future central receiver: Topics by Science.gov

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Review and future perspective of central receiver design and performance

NASA Astrophysics Data System (ADS)

Zhu, Guangdong; Libby, Cara

2017-06-01

Concentrating solar power (CSP) technology provides a commercial solar option to the utility-scale electricity market. CSP is unique in its ability to include low-cost thermal storage; thus, it can generate electricity when the sun is not available and dispatch electricity to meet varying load requirements. Within the suite of CSP technologies, the central receiver design represents the state-of-the-art technology, promising low cost, high performance, and dispatchable energy production. Current total capacity of central receiver plants worldwide is about 1.0 gigawatt (electric) with operating plants in Spain and the United States, as well as projects under construction in Asia, the Middle East, and North Africa. Central receiver technology has been under development since the 1950s, and a variety of central receiver designs have been explored. A distinguishing feature is the heat transfer medium. Central receiver designs exist that use dense fluids, gases, and solid particles in this role. Water/steam and molten salt receivers have been adopted in current commercial plants and are often coupled with a steam-Rankine power cycle with an operating temperature of less than 600°C. Many new central receiver concepts, such as the volumetric air, supercritical carbon dioxide (sCO2), solid particle, and liquid-metal receiver designs, are under active research and development (R&D). New designs target operating temperatures generally higher than 700°C-800°C—and even above 1000°C—so that higher-performance power cycles such as the sCO2-Brayton cycle or air-Brayton/steam-Rankine combined cycle can be used to promote greater overall system efficiency. Central receiver thermal storage provides dispatchability unavailable from variable-output renewables such as solar photovoltaic and wind power. Case study analysis of the California grid shows that there is a limit on the amount of non-dispatchable renewable generation that the grid can accommodate, beyond which overgeneration, spillage, and instability may occur. Energy storage may well become a necessity in some areas in order to maintain reliability. Next-generation central receiver technologies will have higher operating temperatures and additional features that allow higher-efficiency power generation and deliver other cost-performance advantages. The underlying innovations will come from areas such as multi-physics modeling, high-temperature materials, novel power cycles and heat exchanger designs, and collector field sensing and performance monitoring technologies. Technology innovation is expected to improve the cost and performance of central receiver designs. To deliver value as a generation and storage option, central receiver technology must also be supported by flexible and robust financial models and comprehensive energy and ancillary service markets justifying the capital-intensive investment. Progress in these areas will position CSP central receiver technology for future deployment.
Review and Future Perspective of Central Receiver Design and Performance

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

Zhu, Guangdong; Libby, Cara

Concentrating solar power (CSP) technology provides a commercial solar option to the utility-scale electricity market. CSP is unique in its ability to include low-cost thermal storage; thus, it can generate electricity when the sun is not available and dispatch electricity to meet varying load requirements. Within the suite of CSP technologies, the central receiver design represents the state-of-the-art technology, promising low cost, high performance, and dispatchable energy production. Current total capacity of central receiver plants worldwide is about 1.0 gigawatt (electric) with operating plants in Spain and the United States, as well as projects under construction in Asia, the Middlemore » East, and North Africa. Central receiver technology has been under development since the 1950s, and a variety of central receiver designs have been explored. A distinguishing feature is the heat transfer medium. Central receiver designs exist that use dense fluids, gases, and solid particles in this role. Water/steam and molten salt receivers have been adopted in current commercial plants and are often coupled with a steam-Rankine power cycle with an operating temperature of less than 600 degrees C. Many new central receiver concepts, such as the volumetric air, supercritical carbon dioxide (sCO2), solid particle, and liquid-metal receiver designs, are under active research and development (R&D). New designs target operating temperatures generally higher than 700 degrees C-800 degrees C -- and even above 1000 degrees C -- so that higher-performance power cycles such as the sCO2-Brayton cycle or air-Brayton/steam-Rankine combined cycle can be used to promote greater overall system efficiency. Central receiver thermal storage provides dispatchability unavailable from variable-output renewables such as solar photovoltaic and wind power. Case study analysis of the California grid shows that there is a limit on the amount of non-dispatchable renewable generation that the grid can accommodate, beyond which overgeneration, spillage, and instability may occur. Energy storage may well become a necessity in some areas in order to maintain reliability. Next-generation central receiver technologies will have higher operating temperatures and additional features that allow higher-efficiency power generation and deliver other cost-performance advantages. The underlying innovations will come from areas such as multi-physics modeling, high-temperature materials, novel power cycles and heat exchanger designs, and collector field sensing and performance monitoring technologies. Technology innovation is expected to improve the cost and performance of central receiver designs. To deliver value as a generation and storage option, central receiver technology must also be supported by flexible and robust financial models and comprehensive energy and ancillary service markets justifying the capital-intensive investment. Progress in these areas will position CSP central receiver technology for future deployment.« less
Toward large-scale solar energy systems with peak concentrations of 20,000 suns

NASA Astrophysics Data System (ADS)

Kribus, Abraham

1997-10-01

The heliostat field plays a crucial role in defining the achievable limits for central receiver system efficiency and cost. Increasing system efficiency, thus reducing the reflective area and system cost, can be achieved by increasing the concentration and the receiver temperature. The concentration achievable in central receiver plants, however, is constrained by current heliostat technology and design practices. The factors affecting field performance are surface and tracking errors, astigmatism, shadowing, blocking and dilution. These are geometric factors that can be systematically treated and reduced. We present improvements in collection optics and technology that may boost concentration (up to 20,000 peak), achievable temperature (2,000 K), and efficiency in solar central receiver plants. The increased performance may significantly reduce the cost of solar energy in existing applications, and enable solar access to new ultra-high-temperature applications, such as: future gas turbines approaching 60% combined cycle efficiency; high-temperature thermo-chemical processes; and gas-dynamic processes.
Performance comparison of different thermodynamic cycles for an innovative central receiver solar power plant

NASA Astrophysics Data System (ADS)

Reyes-Belmonte, Miguel A.; Sebastián, Andrés; González-Aguilar, José; Romero, Manuel

2017-06-01

The potential of using different thermodynamic cycles coupled to a solar tower central receiver that uses a novel heat transfer fluid is analyzed. The new fluid, named as DPS, is a dense suspension of solid particles aerated through a tubular receiver used to convert concentrated solar energy into thermal power. This novel fluid allows reaching high temperatures at the solar receiver what opens a wide range of possibilities for power cycle selection. This work has been focused into the assessment of power plant performance using conventional, but optimized cycles but also novel thermodynamic concepts. Cases studied are ranging from subcritical steam Rankine cycle; open regenerative Brayton air configurations at medium and high temperature; combined cycle; closed regenerative Brayton helium scheme and closed recompression supercritical carbon dioxide Brayton cycle. Power cycle diagrams and working conditions for design point are compared amongst the studied cases for a common reference thermal power of 57 MWth reaching the central cavity receiver. It has been found that Brayton air cycle working at high temperature or using supercritical carbon dioxide are the most promising solutions in terms of efficiency conversion for the power block of future generation by means of concentrated solar power plants.
Design and Validation of Assessment Tests for Young Children in Zambia

ERIC Educational Resources Information Center

Matafwali, Beatrice; Serpell, Robert

2014-01-01

Early childhood education has received unprecedented attention among African policymakers in recent years, recognizing that the early years form an important foundation upon which later development is anchored and noting evidence that various Early Childhood Development (ECD) indicators are predictive of future academic success. Central to the…
Examining Primary Pre-Service Teachers' Perspectives on Teaching Practice Courses

ERIC Educational Resources Information Center

Basturk, Savas

2016-01-01

The courses "school experience" and "teaching practice" are undoubtedly among the central courses to be received by pre-service teachers who will be future teachers. Through them, pre-service teachers obtain the realistic information about their profession. Therefore, the aim of this study was to examine pre-service teachers'…
Projected climate impacts for the amphibians of the western hemisphere

USGS Publications Warehouse

Lawler, Joshua J.; Shafer, Sarah L.; Bancroft, Betsy A.; Blaustein, Andrew R.

2010-01-01

Given their physiological requirements, limited dispersal abilities, and hydrologically sensitive habitats, amphibians are likely to be highly sensitive to future climatic changes. We used three approaches to map areas in the western hemisphere where amphibians are particularly likely to be affected by climate change. First, we used bioclimatic models to project potential climate-driven shifts in the distribution of 413 amphibian species based on 20 climate simulations for 2071–2100. We summarized these projections to produce estimates of species turnover. Second, we mapped the distribution of 1099 species with restricted geographic ranges. Finally, using the 20 future climate-change simulations, we mapped areas that were consistently projected to receive less seasonal precipitation in the coming century and thus were likely to have altered microclimates and local hydrologies. Species turnover was projected to be highest in the Andes Mountains and parts of Central America and Mexico, where, on average, turnover rates exceeded 60% under the lower of two emissions scenarios. Many of the restricted-range species not included in our range-shift analyses were concentrated in parts of the Andes and Central America and in Brazil's Atlantic Forest. Much of Central America, southwestern North America, and parts of South America were consistently projected to experience decreased precipitation by the end of the century. Combining the results of the three analyses highlighted several areas in which amphibians are likely to be significantly affected by climate change for multiple reasons. Portions of southern Central America were simultaneously projected to experience high species turnover, have many additional restricted-range species, and were consistently projected to receive less precipitation. Together, our three analyses form one potential assessment of the geographic vulnerability of amphibians to climate change and as such provide broad-scale guidance for directing conservation efforts.
Projected climate impacts for the amphibians of the Western hemisphere.

PubMed

Lawler, Joshua J; Shafer, Sarah L; Bancroft, Betsy A; Blaustein, Andrew R

2010-02-01

Given their physiological requirements, limited dispersal abilities, and hydrologically sensitive habitats, amphibians are likely to be highly sensitive to future climatic changes. We used three approaches to map areas in the western hemisphere where amphibians are particularly likely to be affected by climate change. First, we used bioclimatic models to project potential climate-driven shifts in the distribution of 413 amphibian species based on 20 climate simulations for 2071-2100. We summarized these projections to produce estimates of species turnover. Second, we mapped the distribution of 1099 species with restricted geographic ranges. Finally, using the 20 future climate-change simulations, we mapped areas that were consistently projected to receive less seasonal precipitation in the coming century and thus were likely to have altered microclimates and local hydrologies. Species turnover was projected to be highest in the Andes Mountains and parts of Central America and Mexico, where, on average, turnover rates exceeded 60% under the lower of two emissions scenarios. Many of the restricted-range species not included in our range-shift analyses were concentrated in parts of the Andes and Central America and in Brazil's Atlantic Forest. Much of Central America, southwestern North America, and parts of South America were consistently projected to experience decreased precipitation by the end of the century. Combining the results of the three analyses highlighted several areas in which amphibians are likely to be significantly affected by climate change for multiple reasons. Portions of southern Central America were simultaneously projected to experience high species turnover, have many additional restricted-range species, and were consistently projected to receive less precipitation. Together, our three analyses form one potential assessment of the geographic vulnerability of amphibians to climate change and as such provide broad-scale guidance for directing conservation efforts.
Contribution of past and future self-defining event networks to personal identity.

PubMed

Demblon, Julie; D'Argembeau, Arnaud

2017-05-01

Personal identity is nourished by memories of significant past experiences and by the imagination of meaningful events that one anticipates to happen in the future. The organisation of such self-defining memories and prospective thoughts in the cognitive system has received little empirical attention, however. In the present study, our aims were to investigate to what extent self-defining memories and future projections are organised in networks of related events, and to determine the nature of the connections linking these events. Our results reveal the existence of self-defining event networks, composed of both memories and future events of similar centrality for identity and characterised by similar identity motives. These self-defining networks expressed a strong internal coherence and frequently organised events in meaningful themes and sequences (i.e., event clusters). Finally, we found that the satisfaction of identity motives in represented events and the presence of clustering across events both contributed to increase in the perceived centrality of events for the sense of identity. Overall, these findings suggest that personal identity is not only nourished by representations of significant past and future events, but also depends on the formation of coherent networks of related events that provide an overarching meaning to specific life experiences.
Topographic, latitudinal and climatic distribution of Pinus coulteri: geographic range limits are not at the edge of the climate envelope

USGS Publications Warehouse

Chardon, Nathalie I.; Cornwell, William K.; Flint, Lorraine E.; Flint, Alan L.; Ackerly, David D.

2015-01-01

With changing climate, many species are projected to move poleward or to higher elevations to track suitable climates. The prediction that species will move poleward assumes that geographically marginal populations are at the edge of the species' climatic range. We studied Pinus coulteri from the center to the northern (poleward) edge of its range, and examined three scenarios regarding the relationship between the geographic and climatic margins of a species' range. We used herbarium and iNaturalist.org records to identify P. coulteri sites, generated a species distribution model based on temperature, precipitation, climatic water deficit, and actual evapotranspiration, and projected suitability under future climate scenarios. In fourteen populations from the central to northern portions of the range, we conducted field studies and recorded elevation, slope and aspect (to estimate solar insolation) to examine relationships between local and regional distributions. We found that northern populations of P. coulteri do not occupy the cold or wet edge of the species' climatic range; mid-latitude, high elevation populations occupy the cold margin. Aspect and insolation of P. coulteri populations changed significantly across latitudes and elevations. Unexpectedly, northern, low-elevation stands occupy north-facing aspects and receive low insolation, while central, high-elevation stands grow on more south-facing aspects that receive higher insolation. Modeled future climate suitability is projected to be highest in the central, high elevation portion of the species range, and in low-lying coastal regions under some scenarios, with declining suitability in northern areas under most future scenarios. For P. coulteri, the lack of high elevation habitat combined with a major dispersal barrier may limit northward movement in response to a warming climate. Our analyses demonstrate the importance of distinguishing geographically vs. climatically marginal populations, and the importance of quantitative analysis of the realized climate space to understand species range limits.
A digital-receiver for the MurchisonWidefield Array

NASA Astrophysics Data System (ADS)

Prabu, Thiagaraj; Srivani, K. S.; Roshi, D. Anish; Kamini, P. A.; Madhavi, S.; Emrich, David; Crosse, Brian; Williams, Andrew J.; Waterson, Mark; Deshpande, Avinash A.; Shankar, N. Udaya; Subrahmanyan, Ravi; Briggs, Frank H.; Goeke, Robert F.; Tingay, Steven J.; Johnston-Hollitt, Melanie; R, Gopalakrishna M.; Morgan, Edward H.; Pathikulangara, Joseph; Bunton, John D.; Hampson, Grant; Williams, Christopher; Ord, Stephen M.; Wayth, Randall B.; Kumar, Deepak; Morales, Miguel F.; deSouza, Ludi; Kratzenberg, Eric; Pallot, D.; McWhirter, Russell; Hazelton, Bryna J.; Arcus, Wayne; Barnes, David G.; Bernardi, Gianni; Booler, T.; Bowman, Judd D.; Cappallo, Roger J.; Corey, Brian E.; Greenhill, Lincoln J.; Herne, David; Hewitt, Jacqueline N.; Kaplan, David L.; Kasper, Justin C.; Kincaid, Barton B.; Koenig, Ronald; Lonsdale, Colin J.; Lynch, Mervyn J.; Mitchell, Daniel A.; Oberoi, Divya; Remillard, Ronald A.; Rogers, Alan E.; Salah, Joseph E.; Sault, Robert J.; Stevens, Jamie B.; Tremblay, S.; Webster, Rachel L.; Whitney, Alan R.; Wyithe, Stuart B.

2015-03-01

An FPGA-based digital-receiver has been developed for a low-frequency imaging radio interferometer, the Murchison Widefield Array (MWA). The MWA, located at the Murchison Radio-astronomy Observatory (MRO) in Western Australia, consists of 128 dual-polarized aperture-array elements (tiles) operating between 80 and 300 MHz, with a total processed bandwidth of 30.72 MHz for each polarization. Radio-frequency signals from the tiles are amplified and band limited using analog signal conditioning units; sampled and channelized by digital-receivers. The signals from eight tiles are processed by a single digital-receiver, thus requiring 16 digital-receivers for the MWA. The main function of the digital-receivers is to digitize the broad-band signals from each tile, channelize them to form the sky-band, and transport it through optical fibers to a centrally located correlator for further processing. The digital-receiver firmware also implements functions to measure the signal power, perform power equalization across the band, detect interference-like events, and invoke diagnostic modes. The digital-receiver is controlled by high-level programs running on a single-board-computer. This paper presents the digital-receiver design, implementation, current status, and plans for future enhancements.
Thermal Storage Applications Workshop. Volume 1: Plenary Session Analysis

NASA Technical Reports Server (NTRS)

1979-01-01

The importance of the development of inexpensive and efficient thermal and thermochemical energy storage technology to the solar power program is discussed in a summary of workship discussions held to exchange information and plan for future systems. Topics covered include storage in central power applications such as the 10 MW-e demonstration pilot receiver to be constructed in Barstow, California; storage for small dispersed systems, and problems associated with the development of storage systems for solar power plants interfacing with utility systems.
Severe Central Sleep Apnea Associated With Chronic Baclofen Therapy: A Case Series.

PubMed

Olivier, Pierre-Yves; Joyeux-Faure, Marie; Gentina, Thibaut; Launois, Sandrine H; d'Ortho, Marie Pia; Pépin, Jean-Louis; Gagnadoux, Frédéric

2016-05-01

Baclofen, a gamma-aminobutyric acid-B agonist with muscle-relaxant properties, is widely used in patients with severe spasticity. In animals, baclofen has been shown to decrease respiratory drive. In humans, however, use of baclofen at the standard dose did not significantly impair sleep-disordered breathing in a susceptible population of snorers. Recently, there has been increasing interest in the role of baclofen for the treatment of alcohol dependence. We describe severe central sleep apnea (CSA) in four patients with none of the conditions commonly associated with CSA who were receiving chronic baclofen therapy for alcohol withdrawal. In one patient, baclofen withdrawal was associated with a complete resolution of CSA. Three patients were treated by adaptive servo-ventilation while continuing their treatment with baclofen. Given the increasing number of patients receiving baclofen for alcohol withdrawal treatment, physicians should be aware that these patients might be affected by severe CSA. Future studies are required to determine the mechanisms, prevalence, and treatment modalities of sleep-disordered breathing associated with baclofen usage. Copyright © 2016 American College of Chest Physicians. Published by Elsevier Inc. All rights reserved.
Rural GRATEFUL MED outreach: project results, impact, and future needs.

PubMed Central

Dorsch, J L; Landwirth, T K

1993-01-01

The Library of the Health Sciences-Peoria (LHS-Peoria), located at a regional site of the University of Illinois College of Medicine, conducted an eighteen-month GRATEFUL MED outreach project funded by the National Library of Medicine. The project was designed to enhance information services for health professionals at eight underserved rural hospitals in west central Illinois. One hundred rural health professionals, mainly nonphysicians, received GRATEFUL MED training at these hospitals; LHS delivered more than 350 documents to the trainees. In this paper, investigators describe the project and its goals and discuss results and their evaluation, from both individual and institutional perspectives. Outcome is examined in the context of future outreach plans, both at LHS and elsewhere. PMID:8251973
Central venous catheter infection-related glomerulonephritis under long-term parenteral nutrition: a report of two cases.

PubMed

Okada, Mari; Sato, Mai; Ogura, Masao; Kamei, Koichi; Matsuoka, Kentaro; Ito, Shuichi

2016-03-31

Advances in long-term parenteral nutrition via indwelling central venous catheter have improved the quality of life and mortality in patients with life-threatening gastrointestinal diseases complicated with severely impaired absorption. However, infection to central venous catheter is still a common and critical complication for such patients. We encountered two patients under long-term parenteral nutrition who developed glomerulonephritis associated with central venous catheter infection. Persistent bacterial infection in indwelling medical devices placed in the blood-stream such as a ventricular-atrial shunt is known to cause glomerulonephritis, a condition termed shunt nephritis. We reported the clinical manifestations, treatment and their pathological findings in the two patients with glomerulonephritis associated with central venous catheter infection. Both patients suffered from megacystis microcolon intestinal hypoperistalsis syndrome, a form of pseudo-Hirschsprung's disease. They had been receiving home parenteral nutrition via central venous catheter because of severe malabsorption. They presented proteinuria, hematuria, hypocomplementemia and positive PR3-antineutrophilic cytoplasmic antibody accompanied by Staphylococcus epidermidis infection in the central venous catheter. Their renal biopsy revealed membranoproliferative glomerulonephritis with positive C3 deposition. One of them recovered completely following the removal of catheter and administration of antibiotics, while another did not respond to the treatments. We then treated her with methylprednisolone pulse therapy followed by prednisolone. She responded well, and achieved complete remission. As central venous catheter infection-related glomerulonephritis has a similar etiology to shunt nephritis, removal of the catheter and administration of antibiotics is fundamental to the treatment. If a patient is resistant to such conventional therapy, additional steroid and/or immunosuppressive agent could be considered. Although the number of patients with classical shunt nephritis is decreasing since the ventricular-peritoneal shunt has become became the major procedure for hydrocephalus, central venous catheter infection-related glomerulonephritis may increase in the future due to a marked increase in the number of patients receiving long-term parenteral nutrition. Routine urinalysis should be considered in such patients for early detection of central venous catheter infection-related glomerulonephritis.
Pulmonary embolism as a complication of long-term total parenteral nutrition.

PubMed

Mailloux, R J; DeLegge, M H; Kirby, D F

1993-01-01

Although much has been written concerning the complications of long-term total parenteral nutrition, little or no mention of pulmonary embolism is made in the literature. We present two patients maintained on home total parenteral nutrition who suffered pulmonary emboli, one while receiving standard heparin therapy. No potential source other than their indwelling total parenteral nutrition catheter was identified. Studies have revealed catheter-related thrombosis in up to 50% of patients with indwelling central venous catheters. Although early surgical literature suggested that upper extremity deep vein thromboses rarely embolize, more recent investigations have proven this false. In fact, the risk of pulmonary emboli appeared to be greatest in those thrombi that were catheter related. Because of this risk, we suggest a hypercoaguable work-up in any patient with a history of recurrent thrombosis. Heparin is central to the current preventive regimens; however, further study is needed to determine the most efficacious dose. Future development of less thrombogenic catheters will also be of assistance. Thrombolytic agents currently have an expanding role in the treatment of thrombotic complications. Whether they will have a future role in prevention remains unknown.
Hearing loss and the central auditory system: Implications for hearing aids

NASA Astrophysics Data System (ADS)

Frisina, Robert D.

2003-04-01

Hearing loss can result from disorders or damage to the ear (peripheral auditory system) or the brain (central auditory system). Here, the basic structure and function of the central auditory system will be highlighted as relevant to cases of permanent hearing loss where assistive devices (hearing aids) are called for. The parts of the brain used for hearing are altered in two basic ways in instances of hearing loss: (1) Damage to the ear can reduce the number and nature of input channels that the brainstem receives from the ear, causing plasticity of the central auditory system. This plasticity may partially compensate for the peripheral loss, or add new abnormalities such as distorted speech processing or tinnitus. (2) In some situations, damage to the brain can occur independently of the ear, as may occur in cases of head trauma, tumors or aging. Implications of deficits to the central auditory system for speech perception in noise, hearing aid use and future innovative circuit designs will be provided to set the stage for subsequent presentations in this special educational session. [Work supported by NIA-NIH Grant P01 AG09524 and the International Center for Hearing & Speech Research, Rochester, NY.
Fiber optic interconnect and optoelectronic packaging challenges for future generation avionics

NASA Astrophysics Data System (ADS)

Beranek, Mark W.

2007-02-01

Forecasting avionics industry fiber optic interconnect and optoelectronic packaging challenges that lie ahead first requires an assumption that military avionics architectures will evolve from today's centralized/unified concept based on gigabit laser, optical-to-electrical-to-optical switching and optical backplane technology, to a future federated/distributed or centralized/unified concept based on gigabit tunable laser, electro-optical switch and add-drop wavelength division multiplexing (WDM) technology. The requirement to incorporate avionics optical built-in test (BIT) in military avionics fiber optic systems is also assumed to be correct. Taking these assumptions further indicates that future avionics systems engineering will use WDM technology combined with photonic circuit integration and advanced packaging to form the technical basis of the next generation military avionics onboard local area network (LAN). Following this theme, fiber optic cable plants will evolve from today's multimode interconnect solution to a single mode interconnect solution that is highly installable, maintainable, reliable and supportable. Ultimately optical BIT for fiber optic fault detection and isolation will be incorporated as an integral part of a total WDM-based avionics LAN solution. Cost-efficient single mode active and passive photonic component integration and packaging integration is needed to enable reliable operation in the harsh military avionics application environment. Rugged multimode fiber-based transmitters and receivers (transceivers) with in-package optical BIT capability are also needed to enable fully BIT capable single-wavelength fiber optic links on both legacy and future aerospace platforms.
Solar central receiver reformer system for ammonia plants

NASA Astrophysics Data System (ADS)

1980-07-01

An overview of a study to retrofit the Valley Nitrogen Producers, Inc., El Centro, California 600 ST/SD Ammonia Plant with Solar Central Receiver Technology is presented. The retrofit system consists of a solar central receiver reformer (SCRR) operating in parallel with the existing fossil fired reformer. Steam and hydrocarbon react in the catalyst filled tubes of the inner cavity receiver to form a hydrogen rich mixture which is the syngas feed for the ammonia production. The SCRR system will displace natural gas presently used in the fossil reformer combustion chamber.
Validation results of the IAG Dancer project for distributed GPS analysis

NASA Astrophysics Data System (ADS)

Boomkamp, H.

2012-12-01

The number of permanent GPS stations in the world has grown far too large to allow processing of all this data at analysis centers. The majority of these GPS sites do not even make their observation data available to the analysis centers, for various valid reasons. The current ITRF solution is still based on centralized analysis by the IGS, and subsequent densification of the reference frame via regional network solutions. Minor inconsistencies in analysis methods, software systems and data quality imply that this centralized approach is unlikely to ever reach the ambitious accuracy objectives of GGOS. The dependence on published data also makes it clear that a centralized approach will never provide a true global ITRF solution for all GNSS receivers in the world. If the data does not come to the analysis, the only alternative is to bring the analysis to the data. The IAG Dancer project has implemented a distributed GNSS analysis system on the internet in which each receiver can have its own analysis center in the form of a freely distributed JAVA peer-to-peer application. Global parameters for satellite orbits, clocks and polar motion are solved via a distributed least squares solution among all participating receivers. A Dancer instance can run on any computer that has simultaneous access to the receiver data and to the public internet. In the future, such a process may be embedded in the receiver firmware directly. GPS network operators can join the Dancer ITRF realization without having to publish their observation data or estimation products. GPS users can run a Dancer process without contributing to the global solution, to have direct access to the ITRF in near real-time. The Dancer software has been tested on-line since late 2011. A global network of processes has gradually evolved to allow stabilization and tuning of the software in order to reach a fully operational system. This presentation reports on the current performance of the Dancer system, and demonstrates the obvious benefits of distributed analysis of geodetic data in general. IAG Dancer screenshot

Monitoring of manufacturing processes in the automotive industry using indoor location system

NASA Astrophysics Data System (ADS)

Ionescu, LM; Belu, N.; Rachieru, N.; Mazăre, AG; Anghel, D.-C.

2016-08-01

This paper presents a method for locating the operators, equipment and parts using radio communications systems. Specifically there will be radio transceiver arranged in a network of active and passive radio receivers placed on personnel, equipment or parts. Based on a radio triangulation method, it is determined the location of the all resources and parts involved in manufacturing process. The transceivers communicate with each other via “routers” - also components of the network. Such a structure may extend over large distances even in indoor spaces where there are obstacles (walls between rooms). The location is done by determining the power of transmission signal for at least three end points. The receiver position is then transmitted over the network through routers, to a central server where all positions of the resources are centralized. Our solution is a non-invasive and low cost method for determining resource position in the factory. The system can be used for both resource planning production for current process more efficient and for further analysis of the movement of resources during previous processes with possible adjustments to the workspace and re-planning of resources for future processes.
United States Department of Energy solar receiver technology development

NASA Astrophysics Data System (ADS)

Klimas, P. C.; Diver, R. B.; Chavez, J. M.

The United States Department of Energy (DOE), through Sandia National Laboratories, has been conducting a Solar Thermal Receiver Technology Development Program, which maintains a balance between analytical modeling, bench and small scale testing, and experimentation conducted at scales representative of commercially-sized equipment. Central receiver activities emphasize molten salt-based systems on large scales and volumetric devices in the modeling and small scale testing. These receivers are expected to be utilized in solar power plants rated between 100 and 200 MW. Distributed receiver research focuses on liquid metal refluxing devices. These are intended to mate parabolic dish concentrators with Stirling cycle engines in the 5 to 25 kW(sub e) power range. The effort in the area of volumetric receivers is less intensive and highly cooperative in nature. A ceramic foam absorber of Sandia design was successfully tested on the 200 kW(sub t) test bed at Plataforma Solar during 1989. Material integrity during the approximately 90-test series was excellent. Significant progress has been made with parabolic dish concentrator-mounted receivers using liquid metals (sodium or a potassium/sodium mixture) as heat transport media. Sandia has successfully solar-tested a pool boiling reflux receiver sized to power a 25 kW Stirling engine. Boiling stability and transient operation were both excellent. This document describes these activities in detail and will outline plans for future development.
A Real-Time Capable Software-Defined Receiver Using GPU for Adaptive Anti-Jam GPS Sensors

PubMed Central

Seo, Jiwon; Chen, Yu-Hsuan; De Lorenzo, David S.; Lo, Sherman; Enge, Per; Akos, Dennis; Lee, Jiyun

2011-01-01

Due to their weak received signal power, Global Positioning System (GPS) signals are vulnerable to radio frequency interference. Adaptive beam and null steering of the gain pattern of a GPS antenna array can significantly increase the resistance of GPS sensors to signal interference and jamming. Since adaptive array processing requires intensive computational power, beamsteering GPS receivers were usually implemented using hardware such as field-programmable gate arrays (FPGAs). However, a software implementation using general-purpose processors is much more desirable because of its flexibility and cost effectiveness. This paper presents a GPS software-defined radio (SDR) with adaptive beamsteering capability for anti-jam applications. The GPS SDR design is based on an optimized desktop parallel processing architecture using a quad-core Central Processing Unit (CPU) coupled with a new generation Graphics Processing Unit (GPU) having massively parallel processors. This GPS SDR demonstrates sufficient computational capability to support a four-element antenna array and future GPS L5 signal processing in real time. After providing the details of our design and optimization schemes for future GPU-based GPS SDR developments, the jamming resistance of our GPS SDR under synthetic wideband jamming is presented. Since the GPS SDR uses commercial-off-the-shelf hardware and processors, it can be easily adopted in civil GPS applications requiring anti-jam capabilities. PMID:22164116
A real-time capable software-defined receiver using GPU for adaptive anti-jam GPS sensors.

