Author Steven Johnson, How We Got to Now, Innovative Initiatives workshop, Innovative Technology Partnerships Office (IPTO)

NASA Image and Video Library

2017-12-08

NASA's Goddard Space Flight Center welcomed Steven Johnson, author of How We Got to Now: Six Innovations That Made the Modern World, to the Innovative Initiatives workshop on Thursday, November 13, 2014 Credit: NASA/Goddard/Bill Hrybyk NASA image use policy. NASA Goddard Space Flight Center enables NASA’s mission through four scientific endeavors: Earth Science, Heliophysics, Solar System Exploration, and Astrophysics. Goddard plays a leading role in NASA’s accomplishments by contributing compelling scientific knowledge to advance the Agency’s mission. Follow us on Twitter Like us on Facebook Find us on Instagram

High Level Human Herpesvirus-6 Viremia Associated with onset of Stevens-Johnson Syndrome: Report of 2 Cases

PubMed Central

Peppercorn, Amanda F.; Miller, Melissa B.; Fitzgerald, David; Weber, David J.; Groben, Pamela A.; Cairns, Bruce A.

2015-01-01

The pathogenesis of Stevens Johnson Syndrome (SJS) remains obscure but it has been associated with various infectious agents, including members of the Herpes virus family. We present the first report of high level human herpesvirus-6 (HHV-6) viremia at the onset of SJS suggesting a possible new association. This finding supports the need for further investigation into the possible relationship between HHV-6 and SJS which may illuminate the pathogenesis of SJS and bring us closer to achieving enhanced prevention and treatment of this rare disease. PMID:20182379

Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis and Treatment With a Biologic: A Case Report.

PubMed

Chong, Ian; Chao, Alice

2017-01-01

One of the most dangerous dermatologic emergencies is Stevens-Johnson Syndrome (SJS)/toxic epidermal necrolysis (TEN). Although a rare disease, it can often lead to significant mortality. In this case report, we present a 77-year-old man who developed a sloughing rash that was secondary to a nonsteroidal anti-inflammatory drug. In addition to the recommended supportive care, the patient was treated with etanercept, a new, less commonly used intervention. We provide a brief review of SJS/TEN. Nonsteroidal anti-inflammatory drugs are a rare cause of SJS/TEN, and additionally, the use of biologics is a novel treatment modality for SJS/TEN.

Systemic lupus erythematosus presenting as Stevens-Johnson syndrome/toxic epidermal necrolysis.

PubMed

Baker, Mary Grace; Cresce, Nicole D; Ameri, Mariam; Martin, Adam A; Patterson, James W; Kimpel, Donald L

2014-04-01

Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN)-like lesions in acute cutaneous lupus erythematosus [LE]) are an unusual manifestation of systemic LE. We describe a patient with widespread vesiculobullous lesions diagnosed as SJS/TEN-like acute cutaneous LE as the initial presentation of systemic LE. Stevens-Johnson syndrome/TEN-like LE may be differentiated from other vesiculobullous lesions by factors including a history of recent LE exacerbation, photodistribution of lesions, lack of a precipitating infection or medication exposure, minimal mucosal involvement, a prolonged course, response steroid treatment, and histologic and immunofluorescence findings. It is paramount to identify SJS/TEN-like LE as this condition requires early and aggressive intervention. The optimal treatment approach for SJS/TEN-like LE is unclear, and although some case reports have shown glucocorticoids to be useful, there are also reports of cases in which additional measures, such as intravenous immunoglobulin and plasmapheresis, were required to achieve a response. Our patient's condition was refractory to high-dose corticosteroids and intravenous immunoglobulin but was successfully treated using plasma exchange. As such, this treatment may hold potential for improving the care of other patients with refractory SJS/TEN-like LE.

Network Centric Warfare and the Changing Role of the Signal Corps

DTIC Science & Technology

2004-03-19

Internet; accessed 8 November 2003, A1-A2. 26 Steven R. Covey, 7 Habits of Highly Effective People , (New York, NY: Simon and Schuster, 1989), 98. 27...Methods, ed. Douglas V. Johnson “n.p.”, 2000. Covey, Steven R. 7 Habits of Highly Effective People . New York, NY: Simon and Schuster, 1989. French

Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis and Treatment With a Biologic: A Case Report

PubMed Central

Chong, Ian; Chao, Alice

2017-01-01

Introduction One of the most dangerous dermatologic emergencies is Stevens-Johnson Syndrome (SJS)/toxic epidermal necrolysis (TEN). Although a rare disease, it can often lead to significant mortality. Case Presentation In this case report, we present a 77-year-old man who developed a sloughing rash that was secondary to a nonsteroidal anti-inflammatory drug. In addition to the recommended supportive care, the patient was treated with etanercept, a new, less commonly used intervention. Discussion We provide a brief review of SJS/TEN. Nonsteroidal anti-inflammatory drugs are a rare cause of SJS/TEN, and additionally, the use of biologics is a novel treatment modality for SJS/TEN. PMID:28488978

Stevens-Johnson syndrome in childhood.

PubMed

Blanco, N; Gutiérrez, B; Valls, I; Puertas, D; Martín, C; Rivera, M; Hernández, Á; Torrelo, A

2017-05-01

Stevens-Johnson syndrome and toxic epidermal necrolysis are two serious immune diseases within the context of bullous mucocutaneous syndrome. These have varying degrees of involvement of the skin and usually at least two mucous membranes. Three clinical cases are presented, two of them with significant ophthalmological sequelae, who had received drug treatment as a possible trigger, and another milder clinical case caused by Mycoplasma pneumoniae. The ophthalmologist plays a crucial role in the outcome and eye care of the patient in order to try to avoid the appearance of sequelae and subsequent loss of vision. Copyright © 2016 Sociedad Española de Oftalmología. Publicado por Elsevier España, S.L.U. All rights reserved.

The DTIC Review: Volume 2. Number 2, Future Directions - Preparing for the 21st Century

DTIC Science & Technology

1996-07-01

Steven Metz William T. Johnsen Douglas V. Johnson 11 James 0. Klevit Douglas C. Lovelace, Jr. 4 U.S. Army War College THE ARMY AFTER NEXT PROJECT An Army...NUMBERS The Future of American Landpower: I Strategic Challenges for the 21st Century Army (I) 6. AUTHOR(S) Steven Metz; William T. Johnsen; Douglas V...Nexus. STEVEN METZ is the Henry L. Stimson Professor of Military Studies at the U.S. Army War College. He has been with the Strategic Studies Institute

Autoimmune Progesterone Dermatitis Presenting as Stevens-Johnson Syndrome.

PubMed

Drayer, Sara M; Laufer, Larry R; Farrell, Maureen E

2017-10-01

Autoimmune progesterone dermatitis is an uncommon disease presenting with cyclical skin eruptions corresponding with the menstrual cycle luteal phase. Because symptoms are precipitated by rising progesterone levels, treatment relies on hormone suppression. A 22-year-old nulligravid woman presented with symptoms mistaken for Stevens-Johnson syndrome. A cyclic recurrence of her symptoms was noted, and the diagnosis of autoimmune progesterone dermatitis was made by an intradermal progesterone challenge. After 48 months, she remained refractory to medical management and definitive surgical treatment with bilateral oophorectomy was performed. Autoimmune progesterone dermatitis is a challenging diagnosis owing to its rarity and variety of clinical presentations. Treatment centers on suppression of endogenous progesterone and avoidance of exogenous triggers. When these modalities fail, surgical management must be undertaken.

Erythema multiforme

MedlinePlus

French LE, Prins C. Erythema multiforme, Stevens-Johnson syndrome and toxic epidermal necrolysis. In: Bolognia JL, Jorizzo JL, Schaffer JV, eds. Dermatology . 3rd ed. Philadelphia, PA: Elsevier Saunders; 2012:chap 20. ...

Use of Cross-linked Donor Corneas as Carriers for the Boston Keratoprosthesis

ClinicalTrials.gov

2017-09-14

Chemical Injuries; Unspecified Complication of Corneal Transplant; Autoimmune Diseases; Ocular Cicatricial Pemphigoid; Stevens Johnson Syndrome; Lupus Erythematosus, Systemic; Rheumatoid Arthritis; Other Autoimmune Diseases

Severe Cutaneous Drug Reactions: Do Overlapping Forms Exist?

PubMed

Horcajada-Reales, C; Pulido-Pérez, A; Suárez-Fernández, R

2016-01-01

Acute generalized exanthematous pustulosis, Stevens-Johnson syndrome, toxic epidermal necrolysis, and drug reaction with eosinophilia and systemic symptoms are all severe hypersensitivity reactions to medications. While each of these reactions is a well-established entity with specific diagnostic criteria, clinicians see cases that fulfill criteria for more than one form, prompting discussion on the possibility of combined forms. Such overlapping clinical pictures meeting the criteria for 2 conditions have thus become a topic of debate in dermatology in recent years. We describe 2 patients with cutaneous drug reactions having the characteristics of both acute generalized exanthematous pustulosis and Stevens-Johnson syndrome -toxic epidermal necrolysis. We also review previously published cases and current thinking on such overlapping conditions. Copyright © 2015 Elsevier España, S.L.U. and AEDV. All rights reserved.

Strategic Stability Through the Strategic Defense Initiative

DTIC Science & Technology

1989-03-09

Alliance, pp. 35-36. 23. Ibid. 24. Ibid., p. 37. 25. Steven P. Adragna , On Guard for Victory: Military Doctrine and Ballistic Missile Defense in the USSR...their fundamental policy of survival of the motherland. ENDNOTES 1. Steven P. Adragna , On Guard for Victory: Military Doctrine and Ballistic Missile...Approach to Nuclear Arms Control," Survival, Nov/Dee 1987, p. 494. 5. Adragna , p. 59. 6. Rivkin, p. 495. 7. Johnson, p. 184. 8. Senator Malcomb Wallop

Management of Stevens-Johnson Syndrome-Toxic Epidermal Necrolysis: Looking Beyond Guidelines!

PubMed Central

Kumar, Rajesh; Das, Anupam; Das, Sudip

2018-01-01

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe cutaneous adverse reactions, which are mainly caused by drugs; and these are usually associated with high degree of morbidity and mortality. Recently, two detailed guidelines were published on the management of SJS/TEN, Indian guidelines and UK guidelines. Still, there is no consensus on the management of SJS/TEN. In this article, our aim is to conceptualize the management aspect of SJS/TEN considering Indian setup. Early discontinuation of all medicines, supportive measures (hydration, electrolytes, and care of denuded skin), corticosteroids and cyclosporine has been found to be useful. Oral provocation test is reserved for patients, who undergo complete remission and this is to be done after hospitalization, under strict vigilance. As there is no consensus, the treatment should be individualized on case to case basis. PMID:29692452

Infliximab after Boston Keratoprosthesis in Stevens-Johnson Syndrome: An Update.

PubMed

Robert, Marie-Claude; Črnej, Alja; Shen, Lucy Q; Papaliodis, George N; Dana, Reza; Foster, C Stephen; Chodosh, James; Dohlman, Claes H

2017-06-01

To report our experience using intravenous infliximab for the treatment of tissue melt after Boston keratoprosthesis (B-KPro) types I and II in patients with autoimmune disease. Case series. We identified four patients who were treated with intravenous infliximab in the context of tissue melt after B-KPro. Stevens-Johnson syndrome-associated corneal blindness was the primary surgical indication for B-KPro implantation in all patients. Two patients received a B-KPro type I and two patients received a B-KPro type II. The patients received intravenous infliximab for skin retraction around B-KPro type II, melting of the carrier graft or leak. Treatment resulted in a dramatic decrease in inflammation and, in some cases, arrest of the melting process. Cost and patient adherence were limiting factors to pursuing infliximab therapy. In addition, one patient developed infusion reactions. Intravenous infliximab may be considered as globe- and sight-saving therapy for tissue melt after B-KPro.

Burn unit care of Stevens Johnson syndrome/toxic epidermal necrolysis: A survey.

PubMed

Le, Hong-Gam; Saeed, Hajirah; Mantagos, Iason S; Mitchell, Caroline M; Goverman, Jeremy; Chodosh, James

2016-06-01

Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) is a systemic disease that can be associated with debilitating acute and chronic complications across multiple organ systems. As patients with acute SJS/TEN are often treated in a burn intensive care unit (BICU), we surveyed burn centers across the United States to determine their approach to the care of these patients. The goal of our study was to identify best practices and possible variations in the care of patients with acute SJS/TEN. We demonstrate that the method of diagnosis, use of systemic therapies, and involvement of subspecialists varied significantly between burn centers. Beyond supportive care provided to every patient, our data highlights a lack of standardization in the acute care of patients with SJS/TEN. A comprehensive guideline for the care of patients with acute SJS/TEN is indicated. Copyright © 2015 Elsevier Ltd and ISBI. All rights reserved.

Osteo-odonto keratoprosthesis in Stevens-Johnson syndrome: a case report.

PubMed

Sc, Reddy; I, Tajunisah; T, Tan D

2011-01-01

To report a successful osteo-odonto keratoprosthesis (OOKP) procedure in a case of end stage of corneal blindness due to Stevens-Johnson syndrome (SJS). An interventional case report. We describe a 35-year-old Indian woman, a known case of SJS with bilateral dry eyes and corneal blindness (failed corneal graft with vascularised total corneal opacity in the right eye and non-healing corneal ulcer in the left eye). Vision was hand movement only in both eyes. The corneal ulcer healed with medical treatment resulting in vascularised total corneal opacity with no improvement in vision. OOKP was performed in the right eye and the vision was improved from hand movement to 6/6. The same vision was maintained in the right eye at the last follow-up 5 years after surgery. OOKP provides good visual rehabilitation with long-term anatomically stable prosthesis in patients with end-stage of ocular surface disorders and corneal blindness secondary to SJS.

Erythema multiforme and Stevens-Johnson syndrome in patients receiving cranial irradiation and phenytoin

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

Delattre, J.Y.; Safai, B.; Posner, J.B.

1988-02-01

In 15 months we encountered eight patients with intracranial tumors who developed erythema multiforme (EM) or erythema multiforme bullosa (Stevens-Johnson syndrome). All occurred shortly after use of phenytoin (DPH) and brain radiation therapy (WBRT). The clinical picture differed from the classic form of EM in that the erythema began on the scalp and spread to the extremities, progressing in three cases to extensive bullous formation. There were no cases of EM among patients who received either DPH or radiotherapy alone. The combination of DPH, WBRT, and tapering of steroids seems to predispose to EM. The pathogenesis of the disorder ismore » probably immunologic. In the absence of seizures, anticonvulsants should not be given routinely to patients with brain tumors. When anticonvulsants are necessary in patients scheduled for WBRT, DPH may not be the drug of choice.« less

Mycoplasma pneumoniae-Induced Mucocutaneous Rash: A New Syndrome Distinct from Erythema Multiforme? Report of a New Case and Review of the Literature.

PubMed

Martínez-Pérez, M; Imbernón-Moya, A; Lobato-Berezo, A; Churruca-Grijelmo, M

2016-09-01

Respiratory tract infection due to Mycoplasma pneumoniae can provoke cutaneous and mucosal rashes, which have been classified within the spectrum of erythema multiforme or Stevens-Johnson syndrome. This classification is of therapeutic and prognostic importance and has generated intense debate in the literature. A recent systematic review of 202 cases of mucocutaneous rashes associated with M. pneumoniae infection concluded that these rashes might constitute a distinct entity, for which the term Mycoplasma-induced rash and mucositis was proposed. We describe a patient with acute M pneumoniae respiratory tract infection who presented mucosal and cutaneous lesions that were difficult to classify as erythema multiforme or Stevens-Johnson syndrome; the lesions were compatible with the proposed new disease. Copyright © 2016 AEDV. Publicado por Elsevier España, S.L.U. All rights reserved.

Piperacillin-tazobactam-induced linear IgA bullous dermatosis presenting clinically as Stevens-Johnson syndrome/toxic epidermal necrolysis overlap.

PubMed

Adler, N R; McLean, C A; Aung, A K; Goh, M S Y

2017-04-01

Linear IgA bullous dermatosis (LABD) is a subepidermal autoimmune bullous disease characterized by linear IgA deposition at the basement membrane zone, which is visualized by direct immunofluorescence. Patients with LABD typically present with widespread vesicles and bullae; however, this is not necessarily the case, as the clinical presentation of this disease is heterogeneous. LABD clinically presenting as Stevens-Johnson syndrome (SJS) or toxic epidermal necrolysis (TEN) is an infrequent, yet well-described phenomenon. Most cases of LABD are idiopathic, but some cases are drug-induced. Multiple drugs have been implicated in the development of LABD. We report a case of piperacillin-tazobactam-induced LABD presenting clinically as SJS/TEN overlap. This is the first reported case of a strong causal association between piperacillin-tazobactam and the development of LABD. © 2017 British Association of Dermatologists.

Osteo-odonto keratoprosthesis in Stevens-Johnson syndrome: a case report

PubMed Central

SC, Reddy; I, Tajunisah; T, Tan D

2011-01-01

AIM To report a successful osteo-odonto keratoprosthesis (OOKP) procedure in a case of end stage of corneal blindness due to Stevens-Johnson syndrome (SJS). METHODS An interventional case report. RESULTS We describe a 35-year-old Indian woman, a known case of SJS with bilateral dry eyes and corneal blindness (failed corneal graft with vascularised total corneal opacity in the right eye and non-healing corneal ulcer in the left eye). Vision was hand movement only in both eyes. The corneal ulcer healed with medical treatment resulting in vascularised total corneal opacity with no improvement in vision. OOKP was performed in the right eye and the vision was improved from hand movement to 6/6. The same vision was maintained in the right eye at the last follow-up 5 years after surgery. CONCLUSION OOKP provides good visual rehabilitation with long-term anatomically stable prosthesis in patients with end-stage of ocular surface disorders and corneal blindness secondary to SJS. PMID:22553646

[Ocular complication in children with Stevens-Johnson syndrome].

PubMed

Gotz-Wieckowska, Anna; Bernardczyk-Meller, Jadwiga; Rakowicz, Piotr

2003-01-01

Presentation of serious cases of Stevens-Johnson syndrome (SJS) with acute and chronic ocular manifestations and methods of their treatment. 3 children aged between 6 to 12 years. Follow-up time was from 5, months up to 6 years. CONSERVATIVE TREATMENT WAS: Symblepharon massage, topical antibiotics, steroids, artificial tears. In chronic stage mitomycin C as eye drops was use in one case. Surgical treatment--intubation of lacrimal ducts and removal of eye lashes were performed in 2 cases. In 2 cases, in which ophthalmological therapy was introduced very early, the results of treatment were very good. In one case with corneal neovascularization and posterior lid margin keratinization, the results of treatment were not satisfactory. 1. The children with SJS should be treated by ophthalmologists as soon as possible. 2. Some pathological changes of conjunctiva, cornea and lacrimal ducts disappeared after few weeks of intensive topical therapy often. 3. The results of treatment of cicatrical changes of lids, conjunctiva and neovascularization of the cornea were not satisfactory.

Comorbidity of Stevens-Johnson syndrome and neutropenia associated with lamotrigine: a case report.

PubMed

Yasui-Furukori, Norio; Hashimoto, Kojiro; Tsuruga, Koji; Nakamura, Kazuhiko

2014-01-01

A 19-year-old woman with a medical history of depressive mood arrived and was treated with lamotrigine at 25 mg/day. On day 10, a high fever of 39.3 °C and a diffuse, erythematous, pruritic full-body rash involving the palms of her hands and the soles of her feet developed, and she was diagnosed with Stevens-Johnson syndrome (SJS). On day 17, white blood cell count (WBC) result was 1,240/μl with 54.1% neutrophils (670/μl), and the WBC decreased to 840/μl with 60.7% neutrophils (510/μl) on day 18. The trend toward improvement included skin symptoms after steroid pulse therapy using 1000 mg/day. Based on the clinical course, we concluded that the SJS and leukopenia and/or neutropenia are associated with lamotrigine. Monitoring of WBC should be kept in mind when administering lamotrigine. Copyright © 2014 The Authors. Published by Elsevier Inc. All rights reserved.

Can Education Reform in Iraq Build a Better Peace?

DTIC Science & Technology

2009-05-01

necessarily as closely related to the facts as a westerner may assume. The use of Arabic language, a product of Bedouin poetry and storytelling , is...1996. Johnson, Steven. Emergence: The Connected Lives of Ants, Brains , Cities, and Software. New York: Scribner, 2004. Kaye, Dalia Dassa. More

JSC2001E19296

NASA Image and Video Library

2001-06-25

JSC2001-E-19296 (25 June 2001) --- Astronauts James F. Reilly (left), Janet L. Kavandi, Michael L. Gernhardt, all STS-104 mission specialists; along with Charles O. Hobaugh and Steven W. Lindsey, pilot and mission commander, respectively, are photographed during a pre-flight press conference at Johnson Space Center (JSC).

The Relationship of the Principal's Soft Skills to School Climate

ERIC Educational Resources Information Center

Malone, Mark E.

2013-01-01

School Climate has been identified by a large body of literature as having a direct relationship on student achievement (Johnson, & Stevens, 2000; Kezar & Eckel, 2007; West, 1985), and) and numerous other components used to determine the success and safety of both students and teachers in schools (Finnan, Schnepel, & Anderson, 2003;…

Medical Training Aid

NASA Technical Reports Server (NTRS)

1992-01-01

Dr. Steven S. Saliterman developed his Dynacath Critical Care Patient Simulator as a training system for medical personnel involved in critical care management and hemodynamic monitoring. The system incorporates NASA simulation technology and allows hospitals and medical manufacturers to conduct training away from the patient's bedside. Dr. Saliterman was formerly employed by Ames Research Center and Johnson Space Center.

STS-117 Crew Training during suited PI/DO Prep in CCT-II mockup

NASA Image and Video Library

2006-08-03

JSC2006-E-32665 (3 Aug. 2006) --- Astronaut Steven R. Swanson, STS-117 mission specialist, participates in a training session in the crew compartment trainer (CCT-2) in the Space Vehicle Mockup Facility at Johnson Space Center. Swanson is wearing a training version of his shuttle launch and landing suit.

78 FR 57163 - Agency Information Collection Activities: Proposed Collection; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-17

.... You may mail written comments to the following address: CMS, Office of Strategic Operations and... Under the PRA (44 U.S.C. 3501-3520), federal agencies must obtain approval from the Office of Management... Steven Johnson at 410-786-3332). Dated: September 11, 2013. Martique Jones, Deputy Director, Regulations...

Labial salivary gland transplantation for severe dry eye due to chemical burns and Stevens-Johnson syndrome.

PubMed

Marinho, Diane R; Burmann, Tiana G; Kwitko, Sérgio

2010-01-01

Salivary gland transplantation has been a promising alternative for the treatment of dry eye syndrome. In this article, we describe the results of an autotransplant procedure of labial salivary glands in the upper conjunctival fornix of patients with severe dry eye. A total of 14 eyes from 14 patients presenting with Stevens-Johnson syndrome and chemical burns were prospectively analyzed after surgery (average follow-up of 14 months). We evaluated their underlying symptoms, visual acuity, biomicroscopy, Schirmer's test, break-up time, and need for lubricants before and after transplantation. All patients expressed improvement in their ocular discomfort. Nine eyes showed a slight best-corrected visual acuity improvement, while the vision of the remainder stayed stable. Corneal staining, present in all patients before surgery, was persistent in only four patients, but in a reduced area. Schirmer's test and break-up time showed significant increase in all patients (p < 0.05). In 71% of the patients, the use of lubricants was reduced. Labial salivary gland transplantation can improve the life quality of patients with compromised ocular surfaces who suffer from severe dry eye syndrome.

Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis--A Comprehensive Review and Guide to Therapy. I. Systemic Disease.

PubMed

Kohanim, Sahar; Palioura, Sotiria; Saeed, Hajirah N; Akpek, Esen K; Amescua, Guillermo; Basu, Sayan; Blomquist, Preston H; Bouchard, Charles S; Dart, John K; Gai, Xiaowu; Gomes, José A P; Gregory, Darren G; Iyer, Geetha; Jacobs, Deborah S; Johnson, Anthony J; Kinoshita, Shigeru; Mantagos, Iason S; Mehta, Jodhbir S; Perez, Victor L; Pflugfelder, Stephen C; Sangwan, Virender S; Sippel, Kimberly C; Sotozono, Chie; Srinivasan, Bhaskar; Tan, Donald T H; Tandon, Radhika; Tseng, Scheffer C G; Ueta, Mayumi; Chodosh, James

2016-01-01

The intent of this review is to comprehensively appraise the state of the art with regard to Stevens Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), with particular attention to the ocular surface complications and their management. SJS and TEN represent two ends of a spectrum of immune-mediated, dermatobullous disease, characterized in the acute phase by a febrile illness followed by skin and mucous membrane necrosis and detachment. The widespread keratinocyte death seen in SJS/TEN is rapid and irreversible, and even with early and aggressive intervention, morbidity is severe and mortality not uncommon. We have divided this review into two parts. Part I summarizes the epidemiology and immunopathogenesis of SJS/TEN and discusses systemic therapy and its possible benefits. We hope this review will help the ophthalmologist better understand the mechanisms of disease in SJS/TEN and enhance their care of patients with this complex and often debilitating disease. Part II (April 2016 issue) will focus on ophthalmic manifestations. Copyright © 2016 Elsevier Inc. All rights reserved.

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Concise Review with a Comprehensive Summary of Therapeutic Interventions Emphasizing Supportive Measures.

PubMed

Schneider, Jeremy A; Cohen, Philip R

2017-06-01

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are two of the most severe dermatologic conditions occurring in the inpatient setting. There is a lack of consensus regarding appropriate management of SJS and TEN. The scientific literature pertaining to SJS and TEN (subsequently referred to as SJS/TEN) is summarized and assessed. In addition, an interventional approach for the clinician is provided. PubMed was searched with the key words: corticosteroids, cyclosporine, etanercept, intravenous immunoglobulin, Stevens-Johnson syndrome, and toxic epidermal necrolysis. The papers generated by the search, and their references, were reviewed. Supportive care is the most universally accepted intervention for SJS/TEN. Specific guidelines differ from the care required for patients with thermal burns. Adjuvant therapies are utilized in most severe cases, but the data are thus far underwhelming and underpowered. Using systemic corticosteroids as sole therapy is not supported. A consensus regarding combined corticosteroids and intravenous immunoglobulin (IVIG) has not been reached. Data regarding IVIG, currently the standard of care for most referral centers, is conflicting. Newer studies regarding cyclosporine and tumor necrosis factor inhibitors are promising, but not powered to provide definitive evidence of efficacy. Data regarding plasmapheresis is equivocal. Thalidomide increases mortality. Clinicians who manage SJS/TEN should seek to employ interventions with the greatest impact on their patients' condition. While supportive care measures may seem an obvious aspect of SJS/TEN patient care, providers should understand that these interventions are imperative and that they differ from the care recommended for other critically ill or burn patients. While adjuvant therapies are frequently discussed and debated for hospitalized patients with SJS/TEN, a standardized management approach is not yet clear based on the current data. Therefore, until further data are available, decisions regarding such treatments should be made on a case-by-case basis.

STS115 Preflight Training at NBL

NASA Image and Video Library

2006-08-02

JSC2006-E-31904 (2 Aug. 2006) --- Astronaut Steven G. MacLean (seated), STS-115 mission specialist representing the Canadian Space Agency, observes training activities of his crewmates from the simulation control area in the Neutral Buoyancy Laboratory (NBL) at the Sonny Carter Training Facility (SCTF) near Johnson Space Center. EVA instructor John V. Ray stands nearby to offer assistance.

From Users to Designers: Building a Self-Organizing Game-Based Learning Environment

ERIC Educational Resources Information Center

Squire, Kurt; Giovanetto, Levi; Devane, Ben; Durga, Shree

2005-01-01

The simultaneous publication of Steven Johnson's Everything Bad is Good for You and appearance of media reports of X-rated content in the popular game Grand Theft Auto has renewed controversies surrounding the social effects of computer and video games. On the one hand, videogames scholars argue that videogames are complex, cognitively challenging…

STS-115 Vitual Lab Training

NASA Image and Video Library

2005-06-07

JSC2005-E-21191 (7 June 2005) --- Astronaut Steven G. MacLean, STS-115 mission specialist representing the Canadian Space Agency, uses the virtual reality lab at the Johnson Space Center to train for his duties aboard the space shuttle. This type of computer interface, paired with virtual reality training hardware and software, helps to prepare the entire team for dealing with space station elements.

jsc2004e37689

NASA Image and Video Library

2004-08-18

JSC2004-E-37689 (18 August 2004) --- Astronaut Steven W. Lindsey, STS-121 commander, uses a climbing apparatus to lower himself from a simulated trouble-plagued shuttle in an emergency egress training session in the Space Vehicle Mockup Facility at the Johnson Space Center (JSC). Lindsey is wearing a training version of the shuttle launch and entry suit. United Space Alliance (USA) crew trainer David Pogue assisted Lindsey.

Problem Oriented Differential Diagnosis of Tropical Diseases

DTIC Science & Technology

1989-09-01

glomerulonephritis. 13. Varicella ( chicken pox ): rare complication. II. Nephrotic syndrome A distinctive lesion associated with nephrotic syndrome in West...hypersensitivity reactions, Stevens-Johnson syndrome, toxic nephrosis, and hypoglycemia. Studies in Mexico have shown that bismuth subsalicylate tablets are...typhus fever 7 14 Murine typhus 14 26 Q fever 10 21 Rickettsial pox 3 14 Rocky mountain spotted fever 6 21 Scrub typhus 2 10 Tick-borne rickettsioses

STS-EVA Mass Ops training of the STS-117 EVA crewmembers

NASA Image and Video Library

2006-11-01

JSC2006-E-47612 (1 Nov. 2006) --- Astronaut Steven R. Swanson, STS-117 mission specialist, uses the virtual reality lab at Johnson Space Center to train for his duties aboard the space shuttle and space station. This type of computer interface, paired with virtual reality training hardware and software, helps to prepare the entire team for dealing with space station elements.

Oxcarbazepine induced toxic epidermal necrolysis - a rare case report.

PubMed

Guleria, Vivek S; Sharda, Chetan; Rana, Tanuja; Sood, A K

2015-01-01

Carbamazepine, is well known to cause Stevens-Johnson syndrome and toxic epidermal necrolysis(TEN). Oxcarbazepine, a 10-keto analog of carbamazepine, is an anticholinergic, anticonvulsant and mood stabilizing drug, used primarily in the treatment of epilepsy. Its efficacy is similar to carbamazepine but allergic reactions and enzyme induction is low. We describe a case of oxcarbazepine induced TEN, who presented with erythematous ulcerative maculopapular rash.

STS-115 crew during suited egress training on the Full Fuselage Trainer (FFT) mockup.

NASA Image and Video Library

2005-04-05

JSC2005-E-13817 (5 April 2005) --- Astronaut Steven G. MacLean, STS-115 mission specialist representing the Canadian Space Agency, attired in a training version of the shuttle launch and entry suit, awaits the start of an emergency egress training session in the Space Vehicle Mockup Facility at the Johnson Space Center. Astronaut Heidemarie M. Stefanyshyn-Piper, mission specialist, is visible in the background.

18 CFR Appendix A to Part 11 - FEE SCHEDULE FOR FY 2014

Code of Federal Regulations, 2014 CFR

2014-04-01

... Jasper 103.15 Jeff Davis 59.93 Jefferson 57.77 Jenkins 51.51 Johnson 52.91 Jones 95.72 Lamar 112.02... 62.96 Talbot 56.81 Taliaferro 70.44 Tattnall 74.93 Taylor 57.72 Telfair 60.79 Terrell 63.93 Thomas 73... Stevens 22.10 Sumner 26.24 Thomas 22.86 Trego 17.29 Wabaunsee 27.28 Wallace 17.43 Washington 28.93 Wichita...

7 CFR 1000.52 - Adjusted Class I differentials.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 13159 3.10 JEFF DAVIS GA 13161 3.45 JEFFERSON GA 13163 3.30 JENKINS GA 13165 3.30 JOHNSON GA 13167 3.30....45 THOMAS GA 13275 3.45 TIFT GA 13277 3.45 TOOMBS GA 13279 3.45 TOWNS GA 13281 3.10 TREUTLEN GA 13283....20 STANTON KS 20187 2.20 STEVENS KS 20189 2.20 SUMNER KS 20191 2.20 THOMAS KS 20193 2.00 TREGO KS...

7 CFR 1000.52 - Adjusted Class I differentials.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 13159 3.10 JEFF DAVIS GA 13161 3.45 JEFFERSON GA 13163 3.30 JENKINS GA 13165 3.30 JOHNSON GA 13167 3.30....45 THOMAS GA 13275 3.45 TIFT GA 13277 3.45 TOOMBS GA 13279 3.45 TOWNS GA 13281 3.10 TREUTLEN GA 13283....20 STANTON KS 20187 2.20 STEVENS KS 20189 2.20 SUMNER KS 20191 2.20 THOMAS KS 20193 2.00 TREGO KS...

18 CFR Appendix A to Part 11 - FEE SCHEDULE FOR FY 2013

Code of Federal Regulations, 2013 CFR

2013-04-01

... Jeff Davis 58.81 Jefferson 56.70 Jenkins 50.55 Johnson 51.92 Jones 93.94 Lamar 109.93 Lanier 62.61....75 Taliaferro 69.13 Tattnall 73.54 Taylor 56.64 Telfair 59.65 Terrell 62.74 Thomas 71.93 Tift 68.15... Stevens 21.69 Sumner 25.75 Thomas 22.43 Trego 16.97 Wabaunsee 26.77 Wallace 17.10 Washington 28.39 Wichita...

7 CFR 1000.52 - Adjusted Class I differentials.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 13159 3.10 JEFF DAVIS GA 13161 3.45 JEFFERSON GA 13163 3.30 JENKINS GA 13165 3.30 JOHNSON GA 13167 3.30....45 THOMAS GA 13275 3.45 TIFT GA 13277 3.45 TOOMBS GA 13279 3.45 TOWNS GA 13281 3.10 TREUTLEN GA 13283....20 STANTON KS 20187 2.20 STEVENS KS 20189 2.20 SUMNER KS 20191 2.20 THOMAS KS 20193 2.00 TREGO KS...

[Current movements of four serious adverse events induced by medicinal drugs based on spontaneous reports in Japan].

PubMed

Sudo, Chie; Azuma, Yu-ichiro; Maekawa, Keiko; Kaniwa, Nahoko; Sai, Kimie; Saito, Yoshiro

2011-01-01

Spontaneous reports on suspected serious adverse events caused by medicines from manufacturing/distributing pharmaceutical companies or medical institutions/pharmacies are regulated by the Pharmaceutical Affairs Law of Japan, and this system is important for post-marketing safety features. Although causal relationship between the medicine and the adverse event is not evaluated, and one incidence may be redundantly reported, this information would be useful to roughly grasp the current movements of drug-related serious adverse events, We searched open-source data of the spontaneous reports publicized by Pharmaceutical and Medical Devices Agency for 4 serious adverse events (interstitial lung disease, rhabdomyolysis, anaphylaxis, and Stevens-Johnson syndrome/toxic epidermal necrolysis) from 2004 to 2010 fiscal year (for 2010, from April 1 st to January 31th). Major drug-classes suspected to the adverse events were antineoplastics for interstitial lung disease, hyperlipidemia agents and psychotropics for rhabdomyolysis, antibiotics/chemotherapeutics, antineoplastics and intracorporeal diagnostic agents for anaphylaxis (anaphylactic shock, anaphylactic reactions, anaphylactoid shock and anaphylactoid reactions), and antibiotics/chemotherapeutics, antipyretics and analgesics, anti-inflammatory agents/common cold drugs, and antiepileptics for Stevens-Johnson syndrome/toxic epidermal necrolysis. These results would help understanding of current situations of the 4 drug-related serious adverse events in Japan.

Acute Generalized Erythrodermic Pustular Psoriasis Associated with Bupropion/Naltrexone (Contrave®).

PubMed

Singh, Priyanka A; Cassel, Kerry P; Moscati, Ronald M; Eckersley, David

2017-04-01

We report a case of erythrodermic pustular psoriasis associated with initiation of bupropion/naltrexone (Contrave®; Orexigen Therapeutics, La Jolla, CA) in a patient with no history of psoriasis. A 55-year-old woman was transferred to our tertiary medical center from a community hospital for possible Stevens-Johnson syndrome 3 weeks after initiation of bupropion/naltrexone. The patient was admitted to the burn unit for wound treatment and hydration. She received intravenous cyclosporine during the admission that resulted in acute kidney injury and the therapy was discontinued. The skin biopsy ruled out Stevens-Johnson syndrome and was more consistent with generalized pustular psoriasis. After discharge, the patient followed up with her dermatologist. She was diagnosed with acute generalized and erythrodermic psoriasis and the patient was restarted on cyclosporine 100 mg twice a day. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: Few case reports of bupropion-induced generalized pustular psoriasis and erythrodermic psoriasis in patients with a history of psoriasis have been reported. To our knowledge, acute generalized erythrodermic pustular psoriasis associated with bupropion/naltrexone has not been reported in a patient without history of psoriasis. Due to increases in obesity and increases in prescribing of bupropion/naltrexone SR, health care providers should be aware of this possible severe adverse reaction. Published by Elsevier Inc.

Osteo-odonto-keratoprosthesis - a maxillofacial perspective.

PubMed

Narayanan, Vinod; Nirvikalpa, Natarajan; Rao, Srinivas K

2012-12-01

The OOKP (osteo-odonto-keratoprosthesis) is the treatment of choice for conditions like Stevens-Johnson syndrome, ocular cicatricial pemphigoid, trachoma, multiple failed grafts and chemical burns which are not amenable to penetrating keratoplasty. The OOKP is an autograft which replaces the cornea with a polymethacrylate cylinder mounted on a tooth-bone complex. The aim of this paper was to retrospectively analyze the records in 26 patients undergoing OOKP surgery between 2007 and 2011. The paper describes our experience with the procedure, with emphasis on its oral and maxillofacial aspects and management of associated complications. The aetiology of blindness in 23 patients was Stevens-Johnson's syndrome and chemical burns in three. Twenty-two patients had their maxillary canines, two had mandibular canines and two had maxillary first premolars as the choice of donor tooth. An oroantral fistula developed in four patients. One patient needed to undergo a surgical procedure for closure of the same. Roots of adjacent teeth were exposed in 12 patients. Twenty-four patients underwent both stages of the procedure with 19 being visually rehabilitated successfully. There was no improvement in the vision of four patients. One patient was lost to follow-up. Two patients have yet to undergo Stage 2. Copyright © 2012 European Association for Cranio-Maxillo-Facial Surgery. Published by Elsevier Ltd. All rights reserved.

STS-93 crewmembers engage in water survival training at the NBL

NASA Image and Video Library

1998-06-24

S98-09507 (6-24-98) --- Attired in a training version of the shuttle partial pressure launch and entry suit, astronaut Steven A. Hawley participates in a water survival/emergency egress training exercise in the Neutral Buoyancy Laboratory (NBL) at the Johnson Space Center's Sonny Carter Training Center. The mission specialist will join four other astronauts for a springtime 1999 mission in Earth orbit aboard the Space Shuttle Columbia.

KSC-06pd0637

NASA Image and Video Library

2006-04-14

JOHNSON SPACE CENTER, TX - STS115-S-002 (November 8, 2002) -- These six astronauts take a break from training to pose for the STS-115 crew portrait. Astronauts Brent W. Jett Jr. (right) and Christopher J. Ferguson, command and pilot respectively, flank the mission insignia. The mission specialists are, from left to right, astronauts Heidemarie M. Stefanyshyn-Piper, Joseph R. (Joe) Tanner, Daniel C. Burbank, and Steven G. MacLean, who represents the Canadian Space Agency.

Interns_In_Their_Natural_Habitat

NASA Image and Video Library

2017-08-10

Discover internship opportunities at the NASA Johnson Space Center! This video shows some of the places interns work and some of the projects they contribute to. Interns work to make their mark and enjoy the entirety of the internship experience which includes touring laboratories and facilities, hearing lectures from astronauts and NASA’s leaders, participating in professional and social committees (like Video Committee) in spare time, and much more. Start your journey! For more on NASA internships: https://intern.nasa.gov/ https://nasajobs.nasa.gov/studentopps/default.htm For Johnson Space Center specific internships: https://pathways.jsc.nasa.gov/ https://www.nasa.gov/centers/johnson/education/interns/index.html --------------------------------- FOLLOW JOHNSON SPACE CENTER INTERNS! Facebook: @NASA.JSC.Students https://www.facebook.com/NASA.JSC.Students/ Instagram: @nasajscstudents https://www.instagram.com/nasajscstudents/ Twitter: @NASAJSCStudents https://twitter.com/nasajscstudents FOLLOW NASA INTERNS! Facebook: @NASAInterns https://www.facebook.com/NASAInterns/ Twitter: @NASAInterns https://twitter.com/nasainterns

Minimizing AED adverse effects: improving quality of life in the interictal state in epilepsy care.

PubMed

St Louis, Erik K; Louis, Erik K

2009-06-01

The goals of epilepsy therapy are to achieve seizure freedom while minimizing adverse effects of treatment. However, producing seizure-freedom is often overemphasized, at the expense of inducing adverse effects of treatment. All antiepileptic drugs (AEDs) have the potential to cause dose-related, "neurotoxic" adverse effects (i.e., drowsiness, fatigue, dizziness, blurry vision, and incoordination). Such adverse effects are common, especially when initiating AED therapy and with polytherapy. Dose-related adverse effects may be obviated in most patients by dose reduction of monotherapy, reduction or elimination of polytherapy, or substituting for a better tolerated AED. Additionally, all older and several newer AEDs have idiosyncratic adverse effects which usually require withdrawal in an affected patient, including serious rash (i.e., Stevens-Johnson Syndrome, toxic epidermal necrolysis), hematologic dyscrasias, hepatotoxicity, teratogenesis in women of child bearing potential, bone density loss, neuropathy, and severe gingival hyperplasia. Unfortunately, occurrence of idiosyncratic AED adverse effects cannot be predicted or, in most cases, prevented in susceptible patients. This article reviews a practical approach for the definition and identification of adverse effects of epilepsy therapies, and reviews the literature demonstrating that adverse effects result in detrimental quality of life in epilepsy patients. Strategies for minimizing AED adverse effects by reduction or elimination of AED polytherapy, appropriately employing drug-sparing therapies, and optimally administering AEDs are outlined, including tenets of AED selection, titration, therapeutic AED laboratory monitoring, and avoidance of chronic idiosyncratic adverse effects.

HLA-B Sequencing in Patients with Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

DTIC Science & Technology

2017-03-03

Behavioral Research. " ~: All abstracts, papers, posters, etc .. should contain the following disclaimer statement for research involving animals , as...required by AFMAN 40-401_1P, The Care and Use of Laboratory Animals in DoD Programs: " The experiments reported herein were conducted according to the...principles set forth in the National Institute of Health Publication No. 80-23, Guide for the Care and Use of Laboratory Animals and the Animal

Dear Hillary.

PubMed

Vasquez, M

1993-05-01

Michael Vasquez, president of Health Care Expert Systems, Inc., attended a meeting the task force on healthcare reform. After the meeting, he sent the following letter to Hillary Rodham Clinton, to members of Iowa's Congressional delegation and to Steven Schroeder, M.D., of the Robert Wood Johnson Foundation, who moderated the discussion along with Clinton and HHS Secretary Donna Shalala. Vasquez said he was "concerned that the role of information systems was not adequately represented as part of the possible solution during the discussion."

KSC-02pp0020

NASA Image and Video Library

2001-12-01

JOHNSON SPACE CENTER, HOUSTON, TEXAS. -- STS-110 CREW PORTRAIT -- (JSC STS110-5-002) -- These seven astronauts are in training for the STS-110 mission, scheduled to visit the International Space Station early next year. In front, from the left, are astronauts Stephen N. Frick, pilot; Ellen Ochoa, flight engineer; and Michael J. Bloomfield, mission commander; in the back, from left, are astronauts Steven L. Smith, Rex J. Walheim, Jerry L. Ross and Lee M.E. Morin, all mission specialists

Nine years of a single referral center management of Stevens-Johnson syndrome and toxic epidermal necrolysis (Lyell's syndrome).

PubMed

Monteiro, Diana; Egipto, Paula; Barbosa, Julia; Horta, Ricardo; Amarante, Jose; Silva, Pedro; Silva, Alvaro

2017-06-01

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) corresponds to a rare and acute life-threatening mucocutaneous reactions characterized by extensive necrosis and epidermal detachment. There are no efficacious pharmaceutical interventions proven through large clinical trials. We sought to study clinical cases admitted in our institution in order to determine which drugs and medical comorbidities or treatments impacted the mortality. In a retrospective study over 9 years we evaluated all patients presenting biopsy-proven SJS or TEN for age, gender, total body surface area involved, causing agents, SCORTEN score, blood transfusion, steroid administration, intubation, length of intensive care stay and death rate. Statistical analysis was done using SPSS statistical software. The highest incidence of SJS and TEN was in age group of 71-80 years. Of the 30 patients, 30% died from SJS/TEN, mainly due sepsis. For each subgroup SJS/TEN overlap had the highest mortality. The highest mortality was from antibiotic treatment as causing agent. Step-wise regression analysis identified mechanical ventilation requirement and age over 65 years as mortality high-risk factors. The most crucial interventions are discontinuation of the offending drug and prompt referral to a burn unit, which helps in early diagnosis and decrease mortality in these diseases. When SJS/TEN is caused by antibiotics suspicion of developing fatal sepsis should be high, independently of patients' medical condition.

The evil of the unknown--risk-benefit evaluation of new synthetic drugs in the 19th century.

PubMed

Schneider, A; Helmstädter, A

2015-01-01

In the 19th century, synthetic chemistry discovered completely new chemical entities for medicinal use, which dramatically enriched the therapeutic armamentarium. However, no information was available regarding the safety of these new drugs, which were unrelated to most of the medicinal agents formerly known. Therefore, the question arises, if and how far, considerations regarding the relationship between benefit and risks were made. In this study, chloroform, phenazone (antipyrine) and sulfonal, were investigated as examples for drugs newly introduced in the 19th century. The results revealed that these drugs were provided by the manufacturer, tested by the physicians in a multicentre pattern and side effects were published in the medical literature soon after. Within a few years, several hundred cases were reported but the data were rarely summarized statistically. Therefore, physicians needed to stay updated with the medical literature because neither systematic industrial research nor regulatory authorities existed. The number of case reports within the first years were sufficient to detect common (> 1/100 to < 1/10) side effects but rare events were also reported. An extraordinary example is the drug-induced toxic epidermal necrolysis, which is commonly known as the Lyell syndrome or its less severe form, the Stevens-Johnson syndrome. This reaction has been clearly described by Baruch Spitz (1854-1932) as a side effect of antipyrine in 1887, several decades before Stevens, Johnson and particularly Lyell.

Skin rash in the intensive care unit: Stevens-Johnson syndrome, toxic epidermal necrolysis, or a rare manifestation of a hidden cutaneous malignancy: A case report.

PubMed

Al-Saffar, Farah; Ibrahim, Saif; Patel, Pujan; Jacob, Rafik; Palacio, Carlos; Cury, James

2016-03-01

Skin rashes are infrequently encountered in the intensive care units, either as a result or as a cause of admission. The entities of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) form a spectrum of desquamating skin diseases that have multiple etiologies, the most common being drug-related reactions; very rarely, the cause may be cutaneous malignancies. We herein present a unique case of a 54-year-old male patient with psoriasis treated with methotrexate, who presented with a cellulitis-like clinical picture, then developed a severe progressive systemic inflammatory response syndrome, and progressed clinically to SJS, then TEN even after discontinuing the antibiotics and methotrexate. A skin biopsy demonstrated an aggressive and rapidly-progressing T-cell lymphoma. The present case highlights the necessity of skin biopsy when encountering SJS and TEN in the ICU in order to identify potentially treatable/controllable causes. Although it appeared reasonable to correlate TEN solely to medications, the skin biopsies clearly demonstrated an aggressive T-cell skin lymphoma. In a patient with a better general condition it may have been helpful to treat this malignancy. TEN is a life-threatening condition and skin biopsy is the cornerstone of diagnosis, despite the presence of multiple risk factors and the typical physical findings of a drug-induced reaction.

Delaware's first serial killer.

PubMed

Inguito, G B; Sekula-Perlman, A; Lynch, M J; Callery, R T

2000-11-01

The violent murder of Shirley Ellis on November 29, 1987, marked the beginning of the strange and terrible tale of Steven Bryan Pennell's reign as the state of Delaware's first convicted serial killer. Three more bodies followed the first victim, and all had been brutally beaten and sadistically tortured. The body of a fifth woman has never been found. State and county police collaborated with the FBI to identify and hunt down their suspect, forming a task force of over 100 officers and spending about one million dollars. Through their knowledge and experience with other serial killers, the FBI was able to make an amazingly accurate psychological profile of Delaware's serial killer. After months of around-the-clock surveillance, Steven Pennell was arrested on November 29, 1988, one year to the day after the first victim was found. Pennell was found guilty in the deaths of the first two victims on November 29, 1989, and plead no contest to the murder of two others on October 30, 1991. Still maintaining his innocence, he asked for the death penalty so that he could spare his family further agony. Steven Pennell was executed by lethal injection on March 15, 1992.

Poison ivy: an underreported cause of erythema multiforme.

PubMed

Werchniak, Andrew E; Schwarzenberger, Kathryn

2004-11-01

The relationship between herpes simplex virus (HSV) and erythema multiforme (EM) has been well described. Many authors contend that EM (excluding Stevens-Johnson syndrome and toxic epidermal necrolysis) occurs almost exclusively as a response to HSV infection. During the past year, however, we have observed several cases of EM complicating severe Rhus allergic contact dermatitis. Although this association has been previously documented, the paucity of cases in the literature, along with our experience, suggests that this is an underreported phenomenon. We describe 4 of our cases.

KSC-06pd0830

NASA Image and Video Library

2006-05-12

JOHNSON SPACE CENTER, TEXAS - STS121-S-002 (5 April 2006) --- These seven astronauts take a break from training to pose for the STS-121 crew portrait. From the left are astronauts Stephanie D. Wilson, Michael E. Fossum, both mission specialists; Steven W. Lindsey, commander; Piers J. Sellers, mission specialist; Mark E. Kelly, pilot; European Space Agency (ESA) astronaut Thomas Reiter of Germany; and Lisa M. Nowak, both mission specialists. The crewmembers are attired in training versions of their shuttle launch and entry suit.

Data Mining FAERS to Analyze Molecular Targets of Drugs Highly Associated with Stevens-Johnson Syndrome.

PubMed

Burkhart, Keith K; Abernethy, Darrell; Jackson, David

2015-06-01

Drug features that are associated with Stevens-Johnson syndrome (SJS) have not been fully characterized. A molecular target analysis of the drugs associated with SJS in the FDA Adverse Event Reporting System (FAERS) may contribute to mechanistic insights into SJS pathophysiology. The publicly available version of FAERS was analyzed to identify disproportionality among the molecular targets, metabolizing enzymes, and transporters for drugs associated with SJS. The FAERS in-house version was also analyzed for an internal comparison of the drugs most highly associated with SJS. Cyclooxygenases 1 and 2, carbonic anhydrase 2, and sodium channel 2 alpha were identified as disproportionately associated with SJS. Cytochrome P450 (CYPs) 3A4 and 2C9 are disproportionately represented as metabolizing enzymes of the drugs associated with SJS adverse event reports. Multidrug resistance protein 1 (MRP-1), organic anion transporter 1 (OAT1), and PEPT2 were also identified and are highly associated with the transport of these drugs. A detailed review of the molecular targets identifies important roles for these targets in immune response. The association with CYP metabolizing enzymes suggests that reactive metabolites and oxidative stress may have a contributory role. Drug transporters may enhance intracellular tissue concentrations and also have vital physiologic roles that impact keratinocyte proliferation and survival. Data mining FAERS may be used to hypothesize mechanisms for adverse drug events by identifying molecular targets that are highly associated with drug-induced adverse events. The information gained may contribute to systems biology disease models.

Stevens-Johnson syndrome / toxic epidermal necrolysis: an Asia-Pacific perspective

PubMed Central

2013-01-01

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe cutaneous adverse reactions (SCAR) to drugs which are associated with significant morbidity and mortality. High risk drugs in Asia are similar to those reported worldwide. Human leukocyte antigen (HLA)-related risk alleles for carbamazepine and allopurinol SCAR are unique to Asians. Although prognostic scoring systems like the SCORTEN have been used for more than a decade, pitfalls and caveats need to be recognized, in particular in patients with multiple medical co-morbidities and systemic features in SJS/TEN. In centres without a tertiary Burns Centre, SJS/TEN patients can still be managed successfully in general and dermatology wards with well-executed supportive/nursing care. Controversy remains regarding the effectiveness of immunomodulation in reducing SJS/TEN morbidity, mortality and hastening re-epithelialization. Despite paucity of robust evidence, intravenous immunoglobulins and ciclosporin remain the most commonly used modalities worldwide. Acute and long-term ocular effects are an important source of morbidity for which emerging ophthalmic therapies appear promising. Quality of life issues have now become an important outcome in patients with SJS/TEN as they often impact survivors' future attitudes towards pharmacotherapy. Even though pharmacogenetic testing for high-risk drugs appears to be the panacea for preventing carbamazepine- and allopurinol-induced SJS/TEN in ethnic Asians, many issues remain before health regulators in our region can conclusively determine whether testing should be made mandatory or highly recommended as standard of care. PMID:24260726

Stevens-Johnson Syndrome / Toxic Epidermal Necrolysis: a multicenter retrospective study of 377 adult patients from the United States.

