string. (b) The owner or operator of a new Class II well authorized by permit shall: (1... volume. (3) For new enhanced recovery wells, install tubing or long string casing extending to the...

  3. A Case Methodology of Action Research to Promote Rural Economic Development: Implications for LIS Education

    ERIC Educational Resources Information Center

    Mehra, Bharat; Bishop, Bradley Wade; Partee, Robert P., II.

    2018-01-01

    This article explores a case methodology of action research in Tennessee and investigates how library and information science (LIS) educators can extend their social responsibility to the state's small businesses and rural public libraries. Insights are drawn from a planning grant that was recently awarded by the Institute of Museum and Library…

  4. University Positioning and Changing Patterns of Doctoral Study: The Case of the University of Bath

    ERIC Educational Resources Information Center

    Jamieson, Ian; Naidoo, Rajani

    2007-01-01

    The study examines the changing nature of doctoral study in higher education in the context of significant global changes in higher education. From its origins with Humboldt, the trajectory of doctoral study is traced through the traditional Ph.D, the extended "American model", to the professional doctorate. A university case study…

  5. Dispersion adhesives from soy flour and phenol formaldehyde

    Treesearch

    Charles R. Frihart; James M. Wescott; Amy E. Traska

    2007-01-01

    Higher petroleum prices and greater interest in bio-based adhesives have stimulated a considerable amount of research on incorporating soybean flour into wood adhesives in recent years. In some cases, soy was used at low levels as an extender for phenol-formaldehyde (PF) adhesives; in other cases, highly hydrolyzed soy flour was used. Although progress was made in...

  6. Bias in Cross-Sectional Analyses of Longitudinal Mediation: Partial and Complete Mediation under an Autoregressive Model

    ERIC Educational Resources Information Center

    Maxwell, Scott E.; Cole, David A.; Mitchell, Melissa A.

    2011-01-01

    Maxwell and Cole (2007) showed that cross-sectional approaches to mediation typically generate substantially biased estimates of longitudinal parameters in the special case of complete mediation. However, their results did not apply to the more typical case of partial mediation. We extend their previous work by showing that substantial bias can…

  7. 31 CFR 515.567 - Public performances, athletic and other competitions, and exhibitions.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... international sports federation competitions. Specific licenses, including for multiple trips to Cuba over an... competition in Cuba, provided that: (1) The athletic competition in Cuba is held under the auspices of the... trips to Cuba over an extended period of time, may be issued on a case-by-case basis authorizing the...

  8. 22 CFR 96.48 - Preparation and training of prospective adoptive parent(s) in incoming cases.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... least ten hours (independent of the home study) of preparation and training, as described in paragraphs... cases where training cannot otherwise be provided, an extended home study process, with a system for..., and any other training or counseling needed in light of the child background study or the home study...

  9. 22 CFR 96.48 - Preparation and training of prospective adoptive parent(s) in incoming cases.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... least ten hours (independent of the home study) of preparation and training, as described in paragraphs... cases where training cannot otherwise be provided, an extended home study process, with a system for..., and any other training or counseling needed in light of the child background study or the home study...

  10. 22 CFR 96.48 - Preparation and training of prospective adoptive parent(s) in incoming cases.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... least ten hours (independent of the home study) of preparation and training, as described in paragraphs... cases where training cannot otherwise be provided, an extended home study process, with a system for..., and any other training or counseling needed in light of the child background study or the home study...

  11. [Endomyocardial fibrosis with massive calcification of the left ventricle].

    PubMed

    Trigo, Joana; Camacho, Ana; Gago, Paula; Candeias, Rui; Santos, Walter; Marques, Nuno; Matos, Pedro; Brandão, Victor; Gomes, Veloso

    2010-03-01

    Endomyocardial fibrosis is a rare disease, endemic in tropical countries. It is characterized by fibrosis of the endocardium that can extend to myocardium. Important calcification of the endocardium is rare with only a few cases reported in the literature. We report a case of endomyocardial fibrosis in a european caucasian patient, associated with massive calcification of left ventricle.

  12. Algorithms for the explicit computation of Penrose diagrams

    NASA Astrophysics Data System (ADS)

    Schindler, J. C.; Aguirre, A.

    2018-05-01

    An algorithm is given for explicitly computing Penrose diagrams for spacetimes of the form . The resulting diagram coordinates are shown to extend the metric continuously and nondegenerately across an arbitrary number of horizons. The method is extended to include piecewise approximations to dynamically evolving spacetimes using a standard hypersurface junction procedure. Examples generated by an implementation of the algorithm are shown for standard and new cases. In the appendix, this algorithm is compared to existing methods.

  13. Extension and Validation of a Hybrid Particle-Finite Element Method for Hypervelocity Impact Simulation. Chapter 2

    NASA Technical Reports Server (NTRS)

    Fahrenthold, Eric P.; Shivarama, Ravishankar

    2004-01-01

    The hybrid particle-finite element method of Fahrenthold and Horban, developed for the simulation of hypervelocity impact problems, has been extended to include new formulations of the particle-element kinematics, additional constitutive models, and an improved numerical implementation. The extended formulation has been validated in three dimensional simulations of published impact experiments. The test cases demonstrate good agreement with experiment, good parallel speedup, and numerical convergence of the simulation results.

  14. Extended cervico-thoracic metastasectomy for testicular non-seminomatous germ cell tumour masses through an inverse T and combined collar incision.

    PubMed

    Schweiger, Thomas; Hoetzenecker, Konrad; Taghavi, Shahrokh; Klepetko, Walter

    2015-05-01

    Non-seminomatous germ cell tumours (NSGCT) are the most common malignancy from testicular origin in young males. They are characterized by early formation of metastases along retroperitoneal and subsequent mediastinal lymph node stations. Following cisplatin-based induction chemotherapy, residual tumour masses should be removed surgically, although this implies the need for extended procedures. Such an approach can result in cure rates of over 70%. Herein, we report 2 cases of maximally extended surgery for metastatic malignant germ cell tumour of the testis. In both patients, diagnostic work-up revealed a NSGCT with retroperitoneal, mediastinal and cervical lymph node metastases. Multimodal protocols including induction chemotherapy and surgical removal of all primary and secondary tumour masses with curative intent were applied. An 'inverse T' incision in combination with a collar incision was chosen to approach the excessive supra-diaphragmatic tumour spread. This large-scaled surgical access offered an excellent exposure and allowed complete resection of all cervical and thoracic metastases in both patients. Abdominal tumour masses were resected through a standard median laparotomy. These 2 cases illustrate that complete tumour resection is feasible even in stages of NSGCT with generalized lymphatic spread. Metastasectomy should be offered to NSGCT patients despite the necessity of extended surgical approaches. © The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  15. Hierarchical Safety Cases

    NASA Technical Reports Server (NTRS)

    Denney, Ewen W.; Whiteside, Iain J.

    2012-01-01

    We introduce hierarchical safety cases (or hicases) as a technique to overcome some of the difficulties that arise creating and maintaining industrial-size safety cases. Our approach extends the existing Goal Structuring Notation with abstraction structures, which allow the safety case to be viewed at different levels of detail. We motivate hicases and give a mathematical account of them as well as an intuition, relating them to other related concepts. We give a second definition which corresponds closely to our implementation of hicases in the AdvoCATE Assurance Case Editor and prove the correspondence between the two. Finally, we suggest areas of future enhancement, both theoretically and practically.

  16. A Community-acquired Lung Abscess Attributable to Streptococcus pneumoniae which Extended Directly into the Chest Wall

    PubMed Central

    Ko, Yuki; Tobino, Kazunori; Yasuda, Yuichiro; Sueyasu, Takuto; Nishizawa, Saori; Yoshimine, Kouhei; Munechika, Miyuki; Asaji, Mina; Yamaji, Yoshikazu; Tsuruno, Kosuke; Miyajima, Hiroyuki; Mukasa, Yosuke; Ebi, Noriyuki

    2017-01-01

    We herein report the case of 75-year-old Japanese female with a community-acquired lung abscess attributable to Streptococcus pneumoniae (S. penumoniae) which extended into the chest wall. The patient was admitted to our hospital with a painful mass on the left anterior chest wall. A contrast-enhanced chest computed tomography scan showed a lung abscess in the left upper lobe which extended into the chest wall. Surgical debridement of the chest wall abscess and percutaneous transthoracic tube drainage of the lung abscess were performed. A culture of the drainage specimen yielded S. pneumoniae. The patient showed a remarkable improvement after the initiation of intravenous antibiotic therapy. PMID:28049987

  17. A Community-acquired Lung Abscess Attributable to Streptococcus pneumoniae which Extended Directly into the Chest Wall.

    PubMed

    Ko, Yuki; Tobino, Kazunori; Yasuda, Yuichiro; Sueyasu, Takuto; Nishizawa, Saori; Yoshimine, Kouhei; Munechika, Miyuki; Asaji, Mina; Yamaji, Yoshikazu; Tsuruno, Kosuke; Miyajima, Hiroyuki; Mukasa, Yosuke; Ebi, Noriyuki

    We herein report the case of 75-year-old Japanese female with a community-acquired lung abscess attributable to Streptococcus pneumoniae (S. penumoniae) which extended into the chest wall. The patient was admitted to our hospital with a painful mass on the left anterior chest wall. A contrast-enhanced chest computed tomography scan showed a lung abscess in the left upper lobe which extended into the chest wall. Surgical debridement of the chest wall abscess and percutaneous transthoracic tube drainage of the lung abscess were performed. A culture of the drainage specimen yielded S. pneumoniae. The patient showed a remarkable improvement after the initiation of intravenous antibiotic therapy.

  18. Extended GTST-MLD for aerospace system safety analysis.

    PubMed

    Guo, Chiming; Gong, Shiyu; Tan, Lin; Guo, Bo

    2012-06-01

    The hazards caused by complex interactions in the aerospace system have become a problem that urgently needs to be settled. This article introduces a method for aerospace system hazard interaction identification based on extended GTST-MLD (goal tree-success tree-master logic diagram) during the design stage. GTST-MLD is a functional modeling framework with a simple architecture. Ontology is used to extend the ability of system interaction description in GTST-MLD by adding the system design knowledge and the past accident experience. From the level of functionality and equipment, respectively, this approach can help the technician detect potential hazard interactions. Finally, a case is used to show the method. © 2011 Society for Risk Analysis.

  19. The interpretation of optical light variations of Centaurus X-3

    NASA Technical Reports Server (NTRS)

    Mauder, H.

    1976-01-01

    The interpretation of optical light variations of X-ray binaries is discussed for the case of negligible reflection effect. The limiting cases of synchronous rotation of the visible star (Roche configuration) and of no rotation (pure tidal deformation) are considered. The theoretical results are compared with the available light curves of Cen X-3. X-ray data of the Copernicus satellite are used to get an impression of the atmospheric structure of the outer layers of the visible component. It is shown, that the X-ray eclipse duration is in good agreement with the mass ration derived from the optical variations. The X-ray eclipse duration is discussed with respect to the extended low states, and a possible correlation of the extended lows with the appearance of the optical light curves is considered.

  20. OPTOELECTRONICS, FIBER OPTICS, AND OTHER ASPECTS OF QUANTUM ELECTRONICS: Influence of the Rayleigh backscattering on the mode composition of radiation in multimode graded-index waveguides with a quadratic refractive-index profile

    NASA Astrophysics Data System (ADS)

    Esayan, G. L.; Krivoshlykov, S. G.

    1989-08-01

    A method of coherent states is used to describe the process of Rayleigh scattering in a multimode graded-index waveguide with a quadratic refractive-index profile. Explicit expressions are obtained for the coefficients representing excitation of Gaussian-Hermite backscattering modes in two cases of practical importance: excitation of a waveguide by an extended noncoherent light source and selective excitation of different modes at the entry to a waveguide. An analysis is also made of the coefficients of coupling between forward and backward modes. Explicit expressions for the coefficients representing capture of backscattered radiation by a waveguide are obtained for two special cases of excitation (extended light source and zeroth mode).

  1. Holographic entanglement chemistry

    NASA Astrophysics Data System (ADS)

    Caceres, Elena; Nguyen, Phuc H.; Pedraza, Juan F.

    2017-05-01

    We use the Iyer-Wald formalism to derive an extended first law of entanglement that includes variations in the cosmological constant, Newton's constant and—in the case of higher-derivative theories—all the additional couplings of the theory. In Einstein gravity, where the number of degrees of freedom N2 of the dual field theory is a function of Λ and G , our approach allows us to vary N by keeping the field theory scale fixed or to vary the field theory scale by keeping N fixed. We also derive an extended first law of entanglement for Gauss-Bonnet and Lovelock gravity and show that in these cases all the extra variations reorganize nicely in terms of the central charges of the theory. Finally, we comment on the implications for renormalization group flows and c -theorems in higher dimensions.

  2. Complex posterior thoracic wall reconstruction using a crossover combined latissimus dorsi and serratus anterior free flap.

    PubMed

    Bodin, Frédéric; Dissaux, Caroline; Steib, Jean-Paul; Massard, Gilbert

    2016-03-01

    Radical resection of an extended malignant sarcoma of the chest wall requires full-thickness thoracic chest wall reconstruction. Reconstruction is tedious in the case of posteriorly located tumours, because the ipsilateral pedicled myocutaneous latissimus dorsi flap is involved and hence not usable for soft tissue coverage. We report an original case of a left giant dorsal chondrosarcoma originating from the 11th costovertebral joint. After extended resection and skeletal reconstruction, soft tissue coverage was achieved with an original contralateral free flap encompassing both latissimus dorsi and serratus anterior muscles. The flap pedicle was anastomosed to the ipsilateral thoracodorsal vessels. © The Author 2015. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.

  3. Observational constraints on extended Chaplygin gas cosmologies

    NASA Astrophysics Data System (ADS)

    Paul, B. C.; Thakur, P.; Saha, A.

    2017-08-01

    We investigate cosmological models with extended Chaplygin gas (ECG) as a candidate for dark energy and determine the equation of state parameters using observed data namely, observed Hubble data, baryon acoustic oscillation data and cosmic microwave background shift data. Cosmological models are investigated considering cosmic fluid which is an extension of Chaplygin gas, however, it reduces to modified Chaplygin gas (MCG) and also to generalized Chaplygin gas (GCG) in special cases. It is found that in the case of MCG and GCG, the best-fit values of all the parameters are positive. The distance modulus agrees quite well with the experimental Union2 data. The speed of sound obtained in the model is small, necessary for structure formation. We also determine the observational constraints on the constants of the ECG equation.

  4. Time-Accurate Computations of Isolated Circular Synthetic Jets in Crossflow

    NASA Technical Reports Server (NTRS)

    Rumsey, C. L.; Schaeffler, N. W.; Milanovic, I. M.; Zaman, K. B. M. Q.

    2007-01-01

    Results from unsteady Reynolds-averaged Navier-Stokes computations are described for two different synthetic jet flows issuing into a turbulent boundary layer crossflow through a circular orifice. In one case the jet effect is mostly contained within the boundary layer, while in the other case the jet effect extends beyond the boundary layer edge. Both cases have momentum flux ratios less than 2. Several numerical parameters are investigated, and some lessons learned regarding the CFD methods for computing these types of flow fields are summarized. Results in both cases are compared to experiment.

  5. De novo Craniopharyngioma of the Fourth Ventricle: Case Report and Review of Literature.

    PubMed

    Algahtani, Abdulhadi Y; Algahtani, Hussein A; Jamjoom, Abdulhakim B; Samkari, Alaa M; Marzuk, Yousef I

    2018-01-01

    Craniopharyngiomas usually involve the sella and suprasellar space. Their occurrence in the posterior fossa without extension to the suprasellar region is uncommon with only 16 cases reported in the literature. We report a case of a primary posterior fossa craniopharyngioma that was managed by complete excision with a good recovery. Our case was unique in that the craniopharyngioma occurred in the fourth ventricle and extended downward to the level of C1, a manifestation that was reported only twice in the past. The literature on the topic is reviewed.

  6. An Intelligent Case-Based Help Desk Providing Web-Based Support for EOSDIS Customers

    NASA Technical Reports Server (NTRS)

    Mitchell, Christine M.; Thurman, David A.

    1998-01-01

    This paper describes a project that extends the concept of help desk automation by offering World Wide Web access to a case-based help desk. It explores the use of case-based reasoning and cognitive engineering models to create an 'intelligent' help desk system, one that learns. It discusses the AutoHelp architecture for such a help desk and summarizes the technologies used to create a help desk for NASA data users.

  7. 32 CFR 644.118 - Awards.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... form constitute the entire report. Where the case was tried by a Commission, copies of the... District Engineer's report. The District must insure that our right to object is extended if the situation...

  8. 32 CFR 644.118 - Awards.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... form constitute the entire report. Where the case was tried by a Commission, copies of the... District Engineer's report. The District must insure that our right to object is extended if the situation...

  9. 32 CFR 644.118 - Awards.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... form constitute the entire report. Where the case was tried by a Commission, copies of the... District Engineer's report. The District must insure that our right to object is extended if the situation...

  10. Application of the IBERDROLA RETRAN Licensing Methodology to the Confrentes BWR-6 110% Extended Power Uprate

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

    Fuente, Rafael de la; Iglesias, Javier; Sedano, Pablo G.

    IBERDROLA (Spanish utility) and IBERDROLA INGENIERIA (engineering branch) have been developing during the last 2 yr the 110% Extended Power Uprate Project for Cofrentes BWR-6. IBERDROLA has available an in-house design and licensing reload methodology that has been approved in advance by the Spanish Nuclear Regulatory Authority. This methodology has been applied to perform the nuclear design and the reload licensing analysis for Cofrentes cycles 12 and 13 and to develop a significant number of safety analyses of the Cofrentes Extended Power.Because the scope of the licensing process of the Cofrentes Extended Power Uprate exceeds the range of analysis includedmore » in the Cofrentes generic reload licensing process, it has been required to extend the applicability of the Cofrentes RETRAN model to the analysis of new transients. This is the case of the total loss of feedwater (TLFW) transient.The content of this paper shows the benefits of having an in-house design and licensing methodology and describes the process to extend the applicability of the Cofrentes RETRAN model to the analysis of new transients, particularly in this paper the TLFW transient.« less

  11. Forensic, Cultural, and Systems Issues in Child Sexual Abuse Cases--Part 2: Research and Practitioner Issues

    ERIC Educational Resources Information Center

    Tishelman, Amy C.; Geffner, Robert

    2010-01-01

    This article introduces the second issue of the special double issue focusing on forensic, cultural, and systems issues in child sexual abuse cases. We briefly review the articles, which include a discussion of child sexual abuse myths, an empirical analysis of extended child sexual abuse evaluations, an article on the role of the medical provider…

  12. Achieving Affective and Behavioral Outcomes in Culture Learning: The Case for Ethnographic Interviews

    ERIC Educational Resources Information Center

    Bateman, Blair E.

    2004-01-01

    This study sought to extend previous research on ethnographic interviews as a method of culture learning in foreign language classes by employing a qualitative case study methodology. Fifty-four university students in a first-year Spanish course worked in pairs to conduct a series of three ethnographic interviews with a native speaker of Spanish.…

  13. Case Studies of Teachers' Understandings of the Pedagogy of Classroom Talk: Some Critical Moments Explored

    ERIC Educational Resources Information Center

    Coultas, Valerie

    2016-01-01

    This case study research is informed by Vygotsky's view that talk is essential to organise our thoughts and extend our thinking and that, as Barnes suggested, the teacher needs to use the social situation effectively in the classroom to promote talk for learning. This article focuses on pedagogy and teachers' understandings of how talk works in…

  14. Spatial and temporal seed dispersal of squarrose knapweed (Centaurea virgata Lam. ssp. squarrosa (Willd.) Gugler) in west central Utah, a case study

    Treesearch

    Scott L. Jensen; Stephen B. Monsen; Pat Fosse

    2008-01-01

    This case study documents temporal and spatial squarrose knapweed (Centaurea virgata Lam. spp. squarrosa (Willd.) Gugler) seed dispersal from study sites in central Utah. Felt seed traps were placed along transects extending from sites occupied by squarrose knapweed into adjacent plant communities. Seed dispersal from knapweed...

  15. An Exploratory Investigation of Online Forum Mediated Collaborative Learning of Speech Writing: A Case Study

    ERIC Educational Resources Information Center

    Lata, Pushp; Luhach, Suman

    2014-01-01

    Learning Management Systems (LMS) are being integrated in the curriculum by many educational institutions to extend teaching and learning beyond classroom. This paper is based on a case study exploring the integration of LMS Nalanda created on Moodle in Effective Public Speaking (EPS) classroom to give students an additional platform to practice,…

  16. Symmetry considerations in the scattering of identical composite bodies

    NASA Technical Reports Server (NTRS)

    Norbury, J. W.; Townsend, L. W.; Deutchman, P. A.

    1986-01-01

    Previous studies of the interactions between composite particles were extended to the case in which the composites are identical. The form of the total interaction potential matrix elements was obtained, and guidelines for their explicit evaluation were given. For the case of elastic scattering of identical composites, the matrix element approach was shown to be equivalent to the scattering amplitude method.

  17. Large plunging schwannoma of the floor of the mouth involving the mylohyoid nerve: a case report and review of the literature.

    PubMed

    Nilesh, Kumar; Naniwadekar, Ramchandra G; Malik, Neelima A

    2016-01-01

    Extracranial schwannomas are rare in the oral cavity, accounting for only 1% of all tumors of this type. This article presents a case study of a schwannoma arising from the mylohyoid nerve that presented as a large nodular swelling in the floor of the mouth extending into the submandibular space.

  18. Session 3: Beyond the boundaries of Total Mesorectal Excision - where surgeons fear to tread.

    PubMed

    Patel, A; Holm, T; Wale, A; Rutten, H; Nicholls, J; Hawkins, M; Steele, R J C; Marks, J; Brown, G

    2018-05-01

    Approximately 10-15% of patients present with an advanced rectal cancer that extends beyond the conventional total mesorectal excision (TME) planes. In such cases extending the surgery to ensure resection with clear margins (R0 resection) is essential in order to achieve long-term cure. Professor Holm describes the techniques of beyond-TME exenterative surgery, the methods of patient selection and outcomes. Colorectal Disease © 2018 The Association of Coloproctology of Great Britain and Ireland.

  19. Generalized classes of continuous symmetries in two-mode Dicke models

    NASA Astrophysics Data System (ADS)

    Moodie, Ryan I.; Ballantine, Kyle E.; Keeling, Jonathan

    2018-03-01

    As recently realized experimentally [Nature (London) 543, 87 (2017), 10.1038/nature21067], one can engineer models with continuous symmetries by coupling two cavity modes to trapped atoms via a Raman pumping geometry. Considering specifically cases where internal states of the atoms couple to the cavity, we show an extended range of parameters for which continuous symmetry breaking can occur, and we classify the distinct steady states and time-dependent states that arise for different points in this extended parameter regime.

  20. [The use of the internal tissue expansion procedure in reconstructive surgery. Preliminary study and report of 2 cases].

    PubMed

    Horn, G

    1997-12-01

    The Frechet extender, initially proposed and successfully used in scalp reductions, can have many other indications in reconstructive surgery. This paper describes the preliminary results obtained after using this internal tissue extender in the treatment of a limb burn scar and a congenital giant naevus of the back. After a 3 month follow-up, these results are excellent. This procedure gives good results especially when there is a bony support underneath the skin to be treated.

  1. Improved detection rate of structural abnormalities in the first trimester using an extended examination protocol.

    PubMed

    Iliescu, D; Tudorache, S; Comanescu, A; Antsaklis, P; Cotarcea, S; Novac, L; Cernea, N; Antsaklis, A

    2013-09-01

    To assess the potential of first-trimester sonography in the detection of fetal abnormalities using an extended protocol that is achievable with reasonable resources of time, personnel and ultrasound equipment. This was a prospective two-center 2-year study of 5472 consecutive unselected pregnant women examined at 12 to 13 + 6 gestational weeks. Women were examined using an extended morphogenetic ultrasound protocol that, in addition to the basic evaluation, involved a color Doppler cardiac sweep and identification of early contingent markers for major abnormalities. The prevalence of lethal and severe malformations was 1.39%. The first-trimester scan identified 40.6% of the cases detected overall and 76.3% of major structural defects. The first-trimester detection rate (DR) for major congenital heart disease (either isolated or associated with extracardiac abnormalities) was 90% and that for major central nervous system anomalies was 69.5%. In fetuses with increased nuchal translucency (NT), the first-trimester DR for major anomalies was 96%, and in fetuses with normal NT it was 66.7%. Most (67.1%) cases with major abnormalities presented with normal NT. A detailed first-trimester anomaly scan using an extended protocol is an efficient screening method to detect major fetal structural abnormalities in low-risk pregnancies. It is feasible at 12 to 13 + 6 weeks with ultrasound equipment and personnel already used for routine first-trimester screening. Rate of detection of severe malformations is greater in early- than in mid-pregnancy and on postnatal evaluation. Early heart investigation could be improved by an extended protocol involving use of color Doppler. Copyright © 2013 ISUOG. Published by John Wiley & Sons Ltd.

  2. Extended resections of non-small cell lung cancers invading the aorta, pulmonary artery, left atrium, or esophagus: can they be justified?

    PubMed

    Reardon, Emily S; Schrump, David S

    2014-11-01

    T4 tumors that invade the heart, great vessels, or esophagus comprise a heterogenous group of locally invasive lung cancers. Prognosis depends on nodal status; this relationship has been consistently demonstrated in many of the small series of extended resection. Current National Comprehensive Cancer Network guidelines do not recommend surgery for T4 extension with N2-3 disease (stage IIIB). However, biopsy-proven T4 N0-1 (stage IIIA) may be operable. Localized tumors with invasion of the aorta, pulmonary artery, left atrium, or esophagus represent a small subset of T4 disease. Acquiring sufficient randomized data to provide statistical proof of a survival advantage for patients undergoing extended resections for these neoplasms will likely never be possible.Therefore, we are left to critically analyze current documented experience to make clinical decisions on a case-by-case basis.It is clear that the operative morbidity and mortality of extended resections for locally advanced T4 tumors have significantly improved over time,yet the risks are still high. The indications for such procedures and the anticipated outcomes should be clearly weighed in terms of potential perioperative complications and expertise of the surgical team. Patients with T4 N0-1 have the best prognosis and with complete resection may have the potential for cure. The use of induction therapy and surgery for advanced T4 tumors may improve survival. Current data suggest that for tumors that invade the aorta, pulmonary artery,left atrium, or esophagus, resection should be considered in relation to multidisciplinary care.For properly selected patients receiving treatment at high volume, experienced centers, extended resections may be warranted. Published by Elsevier Inc.

  3. 33 CFR 2.28 - Contiguous zone.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... from the territorial sea baseline. (b) For all other purposes, contiguous zone means all waters within... nautical miles from the territorial sea baseline, but in no case extending within the territorial sea of...

  4. Doppler-broadened NICE-OHMS beyond the cavity-limited weak absorption condition - I. Theoretical description

    NASA Astrophysics Data System (ADS)

    Ma, Weiguang; Silander, Isak; Hausmaninger, Thomas; Axner, Ove

    2016-01-01

    Doppler-broadened (Db) noise-immune cavity-enhanced optical heterodyne molecular spectrometry (NICE-OHMS) is conventionally described by an expression (here referred to as the CONV expression) that is restricted to the case when the single-pass absorbance, α0L, is much smaller than the empty cavity losses, π/F [here termed the conventional cavity-limited weak absorption (CCLWA) condition]. This limits the applicability of the technique, primarily its dynamic range and calibration capability. To remedy this, this work derives extended descriptions of Db NICE-OHMS that are not restricted to the CCLWA condition. First, the general principles of Db NICE-OHMS are scrutinized in some detail. Based solely upon a set of general assumptions, predominantly that it is appropriate to linearize the Beer-Lambert law, that the light is modulated to a triplet, and that the Pound-Drever-Hall sidebands are fully reflected, a general description of Db NICE-OHMS that is not limited to any specific restriction on α0L vs. π/F, here referred to as the FULL description, is derived. However, this description constitutes a set of equations to which no closed form solution has been found. Hence, it needs to be solved numerically (by iterations), which is inconvenient. To circumvent this, for the cases when α0L<π/F but without the requirement that the stronger CCLWA condition needs to be fulfilled, a couple of simplified extended expressions that are expressible in closed analytical form, referred to as the extended locking and extended transmission description, ELET, and the extended locking and full transmission description, ELFT, have been derived. An analysis based on simulations validates the various descriptions and assesses to which extent they agree. It is shown that in the CCLWA limit, all extended descriptions revert to the CONV expression. The latter one deviates though from the extended ones for α0L around and above 0.1π/F. The two simplified extended descriptions agree with the FULL description for a larger range of α0 L than the CONV expression, viz. for the ELET description for α0L up to 0.3π/F and for ELFT for α0L up to 0.6 or 1.0 π/F (depending on the mode of detection). It is then demonstrated that the conventional view of Db NICE-OHMS, which states that the out-of-phase and the in-phase signals can be referred to as a pure absorption and dispersion signal, respectively, breaks down when the CCLWA condition does not hold. In this case, the out-of-phase signal is additionally affected by the phase shifts of the laser components (i.e. dispersion) while the in-phase signal is also influenced by their attenuation. Access to new descriptions broadens considerably the dynamic range of Db NICE-OHMS and facilitates calibration using standard references samples, and thereby its applicability.

  5. Instructor Model Characteristics for Automated Speech Technology (IMCAST).

    DTIC Science & Technology

    1979-10-01

    the student leaves the school, OJT opportunities for further training may be on the decline as reported by Hooks et al. (1978)5 in the case of LSOs...this case , errors are 31 NAVTRAEQUIPCEN 79-C-0085-1 committed, or maybe a response was omitted, because of a lack of "knowledge" (structure) on the...Talking this reasoning one step further, Figure 7 shows the case wherein the range of resource allocation is extended from A to D. As can be seen, one

  6. Practical calculation of laminar and turbulent bled-off boundary layers

    NASA Technical Reports Server (NTRS)

    Eppler, R.

    1978-01-01

    Bleed-off of boundary layer material is shown to be an effective means for reducing drag by conserving the laminar boundary layer and preventing separation of the turbulent boundary layer. The case in which the two effects of bleed-off overlap is examined. Empirical methods are extended to the case of bleed-off. Laminar and turbulent boundary layers are treated simultaneously and the approximation differential equations are solved without an uncertain error. The case without bleed-off is also treated.

  7. History of the Joint Chiefs of Staff. The Joint Chiefs of Staff and National Policy. Volume 8, 1961 - 1964

    DTIC Science & Technology

    2011-01-01

    Focusing on Internal Security and Civic Action 22" Concentrating on Civic Action 227 Case Studies 231 Cuba: Threat and Target 232 16. Middle East...colleagues, and particularly with senior civilians—more so, possibly, than was actually the case . The Chief Executive extended General LeMay’s term until 1...in order to make his program more palatable politically. In any case , his testimony triggered—or perhaps provided the pretext for—another JCS debate

  8. Concrete Repair Best Practices: A Series of Case Studies

    DOT National Transportation Integrated Search

    2017-11-01

    Concrete pavement restoration (CPR) techniques have gained greater national significance as DOT agencies attempt to further extend infrastructure service lives prior to required major rehabilitation or reconstruction. Various publications have docume...