PubMed

Seo, Jiwon; Chen, Yu-Hsuan; De Lorenzo, David S; Lo, Sherman; Enge, Per; Akos, Dennis; Lee, Jiyun

2011-01-01

Due to their weak received signal power, Global Positioning System (GPS) signals are vulnerable to radio frequency interference. Adaptive beam and null steering of the gain pattern of a GPS antenna array can significantly increase the resistance of GPS sensors to signal interference and jamming. Since adaptive array processing requires intensive computational power, beamsteering GPS receivers were usually implemented using hardware such as field-programmable gate arrays (FPGAs). However, a software implementation using general-purpose processors is much more desirable because of its flexibility and cost effectiveness. This paper presents a GPS software-defined radio (SDR) with adaptive beamsteering capability for anti-jam applications. The GPS SDR design is based on an optimized desktop parallel processing architecture using a quad-core Central Processing Unit (CPU) coupled with a new generation Graphics Processing Unit (GPU) having massively parallel processors. This GPS SDR demonstrates sufficient computational capability to support a four-element antenna array and future GPS L5 signal processing in real time. After providing the details of our design and optimization schemes for future GPU-based GPS SDR developments, the jamming resistance of our GPS SDR under synthetic wideband jamming is presented. Since the GPS SDR uses commercial-off-the-shelf hardware and processors, it can be easily adopted in civil GPS applications requiring anti-jam capabilities.
Impact of Aerosols on Atmospheric Attenuation Loss in Central Receiver Systems: Preprint

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

Sengupta, M.; Wagner, M. J.

2011-08-01

Atmospheric attenuation loss between the heliostat field and receiver has been recognized as a significant source of loss in Central Receiver Systems. In clear sky situations, extinction of Direct Normal Irradiance (DNI) is primarily by aerosols in the atmosphere. When aerosol loading is high close to the surface the attenuation loss between heliostat and receivers is significantly influenced by the amount of aerosols present on a particular day. This study relates measured DNI to aerosol optical depths close to the surface of the earth. The model developed in the paper uses only measured DNI to estimate the attenuation between heliostatmore » and receiver in a central receiver system. The requirement that only a DNI measurement is available potentially makes the model a candidate for widespread use.« less
Knowledge for Healthcare: the future of health librarianship.

PubMed

Bryant, Sue Lacey; Stewart, David; Goswami, Louise

2015-09-01

Many people are still not receiving the right care. It is imperative for health care librarians to come together around a common vision to achieve Knowledge for Healthcare so that the right knowledge and evidence is used at the right time in the right place. The authors describe five workstreams within a modernisation programme: Service Transformation, Workforce Planning and Development, Quality and Impact, Resource Discovery and Optimising Investment. Communications, engagement and partnership working are central to success. The development framework sets out principles on which to base decisions, and design criteria for transforming services. © 2015 Health Libraries Group.
Impact of community-delivered SMS alerts on dog-owner participation during a mass rabies vaccination campaign, Haiti 2017.

PubMed

Cleaton, Julie M; Wallace, Ryan M; Crowdis, Kelly; Gibson, Andy; Monroe, Benjamin; Ludder, Fleurinord; Etheart, Melissa D; Natal Vigilato, Marco Antonio; King, Alasdair

2018-04-19

Haiti has historically vaccinated between 100,000 and 300,000 dogs annually against rabies, however national authorities have not been able to reach and maintain the 70% coverage required to eliminate the canine rabies virus variant. Haiti conducts massive dog vaccination campaigns on an annual basis and utilizes both central point and door-to-door methods. These methods require that dog owners are aware of the dates and locations of the campaign. To improve this awareness among dog owners, 600,000 text messages were sent to phones in two Haitian communes (Gonaives and Saint-Marc) to remind dog owners to attend the campaign. Text messages were delivered on the second day and at the mid-point of the campaign. A post-campaign household survey was conducted to assess dog owner's perception of the text messages and the impact on their participation in the vaccination campaign. Overall, 147 of 160 (91.9%) text-receiving dog owners indicated the text was helpful, and 162 of 187 (86.6%) responding dog owners said they would like to receive text reminders during future rabies vaccination campaigns. In areas hosting one-day central point campaigns, dog owners who received the text were 2.0 (95% CI 1.1, 3.6) times more likely to have participated in the campaign (73.1% attendance among those who received the text vs 36.4% among those who did not). In areas incorporating door-to-door vaccination over multiple days there was no significant difference in participation between dog owners who did and did not receive a text. Text message reminders were well-received and significantly improved campaign attendance, indicating that short message service (SMS) alerts may be a successful strategy in low resource areas with large free roaming dog populations. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.
Slump stretching in the management of non-radicular low back pain: a pilot clinical trial.

PubMed

Cleland, Joshua A; Childs, John D; Palmer, Jessica A; Eberhart, Sarah

2006-11-01

The purpose of this study was to determine if slump stretching results in improvements in pain, centralization of symptoms, and disability in patients with non-radicular low back pain (LBP) with likely mild to moderate neural mechanosensitivity. Thirty consecutive patients referred to physical therapy by their primary care physician for LBP who met all eligibility criteria including a positive slump test but who had a negative straight-leg-raise test (SLR) agreed to participate in the study. All patients completed several self-report measures including a body diagram, numeric pain rating scale (NPRS), and the modified Oswestry Disability Index (ODI). Patients were randomized to receive lumbar spine mobilization and exercise (n = 14) or lumbar spine mobilization, exercise, and slump stretching (n = 16). All patients were treated in physical therapy twice weekly for 3 weeks for a total of 6 visits. Upon discharge, outcome measures were re-assessed. Independent t-tests were used to assess differences between groups at baseline and discharge. No baseline differences existed between the groups (P > .05). At discharge, patients who received slump stretching demonstrated significantly greater improvements in disability (9.7 points on the ODI, P < .001), pain (.93 points on the NPRS, P = .001), and centralization of symptoms (P < .01) than patients who did not. The results suggest that slump stretching is beneficial for improving short-term disability, pain, and centralization of symptoms. Future studies should examine whether these benefits are maintained at a longer-term follow-up.
Late sequela after treatment of childhood low-grade gliomas: a retrospective analysis of 69 long-term survivors treated between 1983 and 2003.

PubMed

Benesch, Martin; Lackner, Herwig; Sovinz, Petra; Suppan, Elisabeth; Schwinger, Wolfgang; Eder, Hans-Georg; Dornbusch, Hans Jürgen; Moser, Andrea; Triebl-Roth, Karin; Urban, Christian

2006-06-01

The aim of the present study was to evaluate the spectrum of late effects in a large cohort of pediatric patients with low-grade gliomas (WHO grade I and II) during an observation period of 20 years. Eighty-seven patients with low-grade gliomas grouped according to tumor location (cerebellum: n=28; cerebral hemispheres: n=21; central midline: n=15; brainstem: n=12; tectum: n=5; other locations: n=6) were evaluated for tumor- and/or treatment-related late effects by analysis of medical and computer records, and personal interviews. Seventy patients underwent neurosurgery, 29 patients received additional radiotherapy and 20 additional chemotherapy. Median follow-up of survivors is 96 months with an overall survival of 79% (cerebellum: 89%; cerebral hemispheres: 95%; central midline: 80%; brainstem: 25%; tectum: 100%; other locations: 66%). Chronic medical problems (mild ataxia to multiple severe neuroendocrine deficits) are observed in 100% of patients with brainstem/central midline tumors and in 40-50% of patients with low-grade gliomas of other locations. Endocrine deficiencies were observed in 15/17 (88%) of long-term survivors who received radiotherapy. In contrast, none of the patients who underwent surgery only had endocrine deficiencies. Seven long-term survivors (10.1%) are severely disabled with permanent need of medical help. Tumor- and treatment-related late effects are common in patients with low-grade gliomas with the most severe occurring in patients with brainstem or central midline tumors. As long-term survival is excellent in patients with low-grade gliomas except for tumors located in the brainstem, future treatment studies should focus on avoiding long-term late effects.
Fabrication and installation of the Solar Two central receiver

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

Litwin, R.Z.; Rogers, R.D.

The heart of the Solar Two power plant is the molten salt central receiver that has been designed, fabricated, and installed over an 18 month schedule. During this time, the receiver system from Solar One was also completely disassembled and removed. The receiver tower structure, for the most part, was left intact because Solar Two was designed to fit this structure such that construction time and costs could be minimized. In order to meet this aggressive schedule, receiver panel fabrication required the parallel production of many components. The sequence for assembly of the four major receiver panel components (i.e., tubes,more » header assembly, strongback, and header oven covers) and key fabrication activities such as welding are described. Once the receiver panels were complete, their installation at the site was begun, and the order in which receiver system components were installed in the tower is described. The completion of the Solar Two receiver proved the fabricability of this important system. However, successful operation of the system at Solar Two is needed to demonstrate the technical feasibility of the molten salt central receiver concept.« less
An examination of the factors affecting people's participation in future health examinations based on community health exam interventions.

PubMed

Tu, Shih-Kai; Liao, Hung-En

2014-01-01

Community-based intervention health examinations were implemented at a health care facility to comply with the government's primary health care promotion policy. The theory of planned behavior model was applied to examine the effect that community-based health examinations had on people's health concepts regarding seeking future health examinations. The research participants were individuals who had received a health examination provided at two branches of a hospital in central Taiwan in 2012. The hospital's two branches held a total of 14 free community-based health examination sessions. The hospital provided health examination equipment and staff to perform health examinations during public holidays. We conducted an exploratory questionnaire survey to collect data and implemented cross-sectional research based on anonymous self-ratings to examine the public's intention to receive future community-based or hospital-based health examinations. Including of 807 valid questionnaires, accounting for 89.4% of the total number of questionnaires distributed. The correlation coefficients of the second-order structural model indicate that attitudes positively predict behavioral intentions (γ = .66, p < .05), and subjective norms also positively predict behavioral intentions (γ = .66, p < .01). By contrast, perceived behavioral control has no significant relationship with behavioral intentions (γ = -.71, p > .05). The results of the first-order structural model indicated that the second-order constructs had a high explanatory power for the first-order constructs. People's health concepts regarding health examinations and their desire to continue receiving health examinations must be considered when promoting health examinations in the community. Regarding hospital management and the government's implementation of primary health care, health examination services should address people's medical needs to increase coverage and participation rates and reduce the waste of medical resources.
An analysis of the current educational status and future training needs of China's rural doctors in 2011.

PubMed

Li, Xingming; Liu, Juyuan; Huang, Jianshi; Qian, Yunliang; Che, Lu

2013-04-01

To analyse the educational status and future training needs of China's rural doctors and provide a basis to improve their future training. A cross-sectional epidemiological survey was used for the analysis, and 17 954 rural doctors chosen randomly from the eastern, central and western regions of China in 2009-2010 were surveyed to ascertain their average training time and the methods used for and content of their training. In general, 8671/17 778 (48.77%) of respondents received less than 12 days of training in a year. Conference sessions seemed to be the major route of training, with 10 150/17 925 respondents (56.62%). Clinical skills, with a response rate of 14 441/17 926 (80.56%), seemed to be the most popular training content. With regard to the general needs for training time received, 6547/18 255 (35.86%) of respondents hoped the average training time received a year would be less than 12 days; on-site guidance from a senior doctor was the most popular training method with response rate of 10 109/17 976 (56.24%), and clinical skills was what rural doctors wished to study the most, with a positive response of 16 744/17 962 (93.22%). Statistically significant differences existed in the current status and training time, training method and training content needs of China's rural doctors. Our results suggest that the training status and needs of China's rural doctors are still disjointed; measures including the introduction of remote education and clinical further education, extended training time and more clinical skills training should be adopted.
Eurelios - The 1-MW(el) helioelectric power plant of the European Community Program

NASA Astrophysics Data System (ADS)

Borgese, D.; Dinelli, G.; Faure, J. J.; Gretz, J.; Schober, G.

1984-02-01

The Eurelios solar thermal electricity-generating plant is based on the central receiver principle. Mirror surfaces totaling 6200 sq m are mounted on 182 heliostats which reflect solar flux into a central receiver atop a 55-m high tower. Water is circulated through the receiver, which converts it to steam that in turn drives a turbine generator. A bypass is used for start-up and shut-down procedures, and a thermal buffer system has been incorporated so that the plant can continue operating without solar energy input over a period of 30 min. Attention is given to heliostat and central receiver design details and optical performance values.
Solar tower cavity receiver aperture optimization based on transient optical and thermo-hydraulic modeling

NASA Astrophysics Data System (ADS)

Schöttl, Peter; Bern, Gregor; van Rooyen, De Wet; Heimsath, Anna; Fluri, Thomas; Nitz, Peter

2017-06-01

A transient simulation methodology for cavity receivers for Solar Tower Central Receiver Systems with molten salt as heat transfer fluid is described. Absorbed solar radiation is modeled with ray tracing and a sky discretization approach to reduce computational effort. Solar radiation re-distribution in the cavity as well as thermal radiation exchange are modeled based on view factors, which are also calculated with ray tracing. An analytical approach is used to represent convective heat transfer in the cavity. Heat transfer fluid flow is simulated with a discrete tube model, where the boundary conditions at the outer tube surface mainly depend on inputs from the previously mentioned modeling aspects. A specific focus is put on the integration of optical and thermo-hydraulic models. Furthermore, aiming point and control strategies are described, which are used during the transient performance assessment. Eventually, the developed simulation methodology is used for the optimization of the aperture opening size of a PS10-like reference scenario with cavity receiver and heliostat field. The objective function is based on the cumulative gain of one representative day. Results include optimized aperture opening size, transient receiver characteristics and benefits of the implemented aiming point strategy compared to a single aiming point approach. Future work will include annual simulations, cost assessment and optimization of a larger range of receiver parameters.
Analysis of Withdrawal Rates of Students Receiving Financial Aid at Central Florida Community College.

ERIC Educational Resources Information Center

Sutton, Lawrence S.

The purpose of this study was to determine if students enrolled at Central Florida Community College (CFCC) who receive financial aid withdraw from college credit classes at a significantly higher rate than those not receiving such aid. A secondary purpose was to determine if GI Bill recipients withdraw at a significantly higher rate than other…
76 FR 60475 - Issuance of a Loan Guarantee to Tonopah Solar Energy, LLC, for the Crescent Dunes Solar Energy...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-29

... in the center of a solar field (called the central receiver). The proposed solar power facility is to... field. The solar collecting tower/central receiver system will generate electric power from sunlight by focusing concentrated solar radiation onto a tower-mounted receiver. The solar collecting tower will be a...
Goal commitment and the goal-setting process: conceptual clarification and empirical synthesis.

PubMed

Klein, H J; Wesson, M J; Hollenbeck, J R; Alge, B J

1999-12-01

Goals are central to current treatments of work motivation, and goal commitment is a critical construct in understanding the relationship between goals and task performance. Despite this importance, there is confusion about the role of goal commitment and only recently has this key construct received the empirical attention it warrants. This meta-analysis, based on 83 independent samples, updates the goal commitment literature by summarizing the accumulated evidence on the antecedents and consequences of goal commitment. Using this aggregate empirical evidence, the role of goal commitment in the goal-setting process is clarified and key areas for future research are identified.
Changes in lactate dehydrogenase are associated with central gray matter lesions in newborns with hypoxic-ischemic encephalopathy.

PubMed

Yum, Sook Kyung; Moon, Cheong-Jun; Youn, Young-Ah; Sung, In Kyung

2017-05-01

Biomarkers may predict neurological prognosis in infants with hypoxic-ischemic encephalopathy (HIE). We evaluated the relationship between serum lactate dehydrogenase (LDH) and brain magnetic resonance imaging (MRI), which predicts neurodevelopmental outcomes, in order to assess whether LDH levels are similarly predictive. Medical records were reviewed for infants with HIE and LDH levels were assessed on the first (LDH 1 ) and third (LDH 3 ) days following birth. Receiver operating characteristic curves were obtained in relation to central gray matter hypoxic-ischemic lesions. Of 92 patients, 52 (56.5%) had hypoxic-ischemic lesions on brain MRI, and 21 of these infants (40.4%) had central gray matter lesions. LDH 1 and LDH 3 did not differ; however, the percentage change (ΔLDH%) was significantly higher in infants with central gray matter lesions (36.9% versus 6.6%, p = 0.006). With cutoffs of 187 (IU/L, ΔLDH) and 19.4 (%, ΔLDH%), the sensitivity, specificity, positive predictive value and negative predictive value were 71.4, 69.0, 40.5 and 89.1%, respectively. The relative risk was 5.57 (p = 0.001). Changes in serum LDH may be a useful biomarker for predicting future neurodevelopmental prognosis in infants with HIE.
How Does The Universe Work? The Physics Of The Cosmos Program (PCOS)

NASA Astrophysics Data System (ADS)

Sambruna, Rita M.

2011-09-01

The Physics of the Cosmos (PCOS) program incorporates cosmology, high-energy astrophysics, and fundamental physics projects aimed at addressing central questions about the nature of complex astrophysical phenomena such as black holes, neutron stars, dark energy, and gravitational waves. Its overarching theme is, How does the Universe work? PCOS includes a suite of operating (Chandra, Fermi, Planck, XMM-Newton, INTEGRAL) and future missions across the electromagnetic spectrum and beyond, which are in concept development and/or formulation. The PCOS program directly supports development of intermediate TRL (4-6) technology relevant to future missions through the Strategic Astrophysics Technology (SAT) program, as well as data analysis, theory, and experimental astrophysics via other R&A avenues (e.g., ADAP, ATP). The Einstein Fellowship is a vital and vibrant PCOS component funded by the program. PCOS receives community input via its Program Analysis Group, the PhysPAG (www.pcos.gsfc.nasa.gov/physpag.php), whose membership and meetings are open to the community at large. In this poster, we describe the detailed science questions addressed within PCOS, with special emphasis on future opportunities. Details about the PhysPAG operations and functions will be provided, as well as an update on future meetings.
Disability pension and everyday life: a period of transition and subjective aspects of future occupational life.

PubMed

Johansson, Annica E M; Johansson, Ulla

2011-01-01

The purpose was to explore and describe the everyday life experiences among people with a disability pension and their expectations for future occupational life. A purposeful sample of 14 men and women were interviewed. Of these, ten people received full-time disability pension and four people were on partial disability pension while working part time. A content analysis approach revealed three themes: strategies for handling a changed life situation, adaptations to remaining functional capacity, and expectations on future occupational life. Initially, leaving the work market entailed a period of emotional discomfort. To help handle this discomfort, structures for participation and performance came to signify a balanced everyday life. The central conclusion drawn is that the informants with full-time disability pension reconciled themselves to their situation, changing their conception of what life on a disability pension means, while those informants who worked part-time saw their future role as that of worker. Thus, being employed constitutes one factor that promotes a future work career. Another factor related to work capacity is the need for balance between paid work and domestic work reported by disability pensioners working part-time. This area could serve as a point of departure for work rehabilitation.

Preliminary design of a solar central receiver for site-specific repowering application (Saguaro Power Plant). Volume II. Preliminary design. Final report, October 1982-September 1983

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

Weber, E.R.

1983-09-01

The solar central receiver technology, site, and specific unit for repowering were selected in prior analyses and studies. The objectives of this preliminary design study were to: develop a solar central receiver repowering design for Saguaro that (1) has potential to be economically competitive with fossil fueled plants in near and long term applications, (2) has the greatest chance for completion without further government funding, (3) will further define technical and economic feasibility of a 66 MWe gross size plant that is adequate to meet the requirements for utility and industrial process heat applications, (4) can potentially be constructed andmore » operated within the next five years, and (5) incorporates solar central receiver technology and represents state-of-the-art development. This volume on the preliminary design includes the following sections: executive summary; introduction; changes from advanced conceptual design; preliminary design; system characteristics; economic analysis; and development plan.« less
Predicting Node Degree Centrality with the Node Prominence Profile

PubMed Central

Yang, Yang; Dong, Yuxiao; Chawla, Nitesh V.

2014-01-01

Centrality of a node measures its relative importance within a network. There are a number of applications of centrality, including inferring the influence or success of an individual in a social network, and the resulting social network dynamics. While we can compute the centrality of any node in a given network snapshot, a number of applications are also interested in knowing the potential importance of an individual in the future. However, current centrality is not necessarily an effective predictor of future centrality. While there are different measures of centrality, we focus on degree centrality in this paper. We develop a method that reconciles preferential attachment and triadic closure to capture a node's prominence profile. We show that the proposed node prominence profile method is an effective predictor of degree centrality. Notably, our analysis reveals that individuals in the early stage of evolution display a distinctive and robust signature in degree centrality trend, adequately predicted by their prominence profile. We evaluate our work across four real-world social networks. Our findings have important implications for the applications that require prediction of a node's future degree centrality, as well as the study of social network dynamics. PMID:25429797
[Prophylaxis of thrombosis induced by chemotherapy or central venous catheters].

PubMed

Voog, Eric; Lazard, Eric; Juhel, Laurence

2007-02-01

Deep venous thrombosis and pulmonary embolism are well-recognized complications of cancer, especially in patients with a venous access device or receiving chemotherapy. The pathogenic mechanisms of thrombosis in cancer patients involve a complex interaction between the patient's tumor cells and hemostatic system. Chemotherapy and central venous catheters increase the risk of thromboembolism. Prophylactic treatment for these patients remains controversial. We conducted a systematic literature review using the Medline database and abstract books for meetings of the American Society of Clinical Oncology and the American Society of Hematology since 2000. Our search focused on clinical trials of primary prevention of venous catheter-related thrombosis or prevention of chemotherapy-related venous thromboembolism in cancer patients. Ten studies evaluating primary prevention of patients with central catheters were identified, and their results are contradictory. Currently only one study has examined prevention of chemotherapy-related venous thromboembolism, in women with metastatic breast cancer. Its results cannot be extrapolated to other tumors. Systematic prophylaxis cannot yet be recommended. In the near future we must improve our knowledge of the risk factors of these complications. Prophylaxis should be individualized for each patient. New anticoagulant drugs should be tested in cancer patients.
Uncertainties in endocrine substitution therapy for central hypocortisolism.

PubMed

Swords, Francesca M

2014-01-01

Central hypocortisolism is common, and has multiple potential causes. However, the treatment aims remain the same whatever the cause: to maximize quality of life, while minimizing treatment-related adverse effects. The majority of patients with central hypocortisolism now receive hydrocortisone in two to three divided doses with a total daily dose of 10-20mg, or a weight-based regimen of 8.1mg/m(2)/day. However, various areas of controversy remain: how to assess the patient with suspected hypocortisolism, which is the optimal agent to use, what is the optimal total daily dose, how to administer divided daily doses, how to monitor therapy and individually tailor doses, whether to replace other adrenal androgens, how to approach the patient with adrenal suppression, and how to best educate patients with hypocortisolism and treat them in emergency situations. This chapter will discuss the evidence behind each of these controversial areas in turn. The evidence for newer agents such as prolonged- and delayed-release preparations of hydrocortisone will also be explored, with a discussion on their potential role in the future management of this major clinical problem. © 2014 Elsevier B.V. All rights reserved.
78 FR 65237 - Proposed Establishment of Class E Airspace; Central, AK

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-31

...-0017; Airspace Docket No. 13-AAL-1] Proposed Establishment of Class E Airspace; Central, AK AGENCY... action proposes to establish Class E airspace at Central Airport, Central, AK. Controlled airspace is... of aircraft operations at Central Airport, Central, AK. DATES: Comments must be received on or before...
Scalable, efficient ASICS for the square kilometre array: From A/D conversion to central correlation

NASA Astrophysics Data System (ADS)

Schmatz, M. L.; Jongerius, R.; Dittmann, G.; Anghel, A.; Engbersen, T.; van Lunteren, J.; Buchmann, P.

2014-05-01

The Square Kilometre Array (SKA) is a future radio telescope, currently being designed by the worldwide radio-astronomy community. During the first of two construction phases, more than 250,000 antennas will be deployed, clustered in aperture-array stations. The antennas will generate 2.5 Pb/s of data, which needs to be processed in real time. For the processing stages from A/D conversion to central correlation, we propose an ASIC solution using only three chip architectures. The architecture is scalable - additional chips support additional antennas or beams - and versatile - it can relocate its receiver band within a range of a few MHz up to 4GHz. This flexibility makes it applicable to both SKA phases 1 and 2. The proposed chips implement an antenna and station processor for 289 antennas with a power consumption on the order of 600W and a correlator, including corner turn, for 911 stations on the order of 90 kW.
Incidence, source, and nature of complaints received in a large, urban emergency medical services system.

PubMed

Curka, P A; Pepe, P E; Zachariah, B S; Gray, G D; Matsumoto, C

1995-06-01

To document the incidence, source, and reasons for all complaints received by a large municipal emergency medical services (EMS) program. A retrospective review of all complaints received during three consecutive years (1990-1992) in a centralized EMS system serving a large municipality (population 2 million). All cases were categorized by year, source, and nature of the complaint. In the three study years, EMS responded to 416,892 incidents with nearly a half-million patient contacts. Concurrently, 371 complaints were received (incidence of 1.12 per thousand); 132 in 1990, 129 in 1991, and 110 in 1992. Most complaints involved either: 1) allegations of "rude or unprofessional conduct" (34%), 2) "didn't take patient to the hospital" (19%), or 3) "problems with medical treatment" (13%). Only 1.6% (n = 6) were response-time complaints. Other complaints included "lost/damaged property," "taken to the wrong hospital," "inappropriate billing," and "poor driving habits." The most common sources were patient's families (39%) and the patients themselves (30%). Only 7.8% were from health care providers. Reviews of complaints provide information regarding EMS system performance and reveal targets for quality improvement. For the EMS system examined, this study suggests a future training focus on interpersonal skills and heightened sensitivities, not only toward patients, but also toward bystanders and family members.
Truncation of the secondary concentrator (CPC) between maximum performances and economical requirements

NASA Astrophysics Data System (ADS)

Segal, A.; Epstein, M.

2009-08-01

A central solar plant, based on beam-down optics, is composed of a field of heliostats, a tower reflector and a ground receiver. The tower reflector is an optical system comprises of a quadric surface mirror (hyperboloid), where its upper focal point coincides with the aim point of a heliostat field and its lower focal point is located at a specified height, coinciding with the entrance plane of the ground receiver. The optics of a tower reflector requires the use of ground secondary concentrator, composed of a cluster of CPCs, because the quadric surface mirror always magnifies the sun image. There is an intrinsic correlation between the tower reflector position and its size on one hand, and the geometry, dimensions and reflective area of the secondary concentrator on the other hand; both are related to the heliostat field reflective area. Obviously, when one wishes to have a smaller tower reflector by placing it closer to the upper focal point, the image created at the lower focus will be larger, resulting in a larger secondary ground concentrator. The present work analyses the ways for a substantial decrease of the size of the ground concentrator cluster (and, implicit, the concentrators area) via truncation, without significant sacrifice of the performance, although some increase of the optical losses is inevitable. This offers a method for cost effective design of future central solar plants utilizing the beam down optics.
Iatrogenic chylothorax due to pleural cavity extravasation of total parenteral nutrition in two adults receiving nutrition through a peripherally inserted central catheter.

PubMed

Johnson, Thomas J; Jamous, Fady G; Kooistra, Alma; Zawada, Edward T

2010-02-01

Extravasation of total parenteral nutrition (TPN) delivered via central lines is a known potential complication, but significant extravasations of infusate into the pleural space when using peripherally inserted central catheters (PICCs) have not been reported in adults. We report 2 cases ofpleural cavity extravasation ofTPN delivered via a PICC. Measurement of the glucose level of the effusate is a quick way to determine the presence of TPN and should be considered in any patient receiving TPN via any type of central line with a rapidly developing effusion.
A pilot study of myofascial release therapy compared to Swedish massage in Fibromyalgia

PubMed Central

Liptan, Ginevra; Mist, Scott; Wright, Cheryl; Arzt, Anna; Jones, Kim Dupree

2017-01-01

Summary Fibromyalgia (FM) is characterized by widespread muscle pain and soft tissue tenderness. However, a lack of definitive muscle pathology has made FM both a diagnostic and a treatment puzzle. Much of the evidence for pathology in FM lies in the central nervous system – in particular abnormal amplification of pain signals in the spinal cord – a manifestation of central sensitization. An emerging body of evidence posits that peripheral pain generated from the muscles and fascia may trigger and maintain central sensitization in FM. Since FM patients so frequently seek manual therapy to relieve muscle symptoms, the present study compared two different manual therapy techniques in a parallel study of women with FM. Eight subjects received myofascial release (MFR) while four subjects received Swedish massage, 90 min weekly for four weeks. Overall symptom burden and physical function were assessed by the Fibromyalgia Impact Questionnaire Revised (FIQ-R). A unique challenge for the manual therapist in treating conditions involving central sensitization is to determine if localized pain reduction can be achieved with targeted therapy in the context of ongoing widespread pain. Localized pain improvement was measured by a novel questionnaire developed for this study, the modified Nordic Musculoskeletal Questionnaire (NMQ). Between-group differences in FIQ-R did not reach statistical significance, but the total change scores on FIQ-R for the MFR group (mean = 10.14, SD = 16.2) trended in the hypothesized and positive direction compared to the Swedish massage group (mean = 0.33, SD = 4.93) yielding a positive Aikin separation test. Although overall modified NMQ scores improved in both groups there were no consistent focal areas of improvement for the Swedish massage group. In contrast, the MFR group reported consistent pain reductions in the neck and upper back regions on the NMQ. These data support the need for larger randomized controlled trials of MFR versus other massage techniques and support the assessment of localized pain reduction in future manual therapy studies in FM. PMID:23768283
A user's manual for DELSOL3: A computer code for calculating the optical performance and optimal system design for solar thermal central receiver plants

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

Kistler, B.L.

DELSOL3 is a revised and updated version of the DELSOL2 computer program (SAND81-8237) for calculating collector field performance and layout and optimal system design for solar thermal central receiver plants. The code consists of a detailed model of the optical performance, a simpler model of the non-optical performance, an algorithm for field layout, and a searching algorithm to find the best system design based on energy cost. The latter two features are coupled to a cost model of central receiver components and an economic model for calculating energy costs. The code can handle flat, focused and/or canted heliostats, and externalmore » cylindrical, multi-aperture cavity, and flat plate receivers. The program optimizes the tower height, receiver size, field layout, heliostat spacings, and tower position at user specified power levels subject to flux limits on the receiver and land constraints for field layout. DELSOL3 maintains the advantages of speed and accuracy which are characteristics of DELSOL2.« less
Hybrid solar central receiver for combined cycle power plant

DOEpatents

Bharathan, Desikan; Bohn, Mark S.; Williams, Thomas A.

1995-01-01

A hybrid combined cycle power plant including a solar central receiver for receiving solar radiation and converting it to thermal energy. The power plant includes a molten salt heat transfer medium for transferring the thermal energy to an air heater. The air heater uses the thermal energy to preheat the air from the compressor of the gas cycle. The exhaust gases from the gas cycle are directed to a steam turbine for additional energy production.
Solar central receiver reformer system for ammonia plants

NASA Astrophysics Data System (ADS)

1980-07-01

Details of the conceptual design, economic analysis, and development plan for a solar central receiver system for retrofitting the Valley Nitrogen Producers, Inc., El Centro, California 600 ST/SD Ammonia Plant are presented. The retrofit system consists of a solar central receiver reformer (SCRR) operating in parallel with the existing fossil fired reformer. Steam and hydrocarbon react in the catalyst filled tubes of the inner cavity receiver to form a hydrogen rich mixture which is the syngas feed for the ammonia production. The SCRR system displaces natural gas presently used in the fossil reformer combustion chamber. The solar reformer retrofit system characteristics and its interface with the existing plant are simple, incorporating state of the art components with proven technology. A northfield composed of one thousand forty second generation heliostats provides solar energy to the receiver which is positioned on top of a 90 meter high steel tower. The overall economics of this system can provide over 20% discount cash flow rate of return with proper investment and market conditions.
Design of a Protection Thermal Energy Storage Using Phase Change Material Coupled to a Solar Receiver

NASA Astrophysics Data System (ADS)

Verdier, D.; Falcoz, Q.; Ferrière, A.