PubMed

Micheletti, Robert G; Chiesa-Fuxench, Zelma; Noe, Megan H; Stephen, Sasha; Aleshin, Maria; Agarwal, Ashwin; Boggs, Jennifer; Cardones, Adela R; Chen, Jennifer K; Cotliar, Jonathan; Davis, Mark Dp; Dominguez, Arturo; Fox, Lindy P; Gordon, Shayna; Hamrick, Ronald; Ho, Baran; Hughey, Lauren C; Jones, Larry M; Kaffenberger, Benjamin H; Kindley, Kimball; Kroshinsky, Daniela; Kwong, Bernice Y; Miller, Daniel D; Mostaghimi, Arash; Musiek, Amy; Ortega-Loayza, Alex G; Patel, Raj; Posligua, Alba; Rani, Monica; Saluja, Sandeep; Sharon, Victoria R; Shinkai, Kanade; John, Jessica St; Strickland, Nicole; Summers, Erika M; Sun, Natalie; Wanat, Karolyn A; Wetter, David A; Worswick, Scott; Yang, Caroline; Margolis, David J; Gelfand, Joel M; Rosenbach, Misha

2018-05-11

Stevens-Johnson syndrome / toxic epidermal necrolysis (SJS/TEN) is a rare, severe mucocutaneous reaction with few large cohorts reported. This multicenter retrospective study included patients with SJS/TEN seen by inpatient consultative dermatologists at 18 academic medical centers in the United States. 377 adult patients with SJS/TEN between 1/1/2000 and 6/1/2015 were entered, including 69.0% from 2010 onward. The most frequent cause of SJS/TEN was medication reaction (89.7%), most often trimethoprim / sulfamethoxazole (27.2%). The majority of patients were managed in an intensive care (27.2%) or burn unit (41.0%). Most received pharmacologic therapy (70.7%) versus supportive care alone (29.3%)-typically corticosteroids (42.5%), IVIG (35.3%), or both therapies (20.3%). Based on Day 1 SCORTEN predicted mortality, 78 in-hospital deaths were expected (21%), while the observed mortality of 54 patients (14.7%) was significantly lower (SMR 0.70; CI 0.58, 0.79). Stratified by therapy received, the standardized mortality ratio was lowest among those receiving both steroids and IVIG (0.52; CI 0.21, 0.79). This large cohort provides contemporary information regarding US patients with SJS/TEN. Mortality, while substantial, was significantly lower than predicted. While the precise role of pharmacotherapy remains unclear, co-administration of corticosteroids and IVIG, among other therapies, may warrant further study. Copyright © 2018 The Authors. Published by Elsevier Inc. All rights reserved.

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis (SJS/TEN): Could Retinoids Play a Causative Role?

PubMed Central

Mawson, Anthony R.; Eriator, Ike; Karre, Sridhar

2015-01-01

Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) are overlapping manifestations on a spectrum of acute drug-induced conditions associated with severe blistering, skin peeling, and multi-organ damage. TEN is an eruption resembling severe scalding, with ≥30% skin detachment. SJS is a mild form of TEN, characterized histologically by epidermal keratinocyte apoptosis with dermo-epidermal separation and extensive small blisters with <10% body surface skin detachment. The syndrome can be induced by numerous medications and typically occurs 1–4 weeks after the initiation of therapy. Granulysin is found in the lesions of patients with SJS/TEN and plays a significant pathogenic role in the condition, but the overall mechanisms linking medications, granulysin, and disease manifestations remain obscure. This paper reviews evidence suggesting that the different medications implicated in SJS/TEN have the common property of interacting and synergizing with endogenous retinoids (vitamin A and its congeners), in many instances causing the latter to accumulate in and damage the liver, the main storage organ for vitamin A. It is hypothesized that liver damage leads to the spillage of toxic retinoid compounds into the circulation, resulting in an endogenous form of hypervitaminosis A and cytotoxicity with widespread apoptosis, mediated by granulysin and recognized as SJS/TEN. Subject to testing, the model suggests that symptom worsening could be arrested at onset by lowering the concentration of circulating retinoids and/or granulysin via phlebotomy or plasmapheresis or by pharmacological measures to limit their expression. PMID:25579087

Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN): could retinoids play a causative role?

PubMed

Mawson, Anthony R; Eriator, Ike; Karre, Sridhar

2015-01-12

Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) are overlapping manifestations on a spectrum of acute drug-induced conditions associated with severe blistering, skin peeling, and multi-organ damage. TEN is an eruption resembling severe scalding, with ≥30% skin detachment. SJS is a mild form of TEN, characterized histologically by epidermal keratinocyte apoptosis with dermo-epidermal separation and extensive small blisters with <10% body surface skin detachment. The syndrome can be induced by numerous medications and typically occurs 1-4 weeks after the initiation of therapy. Granulysin is found in the lesions of patients with SJS/TEN and plays a significant pathogenic role in the condition, but the overall mechanisms linking medications, granulysin, and disease manifestations remain obscure. This paper reviews evidence suggesting that the different medications implicated in SJS/TEN have the common property of interacting and synergizing with endogenous retinoids (vitamin A and its congeners), in many instances causing the latter to accumulate in and damage the liver, the main storage organ for vitamin A. It is hypothesized that liver damage leads to the spillage of toxic retinoid compounds into the circulation, resulting in an endogenous form of hypervitaminosis A and cytotoxicity with widespread apoptosis, mediated by granulysin and recognized as SJS/TEN. Subject to testing, the model suggests that symptom worsening could be arrested at onset by lowering the concentration of circulating retinoids and/or granulysin via phlebotomy or plasmapheresis or by pharmacological measures to limit their expression.

A systematic review of validated methods for identifying erythema multiforme major/minor/not otherwise specified, Stevens-Johnson Syndrome, or toxic epidermal necrolysis using administrative and claims data.

PubMed

Schneider, Gary; Kachroo, Sumesh; Jones, Natalie; Crean, Sheila; Rotella, Philip; Avetisyan, Ruzan; Reynolds, Matthew W

2012-01-01

The Food and Drug Administration's (FDA) Mini-Sentinel pilot program aims to conduct active surveillance to refine safety signals that emerge for marketed medical products. A key facet of this surveillance is to develop and understand the validity of algorithms for identifying health outcomes of interest (HOIs) from administrative and claims data. This paper summarizes the process and findings of the algorithm review of erythema multiforme and related conditions. PubMed and Iowa Drug Information Service searches were conducted to identify citations applicable to the erythema multiforme HOI. Level 1 abstract reviews and Level 2 full-text reviews were conducted to find articles that used administrative and claims data to identify erythema multiforme, Stevens-Johnson syndrome, or toxic epidermal necrolysis and that included validation estimates of the coding algorithms. Our search revealed limited literature focusing on erythema multiforme and related conditions that provided administrative and claims data-based algorithms and validation estimates. Only four studies provided validated algorithms and all studies used the same International Classification of Diseases code, 695.1. Approximately half of cases subjected to expert review were consistent with erythema multiforme and related conditions. Updated research needs to be conducted on designing validation studies that test algorithms for erythema multiforme and related conditions and that take into account recent changes in the diagnostic coding of these diseases. Copyright © 2012 John Wiley & Sons, Ltd.

Genetic variants associated with phenytoin-related severe cutaneous adverse reactions.

PubMed

Chung, Wen-Hung; Chang, Wan-Chun; Lee, Yun-Shien; Wu, Ying-Ying; Yang, Chih-Hsun; Ho, Hsin-Chun; Chen, Ming-Jing; Lin, Jing-Yi; Hui, Rosaline Chung-Yee; Ho, Ji-Chen; Wu, Wei-Ming; Chen, Ting-Jui; Wu, Tony; Wu, Yih-Ru; Hsih, Mo-Song; Tu, Po-Hsun; Chang, Chen-Nen; Hsu, Chien-Ning; Wu, Tsu-Lan; Choon, Siew-Eng; Hsu, Chao-Kai; Chen, Der-Yuan; Liu, Chin-San; Lin, Ching-Yuang; Kaniwa, Nahoko; Saito, Yoshiro; Takahashi, Yukitoshi; Nakamura, Ryosuke; Azukizawa, Hiroaki; Shi, Yongyong; Wang, Tzu-Hao; Chuang, Shiow-Shuh; Tsai, Shih-Feng; Chang, Chee-Jen; Chang, Yu-Sun; Hung, Shuen-Iu

2014-08-06

The antiepileptic drug phenytoin can cause cutaneous adverse reactions, ranging from maculopapular exanthema to severe cutaneous adverse reactions, which include drug reactions with eosinophilia and systemic symptoms, Stevens-Johnson syndrome, and toxic epidermal necrolysis. The pharmacogenomic basis of phenytoin-related severe cutaneous adverse reactions remains unknown. To investigate the genetic factors associated with phenytoin-related severe cutaneous adverse reactions. Case-control study conducted in 2002-2014 among 105 cases with phenytoin-related severe cutaneous adverse reactions (n=61 Stevens-Johnson syndrome/toxic epidermal necrolysis and n=44 drug reactions with eosinophilia and systemic symptoms), 78 cases with maculopapular exanthema, 130 phenytoin-tolerant control participants, and 3655 population controls from Taiwan, Japan, and Malaysia. A genome-wide association study (GWAS), direct sequencing of the associated loci, and replication analysis were conducted using the samples from Taiwan. The initial GWAS included samples of 60 cases with phenytoin-related severe cutaneous adverse reactions and 412 population controls from Taiwan. The results were validated in (1) 30 cases with severe cutaneous adverse reactions and 130 phenytoin-tolerant controls from Taiwan, (2) 9 patients with Stevens-Johnson syndrome/toxic epidermal necrolysis and 2869 population controls from Japan, and (3) 6 cases and 374 population controls from Malaysia. Specific genetic factors associated with phenytoin-related severe cutaneous adverse reactions. The GWAS discovered a cluster of 16 single-nucleotide polymorphisms in CYP2C genes at 10q23.33 that reached genome-wide significance. Direct sequencing of CYP2C identified missense variant rs1057910 (CYP2C9*3) that showed significant association with phenytoin-related severe cutaneous adverse reactions (odds ratio, 12; 95% CI, 6.6-20; P=1.1 × 10(-17)). The statistically significant association between CYP2C9*3 and phenytoin-related severe cutaneous adverse reactions was observed in additional samples from Taiwan, Japan, and Malaysia. A meta-analysis using the data from the 3 populations showed an overall odds ratio of 11 (95% CI, 6.2-18; z=8.58; P < .00001) for CYP2C9*3 association with phenytoin-related severe cutaneous adverse reactions. Delayed clearance of plasma phenytoin was detected in patients with severe cutaneous adverse reactions, especially CYP2C9*3 carriers, providing a functional link of the associated variants to the disease. This study identified CYP2C variants, including CYP2C9*3, known to reduce drug clearance, as important genetic factors associated with phenytoin-related severe cutaneous adverse reactions.

STS-103 crew take part in CEIT in the orbiter Discovery

NASA Technical Reports Server (NTRS)

1999-01-01

In the payload bay of the orbiter Discovery, STS-103 Mission Specialists John M. Grunsfeld (Ph.D.), left, and Claude Nicollier of Switzerland, right, are briefed on part of the equipment they will use on their mission by a worker from Johnson Space Center, center. The mission involves the repair and upgrade of the Hubble Space Telescope. The crew, who are at KSC to take part in a Crew Equipment Interface Test, also includes Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), and Jean-Fran'''ois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS- 103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

Reduced-Gravity Experiments Conducted to Help Bioreactor Development

NASA Technical Reports Server (NTRS)

Niederhaus, Charles E.; Nahra, Henry K.; Kizito, John P.

2004-01-01

The NASA Glenn Research Center and the NASA Johnson Space Center are collaborating on fluid dynamic investigations for a future cell science bioreactor to fly on the International Space Station (ISS). Project Manager Steven Gonda from the Cellular Biotechnology Program at Johnson is leading the development of the Hydrodynamic Focusing Bioreactor--Space (HFB-S) for use on the ISS to study tissue growth in microgravity. Glenn is providing microgravity fluid physics expertise to help with the design and evaluation of the HFB-S. These bioreactors are used for three-dimensional tissue culture, which cannot be done in ground-based labs in normal gravity. The bioreactors provide a continual supply of oxygen for cell growth, as well as periodic replacement of cell culture media with nutrients. The bioreactor must provide a uniform distribution of oxygen and nutrients while minimizing the shear stresses on the tissue culture.

STS 51-G crewmembers participate in training in crew compartment trainer

NASA Image and Video Library

1985-05-07

S85-31933 (17 May 1985) --- Four members of the STS 51-G crew participate in a training exercise in the shuttle mission simulation and training facility at the Johnson Space Center. Steven R. Nagel, left foreground, is a mission specialist for the flight, while Sultan Salman Abdelazize Al-Saud (right foreground) is a payload specialist. In the background are astronauts Daniel C. Brandenstein (left) in the commander's station and John O. Creighton in the pilot's position. Photo credit: NASA/ Otis Imboden of National Geographic

An Application of the Finite Element Method to the Solution of Low Reynolds Number, Incompressible Flow Around a Joukowski Aerofoil, with Emphasis on Automatic Generation of Grids.

DTIC Science & Technology

1983-06-01

Library Universities and Colleges Sydney Dr G.P. Steven, Dept. of Aeronautical Engineering SPARES (10 copies) TOTAL (50 copies) * 1’ Department of...ORGANISATION AERONAUTICAL RESEARCH LABORATORIES MELBOURNE, VICTORIA AsZodynaiLcs Tecbhical ismiro a 349 AN APPLICATION OF THE FINITE ELEMENT METHOD TO THE...SOLUTION OF LOW REYNOLDS NUMBER, INCOMPRESSIBLE FLOW AROUND A JOUIKOWSKI AEROFOIL , WITH EMPHASIS ON ALJTOMATIC GENERATION OF 6RIDS T. TDTIC SELECTED SEP29

CREW CANDIDATES - SHUTTLE - JSC

NASA Image and Video Library

1977-01-31

S78-26569 (31 Jan. 1978) --- The 35 new astronaut candidates, presented Jan. 31, 1978, in the Building 2 auditorium at NASA's Johnson Space Center, pose for photographers. They are arranged in alphabetical order with top left as beginning point and bottom right as stopping point. They are Guion S. Bluford, Daniel C. Brandenstein, James F. Buchli, Michael L. Coats, Richard O. Covey, John O. Creighton, John M. Fabian, Anna L. Fisher, Dale A. Gardner, Robert L. Gibson, Frederick D. Gregory, S. David Griggs, Terry J. Hart, Frederick H. (Rick) Hauck, Steven A. Hawley, Jeffrey A. Hoffman, Shannon W. Lucid, Jon A. McBride, Ronald E. McNair, Richard M. (Mike) Mullane, Steven R. Nagel, George D. Nelson, Ellison S. Onizuka, Judith A. Resnik, Sally K. Ride, Francis R. (Dick) Scobee, Rhea Seddon, Brewster H. Shaw Jr., Loren J. Shriver, Robert L. Stewart, Kathryn D. Sullivan, Norman E. Thagard, James D. van Hoften, David M. Walker and Donald E. Williams. Photo credit: NASA or National Aeronautics and Space Administration

[Use of intravenous immunoglobulin for the treatment of toxic epidermal necrolysis and Stevens-Johnson/toxic epidermal necrolysis overlap syndrome. Review of 15 cases].

PubMed

Molgó, Montserrat; Carreño, Néstor; Hoyos-Bachiloglu, Rodrigo; Andresen, Max; González, Sergio

2009-03-01

Toxic epidemial necrolysis (TEN) is an acute adverse drug reaction, that has an unpredictableprogression and a 30% mortality. The incidence of TEN in the general population is approximately 0.4 to 1.2 cases/million/year. It is characterized pathologically by keratinocyte apoptosis which leads to epidemial detachment. Keratinocyte apoptosis is triggered by activation of the Fas-FasL, pathway and could be prevented by the use of intravenous immunoglobulin (IVIG). To report the experience with the use of IVIG in TEN. Retrospective study of 15 patients with a diagnosis of Stevens-Johnson/TEN overlap (SJS/TEN) or TEN, that received a total dose of 23 +/- 0.6 mg/kg ofIVIG over aperiod of 3 to 4 days. The infusión was initiated during thefirst 24 hours after diagnosis and was associated with standard care for burn victims. Steroids were avoided if the patient was not in chronic steroidal therapy. Allpatients responded to IVIG in a lapse of 46.4 +/- 14.2 hours from the beginning of infusión. Eighty percent of patients survived, but one developed acute renal failure due to IVIG, and another became blind due to corneal opacities, a complication of TEN. Those who survived were discharged after a lapse of 19-8 +/- 6.6 days from the beginning ofthe disease. Despite the lack of blind, multicentric and randomized triáis, we agree with some international studies that TVIG is beneficial as a treatment for SSJ/NETand TEN .

Cutaneous Side Effects of Antiosteoporosis Treatments

PubMed Central

Musette, Philippe; Kaufman, Jean-Marc; Rizzoli, René; Cacoub, Patrice; Brandi, Maria Louisa; Reginster, Jean-Yves

2011-01-01

Cutaneous adverse reactions are reported for many therapeutic agents and, in general, are observed in between 0% and 8% of treated patients depending on the drug. Antiosteoporotic agents are considered to be safe in terms of cutaneous effects, however there have been a number of case reports of cutaneous adverse reactions which warrant consideration. This was the subject of a working group meeting of the European Society for Clinical and Economic Aspects of Osteoporosis and Osteoarthritis in April 2009, which focused on the impact of cutaneous adverse reactions and drug-induced hypersensitivity in the management of postmenopausal osteoporosis. This position paper was drafted following these discussions and includes a flowchart for their recognition. Cutaneous adverse reactions observed with antiosteoporotic agents were reviewed and included information from case reports, regulatory documents and pharmacovigilance. These reactions ranged from benign effects including exanthematous or maculopapular eruption (drug rash), photosensitivity and urticaria, to the severe and potentially life-threatening reactions of angioedema, drug rash with eosinophilia and systemic symptoms (DRESS), Stevens Johnson syndrome and toxic epidermal necrolysis. A review of the available evidence demonstrates that cutaneous adverse reactions occur with all commonly used antiosteoporotic treatments. Notably, there are reports of Stevens Johnson syndrome and toxic epidermal necrolysis for bisphosphonates, and of DRESS and toxic epidermal necrolysis for strontium ranelate. These severe reactions remain very rare (<1 in 10,000 cases). In general, with proper management and early recognition, including immediate and permanent withdrawal of the culprit agent, accompanied by hospitalization, rehydration and systemic corticosteroids if necessary, the prognosis is positive. PMID:22870464

HLA-B*15:21 and carbamazepine-induced Stevens-Johnson syndrome: pooled-data and in silico analysis

NASA Astrophysics Data System (ADS)

Jaruthamsophon, Kanoot; Tipmanee, Varomyalin; Sangiemchoey, Antida; Sukasem, Chonlaphat; Limprasert, Pornprot

2017-03-01

HLA-B*15:02 screening before carbamazepine (CBZ) prescription in Asian populations is the recommended practice to prevent CBZ-induced Stevens-Johnson syndrome (CBZ-SJS). However, a number of patients have developed CBZ-SJS even having no HLA-B*15:02. Herein, we present the case of a Thai patient who had a negative HLA-B*15:02 screening result but later developed CBZ-SJS. Further HLA typing revealed HLA-B*15:21/B*13:01. HLA-B*15:21 is a member of the HLA-B75 serotype and is commonly found in Southeast Asian populations. Based on this case, we hypothesised that if all HLA-B*15:02 carriers were prevented from CBZ prescription, another common HLA-B75 serotype marker would show its association with CBZ-SJS. To test this hypothesis, we pooled data from previous association studies in Asian populations, excluded all cases with HLA-B*15:02, and analysed the association significance of HLA-B75 serotype markers. A significant association was found between CBZ-SJS and HLA-B*15:21 and HLA-B*15:11. We also applied an in silico analysis and found that all HLA-B75 serotype molecules shared similar capability in binding the CBZ molecule. In summary, this report provides the first evidence of a positive association between HLA-B*15:21 and CBZ-SJS and the first in silico analysis of CBZ binding sites and details of the molecular behaviour of HLA-B75 molecule to explain its molecular action.

Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis Standard Reporting and Evaluation Guidelines: Results of a National Institutes of Health Working Group.

PubMed

Maverakis, Emanual; Wang, Elizabeth A; Shinkai, Kanade; Mahasirimongkol, Surakameth; Margolis, David J; Avigan, Mark; Chung, Wen-Hung; Goldman, Jennifer; La Grenade, Lois; Pirmohamed, Munir; Shear, Neil H; Tassaeeyakul, Wichittra; Hoetzenecker, Wolfram; Klaewsongkram, Jettanong; Rerkpattanapipat, Ticha; Manuyakorn, Wiparat; Yasuda, Sally Usdin; Sharon, Victoria R; Sukhov, Andrea; Micheletti, Robert; Struewing, Jeff; French, Lars E; Cheng, Michelle Y

2017-06-01

Toxic epidermal necrolysis (TEN) and Stevens-Johnson Syndrome (SJS) are rare, acute, life-threatening dermatologic disorders involving the skin and mucous membranes. Research into these conditions is hampered by a lack of standardization of case reporting and data collection. To establish a standardized case report form to facilitate comparisons and maintain data quality based on an international panel of SJS/TEN experts who performed a Delphi consensus-building exercise. The elements presented for committee scrutiny were adapted from previous case report forms and from PubMed literature searches of highly cited manuscripts pertaining to SJS/TEN. The expert opinions and experience of the members of the consensus group were included in the discussion. Overall, 21 out of 29 experts who were invited to participate in the online Delphi exercise agreed to participate. Surveys at each stage were administered via an online survery software tool. For the first 2 Delphi rounds, results were analyzed using the Interpercentile Range Adjusted for Symmetry method and statements that passed consensus formulated a new case report form. For the third Delphi round, the case report form was presented to the committee, who agreed that it was "appropriate and useful" for documenting cases of SJS/TEN, making it more reliable and valuable for future research endeavors. With the consensus of international experts, a case report form for SJS/TEN has been created to help standardize the collection of patient information in future studies and the documentation of individual cases.

Cheminformatics-aided pharmacovigilance: application to Stevens-Johnson Syndrome

PubMed Central

Low, Yen S; Caster, Ola; Bergvall, Tomas; Fourches, Denis; Zang, Xiaoling; Norén, G Niklas; Rusyn, Ivan; Edwards, Ralph

2016-01-01

Objective Quantitative Structure-Activity Relationship (QSAR) models can predict adverse drug reactions (ADRs), and thus provide early warnings of potential hazards. Timely identification of potential safety concerns could protect patients and aid early diagnosis of ADRs among the exposed. Our objective was to determine whether global spontaneous reporting patterns might allow chemical substructures associated with Stevens-Johnson Syndrome (SJS) to be identified and utilized for ADR prediction by QSAR models. Materials and Methods Using a reference set of 364 drugs having positive or negative reporting correlations with SJS in the VigiBase global repository of individual case safety reports (Uppsala Monitoring Center, Uppsala, Sweden), chemical descriptors were computed from drug molecular structures. Random Forest and Support Vector Machines methods were used to develop QSAR models, which were validated by external 5-fold cross validation. Models were employed for virtual screening of DrugBank to predict SJS actives and inactives, which were corroborated using knowledge bases like VigiBase, ChemoText, and MicroMedex (Truven Health Analytics Inc, Ann Arbor, Michigan). Results We developed QSAR models that could accurately predict if drugs were associated with SJS (area under the curve of 75%–81%). Our 10 most active and inactive predictions were substantiated by SJS reports (or lack thereof) in the literature. Discussion Interpretation of QSAR models in terms of significant chemical descriptors suggested novel SJS structural alerts. Conclusions We have demonstrated that QSAR models can accurately identify SJS active and inactive drugs. Requiring chemical structures only, QSAR models provide effective computational means to flag potentially harmful drugs for subsequent targeted surveillance and pharmacoepidemiologic investigations. PMID:26499102

Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand.

PubMed

Dilokthornsakul, P; Sawangjit, R; Inprasong, C; Chunhasewee, S; Rattanapan, P; Thoopputra, T; Chaiyakunapruk, N

2016-01-01

Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are life-threatening dermatologic conditions. Although, the incidence of SJS/TEN in Thailand is high, information on cost of care for SJS/TEN is limited. This study aims to estimate healthcare resource utilization and cost of SJS/TEN in Thailand, using hospital perspective. A retrospective study using an electronic health database from a university-affiliated hospital in Thailand was undertaken. Patients admitted with SJS/TEN from 2002 to 2007 were included. Direct medical cost was estimated by the cost-to-charge ratio. Cost was converted to 2013 value by consumer price index, and converted to $US using 31 Baht/ 1 $US. The healthcare resource utilization was also estimated. A total of 157 patients were included with average age of 45.3±23.0 years. About 146 patients (93.0%) were diagnosed as SJS and the remaining (7.0%) were diagnosed as TEN. Most of the patients (83.4%) were treated with systemic corticosteroids. Overall, mortality rate was 8.3%, while the average length of stay (LOS) was 10.1±13.2 days. The average cost of managing SJS/TEN for all patients was $1,064±$2,558. The average cost for SJS patients was $1,019±$2,601 while that for TEN patients was $1,660±$1,887. Healthcare resource utilization and cost of care for SJS/TEN in Thailand were tremendous. The findings are important for policy makers to allocate healthcare resources and develop strategies to prevent SJS/TEN which could decrease length of stay and cost of care.

Stevens-Johnson syndrome and toxic epidermal necrolysis due to anticonvulsants share certain clinical and laboratory features with drug-induced hypersensitivity syndrome, despite differences in cutaneous presentations.

PubMed

Teraki, Y; Shibuya, M; Izaki, S

2010-10-01

Drug-induced hypersensitivity syndrome (DIHS)/drug rash with eosinophilia and systemic symptoms (DRESS) syndrome is characterized by late disease onset, fever, rash, hepatic dysfunction, haematological abnormalities, lymphadenopathy and often, human herpesvirus (HHV) reactivation. The diagnosis of DIHS is based on the combined presence of these findings. Anticonvulsants are a major cause of DIHS and may also cause Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). We examined whether SJS/TEN due to anticonvulsants display similar clinical and laboratory features seen in DIHS. Patients diagnosed with SJS or TEN due to anticonvulsants (n = 8) were examined and their clinical features and laboratory findings were compared with patients with anticonvulsant-related DIHS (n = 6). Seven of the eight patients with SJS/TEN developed symptoms > 3 weeks after starting anticonvulsants. Hepatic dysfunction was present in six patients with SJS/TEN and five patients with DIHS. Leucocytosis and/or eosinophilia was noted in seven patients with SJS/TEN and four patients with DIHS. Only one patient in the SJS/TEN group had atypical lymphocytosis; this was present in four patients with DIHS. Reactivation of HHV-6 was detected in one of the four patients tested in the SJS/TEN group, although it was seen in five of the six patients with DIHS. TSJS/TEN due to anticonvulsants may exhibit some clinical and laboratory features of DIHS. The nature of the cutaneous involvement should be emphasized in the diagnosis of DIHS. © 2009 The Author(s). Journal compilation © 2009 British Association of Dermatologists.

Erythema multiforme, Stevens-Johnson syndrome and toxic epidermal necrolysis: a comparative review.

PubMed

Yager, Julie A

2014-10-01

Human erythema multiforme (EM) and Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN) are separate conditions. There is no consensus on classification criteria for the eponymous diseases in animals. Animal EM is very different from 90% of human EM, which is herpes virus associated (HAEM). Animals lack acrally distributed, typical raised targets. Unlike canine parvovirus 'EM', HAEM is not an active infection. Animal EM is often attributed to drugs, but this is rarely proved. Conversely, human and animal SJS/TEN are almost identical, life-threatening disorders of epidermal necrosis and detachment, typically triggered by drugs (occasionally by infectious agents). Both EM and SJS/TEN are mediated by cytotoxic lymphocyte responses against altered keratinocytes (infectious agents or drugs). Apoptosis results from direct cytotoxicity or through soluble mediators, namely Fas ligand, granzymes, perforin and granulysin. Diagnosis in humans is clinicopathological, with emphasis on clinical lesions; histopathology confirms the pathological process as interface (cytotoxic) dermatitis. Human EM is self-limiting; only recurrent and rare persistent cases require antiviral/immunosuppressive therapies. Drug-induced EM responds to drug withdrawal. Idiopathic canine EM (>40%) is usually chronic, refractory to treatment and may represent heterogeneous conditions. Early identification and removal of the causative drug and high-quality supportive care are critical in SJS/TEN. Mortality rate is nevertheless high. (1) Histopathological lesions do not reliably differentiate EM, SJS and TEN. (2) A multicentre study to develop a consensus set of clinical criteria for EM and SJS/TEN in animals is overdue. (3) No adjunctive therapies, including intravenous immunoglobulin and ciclosporin, have met evidence-based standards. © 2014 ESVD and ACVD.

Regulation of ocular surface inflammation by prostaglandin E receptor subtype EP3.

PubMed

Ueta, Mayumi

2010-11-01

We first investigated whether the prostaglandin (PG) E2-PGE receptor subtype EP3 axis regulates the development of murine experimental allergic conjunctivitis because it has been reported that this pathway negatively regulates allergic reactions in a murine allergic asthma model. We observed that EP3 is constitutively expressed in mice conjunctival epithelium. EP3 knockout mice demonstrated significantly increased eosinophil infiltration in conjunctiva after ragweed challenge compared with wild-type mice. Consistently, significantly higher expression of eotaxin-1 messenger RNA was observed in Ptger3-/- mice. Conversely, treatment of wild-type mice with an EP3-selective agonist significantly decreased eosinophil infiltration, which was blunted in Ptger3-/- mice. Expression of cyclooxygenase-2 and PGE synthases was upregulated and PGE2 content increased in the eyelids after ragweed challenge. These data suggest that PGE2 acts on EP3 in the conjunctival epithelium and downregulates the progression of experimental allergic conjunctivitis. We next examined and compared the expression of EP3 in human conjunctival epithelium in various ocular surface diseases. Human conjunctival epithelium expressed EP3-specific messenger RNA and EP3 protein. Although we could clearly find positive signals in the conjunctival epithelium from patients with noninflammatory ocular surface diseases such as conjunctivochalasis and pterygium, we could not find positive signals in that from those with inflammatory disorders such as Stevens-Johnson syndrome and ocular cicatricial pemphigoid. Likewise, expression of the PGE receptor subtype EP4 was clearly found in the conjunctival epithelium from patients with conjunctivochalasis and pterygium but not from patients with Stevens-Johnson syndrome and ocular cicatricial pemphigoid.

Force Structure Matters: The US Field Artillery in Operational Art

DTIC Science & Technology

2015-05-23

2003 (Fort Sill, OK: US Army Field Artillery Center, 2004), 62-63. 3 Sean Bateman and Steven Hady, “King of Battle Once Again: An Organizational...To What Ends Military Power?” International Security 4, no. 4 (Spring 1980): 3- 35. Bateman , Sean and Steven Hady. “King of Battle Once Again: An

Various views of STS-95 Senator John Glenn during training

NASA Image and Video Library

1998-06-18

S98-08731 (9 April 1998) --- Four members of the STS-95 crew participate in a food tasting session at the Johnson Space Center (JSC). From the left are Steven W. Lindsey, pilot; Stephen K. Robinson, mission specialist; with payload specialists Chiaki Mukai of Japan's National Space Development Agency (NASDA) and U.S. Sen. John H. Glenn Jr. They will be joined by three other astronauts when Discovery lifts off in late October of this year for a scheduled nine-day mission. The photo was taken by Joe McNally, National Geographic, for NASA.

Various views of STS-95 Senator John Glenn during training

NASA Image and Video Library

1998-06-18

S98-08735 (9 April 1998) --- Five members of the STS-95 crew participate in a food tasting session at NASA's Johnson Space Center. From the left are Pedro Duque, a mission specialist representing the European Space Agency (ESA); Scott E. Parazynski, mission specialist; Steven W. Lindsey, pilot; Stephen K. Robinson, mission specialist; and payload specialist Chiaki Mukai of Japan's National Space Development Agency (NASDA). At the session but not pictured are U.S. Sen. John H. Glenn Jr., payload specialist; and Curtis L. Brown Jr., commander. The photo was taken by Joe McNally, National Geographic, for NASA.

Association of CYP2C9*3 with phenytoin-induced Stevens-Johnson syndrome and toxic epidermal necrolysis: A systematic review and meta-analysis.

PubMed

Wu, X; Liu, W; Zhou, W

2018-06-01

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are severe cutaneous adverse reactions that can be induced by phenytoin (PHT). CYP2C9*3 is the key enzyme in PHT metabolism. The aim of this meta-analysis was to evaluate the association between CYP2C9*3 and PHT-induced SJS/TEN. An extensive search was performed in multiple databases, including the Cochrane Library, EMBASE, PubMed, OVID and EBSCO. Studies exploring the relationship between CYP2C9*3 and PHT-induced SJS and TEN were included. Odds ratios (ORs) with corresponding 95% confidence intervals (CI) were calculated for dichotomous data. Data analysis was performed using Review Manager (version 5.3). Four studies, with 117 PHT-induced SJS/TEN cases and 338 matched controls (PHT-tolerant patients) or 4231 population controls (general population), were identified. SJS and TEN were found to be significantly associated with the CYP2C9*3 allele, comparing both matched controls (OR, 8.93; 95% CI, 2.63-30.36; P = .0005) with substantial heterogeneity (I 2  = 46%) and population controls (OR, 8.88; 95% CI, 5.01-15.74; P < .00001). A significant association between CYP2C9*3 and PHT-induced SJS/TEN was identified, especially in a Thai population. CYP2C9*3 is thus a credible predictive genetic marker of PHT-induced SJS/TEN. Further multicenter studies and large prospective observational studies are, however, still required to determine the influence of CYP2C*3 on blood levels of PHT and its metabolites, and their association with SJS/TEN. © 2017 John Wiley & Sons Ltd.

Association of HLA-B*5801 allele and allopurinol-induced stevens johnson syndrome and toxic epidermal necrolysis: a systematic review and meta-analysis

PubMed Central

2011-01-01

Background Despite some studies suggesting a possible association between human leukocyte antigen, HLA-B*5801 and allopurinol induced Stevens-Johnson Syndrome (SJS) and Toxic Epidermal Necrolysis (TEN), the evidence of association and its magnitude remain inconclusive. This study aims to systematically review and meta-analyze the association between HLA-B*5801 allele and allopurinol-induced SJS/TEN. Methods A comprehensive search was performed in databases including MEDLINE, Pre-MEDLINE, Cochrane Library, EMBASE, International Pharmaceutical Abstracts (IPA), CINAHL, PsychInfo, the WHO International, Clinical Trial Registry, and ClinicalTrial.gov from their inceptions to June 2011. Only studies investigating association between HLA-B*5801 with allopurinol-induced SJS/TEN were included. All studies were extracted by two independent authors. The primary analysis was the carrier frequency of HLA-B*5801 comparison between allopurinol-induced SJS/TEN cases and each comparative group. The pooled odds ratios were calculated using a random effect model. Results A total of 4 studies with 55 SJS/TEN cases and 678 matched-controls (allopurinol-tolerant control) was identified, while 5 studies with 69 SJS/TEN cases and 3378 population-controls (general population) were found. SJS/TEN cases were found to be significantly associated with HLA-B*5801 allele in both groups of studies with matched-control (OR 96.60, 95%CI 24.49-381.00, p < 0.001) and population-control (OR 79.28, 95%CI 41.51-151.35, p < 0.001). Subgroup analysis for Asian and Non-Asian population yielded similar findings. Conclusion We found a strong and significant association between HLA-B*5801 and allopurinol-induced SJS/TEN. Therefore, HLA-B*5801 allele screening may be considered in patients who will be treated with allopurinol. PMID:21906289

Mycoplasma-associated Stevens-Johnson syndrome in children: retrospective review of patients managed with or without intravenous immunoglobulin, systemic corticosteroids, or a combination of therapies.

PubMed

Ahluwalia, Jusleen; Wan, Joy; Lee, Diana H; Treat, James; Yan, Albert C

2014-01-01

Administration of intravenous immunoglobulin (IVIG) to patients with Stevens-Johnson syndrome (SJS) has been controversial. The objective of this study was to evaluate the effectiveness of IVIG, systemic corticosteroids, or both in treating Mycoplasma pneumoniae-associated SJS (mpSJS). Retrospective series of 10 pediatric mpSJS cases were stratified into four treatment groups: IVIG alone, IVIG and systemic corticosteroids together, systemic corticosteroids alone, and supportive care. The efficacy of therapy was evaluated on the basis of several proxies of disease severity, including hospital length of stay (LOSt ) and number of febrile days (Febt ) after initiation of therapy. Patients treated with IVIG alone had a longer LOSt and more Febt , despite different baseline characteristics, than patients treated with supportive therapy. Of patients who received IVIG, 50% were treated with corticosteroids concurrently and had similar characteristics of disease severity but showed a non-statistically significant trend toward shorter LOSt and fewer Febt than those who received IVIG alone. A patient treated with corticosteroids alone had the shortest LOSt in this series. Therefore treatment with IVIG alone was associated with a more severe disease course than supportive therapy, although causality cannot be inferred given possible confounding by indication. When systemic corticosteroids were used alone or in conjunction with IVIG, hospital LOSt and Febt trended lower than with the use of IVIG alone, although disease severity at baseline was similar between those treated with IVIG and corticosteroids concurrently and those treated with IVIG alone. It was thus concluded that treatment with systemic corticosteroids as monotherapy or in combination with IVIG may be preferable to IVIG alone. Further large-scale studies are warranted to evaluate this hypothesis. © 2014 Wiley Periodicals, Inc.

Outbreak of Mycoplasma pneumoniae–Associated Stevens-Johnson Syndrome

PubMed Central

Watkins, Louise K. Francois; Demirjian, Alicia; Lin, Xia; Robinson, Christine C.; Pretty, Kristin; Benitez, Alvaro J.; Winchell, Jonas M.; Diaz, Maureen H.; Miller, Lisa A.; Foo, Teresa A.; Mason, Melanie D.; Lauper, Ursula L.; Kupfer, Oren; Kennedy, Jeffrey; Glodé, Mary P.; Kutty, Preeta K.; Dominguez, Samuel R.

2015-01-01

BACKGROUND: Stevens-Johnson syndrome (SJS) is an uncommon, sporadic disease and outbreaks are rare. In November 2013, an outbreak of SJS was identified at Children’s Hospital Colorado. METHODS: Outbreak cases were children aged 5–21 with a discharge diagnosis of SJS admitted from September 1 to November 30, 2013. Medical charts were reviewed using standardized data collection forms. Respiratory specimens were tested for viruses and Mycoplasma pneumoniae (Mp) by polymerase chain reaction (PCR). We conducted a separate 4-year retrospective case-control study comparing hospitalized SJS cases with and without evidence of Mp infection. RESULTS: During the outbreak, 8 children met SJS criteria. Median age was 11.5 years (range 8–16 years); 5 (63%) were boys and 5 (63%) were Mp-PCR–positive. Of the 5 PCR-positive children, none had preceding medication exposure, and all had radiographic pneumonia. All outbreak Mp isolates were macrolide susceptible. The retrospective case-control analysis showed that Mp-associated SJS episodes (n = 17) were more likely to have pneumonia (odds ratio [OR] 10.0, confidence interval [CI] 1.3–5.1), preceding respiratory symptoms (OR 30.0, CI 1.6–72.6), an erythrocyte sedimentation rate ≥35 mg/dL (OR 22.8, CI 2.1–244.9), and ≤3 affected skin sites (OR 4.5, CI 1.2–17.4) than non–Mp-associated SJS episodes (n = 23). CONCLUSIONS: We report the largest outbreak of SJS in children, which was also predominately associated with Mp infection. Mp-associated SJS was associated with a distinct clinical presentation that included less extensive skin disease, an elevated erythrocyte sedimentation rate, and evidence of a preceding respiratory infection. PMID:26216320

Mucosal complications of modified osteo-odonto keratoprosthesis in chronic Stevens-Johnson syndrome.

PubMed

Basu, Sayan; Pillai, Vinay Sukumara; Sangwan, Virender S

2013-11-01

To describe clinical outcomes of complications afflicting the autologous oral mucous membrane graft after modified osteo-odonto keratoprosthesis surgery in chronic Stevens-Johnson syndrome (SJS). Prospective case series. This study included 30 eyes of 30 patients with SJS-induced dry keratinized ocular surfaces; the patients underwent various stages of this procedure between August 2009 and February 2012. Mucosal complications were classified as either necrosis or overgrowth. Mucosal necrosis was managed according to a predesigned algorithm based on timing (pre- and postimplantation) and location (central or peripheral) of necrosis. Cases with mucosal overgrowth underwent mucosal debulking and trimming. Mucosal necrosis developed in 15 (50%) eyes and overgrowth in 4 (13.3%) eyes. Preimplantation necrosis (n = 7) was initially managed conservatively, but 2 eyes required free labial-mucous membrane grafting for persistent corneal exposure. Free labial-mucous membrane grafting was performed in all cases of postimplantation necrosis (n = 10), but 8 eyes required additional tarsal pedicle flaps (n = 6, for peripheral necrosis) or through-the-lid revisions (n = 2, for central necrosis). Debulking and trimming effectively managed all cases of mucosal overgrowth, but 3 eyes required repeat procedures. At 24.1 ± 6.5 months postimplantation, the keratoprosthesis was retained in all eyes, and the probability of maintaining 20/60 or better vision was similar in eyes with or without mucosal necrosis (86 ± 8.8% vs 80 ± 10.3%). Mucosal complications, especially necrosis, occurred commonly following modified osteo-odonto keratoprosthesis surgery in dry keratinized post-SJS eyes. The algorithm-based management approach described in this study was successful in treating these complications, retaining the prosthesis and preserving useful vision. Copyright © 2013 Elsevier Inc. All rights reserved.

Minor salivary glands and labial mucous membrane graft in the treatment of severe symblepharon and dry eye in patients with Stevens-Johnson syndrome.

PubMed

Sant' Anna, Ana Estela B P P; Hazarbassanov, Rossen M; de Freitas, Denise; Gomes, José Álvaro P

2012-02-01

To evaluate minor salivary glands and labial mucous membrane graft in patients with severe symblepharon and dry eye secondary to Stevens-Johnson syndrome (SJS). A prospective, non-comparative, interventional case series of 19 patients with severe symblepharon and dry eye secondary to SJS who underwent labial mucous membrane and minor salivary glands transplantation. A complete ophthalmic examination including the Schirmer I test was performed prior to and following surgery. All patients had a preoperative Schirmer I test value of zero. Nineteen patients with severe symblepharon and dry eye secondary to SJS were included in the study. There was a statistically significant improvement in the best spectacle-corrected visual acuity in eight patients (t test; p=0.0070). Values obtained in the Schirmer I test improved significantly in 14 eyes (73.7%) 6 months following surgery (χ(2) test; p=0.0094). A statistically significant increase in tear production (Schirmer I test) was found in eyes that received more than 10 glands per graft compared with eyes that received fewer glands (χ(2) test; p=0.0096). Corneal transparency improved significantly in 11 (72.2%) eyes and corneal neovascularisation improved significantly in five eyes (29.4%) (McNemar test; p=0.001 and p=0.0005). The symptoms questionnaire revealed improvement in foreign body sensation in 53.6% of the patients, in photophobia in 50.2% and in pain in 54.8% (Kruskal-Wallis test; p=0.0167). Labial mucous membrane and minor salivary glands transplantation were found to constitute a good option for the treatment of severe symblepharon and dry eye secondary to SJS. This may be considered as a step prior to limbal stem cell and corneal transplantation in these patients.

Conjunctival impression cytology evaluation of patients with dry eye disease using scleral contact lenses.

PubMed

Weber, Sarah La Porta; Hazarbassanov, Rossen Mihaylov; Nasaré, Alex; Gomes, José Álvaro Pereira; Hofling-Lima, Ana Luisa

2017-06-01

To evaluate conjunctival impression cytology and HLADR expression changes after wearing scleral contact lenses (ScCLs) for moderate to severe dry eye disease (DED). Prospective interventional case series. Forty-one eyes from 25 patients with moderate to severe DED were evaluated for Esclera ScCL treatment. Best-corrected visual acuity (BCVA) and slit-lamp findings were assessed. Impression cytology specimens were obtained from DED patients at the baseline and after wearing ScCLs for 12 months. The impression cytology specimens were analyzed using morphological results score, and HLA-DR positive cells were detected and quantified. The values were compared to assess the IC changes after wearing ScCLs. Forty-one eyes from 25 patients were fitted with ScCLs to manage DED. The underlying diseases were Stevens-Johnson syndrome (22 eyes), Sjogren's syndrome (11 eyes), graft-versus-host disease (2 eyes), dry eye after keratomileusis (2 eyes) and undifferentiated ocular surface disease (4 eyes). The HE-PAS impression cytology score did not differ significantly before and after wearing ScCLs for 12 months in DED patients (p>0.05). The percentage of eyes expressing the HLA-DR antigen in the temporal conjunctiva after wearing ScCL for 12 months significantly increased in patients with Sjogren's syndrome (11.11% to 66.66%; p=0.0498). In groups with Stevens Johnson syndrome and other ocular surface disorders, we did not observe statistically significant differences (p>0.05). The ScCLs did not change the parameters used to evaluate inflammatory processes, which were measured using conjunctival impression cytology and HLA-DR expression, except in Sjogren syndrome, in which there was an unexpected increase in HLA expression. Copyright © 2016 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

Racial disparities in the risk of Stevens-Johnson Syndrome and toxic epidermal necrolysis as urate-lowering drug adverse events in the United States.

PubMed

Lu, Na; Rai, Sharan K; Terkeltaub, Robert; Kim, Seoyoung C; Menendez, Mariano E; Choi, Hyon K

2016-10-01

HLA-B*5801 allele carriage (a strong determinant of allopurinol hypersensitivity syndrome) varies substantially among races, which may lead to racial disparities in the risk of Stevens-Johnson Syndrome (SJS) and toxic epidermal necrolysis (TEN) in the context of urate-lowering drug adverse events (ULDAEs). We examined this hypothesis in a large, racially diverse, and generalizable setting. Using a database representative of US hospitalizations (2009-2013), we investigated the racial distribution of hospitalized SJS/TEN (principal discharge diagnosis) as ULDAEs (ICD-9-CM Classification of External Causes). Our reference groups included the US Census population, US allopurinol users, and ULDAE hospitalizations without SJS/TEN. We identified 606 cases hospitalized for SJS/TEN as ULDAEs (mean age = 68 years; 44% male), among which there was an overrepresentation of Asians (27%) and Blacks (26%), and an underrepresentation of Whites (29%) and Hispanics (% too-low-to-report), compared with the US Census population (5%, 12%, 67%, and 15%, respectively). The hospitalization rate ratios for SJS/TEN among Asians, Blacks, and Whites were 11.9, 5.0, and 1.0 (referent), respectively. These associations persisted using other national referents. According to the NHANES 2009-2012, allopurinol constituted 96.8% of urate-lowering drug use, followed by probenecid (2.1%). These national data indicate that Asians and Blacks have a substantially higher risk of SJS/TEN as ULDAEs than Whites (or Hispanics), correlating well with corresponding frequencies of HLA-B*5801 in the US population (i.e., 7.4%, 4%, 1%, and 1%, respectively). Given its market dominance and established association with SJS/TEN, our findings support the use of vigilance in these minorities when considering allopurinol. Copyright © 2016 Elsevier Inc. All rights reserved.

Severe Cutaneous Adverse Drug Reactions in Pediatric Patients: A Multicenter Study.

PubMed

Dibek Misirlioglu, Emine; Guvenir, Hakan; Bahceci, Semiha; Haktanir Abul, Mehtap; Can, Demet; Usta Guc, Belgin Emine; Erkocoğlu, Mustafa; Toyran, Muge; Nacaroglu, Hikmet Tekin; Civelek, Ersoy; Buyuktiryaki, Betul; Ginis, Tayfur; Orhan, Fazil; Kocabas, Can Naci

The severe cutaneous adverse drug reactions (SCARs) are rare but could be life-threatening. These include drug reaction with eosinophilia and systemic symptoms (DRESS), Stevens-Johnson syndrome, toxic epidermal necrolysis (TEN), and acute generalized exanthematous pustulosis. The purpose of this study was the evaluation of the clinical characteristics of patients with the diagnosis of SCARs. Patients who were diagnosed with SCARs between January 2011 and May 2016 by pediatric allergy clinics in the provinces of Ankara, Trabzon, Izmir, Adana, and Bolu were included in this multicenter study. Clinical and laboratory findings, the time between suspected drug intake and development of clinical findings, treatments they have received, and length of recovery time were recorded. Fifty-eight patients with SCARs were included in this study. The median age of the patients was 8.2 years (interquartile range, 5.25-13 years) and 50% (n = 29) were males. Diagnosis was Stevens-Johnson syndrome/TEN in 60.4% (n = 35), DRESS in 27.6% (n = 16), and acute generalized exanthematous pustulosis in 12% (n = 7) of the patients. In 93.1% of the patients, drugs were the cause of the reactions. Antibiotics ranked first among the drugs (51.7%) and antiepileptic drugs were the second (31%) most common. A patient who was diagnosed with TEN developed lagophthalmos and a patient who was diagnosed with DRESS developed secondary diabetes mellitus. Only 1 patient with the diagnosis of TEN died. SCARs in children are not common but potentially serious. Early diagnosis and appropriate treatment of SCARs will reduce the incidence of morbidity and mortality. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

Validation of a novel real-time PCR assay for detection of HLA-B*15:02 allele for prevention of carbamazepine - Induced Stevens-Johnson syndrome/Toxic Epidermal Necrolysis in individuals of Asian ancestry.

PubMed

Nguyen, Dinh Van; Vidal, Christopher; Chu, Hieu Chi; Do, Nga Thi Quynh; Tran, Tu Thi Linh; Le, Huong Thi Minh; Fulton, Richard B; Li, Jamma; Fernando, Suran L

2016-12-01

Screening for the HLA-B*15:02 allele has been recommended to prevent carbamazepine (CBZ) - induced Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) in individuals with Asian ancestry. We aimed, therefore, to develop and validate a robust and inexpensive method for detection of the HLA-B*15:02 allele. Real-time PCR using TaqMan® probes followed by SYBR® Green was used to detect the HLA-B*15:02 allele prior to treatment with CBZ therapy. A total of 121 samples were tested. The assay has a sensitivity of 100% (95% CI: 76.84-100.0%), a specificity of 100% (95% CI: 96.61-100%), a positive predictive value of 100% (95% CI: 76.84-100%) and a negative predictive value of 100.0% (95% CI: 96.61-100.0%), respectively. There was 100% agreement between our results and genotyping using Luminex SSO/SBT/SSP. The lowest limit of detection of the TaqMan® probe is 0.05ng/μl and the SYBR® Green is 0.5ng/μl of DNA. The unit cost of using the TaqMan® probe followed by SYBR® Green is only $4.7 USD. We developed a novel assay for the detection of the HLA-B*15:02 allele, which is robust, inexpensive and suitable for screening individuals of Asian ancestry in the prevention of CBZ-induced SJS/TEN. Copyright © 2016 American Society for Histocompatibility and Immunogenetics. Published by Elsevier Inc. All rights reserved.

Healthcare utilization and cost of Stevens-Johnson syndrome and toxic epidermal necrolysis management in Thailand

PubMed Central

Dilokthornsakul, P; Sawangjit, R; Inprasong, C; Chunhasewee, S; Rattanapan, P; Thoopputra, T; Chaiyakunapruk, N

2016-01-01

Background: Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) are life-threatening dermatologic conditions. Although, the incidence of SJS/TEN in Thailand is high, information on cost of care for SJS/TEN is limited. This study aims to estimate healthcare resource utilization and cost of SJS/TEN in Thailand, using hospital perspective. Methods: A retrospective study using an electronic health database from a university-affiliated hospital in Thailand was undertaken. Patients admitted with SJS/TEN from 2002 to 2007 were included. Direct medical cost was estimated by the cost-to-charge ratio. Cost was converted to 2013 value by consumer price index, and converted to $US using 31 Baht/1 $US. The healthcare resource utilization was also estimated. Results: A total of 157 patients were included with average age of 45.3±23.0 years. About 146 patients (93.0%) were diagnosed as SJS and the remaining (7.0%) were diagnosed as TEN. Most of the patients (83.4%) were treated with systemic corticosteroids. Overall, mortality rate was 8.3%, while the average length of stay (LOS) was 10.1±13.2 days. The average cost of managing SJS/TEN for all patients was $1,064±$2,558. The average cost for SJS patients was $1,019±$2,601 while that for TEN patients was $1,660±$1,887. Conclusions: Healthcare resource utilization and cost of care for SJS/TEN in Thailand were tremendous. The findings are important for policy makers to allocate healthcare resources and develop strategies to prevent SJS/TEN which could decrease length of stay and cost of care. PMID:27089110

Interactive Computer Graphics.

DTIC Science & Technology

1980-10-24

Crawford Kenneth Field Steven Feiner Sidney Gudes David Holland Howard Koslow Janet Levitt Steven Lewis Andrew Malis Craig Mathias Robert Schiavone John Zahorjan 7 ...Ingrid Carlbom Paul Hanau David Irvine Kenneth Magel Jack Stankovic John Stockenberg Charles Sorgie David Taffs Undergraduate Research Assistants: John

KSC-2011-1798

NASA Image and Video Library

2011-02-28

CAPE CANAVERAL, Fla. -- At NASA's Kennedy Space Center in Florida, STS-134 Pilot Gregory H. Johnson and Mission Specialist Roberto Vittori with the European Space Agency accompany space shuttle Endeavour's move, or "rollover," to the Vehicle Assembly Building (VAB). In the VAB, Endeavour will be lifted into a high bay where it will be attached to its external fuel tank and solid rocket boosters for its final and upcoming STS-134 mission. Endeavour and its STS-134 crew will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer, spare parts, a high-pressure gas tank, additional spare parts for Dextre and micrometeoroid debris shields to the International Space Station. Launch is targeted for April 19 at 7:48 p.m. EDT. For more information visit, http://www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA

Space Shuttle Projects

NASA Image and Video Library

1997-09-01

Five astronauts and a payload specialist take a break from training at the Johnson Space Center (JSC) to pose for the STS-87 crew portrait. Wearing the orange partial pressure launch and entry suits, from the left, are Kalpana Chawla, mission specialist; Steven W. Lindsey, pilot; Kevin R. Kregel, mission commander; and Leonid K. Kadenyuk, Ukrainian payload specialist. Wearing the white Extravehicular Mobility Unit (EMU) space suits are mission specialists Winston E. Scott (left) and Takao Doi (right). Doi represents Japan’s National Space Development Agency (NASDA). The STS-87 mission launched aboard the Space Shuttle Columbia on November 19, 1997. The primary payload for the mission was the U.S. Microgravity Payload-4 (USMP-4).