  9. Failure-Time Distribution Of An m-Out-of-n System

    NASA Technical Reports Server (NTRS)

    Scheuer, Ernest M.

    1988-01-01

    Formulas for reliability extended to more general cases. Useful in analyses of reliabilities of practical systems and structures, especially of redundant systems of identical components, among which operating loads distributed equally.

  10. Mechanical Slosh Models for Rocket-Propelled Spacecraft

    NASA Technical Reports Server (NTRS)

    Jang, Jiann-Woei; Alaniz, Abram; Yang, Lee; Powers. Joseph; Hall, Charles

    2013-01-01

    Several analytical mechanical slosh models for a cylindrical tank with flat bottom are reviewed. Even though spacecrafts use cylinder shaped tanks, most of those tanks usually have elliptical domes. To extend the application of the analytical models for a cylindrical tank with elliptical domes, the modified slosh parameter models are proposed in this report by mapping an elliptical dome cylindrical tank to a flat top/bottom cylindrical tank while maintaining the equivalent liquid volume. For the low Bond number case, the low-g slosh models were also studied. Those low-g models can be used for Bond number > 10. The current low-g slosh models were also modified to extend their applications for the case that liquid height is smaller than the tank radius. All modified slosh models are implemented in MATLAB m-functions and are collected in the developed MST (Mechanical Slosh Toolbox).

  11. Real-Time Extended Interface Automata for Software Testing Cases Generation

    PubMed Central

    Yang, Shunkun; Xu, Jiaqi; Man, Tianlong; Liu, Bin

    2014-01-01

    Testing and verification of the interface between software components are particularly important due to the large number of complex interactions, which requires the traditional modeling languages to overcome the existing shortcomings in the aspects of temporal information description and software testing input controlling. This paper presents the real-time extended interface automata (RTEIA) which adds clearer and more detailed temporal information description by the application of time words. We also establish the input interface automaton for every input in order to solve the problems of input controlling and interface covering nimbly when applied in the software testing field. Detailed definitions of the RTEIA and the testing cases generation algorithm are provided in this paper. The feasibility and efficiency of this method have been verified in the testing of one real aircraft braking system. PMID:24892080

  12. Pedagogical systematic derivation of Noether point symmetries in special relativistic field theories and extended gravity cosmology

    NASA Astrophysics Data System (ADS)

    Haas, Fernando

    2016-11-01

    A didactic and systematic derivation of Noether point symmetries and conserved currents is put forward in special relativistic field theories, without a priori assumptions about the transformation laws. Given the Lagrangian density, the invariance condition develops as a set of partial differential equations determining the symmetry transformation. The solution is provided in the case of real scalar, complex scalar, free electromagnetic, and charged electromagnetic fields. Besides the usual conservation laws, a less popular symmetry is analyzed: the symmetry associated with the linear superposition of solutions, whenever applicable. The role of gauge invariance is emphasized. The case of the charged scalar particle under external electromagnetic fields is considered, and the accompanying Noether point symmetries determined. Noether point symmetries for a dynamical system in extended gravity cosmology are also deduced.

  13. Abdominal compartment syndrome due to spontaneous rectus sheath hematoma with extension into the retroperitoneal space

    PubMed Central

    Strain, Jay; Kaplan, Mark J

    2017-01-01

    Abstract Rectus sheath hematoma (RSH) is an increasingly common clinical condition in our hospitals due to the increasing use of anticoagulant therapies for various purposes among our patients. Treatment of spontaneous RSH is generally conservative. For continued bleeding, interventional radiologic identification and subsequent embolization is an effective option. Surgery usually involves significant morbidity and is considered a technique of last resort. In this case report, we describe the case of middle aged female who developed abdominal compartment syndrome (ACS) from a large RSH that had extended into the retroperitoneum. The patient underwent abdominal decompression with removal of the hematoma and subsequently fared very well. Patients with large RSHs extending into the retroperitoneum should undergo constant monitoring of their abdominal pressures for early detection and treatment of potentially deadly condition of ACS. PMID:29181148

  14. Studies on the Himbert Intramolecular Arene/ Allene Diels – Alder Cycloaddition. Mechanistic Studies and Expansion of Scope to All-Carbon Tethers

    PubMed Central

    Schmidt, Yvonne; Lam, Jonathan K.; Pham, Hung V.; Houk, K. N.; Vanderwal, Christopher D.

    2013-01-01

    The unusual intramolecular arene/allene cycloaddition described thirty years ago by Himbert permits rapid access to strained polycyclic compounds that offer great potential for the synthesis of complex scaffolds. To more fully understand the mechanism of this cycloaddition reaction, and to guide efforts to extend its scope to new substrates, quantum mechanical computational methods were employed in concert with laboratory experiments. These studies indicated that the cycloadditions likely proceed via concerted processes; a stepwise biradical mechanism was shown to be higher in energy in the cases studied. The original Himbert cycloaddition chemistry is also extended from heterocyclic to carbocyclic systems, with computational guidance used to predict thermodynamically favorable cases. Complex polycyclic scaffolds result from the combination of the cycloaddition and subsequent ring-rearrangement metathesis reactions. PMID:23634642

  15. Coupling of atom-by-atom calculations of extended defects with B kick-out equations: application to the simulation of boron ted

    NASA Astrophysics Data System (ADS)

    Lampin, E.; Cristiano, F.; Lamrani, Y.; Colombeau, B.

    2004-02-01

    We present simulations of B TED based on a complete calculation of the extended defect growth/shrinkage during annealing. The Si self-interstitial supersaturation calculated at the extended defect depth is coupled to the set of equations for the B kick-out diffusion through a generation/recombination term in the diffusion equation of the Si self-interstitials. The simulations are compared to the measurements performed on a Si wafer containing several B marker layers, where the amount of TED varies from one peak to the other. The good agreement obtained on this experiment is very promising for the application of these calculations to the case of ultra-shallow B + implants.

  16. Rational extended thermodynamics of a rarefied polyatomic gas with molecular relaxation processes

    NASA Astrophysics Data System (ADS)

    Arima, Takashi; Ruggeri, Tommaso; Sugiyama, Masaru

    2017-10-01

    We present a more refined version of rational extended thermodynamics of rarefied polyatomic gases in which molecular rotational and vibrational relaxation processes are treated individually. In this case, we need a triple hierarchy of the moment system and the system of balance equations is closed via the maximum entropy principle. Three different types of the production terms in the system, which are suggested by a generalized BGK-type collision term in the Boltzmann equation, are adopted. In particular, the rational extended thermodynamic theory with seven independent fields (ET7) is analyzed in detail. Finally, the dispersion relation of ultrasonic wave derived from the ET7 theory is confirmed by the experimental data for CO2, Cl2, and Br2 gases.

  17. Research study for effects of case flexibility on bearing loads and rotor stability

    NASA Technical Reports Server (NTRS)

    Fenwick, J. R.; Tarn, R. B.

    1984-01-01

    Methods to evaluate the effect of casing flexibility on rotor stability and component loads were developed. Recent Rocketdyne turbomachinery was surveyed to determine typical properties and frequencies versus running speed. A small generic rotor was run with a flexible case with parametric variations in casing properties for comparison with a rotor attached to rigid supports. A program for the IBM personal computer for interactive evaluation of rotors and casings is developed. The Root locus method is extended for use in rotor dynamics for symmetrical systems by transforming all motion and coupling into a single plane and using a 90 degree criterion when plotting loci.

  18. Methods for Solving Gas Damping Problems in Perforated Microstructures Using a 2D Finite-Element Solver

    PubMed Central

    Veijola, Timo; Råback, Peter

    2007-01-01

    We present a straightforward method to solve gas damping problems for perforated structures in two dimensions (2D) utilising a Perforation Profile Reynolds (PPR) solver. The PPR equation is an extended Reynolds equation that includes additional terms modelling the leakage flow through the perforations, and variable diffusivity and compressibility profiles. The solution method consists of two phases: 1) determination of the specific admittance profile and relative diffusivity (and relative compressibility) profiles due to the perforation, and 2) solution of the PPR equation with a FEM solver in 2D. Rarefied gas corrections in the slip-flow region are also included. Analytic profiles for circular and square holes with slip conditions are presented in the paper. To verify the method, square perforated dampers with 16–64 holes were simulated with a three-dimensional (3D) Navier-Stokes solver, a homogenised extended Reynolds solver, and a 2D PPR solver. Cases for both translational (in normal to the surfaces) and torsional motion were simulated. The presented method extends the region of accurate simulation of perforated structures to cases where the homogenisation method is inaccurate and the full 3D Navier-Stokes simulation is too time-consuming.

  19. Time domain analysis of thin-wire antennas over lossy ground using the reflection-coefficient approximation

    NASA Astrophysics Data System (ADS)

    FernáNdez Pantoja, M.; Yarovoy, A. G.; Rubio Bretones, A.; GonzáLez GarcíA, S.

    2009-12-01

    This paper presents a procedure to extend the methods of moments in time domain for the transient analysis of thin-wire antennas to include those cases where the antennas are located over a lossy half-space. This extended technique is based on the reflection coefficient (RC) approach, which approximates the fields incident on the ground interface as plane waves and calculates the time domain RC using the inverse Fourier transform of Fresnel equations. The implementation presented in this paper uses general expressions for the RC which extend its range of applicability to lossy grounds, and is proven to be accurate and fast for antennas located not too near to the ground. The resulting general purpose procedure, able to treat arbitrarily oriented thin-wire antennas, is appropriate for all kind of half-spaces, including lossy cases, and it has turned out to be as computationally fast solving the problem of an arbitrary ground as dealing with a perfect electric conductor ground plane. Results show a numerical validation of the method for different half-spaces, paying special attention to the influence of the antenna to ground distance in the accuracy of the results.

  20. Eco-efficiency in extended supply chains: a case study of furniture production.

    PubMed

    Michelsen, Ottar; Fet, Annik Magerholm; Dahlsrud, Alexander

    2006-05-01

    This paper presents a methodology about how eco-efficiency in extended supply chains (ESCs) can be understood and measured. The extended supply chain includes all processes in the life cycle of a product and the eco-efficiency is measured as the relative environmental and value performance in one ESC compared to other ESCs. The paper is based on a case study of furniture production in Norway. Nine different environmental performance indicators are identified. These are based on suggestions from the World Business Council for Sustainable Development and additional indicators that are shown to have significant impacts in the life cycle of the products. Value performance is measured as inverse life cycle costs. The eco-efficiency for six different chair models is calculated and the relative values are shown graphically in XY-diagrams. This provides information about the relative performance of the products, which is valuable in green procurement processes. The same method is also used for analysing changes in eco-efficiency when possible alterations in the ESC are introduced. Here, it is shown that a small and realistic change of end-of-life treatment significantly changes the eco-efficiency of a product.

  1. Dynamic Stability Analysis of Linear Time-varying Systems via an Extended Modal Identification Approach

    NASA Astrophysics Data System (ADS)

    Ma, Zhisai; Liu, Li; Zhou, Sida; Naets, Frank; Heylen, Ward; Desmet, Wim

    2017-03-01

    The problem of linear time-varying(LTV) system modal analysis is considered based on time-dependent state space representations, as classical modal analysis of linear time-invariant systems and current LTV system modal analysis under the "frozen-time" assumption are not able to determine the dynamic stability of LTV systems. Time-dependent state space representations of LTV systems are first introduced, and the corresponding modal analysis theories are subsequently presented via a stability-preserving state transformation. The time-varying modes of LTV systems are extended in terms of uniqueness, and are further interpreted to determine the system's stability. An extended modal identification is proposed to estimate the time-varying modes, consisting of the estimation of the state transition matrix via a subspace-based method and the extraction of the time-varying modes by the QR decomposition. The proposed approach is numerically validated by three numerical cases, and is experimentally validated by a coupled moving-mass simply supported beam experimental case. The proposed approach is capable of accurately estimating the time-varying modes, and provides a new way to determine the dynamic stability of LTV systems by using the estimated time-varying modes.

  2. [Changes in mammographic features of breast cancer--comparison with previous films].

    PubMed

    Matsunaga, T; Hagiwara, K; Kimura, K; Kusama, M

    1992-11-25

    Mammographic features of 87 breast cancer patients were studied in comparison with their previous survey films. Changes in the mammographic features included microcalicification (28 cases), tumor shadow (35 cases) and intratumorous microcalicifications (6 cases). Seven cases had several extremely faint calcifications on the previous films, and three of six cases with clustered and scattered microcalcifications that extended over an entire breast quadrant had increased in number, density and extent. Eight cases in which clustered microcalcifications had increased in number, density and extent suggested a relationship between the increase in the extent of microcalcifications and length of time between visits. In most cases with tumor shadow, a slight localized increase in mammary gland density, irregular margins and straightened trabeculae were overlooked because of breast density.

  3. Heat shield manifold system for a midframe case of a gas turbine engine

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

    Mayer, Clinton A.; Eng, Jesse; Schopf, Cheryl A.

    A heat shield manifold system for an inner casing between a compressor and turbine assembly is disclosed. The heat shield manifold system protects the outer case from high temperature compressor discharge air, thereby enabling the outer case extending between a compressor and a turbine assembly to be formed from less expensive materials than otherwise would be required. In addition, the heat shield manifold system may be configured such that compressor bleed air is passed from the compressor into the heat shield manifold system without passing through a conventional flange to flange joint that is susceptible to leakage.

  4. Understanding What It Means for Assurance Cases to "Work"

    NASA Technical Reports Server (NTRS)

    Rinehart, David J.; Knight, John C.; Rowanhill, Jonathan

    2017-01-01

    This report is the result of our year-long investigation into assurance case practices and effectiveness. Assurance cases are a method for working toward acceptable critical system performance. They represent a significant thread of applied assurance methods extending back many decades and being employed in a range of industries and applications. Our research presented in this report includes a literature survey of over 50 sources and interviews with nearly a dozen practitioners in the field. We have organized our results into seven major claimed assurance case benefits and their supporting mechanisms, evidence, counter-evidence, and caveats.

  5. Privacy Law As It Affected Journalism, 1890-1978: Privacy Is a Visual Tort.

    ERIC Educational Resources Information Center

    Dow, Caroline

    To determine the treatment of visual journalism by privacy law from the origins of privacy law in 1890 until 1978, an analysis was made of the mass media legal cases occurring between those years. The cases were subjectively divided into three categories: those that established or extended a freedom of the press or the right of a defendant to…

  6. Building Better Beginnings: A Case Study of How a Daily Physical Skills Session Is Supporting Overall Learning and Development for Young Boys

    ERIC Educational Resources Information Center

    Chalke, Joy

    2016-01-01

    This case study argues for the consideration of an adult-directed physical skills session as an approach to supporting boys learning in the Early Years Foundation Stage in England. It exemplifies a model of professional development that utilises the individual knowledge and expertise of practitioners to support and extend others' practice. It…

  7. The transverse musculo-cutaneous gracilis flap for breast reconstruction: How to avoid complications.

    PubMed

    Bodin, Frédéric; Dissaux, Caroline; Dupret-Bories, Agnes; Schohn, Thomas; Fiquet, Caroline; Bruant-Rodier, Catherine

    2016-01-01

    The transverse musculocutaneous gracilis (TMG) flap has become a common solution for breast reconstruction. However, the safe skin paddle limits are not yet understood. In this study, we attempted to address this issue based on our experiences with inferior and posterior skin paddle extension. Forty-four breast reconstructions with TMG flaps performed between November 2010 and January 2014 were analyzed retrospectively. For the first 20 cases, the flap skin paddle was extended 3 cm posteriorly to the middle thigh (group 1). For the next 20 flaps (group 2), the posterior tip was limited to this line, whereas more fat was recruited inferiorly. In the four cases of group 3, the skin flap was extended posteriorly with a second vascular pedicle from the profunda artery perforator (PAP) flap. The weights and the dimensions of the flaps, operating durations, and postoperative complications of the entire series were analyzed. Groups 1 and 2 were statistically compared. Flap complications were statistically more frequent in group 1 compared with group 2 (45 vs. 0%, P = 0.0012); 40% posterior flap tip necrosis was observed in group 1. Conversely, donor site complications were statistically more frequent in group 2 than in group 1 (40 vs. 5%, P = 0.019) with 35% inner thigh dehiscence. In the TMG with extended PAP flap group, the operating duration was 77 min longer compared with the rest of the series with no donor site complications. In one case, limited necrosis occurred at the anterior skin tip. Harvesting the posterior portion of the TMG up to the middle of the posterior thigh may lead to partial flap necrosis. Extending subcutaneous fat removal under the inferior skin incision may increase the risk of donor site complications. Adding a second vascular pedicle from the PAP flap may improve posterior TMG tip perfusion at the expense of a longer operation. © 2015 Wiley Periodicals, Inc.

  8. Cool learnings - extending and communicating polar science to students and the community.

    NASA Astrophysics Data System (ADS)

    Tweedie, C. E.

    2011-12-01

    Why should scientists incorporate education and extend communicate the results of their research to the general public? - Because it is the right thing to do; it is easy, fun and usually effective; can feedback to strengthen and improve research; and from an environmental science perspective - badly needed as evidenced by some of the very strange and ill-informed decisions society is making that will affect future generations for many years to come. This presentation focuses on two case studies that extended the research activities from a relatively young and small university research lab to two minority student and community audiences. The first case study focuses on the educational and outreach experience gained by minority graduate and undergraduate students and teachers participating in an Antarctic system Science study abroad course. Students completed an online class, visited with NSF and other federal agencies in Washington DC, and experienced Patagonia and the Antarctic Peninsula on a month long capstone field course. Participants also visited the classrooms of over 750 students in El Paso, Texas before and after their trip to Antarctica, and prepared a museum exhibit that has now been visited by thousands of people. Most participants have progressed to graduate school or careers in the sciences and several have already acquired substantial funding for research - largely because of their demonstrated capacity to link research, education and outreach. The second case study describes several instances where the provision of scientific data, information and other resources were extended through cyberinfrastructure to the community of a relatively small Inuit village in northernmost Alaska. Here science data products have been used to enhance town planning and other decision making, and improve the safety of hunters participating in traditional activities such as the Spring subsistence whale harvest. This takes place on sea ice that is more dynamic and does not 'behave' in the same way as elders pass on orally to the younger generation due to the impacts from climate change.

  9. Drag reduction by polymer additives from turbulent spectra.

    PubMed

    Calzetta, Esteban

    2010-12-01

    We extend the analysis of the friction factor for turbulent pipe flow reported by G. Gioia and P. Chakraborty [Phys. Rev. Lett. 96, 044502 (2006)] to the case where drag is reduced by polymer additives.

  10. Transverse correlations in multiphoton entanglement

    NASA Astrophysics Data System (ADS)

    Wen, Jianming; Rubin, Morton H.; Shih, Yanhua

    2007-10-01

    We have analyzed the transverse correlation in multiphoton entanglement. The generalization of quantum ghost imaging is extended to the N -photon state. The Klyshko’s two-photon advanced-wave picture is generalized to the N -photon case.

  11. The Social Embedding of Intelligence

    NASA Astrophysics Data System (ADS)

    Edmonds, Bruce

    I claim that to pass the Turing Test over any period of extended time, it will be necessary to embed the entity into society. This chapter discusses why this is, and how it might be brought about. I start by arguing that intelligence is better characterized by tests of social interaction, especially in open-ended and extended situations. I then argue that learning is an essential component of intelligence and hence that a universal intelligence is impossible. These two arguments support the relevance of the Turing Test as a particular, but appropriate test of interactive intelligence. I look to the human case to argue that individual intelligence uses society to a considerable extent for its development. Taking a lead from the human case, I outline how a socially embedded Artificial Intelligence might be brought about in terms of four aspects: free will, emotion, empathy, and self-modeling. In each case, I try to specify what social 'hooks' might be required for the full ability to develop during a considerable period of in situ acculturation. The chapter ends by speculating what it might be like to live with the result.

  12. Student ownership of projects in an upper-division optics laboratory course: A multiple case study of successful experiences

    NASA Astrophysics Data System (ADS)

    Dounas-Frazer, Dimitri R.; Stanley, Jacob T.; Lewandowski, H. J.

    2017-12-01

    We investigate students' sense of ownership of multiweek final projects in an upper-division optics lab course. Using a multiple case study approach, we describe three student projects in detail. Within-case analyses focused on identifying key issues in each project, and constructing chronological descriptions of those events. Cross-case analysis focused on identifying emergent themes with respect to five dimensions of project ownership: student agency, instructor mentorship, peer collaboration, interest and value, and affective responses. Our within- and cross-case analyses yielded three major findings. First, coupling division of labor with collective brainstorming can help balance student agency, instructor mentorship, and peer collaboration. Second, students' interest in the project and perceptions of its value can increase over time; initial student interest in the project topic is not a necessary condition for student ownership of the project. Third, student ownership is characterized by a wide range of emotions that fluctuate as students alternate between extended periods of struggle and moments of success while working on their projects. These findings not only extend the literature on student ownership into a new educational domain—namely, upper-division physics labs—they also have concrete implications for the design of experimental physics projects in courses for which student ownership is a desired learning outcome. We describe the course and projects in sufficient detail that others can adapt our results to their particular contexts.

  13. Generalized Fisher matrices

    NASA Astrophysics Data System (ADS)

    Heavens, A. F.; Seikel, M.; Nord, B. D.; Aich, M.; Bouffanais, Y.; Bassett, B. A.; Hobson, M. P.

    2014-12-01

    The Fisher Information Matrix formalism (Fisher 1935) is extended to cases where the data are divided into two parts (X, Y), where the expectation value of Y depends on X according to some theoretical model, and X and Y both have errors with arbitrary covariance. In the simplest case, (X, Y) represent data pairs of abscissa and ordinate, in which case the analysis deals with the case of data pairs with errors in both coordinates, but X can be any measured quantities on which Y depends. The analysis applies for arbitrary covariance, provided all errors are Gaussian, and provided the errors in X are small, both in comparison with the scale over which the expected signal Y changes, and with the width of the prior distribution. This generalizes the Fisher Matrix approach, which normally only considers errors in the `ordinate' Y. In this work, we include errors in X by marginalizing over latent variables, effectively employing a Bayesian hierarchical model, and deriving the Fisher Matrix for this more general case. The methods here also extend to likelihood surfaces which are not Gaussian in the parameter space, and so techniques such as DALI (Derivative Approximation for Likelihoods) can be generalized straightforwardly to include arbitrary Gaussian data error covariances. For simple mock data and theoretical models, we compare to Markov Chain Monte Carlo experiments, illustrating the method with cosmological supernova data. We also include the new method in the FISHER4CAST software.

  14. Comparison of extended colectomy and limited resection in patients with Lynch syndrome.

    PubMed

    Natarajan, Nagendra; Watson, Patrice; Silva-Lopez, Edibaldo; Lynch, Henry T

    2010-01-01

    The purpose of the study was to determine the advantages and disadvantages of prophylactic/extended colectomy (subtotal colectomy) in patients with Lynch syndrome who manifest colorectal cancer. A retrospective cohort using Creighton University's hereditary cancer database was used to identify cases and controls. Cases are patients who underwent subtotal colectomy, either with no colorectal cancer diagnosis (prophylactic) or at diagnosis of first colorectal cancer; controls for these 2 types of cases were, respectively, patients who underwent no colon surgery or those having limited resection at time of diagnosis of first colorectal cancer. The Kaplan-Meier and proportional hazard regression models from the Statistical Analysis Software program was used to calculate the difference in survival, time to subsequent colorectal cancer, and subsequent abdominal surgery between cases and controls. The event-free survival of our study did not reach 50%, so we used the event-free survival at 5 years as our parameter to compare the 2 groups. The event-free survival for subsequent colorectal cancer, subsequent abdominal surgery, and death was 94%, 84%, and 93%, respectively, for cases and 74%, 63%, and 88%, respectively, for controls. Times to subsequent colorectal cancer and subsequent abdominal surgery were significantly shorter in the control group (P < .006 and P < .04, respectively). No significant difference was identified with respect to survival time between the cases and controls. Even though no survival benefit was identified between the cases and controls the increased incidence of metachronous colorectal cancer and increased abdominal surgeries among controls warrant the recommendation of subtotal colectomy in patients with Lynch syndrome.

  15. Gaussian broad-beam excimer laser: clinical and experimental results.

    PubMed

    Schraepen, P; Eskina, E; Gobin, L; Trau, R; Timmermans, J; Tassignon, M J

    2005-01-01

    To evaluate the mid-term (1-3 years) results of the Gaussian broad-beam excimer laser Delivery System (DS) after single treatment for the correction of myopia. To study the corneal surface with scanning electron microscopy (SEM) after excimer laser ablation using a flying spot delivery system (Bausch & Lomb) and a Gaussian Delivery System (GDS) (InPro). The 1035 consecutive eyes studied were split in four groups with respect to the treated myopia, expressed in spherical equivalent: low myopia up to -3.00 D (183 eyes), moderate myopia from -3.25 D to -6.00 D (540 eyes), high myopia from -6.25 D to -10.00 D (210 eyes) and very high myopia from -10.25 D to -20.00 D (102 eyes). Four post-mortem eyes of two donors were treated using the flying spot DS on one eye and the GDS on the other eye. We achieved postoperative spheriqual equivalent within +/- 1 D of emmetropia in respectively 99.1%, 98.9%, 83% and 21% of the eyes of group 1, 2, 3 and 4. UCVA was 10/10 or better in respectively 65%, 51% and 19% of group 1, 2 and 3. UCVA was 5/10 or better in respectively 86% and 75% of group 3 and 4. The defocus equivalent refraction was 1.0 or less in respectively 98%, 93%, 62%, and 7% of the four groups. On SEM, the corneal surface presented a smooth and polished profile for the GDS. The Gaussian Delivery System gives comparable results to the flying spot laser system for surface laser ablation in myopic eyes up to -10 D. Advantages of this system are: smooth ablation surface, short treatment time, low haze rate, high reliability and easy maintenance of the device due to the optical DS. It is an interesting alternative for the more complex mechanical DS.

  16. [Usefulness of brain natriuretic propeptide in the diagnosis and management of patent ductus arteriosus].

    PubMed

    Montaner Ramón, Alicia; Galve Pradel, Zenaida; Fernández Espuelas, Cristina; Jiménez Montañés, Lorenzo; Samper Villagrasa, María Pilar; Rite Gracia, Segundo

    2017-06-01

    Patent ductus arteriosus (PDA) is a prevalent condition in preterm infants, and may be related to increased morbidity and mortality in the most immature newborns. Recent studies have examined the usefulness of brain natriuretic propeptide (proBNP) in the diagnosis of this pathology. The aim of the study was to evaluate the diagnostic efficacy of proBNP as a marker of hemodynamic overload in PDA. A retrospective study was conducted on preterm infants less than 32 weeks of gestation and/or weight less than 1500 grams. Echocardiogram and determination of proBNP levels were performed on all patients. Comparison was made by subgroups according to the presence of PDA and their haemodynamic characteristics. Of the 60 patients enrolled, 71.7% had PDA, of which 86% had haemodynamically significant patent ductus arteriosus (HS-PDA). All of them, but one, received medical treatment with ibuprofen or acetaminophen. Surgical closure was required in 29.7% of HS-PDA. Higher values of proBNP were found in patients with HS-PDA (33338±34494.47pg/mL; p=.000) compared with patients with closed or non-haemodynamically significant ductus arteriosus. Higher values were also found in patients who required surgical closure of PDA (30596.8±14910.9; p=.004). A greater decrease inproBNP levels was found in the group of patients which duct closure after pharmacological treatment (68±24.69% vs -12.22±99.4%; p=.030). ProBNP cutoff-level for HS-PDA was calculated by ROC curve and it was 9321.5pg/mL (Specificity: 100%, Sensitivity: 94.6%). ProBNP levels are related to the presence or absence of haemodynamically significant patent ductus arteriosus; and its variations with treatment response. High values are also related to the need for surgical closure of PDA. Copyright © 2015 Asociación Española de Pediatría. Publicado por Elsevier España, S.L.U. All rights reserved.

  17. Extended Infusion of Piperacillin/Tazobactam in Children.

    PubMed

    Knoderer, Chad A; Karmire, Lauren C; Andricopulos, Katie L; Nichols, Kristen R

    2017-01-01

    Extended-infusion piperacillin/tazobactam (TZP) has been associated with positive clinical outcomes in adults, but similar data in children are lacking. The objective of this study was to describe efficacy outcomes with pediatric patients receiving extended-infusion TZP. This was a retrospective case series of children aged 1 month to 17 years who had documented Gram-negative infection and received extended-infusion TZP between April 2011 and March 2012. The primary outcome was 21-day clinical cure defined as negative follow-up cultures, where available, and infection resolution. Fifty children with a median (interquartile range [IQR]) age of 5 (2-9) years were included in the study. Patients received a median (IQR) TZP dose of 111.4 (100-112.5) mg/kg administered every 8 hours over 4 hours. Clinical and microbiologic cure were observed in 74% and 100% of patients, respectively. Patients not meeting criterial for 21-day clinical cure were younger (1 vs 7 years, p = 0.087) and had a longer length of hospital stay (23 vs 11 days, p = 0.037). The majority of children in this cohort achieved 21-day clinical cure with extended-interval TZP. Those without clinical cure tended to be younger and critically ill. Additional comparative studies evaluating traditional and extended-infusion TZP in children are needed.

  18. Extended Reissner-Nordström solutions sourced by dynamical torsion

    NASA Astrophysics Data System (ADS)

    Cembranos, Jose A. R.; Valcarcel, Jorge Gigante

    2018-04-01

    We find a new exact vacuum solution in the framework of the Poincaré Gauge field theory with massive torsion. In this model, torsion operates as an independent field and introduces corrections to the vacuum structure present in General Relativity. The new static and spherically symmetric configuration shows a Reissner-Nordström-like geometry characterized by a spin charge. It extends the known massless torsion solution to the massive case. The corresponding Reissner-Nordström-de Sitter solution is also compatible with a cosmological constant and additional U (1) gauge fields.

  19. The replicator equation and other game dynamics

    PubMed Central

    Cressman, Ross; Tao, Yi

    2014-01-01

    The replicator equation is the first and most important game dynamics studied in connection with evolutionary game theory. It was originally developed for symmetric games with finitely many strategies. Properties of these dynamics are briefly summarized for this case, including the convergence to and stability of the Nash equilibria and evolutionarily stable strategies. The theory is then extended to other game dynamics for symmetric games (e.g., the best response dynamics and adaptive dynamics) and illustrated by examples taken from the literature. It is also extended to multiplayer, population, and asymmetric games. PMID:25024202

  20. Quantization of Space-like States in Lorentz-Violating Theories

    NASA Astrophysics Data System (ADS)

    Colladay, Don

    2018-01-01

    Lorentz violation frequently induces modified dispersion relations that can yield space-like states that impede the standard quantization procedures. In certain cases, an extended Hamiltonian formalism can be used to define observer-covariant normalization factors for field expansions and phase space integrals. These factors extend the theory to include non-concordant frames in which there are negative-energy states. This formalism provides a rigorous way to quantize certain theories containing space-like states and allows for the consistent computation of Cherenkov radiation rates in arbitrary frames and avoids singular expressions.

  1. Quantization of set theory and generalization of the fermion algebra

    NASA Astrophysics Data System (ADS)

    Arik, M.; Tekin, S. C.