2014-12-01

Thermal Energy Storage (TES) is the key for a stable electricity production in future Concentrated Solar Power (CSP) plants. This work presents a study on the thermal protection of the central receiver of CSP plant using a tower which is subject to considerable thermal stresses in case of cloudy events. The very high temperatures, 800 °C at design point, impose the use of special materials which are able to resist at high temperature and high mechanical constraints and high level of concentrated solar flux. In this paper we investigate a TES coupling a metallic matrix drilled with tubes of Phase Change Material (PCM) in order to store a large amount of thermal energy and release it in a short time. A numerical model is developed to optimize the arrangement of tubes into the TES. Then a methodology is given, based from the need in terms of thermal capacity, in order to help the choice of the geometry.
The effect of online collaborative learning on middle school student science literacy and sense of community

NASA Astrophysics Data System (ADS)

Wendt, Jillian Leigh

This study examines the effects of online collaborative learning on middle school students' science literacy and sense of community. A quantitative, quasi-experimental pretest/posttest control group design was used. Following IRB approval and district superintendent approval, students at a public middle school in central Virginia completed a pretest consisting of the Misconceptions-Oriented Standards-Based Assessment Resources for Teachers (MOSART) Physical Science assessment and the Classroom Community Scale. Students in the control group received in-class assignments that were completed collaboratively in a face-to-face manner. Students in the experimental group received in-class assignments that were completed online collaboratively through the Edmodo educational platform. Both groups were members of intact, traditional face-to-face classrooms. The students were then post tested. Results pertaining to the MOSART assessment were statistically analyzed through ANCOVA analysis while results pertaining to the Classroom Community Scale were analyzed through MANOVA analysis. Results are reported and suggestions for future research are provided.
Chapter 7: Precipitation Change in the United States

NASA Technical Reports Server (NTRS)

Easterling, D. R.; Kunkel, K. E.; Arnold, J. R.; Knutson, T.; LeGrande, A. N.; Leung, L. R.; Vose, R. S.; Waliser, D. E.; Wehner, M. F.

2017-01-01

Annual precipitation has decreased in much of the West, Southwest, and Southeast and increased in most of the Northern and Southern Plains, Midwest, and Northeast. A national average increase of 4% in annual precipitation since 1901 is mostly a result of large increases in the fall season. Heavy precipitation events in most parts of the United States have increased in both intensity and frequency since 1901. There are important regional differences in trends, with the largest increases occurring in the northeastern United States. In particular, mesoscale convective systems (organized clusters of thunderstorms)-the main mechanism for warm season precipitation in the central part of the United States-have increased in occurrence and precipitation amounts since 1979. The frequency and intensity of heavy precipitation events are projected to continue to increase over the 21st century (high confidence). Mesoscale convective systems in the central United States are expected to continue to increase in number and intensity in the future. There are, however, important regional and seasonal differences in projected changes in total precipitation: the northern United States, including Alaska, is projected to receive more precipitation in the winter and spring, and parts of the southwestern United States are projected to receive less precipitation in the winter and spring. Northern Hemisphere spring snow cover extent, North America maximum snow depth, snow water equivalent in the western United States, and extreme snowfall years in the southern and western United States have all declined, while extreme snowfall years in parts of the northern United States have increased. Projections indicate large declines in snowpack in the western United States and shifts to more precipitation falling as rain than snow in the cold season in many parts of the central and eastern United States.
Identification of Distant Metastatic Disease in Uterine Cervical and Endometrial Cancers with FDG PET/CT: Analysis from the ACRIN 6671/GOG 0233 Multicenter Trial.

PubMed

Gee, Michael S; Atri, Mostafa; Bandos, Andriy I; Mannel, Robert S; Gold, Michael A; Lee, Susanna I

2018-04-01

Purpose To assess the accuracy of staging positron emission tomography (PET)/computed tomography (CT) in detecting distant metastasis in patients with local-regionally advanced cervical and high-risk endometrial cancer in the clinical trial by the American College of Radiology Imaging Network (ACRIN) and the Gynecology Oncology Group (GOG) (ACRIN 6671/GOG 0233) and to compare central and institutional reader performance. Materials and Methods In this prospective multicenter trial, PET/CT and clinical data were reviewed for patients enrolled in ACRIN 6671/GOG 0233. Two central readers, blinded to site read and reference standard, reviewed PET/CT images for distant metastasis. Central review was then compared with institutional point-of-care interpretation. Reference standard was pathologic and imaging follow-up. Test performance for central and site reviews of PET/CT images was calculated and receiver operating characteristic analysis was performed. Generalized estimating equations and nonparametric bootstrap procedure for clustered data were used to assess statistical significance. Results There were 153 patients with cervical cancer and 203 patients with endometrial cancer enrolled at 28 sites. Overall prevalence of distant metastasis was 13.7% (21 of 153) for cervical cancer and 11.8% (24 of 203) for endometrial cancer. Central reader PET/CT interpretation demonstrated sensitivity, specificity, positive predictive value (PPV), and negative predictive value of 54.8%, 97.7%, 79.3%, and 93.1% for cervical cancer metastasis versus 64.6%, 98.6%, 86.1%, and 95.4% for endometrial cancer, respectively. By comparison, local institutional review demonstrated sensitivity, specificity, PPV, and negative predictive value of 47.6%, 93.9%, 55.6%, and 91.9% for cervical cancer metastasis and 66.7%, 93.9%, 59.3%, and 95.5% for endometrial cancer, respectively. For central readers, the specificity and PPV of PET/CT detection of cervical and endometrial cancer metastases were all significantly higher compared with that of local institutional review (P < .05). Central reader area under the receiver operating characteristic curve (AUC) values were 0.78 and 0.89 for cervical and endometrial cancer, respectively; these were not significantly different from local institutional AUC values (0.75 and 0.84, respectively; P > .05 for both). Conclusion FDG PET/CT demonstrates high specificity and PPV for detecting distant metastasis in cervical and endometrial cancer and should be included in the staging evaluation. Blinded central review of imaging provides improved specificity and PPV for the detection of metastases and should be considered for future oncologic imaging clinical trials. © RSNA, 2017.
Method and system for source authentication in group communications

NASA Technical Reports Server (NTRS)

Roy-Chowdhury, Ayan (Inventor); Baras, John S. (Inventor)

2013-01-01

A method and system for authentication is provided. A central node for issuing certificates to a plurality of nodes associated with the central node in a network is also provided. The central node receives a first key from at least one node from among the plurality of nodes and generates a second key based on the received first key and generates a certificate for the at least one node. The generated certificate is transmitted to the at least one node.
Rangelands of Central Asia: Proceedings of the Conference on Transformations, Issues, and Future Challenges

Treesearch

Donald J. Bedunah; E. Durant McArthur; Maria Fernandez-Gimenez

2006-01-01

The 11 papers in this document address issues and needs in the development and stewardship of Central Asia rangelands, and identify directions for future work. With its vast rangelands and numerous pastoral populations, Central Asia is a region of increasing importance to rangeland scientists, managers, and pastoral development specialists. Five of the papers address...
An overview of current activities at the National Solar Thermal Test Facility

NASA Astrophysics Data System (ADS)

Cameron, C. P.; Klimas, P. C.

This paper is a description of the United States Department of Energy's National Solar Thermal Test Facility, highlighting current test programs. In the central receiver area, research underway supports commercialization of molten nitrate salt technology, including receivers, thermal energy transport, and corrosion experiments. Concentrator research includes large-area, glass-metal heliostats and stretched-membrane heliostats and dishes. Test activities in support of dish-Stirling systems with reflux receivers are described. Research on parabolic troughs includes characterization of several receiver configurations. Other test facility activities include solar detoxification experiments, design assistance testing of commercially-available solar hardware, and non-DOE-funded work, including thermal exposure tests and testing of volumetric and PV central receiver concepts.

Dynamic detailed model of a molten salt tower receiver, with ThermoSysPro library: Impacts of several failures or operational transients on the receiver dynamic behavior

NASA Astrophysics Data System (ADS)

Hefni, Baligh El; Bourdil, Charles

2017-06-01

Molten salt technology represents nowadays the most cost-effective technology for electricity generation for solar power plant. The molten salt tower receiver is based on a field of individually sun-tracking mirrors (heliostats) that reflect the incident sunshine to a receiver at the top of a centrally located tower. The objective of this study is to assess the impact of several transients issued from different scenarios (failure or normal operation mode) on the receiver dynamic behavior. A dynamic detailed model of Solar Two molten salt central receiver has been developed. The component model is meant to be used for receiver modeling with the ThermoSysPro library, developed by EDF. The paper also gives the results of the dynamic simulation for the selected scenarios on Solar Two receiver.
Hybrid solar central receiver for combined cycle power plant

DOEpatents

Bharathan, D.; Bohn, M.S.; Williams, T.A.

1995-05-23

A hybrid combined cycle power plant is described including a solar central receiver for receiving solar radiation and converting it to thermal energy. The power plant includes a molten salt heat transfer medium for transferring the thermal energy to an air heater. The air heater uses the thermal energy to preheat the air from the compressor of the gas cycle. The exhaust gases from the gas cycle are directed to a steam turbine for additional energy production. 1 figure.
Personal reflections on the multichannel cochlear implant and a view of the future.

PubMed

Clark, Graeme M

2008-01-01

The multichannel cochlear implant is the first neural prosthesis to effectively and safely bring electronic technology into a direct physiological relation with the central nervous system and human consciousness. It is also the first cochlear implant to give speech understanding to tens of thousands of persons with profound deafness and spoken language to children born deaf in more than 80 countries. In so doing, it is the first major advance in research and technology to help deaf children communicate since Sign Language of the Deaf was developed at the Paris deaf school (L'Institut National de Jeunes Sourds de Paris) >200 years ago. Furthermore, biomedical research has been fundamental for ensuring that the multielectrode implant is safe as well as effective. More recent research has also shown that bilateral implants confer the benefits of binaural hearing. Future research using nanotechnology should see high-fidelity sound received, which would help deaf persons communicate in noise and enjoy music. Research should also lead to implants in ears with useful hearing.
Ceramic high temperature receiver design and tests

NASA Technical Reports Server (NTRS)

Davis, S. B.

1982-01-01

The High Temperature Solar Thermal Receiver, which was tested a Edwards AFB, CA during the winter of 1980-1981, evolved from technologies developed over a five year period of work. This receiver was tested at the Army Solar Furnace at White Sands, NM in 1976. The receiver, was tested successfully at 1768 deg F and showed thermal efficiencies of 85%. The results were sufficiently promising to lead ERDA to fund our development and test of a 250 kW receiver to measure the efficiency of an open cavity receiver atop a central tower of a heliostat field. This receiver was required to be design scalable to 10, 50, and 100 MW-electric sizes to show applicability to central power tower receivers. That receiver employed rectagular silicon carbide panels and vertical stanchions to achieve scalability. The construction was shown to be fully scalable; and the receiver was operated at temperatures up to 2000 deg F to achieve the performance goals of the experiment during tests at the GIT advanced components test facility during the fall of 1978.
Thermodynamic and design considerations of organic Rankine cycles in combined application with a solar thermal gas turbine

NASA Astrophysics Data System (ADS)

Braun, R.; Kusterer, K.; Sugimoto, T.; Tanimura, K.; Bohn, D.

2013-12-01

Concentrated Solar Power (CSP) technologies are considered to provide a significant contribution for the electric power production in the future. Different kinds of technologies are presently in operation or under development, e.g. parabolic troughs, central receivers, solar dish systems and Fresnel reflectors. This paper takes the focus on central receiver technologies, where the solar radiation is concentrated by a field of heliostats in a receiver on the top of a tall tower. To get this CSP technology ready for the future, the system costs have to reduce significantly. The main cost driver in such kind of CSP technologies are the huge amount of heliostats. To reduce the amount of heliostats, and so the investment costs, the efficiency of the energy conversion cycle becomes an important issue. An increase in the cycle efficiency results in a decrease of the solar heliostat field and thus, in a significant cost reduction. The paper presents the results of a thermodynamic model of an Organic Rankine Cycle (ORC) for combined cycle application together with a solar thermal gas turbine. The gas turbine cycle is modeled with an additional intercooler and recuperator and is based on a typical industrial gas turbine in the 2 MW class. The gas turbine has a two stage radial compressor and a three stage axial turbine. The compressed air is preheated within a solar receiver to 950°C before entering the combustor. A hybrid operation of the gas turbine is considered. In order to achieve a further increase of the overall efficiency, the combined operation of the gas turbine and an Organic Rankine Cycle is considered. Therefore an ORC has been set up, which is thermally connected to the gas turbine cycle at two positions. The ORC can be coupled to the solar-thermal gas turbine cycle at the intercooler and after the recuperator. Thus, waste heat from different cycle positions can be transferred to the ORC for additional production of electricity. Within this investigation different working fluids and ORC conditions have been analyzed in order to evaluate the best configuration. The investigations have been performed by application of improved thermodynamic and process analysis tools, which consider the real gas behavior of the analyzed fluids. The results show that by combined operation of the solar thermal gas turbine and the ORC, the combined cycle efficiency is approximately 4%-points higher than in the solar-thermal gas turbine cycle.
ERDA's central receiver solar thermal power system studies

NASA Technical Reports Server (NTRS)

Lippy, L. J.; Heaton, T. R.

1977-01-01

The utilization of solar energy for electrical power production was studied. Efforts underway on the central receiver solar thermal power system are presented. Preliminary designs are included of pilot plant utilizing large numbers of heliostats in a collector field. Safety hazards are also discussed, as well as the most beneficial location of such a plant within the United States.
Primary central nervous system lymphoma can be histologically diagnosed after previous corticosteroid use: a pilot study to determine whether corticosteroids prevent the diagnosis of primary central nervous system lymphoma.

PubMed

Porter, Alyx B; Giannini, Caterina; Kaufmann, Timothy; Lucchinetti, Claudia F; Wu, Wenting; Decker, Paul A; Atkinson, John L D; O'Neill, Brian Patrick

2008-05-01

The objective is to determine whether corticosteroid administration before biopsy prevents histopathological diagnosis of primary central nervous system lymphoma (PCNSL). A retrospective review was performed of immunocompetent PCNSL patients from 1985 to 2005. A total of 109 patients was identified. Sixty-eight (63.6%) patients received corticosteroids before diagnosis. Thirteen patients (of 109; 12%) had undergone repeat brain biopsy to confirm PCNSL. These included 8 (of 68) patients who had received corticosteroids (12%), and 5 (of 39) who had not (13%) (p = 1.0). The majority of PCNSL patients who received corticosteroids before diagnosis did not experience significant radiographic change or require second biopsy for diagnosis.
Identifying an Education Gap in Wound Care Training in United States Dermatology.

PubMed

Ruiz, Emily Stamell; Ingram, Amber; Landriscina, Angelo; Tian, Jiaying; Kirsner, Robert S; Friedman, Adam

2015-07-01

As restoration of the integument is paramount to wound healing, dermatologists should be central to managing wounds; yet this is often not the case. If a training gap exists during residency training, this may account for the observed discrepancy. To identify United States (US) dermatology residents' impressions regarding their preparedness to care for wounds, and to assess the amount and type of training devoted to wound care during residency. An online survey among current US dermatology residents enrolled in a residency training program. The primary goal was to determine whether dermatology residents believe more wound care education is needed, evaluate preparedness to care for wounds, and identify future plans to manage wounds. Responses were received from 175 of 517 (33.8%) US Dermatology residents contacted. The majority of residents did not feel prepared to manage acute (78.3%) and chronic (84.6%) wounds. Over three quarters (77.1%) felt that more education is needed. Fewer than half (49.1% and 35.4%) of residents planned to care for acute and chronic wounds, respectively, when in practice. There is a gap in wound care education in US dermatology residency training. This translates to a low percentage of dermatology residents planning to care for wounds in future practice. Dermatology residents need to receive focused wound care training in order to translate the underpinnings of wound healing biology and ultimately better serve patients.
Forecasting the Future Food Service World of Work. Final Report. Volume II. Centralized Food Service Systems. Service Management Reports.

ERIC Educational Resources Information Center

Powers, Thomas F., Ed.; Swinton, John R., Ed.

Volume II of a three-volume study on the future of the food service industry considers the effects that centralized food production will have on the future of food production systems. Based on information from the Fair Acres Project and the Michigan State University Vegetable Processing Center, the authors describe the operations of a centralized…
Characteristics of Students Receiving Special Education Services in a Central Minnesota School District According to Setting, Classification, and Level of Service.

ERIC Educational Resources Information Center

Ittenbach, Richard F.; And Others

The records of 1,231 preschool, elementary, and secondary students receiving special education services in a central Minnesota school district were evaluated to provide information on differences according to setting, classification, and level of service. Data were analyzed within the context of four broad domains: demographics (age, race, gender,…
Considerations for Future IGS Receivers

NASA Astrophysics Data System (ADS)

Humphreys, T. E.; Young, L. E.; Pany, T.

2008-12-01

Future International GNSS Service (IGS) receivers are considered against the backdrop of GNSS signal modernization and the IGS's goal of further improving the accuracy of its products. The purpose of this paper is to provide the IGS ---and any other group that uses geodetic-quality GNSS receivers---with a guide to making decisions about GNSS receivers. Modernized GNSS signals are analyzed with a view toward IGS applications. A schedule for minimum IGS receiver requirements is proposed. Features of idealized conceptual receivers are discussed. The prospects for standard commercial receivers and for software-defined GNSS receivers are examined. Recommendations are given for how the IGS should proceed in order to maximally benefit from the transformation in GNSS that will occur over the next decade. There are two reasons why it makes sense for the IGS to study GNSS receivers that will be integrated into its network in the coming years. First, the new GNSS signals that will come on line over the next decade will render current IGS receivers obsolete, so it is prudent to examine receiver options going forward. Second, the push to improve the accuracy of IGS products beyond current limits demands greater accuracy in the models used to describe receiver measurements. As a result, the IGS must demand from vendors more transparency into receiver firmware or adoption of user-specified algorithms. This paper considers future IGS receivers from four different points of view. Section 2 looks at modernized GNSS signals and their benefits for the IGS. Section 3 surveys the range of expected receiver capability. Section 4 considers current and future commercial geodetic-quality receivers. Section 5 considers software GNSS receivers as an alternative to less reconfigurable traditional receivers. Section 6 lays out the authors' recommendations to the IGS.
SCaN Network Ground Station Receiver Performance for Future Service Support

NASA Technical Reports Server (NTRS)

Estabrook, Polly; Lee, Dennis; Cheng, Michael; Lau, Chi-Wung

2012-01-01

Objectives: Examine the impact of providing the newly standardized CCSDS Low Density Parity Check (LDPC) codes to the SCaN return data service on the SCaN SN and DSN ground stations receivers: SN Current Receiver: Integrated Receiver (IR). DSN Current Receiver: Downlink Telemetry and Tracking (DTT) Receiver. Early Commercial-Off-The-Shelf (COTS) prototype of the SN User Service Subsystem Component Replacement (USS CR) Narrow Band Receiver. Motivate discussion of general issues of ground station hardware design to enable simple and cheap modifications for support of future services.
[Chronic obstructive pulmonary disease (COPD). Current concepts and new therapeutic options].

PubMed

Klemmer, A; Greulich, T; Koczulla, A R; Vogelmeier, C F

2014-04-01

Chronic obstructive pulmonary disease (COPD) is a very common chronic disease with increasing prevalence. Inhaled particles and gases (in particular tobacco smoke) induce chronic inflammation of the airways accompanied by a not fully reversible airflow limitation. Destruction of lung tissue and deterioration of gas exchange may follow. In parallel, several comorbidities can be observed. The COPD assessment was revised and now takes into account lung function, the patients' symptoms, and history of exacerbations. More recently, several new long-acting bronchodilators received approval. Combination products, consisting of long-acting β2-agonists and long-acting anticholinergics, and a new combination of a long-acting β-agonist and an inhaled corticosteroid will follow in the near future. Smoking cessation is of central importance.
Mental health policy and psychotropic drugs.

PubMed

Frank, Richard G; Conti, Rena M; Goldman, Howard H

2005-01-01

The pace of innovation in psychotropic drugs has been rapid over the past 15 years. There also have been unprecedented increases in spending on prescription drugs generally and psychotropic medications specifically. Psychotropic medications are playing a more central role in treatment. They also are receiving close scrutiny from health insurers, state budget makers, and ordinary citizens. Public policy actions regarding prescription drugs have the potential to significantly affect clinical care for mental disorders, the costs of this care to individuals and society at large, and the prospects for future scientific advances. This article outlines the policy issues related to psychotropic drugs with respect to their role in determining access to mental health treatment and the cost and quality of mental health care.
Tritium protective clothing

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

Fuller, T. P.; Easterly, C. E.

Occupational exposures to radiation from tritium received at present nuclear facilities and potential exposures at future fusion reactor facilities demonstrate the need for improved protective clothing. Important areas relating to increased protection factors of tritium protective ventilation suits are discussed. These areas include permeation processes of tritium through materials, various tests of film permeability, selection and availability of suit materials, suit designs, and administrative procedures. The phenomenological nature of film permeability calls for more standardized and universal test methods, which would increase the amount of directly useful information on impermeable materials. Improvements in suit designs could be expedited and bettermore » communicated to the health physics community by centralizing devlopmental equipment, manpower, and expertise in the field of tritium protection to one or two authoritative institutions.« less
Mental Health Policy and Psychotropic Drugs

PubMed Central

Frank, Richard G; Conti, Rena M; Goldman, Howard H

2005-01-01

The pace of innovation in psychotropic drugs has been rapid over the past 15 years. There also have been unprecedented increases in spending on prescription drugs generally and psychotropic medications specifically. Psychotropic medications are playing a more central role in treatment. They also are receiving close scrutiny from health insurers, state budget makers, and ordinary citizens. Public policy actions regarding prescription drugs have the potential to significantly affect clinical care for mental disorders, the costs of this care to individuals and society at large, and the prospects for future scientific advances. This article outlines the policy issues related to psychotropic drugs with respect to their role in determining access to mental health treatment and the cost and quality of mental health care. PMID:15960772
Advances in central receivers for concentrating solar applications

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

Ho, Clifford K.

This paper provides a review of current state-of-the-art commercial central receiver systems and emerging technologies intended to increase the outlet temperature to >700 °C. Research on particle-based, gas-based, and liquid-based receiver designs that can achieve these higher temperatures are discussed. Particle-based technologies include directly irradiated designs (free-falling, obstructed, centrifugal) and enclosed designs (gravity fed, fluidized). New gas-based receivers include micro-channel designs and light-trapping configurations that increase the surface area, heat transfer, and solar absorptance to enable higher fluxes and pressures. Liquid-based receivers and materials that are reviewed include high-temperature halide salts (chlorides and fluorides), carbonate salts, and liquid metals (sodiummore » and lead bismuth). Advantages and challenges associated with each of the technologies and receiver designs are presented.« less
Advances in central receivers for concentrating solar applications

DOE PAGES

Ho, Clifford K.

2017-04-09

This paper provides a review of current state-of-the-art commercial central receiver systems and emerging technologies intended to increase the outlet temperature to >700 °C. Research on particle-based, gas-based, and liquid-based receiver designs that can achieve these higher temperatures are discussed. Particle-based technologies include directly irradiated designs (free-falling, obstructed, centrifugal) and enclosed designs (gravity fed, fluidized). New gas-based receivers include micro-channel designs and light-trapping configurations that increase the surface area, heat transfer, and solar absorptance to enable higher fluxes and pressures. Liquid-based receivers and materials that are reviewed include high-temperature halide salts (chlorides and fluorides), carbonate salts, and liquid metals (sodiummore » and lead bismuth). Advantages and challenges associated with each of the technologies and receiver designs are presented.« less
Future GOES-R global ground receivers

NASA Astrophysics Data System (ADS)

Dafesh, P. A.; Grayver, E.

2006-08-01

The Aerospace Corporation has developed an end-to-end testbed to demonstrate a wide range of modern modulation and coding alternatives for future broadcast by the GOES-R Global Rebroadcast (GRB) system. In particular, this paper describes the development of a compact, low cost, flexible GRB digital receiver that was designed, implemented, fabricated, and tested as part of the development. This receiver demonstrates a 10-fold increase in data rate compared to the rate achievable by the current GOES generation, without a major impact on either cost or size. The digital receiver is integrated on a single PCI card with an FPGA device, and analog-to-digital converters. It supports a wide range of modulations (including 8-PSK and 16-QAM) and turbo coding. With appropriate FPGA firmware and software changes, it can also be configured to receive the current (legacy) GOES signals. The receiver has been validated by sending large image files over a high-fidelity satellite channel emulator, including a space-qualified power amplifier and a white noise source. The receiver is a key component of a future GOES-R weather receiver system (also called user terminal) that includes the antenna, low-noise amplifier, downconverter, filters, digital receiver, and receiver system software. This work describes this receiver proof of concept and its application to providing a very credible estimate of the impact of using modern modulation and coding techniques in the future GOES-R system.
Gaussian mixture models as flux prediction method for central receivers

NASA Astrophysics Data System (ADS)

Grobler, Annemarie; Gauché, Paul; Smit, Willie

2016-05-01

Flux prediction methods are crucial to the design and operation of central receiver systems. Current methods such as the circular and elliptical (bivariate) Gaussian prediction methods are often used in field layout design and aiming strategies. For experimental or small central receiver systems, the flux profile of a single heliostat often deviates significantly from the circular and elliptical Gaussian models. Therefore a novel method of flux prediction was developed by incorporating the fitting of Gaussian mixture models onto flux profiles produced by flux measurement or ray tracing. A method was also developed to predict the Gaussian mixture model parameters of a single heliostat for a given time using image processing. Recording the predicted parameters in a database ensures that more accurate predictions are made in a shorter time frame.

Whole-brain radiotherapy and high-dose methylprednisolone for elderly patients with primary central nervous system lymphoma: Results of North Central Cancer Treatment Group (NCCTG) 96-73-51

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

Laack, Nadia N.; Ballman, Karla V.; Mayo Clinic Cancer Center, Rochester, MN

Purpose: The aim of this study was to evaluate the efficacy, toxicity, and survival of whole-brain radiotherapy-treated (WBRT) and high-dose methylprednisolone (HDMP)-treated in elderly patients with primary central nervous system lymphoma (PCNSL). Methods and Materials: Patients with PCNSL who were 70 years and older received 1 g of methylprednisolone daily for 5 days, 30 days after WBRT. Patients then received 1 g of methylprednisolone every 28 days until progression. The primary endpoint was overall survival (OS) at 6 months. Results were compared with those in patients on the previous North Central Cancer Treatment Group (NCCTG) trial who received pre-WBRT cytoxan,more » adriamycin, vincristine, prednisone (CHOP) and high-dose cytarabine (CHOP-WBRT). A planned interim analysis was performed. The current regimen would be considered inactive if survival was not improved from patients treated with CHOP-WBRT. Results: Nineteen patients were accrued between 1998 and 2003. Median age was 76 years. Interim analysis revealed a 6-month survival of 33%, resulting in closure of the trial. Toxicity, OS, and event-free survival (EFS) were similar to those in patients more than 70 years of age who received CHOP-WBRT. The subgroup of patients who received HDMP had longer OS (12.1 vs. 7.0 months, p = 0.76) and EFS (11.7 vs. 4.0 months, p = 0.04) compared with the CHOP-WBRT patients alive 60 days after the start of treatment. Conclusions: Patients on-study long enough to receive HDMP had prolongation of OS and EFS compared to patients receiving CHOP-WBRT. Although the numbers of patients are too small for statistical conclusions, the HDMP regimen deserves further study.« less
Do AAO-HNSF CORE Grants Predict Future NIH Funding Success?

PubMed

Eloy, Jean Anderson; Svider, Peter F; Kanumuri, Vivek V; Folbe, Adam J; Setzen, Michael; Baredes, Soly

2014-08-01

To determine (1) whether academic otolaryngologists who have received an American Academy of Otolaryngology- Head and Neck Surgery Foundation (AAO-HNSF) Centralized Otolaryngology Research Efforts (CORE) grant are more likely to procure future National Institutes of Health (NIH) funding; (2) whether CORE grants or NIH Career Development (K) awards have a stronger association with scholarly impact. Historical cohort. Scholarly impact, as measured by the h-index, publication experience, and prior grant history, were determined for CORE-funded and non-CORE-funded academic otolaryngologists. All individuals were assessed for NIH funding history. Of 192 academic otolaryngologists with a CORE funding history, 39.6% had active or prior NIH awards versus 15.1% of 1002 non-CORE-funded faculty (P < .0001). Higher proportions of CORE-funded otolaryngologists have received K-series and R-series grants from the NIH (P-values < .05). K-grant recipients had higher h-indices than CORE recipients (12.6 vs 7.1, P < .01). Upon controlling for rank and experience, this difference remained significant among junior faculty. A higher proportion of academic otolaryngologists with prior AAO-HNSF CORE funding have received NIH funding relative to their non-CORE-funded peers, suggesting that the CORE program may be successful in its stated goals of preparing individuals for the NIH peer review process, although further prospective study is needed to evaluate a "cause and effect" relationship. Individuals with current or prior NIH K-grants had greater research productivity than those with CORE funding history. Both cohorts had higher scholarly impact values than previously published figures among academic otolaryngologists, highlighting that both CORE grants and NIH K-grants awards are effective career development resources. © American Academy of Otolaryngology—Head and Neck Surgery Foundation 2014.
Population pharmacokinetics of conventional and intermittent dosing of liposomal amphotericin B in adults: a first critical step for rational design of innovative regimens.

PubMed

Hope, William W; Goodwin, Joanne; Felton, Timothy W; Ellis, Michael; Stevens, David A

2012-10-01

There is increased interest in intermittent regimen of liposomal amphotericin B, which may facilitate use in ambulatory settings. Little is known, however, about the most appropriate dosage and schedule of administration. Plasma pharmacokinetic data were acquired from 30 patients receiving liposomal amphotericin B for empirical treatment of suspected invasive fungal infection. Two cohorts were studied. The first cohort received 3 mg of liposomal amphotericin B/kg of body weight/day; the second cohort received 10 mg of liposomal amphotericin B/kg at time zero, followed by 5 mg/kg at 48 and 120 h. The levels of liposomal amphotericin B were measured by high-pressure liquid chromatography (HPLC). The pharmacokinetics were estimated by using a population methodology. Monte Carlo simulations were performed. D-optimal design was used to identify maximally informative sampling times for both conventional and intermittent regimens for future studies. A three-compartment pharmacokinetic model best described the data. The pharmacokinetics for both conventional and intermittent dosing were linear. The estimates for the mean (standard deviation) for clearance and the volume of the central compartment were 1.60 (0.85) liter/h and 20.61 (15.27) liters, respectively. Monte Carlo simulations demonstrated considerable variability in drug exposure. Bayesian estimates for clearance and volume increased in a linear manner with weight, but only the former was statistically significant (P = 0.039). D-optimal design provided maximally informative sampling times for future pharmacokinetic studies. The pharmacokinetics of a conventional and an intermittently administered high-dose regimen liposomal amphotericin B are linear. Further pharmacokinetic-pharmacodynamic preclinical and clinical studies are required to identify safe and effective intermittent regimens.
Forest ecosystems and the changing patterns of nitrogen input and acid deposition today and in the future based on a scenario.