Impact of early season apical meristem injury by gall inducing tipworm (Diptera: Cecidomyiidae) on reproductive and vegetative growth of cranberry.

PubMed

Tewari, S; Buonaccorsi, J P; Averill, A L

2013-06-01

Larvae of cranberry tipworm, Dasineura oxycoccana Johnson, disrupt early season growth of cranberry (Vaccinium macrocarpon Aiton) uprights or shoots by feeding on apical meristem tissue. A 2-yr field study was carried out at three different locations to determine the impact of tipworm feeding injury on the reproductive and vegetative growth of two cranberry cultivars ('Howes' and 'Stevens') in Massachusetts. In addition to tipworm-injured and intact control uprights, an artificial injury treatment simulating tipworm feeding was also included. Individual uprights of cranberry exhibited tolerance to natural (tipworm) and simulated apical meristem injury in the current growing season (fruit production) and results were corroborated by a greenhouse study. In the field study, weight of fruit was higher in tipworm-injured uprights as compared with intact control uprights at the sites with Howes. However, majority of injured uprights (tipworm and simulated) did not produce new growth from lateral buds (side-shoots) before the onset of dormancy. In the next growing season, fewer injured uprights resumed growth and produced flowers as compared with intact uprights at two of the three sites. We suggest that multiple-year studies focusing on whole plant response to tipworm herbivory will be required to determine the costs of chronic feeding injury over time.

Award for Distinguished Scientific Contributions: Steven F. Maier

ERIC Educational Resources Information Center

American Psychologist, 2009

2009-01-01

Steven F. Maier, winner of the Award for Distinguished Scientific Contributions, is cited for his work in the fields of learned helplessness; cytokines, depressed mood, and cognitive interference; and the brain structures that produce and counteract learned helplessness. In addition to the citation, a biography and selected bibliography of Maier's…

KSC-2012-2141

NASA Image and Video Library

2012-04-14

CAPE CANAVERAL, Fla. – At the Shuttle Landing Facility at NASA’s Kennedy Space Center in Florida, media representatives interview space shuttle managers following the arrival of space shuttle Discovery. Behind the rope with their backs to the camera are, from left, Bart Pannullo, NASA Transition and Retirement vehicle manager at Kennedy Dorothy Rasco, manager for Space Shuttle Program Transition and Retirement at NASA’s Johnson Space Center Stephanie Stilson, NASA flow director for Orbiter Transition and Retirement at Kennedy and Kevin Templin, transition manager for the Space Shuttle Program at Johnson. Discovery will be hoisted onto a Shuttle Carrier Aircraft, or SCA, with the aid of the mate-demate device at the landing facility. The SCA, a modified Boeing 747 jet airliner, is scheduled to ferry Discovery to the Washington Dulles International Airport in Virginia on April 17, after which the shuttle will be placed on permanent public display in the Smithsonian's National Air and Space Museum Steven F. Udvar-Hazy Center. For more information on shuttle transition and retirement activities, visit http://www.nasa.gov/transition. Photo credit: NASA/Kim Shiflett

Toxic epidermal necrolysis: an update

PubMed Central

Tiwari, Prashant; Panik, Rajnikant; Bhattacharya, Arin; Ahirwar, Dheeraj; Chandy, Anish

2013-01-01

Toxic epidermal necrolysis (TEN), also known as Lyell's syndrome, is a rare, life-threatening dermatological condition that is usually induced by reaction to medications. It is characterized by the detachment of the top layer of skin (the epidermis) from the lower layers of the skin (the dermis) all over the body. There is broad agreement in medical literature that TEN can be considered a more severe form of Stevens Johnson syndrome, and debate whether it falls on a spectrum of disease that includes erythema multiforme. Some authors consider that there is an overlap between the two syndromes (usually between 10% and 30% of skin detachment). This article deals with history, epidemiology, diagnosis, pathophysiology treatment and management of TEN.

Bullous dermatosis associated with vancomycin extravasation.

PubMed

Bohm, Nicole M; Wong, Jeffrey G

2012-02-01

Cutaneous side effects related to vancomycin therapy have been reported including histamine-related reactions, linear IgA bullous dermatosis, Stevens-Johnson syndrome, maculopapular rash and drug rash with eosinophilia and systemic symptoms. In all instances, these reports were due to the systemic administration of vancomycin and subsequent immunological reactions to the medication. Drug extravasation into soft tissues can result in a variety of clinical outcomes usually related to physiochemical properties of the drug extravasated and its diluents or pharmacologic effects on the vasculature and tissue. The authors report a patient who experienced vancomycin extravasation that resulted in a localized bullous eruption resembling linear IgA bullous dermatosis, a phenomenon not previously described in the literature.

A case report on toxic epidermal necrolysis with etoricoxib

PubMed Central

Kameshwari, J. S.; Devde, Raju

2015-01-01

Etoricoxib is a selective cyclo-oxygenase 2 (COX-2) enzyme inhibitor and is exploited for its analgesic activity in various disease conditions like osteoarthritis, gouty arthritis, acute pain including postoperative dental pain and primary dysmenorrhea, etc. Although highly efficacious in pain management the safety profile of this COX-2 inhibitor is yet to be established in a broader sense. Short-term clinical trials and postmarketing surveillance have shown a very rare incidence of very serious skin reactions like Steven Johnson syndrome or toxic epidermal necrolysis (TEN). In this case report, we summarize regarding a patient who developed TEN after treatment with etoricoxib for osteoarthritis that later resolved in 15 days after withdrawal and symptomatic treatment. PMID:25878388

The Moon; twenty years later

USGS Publications Warehouse

Kerr, R. A.

1989-01-01

The 20th anniversary of the first landing on the Moon occurred on July 21, 1989. The vast majority of the Moon rocks collected by the Apollo mission astronauts await further study in the continuing effort to unravel the origin and evolution of Earth's nearest neighbor. Not that the 382-kilogram treasure trove of lunar samples has been gathering dust in the Planetary Materials Laboratory at the Johnson Space Center in Houston. It is just that lunar scientists are being very sparing in their use of the rocks. 

KSC-2009-6192

NASA Image and Video Library

2009-11-12

CAPE CANAVERAL, Fla. - STS-129 Mission Specialist Mike Foreman, left, is greeted by Space Shuttle Launch Director Mike Leinbach upon his arrival at the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. Looking on is astronaut Jerry L. Ross, chief of the Vehicle Integration Test Office at the Johnson Space Center. The six astronauts for space shuttle Atlantis’ STS-129 mission arrived at Kennedy aboard a NASA Shuttle Training Aircraft, a modified Gulfstream II jet, to make final preparations for their launch. On STS-129, the crew will deliver to the International Space Station two spare gyroscopes, two nitrogen tank assemblies, two pump modules, an ammonia tank assembly and a spare latching end effector for the station's robotic arm. Launch is set for Nov. 16. For information on the STS-129 mission objectives and crew, visit http://www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts129/index.html. Photo credit: NASA/Kim Shiflett

Retrospective Analysis of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis in 88 Chinese Patients

PubMed Central

Wang, Li; Mei, Xue-Ling

2017-01-01

Background: Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening diseases with high mortality rates. This study was designed to analyze the pathogenic factors, clinical manifestations, complications, treatment, and prognosis of SJS/TEN and to explore the differences between surviving and deceased patients. Methods: SJS/TEN patients admitted to Beijing Friendship Hospital from January 2006 to December 2015 were included in the study. Patients’ data were retrospectively analyzed. Comparative studies were performed on the survival group and the deceased group, and Fisher's exact probability test was used for statistical analysis. Results: Among the 88 patients included, 40 (45.5%) were male with a mean age of 45 ± 18 years. Forty-eight (54.5%) had SJS, 34 (38.6%) had SJS/TEN, and 6 (6.8%) had TEN. Fifty-three (60.2%) cases were caused by medications, mainly antibiotics (n = 24) followed by traditional Chinese medicines (n = 7). Forty-two cases (47.7%) developed visceral damage. Eighty-two patients improved or recovered and were discharged from hospital, and six patients died. Comparative studies on the survival group and the deceased group showed that the presence of malignant tumor (χ2 = 27.969, P < 0.001), connective tissue diseases (χ2 = 9.187, P = 0.002), previous abnormal liver/kidney functions (χ2 = 6.006, P = 0.014), heart rate >100 times/min (χ2 = 6.347, P = 0.012), detached skin area >20% (χ2 = 5.594, P = 0.018), concurrent mucosal involvement at the mouth, eyes, and external genitals (χ2 = 4.945, P = 0.026), subsequent accompanying liver/kidney damage (χ2 = 11.839, P = 0.001, and χ2 = 36.302, P < 0.001, respectively), and SCORTEN score >2 (χ2 = 37.148, P < 0.001) increased the risk of death. Conclusions: SJS/TEN is mainly caused by medications, and nearly half of patients develop visceral damage. Multiple factors increase the mortality risk. PMID:28469101

CD94/NKG2C is a killer effector molecule in patients with Stevens-Johnson syndrome and toxic epidermal necrolysis.

PubMed

Morel, Esther; Escamochero, Salvador; Cabañas, Rosario; Díaz, Rosa; Fiandor, Ana; Bellón, Teresa

2010-03-01

Toxic epidermal necrolysis (TEN) and Stevens-Johnson syndrome (SJS) are severe, bullous cutaneous diseases with uncertain pathogenesis, although cytotoxic T cells seem to be involved. Natural killer (NK)-like activity has been found in blister infiltrates. Cytotoxic T lymphocytes (CTLs) with NK-like activity (NK-CTLs) have been shown to express T-cell receptors restricted by the HLA-Ib molecule HLA-E. Alternatively, the HLA-E-specific activating receptor CD94/NKG2C can trigger T-cell receptor-independent cytotoxicity in CTLs. Our aim was to test whether HLA-E expression sensitizes keratinocytes to killing by CTLs with NK-like activity and to explore the expression of activating receptors specific for HLA-E in blister cytotoxic lymphocytes. We used flow cytometry and immunohistochemistry to analyze HLA-E expression in keratinocytes from affected skin in patients with SJS, TEN, and other less severe drug-induced exanthemas. The expression of CD94/NKG2C was analyzed by means of flow cytometry in PBMCs and blister cells from patients. PBMCs and blister cells were analyzed for their ability to kill HLA-E-expressing cells. Involvement of CD94/NKG2C in triggering degranulation of cytolytic cells was explored by means of CD107a mobilization assays and standard cytotoxicity chromium release assays. We found that keratinocytes from affected skin expressed HLA-E and that cell-surface HLA-E sensitizes keratinocytes to killing by CD94/NKG2C(+) CTLs. Frequencies of CD94/NKG2C(+) peripheral blood T and NK cells were increased in patients with SJS and TEN during the acute phase. Moreover, activated blister T and NK lymphocytes expressed CD94/NKG2C and were able to degranulate in response to HLA-E(+) cells in an NKG2C-dependent manner. CD94/NKG2C might be involved in triggering cytotoxic lymphocytes in patients with SJS and TEN.

Examining triage patterns of inhalation injury and toxic epidermal necrolysis-Stevens Johnson syndrome.

PubMed

Davis, James S; Pandya, Reeni K; Pizano, Louis R; Namias, Nicholas; Dearwater, Stephen; Schulman, Carl I

2013-01-01

The American Burn Association recommends that patients with toxic epidermal necrolysis-Stevens Johnson syndrome (TEN-SJS) or burn inhalation injuries would benefit from admission or transfer to a burn center (BC). This study examines to what extent those criteria are observed within a regional burn network. Hospital discharge data from 2000 to 2010 was obtained for all hospitals within the South Florida regional burn network. Patients with International Classification of Disease-9th revision discharge diagnoses for TEN-SJS or burn inhalation injury and their triage destination were compared using burn triage referral criteria to determine whether the patients were triaged differently from American Burn Association recommendations. Two hundred ninety-nine TEN-SJS and 131 inhalation injuries were admitted to all South Florida hospitals. Only 25 (8.4%) of TEN-SJS and 27 (21%) of inhalation injuries were admitted to the BC. BC patients had greater length of stay (TEN-SJS 22 vs 10 days; inhalation 13 vs 7) and were more likely to be funded by charity or be self-paid (TEN-SJS 24 vs 9.5%, P = .025; inhalation 44 vs 14%, P < .001), but less likely to hold some form of private or government insurance (TEN-SJS 72 vs 88%, P = .02; inhalation 48 vs 81%, P = .006). TEN-SJS BC patients were more frequently discharged home for self-care (76 vs 50%, P = .006). Non-BC patients were more often discharged to other healthcare facilities (28 vs 0% TEN-SJS, 20 vs 7.4% inhalation). Inappropriate triage may occur in more than 3 out of 4 of the TEN-SJS and inhalation injury patients within our burn network. Unfamiliarity with triage criteria, patient insurance status, and overcoding may play a role. Further studies should fully characterize the problem and implement education or incentives to encourage more appropriate triage.

ABC transporters and the proteasome complex are implicated in susceptibility to Stevens-Johnson syndrome and toxic epidermal necrolysis across multiple drugs.

PubMed

Nicoletti, Paola; Bansal, Mukesh; Lefebvre, Celine; Guarnieri, Paolo; Shen, Yufeng; Pe'er, Itsik; Califano, Andrea; Floratos, Aris

2015-01-01

Stevens-Johnson syndrome (SJS) and Toxic Epidermal Necrolysis (TEN) represent rare but serious adverse drug reactions (ADRs). Both are characterized by distinctive blistering lesions and significant mortality rates. While there is evidence for strong drug-specific genetic predisposition related to HLA alleles, recent genome wide association studies (GWAS) on European and Asian populations have failed to identify genetic susceptibility alleles that are common across multiple drugs. We hypothesize that this is a consequence of the low to moderate effect size of individual genetic risk factors. To test this hypothesis we developed Pointer, a new algorithm that assesses the aggregate effect of multiple low risk variants on a pathway using a gene set enrichment approach. A key advantage of our method is the capability to associate SNPs with genes by exploiting physical proximity as well as by using expression quantitative trait loci (eQTLs) that capture information about both cis- and trans-acting regulatory effects. We control for known bias-inducing aspects of enrichment based analyses, such as: 1) gene length, 2) gene set size, 3) presence of biologically related genes within the same linkage disequilibrium (LD) region, and, 4) genes shared among multiple gene sets. We applied this approach to publicly available SJS/TEN genome-wide genotype data and identified the ABC transporter and Proteasome pathways as potentially implicated in the genetic susceptibility of non-drug-specific SJS/TEN. We demonstrated that the innovative SNP-to-gene mapping phase of the method was essential in detecting the significant enrichment for those pathways. Analysis of an independent gene expression dataset provides supportive functional evidence for the involvement of Proteasome pathways in SJS/TEN cutaneous lesions. These results suggest that Pointer provides a useful framework for the integrative analysis of pharmacogenetic GWAS data, by increasing the power to detect aggregate effects of multiple low risk variants. The software is available for download at https://sourceforge.net/projects/pointergsa/.

Incidence of Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis: A Nationwide Population-Based Study Using National Health Insurance Database in Korea.

PubMed

Yang, Min-Suk; Lee, Jin Yong; Kim, Jayeun; Kim, Gun-Woo; Kim, Byung-Keun; Kim, Ju-Young; Park, Heung-Woo; Cho, Sang-Heon; Min, Kyung-Up; Kang, Hye-Ryun

2016-01-01

Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are life-threatening diseases; however, it is hard to estimate their incidence due to the rarity of these diseases. We evaluated the incidence of SJS and TEN using a nationwide administrative database. We used a national medical insurance review system (Health Insurance Review and Assessment) database which contained the claim data of the entire nation from 2009 to 2013 to estimate the accurate incidence of SJS and TEN in Korea. The diagnostic codes of L511 (SJS) or L512 (TEN) from the International Classification of Diseases-10th revision were used to define the target study population. We also retrospectively followed up a 2011 SJS and TEN cohort for 24 months in order to assess the in-hospital mortality, related complications and total claims cost due to SJS and TEN. A total of 1,167 (938 SJS and 229 TEN) cases were newly diagnosed from 2010 to 2013. The age- and sex-standardized annual incidences estimated in this study were 3.96 to 5.03 in SJS and 0.94 to 1.45 in TEN per million. There was no significant change in annual incidence throughout the study periods. When analyzed by 10-year age groups, the annual incidence was the lowest in group 20-29 years and the highest in group 70 for both SJS and TEN. Based on the 2011 cohort analysis, the in-hospital mortality were 5.7 and 15.1% for SJS and TEN, respectively. The mortality increased with age, particularly, after 40 years of age. Among the complications related with SJS or TEN, ocular sequelae was the most common (43.1 and 43.4% of SJS and TEN patients, respectively) followed by urethral sequelae (5.7 and 9.4% of SJS and TEN patients, respectively). Overall, our data suggest that SJS, and TEN are infrequent but constantly arise throughout the years.

Improving mortality outcomes of Stevens Johnson syndrome/toxic epidermal necrolysis: A regional burns centre experience.

PubMed

Nizamoglu, M; Ward, J A; Frew, Q; Gerrish, H; Martin, N; Shaw, A; Barnes, D; Shelly, O; Philp, B; El-Muttardi, N; Dziewulski, P

2018-05-01

Stevens Johnson Syndrome/toxic epidermal necrolysis (SJS/TEN) are rare, potentially fatal desquamative disorders characterised by large areas of partial thickness skin and mucosal loss. The degree of epidermal detachment that occurs has led to SJS/TEN being described as a burn-like condition. These patients benefit from judicious critical care, early debridement and meticulous wound care. This is best undertaken within a multidisciplinary setting led by clinicians experienced in the management of massive skin loss and its sequelae. In this study, we examined the clinical outcomes of SJS/TEN overlap & TEN patients managed by our regional burns service over a 12-year period. We present our treatment model for other burn centres treating SJS/TEN patients. A retrospective case review was performed for all patients with a clinical diagnosis of TEN or SJS/TEN overlap admitted to our paediatric and adult burns centre between June 2004 and December 2016. Patient demographics, percentage total body surface area (%TBSA), mucosal involvement, causation, severity of illness score (SCORTEN), length of stay and survival were appraised with appropriate statistical analysis performed using Graph Pad Prism 7.02 Software. During the study period, 42 patients (M26; F: 16) with TEN (n=32) and SJS/TEN overlap (n=10) were managed within our burns service. Mean %TBSA of cutaneous involvement was 57% (range 10-100%) and mean length of stay (LOS) was 27 days (range 1-144 days). We observed 4 deaths in our series compared to 16 predicted by SCORTEN giving a standardised mortality ratio (SMR) of 24%. Management in our burns service with an aggressive wound care protocol involving debridement of blistered epidermis and wound closure with synthetic and biological dressings seems to have produced benefits in mortality when compared to predicted outcomes. Copyright © 2017 Elsevier Ltd and ISBI. All rights reserved.

Evaluation of Larynx-Sparing Techniques With IMRT When Treating the Head and Neck

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

Webster, Gareth J.; Rowbottom, Carl G.; Ho, Kean F.

2008-10-01

Purpose: Concern exists that widespread implementation of whole-field intensity-modulated radiotherapy (IMRT) for the treatment of head-and-neck cancer has resulted in increased levels of dysphagia relative to those seen with conventional planning. Other investigators have suggested an alternative junctioned-IMRT (J-IMRT) method, which matches an IMRT plan to a centrally blocked neck field to restrict the laryngeal dose and reduce dysphagia. The effect on target coverage and sparing of organs at risk, including laryngeal sparing, in the optimization was evaluated and compared with that achieved using a J-IMRT technique. Methods and Materials: A total of 13 oropharyngeal cancer whole-field IMRT plans weremore » planned with and without including laryngeal sparing in the optimization. A comparison of the target coverage and sparing of organs at risk was made using the resulting dose-volume histograms and dose distribution. The nine plans with disease located superior to the level of the larynx were replanned using a series of J-IMRT techniques to compare the two laryngeal-sparing techniques. Results: An average mean larynx dose of 29.1 Gy was achieved if disease did not extend to the level of the larynx, with 38.8 Gy for disease extending inferiorly and close to the larynx (reduced from 46.2 and 47.7 Gy, respectively, without laryngeal sparing). Additional laryngeal sparing could be achieved with J-IMRT (mean dose 24.4 Gy), although often at the expense of significantly reduced coverage of the target volume and with no improvement to other areas of the IMRT plan. Conclusion: The benefits of J-IMRT can be achieved with whole-field IMRT if laryngeal sparing is incorporated into the class solution. Inclusion of laryngeal sparing had no effect on other parameters in the plan.« less

Space Shuttle Placement Announcement

NASA Image and Video Library

2011-04-12

NASA Johnson Space Center Director of Flight Crew Operations, and Astronaut, Janet Kavandi speaks at an event where NASA Administrator Charles Bolden announced where four space shuttle orbiters will be permanently displayed at the conclusion of the Space Shuttle Program, Tuesday, April 12, 2011, at Kennedy Space Center in Cape Canaveral, Fla. The four orbiters, Enterprise, which currently is on display at the Smithsonian's Steven F. Udvar-Hazy Center near Washington Dulles International Airport, will move to the Intrepid Sea, Air & Space Museum in New York, Discovery will move to Udvar-Hazy, Endeavour will be displayed at the California Science Center in Los Angeles and Atlantis, in background, will be displayed at the Kennedy Space Center Visitor’s Complex. Photo Credit: (NASA/Bill Ingalls)

[Toxic epidermal necrolysis associated with acute infection by Mycoplasma pneumoniae].

PubMed

Calvano, Roberta Amelia; Scacchi, María Florencia; Sojo, Magdalena María; Díaz, Silvia Marta; Volonteri, Victoria Inés; Giachetti, Ana Claudia

2013-01-01

Erythema multiforme, Stevens-Johnson syndrome and toxic epidermal necrolysis represent different manifestations of the same spectrum of severe idiosyncratic cutaneous reactions to drugs and to a lesser extent are associated with infectous agents. Among these, Mycoplasma pneumoniae is one of the most frequent. We report the case of a female patient aged 5 years, with a toxic epidermal necrolysis associated with Mycoplasma pneumoniae infection, which begins with a fever accompanied by a generalized rash with involvement of the mucous membranes. IgM serology for Mycoplasma pneumoniae was positive and initial biopsy was compatible with erythema multiforme major. The patient was treated with corticosteroids, intravenous immunoglobulin, plasmapheresis and strict care to prevent superinfection and sequels. After 31 days of hospitalization the patient was discharged from hospital.

KSC-2011-2938

NASA Image and Video Library

2011-04-18

CAPE CANAVERAL, Fla. -- In the Training Auditorium at NASA's Kennedy Space Center in Florida the STS-133 crew signs autographs for Kennedy employees during a crew return event. From left are Commander Steve Lindsey, Pilot Eric Boe, Mission Specialists Michael Barratt, Steve Bowen, Alvin Drew (obscured) and Nicole Stott. The crew launched from Kennedy's Launch Pad 39A aboard space shuttle Discovery on its final flight on February 24, 2011 to the International Space Station. The crew delivered Robonaut 2 and the Permanent Multipurpose Module packed with supplies and critical spare parts on a 13-day mission. Discovery is being processed for retirement and will be displayed at the National Air and Space Museum's Steven F. Udvar-Hazy Center in Chantilly, Va. Photo credit: NASA/Kim Shiflett

Comparison of organ-at-risk sparing and plan robustness for spot-scanning proton therapy and volumetric modulated arc photon therapy in head-and-neck cancer

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

Barten, Danique L. J., E-mail: d.barten@vumc.nl; Tol, Jim P.; Dahele, Max

Purpose: Proton radiotherapy for head-and-neck cancer (HNC) aims to improve organ-at-risk (OAR) sparing over photon radiotherapy. However, it may be less robust for setup and range uncertainties. The authors investigated OAR sparing and plan robustness for spot-scanning proton planning techniques and compared these with volumetric modulated arc therapy (VMAT) photon plans. Methods: Ten HNC patients were replanned using two arc VMAT (RapidArc) and spot-scanning proton techniques. OARs to be spared included the contra- and ipsilateral parotid and submandibular glands and individual swallowing muscles. Proton plans were made using Multifield Optimization (MFO, using three, five, and seven fields) and Single-field Optimizationmore » (SFO, using three fields). OAR sparing was evaluated using mean dose to composite salivary glands (Comp{sub Sal}) and composite swallowing muscles (Comp{sub Swal}). Plan robustness was determined for setup and range uncertainties (±3 mm for setup, ±3% HU) evaluating V95% and V107% for clinical target volumes. Results: Averaged over all patients Comp{sub Sal}/Comp{sub Swal} mean doses were lower for the three-field MFO plans (14.6/16.4 Gy) compared to the three-field SFO plans (20.0/23.7 Gy) and VMAT plans (23.0/25.3 Gy). Using more than three fields resulted in differences in OAR sparing of less than 1.5 Gy between plans. SFO plans were significantly more robust than MFO plans. VMAT plans were the most robust. Conclusions: MFO plans had improved OAR sparing but were less robust than SFO and VMAT plans, while SFO plans were more robust than MFO plans but resulted in less OAR sparing. Robustness of the MFO plans did not increase with more fields.« less

STS-95 Crew Portrait

NASA Technical Reports Server (NTRS)

1997-01-01

Five astronauts based at the Johnson Space Center (JSC) and two payload specialists comprising the STS-95 mission take a break from their training schedule to pose for the STS-95 preflight portrait. Seated (left to right) are Steven W. Lindsey, pilot; and Curtis L. Brown, commander. Standing (left to right) are Scott E. Parazynski, mission specialist; Stephen K. Robinson, mission specialist; Chiaki Mukai (NASDA), payload specialist; Pedro Duque (ESA), mission specialist; and John H. Glenn, payload specialist. Glenn was a U.S. Senator and the first American to orbit the Earth in Friendship 7 in February of 1962. The seven launched into Earth orbit aboard the Space Shuttle Discovery on October 29, 1998 at 2:19:34 pm (EST). The primary payload was SPACEHAB, in which many experiments were carried out.

Immunological aspects of nonimmediate reactions to beta-lactam antibiotics.

PubMed

Rodilla, Esther Morena; González, Ignacio Dávila; Yges, Elena Laffond; Bellido, Francisco Javier Múñoz; Bara, María Teresa Gracia; Toledano, Félix Lorente

2010-09-01

beta-lactam antibiotics are the agents most frequently implied in immune drug adverse reactions. These can be classified as immediate or nonimmediate according to the time interval between the last drug administration and their onset. Mechanisms of immediate IgE-mediated reactions are widely studied and are therefore better understood. Nonimmediate reactions include a broad number of clinical entities like mild maculopapular exanthemas, the most common, and other less frequent but more severe reactions such as Stevens-Johnson syndrome, toxic epidermal necrolysis, acute exanthematic pustulosis or cytopenias. These nonimmediate reactions are mainly mediated by T cells but the precise underlying mechanisms are not well elucidated. This fact complicates the allergological evaluation of patients with this type of reaction and available tests have demonstrated poor sensitivity and specificity.

KSC-97PC1488

NASA Image and Video Library

1997-10-02

STS-87 astronaut crew members prepare to fly back to Johnson Space Center in Houston after participating in the Crew Equipment Integration Test (CEIT) at Kennedy Space Center (KSC) in early October. From left are Payload Specialist Leonid Kadenyuk of the National Space Agency of Ukraine; Mission Specialist Takao Doi, Ph.D., of the National Space Development Agency of Japan; Mission Specialist Winston Scott; Commander Kevin Kregel; Pilot Steven Lindsey; and Mission Specialist Kalpana Chawla, Ph.D. The CEIT gives astronauts an opportunity to get a hands-on look at the payloads with which they will be working on-orbit. STS-87 will be the fourth United States Microgravity Payload and flight of the Spartan-201 deployable satellite. During the STS-87 mission, scheduled for a Nov. 19 liftoff from KSC, Dr. Doi and Scott will both perform spacewalks

STS-37 crewmembers watch Pilot Cameron juggle cassettes on OV-104's middeck

NASA Image and Video Library

1991-04-11

STS037-54-004 (5-11 April 1991) --- Four crew members have fun with weightlessness on the Space Shuttle Atlantis' middeck. Astronaut Kenneth D. Cameron, pilot, performs a "quick hands" feat with three tape cassettes -- obviously a feat much more difficult on Earth. Looking on, left to right, are astronauts Linda M. Godwin, mission specialist; Steven R. Nagel, mission commander; and Jerry L. Ross, mission specialist. Ross later used the microgravity environment to have some fun with the bag of malted milk balls in his hands. This 35mm frame was exposed by astronaut Jerome (Jay) Apt, mission specialist. This was one of the visuals used by the crew members during their April 19 Post Flight Press Conference (PFPC) at the Johnson Space Center (JSC).

CYP2C19*2 status in patients with Stevens-Johnson syndrome and toxic epidermal necrolysis

PubMed Central

Laska, Amanda J; Han, Marie J; Lospinoso, Josh A; Brown, Patrick J; Beachkofsky, Thomas M

2017-01-01

Purpose Genetic polymorphisms have been linked to an increased predisposition to developing certain diseases. For example, patients of Han-Chinese descent carrying the HLA-B*1502 allele are at an increased risk of developing Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) if given carbamazepine. Given the complexity of in vivo drug metabolism, it is plausible that the activity of enzyme systems unrelated to specific drug metabolism may be important. Although multiple biomarkers have been identified in unique ethnic groups, there has yet to be a study investigating the presence of the slow metabolizing allele of CYP2C19, denoted CYP2C19*2, in diverse groups and the risk of developing SJS/TEN. Patients and methods This study looked into the carrier status of CYP2C19*2, a poor metabolizing variant of CYP2C19, in patients diagnosed with SJS/TEN. We looked at its status in our series as a whole and when patients were divided by ethnicity. Genomic DNA was extracted from formalin-fixed paraffin-embedded tissue of patients with biopsy-proven SJS/TEN and real-time polymerase chain reaction was used to assess for the presence of CYP2C19*2. Results CYP2C19*2 status was determined in 47 patients. Twenty-nine of these 47 patients had a single medication implicated as causing their disease, and eight of these patients were heterozygous or homozygous for CYP2C19*2. There was insufficient evidence to conclude that the presence of CYP2C19*2 is an independent predictor of risk for developing SJS/TEN in our series as a whole. This analysis also confirmed that the frequency of the CYP2C19*2 polymorphism within the different ethnicities in our series did not vary statistically from reported ethnic rates. Conclusion Our study was unable to show a relationship between CYP2C19*2 status and predisposition toward SJS/TEN. We had a heterogeneous population, making it difficult to control for possible confounding factors. PMID:28553132

Toxic epidermal necrolysis and Stevens-Johnson syndrome in South Africa: a 3-year prospective study.

PubMed

Kannenberg, S M H; Jordaan, H F; Koegelenberg, C F N; Von Groote-Bidlingmaier, F; Visser, W I

2012-09-01

Toxic Epidermal Necrolysis (TEN) and Stevens-Johnson syndrome (SJS) remain feared medication-related reactions. HIV infection and tuberculosis predispose to drug eruptions, yet there is a paucity of data on TEN/SJS in populations with high prevalences of both diseases. The aim of this prospective observational study was to describe the features and outcomes of patients admitted with TEN/SJS at a large academic hospital in South Africa. We aimed to identify poor prognostic indicators and to validate the use of the TEN-specific severity-of-illness score (SCORTEN) in this population. All patients admitted with TEN/SJS over a 3-year period were enrolled. Disease severity was graded according to percentage skin involved and SCORTEN. Co-morbid diagnoses, clinical features, investigations, complications and outcomes were noted. 75 patients (39.9 ± 10.6 years, 16 males, 59 HIV positive) were classified as TEN (n  = 42), TEN/SJS overlap (n = 11) and SJS (n = 22). Twenty-four percent died, most from refractory septic shock. Non-survivors had a higher mean SCORTEN on Days 1 and 3 (1.89 vs. 1.04, P = 0.006 and 2.27 vs. 0.90, P < 0.001). A SCORTEN ≥2 on Days 1 and 3 predicted non-survival (OR = 2.94, P = 0.047; OR = 7.45, P < 0.001). Other predictors of non-survival included HIV infection (OR = 6.01, P = 0.058), HIV-tuberculosis co-infection (OR = 8.5, P < 0.001), ≥40% skin involvement (OR = 20.27, P < 0.001), anaemia (OR = 4.68, P = 0.005), hypoalbuminemia (OR = 8.5, P = 0.001) and severe sepsis (OR = 71.09, P < 0.001). Most patients with TEN/SJS were HIV positive and female. We validated the use of SCORTEN and identified several prognostic indicators, most significant being HIV-tuberculosis co-infection, ≥40% skin involvement and severe sepsis.

Stability of epitheliotrophic factors in autologous serum eye drops from chronic Stevens-Johnson syndrome dry eye compared to non-autoimmune dry eye.

PubMed

Phasukkijwatana, Nopasak; Lertrit, Patcharee; Liammongkolkul, Sompong; Prabhasawat, Pinnita

2011-09-01

To compare the concentrations of epitheliotrophic factors in autologous serum eye drops (ASE) prepared from sera of chronic Stevens-Johnson syndrome (SJS) patients with dry eyes to those prepared from non-autoimmune dry eye controls and to study the stability of the epitheliotrophic factors in different storage conditions. Twenty-percent ASE were prepared from 10 chronic SJS patients with dry eyes and 10 age-matched non-autoimmune dry eye controls. The concentrations of major epitheliotrophic factors comprising epidermal growth factor (EGF), transforming growth factor-beta1 (TGF-β1), transforming growth factor-beta2 (TGF-β2), and fibronectin in those ASE preparations were determined by enzyme-linked immunosorbent assay (ELISA) at baseline and after different storage conditions: at 4 °C for 1 week and 1 month; and at -20 °C for 1, 3 and 6 months. There were no significant differences in the concentrations of EGF, TGF-β1, TGF-β2 and fibronectin in 20% ASE between the SJS and control groups (EGF: 176.9 ± 40.9 vs. 185.5 ± 36.9 pg/mL, TGF-β1: 9.5 ± 2.1 vs. 9.5 ± 1.9 ng/mL, TGF-β2: 55.3 ± 30.0 vs. 63.91 ± 45.6 pg/mL and fibronectin: 70.5 ± 20.2 vs. 62.2 ± 21.3 µg/mL, respectively). These factors were stable at 4 °C for up to 1 month. Storage at -20 °C for up to 6 months resulted in a slight decrease in TGF-β1 (SJS: from 9.5-8.4 ng/mL, p < 0.01 and control: from 9.5-8.1 ng/mL, p < 0.01). The results suggested that the epitheliotrophic capacity of ASE from chronic SJS should be comparable to those from non-autoimmune dry eye patients, and that ASE should be sufficiently stable for up to 6 months, if stored properly at -20 °C.

A Comparison of Adverse Drug Reaction Profiles in Patients on Antiretroviral and Antitubercular Treatment in Zimbabwe.

PubMed

Masuka, Josiah T; Chipangura, Precious; Nyambayo, Priscilla P; Stergachis, Andy; Khoza, Star

2018-01-01

Few studies describe the adverse drug event profiles in patients simultaneously receiving antiretroviral and anti-tubercular medicines in resource-limited countries. To describe and compare the adverse drug reaction profiles in patients on highly active antiretroviral therapy only (HAART), HAART and isoniazid preventive therapy (HHART), and HAART and antitubercular treatment (ATTHAART). We analysed individual case safety reports (ICSRs) for patients on antiretroviral therapy and antitubercular treatment submitted to the national pharmacovigilance centre during the targeted spontaneous reporting (TSR) programme from 1 September 2012 through 31 August 2016. All reports considered certain, probable or possible were included in the analysis. A total of 1076 ICSRs were included in the analysis. Most of the reports were from the HAART only group (n = 882; 82.0%), followed by patients on HHART (n = 132; 12.3%), and ATTHAART (n = 62; 5.7%). The ATTHAART (35.5%) and HHAART (34.1%) had a higher frequency of hepatic disorders than the HAART group (5.0%) (p < 0.0001). A higher frequency of rash was reported in the HHAART (35.6%) and HAART groups (29.4%) than the ATTHAART group (14.5%) (p = 0.011). Peripheral neuropathy occurred more frequently in the ATTHAART group (19.3%) than other groups (p = 0.001) while Stevens-Johnson syndrome (14.7%; p < 0.001), gynaecomastia (18.2%; p < 0.001), and lipodystrophy (4.5%; p = 0.012) occurred more frequently in the HAART group. The HHAART group was associated with a higher frequency of psychosis (4.5%; p = 0.002). Antiretroviral therapy was associated with a higher frequency of Stevens-Johnson syndrome, gynaecomastia, and lipodystrophy. Co-administration of antiretroviral and antitubercular medicines was associated with a higher frequency of drug-induced liver injury and peripheral neuropathy. Similarly, co-administration of isoniazid preventive therapy and antiretroviral drugs was associated with a higher risk for psychosis. There is a need to carefully manage TB/HIV co-infected patients, due to the higher risk of adverse drug reactions which may lead to poor treatment adherence and outcomes.

Association between HLA-B*44:03-HLA-C*07:01 haplotype and cold medicine-related Stevens-Johnson syndrome with severe ocular complications in Thailand.

PubMed

Jongkhajornpong, Passara; Lekhanont, Kaevalin; Pisuchpen, Phattrawan; Chantaren, Patchima; Puangsricharern, Vilavun; Prabhasawat, Pinnita; Suphapeetiporn, Kanya; Kinoshita, Shigeru; Ueta, Mayumi

2018-04-29

Polymorphisms in human leucocyte antigen (HLA) class I genes have been found to be associated with cold medicine (CM)-related Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) with severe ocular complications (SOC). Because ethnic differences in genetic predisposition to SJS/TEN among different populations have been proposed, we focused on Thai patients and investigated the association between HLA class I genotypes and CM-SJS/TEN with SOC. This multicentre case-control study was conducted between September 2014 and August 2017. Seventy-one Thai patients with SJS/TEN with SOC and 159 healthy Thai controls were enrolled. HLA typing was performed. Genetic relationships were analysed using Fisher's exact test. Of 71 patients with SJS/TEN with SOC (28 male, 43 female), 49 (69%) had a history of taking cold medications prior to SJS/TEN onset. The mean age of onset was 26.7±17.1 years (range, 2-77 years). HLA-B*44:03 (OR, 7.2, p=5.5×10 -6 , pc=1.1×10 -4 ) and HLA-C*07:01 (OR, 6.1, p=7.1×10 -6 , pc=1.1×10 -4 ) showed significant positive associations with Thai patients with CM-SJS/TEN with SOC. Additionally, 17 of 49 patients with CM-SJS/TEN with SOC (34.7%) significantly harboured the HLA-B*44:03 and HLA-C*07:01 haplotype compared with only 11 of 159 healthy controls (6.9%) (OR=7.1, p=5.5×10 -6 ). HLA-B*44:03-HLA-C*07:01 haplotype is a potential risk factor for CM-SJS/TEN with SOC in the Thai population. This study supports that HLA-B*44:03 might be a common marker for CM-SJS/TEN with SOC in Eurasia populations, including European, Indian, Japanese and Thai. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

STS-104 Crew Return, Ellington Field, Building 990

NASA Image and Video Library

2001-07-26

JSC2001-E-22790 (25 July 2001) --- Astronauts Janet L. Kavandi (left), STS-104 mission specialist, and Steven W. Lindsey, mission commander, are greeted by JSC Acting Director Roy S. Estess following crew arrival at Ellington Field.

Dust Cloud Models: Sensitivity of Calculated Transmittances to Variations in Input Parameters

DTIC Science & Technology

1981-06-01

Artillery School ATTN: DELEW-M-STO (Dr. Steven Kovel) ATTN: ATSF- CF -R (CPT James M. Watson) White Sands Missile Range, NM 88002 Fort Sill, OK 73503 Office...STEWS-PT-AL (Laurel B. Saunders) ATTN: ATSF- CF -R White Sands Missile Range, RM 88002 Fort Sill, OK 73503 Commander Commandant US Army RAD Coordinator...Army Field Artillery School ATTN: OELEW-M-STO (Dr. Steven Kovel) ATTN: ATSF- CF -R (CPT James M. Watson) White Sands Missile Range, NM 88002 Fort Sill, OK

Treatments for Severe Cutaneous Adverse Reactions

PubMed Central

Cho, Yung-Tsu

2017-01-01

Severe cutaneous adverse reaction (SCAR) is life-threatening. It consists of Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN), drug reaction with eosinophilia and systemic symptoms (DRESS), acute generalized exanthematous pustulosis (AGEP), and generalized bullous fixed drug eruptions (GBFDE). In the past years, emerging studies have provided better understandings regarding the pathogenesis of these diseases. These diseases have unique presentations and distinct pathomechanisms. Therefore, theoretically, the options of treatments might be different among various SCARs. However, due to the rarity of these diseases, sufficient evidence is still lacking to support the best choice of treatment for patients with SCAR. Herein, we will provide a concise review with an emphasis on the characteristics and treatments of each SCAR. It may serve as a guidance based on the current best of knowledge and may shed light on the directions for further investigations. PMID:29445753

President Bill Clinton visits JSC

NASA Image and Video Library

1998-04-14

S98-05024 (14 April 1998) --- A large crowd of JSC employees listen to President Bill Clinton during an April 14 visit to the Johnson Space Center. On the dais with the President (seated, from the left) are JSC Director George W.S. Abbey, U.S. Rep. Nick Lampson (D.-TX), and Houston Mayor Lee Brown. Standing behind them are members of the STS-95 crew: (from the left) Pedro Duque of ESA, Chiaki Mukai of NASDA, U.S. Sen. John H. Glenn Jr. (D.-Ohio), Stephen K. Robinson, Scott E. Parazynski, Steven W. Lindsey (behind Clinton) and Curtis L. Brown Jr. Out of the frame is NASA Administrator Daniel Goldin who also addressed the crowd. The Chief Executive earlier had gone inside several of the shuttle and ISS crew training facilities and mockups. Photo Credit: Joe McNally, National Geographic, for NASA

Molecular and morphological evidence for Penstemon luculentus (Plantaginaceae): a replacement name for Penstemon fremontii var. glabrescens

PubMed Central

Johnson, Robert L.; Stevens, Mikel R.; Johnson, Leigh A.; Robbins, Matthew D.; Anderson, Chris D.; Ricks, Nathan J.; Farley, Kevin M.

2016-01-01

Abstract Penstemon luculentus R.L.Johnson & M.R.Stevens, nom. nov. replaces Penstemon fremontii var. glabrescens Dorn & Lichvar. The varietal name glabrescens was not elevated because it was already occupied by Penstemon glabrescens Pennell, a different species. This new arrangement is supported by molecular and morphological evidence. An analysis of genetic diversity in populations of both varieties of Penstemon fremontii Torr. & A. Gray (glabrescens and fremontii) from the Piceance Basin, Colorado, using SSR (simple sequences repeats) or microsatellites markers, revealed significant genetic differentiation between the two. Penstemon fremontii var. glabrescens was also genetically different from Penstemon gibbensii Dorn and Penstemon scariosus var. garrettii (Pennell) N.H. Holmgren. The combination of hirtellous stems, glabrous leaves, non-glandular inflorescence, and long anther hairs distinguish Penstemon luculentus from other morphologically similar species. PMID:27489478

KSC-2011-3196

NASA Image and Video Library

2011-04-29

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's six STS-134 astronauts, dressed in their orange launch-and-entry suits, wave to news media and other spectators as they walk toward the Astrovan parked in front of the Operations and Checkout Building at NASA's Kennedy Space Center in Florida. The modified Airstream recreational vehicle has transported astronauts to their spacecraft since 1984. Leading the way are Commander Mark Kelly, right, and Pilot Greg H. Johnson. Behind Kelly are crewmates Michael Fincke and Andrew Feustel. Behind Johnson are crewmates Roberto Vittori with the European Space Agency and Greg Chamitoff. STS-134 will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank and additional spare parts for the Dextre robotic helper to the space station. Endeavour was scheduled to launch at 3:47 p.m. on April 29, but that attempt was scrubbed for at least 72 hours while engineers assess an issue associated with the shuttle's Auxiliary Power Unit 1. STS-134 will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

HABS drawing field team at east entrance to Cyclorama Building. ...

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

HABS drawing field team at east entrance to Cyclorama Building. Front, left to right: Robyn Chrabascz (Roger Williams University), Brian Carnahan (University of Arkansas), Noelle McManus (Edinburgh College of Art, ICOMOS/Great Britian), Amanda Loughlin (Kansas State University). Standing: Steven Utz, Field Supervisor. - Cyclorama Building, 125 Taneytown Road, Gettysburg, Adams County, PA

Seeing you through London 2012: eye care at the Paralympics.

PubMed

Wilson, Clare M; Thomson, W David; D'Ath, Penny J

2013-09-01

The provision of eye care services for competitors and support teams is integral to the modern Olympic Games. The eye clinic for the London 2012 Paralympic Games employed a multidisciplinary team of eye care professionals using state-of-the-art instrumentation to provide the highest level of eye care. The detailed organisation of the eye care clinic at London 2012 is described in a companion paper which summarises the eye care clinic during the London 2012 Olympic Games. These two reports will aid in planning eye care clinics at future Games. This paper summarises the organisation of the eye clinic and provides outline audit data relating to eye conditions encountered during the Paralympic Games. A total of 870 patients representing 102 countries attended the eye clinic. 274 (31.5%) were competitors; the remainder were trainers and support staff. No serious ocular injuries resulted from competitor injury in the field of play during the Paralympic Games, although seven patients were referred urgently to hospital eye services for conditions including orbital cellulitis, retinal detachment, exudative macular degeneration, corneal ulcer, Stevens-Johnson syndrome and macular oedema. A total of 749 spectacles, 14 pairs of contact lenses and 7 low vision aids were dispensed. By combining excellent facilities and equipment with a multidisciplinary team of eye care professionals, we feel we provided the highest level of eye care, providing a legacy for future Games.

Lamotrigine Induced Whole Body Tics: A Case Report and Literature Review.

PubMed

Centorino, Michael B; Catalano, Glenn; Catalano, Maria C

2016-01-01

Lamotrigine is an anticonvulsant medication that also has utility in the treatment of bipolar disorder. It has been associated with many side effects, including rashes that can progress to Stevens-Johnson syndrome or toxic epidermal necrolysis. It has also been associated with the development of motor tics, most commonly in the head, neck, and shoulders. We will now present the case of a 45-year-old woman who developed tics that involved the entire left side of her body after her dose of lamotrigine was increased from 200 mg daily (2.0 mg/kg/day) to 225 mg daily (2.3 mg/kg/day). We will review the prior cases of lamotrigine induced tics, and compare them to the circumstances surrounding our patient. We will also discuss the neurobiology of tics and make suggestions to improve the tics, based on the reported cases.

Exanthema medicamentosum as a side effect of promazine.

PubMed

Lasić, Davor; Cvitanović, Marija Zuljan; Uglešić, Boran; Višić, Vitomir; Hlevnjak, Ivana

2011-06-01

Dermatological side effects of psychopharmacological drugs are fortunately not so often. They are mostly presented in the group of mood stabilizers and antiepileptic drugs, particularly the carbamazepine and lamotrigine, and can be manifested through the Stevens Johnson syndrome, Toxic Epidermal Necrolysis (TEN)/Lyell's syndrome with about 30% lethality. According to the literature the group of phenothiazines is the category of drugs with rare appearances of skin reactions. Promazine, aliphatic phenothiazines antipsychotic, including less frequent side effects in the leaflet states increased skin sensitivity to sun, skin rash-associated with contact dermatitis, allergic reactions, cholestatic icterus. The only reported dermatological side effect of promazine is its metabolites deposition in the cornea. Analyzing the e-data basis we have not found references connecting the Exanthema medicamentosum as a side effect of promazine. A forty-two years old female patient was admitted to the Dermatological Clinic because of suspected exanthema, undoubtedly caused by promazine as a medication for Sy. Borderline.

KSC-07pd1362

NASA Image and Video Library

2007-06-04

KENNEDY SPACE CENTER, FLA. -- After their arrival at KSC, STS-117 crew members take part in a payload bay walkdown on Launch Pad 39A to look at the cargo in Space Shuttle Atlantis. In the bucket are Mission Specialists Patrick Forrester (with camera) and Steven Swanson (far right). The payload includes the S3/S4 integrated truss structure for the International Space Station. STS-117 is scheduled to launch at 7:38 p.m. June 8. During the 11-day mission and three spacewalks, the crew will work with flight controllers at NASA's Johnson Space Center in Houston to install the 17-ton segment on the station's girder-like truss and deploy the set of solar arrays, S3/S4. The mission will increase the space station's power capability in preparation for the arrival of new science modules from the European and Japanese space agencies. Photo credit: NASA/Kim Shiflett

KSC-98pc1579

NASA Image and Video Library

1998-11-08

At the Skid Strip at Cape Canaveral Air Station, STS-95 Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts, poses with his wife Annie before their return flight to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The STS-95 crew also includes Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

CHURG–STRAUSS SYNDROME

PubMed Central

Ghosh, Subhasish; Bhattacharya, Maitreyee; Dhar, Sandipan

2011-01-01

Churg–Strauss syndrome (CSS) is a rare granulomatous necrotizing small vessel vasculitis characterized by the presence of asthma, sinusitis, and hypereosinophilia. The cause of this allergic angiitis and granulomatosis is unknown. Other common manifestations are pulmonary infiltrates, skin, gastrointestinal, and cardiovascular involvement. No data have been reported regarding the role of immune complexes or cell mediated mechanisms in this disease, although autoimmunity is evident with the presence hypergammaglobulinemia, increased levels of IgE and Antineutrophil cytoplasmic antibody (positive in 40%). We report the case of a 27-year-old lady presenting with painful swelling of predominantly lower limbs with extensive vesicles and ecchymotic patches and fever shortly after stopping systemic steroids taken for a prolonged duration (2002--2010). The aim of this case report is to point to the possibility of CSS in patients presenting with extensive skin lesions masquerading as Stevens-Johnson Syndrome/Toxic Epidermal Necrolysis Syndrome (SJS/TENS). PMID:22345778

STS 87: Meal - Suit Up - Depart O&C - Launch Columbia On Orbit - Landing - Crew Egress

NASA Technical Reports Server (NTRS)

1997-01-01

The STS-87 Space Shuttle Columbia mission begins with the introduction of the seven crew members. The seven crew members include: Commander Kevin R. Kregel, pilot Steven W. Lindsey, mission specialists: Winston E. Scott, Kalpana Chawla and Takao Doi and payload specialist Leonid K. Kadenyuk. The United States Microgravity Payload (USMP-4), Orbital Acceleration Research Experiment (OARE), the EVA Demonstration Flight Test 5 (EDFT-05), Shuttle Ozone Limb Sending Experiment (SOLSE), Loop Heat Pump (LHP), and Sodium Sulfur Battery Experiment (NaSBE) were all shown during this video presentation. The launch of the STS-87 from different Kennedy Space Flight Center (KSFC) areas and Pre-flight training at the Johnson Space Center is presented. The retrieve and recovery spot satellite are also shown. Also, the landing of the Space Shuttle Columbia is presented from different areas at Kennedy Space Flight Center.

Genotyping for Severe Drug Hypersensitivity

PubMed Central

Karlin, Eric; Phillips, Elizabeth

2014-01-01

Over the past decade, there have been significant advances in our understanding of the immunopathogenesis and pharmacogenomics of severe immunologically-mediated adverse drug reactions. Such T-cell-mediated adverse drug reactions such as Stevens-Johnson syndrome/toxic epidermal necrolysis (SJS/TEN), drug-induced liver disease (DILI) and other drug hypersensitivity syndromes have more recently been shown to be mediated through interactions with various class I and II HLA alleles. Key examples have included the associations of HLA-B*15:02 and carbamazepine induced SJS/TEN in Southeast Asian populations and HLA-B*57:01 and abacavir hypersensitivity. HLA-B*57:01 screening to prevent abacavir hypersensitivity exemplifies a successful translational roadmap from pharmacogenomic discovery through to widespread clinical implementation. Ultimately, our increased understanding of the interaction between drugs and the MHC could be used to inform drug design and drive pre-clinical toxicity programs to improve drug safety. PMID:24429903

[Drug eruptions caused by noncorticoid anti-inflammatory agents].

PubMed

Roujeau, J C; Guillaume, J C; Revuz, J; Touraine, R

1984-01-01

Non-steroidal anti-inflammatory drugs (NSAI) may elicit various kinds of cutaneous side effects. The commonest ones are non-specific erythematous eruptions, sometimes with a phototoxic distribution, and urticaria. Vasculitis and severe bullous eruptions (Stevens-Johnson's syndrome and Toxic Epidermal Necrolysis) are rare but may have severe outcomes. The overall incidence of cutaneous reactions is about the same for all NSAI, 1 to 3 p. 100, during the clinical studies performed before marketing the drug, but this increases afterwards (up to 45 p. 100 for Benoxaprofen). Drugs with long half-lives may carry a higher risk for severe cutaneous reactions. NSAI are now the main cause of drug induced TEN. Urticarial reactions seem related to pharmacological phenomena while the pathogenic events leading to other kinds of skin reactions remain unknown. An hypersensitivity reaction is postulated. The therapeutic value of corticosteroids for the severe cutaneous side effects of drugs is still controversial.