    2002-05-01

    The quantum states of a d-dimensional fermion algebra are in one to one correspondence with the subsets of a d-element universal set. In this paper we use this set theoretical motivation to construct a one-parameter deformation of the fermion algebra and extend it to a d-dimensional generalization which is invariant under the group U(d). This discrete fermionic oscillator system is extended to the continuous case. We also show that the q-deformation of these systems is related to supercovariant q-oscillators.

  2. Investigation of a four-body coupling in the one-dimensional extended Penson-Kolb-Hubbard model

    NASA Astrophysics Data System (ADS)

    Ding, Hanqin; Ma, Xiaojuan; Zhang, Jun

    2017-09-01

    The experimental advances in cold fermion gases motivates the investigation of a one-dimensional (1D) correlated electronic system by incorporating a four-body coupling. Using the low-energy field theory scheme and focusing on the weak-coupling regime, we extend the 1D Penson-Kolb-Hubbard (PKH) model at half filling. It is found that the additional four-body interaction may significantly modify the quantum phase diagram, favoring the presence of the superconducting phase even in the case of two-body repulsions.

  3. Slotted Aircraft Wing

    NASA Technical Reports Server (NTRS)

    Vassberg, John C. (Inventor); Gea, Lie-Mine (Inventor); McLean, James D. (Inventor); Witowski, David P. (Inventor); Krist, Steven E. (Inventor); Campbell, Richard L. (Inventor)

    2006-01-01

    An aircraft wing includes a leading airfoil element and a trailing airfoil element. At least one slot is defined by the wing during at least one transonic condition of the wing. The slot may either extend spanwise along only a portion of the wingspan, or it may extend spanwise along the entire wingspan. In either case, the slot allows a portion of the air flowing along the lower surface of the leading airfoil element to split and flow over the upper surface of the trailing airfoil element so as to achieve a performance improvement in the transonic condition.

  4. Synthesis and triplex forming properties of pyrimidine derivative containing extended functionality.

    PubMed

    Gianolio, D A; McLaughlin, L W

    1999-08-01

    Two pyrimidine nucleosides have been synthesized containing extended hydrogen bonding functionality. In one case the side chain is based upon semicarbazide and in the second monoacetylated carbohydrazide was employed. DNA sequences could be prepared using both analogue nucleosides in a reverse coupling protocol, and provided that the normal capping step was eliminated and that the iodine-based oxidizing solution was replaced with one based upon 10-camphorsulfonyl oxaziridine. Both derivatives exhibited moderate effects in targeting selectively C-G base pairs embedded within a polypurine target sequence.

  5. Successes and surprises with computer-extended series

    NASA Astrophysics Data System (ADS)

    van Dyke, M.

    An alternative to purely numerical solution of flow problems showing promise is the seminumerical technique that involves extending a perturbation series to high order by delegating the mounting arithmetic to a computer. It is noted, however, that since the method is still under development, several erroneous conclusions have been published. First, three clear successes of this method are described. It is then shown how a failure to carefully assess results has in two cases led to false conclusions. Finally, two problems are discussed that yield surprising results not yet accepted by all other investigators.

  6. Integrating community-based participatory research and informatics approaches to improve the engagement and health of underserved populations

    PubMed Central

    Schaefbauer, Chris L; Campbell, Terrance R; Senteio, Charles; Siek, Katie A; Bakken, Suzanne; Veinot, Tiffany C

    2016-01-01

    Objective We compare 5 health informatics research projects that applied community-based participatory research (CBPR) approaches with the goal of extending existing CBPR principles to address issues specific to health informatics research. Materials and methods We conducted a cross-case analysis of 5 diverse case studies with 1 common element: integration of CBPR approaches into health informatics research. After reviewing publications and other case-related materials, all coauthors engaged in collaborative discussions focused on CBPR. Researchers mapped each case to an existing CBPR framework, examined each case individually for success factors and barriers, and identified common patterns across cases. Results Benefits of applying CBPR approaches to health informatics research across the cases included the following: developing more relevant research with wider impact, greater engagement with diverse populations, improved internal validity, more rapid translation of research into action, and the development of people. Challenges of applying CBPR to health informatics research included requirements to develop strong, sustainable academic-community partnerships and mismatches related to cultural and temporal factors. Several technology-related challenges, including needs to define ownership of technology outputs and to build technical capacity with community partners, also emerged from our analysis. Finally, we created several principles that extended an existing CBPR framework to specifically address health informatics research requirements. Conclusions Our cross-case analysis yielded valuable insights regarding CBPR implementation in health informatics research and identified valuable lessons useful for future CBPR-based research. The benefits of applying CBPR approaches can be significant, particularly in engaging populations that are typically underserved by health care and in designing patient-facing technology. PMID:26228766

  7. [The use of intraoperative Doppler ultrasound in endoscopic transsphenoidal surgery].

    PubMed

    Sharipov, O I; Kutin, M A; Kalinin, P L; Fomichev, D V; Lukshin, V A; Kurnosov, A B

    2016-01-01

    Doppler ultrasound (DUS) has been widely used in neurosurgical practice to diagnose various cerebrovascular diseases. This technique is used in transsphenoidal surgery to identify the localization of intracranial arteries when making an approach or during tumor resection. To identify the cavernous segment of the internal carotid artery (ICA) and/or basilar artery during endoscopic transsphenoidal surgery, we used a combined device on the basis of a click line curette («Karl Storz») and a 16 MHz Doppler probe (Lassamed). The technique was used in 51 patients during both standard transsphenoidal surgery (23 cases) and transsphenoidal tumor resection through an extended approach (28 cases). Doppler ultrasound was used in different situations: to determine a trajectory of the endonasal transsphenoidal approach in the absence of the normal anatomical landmarks (16 cases), to define the limits of safe resection of a tumor located in the laterosellar region (7), and to implement an extended transsphenoidal endoscopic approach (28). Intraoperative Doppler ultrasound enabled identification of the cavernous segment of the internal carotid artery in 45 cases and the basilar artery in 2 cases; a blood vessel was not found in 4 cases. Injury to the cavernous segment of the internal carotid artery was observed only in 1 case. The use of the described combined device in transsphenoidal surgery turned Doppler ultrasound into an important and useful technique for visualization of the ICA within the tumor stroma as well as in the case of the changed skull base anatomy. Its use facilitates manipulations in a deep and narrow wound and enables inspection of the entire surface of the operative field in various planes, thereby surgery becomes safer due to the possibility of maximum investigation of the operative field.

  8. Brazil Nuts on Eros: Size-Sorting of Asteroid Regolith

    NASA Technical Reports Server (NTRS)

    Asphaug, E.; King, P. J.; Swift, M. R.; Merrifield, M. R.

    2001-01-01

    We consider the hypothesis that frequent cratering produces size- or compositionally-sorted asteroid regolith, affecting the structure, texture, and in extreme cases the shape of asteroids. Additional information is contained in the original extended abstract.

  9. Diff-invariant kinetic terms in arbitrary dimensions

    NASA Astrophysics Data System (ADS)

    Barbero G., J. Fernando; Villaseñor, Eduardo J.

    2002-06-01

    We study the physical content of quadratic diff-invariant Lagrangians in arbitrary dimensions by using covariant symplectic techniques. This paper extends previous results in dimension four. We discuss the difference between the even and odd dimensional cases.

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

    Pirrung, Georg; Madsen, Helge; Schreck, Scott

    Current fast aeroelastic wind turbine codes suitable for certification lack an induction model for standstill conditions. A trailed vorticity model previously used as addition to a blade element momentum theory based aerodynamic model in normal operation has been extended to allow computing the induced velocities in standstill. The model is validated against analytical results for an elliptical wing in constant inflow and against stand still measurements from the NREL/NASA Phase VI unsteady experiment. The extended model obtains good results in case of the elliptical wing, but underpredicts the steady loading for the Phase VI blade in attached flow. The predictionmore » of the dynamic force coefficient loops from the Phase VI experiment is improved by the trailed vorticity modeling in both attached flow and stall in most cases. The exception is the tangential force coefficient in stall, where the codes and measurements deviate and no clear improvement is visible.« less

  11. Extending the scope of wilful neglect will result in paternalistic nursing care.

    PubMed

    Griffith, Richard

    The recommendation that the criminal offence of wilful neglect be extended to protect all patient groups may seem a proactive way for the Government to begin to restore public confidence in nursing following the Mid Staffordshire NHS Trust Inquiry. However, the experience of the courts hearing cases of wilful neglect in relation to adults who lack capacity show that they are complex trials and, despite several appeals, still lack clear guidance that nurses can apply in practice to avoid prosecution while still promoting the autonomy of patients. In this article the author reviews recent cases of wilful neglect to come before the Court of Appeal and argues that rather than offering protection to patients, criminalising a failure to act is more likely to result in paternalistic interventions, with nurses insisting on providing care because they fear prosecution if they fail to do so.

  12. Opening the Pandora's box of quantum spinor fields

    NASA Astrophysics Data System (ADS)

    Bonora, L.; Silva, J. M. Hoff da; Rocha, R. da

    2018-02-01

    Lounesto's classification of spinors is a comprehensive and exhaustive algorithm that, based on the bilinears covariants, discloses the possibility of a large variety of spinors, comprising regular and singular spinors and their unexpected applications in physics and including the cases of Dirac, Weyl, and Majorana as very particular spinor fields. In this paper we pose the problem of an analogous classification in the framework of second quantization. We first discuss in general the nature of the problem. Then we start the analysis of two basic bilinear covariants, the scalar and pseudoscalar, in the second quantized setup, with expressions applicable to the quantum field theory extended to all types of spinors. One can see that an ampler set of possibilities opens up with respect to the classical case. A quantum reconstruction algorithm is also proposed. The Feynman propagator is extended for spinors in all classes.

  13. Noise-induced multistability in the regulation of cancer by genes and pseudogenes

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

    Petrosyan, K. G., E-mail: pkaren@phys.sinica.edu.tw; Hu, Chin-Kun, E-mail: huck@phys.sinica.edu.tw; National Center for Theoretical Sciences, National Tsing Hua University, Hsinchu 30013, Taiwan

    2016-07-28

    We extend a previously introduced model of stochastic gene regulation of cancer to a nonlinear case having both gene and pseudogene messenger RNAs (mRNAs) self-regulated. The model consists of stochastic Boolean genetic elements and possesses noise-induced multistability (multimodality). We obtain analytical expressions for probabilities for the case of constant but finite number of microRNA molecules which act as a noise source for the competing gene and pseudogene mRNAs. The probability distribution functions display both the global bistability regime as well as even-odd number oscillations for a certain range of model parameters. Statistical characteristics of the mRNA’s level fluctuations are evaluated.more » The obtained results of the extended model advance our understanding of the process of stochastic gene and pseudogene expressions that is crucial in regulation of cancer.« less

  14. Trailed vorticity modeling for aeroelastic wind turbine simulations in stand still

    DOE PAGES

    Pirrung, Georg; Madsen, Helge; Schreck, Scott

    2016-10-03

    Current fast aeroelastic wind turbine codes suitable for certification lack an induction model for standstill conditions. A trailed vorticity model previously used as addition to a blade element momentum theory based aerodynamic model in normal operation has been extended to allow computing the induced velocities in standstill. The model is validated against analytical results for an elliptical wing in constant inflow and against stand still measurements from the NREL/NASA Phase VI unsteady experiment. The extended model obtains good results in case of the elliptical wing, but underpredicts the steady loading for the Phase VI blade in attached flow. The predictionmore » of the dynamic force coefficient loops from the Phase VI experiment is improved by the trailed vorticity modeling in both attached flow and stall in most cases. The exception is the tangential force coefficient in stall, where the codes and measurements deviate and no clear improvement is visible.« less

  15. Lumbar vertebral hemangioma with extradural extension, causing neurogenic claudication: a case report.

    PubMed

    Jouibari, Morteza Faghih; Khoshnevisan, Alireza; Ghodsi, Seyed Mohammad; Nejat, Farideh; Naderi, Soheil; Abdollahzadeh, Sina

    2011-01-01

    The authors present a rare case of lumbar vertebral hemangioma extending to the epidural space with a bisected appearance and impinging on thecal sac. This 52-year-old lady presented with one year history of low back pain and bilateral leg radiation. Plain radiography showed vertical linear streaks at L2 vertebral body and axial computed tomography (CT) scan revealed small "polka dot" appearance within the vertebral body. Magnetic resonance imaging (MRI) showed low signal intensity on T1-weighted images in L2 vertebral body which was not characteristic for hemangioma. The patient underwent an L2 laminectomy, spinal canal decompression and posterior spinal instrumentation. This study indicates that lumbar vertebral hemangioma can extend to the epidural space and cause neurologic symptoms. Magnetic resonance imaging may not show diagnostic features, especially in active lesions and plain radiography and CT scan may be helpful.

  16. Disease, disorder, or deception? Latah as habit in a Malay extended family.

    PubMed

    Bartholomew, R E

    1994-06-01

    Thirty-seven cases of latah are examined within the author's Malay extended family (N = 115). Based on ethnographic data collected and a literature review, cases are readily divisible into two broad categories: habitual (N = 33) and performance (N = 4). The first form represents an infrequent, culturally conditioned habit that is occasionally used as a learned coping strategy in the form of a cathartic stress response to sudden startle with limited secondary benefits (i.e., exhibiting brief verbal obscenity with impunity). In this sense, it is identical to Western swearing. Performers are engaged in conscious, ritualized social gain through the purported exploitation of a neurophysiological potential. The latter process is essentially irrelevant, akin to sneezing or yawning. It is concluded that latah is a social construction of Western-trained universalist scientists. The concept of malingering and fraud in anthropology is critically discussed.

  17. Center for Disease Control's Diethylstilbestrol Update: a case for effective operationalization of messaging in social marketing practice.

    PubMed

    Mattson, Marifran; Basu, Ambar

    2010-07-01

    The Center for Disease Control's (CDC) Diethylstilbestrol (DES) Update, a campaign to educate people who may have been exposed to the drug DES, is framed on the premises of the social marketing model, namely formative research, audience segmentation, product, price, placement, promotion, and campaign evaluation. More than that, the campaign takes a critical step in extending the social marketing paradigm by highlighting the need to situate the messaging process at the heart of any health communication campaign. This article uses CDC's DES Update as a case study to illustrate an application of a message development tool within social marketing. This tool promotes the operationalization of messaging within health campaigns. Ultimately, the goal of this project is to extend the social marketing model and provide useful theoretical guidance to health campaign practitioners on how to accomplish stellar communication within a social marketing campaign.

  18. Generalized symmetries of an 𝓝 = 1 supersymmetric Boiti-Leon-Manna-Pempinelli system

    NASA Astrophysics Data System (ADS)

    Wang, Jian-Yong; Tang, Xiao-Yan; Liang, Zu-Feng; Lou, Sen-Yue

    2015-05-01

    The formal series symmetry approach (FSSA), a quite powerful and straightforward method to establish infinitely many generalized symmetries of classical integrable systems, has been successfully extended in the supersymmetric framework to explore series of infinitely many generalized symmetries for supersymmetric systems. Taking the 𝒩 = 1 supersymmetric Boiti-Leon-Manna-Pempinelli system as a concrete example, it is shown that the application of the extended FSSA to this supersymmetric system leads to a set of infinitely many generalized symmetries with an arbitrary function f (t). Some interesting special cases of symmetry algebras are presented, including a limit case f (t) = 1 related to the commutativity of higher order generalized symmetries. Project supported by the National Natural Science Foundation of China (Grant Nos. 11275123, 11175092, 11475052, and 11435005), the Shanghai Knowledge Service Platform for Trustworthy Internet of Things, China (Grant No. ZF1213), and the Talent Fund and K CWong Magna Fund in Ningbo University, China.

  19. Autonomous Data Collection Using a Self-Organizing Map.

    PubMed

    Faigl, Jan; Hollinger, Geoffrey A

    2018-05-01

    The self-organizing map (SOM) is an unsupervised learning technique providing a transformation of a high-dimensional input space into a lower dimensional output space. In this paper, we utilize the SOM for the traveling salesman problem (TSP) to develop a solution to autonomous data collection. Autonomous data collection requires gathering data from predeployed sensors by moving within a limited communication radius. We propose a new growing SOM that adapts the number of neurons during learning, which also allows our approach to apply in cases where some sensors can be ignored due to a lower priority. Based on a comparison with available combinatorial heuristic algorithms for relevant variants of the TSP, the proposed approach demonstrates improved results, while also being less computationally demanding. Moreover, the proposed learning procedure can be extended to cases where particular sensors have varying communication radii, and it can also be extended to multivehicle planning.

  20. Contagion via Magical Thinking and via Mere Proximity.

    PubMed

    Bower, Lennea R; Peynircioǧlu, Zehra F; Rabinovitz, Brian E

    2018-01-01

    People show an irrational dislike for objects that were once contaminated or had come into contact with an undesirable person, even if they are currently indistinguishable from other similar objects. To date, such negative contagion within the magical thinking literature has been shown only with inanimate objects. We addressed a boundary condition to see if it also extended to animate targets (dogs and children) while teasing out mere-proximity effects that would predict a similar contagion in the case of children. We used two different types of contagion, one based on proximity and one based on self-information. We found that magical thinking did extend to dogs but not to children when not confounded by mere-proximity effects. Also, contagion was less strong in the case of animate targets, but pity was not related to either this reduction or to the disappearance of the effect with children.

  1. An immersed-shell method for modelling fluid–structure interactions

    PubMed Central

    Viré, A.; Xiang, J.; Pain, C. C.

    2015-01-01

    The paper presents a novel method for numerically modelling fluid–structure interactions. The method consists of solving the fluid-dynamics equations on an extended domain, where the computational mesh covers both fluid and solid structures. The fluid and solid velocities are relaxed to one another through a penalty force. The latter acts on a thin shell surrounding the solid structures. Additionally, the shell is represented on the extended domain by a non-zero shell-concentration field, which is obtained by conservatively mapping the shell mesh onto the extended mesh. The paper outlines the theory underpinning this novel method, referred to as the immersed-shell approach. It also shows how the coupling between a fluid- and a structural-dynamics solver is achieved. At this stage, results are shown for cases of fundamental interest. PMID:25583857

  2. Complex Apical Intraradicular Infection and Extraradicular Mineralized Biofilms as the Cause of Wet Canals and Treatment Failure: Report of 2 Cases.

    PubMed

    Ricucci, Domenico; Candeiro, George T M; Bugea, Calogero; Siqueira, José F

    2016-03-01

    This article describes 2 cases that showed persistent intracanal exudation (wet canal) even after several visits of antimicrobial endodontic treatment. Histologic and histobacteriologic investigation was conducted for determination of the cause. The 2 cases involved teeth with apical periodontitis lesions, which presented persistent exudation refractory to treatment after several visits. In case 1, it was not possible to achieve a dry canal, and surgery had to be performed. In case 2, attempts to dry the canal succeeded and the canal was filled, but follow-up examination showed an enlarged apical periodontitis lesion and extraction was performed. Biopsy specimens consisting of the root apex and apical periodontitis lesion for case 1 and the whole root for case 2 were subjected to histologic and histobacteriologic analyses. Both cases showed complex bacterial infection in the apical root, affecting both the intraradicular space and the outer root surface. Case 1 showed bacterial biofilms in ramifications, on untouched walls, and extending to the external root surface to form a thick and partially mineralized structure with high bacterial density. Different bacterial morphotypes were evidenced. Case 2 had a ledge on the apical canal wall created during instrumentation, which was filled with necrotic debris, filling material, and bacteria. The walls of the apical portion of the canal were covered by a bacterial biofilm, which was continuous with a thick extraradicular biofilm covering the cementum and dentin in resorptive defects. The extraradicular biofilm showed areas of mineralization and was dominated by filamentous bacteria. The 2 cases with wet canals and treatment failure were associated with complex persistent infection in the apical part of the root canal system extending to form thick and partially mineralized biofilm structures (calculus) on the outer apical root surface. Copyright © 2016 American Association of Endodontists. Published by Elsevier Inc. All rights reserved.

  3. Filter performance parameters for vectorial high-aperture wave fields.

    PubMed

    Sheppard, Colin J R; Martinez-Corral, M

    2008-03-01

    Performance parameters have been presented that can be used to compare the focusing performance of different optical systems, including the effect of pupil filters. These were originally given for the paraxial case and recently extended to the high-aperture scalar regime. We generalize these parameters to the full vectorial case for an aplanatic optical system illuminated by a plane-polarized wave. The behavior of different optical systems is compared.

  4. Hospital-acquired listeriosis.

    PubMed

    Graham, J C; Lanser, S; Bignardi, G; Pedler, S; Hollyoak, V

    2002-06-01

    We report four cases of listeriosis that occurred over a two-month period in north east England. Due to the apparent nosocomial acquisition of infection and the clustering of cases in time and place, extended epidemiological investigation was performed and the outbreak was traced to a caterer who was providing sandwiches for hospital shops. We discuss the difficulties in preventing food-borne listeriosis in the hospital setting. Copyright 2002 The Hospital Infection Society.

  5. A Qualitative Case Study Exploring the Nature of New Managerialism in UK Higher Education and Its Impact on Individual Academics' Experience of Doing Research

    ERIC Educational Resources Information Center

    Nickson, Alicen

    2014-01-01

    New Managerialism (NM) has been used as an analytical framework to help understand the changes within the UK Higher Education Sector. This project sought to extend that work by undertaking a case study of an English university. Using the theory of NM, the study combined organisational description, strategic document review and in-depth interviews…

  6. A methodology for extending domain coverage in SemRep.

    PubMed

    Rosemblat, Graciela; Shin, Dongwook; Kilicoglu, Halil; Sneiderman, Charles; Rindflesch, Thomas C

    2013-12-01

    We describe a domain-independent methodology to extend SemRep coverage beyond the biomedical domain. SemRep, a natural language processing application originally designed for biomedical texts, uses the knowledge sources provided by the Unified Medical Language System (UMLS©). Ontological and terminological extensions to the system are needed in order to support other areas of knowledge. We extended SemRep's application by developing a semantic representation of a previously unsupported domain. This was achieved by adapting well-known ontology engineering phases and integrating them with the UMLS knowledge sources on which SemRep crucially depends. While the process to extend SemRep coverage has been successfully applied in earlier projects, this paper presents in detail the step-wise approach we followed and the mechanisms implemented. A case study in the field of medical informatics illustrates how the ontology engineering phases have been adapted for optimal integration with the UMLS. We provide qualitative and quantitative results, which indicate the validity and usefulness of our methodology. Published by Elsevier Inc.

  7. Developing dissolution testing methodologies for extended-release oral dosage forms with supersaturating properties. Case example: Solid dispersion matrix of indomethacin.

    PubMed

    Tajiri, Tomokazu; Morita, Shigeaki; Sakamoto, Ryosaku; Mimura, Hisahi; Ozaki, Yukihiro; Reppas, Christos; Kitamura, Satoshi

    2015-07-25

    The objective of this study was to develop an in vitro dissolution test method with discrimination ability for an extended-release solid dispersion matrix of a lipophilic drug using the United States Pharmacopeia (USP) Apparatus 4, flow-through cell apparatus. In the open-loop configuration, the sink condition was maintained by manipulating the flow rate of the dissolution medium. To evaluate the testing conditions, the drug release mechanism from an extended-release solid dispersion matrix containing hydrophobic and hydrophilic polymers was investigated. As the hydroxypropyl methylcellulose (HPMC) maintained concentrations of indomethacin higher than the solubility in a dissolution medium, the release of HPMC into the dissolution medium was also quantified using size-exclusion chromatography. We concluded that the USP Apparatus 4 is suitable for application to an in vitro dissolution method for orally administered extended-release solid dispersion matrix formulations containing poorly water-soluble drugs. Copyright © 2015 Elsevier B.V. All rights reserved.

  8. Effect of strong disorder on three-dimensional chiral topological insulators: Phase diagrams, maps of the bulk invariant, and existence of topological extended bulk states

    NASA Astrophysics Data System (ADS)

    Song, Juntao; Fine, Carolyn; Prodan, Emil

    2014-11-01

    The effect of strong disorder on chiral-symmetric three-dimensional lattice models is investigated via analytical and numerical methods. The phase diagrams of the models are computed using the noncommutative winding number, as functions of disorder strength and model's parameters. The localized/delocalized characteristic of the quantum states is probed with level statistics analysis. Our study reconfirms the accurate quantization of the noncommutative winding number in the presence of strong disorder, and its effectiveness as a numerical tool. Extended bulk states are detected above and below the Fermi level, which are observed to undergo the so-called "levitation and pair annihilation" process when the system is driven through a topological transition. This suggests that the bulk invariant is carried by these extended states, in stark contrast with the one-dimensional case where the extended states are completely absent and the bulk invariant is carried by the localized states.

  9. Homoclinic behaviors and chaotic motions of double layered viscoelastic nanoplates based on nonlocal theory and extended Melnikov method.

    PubMed

    Wang, Yu; Li, Feng-Ming; Wang, Yi-Ze

    2015-06-01

    The nonlinear dynamical equations are established for the double layered viscoelastic nanoplates (DLNP) subjected to in-plane excitation based on the nonlocal theory and von Kármán large deformation theory. The extended high dimensional homoclinic Melnikov method is employed to study the homoclinic phenomena and chaotic motions for the parametrically excited DLNP system. The criteria for the homoclinic transverse intersection for both the asynchronous and synchronous buckling cases are proposed. Lyapunov exponents and phase portraits are obtained to verify the Melnikov-type analysis. The influences of structural parameters on the transverse homoclinic orbits and homoclinic bifurcation sets are discussed for the two buckling cases. Some novel phenomena are observed in the investigation. It should be noticed that the nonlocal effect on the homoclinic behaviors and chaotic motions is quite remarkable. Hence, the small scale effect should be taken into account for homoclinic and chaotic analysis for nanostructures. It is significant that the nonlocal effect on the homoclinic phenomena for the asynchronous buckling case is quite different from that for the synchronous buckling case. Moreover, due to the van der Walls interaction between the layers, the nonlocal effect on the homoclinic behaviors and chaotic motions for high order mode is rather tiny under the asynchronous buckling condition.

  10. Electroconvulsive Therapy for Treatment of Major Depression in a 100-Year-Old Patient with Severe Aortic Stenosis: A 5-year follow up report

    PubMed Central

    O'Reardon, John P.; Cristancho, Mario A.; Ryley, Barbara; Patel, Kajal R.; Haber, Howard L.

    2011-01-01

    Although there is no specific age cut-off for ECT and no absolute contraindication to its use, very old age as well as the presence of cardiac conditions such as aortic stenosis are factors that may negatively impact the clinician's decision to administer ECT in the individual case. We report our follow-up of a 100 year old female with severe aortic stenosis who has now received ECT safely for a period of 5 years. No cardiac complications have emerged during this period. Her prior unipolar depressive episode with catatonic features remains in remission with a single prophylactic ECT session every 3 months. We have observed from our experience with this unique case that periodic multidisciplinary re-evaluation of the evolving risk-benefit profile of ECT is essential along with the inclusion of family members in this dialogue. Our patient course illustrates that neither advanced age nor severe aortic stenosis are absolute contraindications to ECT even over an extended period of time. Each case needs to be evaluated on its merits. To our knowledge, this case represents the oldest patient in the literature where ECT has been administered safely for such an extended period in the setting of severe aortic stenosis. PMID:21865959

  11. Homoclinic behaviors and chaotic motions of double layered viscoelastic nanoplates based on nonlocal theory and extended Melnikov method

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

    Wang, Yu; Wang, Yi-Ze; Li, Feng-Ming, E-mail: fmli@bjut.edu.cn

    2015-06-15

    The nonlinear dynamical equations are established for the double layered viscoelastic nanoplates (DLNP) subjected to in-plane excitation based on the nonlocal theory and von Kármán large deformation theory. The extended high dimensional homoclinic Melnikov method is employed to study the homoclinic phenomena and chaotic motions for the parametrically excited DLNP system. The criteria for the homoclinic transverse intersection for both the asynchronous and synchronous buckling cases are proposed. Lyapunov exponents and phase portraits are obtained to verify the Melnikov-type analysis. The influences of structural parameters on the transverse homoclinic orbits and homoclinic bifurcation sets are discussed for the two bucklingmore » cases. Some novel phenomena are observed in the investigation. It should be noticed that the nonlocal effect on the homoclinic behaviors and chaotic motions is quite remarkable. Hence, the small scale effect should be taken into account for homoclinic and chaotic analysis for nanostructures. It is significant that the nonlocal effect on the homoclinic phenomena for the asynchronous buckling case is quite different from that for the synchronous buckling case. Moreover, due to the van der Walls interaction between the layers, the nonlocal effect on the homoclinic behaviors and chaotic motions for high order mode is rather tiny under the asynchronous buckling condition.« less

  12. Microtunneling systems and methods of use

    DOEpatents

    Richardson, John G.; Kostelnik, Kevin M.; Nickelson, Reva A.; Sloan, Paul A.

    2006-07-04

    A tunneling system including a tunneling apparatus including a cutting structure for forming a borehole and at least one linkage section for transmitting a force generally toward the cutting structure is disclosed. A method of disposing a casing string within a subterranean formation by applying a force generally to the trailing end of the tunneling apparatus, generally toward the leading end thereof, but without transmitting the entire force through the entire casing string is also disclosed. At least one linkage section extending within but not in contact with at least one casing section of the casing string may transmit the force. Also, a force limiting member may limit a force applied to the casing string.

  13. Small traveling clusters in attractive and repulsive Hamiltonian mean-field models.

    PubMed

    Barré, Julien; Yamaguchi, Yoshiyuki Y

    2009-03-01

    Long-lasting small traveling clusters are studied in the Hamiltonian mean-field model by comparing between attractive and repulsive interactions. Nonlinear Landau damping theory predicts that a Gaussian momentum distribution on a spatially homogeneous background permits the existence of traveling clusters in the repulsive case, as in plasma systems, but not in the attractive case. Nevertheless, extending the analysis to a two-parameter family of momentum distributions of Fermi-Dirac type, we theoretically predict the existence of traveling clusters in the attractive case; these findings are confirmed by direct N -body numerical simulations. The parameter region with the traveling clusters is much reduced in the attractive case with respect to the repulsive case.

  14. Groundwater monitoring system

    DOEpatents

    Ames, Kenneth R.; Doesburg, James M.; Eschbach, Eugene A.; Kelley, Roy C.; Myers, David A.

    1987-01-01

    A groundwater monitoring system includes a bore, a well casing within and spaced from the bore, and a pump within the casing. A water impermeable seal between the bore and the well casing prevents surface contamination from entering the pump. Above the ground surface is a removable operating means which is connected to the pump piston by a flexible cord. A protective casing extends above ground and has a removable cover. After a groundwater sample has been taken, the cord is disconnected from the operating means. The operating means is removed for taking away, the cord is placed within the protective casing, and the cover closed and locked. The system is thus protected from contamination, as well as from damage by accident or vandalism.

  15. Segmental hyperhidrosis as a manifestation of spinal and paraspinal disease.

    PubMed

    Schulz, V; Ward, D; Moulin, D E

    1998-11-01

    Segmental hyperhidrosis is an uncommon finding which is usually associated with irritation or infiltration of pre-ganglionic sympathetic fibres or the sympathetic chain. We report two cases of segmental hyperhidrosis with striking clinical features. In one case, a mesothelioma produced ipsilateral simultaneous underactivity and overactivity of sympathetic outflow and in the other case a thoracic central disc herniation was probably responsible for a band of sweating which clearly extended beyond the segmental level of injury. Segmental hyperhidrosis should trigger a search for structural disease in the spinal and paraspinal region.