PubMed

Busch, G; Lammel, G; Beese, F O; Feichter, J; Dentener, F J; Roelofs, G J

2001-01-01

A global assessment of the impact of the anthropogenic perturbation of the nitrogen and sulfur cycles on forest ecosystems is carried out for both the present-day [1980-1990] and for a projection into the future [2040-2050] under a scenario of economic development which represents a medium path of development according to expert guess [IPCC IS92a]. Results show that forest soils will receive considerably increasing loads of nitrogen and acid deposition and that deposition patterns are likely to change. The regions which are most prone to depletion of soils buffering capacity and supercritical nitrogen deposition are identified in the subtropical and tropical regions of South America and Southeast Asia apart from the well known 'hotspots' North-Eastern America and Central Europe. The forest areas likely to meet these two risks are still a minor fraction of the global forest ecosystems, though. But the bias between eutrophication and acidification will become greater and an enhanced growth triggered by the fertilizing effects of increasing nitrogen input cannot be balanced by the forest soils nutrient pools. Results show increasing loads into forest ecosystems which are likely to account for 46% higher acid loads and 36% higher nitrogen loads in relation to the 1980-1990 situation. Global background deposition of up to 5 kg N ha-1 a-1 will be exceeded at more than 25% of global forest ecosystems and at more than 50% of forest ecosystems on acid sensitive soils. More than 33% of forest ecosystems on acid sensitive soils will receive acid loads which exceeds their buffering capacity. About 25% of forest areas with exceeded acid loads will receive critical nitrogen loads.
Population Pharmacokinetics of Conventional and Intermittent Dosing of Liposomal Amphotericin B in Adults: a First Critical Step for Rational Design of Innovative Regimens

PubMed Central

Goodwin, Joanne; Felton, Timothy W.; Ellis, Michael; Stevens, David A.

2012-01-01

There is increased interest in intermittent regimen of liposomal amphotericin B, which may facilitate use in ambulatory settings. Little is known, however, about the most appropriate dosage and schedule of administration. Plasma pharmacokinetic data were acquired from 30 patients receiving liposomal amphotericin B for empirical treatment of suspected invasive fungal infection. Two cohorts were studied. The first cohort received 3 mg of liposomal amphotericin B/kg of body weight/day; the second cohort received 10 mg of liposomal amphotericin B/kg at time zero, followed by 5 mg/kg at 48 and 120 h. The levels of liposomal amphotericin B were measured by high-pressure liquid chromatography (HPLC). The pharmacokinetics were estimated by using a population methodology. Monte Carlo simulations were performed. D-optimal design was used to identify maximally informative sampling times for both conventional and intermittent regimens for future studies. A three-compartment pharmacokinetic model best described the data. The pharmacokinetics for both conventional and intermittent dosing were linear. The estimates for the mean (standard deviation) for clearance and the volume of the central compartment were 1.60 (0.85) liter/h and 20.61 (15.27) liters, respectively. Monte Carlo simulations demonstrated considerable variability in drug exposure. Bayesian estimates for clearance and volume increased in a linear manner with weight, but only the former was statistically significant (P = 0.039). D-optimal design provided maximally informative sampling times for future pharmacokinetic studies. The pharmacokinetics of a conventional and an intermittently administered high-dose regimen liposomal amphotericin B are linear. Further pharmacokinetic-pharmacodynamic preclinical and clinical studies are required to identify safe and effective intermittent regimens. PMID:22869566
Support and maneuvering apparatus for solar energy receivers

DOEpatents

Murphy, L.M.

1988-07-28

A support and maneuvering apparatus is disclosed for a solar energy receiving device adapted for receiving and concentrating solar energy and having a central axis extending through the center thereof. The apparatus includes a frame for mounting the perimeter of said solar energy receiving device. A support member extends along the central axis of the receiving device and has a base end passing through the center of the receiving device and an outer distal end adapted for carrying a solar energy receiving and conversion mechanism. A variable tension mechanism interconnects the support member with the frame to provide stiffening for the support member and the frame and to assist in the alignment of the frame to optimize the optical efficiency of the solar energy receiving device. A rotatable base is provided, and connecting members extend from the base for pivotable attachment to the frame at spaced positions therealong. Finally, an elevation assembly is connected to the receiving device for selectively pivoting the receiving about an axis defined between the attachment positions of the connecting members on the frame. 4 figs.
Support and maneuvering apparatus for solar energy receivers

DOEpatents

Murphy, Lawrence M.

1989-01-01

A support and maneuvering apparatus is disclosed for a solar energy receiving device adpated for receiving and concentrating solar energy and having a central axis extending through the center thereof. The apparatus includes a frame for mounting the perimeter of said solar energy receiving device. A support member extends along the central axis of the receiving device and has a base end passing through the center of the receiving device and an outer distal end adapted for carrying a solar energy receiving and conversion mechanism. A variable tension mechanism interconnects the support member with the frame to provide stiffening for the support member and the frame and to assist in the alignment of the frame to optimize the optical efficiency of the solar energy receiving device. A rotatable base is provided, and connecting members extend from the base for pivotable attachment to the frame at spaced positions therealong. Finally, an elevation assembly is connected to the receiving device for selectively pivoting the receiving device about an axis defined between the attachment positions of the connecting members on the frame.
Conceptual design of advanced central receiver power systems sodium-cooled receiver concept. Volume 1. Executive summary. Final report

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

Not Available

1979-06-01

The conceptual design of an advanced central receiver power system using liquid sodium as a heat transport medium has been completed by a team consisting of the Energy Systems Group (prime contractor), McDonnell Douglas, Stearns-Roger, The University of Houston, and Salt River Project. The purpose of this study was to determine the technical and economic advantages of this concept for commercial-scale power plants. This final report covers all tasks of the project. These tasks were as follows: (1) review and analysis of preliminary specification; (2) parametric analysis; (3) select commercial configuration; (4) commercial plant conceptual design; (5) assessment of commercialmore » plant; (6) advanced central receiver power system development plan; (7) program plan; (8) reports and data; (9) program management; and (10) safety analysis. A programmatic overview of the accomplishments of this program is given. The 100-MW conceptual commercial plant, the 281-MW optimum plant, and the 10-MW pilot plant are described. (WHK)« less
Solar Pilot Plant, Phase I. Preliminary design report. Volume II, Book 2. Central receiver optical model users manual. CDRL item 2. [HELIAKI code

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

None

1977-05-01

HELIAKI is a FORTRAN computer program which simulates the optical/thermal performance of a central receiver solar thermal power plant for the dynamic conversion of solar-generated heat to electricity. The solar power plant which this program simulates consists of a field of individual sun tracking mirror units, or heliostats, redirecting sunlight into a cavity, called the receiver, mounted atop a tower. The program calculates the power retained by that cavity receiver at any point in time or the energy into the receiver over a year's time using a Monte Carlo ray trace technique to solve the multiple integral equations. An artist'smore » concept of this plant is shown.« less
Receiver-exciter controller design

NASA Technical Reports Server (NTRS)

Jansma, P. A.

1982-01-01

A description of the general design of both the block 3 and block 4 receiver-exciter controllers for the Deep Space Network (DSN) Mark IV-A System is presented along with the design approach. The controllers are designed to enable the receiver-exciter subsystem (RCV) to be configured, calibrated, initialized and operated from a central location via high level instructions. The RECs are designed to be operated under the control of the DMC subsystem. The instructions are in the form of standard subsystem blocks (SSBs) received via the local area network (LAN). The centralized control provided by RECs and other DSCC controllers in Mark IV-A is intended to reduce DSN operations costs from the Mark III era.
Towards environmental health equity in health impact assessment: innovations and opportunities.

PubMed

Buse, Chris G; Lai, Valerie; Cornish, Katie; Parkes, Margot W

2018-06-18

As global environmental change drives inequitable health outcomes, novel health equity assessment methodologies are increasingly required. We review literatures on equity-focused HIA to clarify how equity is informing HIA practice, and to surface innovations for assessing health equity in relation to a range of exposures across geographic and temporal scales. A narrative review of the health equity and HIA literatures analysed English articles published between 2003 and 2017 across PubMed, PubMed Central, Biomed Central and Ovid Medline. Title and abstract reviews of 849 search results yielded 89 articles receiving full text review. Considerations of equity in HIA increased over the last 5 years, but equity continues to be conflated with health disparities rather than their root causes (i.e. inequities). Lessons from six literatures to inform future HIA practice are described: HIA for healthy cities, climate change vulnerability assessment, cumulative health risk assessment, intersectionality-based policy analysis, corporate health impact assessment and global health impact assessment. Academic reporting on incorporating equity in HIA practice has been limited. Nonetheless, significant methodological advancements are being made to examine the health equity implications of multiple environmental exposures.
Frequency and Content of Chat Questions by Time of Semester at the University of Central Florida: Implications for Training, Staffing and Marketing

ERIC Educational Resources Information Center

Goda, Donna; Bishop, Corinne

2008-01-01

The more than 4,000 "chats" received by the University of Central Florida's (UCF) Ask-A-Librarian digital reference service are the subject of this practitioner-based, descriptive case study. Question content from chats received during four semesters between January 2005 and May 2006 are categorized and plotted, by semester, to show the…
Donor human milk bank data collection in north america: an assessment of current status and future needs.

PubMed

Brownell, Elizabeth A; Lussier, Mary M; Herson, Victor C; Hagadorn, James I; Marinelli, Kathleen A

2014-02-01

The Human Milk Banking Association of North America (HMBANA) is a nonprofit association that standardizes and facilitates the establishment and operation of donor human milk (DHM) banks in North America. Each HMBANA milk bank in the network collects data on the DHM it receives and distributes, but a centralized data repository does not yet exist. In 2010, the Food and Drug Administration recognized the need to collect and disseminate systematic, standardized DHM bank data and suggested that HMBANA develop a DHM data repository. This study aimed to describe data currently collected by HMBANA DHM banks and evaluate feasibility and interest in participating in a centralized data repository. We conducted phone interviews with individuals in different HMBANA milk banks and summarized descriptive statistics. Eight of 13 (61.5%) sites consented to participate. All respondents collected donor demographics, and half (50%; n = 4) rescreened donors after 6 months of continued donation. The definition of preterm milk varied between DHM banks (≤ 32 to ≤ 40 weeks). The specific computer program used to house the data also differed. Half (50%; n = 4) indicated that they would consider participation in a centralized repository. Without standardized data across all HMBANA sites, the creation of a centralized data repository is not yet feasible. Lack of standardization and transparency may deter implementation of donor milk programs in the neonatal intensive care unit setting and hinder benchmarking, research, and quality improvement initiatives.
A 200kW central receiver CPV system

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

Lasich, John, E-mail: jbl@raygen.com; Thomas, Ian, E-mail: ithomas@raygen.com; Hertaeg, Wolfgang

2015-09-28

Raygen Resources has recently completed a Central Receiver CPV (CSPV) pilot plant in Central Victoria, Australia. The system is under final commissioning and initial operation is expected in late April 2015. The pilot demonstrates a full scale CSPV repeatable unit in a form that is representative of a commercial product and provides a test bed to prove out performance and reliability of the CSPV technology. Extensive testing of the system key components: dense array module, wireless solar powered heliostat and control system has been performed in the laboratory and on sun. Results from this key component testing are presented herein.
The Crustal Structure of the Central Anatolia (Turkey) Using Receiver Functions

NASA Astrophysics Data System (ADS)

Yelkenci, S.; Benoit, M.; Kuleli, H.; Gurbuz, C.

2005-12-01

Central Anatolia lies in a transitional region between the extensional tectonics of western Anatolia and the complex transpressional tectonics of Eastern Anatolia, and has a complicated thermal and structural history. Few studies of the crustal structure of Anatolia have been performed, however, studies of the crustal structure of Eastern Anatolia showed that crustal thicknesses were thinner than previously thought. To further investigate the crustal structure in Central Anatolia, we present results from receiver function analysis using new data from broad-band instruments. The stations were equipped with 7 broadband three-component STS-2 and 13 short period three-component S-13 sensors. These stations operated for period of one and half months between the October and November, 2002, and yielded data for ~ 40 high quality receiver functions. Additionally, receiver functions were also computed using data from permanent stations MALT, ISP, and ANTO. We applied the hk-stacking technique of Zhu and Kanamori (2000) to receiver functions to obtain the crustal thickness and Vp/Vs ratios. Furthermore, we applied a waveform modeling technique to investigate mid-crustal discontinuties previously imaged in the region. Our results compare well with refraction-based crustal thicknesses in overlapped areas.
Gratitude, abstinence, and alcohol use disorders: Report of a preliminary finding.

PubMed

Krentzman, Amy R

2017-07-01

Gratitude is a central component of addiction recovery for many, yet it has received scant attention in addiction research. In a sample of 67 individuals entering abstinence-based alcohol-use-disorder treatment, this study employed gratitude and abstinence variables from sequential assessments (baseline, 6months, 12months) to model theorized causal relationships: gratitude would increase pre-post treatment and gratitude after treatment would predict greater percent days abstinent 6months later. Neither hypothesis was supported. This unexpected result led to the theory that gratitude for sobriety was the construct of interest; therefore, the association between gratitude and future abstinence would be positive among those already abstinent. Thus, post-treatment abstinence was tested as a moderator of the effect of gratitude on future abstinence: this effect was statistically significant. For those who were abstinent after treatment, the relationship between gratitude and future abstinence was positive; for those drinking most frequently after treatment, the relationship between gratitude and future abstinence was negative. In this preliminary study, dispositional tendency to affirm that there is much to be thankful for appeared to perpetuate the status quo-frequent drinkers with high gratitude were drinking frequently 6months later; abstinent individuals with high gratitude were abstinent 6months later. Gratitude exercises might be contraindicated for clients who are drinking frequently and have abstinence as their treatment goal. Copyright © 2017 Elsevier Inc. All rights reserved.
Implementation of Good Clinical Laboratory Practice (GCLP) guidelines within the External Quality Assurance Program Oversight Laboratory (EQAPOL).

PubMed

Todd, Christopher A; Sanchez, Ana M; Garcia, Ambrosia; Denny, Thomas N; Sarzotti-Kelsoe, Marcella

2014-07-01

The EQAPOL contract was awarded to Duke University to develop and manage global proficiency testing programs for flow cytometry-, ELISpot-, and Luminex bead-based assays (cytokine analytes), as well as create a genetically diverse panel of HIV-1 viral cultures to be made available to National Institutes of Health (NIH) researchers. As a part of this contract, EQAPOL was required to operate under Good Clinical Laboratory Practices (GCLP) that are traditionally used for laboratories conducting endpoint assays for human clinical trials. EQAPOL adapted these guidelines to the management of proficiency testing programs while simultaneously incorporating aspects of ISO/IEC 17043 which are specifically designed for external proficiency management. Over the first two years of the contract, the EQAPOL Oversight Laboratories received training, developed standard operating procedures and quality management practices, implemented strict quality control procedures for equipment, reagents, and documentation, and received audits from the EQAPOL Central Quality Assurance Unit. GCLP programs, such as EQAPOL, strengthen a laboratory's ability to perform critical assays and provide quality assessments of future potential vaccines. © 2013.
Pathogen-Host Associations and Predicted Range Shifts of Human Monkeypox in Response to Climate Change in Central Africa

PubMed Central

Thomassen, Henri A.; Fuller, Trevon; Asefi-Najafabady, Salvi; Shiplacoff, Julia A. G.; Mulembakani, Prime M.; Blumberg, Seth; Johnston, Sara C.; Kisalu, Neville K.; Kinkela, Timothée L.; Fair, Joseph N.; Wolfe, Nathan D.; Shongo, Robert L.; LeBreton, Matthew; Meyer, Hermann; Wright, Linda L.; Muyembe, Jean-Jacques; Buermann, Wolfgang; Okitolonda, Emile; Hensley, Lisa E.; Lloyd-Smith, James O.; Smith, Thomas B.; Rimoin, Anne W.

2013-01-01

Climate change is predicted to result in changes in the geographic ranges and local prevalence of infectious diseases, either through direct effects on the pathogen, or indirectly through range shifts in vector and reservoir species. To better understand the occurrence of monkeypox virus (MPXV), an emerging Orthopoxvirus in humans, under contemporary and future climate conditions, we used ecological niche modeling techniques in conjunction with climate and remote-sensing variables. We first created spatially explicit probability distributions of its candidate reservoir species in Africa's Congo Basin. Reservoir species distributions were subsequently used to model current and projected future distributions of human monkeypox (MPX). Results indicate that forest clearing and climate are significant driving factors of the transmission of MPX from wildlife to humans under current climate conditions. Models under contemporary climate conditions performed well, as indicated by high values for the area under the receiver operator curve (AUC), and tests on spatially randomly and non-randomly omitted test data. Future projections were made on IPCC 4th Assessment climate change scenarios for 2050 and 2080, ranging from more conservative to more aggressive, and representing the potential variation within which range shifts can be expected to occur. Future projections showed range shifts into regions where MPX has not been recorded previously. Increased suitability for MPX was predicted in eastern Democratic Republic of Congo. Models developed here are useful for identifying areas where environmental conditions may become more suitable for human MPX; targeting candidate reservoir species for future screening efforts; and prioritizing regions for future MPX surveillance efforts. PMID:23935820
A pilot study of myofascial release therapy compared to Swedish massage in fibromyalgia.

PubMed

Liptan, Ginevra; Mist, Scott; Wright, Cheryl; Arzt, Anna; Jones, Kim Dupree

2013-07-01

Fibromyalgia (FM) is characterized by widespread muscle pain and soft tissue tenderness. However, a lack of definitive muscle pathology has made FM both a diagnostic and a treatment puzzle. Much of the evidence for pathology in FM lies in the central nervous system - in particular abnormal amplification of pain signals in the spinal cord - a manifestation of central sensitization. An emerging body of evidence posits that peripheral pain generated from the muscles and fascia may trigger and maintain central sensitization in FM. Since FM patients so frequently seek manual therapy to relieve muscle symptoms, the present study compared two different manual therapy techniques in a parallel study of women with FM. Eight subjects received myofascial release (MFR) while four subjects received Swedish massage, 90 min weekly for four weeks. Overall symptom burden and physical function were assessed by the Fibromyalgia Impact Questionnaire Revised (FIQ-R). A unique challenge for the manual therapist in treating conditions involving central sensitization is to determine if localized pain reduction can be achieved with targeted therapy in the context of ongoing widespread pain. Localized pain improvement was measured by a novel questionnaire developed for this study, the modified Nordic Musculoskeletal Questionnaire (NMQ). Between-group differences in FIQ-R did not reach statistical significance, but the total change scores on FIQ-R for the MFR group (mean = 10.14, SD = 16.2) trended in the hypothesized and positive direction compared to the Swedish massage group (mean = 0.33, SD = 4.93) yielding a positive Aikin separation test. Although overall modified NMQ scores improved in both groups there were no consistent focal areas of improvement for the Swedish massage group. In contrast, the MFR group reported consistent pain reductions in the neck and upper back regions on the NMQ. These data support the need for larger randomized controlled trials of MFR versus other massage techniques and support the assessment of localized pain reduction in future manual therapy studies in FM. Copyright © 2012 Elsevier Ltd. All rights reserved.
Central solar-energy receiver

DOEpatents

Not Available

1981-10-27

An improved tower-mounted central solar energy receiver for heating air drawn through the receiver by an induced draft fan is described. A number of vertically oriented, energy absorbing, fin-shaped slats are radially arranged in a number of concentric cylindrical arrays on top of the tower coaxially surrounding a pipe having air holes through which the fan draws air which is heated by the slats which receive the solar radiation from a heliostat field. A number of vertically oriented and wedge-shaped columns are radially arranged in a number of concentric cylindrical clusters surrounding the slat arrays. The columns have two mirror-reflecting sides to reflect radiation into the slat arrays and one energy absorbing side to reduce reradiation and reflection from the slat arrays.

Central solar energy receiver

DOEpatents

Drost, M. Kevin

1983-01-01

An improved tower-mounted central solar energy receiver for heating air drawn through the receiver by an induced draft fan. A number of vertically oriented, energy absorbing, fin-shaped slats are radially arranged in a number of concentric cylindrical arrays on top of the tower coaxially surrounding a pipe having air holes through which the fan draws air which is heated by the slats which receive the solar radiation from a heliostat field. A number of vertically oriented and wedge-shaped columns are radially arranged in a number of concentric cylindrical clusters surrounding the slat arrays. The columns have two mirror-reflecting sides to reflect radiation into the slat arrays and one energy absorbing side to reduce reradiation and reflection from the slat arrays.
Concentrated solar-flux measurements at the IEA-SSPS solar-central-receiver power plant, Tabernas - Lameria (Spain)

NASA Astrophysics Data System (ADS)

Vontobel, G.; Schelders, C.; Real, M.

A flux analyzing system (F.A.S.) was installed at the central receiver system of the SSPS project to determine the relative flux distribution of the heliostat field and to measure the entire optical solar flux reflected from the heliostat field into the receiver cavity. The functional principles of the F.A.S. are described. The raw data and the evaluation of the measurements of the entire helistat field are given, and an approach to determine the actual fluxes which hit the receiver tube bundle is presented. A method is described to qualify the performance of each heliostat using a computer code. The data of the measurements of the direct radiation are presented.
Review of dextromethorphan administration in 18 patients with subacute methotrexate central nervous system toxicity.

PubMed

Afshar, Maryam; Birnbaum, Daniel; Golden, Carla

2014-06-01

The pathogenesis of methotrexate central nervous system toxicity is multifactorial, but it is likely related to central nervous system folate homeostasis. The use of folinate rescue has been described to decrease toxicity in patients who had received intrathecal methotrexate. It has also been described in previous studies that there is an elevated level of homocysteine in plasma and cerebrospinal fluid of patients who had received intrathecal methotrexate. Homocysteine is an N-methyl-D-aspartate receptor agonist. The use of dextromethorphan, noncompetitive N-methyl-D-aspartate receptor receptor antagonist, has been used in the treatment of sudden onset of neurological dysfunction associated with methotrexate toxicity. It remains unclear whether the dextromethorphan impacted the speed of recovery, and its use remains controversial. This study reviews the use of dextromethorphan in the setting of subacute methotrexate central nervous system toxicity. Charts of 18 patients who had sudden onset of neurological impairments after receiving methotrexate and were treated with dextromethorphan were reviewed. The use of dextromethorphan in most of our patients resulted in symptomatic improvement. In this patient population, earlier administration of dextromethorphan resulted in faster improvement of impairments and led to prevention of recurrence of seizure activity induced by methotrexate central nervous system toxicity. Our study provides support for the use of dextromethorphan in patients with subacute methotrexate central nervous system toxicity. Copyright © 2014 Elsevier Inc. All rights reserved.
Characterization of Postinfusion Phenotypic Differences in Fresh Versus Cryopreserved TCR Engineered Adoptive Cell Therapy Products.

PubMed

Nowicki, Theodore S; Escuin-Ordinas, Helena; Avramis, Earl; Chmielowski, Bartosz; Chodon, Thinle; Berent-Maoz, Beata; Wang, Xiaoyan; Kaplan-Lefko, Paula; Yang, Lili; Baltimore, David; Economou, James S; Ribas, Antoni; Comin-Anduix, Begoña

2018-06-01

Adoptive cell therapy (ACT) consisting of genetically engineered T cells expressing tumor antigen-specific T-cell receptors displays robust initial antitumor activity, followed by loss of T-cell activity/persistence and frequent disease relapse. We characterized baseline and longitudinal T-cell phenotype variations resulting from different manufacturing and administration protocols in patients who received ACT. Patients with melanoma who enrolled in the F5-MART-1 clinical trial (NCT00910650) received infusions of MART-1 T-cell receptors transgenic T cells with MART-1 peptide-pulsed dendritic cell vaccination. Patients were divided into cohorts based on several manufacturing changes in the generation and administration of the transgenic T cells: decreasing ex vivo stimulation/expansion time, increased cell dose, and receiving fresh instead of cryopreserved cells. T-cell phenotypes were analyzed by flow cytometry at baseline and longitudinally in peripheral blood. Transgenic T cells with shorter ex vivo culture/expansion periods displayed significantly increased expression of markers associated with less differentiated naive/memory populations, as well as significantly decreased expression of the inhibitory receptor programmed death 1 (PD1). Patients receiving fresh infusions of transgenic cells demonstrated expansion of central memory T cells and delayed acquisition of PD1 expression compared with patients who received cryopreserved products. Freshly infused transgenic T cells showed persistence and expansion of naive and memory T-cell populations and delayed acquisition of PD1 expression, which correlated with this cohort's superior persistence of transgenic cells and response to dendritic cell vaccines. These results may be useful in designing future ACT protocols.
Characterization of Postinfusion Phenotypic Differences in Fresh Versus Cryopreserved TCR Engineered Adoptive Cell Therapy Products

PubMed Central

Nowicki, Theodore S.; Escuin-Ordinas, Helena; Avramis, Earl; Chmielowski, Bartosz; Chodon, Thinle; Berent-Maoz, Beata; Wang, Xiaoyan; Kaplan-Lefko, Paula; Yang, Lili; Baltimore, David; Economou, James S.; Ribas, Antoni

2018-01-01

Adoptive cell therapy (ACT) consisting of genetically engineered T cells expressing tumor antigen-specific T-cell receptors displays robust initial antitumor activity, followed by loss of T-cell activity/persistence and frequent disease relapse. We characterized baseline and longitudinal T-cell phenotype variations resulting from different manufacturing and administration protocols in patients who received ACT. Patients with melanoma who enrolled in the F5-MART-1 clinical trial (NCT00910650) received infusions of MART-1 T-cell receptors transgenic T cells with MART-1 peptide-pulsed dendritic cell vaccination. Patients were divided into cohorts based on several manufacturing changes in the generation and administration of the transgenic T cells: decreasing ex vivo stimulation/expansion time, increased cell dose, and receiving fresh instead of cryopreserved cells. T-cell phenotypes were analyzed by flow cytometry at baseline and longitudinally in peripheral blood. Transgenic T cells with shorter ex vivo culture/expansion periods displayed significantly increased expression of markers associated with less differentiated naive/memory populations, as well as significantly decreased expression of the inhibitory receptor programmed death 1 (PD1). Patients receiving fresh infusions of transgenic cells demonstrated expansion of central memory T cells and delayed acquisition of PD1 expression compared with patients who received cryopreserved products. Freshly infused transgenic T cells showed persistence and expansion of naive and memory T-cell populations and delayed acquisition of PD1 expression, which correlated with this cohort’s superior persistence of transgenic cells and response to dendritic cell vaccines. These results may be useful in designing future ACT protocols. PMID:29470191
An open future for ecological and evolutionary data?

PubMed

Kenall, Amye; Harold, Simon; Foote, Christopher

2014-04-02

As part of BioMed Central's open science mission, we are pleased to announce that two of our journals have integrated with the open data repository Dryad. Authors submitting their research to either BMC Ecology or BMC Evolutionary Biology will now have the opportunity to deposit their data directly into the Dryad archive and will receive a permanent, citable link to their dataset. Although this does not affect any of our current data deposition policies at these journals, we hope to encourage a more widespread adoption of open data sharing in the fields of ecology and evolutionary biology by facilitating this process for our authors. We also take this opportunity to discuss some of the wider issues that may concern researchers when making their data openly available. Although we offer a number of positive examples from different fields of biology, we also recognise that reticence to data sharing still exists, and that change must be driven from within research communities in order to create future science that is fit for purpose in the digital age. This editorial was published jointly in both BMC Ecology and BMC Evolutionary Biology.
Apipuncture treatment for central post-stroke pain.

PubMed

Yun, Sang Pil; Sun, Bong Chul

2010-02-01

The objective of this study was to assess the effectiveness of apipuncture treatment for central post-stroke pain. Two (2) female subjects with central post-stroke pain were treated with apipuncture. Both patients experienced a reduction in the intensity of pain after receiving apipuncture treatment without adverse effects. Apipuncture is an effective and safe intervention to treat central post-stroke pain.
Parents’ Participation in a Work-Based Anti-Poverty Program Can Enhance Their Children's Future Orientation: Understanding Pathways of Influence

PubMed Central

Purtell, Kelly M.; McLoyd, Vonnie C.

2012-01-01

Planning and preparing for life after high school is a central developmental task of American adolescents, and may be even more critical for low-income youth who are less likely to attend a four year college. This study investigates factors that led to the effects of the New Hope Project, a work-based, anti-poverty program directed at parents on youths’ career-related thoughts and planning. The New Hope project was implemented in Milwaukee, WI, during the mid-1990s. 745 families participated (52% male children; 56% African American; 30% Latino, and 15% White non-Hispanic) and half were randomly selected to receive New Hope benefits, which included earnings supplements, job search assistance, and child and health care subsidies for three years. Importantly, effects on youths’ future orientation were found eight years after the program began (five years after benefits ended). The present study investigates what factors sustained these positive impacts over time. Results indicate that parental perceptions of reading performance mediate the effects of New Hope on youths’ cynicism about work. Additionally, parental perceptions of reading performance and youths’ educational expectations mediate the effects of New Hope on boys’ pessimism about future employment. These findings highlight the importance of youths’ educational development to their career-related thoughts and planning. PMID:22878938
Meditation research, past, present, and future: perspectives from the Nalanda contemplative science tradition

PubMed Central

Loizzo, Joseph

2014-01-01

This article offers an overview of meditation research: its history, recent developments, and future directions. As the number and scope of studies grow, the field has converged with cognitive and affective neuroscience, and spawned many clinical applications. Recent work has shed light on the mechanisms and effects of diverse practices, and is entering a new phase where consensus and coherent paradigms are within reach. This article suggests an unusual path for future advancement: complementing conventional research with rigorous dialogue with the contemplative traditions that train expert meditators and best know the techniques. It explores the Nalanda tradition developed in India and preserved in Tibet, because its cumulative approach to contemplative methods produced a comprehensive framework that may help interpret data and guide research, and because its naturalistic theories and empirical methods may help bridge the gulf between science and other contemplative traditions. Examining recent findings and models in light of this framework, the article introduces the Indic map of the central nervous system and presents three testable predictions based on it. Finally, it reviews two studies that suggest that the multimodal Nalanda approach to contemplative learning is as well received as more familiar approaches, while showing promise of being more effective. PMID:24673149
Parents' participation in a work-based anti-poverty program can enhance their children's future orientation: understanding pathways of influence.