Comparative dosimetry of volumetric modulated arc therapy and limited-angle static intensity-modulated radiation therapy for early-stage larynx cancer

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

Riegel, Adam C.; Antone, Jeffrey; Schwartz, David L., E-mail: dschwartz3@nshs.edu

2013-04-01

To compare relative carotid and normal tissue sparing using volumetric-modulated arc therapy (VMAT) or intensity-modulated radiation therapy (IMRT) for early-stage larynx cancer. Seven treatment plans were retrospectively created on 2 commercial treatment planning systems for 11 consecutive patients with T1-2N0 larynx cancer. Conventional plans consisted of opposed-wedged fields. IMRT planning used an anterior 3-field beam arrangement. Two VMAT plans were created, a full 360° arc and an anterior 180° arc. Given planning target volume (PTV) coverage of 95% total volume at 95% of 6300 cGy and maximum spinal cord dose below 2500 cGy, mean carotid artery dose was pushed asmore » low as possible for each plan. Deliverability was assessed by comparing measured and planned planar dose with the gamma (γ) index. Full-arc planning provided the most effective carotid sparing but yielded the highest mean normal tissue dose (where normal tissue was defined as all soft tissue minus PTV). Static IMRT produced next-best carotid sparing with lower normal tissue dose. The anterior half-arc produced the highest carotid artery dose, in some cases comparable with conventional opposed fields. On the whole, carotid sparing was inversely related to normal tissue dose sparing. Mean γ indexes were much less than 1, consistent with accurate delivery of planned treatment. Full-arc VMAT yields greater carotid sparing than half-arc VMAT. Limited-angle IMRT remains a reasonable alternative to full-arc VMAT, given its ability to mediate the competing demands of carotid and normal tissue dose constraints. The respective clinical significance of carotid and normal tissue sparing will require prospective evaluation.« less

Application of the Johnson criteria to graphene transistors

NASA Astrophysics Data System (ADS)

Kelly, M. J.

2013-12-01

For 60 years, the Johnson criteria have guided the development of materials and the materials choices for field-effect and bipolar transistor technology. Intrinsic graphene is a semi-metal, precluding transistor applications, but only under lateral bias is a gap opened and transistor action possible. This first application of the Johnson criteria to biased graphene suggests that this material will struggle to ever achieve competitive commercial applications.

VizieR Online Data Catalog: Infrared massive stellar content of M83 (Williams+, 2015)

NASA Astrophysics Data System (ADS)

Williams, S. J.; Bonanos, A. Z.; Whitmore, B. C.; Prieto, J. L.; Blair, W. P.

2015-06-01

We extracted the mosaic image of M83 from the Local Volume Legacy Survey (LVL, Dale et al., 2009ApJ...703..517D, Cat. J/ApJ/703/517) in all four of the IRAC bands. The final images analyzed here cover an area of 15' x15' with a pixel scale of 0.75arcsec/pix centered on the nucleus of M83 (J2000.0:RA=13:37:00.9,DE=-29:51:56). Observations of M83 were made in J and Ks with the FourStar instrument attached to the 6.5m Baade Magellan Telescope at Las Campanas Observatory on UT date 2014 Jan. 2. Blair et al. (2014ApJ...788...55B, Cat. J/ApJ/788/55) studied supernova remnants in M83 with seven fields of Hubble Space Telescope (HST) Wide Field Camera 3 (WFC3) observations in multiple bandpasses. Two fields come from the Early Release Science Program (ID 11360; R. O'Connell, PI) with the remaining five coming from the cycle 19 HST General Observer program 12513 (W. Blair, PI). These seven fields cover the majority of the bright disk region of M83. We specifically used the imaging and photometry in the F336W (Johnson U), F438W (Johnson B), F555W (Johnson V) or F547M (Stroemgren y, easily converted to Johnson V), and F814W (Johnson I) bands. (2 data files).

Cost-effectiveness analysis of HLA-B*58: 01 genetic testing before initiation of allopurinol therapy to prevent allopurinol-induced Stevens-Johnson syndrome/toxic epidermal necrolysis in a Malaysian population.

PubMed

Chong, Huey Yi; Lim, Yi Heng; Prawjaeng, Juthamas; Tassaneeyakul, Wichittra; Mohamed, Zahurin; Chaiyakunapruk, Nathorn

2018-02-01

Studies found a strong association between allopurinol-induced Stevens-Johnson syndrome (SJS)/toxic epidermal necrolysis (TEN) and the HLA-B*58:01 allele. HLA-B*58:01 screening-guided therapy may mitigate the risk of allopurinol-induced SJS/TEN. This study aimed to evaluate the cost-effectiveness of HLA-B*58:01 screening before allopurinol therapy initiation compared with the current practice of no screening for Malaysian patients with chronic gout in whom a hypouricemic agent is indicated. This cost-effectiveness analysis adopted a societal perspective with a lifetime horizon. A decision tree model coupled with Markov models were developed to estimate the costs and outcomes, represented by quality-adjusted life years (QALYs) gained, of three treatment strategies: (a) current practice (allopurinol initiation without HLA-B*58:01 screening); (b) HLA-B*58:01 screening before allopurinol initiation; and (c) alternative treatment (probenecid) without HLA-B*58:01 screening. The model was populated with data from literature review, meta-analysis, and published government documents. Cost values were adjusted for the year 2016, with costs and health outcomes discounted at 3% per annum. A series of sensitivity analysis including probabilistic sensitivity analysis were carried out to determine the robustness of the findings. Both HLA-B*58:01 screening and probenecid prescribing were dominated by current practice. Compared with current practice, HLA-B*58:01 screening resulted in 0.252 QALYs loss per patient at an additional cost of USD 322, whereas probenecid prescribing resulted in 1.928 QALYs loss per patient at an additional cost of USD 2203. One SJS/TEN case would be avoided for every 556 patients screened. At the cost-effectiveness threshold of USD 8695 per QALY, the probability of current practice being the best choice is 99.9%, in contrast with 0.1 and 0% in HLA-B*58:01 screening and probenecid prescribing, respectively. This is because of the low incidence of allopurinol-induced SJS/TEN in Malaysia and the lower efficacy of probenecid compared with allopurinol in gout control. This analysis showed that HLA-B*58:01 genetic testing before allopurinol initiation is unlikely to be a cost-effective intervention in Malaysia.

Neutrophil Collagenase, Gelatinase and Myeloperoxidase in Tears of Stevens-Johnson Syndrome and Ocular Cicatricial Pemphigoid Patients

PubMed Central

Arafat, Samer N.; Suelves, Ana M.; Spurr-Michaud, Sandra; Chodosh, James; Foster, C. Stephen; Dohlman, Claes H.; Gipson, Ilene K.

2013-01-01

Objective To investigate the levels of matrix metalloproteinases (MMPs), myeloperoxidase (MPO) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in tears of patients with Stevens-Johnson syndrome (SJS) and ocular cicatricial pemphigoid (OCP). Design Prospective non-interventional cohort study. Participants Four SJS patients (7 eyes), 19 OCP patients (37 eyes) and 20 post-phacoemulsification healthy controls (40 eyes). Methods Tear washes were collected from all patients and were analyzed for levels of MMP-2, -3, -7, -8, -9, -12, MPO and TIMP-1 using multi-analyte bead-based enzyme-linked immunosorbent assays (ELISA). Total MMP activity was determined using a fluorimetric assay. Correlation studies were performed between the various analytes within study groups. Main Outcome Measures Levels of MMP-2, -3, -7, -8, -9, -12, MPO and TIMP-1 (in ng/µg protein), total MMP activity (in relative fluorescent units/min/µg protein) in tears, MMP-8/TIMP-1, MMP-9/TIMP-1 ratios and the correlations between MMP-8 and MMP-9 and each MMP and MPO. Results MMP-8, MMP-9 and MPO levels were significantly elevated in SJS and OCP tears (SJS > OCP) when compared to controls. MMP activity was highest in SJS while OCP and controls showed lower and similar activities. TIMP-1 levels were decreased in SJS and OCP when compared to controls with OCP levels reaching significance. MMP-8/TIMP-1 and MMP-9/TIMP-1 ratios were markedly elevated in SJS and OCP tears (SJS > OCP) when compared to controls. Across all study groups, MMP-9 levels correlated strongly with MMP-8 and MPO levels and MMP-8 correlated with MPO but did not reach significance in SJS. There was no relationship between MMP-7 and MPO. Conclusions Since MMP-8 and MPO are produced by inflammatory cells, particularly neutrophils, the correlation data indicate that they may be the common source of elevated enzymes including MMP-9 in SJS and OCP tears. Elevated MMP/TIMP ratios and MMP activity suggest an imbalance in tear MMP regulation that may explain the predisposition of these patients to develop corneal melting and chronic complications associated with persistent inflammation. MPO in tears may be a sensitive and specific marker for the quantification of ocular inflammation. PMID:23962653

Field building: lessons from the Robert Wood Johnson Foundation's anthology series.

PubMed

Isaacs, Stephen L; Knickman, James R

2005-01-01

As editors of the Robert Wood Johnson Foundation's (RWJF's) anthology series, we have examined the entire range of the foundation's grant making since 1972. We found that the RWJF has enjoyed considerable success in building fields--from nurse practitioners to tobacco control to end-of-life care. The RWJF has done this by shaping fields as they were emerging, by adopting a wide-ranging "bear hug" approach, and by staying the course. The lessons from the RWJF's field-building efforts are relevant for both large and small foundations: Small funders can develop strategic plans aimed at building fields in their home state or locality.

STS-103 crew learn about use of slideware basket at Pad 39B

NASA Technical Reports Server (NTRS)

1999-01-01

At the slidewire area of Launch Pad 39B, the STS-103 crew listen to use of the emergency egress equipment. From left are the trainer, with crew members Mission Specialists Steven L. Smith, Jean-Frangois Clervoy of France, Claude Nicollier of Switzerland, John M. Grunsfeld (Ph.D.), Pilot Steven J. Kelly, C. Michael Foale (Ph.D.), and (kneeling) Commander Curtis L. Brown Jr. Clervoy and Nicollier are both with the European Space Agency. As a preparation for launch, the crew have been participating in Terminal Countdown Demonstration Test (TCDT) activities at KSC. The TCDT provides the crew with emergency egress training, opportunities to inspect their mission payloads in the orbiter's payload bay, and simulated countdown exercises. STS-103 is a 'call-up' mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST.

Some assembly required: Contributions of Tom Stevens' lab to the V-ATPase field.

PubMed

Graham, Laurie A; Finnigan, Gregory C; Kane, Patricia M

2018-06-01

Tom Stevens' lab has explored the subunit composition and assembly of the yeast V-ATPase for more than 30 years. Early studies helped establish yeast as the predominant model system for study of V-ATPase proton pumps and led to the discovery of protein splicing of the V-ATPase catalytic subunit. The Vma - phenotype, characteristic of loss-of-V-ATPase activity in yeast was key in determining the enzyme's subunit composition via yeast genetics. V-ATPase subunit composition proved to be highly conserved among eukaryotes. Genetic screens for new vma mutants led to identification of a set of dedicated V-ATPase assembly factors and helped unravel the complex pathways for V-ATPase assembly. In later years, exploration of the evolutionary history of several V-ATPase subunits provided new information about the enzyme's structure and function. This review highlights V-ATPase work in the Stevens' lab between 1987 and 2017. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Forest statistics for northeast Washington.

Treesearch

John W. Hazard

1963-01-01

This publication summarizes the results of the third inventory of six northeast Washington counties: Ferry, Lincoln, Pend Oreille, Spokane, Stevens, and Whitman. The collection of field data was made during the years 1957 to 1961 in three separate inventory projects.

77 FR 2655 - Magnuson-Stevens Act Provisions; Fisheries Off West Coast States; Pacific Coast Groundfish...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-19

... or protected information. NMFS will accept anonymous comments (if submitting comments via the Federal Rulemaking portal, enter ``N/A'' in the relevant required fields if you wish to remain anonymous...

The University of California Institute of Environmental Stress Marathon Field Studies

ERIC Educational Resources Information Center

Maron, Michael B.

2014-01-01

In 1973, the Institute of Environmental Stress of the University of California-Santa Barbara, under the direction of Steven M. Horvath, began a series of field and laboratory studies of marathon runners during competition. As one of Horvath's graduate students, many of these studies became part of my doctoral dissertation. The rationale for…

75 FR 27620 - Qualification of Drivers; Exemption Renewals; Vision

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-17

..., Sr., Levi A. Brown, Charlie F. Cook, Clifford H. Dovel, Arthur L. Fields, John W. Forgy, Glenn E. Gee..., Monte L. Purciful, Luis F. Saavedra, Earl W. Sheets, Robert V. Sloan, Steven L. Valley, Thomas E. Voyles...

Solving the Housing Equation: Michael P. Johnson

ERIC Educational Resources Information Center

Roach, Ronald

2005-01-01

Dr. Michael P. Johnson, an associate professor of management science and urban affairs at the H. John Heinz III School of Public Policy and Management at Carnegie Mellon University in Pittsburgh, is taking management science tools and innovative information technology applications to the housing field. Concerned that organizations that develop and…

Space Shuttle Placement Announcement

NASA Image and Video Library

2011-04-12

From left, Pilot of the first space shuttle mission, STS-1, Bob Crippen, NASA Administrator Charles Bolden, NASA Johnson Space Center Director of Flight Crew Operations, and Astronaut, Janet Kavandi, NASA Kennedy Space Center Director and former astronaut Bob Cabana, and Endeavour Vehicle Manager for United Space Alliance Mike Parrish pose for a photograph outside of the an Orbiter Processing Facility with the space shuttle Atlantis shortly after Bolden announced where four space shuttle orbiters will be permanently displayed at the conclusion of the Space Shuttle Program, Tuesday, April 12, 2011, at Kennedy Space Center in Cape Canaveral, Fla. The four orbiters, Enterprise, which currently is on display at the Smithsonian's Steven F. Udvar-Hazy Center near Washington Dulles International Airport, will move to the Intrepid Sea, Air & Space Museum in New York, Discovery will move to Udvar-Hazy, Endeavour will be displayed at the California Science Center in Los Angeles and Atlantis, in background, will be displayed at the Kennedy Space Center Visitor’s Complex. Photo Credit: (NASA/Bill Ingalls)

KSC-98pc1569

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-95dep19

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew and their families prepare for their return flight to the Johnson Space Center in Houston, Texas, at the Skid Strip at Cape Canaveral Air Station. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The STS-95 crew consists of Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1578

NASA Image and Video Library

1998-11-08

At the Skid Strip at Cape Canaveral Air Station, members of the STS-95 crew and their families prepare for their return flight to the Johnson Space Center in Houston, Texas. Shown are (left to right) Mission Specialist Scott E. Parazynski, Mission Specialist Stephen K. Robinson; Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); Pilot Steven W. Lindsey (with his daughter, Jill); Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts; Mission Commander Curtis L. Brown Jr.; and Mission Specialist Pedro Duque of Spain, with the European Space Agency (ESA). The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1571

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. Shown are Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Other members of the crew also at the briefing were Mission Commander Curtis L. Brown Jr., Pilot Steven W. Lindsey, Mission Specialist Scott E. Parazynski and Mission Specialist Stephen K. Robinson. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-95dep07

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew and their families prepare for their return flight to the Johnson Space Center in Houston, Texas, at the Skid Strip at Cape Canaveral Air Station. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The STS-95 crew consists of Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-95dep018

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew and their families prepare for their return flight to the Johnson Space Center in Houston, Texas, at the Skid Strip at Cape Canaveral Air Station. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The STS-95 crew consists of Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1572

NASA Image and Video Library

1998-11-08

STS-95 Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts, participates in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Also participating in the briefing were the other STS-95 crew members: Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1570

NASA Image and Video Library

1998-11-08

STS-95 Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts, participates in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Also participating in the briefing were the other STS-95 crew members: Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1575

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1573

NASA Image and Video Library

1998-11-08

Media representatives from all over the world fill the Kennedy Space Center Press Site Auditorium for a press conference held by the STS-95 crew before their return to the Johnson Space Center in Houston, Texas. The STS-95 crew members are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

Immune-mediated diseases: what can be found in the oral cavity?

PubMed

Bascones-Martínez, Antonio; García-García, Virginia; Meurman, Jukka H; Requena-Caballero, Luis

2015-03-01

Immune-mediated diseases frequently affect oral mucosa, which may often be the first site of clinical manifestation. In this review, we describe the most important oral lesions related to inflammatory disorders and present their management and novel therapies. The review is based on an open PubMed literature search from 1980 to 2012 with relevant keywords. Pemphigus vulgaris, oral lichen planus, cicatricial pemphigoid, erythema multiforme, Stevens-Johnson syndrome, systemic lupus erythematosus, Sjögren's syndrome, and linear IgA dermatosis are the immune-mediated diseases with oral manifestations discussed. Etiology is unknown in most of these diseases, but recently some of them have been found to share common genes. Modern treatment of these diseases is based on drugs that interfere along the pathogenic mechanisms instead of the still commonly used palliative measures. However, the immunomodulatory drugs may also cause oral side effects, complicating the clinical picture. Therefore, consulting dental or oral medicine specialists can be necessary in some cases with various immune-mediated diseases. © 2014 The International Society of Dermatology.

STS-95 Payload Specialist Glenn participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

STS-95 Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts, participates in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Also participating in the briefing were the other STS-95 crew members: Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

STS-95 Payload Specialist Glenn and his wife pose before their return flight to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

At the Skid Strip at Cape Canaveral Air Station, STS-95 Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts, poses with his wife Annie before their return flight to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The STS-95 crew also includes Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

Members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

NASA's B377SGT Super Guppy Turbine cargo aircraft touches down at Edwards Air Force Base, Calif. on

NASA Technical Reports Server (NTRS)

2000-01-01

NASA's B377SGT Super Guppy Turbine cargo aircraft touches down at Edwards Air Force Base, Calif. on June 11, 2000 to deliver the latest version of the X-38 flight test vehicle to NASA's Dryden Flight Research Center. The B-377SGT Super Guppy Turbine evolved from the 1960s-vintage Pregnant Guppy, Mini Guppy and Super Guppy, used for transporting sections of the Saturn rocket used for the Apollo program moon launches and other outsized cargo. The various Guppies were modified from 1940's and 50's-vintage Boeing Model 377 and C-97 Stratocruiser airframes by Aero Spacelines, Inc., which operated the aircraft for NASA. NASA's Flight Research Center assisted in certification testing of the first Pregnant Guppy in 1962. One of the turboprop-powered Super Guppies, built up from a YC-97J airframe, last appeared at Dryden in May, 1976 when it was used to transport the HL-10 and X-24B lifting bodies from Dryden to the Air Force Museum at Wright-Patterson Air Force Base, Ohio. NASA's present Super Guppy Turbine, the fourth and last example of the final version, first flew in its outsized form in 1980. It and its three sister ships were built in the 1970s for Europe's Airbus Industrie to ferry outsized structures for Airbus jetliners to the final assembly plant in Toulouse, France. It later was acquired by the European Space Agency, and then acquired by NASA in late 1997 for transport of large structures for the International Space Station to the launch site. It replaced the earlier-model Super Guppy, which has been retired and is used for spare parts. NASA's Super Guppy Turbine carries NASA registration number N941NA, and is based at Ellington Field near the Johnson Space Center. For more information on NASA's Super Guppy Turbine, log onto the Johnson Space Center Super Guppy web page at http://spaceflight.nasa.gov/station/assembly/superguppy/

Wellness Promotion Strategies. Selected Proceedings of the Annual National Wellness Conference (8th, Stevens Point, Wisconsin).

ERIC Educational Resources Information Center

Opatz, Joseph P., Ed.

A major concern to practitioners in the wellness movement has been the dearth of high quality up-to-date information about their field. This book provides a comprehensive and current look at the wellness field. Presentations in part 1 include: (1) "The History and Future of the Wellness Movement" (Donald B. Ardell); (2) "Presenting…

The Sociology of Youth: A Reflection on Its Contribution to the Field and Future Directions

ERIC Educational Resources Information Center

Wyn, Johanna

2011-01-01

This article expands on a piece in the inaugural "Sociology of Youth Newsletter," edited by Steven Threadgold (Wyn 2010). The present article provides an opportunity to engage in a more critical exploration of the issues that youth sociology in Australia contributes to the wider field of sociology and to reflect on challenges that it…

STS-104 Crew Return, Ellington Field, Building 990

NASA Image and Video Library

2001-07-26

JSC2001-E-22794 (25 July 2001) --- Astronaut Steven W. Lindsey, STS-104 mission commander, addresses a crowd at Ellington Field’s Hangar 990 for a crew return ceremony. Seated from the left are Michael L. Gernhardt, James F. Reilly, both mission specialist, and Roy S. Estess, JSC Acting Director, along with Janet L. Kavandi, mission specialist, and Charles O. Hobaugh, pilot.

Photographic documentation of the return of the STS-98 crew to Ellington Field

NASA Image and Video Library

2001-02-22

JSC2001-E-04804 (21 February 2001) --- Astronauts Mark L. Polansky (left) and Kenneth D. Cockrell (center), pilot and commander, respectively, for the STS-98 mission, are greeted by Steven A. Hawley of the Flight Crew Operations Directorate upon their return to Houston. The greetings took place prior to a welcoming ceremony at Ellington Field.

KSC-2011-3572

NASA Image and Video Library

2011-05-16

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's six STS-134 astronauts, dressed in their orange launch-and-entry suits, wave to news media and other spectators as they walk toward the Astrovan parked in front of the Operations and Checkout Building at NASA's Kennedy Space Center in Florida. The modified Airstream recreational vehicle, which has transported astronauts to their spacecraft since 1984, will take the crew to Launch Pad 39A. Leading the way are Pilot Greg H. Johnson, front left, and Commander Mark Kelly, front right. Behind Johnson are Mission Specialists Roberto Vittori with the European Space Agency and Greg Chamitoff. Behind Kelly are Mission Specialists Michael Fincke and Andrew Feustel. STS-134 will deliver the Alpha Magnetic Spectrometer-2 (AMS), Express Logistics Carrier-3, a high-pressure gas tank and additional spare parts for the Dextre robotic helper to the International Space Station. May 16 at 8:56 a.m. will be the second launch attempt for Endeavour. The first attempt on April 29 was scrubbed because of an issue associated with a faulty power distribution box called the aft load control assembly-2 (ALCA-2). STS-134 will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

Continuous spectra of atomic hydrogen in a strong magnetic field

NASA Astrophysics Data System (ADS)

Zhao, L. B.; Zatsarinny, O.; Bartschat, K.

2016-09-01

We describe a theoretical method, developed in the coupled-channel formalism, to study photoionization of H atoms in a strong magnetic field of a size that is typical for magnetic white dwarfs. The coupled Schrödinger equations are solved numerically using the renormalized Numerov method proposed by Johnson [B. R. Johnson, J. Chem. Phys. 67, 4086 (1977), 10.1063/1.435384; B. R. Johnson, J. Chem. Phys. 69, 4678 (1978), 10.1063/1.436421]. The distinct advantage of this method is the fact that no overflow problems are encountered in the classically forbidden region, and hence the method exhibits excellent numerical stability. Photoionization cross sections are presented for magnetized H atoms in the ground and 2 p excited states. The calculated results are compared with those obtained by other theories. The present method is particularly useful for explaining the complex features of continuous spectra in a strong magnetic field and hence provides an efficient tool for modeling photoionization spectra observed in the atmosphere of magnetic white dwarfs.

Systemic Immunomodulating Therapies for Stevens-Johnson Syndrome and Toxic Epidermal Necrolysis

PubMed Central

Zimmermann, Stefanie; Sekula, Peggy; Venhoff, Moritz; Motschall, Edith; Knaus, Jochen; Schumacher, Martin

2017-01-01

Importance Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN) are rare but severe adverse reactions with high mortality. There is no evidence-based treatment, but various systemic immunomodulating therapies are used. Objectives To provide an overview on possible immunomodulating treatments for SJS/TEN and estimate their effects on mortality compared with supportive care. Data Sources A literature search was performed in December 2012 for articles published in MEDLINE, MEDLINE Daily, MEDLINE Inprocess, Web of Science, EMBASE, Scopus, and the Cochrane Library (Central) from January 1990 through December 2012, and updated in December 2015, in the English, French, Spanish, and German languages looking for treatment proposals for SJS/TEN. Other sources were screened manually. Study Selection Initially, 157 randomized and nonrandomized studies on therapies (systemic immunomodulating therapies or supportive care) for SJS/TEN were selected. Data Extraction and Synthesis Relevant data were extracted from articles. Authors were contacted for further information. Finally, 96 studies with sufficient information regarding eligibility and adequate quality scores were considered in the data synthesis. All steps were performed independently by 2 investigators. Meta-analyses on aggregated study data (random-effects model) and individual patient data (IPD) (logistic regression adjusted for confounders) were performed to assess therapeutic efficacy. In the analysis of IPD, 2 regression models, stratified and unstratified by study, were fitted. Main Outcomes and Measures Therapy effects on mortality were expressed in terms of odds ratios (ORs) with 95% CIs. Results Overall, 96 studies (3248 patients) were included. Applied therapies were supportive care or systemic immunomodulating therapies, including glucocorticosteroids, intravenous immunoglobulins, cyclosporine, plasmapheresis, thalidomide, cyclophosphamide, hemoperfusion, tumor necrosis factor inhibitors, and granulocyte colony-stimulating factors. Glucocorticosteroids were associated with a survival benefit for patients in all 3 analyses but were statistically significant in only one (aggregated data: OR, 0.5; 95%% CI, 0.3-1.01; IPD, unstratified: OR, 0.7; 95% CI, 0.5-0.97; IPD, stratified: OR, 0.8; 95% CI, 0.4-1.3). Despite the low patient size, cyclosporine was associated with a promising significant result in the only feasible analysis of IPD (unstratified model) (OR, 0.1; 95% CI, 0.0-0.4). No beneficial findings were observed for other therapies, including intravenous immunoglobulins. Conclusions and Relevance Although all analyses, including the unstratified model, had limitations, glucocorticosteroids and cyclosporine were the most promising systemic immunomodulating therapies for SJS/TEN. Further evaluation in prospective studies is required. However, this work provides a comprehensive overview on proposed systemic immunomodulating treatments for SJS/TEN, which is of great relevance for treating physicians. PMID:28329382

Neutrophil collagenase, gelatinase, and myeloperoxidase in tears of patients with stevens-johnson syndrome and ocular cicatricial pemphigoid.

PubMed

Arafat, Samer N; Suelves, Ana M; Spurr-Michaud, Sandra; Chodosh, James; Foster, C Stephen; Dohlman, Claes H; Gipson, Ilene K

2014-01-01

To investigate the levels of matrix metalloproteinases (MMPs), myeloperoxidase (MPO), and tissue inhibitor of metalloproteinase-1 (TIMP-1) in tears of patients with Stevens-Johnson syndrome (SJS) and ocular cicatricial pemphigoid (OCP). Prospective, noninterventional cohort study. Four SJS patients (7 eyes), 19 OCP patients (37 eyes), and 20 healthy controls who underwent phacoemulsification (40 eyes). Tear washes were collected from all patients and were analyzed for levels of MMP-2, MMP-3, MMP-7, MMP-8, MMP-9, MMP-12, MPO, and TIMP-1 using multianalyte bead-based enzyme-linked immunosorbent assays. Total MMP activity was determined using a fluorometric assay. Correlation studies were performed between the various analytes within study groups. Levels of MMP-2, MMP-3, MMP-7, MMP-8, MMP-9, MMP-12, MPO, and TIMP-1 (in nanograms per microgram of protein) and total MMP activity (in relative fluorescent units per minute per microgram of protein) in tears; MMP-8-to-TIMP-1 ratio; MMP-9-to-TIMP-1 ratio; and the correlations between MMP-8 and MMP-9 and both MMP and MPO. MMP-8, MMP-9, and MPO levels were elevated significantly in SJS and OCP tears (SJS>OCP) when compared with controls. The MMP activity was highest in SJS patients, whereas OCP patients and controls showed lower and similar activities. The TIMP-1 levels were decreased in SJS and OCP patients when compared with those in controls, with levels in OCP patients reaching significance. The MMP-8-to-TIMP-1 and MMP-9-to-TIMP-1 ratios were markedly elevated in SJS and OCP tears (SJS>OCP) when compared with those of controls. Across all study groups, MMP-9 levels correlated strongly with MMP-8 and MPO levels, and MMP-8 correlated with MPO, but it did not reach significance in SJS patients. There was no relationship between MMP-7 and MPO. Because MMP-8 and MPO are produced by inflammatory cells, particularly neutrophils, the correlation data indicate that they may be the common source of elevated enzymes, including MMP-9, in SJS and OCP tears. Elevated MMP-to-TIMP ratios and MMP activity suggest an imbalance in tear MMP regulation that may explain the predisposition of these patients to demonstrate corneal melting and chronic complications associated with persistent inflammation. Myeloperoxidase in tears may be a sensitive and specific marker for the quantification of ocular inflammation. Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.

STS-103 MS Clervoy and Pilot Kelly inspect slideware basket at Pad 39B

NASA Technical Reports Server (NTRS)

1999-01-01

At Launch Pad 39B. STS-103 Mission Specialist Jean-Frangois Clervoy of France, who is with the European Space Agency (ESA), and Pilot Steven J. Kelly inspect the slidewire basket, part of the emergency egress system for persons in the Shuttle vehicle or on the Rotating Service Structure. Seven slidewires extend from the orbiter access arm, with a netted, flatbottom basket suspended from each wire. The STS-103 crew have been participating in Terminal Countdown Demonstration Test (TCDT) activities at KSC. Other crew members are Commander Curtis L. Brown Jr. and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), and Claude Nicollier of Switzerland, also with ESA. The TCDT provides the crew with the emergency egress training, opportunities to inspect their mission payloads in the orbiter's payload bay, and simulated countdown exercises. STS-103 is a 'call-up' mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST.

Sphincter-sparing local excision and hypofractionated radiation therapy for anorectal melanoma: a 20-year experience.

PubMed

Kelly, Patrick; Zagars, Gunar K; Cormier, Jancie N; Ross, Merrick I; Guadagnolo, B Ashleigh

2011-10-15

Anorectal melanoma is a rare disease with a poor prognosis. Because survival is determined by distant failure, many centers have adopted sphincter-sparing excision for primary tumor control. However, this approach is associated with high rates of local failure (∼50%). In this study, the authors report their 20-year experience with sphincter-sparing excision combined with radiation therapy (RT) for the treatment of localized anorectal melanoma. The authors reviewed the records of 54 patients with localized anorectal melanoma who were treated at the University of Texas MD Anderson Cancer Center from 1989 to 2008. All patients underwent definitive local excision with or without sentinel lymph node biopsy or lymph node dissection. RT (25-36 grays in 5-6 fractions) was delivered to extended fields that targeted the primary site and draining pelvic/inguinal lymphatics in 39 patients and to limited fields that targeted only the primary site in 15 patients. The 5-year rates of local control (LC), lymph node control (NC), and sphincter preservation were 82%, 88%, and 96%, respectively. However, because of the high rate of distant metastasis, the overall survival (OS) rate at 5 years was only 30%. Although there were no significant differences in LC, NC, or OS based on RT field extent, patients who received extended-field RT had higher rates of lymphedema than patients who received limited-field RT. The current results indicated that combined sphincter-sparing local excision and RT is a well tolerated approach that provides effective LC for patients with anorectal melanoma. Inclusion of the inguinal lymph node basins in the RT fields did not improve outcomes and was associated with an increased risk of lymphedema. Copyright © 2011 American Cancer Society.

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.

Reading performance after vision rehabilitation of subjects with homonymous visual field defects.

PubMed

Gall, Carolin; Sabel, Bernhard A

2012-12-01

To examine whether increased visual functioning after vision-restoration training (VRT) coincides with improved reading abilities. Prospective noncontrolled open-label trial. Controlled laboratory setting for all diagnostic procedures that were conducted before and after 6 months of home-based VRT with telemedicine support. Eleven subjects who had experienced a posterior-parietal stroke and have homonymous visual field defects. Six months of VRT (1 hour daily repeated light stimulation in the partially damaged visual field). VRT outcome measures were the number of detected light stimuli in eye-tracker controlled high-resolution perimetry and the spared visual field within the affected hemifield up to the relative and absolute defect visual field border (square degrees). Enlargements of spared visual field within the affected hemifield were correlated with changes of reading speed after VRT. After VRT, the number of detected light stimuli increased by 5.02 ± 4.31% (mean ± SD; P = .03). The spared visual field up to the relative defect visual field border increased from 18.09 ± 32.35 square degrees before to 137.40 ± 53.32 after VRT (P = .006), as well as for the absolute defect visual field border from 36.95 ± 33.77 square degrees before VRT to 152.02 ± 49.70 after VRT (P = .005). Reading speed increased from 108.95 ± 33.95 words per minute before VRT to 122.26 ± 30.35 after VRT (P = .017), which significantly correlated with increased spared visual field up to the relative defect visual field border (r = 0.73, P = .016). Measures of eye movement variability did not correlate with VRT outcome. VRT improved visual fields in parafoveal areas, which are most relevant for reading. This finding cannot be explained by changes in eye movement behavior. Because of a significant association between improvements of parafoveal vision and reading speed, we propose that patients with homonymous visual field defects who have reading deficits may benefit from visual stimulation by training. Copyright © 2012 American Academy of Physical Medicine and Rehabilitation. Published by Elsevier Inc. All rights reserved.

STS-104 Crew Return, Ellington Field, Building 990

NASA Image and Video Library

2001-07-26

JSC2001-E-22791 (25 July 2001) --- JSC Acting Director Roy S. Estess introduces the STS-104 crew members to a crowd gathered in Ellington Field’s Hangar 990 during crew return ceremonies. Seated (from left) are Michael L. Gernhardt, James F. Reilly, Janet L. Kavandi, all mission specialists, along with Steven W. Lindsey and Charles O. Hobaugh, mission commander and pilot, respectively.

Annual Report of Indian Education in Montana. Johnson-O'Malley Activities, Fiscal Year 1974.

ERIC Educational Resources Information Center

Montana State Office of the Superintendent of Public Instruction, Helena.

Montana's Johnson-O'Malley (JOM) funds provided services for 6,094 and 7,613 Indian students respectively in 1973 and 1974. JOM funds were channeled into special projects, i.e., home-school coordinators, tutors, counselors, special transportation, special teachers, Indian teacher aides, Indian studies classes, summer programs, field trips,…

The New York City Research Initiative: A Model for Undergraduate and High School Student Research in Earth and Space Sciences and Space Technology

NASA Astrophysics Data System (ADS)

Scalzo, F.; Frost, J.; Carlson, B. E.; Marchese, P.; Rosenzweig, C.; Austin, S. A.; Peteet, D. M.; Druyan, L.; Fulakeza, M.; Gaffin, S.; Baruh, H.; Decker, S.; Thangam, S.; Miles, J.; Moshary, F.; Rossow, W.; Greenbaum, S.; Cheung, T. K.; Johnson, L. P.

2010-12-01

1 Frank Scalzo, 1 Barbara Carlson, 2 Leon Johnson, 3 Paul Marchese, 1 Cynthia Rosenzweig, 2 Shermane Austin, 1 Dorothy Peteet, 1 Len Druyan, 1 Matthew Fulakeza, 1 Stuart Gaffin, 4 Haim Baruh, 4 Steven Decker, 5 Siva Thangam, 5 Joe Miles, 6 James Frost, 7 Fred Moshary, 7 William Rossow, 7 Samir Ahmed, 8 Steven Greenbaum and 3 Tak Cheung 1 NASA Goddard Institute for Space Studies, USA 2 Physical, Environmental and Computer Sciences, Medgar Evers College, CUNY, Brooklyn, NY, USA 3 Physics, Queensborough Community College, CUNY, Queens, NY, USA 4 Rutgers University, Newark, NJ, USA 5 Stevens Institute of Technology, Hoboken, NJ, USA 6 Physics, LaGuardia Community College, CUNY, Queens, NY, USA 7 Electrical Engineering, City College of New York, CUNY, USA 8 Physics, Hunter College, CUNY, USA The New York City Research Initiative (NYCRI) is a research and academic program that involves high school, undergraduate and graduate students, and high school teachers in research teams under the mentorship of college/university principal investigator of NASA funded projects and/or NASA scientists. The principal investigators are at 7 colleges/universities within a 20-mile radius of New York City (NYC and Northern New Jersey), as well as the NASA Goddard Institute of Space Studies. The program supports research in Earth Science, Space Science, and Space Technology. Research investigations include: Sea Surface Temperature and Precipitation in the West African Monsoon, Urban Heat Island: Sun and Rain Effects, Decadal Changes in Aerosol and Asthma, Variations in Salinity and River Discharge in the Hudson River Estuary, Environmental Change in the Hudson Estuary Wetlands, Verification of Winter Storm Scale Developed for Nor’easters, Solar Weather and Tropical Cyclone Activity, Tropospheric and Stratospheric Ozone Investigation in Metropolitan NYC, Aerosol Optical Depth through use of a MFRSR, Detection of Concentration in the Atmosphere Using a Quantum Cascade Laser System, Optimization Model for Future Lunar Colony, Models of Space Travel, and NMR Investigation of MnO2 Infused Carbon Nanofoams. We describe student research, significant results and enrichment activities during the Summer 2010. The NYCRI partners with the CUNY-GISS Center for Global Climate Change, an NSF REU Site. The NYCRI is supported by NASAâ^À^Ùs Earth Science Office, GSFC Education Office, as well as NASA and NSF awards to NYCRI College/University Principal Investigators.

Dosimetric analysis of the alopecia preventing effect of hippocampus sparing whole brain radiation therapy.

PubMed

Mahadevan, Anand; Sampson, Carrie; LaRosa, Salvatore; Floyd, Scott R; Wong, Eric T; Uhlmann, Erik J; Sengupta, Soma; Kasper, Ekkehard M

2015-11-26

Whole brain radiation therapy (WBRT) is widely used for the treatment of brain metastases. Cognitive decline and alopecia are recognized adverse effects of WBRT. Recently hippocampus sparing whole brain radiation therapy (HS-WBRT) has been shown to reduce the incidence of memory loss. In this study, we found that multi-field intensity modulated radiation therapy (IMRT), with strict constraints to the brain parenchyma and to the hippocampus, reduces follicular scalp dose and prevents alopecia. Suitable patients befitting the inclusion criteria of the RTOG 0933 trial received Hippocampus sparing whole brain radiation. On follow up, they were noticed to have full scalp hair preservation. 5 mm thickness of follicle bearing scalp in the radiation field was outlined in the planning CT scans. Conventional opposed lateral WBRT radiation fields were applied to these patient-specific image sets and planned with the same nominal dose of 30 Gy in 10 fractions. The mean and maximum dose to follicle bearing skin and Dose Volume Histogram (DVH) data were analyzed for conventional and HS-WBRT. Paired t-test was used to compare the means. All six patients had fully preserved scalp hair and remained clinically cognitively intact 1-3 months after HS-WBRT. Compared to conventional WBRT, in addition to the intended sparing of the Hippocampus, HS-WBRT delivered significantly lower mean dose (22.42 cGy vs. 16.33 cGy, p < 0.0001), V24 (9 cc vs. 44 cc, p < 0.0000) and V30 (9 cc vs. 0.096 cc, p = 0.0106) to follicle hair bearing scalp and prevented alopecia. There were no recurrences in the Hippocampus area. HS-WBRT, with an 11-field set up as described, while attempting to conserve hippocampus radiation and maintain radiation dose to brain inadvertently spares follicle-bearing scalp and prevents alopecia.

Technique for comprehensive head and neck irradiation using 3-dimensional conformal proton therapy

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

McDonald, Mark W., E-mail: markmcdonaldmd@gmail.com; Indiana University Health Proton Therapy Center, Bloomington, IN; Walter, Alexander S.

2015-01-01

Owing to the technical and logistical complexities of matching photon and proton treatment modalities, we developed and implemented a technique of comprehensive head and neck radiation using 3-dimensional (3D) conformal proton therapy. A monoisocentric technique was used with a 30-cm snout. Cervical lymphatics were treated with 3 fields: a posterior-anterior field with a midline block and a right and a left posterior oblique field. The matchline of the 3 cervical nodal fields with the primary tumor site fields was staggered by 0.5 cm. Comparative intensity-modulated photon plans were later developed for 12 previously treated patients to provide equivalent target coverage,more » while matching or improving on the proton plans' sparing of organs at risk (OARs). Dosimetry to OARs was evaluated and compared by treatment modality. Comprehensive head and neck irradiation using proton therapy yielded treatment plans with significant dose avoidance of the oral cavity and midline neck structures. When compared with the generated intensity-modulated radiation therapy (IMRT) plans, the proton treatment plans yielded statistically significant reductions in the mean and integral radiation dose to the oral cavity, larynx, esophagus, and the maximally spared parotid gland. There was no significant difference in mean dose to the lesser-spared parotid gland by treatment modality or in mean or integral dose to the spared submandibular glands. A technique for cervical nodal irradiation using 3D conformal proton therapy with uniform scanning was developed and clinically implemented. Use of proton therapy for cervical nodal irradiation resulted in large volume of dose avoidance to the oral cavity and low dose exposure to midline structures of the larynx and the esophagus, with lower mean and integral dose to assessed OARs when compared with competing IMRT plans.« less

SU-E-T-340: Use of Intensity Modulated Proton Therapy (IMPT) for Reducing the Dose to Cochlea in Craniospinal Irradiation (CSI) of Pediatric Patients

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

Dormer, J; Kassaee, A; Lin, H

2014-06-01

Purpose: To evaluate use of intensity modulated proton therapy (IMPT) and number of beams for sparing cochlea in treatment of whole brain for pediatric medulloblastoma patients. Methods: In our institution, craniospinal irradiation patients are treated in supine position on our proton gantries using pencil beam scanning with each beam uniformly covering the target volume (SFUD). Each treatment plan consists of two opposed lateral whole brain fields and one or two spinal fields. For sparing the cochlea for the whole brain treatment, we created three different plans using IMPT for five pediatric patients. The first plan consisted of two lateral fields,more » the second two lateral fields and a superior-inferior field, and the third two lateral fields and two superior oblique fields. Optimization was performed with heavy weights applied to the eye, lens and cochlea while maintaining a dose prescription of 36 Gy to the whole brain. Results: IMPT plans reduce the dose to the cochlea. Increasing the number of treatment fields was found to lower the average dose to the cochlea: 15.0, 14.5 and 12.5 Gy for the two-field, three-field, and four-field plans respectively. The D95 for the two-field plan was 98.2%, compared to 100.0% for both the three-field and four-field plan. Coverage in the mid-brain was noticeably better in the three- and four-field plans, with more dose conformality surrounding the cochlea. Conclusion: IMPT plans for CSI and the whole brain irradiations are capable of sparing cochlea and reduce the dose considerably without compromising treating brain tissues. The reduction in average dose increases with three and four field plans as compared to traditional two lateral beam plans.« less

KSC-2013-2784

NASA Image and Video Library

2013-06-14

MOJAVE DESERT, Calif. – In the Mojave Desert in California, a student StangSat Team of students from Merritt Island High School in Florida posed for a pre-launch photograph as the Garvey Spacecraft Corporation's Prospector P-18D rocket, in the background, was being prepared for flight at the Friends of Amateur Rocketry launch site. Kneeling from left to right, are: Gurkirat Kainth, Megan Mackool, NASA mentor Shaun Daly and Maurisa Orona. Standing from left to right, are: teacher sponsor Tracey Beatovich, Brian Robusto, NASA Education program manager Grace Johnson, Nathan Stephens, Briana Luthman, Jackson Kinney, Steven Krygier, NASA mentor Jim Kinney, Joshua Zirkle and NASA mentor Kelvin Ruiz. Collectively known as CubeSats, the satellites will record shock, vibrations and heat inside the rocket. They will not be released during the test flight, but the results will be used to prove or strengthen their designs before they are carried into orbit in 2014 on a much larger rocket. A new, lightweight carrier is also being tested for use on future missions to deploy the small spacecraft. The flight also is being watched closely as a model for trying out new or off-the-shelf technologies quickly before putting them in the pipeline for use on NASA's largest launchers. Built by several different organizations, including a university, a NASA field center and a high school, the spacecraft are four-inch cubes designed to fly on their own eventually, but will remain firmly attached to the rocket during the upcoming mission. For more information, visit http://www.nasa.gov/mission_pages/smallsats/elana/cubesatlaunchpreview.html Photo credit: NASA/Dimitri Gerondidakis

Far-field Measurement of Ultra-Small Plasmonic Mode Volume

DTIC Science & Technology

2010-03-15

Form 298 (Rev. 8-98) Prescribed by ANSI Std Z39-18 18. M. L. Povinelli , S. G. Johnson, M. Lonèar, M. Ibanescu, E. J. Smythe, F. Capasso, and J. D...8286–8295 (2005). 19. M. L. Povinelli , M. Loncar, M. Ibanescu, E. J. Smythe, S. G. Johnson, F. Capasso, and J. D. Joannopoulos, “Evanescent-wave

Promoting Diversity in the Field of Evaluation: Reflections on the First Year of the Robert Wood Johnson Foundation Evaluation Fellowship Program

ERIC Educational Resources Information Center

Christie, Christina A.; Vo, Anne T.

2011-01-01

In this paper we describe an evaluation training program sponsored by the Robert Wood Johnson Foundation and led by Duquesne University and OMG Center for Collaborative Learning designed to meet the challenge of developing a cadre of diverse evaluation professionals, specifically those from traditionally underrepresented or underserved…

A Platform to Optimize the Field Emission Properties of Carbon Nanotube Based Fibers (Postprint)

DTIC Science & Technology

2016-08-25

University of Dayton Research Institute 300 College Park Ave., Dayton, OH 45469 6) AFRL /RD, Kirtland AFB, Albuquerque, NM 8717... AFRL -RX-WP-JA-2017-0351 A PLATFORM TO OPTIMIZE THE FIELD EMISSION PROPERTIES OF CARBON-NANOTUBE-BASED FIBERS (POSTPRINT) Steven B...Fairchild AFRL /RX M. Cahay and W. Zhu University of Cincinnati K.L. Jensen Naval Research Laboratory R.G. Forbes University of Surrey

KSC-2011-2518

NASA Image and Video Library

2011-03-29

CAPE CANAVERAL, Fla. -- STS-134 Pilot Greg H. Johnson listens to Commander Mark Kelly address the media on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. While at Kennedy, space shuttle Endeavour's crew will participate in a launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training in preparation for the upcoming STS-134 mission. Endeavour and its six STS-134 crew members will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. Launch is targeted for April 19 at 7:48 p.m. EDT. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-2502

NASA Image and Video Library

2011-03-29

CAPE CANAVERAL, Fla. -- STS-134 Pilot Greg H. Johnson stands in front of a T-38 jet on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. While at Kennedy, space shuttle Endeavour's crew will participate in a launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training in preparation for the upcoming STS-134 mission. Endeavour and its six STS-134 crew members will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. Launch is targeted for April 19 at 7:48 p.m. EDT. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

Translingual Paratopia and the Universe of Katalin Molnar

ERIC Educational Resources Information Center

Ori, Julia

2015-01-01

The concept of paratopia in Dominique Maingueneau's literary discourse analysis designates the writers' paradoxical location, their oscillation between belonging and not belonging to the literary field and to the society. This in-between situation is also characteristic to bilingual people, and as such translingual writers (Steven Kellman,…

Preventing Dance Injuries: An Interdisciplinary Perspective.

ERIC Educational Resources Information Center

Solomon, Ruth, Ed.; And Others

This book on the interdisciplinary nature of dance medicine as an emerging field of inquiry contains the following chapters: (1) "A Comparison of Patterns of Injury in Ballet, Modern, and Aerobic Dance" (Marie Schafle, And Others); (2) "Pronation as a Predisposing Factor in Overuse Injuries" (Steven R. Kravitz); (3) "Some…

Completion of Level 4 Milestone M4AT-15OR2301039 for the Johnson Noise Thermometry for Drift-free Temperature Measurements Work Package AT-15OR230103

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

Britton Jr, Charles L.

This memorandum constitutes our September 2015 level 4 milestone for the project entitled “Johnson Noise Thermometry for Drift-free Temperature Measurements” and satisfies the Milestone/Activity (Conclude HFIR field demonstration of JNT prototype). The progress summary describes the work performed to complete the subject milestone.

Drug Hypersensitivity: Pharmacogenetics and Clinical Syndromes

PubMed Central

Phillips, Elizabeth J.; Chung, Wen-Hung; Mockenhaupt, Maja; Roujeau, Jean-Claude; Mallal, Simon A.

2011-01-01

Severe cutaneous adverse reactions (SCARs) include syndromes such as drug reaction, eosinophilia and systemic symptoms (DRESS) or drug-induced hypersensitivity syndrome (DIHS) and Stevens-Johnson Syndrome/Toxic epidermal necrolysis (SJS/TEN). An important advance has been the discovery of associations between HLA alleles and many of these syndromes including abacavir hypersensitivity reaction, allopurinol DRESS/DIHS and SJS/TEN and SJS/TEN associated with aromatic amine anticonvulsants. These HLA associations have created the promise for prevention through screening and have additionally shed further light on the immunopathogenesis of SCARs. The roll-out of HLA-B*5701 into routine clinical practice as a genetic screening test to prevent abacavir hypersensitivity provides a translational roadmap for other drugs. Numerous hurdles exist in the widespread translation of several other drugs such as carbamazepine where the positive predictive value of HLA-B*1502 is low and the negative predictive value of HLA-B*1502 for SJS/TEN may not be 100% in all ethnic groups. International collaborative consortia have been formed with the goal of developing phenotype standardization and undertaking HLA and genome-wide analyses in diverse populations with these syndromes. PMID:21354501

Cost-effectiveness analysis of genotyping for HLA-B*5801 and an enhanced safety program in gout patients starting allopurinol in Singapore.

PubMed

Dong, Di; Tan-Koi, Wei-Chuen; Teng, Gim Gee; Finkelstein, Eric; Sung, Cynthia

2015-11-01

Allopurinol is an efficacious urate-lowering therapy (ULT), but is associated with rare serious adverse drug reactions of Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN), with higher risk among HLA-B*5801 carriers. We assessed the cost-effectiveness of HLA-B*5801 testing, an enhanced safety program or strategies with both components. The analysis adopted a health systems perspective and considered Singaporean patients with chronic gout, over a lifetime horizon, using allopurinol or probenecid. The model incorporated SJS/TEN and gout treatment outcomes, allele frequencies, drug prices and other medical costs. Based on cost-effectiveness threshold of US$50,000 per quality-adjusted life year, HLA-B*5801-guided ULT selection or enhanced safety program was not cost effective. Avoidance of ULTs was the least preferred strategy as uncontrolled gout leads to lower quality-adjusted life years and higher costs. The analysis underscores the need for biomarkers with higher positive predictive value for SJS/TEN, less expensive genetic tests or safety programs, or more effective gout drugs. .

The STS-95 crew and their families prepare for their return flight to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

At the Skid Strip at Cape Canaveral Air Station, members of the STS-95 crew and their families prepare for their return flight to the Johnson Space Center in Houston, Texas. Shown are (left to right) Mission Specialist Scott E. Parazynski, Mission Specialist Stephen K. Robinson; Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); Pilot Steven W. Lindsey (with his daughter); Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts; Mission Commander Curtis L. Brown Jr.; and Mission Specialist Pedro Duque of Spain, with the European Space Agency (ESA). The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

The STS-95 crew poses with a Mercury capsule model before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

Before returning to the Johnson Space Center in Houston, Texas, members of the STS-95 crew pose with a model of a Mercury capsule following a media briefing at the Kennedy Space Center Press Site Auditorium . From left to right are Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); Pilot Steven W. Lindsey; Mission Commander Curtis L. Brown Jr.; Friendship 7; Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts; Mission Specialist Scott E. Parazynski; and Mission Specialist Pedro Duque, with the European Space Agency (ESA). Also on the crew is Mission Specialist and Payload Commander Stephen K. Robinson (not shown). The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

Graft versus host disease: what should the oculoplastic surgeon know?

PubMed

Tung, Cynthia I

2017-09-01

To provide a concise review of the oculoplastic manifestations of ocular graft versus host disease (GVHD), and to discuss their management. Ocular GVHD occurs as a common immune-mediated complication of hematopoietic stem cell transplantation that presents as a Stevens-Johnson-like syndrome in the acute phase or a Sjögren-like syndrome in the chronic phase. Cicatricial conjunctivitis may be underreported in ocular GVHD. The spectrum of oculoplastic manifestations includes GVHD of the skin, cicatricial entropion, nasolacrimal duct obstruction, and lacrimal gland dysfunction. Surgical treatment is indicated for patients with significant corneal complications from entropion. Surgical approach to repair of nasolacrimal duct obstruction is presented in this review, including modified approaches for treating patients at risk for keratitis sicca. Management of the ocular graft versus host patient may require a multidisciplinary approach involving collaboration from the oculoplastic surgeon, the corneal specialist, and the stem cell transplant physician. Oculoplastic manifestations of ocular GVHD typically present as cicatricial changes in the eyelid and lacrimal system. Careful oculoplastic and corneal evaluation are necessary when considering surgical management for the ocular GVHD patient.

Life-Threatening Atypical Case of Acute Generalized Exanthematous Pustulosis.

PubMed

Tajmir-Riahi, Azadeh; Wörl, Petra; Harrer, Thomas; Schliep, Stefan; Schuler, Gerold; Simon, Miklos

2017-01-01

Antibiotics are known to cause severe cutaneous adverse reactions, such as the rare acute generalized exanthematous pustulosis (AGEP). Unlike Stevens-Johnson syndrome or toxic epidermal necrolysis, AGEP is rarely life-threatening. Systemic involvement is not typical, and if present usually coincides with a mild elevation of the hepatic enzymes and a decrease in renal function. Hence, AGEP is known to have a good prognosis and to be life-threatening only in elderly patients or patients with chronic diseases. Herein, we report a case of AGEP in a young healthy male leading to systemic inflammatory response syndrome and to treatment in an intensive care unit after being treated with 5 different antibiotics. Initial symptoms were not indicative for AGEP and the patient's course of disease led promptly to critical cardiorespiratory symptoms and systemic inflammatory response syndrome. We assume that the administration of the 5 different antibiotics resulted in type IV allergy as well as secondary infection with Enterococcus faecium and Staphylococcus aureus, while the underlying periodontitis also contributed to the severity of this case. © 2017 S. Karger AG, Basel.

[Cheilitis: Diagnosis and treatment].