  16. Test-Case Generation using an Explicit State Model Checker Final Report

    NASA Technical Reports Server (NTRS)

    Heimdahl, Mats P. E.; Gao, Jimin

    2003-01-01

    In the project 'Test-Case Generation using an Explicit State Model Checker' we have extended an existing tools infrastructure for formal modeling to export Java code so that we can use the NASA Ames tool Java Pathfinder (JPF) for test case generation. We have completed a translator from our source language RSML(exp -e) to Java and conducted initial studies of how JPF can be used as a testing tool. In this final report, we provide a detailed description of the translation approach as implemented in our tools.

  17. Outcomes of an extended-infusion piperacillin-tazobactam protocol implementation in a community teaching hospital adult intensive care unit.

    PubMed

    Schmees, Patrick M; Bergman, Scott J; Strader, Brandi D; Metzke, Megan E; Pointer, Sarah; Valenti, Kristine M

    2016-06-01

    The purpose of this study is to evaluate the outcome differences between patients receiving piperacillin-tazobactam pre- and post-implementation of an extended infusion dosing protocol in a community teaching hospital adult intensive care unit. On December 19th, 2011, extended infusion dosing of piperacillin-tazobactam was implemented at St. John's Hospital's intensive and cardiac care units (ICU/CCU) following IRB-approval. This is a historical case-control cohort study involving review of electronic medical charts of patients who received traditional or extended infusion therapy. Data was collected for patients that received piperacillin-tazobactam in the ICU/CCU from December 19th, 2010 through March 19th, 2011 for traditional infusion and from December 19th, 2011 through March 19th, 2012 for extended infusion. Primary endpoints were ICU/CCU mortality at discharge and length of stay. The study included 113 patients with 52 in the traditional-infusion group and 61 extended-infusion group. There was no statistically significant difference in the primary end-point of ICU/CCU mortality between the two groups (14.8% vs. 21.1%; p = 0.374). In the extended infusion group, there was a shorter length of ICU and CCU stay (8.32 vs. 12.06 days; p = 0.025) and shorter length of hospital stay (11.32 vs. 19.7 days; p = 0.006). The extended-infusion group showed a decrease in cost of therapy that was statistically significant ($120.21 vs. $155.17; p = 0.035). Adverse drug effects did not differ between the two study groups. This study showed that treatment with extended-infusion piperacillin-tazobactam therapy improved patient outcomes while maintaining patient safety and decreasing costs. Copyright © 2016 by the American Society of Health-System Pharmacists, Inc. All rights reserved.

  18. A case study of an extremely luminous, highly spatially extended starburst only 1.7Gyr after the Big Bang

    NASA Astrophysics Data System (ADS)

    Farrah, Duncan

    2017-08-01

    Luminous starbursts, systems with SFRs exceeding 1000Msun yr-1, are predicted to be extremely rare at z>3. However, recent observations find such systems at rates of tens to hundreds above predictions. This discrepancy is extremely difficult to explain. Case studies of such luminous starbursts are thus of profound importance to understand how star formation is triggered and quenched at z > 3, and help reconcile models with observations. Our group has been intensively studying the quasar SDSS J160705.16, at z = 3.65 (or 1.7Gyr after the Big Bang). This quasar is an excellent case study of luminous star formation at z > 3, and how AGN activity may affect such star formation. SDSS J160705.16 harbors both a broad-line, luminous quasar and an extremely high star formation rate, with an AGN luminosity of 10^47 ergs s-1 and an SFR of 2000 Msol yr-1. Sub-mm interferometry has further revealed that the star formation is highly spatially extended on scales up to 40kpc. Furthermore, VLA observations show an emerging 4kpc radio jet.We here propose WFC3 imaging with the following goals: (1) to set precise constraints on any lensing magnification, (2) to determine the morphology and color structure of the extended star formation, (3) to compare the optical morphology of the star formation to that seen in the sub-mm data, and (4) to search for evidence that SDSS J160705.16 resides in a protocluster.

  19. Exploring extended scope of practice in dietetics: A systems approach.

    PubMed

    Ryan, Dominique; Pelly, Fiona; Purcell, Elizabeth

    2017-09-01

    The aim of this study was to explore health professionals' perceptions of an extended scope of a practice clinic, and develop a framework using a systems approach to facilitate extended scope models across various health settings. A qualitative investigation using semi-structured interviews with four health professionals involved in an extended scope dietitian-led gastroenterology clinic in a hospital in regional Queensland was conducted. A case study design was utilised to investigate interviewees' perceptions of the clinic. Participants were conveniently, purposively sampled. Transcript analysis involved a descriptive analytical approach. Interviewee responses were coded and categorised into themes, and investigator triangulation was used to ensure consistency between individual analyses. A secondary interpretative analysis was conducted where relationships between key themes were mapped to the Systems Engineering Initiative for Patient Safety work system model. Interviewees identified various factors as vital inputs to the work system. These were categorised into the four key elements: stakeholder support, resources, planning and the dietitian. Clinic outcomes were categorised into the impact on four key groups: patients, the dietitian, the multidisciplinary team and the health system. Mapping of the relationships between inputs and outcomes resulted in an implementation framework for extended scope of practice. Extended scope of practice in dietetics may provide positive outcomes for various stakeholders. However, further development of extended scope roles for dietitians requires increased advocacy and support from governments, professional bodies, training institutions and dietitians. We have developed an implementation framework which can be utilised by health professionals interested in embracing an extended scope model of care. © 2016 Dietitians Association of Australia.

  20. Congenital costo-vertebral fibrous band and congenital kyphoscoliosis: a previously unreported combination.

    PubMed

    Eid, Tony; Ghostine, Bachir; Kreichaty, Gaby; Daher, Paul; Ghanem, Ismat

    2013-05-01

    Congenital kyphoscoliosis (CKS) results from abnormal vertebral chondrification. Congenital fibrous bands occur in several locations with variable impact on vertebral development. We report a previously unreported case of a female infant with CKS presenting with an L2 hypoplastic vertebra and a costo-vertebral fibrous band extending to the skin in the form of a dimple. We also describe the therapeutic approach, consisting of surgical excision of the fibrous band and postoperative fulltime bracing, with a 7-year follow-up. We recommend a high index of suspicion in any unusual presentation of CKS and insist on case by case management in such cases.

  1. NONPARAMETRIC MANOVA APPROACHES FOR NON-NORMAL MULTIVARIATE OUTCOMES WITH MISSING VALUES

    PubMed Central

    He, Fanyin; Mazumdar, Sati; Tang, Gong; Bhatia, Triptish; Anderson, Stewart J.; Dew, Mary Amanda; Krafty, Robert; Nimgaonkar, Vishwajit; Deshpande, Smita; Hall, Martica; Reynolds, Charles F.

    2017-01-01

    Between-group comparisons often entail many correlated response variables. The multivariate linear model, with its assumption of multivariate normality, is the accepted standard tool for these tests. When this assumption is violated, the nonparametric multivariate Kruskal-Wallis (MKW) test is frequently used. However, this test requires complete cases with no missing values in response variables. Deletion of cases with missing values likely leads to inefficient statistical inference. Here we extend the MKW test to retain information from partially-observed cases. Results of simulated studies and analysis of real data show that the proposed method provides adequate coverage and superior power to complete-case analyses. PMID:29416225

  2. Juvenile psammomatoid ossifying fibroma of the neurocranium. Report of four cases.

    PubMed

    Hasselblatt, Martin; Jundt, Gernot; Greiner, Christoph; Rama, Burckhard; Schmäl, Frank; Iglesias-Rozas, José R; van de Nes, Johannes A P; Paulus, Werner

    2005-06-01

    Juvenile psammomatoid ossifying fibroma (JPOF) is a benign fibroosseous lesion predominantly arising within the paranasal sinuses in children and young adults. Neurocranial occurrence is exceedingly rare and a location within the neurocranial portion of the temporal bone has not been described. The authors report on one case of sinonasal JPOF secondarily extending into the cranial cavity and three cases primarily affecting the neurocranial bones to increase clinical awareness of this uncommon tumor, which may be easily mistaken for meningioma. Moreover, the absence of activating missense mutations of the GNAS1 gene in two cases strongly argues against a relationship between JPOF and fibrous dysplasia.

  3. Wigner Distribution for Angle Coordinates in Quantum Mechanics.

    ERIC Educational Resources Information Center

    Mukunda, N.

    1979-01-01

    Shows how to extend Wigner distribution functions, and Weyl correspondence between quantum and classical variables, from the usual kind of canonically conjugate position and momentum operators to the case of an angle and angular momentum operator pair. (Author/GA)

  4. Relativistic Corrections to the Bohr Model of the Atom

    ERIC Educational Resources Information Center

    Kraft, David W.

    1974-01-01

    Presents a simple means for extending the Bohr model to include relativistic corrections using a derivation similar to that for the non-relativistic case, except that the relativistic expressions for mass and kinetic energy are employed. (Author/GS)

  5. 76 FR 9752 - Certain Steel Nails From the People's Republic of China: Extension of Time Limit for the...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... extend that 180-day period to 300 days if it determines that the case is extraordinarily complicated. See... that this new shipper review involves extraordinarily complicated methodological issues, including...

  6. 76 FR 73594 - Certain Frozen Warmwater Shrimp From the Socialist Republic of Vietnam: Extension of Time Limit...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... Department may extend that 180-day period to 300 days if it determines that the case is extraordinarily... determines that this new shipper review involves extraordinarily complicated methodological issues, including...

  7. Governance and Finance.

    ERIC Educational Resources Information Center

    McGhehey, M. A.

    Court litigation concerning governance and finance in higher education demonstrates lawyers' attempts to extend the legal principles established in one educational system to different systems. Intergovernmental relations cases involve educational institutions' connections with counties, cities, states, and various public agencies. Because of an…

  8. Selective hypertrophy of the lobus caudatus as a novel approach enabling extended right hepatectomy in the presence of a non-perfused left lateral liver lobe.

    PubMed

    Atanasov, Georgi; Schmelzle, Moritz; Thelen, Armin; Wiltberger, Georg; Hau, Hans-Michael; Krenzien, Felix; Petersen, Tim-Ole; Moche, Michael; Jonas, Sven

    2014-08-01

    Portal vein embolization (PVE) is a well-established technique to enhance functional hepatic reserves of segments II and III before curative extended right hepatectomy for tumors of the right liver lobe. However, an adequate hepatopetal flow of the left lateral portal vein branches is required for a sufficient PVE-associated hypertrophy. Here, we report a 65-year old patient suffering from a locally advanced intrahepatic cholangiocarcinoma in the right liver lobe and segment IV. A curative extended right hepatectomy after preoperative PVE of liver segments IV-VIII was initially impossible because of partial thrombosis of the left lateral portal vein branches resulting in an ischemic-type atrophy of segments II and III. However, due to a massive hypertrophy of the caudate lobe following PVE of liver segments IV-VIII, subsequent extended right hepatectomy with intraoperative thrombectomy of segments II and III was made possible. To our knowledge this is the first case in which an extended right hepatectomy for a liver malignancy, in the presence of atrophic left lateral section, was made possible by a massive PVE-associated hypertrophy of the caudate lobe.

  9. Persistent Memory in Single Node Delay-Coupled Reservoir Computing.

    PubMed

    Kovac, André David; Koall, Maximilian; Pipa, Gordon; Toutounji, Hazem

    2016-01-01

    Delays are ubiquitous in biological systems, ranging from genetic regulatory networks and synaptic conductances, to predator/pray population interactions. The evidence is mounting, not only to the presence of delays as physical constraints in signal propagation speed, but also to their functional role in providing dynamical diversity to the systems that comprise them. The latter observation in biological systems inspired the recent development of a computational architecture that harnesses this dynamical diversity, by delay-coupling a single nonlinear element to itself. This architecture is a particular realization of Reservoir Computing, where stimuli are injected into the system in time rather than in space as is the case with classical recurrent neural network realizations. This architecture also exhibits an internal memory which fades in time, an important prerequisite to the functioning of any reservoir computing device. However, fading memory is also a limitation to any computation that requires persistent storage. In order to overcome this limitation, the current work introduces an extended version to the single node Delay-Coupled Reservoir, that is based on trained linear feedback. We show by numerical simulations that adding task-specific linear feedback to the single node Delay-Coupled Reservoir extends the class of solvable tasks to those that require nonfading memory. We demonstrate, through several case studies, the ability of the extended system to carry out complex nonlinear computations that depend on past information, whereas the computational power of the system with fading memory alone quickly deteriorates. Our findings provide the theoretical basis for future physical realizations of a biologically-inspired ultrafast computing device with extended functionality.

  10. Persistent Memory in Single Node Delay-Coupled Reservoir Computing

    PubMed Central

    Pipa, Gordon; Toutounji, Hazem

    2016-01-01

    Delays are ubiquitous in biological systems, ranging from genetic regulatory networks and synaptic conductances, to predator/pray population interactions. The evidence is mounting, not only to the presence of delays as physical constraints in signal propagation speed, but also to their functional role in providing dynamical diversity to the systems that comprise them. The latter observation in biological systems inspired the recent development of a computational architecture that harnesses this dynamical diversity, by delay-coupling a single nonlinear element to itself. This architecture is a particular realization of Reservoir Computing, where stimuli are injected into the system in time rather than in space as is the case with classical recurrent neural network realizations. This architecture also exhibits an internal memory which fades in time, an important prerequisite to the functioning of any reservoir computing device. However, fading memory is also a limitation to any computation that requires persistent storage. In order to overcome this limitation, the current work introduces an extended version to the single node Delay-Coupled Reservoir, that is based on trained linear feedback. We show by numerical simulations that adding task-specific linear feedback to the single node Delay-Coupled Reservoir extends the class of solvable tasks to those that require nonfading memory. We demonstrate, through several case studies, the ability of the extended system to carry out complex nonlinear computations that depend on past information, whereas the computational power of the system with fading memory alone quickly deteriorates. Our findings provide the theoretical basis for future physical realizations of a biologically-inspired ultrafast computing device with extended functionality. PMID:27783690

  11. Optical theorem for two-dimensional (2D) scalar monochromatic acoustical beams in cylindrical coordinates.

    PubMed

    Mitri, F G

    2015-09-01

    The optical theorem for plane waves is recognized as one of the fundamental theorems in optical, acoustical and quantum wave scattering theory as it relates the extinction cross-section to the forward scattering complex amplitude function. Here, the optical theorem is extended and generalized in a cylindrical coordinates system for the case of 2D beams of arbitrary character as opposed to plane waves of infinite extent. The case of scalar monochromatic acoustical wavefronts is considered, and generalized analytical expressions for the extinction, absorption and scattering cross-sections are derived and extended in the framework of the scalar resonance scattering theory. The analysis reveals the presence of an interference scattering cross-section term describing the interaction between the diffracted Franz waves with the resonance elastic waves. The extended optical theorem in cylindrical coordinates is applicable to any object of arbitrary geometry in 2D located arbitrarily in the beam's path. Related investigations in optics, acoustics and quantum mechanics will benefit from this analysis in the context of wave scattering theory and other phenomena closely connected to it, such as the multiple scattering by a cloud of particles, as well as the resulting radiation force and torque. Copyright © 2015 Elsevier B.V. All rights reserved.

  12. Extending the cost-benefit model of thermoregulation: high-temperature environments.

    PubMed

    Vickers, Mathew; Manicom, Carryn; Schwarzkopf, Lin

    2011-04-01

    The classic cost-benefit model of ectothermic thermoregulation compares energetic costs and benefits, providing a critical framework for understanding this process (Huey and Slatkin 1976 ). It considers the case where environmental temperature (T(e)) is less than the selected temperature of the organism (T(sel)), and it predicts that, to minimize increasing energetic costs of thermoregulation as habitat thermal quality declines, thermoregulatory effort should decrease until the lizard thermoconforms. We extended this model to include the case where T(e) exceeds T(sel), and we redefine costs and benefits in terms of fitness to include effects of body temperature (T(b)) on performance and survival. Our extended model predicts that lizards will increase thermoregulatory effort as habitat thermal quality declines, gaining the fitness benefits of optimal T(b) and maximizing the net benefit of activity. Further, to offset the disproportionately high fitness costs of high T(e) compared with low T(e), we predicted that lizards would thermoregulate more effectively at high values of T(e) than at low ones. We tested our predictions on three sympatric skink species (Carlia rostralis, Carlia rubrigularis, and Carlia storri) in hot savanna woodlands and found that thermoregulatory effort increased as thermal quality declined and that lizards thermoregulated most effectively at high values of T(e).

  13. A mechanistic investigation of thrombotic microangiopathy associated with IV abuse of Opana ER.

    PubMed

    Hunt, Ryan; Yalamanoglu, Ayla; Tumlin, James; Schiller, Tal; Baek, Jin Hyen; Wu, Andrew; Fogo, Agnes B; Yang, Haichun; Wong, Edward; Miller, Peter; Buehler, Paul W; Kimchi-Sarfaty, Chava

    2017-02-16

    Since 2012, a number of case reports have described the occurrence of thrombotic microangiopathy (TMA) following IV abuse of extended-release oxymorphone hydrochloride (Opana ER), an oral opioid for long-term treatment of chronic pain. Here, we present unique clinical features of 3 patients and investigate IV exposure to the tablet's inert ingredients as a possible causal mechanism. Guinea pigs were used as an animal model to understand the hematopathologic and nephrotoxic potential of the inert ingredient mixture (termed here as PEO+) which primarily contains high-molecular-weight polyethylene oxide (HMW PEO). Microangiopathic hemolytic anemia, thrombocytopenia, and acute kidney injury were found in a group of 3 patients following recent injection of adulterated extended-release oxymorphone tablets. Varying degrees of cardiac involvement and retinal ischemia occurred, with TMA evident on kidney biopsy. A TMA-like state also developed in guinea pigs IV administered PEO+. Acute tubular and glomerular renal injury was accompanied by nonheme iron deposition and hypoxia-inducible factor-1α upregulation in the renal cortex. Similar outcomes were observed following dosing with HMW PEO alone. IV exposure to the inert ingredients in reformulated extended-release oxymorphone can elicit TMA. Although prescription opioid abuse shows geographic variation, all physicians should be highly inquisitive of IV drug abuse when presented with cases of TMA.

  14. Initial Poor Function and Primary Nonfunction in Deceased-Donor Orthotopic Liver Transplantation Maintaining Short Cold Ischemic Time.

    PubMed

    Das, Somak; Swain, Sudeepta Kumar; Addala, Pavan Kumar; Balasubramaniam, Ramakrishnan; Gopakumar, C V; Zirpe, Dinesh; Renganathan, Kirubakaran; Kollu, Harsha; Patel, Darshan; Vibhute, Bipin B; Rao, Prashantha S; Krishnan, Elankumaran; Gopasetty, Mahesh; Khakhar, Anand K; Vaidya, Anil; Ramamurthy, Anand

    2016-12-01

    Nations with emerging deceased-donor liver transplantation programs, such as India, face problems associated with poor donor maintenance. Cold ischemic time (CIT) is typically maintained short by matching donor organ recovery and recipient hepatectomy to achieve maximum favorable outcome. We analyzed different extended criteria donor factors including donor acidosis, which may act as a surrogate marker of poor donor maintenance, to quantify the risk of primary nonfunction (PNF) or initial poor function (IPF). A single-center retrospective outcome analysis of prospectively collected data of patients undergoing deceased-donor liver transplantation over 2 years to determine the impact of different extended criteria donor factors on IPF and PNF. From March 2013 to February 2015, a total of 84 patients underwent deceased-donor liver transplantation. None developed PNF. Thirteen (15.5%) patients developed IPF. Graft macrosteatosis and donor acidosis were only related to IPF ( P = .002 and P = .032, respectively). Cold ischemic time was maintained short (81 cases ≤8 hours, maximum 11 hours) in all cases. Poor donor maintenance as evidenced by donor acidosis and graft macrosteatosis had significant impact in developing IPF when CIT is kept short. Similar study with larger sample size is required to establish extended criteria cutoff values.

  15. Apheresis product identification in the transplant center: development of point-of-care protocols for extended blood typing of stem cell apheresis products.

    PubMed

    Cummerow, C; Schwind, P; Spicher, M; Spohn, G; Geisen, C; Seifried, E; Bönig, H

    2012-06-01

    Transfusion of the 'wrong' stem cell product would almost inevitably be lethal, yet assays to confirm the contents of the product bag, except by checking labels and paperwork, are lacking. To increase the likelihood that a product mix-up would be detected in the transplant center, we developed a simple protocol for extended blood typing and hence, for confirmation of donor/product identity, on a tube segment. Apheresis samples were applied, directly or after erythrocyte enrichment, to commercially available blood typing assays, including lateral flow cards and gel agglutination cards. Without sample modification, low hematocrit and high leukocyte count obviated definitive blood typing. Using the most simple erythrocyte enrichment protocol, that is, centrifugation, reliable blood group analysis became possible with either assay. Other, more cumbersome pre-analytical protocols were also successful but provided no advantage. The preferred method was validated on 100 samples; ABD was correctly identified in 100% of cases. Of the other Rh Ags, all except two 'small e', in both cases in heterozygous individuals, were detected; there were no false positives. A simple, inexpensive point-of-care assay for extended blood typing of apheresis products is available, which can reduce the fatal risk of administering the wrong stem cell product.

  16. An Operator Method for Field Moments from the Extended Parabolic Wave Equation and Analytical Solutions of the First and Second Moments for Atmospheric Electromagnetic Wave Propagation

    NASA Technical Reports Server (NTRS)

    Manning, Robert M.

    2004-01-01

    The extended wide-angle parabolic wave equation applied to electromagnetic wave propagation in random media is considered. A general operator equation is derived which gives the statistical moments of an electric field of a propagating wave. This expression is used to obtain the first and second order moments of the wave field and solutions are found that transcend those which incorporate the full paraxial approximation at the outset. Although these equations can be applied to any propagation scenario that satisfies the conditions of application of the extended parabolic wave equation, the example of propagation through atmospheric turbulence is used. It is shown that in the case of atmospheric wave propagation and under the Markov approximation (i.e., the delta-correlation of the fluctuations in the direction of propagation), the usual parabolic equation in the paraxial approximation is accurate even at millimeter wavelengths. The comprehensive operator solution also allows one to obtain expressions for the longitudinal (generalized) second order moment. This is also considered and the solution for the atmospheric case is obtained and discussed. The methodology developed here can be applied to any qualifying situation involving random propagation through turbid or plasma environments that can be represented by a spectral density of permittivity fluctuations.

  17. Long-term outcomes and recurrence patterns of standard versus extended pancreatectomy for pancreatic head cancer: a multicenter prospective randomized controlled study.

    PubMed

    Jang, Jin-Young; Kang, Jae Seung; Han, Youngmin; Heo, Jin Seok; Choi, Seong Ho; Choi, Dong Wook; Park, Sang Jae; Han, Sung-Sik; Yoon, Dong Sup; Park, Joon Seong; Yu, Hee Chul; Kang, Koo Jeong; Kim, Sang Geol; Lee, Hongeun; Kwon, Wooil; Yoon, Yoo-Seok; Han, Ho-Seong; Kim, Sun-Whe

    2017-07-01

    Our previous randomized controlled trial revealed no difference in 2-year overall survival (OS) between extended and standard resection for pancreatic adenocarcinoma. The present study evaluated the 5-year OS and recurrence patterns according to the extent of pancreatectomy. Between 2006 and 2009, 169 consecutive patients were prospectively enrolled and randomized to standard (n = 83) or extended resection (n = 86) groups to compare 5-year OS rate, long-term recurrence patterns and factors associated with long-term survival. The surgical R0 rate was similar between the standard and extended groups (85.5 vs. 90.7%, P = 0.300). Five-year OS (18.4 vs. 14.4%, P = 0.388), 5-year disease-free survival (14.8 vs. 14.0%, P = 0.531), and overall recurrence rates (74.7 vs. 69.9%, P = 0.497) were not significantly different between the two groups, although the incidence of peritoneal seeding was higher in the extended group (25 vs. 8.1%, P = 0.014). Extended pancreatectomy does not have better short-term and long-term survival outcomes, and shows similar R0 rates and overall recurrence rates compared with standard pancreatectomy. Extended pancreatectomy does not have to be performed routinely for all cases of resectable pancreatic adenocarcinoma, especially considering its associated increased morbidity shown in our previous study. © 2017 Japanese Society of Hepato-Biliary-Pancreatic Surgery.

  18. Case management's value is finally recognized. What happens now? .

    PubMed

    2015-10-01

    In recent years, case management has been recognized as a key in improving healthcare quality and reducing costs, but while hospitals are giving case managers more responsibilities, many administrators are not approving an increase in staff to handle the extra work. Case managers can help their hospital succeed with the Centers for Medicare & Medicaid Services' Value-based Purchasing program, the readmission reduction program, and bundled payments. Case management directors should make sure the hospital's senior leadership understands the roles and responsibilities of case managers and how their interventions can affect outcomes and the bottom line. The number of caseloads depends on the case management model, the responsibilities of case managers, and whether they have assistants or case management extenders who can take over some tasks and allow the licensed staff to work at the top of their licenses. Don't let technology replace communication and patient-centered interactions.

  19. Familial transmission of schizophrenia in Palau: A 20-year genetic epidemiological study in three generations.

    PubMed

    Myles-Worsley, Marina; Tiobech, Josepha; Blailes, Francisca; Middleton, Frank A; Vinogradov, Sophia; Byerley, William; Faraone, Stephen V

    2011-04-01

    Our genetic epidemiological studies of schizophrenia and other psychotic disorders (SCZ) in the isolated population of Palau have been ongoing for 20 years. Results from the first decade showed that Palau has an elevated prevalence of SCZ and that cases cluster in extended multigenerational pedigrees interconnected via complex genetic relationships after centuries of endogamous, but not consanguineous, marriages. The aim of our second decade of research, which extended data collection into a third generation of young, high-risk (HR) Palauans, was to identify significant predictors of intergenerational transmission of illness. Our findings revealed that degree of familial loading and gender effects on reproductive fitness are important modifiers of risk for transmission of SCZ. Among 45 distinct multiplex families, we identified 10 high-density (HD) Palauan families, each with 7-29 SCZ cases, which contain half of Palau's 260 SCZ cases and 80% of the 113 SCZ cases with one or more affected first-degree relatives, indicating that familial loading is a major risk factor for SCZ in Palau. Cases that belong to multiply affected sibships are more common than cases with an affected parent. Furthermore, only 6/38 multiply affected sibships have an affected parent, strong evidence that many unaffected parents are obligate carriers of susceptibility genes. Although reproductive fitness is dramatically reduced in affected males, the 30% minority who do become fathers are twice as likely as affected mothers to transmit SCZ to an offspring. As they evolve, these HD families can help to elucidate the genetic mechanisms that predict intergenerational transmission of SCZ. Copyright © 2011 Wiley-Liss, Inc.

  20. Is case-specificity content-specificity? An analysis of data from extended-matching questions.

    PubMed

    Dory, Valerie; Gagnon, Robert; Charlin, Bernard

    2010-03-01

    Case-specificity, i.e., variability of a subject's performance across cases, has been a consistent finding in medical education. It has important implications for assessment validity and reliability. Its root causes remain a matter of discussion. One hypothesis, content-specificity, links variability of performance to variable levels of relevant knowledge. Extended-matching items (EMIs) are an ideal format to test this hypothesis as items are grouped by topic. If differences pertaining to content knowledge are the main cause of case-specificity, variability across topics should be high and variability across items within the same topic low. We used generalisability analysis on results of a written test composed of 159 EMIs sat by two cohorts of general practice trainees at one university. Two hundred and twenty-seven trainees took part. The variance component attributed to subjects was small. Variance attributed to topics was smaller than variance attributed to items. The main source of error was interaction between subjects and items, accounting for two-thirds of error. The generalisability D study revealed that for the same total number of items, increasing the number of topics results in a higher G coefficient than increasing the number of items per topic. Topical knowledge does not seem to explain case-specificity observed in our data. Structure of knowledge and reasoning strategy may be more important, in particular pattern-recognition which EMIs were designed to elicit. The causal explanations of case-specificity may be dependent on test format. Increasing the number of topics with fewer items each would increase reliability but also testing time.

  1. Discrete models for the numerical analysis of time-dependent multidimensional gas dynamics

    NASA Technical Reports Server (NTRS)

    Roe, P. L.

    1984-01-01

    A possible technique is explored for extending to multidimensional flows some of the upwind-differencing methods that are highly successful in the one-dimensional case. Emphasis is on the two-dimensional case, and the flow domain is assumed to be divided into polygonal computational elements. Inside each element, the flow is represented by a local superposition of elementary solutions consisting of plane waves not necessarily aligned with the element boundaries.

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

    Rodrigues, Davi C.; Piattella, Oliver F.; Chauvineau, Bertrand, E-mail: davi.rodrigues@cosmo-ufes.org, E-mail: Bertrand.Chauvineau@oca.eu, E-mail: oliver.piattella@pq.cnpq.br

    We show that Renormalization Group extensions of the Einstein-Hilbert action for large scale physics are not, in general, a particular case of standard Scalar-Tensor (ST) gravity. We present a new class of ST actions, in which the potential is not necessarily fixed at the action level, and show that this extended ST theory formally contains the Renormalization Group case. We also propose here a Renormalization Group scale setting identification that is explicitly covariant and valid for arbitrary relativistic fluids.

  3. Demonstration of the DSST State Transition Matrix Time-Update Properties Using the Linux GTDS Program

    DTIC Science & Technology

    2011-09-01

    by a single mean equinoctial element set . EGP Orbit Determination Test Cases Rev 25 14 All of the EGP test cases employ the same observation...the non-singular equinoctial mean elements is more linear and this has positive implications for orbit determination processes based on the semi...by a single mean equinoctial element set . 5. CONCLUSIONS The GTDS Semi-analytical Satellite Theory (DSST) architecture has been extended to

  4. Excitation anisotropy in laser-induced-fluorescence spectroscopy: Broad-line excitation case

    NASA Astrophysics Data System (ADS)

    Hirabayashi, A.; Nambu, Y.; Fujimoto, T.

    1986-01-01

    Treatment of excitation anisotropy for Laser-Induced-Fluorescence Spectroscopy (LIFS) is extended to the intense excitation case. The depolarization coefficient is derived for intense excitation limit (linearly-polarized or unpolarized light excitation), and the result is presented in tables. For the region of intermediate intensity between the weak and intense excitation limits, the master equation is solved for specific example of transitions and its result is compared with experiment.

  5. Myopericarditis associated with Fusobacterium nucleatum-caused liver abscess.

    PubMed

    Kearney, Alexis; Knoll, Bettina

    2015-03-01

    A wide clinical spectrum of bacteremic disease caused by Fusobacterium has been presented in this journal. We wish to extend this spectrum by presenting a case of myopericarditis resulting from a liver abscess caused by F. nucleatum. While F. nucleatum plays an important role in periodontal disease, and has been isolated from skin ulcers, liver abscesses, urinary tract infections, and endocarditis, a single case of F. nucleatum-induced pericarditis is documented in the literature.