PubMed

Purtell, Kelly M; McLoyd, Vonnie C

2013-06-01

Planning and preparing for life after high school is a central developmental task of American adolescents, and may be even more critical for low-income youth who are less likely to attend a four year college. This study investigates factors that led to the effects of the New Hope Project, a work-based, anti-poverty program directed at parents on youths' career-related thoughts and planning. The New Hope project was implemented in Milwaukee, WI, during the mid-1990s. 745 families participated (52% male children; 56% African American; 30% Latino, and 15% White non-Hispanic) and half were randomly selected to receive New Hope benefits, which included earnings supplements, job search assistance, and child and health care subsidies for 3 years. Importantly, effects on youths' future orientation were found 8 years after the program began (5 years after benefits ended). The present study investigates what factors sustained these positive impacts over time. Results indicate that parental perceptions of reading performance mediate the effects of New Hope on youths' cynicism about work. Additionally, parental perceptions of reading performance and youths' educational expectations mediate the effects of New Hope on boys' pessimism about future employment. These findings highlight the importance of youths' educational development to their career-related thoughts and planning.
Conceptual design report: Nuclear materials storage facility renovation. Part 6, Alternatives study

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

NONE

1995-07-14

The Nuclear Materials Storage Facility (NMSF) at the Los Alamos National Laboratory (LANL) was a Fiscal Year (FY) 1984 line-item project completed in 1987 that has never been operated because of major design and construction deficiencies. This renovation project, which will correct those deficiencies and allow operation of the facility, is proposed as an FY 97 line item. The mission of the project is to provide centralized intermediate and long-term storage of special nuclear materials (SNM) associated with defined LANL programmatic missions and to establish a centralized SNM shipping and receiving location for Technical Area (TA)-55 at LANL. Based onmore » current projections, existing storage space for SNM at other locations at LANL will be loaded to capacity by approximately 2002. This will adversely affect LANUs ability to meet its mission requirements in the future. The affected missions include LANL`s weapons research, development, and testing (WRD&T) program; special materials recovery; stockpile survelliance/evaluation; advanced fuels and heat sources development and production; and safe, secure storage of existing nuclear materials inventories. The problem is further exacerbated by LANL`s inability to ship any materials offsite because of the lack of receiver sites for material and regulatory issues. Correction of the current deficiencies and enhancement of the facility will provide centralized storage close to a nuclear materials processing facility. The project will enable long-term, cost-effective storage in a secure environment with reduced radiation exposure to workers, and eliminate potential exposures to the public. This report is organized according to the sections and subsections outlined by Attachment 111-2 of DOE Document AL 4700.1, Project Management System. It is organized into seven parts. This document, Part VI - Alternatives Study, presents a study of the different storage/containment options considered for NMSF.« less
Developing a Performance Measurement System for University Central Administrative Services

ERIC Educational Resources Information Center

Arena, Marika; Arnaboldi, Michela; Azzone, Giovanni; Carlucci, Paola

2009-01-01

Central administrative services have recently received increasing attention from practitioners and academics due to the challenging need to both manage scarce resources and provide high-quality services. In this context, performance measurement systems (PMSs) may assume a central role, although an unresolved debate remains on the claimed benefits…
Knowledgeable Lemurs Become More Central in Social Networks.

PubMed

Kulahci, Ipek G; Ghazanfar, Asif A; Rubenstein, Daniel I

2018-04-23

Strong relationships exist between social connections and information transmission [1-9], where individuals' network position plays a key role in whether or not they acquire novel information [2, 3, 5, 6]. The relationships between social connections and information acquisition may be bidirectional if learning novel information, in addition to being influenced by it, influences network position. Individuals who acquire information quickly and use it frequently may receive more affiliative behaviors [10, 11] and may thus have a central network position. However, the potential influence of learning on network centrality has not been theoretically or empirically addressed. To bridge this epistemic gap, we investigated whether ring-tailed lemurs' (Lemur catta) centrality in affiliation networks changed after they learned how to solve a novel foraging task. Lemurs who had frequently initiated interactions and approached conspecifics before the learning experiment were more likely to observe and learn the task solution. Comparing social networks before and after the learning experiment revealed that the frequently observed lemurs received more affiliative behaviors than they did before-they became more central after the experiment. This change persisted even after the task was removed and was not caused by the observed lemurs initiating more affiliative behaviors. Consequently, quantifying received and initiated interactions separately provides unique insights into the relationships between learning and centrality. While the factors that influence network position are not fully understood, our results suggest that individual differences in learning and becoming successful can play a major role in social centrality, especially when learning from others is advantageous. Copyright © 2018 Elsevier Ltd. All rights reserved.
NCI Central Review Board Receives Accreditation

Cancer.gov

The Association for the Accreditation of Human Research Protection Programs has awarded the NCI Central Institutional Review Board full accreditation. AAHRPP awards accreditation to organizations demonstrating the highest ethical standards in clinical res
Associations of centrally acting ACE inhibitors with cognitive decline and survival in Alzheimer's disease.

PubMed

Fazal, Karim; Perera, Gayan; Khondoker, Mizanur; Howard, Robert; Stewart, Robert

2017-07-01

Cognitive improvement has been reported in patients receiving centrally acting angiotensin-converting enzyme inhibitors (C-ACEIs). To compare cognitive decline and survival after diagnosis of Alzheimer's disease between people receiving C-ACEIs, non-centrally acting angiotensin-converting enzyme inhibitors (NC-ACEIs), and neither. Routine Mini-Mental State Examination (MMSE) scores were extracted in 5260 patients receiving acetylcholinesterase inhibitors and analysed against C-/NC-ACEI exposure at the time of Alzheimer's disease diagnosis. In the 9 months after Alzheimer's disease diagnosis, MMSE scores significantly increased by 0.72 and 0.19 points per year in patients on C-ACEIs and neither respectively, but deteriorated by 0.61 points per year in those on NC-ACEIs. There were no significant group differences in score trajectories from 9 to 36 months and no differences in survival. In people with Alzheimer's disease receiving acetylcholinesterase inhibitors, those also taking C-ACEIs had stronger initial improvement in cognitive function, but there was no evidence of longer-lasting influence on dementia progression. R.S. has received research funding from Pfizer, Lundbeck, Roche, Janssen and GlaxoSmithKline. © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license.
Calcium/vitamin D supplementation and coronary artery calcification in the Women's Health Initiative.

PubMed

Manson, JoAnn E; Allison, Matthew A; Carr, J Jeffrey; Langer, Robert D; Cochrane, Barbara B; Hendrix, Susan L; Hsia, Judith; Hunt, Julie R; Lewis, Cora E; Margolis, Karen L; Robinson, Jennifer G; Rodabough, Rebecca J; Thomas, Asha M

2010-07-01

Coronary artery calcified plaque is a marker for atheromatous plaque burden and predicts future risk of cardiovascular events. The relationship between calcium plus vitamin D (calcium/D) supplementation and coronary artery calcium (CAC) has not been previously assessed in a randomized trial setting. We compared CAC scores after trial completion between women randomized to calcium/vitamin D supplementation and women randomized to placebo. In an ancillary substudy of women randomized to calcium carbonate (1,000 mg of elemental calcium daily) plus vitamin D3 (400 IU daily) or placebo, nested within the Women's Health Initiative trial of estrogen among women who underwent hysterectomy, we measured CAC with cardiac CT in 754 women aged 50 to 59 years at randomization. Imaging for CAC was performed at 28 of 40 centers after a mean of 7 years of treatment, and scans were read centrally. CAC scores were measured by a central reading center with masking to randomization assignments. Posttrial CAC measurements were similar in women randomized to calcium/D supplementation and those receiving placebo. The mean CAC score was 91.6 for women receiving calcium/D and 100.5 for women receiving placebo (rank test P value = 0.74). After adjustment for coronary risk factors, multivariate odds ratios for increasing CAC score cutpoints (CAC >0, > or =10, and > or =100) for calcium/D versus placebo were 0.92 (95% CI, 0.64-1.34), 1.29 (0.88-1.87), and 0.90 (0.56-1.44), respectively. Corresponding odds ratios among women with a 50% or higher adherence to study pills and for higher levels of CAC (>300) were similar. Treatment with moderate doses of calcium plus vitamin D3 did not seem to alter coronary artery calcified plaque burden among postmenopausal women. Whether higher or lower doses would affect this outcome remains uncertain.
78 FR 52166 - Quantitative Messaging Research

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-22

... COMMODITY FUTURES TRADING COMMISSION Quantitative Messaging Research AGENCY: Commodity Futures... survey will follow qualitative message testing research (for which CFTC received fast-track OMB approval... message testing research (for which CFTC received fast-track OMB approval) and is necessary to identify...
Analysis and improvement of the cavity structure of steam receiver of 1MWe solar tower power plant

NASA Astrophysics Data System (ADS)

Yu, Qiang; Wang, Zhifeng; Zhu, Lingzhi

2017-06-01

The central receiver, which plays a dominant role in the radiation-heat conversion, is one of the most important components in the solar tower power plants. Its performance can directly affect the efficiency of the entire solar power generation system. In general, the performance of the central receiver is mainly determined by two aspects: the first is the receiver structure and arrangement of heating pipes, the other is the integral control and operation strategy. The former is the internal essence of the receiver and the latter is extrinsic. In this paper, the latter is temporarily not in the scope of the discussion. According to the previous cavity structure and arrangement of the heating pipes, it is found that there are varying degrees of deformation to the heating pipes, especially for the superheated pipes. In order to make some improvement for the cavity receiver, firstly, the most likely causes were analyzed according to the previous structure. Secondly, a possible cavity structure was proposed according to the calculation results. The results show that the performance of the receiver is better than the previous one.
Solar thermal electricity generation

NASA Astrophysics Data System (ADS)

Gasemagha, Khairy Ramadan

1993-01-01

This report presents the results of modeling the thermal performance and economic feasibility of large (utility scale) and small solar thermal power plants for electricity generation. A number of solar concepts for power systems applications have been investigated. Each concept has been analyzed over a range of plant power ratings from 1 MW(sub e) to 300 MW(sub e) and over a range of capacity factors from a no-storage case (capacity factor of about 0.25 to 0.30) up to intermediate load capacity factors in the range of 0.46 to 0.60. The solar plant's economic viability is investigated by examining the effect of various parameters on the plant costs (both capital and O & M) and the levelized energy costs (LEC). The cost components are reported in six categories: collectors, energy transport, energy storage, energy conversion, balance of plant, and indirect/contingency costs. Concentrator and receiver costs are included in the collector category. Thermal and electric energy transport costs are included in the energy transport category. Costs for the thermal or electric storage are included in the energy storage category; energy conversion costs are included in the energy conversion category. The balance of plant cost category comprises the structures, land, service facilities, power conditioning, instrumentation and controls, and spare part costs. The indirect/contingency category consists of the indirect construction and the contingency costs. The concepts included in the study are (1) molten salt cavity central receiver with salt storage (PFCR/R-C-Salt); (2) molten salt external central receiver with salt storage (PFCR/R-E-Salt); (3) sodium external central receiver with sodium storage (PFCR/RE-Na); (4) sodium external central receiver with salt storage (PFCR/R-E-Na/Salt); (5) water/steam external central receiver with oil/rock storage (PFCR/R-E-W/S); (6) parabolic dish with stirling engine conversion and lead acid battery storage (PFDR/SLAB); (7) parabolic dish with stirling engine conversion and redox advanced battery storage (PFDR/S-RAB); and (8) parabolic trough with oil/rock storage (LFDR/R-HT-45). Key annual efficiency and economic results of the study are highlighted in tabular format for plant sizes and capacity factor that resulted in the lowest LEC over the analysis range.
The future of fiber production in the north-central States

Treesearch

W.S. Bromley

1973-01-01

It is an honor and a pleasure to make the initial presentation at this Tree Improvement Conference. I plan to cover the "future of fiber production in the north-central States" by confining my remarks to three major issues: (1) the potentials for expansion, (2) factors that may inhibit growth, and (3) changes in policies and procedures required.

Sensitivity analysis of heliostat aiming strategies and receiver size on annual thermal production of a molten salt external receiver

NASA Astrophysics Data System (ADS)

Servert, Jorge; González, Ana; Gil, Javier; López, Diego; Funes, Jose Felix; Jurado, Alfonso

2017-06-01

Even though receiver size and aiming strategy are to be jointly analyzed to optimize the thermal energy that can be extracted from a solar tower receiver, customarily, they have been studied as separated problems. The main reason is the high-level of detail required to define aiming strategies, which are often simplified in annual simulation models. Aiming strategies are usually focused on obtaining a homogeneous heat flux on the central receiver, with the goal to minimize the maximum heat flux value that may lead to damaging it. Some recent studies have addressed the effect of different aiming strategies on different receiver types, but they have only focused on the optical efficiency. The receiver size is also an additional parameter that has to be considered: larger receiver sizes provide a larger aiming surface and a reduction on spillage losses, but require higher investment while penalizing the thermal performance of the receiver due to the greater external convection losses. The present paper presents a sensitivity analysis of both factors for a predefined solar field at a fixed location, using a central receiver and molten salts as HTF. The analysis includes the design point values and annual energy outputs comparing the effect on the optical performance (measured using a spillage factor) and thermal energy production.
Predicting the Impacts of Climate Change on Central American Agriculture

NASA Astrophysics Data System (ADS)

Winter, J. M.; Ruane, A. C.; Rosenzweig, C.

2011-12-01

Agriculture is a vital component of Central America's economy. Poor crop yields and harvest reliability can produce food insecurity, malnutrition, and conflict. Regional climate models (RCMs) and agricultural models have the potential to greatly enhance the efficiency of Central American agriculture and water resources management under both current and future climates. A series of numerical experiments was conducted using Regional Climate Model Version 3 (RegCM3) and the Weather Research and Forecasting Model (WRF) to evaluate the ability of RCMs to reproduce the current climate of Central America and assess changes in temperature and precipitation under multiple future climate scenarios. Control simulations were thoroughly compared to a variety of observational datasets, including local weather station data, gridded meteorological data, and high-resolution satellite-based precipitation products. Future climate simulations were analyzed for both mean shifts in climate and changes in climate variability, including extreme events (droughts, heat waves, floods). To explore the impacts of changing climate on maize, bean, and rice yields in Central America, RCM output was used to force the Decision Support System for Agrotechnology Transfer Model (DSSAT). These results were synthesized to create climate change impacts predictions for Central American agriculture that explicitly account for evolving distributions of precipitation and temperature extremes.
Climate Change driven evolution of hazards to Europe's transport infrastructure throughout the twenty-first century

NASA Astrophysics Data System (ADS)

Matulla, Christoph; Hollósi, Brigitta; Andre, Konrad; Gringinger, Julia; Chimani, Barbara; Namyslo, Joachim; Fuchs, Tobias; Auerbach, Markus; Herrmann, Carina; Sladek, Brigitte; Berghold, Heimo; Gschier, Roland; Eichinger-Vill, Eva

2017-06-01

Road authorities, freight, and logistic industries face a multitude of challenges in a world changing at an ever growing pace. While globalization, changes in technology, demography, and traffic, for instance, have received much attention over the bygone decades, climate change has not been treated with equal care until recently. However, since it has been recognized that climate change jeopardizes many business areas in transport, freight, and logistics, research programs investigating future threats have been initiated. One of these programs is the Conference of European Directors of Roads' (CEDR) Transnational Research Programme (TRP), which emerged about a decade ago from a cooperation between European National Road Authorities and the EU. This paper presents findings of a CEDR project called CliPDaR, which has been designed to answer questions from road authorities concerning climate-driven future threats to transport infrastructure. Pertaining results are based on two potential future socio-economic pathways of mankind (one strongly economically oriented "A2" and one more balanced scenario "A1B"), which are used to drive global climate models (GCMs) producing global and continental scale climate change projections. In order to achieve climate change projections, which are valid on regional scales, GCM projections are downscaled by regional climate models. Results shown here originate from research questions raised by European Road Authorities. They refer to future occurrence frequencies of severely cold winter seasons in Fennoscandia, to particularly hot summer seasons in the Iberian Peninsula and to changes in extreme weather phenomena triggering landslides and rutting in Central Europe. Future occurrence frequencies of extreme winter and summer conditions are investigated by empirical orthogonal function analyses of GCM projections driven with by A2 and A1B pathways. The analysis of future weather phenomena triggering landslides and rutting events requires downscaled climate change projections. Hence, corresponding results are based on an ensemble of RCM projections, which was available for the A1B scenario. All analyzed risks to transport infrastructure are found to increase over the decades ahead with accelerating pace towards the end of this century. Mean Fennoscandian winter temperatures by the end of this century may match conditions of rather warm winter season experienced in the past and particularly warm future winter temperatures have not been observed so far. This applies in an even more pronounced manner to summer seasons in the Iberian Peninsula. Occurrence frequencies of extreme climate phenomena triggering landslides and rutting events in Central Europe are also projected to rise. Results show spatially differentiated patterns and indicate accelerated rates of increases.
Solar central electric power generation - A baseline design

NASA Technical Reports Server (NTRS)

Powell, J. C.

1976-01-01

The paper presents the conceptual technical baseline design of a solar electric power plant using the central receiver concept, and derives credible cost estimates from the baseline design. The major components of the plant - heliostats, tower, receiver, tower piping, and thermal storage - are discussed in terms of technical and cost information. The assumed peak plant output is 215 MW(e), over 4000 daylight hours. The contribution of total capital investment to energy cost is estimated to be about 55 mills per kwh in mid-1974 dollars.
Potential effects of climate change on streamflow for seven watersheds in eastern and central Montana

USGS Publications Warehouse

Chase, Katherine J.; Haj, Adel E.; Regan, R. Steven; Viger, Roland J.

2016-01-01

Study regionEastern and central Montana.Study focusFish in Northern Great Plains streams tolerate extreme conditions including heat, cold, floods, and drought; however changes in streamflow associated with long-term climate change may render some prairie streams uninhabitable for current fish species. To better understand future hydrology of these prairie streams, the Precipitation-Runoff Modeling System model and output from the RegCM3 Regional Climate model were used to simulate streamflow for seven watersheds in eastern and central Montana, for a baseline period (water years 1982–1999) and three future periods: water years 2021–2038 (2030 period), 2046–2063 (2055 period), and 2071–2088 (2080 period).New hydrological insights for the regionProjected changes in mean annual and mean monthly streamflow vary by the RegCM3 model selected, by watershed, and by future period. Mean annual streamflows for all future periods are projected to increase (11–21%) for two of the four central Montana watersheds: Middle Musselshell River and Cottonwood Creek. Mean annual streamflows for all future periods are projected to decrease (changes of −24 to −75%) for Redwater River watershed in eastern Montana. Mean annual streamflows are projected to increase slightly (2–15%) for the 2030 period and decrease (changes of −16 to −44%) for the 2080 period for the four remaining watersheds.
Arms Transfers to Venezuela: A Comparative and Critical Analysis of the Acquisition Process (1980-1996).

DTIC Science & Technology

1999-03-01

Budget (Oficina Central de Presupuesto [OCEPRE]), which is the presidential agency with overall responsibility to formulate the national budget...Budget (Oficina Central de Presupuesto OCEPRE), and they receive a special treatment in the Venezuelan Budgetary process. The OCEPRE is the...the Central Office of Budget (Oficina Central de Presupuesto , OCEPRE). This occurs when funds for weapons acquisitions come from the ordinary budget
Geographic and Demographic Variation in Use of Ranibizumab Versus Bevacizumab for Neovascular Age-related Macular Degeneration in the United States.

PubMed

Gower, Emily W; Stein, Joshua D; Shekhawat, Nakul S; Mikkilineni, Shravani; Blachley, Taylor S; Pajewski, Nicholas M

2017-12-01

To examine demographic and geographic variation in the use of ranibizumab and bevacizumab for the treatment of neovascular age-related macular degeneration (AMD) among Medicare beneficiaries. Retrospective cohort study. Using a 100% sample of Medicare claims data, we evaluated Medicare beneficiaries (N = 195 812) with an index claim for neovascular AMD between July 1, 2006, and June 30, 2009, to determine whether beneficiaries first received ranibizumab or bevacizumab following initial diagnosis. The overall proportion of beneficiaries that first received ranibizumab for neovascular AMD was 35%, and varied significantly (0.9%-84.6%) across the 306 US hospital referral regions (median = 33%, interquartile range = 17%-49%). Based on hierarchical logistic regression models, the likelihood of receiving ranibizumab declined over time (adjusted odds ratio (aOR) comparing treatment in 2009 vs 2006 = 0.39, P < .001). After we controlled for year of treatment, black beneficiaries were 45% less likely to receive ranibizumab compared to non-blacks (P < .0001). Beneficiaries residing in urban areas (aOR vs isolated rural towns = 1.12, P < .001), in zip codes with higher median incomes, and in the New England and East South Central census regions (aOR vs Pacific census region = 5.57, P < .001; aOR = 3.58, P < .001, respectively) had increased odds of receiving ranibizumab. The odds of receiving bevacizumab vs ranibizumab as initial therapy for neovascular AMD among US Medicare beneficiaries varied substantially across geographic and demographic groups. Relatively fewer patients received ranibizumab for initial neovascular AMD treatment in 2009 vs 2006. Future research should study the drivers of variation in utilization of these interventions, the extent this variation indicates differential access to these agents, and whether treatment choice impacts patient outcomes. Copyright © 2017 Elsevier Inc. All rights reserved.
Effects of Centralizing Acute Stroke Services on Stroke Care Provision in Two Large Metropolitan Areas in England

PubMed Central

Morris, Stephen; Hoffman, Alex; Hunter, Rachael M.; Boaden, Ruth; McKevitt, Christopher; Perry, Catherine; Pursani, Nanik; Rudd, Anthony G.; Turner, Simon J.; Tyrrell, Pippa J.; Wolfe, Charles D.A.; Fulop, Naomi J.

2015-01-01

Background and Purpose— In 2010, Greater Manchester and London centralized acute stroke care into hyperacute units (Greater Manchester=3, London=8), with additional units providing ongoing specialist stroke care nearer patients’ homes. Greater Manchester patients presenting within 4 hours of symptom onset were eligible for hyperacute unit admission; all London patients were eligible. Research indicates that postcentralization, only London’s stroke mortality fell significantly more than elsewhere in England. This article attempts to explain this difference by analyzing how centralization affects provision of evidence-based clinical interventions. Methods— Controlled before and after analysis was conducted, using national audit data covering Greater Manchester, London, and a noncentralized urban comparator (38 623 adult stroke patients, April 2008 to December 2012). Likelihood of receiving all interventions measured reliably in pre- and postcentralization audits (brain scan; stroke unit admission; receiving antiplatelet; physiotherapist, nutrition, and swallow assessments) was calculated, adjusting for age, sex, stroke-type, consciousness, and whether stroke occurred in-hospital. Results— Postcentralization, likelihood of receiving interventions increased in all areas. London patients were overall significantly more likely to receive interventions, for example, brain scan within 3 hours: Greater Manchester=65.2% (95% confidence interval=64.3–66.2); London=72.1% (71.4–72.8); comparator=55.5% (54.8–56.3). Hyperacute units were significantly more likely to provide interventions, but fewer Greater Manchester patients were admitted to these (Greater Manchester=39%; London=93%). Differences resulted from contrasting hyperacute unit referral criteria and how reliably they were followed. Conclusions— Centralized systems admitting all stroke patients to hyperacute units, as in London, are significantly more likely to provide evidence-based clinical interventions. This may help explain previous research showing better outcomes associated with fully centralized models. PMID:26130092
Central line associated sepsis in children receiving parenteral nutrition in Oman.

PubMed

Al Lawati, Tawfiq T; Al Jamie, Adawaiya; Al Mufarraji, Nasra

Parenteral Nutrition (PN) is used when gut fails to provide complete nutrition. Central line Associate Blood Stream Infection (CLABSI) a major complication of this therapy. The objective of the study was to report the incidence of CLABSI and associated mortality in children receiving PN in the Royal Hospital and study the indication and duration of PN use. All children from the age of 0-48 months who received TPN outside NICU from the period between 1/1/2011 till 31/12/2014 were included. Data were retrieved from the hospital electronic data base. There were 42 children 27 males and 15 females who used PN through a central line for a total duration of 569 days. The incidence of CLABSI was 14 days per 1000 days catheter and mortality of 556 per 10000. The average duration of TPN was 14.5 days. Most of the patient had CLABSI in the PICU and cardiac related illness or surgery was the most common indication of PN use. The average duration of use was 14 days. Inspite of that short duration use of PN, there is a very high incidence of CLABSI and its related mortality. Bundle policy for central line care is not used in the Royal Hospital and this study calls for urgent implementation of central line care bundle policy in the Royal Hospital. Copyright © 2017 The Authors. Published by Elsevier Ltd.. All rights reserved.
Design, construction, and testing of the direct absorption receiver panel research experiment

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

Chavez, J.M.; Rush, E.E.; Matthews, C.W.

1990-01-01

A panel research experiment (PRE) was designed, built, and tested as a scaled-down model of a direct absorption receiver (DAR). The PRE is a 3-MW{sub t}DAR experiment that will allow flow testing with molten nitrate salt and provide a test bed for DAR testing with actual solar heating. In a solar central receiver system DAR, the heat absorbing fluid (a blackened molten nitrate salt) flows in a thin film down a vertical panel (rather than through tubes as in conventional receiver designs) and absorbs the concentrated solar flux directly. The ability of the flowing salt film to absorb flux directly.more » The ability of the flowing salt film to absorb the incident solar flux depends on the panel design, hydraulic and thermal fluid flow characteristics, and fluid blackener properties. Testing of the PRE is being conducted to demonstrate the engineering feasibility of the DAR concept. The DAR concept is being investigated because it offers numerous potential performance and economic advantages for production of electricity when compared to other solar receiver designs. The PRE utilized a 1-m wide by 6-m long absorber panel. The salt flow tests are being used to investigate component performance, panel deformations, and fluid stability. Salt flow testing has demonstrated that all the DAR components work as designed and that there are fluid stability issues that need to be addressed. Future solar testing will include steady-state and transient experiments, thermal loss measurements, responses to severe flux and temperature gradients and determination of peak flux capability, and optimized operation. In this paper, we describe the design, construction, and some preliminary flow test results of the Panel Research Experiment. 11 refs., 8 figs., 2 tabs.« less
Differentiation of Enhancing Glioma and Primary Central Nervous System Lymphoma by Texture-Based Machine Learning.

PubMed

Alcaide-Leon, P; Dufort, P; Geraldo, A F; Alshafai, L; Maralani, P J; Spears, J; Bharatha, A

2017-06-01

Accurate preoperative differentiation of primary central nervous system lymphoma and enhancing glioma is essential to avoid unnecessary neurosurgical resection in patients with primary central nervous system lymphoma. The purpose of the study was to evaluate the diagnostic performance of a machine-learning algorithm by using texture analysis of contrast-enhanced T1-weighted images for differentiation of primary central nervous system lymphoma and enhancing glioma. Seventy-one adult patients with enhancing gliomas and 35 adult patients with primary central nervous system lymphomas were included. The tumors were manually contoured on contrast-enhanced T1WI, and the resulting volumes of interest were mined for textural features and subjected to a support vector machine-based machine-learning protocol. Three readers classified the tumors independently on contrast-enhanced T1WI. Areas under the receiver operating characteristic curves were estimated for each reader and for the support vector machine classifier. A noninferiority test for diagnostic accuracy based on paired areas under the receiver operating characteristic curve was performed with a noninferiority margin of 0.15. The mean areas under the receiver operating characteristic curve were 0.877 (95% CI, 0.798-0.955) for the support vector machine classifier; 0.878 (95% CI, 0.807-0.949) for reader 1; 0.899 (95% CI, 0.833-0.966) for reader 2; and 0.845 (95% CI, 0.757-0.933) for reader 3. The mean area under the receiver operating characteristic curve of the support vector machine classifier was significantly noninferior to the mean area under the curve of reader 1 ( P = .021), reader 2 ( P = .035), and reader 3 ( P = .007). Support vector machine classification based on textural features of contrast-enhanced T1WI is noninferior to expert human evaluation in the differentiation of primary central nervous system lymphoma and enhancing glioma. © 2017 by American Journal of Neuroradiology.
Single-stick tunneled central venous access using the jugular veins in infants weighing less than 5 kg.

PubMed

Lindquester, Will S; Hawkins, C Matthew; Monroe, Eric J; Gill, Anne E; Shivaram, Giridhar M; Seidel, F Glen; Lungren, Matthew P

2017-11-01

Despite the demonstrated feasibility of the single-stick technique in the femoral vein, its use in neonates and infants for placing central lines in internal and external jugular veins has not been reported. Describe and assess the safety and efficacy of tunneled jugular central venous catheter placement performed under ultrasound (US) and fluoroscopic guidance in neonates and infants weighing <5 kg using the single-stick technique at three tertiary pediatric hospitals. Thirty-three children weighing less than 5 kg received tunneled central venous access in either internal or external jugular veins using the single-stick technique. Patient history, procedural records and clinical follow-up documents were retrospectively reviewed. Complication rates were compared to those of 41 patients receiving single-stick femoral central lines. Technical complications occurred during one (3.0%) jugular placement with the patient having a failed right-side attempt with subsequent successful left-side placement. The catheters did not last the entire course of treatment in three (9.1%) patients with jugular lines. One patient had the catheter removed due to concern for infection, one catheter was accidentally removed during dressing changes, and one catheter was displaced and subsequently exchanged. Of patients receiving femoral central lines, 1 (2.4%) had a technical complication and 5 catheters (12.2%) did not last the entire course of treatment. The placement of tunneled central venous catheters in neonates/infants <5 kg is safe and technically feasible using the internal/external jugular vein via the single-stick technique. By theoretically reducing the risks of catheter infection by avoiding the diaper area and thrombosis by using larger veins, it may be preferable in certain patient populations.
In blind pursuit of racial equality?

PubMed

Apfelbaum, Evan P; Pauker, Kristin; Sommers, Samuel R; Ambady, Nalini

2010-11-01

Despite receiving little empirical assessment, the color-blind approach to managing diversity has become a leading institutional strategy for promoting racial equality, across domains and scales of practice. We gauged the utility of color blindness as a means to eliminating future racial inequity--its central objective--by assessing its impact on a sample of elementary-school students. Results demonstrated that students exposed to a color-blind mind-set, as opposed to a value-diversity mind-set, were actually less likely both to detect overt instances of racial discrimination and to describe such events in a manner that would prompt intervention by certified teachers. Institutional messages of color blindness may therefore artificially depress formal reporting of racial injustice. Color-blind messages may thus appear to function effectively on the surface even as they allow explicit forms of bias to persist.
Solar thermal repowering utility value analysis. Final report

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

Taylor, R.; Day, J.; Reed, B.

The retrofit of solar central receiver energy supply systems to existing steam-electric generating stations (repowering) is being considered as a major programmatic thrust by DOE. The determination of a government response appropriate to the opportunities of repowering is an important policy question, and is the major reason for the analysis. The study objective is to define a government role in repowering that constitutes an efficient program investment in pursuit of viable private markets for heliostat-based energy systems. In support of that objective, the study is designed to identify the scope and nature of the repowering opportunity within the larger contextmore » of its contributions to central receiver technology development and commercialization. The Supply and Integration Tasks are documented elsewhere. This report documents the Demand Task, determining and quantifying the sources of the value of repowering and of central receiver technology in general to electric utilities. The modeling tools and assumptions used in the Demand Task are described and the results are presented and interpreted. (MCW)« less
An Evaluation of the Early Alert (STAR) Program at Central Piedmont Community College

ERIC Educational Resources Information Center

Gammon, J. B.