PubMed

Samimi, Mahtab

2016-02-01

The whole examination of oral cavity, other mucosae and skin is required when managing a cheilitis. Irritants (climatic, mechanical, caustic agents...) constitute the main aetiological factors of cheilitis. Allergic contact cheilitis should be investigated with a detailed anamnesis in order to search any causative agent in contact with the oral mucosae. Patch testing is required to confirm the diagnosis of delayed hypersensivity. Chronic actinic cheilitis occurs mostly in middle-aged, fair-skinned men. It is a potentially malignant condition that requires biopsies to exclude severe dysplasia or carcinoma. Angular cheilitis can occur spontaneously but is frequently related with several precipitating factors, such as systemic immune suppression, local irritation and moisture, fungal and/or bacterial infection. Cheilitis can also be seen in various systemic conditions such as lichen planus, lupus, atopic dermatitis and nutritional deficiencies. Erosive and crusty cheilitis and bullous erosive stomatitis are the main oral features of erythema multiforme and Stevens-Johnson syndrome. Granulomatous macrocheilitis (cheilitis granulomatosa) presents with intermittent or permanent lip swelling. It should be confirmed by a biopsy. It can be either isolated (Miescher macrocheilitis) or associated with various systemic conditions. Copyright © 2015 Elsevier Masson SAS. All rights reserved.

KSC-98pc1577

NASA Image and Video Library

1998-11-08

At the Skid Strip at Cape Canaveral Air Station, STS-95 Pilot Steven W. Lindsey (left), Lindsey's daughter, Jill, (front), and Payload Specialist John H. Glenn Jr. (right), a senator from Ohio and one of the original seven Project Mercury astronauts, give a thumbs up on the success of the mission. Members of the STS-95 crew and their families prepared for their return flight to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Others returning were Mission Commander Curtis L. Brown Jr.; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1568

NASA Image and Video Library

1998-11-08

The day after their return to Earth on board the orbiter Discovery, members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. From left to right are Lisa Malone, moderator and chief of NASA Public Affairs' Media Services at Kennedy Space Center; Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1574

NASA Image and Video Library

1998-11-08

STS-95 Payload Specialist John H. Glenn Jr. (right), a senator from Ohio and one of the original seven Project Mercury astronauts, gestures during a media briefing at the Kennedy Space Center Press Site Auditorium. Glenn and the other members of the STS-95 crew held the briefing before returning to the Johnson Space Center in Houston, Texas. Others shown are (left to right) Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The other crew members participating in the briefing were Mission Commander Curtis L. Brown Jr., Pilot Steven W. Lindsey, and Mission Specialist and Payload Commander Stephen K. Robinson. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

KSC-98pc1576

NASA Image and Video Library

1998-11-08

Before returning to the Johnson Space Center in Houston, Texas, members of the STS-95 crew pose with a model of a Mercury capsule following a media briefing at the Kennedy Space Center Press Site Auditorium . From left to right are Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); Pilot Steven W. Lindsey; Mission Commander Curtis L. Brown Jr.; Friendship 7; Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts; Mission Specialist Scott E. Parazynski; and Mission Specialist Pedro Duque, with the European Space Agency (ESA). Also on the crew is Mission Specialist and Payload Commander Stephen K. Robinson (not shown). The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

The osteo-odonto-keratoprosthesis (OOKP).

PubMed

Liu, Christopher; Paul, Bobby; Tandon, Radhika; Lee, Edward; Fong, Ken; Mavrikakis, Ioannis; Herold, Jim; Thorp, Simon; Brittain, Paul; Francis, Ian; Ferrett, Colin; Hull, Chris; Lloyd, Andrew; Green, David; Franklin, Valerie; Tighe, Brian; Fukuda, Masahiko; Hamada, Suguru

2005-01-01

The osteo-odonto-keratoprosthesis (OOKP), although described over 40 years ago, remains the keratoprosthesis of choice for end-stage corneal blindness not amenable to penetrating keratoplasty. It is particularly resilient to a hostile environment such as the dry keratinized eye resulting from severe Stevens-Johnson syndrome, ocular cicatricial pemphigoid, trachoma, and chemical injury. Its rigid optical cylinder gives excellent image resolution and quality. The desirable properties of the theoretical ideal keratoprosthesis is described. The indications, contraindications, and patient assessment (eye, tooth, buccal mucosa, psychology) for OOKP surgery are described. The surgical and anaesthetic techniques are described. Follow-up is life-long in order to detect and treat complications, which include oral, oculoplastic, glaucoma, vitreo-retinal complications and extrusion of the device. Resorption of the osteo-odonto-lamina is responsible for extrusion, and this is more pronounced in tooth allografts. Regular imaging with spiral-CT or electron beam tomography can help detect bone and dentine loss. The optical cylinder design is discussed. Preliminary work towards the development of a synthetic OOKP analogue is described. Finally, we describe how to set up an OOKP national referral center.

Two cases of acute generalized exanthematous pustulosis related to oral terbinafine and an analysis of the clinical reaction pattern.

PubMed

Eyler, Jennifer T; Squires, Stephen; Fraga, Garth R; Liu, Deede; Kestenbaum, Thelda

2012-11-15

Acute generalized exanthematous pustulosis (AGEP) is a clinical reaction pattern characterized by the rapid appearance of widespread sterile, nonfollicular pustules arising within edematous erythematous skin. This aseptic pustular eruption is commonly accompanied by leukocytosis and fever and usually follows recent administration of oral or parenteral drugs. We report two cases of terbinafine-induced AGEP in male patients. Both patients developed a generalized erythroderma with scaling and pruritic pustules 7 and 14 days following initiation of oral terbinafine. With immediate discontinuation of terbinafine and various treatment protocols, both patients demonstrated recovery followed by skin desquamation during the subsequent weeks. Terbinafine is the most frequently used systemic antimycotic and antifungal medication, reflecting its superior efficacy for dermatophyte infections. Despite the appealing drug profile, an awareness of terbinafine-induced AGEP is important given the 5 percent mortality associated with AGEP. Additionally, distinguishing the characteristics of AGEP from those associated with toxic epidermal necrolysis, Stevens-Johnson syndrome, and generalized pustular psoriasis allows for prompt dermatologic evaluation, accurate diagnosis, and appropriate treatment.

[Terbinafine : Drug-induced lupus erythematodes and triggering of psoriatic skin lesions].

PubMed

Mayser, P

2016-09-01

Based on the technical information that oral terbinafine must be used with caution in patients with pre-existing psoriasis or lupus erythematosus, the literature was summarized. Terbinafine belongs to the drugs able to induce subcutaneous lupus erythematosus (SCLE)-with a relatively high risk. The clinical picture of terbinafine-induced SCLE may be highly variable and can also include erythema exsudativum multiforme-like or bullous lesions. Thus, differentiation of terbinafine-induced Stevens-Johnson syndrome or toxic epidermal necrolysis may be difficult. Therefore, terbinafine should be prescribed with caution in patients who show light sensitivity, arthralgias, positive antinuclear antibodies or have a history of SLE or SCLE. Case reports include wide-spread, but mostly nonlife-threatening courses, which did not require systemic therapy with steroids or antimalarials in every case. Terbinafine is also able to induce or to aggravate psoriasis. The latency period seems to be rather short (<4 weeks). Terbinafine therefore is not first choice if a systemic therapy with antimycotics is indicated in a patient with psoriasis or psoriatic diathesis. Azole derivatives according to the guidelines may be used as an alternative.

The STS-95 crew and their families prepare for their return flight to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

At the Skid Strip at Cape Canaveral Air Station, STS-95 Pilot Steven W. Lindsey (left), Lindsey's daughter (front), and Payload Specialist John H. Glenn Jr. (right), a senator from Ohio and one of the original seven Project Mercury astronauts, give a thumbs up on the success of the mission. Members of the STS-95 crew and their families prepared for their return flight to the Johnson Space Center in Houston, Texas. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Others returning were Mission Commander Curtis L. Brown Jr.; Mission Specialist Scott E. Parazynski; Mission Specialist Stephen K. Robinson; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

Media representatives from all over the world fill the Kennedy Space Center Press Site Auditorium for a press conference held by the STS-95 crew before their return to the Johnson Space Center in Houston, Texas. The STS-95 crew members are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar- observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

KSC-98pc1567

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew file past photographers and reporters from all over the world as they enter the Kennedy Space Center Press Site Auditorium to participate in a media briefing before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The other STS-95 crew members participating in the briefing are Mission Commander Curtis L. Brown Jr., Pilot Steven W. Lindsey, Mission Specialist and Payload Commander Stephen K. Robinson, and Mission Specialist Scott E. Parazynski. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

Members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. Shown are Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. Other members of the crew also at the briefing were Mission Commander Curtis L. Brown Jr., Pilot Steven W. Lindsey, Mission Specialist Scott E. Parazynski and Mission Specialist Stephen K. Robinson. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

Salivary flow and its relationship to oral signs and symptoms in patients with dry eyes.

PubMed

Koseki, M; Maki, Y; Matsukubo, T; Ohashi, Y; Tsubota, K

2004-03-01

The aim of this study was to investigate oral symptoms and clinical parameters in dry eye patients. Subjective reports of the sensation of a dry mouth, salivary flow rates, and clinical parameters of oral disease related to three different types of dry eye patients were examined. There were 224 individuals, including dry eye patients and control subjects. The dry eye patients were classified into three types: patients with Sjögren's syndrome (SS-DE), patients without SS-DE (non-SS-DE), and patients with Stevens-Johnson syndrome (SJS-DE). Salivary flow rates were measured using two kinds of sialometry. Subjective and objective oral symptoms and signs were also examined. Over half of the dry eye patients complained of a dry mouth. The flow rates of their stimulated whole saliva and parotid saliva were significantly lower than those of the control groups (P < 0.05, P < 0.01). The sensation of a dry mouth and changes in oral soft tissues, dental caries, and oral Candida frequently occurred in dry eye patients.

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

Giantsoudi, D; Adams, J; MacDonald, S

Purpose: In proton radiation therapy of posterior fossa tumors, to spare other sensitive structures, the preferred beam geometry results in placing the treatment field distal edge within or just beyond the brainstem, including in at least partially in the treatment volume. Concerns for brainstem toxicity are increased and a controversy exists as to weather the beam’s distal edge should be placed within the brainstem or beyond it, to avoid elevated linear energy transfer (LET) and relative biological effectiveness (RBE) within the brainstem. The dosimetric efficacy of these techniques was examined, accounting for LET- and dose-dependent variable RBE distributions. Methods: Threemore » treatment planning techniques were applied in six ependymoma cases: (a) three-field dose-sparing, with beams’ distal edge within the brainstem; (b) three-field LET-sparing, using same beam directions as (a) but extended field ranges beyond the brainstem; (c) two-posterior-oblique LET-sparing, with extended ranges as (b). Monte Carlo calculated dose, LET and RBE-weighted dose distributions were compared. Results: Lower LET values in the brainstem were accompanied by higher median dose: 53.7 Gy[RBE] and 54.3 Gy[RBE] for techniques (b) and (c) versus 52.1 Gy[RBE] for (a). Accounting for variable RBE, a 15% increase of the brainstem volume receiving at least 60 Gy[RBE] was observed for technique (c) versus (a). Maximum variable-RBE-weighted brainstem dose was comparable for all techniques. Conclusion: Extending the treatment beam range beyond the brainstem, significantly increased its volume receiving high dose radiation, even when accounting for the decreased LET values. The dosimetric benefits of techniques limiting the brainstem dose may outweigh the impact of LET reduction achieved through this technique, especially since clinical consequences of increased LET at the end of range have not been proven yet.« less

Urethral dose sparing in squamous cell carcinoma of anal canal using proton therapy matching electrons with prior brachytherapy for prostate cancer: A case study

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

Apinorasethkul, Ontida, E-mail: ontida.a@gmail.com; Department of Radiation Oncology, Hospital of the University of Pennsylvania, Philadelphia, PA; Lenards, Nishele

2016-10-01

The purpose of this case study is to communicate a technique on treating the re-irradiation of squamous cell carcinoma (SCC) of anal canal with proton fields matched with electron fields to spare prostatic urethra. A 76-year old male presented with a secondary radiation-induced malignancy as a result of prostate brachytherapy seeds irradiation 10 years prior. A rectal examination revealed a bulky tumor at the top of the anal canal involving the left superior-most aspect of the anal canal extending superiorly into the rectum. The inferior extent was palpable approximately 3 cm from the anal verge and the superior extent ofmore » the mass measured greater than 5 cm in the superior-inferior dimension. Chemoradiation was suggested since the patient was opposed to abdominoperineal resection (APR) and colostomy. The use of proton therapy matching with electron fields in the re-irradiation setting could help reduce the complications. A 2 lateral proton beams were designed to treat the bulky tumor volume with 2 electron beams treating the nodal volumes. This complication of treatment fields helped spare the prostatic urethra and reduced the risk of urinary obstruction in the future.« less

Urethral dose sparing in squamous cell carcinoma of anal canal using proton therapy matching electrons with prior brachytherapy for prostate cancer: A case study.

PubMed

Apinorasethkul, Ontida; Lenards, Nishele; Hunzeker, Ashley

2016-01-01

The purpose of this case study is to communicate a technique on treating the re-irradiation of squamous cell carcinoma (SCC) of anal canal with proton fields matched with electron fields to spare prostatic urethra. A 76-year old male presented with a secondary radiation-induced malignancy as a result of prostate brachytherapy seeds irradiation 10 years prior. A rectal examination revealed a bulky tumor at the top of the anal canal involving the left superior-most aspect of the anal canal extending superiorly into the rectum. The inferior extent was palpable approximately 3cm from the anal verge and the superior extent of the mass measured greater than 5cm in the superior-inferior dimension. Chemoradiation was suggested since the patient was opposed to abdominoperineal resection (APR) and colostomy. The use of proton therapy matching with electron fields in the re-irradiation setting could help reduce the complications. A 2 lateral proton beams were designed to treat the bulky tumor volume with 2 electron beams treating the nodal volumes. This complication of treatment fields helped spare the prostatic urethra and reduced the risk of urinary obstruction in the future. Copyright © 2016 American Association of Medical Dosimetrists. Published by Elsevier Inc. All rights reserved.

The Elephants in the Fire Hoses

ERIC Educational Resources Information Center

Stevens, Vance

2014-01-01

In this article, Vance Stevens describes how access to what he calls "star performer educators" as either up-­and­-coming in their field, or experienced and polished practitioners, have changed with access to the internet. They are clearly passionate about what they do, and what they do has become second nature. They touch hearts and…

2009 Joint Service Power Expo volume 2 video

DTIC Science & Technology

2009-05-07

8483 - “A Field-Portable Lithium Ion Battery Charger with UPS Back-up Capability”, Mr. Neil Steven Graves, Acumentrics · 8394 - “Kestrel...Control”, Mr. Rick Silva, Sr. System Engineer, Custom Manufacturing & Engineering, Inc · 8371 - “New Application of Lithium - Ion Battery in Hybrid Power Supply System”, Mr. Takefumi Inoue, GS Yuasa Corporation

Classic and Contemporary Readings in the Philosophy of Education. Second Edition

ERIC Educational Resources Information Center

Cahn, Steven M., Ed.

2011-01-01

Now even more affordably priced in its second edition, "Classic and Contemporary Readings in the Philosophy of Education" is ideal for undergraduate and graduate philosophy of education courses. Editor Steven M. Cahn, a highly respected contributor to the field, brings together writings by leading figures in the history of philosophy and…

3-D seismic data for field development: Landslide field case study

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

Raeuchle, S.K.; Carr, T.R.; Tucker, R.D.

1990-05-01

The Landslide field is located on the extreme southern flank of the San Joaquin basin, approximately 25 mi south of Bakersfield, California. The field, discovered in 1985, has produced in excess 9 million bbl of oil with an estimated ultimate recovery of more than 13 MMBO. The Miocene Stevens sands, which form the reservoir units at Landslide field, are interpreted as a series of constructional submarine fan deposits. Deposition of the fans was controlled by paleotopography with an abrupt updip pinch-out of the sands to the southwest. The three-dimensional seismic data over the field was used to locate the bottommore » hole of the landslide 22X-30 development well as close to this abrupt updip pinchout as possible in order to maximize oil recovery. A location was selected two traces (330 ft) from the updip pinch-out as mapped on the seismic data. The well was successfully drilled during 1989, encountering 150 ft of net sand with initial production in excess of 1,500 bbl of oil/day. A pressure buildup test indicates the presence of a boundary approximately 200 ft from the well bore. This boundary is interpreted as the updip pinchout of the Stevens sands against the paleohigh. Based on examination of changes in amplitude, the absence or presence of reservoir-quality sand can be mapped across the paleohighs. Application of three-dimensional seismic data, integration with well data, and in particular reconstruction cuts tied closely to existing wells can be used to map the ultimate extent of the field and contribute to efficient development.« less

Sparing bilateral neck level IB in oropharyngeal carcinoma and xerostomia outcomes.

PubMed

Tam, Moses; Riaz, Nadeem; Kannarunimit, Danita; Peña, Angela P; Schupak, Karen D; Gelblum, Daphna Y; Wolden, Suzanne L; Rao, Shyam; Lee, Nancy Y

2015-08-01

To assess whether sparing neck-level IB in target delineation of node-positive (N+) oropharyngeal carcinoma (OPC) can improve xerostomia outcomes without compromising locoregional control (LRC). A total of 125 N+ OPC patients with a median age of 57 years underwent chemoradiation between May 2010 and December 2011. A total of 74% of patients had T1-T2 disease, 26% T3-T4, 16% N1, 8% N2A, 48% N2B, 28% N2C; 53% base of tongue, 41% tonsil, and 6% other. Patients were divided into those who had target delineation sparing of bilateral level IB (the spared cohort) versus no sparing (the treated cohort). Sparing of contralateral high-level II nodes was also performed more consistently in the spared cohort. A prospective xerostomia questionnaire (patient reported) was given at each patient follow-up visit to this cohort of patients to assess late xerostomia. Clinical assessment (observer rated) at each patient follow-up visit was also recorded. The 2-year LRC for the spared and treated cohorts was 97.5% and 93.8%, respectively (median follow-up, 23.2 mo). No locoregional failures occurred outside of treatment fields. The spared cohort experienced significant benefits in patient-reported xerostomia summary scores (P=0.021) and observer-rated xerostomia scores (P=0.006). In addition, there were significant reductions in mean doses to the ipsilateral submandibular gland (63.9 vs. 70.5 Gy; P<0.001), contralateral submandibular gland (45.0 vs. 56.2 Gy; P<0.001), oral cavity (35.9 vs. 45.2 Gy; P<0.001), and contralateral parotid gland (20.0 vs. 24.4 Gy; P<0.001). Target delineation sparing of bilateral level IB nodes in N+ OPC reduced mean doses to salivary organs without compromising LRC. Patients with reduced target volumes had better patient-reported xerostomia outcomes.

Sparing Bilateral Neck Level IB in Oropharyngeal Carcinoma and Xerostomia Outcomes

PubMed Central

Tam, Moses; Riaz, Nadeem; Kannarunimit, Danita; Peña, Angela P.; Schupak, Karen D.; Gelblum, Daphna Y.; Wolden, Suzanne L.; Rao, Shyam; Lee, Nancy Y.

2017-01-01

Objectives To assess whether sparing neck level IB in target delineation of node positive (N+) oropharyngeal carcinoma (OPC) can improve xerostomia outcomes without compromising local-regional control (LRC). Methods 125 N+ OPC patients with a median age of 57 years underwent chemoradiation between 5/10 and 12/11. 74% of patients had T1-2 disease, 26% T3-4, 16% N1, 8% N2A, 48% N2B, 28% N2C; 53% base of tongue, 41% tonsil, and 6% other. Patients were divided into those who had target delineation sparing of bilateral level IB (the spared cohort) vs. no sparing (the treated cohort). Sparing of contralateral high level II nodes was also performed more consistently in the spared cohort. A prospective xerostomia questionnaire (patient reported) was given at each patient follow-up visit to this cohort of patients to assess late xerostomia. Clinical assessment (observer rated) at each patient follow-up visit was also recorded. Results The 2-year LRC for the spared and treated cohorts was 97.5% and 93.8%, respectively (median follow-up, 23.2 months). No local-regional failures occurred outside of treatment fields. The spared cohort experienced significant benefits in patient-reported xerostomia summary scores (P = 0.021) and observer-rated xerostomia scores (P = 0.006). In addition, there were significant reductions in mean doses to the ipsilateral submandibular gland (SMG; 63.9 Gy vs. 70.5 Gy; P < 0.001), contralateral SMG (45.0 Gy vs. 56.2 Gy; P < 0.001), oral cavity (35.9 Gy vs. 45.2 Gy; P < 0.001), and contralateral parotid gland (20.0 Gy vs. 24.4 Gy; P < 0.001). Conclusions Target delineation sparing of bilateral level IB nodes in N+ OPC reduced mean doses to salivary organs without compromising LRC. Patients with reduced target volumes had better patient-reported xerostomia outcomes. PMID:26208401

Members of the flight and ground crews prepare to unload equipment from NASA's B377SGT Super Guppy T

NASA Technical Reports Server (NTRS)

2000-01-01

Members of the flight and ground crews prepare to unload equipment from NASA's B377SGT Super Guppy Turbine cargo aircraft on the ramp at NASA's Dryden Flight Research Center at Edwards Air Force Base, Calif. The outsize cargo plane had delivered the latest version of the X-38 flight test vehicle to NASA Dryden when this photo was taken on June 11, 2000. The B-377SGT Super Guppy Turbine evolved from the 1960s-vintage Pregnant Guppy, Mini Guppy and Super Guppy, used for transporting sections of the Saturn rocket used for the Apollo program moon launches and other outsized cargo. The various Guppies were modified from 1940's and 50's-vintage Boeing Model 377 and C-97 Stratocruiser airframes by Aero Spacelines, Inc., which operated the aircraft for NASA. NASA's Flight Research Center assisted in certification testing of the first Pregnant Guppy in 1962. One of the turboprop-powered Super Guppies, built up from a YC-97J airframe, last appeared at Dryden in May, 1976 when it was used to transport the HL-10 and X-24B lifting bodies from Dryden to the Air Force Museum at Wright-Patterson Air Force Base, Ohio. NASA's present Super Guppy Turbine, the fourth and last example of the final version, first flew in its outsized form in 1980. It and its three sister ships were built in the 1970s for Europe's Airbus Industrie to ferry outsized structures for Airbus jetliners to the final assembly plant in Toulouse, France. It later was acquired by the European Space Agency, and then acquired by NASA in late 1997 for transport of large structures for the International Space Station to the launch site. It replaced the earlier-model Super Guppy, which has been retired and is used for spare parts. NASA's Super Guppy Turbine carries NASA registration number N941NA, and is based at Ellington Field near the Johnson Space Center. For more information on NASA's Super Guppy Turbine, log onto the Johnson Space Center Super Guppy web page at http://spaceflight.nasa.gov/station/assembly/superguppy/

Tom test 8/26/02 11:45am

NASA Technical Reports Server (NTRS)

2000-01-01

Members of the flight and ground crews prepare to unload equipment from NASA's B377SGT Super Guppy Turbine cargo aircraft on the ramp at NASA's Dryden Flight Research Center at Edwards Air Force Base, Calif. The outsize cargo plane had delivered the latest version of the X-38 flight test vehicle to NASA Dryden when this photo was taken on June 11, 2000. The B-377SGT Super Guppy Turbine evolved from the 1960s-vintage Pregnant Guppy, Mini Guppy and Super Guppy, used for transporting sections of the Saturn rocket used for the Apollo program moon launches and other outsized cargo. The various Guppies were modified from 1940's and 50's-vintage Boeing Model 377 and C-97 Stratocruiser airframes by Aero Spacelines, Inc., which operated the aircraft for NASA. NASA's Flight Research Center assisted in certification testing of the first Pregnant Guppy in 1962. One of the turboprop-powered Super Guppies, built up from a YC-97J airframe, last appeared at Dryden in May, 1976 when it was used to transport the HL-10 and X-24B lifting bodies from Dryden to the Air Force Museum at Wright-Patterson Air Force Base, Ohio. NASA's present Super Guppy Turbine, the fourth and last example of the final version, first flew in its outsized form in 1980. It and its three sister ships were built in the 1970s for Europe's Airbus Industrie to ferry outsized structures for Airbus jetliners to the final assembly plant in Toulouse, France. It later was acquired by the European Space Agency, and then acquired by NASA in late 1997 for transport of large structures for the International Space Station to the launch site. It replaced the earlier-model Super Guppy, which has been retired and is used for spare parts. NASA's Super Guppy Turbine carries NASA registration number N941NA, and is based at Ellington Field near the Johnson Space Center. For more information on NASA's Super Guppy Turbine, log onto the Johnson Space Center Super Guppy web page at http://spaceflight.nasa.gov/station/assembly/superguppy/

KSC-2011-2732

NASA Image and Video Library

2011-04-01

CAPE CANAVERAL, Fla. -- STS-134 Commander Mark Kelly prepares to depart the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida aboard a T-38 jet. While at Kennedy, space shuttle Endeavour's crew participated in a launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training. Kelly will return to NASA's Johnson Space Center in Houston to resume training for the upcoming STS-134 mission. Endeavour and its six STS-134 crew members will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. Launch is targeted for April 29 at 3:47 p.m. EDT. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-2731

NASA Image and Video Library

2011-04-01

CAPE CANAVERAL, Fla. -- STS-134 Mission Specialist Michael Fincke prepares to depart the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida aboard a T-38 jet. While at Kennedy, space shuttle Endeavour's crew participated in a launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training. Fincke will return to NASA's Johnson Space Center in Houston to resume training for the upcoming STS-134 mission. Endeavour and its six STS-134 crew members will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. Launch is targeted for April 29 at 3:47 p.m. EDT. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-2566

NASA Image and Video Library

2011-03-30

CAPE CANAVERAL, Fla. - STS-134 Pilot Greg H. Johnson listens intently to instruction during M113 armored personnel carrier training at NASA's Kennedy Space Center in Florida. An M113 is kept at the foot of the launch pad in case an emergency exit from the pad is needed and every shuttle crew is trained on driving the vehicle before launch. Space shuttle Endeavour's six crew members are at Kennedy for the launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training. Targeted to launch April 19 at 7:48 p.m. EDT, they will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the space station. This is the final scheduled spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-2694

NASA Image and Video Library

2011-04-01

CAPE CANAVERAL, Fla. -- STS-134 Pilot Greg H. Johnson gives a thumbs-up as he takes his seat aboard space shuttle Endeavour during the Terminal Countdown Demonstration Test (TCDT) on Launch Pad 39A at NASA's Kennedy Space Center in Florida. Part of TCDT includes practicing the final hours of a real launch day when astronauts put on their launch-and-entry suits, ride to the pad in the Astrovan and strap into the shuttle. Endeavour's six crew members are targeted to launch April 19 at 7:48 p.m. EDT. They will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

IADC Vulnerability Report, IT32-21

NASA Technical Reports Server (NTRS)

Christiansen, E. L.; Miller, J. E.; Hyde, J.

2016-01-01

Numerous mission support hardware systems and their spares are maintained outside of the habitable volume of the International Space Station (ISS), and are arranged covered by a multi-layer insulation (MLI) thermal blanket which provides both thermal control and a measure of protection from micrometeoroids and orbital debris (MMOD). The NASA Hypervelocity Impact Technology (HVIT) group at the Johnson Space Center in Houston Texas has assessed the protection provided by MLI in a series of hypervelocity impact tests using a 1 mm thick aluminum 6061-T6 rear wall to simulate the actual hardware behind the MLI. HVIT has also evaluated methods to enhance the protection provided by MLI thermal blankets. The impact study used both aluminum and steel spherical projectiles accelerated to speeds of 7 km/s using a 4.3 mm, two-stage, light-gas gun at the NASA White Sands Test Facility (WSTF).

KSC-2011-2707

NASA Image and Video Library

2011-04-01

CAPE CANAVERAL, Fla. - At NASA's Kennedy Space Center in Florida, the STS-134 crew takes a break from a simulated launch countdown and simulated pad emergency to take a group photo on the 195-foot level of Launch Pad 39A. From left are, Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Michael Fincke, Andrew Feustel, Roberto Vittori, with the European Space Agency, and Greg Chamitoff. The simulations are part of a week-long Terminal Countdown Demonstration Test (TCDT). Endeavour's six crew members are targeted to launch April 19 at 7:48 p.m. EDT. They will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

Honoring the work and life of Leroy C. Stevens. A symposium as part of the International Stem Cell Initiative Workshop.

PubMed

Graham, Christopher F; Solter, Davor; Gearhart, John D; Nadeau, Joseph H; Knowles, Barbara B

2016-01-01

In 2016, a symposium was convened in Leroy C. Stevens' honor, in association with a meeting of the International Stem Cell Initiative (ISCI). ISCI, funded internationally, is composed of a group of ~100 scientists from many countries, under the leadership of Peter Andrews, who have worked together to characterize a significant number of human pluripotent stem cell lines, to monitor their genetic stability and their differentiation into mature cell types and tissues in vitro and in vivo. Those at the ISCI meeting puzzled through one of the thorniest problems in the therapeutic use of the differentiated derivatives of pluripotent stem cells for human therapy; namely, pluripotent stem cells can differentiate into any cell type in the adult organism, but they also have the capacity for unlimited self-renewal, hence if mutated they may have tumorigenic potential. The meeting considered how these cells might become genetically or epigenetically abnormal and how the safety of these cells for human therapeutic uses could be assessed and assured. The symposium was an opportunity to pay tribute to Leroy Stevens and to the basic science origins of this newest aspect of regenerative medicine. It was a time to reflect on the past and on how it can influence the future of our field.

77 FR 30486 - Confidentiality of Information; Magnuson-Stevens Fishery Conservation and Management...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-23

... Management Reauthorization Act AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and... and Management Act (Magnuson-Stevens Act or MSA). The purposes of these revisions are to make both...-Stevens Fishery Conservation and Management Reauthorization Act (MSRA) and the 1996 Sustainable Fisheries...

75 FR 62326 - Magnuson-Stevens Act Provisions; Fishing Capacity Reduction Framework

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-08

.... 100330171-0388-02] RIN 0648-AY79 Magnuson-Stevens Act Provisions; Fishing Capacity Reduction Framework... implementing fishing capacity reduction programs (reduction programs) in accordance with the Magnuson-Stevens... pays harvesters in a fishery that has more vessels than capacity either to surrender their fishing...

International Space Station Expedition 6 crew arrival at Ellington Field for crew return to JSC.

NASA Image and Video Library

2003-05-21

JSC2003-E-37449 (21 May 2003) --- A Federal Aviation Administration Gulfstream IV aircraft, which carried the Expedition 6 crewmembers, is pictured at Ellington Field, near Johnson Space Center (JSC).

77 FR 27436 - Stevens Institute of Technology, et al.; Notice of Consolidated Decision on Applications for Duty...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-10

... DEPARTMENT OF COMMERCE International Trade Administration Stevens Institute of Technology, et al... decision consolidated pursuant to Section 6(c) of the Educational, Scientific, and Cultural Materials... Constitution Avenue NW, Washington, DC Docket Number: 12-008. Applicant: Stevens Institute of Technology...

A.J. STEVENS MEMORIAL, “ERECTED TO A FRIEND OF LABOR BY ...

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

A.J. STEVENS MEMORIAL, “ERECTED TO A FRIEND OF LABOR BY HIS COWORKERS, NOV. 28, 1889.” CESAR CHAVEZ PLAZA, SACRAMENTO, CA. STEVENS WAS MASTER MECHANIC AT SACRAMENTO SHOPS FROM 1870-1888. - Southern Pacific, Sacramento Shops, 111 I Street, Sacramento, Sacramento County, CA

77 FR 43368 - Joerns Healthcare, LLC, Stevens Point, Wisconsin Division, Including On-Site Leased Workers From...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-24

.... The Department has determined that these workers were sufficiently under the control of the subject..., Stevens Point, Wisconsin Division, Including On-Site Leased Workers From ABR, Aerotek, and Manpower, Stevens Point, WI; Amended Certification Regarding Eligibility To Apply for Worker Adjustment Assistance...

Solar Eclipse (1979). Part II. Initial Results for Ionization Sources, Electron Density, and Minor Neutral Constituents.

DTIC Science & Technology

1980-10-01

OH 45433 Director Commandant Office of Missile Electronic Warfare US Army Field Artillery School ATTN: DELEW-M-STO (Dr. Steven Kovel) ATTN: ATSF- CF -R...Commander Commandant US Army White Sands Missile Range US Army Field Artillery School ATTN: STEWS-PT-AL (Laurel B. Saunders) ATTN: ATSF- CF -R White Sands...Commander Defense Communications Agency US Army INSCOM/Quest Research Corporation Technical Library Center ATTN: Mr. Donald Wilmot Code 222 6845 Elm Street

For love of the profession. Award recipients exemplify the best in our field.

PubMed

Bachrach, J David; Kious, A Gus; Milburn, B Jeffrey; Barlow, D Scott

2007-01-01

Award recipients exemplify the best in our field Read about the extraordinary achievements that earned three individuals and one organization coveted ACMPE-MGMA awards for 2007. MGMA Connexion spoke with the recipients of the Harry J. Harwick Lifetime Achievement Award, the Medical Practice Executive of the Year Award, the Fred Graham Award for Innovation in Improving Community Health and the Edward B. Stevens Article of the Year Award to learn what motivates and inspires them.

78 FR 25685 - Magnuson-Stevens Act Provisions; Implementation of the Shark Conservation Act of 2010

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-02

.... 1826d et seq., and the Magnuson- Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act... regulations pertaining to the conservation and management of specific shark fisheries are set forth in Parts... regulation or requirement related to the conservation and management of sharks. The SCA also amended the...

77 FR 2720 - Proposed Agreement and Covenant Not To Sue for the Colville Post & Poles Superfund Site, Stevens...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-19

... ENVIRONMENTAL PROTECTION AGENCY [FRL-9612-1] Proposed Agreement and Covenant Not To Sue for the Colville Post & Poles Superfund Site, Stevens County, WA AGENCY: Environmental Protection Agency. ACTION... Colville Post & Poles Superfund Site, Stevens County, Washington, and should be addressed to Jennifer G...

Proceedings of the 1974 Lyndon B. Johnson Space Center Wheat-Yield Conference

NASA Technical Reports Server (NTRS)

Pitts, D. E.; Barger, G. L.

1975-01-01

The proceedings of the 1974 Lyndon B. Johnson Space Center Wheat-Yield Conference are presented. The state of art of wheat-yield forecasting and the feasibility of incorporating remote sensing into this forecasting were discussed with emphasis on formulating common approach to wheat-yield forecasting, primarily using conventional meteorological measurements, which can later include the various applications of remote sensing. Papers are presented which deal with developments in the field of crop modelling.

Comparing organic farming and land sparing: optimizing yield and butterfly populations at a landscape scale.

PubMed

Hodgson, Jenny A; Kunin, William E; Thomas, Chris D; Benton, Tim G; Gabriel, Doreen

2010-11-01

Organic farming aims to be wildlife-friendly, but it may not benefit wildlife overall if much greater areas are needed to produce a given quantity of food. We measured the density and species richness of butterflies on organic farms, conventional farms and grassland nature reserves in 16 landscapes. Organic farms supported a higher density of butterflies than conventional farms, but a lower density than reserves. Using our data, we predict the optimal land-use strategy to maintain yield whilst maximizing butterfly abundance under different scenarios. Farming conventionally and sparing land as nature reserves is better for butterflies when the organic yield per hectare falls below 87% of conventional yield. However, if the spared land is simply extra field margins, organic farming is optimal whenever organic yields are over 35% of conventional yields. The optimal balance of land sparing and wildlife-friendly farming to maintain production and biodiversity will differ between landscapes. © 2010 Blackwell Publishing Ltd/CNRS.

Intensity-modulated radiation therapy and volumetric-modulated arc therapy for adult craniospinal irradiation—A comparison with traditional techniques

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

Studenski, Matthew T., E-mail: matthew.studenski@jeffersonhospital.org; Shen, Xinglei; Yu, Yan

2013-04-01

Craniospinal irradiation (CSI) poses a challenging planning process because of the complex target volume. Traditional 3D conformal CSI does not spare any critical organs, resulting in toxicity in patients. Here the dosimetric advantages of intensity-modulated radiation therapy (IMRT) and volumetric-modulated arc therapy (VMAT) are compared with classic conformal planning in adults for both cranial and spine fields to develop a clinically feasible technique that is both effective and efficient. Ten adult patients treated with CSI were retrospectively identified. For the cranial fields, 5-field IMRT and dual 356° VMAT arcs were compared with opposed lateral 3D conformal radiotherapy (3D-CRT) fields. Formore » the spine fields, traditional posterior-anterior (PA) PA fields were compared with isocentric 5-field IMRT plans and single 200° VMAT arcs. Two adult patients have been treated using this IMRT technique to date and extensive quality assurance, especially for the junction regions, was performed. For the cranial fields, the IMRT technique had the highest planned target volume (PTV) maximum and was the least efficient, whereas the VMAT technique provided the greatest parotid sparing with better efficiency. 3D-CRT provided the most efficient delivery but with the highest parotid dose. For the spine fields, VMAT provided the best PTV coverage but had the highest mean dose to all organs at risk (OAR). 3D-CRT had the highest PTV and OAR maximum doses but was the most efficient. IMRT provides the greatest OAR sparing but the longest delivery time. For those patients with unresectable disease that can benefit from a higher, definitive dose, 3D-CRT–opposed laterals are the most clinically feasible technique for cranial fields and for spine fields. Although inefficient, the IMRT technique is the most clinically feasible because of the increased mean OAR dose with the VMAT technique. Quality assurance of the beams, especially the junction regions, is essential.« less

77 FR 46685 - In the Matter of: Steven Neal Greenoe, Currently Incarcerated at: Inmate #54450-056, USP Atlanta...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-08-06

... DEPARTMENT OF COMMERCE Bureau of Industry and Security In the Matter of: Steven Neal Greenoe, Currently Incarcerated at: Inmate 54450-056, USP Atlanta, U.S. Penitentiary, P.O. Box 1150160, Atlanta, GA... On January 10, 2012, in the U.S. District Court, District of North Carolina, Steven Neal Greenoe...

A Quarter Century of Getting It Right in Education: Worldwide Successes and Continuing Challenges

ERIC Educational Resources Information Center

Heyneman, Stephen P.; Anderson, Kathryn H.

2008-01-01

In his article, Steven Klees claims that certain economic policies have been a failure in general and specifically in education. He has it backwards. His characterisation of the economics profession has not been true since the 1960s. Nobel Prizes to Simon, Akerlof, Spence and Stiglitz illustrate a flowering of ideas in fields of behaviourial and…

Interpretation for scales of measurement linking with abstract algebra.

PubMed

Sawamura, Jitsuki; Morishita, Shigeru; Ishigooka, Jun

2014-01-01

THE STEVENS CLASSIFICATION OF LEVELS OF MEASUREMENT INVOLVES FOUR TYPES OF SCALE: "Nominal", "Ordinal", "Interval" and "Ratio". This classification has been used widely in medical fields and has accomplished an important role in composition and interpretation of scale. With this classification, levels of measurements appear organized and validated. However, a group theory-like systematization beckons as an alternative because of its logical consistency and unexceptional applicability in the natural sciences but which may offer great advantages in clinical medicine. According to this viewpoint, the Stevens classification is reformulated within an abstract algebra-like scheme; 'Abelian modulo additive group' for "Ordinal scale" accompanied with 'zero', 'Abelian additive group' for "Interval scale", and 'field' for "Ratio scale". Furthermore, a vector-like display arranges a mixture of schemes describing the assessment of patient states. With this vector-like notation, data-mining and data-set combination is possible on a higher abstract structure level based upon a hierarchical-cluster form. Using simple examples, we show that operations acting on the corresponding mixed schemes of this display allow for a sophisticated means of classifying, updating, monitoring, and prognosis, where better data mining/data usage and efficacy is expected.

The TRACE Model of Speech Perception.

DTIC Science & Technology

1984-11-01

One approach is to try to find relatively invariant -- generally relational -- features (e.g., Stevens and Blumstein, 1981). Another approach has...t Dr. Anders Ericsson I Dr. Steven W. Keele Department oi Psychology Dept. of Psychology University of Colorado University of Oregon Boulder, CO...Parallel distributed processing: Explorations in the microstructue of cogni- tion. Vol. 1: Foundations. Cambridge, MA: Bradford Books. Stevens , K

The Open Academic Model for the Systems Engineering Graduate Program at Stevens Institute of Technology

ERIC Educational Resources Information Center

Lasfer, Kahina

2012-01-01

The Systems Engineering Program at Stevens Institute of Technology has developed the Open Academic Model (OAM) to guide its strategic planning and operations since its founding in 2001. Guided by OAM, the Stevens Systems Engineering Program (SSEP) has grown from inception in 2001 into one of the largest in the US. The main objectives of the…

RT 164: Design and Development Tools for the Systems Engineering Experience Accelerator - Part 3

DTIC Science & Technology

2017-04-29

Investigator: Dr. Jon Wade, Stevens Institute of Technology Co-Principal Investigator: Dr. Doug Bodner, Georgia Institute of Technology Research Team...Defense Acquisition University: Yvette Rodriguez Georgia Institute of Technology : Jing Liu Stevens Institute of Technology : Dr. Richard Turner...Stevens Institute of Technology : Peizhu Zhang Sponsor: Office of the DASD (Systems Engineering) Report No. SERC-2017-TR-107

Application of Warranties in the Procurement of Spare Parts at the Navy Field Contracting System Level

DTIC Science & Technology

1987-06-01

PROJECT TASK WORK .;NIT ELEMENT NO NO NO ACCESS OP. NO E I-c"lui~ de Securtiy CloI,#.caboriJ APPLICATION OF WARRANTIES IN THE PROCUREMENT OF SPARE...become common place in the United States and throughout the world. Due to the competitive nature of the market , buyers receive warranty coverage regardless...product warranties had primarily been viewed by manufacturers as a marketing tool. [Ref. 7: p. 1-41 However, the increased economic significance of

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

Johnson, James H.

Abstract In 1994 the Department of Energy established the DOE Chair of Excellence Professorship in Environmental Disciplines Program. In 2004, the Massie Chair of Excellence Professor at Howard University transitioned from Dr. Edward Martin to Dr. James H. Johnson, Jr. At the time of his appointment Dr. Johnson served as professor of civil engineering and Dean of the College of Engineering, Architecture and Computer Sciences. Program activities under Dr. Johnson were in the following areas: • Increase the institution’s capacity to conduct scientific research and technical investigations at the cutting-edge. • Promote interactions, collaborations and partnerships between the private sector,more » Federal agencies, majority research institutes and other HBCUs. • Assist other HBCUs in reaching parity in engineering and related fields. • Mentor young investigators and be a role model for students.« less

[Experience with Dohlman-Doane keratoprosthesis: case reports].

PubMed

Stolz, Andressa Prestes; Kwitko, Sérgio; Dal Pizzol, Melissa Manfroi; Marinho, Diane; Rymer, Samuel

2008-01-01

To describe 9 eyes in 8 patients who received Dohlman-Doane type 1 keratoprosthesis (KPro) with a mean follow-up of 11.2 months (2 to 25 months). A retrospective, non-comparative interventional case series. Previous corneal disease was alcaline burn in 4 eyes, multiple graft failure in 3 eyes, Stevens-Johnson syndrome in 1 eye and thermal injury in 1 eye. Best corrected visual acuity (BCVA) was hand motions or worse in all patients. Glaucoma was present preoperatively in 3 eyes and received Ahmed valve implantation. 88,9% eyes achieved BCVA of better than or equal to 20/100, and 44,4% better than or equal to 20/40. In the postoperative period, 3 eyes developed posterior capsule opacity treated with YAG laser capsulotomy; 3 retroprosthetic membrane treated with tPA injection or steroids; 2 glaucoma in clinical treatment; 1 corneal melting, treated with donor cornea bottom exchange; and 1 fungic endophthalmitis, treated with corneal transplant, anterior vitrectomy, KPro and intraocular lens explantation, and specific intravitreal and endovenous treatment. Dohlman-Doane K-Pro seems to be a good option for cases of corneal blindness with poor prognosis for traditional penetrating keratoplasty. Its main advantage is not requesting systemic immunossuppression. Best results were achieved in non-immune diseases.

Vaccine-induced toxic epidermal necrolysis: A case and systematic review.

PubMed

Chahal, Dev; Aleshin, Maria; Turegano, Mamina; Chiu, Melvin; Worswick, Scott

2018-01-15

Erythema multiforme (EM), Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN) are cutaneous hypersensitivityreactions that develop in response to specific triggers such as medications and certain infections. Vaccines, which undergo rigorous safety testing prior to use in humans, are a rare cause of SJS/TEN and little is known about the frequency of such events and corresponding pathogenesis. Herein, we discuss a case of suspected TEN in a 19-year-old woman who received the meningococcal B vaccine (the first report of such an association) and conduct a systematic review of the associated literature. We also discuss management of this patient with a single dose of etanercept. Relevant literature was searched using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) method. A total of 29 articles reporting EM, SJS, or TEN following vaccination were included from >5 countries. Of the 29, 22 articles reported EM, 6/29 reported SJS, and 4/29 reported TEN (3 articlesreported cases of both EM and SJS/TEN). We suggest consideration of vaccines as an etiology for cases of SJS or TEN that begin with an EM-like presentation, and provide further evidence for the use of etanercept as a viable treatment for TEN.

Adverse cutaneous reactions induced by TNF-alpha antagonist therapy.

PubMed

Borrás-Blasco, Joaquín; Navarro-Ruiz, Andrés; Borrás, Consuelo; Casterá, Elvira

2009-11-01

To review adverse cutaneous drug reactions induced by tumor necrosis factor alpha (TNF-alpha) antagonist therapy. A literature search was performed using PubMed (1996-March 2009), EMBASE, and selected MEDLINE Ovid bibliography searches. All language clinical trial data, case reports, letters, and review articles identified from the data sources were used. Since the introduction of TNF-alpha antagonist, the incidence of adverse cutaneous drug reactions has increased significantly. A wide range of different skin lesions might occur during TNF-alpha antagonist treatment. New onset or exacerbation of psoriasis has been reported in patients treated with TNF-alpha antagonists for a variety of rheumatologic conditions. TNF-alpha antagonist therapy has been associated with a lupus-like syndrome; most of these case reports occurred in patients receiving either etanercept or infliximab. Serious skin reactions such as erythema multiforme, Stevens-Johnson syndrome, and toxic epidermal necrolysis have been reported rarely with the use of TNF-alpha antagonists. As the use of TNF-alpha antagonists continues to increase, the diagnosis and management of cutaneous side effects will become an increasingly important challenge. In patients receiving TNF-alpha antagonist treatment, skin disease should be considered, and clinicians need to be aware of the adverse reactions of these drugs.

Activity of Tumor Necrosis Factor-alpha (TNF-alpha) and its soluble type I receptor (p55TNF-R) in some drug-induced cutaneous reactions.

PubMed

Chodorowska, Grazyna; Czelej, Dorota; Niewiedzioł, Marta

2003-01-01

Plasma concentration of TNF-alpha and its type I receptor (p55TNF-R) was examined in 126 patients with drug-induced skin reactions using immunoenzymatic ELISA method. Patients were subdivided into 6 groups: maculopapular eruptions (ME), erythema multiforme (EM), erythema multiforme coexisting with erythema nodosum (EMN), hyperergic vasculitis (HV), Stevens-Johnson syndrome and toxic epidermal necrolysis (SJS/TEN). In the acute clinical stage highly significant (p<0.001) or significant (p<0.01) elevation of mean plasma concentrations of the cytokine and its receptor was found in all examined groups in comparison with the control. Clearing of clinical symptoms was connected with considerable decrease (p<0.001, p<0.01) of mean plasma levels of the both proteins in comparison with the before treatment values. TNF-alpha concentrations still remained significantly more elevated than those observed in the control. The results indicate that plasma activity of TNF-alpha and its p55 receptor change with the clinical course of the examined drug-induced skin reactions, which suggests the partake of both proteins in the pathogenesis of these diseases.

Phenytoin Induced Erythema Multiforme after Cranial Radiation Therapy

PubMed Central

Tekkök, İsmail Hakkı

2015-01-01

The prophylactic use of phenytoin during and after brain surgery and cranial irradiation is a common measure in brain tumor therapy. Phenytoin has been associated with variety of adverse skin reactions including urticaria, erythroderma, erythema multiforme (EM), Stevens-Johnson syndrome, and toxic epidermal necrolysis. EM associated with phenytoin and cranial radiation therapy (EMPACT) is a rare specific entity among patients with brain tumors receiving radiation therapy while on prophylactic anti-convulsive therapy. Herein we report a 41-year-old female patient with left temporal glial tumor who underwent surgery and then received whole brain radiation therapy and chemotherapy. After 24 days of continous prophylactic phenytoin therapy the patient developed minor skin reactions and 2 days later the patient returned with generalized erythamatous and itchy maculopapuler rash involving neck, chest, face, trunk, extremities. There was significant periorbital and perioral edema. Painful mucosal lesions consisting of oral and platal erosions also occurred and prevented oral intake significantly. Phenytoin was discontinued gradually. Systemic admistration of corticosteroids combined with topical usage of steroids for oral lesions resulted in complete resolution of eruptions in 3 weeks. All cutaneous lesions in patients with phenytoin usage with the radiotherapy must be evoluated with suspicion for EM. PMID:26361537

Soluble FAS ligand: a discriminating feature between drug-induced skin eruptions and viral exanthemas.

PubMed

Stur, Karoline; Karlhofer, Franz M; Stingl, Georg

2007-04-01

The clinical spectrum of cutaneous eruptions comprises benign variants like maculopapular rashes (MPRs) and potentially life-threatening events such as toxic epidermal necrolysis (TEN). Apoptosis of keratinocytes is a common histopathological feature of all these drug eruptions. As in skin lesions of TEN and Stevens-Johnson syndrome patients, apoptosis of keratinocytes is often accompanied by an only sparse cellular infiltrate, a soluble fatty acid synthetase ligand (sFASL)-mediated mechanism of keratinocyte cell death is postulated. In MPR patients, evidence for the occurrence of a similar process could not be established so far. We therefore examined sera and lesional skin sections from patients with clinical variants of drug eruptions for FASL expression using a sandwich ELISA and immunohistochemistry, respectively. As controls, healthy persons and patients with other inflammatory skin diseases such as viral exanthema were analyzed. Elevated levels of FASL were detected not only in TEN patients but also in sera and lesional skin of patients with MPR. In contrast, sFASL was repeatedly negative in all viral exanthemas and healthy controls tested. Thus, determination of sFASL serum concentration may represent a discriminating tool between drug rashes and viral exanthemas.

Occupational skin diseases in Korea.

PubMed

Ahn, Yeon-Soon; Kim, Min-Gi

2010-12-01

Skin disease is the most common occupational disease, but the reported number is small in Korea due to a difficulty of detection and diagnosis in time. We described various official statistics and data from occupational skin disease surveillance system, epidemiological surveys and cases published in scientific journals. Until 1981, 2,222 cases of occupational skin disease were reported by Korean employee's regular medical check-up, accounting for 4.9% of the total occupational diseases. There was no subsequent official statistics to figure out occupational skin diseases till 1998. From 1999, the Korea Occupational Safety and Health Agency (KOSHA) published the number of occupational skin diseases through the statistics of Cause Investigation for Industrial Accidents. A total of 301 cases were reported from 1999 to 2007. Recent one study showed the figures of compensated occupational skin diseases. Many of them belonged to daily-paid workers in the public service, especially forestry workers. Also, it described the interesting cases such as vitiligo and trichloroethylene-induced Stevens-Johnson Syndrome. Skin diseases are still important though the number of cases has decreased, and therefore it is recommended to grasp the status of occupational skin diseases through continuous surveillance system and to make policy protecting high-risk group.

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

The day after their return to Earth on board the orbiter Discovery, members of the STS-95 crew participate in a media briefing at the Kennedy Space Center Press Site Auditorium before returning to the Johnson Space Center in Houston, Texas. From left to right are Lisa Malone, moderator and chief of NASA Public Affairs' Media Services at Kennedy Space Center; Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar- observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

Members of the STS-95 crew file past photographers and reporters from all over the world as they enter the Kennedy Space Center Press Site Auditorium to participate in a media briefing before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The other STS- 95 crew members participating in the briefing (but hidden behind Parazynski) are Mission Specialist Pedro Duque, with the European Space Agency (ESA), and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar- observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

Members of the STS-95 crew file past photographers and reporters from all over the world as they enter the Kennedy Space Center Press Site Auditorium to participate in a media briefing before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Specialist Pedro Duque, with the European Space Agency (ESA); Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA); and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The other STS- 95 crew members participating in the briefing are Mission Commander Curtis L. Brown Jr., Pilot Steven W. Lindsey, Mission Specialist and Payload Commander Stephen K. Robinson, and Mission Specialist Scott E. Parazynski. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

HLA-A*31:01 and HLA-B*15:02 as genetic markers for carbamazepine hypersensitivity in children

PubMed Central

Amstutz, Ursula; Ross, Colin J.D.; Castro-Pastrana, Lucila I.; Rieder, Michael J.; Shear, Neil H.; Hayden, Michael R.; Carleton, Bruce C.