  6. Primary leiomyosarcoma of the innominate vein.

    PubMed

    Illuminati, Giulio; Miraldi, Fabio; Mazzesi, Giuseppe; D'urso, Antonio; Ceccanei, Gianluca; Bezzi, Marcello

    2007-01-01

    Primary venous leiomyosarcoma is rare. We report the case of a primary leiomyosarcoma of the left innominate vein, with neoplastic thrombus extending into the left jugular and subclavian veins. The tumor was curatively resected en bloc with anterior mediastinal and laterocervical lymphatics, through a median sternotomy prolonged into left cervicotomy. Primary venous sarcomas may be associated with prolonged survival in individual cases, with curative resection recommended as the standard treatment, in the absence of distant spread.

  7. Toward a Theory of Assurance Case Confidence

    DTIC Science & Technology

    2012-09-01

    assurance case claim. The framework is based on the notion of eliminative induction—the princi- ple (first put forward by Francis Bacon ) that confidence in...eliminative induction. As first proposed by Francis Bacon [Schum 2001] and extended by L. Jonathan Cohen [Cohen 1970, 1977, 1989], eliminative induction is...eliminative in- duction—the principle (first put forward by Francis Bacon ) that confidence in the truth of a hypothesis (or claim) increases as reasons for

  8. Seasonal malaria chemoprevention in an area of extended seasonal transmission in Ashanti, Ghana: an individually randomised clinical trial.

    PubMed

    Tagbor, Harry; Antwi, Gifty Dufie; Acheampong, Princess Ruhama; Bart Plange, Constance; Chandramohan, Daniel; Cairns, Matthew

    2016-02-01

    To investigate the effectiveness of seasonal malaria chemoprevention (SMC) and community case management with long-acting artemisinin-based combination therapies (ACTs) for the control of malaria in areas of extended seasonal malaria transmission. Individually randomised, placebo-controlled trial in the Ashanti Region of Ghana. A total of 2400 children aged 3-59 months received either: (i) a short-acting ACT for case management of malaria (artemether-lumefantrine, AL) plus placebo SMC, or (ii) a long-acting ACT (dihydroartemisinin-piperaquine, DP) for case management plus placebo SMC or (iii) AL for case management plus active SMC with sulphadoxine-pyrimethamine and amodiaquine. SMC or placebo was delivered on five occasions during the rainy season. Malaria cases were managed by community health workers, who used rapid diagnostic tests to confirm infection prior to treatment. The incidence of malaria was lower in children given SMC during the rainy season. Compared to those given placebo SMC and AL for case management, the adjusted hazard ratio (aHR) was 0.62 (95% CI: 0.41, 0.93), P = 0.020 by intention to treat and 0.53 (95% CI: 0.29, 0.95), P = 0.033 among children given five SMC courses. There were no major differences between groups given different ACTs for case management (aHR DP vs. AL 1.18 (95% CI 0.83, 1.67), P = 0.356). SMC may have an important public health impact in areas with a longer transmission season, but further optimisation of SMC schedules is needed to maximise its impact in such settings. © 2015 The Authors. Tropical Medicine & International Health Published by John Wiley & Sons Ltd.

  9. Eight-year follow-up of patients with myasthenia gravis after thymectomy.

    PubMed

    Yu, S; Li, F; Chen, B; Lin, J; Yang, M; Fu, X; Li, J; Bu, B

    2015-02-01

    To depict the long-term outcome of patients with myasthenia gravis after thymectomy in combination with immunotherapy, and the factors that may potentially affect the outcome. The 306 patients with myasthenia gravis who underwent extended thymectomy from January 1984 to December 2011 at Tongji Hospital were retrospectively evaluated. The patients consisted of 174 cases with thymoma and 132 cases without thymoma. Pharmaceutical treatment was tailored for each case during follow-up. Nine patients with thymomatous myasthenia gravis died during the perioperative period, and 297 patients were followed for 8.6 years. By their latest visits, 241 patients (81.1%) gained satisfactory efficacy, 24 cases died (8.1%), and 32 cases (10.8%) remained unchanged or deteriorated. Favorable factors for satisfactory efficacy included the presence of ocular myasthenia gravis before operation, no presence of thymoma, and lack of concomitant diseases. It is interesting to mention that, patients with non-thymomatous myasthenia gravis obtained significantly higher rates of complete stable remission and clinical remission than the patients with thymomatous myasthenia gravis. Extended thymectomy combined with immunotherapy is a preferred treatment with a satisfactory long-term remission rate. Patients with non-thymomatous myasthenia gravis have a much more promising prognosis than the patients with thymomatous myasthenia gravis. However, appropriate caution must be taken to discontinue pharmaceutical therapy as relapse remains a major concern after a patient who has already undergone thymectomy becomes symptom-free. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  10. Recent Aqueous Environments in Impact Craters and the Astrobiological Exploration of Mars

    NASA Technical Reports Server (NTRS)

    Cabrol, N. A.; Wynn-Williams, D. D.; Crawford, D. A.; Grin, E. A.

    2001-01-01

    Three cases of recent aqueous environments are surveyed at Mars Orbiting Camera (MOC) high-resolution in the E-Gorgonum, Newton and Hale craters and their astrobiological implications assessed. Additional information is contained in the original extended abstract.

  11. 75 FR 75172 - Diamond Sawblades and Parts Thereof From the People's Republic of China: Extension of Time Limits...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-02

    ... the Department may extend that 180-day period to 300 days if it determines that the case is... Department determines that this new shipper review involves extraordinarily complicated methodological issues...

  12. Critical dynamics on a large human Open Connectome network

    NASA Astrophysics Data System (ADS)

    Ódor, Géza

    2016-12-01

    Extended numerical simulations of threshold models have been performed on a human brain network with N =836 733 connected nodes available from the Open Connectome Project. While in the case of simple threshold models a sharp discontinuous phase transition without any critical dynamics arises, variable threshold models exhibit extended power-law scaling regions. This is attributed to fact that Griffiths effects, stemming from the topological or interaction heterogeneity of the network, can become relevant if the input sensitivity of nodes is equalized. I have studied the effects of link directness, as well as the consequence of inhibitory connections. Nonuniversal power-law avalanche size and time distributions have been found with exponents agreeing with the values obtained in electrode experiments of the human brain. The dynamical critical region occurs in an extended control parameter space without the assumption of self-organized criticality.

  13. Extended target recognition in cognitive radar networks.

    PubMed

    Wei, Yimin; Meng, Huadong; Liu, Yimin; Wang, Xiqin

    2010-01-01

    We address the problem of adaptive waveform design for extended target recognition in cognitive radar networks. A closed-loop active target recognition radar system is extended to the case of a centralized cognitive radar network, in which a generalized likelihood ratio (GLR) based sequential hypothesis testing (SHT) framework is employed. Using Doppler velocities measured by multiple radars, the target aspect angle for each radar is calculated. The joint probability of each target hypothesis is then updated using observations from different radar line of sights (LOS). Based on these probabilities, a minimum correlation algorithm is proposed to adaptively design the transmit waveform for each radar in an amplitude fluctuation situation. Simulation results demonstrate performance improvements due to the cognitive radar network and adaptive waveform design. Our minimum correlation algorithm outperforms the eigen-waveform solution and other non-cognitive waveform design approaches.

  14. Extended mind and after: socially extended mind and actor-network.

    PubMed

    Kono, Tetsuya

    2014-03-01

    The concept of extended mind has been impressively developed over the last 10 years by many philosophers and cognitive scientists. The extended mind thesis (EM) affirms that the mind is not simply ensconced inside the head, but extends to the whole system of brain-body-environment. Recently, some philosophers and psychologists try to adapt the idea of EM to the domain of social cognition research. Mind is socially extended (SEM). However, EM/SEM theory has problems to analyze the interactions among a subject and its surroundings with opposition, antagonism, or conflict; it also tends to think that the environment surrounding the subject is passive or static, and to neglect the power of non-human actants to direct and regulate the human subject. In these points, actor-network theory (ANT) proposed by Latour and Callon is more persuasive, while sharing some important ideas with EM/SEM theory. Actor-network is a hybrid community which is composed of a series of heterogeneous elements, animate and inanimate for a certain period of time. I shall conclude that EM/SEM could be best analyzed as a special case of actor-network. EM/SEM is a system which can be controlled by a human agent alone. In order to understand collective behavior, philosophy and psychology have to study the actor-network in which human individuals are situated.

  15. Through-Focus Vision Performance and Light Disturbances of 3 New Intraocular Lenses for Presbyopia Correction

    PubMed Central

    Escandón-García, Santiago; Ribeiro, Filomena J.; McAlinden, Colm

    2018-01-01

    Purpose To compare the through-focus visual performance in a clinical population of pseudophakic patients implanted with two new trifocal intraocular lenses (IOLs) and one extended depth of focus IOL. Methods Prospective, nonrandomized, examiner-masked case series. Twenty-three patients received the FineVision® and seven patients received the PanOptix™ trifocal IOLs. Fifteen patients received the Symfony extended depth of focus IOL. Mean age of patients was 63 ± 8 years. Through-focus visual acuity was measured from –3.00 to +1.00 D vergences. Contrast sensitivity was measured with and without a source of glare. Light disturbances were evaluated with the Light Distortion Analyzer. Results Though-focus evaluation showed that trifocal IOLs performed significantly better at near distance (33 and 40 cm), and extended depth of focus performed significantly better at intermediate distance (1.0 m). Contrast sensitivity function with glare and dysphotopsia was similar between the three IOLs and subjective response to questionnaire showed a significantly higher score (worse performance) for the extended depth of focus IOL compared to both trifocal IOLs in the bothersome subscale (p < 0.05). Conclusions Trifocal IOLs grant better performance at near distance while extended depth of focus IOL performs better at intermediate distance. Objective dysphotopsia measured with the Light Distortion Analyzer is not reduced in extended depth of focus IOL compared to trifocal IOLs. PMID:29651343

  16. Parent-child incest that extends into adulthood: a survey of international press reports, 2007-2011.

    PubMed

    Middleton, Warwick

    2013-01-01

    Although the subject of ongoing incestuous abuse during adulthood has never been addressed in a systematic way in the professional literature, accounts of such cases have been appearing for many years. The Josef Fritzl case added a new impetus to reporting such abuses in the popular press. The current study presents 44 such cases from 24 countries that appeared in English-language press accounts over 5 years commencing January 2007. These cases are discussed in light of the minimal coverage of such issues in the professional literature. The results of this study suggest that cases of enduring incest are not rare and typically incorporate decades of sexual abuse, frequently result in pregnancies, and commonly incorporate ongoing violence and death threats.

  17. Thermal diffusion in partially ionized gases - The case of unequal temperatures. [in solar chromosphere

    NASA Technical Reports Server (NTRS)

    Geiss, J.; Burgi, A.

    1987-01-01

    Previous calculations of thermal diffusion coefficients in partially ionized gases are extended to the case of unequal neutral and ion temperatures and/or temperature gradients. Formulas are derived for the general case of a major gas as well as for minor atoms and ions. Strong enhancements of minor-ion thermal diffusion coefficients over their values in the fully ionized gas are found when the degree of ionization in the main gas is relatively low. However, compared to the case of equal temperatures, the enhancements are less strong when the neutrals are cooler than the ions. The specific case of the H-H(+) mixture, which is important in the study of solar and stellar atmospheres, is discussed as an application.

  18. Extended cox regression model: The choice of timefunction

    NASA Astrophysics Data System (ADS)

    Isik, Hatice; Tutkun, Nihal Ata; Karasoy, Durdu

    2017-07-01

    Cox regression model (CRM), which takes into account the effect of censored observations, is one the most applicative and usedmodels in survival analysis to evaluate the effects of covariates. Proportional hazard (PH), requires a constant hazard ratio over time, is the assumptionofCRM. Using extended CRM provides the test of including a time dependent covariate to assess the PH assumption or an alternative model in case of nonproportional hazards. In this study, the different types of real data sets are used to choose the time function and the differences between time functions are analyzed and discussed.

  19. A General Model for Performance Evaluation in DS-CDMA Systems with Variable Spreading Factors

    NASA Astrophysics Data System (ADS)

    Chiaraluce, Franco; Gambi, Ennio; Righi, Giorgia

    This paper extends previous analytical approaches for the study of CDMA systems to the relevant case of multipath environments where users can operate at different bit rates. This scenario is of interest for the Wideband CDMA strategy employed in UMTS, and the model permits the performance comparison of classic and more innovative spreading signals. The method is based on the characteristic function approach, that allows to model accurately the various kinds of interferences. Some numerical examples are given with reference to the ITU-R M. 1225 Recommendations, but the analysis could be extended to different channel descriptions.

  20. Cosmological models with a hybrid scale factor in an extended gravity theory

    NASA Astrophysics Data System (ADS)

    Mishra, B.; Tripathy, S. K.; Tarai, Sankarsan

    2018-03-01

    A general formalism to investigate Bianchi type V Ih universes is developed in an extended theory of gravity. A minimally coupled geometry and matter field is considered with a rescaled function of f(R,T) substituted in place of the Ricci scalar R in the geometrical action. Dynamical aspects of the models are discussed by using a hybrid scale factor (HSF) that behaves as power law in an initial epoch and as an exponential form at late epoch. The power law behavior and the exponential behavior appear as two extreme cases of the present model.

  1. Ion acceleration from thin foil and extended plasma targets by slow electromagnetic wave and related ion-ion beam instability

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

    Bulanov, S. V.; A. M. Prokhorov Institute of General Physics RAS, Moscow, 119991; Esirkepov, T. Zh.

    When ions are accelerated by the radiation pressure of a laser pulse, their velocity cannot exceed the pulse group velocity which can be considerably smaller than the speed of light in vacuum. This is demonstrated in two cases corresponding to a thin foil target irradiated by high intensity laser light and to the hole boring produced in an extended plasma by the laser pulse. It is found that the beams of accelerated ions are unstable against Buneman-like and Weibel-like instabilities which results in the broadening of the ion energy spectrum.

  2. Role-exit theory and marital discord following extended military deployment.

    PubMed

    Gambardella, Lucille C

    2008-07-01

    The purpose of this study was to determine the effectiveness of applying role-exit theory concepts in the counseling of military couples experiencing marital discord following extended periods of deployment. Qualitative case-study methodology was utilized to assess, diagnose, and treat 10 military couples using a framework based on role-exit theory. Six couples self-reported improvement in the marital relationship following this counseling approach. Role-exit theory based counseling may benefit other couples who experience marital discord due to role issues. The clinical nurse specialist might consider this paradigm when working with couples in marital therapy.

  3. Determining the Intensity of a Point-Like Source Observed on the Background of AN Extended Source

    NASA Astrophysics Data System (ADS)

    Kornienko, Y. V.; Skuratovskiy, S. I.

    2014-12-01

    The problem of determining the time dependence of intensity of a point-like source in case of atmospheric blur is formulated and solved by using the Bayesian statistical approach. A pointlike source is supposed to be observed on the background of an extended source with constant in time though unknown brightness. The equation system for optimal statistical estimation of the sequence of intensity values in observation moments is obtained. The problem is particularly relevant for studying gravitational mirages which appear while observing a quasar through the gravitational field of a far galaxy.

  4. Generalised monogamy relation of convex-roof extended negativity in multi-level systems

    NASA Astrophysics Data System (ADS)

    Tian, Tian; Luo, Yu; Li, Yongming

    2016-11-01

    In this paper, we investigate the generalised monogamy inequalities of convex-roof extended negativity (CREN) in multi-level systems. The generalised monogamy inequalities provide the upper and lower bounds of bipartite entanglement, which are obtained by using CREN and the CREN of assistance (CRENOA). Furthermore, we show that the CREN of multi-qubit pure states satisfies some monogamy relations. Additionally, we test the generalised monogamy inequalities for qudits by considering the partially coherent superposition of a generalised W-class state in a vacuum and show that the generalised monogamy inequalities are satisfied in this case as well.

  5. Generalised monogamy relation of convex-roof extended negativity in multi-level systems

    PubMed Central

    Tian, Tian; Luo, Yu; Li, Yongming

    2016-01-01

    In this paper, we investigate the generalised monogamy inequalities of convex-roof extended negativity (CREN) in multi-level systems. The generalised monogamy inequalities provide the upper and lower bounds of bipartite entanglement, which are obtained by using CREN and the CREN of assistance (CRENOA). Furthermore, we show that the CREN of multi-qubit pure states satisfies some monogamy relations. Additionally, we test the generalised monogamy inequalities for qudits by considering the partially coherent superposition of a generalised W-class state in a vacuum and show that the generalised monogamy inequalities are satisfied in this case as well. PMID:27857163

  6. Generalised monogamy relation of convex-roof extended negativity in multi-level systems.

    PubMed

    Tian, Tian; Luo, Yu; Li, Yongming

    2016-11-18

    In this paper, we investigate the generalised monogamy inequalities of convex-roof extended negativity (CREN) in multi-level systems. The generalised monogamy inequalities provide the upper and lower bounds of bipartite entanglement, which are obtained by using CREN and the CREN of assistance (CRENOA). Furthermore, we show that the CREN of multi-qubit pure states satisfies some monogamy relations. Additionally, we test the generalised monogamy inequalities for qudits by considering the partially coherent superposition of a generalised W-class state in a vacuum and show that the generalised monogamy inequalities are satisfied in this case as well.

  7. Statistical Ring Catenation under Thermodynamic Control: Should the Jacobson-Stockmayer Cyclization Theory Take into Account Catenane Formation?

    PubMed

    Di Stefano, Stefano; Ercolani, Gianfranco

    2017-01-26

    An extension of the Jacobson-Stockmayer theory is presented to include the reversible formation of [2]catenanes in a ring-chain system under thermodynamic control. The extended theory is based on the molar catenation constant, measuring the ease of catenation of two ring oligomers, whose expression was obtained in a previous work. Two scenarios have been considered: that of "thick" (hydrocarbon-like) chains and that of "thin" (DNA-like) chains. In the case of "thick" chains, the formation of catenanes can be neglected, unless in the unlikely case of a very large value of the equilibrium constant for linear propagation (K ≈ 10 8 mol -1 L, or larger). For K tending to infinity, the system becomes a chain-free system where only ring-catenane equilibria occur. Under this condition, there is a critical concentration below which only rings are present at equilibrium and above which the ring fraction remains constant, and the excess monomer is converted only into catenanes. In the case of "thin" chains, the formation of catenanes cannot be neglected even for values of K as low as 10 2 mol -1 L, thus justifying the use of the extended theory.

  8. Characteristics of bacteremia caused by extended-spectrum beta-lactamase-producing Proteus mirabilis.

    PubMed

    Kurihara, Yoko; Hitomi, Shigemi; Oishi, Tsuyoshi; Kondo, Tsukasa; Ebihara, Tsugio; Funayama, Yasunori; Kawakami, Yasushi

    2013-10-01

    Although Proteus mirabilis is a common human pathogen, bacteremia caused by the organism, especially strains producing extended-spectrum beta-lactamase (ESBL), has rarely been investigated. We examined 64 cases of P. mirabilis bacteremia identified in the Minami Ibaraki Area, Japan, between 2001 and 2010 and compared the characteristics of cases with ESBL-producing and ESBL-non-producing strains (13 and 51 cases, respectively). All ESBL-producing strains with the gene encoding the CTX-M-2-group were genetically nonidentical. Isolation of ESBL-producing strains was significantly associated with onset in a hospital (p = 0.030), receiving hemodialysis (p = 0.0050), and previous antibiotic use within 1 month (p = 0.036; especially penicillin and/or cephalosporin (p = 0.010) and fluoroquinolone (p = 0.0069)). Isolation was also associated with inappropriate antibiotic therapy on the 1st and 4th days (p = 0.011 and 0.032, respectively) but not with mortality on the 30th day. These findings indicate that, for P. mirabilis bacteremia, isolation of ESBL-producing strains causes delay of initiating appropriate antimicrobial therapy but may not be associated with mortality.

  9. OCCAM: a flexible, multi-purpose and extendable HPC cluster

    NASA Astrophysics Data System (ADS)

    Aldinucci, M.; Bagnasco, S.; Lusso, S.; Pasteris, P.; Rabellino, S.; Vallero, S.

    2017-10-01

    The Open Computing Cluster for Advanced data Manipulation (OCCAM) is a multipurpose flexible HPC cluster designed and operated by a collaboration between the University of Torino and the Sezione di Torino of the Istituto Nazionale di Fisica Nucleare. It is aimed at providing a flexible, reconfigurable and extendable infrastructure to cater to a wide range of different scientific computing use cases, including ones from solid-state chemistry, high-energy physics, computer science, big data analytics, computational biology, genomics and many others. Furthermore, it will serve as a platform for R&D activities on computational technologies themselves, with topics ranging from GPU acceleration to Cloud Computing technologies. A heterogeneous and reconfigurable system like this poses a number of challenges related to the frequency at which heterogeneous hardware resources might change their availability and shareability status, which in turn affect methods and means to allocate, manage, optimize, bill, monitor VMs, containers, virtual farms, jobs, interactive bare-metal sessions, etc. This work describes some of the use cases that prompted the design and construction of the HPC cluster, its architecture and resource provisioning model, along with a first characterization of its performance by some synthetic benchmark tools and a few realistic use-case tests.

  10. Optimisation of active suspension control inputs for improved vehicle ride performance

    NASA Astrophysics Data System (ADS)

    Čorić, Mirko; Deur, Joško; Xu, Li; Tseng, H. Eric; Hrovat, Davor

    2016-07-01

    A collocation-type control variable optimisation method is used in the paper to analyse to which extent the fully active suspension (FAS) can improve the vehicle ride comfort while preserving the wheel holding ability. The method is first applied for a cosine-shaped bump road disturbance of different heights, and for both quarter-car and full 10 degree-of-freedom vehicle models. A nonlinear anti-wheel hop constraint is considered, and the influence of bump preview time period is analysed. The analysis is then extended to the case of square- or cosine-shaped pothole with different lengths, and the quarter-car model. In this case, the cost function is extended with FAS energy consumption and wheel damage resilience costs. The FAS action is found to be such to provide a wheel hop over the pothole, in order to avoid or minimise the damage at the pothole trailing edge. In the case of long pothole, when the FAS cannot provide the wheel hop, the wheel is travelling over the pothole bottom and then hops over the pothole trailing edge. The numerical optimisation results are accompanied by a simplified algebraic analysis.

  11. Determination of the optimal case definition for the diagnosis of end-stage renal disease from administrative claims data in Manitoba, Canada.

    PubMed

    Komenda, Paul; Yu, Nancy; Leung, Stella; Bernstein, Keevin; Blanchard, James; Sood, Manish; Rigatto, Claudio; Tangri, Navdeep

    2015-01-01

    End-stage renal disease (ESRD) is a major public health problem with increasing prevalence and costs. An understanding of the long-term trends in dialysis rates and outcomes can help inform health policy. We determined the optimal case definition for the diagnosis of ESRD using administrative claims data in the province of Manitoba over a 7-year period. We determined the sensitivity, specificity, predictive value and overall accuracy of 4 administrative case definitions for the diagnosis of ESRD requiring chronic dialysis over different time horizons from Jan. 1, 2004, to Mar. 31, 2011. The Manitoba Renal Program Database served as the gold standard for confirming dialysis status. During the study period, 2562 patients were registered as recipients of chronic dialysis in the Manitoba Renal Program Database. Over a 1-year period (2010), the optimal case definition was any 2 claims for outpatient dialysis, and it was 74.6% sensitive (95% confidence interval [CI] 72.3%-76.9%) and 94.4% specific (95% CI 93.6%-95.2%) for the diagnosis of ESRD. In contrast, a case definition of at least 2 claims for dialysis treatment more than 90 days apart was 64.8% sensitive (95% CI 62.2%-67.3%) and 97.1% specific (95% CI 96.5%-97.7%). Extending the period to 5 years greatly improved sensitivity for all case definitions, with minimal change to specificity; for example, for the optimal case definition of any 2 claims for dialysis treatment, sensitivity increased to 86.0% (95% CI 84.7%-87.4%) at 5 years. Accurate case definitions for the diagnosis of ESRD requiring dialysis can be derived from administrative claims data. The optimal definition required any 2 claims for outpatient dialysis. Extending the claims period to 5 years greatly improved sensitivity with minimal effects on specificity for all case definitions.

  12. Comparative analysis of visual outcomes with 4 intraocular lenses: Monofocal, multifocal, and extended range of vision.

    PubMed

    Pedrotti, Emilio; Carones, Francesco; Aiello, Francesco; Mastropasqua, Rodolfo; Bruni, Enrico; Bonacci, Erika; Talli, Pietro; Nucci, Carlo; Mariotti, Cesare; Marchini, Giorgio

    2018-02-01

    To compare the visual acuity, refractive outcomes, and quality of vision in patients with bilateral implantation of 4 intraocular lenses (IOLs). Department of Neurosciences, Biomedicine and Movement Sciences, Eye Clinic, University of Verona, Verona, and Carones Ophthalmology Center, Milano, Italy. Prospective case series. The study included patients who had bilateral cataract surgery with the implantation of 1 of 4 IOLs as follows: Tecnis 1-piece monofocal (monofocal IOL), Tecnis Symfony extended range of vision (extended-range-of-vision IOL), Restor +2.5 diopter (D) (+2.5 D multifocal IOL), and Restor +3.0 D (+3.0 D multifocal IOL). Visual acuity, refractive outcome, defocus curve, objective optical quality, contrast sensitivity, spectacle independence, and glare perception were evaluated 6 months after surgery. The study comprised 185 patients. The extended-range-of-vision IOL (55 patients) showed better distance visual outcomes than the monofocal IOL (30 patients) and high-addition apodized diffractive-refractive multifocal IOLs (P ≤ .002). The +3.0 D multifocal IOL (50 patients) showed the best near visual outcomes (P < .001). The +2.5 D multifocal IOL (50 patients) and extended-range-of-vision IOL provided significantly better intermediate visual outcomes than the other 2 IOLs, with significantly better vision for a defocus level of -1.5 D (P < .001). Better spectacle independence was shown for the +2.5 D multifocal IOL and extended-range-of-vision IOL (P < .001). The extended-range-of-vision IOL and +2.5 D multifocal IOL provided significantly better intermediate visual restoration after cataract surgery than the monofocal IOL and +3.0 D multifocal IOL, with significantly better quality of vision with the extended-range-of-vision IOL. Copyright © 2018 ASCRS and ESCRS. Published by Elsevier Inc. All rights reserved.

  13. Extended Length of Stay in Elderly Patients After Lumbar Decompression and Fusion Surgery is May Not be Attributable to Baseline Illness Severity or Postoperative Complications.

    PubMed

    Adogwa, Owoicho; Desai, Shyam A; Vuong, Victoria D; Lilly, Daniel T; Ouyang, Bichun; Davison, Mark; Khalid, Syed; Bagley, Carlos A; Cheng, Joseph

    2018-05-31

    Hospital leaders are seeking ways to improve resource utilization and minimize long postoperative hospital stays. Common explanations for extended stay are baseline patient illness, postoperative complications, or physician practice differences. However, the degree extended length of stay (LOS) represents illness severity or postoperative complications remains unknown. The aim is to investigate the influence of postoperative complications and patient comorbidities on extended length of stay after lumbar spine surgery in elderly patients. In this retrospective cohort study from 2008-2014, we analyzed data from the American College of Surgeons National Surgical Quality Improvement Program for elderly patients undergoing lumbar spine surgery. Patient demographics, comorbidities, LOS, and complications were recorded. Multivariable logistic regression analysis was used to determine the odds-ratio for risk-adjusted LOS. The primary outcome was the degree extended LOS represented patient illness or postoperative complications. Of 9,482 cases, 1,909 (20.13%) had extended LOS. A minority of extended LOS patients had a history of relevant comorbidities-diabetes (21.76%), COPD (8.17%), CHF (0.94%), MI (0%), acute renal failure (0.47%), and stroke (2.23%). 93% of patients with normal LOS had no complication, 5.19% had one complication, and 1.69% had greater than one complication. Among extended LOS patients, 73.65% had no complications, 18.96% had one complication, and 7.39% had greater than one complication (p<0.000). Our study suggests much of the variation in LOS for elderly lumbar spine surgery patients is not attributable to baseline patient illness or postoperative complications and therefore, most likely represents differences in practice style or surgeon preference. Copyright © 2018 Elsevier Inc. All rights reserved.

  14. Paraurethral Leiomyoma in a Postmenopausal Woman: First European Case

    PubMed Central

    Borg, Camilla Skovvang; Majeed, Huda Galib; Humaidan, Peter

    2015-01-01

    Leiomyomas are benign tumors extending from smooth muscle cells and only few cases of paraurethral leiomyomas have been described in the literature. They are often seen in the reproductive age and around 50% of the cases are asymptomatic. We describe a 59-year-old woman with a solid mobile tumor below the symphysis revealed at a gynecological examination. Transvaginal ultrasound and MRI confirmed the tumor and excision of the paraurethral tumor was carried out. The histological examination showed a benign paraurethral leiomyoma. The postoperative period was characterized by urethral pain as well as vaginal leakage of urine. PMID:25878911

  15. A Case Report of Post-Operative Jöd-Basedow Phenomennon Following Oral and IV Iodine Contrast Administration

    PubMed Central

    Hull, Erroll; Lujan, Eugenio

    2014-01-01

    This is a case of thyrotoxicosis, due to the Jöd-Basedow phenomenon following administration of oral and IV iodinated contrast in a patient with history of gastrointestinal stromal tumor (GIST) and small bowel obstruction. The patient developed atrial fibrillation and had an extended stay in the intensive care unit. Given the aging population with possible subclinical hyperthyroidism, multinodular goiter, and the rise in contrast administration for routine diagnostic studies, this case serves to raise awareness of the risks of “routine” tests administered to our aging patient population. PMID:24716009

  16. TRANSFORMER

    DOEpatents

    Baker, W.R.

    1959-08-25

    Transformers of a type adapted for use with extreme high power vacuum tubes where current requirements may be of the order of 2,000 to 200,000 amperes are described. The transformer casing has the form of a re-entrant section being extended through an opening in one end of the cylinder to form a coaxial terminal arrangement. A toroidal multi-turn primary winding is disposed within the casing in coaxial relationship therein. In a second embodiment, means are provided for forming the casing as a multi-turn secondary. The transformer is characterized by minimized resistance heating, minimized external magnetic flux, and an economical construction.

  17. Mucous retention cyst of the soft palate: a case presentation.

    PubMed

    Ellis, S G; Lee, N J; Peckitt, N S

    1995-12-01

    This article describes a mucous retention cyst of the soft palate associated with an over-extended complete maxillary denture. The clinical and anatomical relevance of the fovea palatinae are discussed with respect to the posterior palatal seal and post-dam positioning.

  18. Pupils.

    ERIC Educational Resources Information Center

    Lufler, Henry S., Jr.; Bielsky, Donald J.

    Litigation having to do with pupils occurred with greater frequency in 1980 than in the past. The greatest increase dealt with the handicapped and with substantive rights of students. Cases involving handicapped students generally focused on parent requests for residential treatment, extended-year programs, and in-class assistance for their…

  19. Sustaining Leadership.

    ERIC Educational Resources Information Center

    Hargreaves, Andy; Fink, Dean

    2003-01-01

    Drawing on case studies of six urban and suburban secondary schools in Ontario, Canada, examines characteristics and role of school leaders in supporting and sustaining educational reform. Discusses three implications for developing sustainable leadership. For example, education systems should see leadership as a vertical system that extends for…

  20. Cross-Sectional Time Series Designs: A General Transformation Approach.

    ERIC Educational Resources Information Center

    Velicer, Wayne F.; McDonald, Roderick P.