2017-01-01

Central Piedmont Community College is exploring ways to help at-risk students achieve academic success by utilizing an early-alert system called Success Through Academic Reporting (STAR). All First-Time, Full-time Degree-seeking students (FFD) receive an opportunity for follow-up services that support a centralized strategy, which has the…
Hospital at home: home-based end of life care

PubMed Central

Shepperd, Sasha; Wee, Bee; Straus, Sharon E

2014-01-01

Background The policy in a number of countries is to provide people with a terminal illness the choice of dying at home. This policy is supported by surveys indicating that the general public and patients with a terminal illness would prefer to receive end of life care at home. Objectives To determine if providing home-based end of life care reduces the likelihood of dying in hospital and what effect this has on patients’ symptoms, quality of life, health service costs and care givers compared with inpatient hospital or hospice care. Search methods We searched the Cochrane Central Register of Controlled Trials (CENTRAL) (The Cochrane Library) to October 2009, Ovid MED-LINE(R) 1950 to March 2011, EMBASE 1980 to October 2009, CINAHL 1982 to October 2009 and EconLit to October 2009. We checked the reference lists of articles identified for potentially relevant articles. Selection criteria Randomised controlled trials, interrupted time series or controlled before and after studies evaluating the effectiveness of home-based end of life care with inpatient hospital or hospice care for people aged 18 years and older. Data collection and analysis Two authors independently extracted data and assessed study quality. We combined the published data for dichotomous outcomes using fixed-effect Mantel-Haenszel meta-analysis. When combining outcome data was not possible we presented the data in narrative summary tables. Main results We included four trials in this review. Those receiving home-based end of life care were statistically significantly more likely to die at home compared with those receiving usual care (RR 1.33, 95% CI 1.14 to 1.55, P = 0.0002; Chi 2 = 1.72, df = 2, P = 0.42, I2 = 0% (three trials; N=652)). We detected no statistically significant differences for functional status (measured by the Barthel Index), psychological well-being or cognitive status, between patients receiving home-based end of life care compared with those receiving standard care (which included inpatient care). Admission to hospital while receiving home-based end of life care varied between trials and this was reflected by high levels of statistically significant heterogeneity in this analysis. There was some evidence of increased patient satisfaction with home-based end of life care, and little evidence of the impact this form of care has on care givers. Authors’ conclusions The evidence included in this review supports the use of end of life home-care programmes for increasing the number of patients who will die at home, although the numbers of patients being admitted to hospital while receiving end of life care should be monitored. Future research should also systematically assess the impact of end of life home care on care givers. PMID:21735440
Associations of centrally acting ACE inhibitors with cognitive decline and survival in Alzheimer’s disease

PubMed Central

Fazal, Karim; Khondoker, Mizanur; Howard, Robert; Stewart, Robert

2017-01-01

Background Cognitive improvement has been reported in patients receiving centrally acting angiotensin-converting enzyme inhibitors (C-ACEIs). Aims To compare cognitive decline and survival after diagnosis of Alzheimer’s disease between people receiving C-ACEIs, non-centrally acting angiotensin-converting enzyme inhibitors (NC-ACEIs), and neither. Method Routine Mini-Mental State Examination (MMSE) scores were extracted in 5260 patients receiving acetylcholinesterase inhibitors and analysed against C-/NC-ACEI exposure at the time of Alzheimer’s disease diagnosis. Results In the 9 months after Alzheimer’s disease diagnosis, MMSE scores significantly increased by 0.72 and 0.19 points per year in patients on C-ACEIs and neither respectively, but deteriorated by 0.61 points per year in those on NC-ACEIs. There were no significant group differences in score trajectories from 9 to 36 months and no differences in survival. Conclusions In people with Alzheimer’s disease receiving acetylcholinesterase inhibitors, those also taking C-ACEIs had stronger initial improvement in cognitive function, but there was no evidence of longer-lasting influence on dementia progression. Declaration of interest R.S. has received research funding from Pfizer, Lundbeck, Roche, Janssen and GlaxoSmithKline. Copyright and usage © The Royal College of Psychiatrists 2017. This is an open access article distributed under the terms of the Creative Commons Non-Commercial, No Derivatives (CC BY-NC-ND) license. PMID:28713585
Power collection reduction by mirror surface nonflatness and tracking error for a central receiver solar power system.

PubMed

McFee, R H

1975-07-01

The effects of random waviness, curvature, and tracking error of plane-mirror heliostats in a rectangular array around a central-receiver solar power system are determined by subdividing each mirror into 484 elements, assuming the slope of each element to be representative of the surface slope average at its location, and summing the contributions of all elements and then of all mirrors in the array. Total received power and flux density distribution are computed for a given sun location and set of array parameter values. Effects of shading and blocking by adjacent mirrors are included in the calculation. Alt-azimuth mounting of the heliostats is assumed. Representative curves for two receiver diameters and two sun locations indicate a power loss of 20% for random waviness, curvature, and tracking error of 0.1 degrees rms, 0.002 m(-1), and 0.5 degrees , 3sigma, respectively, for an 18.2-m diam receiver and 0.3 degrees rms, 0.005 m(-1), and greater than 1 degrees , respectively, for a 30.4-m diam receiver.
Emotion Regulation and Substance Use Frequency in Women with Substance Dependence and Borderline Personality Disorder Receiving Dialectical Behavior Therapy

PubMed Central

Axelrod, Seth R.; Perepletchikova, Francheska; Holtzman, Kevin; Sinha, Rajita

2011-01-01

Background Dialectical Behavior Therapy (DBT) identifies emotion dysregulation as central to the dangerous impulsivity of borderline personality disorder (BPD) including substance use disorders, and DBT targets improved emotion regulation as a primary mechanism of change. However, improved emotion regulation with DBT and associations between such improvement and behavioral outcomes such as substance use has not been previously reported. Objective Thus, the goal of this study was to assess for improvement in emotion regulation and to examine the relationship between improvements in the emotion regulation and substance use problems following DBT treatment. Method Emotion regulation as assessed by the Difficulties in Emotion Regulation Scale, depressed mood as assessed by the Beck Depression Inventory, and their associations with substance use frequency were investigated in 27 women with substance dependence and BPD receiving 20 weeks of DBT in an academic community outpatient substance abuse treatment program. Results indicated improved emotion regulation, improved mood, and decreased substance use frequency. Further, emotion regulation improvement, but not improved mood, explained the variance of decreased substance use frequency. Conclusions This is the first study to demonstrate improved emotion regulation in BPD patients treated with DBT and to show that improved emotion regulation can account for increased behavioral control in BPD patients. Significance and Future Research Emotion regulation assessment is recommended for future studies to further clarify the etiology and maintenance of disorders associated with emotional dyregulation such as BPD and substance dependence, and to further explore emotion regulation as a potential mechanism of change for clinical interventions. PMID:21091162
The economics of central billing offices.

PubMed

Woodcock, E; Nguyen, L

2000-01-01

The anticipation of economies of scale in physician billing has led many medical practices to consolidate their billing operations. This article analyzes these economies of scale, comparing performance indicators from centralized and decentralized operations. While consolidation provides compliance, control and information, diseconomies of scale can exist in the centralized receivables management process. The authors conclude that physician practices should consider a hybrid approach to billing, thus reaping the benefits of both centralization and decentralization.

Present Concepts in Internal Medicine, Nutritional Support Symposium. Volume 14, Number 1. Summer 1983,

DTIC Science & Technology

1983-01-01

7- peripheral intravenous route. CARE OF THE CENTRAL VENOUS CATHETER Central venous catheter insertion requires the follow- ing skin preparation: 1...receiving parenteral nutrition who develop sepsis from central venous catheters may show persistent temperature spikes to 38.9 *C to 40.0 *C every 12-24...hours. Evaluating the central venous catheter as the etiology for febrile episodes is often difficult because many patients have other potential
Participant recruitment to FiCTION, a primary dental care trial - survey of facilitators and barriers.

PubMed

Keightley, A; Clarkson, J; Maguire, A; Speed, C; Innes, N

2014-11-01

To identify reasons behind a lower than expected participant recruitment rate within the FiCTION trial, a multi-centre paediatric primary dental care randomised controlled trial (RCT). An online survey, based on a previously published tool, consisting of both quantitative and qualitative responses, completed by staff in dental practices recruiting to FiCTION. Ratings from quantitative responses were aggregated to give overall scores for factors related to participant recruitment. Qualitative responses were independently grouped into themes. Thirty-nine anonymous responses were received. Main facilitators related to the support received from the central research team and importance of the research question. The main barriers related to low child eligibility rates and the integration of trial processes within routine workloads. These findings have directed strategies for enhancing participant recruitment at existing practices and informed recruitment of further practices. The results help provide a profile of the features required of practices to successfully screen and recruit participants. Future trials in this setting should consider the level of interest in the research question within practices, and ensure trial processes are as streamlined as possible. Research teams should actively support practices with participant recruitment and maintain enthusiasm among the entire practice team.
Evaluating risk assessments using receiver operating characteristic analysis: rationale, advantages, insights, and limitations.

PubMed

Mossman, Douglas

2013-01-01

The last two decades have witnessed major changes in the way that mental health professionals assess, describe, and think about persons' risk for future violence. Psychiatrists and psychologists have gone from believing that they could not predict violence to feeling certain they can assess violence risk with well-above-chance accuracy. Receiver operating characteristic (ROC) analysis has played a central role in changing this view. This article reviews the key concepts underlying ROC methods, the meaning of the area under the ROC curve (AUC), the relationship between AUC and effect size d, and what these two indices tell us about evaluations of violence risk. The area under the ROC curve and d provide succinct but incomplete descriptions of discrimination capacity. These indices do not provide details about sensitivity-specificity trade-offs; they do not tell us how to balance false-positive and false-negative errors; and they do not determine whether a diagnostic system is accurate enough to make practically useful distinctions between violent and non-violent subject groups. Justifying choices or clinical practices requires a contextual investigation of outcomes, a process that takes us beyond simply knowing global indices of accuracy. Copyright © 2013 John Wiley & Sons, Ltd.
Solar thermal power systems point-focusing thermal and electric applications projects. Volume 1: Executive summary

NASA Technical Reports Server (NTRS)

Marriott, A.

1980-01-01

The activities of the Point-Focusing Thermal and Electric Applications (PETEA) project for the fiscal year 1979 are summarized. The main thrust of the PFTEA Project, the small community solar thermal power experiment, was completed. Concept definition studies included a small central receiver approach, a point-focusing distributed receiver system with central power generation, and a point-focusing distributed receiver concept with distributed power generation. The first experiment in the Isolated Application Series was initiated. Planning for the third engineering experiment series, which addresses the industrial market sector, was also initiated. In addition to the experiment-related activities, several contracts to industry were let and studies were conducted to explore the market potential for point-focusing distributed receiver (PFDR) systems. System analysis studies were completed that looked at PFDR technology relative to other small power system technology candidates for the utility market sector.
Unified algorithm of cone optics to compute solar flux on central receiver

NASA Astrophysics Data System (ADS)

Grigoriev, Victor; Corsi, Clotilde

2017-06-01

Analytical algorithms to compute flux distribution on central receiver are considered as a faster alternative to ray tracing. They have quite too many modifications, with HFLCAL and UNIZAR being the most recognized and verified. In this work, a generalized algorithm is presented which is valid for arbitrary sun shape of radial symmetry. Heliostat mirrors can have a nonrectangular profile, and the effects of shading and blocking, strong defocusing and astigmatism can be taken into account. The algorithm is suitable for parallel computing and can benefit from hardware acceleration of polygon texturing.
From Latifundia to Central Planning and Onward to Agribusiness: A Rejoinder to Joachim Singelmann's Presidential Address on "From Central Planning to Markets"

ERIC Educational Resources Information Center

Szelenyi, Ivan

2011-01-01

This article presents the author's rejoinder to Joachim Singelmann's presidential address on "From Central Planning to Markets." Joachim Singelmann in his presidential address challenged the received wisdom: socialism was doomed to fail; during the market transition all of its basic institutions had to be abolished and replaced by the…
Ultrabroadband Phased-Array Receivers Based on Optical Techniques

DTIC Science & Technology

2016-02-26

AFRL-AFOSR-VA-TR-2016-0121 Ultrabroadband Phased- array Receivers Based on Optical Techniques Christopher Schuetz UNIVERSITY OF DELAWARE Final Report...Jul 15 4. TITLE AND SUBTITLE Ultrabroadband Phased- Array Receivers Based on Optical Techniques 5a. CONTRACT NUMBER 5b. GRANT NUMBER FA9550-12-1...receiver that enables us to capture and convert signals across an array using photonic modulators, routing these signals to a central location using
17 CFR 1.17 - Minimum financial requirements for futures commission merchants and introducing brokers.

Code of Federal Regulations, 2011 CFR

2011-04-01

... date that they are accrued; (B) Interest receivable, floor brokerage receivable, commissions receivable from other brokers or dealers (other than syndicate profits), mutual fund concessions receivable and management fees receivable from registered investment companies and commodity pools: Provided, Such...
17 CFR 1.17 - Minimum financial requirements for futures commission merchants and introducing brokers.

Code of Federal Regulations, 2014 CFR

2014-04-01

... date that they are accrued; (B) Interest receivable, floor brokerage receivable, commissions receivable from other brokers or dealers (other than syndicate profits), mutual fund concessions receivable and management fees receivable from registered investment companies and commodity pools: Provided, Such...
17 CFR 1.17 - Minimum financial requirements for futures commission merchants and introducing brokers.

Code of Federal Regulations, 2012 CFR

2012-04-01

... date that they are accrued; (B) Interest receivable, floor brokerage receivable, commissions receivable from other brokers or dealers (other than syndicate profits), mutual fund concessions receivable and management fees receivable from registered investment companies and commodity pools: Provided, Such...
Flexible fuel cell gas manifold system

DOEpatents

Cramer, Michael; Shah, Jagdish; Hayes, Richard P.; Kelley, Dana A.

2005-05-03

A fuel cell stack manifold system in which a flexible manifold body includes a pan having a central area, sidewall extending outward from the periphery of the central area, and at least one compound fold comprising a central area fold connecting adjacent portions of the central area and extending between opposite sides of the central area, and a sidewall fold connecting adjacent portions of the sidewall. The manifold system further includes a rail assembly for attachment to the manifold body and adapted to receive pins by which dielectric insulators are joined to the manifold assembly.
Lake Baikal isotope records of Holocene Central Asian precipitation

NASA Astrophysics Data System (ADS)

Swann, George E. A.; Mackay, Anson W.; Vologina, Elena; Jones, Matthew D.; Panizzo, Virginia N.; Leng, Melanie J.; Sloane, Hilary J.; Snelling, Andrea M.; Sturm, Michael

2018-06-01

Climate models currently provide conflicting predictions of future climate change across Central Asia. With concern over the potential for a change in water availability to impact communities and ecosystems across the region, an understanding of historical trends in precipitation is required to aid model development and assess the vulnerability of the region to future changes in the hydroclimate. Here we present a record from Lake Baikal, located in the southern Siberian region of central Asia close to the Mongolian border, which demonstrates a relationship between the oxygen isotope composition of diatom silica (δ18Odiatom) and precipitation to the region over the 20th and 21st Century. From this, we suggest that annual rates of precipitation in recent times are at their lowest for the past 10,000 years and identify significant long-term variations in precipitation throughout the early to late Holocene interval. Based on comparisons to other regional records, these trends are suggested to reflect conditions across the wider Central Asian region around Lake Baikal and highlight the potential for further changes in precipitation with future climate change.
Feasibility of developing a pediatric telehealth network in Honduras with international consultation support.

PubMed

Brooks, Mary; Holden, Kenton R; Durón, Reyna M; McElligott, James T; Summer, Andrea

2017-01-01

Honduras is the second poorest country in Central America, and roughly 50% of the population lives in rural areas. A telehealth network linking these areas to larger health centers may improve patient access to care, and physician access to educational opportunities. This pilot study assessed the feasibility of establishing a pediatric telehealth network between underserved clinics in Honduras and the Medical University of South Carolina (MUSC). Two underserved Honduran clinics were identified and invited to participate in the telehealth network. Providers from these clinics connected remotely to educational conferences at MUSC, and received teleconsults from MUSC physicians and physicians from the other Honduran site. Honduran providers completed five-point Likert scale satisfaction surveys following participation in the conferences and teleconsults. Survey feedback was positive, with 100% of respondents stating they would utilize telemedicine in the future. Dissatisfaction was expressed subjectively in the survey comments with regards to poor Internet connectivity and unreliable electrical power. The establishment of a telehealth network between Honduras and MUSC is feasible, and rural providers were receptive to the clinical and educational opportunities this network provides. Future projects will expand telehealth capabilities to other Honduran sites and focus on intra-country collaboration to ensure sustainability.
Receiver subsystem analysis report (RADL Item 4-1). The 10-MWe solar thermal central-receiver pilot plant: Solar-facilities design integration

NASA Astrophysics Data System (ADS)

1982-04-01

The results of thermal hydraulic, design for the stress analyses which are required to demonstrate that the receiver design for the Barstow Solar Pilot Plant satisfies the general design and performance requirements during the plant's design life are presented. Recommendations are made for receiver operation. The analyses are limited to receiver subsystem major structural parts (primary tower, receiver unit core support structure), pressure parts (absorber panels, feedwater, condensate and steam piping/components, flash tank, and steam mainfold) and shielding.
17 CFR 1.17 - Minimum financial requirements for futures commission merchants and introducing brokers.

Code of Federal Regulations, 2013 CFR

2013-04-01

... months from the date that they are accrued; (B) Interest receivable, floor brokerage receivable, commissions receivable from other brokers or dealers (other than syndicate profits), mutual fund concessions receivable and management fees receivable from registered investment companies and commodity pools: Provided...
Event centrality as a unique predictor of posttraumatic stress symptoms and perceived disability following spinal cord injury.

PubMed

Boals, A; Trost, Z; Berntsen, D; Nowlin, L; Wheelis, T; Monden, K R

2017-11-01

We conducted a cross-sectional study involving completion of self-report measures. Individuals who acquire a spinal cord injury (SCI) face numerous physical and psychological challenges, with the former receiving considerable less attention during the rehabilitation process. In this article, we examined event centrality as a unique predictor of psychological outcomes in a sample of individuals receiving rehabilitation for SCI. Event centrality refers to the extent to which individuals construe a stressful experience as a core part of their identity. In samples of individuals exposed to psychological traumas (for example, sexual assault or military combat), event centrality has emerged as a consistent and powerful predictor of posttraumatic stress symptoms (PTSSs). This is the first study to examine event centrality in an SCI sample. Inpatient rehabilitation program in a large urban city in the Southwestern United States. A sample of 55 participants in rehabilitation for a recent SCI completed measures of event centrality, PTSS, depressed mood and perceived disability. Event centrality was significantly related to perceived disability (r=0.48) and PTSS (r=0.31) and accounted for unique variance in these two outcomes after controlling for demographics and depressed mood. Event centrality is common among individuals with SCI and may be a unique contributor to worse psychological and functional outcomes. We hope our findings will alert health-care professionals to the importance of event centrality. This study was supported by a grant from the Danish National Research Foundation (DNRF89).
Baseload Nitrate Salt Central Receiver Power Plant Design Final Report

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

Tilley, Drake; Kelly, Bruce; Burkholder, Frank

The objectives of the work were to demonstrate that a 100 MWe central receiver plant, using nitrate salt as the receiver coolant, thermal storage medium, and heat transport fluid in the steam generator, can 1) operate, at full load, for 6,400 hours each year using only solar energy, and 2) satisfy the DOE levelized energy cost goal of $0.09/kWhe (real 2009 $). To achieve these objectives the work incorporated a large range of tasks relating to many different aspects of a molten salt tower plant. The first Phase of the project focused on developing a baseline design for a Moltenmore » Salt Tower and validating areas for improvement. Tasks included a market study, receiver design, heat exchanger design, preliminary heliostat design, solar field optimization, baseline system design including PFDs and P&IDs and detailed cost estimate. The baseline plant met the initial goal of less than $0.14/kWhe, and reinforced the need to reduce costs in several key areas to reach the overall $0.09/kWhe goal. The major improvements identified from Phase I were: 1) higher temperature salt to improve cycle efficiency and reduce storage requirements, 2) an improved receiver coating to increase the efficiency of the receiver, 3) a large receiver design to maximize storage and meet the baseload hours objective, and 4) lower cost heliostat field. The second Phase of the project looked at advancing the baseline tower with the identified improvements and included key prototypes. To validate increasing the standard solar salt temperature to 600 °C a dynamic test was conducted at Sandia. The results ultimately proved the hypothesis incorrect and showed high oxide production and corrosion rates. The results lead to further testing of systems to mitigate the oxide production to be able to increase the salt temperature for a commercial plant. Foster Wheeler worked on the receiver design in both Phase I and Phase II looking at both design and lowering costs utilizing commercial fossil boiler manufacturing. The cost and design goals for the project were met with this task, but the most interesting results had to do with defining the failure modes and looking at a “shakedown analysis” of the combined creep-fatigue failure. A separate task also looked at improving the absorber coatings on the receiver tubes that would improve the efficiency of the receiver. Significant progress was made on developing a novel paint with a high absorptivity that was on par with the current Pyromark, but shows additional potential to be optimized further. Although the coating did not meet the emissivity goals, preliminary testing the new paint shows potential to be much more durable, and potential to improve the receiver efficiency through a higher average absorptivity over the lifetime. Additional coatings were also designed and modeled results meet the project goals, but were not tested. Testing for low cycle fatigue of the full length receiver tubes was designed and constructed, but is still currently undergoing testing. A novel small heliostat was developed through an extensive brainstorming and down select. The concept was then detailed further with inputs from component testing and eventually a full prototype was built and tested. This task met or exceeded the accuracy and structure goals and also beat the cost goal. This provides a significant solar field costs savings for Abengoa that will be developed further to be used in future commercial plants. Ultimately the $0.09/kWhe (real 2009 $) and 6,400 hours goals of the project were met.« less
Dynamic conversion of solar generated heat to electricity

NASA Technical Reports Server (NTRS)

Powell, J. C.; Fourakis, E.; Hammer, J. M.; Smith, G. A.; Grosskreutz, J. C.; Mcbride, E.

1974-01-01

The effort undertaken during this program led to the selection of the water-superheated steam (850 psig/900 F) crescent central receiver as the preferred concept from among 11 candidate systems across the technological spectrum of the dynamic conversion of solar generated heat to electricity. The solar power plant designs were investigated in the range of plant capacities from 100 to 1000 Mw(e). The investigations considered the impacts of plant size, collector design, feed-water temperature ratio, heat rejection equipment, ground cover, and location on solar power technical and economic feasibility. For the distributed receiver systems, the optimization studies showed that plant capacities less than 100 Mw(e) may be best. Although the size of central receiver concepts was not parametrically investigated, all indications are that the optimal plant capacity for central receiver systems will be in the range from 50 to 200 Mw(e). Solar thermal power plant site selection criteria and methodology were also established and used to evaluate potentially suitable sites. The result of this effort was to identify a site south of Inyokern, California, as typically suitable for a solar thermal power plant. The criteria used in the selection process included insolation and climatological characteristics, topography, and seismic history as well as water availability.
Large incidence angle and defocus influence cat's eye retro-reflector

NASA Astrophysics Data System (ADS)

Zhang, Lai-xian; Sun, Hua-yan; Zhao, Yan-zhong; Yang, Ji-guang; Zheng, Yong-hui

2014-11-01

Cat's eye lens make the laser beam retro-reflected exactly to the opposite direction of the incidence beam, called cat's eye effect, which makes rapid acquiring, tracking and pointing of free space optical communication possible. Study the influence of cat's eye effect to cat's eye retro-reflector at large incidence angle is useful. This paper analyzed the process of how the incidence angle and focal shit affect effective receiving area, retro-reflected beam divergence angle, central deviation of cat's eye retro-reflector at large incidence angle and cat's eye effect factor using geometrical optics method, and presented the analytic expressions. Finally, numerical simulation was done to prove the correction of the study. The result shows that the efficiency receiving area of cat's eye retro-reflector is mainly affected by incidence angle when the focal shift is positive, and it decreases rapidly when the incidence angle increases; the retro-reflected beam divergence and central deviation is mainly affected by focal shift, and within the effective receiving area, the central deviation is smaller than beam divergence in most time, which means the incidence beam can be received and retro-reflected to the other terminal in most time. The cat's eye effect factor gain is affected by both incidence angle and focal shift.
Techno-economic sensitivity study of heliostat field parameters for micro-gas turbine CSP

NASA Astrophysics Data System (ADS)

Landman, Willem A.; Gauché, Paul; Dinter, Frank; Myburgh, J. T.

2017-06-01

Concentrating solar power systems based on micro-gas turbines potentially offer numerous benefits should they become commercially viable. Heliostat fields for such systems have unique requirements in that the number of heliostats and the focal ratios are typically much lower than conventional central receiver systems. This paper presents a techno-economic sensitivity study of heliostat field parameters for a micro-gas turbine central receiver system. A 100 kWe minitower system is considered for the base case and a one-at-a-time strategy is used to investigate parameter sensitivities. Increasing heliostat focal ratios are found to have significant optical performance benefits due to both a reduction in astigmatic aberrations and a reduction in the number of facet focal lengths required; confirming the hypothesis that smaller heliostats offer a techno-economic advantage. Fixed Horizontal Axis tracking mechanism is shown to outperform the conventional Azimuth Zenith tracking mechanism in high density heliostat fields. Although several improvements to heliostat field performance are discussed, the capex fraction of the heliostat field for such system is shown to be almost half that of a conventional central receiver system and optimum utilization of the higher capex components, namely; the receiver and turbine subsystems, are more rewarding than that of the heliostat field.

Preliminary design of a solar central receiver for a site-specific repowering application (Saguaro Power Plant). Volume 1. Executive summary. Final report, October 1982-September 1983

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

Weber, E.R.

1983-09-01

The preliminary design of a solar central receiver repowered gas/oil fired steam-Rankine cycle electric power generation plant was completed. The design is based on a central receiver technology using molten salt (60% NaNO/sub 3/, 40% KNO/sub 3/, by weight) for the heat transport and thermal storage fluid. Unit One of APS's Saguaro power plant located 43 km (27 mi) northwest of Tucson, AZ, is to be repowered. The selection of both the site and the molten salt central receiver promotes a near-term feasibility demonstration and cost-effective power production from an advanced solar thermal technology. The recommended system concept is tomore » repower the existing electric power generating system at the minimum useful level (66 MW/sub e/ gross) using a field of 4850 Martin Marietta second-generation (58.5 m/sup 2/) heliostats and a storage capacity of 4.0 hours. The storage capacity will be used to optimize dispatch of power to the utility system. The preliminary design was based on the use of the systems approach to design where the overall project was divided into systems, each of which is clearly bounded, and performs specific functions. The total project construction cost was estimated to be 213 million in 1983 dollars. The plant will be capable of displacing fossil energy equivalent to 2.4 million barrels of No. 6 oil in its first 10 years of operation.« less
Central Appalachians forest ecosystem vulnerability assessment and synthesis: a report from the Central Appalachians Climate Change Response Framework project

Treesearch

Patricia R. Butler; Louis Iverson; Frank R. Thompson; Leslie Brandt; Stephen Handler; Maria Janowiak; P. Danielle Shannon; Chris Swanston; Kent Karriker; Jarel Bartig; Stephanie Connolly; William Dijak; Scott Bearer; Steve Blatt; Andrea Brandon; Elizabeth Byers; Cheryl Coon; Tim Culbreth; Jad Daly; Wade Dorsey; David Ede; Chris Euler; Neil Gillies; David M. Hix; Catherine Johnson; Latasha Lyte; Stephen Matthews; Dawn McCarthy; Dave Minney; Daniel Murphy; Claire O’Dea; Rachel Orwan; Matthew Peters; Anantha Prasad; Cotton Randall; Jason Reed; Cynthia Sandeno; Tom Schuler; Lesley Sneddon; Bill Stanley; Al Steele; Susan Stout; Randy Swaty; Jason Teets; Tim Tomon; Jim Vanderhorst; John Whatley; Nicholas Zegre

2015-01-01

Forest ecosystems in the Central Appalachians will be affected directly and indirectly by a changing climate over the 21st century. This assessment evaluates the vulnerability of forest ecosystems in the Central Appalachian Broadleaf Forest-Coniferous Forest-Meadow and Eastern Broadleaf Forest Provinces of Ohio, West Virginia, and Maryland for a range of future...
Central Hardwoods ecosystem vulnerability assessment and synthesis: a report from the Central Hardwoods Climate Change Response Framework project

Treesearch

Leslie Brandt; Hong He; Louis Iverson; Frank R. Thompson; Patricia Butler; Stephen Handler; Maria Janowiak; P. Danielle Shannon; Chris Swanston; Matthew Albrecht; Richard Blume-Weaver; Paul Deizman; John DePuy; William D. Dijak; Gary Dinkel; Songlin Fei; D. Todd Jones-Farrand; Michael Leahy; Stephen Matthews; Paul Nelson; Brad Oberle; Judi Perez; Matthew Peters; Anantha Prasad; Jeffrey E. Schneiderman; John Shuey; Adam B. Smith; Charles Studyvin; John M. Tirpak; Jeffery W. Walk; Wen J. Wang; Laura Watts; Dale Weigel; Steve Westin

2014-01-01

The forests in the Central Hardwoods Region will be affected directly and indirectly by a changing climate over the next 100 years. This assessment evaluates the vulnerability of terrestrial ecosystems in the Central Hardwoods Region of Illinois, Indiana, and Missouri to a range of future climates. Information on current forest conditions, observed climate trends,...
75 FR 65012 - Nationwide Categorical Waivers Under Section 1605 (Buy American) of the American Recovery and...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-21

... location and via the Internet; (4) load Management Ripple Control Receivers for an existing load management... central location and via the Internet; (4) Load Management Ripple Control Receivers for an existing load...
Highly elevated serum lactate dehydrogenase is associated with central nervous system relapse in patients with diffuse large B-cell lymphoma: Results of a multicenter prospective cohort study.

PubMed

Kim, Seok Jin; Hong, Jun Sik; Chang, Myung Hee; Kim, Jeong-A; Kwak, Jae-Yong; Kim, Jin Seok; Yoon, Dok Hyun; Lee, Won Sik; Do, Young Rok; Kang, Hye Jin; Eom, Hyeon-Seok; Park, Yong; Won, Jong-Ho; Mun, Yeung-Chul; Kim, Hyo Jung; Kwon, Jung Hye; Kong, Jee Hyun; Oh, Sung Yong; Lee, Sunah; Bae, Sung Hwa; Yang, Deok-Hwan; Jun, Hyun Jung; Kim, Yang Soo; Yun, Hwan Jung; Lee, Soon Il; Kim, Min Kyoung; Park, Eun Kyung; Kim, Won Seog; Suh, Cheolwon

2016-11-01

Central nervous system involvement remains a challenging issue in the treatment of patients with diffuse large B-cell lymphoma. We conducted a prospective cohort study with newly diagnosed diffuse large B-cell lymphoma patients receiving rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone to identify incidence and risk factors for central nervous system involvement. Among 595 patients, 279 patients received pre-treatment central nervous system evaluation, and 14 patients had central nervous system involvement at diagnosis (2.3% out of entire patients and 5.0% out of the 279 patients). For those patients, median follow-up duration was 38.2 months and some of them achieved long-term survival. Out of 581 patients who did not have central nervous system involvement at diagnosis, 26 patients underwent secondary central nervous system relapse with a median follow-up of 35 months, and the median time to central nervous system involvement was 10.4 months (range: 3.4-29.2). Serum lactate dehydrogenase > ×3 upper limit of normal range, the Eastern Cooperative Oncology Group performance status ≥ 2, and involvement of sinonasal tract or testis, were independent risk factors for central nervous system relapse in multivariate analysis. Our study suggests that enhanced stratification of serum lactate dehydrogenase according to the National Comprehensive Cancer Network-International Prognostic Index may contribute to better prediction for central nervous system relapse in patients with diffuse large B-cell lymphoma. This trial was registered at clinicaltrials.gov identifier: 01202448.
Highly elevated serum lactate dehydrogenase is associated with central nervous system relapse in patients with diffuse large B-cell lymphoma: Results of a multicenter prospective cohort study

PubMed Central

Kim, Seok Jin; Hong, Jun Sik; Chang, Myung Hee; Kim, Jeong-A; Kwak, Jae-Yong; Kim, Jin Seok; Yoon, Dok Hyun; Lee, Won Sik; Do, Young Rok; Kang, Hye Jin; Eom, Hyeon-Seok; Park, Yong; Won, Jong-Ho; Mun, Yeung-Chul; Kim, Hyo Jung; Kwon, Jung Hye; Kong, Jee Hyun; Oh, Sung Yong; Lee, Sunah; Bae, Sung Hwa; Yang, Deok-Hwan; Jun, Hyun Jung; Kim, Yang Soo; Yun, Hwan Jung; Il Lee, Soon; Kim, Min Kyoung; Park, Eun Kyung; Kim, Won Seog; Suh, Cheolwon

2016-01-01

Central nervous system involvement remains a challenging issue in the treatment of patients with diffuse large B-cell lymphoma. We conducted a prospective cohort study with newly diagnosed diffuse large B-cell lymphoma patients receiving rituximab, cyclophosphamide, doxorubicin, vincristine, and prednisone to identify incidence and risk factors for central nervous system involvement. Among 595 patients, 279 patients received pre-treatment central nervous system evaluation, and 14 patients had central nervous system involvement at diagnosis (2.3% out of entire patients and 5.0% out of the 279 patients). For those patients, median follow-up duration was 38.2 months and some of them achieved long-term survival. Out of 581 patients who did not have central nervous system involvement at diagnosis, 26 patients underwent secondary central nervous system relapse with a median follow-up of 35 months, and the median time to central nervous system involvement was 10.4 months (range: 3.4–29.2). Serum lactate dehydrogenase > ×3 upper limit of normal range, the Eastern Cooperative Oncology Group performance status ≥ 2, and involvement of sinonasal tract or testis, were independent risk factors for central nervous system relapse in multivariate analysis. Our study suggests that enhanced stratification of serum lactate dehydrogenase according to the National Comprehensive Cancer Network-International Prognostic Index may contribute to better prediction for central nervous system relapse in patients with diffuse large B-cell lymphoma. This trial was registered at clinicaltrials.gov identifier: 01202448. PMID:27713132
Separating temporal and topological effects in walk-based network centrality.