2013-01-01

The occurrence of hypersensitivity reactions including rare but life-threatening Stevens-Johnson syndrome (SJS) and drug-induced hypersensitivity syndrome (HSS) limits the use of the anticonvulsant carbamazepine (CBZ). HLA-B*15:02 and HLA-A*31:01 have been identified as predictive genetic markers for CBZ hypersensitivity in Asian and European patients. To replicate these genetic associations in pediatric patients from North America with a diverse ethnic background, we investigated HLA-A*31:01 and HLA-B*15:02 in 42 children with CBZ hypersensitivity, and 91 CBZ-tolerant children from across Canada. HLA-A*31:01 was significantly associated with CBZ-HSS (odds ratio (OR): 26.4, p=0.0025) and maculopapular exanthems (OR: 8.6, p=0.0037), but not with CBZ-SJS. Conversely, HLA-B*15:02 was associated with CBZ-SJS (OR: 38.6, p=0.002), but not HSS and maculopapular exanthems. This study is the first to demonstrate the association of HLA-A*31:01 with CBZ hypersensitivity in children, providing important replication of this association and highlighting the importance of HLA-A*31:01 as a predictive biomarker across various ancestries. PMID:23588310

KSC-98pc1566

NASA Image and Video Library

1998-11-08

Members of the STS-95 crew file past photographers and reporters from all over the world as they enter the Kennedy Space Center Press Site Auditorium to participate in a media briefing before returning to the Johnson Space Center in Houston, Texas. From left to right, they are Mission Commander Curtis L. Brown Jr.; Pilot Steven W. Lindsey; Mission Specialist and Payload Commander Stephen K. Robinson; Mission Specialist Scott E. Parazynski; and Payload Specialist John H. Glenn Jr., a senator from Ohio and one of the original seven Project Mercury astronauts. The other STS-95 crew members participating in the briefing (but hidden behind Parazynski) are Mission Specialist Pedro Duque, with the European Space Agency (ESA), and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process

The STS-95 crew participates in a media briefing before returning to JSC

NASA Technical Reports Server (NTRS)

1998-01-01

STS-95 Payload Specialist John H. Glenn Jr. (right), a senator from Ohio and one of the original seven Project Mercury astronauts, gestures during a media briefing at the Kennedy Space Center Press Site Auditorium. Glenn and the other members of the STS-95 crew held the briefing before returning to the Johnson Space Center in Houston, Texas. Others shown are (left to right) Mission Specialist Scott E. Parazynski; Mission Specialist Pedro Duque, with the European Space Agency (ESA); and Payload Specialist Chiaki Mukai, with the National Space Development Agency of Japan (NASDA). The other crew members participating in the briefing were Mission Commander Curtis L. Brown Jr., Pilot Steven W. Lindsey, and Mission Specialist and Payload Commander Stephen K. Robinson. The STS-95 mission ended with landing at Kennedy Space Center's Shuttle Landing Facility at 12:04 p.m. EST on Nov. 7. The mission included research payloads such as the Spartan-201 solar-observing deployable spacecraft, the Hubble Space Telescope Orbital Systems Test Platform, the International Extreme Ultraviolet Hitchhiker, as well as a SPACEHAB single module with experiments on space flight and the aging process.

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

Tuskan, Gerald A; Yin, Tongming

Lack of aspen (Populus tremuloides) recruitment and canopy replacement of aspen stands that grow on the edges of grasslands on the low-elevation elk (Cervus elaphus) winter range of Rocky Mountain National Park (RMNP) in Colorado has been a cause of concern for more than 70 years (Packard, 1942; Olmsted, 1979; Stevens, 1980; Hess, 1993; R.J. Monello, T.L. Johnson, and R.G. Wright, Rocky Mountain National Park, 2006, written commun.). These aspen stands are a significant resource since they are located close to the park's road system and thus are highly visible to park visitors. Aspen communities are integral to the ecologicalmore » structure of montane and subalpine landscapes because they contain high native species richness of plants, birds, and butterflies (Chong and others, 2001; Simonson and others, 2001; Chong and Stohlgren, 2007). These low-elevation, winter range stands also represent a unique component of the park's plant community diversity since most (more than 95 percent) of the park's aspen stands grow in coniferous forest, often on sheltered slopes and at higher elevations, while these winter range stands are situated on the low-elevation ecotone between the winter range grasslands and some of the park's drier coniferous forests.« less

Zircon Trace Element Contents and Refined U-Pb Crystallization Ages for the Tatoosh Pluton, Mount Rainier National Park, Washington Cascades

NASA Astrophysics Data System (ADS)

Bacon, C. R.; Du Bray, E. A.; John, D. A.; Mazdab, F. K.; Wooden, J. L.

2008-12-01

The 7x12 km Tatoosh pluton south of Mount Rainier consists of 4 petrographic/compositional phases, here termed Nisqually, Reflection, Pyramid, and Stevens, that intrude Tertiary volcanic and sedimentary wall and roof rocks; contacts between the 4 intrusive units are rarely exposed. We used the USGS-Stanford SHRIMP- RG to analyze, in a continuous session, zircons from each of 6 quartz monzodiorite (qmd), quartz monzonite (qm), or granodiorite (grd) samples for 206Pb/238U ages and, concurrently, U, Th, Hf, and REE concentrations. A round-robin procedure yielded statistically robust geochronological results. Ages that we reported previously (FM07) were compromised by instrument instability and by calibration differences between analytical sessions. Between 11 and 31 new analyses of zircons from each sample were evaluated using the TuffZirc and Umix Ages routines of Isoplot 3.41 (Ludwig, 2003). TuffZirc solidification ages for the intrusions are: Nisqually grd (Paradise Valley; 65.4% SiO2) 17.29 +0.37/-0.24 Ma, Nisqually grd (Christine Falls; 66.4%) 17.70 +0.30/-0.16 Ma, Reflection qm (Pinnacle Peak trail; 66.6%) 18.38 +0.45/-0.28 Ma, Pyramid qmd (58.5%) 18.58 +0.20/-0.15 Ma, Stevens grd (Stevens Canyon; 67.8%) 19.15 +0.15/-0.12 Ma, and Stevens grd (south of Louise Lake; 69.3%) 19.20 +0.31/-0.26 Ma (U-Th initial-disequilibrium corrected, ±2σ). Precision of the U-Pb data limits rigorous identification of antecrysts to those with ages ~1 Myr > solidification ages. Antecryst ages that produce subsidiary modes in relative probability diagrams for the two Stevens samples give weighted mean values of 20.18 ±0.26 Ma and 20.07 ±0.18 Ma. Wide ranges in trace element concentrations and ratios indicate that many analyzed zircons grew in highly fractionated residual liquids in high-crystallinity environments. Concentrations of Th and U in Tatoosh zircons vary by two orders of magnitude, cores tend to have higher Th, U, and Th/U than rims, and overgrowths that fill reentrants have high U contents and low Th/U ratios. Chondrite-normalized REE patterns have familiar convex-up shapes with positive Ce and negative Eu anomalies: LaN = 0.03-6 (10 values >6 may reflect inclusions), YbN = 380-33,900, Ce/Ce* = 0.7-505, and Eu/Eu* = 0.06-1.25. Slopes of REE patterns increase subtly in the order Reflection < Pyramid ≤ Nisqually < Stevens. Fractionation of plagioclase + pyroxene and(or) amphibole + Fe-Ti oxide + apatite + zircon should produce relative-LREE- enriched successive liquids. Observed marginally steeper REE patterns (greater positive slopes) for rims, lower REE concentrations, and lower Th/U ratios may reflect co-precipitation of allanite ± thorite. Two parallel arrays in Eu/Eu* versus Hf, in which Eu/Eu* decreases as Hf increases, are consistent with growth of higher-Hf, lower-Eu/Eu* zircon from more evolved melts; separate arrays imply Nisqually and Pyramid + Reflection intrusions. Zircon Eu/Eu* and Hf in the Stevens granodiorite define one high-Eu/Eu* field and another similar to that for Pyramid and Reflection samples that imply more than one parental magma. The zircon ages indicate solidification in three episodes: Stevens ~19.2 Ma, Pyramid + Reflection ~18.5 Ma, and Nisqually ~17.5 Ma. An ~20.1 Ma stage is represented by antecrysts in Stevens samples. The source(s) of the pluton were active for at least ~2.7 Myr and major crystallization episodes were separated by intervals of 0.7-1.0 Myr.

Synthesis of (±)-amathaspiramide F and discovery of an unusual stereocontrolling element for the [2,3]-Stevens rearrangement.

PubMed

Soheili, Arash; Tambar, Uttam K

2013-10-04

A formal total synthesis of (±)-amathaspiramide F through a tandem palladium-catalyzed allylic amination/[2,3]-Stevens rearrangement is reported. The unexpected diastereoselectivity of the [2,3]-Stevens rearrangement was controlled by the substitution patterns of an aromatic ring. This discovery represents a new stereocontrolling element for [2,3]-sigmatropic rearrangements in complex molecular settings.

ARC-1932-A88-0284-2

NASA Image and Video Library

1932-05-10

USS AKRON at Moffett Field, Mr. & Mrs. Charles T. Johnson of San Jose and their daughter Ruth. It was possible for the public to park on the shoulder of Bayshore Freeway and walk out on the field to inspect the 'AKRON'. No fences or security guards!

Quantification of Rock Damage from Small Explosions and its Effect on Shear-Wave Generation: Phase I - Homogeneous Crystalline Rock

DTIC Science & Technology

2008-09-30

We hope to quantify crack nucleation and growth (Ashby and Sammis, 1990) as an S-wave generation mechanism in the far-field (Sammis, 2002) and to map...wave generation mechanism in the far-field (Sammis, 2002) and to map the cone of damage (Patton et al. 2005; Stevens et al. 2003) above a source...Two of the proposed mechanisms for S-wave generation involve secondary processes related to the damage and deformations caused by the explosions. First

Visual function at 11 years of age in preterm-born children with and without fetal brain sparing.

PubMed

Kok, Joke H; Prick, Liesbeth; Merckel, Elly; Everhard, Yolande; Verkerk, Gijs J Q; Scherjon, Sicco A

2007-06-01

We have demonstrated earlier an accelerated maturation of the visual evoked potential in the first year of life in preterm infants with antenatal brain sparing. We have now assessed visual functioning at 11 years of age in the same cohort and compared the groups with and without brain sparing. One hundred sixteen survivors included in a study on the outcome of preterm infants born at <33 weeks' gestation with and without fetal brain sparing and admitted to the NICU were followed extensively. Ninety-eight infants (85%) were again assessed at 11 years of age. Data were available for fetal Doppler measurements indicating brain sparing, neonatal cerebral ultrasound scanning, and developmental outcome in the first 5 years. Mean birth weight was 1303 g; mean gestational age was 29.8 weeks. The infants were divided into 2 groups with and without brain sparing. Visual functioning was estimated by measuring visual acuity, visual fields, eye position, and binocular function and by visual motor tests. Six percent of the children were found to have a visual acuity of <0.8, 12% had strabismus, and 14% to 46% showed abnormal results on the visual motor tests. No statistical differences were found between the 2 groups. However, children with severe cerebral ultrasound diagnoses in the neonatal period were found to have significantly more abnormalities on visual functioning and lower scores on visual motor tests than children without these morbidities. Children with fetal brain sparing do not demonstrate a different development of their visual functioning at late school age. However, an abnormal cerebral ultrasound in the neonatal period is associated with impaired visual function in later life.

Field-Programmable Gate Array (FPGA) Emulation for Computer Architecture

DTIC Science & Technology

2009-08-01

Execution with Versatile, Microarchitecture-Independent Snapshots, PhD thesis, MIT, Sep 2006. [10] Bienia, Christian, Kumar , Sanjeev, Singh , Jaswinder Pal...2] Pixie: MIPS Computer Systems, Inc. Assembly Language Programmer’s Guide, 1986. [3] Agarwal, Anant , Bianchini, Ricardo, Chaiken, David, David...pp. 68–79. [49] Woo, Steven Cameron, Ohara, Moriyoshi, Torrie, Evan, Singh , Jaswinder Pal, and Gupta, Anoop, “The SPLASH-2 programs

How (German) Foundations Shape the Concept of Education: Towards an Understanding of Their Use of Discourses

ERIC Educational Resources Information Center

Kolleck, Nina

2017-01-01

In this article I examine how foundations use the concept of education and how they try to shape its definition and implementation. In accordance with Steven Lukes' notion, I argue that changes in social fields are mainly triggered by normative and semantic shifts. By drawing on techniques of discourse analysis, I explore the use of discursive…

Organization and Administration of Adult Education Programs: A Guide for Practitioners. Adult Education Special Topics: Theory, Research and Practice in LifeLong Learning

ERIC Educational Resources Information Center

Schmidt, Steven W.; Biniecki, Susan M. Yelich

2016-01-01

Administrators of adult education programs work in dynamic and ever-changing environments. They are continually challenged with a myriad of issues related to program budgeting, marketing, strategic planning, funding, human resources, and other topics. With decades of real world experience in the field, Steven Schmidt and Susan Yelich Biniecki have…

75 FR 58352 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Issuance of an...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-09-24

... mm), consistent with the Loligo mesh size restrictions in place at the time. Amendment 10 to the... squid, from 1 7/8 in. (48 mm) to 2 1/8 in. (54 mm), during Trimester I (January to April) and Trimester.... (54-mm) minimum mesh size was not in place at the onset of field operations, research trips were...

Understanding Acquisition Cycle Time: Focusing the Research Problem

DTIC Science & Technology

2013-11-01

Browning, Tyson R., and Steven D. Eppinger. “Modeling Impacts of Process Architecture on Cost and Schedule Risk in Product Development.” IEEE...2009. Clark, Kim, and Steven Wheelwright. Revolutionizing Development: Quantum Leaps in Speed, Efficiency and Quality. New York, NY: The Free Press...1992. Cross, Steven M. Data Analysis and its Impact on Predicting Schedule and Cost Risk. AFIT/GIR/ENC/06M-01. Wright-Patterson AFB OH: AFIT

U.S. Army Research Institute Unrestricted Publications, Fiscal Year 2011

DTIC Science & Technology

2012-04-01

Alice Hirzel, Jennifer Stern, Steven Aude, Lauren Tindall, & Jeffrey E. Fite. July 2011. (ADA 546285) The Iraq and Afghanistan campaigns have...Hirzel, Jennifer Stern, Steven Aude, Lauren Tindall, & Jeffrey E. Fite. July 2011. (ADM002361 / CD-ROM) The Iraq and Afghanistan campaigns have...James P. Bliss, Steven A. Minnis, Jeffery Wilkinson, Thomas Mastaglio, & John S. Barnett. April 2011. (ADA543054) The purpose of this report is

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

Yu, Yao; Chen, Josephine; Leary, Celeste I.

Radiation of the low neck can be accomplished using split-field intensity-modulated radiation therapy (sf-IMRT) or extended-field intensity-modulated radiation therapy (ef-IMRT). We evaluated the effect of these treatment choices on target coverage and thyroid and larynx doses. Using data from 14 patients with cancers of the oropharynx, we compared the following 3 strategies for radiating the low neck: (1) extended-field IMRT, (2) traditional split-field IMRT with an initial cord-junction block to 40 Gy, followed by a full-cord block to 50 Gy, and (3) split-field IMRT with a full-cord block to 50 Gy. Patients were planned using each of these 3 techniques.more » To facilitate comparison, extended-field plans were normalized to deliver 50 Gy to 95% of the neck volume. Target coverage was assessed using the dose to 95% of the neck volume (D{sub 95}). Mean thyroid and larynx doses were computed. Extended-field IMRT was used as the reference arm; the mean larynx dose was 25.7 ± 7.4 Gy, and the mean thyroid dose was 28.6 ± 2.4 Gy. Split-field IMRT with 2-step blocking reduced laryngeal dose (mean larynx dose 15.2 ± 5.1 Gy) at the cost of a moderate reduction in target coverage (D{sub 95} 41.4 ± 14 Gy) and much higher thyroid dose (mean thyroid dose 44.7 ± 3.7 Gy). Split-field IMRT with initial full-cord block resulted in greater laryngeal sparing (mean larynx dose 14.2 ± 5.1 Gy) and only a moderately higher thyroid dose (mean thyroid dose 31 ± 8 Gy) but resulted in a significant reduction in target coverage (D{sub 95} 34.4 ± 15 Gy). Extended-field IMRT comprehensively covers the low neck and achieves acceptable thyroid and laryngeal sparing. Split-field IMRT with a full-cord block reduces laryngeal doses to less than 20 Gy and spares the thyroid, at the cost of substantially reduced coverage of the low neck. Traditional 2-step split-field IMRT similarly reduces the laryngeal dose but also reduces low-neck coverage and delivers very high doses to the thyroid.« less

Status Report on Speech Research, 1 April-30 June 1981.

DTIC Science & Technology

1981-01-01

Fredericka Bell-Berti* Donald Hailey Steven Eady Catherine Best* Terry Halwes Jo Estill Gloria J. Borden* Sabina D. Koroluk Laurie B. Feldman Susan...folds in voicing control is whether activity of CT is associated with abduction or adduction. Stevens ’ model of glottal activity suggests that the...aerodynamic model provided for the efficient transfer of energy from the aerodynamic system to the mechanical system ( Stevens , 1977), given the nature of

Voices of Educational Administration Internship Mentors

ERIC Educational Resources Information Center

Clayton, Jennifer K.; Thessin, Rebecca A.

2017-01-01

Within the field of leadership preparation, there is agreement by both scholars and practitioners of the need to engage aspiring leaders in authentic field-based learning experiences that tightly align to coursework (Perez, Uline, Johnson, James-Ward, & Basom, 2011). An integrated approach including mentoring is critical to the success of the…

KSC-2011-4217

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- STS-134 Commander Mark Kelly addresses media gathered on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida following the successful landing of space shuttle Endeavour. From left, are the European Space Agency's Roberto Vittori, Pilot Greg H. Johnson, Kelly, and Mission Specialists Mike Fincke, Greg Chamitoff and Drew Feustel. The crew returned to Earth at 2:35 a.m. EDT on Runway 15, completing a 16-day, 6.5-million mile journey to the International Space Station. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kim Shiflett

KSC-2011-4216

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- STS-134 Commander Mark Kelly addresses media gathered on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida following the successful landing of space shuttle Endeavour. From left, are the European Space Agency's Roberto Vittori, Pilot Greg H. Johnson, Kelly, and Mission Specialists Mike Fincke, Greg Chamitoff and Drew Feustel. The crew returned to Earth at 2:35 a.m. EDT on Runway 15, completing a 16-day, 6.5-million mile journey to the International Space Station. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kim Shiflett

KSC-2011-2509

NASA Image and Video Library

2011-03-29

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's STS-134 crew members pose for a group photo on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. While at Kennedy, Endeavour's crew will participate in a launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training in preparation for the upcoming STS-134 mission. From left, are Mission Specialists Greg Chamitoff, European Space Agency astronaut Roberto Vittori, Andrew Feustel, Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialist Michael Fincke. Endeavour and its six STS-134 crew members will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. Launch is targeted for April 19 at 7:48 p.m. EDT. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-2519

NASA Image and Video Library

2011-03-29

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's STS-134 crew members pose for a group photo on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida. While at Kennedy, Endeavour's crew will participate in a launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training in preparation for the upcoming STS-134 mission. From left, are Mission Specialists Greg Chamitoff, European Space Agency astronaut Roberto Vittori, Andrew Feustel, Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialist Michael Fincke. Endeavour and its six STS-134 crew members will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the International Space Station. This will be the final spaceflight for Endeavour. Launch is targeted for April 19 at 7:48 p.m. EDT. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

Conference Proceedings: Aptitude, Learning, and Instruction. Volume 2. Cognitive Process Analyses of Learning and Problem Solving,

DTIC Science & Technology

1981-01-01

of a Complex System; 177 Albert L. Stevens and Allan Collins Introduction 177 Models 182 Conclusion 196 21. Complex Learning Processes 199 John R...have called schemata (Norman, Gentner, & Stevens , 1976), frames (Minsky, 1975), and scripts (Schank & Abelson, 1977). If these other authors are...York: McGraw-Hill. 1975. Norman, D. A.. Gcntner. D. R., & Stevens . A. L. Comments on learning schemata and memory representation. In D). K lahr (Ed

Studies of the Processing of Single Words Using Positron Tomographic Measures of Cerebral Blood Flow Change.

DTIC Science & Technology

1987-01-01

BLOOD FLOW CHANGE Steven E. Petersen, Peter T. Fox, Michael I. Posner, Marcus Raichle McDonnell Center for Studies of Higher Brain Function...Single Words Using Positron Emission Tomographic Measurements of Cerebral Blood Flow Change *= ’I PERSONAL AUTHOR(S) * Petersen, Steven E. 13a. TYPE OF...CHANGE Steven E. Petersen, Peter T. Fox, Michael I. Posner, Marcus E. Raichle INTRODUCTION Language is an essential characteristic of the human

Modular Unix(Trade Name)-Based Vulnerability Estimation Suite (MUVES) analyst’s Guide

DTIC Science & Technology

1991-12-01

Memorandum Report No. 1542, February 1964. [201 Steven B. Segletes, "A Model of the Effects of Transverse Velocity on ’the Penetration of a Shaped...Redstone Arsenal, AL 35898-5000 (Dr. Steven Carter) 220 Seventh Street, NE 1 Commander Charlottesville, VA 22901-5396. US Army Missile Command ATTN: AMSMI...Betbesda, MD 20084-5000 I University of DaytonDavid Taylor Research Center Graduate Engineering and Research ATTN: Steven L. Cohen Kettering Lab 262 Code

Treatment planning and 3D dose verification of whole brain radiation therapy with hippocampal avoidance in rats

NASA Astrophysics Data System (ADS)

Yoon, S. W.; Miles, D.; Cramer, C.; Reinsvold, M.; Kirsch, D.; Oldham, M.

2017-05-01

Despite increasing use of stereotactic radiosurgery, whole brain radiotherapy (WBRT) continues to have a therapeutic role in a selected subset of patients. Selectively avoiding the hippocampus during such treatment (HA-WBRT) emerged as a strategy to reduce the cognitive morbidity associated with WBRT and gave rise to a recently published the phase II trial (RTOG 0933) and now multiple ongoing clinical trials. While conceptually hippocampal avoidance is supported by pre-clinical evidence showing that the hippocampus plays a vital role in memory, there is minimal pre-clinic data showing that selectively avoiding the hippocampus will reduce radiation-induced cognitive decline. Largely the lack of pre-clinical evidence can be attributed to the technical hurdles associated with delivering precise conformal treatment the rat brain. In this work we develop a novel conformal HA-WBRT technique for Wistar rats, utilizing a 225kVp micro-irradiator with precise 3D-printed radiation blocks designed to spare hippocampus while delivering whole brain dose. The technique was verified on rodent-morphic Presage® 3D dosimeters created from micro-CT scans of Wistar rats with Duke Large Field-of-View Optical Scanner (DLOS) at 1mm isotropic voxel resolution. A 4-field box with parallel opposed AP-PA and two lateral opposed fields was explored with conformal hippocampal sparing aided by 3D-printed radiation blocks. The measured DVH aligned reasonably well with that calculated from SmART Plan Monte Carlo simulations with simulated blocks for 4-field HA-WBRT with both demonstrating hippocampal sparing of 20% volume receiving less than 30% the prescription dose.

Implications of Societal Fragmentation for State Formation: Can Democracy Succeed in Afghanistan

DTIC Science & Technology

2006-03-01

Conflict,” in Nationalism and Ethnic Conflict, Eds. Michael E. Brown, Owen R. Cote Jr., Sean M . Lynn-Jones, and Steven E. Miller (Cambridge and London: The...Cote Jr., Sean M . Lynn-Jones, and Steven E. Miller (Cambridge and London: The MIT Press, 1997), 49. 21 conceptions of legitimacy, they are...and Ethnic Conflict, Eds. Michael E. Brown, Owen R. Cote Jr., Sean M . Lynn-Jones, and Steven E. Miller (Cambridge and London: The MIT Press, 1997

Information Processing Theory of Human Performance and Related Research.

DTIC Science & Technology

1979-05-01

features are analyzed or compared at one or more times. Excellent reviews are available ( LaBerge , 1976; Sutherland, 1973). Without belaboring the issue, the...We propose then that it is not absolute values which are "features," but rela- tive values, and more specifically based on the work of Stevens ... Stevens , 1975a, 1975b; Stevens & Galanter, 1957) and his colleagues, that a feature is a ratio of actual stimulation to an identifia~ble absolute value on a

Structural Studies on Intact Clostridium Botulinum Neurotoxins Complexed with Inhibitors Leading to Drug Design

DTIC Science & Technology

2006-02-01

6. Hanson, M. A., and Stevens, R. C. (2000) Cocrystal structure of synaptobrevin-ll bound to botulinum neurotoxin type B at 2.0 A resolution, Nature...Hanson, R.C. Stevens, Cocrystal structure of synaptobre- vin-ll bound to botulinum neurotoxin type B at 2.0 Å resolution, Nat. Struct. Biol. 7 (2000...of the Glu212 carboxylate in the catalytic pathway, Biochemistry 43, 6637-6644. 4. Hanson, M. A., and Stevens, R. C. (2000) Cocrystal structure of

Two autographs: Cecile Dewitt and Robert Hawking (for Steven Hawking)

NASA Astrophysics Data System (ADS)

Gaina, Alex

2007-12-01

Two autographs given to author by professor Cecile Dewitt and Robert Hawking (the son of Steven Hawking for his father) in 1987 during the Quantum Gravity Seminar in Moscow are presented. The first was given during a visit to Physical Institute of the Academy of sciences of the USSR, where a seminar held in the Theoretical department. the second was given during a lunch with Steven Hawking, Andrei Linde and Robert Hawking at the 2-nd floor of the Conference floor.

Spinal Muscular Atrophy (SMA)

MedlinePlus

... kids of the same age or have trouble lifting things. Kids with SMA can develop scoliosis (a ... Nervous System Your Muscles Wheelchairs Scoliosis Steven's Story: Power Player Kyphosis Muscular Dystrophy Spinal Muscular Atrophy: Steven's ...

Virtual Reality System Offers a Wide Perspective

NASA Technical Reports Server (NTRS)

2008-01-01

Robot Systems Technology Branch engineers at Johnson Space Center created the remotely controlled Robonaut for use as an additional "set of hands" in extravehicular activities (EVAs) and to allow exploration of environments that would be too dangerous or difficult for humans. One of the problems Robonaut developers encountered was that the robot s interface offered an extremely limited field of vision. Johnson robotics engineer, Darby Magruder, explained that the 40-degree field-of-view (FOV) in initial robotic prototypes provided very narrow tunnel vision, which posed difficulties for Robonaut operators trying to see the robot s surroundings. Because of the narrow FOV, NASA decided to reach out to the private sector for assistance. In addition to a wider FOV, NASA also desired higher resolution in a head-mounted display (HMD) with the added ability to capture and display video.

50 CFR 697.25 - Adjustment to management measures.

Code of Federal Regulations, 2013 CFR

2013-10-01

... of the Magnuson-Stevens Act, or to meet overfishing and rebuilding requirements of the Magnuson... consistent with the national standards of the Magnuson-Stevens Act, or to meet overfishing and rebuilding...

50 CFR 697.25 - Adjustment to management measures.

Code of Federal Regulations, 2012 CFR

2012-10-01

... of the Magnuson-Stevens Act, or to meet overfishing and rebuilding requirements of the Magnuson... consistent with the national standards of the Magnuson-Stevens Act, or to meet overfishing and rebuilding...

50 CFR 697.25 - Adjustment to management measures.

Code of Federal Regulations, 2014 CFR

2014-10-01

... of the Magnuson-Stevens Act, or to meet overfishing and rebuilding requirements of the Magnuson... consistent with the national standards of the Magnuson-Stevens Act, or to meet overfishing and rebuilding...

Time Management of Educational Inspectors

ERIC Educational Resources Information Center

Göksoy, Süleyman

2015-01-01

The aim of the research is to determine the fields that Educational Inspectors have to spare time for and the fields that Educational Inspectors demand to make time for. The data collected by review form was analyzed by content analysis method. According to research results: Educational Inspectors want to make time mostly for counselling and…

Hydrogeology and water quality of the Clinton Street-Ballpark Aquifer near Johnson City, New York

USGS Publications Warehouse

Coon, William F.; Yager, Richard M.; Surface, Jan M.; Randall, Allan D.; Eckhardt, David A.

1998-01-01

The Clinton Street-Ballpark aquifer, in the Susquehanna River valley in southern Broome County, N.Y., supplies drinking water to the Village of Johnson City near Binghamton. The hydrogeology and water quality of the aquifer were studied in 1994-95 to identify the source area of 1,1,1-trichloroethane, which was detected at the Johnson City Camden Street wellfield in 1991.The aquifer is generally 100 to 150 ft thick and consists primarily of ice-contact deposits of silty sand and gravel that are overlain by outwash deposits of sand and gravel. These two types of deposits are separated by lacustrine silt and clay of variable thickness into an upper and a lower layer of the aquifer. The coarse deposits form a single aquifer in areas where the lacustrine deposits are absent.Synoptic water-level surveys indicated that ground water moves from upgradient areas flanking the aquifer boundaries toward two major pumping centers?the Anitec wellfield in Binghamton and the Camden Street wellfield in Johnson City. Areas contributing recharge to municipal and industrial wells in the aquifer were delineated by a previously developed groundwater- flow model. The residence time of ground water within the area contributing recharge to Johnson City well no. 2 in the Camden Street wellfield was estimated to be less than 6 years.1,1,1-Trichloroethane, trichloroethene, and their metabolites were detected in ground water at several locations in and near Johnson City. Relatively high concentrations of 1,1,1-trichloroethane were found in ground water about 3,000 ft north of the Camden Street wellfield. The suspected source is an area bordered on the south by Field Street, on the north by Harry L. Drive, on the east by New York State Route 201, and on the west by Marie Street. A trichloroethene metabolite, cis-1,2-dichloroethene, appears to be migrating westward from U.S. Air Force Plant 59 toward the Camden Street well-field, 1,000 ft southwest of the plant, although this compound has not been detected in water pumped by municipal wells, possibly because it has become diluted by ground water from other locations within the contributing area to the wells.

SU-E-T-558: Assessing the Effect of Inter-Fractional Motion in Esophageal Sparing Plans.

PubMed

Williamson, R; Bluett, J; Niedzielski, J; Liao, Z; Gomez, D; Court, L

2012-06-01

To compare esophageal dose distributions in esophageal sparing IMRT plans with predicted dose distributions which include the effect of inter-fraction motion. Seven lung cancer patients were used, each with a standard and an esophageal sparing plan (74Gy, 2Gy fractions). The average max dose to esophagus was 8351cGy and 7758cGy for the standard and sparing plans, respectively. The average length of esophagus for which the total circumference was treated above 60Gy (LETT60) was 9.4cm in the standard plans and 5.8cm in the sparing plans. In order to simulate inter-fractional motion, a three-dimensional rigid shift was applied to the calculated dose field. A simulated course of treatment consisted of a single systematic shift applied throughout the treatment as well a random shift for each of the 37 fractions. Both systematic and random shifts were generated from Gaussian distributions of 3mm and 5mm standard deviation. Each treatment course was simulated 1000 times to obtain an expected distribution of the delivered dose. Simulated treatment dose received by the esophagus was less than dose seen in the treatment plan. The average reduction in maximum esophageal dose for the standard plans was 234cGy and 386cGY for the 3mm and 5mm Gaussian distributions, respectively. The average reduction in LETT60 was 0.6cm and 1.7cm, for the 3mm and 5mm distributions respectively. For the esophageal sparing plans, the average reduction in maximum esophageal dose was 94cGy and 202cGy for 3mm and 5mm Gaussian distributions, respectively. The average change in LETT60 for the esophageal sparing plans was smaller, at 0.1cm (increase) and 0.6cm (reduction), for the 3mm and 5mm distributions, respectively. Interfraction motion consistently reduced the maximum doses to the esophagus for both standard and esophageal sparing plans. © 2012 American Association of Physicists in Medicine.

New World species of the genus Calliscelio Ashmead (Hymenoptera, Platygastridae, Scelioninae).

PubMed

Chen, Hua-Yan; Masner, Lubomír; Johnson, Norman F

2017-01-01

The genus Calliscelio Ashmead is presumed to be a diverse group of parasitoids of the eggs of crickets (Orthoptera: Gryllidae). A least one species has been found to be an important factor in depressing cricket pest populations. The New World species of Calliscelio are revised. Forty-two species are recognized, 3 are redescribed: Calliscelio bisulcatus (Kieffer), Calliscelio laticinctus Ashmead, Calliscelio rubriclavus (Ashmead), comb. n. ; and 38 are described as new: Calliscelio absconditum Chen & Johnson, sp. n. , Calliscelio absum Chen & Johnson, sp. n. , Calliscelio alcoa Chen & Masner, sp. n. , Calliscelio amadoi Chen & Johnson, sp. n. , Calliscelio armila Chen & Masner, sp. n. , Calliscelio bidens Chen & Masner, sp. n. , Calliscelio brachys Chen & Johnson, sp. n. , Calliscelio brevinotaulus Chen & Johnson, sp. n. , Calliscelio brevitas Chen & Johnson, sp. n. , Calliscelio carinigena Chen & Johnson, sp. n. , Calliscelio crater Chen & Johnson, sp. n. , Calliscelio crena Chen & Johnson, sp. n. , Calliscelio eboris Chen & Johnson, sp. n. , Calliscelio extenuatus Chen & Johnson, sp. n. , Calliscelio flavicauda Chen & Johnson, sp. n. , Calliscelio foveolatus Chen & Johnson, sp. n. , Calliscelio gatineau Chen & Johnson, sp. n. , Calliscelio glaber Chen & Masner, sp. n. , Calliscelio granulatus Chen & Masner, sp. n. , Calliscelio latifrons Chen & Johnson, sp. n. , Calliscelio levis Chen & Johnson, sp. n. , Calliscelio longius Chen & Johnson, sp. n. , Calliscelio magnificus Chen & Masner, sp. n. , Calliscelio migma Chen & Johnson, sp. n. , Calliscelio minutia Chen & Johnson, sp. n. , Calliscelio paraglaber Chen & Johnson, sp. n. , Calliscelio pararemigio Chen & Masner, sp. n. , Calliscelio prolixus Chen & Johnson, sp. n. , Calliscelio punctatifrons Chen & Johnson, sp. n. , Calliscelio remigio Chen & Masner, sp. n. , Calliscelio ruga Chen & Johnson, sp. n. , Calliscelio rugicoxa Chen & Masner, sp. n. , Calliscelio sfina Chen & Johnson, sp. n. , Calliscelio storea Chen & Johnson, sp. n. , Calliscelio suni Chen & Johnson, sp. n. , Calliscelio telum Chen & Johnson, sp. n. , Calliscelio torqueo Chen & Johnson, sp. n. , Calliscelio virga Chen & Johnson, sp. n. Four species are treated as junior synonyms of Calliscelio rubriclavus (Ashmead): Anteris nigriceps Ashmead, syn. n. , Caloteleia marlattii Ashmead, syn. n. , Caloteleia grenadensis Ashmead, syn. n. , and Macroteleia ruskini Girault, syn. n.

Gas Phase Organophosphate Detection Using Enzymes Encapsulated Within Peptide Nanotubes

DTIC Science & Technology

2014-03-27

as gas and liquid chromatography, although very sensitive and reliable, have disadvantages. The US Air Force currently uses a field portable gas...biosensors to detect OPCs in liquid (Park et al., 2011; Stevens, 2012) and gas (Baker, 2013) phases. Detection is based upon a redox reaction... injecting a known volume of gas saturated at room temperature with malathion (vapor pressure = 25 ppbv), into a 40 ml vial purged with nitrogen at constant

STS-93 Crew Training

NASA Technical Reports Server (NTRS)

1999-01-01

Live footage of the STS-93 crewmembers shows Commander Eileen M. Collins, Pilot Jeffrey S. Ashby, Mission Specialists Steven A. Hawley, Catherine G. Coleman, and Michel Tognini going through various training activities. These activities include Bail Out Training NBL, Emergency Egress Training, Earth Observations Classroom Training, Simulator Training, T-38 Departure from Ellington Field, Chandra Deploy Training, SAREX Shuttle Amateur Radio Experiment, CCT Bail Out Crew Compartment Training, and Southwest Research Ultraviolet Imaging System (SWUIS) Training.

Pinkerton's Creator: Steven Kellogg.

ERIC Educational Resources Information Center

Brodie, Carolyn S.

2002-01-01

Describes the life of Steven Kellogg, a children's book illustrator and writer. Includes extension ideas for school library media center activities related to his works and presents a selected annotated bibliography in chronological order, videos, and biographical information. (LRW)

9. Historic American Buildings Survey Photocopy of drawing in office ...

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

9. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 SECTION, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

Management of patients with ocular manifestations in vesiculobullous disorders affecting the mouth.

PubMed

Hansen, M S; Klefter, O N; Julian, H O; Lynge Pedersen, A M; Heegaard, S

2017-10-01

Pemphigoid and pemphigus diseases as well as Stevens-Johnson syndrome present as vesiculobullous disorders of the skin and may additionally involve both the oral cavity and the ocular surface. Ocular involvement ranges from mild irritation and dry eye disease to chronic conjunctivitis, symblepharon, eyelid malposition, ocular surface scarring and severe visual loss. In addition to diagnostic assessments, ophthalmologists must treat the dry eye and meibomian gland dysfunction components of these diseases using a stepladder approach, including eyelid hygiene and lubricants. Topical anti-inflammatory therapy is used to treat acute inflammatory exacerbations of the ocular surface, but it cannot prevent scarring alone. Intralesional antimetabolite therapy can cause regression of conjunctival pathology in selected cases. Hence, patients with vesiculobullous disorders should be managed by a multidisciplinary team representing ophthalmology, dermatology, otolaryngology, oral medicine and pathology, internal medicine and intensive care. Systemic treatments including corticosteroids, azathioprine, cyclophosphamide, cyclosporine and mycophenolate mofetil help control inflammation. Intravenous immunoglobulins, plasmapheresis and targeted antibody therapy can be used in selected, severe and treatment-resistant cases. Local surgical management may include debridement of pseudomembranes, lysis of symblepharon, amniotic and mucous membrane grafting as well as reconstructive procedures. Prospective, multicentre, international studies are recommended to further support evidence-based practice. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Toxic epidermal necrolysis: a paradigm of critical illness

PubMed Central

Estrella-Alonso, Alfonso; Aramburu, José Antonio; González-Ruiz, Mercedes Yolanda; Cachafeiro, Lucía; Sánchez, Manuel Sánchez; Lorente, José A.

2017-01-01

Toxic epidermal necrolysis is an adverse immunological skin reaction secondary in most cases to the administration of a drug. Toxic epidermal necrolysis, Stevens-Johnson syndrome, and multiform exudative erythema are part of the same disease spectrum. The mortality rate from toxic epidermal necrolysis is approximately 30%. The pathophysiology of toxic epidermal necrolysis is similar in many respects to that of superficial skin burns. Mucosal involvement of the ocular and genital epithelium is associated with serious sequelae if the condition is not treated early. It is generally accepted that patients with toxic epidermal necrolysis are better treated in burn units, which are experienced in the management of patients with extensive skin loss. Treatment includes support, elimination, and coverage with biosynthetic derivatives of the skin in affected areas, treatment of mucosal involvement, and specific immunosuppressive treatment. Of the treatments tested, only immunoglobulin G and cyclosporin A are currently used in most centers, even though there is no solid evidence to recommend any specific treatment. The particular aspects of the treatment of this disease include the prevention of sequelae related to the formation of synechiae, eye care to prevent serious sequelae that can lead to blindness, and specific immunosuppressive treatment. Better knowledge of the management principles of toxic epidermal necrolysis will lead to better disease management, higher survival rates, and lower prevalence of sequelae. PMID:29340540

Osteo-odonto-keratoprosthesis surgery: a combined ocular-oral procedure for ocular blindness.

PubMed

Tay, A B G; Tan, D T H; Lye, K W; Theng, J; Parthasarathy, A; Por, Y-M

2007-09-01

The aim of this retrospective study was to describe the oral procedures used in osteo-odonto-keratoprosthesis (OOKP) surgery, and the demographics and oral findings of candidate patients in Singapore. The OOKP procedure utilizes an autologous tooth-bone complex to mount a poly-methylmethacrylate optical cylinder, as an artificial cornea, stabilized by an overlying autologous buccal mucosal graft. Consecutive patients referred over 3 years for dental evaluation prior to OOKP surgery were included. A total of 21 patients underwent oral clinical and radiographic evaluation. The aetiology of blindness included Stevens-Johnson's syndrome (11 cases), chemical burns (9 cases) and multiple failed corneal grafts (1 case). Evaluation revealed that 12 patients were suitable for OOKP surgery, 8 were at risk of complication or failure and 1 had no usable teeth. Fourteen patients have undergone unilateral OOKP Stage 1 surgery successfully. Complications included fracture of a tooth from its lingual bone necessitating the harvesting of a second tooth (1 case), oronasal perforation (1 case), exposure of adjacent roots (5 teeth), lower lip paresthesia (2 cases) and submucosal scar band formation in the buccal mucosal graft donor site (10 cases). Thirteen patients have completed Stage 2 surgery, with attainment of their best possible visual potential following OOKP surgery.

STS-103 Mission Specialist Grunsfeld and his family DEPART PAFB for Houston

NASA Technical Reports Server (NTRS)

1999-01-01

STS-103 Mission Specialist John M. Grunsfeld (Ph.D.), with his wife, Carol, and their children, smiles for the camera on the runway at Patrick Air Force Base in Cocoa Beach, Fla. The STS-103 crew and their families are preparing to board an airplane that will return them to their home base at the Johnson Space Center in Houston following the successful completion of their mission. Discovery landed in darkness the previous evening, Dec. 27, on runway 33 at KSC's Shuttle Landing Facility at 7:00:47 p.m. EST. This was the first time that a Shuttle crew spent the Christmas holiday in space. The other STS-103 crew members are Commander Curtis L. Brown Jr.; Pilot Scott J. Kelly; and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), Claude Nicollier of Switzerland and Jean-Frangois Clervoy of France. The STS-103 mission accomplished outfitting the Hubble Space Telescope with six new gyroscopes, six new voltage/temperature improvement kits, a new onboard computer, a new solid state recorder and new data transmitter, a new fine guidance sensor along with new insulation on parts of the orbiting telescope. This was the 96th flight in the Space Shuttle program and the 27th for the orbiter Discovery.

STS-103 crew members and their families pose for a portrait before DEPARTing

NASA Technical Reports Server (NTRS)

1999-01-01

The STS-103 crew pose for a group portrait with their families and loved ones on the runway at Patrick Air Force Base in Cocoa Beach, Fla. They are preparing to board an airplane that will return them to their home base at the Johnson Space Center in Houston following the successful completion of their mission. From left to right, the crew members are Mission Specialists John M. Grunsfeld (Ph.D.), C. Michael Foale (Ph.D.), Claude Nicollier of Switzerland, Jean-Frangois Clervoy of France, and Steven L. Smith; Pilot Scott J. Kelly; and Commander Curtis L. Brown Jr. Discovery landed in darkness the previous evening, Dec. 27, on runway 33 at KSC's Shuttle Landing Facility at 7:00:47 p.m. EST. This was the first time that a Shuttle crew spent the Christmas holiday in space. The STS-103 mission accomplished outfitting the Hubble Space Telescope with six new gyroscopes, six new voltage/temperature improvement kits, a new onboard computer, a new solid state recorder and new data transmitter, a new fine guidance sensor along with new insulation on parts of the orbiting telescope. This was the 96th flight in the Space Shuttle program and the 27th for the orbiter Discovery.

STS-103 Mission Specialist Foale and his family DEPART PAFB for Houston

NASA Technical Reports Server (NTRS)

1999-01-01

STS-103 Mission Specialist C. Michael Foale (Ph.D.) holds one of his children on the runway at Patrick Air Force Base in Cocoa Beach, Fla., as his wife, Rhonda, looks on. The STS-103 crew and their families are preparing to board an airplane that will return them to their home base at the Johnson Space Center in Houston following the successful completion of their mission. Discovery landed in darkness the previous evening, Dec. 27, on runway 33 at KSC's Shuttle Landing Facility at 7:00:47 p.m. EST. This was the first time that a Shuttle crew spent the Christmas holiday in space. The other STS-103 crew members are Commander Curtis L. Brown Jr.; Pilot Scott J. Kelly; and Mission Specialists Steven L. Smith, John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland and Jean-Frangois Clervoy of France. The STS-103 mission accomplished outfitting the Hubble Space Telescope with six new gyroscopes, six new voltage/temperature improvement kits, a new onboard computer, a new solid state recorder and new data transmitter, a new fine guidance sensor along with new insulation on parts of the orbiting telescope. This was the 96th flight in the Space Shuttle program and the 27th for the orbiter Discovery.

Risk factors for acute generalized exanthematous pustulosis (AGEP)-results of a multinational case-control study (EuroSCAR).

PubMed

Sidoroff, A; Dunant, A; Viboud, C; Halevy, S; Bavinck, J N Bouwes; Naldi, L; Mockenhaupt, M; Fagot, J-P; Roujeau, J-C

2007-11-01

Acute generalized exanthematous pustulosis (AGEP) is a disease characterized by the rapid occurrence of many sterile, nonfollicular pustules usually arising on an oedematous erythema often accompanied by leucocytosis and fever. It is usually attributed to drugs. To evaluate the risk for different drugs of causing AGEP. A multinational case-control study (EuroSCAR) conducted to evaluate the risk for different drugs of causing severe cutaneous adverse reactions; the study included 97 validated community cases of AGEP and 1009 controls. Results Strongly associated drugs, i.e. drugs with a lower bound of the 95% confidence interval (CI) of the odds ratio (OR) > 5 were pristinamycin (CI 26-infinity), ampicillin/amoxicillin (CI 10-infinity), quinolones (CI 8.5-infinity), (hydroxy)chloroquine (CI 8-infinity), anti-infective sulphonamides (CI 7.1-infinity), terbinafine (CI 7.1-infinity) and diltiazem (CI 5.0-infinity). No significant risk was found for infections and a personal or family history of psoriasis (CI 0.7-2.2). Medications associated with AGEP differ from those associated with Stevens-Johnson syndrome or toxic epidermal necrolysis. Different timing patterns from drug intake to reaction onset were observed for different drugs. Infections, although possible triggers, played no prominent role in causing AGEP and there was no evidence that AGEP is a variant of pustular psoriasis.

STS-103 Payload Commander Smith and his wife DEPART PAFB for Houston

NASA Technical Reports Server (NTRS)

1999-01-01

STS-103 Payload Commander Steven L. Smith and his wife, Peggy, smile for the camera on the runway at Patrick Air Force Base in Cocoa Beach, Fla. The STS-103 crew and their families are preparing to board an airplane that will return them to their home base at the Johnson Space Center in Houston following the successful completion of their mission. Discovery landed in darkness the previous evening, Dec. 27, on runway 33 at KSC's Shuttle Landing Facility at 7:00:47 p.m. EST. This was the first time that a Shuttle crew spent the Christmas holiday in space. The other STS-103 crew members are Commander Curtis L. Brown Jr.; Pilot Scott J. Kelly; and Mission Specialists C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland and Jean-Frangois Clervoy of France. The STS-103 mission accomplished outfitting the Hubble Space Telescope with six new gyroscopes, six new voltage/temperature improvement kits, a new onboard computer, a new solid state recorder and new data transmitter, a new fine guidance sensor along with new insulation on parts of the orbiting telescope. This was the 96th flight in the Space Shuttle program and the 27th for the orbiter Discovery.

STS-103 Pilot Kelly and MS Clervoy and Smith DEPART PAFB for Houston

NASA Technical Reports Server (NTRS)

1999-01-01

STS-103 Pilot Scott J. Kelly holds his daughter as he talks to Mission Specialists and fellow crew members Jean-Frangois Clervoy of France and Steven L. Smith on the runway at Patrick Air Force Base in Cocoa Beach, Fla. The STS-103 crew and their families are preparing to board an airplane that will return them to their home base at the Johnson Space Center in Houston following the successful completion of their mission. Discovery landed in darkness the previous evening, Dec. 27, on runway 33 at KSC's Shuttle Landing Facility at 7:00:47 p.m. EST. This was the first time that a Shuttle crew spent the Christmas holiday in space. The other STS-103 crew members are Commander Curtis L. Brown Jr. and Mission Specialists C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), and Claude Nicollier of Switzerland. The STS-103 mission accomplished outfitting the Hubble Space Telescope with six new gyroscopes, six new voltage/temperature improvement kits, a new onboard computer, a new solid state recorder and new data transmitter, a new fine guidance sensor along with new insulation on parts of the orbiting telescope. This was the 96th flight in the Space Shuttle program and the 27th for the orbiter Discovery.

Drug skin tests in cutaneous adverse drug reactions to pristinamycin: 29 cases with a study of cross-reactions between synergistins.

PubMed

Barbaud, A; Trechot, P; Weber-Muller, F; Ulrich, G; Commun, N; Schmutz, J L

2004-01-01

The present study was made to determine the value of drug skin tests in patients with cutaneous adverse drug reactions (CADRs) due to a synergistin (pristinamycin) and to determine the frequency of cross-reactions between synergistins. 29 patients were referred during the onset of the CADR due to pristinamycin: 18 with maculopapular rash, 9 erythrodermas, 1 angioedema and 1 Stevens-Johnson syndrome. They all had patch tests with pristinamycin and, in most cases, with other synergistins [virginiamycin and dalfopristin-quinupristin (DQ)], prick tests (10 cases) and intradermal tests (IDT) (5 cases). Skin tests with synergistins were positive in 27 cases, patch tests with pristinamycin in 20/29 cases (69%), prick tests with pristinamycin in 3/9 cases on immediate (1 case) or on delayed (2 cases) readings, and IDT with DQ in 4/5 cases. Cross-reactions between synergistins occurred in 9/22 with virginiamycin and in 7/8 cases with DQ. Skin tests with synergistins are useful in investigating CADR due to pristinamycin. Synergistins are composed of 2 chains (1 depsipeptide and 1 macrocyclic lactone) with many structural analogies between all synergistins. According to the chemical structures and our results, it seems advisable to avoid all synergistins in patients with CADR due to pristinamycin.

Ocular toxoplasmosis: adverse reactions to treatment in a Brazilian cohort.

PubMed

Guaraldo, Lusiele; Villar, Bianca Balzano de la Fuente; Durão, Nicolle Marins Gomes; Louro, Virgínia Clare; Quintana, Marcel de Souza Borges; Curi, André Luiz Land; Neves, Elizabeth Souza

2018-05-19

The purpose of this study was to estimate the frequency and describe the adverse drug reactions (ADRs) associated with the classic treatment of ocular toxoplasmosis (OT), namely sulfadiazine, pyrimethamine, corticosteroids and folinic acid. We performed a descriptive study of a prospective cohort of patients with OT treated with the classic therapy. Data were collected during medical consultations and treatment. Of the 147 patients studied, 85% developed one or more ADR. Women presented more ADRs than men (95% vs 77%). Of the total reactions (n=394), 82% were mild, but we found one life-threatening event (Stevens-Johnson syndrome). The most frequent types (71%) of ADRs were gastrointestinal, skin and neurological or psychiatric. The majority of ADRs (90.3%) occurred before the second week of treatment. A third of the patients were treated for the ADR and 10% dropped out of OT treatment. Most (70%) of the ADRs were characterized as being probably caused by the drugs and may be associated with prednisone, sulfadiazine and sulfadiazine/prednisone. Six percent of ADRs were not previously described, such as taste alteration, constipation/bloating, dyspnoea, sweating and somnolence. Our results suggest a high rate of ADRs to OT classic treatment, which requires careful follow-up in order to identify and treat ADRs early.

Suicidal behaviors in the dermatology patient.

PubMed

Gupta, Madhulika A; Pur, Daiana R; Vujcic, Branka; Gupta, Aditya K

An assessment of suicidal behaviors in the dermatology patient may be necessary in several situations: (1) in the presence of psychiatric comorbidity (major depressive disorder, body dysmorphic disorder, substance use disorder, posttraumatic stress disorder), encountered in up to 30% of dermatology patients; (2) when dermatologic symptoms ("dysmorphophobia," dermatitis artefacta) represent psychiatric pathologic conditions; (3) when psychosocial stressors (bereavement, interpersonal violence) increase the risk of suicidal behavior and exacerbate stress-reactive dermatoses (psoriasis, acne); (4) in the presence of high disease burden (chronicity, increased disease severity); (5) in instances of significant pruritus or chronic sleep disruption; (6) in the presence of facial lesions or facial scarring; (7) when social exclusion or feelings of alienation arise secondary to the skin disorder; (8) with use of medications (retinoids, biologics) for which suicidal behavior has been implicated as a possible side effect; and (9) when treating psychiatric patients experiencing a serious reaction to psychotropic medications (eg, Stevens-Johnson syndrome and anticonvulsants). Suicide risk must be assessed within a demographic context because suicide rates rise rapidly in adolescents and young adults, among whom the prevalence of skin disorders associated with suicidal behaviors (acne, psoriasis, atopic dermatitis) is also high, and suicide rates are increasing among white men, who tend to be overrepresented in dermatology clinical trials. Copyright © 2017 Elsevier Inc. All rights reserved.

New World species of the genus Calliscelio Ashmead (Hymenoptera, Platygastridae, Scelioninae)

PubMed Central

Chen, Hua-yan; Masner, Lubomír; Johnson, Norman F.