    1991-01-01

    The general transformation approach to time series analysis is extended to the analysis of multiple unit data by the development of a patterned transformation matrix. The procedure includes alternatives for special cases and requires only minor revisions in existing computer software. (SLD)

  1. 30 CFR 75.701-1 - Approved methods of grounding of equipment receiving power from ungrounded alternating current...

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... casing having low resistance to earth; (c) A solid connection to metal waterlines having low resistance to earth; (d) A solid connection to a grounding conductor extending to a low resistance ground field... earth. ...

  2. 30 CFR 75.701-1 - Approved methods of grounding of equipment receiving power from ungrounded alternating current...

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... casing having low resistance to earth; (c) A solid connection to metal waterlines having low resistance to earth; (d) A solid connection to a grounding conductor extending to a low resistance ground field... earth. ...

  3. 30 CFR 75.701-1 - Approved methods of grounding of equipment receiving power from ungrounded alternating current...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... casing having low resistance to earth; (c) A solid connection to metal waterlines having low resistance to earth; (d) A solid connection to a grounding conductor extending to a low resistance ground field... earth. ...

  4. Simultaneous measurement of position and momentum: Naimark embeddings and projections

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

    Levine, R.Y.; Tucci, R.R.

    1989-02-01

    Single and double meter simultaneous measurements of a harmonic oscillator are reviewed and compared. Naimark extensions are constructed and relevant projection properties are exhibited for both cases. The theory is extended to the simultaneous measurement of squeezed position and momentum measurements.

  5. 28 CFR 42.102 - Definitions.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ..., in the case of assistance to a State or local government; (2)(i) A college, university, or other... corporation, partnership, or other private organization, or an entire sole proprietorship— (A) If assistance is extended to such corporation, partnership, private organization, or sole proprietorship as a whole...

  6. 28 CFR 42.102 - Definitions.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ..., in the case of assistance to a State or local government; (2)(i) A college, university, or other... corporation, partnership, or other private organization, or an entire sole proprietorship— (A) If assistance is extended to such corporation, partnership, private organization, or sole proprietorship as a whole...

  7. Fission Xenon on Mars

    NASA Technical Reports Server (NTRS)

    Mathew, K. J.; Marti, K.; Marty, B.

    2002-01-01

    Fission Xe components due to Pu-244 decay in the early history of Mars have been identified in nakhlites; as in the case of ALH84001 and Chassigny the fission gas was assimilated into indigenous solar-type Xe. Additional information is contained in the original extended abstract.

  8. Brief communication: coaxial lines for multiphase power distribution.

    PubMed

    Barnes, F S; Harwick, P; Banerjee, A

    1996-01-01

    A coaxial cable can be used to reduce the magnetic and electric fields that extend into environments in the vicinity of transmission lines and distribution lines and in-house or building wiring for power distribution systems. The use of the coaxial geometry may prove useful in cases where there are environmental concerns with respect to health effects and in cases where there is a need to run high-speed data communications in close proximity to power distribution systems.

  9. Integrable mappings with transcendental invariants

    NASA Astrophysics Data System (ADS)

    Grammaticos, B.; Ramani, A.

    2007-06-01

    We examine a family of integrable mappings which possess rational invariants involving polynomials of arbitrarily high degree. Next we extend these mappings to the case where their parameters are functions of the independent variable. The resulting mappings do not preserve any invariant but are solvable by linearisation. Using this result we then proceed to construct the solution of the initial autonomous mappings and use it to explicitly construct the invariant, which turns out to be transcendental in the generic case.

  10. Heat Transfer in the Turbulent Boundary Layer of a Compressible Gas at High Speeds

    NASA Technical Reports Server (NTRS)

    Frankl, F.

    1942-01-01

    The Reynolds law of heat transfer from a wall to a turbulent stream is extended to the case of flow of a compressible gas at high speeds. The analysis is based on the modern theory of the turbulent boundary layer with laminar sublayer. The investigation is carried out for the case of a plate situated in a parallel stream. The results are obtained independently of the velocity distribution in the turbulent boundar layer.

  11. Spinning fluids in general relativity

    NASA Technical Reports Server (NTRS)

    Ray, J. R.; Smalley, L. L.

    1982-01-01

    General relativity field equations are employed to examine a continuous medium with internal spin. A variational principle formerly applied in the special relativity case is extended to the general relativity case, using a tetrad to express the spin density and the four-velocity of the fluid. An energy-momentum tensor is subsequently defined for a spinning fluid. The equations of motion of the fluid are suggested to be useful in analytical studies of galaxies, for anisotropic Bianchi universes, and for turbulent eddies.

  12. Tinea faciei caused by Trichophyton mentagrophytes (molecular type Arthroderma benhamiae ) mimics impetigo : a case report and literature review of cases in Japan.

    PubMed

    Kimura, Utako; Yokoyama, Kae; Hiruma, Masataro; Kano, Rui; Takamori, Kenji; Suga, Yasushi

    2015-01-01

    A 36-year-old female elementary schoolteacher presented with aggregated serous papules surrounded by mild erythema, extending from both nasal wings/nostrils down to the upper lip. No improvement was seen following treatment of the lesions with topical antibiotics for impetigo. Potassium hydroxide (KOH) direct microscopy confirmed the presence of mycelia, and the infection was diagnosed as tinea faciei. The isolate was identified as Trichophyton mentagrophytes using morphological analysis and as Arthroderma benhamiae using genetic analysis. Here we describe that case and summarize the clinical features of other cases of A. benhamiae infection in Japan that have been reported in the literature.

  13. Preeclampsia does not share common risk alleles in 9p21 with coronary artery disease and type 2 diabetes.

    PubMed

    Kaartokallio, Tea; Lokki, A Inkeri; Peterson, Hanna; Kivinen, Katja; Hiltunen, Leena; Salmela, Elina; Lappalainen, Tuuli; Maanselkä, Paula; Heino, Sanna; Knuutila, Sakari; Sayed, Ayat; Poston, Lucilla; Brennecke, Shaun P; Johnson, Matthew P; Morgan, Linda; Moses, Eric K; Kere, Juha; Laivuori, Hannele

    2016-08-01

    Preeclampsia is a common and partially genetic pregnancy complication characterized by hypertension and proteinuria. Association with cardiovascular disease and type 2 diabetes has been reported in 9p21 by several genome-wide association studies. It has been hypothesized that cardiometabolic diseases may share common etiology with preeclampsia. We tested association with the 9p21 region to preeclampsia in the Finnish population by genotyping 23 tagging single nucleotide polymorphisms (SNPs) in 15 extended preeclampsia families and in a nationwide cohort consisting of 281 cases and 349 matched controls. Replication was conducted in additional datasets. Four SNPs (rs7044859, rs496892, rs564398 and rs7865618) showed nominal association (p ≤ 0.024 uncorrected) with preeclampsia in the case-control cohort. To increase power, we genotyped two SNPs in additional 388 cases and 341 controls from the Finnish Genetics of Preeclampsia Consortium (FINNPEC) cohort. Partial replication was also attempted in a UK cohort (237 cases and 199 controls) and in 74 preeclamptic families from Australia/New Zealand. We were unable to replicate the initial association in the extended Finnish dataset or in the two international cohorts. Our study did not find evidence for the involvement of the 9p21 region in the risk of preeclampsia. Key Message Chromosome 9p21 is not associated with preeclampsia.

  14. Modeling of heat flow and effective thermal conductivity of fractured media: Analytical and numerical methods

    NASA Astrophysics Data System (ADS)

    Nguyen, S. T.; Vu, M.-H.; Vu, M. N.; Tang, A. M.

    2017-05-01

    The present work aims to modeling the thermal conductivity of fractured materials using homogenization-based analytical and pattern-based numerical methods. These materials are considered as a network of cracks distributed inside a solid matrix. Heat flow through such media is perturbed by the crack system. The problem of heat flow across a single crack is firstly investigated. The classical Eshelby's solution, extended to the thermal conduction problem of an ellipsoidal inclusion embedding in an infinite homogeneous matrix, gives an analytical solution of temperature discontinuity across a non-conducting penny-shaped crack. This solution is then validated by the numerical simulation based on the finite elements method. The numerical simulation allows analyzing the effect of crack conductivity. The problem of a single crack is then extended to a medium containing multiple cracks. Analytical estimations for effective thermal conductivity, that take into account the interaction between cracks and their spatial distribution, are developed for the case of non-conducting cracks. Pattern-based numerical method is then employed for both cases non-conducting and conducting cracks. In the case of non-conducting cracks, numerical and analytical methods, both account for the spatial distribution of the cracks, fit perfectly. In the case of conducting cracks, the numerical analyzing of crack conductivity effect shows that highly conducting cracks weakly affect heat flow and the effective thermal conductivity of fractured media.

  15. Organized Chronic Subdural Hematomas Treated by Large Craniotomy with Extended Membranectomy as the Initial Treatment

    PubMed Central

    Balevi, Mustafa

    2017-01-01

    Objective: The aim of this retrospective study is to evaluate the efficacy and incidence of complications of craniotomy and membranectomy in elderly patients for the treatment of organized chronic subdural hematoma (OCSH). Materials and Methods: We retrospectively reviewed a series of 28 consecutive patients suffering from OCSH, diagnosed by magnetic resonance imaging (MRI) or computer tomography (CT) to establish the degree of organization and determine the intrahematomal architecture including inner membrane ossification. The indication to perform a primary enlarged craniotomy as initial treatment for nonliquefied OCSH with multilayer loculations was based on the hematoma MRI appearance – mostly hyperintense in both T1- and T2-weighted images with a hypointense web- or net-like structure within the hematoma cavity or inner membrane calcification CT appearance - hyperdense. These cases have been treated by a large craniotomy with extended membranectomy as the initial treatment. However, the technique of a burr hole with closed system drainage for 24–72 h was chosen for cases of nonseptated and mostly liquefied Chronic Subdural Hematoma (CSDH). Results: Between 1998 and 2015, 148 consecutive patients were surgically treated for CSDH at our institution. Of these, 28 patients which have OSDH underwent a large craniotomy with extended membranectomy as the initial treatment. The average age of the patients was 69 (69.4 ± 12.1). Tension pneumocephalus (TP) has occurred in 22.8% of these patients (n = 28). Recurring subdural hemorrhage (RSH) in the operation area has occurred in 11.9% of these patients in the first 24 h. TP with RSH was seen in 4 of 8 TP patients (50%). Large epidural air was seen in one case. Postoperative seizures requiring medical therapy occurred in 25% of our patients. The average stay in the department of neurosurgery was 11 days, ranging from 7 to 28 days. Four patients died within 28 days after surgery; mortality rate was 14.28%. Conclusion: Large craniotomy and extended membrane excision for OSDH still carry a high rate of mortality and morbidity in elderly patients. TP, RSH, and postoperative seizures are frequently seen complications in elderly patients. PMID:29114271

  16. Organized Chronic Subdural Hematomas Treated by Large Craniotomy with Extended Membranectomy as the Initial Treatment.

    PubMed

    Balevi, Mustafa

    2017-01-01

    The aim of this retrospective study is to evaluate the efficacy and incidence of complications of craniotomy and membranectomy in elderly patients for the treatment of organized chronic subdural hematoma (OCSH). We retrospectively reviewed a series of 28 consecutive patients suffering from OCSH, diagnosed by magnetic resonance imaging (MRI) or computer tomography (CT) to establish the degree of organization and determine the intrahematomal architecture including inner membrane ossification. The indication to perform a primary enlarged craniotomy as initial treatment for nonliquefied OCSH with multilayer loculations was based on the hematoma MRI appearance - mostly hyperintense in both T1- and T2-weighted images with a hypointense web- or net-like structure within the hematoma cavity or inner membrane calcification CT appearance - hyperdense. These cases have been treated by a large craniotomy with extended membranectomy as the initial treatment. However, the technique of a burr hole with closed system drainage for 24-72 h was chosen for cases of nonseptated and mostly liquefied Chronic Subdural Hematoma (CSDH). Between 1998 and 2015, 148 consecutive patients were surgically treated for CSDH at our institution. Of these, 28 patients which have OSDH underwent a large craniotomy with extended membranectomy as the initial treatment. The average age of the patients was 69 (69.4 ± 12.1). Tension pneumocephalus (TP) has occurred in 22.8% of these patients ( n = 28). Recurring subdural hemorrhage (RSH) in the operation area has occurred in 11.9% of these patients in the first 24 h. TP with RSH was seen in 4 of 8 TP patients (50%). Large epidural air was seen in one case. Postoperative seizures requiring medical therapy occurred in 25% of our patients. The average stay in the department of neurosurgery was 11 days, ranging from 7 to 28 days. Four patients died within 28 days after surgery; mortality rate was 14.28%. Large craniotomy and extended membrane excision for OSDH still carry a high rate of mortality and morbidity in elderly patients. TP, RSH, and postoperative seizures are frequently seen complications in elderly patients.

  17. A crotonyl-CoA reductase-carboxylase independent pathway for assembly of unusual alkylmalonyl-CoA polyketide synthase extender units

    NASA Astrophysics Data System (ADS)

    Ray, Lauren; Valentic, Timothy R.; Miyazawa, Takeshi; Withall, David M.; Song, Lijiang; Milligan, Jacob C.; Osada, Hiroyuki; Takahashi, Shunji; Tsai, Shiou-Chuan; Challis, Gregory L.

    2016-12-01

    Type I modular polyketide synthases assemble diverse bioactive natural products. Such multienzymes typically use malonyl and methylmalonyl-CoA building blocks for polyketide chain assembly. However, in several cases more exotic alkylmalonyl-CoA extender units are also known to be incorporated. In all examples studied to date, such unusual extender units are biosynthesized via reductive carboxylation of α, β-unsaturated thioesters catalysed by crotonyl-CoA reductase/carboxylase (CCRC) homologues. Here we show using a chemically-synthesized deuterium-labelled mechanistic probe, and heterologous gene expression experiments that the unusual alkylmalonyl-CoA extender units incorporated into the stambomycin family of polyketide antibiotics are assembled by direct carboxylation of medium chain acyl-CoA thioesters. X-ray crystal structures of the unusual β-subunit of the acyl-CoA carboxylase (YCC) responsible for this reaction, alone and in complex with hexanoyl-CoA, reveal the molecular basis for substrate recognition, inspiring the development of methodology for polyketide bio-orthogonal tagging via incorporation of 6-azidohexanoic acid and 8-nonynoic acid into novel stambomycin analogues.

  18. Assessment of algorithms to identify patients with thrombophilia following venous thromboembolism.

    PubMed

    Delate, Thomas; Hsiao, Wendy; Kim, Benjamin; Witt, Daniel M; Meyer, Melissa R; Go, Alan S; Fang, Margaret C

    2016-01-01

    Routine testing for thrombophilia following venous thromboembolism (VTE) is controversial. The use of large datasets to study the clinical impact of thrombophilia testing on patterns of care and patient outcomes may enable more efficient analysis of this practice in a wide range of settings. We set out to examine how accurately algorithms using International Classification of Diseases 9th Revision (ICD-9) codes and/or pharmacy data reflect laboratory-confirmed thrombophilia diagnoses. A random sample of adult Kaiser Permanente Colorado patients diagnosed with unprovoked VTE between 1/2004 and 12/2010 underwent medical record abstraction of thrombophilia test results. Algorithms using "ICD-9" (positive if a thrombophilia ICD-9 code was present), "Extended anticoagulation (AC)" (positive if AC therapy duration was >6 months), and "ICD-9 & Extended AC" (positive for both) criteria to identify possible thrombophilia cases were tested. Using positive thrombophilia laboratory results as the gold standard, the sensitivity, specificity, positive predictive value (PPV), and negative predictive value of each algorithm were calculated, along with 95% confidence intervals (CIs). In our cohort of 636 patients, sensitivities were low (<50%) for each algorithm. "ICD-9" yielded the highest PPV (41.5%, 95% CI 26.3-57.9%) and a high specificity (95.9%, 95% CI 94.0-97.4%). "Extended AC" had the highest sensitivity but lowest specificity, and "ICD-9 & Extended AC" had the highest specificity but lowest sensitivity. ICD-9 codes for thrombophilia are highly specific for laboratory-confirmed cases, but all algorithms had low sensitivities. Further development of methods to identify thrombophilia patients in large datasets is warranted. Copyright © 2015 Elsevier Ltd. All rights reserved.

  19. Extended supraclavicular fasciocutaneous island flap based on the transverse cervical artery for head and neck reconstruction after cancer ablation.

    PubMed

    Chen, Wei-Liang; Zhang, Da-ming; Yang, Zhao-hui; Huang, Zhi-quan; Wang, Jian-guang; Zhang, Bin; Li, Jing-song

    2010-10-01

    This clinical study assessed a pedicled supraclavicular fasciocutaneous island flap (SFIF) based on the transverse cervical artery that was extended to include shoulder skin for reconstructing the head and neck. Pedicled SFIFs extended to include the shoulder skin based on the cutaneous feeder vessels and perforator vessels in the deep fascia of the transverse cervical artery were designed for 24 patients with defects of the head and neck after cancer ablation. Preoperative 3-dimensional computed tomographic angiography was performed in all patients. The patients consisted of 15 men and 9 women ranging in age from 24 to 73 years. The primary lesions included squamous cell carcinoma of the tongue, buccal mucosa, floor of the mouth, oropharynx, palate, and lower gingiva. Three-dimensional computed tomographic angiography showed that the transverse cervical artery arose from the thyrocervical trunk in 13 cases and from the subclavian artery in 11 cases. The diameter of the artery ranged from 0.15 to 0.24 cm. The size of flaps ranged from 4 × 8 cm to 6 × 12 cm, and the mean length of the vascular pedicle was approximately 18.5 cm. Of the flaps, 23 survived completely, for a success rate of 95.8%. Three patients underwent radiotherapy, and the follow-up period ranged from 3 to 12 months. One patient died of local tumor recurrence, and cervical recurrences developed in 3 patients. An SFIF extended to include the shoulder skin based on the cutaneous feeder vessels and perforator vessels in the deep fascia of the transverse cervical artery is a useful, viable option for defects of the head and neck after cancer ablation. Copyright © 2010 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

  20. Investigation of the effects of braking system configurations on thermal input to commuter car wheels

    DOT National Transportation Integrated Search

    1996-03-01

    A heat transfer model, previously developed to estimate wheel rim temperatures during tread braking of MU power cars and validated by comparison with operational test results, is extended and appplied to cases involving several different blended brak...

  1. 76 FR 73481 - Airworthiness Directives; Bombardier, Inc. Airplanes

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-29

    ... gear from extending in the case of a failure of the normal MLG extension/retraction system... failure of the normal MLG extension/retraction system. This [Transport Canada Civil Aviation] directive is... MLG extension/retraction system. * * * * * The unsafe condition is loss of control during landing...

  2. Innovative eLearning: Technology Shaping Contemporary Problem Based Learning: A Cross-Case Analysis

    ERIC Educational Resources Information Center

    Blackburn, Greg

    2015-01-01

    Preparing students to be critical thinkers and effective communicators is essential in today's multinational and technologically sophisticated environment. New electronic technologies provide opportunities for creating learning environments that extend the possibilities of "old" but still essential technologies: books, blackboards, and…

  3. 45 CFR 84.5 - Assurances required.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... benefits. (2) In the case of Federal financial assistance extended to provide personal property, the... effecting or recording this transfer shall contain a covenant running with the land to assure... benefits. (2) Where no transfer of property is involved but property is purchased or improved with Federal...

  4. 22 CFR 217.5 - Assurances required.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... benefits. (2) In the case of Federal financial assistance extended to provide personal property, the... or recording this transfer shall contain a covenant running with the land to assure nondiscrimination... services or benefits. (2) Where no transfer of property is involved but property is purchased or improved...

  5. 29 CFR 32.5 - Assurances required.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Assistant Secretary, that the program or activity will be operated in compliance with this part. An... the purpose involving the provision of similar services or benefits. (2) In the case of Federal financial assistance extended to provide personal property, the assurance will obligate the recipient for...

  6. 29 CFR 32.5 - Assurances required.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... Assistant Secretary, that the program or activity will be operated in compliance with this part. An... the purpose involving the provision of similar services or benefits. (2) In the case of Federal financial assistance extended to provide personal property, the assurance will obligate the recipient for...

  7. 29 CFR 32.5 - Assurances required.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... Assistant Secretary, that the program or activity will be operated in compliance with this part. An... the purpose involving the provision of similar services or benefits. (2) In the case of Federal financial assistance extended to provide personal property, the assurance will obligate the recipient for...

  8. 29 CFR 32.5 - Assurances required.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... Assistant Secretary, that the program or activity will be operated in compliance with this part. An... the purpose involving the provision of similar services or benefits. (2) In the case of Federal financial assistance extended to provide personal property, the assurance will obligate the recipient for...

  9. 29 CFR 32.5 - Assurances required.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... Assistant Secretary, that the program or activity will be operated in compliance with this part. An... the purpose involving the provision of similar services or benefits. (2) In the case of Federal financial assistance extended to provide personal property, the assurance will obligate the recipient for...

  10. Pushing the limits of excited-state g-factor measurements

    NASA Astrophysics Data System (ADS)

    Stuchbery, Andrew E.; McCormick, Brendan P.; Gray, Timothy J.; Coombes, Ben J.

    2018-05-01

    Current developments in excited-state g-factor measurements are discussed with an emphasis on cases where the experimental methodology is being extended into new regimes. The transient-field technique, the recoil in vacuum method, and moment measurements with LaBr3 detectors are discussed.

  11. 75 FR 47771 - Certain Frozen Fish Fillets from the Socialist Republic of Vietnam: Extension of Time Limit for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-08-09

    ... new shipper review to 300 days if it that the case is extraordinarily complicated. See 19 CFR 351.214... methodological issues. The Department is extending the deadline because it intends to provide parties additional...

  12. Small City Transit : Sudbury, Massachusetts : A Short-Lived Suburban Transit Service.

    DOT National Transportation Integrated Search

    1976-03-01

    Sudbury, Massachusetts, is an illustration of a over-extended fixed-route transit service which was rather short-lived. This case study is one of thirteen examples of a transit service in a small community. The background of the community is discusse...

  13. Extending the Constant Coefficient Solution Technique to Variable Coefficient Ordinary Differential Equations

    ERIC Educational Resources Information Center

    Mohammed, Ahmed; Zeleke, Aklilu

    2015-01-01

    We introduce a class of second-order ordinary differential equations (ODEs) with variable coefficients whose closed-form solutions can be obtained by the same method used to solve ODEs with constant coefficients. General solutions for the homogeneous case are discussed.

  14. Fluctuation theorem for entropy production during effusion of a relativistic ideal gas.

    PubMed

    Cleuren, B; Willaert, K; Engel, A; Van den Broeck, C

    2008-02-01

    The probability distribution of the entropy production for the effusion of a relativistic ideal gas is calculated explicitly. This result is then extended to include particle and antiparticle pair production and annihilation. In both cases, the fluctuation theorem is verified.

  15. Quaternionic (super) twistors extensions and general superspaces

    NASA Astrophysics Data System (ADS)

    Cirilo-Lombardo, Diego Julio; Pervushin, Victor N.

    2017-09-01

    In a attempt to treat a supergravity as a tensor representation, the four-dimensional N-extended quaternionic superspaces are constructed from the (diffeomorphyc) graded extension of the ordinary Penrose-twistor formulation, performed in a previous work of the authors [D. J. Cirilo-Lombardo and V. N. Pervushin, Int. J. Geom. Methods Mod. Phys., doi: http://dx.doi.org/10.1142/S0219887816501139.], with N = p + k. These quaternionic superspaces have 4 + k(N - k) even-quaternionic coordinates and 4N odd-quaternionic coordinates, where each coordinate is a quaternion composed by four ℂ-fields (bosons and fermions respectively). The fields content as the dimensionality (even and odd sectors) of these superspaces are given and exemplified by selected physical cases. In this case, the number of fields of the supergravity is determined by the number of components of the tensor representation of the four-dimensional N-extended quaternionic superspaces. The role of tensorial central charges for any N even USp(N) = Sp(N, ℍℂ) ∩ U(N, ℍℂ) is elucidated from this theoretical context.

  16. Rigorous theory of the diffraction of Gaussian beams by finite gratings: TM polarization.

    PubMed

    Mata-Mendez, O; Avendaño, J; Chavez-Rivas, F

    2006-08-01

    Diffraction of TM-polarized Gaussian beams by N equally spaced slits (finite grating) in a planar perfectly conducting thick screen is treated. We extend to the TM polarization case the results of a previous paper where the TE polarization was considered. The far-field diffraction patterns, the transmission coefficient tau, and the normally diffracted energy E as a function of several optogeometrical parameters are analyzed within the so-called vectorial region. The existence of constant-intensity angles in the far field when the incident beam wave is scanned along the N slits is shown. In addition, the property E=Ntau/lambda, valid in the scalar region, is extended to the TM polarization case in the vectorial region, lambda being the wavelength. The coupling between slits is analyzed, giving an oscillating amplitude-decreasing function as the separation between slits increases, where the period for these oscillations is the wavelength lambda. Finally, the extraordinary optical transmission phenomena that appear when the wavelength is larger than the slit width (subwavelength regime) are analyzed.

  17. Entrance and Exit CSR Impedance for Non-Ultrarelativistic Beam

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

    Li, Rui; Tsai, Cheng Ying

    2017-05-01

    For a high-brightness electron beam being transported through beamlines involving bending systems, the coherent synchrotron radiation (CSR) and longitudinal space charge (LSC) interaction could often cause microbunching instability. The semi-analytical Vlasov solver for microbunching gain* depends on the impedances for the relevant collective effects. The existing results for CSR impedances are usually obtained for the ultrarelativistic limit. To extend the microbunching analysis to cases of low energies, such as the case of an ERL merger, or to density modulations at extremely small wavelength, it is necessary to extend the impedance analysis to the non-ultrarelativistic regime. In this study, we presentmore » the impedance analysis for the transient CSR interaction in the non-ultrarelativistic regime, for transients including both entrance to and exit from a magnetic dipole. These impedance results will be compared to their ultra-relativistic counterparts**, and the corresponding wakefield obtained from the impedance for low-energy beams will be compared with the existing results of transient CSR wakefield for general beam energies***.« less

  18. A numerical study of nonlinear waves in a transcritical flow of stratified fluid past an obstacle

    NASA Astrophysics Data System (ADS)

    Hanazaki, Hideshi

    1992-10-01

    A numerical study of the flow of stratified fluid past an obstacle in a horizontal channel is described. Upstream advancing of waves near critically (resonance) appears in the case of ordinary two-layer flow, in which case the flow is described well by the solution of the forced extended Korteweg-de Vries (KdV) equation which has a cubic nonlinear term. It is shown theoretically that the upstream waves in the general two-layer flow cannot be well described by the forced KdV equation except when the wave amplitude is very small. The critical-level flow is also governed by the forced extended KdV equation. However, because of the smallness of the coefficient of the quadratic nonlinear term, the bore cannot propagate upstream at exact resonance. The results for the linearly stratified Boussinesq flow show good agreement with the solution of the Grimshaw and Yi (1991) equation, at least for exact resonance.

  19. The initial rise method extended to multiple trapping levels in thermoluminescent materials.

    PubMed

    Furetta, C; Guzmán, S; Ruiz, B; Cruz-Zaragoza, E

    2011-02-01

    The well known Initial Rise Method (IR) is commonly used to determine the activation energy when only one glow peak is presented and analysed in the phosphor materials. However, when the glow peak is more complex, a wide peak and some holders appear in the structure. The application of the Initial Rise Method is not valid because multiple trapping levels are considered and then the thermoluminescent analysis becomes difficult to perform. This paper shows the case of a complex glow curve structure as an example and shows that the calculation is also possible using the IR method. The aim of the paper is to extend the well known Initial Rise Method (IR) to the case of multiple trapping levels. The IR method is applied to minerals extracted from Nopal cactus and Oregano spices because the thermoluminescent glow curve's shape suggests a trap distribution instead of a single trapping level. Copyright © 2010 Elsevier Ltd. All rights reserved.

  20. Cinematica del gas ionizado y perfiles de luminosidad de las Galaxias Porotos Verdes

    NASA Astrophysics Data System (ADS)

    Diaz, R. J.; Aguero, M.; Schirmer, M.; Holheim, K.; Levenson, N.; Winge, C.

    We present preliminary spectroscopic results of a sample of green bean galaxies (GBG); known to show ultra-luminous; galaxy-wide; narrow-line regions. We analyze Gemini GMOS-S;N spectra of a sample of 12 GBG in order to obtain emission line ratios; gas kinematics and luminosity profiles in some continuous bands. We report here new results that confirm that the 5008 emission extends from 5 to 17 kpc; in all cases scales similar or larger than the stellar continuums at the spectra. In the extreme case of J145533.6+044643 the emission reaches a diameter of 17.51.6kpc. We find that the continuum half light radii extend from 3 to 7 kpc; the largest scale radius at shortest wavelengths; which is consistent with the scale lengths of large spiral galaxies or merging systems. Another new result is that the spatial variation of the continuum color profiles indicate the presence of extinction and possibly star formation. FULL TEXT IN SPANISH

  1. Rényi entropy measure of noise-aided information transmission in a binary channel.

    PubMed

    Chapeau-Blondeau, François; Rousseau, David; Delahaies, Agnès

    2010-05-01

    This paper analyzes a binary channel by means of information measures based on the Rényi entropy. The analysis extends, and contains as a special case, the classic reference model of binary information transmission based on the Shannon entropy measure. The extended model is used to investigate further possibilities and properties of stochastic resonance or noise-aided information transmission. The results demonstrate that stochastic resonance occurs in the information channel and is registered by the Rényi entropy measures at any finite order, including the Shannon order. Furthermore, in definite conditions, when seeking the Rényi information measures that best exploit stochastic resonance, then nontrivial orders differing from the Shannon case usually emerge. In this way, through binary information transmission, stochastic resonance identifies optimal Rényi measures of information differing from the classic Shannon measure. A confrontation of the quantitative information measures with visual perception is also proposed in an experiment of noise-aided binary image transmission.