PubMed

Colman, Ewan R; Charlton, Nathaniel

2016-07-01

The recently introduced concept of dynamic communicability is a valuable tool for ranking the importance of nodes in a temporal network. Two metrics, broadcast score and receive score, were introduced to measure the centrality of a node with respect to a model of contagion based on time-respecting walks. This article examines the temporal and structural factors influencing these metrics by considering a versatile stochastic temporal network model. We analytically derive formulas to accurately predict the expectation of the broadcast and receive scores when one or more columns in a temporal edge-list are shuffled. These methods are then applied to two publicly available data sets and we quantify how much the centrality of each individual depends on structural or temporal influences. From our analysis, we highlight two practical contributions: a way to control for temporal variation when computing dynamic communicability and the conclusion that the broadcast and receive scores can, under a range of circumstances, be replaced by the row and column sums of the matrix exponential of a weighted adjacency matrix given by the data.
Separating temporal and topological effects in walk-based network centrality

NASA Astrophysics Data System (ADS)

Colman, Ewan R.; Charlton, Nathaniel

2016-07-01

The recently introduced concept of dynamic communicability is a valuable tool for ranking the importance of nodes in a temporal network. Two metrics, broadcast score and receive score, were introduced to measure the centrality of a node with respect to a model of contagion based on time-respecting walks. This article examines the temporal and structural factors influencing these metrics by considering a versatile stochastic temporal network model. We analytically derive formulas to accurately predict the expectation of the broadcast and receive scores when one or more columns in a temporal edge-list are shuffled. These methods are then applied to two publicly available data sets and we quantify how much the centrality of each individual depends on structural or temporal influences. From our analysis, we highlight two practical contributions: a way to control for temporal variation when computing dynamic communicability and the conclusion that the broadcast and receive scores can, under a range of circumstances, be replaced by the row and column sums of the matrix exponential of a weighted adjacency matrix given by the data.
Chinese women's motivation to receive future screening: the role of social-demographic factors, knowledge and risk perception of cervical cancer.

PubMed

Gu, Can; Chan, Carmen W H; He, Guo-Ping; Choi, K C; Yang, Sheng-Bo

2013-04-01

This paper adopted Protection Motivation Theory (PMT) to examine Chinese women's knowledge and perceptions of cervical cancer risk and factors influencing their motivation to receive future screening. A cross-sectional survey was conducted with 167 Chinese women (142 women were willing to receive a screening in the future and 25 women were not) in 2007 to collect women's socio-demographic information and sexual history, perceptions related to body health and knowledge about cervical cancer and screening, and Protection Motivation Theory measures. The majority of women stated they intended to receive future screening and response efficacy was significantly associated with their intention. However, no significant association was observed between sexual history and protection motivation. Using multivariate analysis, cancer in relatives (odds ratio, OR = 9.97, 95% CI [1.44-436.3], p = 0.010), a perception that visiting a doctor regularly is important to health (OR = 9.85, 95% CI [1.61-999.9], p = 0.009)), and ever attending for cervical screening during the previous three years (OR = 3.49, 95% CI [1.23-11.02], p = 0.016) were significantly associated with women' motivation to receive future screening. The findings of this study highlight the important role of women's beliefs in the value of cervical screening and previous screening experience in motivating them to receive a screening. Education intervention is needed to provide information and raise public awareness about the importance of cervical screening to women's health. Culture-related beliefs and social motivational processes in addition to those specified by PMT need to be addressed. Copyright © 2012 Elsevier Ltd. All rights reserved.
Escaping Antiangiogenic Therapy: Strategies Employed by Cancer Cells

PubMed Central

Pinto, Mauricio P.; Sotomayor, Paula; Carrasco-Avino, Gonzalo; Corvalan, Alejandro H.; Owen, Gareth I.

2016-01-01

Tumor angiogenesis is widely recognized as one of the “hallmarks of cancer”. Consequently, during the last decades the development and testing of commercial angiogenic inhibitors has been a central focus for both basic and clinical cancer research. While antiangiogenic drugs are now incorporated into standard clinical practice, as with all cancer therapies, tumors can eventually become resistant by employing a variety of strategies to receive nutrients and oxygen in the event of therapeutic assault. Herein, we concentrate and review in detail three of the principal mechanisms of antiangiogenic therapy escape: (1) upregulation of compensatory/alternative pathways for angiogenesis; (2) vasculogenic mimicry; and (3) vessel co-option. We suggest that an understanding of how a cancer cell adapts to antiangiogenic therapy may also parallel the mechanisms employed in the bourgeoning tumor and isolated metastatic cells delivering responsible for residual disease. Finally, we speculate on strategies to adapt antiangiogenic therapy for future clinical uses. PMID:27608016
Escaping Antiangiogenic Therapy: Strategies Employed by Cancer Cells.

PubMed

Pinto, Mauricio P; Sotomayor, Paula; Carrasco-Avino, Gonzalo; Corvalan, Alejandro H; Owen, Gareth I

2016-09-06

Tumor angiogenesis is widely recognized as one of the "hallmarks of cancer". Consequently, during the last decades the development and testing of commercial angiogenic inhibitors has been a central focus for both basic and clinical cancer research. While antiangiogenic drugs are now incorporated into standard clinical practice, as with all cancer therapies, tumors can eventually become resistant by employing a variety of strategies to receive nutrients and oxygen in the event of therapeutic assault. Herein, we concentrate and review in detail three of the principal mechanisms of antiangiogenic therapy escape: (1) upregulation of compensatory/alternative pathways for angiogenesis; (2) vasculogenic mimicry; and (3) vessel co-option. We suggest that an understanding of how a cancer cell adapts to antiangiogenic therapy may also parallel the mechanisms employed in the bourgeoning tumor and isolated metastatic cells delivering responsible for residual disease. Finally, we speculate on strategies to adapt antiangiogenic therapy for future clinical uses.
Study on the capability of four-level partial response equalization in RSOA-based WDM-PON

NASA Astrophysics Data System (ADS)

Guo, Qi; Tran, An Vu

2010-12-01

The expected development of advanced video services with HDTV quality demands the delivery of more than Gb/s link to end users across the last mile connection. Future access networks are also required to have long reach for reduction in the number of central offices (CO). Fueled by those requirements, we propose a novel equalization scheme that increases the capacity and reach of the wavelength division multiplexing passive optical network (WDM-PON) based on a low bandwidth reflective semiconductor optical amplifier (RSOA). We investigate the characteristics of 10 Gb/s upstream transmission in WDM-PON using RSOA with only 1.2 GHz electrical bandwidth and various lengths of fiber. It is proven that the proposed four-level partial response equalizer (PRE) is capable of mitigating the impact of ISI in the received signals from optical network units (ONU) located 0 km to 75 km away from the optical line terminal (OLT).
The US Network of Pediatric Multiple Sclerosis Centers: Development, Progress, and Next Steps.

PubMed

Casper, T Charles; Rose, John W; Roalstad, Shelly; Waubant, Emmanuelle; Aaen, Gregory; Belman, Anita; Chitnis, Tanuja; Gorman, Mark; Krupp, Lauren; Lotze, Timothy E; Ness, Jayne; Patterson, Marc; Rodriguez, Moses; Weinstock-Guttman, Bianca; Browning, Brittan; Graves, Jennifer; Tillema, Jan-Mendelt; Benson, Leslie; Harris, Yolanda

2015-09-01

Multiple sclerosis and other demyelinating diseases in the pediatric population have received an increasing level of attention by clinicians and researchers. The low incidence of these diseases in children creates a need for the involvement of multiple clinical centers in research efforts. The Network of Pediatric Multiple Sclerosis Centers was created initially in 2006 to improve the diagnosis and care of children with demyelinating diseases. In 2010, the Network shifted its focus to multicenter research while continuing to advance the care of patients. The Network has obtained support from the National Multiple Sclerosis Society, the Guthy-Jackson Charitable Foundation, and the National Institutes of Health. The Network will continue to serve as a platform for conducting impactful research in pediatric demyelinating diseases of the central nervous system. This article provides a description of the history and development, organization, mission, research priorities, current studies, and future plans of the Network. © The Author(s) 2014.
The US Network of Pediatric Multiple Sclerosis Centers: Development, Progress, and Next Steps

PubMed Central

Casper, T. Charles; Rose, John W.; Roalstad, Shelly; Waubant, Emmanuelle; Aaen, Gregory; Belman, Anita; Chitnis, Tanuja; Gorman, Mark; Krupp, Lauren; Lotze, Timothy E.; Ness, Jayne; Patterson, Marc; Rodriguez, Moses; Weinstock-Guttman, Bianca; Browning, Brittan; Graves, Jennifer; Tillema, Jan-Mendelt; Benson, Leslie; Harris, Yolanda

2014-01-01

Multiple sclerosis and other demyelinating diseases in the pediatric population have received an increasing level of attention by clinicians and researchers. The low incidence of these diseases in children creates a need for the involvement of multiple clinical centers in research efforts. The Network of Pediatric Multiple Sclerosis Centers was created initially in 2006 to improve the diagnosis and care of children with demyelinating diseases. In 2010, the Network shifted its focus to multicenter research while continuing to advance the care of patients. The Network has obtained support from the National Multiple Sclerosis Society, the Guthy-Jackson Charitable Foundation, and the National Institutes of Health. The Network will continue to serve as a platform for conducting impactful research in pediatric demyelinating diseases of the central nervous system. This article provides a description of the history and development, organization, mission, research priorities, current studies, and future plans of the Network. PMID:25270659
Seismic imaging of post-glacial sediments - test study before Spitsbergen expedition

NASA Astrophysics Data System (ADS)

Szalas, Joanna; Grzyb, Jaroslaw; Majdanski, Mariusz

2017-04-01

This work presents results of the analysis of reflection seismic data acquired from testing area in central Poland. For this experiment we used total number of 147 vertical component seismic stations (DATA-CUBE and Reftek "Texan") with accelerated weight drop (PEG-40). The profile was 350 metres long. It is a part of pilot study for future research project on Spitsbergen. The purpose of the study is to recognise the characteristics of seismic response of post-glacial sediments in order to design the most adequate survey acquisition parameters and processing sequence for data from Spitsbergen. Multiple tests and comparisons have been performed to obtain the best possible quality of seismic image. In this research we examine the influence of receiver interval size, front mute application and surface wave attenuation attempts. Although seismic imaging is the main technique we are planning to support this analysis with additional data from traveltime tomography, MASW and other a priori information.
Meeting the psychological needs of community-living stroke patients and carers: a study of third sector provision.

PubMed

Morris, Reg

2016-01-01

To elucidate how community stroke staff in a major third sector organisation experienced their role and understood and responded to clients' psychological needs. In stage 1, three focus groups of 28 staff in total were recorded, transcribed and analysed using inductive thematic analysis. Themes were authenticated by new staff groups. In stage 2, these themes informed the construction of a questionnaire delivered through the organisation's intranet by "Survey Monkey". Five themes emerged from the focus groups: background and context; perceptions of clients' psychological issues; approaches to meeting psychological needs; the experience of working with psychological needs and sources of support; aspirations for future development. Four themes were used in constructing the questionnaire. Responses from 144 staff with diverse qualifications and experience were received; over half encountered 16 (of 35) psychological issues at least once per week. Stroke survivors' needs predominated over carers' needs. Skills used to address psychological problems were identified, also training and support needs and future aspirations. Support needs included information, training and access to specialist consultants. Psychological issues were central in the work of third sector community stroke staff; psychological skills were routinely used. Attention to means of supporting and developing these skills is required. Service leaders and commissioners should be aware that third sector community stroke staff frequently deal with a diverse range of psychological issues and perceive psychological care as central. Service leaders should consider providing training in assessment and management of mood and cognition, risk assessment and management and basic counselling. Staff should be provided with access to specialist consultation and better information about psychological aspects of referrals. There is uncertainty about key methods for supporting the delivery of psychological care (supervision, mentoring and peer support) which requires consideration.
Operability assessment in CTEPH: Lessons from the CHEST-1 study.

PubMed

Jenkins, David P; Biederman, Andrzej; D'Armini, Andrea M; Dartevelle, Philippe G; Gan, Hui-Li; Klepetko, Walter; Lindner, Jaroslav; Mayer, Eckhard; Madani, Michael M

2016-09-01

Pulmonary endarterectomy is the gold standard treatment for chronic thromboembolic pulmonary hypertension and is potentially curative, although some patients are unsuitable for pulmonary endarterectomy and require alternative management. Lack of standardized assessment of pulmonary endarterectomy eligibility risks suboptimal treatment in some patients. We discuss the implications for future clinical trials and practice of a unique operability assessment in patients who have chronic thromboembolic pulmonary hypertension and were initially screened for inclusion in the CHEST-1 (Chronic Thromboembolic Pulmonary Hypertension Soluble Guanylate Cyclase Stimulator Trial-1) study. The CHEST-1 study evaluated riociguat for the treatment of inoperable chronic thromboembolic pulmonary hypertension (CTEPH) or persistent/recurrent pulmonary hypertension after pulmonary endarterectomy. Screened patients who were initially considered "inoperable" underwent central independent adjudication by a committee of experienced surgeons, or local adjudication in collaboration with an experienced surgeon. Operability decisions were based on accessibility of thrombi and the association between pulmonary vascular resistance (PVR) and the extent of obstruction, using pulmonary angiography/computed tomography with ventilation/perfusion scintigraphy as the minimum diagnostic tests. Of 446 patients screened for CHEST-1, a total of 188 and 124 underwent central and local adjudication, respectively, after being initially considered to be "inoperable." After a second assessment by an experienced surgeon, 69 of these 312 "inoperable" patients were deemed operable. Rigorous measures in CHEST-1 guaranteed that only technically inoperable patients, or patients who had persistent/recurrent pulmonary hypertension, were enrolled, thus ensuring that only patients for whom surgery was not an option were enrolled. This study design sets new standards for future clinical trials and practice in CTEPH, helping to ensure that patients who have CTEPH receive optimal treatment. Copyright © 2016 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.
Retention in Differentiated Care: Multiple Measures Analysis for a Decentralized HIV Care and Treatment Program in North Central Nigeria

PubMed Central

Agaba, Patricia A; Genberg, Becky L; Sagay, Atiene S; Agbaji, Oche O; Meloni, Seema T; Dadem, Nancin Y; Kolawole, Grace O; Okonkwo, Prosper; Kanki, Phyllis J; Ware, Norma C

2018-01-01

Objective Differentiated care refers collectively to flexible service models designed to meet the differing needs of HIV-infected persons in resource-scarce settings. Decentralization is one such service model. Retention is a key indicator for monitoring the success of HIV treatment and care programs. We used multiple measures to compare retention in a cohort of patients receiving HIV care at “hub” (central) and “spoke” (decentralized) sites in a large public HIV treatment program in north central Nigeria. Methods This retrospective cohort study utilized longitudinal program data representing central and decentralized levels of care in the Plateau State Decentralization Initiative, north central Nigeria. We examined retention with patient- level (retention at fixed times, loss-to-follow-up [LTFU]) and visit-level (gaps-in-care, visit constancy) measures. Regression models with generalized estimating equations (GEE) were used to estimate the effect of decentralization on visit-level measures. Patient-level measures were examined using survival methods with Cox regression models, controlling for baseline variables. Results Of 15,650 patients, 43% were enrolled at the hub. Median time in care was 3.1 years. Hub patients were less likely to be LTFU (adjusted hazard ratio (AHR)=0.91, 95% CI: 0.85-0.97), compared to spoke patients. Visit constancy was lower at the hub (−4.5%, 95% CI: −3.5, −5.5), where gaps in care were also more likely to occur (adjusted odds ratio=1.95, 95% CI: 1.83-2.08). Conclusion Decentralized sites demonstrated better retention outcomes using visit-level measures, while the hub achieved better retention outcomes using patient-level measures. Retention estimates produced by incorporating multiple measures showed substantial variation, confirming the influence of measurement strategies on the results of retention research. Future studies of retention in HIV care in sub-Saharan Africa will be well-served by including multiple measures. PMID:29682399
Retention in Differentiated Care: Multiple Measures Analysis for a Decentralized HIV Care and Treatment Program in North Central Nigeria.

PubMed

Agaba, Patricia A; Genberg, Becky L; Sagay, Atiene S; Agbaji, Oche O; Meloni, Seema T; Dadem, Nancin Y; Kolawole, Grace O; Okonkwo, Prosper; Kanki, Phyllis J; Ware, Norma C

2018-01-01

Differentiated care refers collectively to flexible service models designed to meet the differing needs of HIV-infected persons in resource-scarce settings. Decentralization is one such service model. Retention is a key indicator for monitoring the success of HIV treatment and care programs. We used multiple measures to compare retention in a cohort of patients receiving HIV care at "hub" (central) and "spoke" (decentralized) sites in a large public HIV treatment program in north central Nigeria. This retrospective cohort study utilized longitudinal program data representing central and decentralized levels of care in the Plateau State Decentralization Initiative, north central Nigeria. We examined retention with patient- level (retention at fixed times, loss-to-follow-up [LTFU]) and visit-level (gaps-in-care, visit constancy) measures. Regression models with generalized estimating equations (GEE) were used to estimate the effect of decentralization on visit-level measures. Patient-level measures were examined using survival methods with Cox regression models, controlling for baseline variables. Of 15,650 patients, 43% were enrolled at the hub. Median time in care was 3.1 years. Hub patients were less likely to be LTFU (adjusted hazard ratio (AHR)=0.91, 95% CI: 0.85-0.97), compared to spoke patients. Visit constancy was lower at the hub (-4.5%, 95% CI: -3.5, -5.5), where gaps in care were also more likely to occur (adjusted odds ratio=1.95, 95% CI: 1.83-2.08). Decentralized sites demonstrated better retention outcomes using visit-level measures, while the hub achieved better retention outcomes using patient-level measures. Retention estimates produced by incorporating multiple measures showed substantial variation, confirming the influence of measurement strategies on the results of retention research. Future studies of retention in HIV care in sub-Saharan Africa will be well-served by including multiple measures.
CESA-1 receiver design review. Phase 1. Final report

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

Not Available

1980-07-01

The Central Electrica Solar de Almeria CESA-1 is a 1.0 MWe water/steam solar central receiver electric power plant being built by the Spanish in Almeria, Spain. Centro de Estudios de la Energia (CEE) is responsible for the management, design, and construction of the project. At the request of the Solar Energy Research Institute and with the approval of the Department of Energy, Sandia National Laboratories, Livermore is providing technical assistance in areas unique to solar applications to CEE. At the request of CEE, Sandia contracted with Foster Wheeler Development Corporation (FWDC) to critically review and evaluate the CESA-1 receiver design.more » Foster Wheeler Iberia (FWI) was subcontracted to FWDC to coordinate efforts with CEE in Madrid. The FWDC program which was started on July 9, 1979, was subdivided into three tasks: (1) design basis review: critical review of the receiver design specifications and requirements; (2) design review and analyses: critical review of thermal/hydraulic, structural, and materials aspects of the receiver design and the design and analysis procedures used by the designer in critical areas of the design; and (3) operational review: critical review of receiver instrumentation and controls and the operational and safety aspects of the receiver. Results of the design review and evaluation are presented. (WHK)« less

17 CFR 1.55 - Public disclosures by futures commission merchants.

Code of Federal Regulations, 2014 CFR

2014-04-01

...) A basic overview of customer fund segregation, futures commission merchant collateral management and... futures customer, Cleared Swaps Customer, and 30.7 customer receivable balances that the futures... financial data for futures commission merchants. (Approved by the Office of Management and Budget under...
19 CFR 356.7 - Request to determine when the Government of a FTA country received notice of a scope determination.

Code of Federal Regulations, 2011 CFR

2011-04-01

...) and (e)(2) with the Secretary of Commerce, Attention: Import Administration, Central Records Unit... name of applicable FTA country] Received Notice of a Scope Determination by first class mail or...
KSC-03pd0216

NASA Image and Video Library

2003-01-30

KENNEDY SPACE CENTER, FLA. - A sea turtle rescued from the Mosquito Lagoon is prepared to receive a transmitter on its back. Several turtles were found stunned, impacted by the unseasonal cold temperatures experienced in Central Florida. The cooperative effort of KSC contractor Dynamac Corporation's Aquatics Program and the Merritt Island National Wildlife Refuge warmed the turtles and evaluated them for release. Most were tagged and one received the transmitter, provided by the University of Central Florida, for satellite tracking. The turtles were then transported in a skiff through the Haulover Canal to a location away from the main channel and released into the Indian River Lagoon.
KSC-03pd0217

NASA Image and Video Library

2003-01-30

KENNEDY SPACE CENTER, FLA. -- A sea turtle rescued from the Mosquito Lagoon is prepared to receive a transmitter on its back. Several turtles were found stunned, impacted by the unseasonal cold temperatures experienced in Central Florida. The cooperative effort of KSC contractor Dynamac Corporation's Aquatics Program and the Merritt Island National Wildlife Refuge warmed the turtles and evaluated them for release. Most were tagged and one received the transmitter, provided by the University of Central Florida, for satellite tracking. The turtles were then transported in a skiff through the Haulover Canal to a location away from the main channel and released into the Indian River Lagoon.
A systematic review of psychological interventions for the treatment of nonadherence to fluid-intake restrictions in people receiving hemodialysis.

PubMed

Sharp, John; Wild, Matt R; Gumley, Andrew I

2005-01-01

Psychological interventions aimed at improving adherence to fluid-intake restrictions in patients receiving hemodialysis have become increasingly common. To the authors' knowledge, this is the first systematic review of the literature examining the impact of these interventions associated with patient interdialytic weight gain (IWG). A systematic search of the literature was performed on EMBASE, MEDLINE, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, and PsychINFO. The search was augmented by manually examining reference lists of reviews and retrieved reports. Study quality was graded according to criteria developed by the authors. Two additional independent researchers separately coded a random sample of studies to avoid bias of rating. Sixteen studies were identified as eligible for inclusion. Relevant information from each included study was extracted and entered into a standardized table. Nearly all studies showed a postintervention decrease in IWG. A number of method weaknesses in the existing literature were identified. Studies investigating psychological interventions aimed at improving adherence to fluid-intake restrictions appear to indicate some success in decreasing IWG. However, confidence regarding the validity of this finding is circumscribed by the prevalent use of investigative designs with inherently high susceptibility to bias. Future studies would benefit from using larger numbers of participants within controlled designs. Clearer description of intervention protocols would foster greater understanding of the contextual appropriateness of different approaches and which treatment components are key to improving adherence to fluid-intake restrictions in patients receiving hemodialysis.
Outreach hepatitis B vaccination of female sex workers in central-west Brazil: immunization status, compliance, and immune response.

PubMed

Carneiro, Luciene Moraes; Mousquer, Gina Jonasson; Pinheiro, Raquel Silva; Castro, Ana Rita Coimbra Motta; França, Divânia Dias Da Silva; Caetano, Karlla Antonieta Amorim; Carneiro, Megmar Aparecida dos Santos; Martins, Regina Maria Bringel; Matos, Marcos André de; Castro, Lisie; Rezende, Grazielli; Teles, Sheila Araujo

2014-01-01

To evaluate the hepatitis B immunization status of female sex workers (FSWs) in Central-West Brazil and to evaluate their compliance with and immune response to hepatitis B vaccination delivered using outreach strategies. A total of 721 FSWs recruited in 2 large cities in Central-West Brazil were interviewed and screened for the presence of hepatitis B virus (HBV) markers. Hepatitis B vaccine was offered to all women susceptible to HBV, using outreach strategies. The immune response of FSWs who received a full course of vaccine was assessed following the final vaccine dose. We found that 27.6% of FSWs, the majority of whom were aged 18 to 25 years, had serological evidence of previous hepatitis B vaccination. A total of 434 FSWs were eligible for vaccination, 389 (89.6%) of whom accepted the first hepatitis B vaccine dose. Of those, 64% received a second dose and 37.5% received all three doses. Through the outreach strategy, there was a 52.2% increase in the number of women who received the second dose and a 67% increase in the number who received the third dose. Of the 146 women who received a full course of vaccine, 105 accepted testing for quantitative anti-HBs (hepatitis B surface antibody) following the final vaccine dose, and 92.4% of those tested had developed protective levels of anti-HBs. Lower education level, workplace, and length of prostitution were predictors of full-vaccine acceptance. The present findings illustrate the benefits of using outreach strategies to overcome the difficulties of vaccinating hard-to-reach populations such as FSWs.
Central New York Library Resources Council CLRC Regional Digitization Plan. Final Report for the Preparing Central New York History for the Future LSTA Project.

ERIC Educational Resources Information Center

Sywetz, Betsy

The primary goal for digitization projects sponsored by the Central New York Library Resources Council (CLRC) is enhanced access for the people of the region to digital resources created from collections in Central New York's libraries, archives and museums. The CLRC Digitization Plan provides a framework for the support of digitization activities…
Randomized Double-Blind Placebo-Controlled Trial of Bevacizumab Therapy for Radiation Necrosis of the Central Nervous System

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

Levin, Victor A., E-mail: vlevin49@comcast.ne; Bidaut, Luc; Hou, Ping

Purpose: To conduct a controlled trial of bevacizumab for the treatment of symptomatic radiation necrosis of the brain. Methods and Materials: A total of 14 patients were entered into a placebo-controlled randomized double-blind study of bevacizumab for the treatment of central nervous system radiation necrosis. All patients were required to have radiographic or biopsy proof of central nervous system radiation necrosis and progressive neurologic symptoms or signs. Eligible patients had undergone irradiation for head-and-neck carcinoma, meningioma, or low- to mid-grade glioma. Patients were randomized to receive intravenous saline or bevacizumab at 3-week intervals. The magnetic resonance imaging findings 3 weeksmore » after the second treatment and clinical signs and symptoms defined the response or progression. Results: The volumes of necrosis estimated on T{sub 2}-weighted fluid-attenuated inversion recovery and T{sub 1}-weighted gadolinium-enhanced magnetic resonance imaging scans demonstrated that although no patient receiving placebo responded (0 of 7), all bevacizumab-treated patients did so (5 of 5 randomized and 7 of 7 crossover) with decreases in T{sub 2}-weighted fluid-attenuated inversion recovery and T{sub 1}-weighted gadolinium-enhanced volumes and a decrease in endothelial transfer constant. All bevacizumab-treated patients-and none of the placebo-treated patients-showed improvement in neurologic symptoms or signs. At a median of 10 months after the last dose of bevacizumab in patients receiving all four study doses, only 2 patients had experienced a recurrence of magnetic resonance imaging changes consistent with progressive radiation necrosis; one patient received a single additional dose of bevacizumab and the other patient received two doses. Conclusion: The Class I evidence of bevacizumab efficacy from the present study in the treatment of central nervous system radiation necrosis justifies consideration of this treatment option for people with radiation necrosis secondary to the treatment of head-and-neck cancer and brain cancer.« less
HUD Housing Assistance Associated With Lower Uninsurance Rates And Unmet Medical Need

PubMed Central

Simon, Alan E.; Fenelon, Andrew; Helms, Veronica; Lloyd, Patricia C.; Rossen, Lauren M.

2017-01-01

To investigate whether receiving US Department of Housing and Urban Development (HUD) housing assistance is associated with improved access to health care, we analyzed data on nondisabled adults ages 18–64 who responded to the 2004–12 National Health Interview Survey that were linked with administrative data from HUD for the period 2002–14. To account for potential selection bias, we compared access to care between respondents who were receiving HUD housing assistance at the time of the survey interview (current recipients) and those who received HUD assistance within twenty-four months of completing the survey interview (future recipients). Receiving assistance was associated with lower uninsurance rates: 31.8 percent of current recipients were uninsured, compared to 37.2 percent of future recipients. Rates of unmet need for health care due to cost were similarly lower for current recipients than for future recipients. No effect of receiving assistance was observed on having a usual source of care. These findings provide evidence that supports the effectiveness of housing assistance in improving health care access. PMID:28583959
Bell Canada Training for Future

ERIC Educational Resources Information Center

Blake, Frank

1973-01-01

Bell Canada's plans for future training will be on a centralized basis, using specialists in instructional technology to identify training needs and design courses at both the technical and managerial levels. (DS)
Optimising the use of marine tephrochronology in the North Atlantic: a detailed investigation of the Faroe Marine Ash Zones II, III and IV

NASA Astrophysics Data System (ADS)

Griggs, Adam J.; Davies, Siwan M.; Abbott, Peter M.; Rasmussen, Tine L.; Palmer, Adrian P.

2014-12-01

Tephrochronology is central to the INTIMATE goals for testing the degree of climatic synchroneity during abrupt climatic events that punctuated the last glacial period. Since their identification in North Atlantic marine sequences, the Faroe Marine Ash Zone II (FMAZ II), FMAZ III and FMAZ IV have received considerable attention due to their potential for high-precision synchronisation with the Greenland ice-cores. In order to optimise the use of these horizons as isochronous markers, a detailed re-investigation of their geochemical composition, sedimentology and the processes that deposited each ash zone is presented. Shard concentration profiles, geochemical homogeneity and micro-sedimentological structures are investigated for each ash zone preserved within core JM11-19PC, retrieved from the southeastern Norwegian Sea on the central North Faroe Slope. This approach allows a thorough assessment of primary ash-fall preservation and secondary depositional features and demonstrates its value for assessing depositional integrity in the marine environment. Results indicate that the FMAZ II and IV are well-resolved primary deposits that can be used as isochrons for high-precision correlation studies. We outline key recommendations for future marine tephra studies and provide a protocol for optimising the application of tephrochronology to meet the INTIMATE synchronisation goals.
Le futur linguistique: temps lineaire ou temps ramifie (The Linguistic Future: Linear or Branching Time)?