2017-01-01

Abstract The genus Calliscelio Ashmead is presumed to be a diverse group of parasitoids of the eggs of crickets (Orthoptera: Gryllidae). A least one species has been found to be an important factor in depressing cricket pest populations. The New World species of Calliscelio are revised. Forty-two species are recognized, 3 are redescribed: Calliscelio bisulcatus (Kieffer), Calliscelio laticinctus Ashmead, Calliscelio rubriclavus (Ashmead), comb. n.; and 38 are described as new: Calliscelio absconditum Chen & Johnson, sp. n., Calliscelio absum Chen & Johnson, sp. n., Calliscelio alcoa Chen & Masner, sp. n., Calliscelio amadoi Chen & Johnson, sp. n., Calliscelio armila Chen & Masner, sp. n., Calliscelio bidens Chen & Masner, sp. n., Calliscelio brachys Chen & Johnson, sp. n., Calliscelio brevinotaulus Chen & Johnson, sp. n., Calliscelio brevitas Chen & Johnson, sp. n., Calliscelio carinigena Chen & Johnson, sp. n., Calliscelio crater Chen & Johnson, sp. n., Calliscelio crena Chen & Johnson, sp. n., Calliscelio eboris Chen & Johnson, sp. n., Calliscelio extenuatus Chen & Johnson, sp. n., Calliscelio flavicauda Chen & Johnson, sp. n., Calliscelio foveolatus Chen & Johnson, sp. n., Calliscelio gatineau Chen & Johnson, sp. n., Calliscelio glaber Chen & Masner, sp. n., Calliscelio granulatus Chen & Masner, sp. n., Calliscelio latifrons Chen & Johnson, sp. n., Calliscelio levis Chen & Johnson, sp. n., Calliscelio longius Chen & Johnson, sp. n., Calliscelio magnificus Chen & Masner, sp. n., Calliscelio migma Chen & Johnson, sp. n., Calliscelio minutia Chen & Johnson, sp. n., Calliscelio paraglaber Chen & Johnson, sp. n., Calliscelio pararemigio Chen & Masner, sp. n., Calliscelio prolixus Chen & Johnson, sp. n., Calliscelio punctatifrons Chen & Johnson, sp. n., Calliscelio remigio Chen & Masner, sp. n., Calliscelio ruga Chen & Johnson, sp. n., Calliscelio rugicoxa Chen & Masner, sp. n., Calliscelio sfina Chen & Johnson, sp. n., Calliscelio storea Chen & Johnson, sp. n., Calliscelio suni Chen & Johnson, sp. n., Calliscelio telum Chen & Johnson, sp. n., Calliscelio torqueo Chen & Johnson, sp. n., Calliscelio virga Chen & Johnson, sp. n. Four species are treated as junior synonyms of Calliscelio rubriclavus (Ashmead): Anteris nigriceps Ashmead, syn. n., Caloteleia marlattii Ashmead, syn. n., Caloteleia grenadensis Ashmead, syn. n., and Macroteleia ruskini Girault, syn. n. PMID:28325969

NATO Education and Training Network

DTIC Science & Technology

2012-02-01

Warfare Center P.O. Box 8080 Eikesetveien N-4068 Stavanger NORWAY Email: Ivan.Vianello@jwc.nato.int NC3A Mr. Steven BLACKSTONE NATO C3...Sergio Galán,  Stephane Devaud, Steven  Blackstone , Søren Larsen, Thomas Orichel, Tom van den Berg, Torbjörn Hultén, Ulf  Björkman, Ulf Jinnestrand...Steven Blackstone , Vladimir Manda Observer Teams: none Response Cell Observers: EXPCELL-ACT 01.03 Manage and monitor CFBLNet infrastructure

Speech Research. A Report on the Status and Progress of Studies on the Nature of Speech, Instrumentation for Its Investigation, and Practical Applications.

DTIC Science & Technology

1980-01-01

Bell3 Donald Hailey Steven Eady Fredericka Bell-Berti* Terry Halwes Jo Estill Catherine Best+ Sabina D. Koroluk Laurie Feldman Gloria J. Borden* Agnes M...tract (Fant, 1971; Stevens & House, 1955, 1961). For oral phonemes, ,.he vocal tract may simply be viewed as a tube consisting of the pharyngeal and...coupling of the nasal and oral cavities. In experiments with synthesized speech, House and Stevens (1956) varied the ratio of the driving point impedance of

Camana, Peru, and Tsunami Vulnerability

NASA Technical Reports Server (NTRS)

2002-01-01

A tsunami washed over the low-lying coastal resort region near Camana, southern Peru, following a strong earthquake on June 23, 2001. The earthquake was one of the most powerful of the last 35 years and had a magnitude of 8.4. After the initial quake, coastal residents witnessed a sudden drawdown of the ocean and knew a tsunami was imminent. They had less than 20 minutes to reach higher ground before the tsunami hit. Waves as high as 8 m came in four destructive surges reaching as far as 1.2 km inland. The dashed line marks the approximate area of tsunami inundation. Thousands of buildings were destroyed, and the combined earthquake and tsunami killed as many as 139 people. This image (ISS004-ESC-6128) was taken by astronauts onboard the International Space Station on 10 January 2002. It shows some of the reasons that the Camana area was so vulnerable to tsunami damage. The area has a 1 km band of coastal plain that is less than 5 m in elevation. Much of the plain can be seen by the bright green fields of irrigated agriculture that contrast with the light-colored desert high ground. Many of the tsunami-related deaths were workers in the onion fields in the coastal plain that were unwilling to leave their jobs before the end of the shift. A number of lives were spared because the tsunami occurred during the resort off-season, during the daylight when people could see the ocean drawdown, and during one of the lowest tides of the year. Information on the Tsunami that hit Camana can be found in a reports on the visit by the International Tsunami Survey Team and the USC Tsunami Research Lab. Earthquake Epicenter, Peru shows another image of the area. Image provided by the Earth Sciences and Image Analysis Laboratory at Johnson Space Center. Additional images taken by astronauts and cosmonauts can be viewed at the NASA-JSC Gateway to Astronaut Photography of Earth.

STS-103 crew take part in CEIT

NASA Technical Reports Server (NTRS)

1999-01-01

In the Payload Hazardous Servicing Facility, some of the STS-103 crew look over lubrication devices to be used during their mission. The seven-member crew are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

KSC-99pp1087

NASA Image and Video Library

1999-09-02

In the Payload Hazardous Servicing Facility, some of the STS-103 crew look over lubrication devices to be used during their mission. The seven-member crew are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-François Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a "call-up" due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review

Homecoming for STS-99 crew at Ellington Field

NASA Image and Video Library

2000-02-23

JSC2000-01646 (23 February 2000) --- Three members of the STS-99 crew are greeted by JSC Director George W.S. Abbey following their arrival at Ellington Field, near the Johnson Space Center (JSC). From the left are astronauts Janet L. Kavandi, Janice Voss and Gerhard P.J. Thiele, all mission specialists. Thiele represents the European Space Agency (ESA).

Out-of-field doses from pediatric craniospinal irradiations using 3D-CRT, IMRT, helical tomotherapy and electron-based therapy

NASA Astrophysics Data System (ADS)

De Saint-Hubert, Marijke; Verellen, Dirk; Poels, Kenneth; Crijns, Wouter; Magliona, Federica; Depuydt, Tom; Vanhavere, Filip; Struelens, Lara

2017-07-01

Medulloblastoma treatment involves irradiation of the entire central nervous system, i.e. craniospinal irradiation (CSI). This is associated with the significant exposure of large volumes of healthy tissue and there is growing concern regarding treatment-associated side effects. The current study compares out-of-field organ doses in children receiving CSI through 3D-conformal radiotherapy (3D-CRT), intensity modulated radiotherapy (IMRT), helical tomotherapy (HT) and an electron-based technique, and includes radiation doses resulting from imaging performed during treatment. An extensive phantom study is performed, using an anthropomorphic phantom corresponding to a five year old child, in which organ absorbed doses are measured using thermoluminescent detectors. Additionally, the study evaluates and explores tools for calculating out-of-field patient doses using the treatment planning system (TPS) and analytical models. In our study, 3D-CRT resulted in very high doses to a limited number of organs, while it was able to spare organs such as the lungs and breast when compared to IMRT and HT. Both IMRT and HT spread the dose over more organs and were able to spare the heart, thyroid, bladder, uterus and testes when compared to 3D-CRT. The electron-based technique considerably decreased the out-of-field doses in deep-seated organs but could not avoid nearby out-of-field organs such as the lungs, ribs, adrenals, kidneys and uterus. The daily imaging dose is small compared to the treatment dose burden. The TPS error for out-of-field doses was most pronounced for organs further away from the target; nevertheless, no systematic underestimation was observed for any of the studied TPS systems. Finally, analytical modeling was most optimal for 3D-CRT although the number of organs that could be modeled was limited. To conclude, none of the techniques studied was capable of sparing all organs from out-of-field doses. Nevertheless, the electron-based technique showed the most promise for out-of-field organ dose reduction during CSI when compared to photon techniques.

The Aesthetic Dilemma: Wallace Stevens'"The Idea of Order at Key West"

ERIC Educational Resources Information Center

Graham, John

1974-01-01

Analyzes the growth, development, and change that occurred in Wallace Stevens' poetry, basing the argument on poems selected from different periods with special emphasis on "The Idea of Order at Key West." (RB)

2. Historic American Buildings Survey Photocopy of drawing in office ...

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

2. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 BASEMENT PLAN, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

3. Historic American Buildings Survey Photocopy of drawing in office ...

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

3. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 FIRST FLOOR PLAN, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

7. Historic American Buildings Survey Photocopy of drawing in office ...

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

7. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 WEST ELEVATION, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

5. Historic American Buildings Survey Photocopy of drawing in office ...

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

5. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 ATTIC PLAN, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

6. Historic American Buildings Survey Photocopy of drawing in office ...

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

6. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 EAST ELEVATION, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

4. Historic American Buildings Survey Photocopy of drawing in office ...

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

4. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 SECOND FLOOR PLAN, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

Infant Colic and Migraine: Is There a Connection?

MedlinePlus

... Spencer, MD Steven Karceski, MD Infant colic and migraine Is there a connection? Steven Karceski, MD Neal S. ... infant colic as an early life expression of migraine,” Dr. Gelfand and colleagues 1 studied a large ...

22. Historic American Buildings Survey, Stevens Commercial Photographers, July 20, ...

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

22. Historic American Buildings Survey, Stevens Commercial Photographers, July 20, 1927 Photocopy by Lyle E. Winkle, 1969 WEATHERLY BUILDING AND ORIENTAL THEATRE DURING EARLY CONSTRUCTION. - Oriental Theatre, 828 Southeast Grand Avenue, Portland, Multnomah County, OR

Performance of the primary mirror center-of-curvature optical metrology system during cryogenic testing of the JWST Pathfinder telescope

NASA Astrophysics Data System (ADS)

Hadaway, James B.; Wells, Conrad; Olczak, Gene; Waldman, Mark; Whitman, Tony; Cosentino, Joseph; Connolly, Mark; Chaney, David; Telfer, Randal

2016-07-01

The James Webb Space Telescope (JWST) primary mirror (PM) is 6.6 m in diameter and consists of 18 hexagonal segments, each 1.5 m point-to-point. Each segment has a six degree-of-freedom hexapod actuation system and a radius of-curvature (RoC) actuation system. The full telescope will be tested at its cryogenic operating temperature at Johnson Space Center. This testing will include center-of-curvature measurements of the PM, using the Center-of-Curvature Optical Assembly (COCOA) and the Absolute Distance Meter Assembly (ADMA). The COCOA includes an interferometer, a reflective null, an interferometer-null calibration system, coarse and fine alignment systems, and two displacement measuring interferometer systems. A multiple-wavelength interferometer (MWIF) is used for alignment and phasing of the PM segments. The ADMA is used to measure, and set, the spacing between the PM and the focus of the COCOA null (i.e. the PM center-of-curvature) for determination of the ROC. The performance of these metrology systems was assessed during two cryogenic tests at JSC. This testing was performed using the JWST Pathfinder telescope, consisting mostly of engineering development and spare hardware. The Pathfinder PM consists of two spare segments. These tests provided the opportunity to assess how well the center-of-curvature optical metrology hardware, along with the software and procedures, performed using real JWST telescope hardware. This paper will describe the test setup, the testing performed, and the resulting metrology system performance. The knowledge gained and the lessons learned during this testing will be of great benefit to the accurate and efficient cryogenic testing of the JWST flight telescope.

Performance of the Primary Mirror Center-of-curvature Optical Metrology System During Cryogenic Testing of the JWST Pathfinder Telescope

NASA Technical Reports Server (NTRS)

Hadaway, James B.; Wells, Conrad; Olczak, Gene; Waldman, Mark; Whitman, Tony; Cosentino, Joseph; Connolly, Mark; Chaney, David; Telfer, Randal

2016-01-01

The James Webb Space Telescope (JWST) primary mirror (PM) is 6.6 m in diameter and consists of 18 hexagonal segments, each 1.5 m point-to-point. Each segment has a six degree-of-freedom hexapod actuation system and a radius-of-curvature (RoC) actuation system. The full telescope will be tested at its cryogenic operating temperature at Johnson Space Center. This testing will include center-of-curvature measurements of the PM, using the Center-of-Curvature Optical Assembly (COCOA) and the Absolute Distance Meter Assembly (ADMA). The COCOA includes an interferometer, a reflective null, an interferometer-null calibration system, coarse & fine alignment systems, and two displacement measuring interferometer systems. A multiple-wavelength interferometer (MWIF) is used for alignment & phasing of the PM segments. The ADMA is used to measure, and set, the spacing between the PM and the focus of the COCOA null (i.e. the PM center-of-curvature) for determination of the ROC. The performance of these metrology systems was assessed during two cryogenic tests at JSC. This testing was performed using the JWST Pathfinder telescope, consisting mostly of engineering development & spare hardware. The Pathfinder PM consists of two spare segments. These tests provided the opportunity to assess how well the center-of-curvature optical metrology hardware, along with the software & procedures, performed using real JWST telescope hardware. This paper will describe the test setup, the testing performed, and the resulting metrology system performance. The knowledge gained and the lessons learned during this testing will be of great benefit to the accurate & efficient cryogenic testing of the JWST flight telescope.

8. Historic American Buildings Survey Photocopy of drawing in office ...

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

8. Historic American Buildings Survey Photocopy of drawing in office of John Calvin Stevens, 127 Prospect Street, Portland, Maine 04101 NORTH AND SOUTH ELEVATIONS, 1905 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

06-NIF Dedication: Steven Koonin

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

Steven Koonin

2009-07-02

The National Ignition Facility, the world's largest laser system, was dedicated at a ceremony on May 29, 2009 at Lawrence Livermore National Laboratory. These are the remarks by Steven Koonin, the undersecretary for science of the U.S. Department of Energy.

Strategic Applications of Ultracold Atoms

DTIC Science & Technology

2004-05-20

behavior is strongly constrained by the Pauli Exclusion Principle. This limits the variety of possible nonlinear atom optics effects, but also offers the...sensors”, Wolfgang Ketterle, Steven Chu, Eric Cornell and Carl Wieman (2002). 19 Participating Scientific Personnel Steven Chu Wolfgang

06-NIF Dedication: Steven Koonin

ScienceCinema

Steven Koonin

2017-12-09

The National Ignition Facility, the world's largest laser system, was dedicated at a ceremony on May 29, 2009 at Lawrence Livermore National Laboratory. These are the remarks by Steven Koonin, the undersecretary for science of the U.S. Department of Energy.

Improved Cell Sensitivity and Longevity in a Rapid Impedance-based Toxicity Sensor

DTIC Science & Technology

2009-01-06

sensitivity and longevity in a rapid impedance-based toxicity sensor† Improved cell sensitivity and longevityTheresa M. Curtis,a** Joel Tabb,a Lori...Romeo,a Steven J. Schwager,b Mark W. Widderc* and William H. van der Schaliec ABSTRACT: A number of toxicity sensors for testing field water using a...range of eukaryotic cell types have been proposed, but it has been difficult to identify sensors with both appropriate sensitivity to toxicants and the

Orbital debris research at NASA Johnson Space Center, 1986-1988

NASA Technical Reports Server (NTRS)

Reynolds, Robert C.; Potter, Andrew E., Jr.

1989-01-01

Research on orbital debris has intensified in recent years as the number of debris objects in orbit has grown. The population of small debris has now reached the level that orbital debris has become an important design factor for the Space Station. The most active center of research in this field has been the NASA Lyndon B. Johnson Space Center. Work is being done on the measurement of orbital debris, development of models of the debris population, and development of improved shielding against hypervelocity impacts. Significant advances have been made in these areas. The purpose of this document is to summarize these results and provide references for further study.

Geochemistry of the Johnson River, Lake Clark National Park and Preserve, Alaska

USGS Publications Warehouse

Brabets, Timothy P.; Riehle, James R.

2003-01-01

The Johnson River Basin, located in Lake Clark National Park and Preserve, drains an area of 96 square miles. A private inholding in the upper part of the basin contains a gold deposit that may be developed in the future. To establish a natural baseline to compare potential effects on water quality if development were to occur, the upper part of the Johnson River Basin was studied from 1999 to 2001 as part of a cooperative study with the National Park Service. Two basic rock types occur within the drainage basin of the study: the Jurassic Talkeetna Formation of interbedded volcanic and volcaniclastic rocks, and the slightly younger plutonic rocks of the Aleutian-Alaska Ranges batholith. The Johnson River gold prospect reflects widespread, secondary mineralization and alteration of the Talkeetna Formation. Metals found at the prospect proper are: arsenic, cadmium, copper, gold, iron, lead, mercury, molybdenum, selenium, silver, and zinc. The Johnson River prospect is located in the East Fork Ore Creek Basin, a 0.5 square mile watershed that is a tributary to the Johnson River. Water quality data from this stream reflect the mineralization of the basin and the highest concentrations of several trace elements and major ions of the water column were found in this stream. Presently, pH in this stream is normal, indicating that there is sufficient buffering capacity. At the Johnson River streamgage, which drains approximately 25 mi2 including the East Fork Ore Creek, concentrations of these constituents are significantly lower, reflecting the runoff from Johnson Glacier and Double Glacier, which account for approximately 75 percent of the total discharge. Streambed concentrations of cadmium, lead, and zinc from East Fork Ore Creek and its receiving stream, Ore Creek, typically exceed concentrations where sediment dwelling organisms would be affected. Similar to the water column chemistry, concentrations of these elements are lower at the Johnson River streamgage, reflecting the fine sediment input from the glacier streams draining Johnson Glacier and Double Glacier. The amount of organic carbon present in the study area is relatively low and most sites indicate that some degree of toxicity is present even though these basins do not contain mineralized areas. Acid based accounting tests on rock samples in the study area indicate a neutralizing capacity in the Talkeetna Formation rocks. These results should be used with caution because similar tests were not done on rocks from narrow veins or faults that could have acid generating potential. In addition, based on field tests during the study, carbonate-bearing rocks in streambeds are armored by a carbonate-depleted shell and would not readily neutralize acidic water.

Seismic reflection constraints on the glacial dynamics of Johnsons Glacier, Antarctica

NASA Astrophysics Data System (ADS)

Benjumea, Beatriz; Teixidó, Teresa

2001-01-01

During two Antarctic summers (1996-1997 and 1997-1998), five seismic refraction and two reflection profiles were acquired on the Johnsons Glacier (Livingston Island, Antarctica) in order to obtain information about the structure of the ice, characteristics of the ice-bed contact and basement topography. An innovative technique has been used for the acquisition of reflection data to optimise the field survey schedule. Different shallow seismic sources were used during each field season: Seismic Impulse Source System (SISSY) for the first field survey and low-energy explosives (pyrotechnic noisemakers) during the second one. A comparison between these two shallow seismic sources has been performed, showing that the use of the explosives is a better seismic source in this ice environment. This is one of the first studies where this type of source has been used. The analysis of seismic data corresponding to one of the reflection profiles (L3) allows us to delineate sectors with different glacier structure (accumulation and ablation zones) without using glaciological data. Moreover, vertical discontinuities were detected by the presence of back-scattered energy and the abrupt change in frequency content of first arrivals shown in shot records. After the raw data analysis, standard processing led us to a clear seismic image of the underlying bed topography, which can be correlated with the ice flow velocity anomalies. The information obtained from seismic data on the internal structure of the glacier, location of fracture zones and the topography of the ice-bed interface constrains the glacial dynamics of Johnsons Glacier.

Teaching Goals-Plans-Action Theory through a Negotiation Exercise

ERIC Educational Resources Information Center

Gan, Ivan

2014-01-01

Evidence that K-12 schools had successfully integrated conflict resolution into curricula (Johnson & Johnson, 2004; Stevahn, 2004) includes students' resolution of personal conflicts and improved academic performances (Johnson, Johnson, Dudley, & Magnuson, 1995; Stevahn, Johnson, Johnson, Green, & Laginski, 1997; Stevahn, Johnson,…

A preliminary geomorphological map from the Múlajökull drumlin field, Iceland

NASA Astrophysics Data System (ADS)

Jonsson, S. A.; Schomacker, A.; Benediktsson; Johnson, M.; Ingolfsson, O.

2012-12-01

The drumlin field in front of Múlajökull, a surge-type, outlet glacier from Hofsjökull in Iceland, is the only known active drumlin field (Johnson et al., 2010). The aim of this study is to further explore the distribution and formation of drumlins and drumlin fields in a modern glacial environment. We use data from Digital Elevation Models (DEMs), aerial imagery and field mapping. Here we present a preliminary geomorphological map based on remote sensing and fieldwork in 2010 and 2011. Geomorphological mapping of the drumlin field both with DEMs and ground proofing has revealed over 100 drumlins and a number of drumlinized ridges. The drumlins furthest from the present ice margin are broader and have lower relief than those closer to the ice. We suggest that this reflects an evolution of the drumlin form during recurrent surging. The drumlins farther away from the ice have experienced fewer surges than those that have just been uncovered due to present retreat of the ice margin. During successive surges, the drumlins become narrower and develop a higher relief. Reference: Johnson, M.D., Schomacker, A., Benediktsson, Í. Ö., Geiger, A. J., Ferguson, A. and Ingólfsson, Ó. 2010, Active drumlin field revealed at the margin of Múlajökull, Iceland: A surge-type glacier: Geology v. 38, p. 943-946.

11. Historic American Buildings Survey Photocopy of illustration in The ...

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

11. Historic American Buildings Survey Photocopy of illustration in The American Architect and Buildings News, Vol. XVI, No. 469, December 20, 1884 PERSPECTIVE BY JOHN CALVIN STEVENS - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

Worta McCaskill-Stevens, MD, MS | Division of Cancer Prevention

Cancer.gov

Dr. Worta McCaskill-Stevens is a medical oncologist and Chief of the Community Oncology and Prevention Trials Research Group, which houses the NCI Community Oncology Research Program (NCORP), a community-based clinical trials network launched in 2014. |

25. Historic American Buildings Survey, Stevens Commercial Photographers, December 31, ...

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

25. Historic American Buildings Survey, Stevens Commercial Photographers, December 31, 1927 Photocopy by Lyle E. Winkle, 1969 WEATHERLY BUILDING AND ORIENTAL THEATRE, LOOKING SOUTHEAST (TAKEN EVE OF THEATRE OPENING). - Oriental Theatre, 828 Southeast Grand Avenue, Portland, Multnomah County, OR

24. Historic American Buildings Survey, Stevens Commercial Photographers, September 17, ...

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

24. Historic American Buildings Survey, Stevens Commercial Photographers, September 17, 1927 Photocopy by Lyle E. Winkle, 1969 WEATHERLY BUILDING AND ORIENTAL THEATRE BEFORE BRICK AND TERRA-COTTA CLADDING. - Oriental Theatre, 828 Southeast Grand Avenue, Portland, Multnomah County, OR

STS-82 M.S. Steven Smith in White Room

NASA Technical Reports Server (NTRS)

1997-01-01

STS-82 Mission Specialist Steven L. Smith prepares to enter the Space Shuttle Discovery at Launch Pad 39A, with the assistance of white room closeout crew members Dave Law, in front; Carlous Gillis, at left; and James Davis.

Exploring the Pathogenic and Therapeutic Implications of Aberrant Splicing in Breast Cancer

DTIC Science & Technology

2009-07-01

Susan Armel,  George  Chong, Steven A. Narod,  Kathleen Claes, Kenneth Offit, Mark E Robson, Stacey Stauffer, Shyam K. Sharan and William D. Foulkes... George ; Sir Mortimer B. Davis-Jewish General Hospital, Department of Pathology Narod, Steven; University of Toronto, Women’s College Hospital...Kirchhoff 4 , Nora Wong 5 , Susan Armel 6 , George Chong 7 , Steven A. Narod 8 , Kathleen Claes 9 , Kenneth Offit 4 , Mark E Robson 4 , Stacey Stauffer 2

Ellington Field: A Short History, 1917-1962

NASA Technical Reports Server (NTRS)

Carlson, Erik

1999-01-01

This document details the chronological history of an air field in Southeast Texas that currently serves as an adjunct to NASA Johnson Space Center as well as a civilian/military air field. The field was built early in the 20th century, soon after airplane flight became a recognized factor in American military applications, was central to a wide variety of military uses throughout this century, and remains viable for such purposes in addition to serving a vital role in NASA's training of astronauts.

Ontology for the Intelligence Analyst

DTIC Science & Technology

2012-12-01

Intelligence and Information Warfare Directorate Shouvik Bardhan , High Performance Technologies, Incorporated Jamie Johnson, EOIR Technologies...to soldiers. E-mail: kesny.parent@us.army.mil Shouvik Bardhan has more than 25 years of experience in the field of complex software design and

STS-122 Crew Return Ceremony

NASA Image and Video Library

2008-02-21

JSC2008-E-014907 (21 Feb. 2008) --- Johnson Space Center's (JSC) director Michael L. Coats (right) greets astronauts Rex Walheim (left) and Leland Melvin, STS-122 mission specialists, at Ellington Field near JSC prior to the STS-122 crew return ceremonies.

The rationale for intensity-modulated proton therapy in geometrically challenging cases

NASA Astrophysics Data System (ADS)

Safai, S.; Trofimov, A.; Adams, J. A.; Engelsman, M.; Bortfeld, T.

2013-09-01

Intensity-modulated proton therapy (IMPT) delivered with beam scanning is currently available at a limited number of proton centers. However, a simplified form of IMPT, the technique of field ‘patching’, has long been a standard practice in proton therapy centers. In field patching, different parts of the target volume are treated from different directions, i.e., a part of the tumor gets either full dose from a radiation field, or almost no dose. Thus, patching represents a form of binary intensity modulation. This study explores the limitations of the standard binary field patching technique, and evaluates possible dosimetric advantages of continuous dose modulations in IMPT. Specifics of the beam delivery technology, i.e., pencil beam scanning versus passive scattering and modulation, are not investigated. We have identified two geometries of target volumes and organs at risk (OAR) in which the use of field patching is severely challenged. We focused our investigations on two patient cases that exhibit these geometries: a paraspinal tumor case and a skull-base case. For those cases we performed treatment planning comparisons of three-dimensional conformal proton therapy (3DCPT) with field patching versus IMPT, using commercial and in-house software, respectively. We also analyzed the robustness of the resulting plans with respect to systematic setup errors of ±1 mm and range errors of ±2.5 mm. IMPT is able to better spare OAR while providing superior dose coverage for the challenging cases identified above. Both 3DCPT and IMPT are sensitive to setup errors and range uncertainties, with IMPT showing the largest effect. Nevertheless, when delivery uncertainties are taken into account IMPT plans remain superior regarding target coverage and OAR sparing. On the other hand, some clinical goals, such as the maximum dose to OAR, are more likely to be unmet with IMPT under large range errors. IMPT can potentially improve target coverage and OAR sparing in challenging cases, even when compared with the relatively complicated and time consuming field patching technique. While IMPT plans tend to be more sensitive to delivery uncertainties, their dosimetric advantage generally holds. Robust treatment planning techniques may further reduce the sensitivity of IMPT plans.

Sparing the region of the salivary gland containing stem cells preserves saliva production after radiotherapy for head and neck cancer

PubMed Central

van Luijk, Peter; Pringle, Sarah; Deasy, Joseph O.; Moiseenko, Vitali V.; Faber, Hette; Hovan, Allan; Baanstra, Mirjam; van der Laan, Hans P.; Kierkels, Roel G. J.; van der Schaaf, Arjen; Witjes, Max J.; Schippers, Jacobus M.; Brandenburg, Sytze; Langendijk, Johannes A.; Wu, Jonn; Coppes, Robert P.

2016-01-01

Each year, 500,000 patients are treated with radiotherapy for head and neck cancer, resulting in relatively high survival rates. However, in 40% of patients, quality of life is severely compromised because of radiation-induced impairment of salivary gland function and consequent xerostomia (dry mouth). New radiation treatment technologies enable sparing of parts of the salivary glands. We have determined the parts of the major salivary gland, the parotid gland, that need to be spared to ensure that the gland continues to produce saliva after irradiation treatment. In mice, rats, and humans, we showed that stem and progenitor cells reside in the region of the parotid gland containing the major ducts. We demonstrated in rats that inclusion of the ducts in the radiation field led to loss of regenerative capacity, resulting in long-term gland dysfunction with reduced saliva production. Then we showed in a cohort of patients with head and neck cancer that the radiation dose to the region of the salivary gland containing the stem/progenitor cells predicted the function of the salivary glands one year after radiotherapy. Finally, we showed that this region of the salivary gland could be spared during radiotherapy, thus reducing the risk of post-radiotherapy xerostomia. PMID:26378247

Born To Draw: A Profile of Steven Kellogg.

ERIC Educational Resources Information Center

Elleman, Barbara

2001-01-01

Presents a profile of Steven Kellogg, an illustrator of children's books. Gives an overview of his career discussing how he got started and broke into the scene. Describes some of the books he has illustrated and relates his experiences with those books. (SG)

Maximizing biomass production in semi-arid regions: genotypic selection of identified species. [Saltbush and Johnson Grass

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

Goodin, J.R.; Newton, R.J.

1983-08-31

This project identifies genotypes selected from two species of unconventional plants previously identified as having exceptional potential for the production of biomass feedstock in semi-arid regions. The project involved collection of germ plasm from indigenous Atriplex canescens (saltbush) and introduced Sorghum halepense (Johnson grass). In addition, greenhouse and field screening techniques recently aplied to domesticated crop plants are used to identify exceptional biomass productivity based on drought tolerance, salinity tolerance, and seedling vigor. In both of these species, the genetic base is enormous. Saltbush is common to all of western North America, and Johnsongrass had established itself as an importantmore » forage and weedy species throughout most of the world. It would appear that artificial selection for desirable genotypes is a feasible process, and this project has demonstrated the possibility of selection from many accessions from the field. Preliminary screening for seedling vigor, drought tolerance, and salt tolerance has produced a few genotypes now ready for field testing. Propagation of these cloned genotypes is underway. 22 references, 2 figures, 1 table.« less

KSC-2011-4185

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Xenon lights illuminate space shuttle Endeavour's unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/George Roberto

KSC-2011-4178

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Xenon lights illuminate space shuttle Endeavour's unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kenny Allen

KSC-2011-4235

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Endeavour touches down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time marking the 25th night landing of NASA's Space Shuttle Program. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Sandra Joseph and Kevin O'Connell

KSC-2011-4176

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Xenon lights illuminate space shuttle Endeavour's unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Tony Gray

KSC-2011-4194

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kevin O'Connell

KSC-2011-4177

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's drag chute is reflected on the vehicle's tail end as it rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Tony Gray

KSC-2011-4175

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Xenon lights illuminate space shuttle Endeavour's unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Tony Gray

Final Landing of the Space Shuttle Endeavour / STS-134 Mission

NASA Image and Video Library

2011-06-01

STS134-S-084 (1 June 2011) --- Space shuttle Endeavour approaches Runway 15 on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. (EDT) on June 1, 2011, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. Onboard are NASA astronauts Mark Kelly, STS-134 commander; Greg H. Johnson, pilot; Michael Fincke, Andrew Feustel, Greg Chamitoff and European Space Agency astronaut Roberto Vittori, all mission specialists. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA

KSC-2011-4191

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kevin O'Connell

KSC-2011-4211

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- STS-134 Pilot Greg H. Johnson, left, and Commander Mark Kelly check out the nose of space shuttle Endeavour following the successful return to NASA's Kennedy Space Center in Florida. Endeavour's final return from space completed the 16-day, 6.5-million-mile STS-134 mission. Main gear touchdown on the Shuttle Landing Facility's Runway 15 was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kim Shiflett

KSC-2011-4193

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kevin O'Connell

Final Landing of the Space Shuttle Endeavour / STS-134 Mission

NASA Image and Video Library

2011-06-01

STS134-S-080 (1 June 2011) --- Space shuttle Endeavour lands on Runway 15 on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. (EDT) on June 1, 2011, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. Onboard are NASA astronauts Mark Kelly, STS-134 commander; Greg H. Johnson, pilot; Michael Fincke, Andrew Feustel, Greg Chamitoff and European Space Agency astronaut Roberto Vittori, all mission specialists. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA

KSC-2011-4212

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- STS-134 Mission Specialist Mike Fincke, left, Pilot Greg H. Johnson and Commander Mark Kelly talk with employees following the successful return of space shuttle Endeavour to NASA's Kennedy Space Center in Florida. Endeavour's final return from space completed the 16-day, 6.5-million-mile STS-134 mission. Main gear touchdown on the Shuttle Landing Facility's Runway 15 was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kim Shiflett

Final Landing of the Space Shuttle Endeavour / STS-134 Mission

NASA Image and Video Library

2011-06-01

STS134-S-066 (1 June 2011) --- Space shuttle Endeavour approaches Runway 15 on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. (EDT) on June 1, 2011, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. Onboard are NASA astronauts Mark Kelly, STS-134 commander; Greg H. Johnson, pilot; Michael Fincke, Andrew Feustel, Greg Chamitoff and European Space Agency astronaut Roberto Vittori, all mission specialists. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA

Final Landing of the Space Shuttle Endeavour / STS-134 Mission

NASA Image and Video Library

2011-06-01

STS134-S-068 (1 June 2011) --- Space shuttle Endeavour lands on Runway 15 on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. (EDT) on June 1, 2011, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. Onboard are NASA astronauts Mark Kelly, STS-134 commander; Greg H. Johnson, pilot; Michael Fincke, Andrew Feustel, Greg Chamitoff and European Space Agency astronaut Roberto Vittori, all mission specialists. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA

KSC-2011-4218

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- The crew of STS-134 wave to media gathered on the Shuttle Landing Facility at NASA's Kennedy Space Center in Florida following the successful landing of space shuttle Endeavour. From left, are the European Space Agency's Roberto Vittori, Pilot Greg H. Johnson, Commander Mark Kelly, and Mission Specialists Mike Fincke, Greg Chamitoff and Drew Feustel. The crew returned to Earth at 2:35 a.m. EDT on Runway 15, completing a 16-day, 6.5-million mile journey to the International Space Station. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kim Shiflett

KSC-2011-4174

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Streams of smoke trail from the main landing gear tires as space shuttle Endeavour touches down on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Tony Gray

KSC-2011-4188

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Xenon lights illuminate space shuttle Endeavour's unfurled drag chute as the vehicle rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Tom Farrar

KSC-2011-4192

NASA Image and Video Library

2011-06-01

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour rolls to a stop on the Shuttle Landing Facility's Runway 15 at NASA's Kennedy Space Center in Florida for the final time. Main gear touchdown was at 2:34:51 a.m. EDT, followed by nose gear touchdown at 2:35:04 a.m., and wheelstop at 2:35:36 a.m. On board are STS-134 Commander Mark Kelly, Pilot Greg H. Johnson, and Mission Specialists Mike Fincke, Drew Feustel, Greg Chamitoff and the European Space Agency's Roberto Vittori. STS-134 delivered the Alpha Magnetic Spectrometer-2 (AMS) and the Express Logistics Carrier-3 (ELC-3) to the International Space Station. AMS will help researchers understand the origin of the universe and search for evidence of dark matter, strange matter and antimatter from the station. ELC-3 carried spare parts that will sustain station operations once the shuttles are retired from service. STS-134 was the 25th and final flight for Endeavour, which has spent 299 days in space, orbited Earth 4,671 times and traveled 122,883,151 miles. Photo credit: NASA/Kevin O'Connell

KSC-2011-2554

NASA Image and Video Library

2011-03-30

CAPE CANAVERAL, Fla. - Space shuttle Endeavour's STS-134 crew members pose for a group photo in front of an M113 armored personnel carrier at NASA's Kennedy Space Center in Florida. An M113 is kept at the foot of the launch pad in case an emergency exit from the pad is needed and every shuttle crew is trained on driving the vehicle before launch. From left, are Mission Specialists Greg Chamitoff, European Space Agency astronaut Roberto Vittori and Andrew Feustel, Pilot Greg H. Johnson, Mission Specialist Michael Fincke, and Commander Mark Kelly. Endeavour's six crew members are at Kennedy for the launch countdown dress rehearsal called the Terminal Countdown Demonstration Test (TCDT) and related training. Targeted to launch April 19 at 7:48 p.m. EDT, they will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank, additional spare parts for the Dextre robotic helper and micrometeoroid debris shields to the space station. This will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-1632

NASA Image and Video Library

2011-02-24

CAPE CANAVERAL, Fla. - In the White Room at Launch Pad 39A at NASA's Kennedy Space Center in Florida, United Space Alliance spacesuit technicians help STS-133 Commander Steve Lindsey put on the parachute for his launch-and-entry suit before he enters space shuttle Discovery through the crew hatch in the background. Lindsey will be making his fifth spaceflight and third aboard Discovery. Since his most recent mission -- STS-121 in 2006 -- Lindsey served as chief of the Astronaut Office at NASA's Johnson Space Center in Houston. Scheduled to lift off Feb. 24 at 4:50 p.m. EST, Discovery and its crew will deliver the Permanent Multipurpose Module, packed with supplies and critical spare parts, as well as Robonaut 2, the dexterous humanoid astronaut helper, to the International Space Station. Discovery, which will fly its 39th mission, is scheduled to be retired following STS-133. This will be the 133rd Space Shuttle Program mission and the 35th shuttle voyage to the space station. For more information on the STS-133 mission, visit www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts133/. Photo credit: NASA/Sandra Joseph and Kevin O'Connell

KSC-2011-3198

NASA Image and Video Library

2011-04-29

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's six STS-134 astronauts, dressed in their orange launch-and-entry suits, wave to news media and other spectators before hopping aboard the Astrovan parked in front of the Operations and Checkout Building at NASA's Kennedy Space Center in Florida. The modified Airstream recreational vehicle has transported astronauts to their spacecraft since 1984. From left, are Mission Specialists Greg Chamitoff, Andrew Feustel, Roberto Vittori with the European Space Agency and Michael Fincke, Pilot Greg H. Johnson and Commander Mark Kelly. STS-134 will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank and additional spare parts for the Dextre robotic helper to the space station. Endeavour was scheduled to launch at 3:47 p.m. on April 29, but that attempt was scrubbed for at least 72 hours while engineers assess an issue associated with the shuttle's Auxiliary Power Unit 1. STS-134 will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

KSC-2011-3197

NASA Image and Video Library

2011-04-29

CAPE CANAVERAL, Fla. -- Space shuttle Endeavour's six STS-134 astronauts, dressed in their orange launch-and-entry suits, wave to news media and other spectators as they walk toward the Astrovan parked in front of the Operations and Checkout Building at NASA's Kennedy Space Center in Florida. The modified Airstream recreational vehicle has transported astronauts to their spacecraft since 1984. Leading the way is Commander Mark Kelly, followed by crewmates Greg H. Johnson, Michael Fincke, Andrew Feustel, Roberto Vittori with the European Space Agency and Greg Chamitoff. STS-134 will deliver the Express Logistics Carrier-3, Alpha Magnetic Spectrometer-2 (AMS), a high-pressure gas tank and additional spare parts for the Dextre robotic helper to the space station. Endeavour was scheduled to launch at 3:47 p.m. on April 29, but that attempt was scrubbed for at least 72 hours while engineers assess an issue associated with the shuttle's Auxiliary Power Unit 1. STS-134 will be the final spaceflight for Endeavour. For more information visit, www.nasa.gov/mission_pages/shuttle/shuttlemissions/sts134/index.html. Photo credit: NASA/Kim Shiflett

78 FR 24990 - Approval and Promulgation of Implementation Plans; Ohio; Volatile Organic Compound Emission...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-29

... that you telephone Steven Rosenthal, Environmental Engineer, at (312) 886-6052 before visiting the Region 5 office. FOR FURTHER INFORMATION CONTACT: Steven Rosenthal, Environmental Engineer, Attainment... Administrative Code (OAC). These include new fiberglass boat manufacturing, miscellaneous industrial adhesives...

77 FR 59889 - Submission for OMB Review; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2012-10-01

... submit to the Office of Management and Budget (OMB) for clearance the following proposal for collection... collection. The Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act) authorizes the Gulf of Mexico Fishery Management Council (Council) to prepare and amend fishery management plans...

What Type of State Homeland Security Strategy Should the State of New Jersey Develop?

DTIC Science & Technology

2007-09-01

Mission Statement.37 35 Steven Covey, The 7 Habits of Highly Effective People . (New York: Free...Cornell: Ithaca, 1998. Covey, Steven. The 7 Habits of Highly Effective People . New York: Free Press, 1989. Davis-Fogg, C. Team Based Strategic

78 FR 21114 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-09

...-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for Exempted Fishing... preliminary determination that an Exempted Fishing Permit (EFP) application contains all of the required information and warrants further consideration. This Exempted Fishing Permit would exempt commercial fishing...

75 FR 33570 - Magnuson-Stevens Act Provisions; Fishing Capacity Reduction Framework

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-14

.... 100330171-0232-01] RIN 0648-AY79 Magnuson-Stevens Act Provisions; Fishing Capacity Reduction Framework... regulations specifying procedures for implementing fishing capacity reduction programs (reduction programs) in... either to surrender their fishing permits including relevant fishing histories for that fishery, or...

77 FR 25630 - Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-01

.... 120316196-2195-01] RIN 0648-BB89 Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the Northeastern United States; Northeast Multispecies Fishery; Interim Action; Withdrawn AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric Administration (NOAA...

Information War

DTIC Science & Technology

1991-01-01

hours, days, etc. Direction of movement is indicated by what Steven Hawking calls "time arrows." (Steven W. Hawking, A Brief History of Time (New York...John. Military Misfortunes. New York: The Free Press, 1990. Hawking, Stephen W. A Brief History of Time . New York: Bantam Books, Inc., 1988. Headquarters

Bathymetry of Stevens Creek and Neal Shoals reservoirs, South Carolina, 1990

USGS Publications Warehouse

Stringfield, W.J.

1995-01-01

Stevens Creek Reservoir and Neal Shoals Reservoir are located in the Piedmont Province of South Carolina (fig. 1). The primary purposes for the reservoirs are hydroelectric power generation and recreational activities. Because there has been no bottom surveys of these reservoirs since they were formed in the early 1900's, there is concern about the decrease in reservoir volumes due to sedimen- tation. An investigation was begun in 1990 by the U.S. Geological Survey (USGS) in cooperation with the South Carolina Department of Natural Resources, Water Resources Division to provide information on present water depths, on areas of rapid-sediment deposition, and on changes in lake volume. This report documents the bathymetric surveys made of Stevens Creek and Neal Shoals Reservoirs during 1990 and provides maps that depict the depth of each reservoir. This report documents the bathymetric surveys made of Stevens Creek and Neal Shoals Reservoirs during 1990 and provides maps that depict the depth of each reservoir.

A Critical Analysis of the Acquisition Review Journal: Are We in Step with the Field?

DTIC Science & Technology

2006-12-01

ART # YEAR AUTHOR(S) TITLE THEMES 1 1994 Preston, Colleen Acquisition Reform: Making it a Reality Acquisition Reform 2 1994 LaBerge , Walter B...Going? Technology 33 1996 Hewitt, Clyde Getting to the On-Ramp of the Information Highway Technology 34 1996 LaBerge , Walter B. Cycle Time: A...Learned from Developing the ABCs 6.4 Solution System of Systems 204 2005 Zenishek, Steven G.; Usechak, David Net-Centric Warfare and its Impact on

Anal wall sparing effect of an endorectal balloon in 3D conformal and intensity-modulated prostate radiotherapy.

PubMed

Smeenk, Robert Jan; van Lin, Emile N J Th; van Kollenburg, Peter; Kunze-Busch, Martina; Kaanders, Johannes H A M

2009-10-01

To investigate the anal wall (Awall) sparing effect of an endorectal balloon (ERB) in 3D conformal radiotherapy (3D-CRT) and intensity-modulated radiotherapy (IMRT) for prostate cancer. In 24 patients with localized prostate carcinoma, two planning CT-scans were performed: with and without ERB. A prostate planning target volume (PTV) was defined, and the Awall was delineated, using two different methods. Three-field and 4-field 3D-CRT plans, and IMRT plans were generated with a prescription dose of 78Gy. In 144 treatment plans, the minimum dose (D(min)), maximum dose (D(max)), and mean dose (D(mean)) to the Awall were calculated, as well as the Awall volumes exposed to doses ranging from >or=20Gy to >or=70Gy (V(20)-V(70), respectively). In the 3D-CRT plans, an ERB significantly reduced D(mean), D(max), and V(30)-V(70). For IMRT all investigated dose parameters were significantly reduced by the ERB. The absolute reduction of D(mean) was 12Gy in 3D-CRT and was 7.5Gy in IMRT for both methods of Awall delineation. Application of an ERB showed a significant Awall sparing effect in both 3D-CRT and IMRT. This may lead to reduced late anal toxicity in prostate radiotherapy.

Tissue sparing, behavioral recovery, supraspinal axonal sparing/regeneration following sub-acute glial transplantation in a model of spinal cord contusion.

PubMed

Barbour, Helen R; Plant, Christine D; Harvey, Alan R; Plant, Giles W

2013-09-27

It has been shown that olfactory ensheathing glia (OEG) and Schwann cell (SCs) transplantation are beneficial as cellular treatments for spinal cord injury (SCI), especially acute and sub-acute time points. In this study, we transplanted DsRED transduced adult OEG and SCs sub-acutely (14 days) following a T10 moderate spinal cord contusion injury in the rat. Behaviour was measured by open field (BBB) and horizontal ladder walking tests to ascertain improvements in locomotor function. Fluorogold staining was injected into the distal spinal cord to determine the extent of supraspinal and propriospinal axonal sparing/regeneration at 4 months post injection time point. The purpose of this study was to investigate if OEG and SCs cells injected sub acutely (14 days after injury) could: (i) improve behavioral outcomes, (ii) induce sparing/regeneration of propriospinal and supraspinal projections, and (iii) reduce tissue loss. OEG and SCs transplanted rats showed significant increased locomotion when compared to control injury only in the open field tests (BBB). However, the ladder walk test did not show statistically significant differences between treatment and control groups. Fluorogold retrograde tracing showed a statistically significant increase in the number of supraspinal nuclei projecting into the distal spinal cord in both OEG and SCs transplanted rats. These included the raphe, reticular and vestibular systems. Further pairwise multiple comparison tests also showed a statistically significant increase in raphe projecting neurons in OEG transplanted rats when compared to SCs transplanted animals. Immunohistochemistry of spinal cord sections short term (2 weeks) and long term (4 months) showed differences in host glial activity, migration and proteoglycan deposits between the two cell types. Histochemical staining revealed that the volume of tissue remaining at the lesion site had increased in all OEG and SCs treated groups. Significant tissue sparing was observed at both time points following glial SCs transplantation. In addition, OEG transplants showed significantly decreased chondroitin proteoglycan synthesis in the lesion site, suggesting a more CNS tolerant graft. These results show that transplantation of OEG and SCs in a sub-acute phase can improve anatomical outcomes after a contusion injury to the spinal cord, by increasing the number of spared/regenerated supraspinal fibers, reducing cavitation and enhancing tissue integrity. This provides important information on the time window of glial transplantation for the repair of the spinal cord.

Briefings Set for Launch of Next "Great Observatory" in Space

NASA Astrophysics Data System (ADS)

1999-06-01

NASA's next Space Shuttle flight will provide astronomers with a new look at the universe and make history with NASA's first female mission commander. Reporters can get an overview of the mission at a series of briefings July 7. The briefings will begin at 9 a.m. EDT at NASA's Johnson Space Center in Houston. The five-day flight is scheduled for launch no earlier than July 20. STS-93 will be led by U.S. Air Force Colonel Eileen Collins, the first woman to command an American space mission. The flight's primary objective will be to deploy the Chandra X-Ray Observatory, the third of NASA's Great Observatories. Collins and her crew of four will carry Chandra, the heaviest payload ever deployed from the shuttle, into orbit and deploy it approximately seven hours after launch. An upper stage will carry the observatory to its final orbit, more than one-third of the way to the Moon. Chandra will allow scientists to obtain unprecedented X-ray images of exploding stars, black holes and other exotic environments to help them understand the structure and evolution of the universe. The first two briefings will provide an overview of mission operations and science to be conducted by Chandra. The NASA Television Video File will follow at noon. The crew press conference will begin at 2 p.m. EDT. The briefings will be carried live on NASA Television, with question-and-answer capability for reporters covering the event from participating NASA centers. NASA Television is available on transponder 9C of the GE-2 satellite at 85 degrees West longitude, vertical polarization, frequency 3880 MHz, audio of 6.8 MHz. Media planning to attend the briefings must notify the Johnson Space Center newsroom by June 28 to ensure proper badging. Each reporter's name, affiliation and country of citizenship should be faxed to the newsroom at 281/483-2000. IMPORTANT NOTE: Reporters can schedule in-person or telephone interviews STS-93 crew. These interviews will begin at about 3:15 p.m. EDT. Media wishing to participate must make their request to the Johnson Space Center Newsroom by June 28. STS-93 PREFLIGHT BRIEFINGS July 7, 1999 9 a.m. EDT Mission Overview Bryan Austin, STS-93 Lead Flight Director, Johnson Space Center Fred Wojtalik, Chandra Program Manager, Marshall Space Flight Center, Huntsville, AL Ken Ledbetter, Director, Mission and Payload Development Division, NASA Headquarters, Washington, DC 10:30 a.m. EDT Chandra Science Briefing Dr. Ed Weiler, Associate Administrator, Office of Space Science, NASA Headquarters Dr. Alan Bunner, Chandra Program Scientist, NASA Headquarters Dr. Martin Weisskopf, Chandra Project Scientist, Marshall Space Flight Center Dr. Harvey Tananbaum, Director, Chandra X-Ray Center, Cambridge, MA Dr. Kimberly Weaver, Astrophysicist, Goddard Space Flight Center, Greenbelt, MD Noon EDT NASA TV Video File 2 p.m. EDT STS-93 Crew Press Conference Eileen M. Collins, Mission Commander Jeffrey S. Ashby, Pilot Catherine G. Coleman, Mission Specialist -1 Steven A. Hawley, Mission Specialist-2 Michel Tognini, Mission Specialist-3 3:15 p.m. EDT STS-93 Crew Round Robins (not televised)

Mount Stevens and Ted Stevens Icefield Designation Act

THOMAS, 111th Congress

Rep. Young, Don [R-AK-At Large

2010-09-23

House - 09/23/2010 Referred to the House Committee on Natural Resources. (All Actions) Notes: For further action, see S.3802, which became Public Law 111-284 on 10/18/2010. Tracker: This bill has the status IntroducedHere are the steps for Status of Legislation:

50 CFR 600.305 - General.

Code of Federal Regulations, 2013 CFR

2013-10-01

... review of FMPs, amendments, and regulations prepared by the Councils and the Secretary. (2) In developing... standards, other provisions of the Magnuson-Stevens Act, and other applicable law. The Secretary has an obligation under section 301(b) of the Magnuson-Stevens Act to inform the Councils of the Secretary's...

78 FR 32375 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-30

..., Dartmouth, School for Marine Science and Technology. Regulations under the Magnuson-Stevens Fishery.... SUPPLEMENTARY INFORMATION: The University of Massachusetts, Dartmouth, School for Marine Science and Technology... study and examining the influence of temperature. To facilitate compensation fishing in support of this...

75 FR 12141 - Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-15

.... 0907221160-91412-02] RIN 0648-AY01 Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the Northeastern United States; Monkfish Fishery AGENCY: National Marine Fisheries Service...: NMFS issues this final rule to amend the Monkfish Fishery [[Page 12142

Steve Hammond | NREL

Science.gov Websites

Hammond Photo of Steven Hammond Steve Hammond Center Director II-Technical Steven.Hammond@nrel.gov | 303-275-4121 Steve Hammond is director of the Computational Science Center at the National Renewable includes leading NREL's efforts in energy efficient data centers. Prior to NREL, Steve managed the

On parasupersymmetric oscillators and relativistic vector mesons in constant magnetic fields

NASA Technical Reports Server (NTRS)

Debergh, Nathalie; Beckers, Jules

1995-01-01

Johnson-Lippmann considerations on oscillators and their connection with the minimal coupling schemes are visited in order to introduce a new Sakata-Taketani equation describing vector mesons in interaction with a constant magnetic field. This new proposal, based on a specific parasupersymmetric oscillator-like system, is characterized by real energies as opposed to previously pointed out relativistic equations corresponding to this interacting context.

VizieR Online Data Catalog: HST BVI catalogue of star clusters in 5 HCGs (Fedotov+, 2015)

NASA Astrophysics Data System (ADS)

Fedotov, K.; Gallagher, S. C.; Durrell, P. R.; Bastian, N.; Konstantopoulos, I. S.; Charlton, J.; Johnson, K. E.; Chandar, R.

2015-11-01

The data for this project were obtained with the Hubble Space Telescope (HST) Advanced Camera for Surveys (ACS) and Wide Field Camera 3 (WFC3). These observations are part of two programmes: ID 10787 (PI J. Charlton) and ID 11502 (PI K. Noll). The observations were carried out in the F435W (F438W for WFC3), F606W, and F814W filters, which are similar to the Johnson BVI bands. Hereafter, we refer to the HST filters as B435, B438, V606, and I814, although we did not make transformations to the Johnson-Cousins system. (2 data files).

76 FR 78869 - Approval and Promulgation of Implementation Plans and Designations of areas for Air Quality...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-20

...-9460. 4. Mail: Steven Brown, Atmospheric Section, Air Planning and Development Branch, Air and Waste..., Kansas 66101. 5. Hand Delivery or Courier: Steven Brown, Atmospheric Section, Air Planning and... Atmospheric Section, Air Planning and Development Branch, Air Waste and Management Division, U.S...

Running in Hard Times

ERIC Educational Resources Information Center

Berry, John N., III

2009-01-01

Roberta Stevens and Kent Oliver are campaigning hard for the presidency of the American Library Association (ALA). Stevens is outreach projects and partnerships officer at the Library of Congress. Oliver is executive director of the Stark County District Library in Canton, Ohio. They have debated, discussed, and posted web sites, Facebook pages,…

Marketing and psychophysics: cornflakes and Stevens' power function.

PubMed

Clayson, D E

1994-04-01

Although major firms do not publish their pricing and packaging strategies, an analysis of 83 pairs of boxes of breakfast cereals using Stevens' Law showed that firms price their products on the perception of size rather than by actual size. By contrast, laundry detergents are priced by actual weight and volume.