  2. New Aspects in the Differential Diagnosis and Therapy of Bladder Pain Syndrome/Interstitial Cystitis

    PubMed Central

    Neuhaus, Jochen; Schwalenberg, Thilo; Horn, Lars-Christian; Alexander, Henry; Stolzenburg, Jens-Uwe

    2011-01-01

    Diagnosis of bladder pain syndrome/interstitial cystitis (BPS/IC) is presently based on mainly clinical symptoms. BPS/IC can be considered as a worst-case scenario of bladder overactivity of unknown origin, including bladder pain. Usually, patients are partially or completely resistant to anticholinergic therapy, and therapeutical options are especially restricted in case of BPS/IC. Therefore, early detection of patients prone to develop BPS/IC symptoms is essential for successful therapy. We propose extended diagnostics including molecular markers. Differential diagnosis should be based on three diagnostical “columns”: (i) clinical diagnostics, (ii) histopathology, and (iii) molecular diagnostics. Analysis of molecular alterations of receptor expression in detrusor smooth muscle cells and urothelial integrity is necessary to develop patient-tailored therapeutical concepts. Although more research is needed to elucidate the pathomechanisms involved, extended BPS/IC diagnostics could already be integrated into routine patient care, allowing evidence-based pharmacotherapy of patients with idiopathic bladder overactivity and BPS/IC. PMID:22028706

  3. New aspects in the differential diagnosis and therapy of bladder pain syndrome/interstitial cystitis.

    PubMed

    Neuhaus, Jochen; Schwalenberg, Thilo; Horn, Lars-Christian; Alexander, Henry; Stolzenburg, Jens-Uwe

    2011-01-01

    Diagnosis of bladder pain syndrome/interstitial cystitis (BPS/IC) is presently based on mainly clinical symptoms. BPS/IC can be considered as a worst-case scenario of bladder overactivity of unknown origin, including bladder pain. Usually, patients are partially or completely resistant to anticholinergic therapy, and therapeutical options are especially restricted in case of BPS/IC. Therefore, early detection of patients prone to develop BPS/IC symptoms is essential for successful therapy. We propose extended diagnostics including molecular markers. Differential diagnosis should be based on three diagnostical "columns": (i) clinical diagnostics, (ii) histopathology, and (iii) molecular diagnostics. Analysis of molecular alterations of receptor expression in detrusor smooth muscle cells and urothelial integrity is necessary to develop patient-tailored therapeutical concepts. Although more research is needed to elucidate the pathomechanisms involved, extended BPS/IC diagnostics could already be integrated into routine patient care, allowing evidence-based pharmacotherapy of patients with idiopathic bladder overactivity and BPS/IC.

  4. Extending the capability of GYRE to calculate tidally forced stellar oscillations

    NASA Astrophysics Data System (ADS)

    Guo, Zhao; Gies, Douglas R.

    2016-01-01

    Tidally forced oscillations have been observed in many eccentric binary systems, such as KOI-54 and many other 'heart beat stars'. The tidal response of the star can be calculated by solving a revised stellar oscillations equations.The open-source stellar oscillation code GYRE (Townsend & Teitler 2013) can be used to solve the free stellar oscillation equations in both adiabatic and non-adiabatic cases. It uses a novel matrix exponential method which avoids many difficulties of the classical shooting and relaxation method. The new version also includes the effect of rotation in traditional approximation.After showing the code flow of GYRE, we revise its subroutines and extend its capability to calculate tidallyforced oscillations in both adiabatic and non-adiabatic cases following the procedure in the CAFein code (Valsecchi et al. 2013). In the end, we compare the tidal eigenfunctions with those calculated from CAFein.More details of the revision and a simple version of the code in MATLAB can be obtained upon request.

  5. Extension of analog network coding in wireless information exchange

    NASA Astrophysics Data System (ADS)

    Chen, Cheng; Huang, Jiaqing

    2012-01-01

    Ever since the concept of analog network coding(ANC) was put forward by S.Katti, much attention has been focused on how to utilize analog network coding to take advantage of wireless interference, which used to be considered generally harmful, to improve throughput performance. Previously, only the case of two nodes that need to exchange information has been fully discussed while the issue of extending analog network coding to more than three nodes remains undeveloped. In this paper, we propose a practical transmission scheme to extend analog network coding to more than two nodes that need to exchange information among themselves. We start with the case of three nodes that need to exchange information and demonstrate that through utilizing our algorithm, the throughput can achieve 33% and 20% increase compared with that of traditional transmission scheduling and digital network coding, respectively. Then, we generalize the algorithm so that it can fit for occasions with any number of nodes. We also discuss some technical issues and throughput analysis as well as the bit error rate.

  6. Enlargement of sacral subcutaneous meningocele associated with retained medullary cord.

    PubMed

    Shirozu, Noritoshi; Morioka, Takato; Inoha, Satoshi; Imamoto, Naoyuki; Sasaguri, Takakazu

    2018-04-27

    A retained medullary cord (RMC) is a rare closed spinal dysraphism with a robust elongated neural structure continuous from the conus and extending to the dural cul-de-sac. Four cases of RMC extending down to the base of an associated subcutaneous meningocele at the sacral level have been reported. We report an additional case of RMC, in whom serial MRI examination revealed an enlargement of the meningocele associated with RMC over a 3-month period between 8 and 11 months of age, when he began to stand. At the age of 12 months, untethering of the cord was performed. Histologically, the presence of ependyma-lined central canals in the dense neuroglial cores was noted in all cord-like structures in the intradural and intrameningocele sacs and at the attachment to the meningocele. It is conceivable that the hydrodynamic pressure with standing position and the check valve phenomenon were involved in meningocele enlargement. We should be mindful of these potential morphological changes.

  7. Koopmans-Compliant Spectral Functionals for Extended Systems

    NASA Astrophysics Data System (ADS)

    Nguyen, Ngoc Linh; Colonna, Nicola; Ferretti, Andrea; Marzari, Nicola

    2018-04-01

    Koopmans-compliant functionals have been shown to provide accurate spectral properties for molecular systems; this accuracy is driven by the generalized linearization condition imposed on each charged excitation, i.e., on changing the occupation of any orbital in the system, while accounting for screening and relaxation from all other electrons. In this work, we discuss the theoretical formulation and the practical implementation of this formalism to the case of extended systems, where a third condition, the localization of Koopmans's orbitals, proves crucial to reach seamlessly the thermodynamic limit. We illustrate the formalism by first studying one-dimensional molecular systems of increasing length. Then, we consider the band gaps of 30 paradigmatic solid-state test cases, for which accurate experimental and computational results are available. The results are found to be comparable with the state of the art in many-body perturbation theory, notably using just a functional formulation for spectral properties and the generalized-gradient approximation for the exchange and correlation functional.

  8. The intra-umbilical approach in umbilical hernia.

    PubMed

    Arslan, Sukru; Korkut, Ercan

    2014-02-01

    To investigate the "intra-umbilical incision", a smaller incision compared to classic incisions, in cases of umbilical hernia, and which we believe will contribute to patient satisfaction in aesthetic terms, and also the practicability of such operations. The umbilical margins of eight patients with an umbilical hernia were marked between the levels of 6 and 12 o'clock, and a median intra-umbilical skin incision was performed between these two points. In some cases, where exploration could not be performed sufficiently, the incision was extended horizontally from 6 or 12 o'clock. Hernia repair and mesh placement was then performed using an intra-umbilical approach. Patients were investigated according to the defect size and requirement for intra-umbilical incision extension. No requirement for intra-umbilical incision was encountered in six patients with a facial defect diameter smaller than 4 cm, while the incision had to be extended in two patients with defects greater than 4 cm. The intra-umbilical approach in umbilical hernia surgery is aesthetically superior to classical approaches and is a practicable technique.

  9. Low-Level Waste Forum notes and summary reports for 1994. Volume 9, Number 3, May-June 1994

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

    NONE

    1994-06-01

    This issue includes the following articles: Vermont ratifies Texas compact; Pennsylvania study on rates of decay for classes of low-level radioactive waste; South Carolina legislature adjourns without extending access to Barnwell for out-of-region generators; Southeast Compact Commission authorizes payments for facility development, also votes on petitions, access contracts; storage of low-level radioactive waste at Rancho Seco removed from consideration; plutonium estimates for Ward Valley, California; judgment issued in Ward Valley lawsuits; Central Midwest Commission questions court`s jurisdiction over surcharge rebates litigation; Supreme Court decides commerce clause case involving solid waste; parties voluntarily dismiss Envirocare case; appellate court affirms dismissal ofmore » suit against Central Commission; LLW Forum mixed waste working group meets; US EPA Office of Radiation and Indoor Air rulemakings; EPA issues draft radiation site cleanup regulation; EPA extends mixed waste enforcement moratorium; and NRC denies petition to amend low-level radioactive waste classification regulations.« less

  10. Optical Modeling Activities for the James Webb Space Telescope (JWST) Project. II; Determining Image Motion and Wavefront Error Over an Extended Field of View with a Segmented Optical System

    NASA Technical Reports Server (NTRS)

    Howard, Joseph M.; Ha, Kong Q.

    2004-01-01

    This is part two of a series on the optical modeling activities for JWST. Starting with the linear optical model discussed in part one, we develop centroid and wavefront error sensitivities for the special case of a segmented optical system such as JWST, where the primary mirror consists of 18 individual segments. Our approach extends standard sensitivity matrix methods used for systems consisting of monolithic optics, where the image motion is approximated by averaging ray coordinates at the image and residual wavefront error is determined with global tip/tilt removed. We develop an exact formulation using the linear optical model, and extend it to cover multiple field points for performance prediction at each instrument aboard JWST. This optical model is then driven by thermal and dynamic structural perturbations in an integrated modeling environment. Results are presented.

  11. Shock wave refraction enhancing conditions on an extended interface

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

    Markhotok, A.; Popovic, S.

    2013-04-15

    We determined the law of shock wave refraction for a class of extended interfaces with continuously variable gradients. When the interface is extended or when the gas parameters vary fast enough, the interface cannot be considered as sharp or smooth and the existing calculation methods cannot be applied. The expressions we derived are general enough to cover all three types of the interface and are valid for any law of continuously varying parameters. We apply the equations to the case of exponentially increasing temperature on the boundary and compare the results for all three types of interfaces. We have demonstratedmore » that the type of interface can increase or inhibit the shock wave refraction. Our findings can be helpful in understanding the results obtained in energy deposition experiments as well as for controlling the shock-plasma interaction in other settings.« less

  12. An extended car-following model considering random safety distance with different probabilities

    NASA Astrophysics Data System (ADS)

    Wang, Jufeng; Sun, Fengxin; Cheng, Rongjun; Ge, Hongxia; Wei, Qi

    2018-02-01

    Because of the difference in vehicle type or driving skill, the driving strategy is not exactly the same. The driving speeds of the different vehicles may be different for the same headway. Since the optimal velocity function is just determined by the safety distance besides the maximum velocity and headway, an extended car-following model accounting for random safety distance with different probabilities is proposed in this paper. The linear stable condition for this extended traffic model is obtained by using linear stability theory. Numerical simulations are carried out to explore the complex phenomenon resulting from multiple safety distance in the optimal velocity function. The cases of multiple types of safety distances selected with different probabilities are presented. Numerical results show that the traffic flow with multiple safety distances with different probabilities will be more unstable than that with single type of safety distance, and will result in more stop-and-go phenomena.

  13. Generalizing Landauer's principle

    NASA Astrophysics Data System (ADS)

    Maroney, O. J. E.

    2009-03-01

    In a recent paper [Stud. Hist. Philos. Mod. Phys. 36, 355 (2005)] it is argued that to properly understand the thermodynamics of Landauer’s principle it is necessary to extend the concept of logical operations to include indeterministic operations. Here we examine the thermodynamics of such operations in more detail, extending the work of Landauer to include indeterministic operations and to include logical states with variable entropies, temperatures, and mean energies. We derive the most general statement of Landauer’s principle and prove its universality, extending considerably the validity of previous proofs. This confirms conjectures made that all logical operations may, in principle, be performed in a thermodynamically reversible fashion, although logically irreversible operations would require special, practically rather difficult, conditions to do so. We demonstrate a physical process that can perform any computation without work requirements or heat exchange with the environment. Many widespread statements of Landauer’s principle are shown to be special cases of our generalized principle.

  14. Counter-Rotatable Fan Gas Turbine Engine with Axial Flow Positive Displacement Worm Gas Generator

    NASA Technical Reports Server (NTRS)

    Giffin, Rollin George (Inventor); Murrow, Kurt David (Inventor); Fakunle, Oladapo (Inventor)

    2014-01-01

    A counter-rotatable fan turbine engine includes a counter-rotatable fan section, a worm gas generator, and a low pressure turbine to power the counter-rotatable fan section. The low pressure turbine maybe counter-rotatable or have a single direction of rotation in which case it powers the counter-rotatable fan section through a gearbox. The gas generator has inner and outer bodies having offset inner and outer axes extending through first, second, and third sections of a core assembly. At least one of the bodies is rotatable about its axis. The inner and outer bodies have intermeshed inner and outer helical blades wound about the inner and outer axes and extending radially outwardly and inwardly respectively. The helical blades have first, second, and third twist slopes in the first, second, and third sections respectively. A combustor section extends through at least a portion of the second section.

  15. Testing the extended biotic index in Slovakia: consistency, advantages, and limitations versus the saprobic assessment method of water quality.

    PubMed

    Pennelli, Bruno; Nagel, Karl-Otto; Crivellaro, Giuseppe; Fabiani, Claudio; Vancova, Alexandra; Mancini, Laura

    2006-04-01

    The European Union Water Framework Directive requires the achievement of environmental objectives for the ecological quality of water bodies. A comparable implementation of the Directive throughout member countries of the European Union is necessary to verify equal protection of surface waters. The Directive specifies that member states determine ecological quality by means of biological indices. To improve comparability of water quality assessment, this research carried out an intercalibration trial between the Slovak Saprobic Index and the Italian protocol of the Extended Biotic Index, as part of a cooperative program between Italy and the Slovak Republic. When assessing streams with no or low pollution, statistics showed similar results for both methods. In contrast, the comparison of indices was not accurate in the case of severely affected waters. Reliable conversion formulas are feasible to transform the Italian Extended Biotic Index into the Slovak Saprobic Index, and not vice versa.

  16. Intracranial nonvestibular neurinomas: Young neurosurgeons’ experience

    PubMed Central

    Chowdhury, Forhad Hossain; Haque, Mohammod R.; Kawsar, Khandkar A.; Sarker, Mainul H.; Hasan, Mahmudul; Goel, Atul H.

    2014-01-01

    Background and Objectives: Neurinoma arising from other than nonvestibular cranial nerves is less prevalent. Here we present our experiences regarding the clinical profile, investigations, microneurosurgical management, and the outcome of nonvestibular cranial nerve neurinomas. Materials and Methods: From January 2005 to December 2011, the recorded documents of operated nonvestibular intracranial neurinomas were retrospectively studied for clinical profile, investigations, microneurosurgical management, complications, follow-up, and outcomes. Results: The average follow-up was 24.5 months. Total number of cases was 30, with age ranging from 9 to 60 years. Sixteen cases were males and 14 were females. Nonvestibular cranial nerve schwannomas most commonly originated from trigeminal nerve followed by glossopharyngeal+/vagus nerve. There were three abducent nerve schwannomas that are very rare. There was no trochlear nerve schwannoma. Two glossopharyngeal+/vagus nerve schwannomas extended into the neck through jugular foramen and one extended into the upper cervical spinal canal. Involved nerve dysfunction was a common clinical feature except in trigeminal neurinomas where facial pain was a common feature. Aiming for no new neurodeficit, total resection of the tumor was done in 24 cases, and near-total resection or gross total resection or subtotal resection was done in 6 cases. Preoperative symptoms improved or disappeared in 25 cases. New persistent deficit occurred in 3 cases. Two patients died postoperatively. There was no recurrence of tumor till the last follow-up. Conclusion: Nonvestibular schwannomas are far less common, but curable benign lesions. Surgical approach to the skull base and craniovertebral junction is a often complex and lengthy procedure associated with chances of significant morbidity. But early diagnosis, proper investigations, and evaluation, along with appropriate decision making and surgical planning with microsurgical techniques are the essential factors that can result in optimum outcome. PMID:25002761

  17. Chemodectomas: review and report of nine cases.

    PubMed

    Poster, D S; Schapiro, H; Woronoff, R

    1979-01-01

    We have reviewed the broad spectrum of disease caused by chemodectomas. This spectrum extends from the benign to the aggressively malignant with many graduations in-between. Our analyses included cases from the literature and nine new cases seen over the past twenty-five years. Surgery as the primary and most definitive form of therapy, is recommended if feasible, with total excision as the goal, in both benign and malignant histologies. An excellent outcome is to be expected in benign cases. At present, no predictor exists to foretell the behavior of malignant lesions, which can range from the aggressive to the slowly progressive. Both radiotherapy and chemotherapy have been tried in malignant cases. No consistent good result has occurred from the use of either. The future will hopefully bring us more effective therapy.

  18. Numerical Investigations of the Influence of Unsteady Vane Trailing Edge Shock Wave on Film Cooling Effectiveness of Rotor Blade Leading Edge

    NASA Astrophysics Data System (ADS)

    Wang, Yufeng; Cai, Le; Wang, Songtao; Zhou, Xun

    2018-04-01

    Unsteady numerical simulations of a high-load transonic turbine stage have been carried out to study the influences of vane trailing edge outer-extending shockwave on rotor blade leading edge film cooling performance. The turbine stage used in this paper is composed of a vane section and a rotor one which are both near the root section of a transonic high-load turbine stage. The Mach number is 0.94 at vane outlet, and the relative Mach number is above 1.10 at rotor outlet. Various positions and oblique angles of film cooling holes were investigated in this research. Results show that the cooling efficiency on the blade surface of rotor near leading edge is significantly affected by vane trailing edge outer-extending shockwave in some cases. In the cases that film holes are close to leading edge, cooling performance suffers more from the sweeping vane trailing edge outer-extending shockwave. In addition, coolant flow ejected from oblique film holes is harder to separate from the blade surface of rotor, and can cover more blade area even under the effects of sweeping vane trailing edge shockwave. As a result, oblique film holes can provide better film cooling performance than vertical film holes do near the leading edge on turbine blade which is swept by shockwaves.

  19. Extended use of cardiopulmonary bypass in a multidisciplinary hospital

    PubMed Central

    Shahabuddin, Syed; Habib, Nabeel

    2015-01-01

    Objective To share our experience highlighting the additional use of cardiopulmonary bypass (CPB) in cases other than the conventional ischemic, congenital and valvular heart diseases. Methodology All patients undergoing non-traditional cardiac surgery utilizing the cardiopulmonary bypass during a period from 1999 to 2009 reviewed. Their preoperative presentation, operative strategy and immediate postoperative status were assessed. Results A total of six such cases were identified including three female and three male patients. Two patients presented with road traffic accident having aortic transection along with other injuries. They underwent repair utilizing partial cardiopulmonary bypass. One patient presented with large PDA aneurysm and symptoms related to its pressure effect on respiratory system. He underwent repair under hypothermic circulatory arrest. These three patients were done via left thoracotomy. Three patients underwent deep hypothermic circulatory arrest, one for removal of thrombus from right atrium after complicated liver abscess, one patient required vascular graft interposition in left internal carotid artery for aneurysm extending into cranium and the third one underwent resection of vascular tumor of posterior cranial fossa. One patient required exploration for bleeding. One patient died after prolonged hospitalization. Rest of the patient had unremarkable postoperative course and were discharged home. Conclusion Our short experience highlights the extended use of cardiopulmonary bypass in a multidisciplinary hospital, facilitating to perform complex, technically challenging non cardiac procedures which otherwise may not be possible. PMID:26309443

  20. Extended suicide with a pet.

    PubMed

    Cooke, Brian K

    2013-01-01

    The combination of the killing of a pet and a suicide is a perplexing scenario that is largely unexplored in the literature. Many forensic psychiatrists and psychologists may be unaccustomed to considering the significance of the killing of a pet. The subject is important, however, because many people regard their pets as members of their family. A case is presented of a woman who killed her pet dog and herself by carbon monoxide poisoning. The purpose of this article is to provide an initial exploration of the topic of extended suicide with a pet. Forensic mental health evaluations may have a role in understanding the etiology of this event and in opining as to the culpability of individuals who attempt to or successfully kill a pet and then commit suicide. Because the scientific literature is lacking, there is a need to understand this act from a variety of perspectives. First, a social and anthropological perspective will be presented that summarizes the history of the practice of killing of one's pet, with a focus on the ancient Egyptians. A clinical context will examine what relationship animals have to mental illness. A vast body of existing scientific data showing the relevance of human attachment to pets suggests that conclusions from the phenomena of homicide-suicide and filicide-suicide are applicable to extended suicide with a pet. Finally, recommendations will be proposed for both clinical and forensic psychiatrists faced with similar cases.

  1. Effect of Ionic Correlations on the Surface Forces in Thin Liquid Films: Influence of Multivalent Coions and Extended Theory

    PubMed Central

    Danov, Krassimir D.; Basheva, Elka S.; Kralchevsky, Peter A.

    2016-01-01

    Experimental data for the disjoining pressure of foam films stabilized by anionic surfactant in the presence of 1:1, 1:2, 1:3, and 2:2 electrolytes: NaCl, Na2SO4, Na3Citrate, and MgSO4 are reported. The disjoining pressure predicted by the Derjaguin-Landau-Verwey-Overbeek (DLVO) theory coincides with the experimental data in the case of a 1:1 electrolyte, but it is considerably greater than the measured pressure in all other cases. The theory is extended to account for the effects of ionic correlations and finite ionic radii. Original analytical expressions are derived for the local activity coefficient, electrostatic disjoining pressure, and asymptotic screening parameter. With the same parameter of counterion binding as for a 1:1 electrolyte, the curves predicted by the extended theory are in perfect agreement with the experimental data for 1:2 and 1:3 electrolytes. In comparison with the DLVO theory, the effect of ionic correlations leads to more effective screening of electrostatic interactions, and lower electric potential and counterion concentrations in the film’s midplane, resulting in lower disjoining pressure, as experimentally observed. The developed theory is applicable to both multivalent coions and multivalent counterions. Its application could remove some discrepancies between theory and experiment observed in studies with liquid films from electrolyte solutions. PMID:28773269

  2. Shigellosis in refugees, Austria, July to November 2015.

    PubMed

    Lederer, Ingeborg; Taus, Karin; Allerberger, Franz; Fenkart, Sabrina; Spina, Alexander; Springer, Burkhard; Schmid, Daniela

    2015-01-01

    We report on a cluster of shigellosis including 21 cases in refugees and two in local residents who worked in refugee transit centres, detected in Austria in 2015, between calendar weeks 29 and 47. The species isolated from the cluster cases, including one mixed infection, were S. sonnei (n = 13), S. flexneri (n = 10) and S. boydii (n = 1). Eleven of 18 tested isolates were extended spectrum beta-lactamase (ESBL)-positive, including five of six ciprofloxacin-resistant and three azithromycin-resistant isolates.

  3. The exponentiated Hencky energy: anisotropic extension and case studies

    NASA Astrophysics Data System (ADS)

    Schröder, Jörg; von Hoegen, Markus; Neff, Patrizio

    2017-10-01

    In this paper we propose an anisotropic extension of the isotropic exponentiated Hencky energy, based on logarithmic strain invariants. Unlike other elastic formulations, the isotropic exponentiated Hencky elastic energy has been derived solely on differential geometric grounds, involving the geodesic distance of the deformation gradient \\varvec{F} to the group of rotations. We formally extend this approach towards anisotropy by defining additional anisotropic logarithmic strain invariants with the help of suitable structural tensors and consider our findings for selected case studies.

  4. [Extensive left-leg venous thrombosis in young patients: Should we perform extended tests?

    PubMed

    Gómez Carrillo, Víctor; Pérez de Pedro, Ivan; Salazar de Troya, Cristina; Vallejo Herrera, Verónica

    2016-01-01

    We report 3 cases of left iliac vein thrombosis whose underlying cause was right iliac artery compression syndrome, also known as May-Thurner syndrome. Endovascular treatment with anatomical correction (stent placement) was applied in 2 of the cases; anticoagulant therapy was maintained given the presence of associated hypercoagulability. A thorough understanding of this diagnosis is important so that an attempt at anatomical correction can be proposed to complement anticoagulant therapy in the interest of improving prognosis.

  5. Myxofibrosarcoma - Case report*

    PubMed Central

    de Castro, Breno Augusto Campos; Piancastelli, André Costa Cruz; Meyer, Renata Leal Bregunci; Piancastelli, Patricia Mourthe; Ribeiro, Carlos Alberto; Miranda, Rubem Mateus Campos

    2016-01-01

    Myxofibrosarcoma is recognized as a malignant neoplasm of fibroblastic origin with increased prevalence in the elderly, presenting as nodules or tumors that may extend to the dermis and skeletal muscle, preferably in the lower limbs. Histologically it is characterized by a proliferation of spindle cells in a myxoid stroma. Myxofibrosarcoma has a high potential for local recurrence and metastasis, mainly when it presents a high or intermediate histological grade. We report the case of an eighty-four year old patient with a difficult diagnosis of a highly aggressive tumor. PMID:26982788

  6. Ellis-van Creveld syndrome in adulthood: extending the clinical spectrum

    PubMed Central

    Pérez-Andreu, Joaquín; Ray, Victor Glenn; Arribas, José María; Sánchez, Sergio Juan

    2015-01-01

    Ellis-van Creveld (EvC) syndrome is a rare autosomal recessive malformation disorder. Cardiac defects are observed in about 50% of EvC cases. Surgical data is lacking on the prognosis and life expectancy of EvC patients. Herein, we report the case of a 38-year-old man with EvC syndrome who underwent two surgical corrections for cardiac anomalies. This report supplements the available information on the clinical course of EvC syndrome in older patients. PMID:26106249

  7. The Extended Nasoseptal Flap for Skull Base Reconstruction of the Clival Region: An Anatomical and Radiological Study

    PubMed Central

    Peris-Celda, Maria; Pinheiro-Neto, Carlos Diogenes; Funaki, Takeshi; Fernandez-Miranda, Juan C.; Gardner, Paul; Snyderman, Carl; Rhoton, Albert L.

    2013-01-01

    Objective Reconstruction of large clival defects after an endoscopic endonasal procedure is challenging. The objective is to analyze the morphology, indications, and limitations of the extended nasoseptal flap, which adds the nasal floor and inferior meatus mucosa, compared with the standard nasoseptal flap, for clival reconstruction. Design Twenty-seven sides of formalin-fixed anatomical specimens and 13 computed tomography (CT) scans were used. Under 0-degree endoscopic visualization, a standard flap on one side and an extended flap on the other side were performed, as well as exposure of the sella, cavernous sinus, and clival dura mater. Coverage of both flaps was assessed, and they were incised and extracted for measurements. Results The extended flap has two parts: septal and inferior meatal. The extended flaps are 20 mm longer and add 774 mm2 of mucosal area. They cover a clival defect from tuberculum to foramen magnum in 66.6% cases and from below the sella in 91.6%. They cover both parasellar and paraclival segments of the internal carotid arteries. The lateral inferior limits are the medial aspect of the hypoglossal canals and Eustachian tubes. CT scans can predict the need or limitation of an extended nasoseptal flap. Conclusions The nasal floor and inferior meatus mucosa adds a significant area for reconstruction of the clivus. A defect laterally beyond the hypoglossal canals is not likely covered with this variation of the flap. Preoperative CT scans are useful to guide the reconstruction techniques. PMID:24436940

  8. Extended Hansen solubility approach: naphthalene in individual solvents.

    PubMed

    Martin, A; Wu, P L; Adjei, A; Beerbower, A; Prausnitz, J M

    1981-11-01

    A multiple regression method using Hansen partial solubility parameters, delta D, delta p, and delta H, was used to reproduce the solubilities of naphthalene in pure polar and nonpolar solvents and to predict its solubility in untested solvents. The method, called the extended Hansen approach, was compared with the extended Hildebrand solubility approach and the universal-functional-group-activity-coefficient (UNIFAC) method. The Hildebrand regular solution theory was also used to calculate naphthalene solubility. Naphthalene, an aromatic molecule having no side chains or functional groups, is "well-behaved', i.e., its solubility in active solvents known to interact with drug molecules is fairly regular. Because of its simplicity, naphthalene is a suitable solute with which to initiate the difficult study of solubility phenomena. The three methods tested (Hildebrand regular solution theory was introduced only for comparison of solubilities in regular solution) yielded similar results, reproducing naphthalene solubilities within approximately 30% of literature values. In some cases, however, the error was considerably greater. The UNIFAC calculation is superior in that it requires only the solute's heat of fusion, the melting point, and a knowledge of chemical structures of solute and solvent. The extended Hansen and extended Hildebrand methods need experimental solubility data on which to carry out regression analysis. The extended Hansen approach was the method of second choice because of its adaptability to solutes and solvents from various classes. Sample calculations are included to illustrate methods of predicting solubilities in untested solvents at various temperatures. The UNIFAC method was successful in this regard.

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

    Pramanik, Souvik, E-mail: souvick.in@gmail.com; Ghosh, Subir, E-mail: subir_ghosh2@rediffmail.com; Pal, Probir, E-mail: probirkumarpal@rediffmail.com

    In the present paper, dynamics of generalized charged particles are studied in the presence of external electromagnetic interactions. This particular extension of the free relativistic particle model lives in Non-Commutative κ-Minkowski space–time, compatible with Doubly Special Relativity, that is motivated to describe Quantum Gravity effects. Furthermore we have also considered the electromagnetic field to be dynamical and have derived the modified forms of Lienard–Wiechert like potentials for these extended charged particle models. In all the above cases we exploit the new and extended form of κ-Minkowski algebra where electromagnetic effects are incorporated in the lowest order, in the Dirac frameworkmore » of Hamiltonian constraint analysis.« less

  10. Video-assisted thoracic surgery for left upper lobectomy for complex lesions: how to extend the indication with optimal safety?

    PubMed

    Bayard, Nathanaël Frank; Barnett, Stephen Arthur; Rinieri, Philippe; Melki, Jean; Peillon, Christophe; Baste, Jean Marc

    2016-08-01

    The feasibility of extending the VATS approach to locally advanced NSCLC has been described with good clinical outcome. These complex resections are still technically challenging and patient safety must remain the highest priority. In this article, we describe our routine VATS approach for left upper lobectomy in proximal, locally advanced lesions. Both surgical and anaesthesiology teams are trained during simulation sessions to respond rapidly in case of urgent thoracotomy. Encircling arterial and venous vessels allow control of inadvertent bleeding during difficult dissection. Also, whenever needed the double vessel control technique is a time saver waiting for conversion to thoracotomy.

  11. Superficial Vein Thrombophlebitis in a Football Athlete.

    PubMed

    Schleich, Kevin T; Smoot, M Kyle

    2016-03-01

    A 22-year-old professional football player presented to a preparticipation physical examination with a 2-week history of left leg discomfort extending from the groin to the knee over the previous 2 weeks. He was found to have superficial vein thrombophlebitis (SVT) of the left great saphenous vein extending from the knee to within approximately 1.6 cm of the saphenofemoral junction. There is paucity in the literature regarding the management of SVT, particularly in actively training athletes. This case addresses the considerations of anticoagulation management for SVT as well as the unique challenge of managing anticoagulation therapy in an athlete that is actively training.

  12. Role and rationale for extended periarterial sympathectomy in the management of severe Raynaud syndrome: techniques and results.

    PubMed

    Merritt, Wyndell H

    2015-02-01

    There is no consensus regarding etiology or best surgical technique for severe Raynaud syndrome in patients with connective tissue disease. Observations after 30 years' experience in more than 100 cases led to the conclusion that an extended periarterial sympathectomy (with or without vein-graft reconstruction) and adjunctive use of Botox topically will offer benefits that exceed palliation and reduce recurrent ulcerations. In this article the rationale for this approach is reviewed, techniques and results are outlined, and a hypothesis for the mechanism of Raynaud attacks is offered. Copyright © 2015 Elsevier Inc. All rights reserved.

  13. Efficacy of β-Lactam/β-Lactamase Inhibitor Combinations for the Treatment of Bloodstream Infection Due to Extended-Spectrum-β-Lactamase-Producing Enterobacteriaceae in Hematological Patients with Neutropenia

    PubMed Central

    Royo-Cebrecos, Cristina; Abdala, Edson; Akova, Murat; Álvarez, Rocío; Maestro-de la Calle, Guillermo; Cano, Angela; Cervera, Carlos; Clemente, Wanessa T.; Martín-Dávila, Pilar; Freifeld, Alison; Gómez, Lucía; Gottlieb, Thomas; Gurguí, Mercè; Herrera, Fabián; Manzur, Adriana; Maschmeyer, Georg; Meije, Yolanda; Montejo, Miguel; Peghin, Maddalena; Rodríguez-Baño, Jesús; Ruiz-Camps, Isabel; Sukiennik, Teresa C.; Tebe, Cristian; Carratalà, Jordi

    2017-01-01

    ABSTRACT β-Lactam/β-lactamase inhibitors (BLBLIs) were compared to carbapenems in two cohorts of hematological neutropenic patients with extended-spectrum-β-lactamase (ESBL) bloodstream infection (BSI): the empirical therapy cohort (174 patients) and the definitive therapy cohort (251 patients). The 30-day case fatality rates and other secondary outcomes were similar in the two therapy groups of the two cohorts and also in the propensity-matched cohorts. BLBLIs might be carbapenem-sparing alternatives for the treatment of BSI due to ESBLs in these patients. PMID:28584145

  14. Building validation tools for knowledge-based systems

    NASA Technical Reports Server (NTRS)

    Stachowitz, R. A.; Chang, C. L.; Stock, T. S.; Combs, J. B.

    1987-01-01

    The Expert Systems Validation Associate (EVA), a validation system under development at the Lockheed Artificial Intelligence Center for more than a year, provides a wide range of validation tools to check the correctness, consistency and completeness of a knowledge-based system. A declarative meta-language (higher-order language), is used to create a generic version of EVA to validate applications written in arbitrary expert system shells. The architecture and functionality of EVA are presented. The functionality includes Structure Check, Logic Check, Extended Structure Check (using semantic information), Extended Logic Check, Semantic Check, Omission Check, Rule Refinement, Control Check, Test Case Generation, Error Localization, and Behavior Verification.

  15. Extended mimetic gravity: Hamiltonian analysis and gradient instabilities

    NASA Astrophysics Data System (ADS)

    Takahashi, Kazufumi; Kobayashi, Tsutomu

    2017-11-01

    We propose a novel class of degenerate higher-order scalar-tensor theories as an extension of mimetic gravity. By performing a noninvertible conformal transformation on "seed" scalar-tensor theories which may be nondegenerate, we can generate a large class of theories with at most three physical degrees of freedom. We identify a general seed theory for which this is possible. Cosmological perturbations in these extended mimetic theories are also studied. It is shown that either of tensor or scalar perturbations is plagued with gradient instabilities, except for a special case where the scalar perturbations are presumably strongly coupled, or otherwise there appear ghost instabilities.

  16. Continuum Fatigue Damage Modeling for Use in Life Extending Control

    NASA Technical Reports Server (NTRS)

    Lorenzo, Carl F.

    1994-01-01

    This paper develops a simplified continuum (continuous wrp to time, stress, etc.) fatigue damage model for use in Life Extending Controls (LEC) studies. The work is based on zero mean stress local strain cyclic damage modeling. New nonlinear explicit equation forms of cyclic damage in terms of stress amplitude are derived to facilitate the continuum modeling. Stress based continuum models are derived. Extension to plastic strain-strain rate models are also presented. Application of these models to LEC applications is considered. Progress toward a nonzero mean stress based continuum model is presented. Also, new nonlinear explicit equation forms in terms of stress amplitude are also derived for this case.

  17. Neutron star solutions with curvature induced scalarization in the extended Gauss-Bonnet scalar-tensor theories

    NASA Astrophysics Data System (ADS)

    Doneva, Daniela D.; Yazadjiev, Stoytcho S.

    2018-04-01

    In the present paper we study models of neutron stars in a class of extended scalar-tensor Gauss-Bonnet (ESTGB) theories for which the scalar degree of freedom is exited only in the strong curvature regime. We show that in the framework of the ESTGB theories under consideration there exist new neutron star solutions which are formed via spontaneous scalarization of the general relativistic neutron stars. In contrast to the spontaneous scalarization in the standard scalar-tensor theories which is induced by the presence of matter, in our case the scalarization is induced by the spacetime curvature.

  18. Computational metrology: enabling full-lot high-density fingerprint information without adding wafer metrology budget, and driving improved monitoring and process control

    NASA Astrophysics Data System (ADS)

    Kim, Hyun-Sok; Hyun, Min-Sung; Ju, Jae-Wuk; Kim, Young-Sik; Lambregts, Cees; van Rhee, Peter; Kim, Johan; McNamara, Elliott; Tel, Wim; Böcker, Paul; Oh, Nang-Lyeom; Lee, Jun-Hyung

    2018-03-01

    Computational metrology has been proposed as the way forward to resolve the need for increased metrology density, resulting from extending correction capabilities, without adding actual metrology budget. By exploiting TWINSCAN based metrology information, dense overlay fingerprints for every wafer can be computed. This extended metrology dataset enables new use cases, such as monitoring and control based on fingerprints for every wafer of the lot. This paper gives a detailed description, discusses the accuracy of the fingerprints computed, and will show results obtained in a DRAM HVM manufacturing environment. Also an outlook for improvements and extensions will be shared.

  19. Contact mechanics for coated spheres that includes the transition from weak to strong adhesion

    DOE PAGES

    Reedy, Earl David

    2007-09-01

    Recently published results for a rigid spherical indenter contacting a thin, linear elastic coating on a rigid planar substrate have been extended to include the case of two contacting spheres, where each sphere is rigid and coated with a thin, linear elastic material. This is done by using an appropriately chosen effective radius and coating modulus. Finally, the earlier work has also been extended to provide analytical results that span the transition between the previously derived Derjaguin–Müller–Toporov (DMT)-like (work of adhesion/coating-modulus ratio is small) and Johnson–Kendall–Roberts (JKR)-like (work of adhesion/coating-modulus ratio is large) limits.

  20. Hamilton-Jacobi-Bellman equations and approximate dynamic programming on time scales.

    PubMed

    Seiffertt, John; Sanyal, Suman; Wunsch, Donald C

    2008-08-01

    The time scales calculus is a key emerging area of mathematics due to its potential use in a wide variety of multidisciplinary applications. We extend this calculus to approximate dynamic programming (ADP). The core backward induction algorithm of dynamic programming is extended from its traditional discrete case to all isolated time scales. Hamilton-Jacobi-Bellman equations, the solution of which is the fundamental problem in the field of dynamic programming, are motivated and proven on time scales. By drawing together the calculus of time scales and the applied area of stochastic control via ADP, we have connected two major fields of research.

  1. Quantitative Reasoning and the Sine Function: The Case of Zac

    ERIC Educational Resources Information Center

    Moore, Kevin C.

    2014-01-01

    A growing body of literature has identified quantitative and covariational reasoning as critical for secondary and undergraduate student learning, particularly for topics that require students to make sense of relationships between quantities. The present study extends this body of literature by characterizing an undergraduate precalculus…

  2. Reassessment of hypnotic symptom removal by Freud and Bernheim.

    PubMed

    Ball, Thomas S

    2006-10-01

    As demonstrations of clinical efficacy, cases reported by Freud and Bernheim reveal an intrinsic advantage of hypnotic symptom removal over therapies requiring extended periods to achieve significant outcomes. They also lend support to Weitzenhoffer's survey of therapeutic results achieved during the classical (pre-1900) period.

  3. 75 FR 80374 - Mine Safety Disclosure

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-22

    ... cases deal with civil penalties proposed by MSHA to be assessed against mine operators and address... the same disclosure requirements as those proposed for issuers that are not foreign private issuers... implementing the requirements of the Act and, therefore, do not extend to foreign mines, to the extent mine...

  4. 38 CFR 21.198 - “Discontinued” status.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... personal or other problems; or (ii) Inability of the veteran to benefit from rehabilitation services... of entitlement. (4) Medical and related problems. A veteran's case will be discontinued and assigned... program because of a serious physical or emotional problem for an extended period; and (ii) VA medical...

  5. 38 CFR 21.198 - “Discontinued” status.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... personal or other problems; or (ii) Inability of the veteran to benefit from rehabilitation services... of entitlement. (4) Medical and related problems. A veteran's case will be discontinued and assigned... program because of a serious physical or emotional problem for an extended period; and (ii) VA medical...

  6. A Feminist Posthumanist Ecopedagogy in/for/with AnimalScapes

    ERIC Educational Resources Information Center

    Lloro-Bidart, Teresa

    2018-01-01

    Extending and challenging Arun Appadurai's anthropocentric "scapes," this article converses with feminist posthumanism, ecofeminism, and the political ecology of education to develop a more-than-human ecopedagogy in/for/with animalScapes. After outlining the article's theoretical framework, I briefly discuss the research cases informing…

  7. The Multimodal Writing Process: Changing Practices in Contemporary Classrooms

    ERIC Educational Resources Information Center

    Edwards-Groves, Christine Joy

    2011-01-01

    This paper presents research exploring "writing and text construction" practices in contemporary primary classrooms. In particular, the ways 17 teachers and their students engaged with technologies in the construction of classroom texts were investigated. The case studies presented prompt the necessity to extend more traditional…

  8. Vehicle Guidance and Control Along Circular Trajectories

    DTIC Science & Technology

    1992-09-01

    the line of sight, while Chism [2] studied a cross track error based control law. Hawkinson [3] extended the results to the multiple input case when...Thesis, Naval Postgraduate School, Monterey, California, June. 2. Chism , S., (1990) "Robust path tracking of autonomous underwater vehicles using sliding

  9. Capitalism and Culture in Ibadan Urban Development.

    ERIC Educational Resources Information Center

    Aronson, Dan R.

    1978-01-01

    An extended case analysis of a 1973 single land sale in the Yoruba city of Ibadan illustrates the role of Yoruba cultural patterns in Nigerian capitalist growth. This analysis also provides insight into the nature of the social relationships being established in the urbanization of Ibadan. (EB)

  10. A Global Electric Circuit on Mars

    NASA Technical Reports Server (NTRS)

    Delory, G. T.; Farrell, W. M.; Desch, M. D.

    2001-01-01

    We describe conditions on the surface of Mars conducive to the formation of a martian global electric circuit, in a direct analogy to the terrestrial case where atmospheric currents and electric fields are generated worldwide through the charging in thunderstorms. Additional information is contained in the original extended abstract.

  11. Entitled to What? Public Policy and the Responsibilities of Early Intervention.

    ERIC Educational Resources Information Center

    Brown, Wesley; Conroy, Maureen

    1999-01-01

    Examines early-intervention entitlements currently extended by all states. Perspectives from the legislative process, federal and state implementation, judicial interpretation, and professional views are included. Distinctions among the key provisions for differing early intervention service systems are presented, legal cases are reviewed, and…

  12. Paraneoplastic Neuromyelitis Optica Spectrum Disorder Associated With Metastatic Carcinoid Expressing Aquaporin-4

    PubMed Central

    Figueroa, Michelle; Guo, Yong; Tselis, Alexandros; Pittock, Sean J.; Lennon, Vanda A.; Lucchinetti, Claudia F.; Lisak, Robert P.

    2014-01-01

    IMPORTANCE Reports of neuromyelitis optica spectrum disorder (NMOSD) occurring in the setting of neoplasia suggest that aquaporin-4 autoimmunitymay in some cases have a paraneoplastic basis. OBSERVATIONS In this case report, we describe a patient with NMOSD whose test results were seropositive for aquaporin-4 IgG and who had a hepatic metastasis from a small-bowel neuroendocrine tumor. The tumor cells expressed aquaporin-4 immunoreactivity. She presented to the Neurology Department at Wayne State University with bilateral leg weakness, ascending paresthesias, and decreased sensation. CONCLUSIONS AND RELEVANCE This case extends the context of NMOSD as a paraneoplastic disorder. PMID:24733266

  13. Model Based Analysis and Test Generation for Flight Software

    NASA Technical Reports Server (NTRS)

    Pasareanu, Corina S.; Schumann, Johann M.; Mehlitz, Peter C.; Lowry, Mike R.; Karsai, Gabor; Nine, Harmon; Neema, Sandeep

    2009-01-01

    We describe a framework for model-based analysis and test case generation in the context of a heterogeneous model-based development paradigm that uses and combines Math- Works and UML 2.0 models and the associated code generation tools. This paradigm poses novel challenges to analysis and test case generation that, to the best of our knowledge, have not been addressed before. The framework is based on a common intermediate representation for different modeling formalisms and leverages and extends model checking and symbolic execution tools for model analysis and test case generation, respectively. We discuss the application of our framework to software models for a NASA flight mission.

  14. Assurance Cases for Proofs as Evidence

    NASA Technical Reports Server (NTRS)

    Chaki, Sagar; Gurfinkel, Arie; Wallnau, Kurt; Weinstock, Charles

    2009-01-01

    Proof-carrying code (PCC) provides a 'gold standard' for establishing formal and objective confidence in program behavior. However, in order to extend the benefits of PCC - and other formal certification techniques - to realistic systems, we must establish the correspondence of a mathematical proof of a program's semantics and its actual behavior. In this paper, we argue that assurance cases are an effective means of establishing such a correspondence. To this end, we present an assurance case pattern for arguing that a proof is free from various proof hazards. We also instantiate this pattern for a proof-based mechanism to provide evidence about a generic medical device software.

  15. Impact of Extended-Duration Shifts on Medical Errors, Adverse Events, and Attentional Failures

    PubMed Central

    Barger, Laura K; Ayas, Najib T; Cade, Brian E; Cronin, John W; Rosner, Bernard; Speizer, Frank E; Czeisler, Charles A

    2006-01-01

    Background A recent randomized controlled trial in critical-care units revealed that the elimination of extended-duration work shifts (≥24 h) reduces the rates of significant medical errors and polysomnographically recorded attentional failures. This raised the concern that the extended-duration shifts commonly worked by interns may contribute to the risk of medical errors being made, and perhaps to the risk of adverse events more generally. Our current study assessed whether extended-duration shifts worked by interns are associated with significant medical errors, adverse events, and attentional failures in a diverse population of interns across the United States. Methods and Findings We conducted a Web-based survey, across the United States, in which 2,737 residents in their first postgraduate year (interns) completed 17,003 monthly reports. The association between the number of extended-duration shifts worked in the month and the reporting of significant medical errors, preventable adverse events, and attentional failures was assessed using a case-crossover analysis in which each intern acted as his/her own control. Compared to months in which no extended-duration shifts were worked, during months in which between one and four extended-duration shifts and five or more extended-duration shifts were worked, the odds ratios of reporting at least one fatigue-related significant medical error were 3.5 (95% confidence interval [CI], 3.3–3.7) and 7.5 (95% CI, 7.2–7.8), respectively. The respective odds ratios for fatigue-related preventable adverse events, 8.7 (95% CI, 3.4–22) and 7.0 (95% CI, 4.3–11), were also increased. Interns working five or more extended-duration shifts per month reported more attentional failures during lectures, rounds, and clinical activities, including surgery and reported 300% more fatigue-related preventable adverse events resulting in a fatality. Conclusions In our survey, extended-duration work shifts were associated with an increased risk of significant medical errors, adverse events, and attentional failures in interns across the United States. These results have important public policy implications for postgraduate medical education. PMID:17194188

  16. Adsorption and flocculation by polymers and polymer mixtures.

    PubMed

    Gregory, John; Barany, Sandor

    2011-11-14

    Polymers of various types are in widespread use as flocculants in several industries. In most cases, polymer adsorption is an essential prerequisite for flocculation and kinetic aspects are very important. The rates of polymer adsorption and of re-conformation (relaxation) of adsorbed chains are key factors that influence the performance of flocculants and their mode of action. Polyelectrolytes often tend to adopt a rather flat adsorbed configuration and in this state their action is mainly through charge effects, including 'electrostatic patch' attraction. When the relaxation rate is quite low, particle collisions may occur while the adsorbed chains are still in an extended state and flocculation by polymer bridging may occur. These effects are now well understood and supported by much experimental evidence. In recent years there has been considerable interest in the use of multi-component flocculants, especially dual-polymer systems. In the latter case, there can be significant advantages over the use of single polymers. Despite some complications, there is a broad understanding of the action of dual polymer systems. In many cases the sequence of addition of the polymers is important and the pre-adsorbed polymer can have two important effects: providing adsorption sites for the second polymer or causing a more extended adsorbed conformation as a result of 'site blocking'. Copyright © 2011 Elsevier B.V. All rights reserved.

  17. The Postauricular Helix-based Adipodermal-pedicle Turnover (PHAT) Flap: An Original Single-Stage Technique for Antihelix and Scapha Reconstruction.

    PubMed

    Beustes-Stefanelli, Matthieu; O'Toole, Greg; Schertenleib, Pierre

    2016-01-01

    In reconstructing anterior defects of the ear, postauricular flaps represent a popular option. The pedicle of such transauricular flaps can be superior, inferior, medial, or lateral. The postauricular helix-based adipodermal-pedicle turnover (PHAT) flap is an original single-stage transauricular technique for defects of the antihelix and scapha. Its skin paddle is on the posterior aspect of the ear. Its lateral de-epithelialized pedicle in front of the helix allows for it to easily reach peripheral anterior defects. In cases in which the underlying cartilage is involved, the extended PHAT (ePHAT) flap allows for restoring the contours of the ear without a cartilage graft. Between 2009 and 2011, a PHAT flap was used in 5 cases of defects of the antihelix or the scapha after tumor resection, 3 of which are in an extended version (ePHAT flap). There were no complications and a satisfactory aesthetic result was achieved in all cases. The PHAT flap is an original single-stage procedure for anterior auricular defects located on the antihelix or scapha. The single-layer PHAT flap is indicated in purely skin defect. The triple-layer ePHAT flap includes two subcutaneous extensions which increase its thickness and is indicated to restore the ear contours when cartilage has been removed.

  18. In vivo imaging of superficial femoral artery (SFA) stents for deformation analysis

    NASA Astrophysics Data System (ADS)

    Ganguly, A.; Schneider, A.; Keck, B.; Bennett, N. R.; Fahrig, R.

    2008-03-01

    A high-resolution (198 μm) C-arm CT imaging system (Axiom Artis dTA, Siemens Medical Solutions, Forchheim, Germany) was optimized for imaging superficial femoral artery (SFA) stents in humans. The SFA is susceptible to the development of atherosclerotic lesions. These are typically treated with angioplasty and stent deployment. However, these stents can have a fracture rate as high as 35%. Fracture is usually accompanied by restenosis and reocclusion. The exact cause of breakage is unknown and is hypothesized to result from deforming forces due to hip and knee flexion. Imaging was performed with the leg placed in both straight and bent positions. Projection images obtained during 20 s scans with ~200° of rotation of the C-arm were back-projected to obtain 3D volumes. Using a semi-automatic software algorithm developed in-house, the stent centerlines were found and ellipses were fitted to the slice normals. Image quality was adequate for calculations in 11/13 subjects. Bending the leg was found to shorten the stents in 10/11 cases with the maximum change being 9% (12 mm in a 133 mm stent), and extend the stent in one case by 1.6%. The maximum eccentricity change was 36% with a bend angle of 72° in a case where the stent extended behind the knee.

  19. Monolithic ballasted penetrator

    DOEpatents

    Hickerson, Jr., James P.; Zanner, Frank J.; Baldwin, Michael D.; Maguire, Michael C.

    2001-01-01

    The present invention is a monolithic ballasted penetrator capable of delivering a working payload to a hardened target, such as reinforced concrete. The invention includes a ballast made from a dense heavy material insert and a monolithic case extending along an axis and consisting of a high-strength steel alloy. The case includes a nose end containing a hollow portion in which the ballast is nearly completely surrounded so that no movement of the ballast relative to the case is possible during impact with a hard target. The case is cast around the ballast, joining the two parts together. The ballast may contain concentric grooves or protrusions that improve joint strength between the case and ballast. The case further includes a second hollow portion; between the ballast and base, which has a payload fastened within this portion. The penetrator can be used to carry instrumentation to measure the geologic character of the earth, or properties of arctic ice, as they pass through it.

  20. Measles Outbreak with Unique Virus Genotyping, Ontario, Canada, 2015.

    PubMed

    Thomas, Shari; Hiebert, Joanne; Gubbay, Jonathan B; Gournis, Effie; Sharron, Jennifer; Severini, Alberto; Jiaravuthisan, Manisa; Shane, Amanda; Jaeger, Valerie; Crowcroft, Natasha S; Fediurek, Jill; Sander, Beate; Mazzulli, Tony; Schulz, Helene; Deeks, Shelley L

    2017-07-01

    The province of Ontario continues to experience measles virus transmissions despite the elimination of measles in Canada. We describe an unusual outbreak of measles in Ontario, Canada, in early 2015 that involved cases with a unique strain of virus and no known association among primary case-patients. A total of 18 cases of measles were reported from 4 public health units during the outbreak period (January 25-March 23, 2015); none of these cases occurred in persons who had recently traveled. Despite enhancements to case-patient interview methods and epidemiologic analyses, a source patient was not identified. However, the molecular epidemiologic analysis, which included extended sequencing, strongly suggested that all cases derived from a single importation of measles virus genotype D4. The use of timely genotype sequencing, rigorous epidemiologic investigation, and a better understanding of the gaps in surveillance are needed to maintain Ontario's measles elimination status.

  1. Intestinal toxemia botulism in 3 adults, Ontario, Canada, 2006-2008.

    PubMed

    Sheppard, Yolanda D; Middleton, Dean; Whitfield, Yvonne; Tyndel, Felix; Haider, Shariq; Spiegelman, Jamie; Swartz, Richard H; Nelder, Mark P; Baker, Stacey L; Landry, Lisa; Maceachern, Ross; Deamond, Sherri; Ross, Lorrie; Peters, Garth; Baird, Michelle; Rose, David; Sanders, Greg; Austin, John W

    2012-01-01

    Five cases of intestinal toxemia botulism in adults were identified within an 18-month period in or near Toronto, Ontario, Canada. We describe findings for 3 of the 5 case-patients. Clinical samples contained Clostridium botulinum spores and botulinum neurotoxins (types A and B) for extended periods (range 41-61 days), indicative of intestinal toxemia botulism. Patients' clinical signs improved with supportive care and administration of botulinum antitoxin. Peanut butter from the residence of 1 case-patient yielded C. botulinum type A, which corresponded with type A spores found in the patient's feces. The food and clinical isolates from this case-patient could not be distinguished by pulsed-field gel electrophoresis. Two of the case-patients had Crohn disease and had undergone previous bowel surgery, which may have contributed to infection with C. botulinum. These cases reinforce the view that an underlying gastrointestinal condition is a risk factor for adult intestinal toxemia botulism.

  2. Draugen HSE-case - occupational health risk management

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

    Glas, J.J.P.; Kjaer, E.

    1996-12-31

    The Draugen HSE-Case serves as a risk management tool. Originally, risk management included only major safety hazards to personnel, environment and assets. Work Environment risks such as ergonomics, psycho-social factors and exposure to chemicals and noise, was not given the same attention. The Draugen HSE-Case addresses this weakness and extends all work environment risks. In order to promote line responsibility and commitment, relevant personnel is involved in the Case development. {open_quotes}THESIS{degrees}, a software application, is used to systematize input and to generate reports. The Draugen HSE-case encompasses: HSE risk analyses related to specific activities; Control of risk related to workmore » environment; Established tolerability criteria; Risk reducing measures; Emergency contingency measures; and Requirements for Competence and Follow-up. The development of Draugen HSE-Case is a continuous process. It will serve to minimize the potential of occupational illnesses, raise general awareness, and make occupational health management more cost-effective.« less

  3. Navigating the Risky Terrain of Children's Working Theories

    ERIC Educational Resources Information Center

    Areljung, Sofie; Kelly-Ware, Janette

    2017-01-01

    "Working theories" encompass children's theorising about the social and material worlds. This article looks explicitly at power relations involved in pedagogy around children's working theories by focusing on the teacher's control of what and whose working theories get unpacked and extended. From an analysis of four cases from early…

  4. Language and thought in Bilinguals: The Case of Grammatical Number and Nonverbal Classification Preferences

    ERIC Educational Resources Information Center

    Athanasopoulos, Panos; Kasai, Chise

    2008-01-01

    Recent research shows that speakers of languages with obligatory plural marking (English) preferentially categorize objects based on common shape, whereas speakers of nonplural-marking classifier languages (Yucatec and Japanese) preferentially categorize objects based on common material. The current study extends that investigation to the domain…

  5. Extending Current Theories of Cross-Boundary Information Sharing and Integration: A Case Study of Taiwan e-Government

    ERIC Educational Resources Information Center

    Yang, Tung-Mou

    2011-01-01

    Information sharing and integration has long been considered an important approach for increasing organizational efficiency and performance. With advancements in information and communication technologies, sharing and integrating information across organizations becomes more attractive and practical to organizations. However, achieving…

  6. Problem-Solving Exercises and Evolution Teaching

    ERIC Educational Resources Information Center

    Angseesing, J. P. A.

    1978-01-01

    It is suggested that the work of Kammerer provides suitable material, in the form of case studies on which to base discussions of Lamarckism versus Darwinism. A set of structured problems is described as an example of possible problem-solving exercises, and further experiments to extend Kammerer's work are outlined. (Author/MA)

  7. Searching for Excellence in FE Colleges.

    ERIC Educational Resources Information Center

    Hughes, Maria; Smeaton, Barry

    The factors responsible for the atypical success experienced by some English further education (FE) colleges were examined through case studies of eight FE colleges that have managed to extend their high-quality vocational education and training (VET) provision in recent years. The 8 colleges were selected from only 56 identified as having…

  8. 99aa/99ac data sets

    Science.gov Websites

    using five different instruments, extending from day -11 to day +58 (in this archive all phases are expressed with respect to B-band maximum). In most cases, the spectra were acquired using different . The supernova spectrum was extracted using the variance weighted optimal aperture extraction method

  9. Existence of the Stark-Wannier quantum resonances

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

    Sacchetti, Andrea, E-mail: andrea.sacchetti@unimore.it

    2014-12-15

    In this paper, we prove the existence of the Stark-Wannier quantum resonances for one-dimensional Schrödinger operators with smooth periodic potential and small external homogeneous electric field. Such a result extends the existence result previously obtained in the case of periodic potentials with a finite number of open gaps.

  10. Culturally Relevant Education: Extending the Conversation to Religious Diversity

    ERIC Educational Resources Information Center

    Aronson, Brittany; Amatullah, Tasneem; Laughter, Judson

    2016-01-01

    Culturally relevant education represents a wide collection of pedagogies of opposition to social injustice and holds a commitment to collective empowerment and social justice. By using culturally relevant education as a framework, we make the case to include religious diversity as a part of culturally relevant education intentionally. We believe…

  11. Dictionary Making: A Case of Kiswahili Dictionaries.

    ERIC Educational Resources Information Center

    Mohamed, Mohamed A.

    Two Swahili dictionaries and two bilingual dictionaries by the same author (one English-Swahili and one Swahili-English) are evaluated for their form and content, with illustrations offered from each. Aspects examined include: the compilation of headwords, including their meanings with relation to basic and extended meanings; treatment of…

  12. Faith-Based Versus Fact-Based Social Policy: The Case of Teenage Pregnancy Prevention

    ERIC Educational Resources Information Center

    Marx, Jerry D.; Hopper, Fleur

    2005-01-01

    The Clinton administration's 1996 welfare reform legislation contained a "charitable choice" clause, a provision that encourages states to increase the involvement of religious organizations in federal programs such as Temporary Assistance to Needy Families. The administration of George W. Bush has intensified and extended this policy…

  13. Lone Geniuses in Popular Science: The Devaluation of Scientific Consensus

    ERIC Educational Resources Information Center

    Charney, Davida

    2003-01-01

    Popular accounts of scientific discoveries diverge from scholarly accounts, stripping off hedges and promoting short-term social consequences. This case study illustrates how the "horse-race" framing of popular accounts devalues the collective sharing, challenging, and extending of scientific work. In her best-selling "Longitude," Dava Sobel…

  14. The Big Picture of Advocacy: Counselor, Heal Society and Thyself

    ERIC Educational Resources Information Center

    Roysircar, Gargi

    2009-01-01

    This article, motivational in purpose, encourages counselors to be engaged in the growing movement for social justice advocacy in counseling. Analyses of a macrolevel framework of advocacy extend to microlevel operations of recruitment, sociopolitical education, diversity management, and self-care of counselor-advocates. Case studies and exemplars…

  15. Blurring Boundaries and Changing University Staff: The Case of the University of Hong Kong

    ERIC Educational Resources Information Center

    Takagi, Kohei

    2015-01-01

    In the changing higher education environment, universities increasingly engage in areas outside the traditional teaching and research missions. The new missions extend over wide yet specialized areas, such as technological advancement, internationalization, entrepreneurship, and enhancement of teaching and learning. To effectively handle these…

  16. [A hospital stay without bedsores].

    PubMed

    Papas, Anne; Dérémience, Virginie; Tettiravou, Lucia; De Poix, Alix Tyrel

    2013-10-01

    A hospital stay without bedsores. The skin of elderly people is thin and fragile. After extended bed-rest, the skin's resources are rapidly depleted. The risk of bedsores becomes imminent. But a high-quality multi-disciplinary partnership can prevent bedsores in elderly patients with multiple illnesses. Example around a clinical case.

  17. Cyber Power Potential of the Army’s Reserve Component

    DTIC Science & Technology

    2017-01-01

    and could extend logically to include electric power, water, food, railway, gas pipelines , and so forth. One consideration to note is that in cases...29 CHAPTER FOUR Army Reserve Component Cyber Inventory Analysis .......................... 31...Background and Analytical Framework ........................................................... 31 Army Reserve Component Cyber Inventory Analysis , 2015

  18. Uterine injuries complicating hypertonic saline abortion

    PubMed Central

    Willems, J. J.

    1974-01-01

    Two cases of uterine injury complicating midtrimester abortion induced by hypertonic saline are described, one with an extensive laceration of the cervix and the other with a rupture of the lower uterine segment extending into the vault of the vagina. The etiology, diagnosis and possible obstetric sequelae are discussed. PMID:4434292

  19. The Case for Expanding Standards for Teacher Evaluation to Include an Instructional Supervision Perspective

    ERIC Educational Resources Information Center

    Holland, Patricia

    2005-01-01

    Despite the concerns of scholars in the field of instructional supervision, teacher evaluations continue to emphasize bureaucratic accountability and standardization. This article presents an argument for extending the Joint Committee on Standards' Personnel Evaluation Standards to include standards related to the practice of supervision. The…

  20. Factors Promoting Engaged Exploration with Computer Simulations

    ERIC Educational Resources Information Center

    Podolefsky, Noah S.; Perkins, Katherine K.; Adams, Wendy K.

    2010-01-01

    This paper extends prior research on student use of computer simulations (sims) to engage with and explore science topics, in this case wave interference. We describe engaged exploration; a process that involves students actively interacting with educational materials, sense making, and exploring primarily via their own questioning. We analyze…

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