Dr. Worta McCaskill-Stevens Named Recipient of AACR Minorities in Cancer Research Award | Division of Cancer Prevention

Cancer.gov

Worta McCaskill-Stevens, MD, MS, Chief of the Community Oncology and Prevention Trials Research Group, NCI Division of Cancer Prevention, was named the recipient of the 2016 American Association for Cancer Research Jane Cooke Wright Memorial Lectureship. |

77 FR 16942 - Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-03-23

... Multispecies Fishery Management Plan which was approved on March 8, 2012. This action amends the Northeast Multispecies Fishery Management Plan to explicitly define and facilitate the effective operation of state.... 110901552-20494-02] RIN 0648-BB34 Magnuson-Stevens Fishery Conservation and Management Act Provisions...

Does Stevens's Power Law for Brightness Extend to Perceptual Brightness Averaging?

ERIC Educational Resources Information Center

Bauer, Ben

2009-01-01

Stevens's power law ([Psi][infinity][Phi][beta]) captures the relationship between physical ([Phi]) and perceived ([Psi]) magnitude for many stimulus continua (e.g., luminance and brightness, weight and heaviness, area and size). The exponent ([beta]) indicates whether perceptual magnitude grows more slowly than physical magnitude ([beta] less…

10. Historic American Buildings Survey Photocopy of Plate VIII (dated ...

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

10. Historic American Buildings Survey Photocopy of Plate VIII (dated 1889) in John Calvin Stevens and Albert Winslow Cobb, Examples of American Domestic Architecture, New York, William T. Comstock, 1889 PLANS AND INTERIOR DETAILS, 1889 - John Calvin Stevens House, 52 Bowdoin Street, Portland, Cumberland County, ME

Eliminating cancer stem cells: an interview with CCR’s Steven Hou | Center for Cancer Research

Cancer.gov

Steven Hou, Ph.D., senior investigator in the Basic Research Laboratory at the Center for Cancer Research describes his latest research that has uncovered potential ways to eliminate cancer stem cells and may offer hope to patients with reoccurring tumors.  Learn more...

Steven Spielberg: My Primary Purpose in Making "Schindler's List" Was for Education.

ERIC Educational Resources Information Center

Feinberg, Stephen; Totten, Samuel

1995-01-01

Presents an interview with Steven Spielberg on his goals and methods for making "Schindler's List." Maintains that the important lessons of truth and tolerance will help prevent the Holocaust from happening again. Describes cooperative ventures with educational groups to develop instructional materials associated with the film. (CFR)

78 FR 34039 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-06

..., fecundity, bioelectrical impedance analysis (BIA), food habits, and genetic research. The yellowtail... dependent catch data and biological samples. Regulations under the Magnuson-Stevens Fishery Conservation and... Exempted Fishing Permit (EFP) on April 11, 2013, to enable data collection activities that the regulations...

77 FR 69929 - Western Carolina Railway Service Corporation, Steven C. Hawkins and Cheryl R. Hawkins-Continuance...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-21

... DEPARTMENT OF TRANSPORTATION Surface Transportation Board [Docket No. FD 35691] Western Carolina Railway Service Corporation, Steven C. Hawkins and Cheryl R. Hawkins--Continuance in Control Exemption... Cheryl R. Hawkins (the Hawkins) (collectively, Applicants) have filed a verified notice of exemption...

78 FR 21913 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-12

... limits. The compensation fishing is in support of a 2012 Monkfish Research Set- Aside project that is attempting to validate monkfish aging methods. The project is being conducted by the University of Massachusetts, Dartmouth, School for Marine Science and Technology. Regulations under the Magnuson-Stevens...

78 FR 38693 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-06-27

... limits. The compensation fishing is in support of a 2013 Monkfish Research Set- Aside project that is attempting to validate monkfish aging methods. The project is being conducted by the University of Massachusetts, Dartmouth, School for Marine Science and Technology. Regulations under the Magnuson-Stevens...

75 FR 75417 - Magnuson-Stevens Act Provisions; Fisheries Off West Coast States; Pacific Coast Groundfish...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-03

.... 090428799-9802-01] RIN 0648-BA44 Magnuson-Stevens Act Provisions; Fisheries Off West Coast States; Pacific Coast Groundfish Fishery; Inseason Adjustments to Fishery Management Measures AGENCY: National Marine Fisheries Service, National Oceanic and Atmospheric Administration, Commerce. ACTION: Final rule; inseason...

75 FR 81505 - Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-12-28

.... 101116568-0608-01] RIN 0648-BA42 Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fisheries of the Northeastern United States; Tilefish Fishery AGENCY: National Marine Fisheries Service... implementing the Tilefish Fishery Management Plan (FMP) to require the first year cost-recovery fee percentage...

75 FR 52300 - Merchant Marine Act and Magnuson-Stevens Fishery Conservation and Management Act Provisions...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-25

... DEPARTMENT OF COMMERCE National Oceanic and Atmospheric Administration 50 CFR Part 253 [Docket No. 0908061221-91225-01] RIN 0648-AY16 Merchant Marine Act and Magnuson-Stevens Fishery Conservation and Management Act Provisions; Fishing Vessel, Fishing Facility and Individual Fishing Quota Lending Program...

77 FR 20790 - Magnuson-Stevens Act Provisions; General Provisions for Domestic Fisheries; Application for...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-04-06

... determination that an Exempted Fishing Permit (EFP) application submitted by the Northeast Fisheries Science... dependent catch data and biological samples. Regulations under the Magnuson-Stevens Fishery Conservation and...: NEFSC submitted a complete application for an EFP on February 28, 2012, to enable data collection...

77 FR 44161 - Atlantic Highly Migratory Species; 2012 Atlantic Bluefin Tuna Quota Specifications

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-27

... Convention Act (ATCA), and to achieve domestic management objectives under the Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act). DATES: Effective August 27, 2012 through December 31... Review, and Final Regulatory Flexibility Analysis, as well as others, such as the Fishery Management...

The feasibility of contralateral lower neck sparing intensity modulation radiated therapy for nasopharyngeal carcinoma patients with unilateral cervical lymph node involvement.

PubMed

Tang, Ling-Long; Tang, Xin-Ran; Li, Wen-Fei; Chen, Lei; Tian, Li; Lin, Ai-Hua; Sun, Ying; Ma, Jun

2017-06-01

To investigate the feasibility of contralateral lower neck sparing intensity modulation radiated therapy (IMRT) for nasopharyngeal carcinoma patients (NPC) with unilateral cervical lymph node metastasis. Retrospective review of 546 patients with unilateral cervical lymph node metastasis treated between November 2009 and February 2012 at one institution. All patients were staged using magnetic resonance imaging and received radical IMRT. Patients were classified into two groups: the inferior border of the negative neck irradiation field only covered Levels III to Va in Group 1; the inferior border covered entire neck down to Levels IV to Vb in Group 2. Median follow-up was 49.9months (range, 1.3-69.2months). Four-year overall survival (OS:89.3% vs. 88.9%, P=0.91), disease-free survival (DFS:81.7% vs. 81.0%, P=0.91), distant metastasis-free survival (DMFS:88.2% vs. 87.9%, P=0.95), local relapse-free survival (LRFS:96.7% vs. 94.7%, P=0.70) and nodal relapse-free survival (NRFS: 96.1% vs. 95.9%, P=0.94) were not significantly different between Group 1 and Group 2. Twenty-two patients developed cervical lymph node relapse; of whom 20/22 (91.0%) developed unilateral relapse within pretreatment positive neck. Only one patient developed out-of-field relapse, though this patient also relapsed within the neck irradiation field (Level II). No clinicopathological feature tested had significant prognostic value for NRFS in multivariate analysis. In the IMRT and MRI era, contralateral lower neck sparing IMRT seems to be feasible for NPC patients with unilateral cervical lymph node metastasis. Copyright © 2017. Published by Elsevier Ltd.

Dosimetric Comparison of Involved-Field Three-Dimensional Conformal Photon Radiotherapy and Breast-Sparing Proton Therapy for the Treatment of Hodgkin's Lymphoma in Female Pediatric Patients

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

Andolino, David L., E-mail: dandolin@iupui.edu; Hoene, Ted; Xiao, Lu

2011-11-15

Purpose: To assess the potential reduction in breast dose for young girls with Hodgkin's lymphoma (HL) treated with breast-sparing proton therapy (BS-PT) as compared with three-dimensional conformal involved-field photon radiotherapy (3D-CRT). Methods and Materials: The Clarian Health Cancer Registry was queried for female pediatric patients with the diagnosis of HL who received radiotherapy at the Indiana University Simon Cancer Center during 2006-2009. The original CT simulation images were obtained, and 3D-CRT and BS-PT plans delivering 21 Gy or cobalt gray equivalent (CGE) in 14 fractions were created for each patient. Dose-volume histogram data were collected for both 3D-CRT and BS-PTmore » plans and compared by paired t test for correlated samples. Results: The cancer registry provided 10 female patients with Ann Arbor Stage II HL, aged 10-18 years at the time of treatment. Both mean and maximum breast dose were significantly less with BS-PT compared with 3D-CRT: 0.95 CGE vs. 4.70 Gy (p < 0.001) and 21.07 CGE vs. 23.11 Gy (p < 0.001), respectively. The volume of breast receiving 1.0 Gy/CGE and 5.0 Gy/CGE was also significantly less with BS-PT, 194 cm{sup 3} and 93 cm{sup 3}, respectively, compared with 790 cm{sup 3} and 360 cm{sup 3} with 3D-CRT (p = 0.009, 0.013). Conclusion: Breast-sparing proton therapy has the potential to reduce unnecessary breast dose in young girls with HL by as much as 80% relative to involved-field 3D-CRT.« less

Influence of different treatment techniques on radiation dose to the LAD coronary artery

PubMed Central

Nieder, Carsten; Schill, Sabine; Kneschaurek, Peter; Molls, Michael

2007-01-01

Background The purpose of this proof-of-principle study was to test the ability of an intensity-modulated radiotherapy (IMRT) technique to reduce the radiation dose to the heart plus the left ventricle and a coronary artery. Radiation-induced heart disease might be a serious complication in long-term cancer survivors. Methods Planning CT scans from 6 female patients were available. They were part of a previous study of mediastinal IMRT for target volumes used in lymphoma treatment that included 8 patients and represent all cases where the left anterior descending coronary artery (LAD) could be contoured. We compared 6 MV AP/PA opposed fields to a 3D conformal 4-field technique and an optimised 7-field step-and-shoot IMRT technique and evaluated DVH's for several structures. The planning system was BrainSCAN 5.21 (BrainLAB, Heimstetten, Germany). Results IMRT maintained target volume coverage but resulted in better dose reduction to the heart, left ventricle and LAD than the other techniques. Selective dose reduction could be accomplished, although not to the degree initially attempted. The median LAD dose was approximately 50% lower with IMRT. In 5 out of 6 patients, IMRT was the best technique with regard to heart sparing. Conclusion IMRT techniques are able to reduce the radiation dose to the heart. In addition to dose reduction to whole heart, individualised dose distributions can be created, which spare, e.g., one ventricle plus one of the coronary arteries. Certain patients with well-defined vessel pathology might profit from an approach of general heart sparing with further selective dose reduction, accounting for the individual aspects of pre-existing damage. PMID:17547777

The Discovery of Subatomic Particles Revised Edition

NASA Astrophysics Data System (ADS)

Weinberg, Steven

2003-09-01

This commentary on the discovery of the atom's constituents provides an historical account of key events in the physics of the twentieth century that led to the discoveries of the electron, proton and neutron. Steven Weinberg introduces the fundamentals of classical physics that played crucial roles in these discoveries. Connections are shown throughout the book between the historic discoveries of subatomic particles and contemporary research at the frontiers of physics, including the most current discoveries of new elementary particles. Steven Weinberg was Higgins Professor of Physics at Harvard before moving to The University of Texas at Austin, where he founded its Theory Group. At Texas he holds the Josey Regental Chair of Science and is a member of the Physics and Astronomy Departments. His research has spanned a broad range of topics in quantum field theory, elementary particle physics, and cosmology, and has been honored with numerous awards, including the Nobel Prize in Physics, the National Medal of Science, the Heinemann Prize in Mathematical Physics, the Cresson Medal of the Franklin Institute, the Madison Medal of Princeton University, and the Oppenheimer Prize. In addition to the well-known treatise, Gravitation and Cosmololgy, he has written several books for general readers, including the prize-winning The First Three Minutes (now translated into 22 foreign languages), and most recently Dreams of a Final Theory (Pantheon Books, 1993). He has also written a textbook The Quantum Theory of Fields, Vol.I, Vol. II, and Vol. III (Cambridge).

A Tribute to Professor Steven L. Wechsler (1948-2016): The Man and the Scientist.

PubMed

Nesburn, Anthony B; BenMohamed, Lbachir

2017-01-01

Professor Steven L. Wechsler, a world-renowned eye researcher and virologist, passed away unexpectedly on June 12, 2016 at the age of 68. Many scientists came to know Professor Wechsler as a gifted researcher in the field of ocular Herpes Simplex Virus (HSV-1) latency, reactivation, and pathogenesis. Professor Wechsler published over 150 peer-reviewed scientific papers during his career, pushing forward the frontiers of his field eye research. His colleagues would say, 'Steve literally wrote the book on herpes latency and reactivation.' He was the first to show that the HSV-1 latency-associated transcript (LAT) is essential for the HSV-1 high spontaneous reactivation phenotype and that LAT has anti-apoptosis activity. This discovery of LAT's anti-apoptosis activity, which is a key factor in how the LAT gene enhances reactivation, was published in Science in 2000 and created a new paradigm that greatly increased understanding of HSV-1 latency and reactivation. In collaboration with Professor Lbachir BenMohamed, an immunologist, they later demonstrated that LAT also acts as an immune evasion gene. He was a caring scientist who truly enjoyed working and sharing his experience and expertise with young researchers. He will be remembered as a significant pillar within scientific and ocular herpes research communities worldwide. Professor Wechsler's dedication to science, his compassionate character, and wonderful sense of humor were exemplary. We, who were his friends and colleagues, will mourn his passing deeply.

Deployment Notes for Sodars at the Stevens Institute of Technology during the March 2005 Urban Dispersion Program Field Campaign (MSG05)

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

Berg, Larry K.; Allwine, K Jerry

2006-08-01

This report documents the deployment of two sodars at the Stevens Institute of Technology (SIT) in Hoboken, New Jersey, during the March 2005 Madison Square Garden Urban Dispersion Field Campaign (MSG05) conducted in the vicinity of Madison Square Garden in Midtown Manhattan. One sodar was a Scintec MFAS sodar that was operated on a dock along the Hudson River. This sodar was only operated during Intensive Observation Periods (IOPs). The other sodar was an AeroVironment (AV) Model 3000 MiniSodar that was located on top of the Howe Center at SIT. This sodar was operated continually, but there were data qualitymore » issues in the lowest three and upper seven range gates during non-IOP periods. The IOP data from the AeroVironment was reprocessed so that only data from the lowest three and highest seven range gates was removed. Measurements from both sodars were compared to measurements made using a propeller and vane anemometer that was also located on top of the Howe Center. This report also describes the quality control methods applied to data from each sodar and the structure of the data files available. The agreement between the sodars is generally good, and we recommend using either the AV data or the Scintec data during the two IOPs, bearing in mind that there are some differences in the measured wind direction above 150 m MSL.« less

STS-38 Mission Specialist Gemar climbs into T-38A cockpit at Ellington Field

NASA Image and Video Library

1990-06-18

S90-41527 (August 1990) --- Astronaut Charles D. (Sam) Gemar, prepares to climb aboard on of NASA's T-38 jet trainers, located near the Johnson Space Center (JSC). Gemar began training as an astronaut candidate in summer of 1985.

Approaches to Research in HRD. Symposium.

ERIC Educational Resources Information Center

2002

This document contains three papers from a symposium on approaches to research in human resource development (HRD). "HRD, Feminism, and Adult Education: A Foundation for Collaborative Approaches to Research and Practice" (Yvonne M. Johnson) identifies common interests among HRD professionals, feminists, and practitioners in the field of…

2012 ARPA-E Energy Innovation Summit: Fireside Chat with Steven Chu and Bill Gates

ScienceCinema

Chu, Steven; Gates, Bill; Podesta, John

2018-05-14

The third annual ARPA-E Energy Innovation Summit was held in Washington D.C. in February, 2012. The event brought together key players from across the energy ecosystem - researchers, entrepreneurs, investors, corporate executives, and government officials - to share ideas for developing and deploying the next generation of energy technologies. This video captures a session called Fireside Chat that featured Steven Chu, the Secretary of Energy, and Bill Gates, Chairman of Microsoft Corporation. The session is moderated by John Podesta, Chair of the Center for American Progress. Energy Secretary Steven Chu and Microsoft Founder and Chairman Bill Gates exchanged ideas about how small businesses and innovators can overcome the challenges that face many startups.

Primary mapping and stratigraphic data and field methods for the Snowmastodon Project

USGS Publications Warehouse

Lucking, Carol; Johnson, Kirk R.; Pigati, Jeffery S.; Miller, Ian

2012-01-01

During the Snowmastodon Project, many different people collected data for a wide array of purposes under a variety of conditions. Early in the process and in an attempt to provide project-wide consistency, Kirk Johnson appointed Carol Lucking as the project’s data manager both in the field and the lab. She was responsible for using GIS to create maps on an ongoing basis throughout the project. Jeff Pigati agreed to measure stratigraphic sections and coordinate the collection of various nonvertebrate samples to make sure that all resulting data could be plotted on common diagrams. Kirk Johnson was onsite for the entire project and measured the basin margin stratigraphy on a daily basis as it was destroyed by the digging teams. In the fall of 2010, we treated the upper part of the site (which included discrete excavations for the mammoth, deer, and bison skeletons) as an archaeological excavation and the lower part of the site (which contained isolated mastodon, ground sloth, and bison bones) as a construction salvage site.

Outcomes with the Boston Type 1 Keratoprosthesis at Instituto de Microcirugía Ocular IMO.

PubMed

Güell, Jose L; Arcos, Edilio; Gris, Oscar; Aristizabal, Diego; Pacheco, Miguel; Sanchez, Claudia L; Manero, Felicidad

2011-07-01

To report the outcomes on the Boston Type 1 Keratoprosthesis at our institution. Retrospective analysis case series. We analyzed 54 eyes of 53 patients who previously underwent Boston Type 1 Keratoprosthesis surgery at our institution from July 2006 to March 2011. Preoperative and postoperative parameters were collected and analyzed. Visual acuity and keratoprosthesis stability. Common preoperative diagnoses were penetrating keratoplasty failure in 49 eyes (90.7%), chronic keratitis in 2 eyes (3.7%), ocular cicatricial pemphigoid in 1 eye (1.85%), Stevens Johnson syndrome in 1 eye (1.85%) and corneal vascularization in 1 eye (1.85%). Additionally, 40 eyes (74%) had preoperative glaucoma, and an Ahmed valve was implanted in 55% of them. Preoperative BCVA ranged from 20/200 to light perception. At an average follow-up of 20.15 months ± 12.7 (range, 1-56), postoperative vision improved to ⩾20/200 in 18 eyes (33.3%) and ⩾20/50 in 4 eyes (7.4%). The graft retention was 96%. The Boston Type 1 keratoprosthesis is a valid option for high-risk patients. The design improvements in the Boston keratoprosthesis, as well as the daily implementation of the therapeutic methods, have notably diminished occurrence of the most serious complications, such as corneal necrosis and endophthalmitis. As such, glaucoma and its subsequent complications now stand as the most prevalent prognostic factor in the long term.

Safety of ipragliflozin in elderly Japanese patients with type 2 diabetes mellitus (STELLA-ELDER): Interim results of a post-marketing surveillance study.

PubMed

Terauchi, Yasuo; Yokote, Koutaro; Nakamura, Ichiro; Sugamori, Haruko

2016-01-01

To determine the incidence of adverse drug reactions (ADRs) associated with ipragliflozin in elderly Japanese patients with type 2 diabetes mellitus. We report interim results of a postmarketing surveillance survey. Japanese physicians recorded ADRs in elderly patients (≥ 65 years old) who were first prescribed with ipragliflozin within 3 months of its launch (April 2014). Incidence of ADRs within 1 year of starting treatment with ipragliflozin. 898 ADRs occurred in 721/7,170 patients (10.06%). Skin complication-, volume depletion-, genital infection-, polyuria/pollakiuria-, urinary tract infection-, and hypoglycemia-related ADRs occurred in 2.23%, 1.90%, 1.45%, 1.32%, 0.77%, and 0.32%, respectively. ADRs were classified as serious in 44 (0.61%) patients. Half of the ADRs occurred within 30 days of starting treatment. There were no cases of Stevens-Johnson syndrome or toxic epidermal necrolysis. Most (92.1%) of the ADRs resolved or improved. Glycated hemoglobin, fasting blood glucose, body weight, and systolic blood pressure decreased by 0.6% (baseline 7.8%), 22.7 mg/dL (baseline 163.0 mg/dL), 2.3 kg (baseline 67.4 kg), and 3.1 mmHg (baseline 133.2 mmHg), respectively, from baseline to treatment discontinuation/last visit. Ipragliflozin is well tolerated and reduced surrogate endpoints in elderly Japanese patients with type 2 diabetes mellitus. Clinicaltrials.gov identifier: NCT02297620.

Oral and maxillofacial surgeons' role in the first successful modified osteo-odonto-keratoprosthesis performed in the United States.

PubMed

Sawatari, Yoh; Perez, Victor L; Parel, Jean-Marie; Alfonso, Eduardo; Falcinelli, Giancarlo; Falcinelli, Johnny; Marx, Robert E

2011-06-01

Corneal disease constitutes the second most common cause of blindness and often leads to corneal damage or scarring. Several corneal scarring is a complex and difficult condition for ophthalmologists to manage. In the most severe cases, the scarring is accompanied by excessive dryness and keratinization of the ocular surface. Certain etiologies, including Stevens-Johnson syndrome, cicatricial pemphigoid, Lyell's syndrome, and chemical trauma to the surface of the eye, are responsible for the most severe cases. Traditional allogeneic corneal transplantation is not effective because of the significant scarring and dryness of the eye. To allow light and images to be focused on the retina, a keratoprosthesis is required to position a lens on the surface of the eye. One of the oldest and most effective types of keratoprosthesis, the osteo-odonto-keratoprosthesis (OOKP), was first described and documented in 1963 by Strampelli and subsequently modified by Falcinelli et al. The modified OOKP (MOOKP) is a unique prosthesis consisting of a lens fabricated from a polymethylmethacrylate (PMMA) cylinder and cemented to an autogenous graft composed of tooth and bone, traditionally termed the osteo-odonto lamina. In this context, lamina refers to a thin rectangular plate of tooth and bone (Fig 1). The MOOKP involves 4 procedures performed in 3 surgical stages. Copyright © 2011 American Association of Oral and Maxillofacial Surgeons. Published by Elsevier Inc. All rights reserved.

Severe Delayed Cutaneous and Systemic Reactions to Drugs: A Global Perspective on the Science and Art of Current Practice.

PubMed

Peter, Jonathan Grant; Lehloenya, Rannakoe; Dlamini, Sipho; Risma, Kimberly; White, Katie D; Konvinse, Katherine C; Phillips, Elizabeth J

Most immune-mediated adverse drug reactions (IM-ADRs) involve the skin, and many have additional systemic features. Severe cutaneous adverse drug reactions (SCARs) are an uncommon, potentially life-threatening, and challenging subgroup of IM-ADRs with diverse clinical phenotypes, mechanisms, and offending drugs. T-cell-mediated immunopathology is central to these severe delayed reactions, but effector cells and cytokines differ by clinical phenotype. Strong HLA-gene associations have been elucidated for specific drug-SCAR IM-ADRs such as Stevens-Johnson syndrome/toxic epidermal necrolysis, although the mechanisms by which carriage of a specific HLA allele is necessary but not sufficient for the development of many IM-ADRs is still being defined. SCAR management is complicated by substantial short- and long-term morbidity/mortality and the potential need to treat ongoing comorbid disease with related medications. Multidisciplinary specialist teams at experienced units should care for patients. In the setting of SCAR, patient outcomes as well as preventive, diagnostic, treatment, and management approaches are often not generalizable, but rather context specific, driven by population HLA-genetics, the pharmacology and genetic risk factors of the implicated drug, severity of underlying comorbid disease necessitating ongoing treatments, and cost considerations. In this review, we update the basic and clinical science of SCAR diagnosis and management. Copyright © 2017 American Academy of Allergy, Asthma & Immunology. Published by Elsevier Inc. All rights reserved.

New genetic findings lead the way to a better understanding of fundamental mechanisms of drug hypersensitivity

PubMed Central

Pirmohamed, Munir; Ostrov, David A.; Park, B. Kevin

2015-01-01

Drug hypersensitivity reactions are an important clinical problem for both health care and industry. Recent advances in genetics have identified a number of HLA alleles associated with a range of these adverse reactions predominantly affecting the skin but also other organs, such as the liver. The associations between abacavir hypersensitivity and HLA-B*57:01 and carbamazepine-induced Stevens-Johnson syndrome and HLA-B*15:02 have been implemented in clinical practice. There are many different mechanisms proposed in the pathogenesis of drug hypersensitivity reactions, including the hapten hypothesis, direct binding to T-cell receptors (the pharmacologic interaction hypothesis), and peptide-binding displacement. A problem with all the hypotheses is that they are largely based on in vitro findings, with little direct in vivo evidence. Although most studies have focused on individual mechanisms, it is perhaps more important to consider them all as being complementary, potentially occurring at the same time with the same drug in the same patient. This might at least partly account for the heterogeneity of the immune response seen in different patients. There is a need to develop novel methodologies to evaluate how the in vitro mechanisms relate to the in vivo situation and how the highly consistent genetic findings with different HLA alleles can be more consistently used for both prediction and prevention of these serious adverse reactions. PMID:26254050

Severe delayed cutaneous and systemic reactions to drugs: a global perspective on the science and art of current practice

PubMed Central

Peter, Jonathan Grant; Lehloenya, Rannakoe; Dlamini, Sipho; Risma, Kimberly; White, Katie D.; Konvinse, Katherine C.; Phillips, Elizabeth J.

2017-01-01

The majority of immune-mediated adverse drug reactions (IM-ADRs) involve the skin, and many have additional systemic features. Severe cutaneous adverse drug reactions (SCAR) are an uncommon, potentially life-threatening and challenging sub-group of IM-ADRs with diverse clinical phenotypes, mechanisms and offending drugs. T-cell mediated immunopathology is central to these severe delayed reactions, but effector cells and cytokines differ by clinical phenotype. Strong HLA-gene associations have been elucidated for specific drug-SCAR IM-ADRs such as Stevens-Johnson Syndrome/toxic epidermal necrolysis (SJS/TEN); although the mechanisms by which carriage of a specific HLA allele is necessary but not sufficient for the development of many IM-ADRs is still being defined. SCAR management is complicated by substantial short and long-term morbidity/ mortality and the potential need to treat ongoing co-morbid disease with related medications. Multidisciplinary specialist teams at experienced units should care for patients. In the setting of SCAR, patient outcomes as well as preventive,diagnostic, treatment and management approaches are often not generalizable, but rather context specific, driven by population HLA-genetics, the pharmacology and genetic risk factors of the implicated drug, severity of underlying co-morbid disease necessitating ongoing treatments, and cost considerations. In this review, we update the basic and clinical science of SCAR diagnosis and management. PMID:28483310

Genetic risk factors for antiepileptic drug-induced hypersensitivity reactions in Israeli populations.

PubMed

Israel, Shoshana; Maggio, Nicola; Ekstein, Dana; Zaid, Huda; Firer, Maria; Bederovsky, Yana; Noyman, Iris; Gandelman-Marton, Revital; Blatt, Ilan; Brautbar, Chaim; Marom, Eli; Nahlieli Dil, Dorit; Berman, Erez; Sabag, David; Ingber, Arieh; Eyal, Sara

2016-10-01

The human leukocyte antigen (HLA) alleles B*15:02 and A*31:01 have been identified as predictive markers of adverse cutaneous effects of carbamazepine and phenytoin in Asian and North European populations, respectively. Our aim was to estimate the distribution of these alleles in Jewish and Arab populations in Israel. The HLA-B*15:02 and HLA-A*31:01 carrier rate was estimated based on data from the Hadassah Bone Marrow Registry. Data on Stevens-Johnson syndrome (SJS)- and toxic epidermal necrolysis (TEN)-related hospitalizations were obtained from the Israeli Ministry of Health (MOH) registries and from four Israeli medical centers. Of 83,705 Jewish and Arab-Muslim donors, 81 individuals of known origin carried the HLA-B*15:02. Among them, 66 were Jews of India-Cochin descent. Of the Cochin Jewish donors, 12.7% were B*15:02 carriers. HLA-A*31:01 carrier incidence among Arab and Jewish Israeli populations (3.5% and 2.2%, respectively) was within the range reported in other countries. We did not identify SJS- or TEN-related hospitalizations of Jews of Indian descent. Yet, this population should be considered at greater risk for antiepileptic drug-induced SJS and TEN. Until further data on actual risk are available, such patients should be typed for HLA-B before treatment with carbamazepine or phenytoin. Wiley Periodicals, Inc. © 2016 International League Against Epilepsy.

Methotrexate-induced epidermal necrosis: A case series of 24 patients.

PubMed

Chen, Ting-Jui; Chung, Wen-Hung; Chen, Chun-Bing; Hui, Rosaline Chung-Yee; Huang, Yu-Huei; Lu, Yueh-Tsung; Wang, Chang-Wei; Wang, Kuo-Hsien; Yang, Li-Cheng; Hung, Shuen-Iu

2017-08-01

Methotrexate-induced epidermal necrosis (MEN) is a rare but life-threatening cutaneous reaction that mimics Stevens-Johnson syndrome (SJS) and toxic epidermal necrolysis (TEN). To investigate the clinicopathology, risk factors, and prognostic factors of MEN. We enrolled 24 patients with MEN and 150 controls and analyzed the demographics, pathology, and plasma concentrations of methotrexate (MTX). Patients with MEN showed extensive skin necrosis (mean, 33.2% total body surface area) but no target lesions. The histopathology displayed keratinocyte dystrophy. Early signs of MEN included painful skin erosions, oral ulcers, and leukopenia/thrombocytopenia. Although 79.2% patients received leucovorin treatment, there was 16.7% mortality. Risk factors for MEN included older age (>60 years), chronic kidney disease, and high initial dosage of MTX without folic acid supplementation. Renal insufficiency delayed MTX clearance. Severe renal disease and leukopenia predicted poor prognosis in MEN, but none of the SCORe of Toxic Epidermal Necrosis criteria were associated with mortality of MEN. The study was limited by the small sample size. MEN exhibited distinct clinicopathologic features from SJS/TEN. Recognition of the early signs and prognostic factors is important, because the rapid institution of leucovorin may be helpful. To reduce the risk of MEN, physicians should avoid prescribing MTX to high-risk patients and titrate the dosage slowly upward with folic acid supplementation. Copyright © 2017 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

[Vemurafenib-induced toxic epidermal necrolysis].

PubMed

Wantz, M; Spanoudi-Kitrimi, I; Lasek, A; Lebas, D; Quinchon, J-F; Modiano, P

2014-03-01

Herein we report the first case of toxic epidermal necrolysis (TEN) occurring with use of vemurafenib. A 75-year-old female patient was being treated with vemurafenib for stage IV melanoma with BRAF V600E mutation. She suddenly presented fever, diffuse pruriginous maculopapular erythema, palpebral edema, palmar bulla, conjunctivitis, cheilitis and mucosal ulceration. The condition progressed towards detachment affecting 50% of the skin area. Cutaneous biopsy revealed lichenoid dermatosis, chiefly vesicular with numerous eosinophils. Direct immunofluorescence (IFD) was negative. Vemurafenib was the only drug to which the reaction was ascribable and we concluded on vemurafenib-induced TEN. To our knowledge, this is the first reported case of vemurafenib-induced TEN, but this adverse effect, although already described in the BRIM-3 study, appears rare in clinical practice. Other severe skin reactions have been described in the literature. These include a case of Stevens-Johnson syndrome in a female patient treated with vemurafenib and previously receiving ipilimumab. A more common occurrence is cutaneous reactions involving efflorescence of benign hyperkeratotic lesions, occasionally accompanied by authentic epidermal carcinoma or keratoacanthoma, and requiring regular dermatological monitoring of patients treated with vemurafenib. If maculopapular exanthema occurs under vemurafenib, continuation of this treatment should be reassessed since the risk of progression to a more serious condition such as TEN, as seen in the present case, cannot be ruled out. Copyright © 2013 Elsevier Masson SAS. All rights reserved.

D-RATS 2011: RAFT Protocol Overview

NASA Technical Reports Server (NTRS)

Utz, Hans

2011-01-01

A brief overview presentation on the protocol used during the D-RATS2011 field test for file transfer from the field-test robots at Black Point Lava Flow AZ to Johnson Space Center, Houston TX over a simulated time-delay. The file transfer actually uses a commercial implementation of an open communications standard. The focus of the work lies on how to make the state of the distributed system observable.

50 CFR 697.3 - Relation to other Federal and state laws.

Code of Federal Regulations, 2011 CFR

2011-10-01

... CFR part 229 issued pursuant to the Marine Mammal Protection Act (MMPA) and the Endangered Species Act... sections 307 through 311 of the Magnuson-Stevens Act, as amended, regarding prohibited acts, civil... this part, as if the regulations in this part were issued under the Magnuson-Stevens Act. (b) The...

50 CFR 697.3 - Relation to other Federal and state laws.

Code of Federal Regulations, 2010 CFR

2010-10-01

... CFR part 229 issued pursuant to the Marine Mammal Protection Act (MMPA) and the Endangered Species Act... sections 307 through 311 of the Magnuson-Stevens Act, as amended, regarding prohibited acts, civil... this part, as if the regulations in this part were issued under the Magnuson-Stevens Act. (b) The...

Celebration of DOE's 35th Anniversary and the Secretary of Energy's Honor Awards, Keynote Address: Energy Secretary, Dr. Steven Chu

ScienceCinema

Chu, Steven

2018-05-01

Dr. Steven Chu gives a keynote address marking the thirty-fifth anniversary of the Department of Energy (DOE). He highlights outstanding achievements of the Department and its scientists. Several of the Department's many Nobel Prize winners over the years are mentioned.

Steven Chu - Patents

Science.gov Websites

searchQuery x Find DOE R&D Acccomplishments Navigation dropdown arrow The Basics dropdown arrow Home About , Steven; et. al.; May 3, 1988 An ion energy filter of the type useful in connection with secondary ion mass spectrometry is disclosed. The filter is composed of a stack of 20 thin metal plates, each plate

The Translingual Sensibility: A Conversation between Steven G. Kellman and Ilan Stavans

ERIC Educational Resources Information Center

Kellman, Steven G.; Stavans, Ilan

2015-01-01

Dialogue might be the most appropriate medium for reflections on translingualism. In a dialogue conducted by email over the course of ten days, Steven G. Kellman and Ilan Stavans consider the validity and implications of linguistic determinism. Their conversation examines whether some words that seem to embody the unique "Weltanschaaung"…

Secretary of Energy Steven Chu speaks to the 2009 IAEA General Conference delegation

ScienceCinema

Secretary Chu

2017-12-09

On Sept. 14, 2009, U.S. Secretary of Energy Steven Chu addressed the 2009 IAEA General Conference delegation. Chu is the first Cabinet official to discuss President Obama's nuclear security and nonproliferation agenda outside the United States since the President delivered his landmark speech in Prague in April 2009.

Justice John Paul Stevens and the Erotic Boomerang.

ERIC Educational Resources Information Center

Lieberman, Marc

Justice John Paul Stevens of the United States Supreme Court has ruled on obscenity cases in seven instances since his appointment. His rulings reveal that he regards obscenity as a nuisance rather than as a danger threatening to undermine the nation's morality, that he supports a nationwide standard to adjudicate obscenity cases, and that he…

75 FR 50716 - Fisheries of the Exclusive Economic Zone Off Alaska; Bering Sea and Aleutian Islands Crab...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-08-17

... West region of the Aleutian Islands. An emergency exists because, due to a recent unforeseen event, no... objectives of the Magnuson-Stevens Fishery Conservation and Management Act, the Fishery Management Plan for... and Management Act (Magnuson-Stevens Act) provides authority for rulemaking to address an emergency...

76 FR 50183 - Western Pacific Fisheries; Approval of a Marine Conservation Plan for the Northern Mariana Islands

Federal Register 2010, 2011, 2012, 2013, 2014

2011-08-12

... Pacific Fisheries; Approval of a Marine Conservation Plan for the Northern Mariana Islands AGENCY.... ACTION: Notice of agency decision. SUMMARY: NMFS announces approval of a marine conservation plan for the...-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act) authorizes the Secretary of State...

76 FR 76980 - Notice of Listing of Members of the Food and Drug Administration's Senior Executive Service...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-12-09

...'Tonya Davis Sheryl Lard-Whiteford David Elder Murray Lumpkin Denise Esposito William Maisel Tracy Forfa... Steven Solomon Daniel McChesney Stephen Spielberg William McConagha Roberta Wagner Patrick McGarey David... Murphy Donald Zink Melinda Plaisier Lynne Rice Mark Roh James Sigg Steven Silverman Howard Sklamberg...

Steven Spielberg's "Amistad": Film as History and the Trivializing of History Teaching.

ERIC Educational Resources Information Center

Butchart, Ronald E.

1999-01-01

Asserts that Steven Spielberg's film "Amistad" fictionalizes the overall facts of the case by inaccurately portraying many of the events that occurred. Explains that the myth-making tradition of Hollywood changes the messages derived from the Amistad court case. Critiques the teaching kit that corresponds to the movie. (CMK)

30 CFR 285.803 - How must I conduct my approved activities to protect essential fish habitats identified and...

Code of Federal Regulations, 2010 CFR

2010-07-01

... protect essential fish habitats identified and described under the Magnuson-Stevens Fishery Conservation... fish habitats identified and described under the Magnuson-Stevens Fishery Conservation and Management Act? (a) If, during the conduct of your approved activities, MMS finds that essential fish habitat or...

Song of the Disrupted

ERIC Educational Resources Information Center

McCue, Frances

2015-01-01

This article is delivered to the reader in 13 stanzas, and is a modest takeoff of Wallace Stevens' poem, "Thirteen Ways of Looking at A Blackbird." The poem may be better known for the art and arguments created in its wake than for the original. In "Blackbird," Stevens displays a blackbird in a tree, then cuts language to its…

75 FR 64994 - Atlantic Highly Migratory Species; Advisory Panel

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-21

... Magnuson-Stevens Fishery Conservation and Management Act (Magnuson-Stevens Act), 16 U.S.C. 1801 et seq., as... nominee shall actively participate in good faith in the meetings and tasks of the HMS AP; and 4. A list of... hearings. Dated: October 15, 2010. Emily H. Menashes, Acting Director, Office of Sustainable Fisheries...

Maneuver Design for Fast Satellite Circumnavigation

DTIC Science & Technology

2004-03-01

Storch, “∆v Requirements for Staring and Expedient Circular Circumnavigations”, AIAA 2001-4740. 5. Lovell , T. A. and S. G. Tragesser , “Analysis...Steven G. Tragesser (Chairman) date ________//Signed//____________________ William E...advisor, Dr. Steven Tragesser , for his support and insightful guidance; his dedication to his students is exemplary. I would, also, like to thank

Shock Ignition Target Design for Inertial Fusion Energy

DTIC Science & Technology

2010-01-01

Shock ignition target design for inertial fusion energy Andrew J. Schmitt,1, a) Jason W. Bates,1 Steven P. Obenschain,1 Steven T. Zalesak,2 and David...2010 to 00-00-2010 4. TITLE AND SUBTITLE Shock ignition target design for inertial fusion energy 5a. CONTRACT NUMBER 5b. GRANT NUMBER 5c. PROGRAM

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

Lu, J-Y; Huang, B-T; Zhang, W-Z

Purpose: To compare volumetric modulated arc radiotherapy (VMAT) technique with fixed-gantry intensity-modulated radiotherapy (IMRT) technique for early-stage nasopharyngeal carcinoma. Methods: CT datasets of ten patients with early-stage nasopharyngeal carcinoma were included. Dual-arc VMAT and nine-field IMRT plans were generated for each case, and were then compared in terms of planning-target-volume (PTV) coverage, conformity index (CI) and homogeneity index (HI), as well as organ-at-risk (OAR) sparing, planning time, monitor units (MUs) and delivery time. Results: Compared with the IMRT plans, the VMAT plans provided comparable HI and CI of PTVnx (PTV of primary tumor of nasopharynx), superior CI and inferior HImore » of PTVnd (PTV of lymph nodes), as well as superior CI and comparable HI of PTV60 (high-risk PTV). The VMAT plans provided better sparing of the spinal cord, oral cavity and normal tissue, but inferior sparing of the brainstem planning OAR volume (PRV), larynx and parotids, as well as comparable sparing of the spinal cord PRV, brainstem, lenses, optic nerves, optic chiasm. Moreover, the average planning time (181.6 ± 36.0 min) for the VMAT plans was 171% more than that of the IMRT plans (68.1 ± 7.6 min). The MUs of the VMAT plans (609 ± 43) were 70% lower than those of the IMRT plans (2071 ± 262), while the average delivery time (2.2 ± 0.1 min) was 66% less than that of the IMRT plans (6.6 ± 0.4 min). Conclusion: Compared with the IMRT technique, the VMAT technique can achieve similar or slightly superior target dose distribution, with no significant advantages on OAR sparing, and it can achieve significant reductions of MUs and delivery time.« less

Monitoring foveal sparing in geographic atrophy with fluorescence lifetime imaging ophthalmoscopy - a novel approach.

PubMed

Sauer, Lydia; Klemm, Matthias; Peters, Sven; Schweitzer, Dietrich; Schmidt, Johanna; Kreilkamp, Lukas; Ramm, Lisa; Meller, Daniel; Hammer, Martin

2018-05-01

To investigate fundus autofluorescence (FAF) lifetimes in geographic atrophy (GA) with a focus on macular pigment (MP) and foveal sparing. The study included 35 eyes from 28 patients (mean age 79.2 ± 8.0 years) with GA. A 30° retinal field, centred at the macula, was investigated using fluorescence lifetime imaging ophthalmoscopy (FLIO). The FLIO technology is based on a Heidelberg Engineering Spectralis system. Decays of FAF were detected in a short (498-560 nm, SSC) and long (560-720 nm, LSC) spectral channel. The mean fluorescence lifetime, τ m , was calculated from a three-exponential approximation of the FAF decays. Macular optical coherence tomography (OCT) scans as well as fundus photography were recorded. Review of FLIO data reveals specific patterns of significantly prolonged τ m in regions of GA (SSC 616 ± 343 ps, LSC 615 ± 154 ps) as compared to non-atrophic regions. Large τ m differences between the fovea and atrophic areas correlate with better visual acuity (VA). Shorter τ m at the fovea than within other non-atrophic regions indicates sparing, which was identified in 16 eyes. Seventy per cent of patients treated with lutein supplementation showed foveal sparing, whereas the rate among non-supplemented patients was 22%. Using FLIO, we present a novel way to detect foveal sparing, investigate MP, and analyse variability of τ m in different foveal regions (including the prognostic valuable border region) in GA. These findings support the potential utility of FLIO in monitoring disease progression. The findings also highlight the possibly protective effect of lutein supplementation, with implication in recording the presence and distributional pattern of MP. © 2017 Acta Ophthalmologica Scandinavica Foundation. Published by John Wiley & Sons Ltd.

Energy efficient fluorescent ballasts. Phase I, final report

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

Stevens Luminoptics Corporation

1978-06-21

The development of a high-frequency electronic (Stevens) ballast for fluorescent lamps is described. It is claimed that use of this ballast could reduce use energy consumption by 1.2 to 2.5 percent. The Stevens ballast has a basic efficiency of 29 percent when used with conventional lamps. With the more efficient lamps, the efficiency increases drastically. The conventional ballast and lamp has an efficiacy of approximately 60 to 63 lumens per watt (LPW). With the Stevens ballast the efficiacy raises to between 75 and 80 lumens per watt. When the Stevens ballast is utilized with the newer high efficiency lamps themore » efficiacy increases to 90 to 95 lumens per watt or a full 51 percent improvement over conventional coil and core ballasts and 25 percent over the best high efficiency premium coil and core ballasts. In addition to its energy savings capabilities, this high frequency fluorescent lamp ballast has the advantages that it is a true retrofit device that is directly interchangeable with the conventional coil core ballast, and it is dimmable over a wide and continuous range. (LCLC)« less

STS-103 crew take part in CEIT

NASA Technical Reports Server (NTRS)

1999-01-01

In the Payload Hazardous Servicing Facility, STS-103 Mission Specialist Steven L. Smith (right) and other members of the crew look over new Multi-Layer Insulation (MLI) intended for the Hubble Space Telescope. The seven-member crew, taking part in a Crew Equipment Interface Test, are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with the MLI. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

STS-103 crew take part in CEIT

NASA Technical Reports Server (NTRS)

1999-01-01

During a Crew Equipment Interface Test, STS-103 Commander Curtis L. Brown Jr. (left) and Pilot Scott J. Kelly look at a replacement computer for the Hubble Space Telescope. The payload hardware is in the Payload Hazardous Servicing Facility. Other members of the crew are Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with the new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

KSC-99pp1331

NASA Image and Video Library

1999-11-16

In the bunker at Launch Pad 39B, STS-103 Mission Specialist Jean-François Clervoy of France, who is with the European Space Agency (ESA), tries on an oxygen mask during Terminal Countdown Demonstration Test (TCDT) activities. The TCDT provides the crew with emergency egress training, opportunities to inspect their mission payloads in the orbiter's payload bay, and simulated countdown exercises. Other crew members taking part are Commander Curtis L. Brown Jr. and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), plus Claude Nicollier of Switzerland, who is also with ESA. STS-103 is a "call-up" mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST

KSC-99pp1092

NASA Image and Video Library

1999-09-02

During a Crew Equipment Interface Test, STS-103 Commander Curtis L. Brown Jr. (left) and Pilot Scott J. Kelly look at a replacement computer for the Hubble Space Telescope. The payload hardware is in the Payload Hazardous Servicing Facility. Other members of the crew are Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-François Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a "call-up" due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with the new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review

STS-103 crew take part in CEIT

NASA Technical Reports Server (NTRS)

1999-01-01

In the Payload Hazardous Servicing Facility, the STS-103 crew look over equipment to be used during their mission. The seven-member crew, taking part in a Crew Equipment Interface Test, are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

STS-103 crew take part in CEIT in PHSF

NASA Technical Reports Server (NTRS)

1999-01-01

During a Crew Equipment Interface Test (CEIT), members of the STS-103 crew check out a portable foot restraint on the Flight Support System that will be used on the mission, repairing the Hubble Space Telescope. The seven-member crew comprises Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

STS-103 MS Clervoy tries on oxygen mask

NASA Technical Reports Server (NTRS)

1999-01-01

In the bunker at Launch Pad 39B, STS-103 Mission Specialist Jean-Frangois Clervoy of France, who is with the European Space Agency (ESA), tries on an oxygen mask during Terminal Countdown Demonstration Test (TCDT) activities. The TCDT provides the crew with emergency egress training, opportunities to inspect their mission payloads in the orbiter's payload bay, and simulated countdown exercises. Other crew members taking part are Commander Curtis L. Brown Jr. and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), plus Claude Nicollier of Switzerland, who is also with ESA. STS-103 is a 'call-up' mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST.

STS-103 crew take part in CEIT

NASA Technical Reports Server (NTRS)

1999-01-01

In the Payload Hazardous Servicing Facility, members of the STS-103 crew get instructions on use of rib clamps for the Shield Shell Replacement Fabric (SSRF) task on repair of the Hubble Space Telescope. The seven-member crew are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

STS-103 crew take part in CEIT

NASA Technical Reports Server (NTRS)

1999-01-01

In the Payload Hazardous Servicing Facility, members of the STS-103 crew look at some of the equipment to be used during their mission. The seven-member crew are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-Frangois Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a 'call-up' due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review.

KSC-99pp1098

NASA Image and Video Library

1999-09-02

During a Crew Equipment Interface Test (CEIT), members of the STS-103 crew check out a portable foot restraint on the Flight Support System that will be used on the mission, repairing the Hubble Space Telescope. The seven-member crew comprises Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D), Claude Nicollier of Switzerland, and Jean-François Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a "call-up" due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review

KSC-99pp1332

NASA Image and Video Library

1999-11-16

In the bunker at Launch Pad 39B, STS-103 Pilot Scott J. Kelly (left) and Mission Specialist John M. Grunsfeld (Ph.D.) (right) try on oxygen masks during Terminal Countdown Demonstration Test (TCDT) activities. The TCDT provides the crew with emergency egress training, opportunities to inspect their mission payloads in the orbiter's payload bay, and simulated countdown exercises. Other crew members taking part are Commander Curtis L. Brown Jr. and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), and Jean-François Clervoy of France and Claude Nicollier of Switzerland, who are with the European Space Agency. STS-103 is a "call-up" mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST

KSC-99pp1089

NASA Image and Video Library

1999-09-02

In the Payload Hazardous Servicing Facility, members of the STS-103 crew look at some of the equipment to be used during their mission. The seven-member crew are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-François Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a "call-up" due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review

KSC-99pp1342

NASA Image and Video Library

1999-11-17

Taking a break during emergency egress training at Launch Pad 39B are (left to right) STS-103 Mission Specialists Jean-François Clervoy of France, Claude Nicollier of Switzerland, Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists John M. Grunsfeld (Ph.D.), C. Michael Foale (Ph.D.) and Steven L. Smith. Clervoy and Nicollier are with the European Space Agency. The training is part of Terminal Countdown Demonstration Test (TCDT) activities that also include opportunities to inspect the mission payloads in the orbiter's payload bay and simulated countdown exercises. STS-103 is a "call-up" mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST

KSC-99pp1086

NASA Image and Video Library

1999-09-02

In the Payload Hazardous Servicing Facility, the STS-103 crew look over equipment to be used during their mission. The seven-member crew, taking part in a Crew Equipment Interface Test, are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-François Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a "call-up" due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor and an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review

KSC-99pp1347

NASA Image and Video Library

1999-11-17

STS-103 Mission Commander Curtis L. Brown Jr. sits inside orbiter Discovery waiting for the start of a simulated countdown exercise. The simulation is part of Terminal Countdown Demonstration Test (TCDT) activities. The TCDT also provides the crew with emergency egress training and opportunities to inspect their mission payload in the orbiter's payload bay. Other crew members taking part in the TCDT are Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Jean-François Clervoy of France, and Claude Nicollier of Switzerland. Clervoy and Nicollier are with the European Space Agency. STS-103 is a "call-up" mission due to the need to replace and repair portions of the Hubble Space Telescope, including the gyroscopes that allow the telescope to point at stars, galaxies and planets. The STS-103 crew will be replacing a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid-state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. Four EVA's are planned to make the necessary repairs and replacements on the telescope. The mission is targeted for launch Dec. 6 at 2:37 a.m. EST

KSC-99pp1088

NASA Image and Video Library

1999-09-02

In the Payload Hazardous Servicing Facility, members of the STS-103 crew get instructions on use of rib clamps for the Shield Shell Replacement Fabric (SSRF) task on repair of the Hubble Space Telescope. The seven-member crew are Commander Curtis L. Brown Jr., Pilot Scott J. Kelly, and Mission Specialists Steven L. Smith, C. Michael Foale (Ph.D.), John M. Grunsfeld (Ph.D.), Claude Nicollier of Switzerland, and Jean-François Clervoy of France. Nicollier and Clervoy are with the European Space Agency. Mission STS-103 is a "call-up" due to the need to replace portions of the pointing system, the gyros, which have begun to fail on the Hubble Space Telescope. Although Hubble is operating normally and conducting its scientific observations, only three of its six gyroscopes are working properly. The gyroscopes allow the telescope to point at stars, galaxies and planets. The STS-103 crew will not only replace gyroscopes, it will also replace a Fine Guidance Sensor, an older computer with a new enhanced model, an older data tape recorder with a solid state digital recorder, a failed spare transmitter with a new one, and degraded insulation on the telescope with new thermal insulation. The crew will also install a Battery Voltage/Temperature Improvement Kit to protect the spacecraft batteries from overcharging and overheating when the telescope goes into a safe mode. The scheduled launch date in October is under review

Characterization of fish sauce aroma-impact compounds using GC-MS, SPME-Osme-GCO, and Stevens' power law exponents.

PubMed

Pham, A J; Schilling, M W; Yoon, Y; Kamadia, V V; Marshall, D L

2008-05-01

The objectives of this study were to characterize volatile compounds and to determine the characteristic aromas associated with impact compounds in 4 fish sauces using solid-phase micro-extraction, gas chromatography-mass spectrometry, Osme, and gas chromatography olfactometry (SPME-Osme-GCO) coupled with Stevens' Power Law. Compounds were separated using GCMS and GCO and were identified with the mass spectral database, aroma perceived at the sniffing port, retention indices, and verification of compounds by authentic standards in the GCMS and GCO. Aromas that were isolated and present in all 4 fish sauce samples at all concentrations included fishy (trimethylamine), pungent and dirty socks (combination of butanoic, pentanoic, hexanoic, and heptanoic acids), cooked rice and buttery popcorn (2,6-dimethyl pyrazine), and sweet and cotton candy (benzaldehyde). All fish sauces contained the same aromas as determined by GCO and GCMS (verified using authentic standard compounds), but the odor intensity associated with each compound or group of compounds was variable for different fish sauce samples. Stevens' Power Law exponents were also determined using this analytical technique, but exponents were not consistent for the same compounds that were found in all fish sauces. Stevens' Power Law exponents ranged from 0.14 to 0.37, 0.24 to 0.34, 0.09 to 0.21, and 0.10 to 0.35 for dirty socks, fishy, buttery popcorn, and sweet aromas, respectively. This demonstrates that there is variability in Stevens' Power Law exponents for odorants within fish sauce samples.