ERIC Educational Resources Information Center

Martin, Robert

1981-01-01

Discusses the problems posed by a semantic analysis of the future tense in French, addressing particularly its double use as a tense and as a mood. The distinction between linear and branching time, or, certainty and possibility, central to this discussion, leads to a comparative analysis of future and conditional. (MES)
Anti-PD-L1 Treatment Induced Central Diabetes Insipidus.

PubMed

Zhao, Chen; Tella, Sri Harsha; Del Rivero, Jaydira; Kommalapati, Anuhya; Ebenuwa, Ifechukwude; Gulley, James; Strauss, Julius; Brownell, Isaac

2018-02-01

Immune checkpoint inhibitors, including anti-programmed cell death protein 1 (PD-1), anti-programmed cell death protein ligand 1 (PD-L1), and anti-cytotoxic T-lymphocyte antigen 4 (anti-CTLA4) monoclonal antibodies, have been widely used in cancer treatment. They are known to cause immune-related adverse events (irAEs), which resemble autoimmune diseases. Anterior pituitary hypophysitis with secondary hypopituitarism is a frequently reported irAE, especially in patients receiving anti-CTLA4 treatment. In contrast, posterior pituitary involvement, such as central diabetes insipidus (DI), is relatively rare and is unreported in patients undergoing PD-1/PD-L1 blockade. We describe a case of a 73-year-old man with Merkel cell carcinoma who received the anti-PD-L1 monoclonal antibody avelumab and achieved partial response. The patient developed nocturia, polydipsia, and polyuria 3 months after starting avelumab. Further laboratory testing revealed central DI. Avelumab was held and he received desmopressin for the management of central DI. Within 6 weeks after discontinuation of avelumab, the patient's symptoms resolved and he was eventually taken off desmopressin. The patient remained off avelumab and there were no signs or symptoms of DI 2 months after the discontinuation of desmopressin. To our knowledge, this is the first report of central DI associated with anti-PD-L1 immunotherapy. The patient's endocrinopathy was successfully managed by holding treatment with the immune checkpoint inhibitor. This case highlights the importance of early screening and appropriate management of hormonal irAEs in subjects undergoing treatment with immune checkpoint inhibitors to minimize morbidity and mortality. Copyright © 2017 Endocrine Society
The 10 MWe solar thermal central receiver pilot plant solar facilities design integration, RADL item 1-10

NASA Astrophysics Data System (ADS)

1980-08-01

Work on the plant support subsystems and engineering services is reported. The master control system, thermal storage subsystem, receiver unit, and the beam characterization system were reviewed. Progress in program management and system integration is highlighted.
Transient simulation of molten salt central receiver

NASA Astrophysics Data System (ADS)

Doupis, Dimitri; Wang, Chuan; Carcorze-Soto, Jorge; Chen, Yen-Ming; Maggi, Andrea; Losito, Matteo; Clark, Michael

2016-05-01

Alstom is developing concentrated solar power (CSP) utilizing 60/40wt% NaNO3-KNO3 molten salt as the working fluid in a tower receiver for the global renewable energy market. In the CSP power generation cycle, receivers undergo a daily cyclic operation due to the transient nature of solar energy. Development of robust and efficient start-up and shut-down procedures is critical to avoiding component failures due to mechanical fatigue resulting from thermal transients, thus maintaining the performance and availability of the CSP plant. The Molten Salt Central Receiver (MSCR) is subject to thermal transients during normal daily operation, a cycle that includes warmup, filling, operation, draining, and shutdown. This paper describes a study to leverage dynamic simulation and finite element analysis (FEA) in development of start-up, shutdown, and transient operation concepts for the MSCR. The results of the FEA also verify the robustness of the MSCR design to the thermal transients anticipated during the operation of the plant.
GPS Signal Corruption by the Discrete Aurora: Precise Measurements From the Mahali Experiment

NASA Astrophysics Data System (ADS)

Semeter, Joshua; Mrak, Sebastijan; Hirsch, Michael; Swoboda, John; Akbari, Hassan; Starr, Gregory; Hampton, Don; Erickson, Philip; Lind, Frank; Coster, Anthea; Pankratius, Victor

2017-10-01

Measurements from a dense network of GPS receivers have been used to clarify the relationship between substorm auroras and GPS signal corruption as manifested by loss of lock on the received signal. A network of nine receivers was deployed along roadways near the Poker Flat Research Range in central Alaska, with receiver spacing between 15 and 30 km. Instances of large-amplitude phase fluctuations and signal loss of lock were registered in space and time with auroral forms associated with a sequence of westward traveling surges associated with a substorm onset over central Canada. The following conclusions were obtained: (1) The signal corruption originated in the ionospheric E region, between 100 and 150 km altitude, and (2) the GPS links suffering loss of lock were confined to a narrow band (<20 km wide) along the trailing edge of the moving auroral forms. The results are discussed in the context of mechanisms typically cited to account for GPS phase scintillation by auroral processes.
Ethanol and corticotropin releasing factor receptor modulation of central amygdala neurocircuitry: An update and future directions.

PubMed

Silberman, Yuval; Winder, Danny G

2015-05-01

The central amygdala is a critical brain region for many aspects of alcohol dependence. Much of the work examining the mechanisms by which the central amygdala mediates the development of alcohol dependence has focused on the interaction of acute and chronic ethanol with central amygdala corticotropin releasing factor signaling. This work has led to a great deal of success in furthering the general understanding of central amygdala neurocircuitry and its role in alcohol dependence. Much of this work has primarily focused on the hypothesis that ethanol utilizes endogenous corticotropin releasing factor signaling to upregulate inhibitory GABAergic transmission in the central amygdala. Work that is more recent suggests that corticotropin releasing factor also plays an important role in mediating anxiety-like behaviors via the enhancement of central amygdala glutamatergic transmission, implying that ethanol/corticotropin releasing factor interactions may modulate excitatory neurotransmission in this brain region. In addition, a number of studies utilizing optogenetic strategies or transgenic mouse lines have begun to examine specific central amygdala neurocircuit dynamics and neuronal subpopulations to better understand overall central amygdala neurocircuitry and the role of neuronal subtypes in mediating anxiety-like behaviors. This review will provide a brief update on this literature and describe some potential future directions that may be important for the development of better treatments for alcohol addiction. Copyright © 2015 Elsevier Inc. All rights reserved.
Balancing Uplink and Downlink under Asymmetric Traffic Environments Using Distributed Receive Antennas

NASA Astrophysics Data System (ADS)

Sohn, Illsoo; Lee, Byong Ok; Lee, Kwang Bok

Recently, multimedia services are increasing with the widespread use of various wireless applications such as web browsers, real-time video, and interactive games, which results in traffic asymmetry between the uplink and downlink. Hence, time division duplex (TDD) systems which provide advantages in efficient bandwidth utilization under asymmetric traffic environments have become one of the most important issues in future mobile cellular systems. It is known that two types of intercell interference, referred to as crossed-slot interference, additionally arise in TDD systems; the performances of the uplink and downlink transmissions are degraded by BS-to-BS crossed-slot interference and MS-to-MS crossed-slot interference, respectively. The resulting performance unbalance between the uplink and downlink makes network deployment severely inefficient. Previous works have proposed intelligent time slot allocation algorithms to mitigate the crossed-slot interference problem. However, they require centralized control, which causes large signaling overhead in the network. In this paper, we propose to change the shape of the cellular structure itself. The conventional cellular structure is easily transformed into the proposed cellular structure with distributed receive antennas (DRAs). We set up statistical Markov chain traffic model and analyze the bit error performances of the conventional cellular structure and proposed cellular structure under asymmetric traffic environments. Numerical results show that the uplink and downlink performances of the proposed cellular structure become balanced with the proper number of DRAs and thus the proposed cellular structure is notably cost-effective in network deployment compared to the conventional cellular structure. As a result, extending the conventional cellular structure into the proposed cellular structure with DRAs is a remarkably cost-effective solution to support asymmetric traffic environments in future mobile cellular systems.
Virtual Planning at Work: A Tour of NASA Future Flight Central

NASA Technical Reports Server (NTRS)

McClenahen, Jim; Dorighi, Nancy S. (Technical Monitor)

2000-01-01

FutureFlight Central will permit integration of tomorrow's technologies in a risk-free simulation of any airport, airfield, and tower cab environment. The facility provides an opportunity for airlines to mitigate passenger delays by fine tuning airport hub operations, gate management and ramp movement procedures. It also allows airport managers an opportunity to study effects of various improvements at their airports. Finally, it enables air traffic controllers to provide feedback and to become familiar with new airport operations and technologies before final installation.
Connecting Students, Creating Futures at Central Campus

ERIC Educational Resources Information Center

Rosin, Julie; Erbes, Elizabeth; Britt, James; Good, Bill

2012-01-01

Des Moines is an urban community located in the heart of Iowa. Des Moines Public Schools serves 32,000 students in a system with 62 buildings, including Central Campus--a Regional Academy. Central Campus is housed in four buildings, including the main campus at 1800 Grand located on the western edge of downtown Des Moines. As a regional academy,…

Electrical or repetitive transcranial magnetic stimulation of primary motor cortex for intractable neuropathic pain.

PubMed

Saitoh, Youichi; Maruo, Tomoyuki; Yokoe, Masaru; Matsuzaki, Taiga; Sekino, Masaki

2013-01-01

To assess the pain-relieving effects of motor cortex electrical stimulation (MCS) and the predictive factors retrospectively. Thirty-four patients with intractable neuropathic pain underwent MCS; 19 patients had cerebral lesions, and 15 had non-cerebral lesions. In selected 12 patients, test electrodes were implanted within the central sulcus and on the precentral gyrus. Twelve patients received both MCS and repetitive transcranial magnetic stimulation (rTMS) of the primary motor cortex. Pain reduction of >50% was observed in 12 of 32 (36%) patients with >12 months follow-ups (2 patients were excluded because of short follow-up). In 10 of the 12 patients who received test electrodes within the central sulcus and on the precentral gyrus, the optimal stimulation was MCS within the central sulcus. In 4 of these (40%) patients, positive effects were maintained at follow-ups. The pain reduction of rTMS significantly correlated with that of MCS during test stimulation. The test stimulation within the central sulcus was more effective than that of the precentral gyrus. In the selected patients, chronic stimulation within the central sulcus did not significantly improve long-term results. Repeated rTMS seems to be same effective as MCS.
Comparison of blood loss between using non central part cutting knee prosthesis and distal central part cutting.

PubMed

Malairungsakul, Anan

2014-12-01

Patients who undergo knee replacement surgery may need to receive a blood transfusion due to blood loss during the operation. Therefore it was important to improve the design of knee implant operative procedures in an attempt to reduce the rate of blood loss. The present study aimed to compare the blood loss between two types of knee replacement surgery. This is a retrospective study in which 78 patients received cemented knee replacements in Phayao Hospital between October 2010 and March 2012. There were two types of surgical procedure: 1) using an implant position covering the end of the femoral bone without cutting into the central part of the distal femoral, 2) using an implant position covering the end of the femoral bone cutting the central part of the distal femoral. Blood loss, blood transfusion, hemoglobin and hematocrit were recorded preoperatively, immediately postsurgery and 48 hours after surgery. Findings revealed that the knee replacement surgery using the implant position covering the end of the femoral bone without cutting the central part of the distal femoral significantly lowered the rate of blood loss when compared to using the implant position covering the end of the femoral bone with central cutting of the distal femor. The average blood loss during the operation without cutting at the central part of distal femoral was 49.50 ± 11.11 mL; whereas the operation cutting the central part of the distal femoral was 58.50 ± 11.69 mL. As regards blood loss, the knee replacement surgery using the implant position covering the end ofthefemoral bone without cutting the central part of distal femor was better than using the implant position covering the end of the femoral bone cutting at the central part of the distal femor.
Coupled Global-Regional Climate Model Simulations of Future Changes in Hydrology over Central America

NASA Astrophysics Data System (ADS)

Oglesby, R. J.; Erickson, D. J.; Hernandez, J. L.; Irwin, D.

2005-12-01

Central America covers a relatively small area, but is topographically very complex, has long coast-lines, large inland bodies of water, and very diverse land cover which is both natural and human-induced. As a result, Central America is plagued by hydrologic extremes, especially major flooding and drought events, in a region where many people still barely manage to eke out a living through subsistence. Therefore, considerable concern exists about whether these extreme events will change, either in magnitude or in number, as climate changes in the future. To address this concern, we have used global climate model simulations of future climate change to drive a regional climate model centered on Central America. We use the IPCC `business as usual' scenario 21st century run made with the NCAR CCSM3 global model to drive the regional model MM5 at 12 km resolution. We chose the `business as usual' scenario to focus on the largest possible changes that are likely to occur. Because we are most interested in near-term changes, our simulations are for the years 2010, 2015, and 2025. A long `present-day run (for 2005) allows us to distinguish between climate variability and any signal due to climate change. Furthermore, a multi-year run with MM5 forced by NCEP reanalyses allows an assessment of how well the coupled global-regional model performs over Central America. Our analyses suggest that the coupled model does a credible job simulating the current climate and hydrologic regime, though lack of sufficient observations strongly complicates this comparison. The suite of model runs for the future years is currently nearing completion, and key results will be presented at the meeting.
Proceedings: workshop on fire, people, and the central hardwoods landscape

Treesearch

Daniel A. Yaussy; [comp.

2000-01-01

Contains 18 papers and 16 poster abstracts on the history of fire, fire ecology, fire and ecosystem management, and fire and the future presented at the workshop on fire, people, and the central hardwoods landscape.
Solar central receiver hybrid power system, phase 1. Volume 3: Appendices

NASA Astrophysics Data System (ADS)

1979-09-01

Parametric salt piping data, sample heat exchanger calculations, and salt/materials compatibility evaluations are presented. Data lists that include the heliostat field coordinates, the STEAEC program input data, the hybrid receiver design drawings and models, and the piping stress analysis are also presented.
Korean Affairs Report.

DTIC Science & Technology

1986-10-14

secretary, of the Central Committee of the Workers’ Party of Korea, received a gift from Paola Ortiz, daughter of the manager of the Ecuadoran Voluntad ...received today Paola Ortiz, daughter of manager of the Ecuadoran " Voluntad " Publishing House Humberto, and her entour- age, on a visit to our country
Receiver function images of the central Chugoku region in the Japanese islands using Hi-net data

NASA Astrophysics Data System (ADS)

Ramesh, D. S.; Wakatsu, H. K.; Watada, S.; Yuan, X.

2005-04-01

Crustal configuration of the central Chugoku region with disposition of the Philippine Sea Plate (PHS) in this area are investigated through the receiver function approach using short-period Hi-net data. Images of the upper mantle discontinuities are also obtained. Restituted short-period receiver functions bring out discernible variations in average composition of the crust and its thickness in the study region. The Vp/ Vs values in the study area are generally high, reaching values in excess of 1.85 at a few places. The central part of the study region showing the highest Vp/ Vs values is coincidentally a subregion of least seismicity, possibly bestowed with special subsurface structure. Migrated receiver function images, both Ps and Pps images, unambiguously trace the NW subducting PHS taking a steeper plunge in the northwest part of the Chugoku region reaching depths of 70 km from its low dip disposition in the southeast. An excellent correlation of the subducting PHS with the hypocenters is also seen. We demonstrate that short-period data after restitution and application of appropriate low pass filters can indeed detect presence of the global 410-km and 660-km discontinuities and map their disposition reasonably well. Our migrated receiver functions image the deflections in the 410-km and 660-km discontinuities in an anti-correlated fashion on expected lines of Clapeyron slope predictions induced by subduction of the Pacific plate (PAC) beneath Japanese islands, though PAC itself is feebly traced but shows good correlation with slab seismicity.
The presumed central nervous system effects of rocuronium in a neonate and its reversal with sugammadex.

PubMed

Langley, Ross J; McFadzean, Jillian; McCormack, Jon

2016-01-01

We describe a 2-day-old male infant who received rocuronium as part of general anesthesia for a tracheal esophageal fistula repair. Postoperatively, he had prolonged central and peripheral neuromuscular blockade despite cessation of the rocuronium infusion several hours previously. This case discusses the presumed central nervous system effects of rocuronium in a neonate and its effective reversal with sugammadex. © 2015 John Wiley & Sons Ltd.
Team Massachusetts & Central America Solar Decathlon 2015 Final Technical Report

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

Lee, Kenneth

Our team was Team MASSCA (Massachusetts and Central America), which was a partnership of Western New England University (WNE) located in Massachusetts USA, The Technological University of Panama (UTP), and Central American Technological University (UNITEC) of Honduras. Together we had a group of 6 faculty members and approximately 30 undergraduate students. Our house is ‘The EASI’ House, which stands for Efficient, Affordable, Solar Innovation. The EASI house is rectangular with two bedrooms and one bath, and offers a total square footage of 680. Based on competition estimates, The EASI house costs roughly $121,000. The EASI house has a 5kW solarmore » system. Faculty and students from all three institutions were represented at the competition in Irvine California. Team MASSCA did well considering this was our first entry in the Solar Decathlon competition. Team MASSCA won the following awards: First Place – Affordability Contest Second Place – Energy Balance Contest. The competition provided a great experience for our students (and faculty as well). This competition provided leadership, endurance, and technical knowledge/skills for our students, and was the single most important hands-on experience during their undergraduate years. We are extremely pleased with the awards we received. At the same time we have learned from our efforts and would do better if we were to compete in the future. Furthermore, as a result of our team’s Inter-Americas collaborative effort, UTP and WNE have partnered to form Team PANAMASS (PANAma and MASSachusetts) and have developed The 3 SMART House for the inaugural Solar Decathlon Latin America & Caribbean competition held in Colombia.« less
Korean Affairs Report.

DTIC Science & Technology

1986-08-14

Plan 86 Libya Receives DPRK Economic Delegation 86 Ethiopian Envoy Received 86 Peruvian Visitor Received 87 - d Egyptian Anniversary 87 Kim Il...in the designing of the hotel is a cinema house with several hundreds of seats. Guest flats will be arranged from the third floor. Each flat will... PERUVIAN VISITOR RECEIVED—Pyongyang, July 22 (KCNA)—Comrade Pak Song-chol, member of the Political Bureau of the Central Committee of the Workers
Evaluation of the variability of wind speed at different heights and its impact on the receiver efficiency of central receiver systems

NASA Astrophysics Data System (ADS)

Delgado, A.; Gertig, C.; Blesa, E.; Loza, A.; Hidalgo, C.; Ron, R.

2016-05-01

Typical plant configurations for Central Receiver Systems (CRS) are comprised of a large field of heliostats which concentrate solar irradiation onto the receiver, which is elevated hundreds of meters above the ground. Wind speed changes with altitude above ground, impacting on the receiver thermal efficiency due to variations of the convective heat losses. In addition, the physical properties of air vary at high altitudes to a significant degree, which should be considered in the thermal losses calculation. DNV GL has long-reaching experience in wind energy assessment with reliable methodologies to reduce the uncertainty of the determination of the wind regime. As a part of this study, DNV GL estimates the wind speed at high altitude for different sites using two methods, a detailed estimation applying the best practices used in the wind energy sector based on measurements from various wind sensors and a simplified estimation applying the power law (1, 2) using only one wind measurement and a representative value for the surface roughness. As a result of the study, a comparison of the wind speed estimation considering both methods is presented and the impact on the receiver performance for the evaluated case is estimated.
Electron beam diagnostic system using computed tomography and an annular sensor

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

Elmer, John W.; Teruya, Alan T.

2015-08-11

A system for analyzing an electron beam including a circular electron beam diagnostic sensor adapted to receive the electron beam, the circular electron beam diagnostic sensor having a central axis; an annular sensor structure operatively connected to the circular electron beam diagnostic sensor, wherein the sensor structure receives the electron beam; a system for sweeping the electron beam radially outward from the central axis of the circular electron beam diagnostic sensor to the annular sensor structure wherein the electron beam is intercepted by the annular sensor structure; and a device for measuring the electron beam that is intercepted by themore » annular sensor structure.« less
Electron beam diagnostic system using computed tomography and an annular sensor

DOEpatents

Elmer, John W.; Teruya, Alan T.

2014-07-29

A system for analyzing an electron beam including a circular electron beam diagnostic sensor adapted to receive the electron beam, the circular electron beam diagnostic sensor having a central axis; an annular sensor structure operatively connected to the circular electron beam diagnostic sensor, wherein the sensor structure receives the electron beam; a system for sweeping the electron beam radially outward from the central axis of the circular electron beam diagnostic sensor to the annular sensor structure wherein the electron beam is intercepted by the annular sensor structure; and a device for measuring the electron beam that is intercepted by the annular sensor structure.
Solar thermal central receivers for industrial process heat generation: User views and recommendations for commercialization

NASA Astrophysics Data System (ADS)

Fish, M. J.

1981-08-01

Results of recent meetings with several private industrial groups in which solar thermal central receivers were discussed in depth as a potential for industrial process heat generation are summarized. Topics covering potential economics, technical requirements, and actions to promote commercialization of the technology are presented. These findings are then translated into recommendations for commercialization in private industrial markets. Key points include the need for small scale systems integration projects in addition to the 10 MW/sub e/ plant under construction at Barstow, CA, and the adoption of financial incentives, such as tax credits, for getting the early commercial plants built.
Visualizing the Comorbidity Burden in Children with Autism Spectrum Disorder Receiving Dental Treatment Under General Anesthesia.

PubMed

Mathu-Muju, Kavita R; Li, Hsin-Fang; Nam, Lisa H; Bush, Heather M

2016-01-01

The purposes of this study were to: (1) describe the comorbidity burden in children with autism spectrum disorder (ASD) receiving dental treatment under general anesthesia (GA); and (2) characterize the complexity of these concurrent comorbidities. A retrospective chart review was completed of 303 children with ASD who received dental treatment under GA. All comorbidities, in addition to the primary diagnosis of ASD, were categorized using the International Classification of Diseases-10 codes. The interconnectedness of the comorbidities was graphically displayed using a network plot. Network indices (degree centrality, betweenness centrality, closeness centrality) were used to characterize the comorbidities that exhibited the highest connectedness to ASD. The network plot of medical diagnoses for children with ASD was highly complex, with multiple connected comorbidities. Developmental delay, speech delay, intellectual disability, and seizure disorders exhibited the highest connectedness to ASD. Children with autism spectrum disorder may have a significant comorbidity burden of closely related neurodevelopmental disorders. The medical history review should assess the severity of these concurrent disorders to evaluate a patient's potential ability to cooperate for dental treatment and to determine appropriate behavior guidance techniques to facilitate the delivery of dental care.
18 CFR 367.1410 - Account 141, Notes receivable.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Account 141, Notes receivable. 367.1410 Section 367.1410 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED SERVICE COMPANIES SUBJECT TO...
18 CFR 367.1720 - Account 172, Rents receivable.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Account 172, Rents receivable. 367.1720 Section 367.1720 Conservation of Power and Water Resources FEDERAL ENERGY REGULATORY... POWER ACT AND NATURAL GAS ACT UNIFORM SYSTEM OF ACCOUNTS FOR CENTRALIZED SERVICE COMPANIES SUBJECT TO...
78 FR 28841 - Quartzsite Solar Energy Project Record of Decision (DOE/EIS-0440)

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-16

... proposed Project would contain the central receiver or tower, a solar field consisting of mirrors or... DEPARTMENT OF ENERGY Western Area Power Administration Quartzsite Solar Energy Project Record of...), received a request from Quartzsite Solar Energy, LLC (QSE) to interconnect its proposed Quartzsite Solar...
UK–South Asian patients’ experiences of and satisfaction toward receiving information about biologics in rheumatoid arthritis

PubMed Central

Kumar, Kanta; Raizada, Sabrina R; Mallen, Christian D; Stack, Rebecca J

2018-01-01

Background Rheumatoid arthritis (RA) causes painful joint inflammation and is incurable, but treatments control RA. Drug regimens are complex, and patients often do not take their medication as expected. Poor medication adherence can lead to poorly controlled disease and worse patient outcomes. Biologics treatments are expensive and require full engagement from patients. We have previously shown that patients from Black ethnic minority backgrounds do not fully engage into treatment plan. This study explored the patients’ experiences in and satisfaction toward receiving information about biologics and future support preferences in South Asian patients with RA. Methods Twenty South Asian patients with RA from Royal Wolverhampton Hospitals NHS Trust and Central Manchester University Hospitals NHS Foundation Trust participated in individual semistructured interviews. Interviews were transcribed and data were analyzed by using thematic analysis approach. Results Four overarching themes describe the patients’ experience in and satisfaction toward receiving information on biologics: 1) current provision of information regarding the “biologics journey” and understanding of RA: in this theme, non-English-speaking patients expressed heightened anxiety about stepping up to biologics; 2) experience and perceptions of biologics: many patients were positive about the biologic experience; however, there were patient-perceived delays in getting on to the biologics; 3) factors influencing willingness to try biologics: in this theme, a number of factors were identified including seeking advice from doctors abroad; and 4) recommendations on the desired information to fully understand the use of biologics: some patients valued group discussions, while others suggested receiving RA and biologic information through a video interaction. Conclusion This novel study provides insight into South Asian RA patients’ experiences in and satisfaction toward receiving information about biologics. South Asian patients with RA reported a range of perceptions about biologics and support preferences, many of which may not be shared with the non-South Asian population. PMID:29670337
Contract Training: Progress and Policy Issues.

ERIC Educational Resources Information Center

Deegan, William L.; Drisko, Ronald

1985-01-01

Provides results of a national survey of community college contract training programs, including data on the extent of the colleges' involvement, centralization/decentralization of contract training, problems and benefits, and future trends. Discusses future policy trends. (HB)

Multi-Gnss Receiver for Aerospace Navigation and Positioning Applications

NASA Astrophysics Data System (ADS)

Peres, T. R.; Silva, J. S.; Silva, P. F.; Carona, D.; Serrador, A.; Palhinha, F.; Pereira, R.; Véstias, M.

2014-03-01

The upcoming Galileo system opens a wide range of new opportunities in the Global Navigation Satellite System (GNSS) market. However, the characteristics of the future GNSS signals require the development of new GNSS receivers. In the frame of the REAGE project, DEIMOS and ISEL have developed a GNSS receiver targeted for aerospace applications, supporting current and future GPS L1 and Galileo E1 signals, based on commercial (or, in the furthest extent, industrial) grade components. Although the REAGE project aimed at space applications, the REAGE receiver is also applicable to many terrestrial applications (ground or airborne), such as Georeferencing and Unmanned Aerial Vehicle (UAV) navigation. This paper presents the architecture and features of the REAGE receiver, as well as some results of the validation campaign with GPS L1 and Galileo E1 signals.
The spotted owl in southern and central coastal California

Treesearch

R.J. Gutiérrez; Douglas J. Tempel; M. Zachariah Peery

2017-01-01

Spotted owl populations found in southern and central coastal California have received much less attention than those inhabiting the Sierra Nevada because of economic (effect of habitat conservation measures on timber harvest) and social issues (community stability and desire for naturally functioning ecosystems). Yet there has been continued concern over the...
ARSENIC TRANSPORT ACROSS THE GROUNDWATER – SURFACE WATER INTERFACE AT A SITE IN CENTRAL MASSACHUSETTS

EPA Science Inventory

Plow Shop Pond, located in central Massachusetts within the New England ‘arsenic belt,’ receives water from a series of interconnected upstream ponds as well as from upward-discharging groundwater. A small, shallow embayment on the southwest side of the pond is known as Red Cove...
Veneer log production and receipts, North Central Region, 1968.

Treesearch

Thomas P. Jr. Ginnaty

1970-01-01

The 1968 veneer-log production and mill receipts were 45.5 and 47.6 million board feet, respectively, in the Lake States--declines of 11 and 14%, respectively, since 1966. The Central States produced 37.0 million board feet of logs and received 48.8 million--about the same as in 1966.
78 FR 53158 - Notice of Public Meeting; Central Montana Resource Advisory Council

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-28

..., Central Montana District Manager, Lewistown Field Office, 920 NE Main, Lewistown, MT 59457, (406) 538-1900... Information Relay Service (FIRS) at 1-800-677-8339 to contact the above individual during normal business... individual. You will receive a reply during normal business hours. SUPPLEMENTARY INFORMATION: This 15-member...
Addressing the Future in Ancient and Modern Times.

ERIC Educational Resources Information Center

Roshwald, Mordecai

1982-01-01

Explores the similarities between ancient prophecy and modern futures prediction. The article suggests that the perceived degree of certainty in predictions of the future affects the patterns of emotional and rational responses in those receiving them. (AM)
Images for NCA's Future: Perceptions in One State.

ERIC Educational Resources Information Center

Kirkpatrick, Kathryn; Brainard, Edward

1995-01-01

Describes a study examining the attitudes of K-12 educators toward their state's North Central Association (NCA) and its future. Indicates that external peer reviews were cited as the most valuable programs, while many suggestions for the future were related to the NCA-university connection, emphasizing a dynamic role for universities serving as…
Concentric tube support assembly

DOEpatents

Rubio, Mark F.; Glessner, John C.

2012-09-04

An assembly (45) includes a plurality of separate pie-shaped segments (72) forming a disk (70) around a central region (48) for retaining a plurality of tubes (46) in a concentrically spaced apart configuration. Each segment includes a support member (94) radially extending along an upstream face (96) of the segment and a plurality of annularly curved support arms (98) transversely attached to the support member and radially spaced apart from one another away from the central region for receiving respective upstream end portions of the tubes in arc-shaped spaces (100) between the arms. Each segment also includes a radial passageway (102) formed in the support member for receiving a fluid segment portion (106) and a plurality of annular passageways (104) formed in the support arms for receiving respective arm portions (108) of the fluid segment portion from the radial passageway and for conducting the respective arm portions into corresponding annular spaces (47) formed between the tubes retained by the disk.
Solar energy apparatus with apertured shield

NASA Technical Reports Server (NTRS)

Collings, Roger J. (Inventor); Bannon, David G. (Inventor)

1989-01-01

A protective apertured shield for use about an inlet to a solar apparatus which includesd a cavity receiver for absorbing concentrated solar energy. A rigid support truss assembly is fixed to the periphery of the inlet and projects radially inwardly therefrom to define a generally central aperture area through which solar radiation can pass into the cavity receiver. A non-structural, laminated blanket is spread over the rigid support truss in such a manner as to define an outer surface area and an inner surface area diverging radially outwardly from the central aperture area toward the periphery of the inlet. The outer surface area faces away from the inlet and the inner surface area faces toward the cavity receiver. The laminated blanket includes at least one layer of material, such as ceramic fiber fabric, having high infra-red emittance and low solar absorption properties, and another layer, such as metallic foil, of low infra-red emittance properties.
Method and apparatus for transmitting and receiving data to and from a downhole tool

DOEpatents

Hall, David R.; Fox, Joe

2007-03-13

A transmission line network system for transmitting and/or receiving data from a downhole tool. The invention is achieved by providing one or more transceiving elements, preferably rings, at either end of a downhole tool. A conduit containing a coaxial cable capable of communicating an electrical signal is attached to the transceiving element and extends through a central bore of the downhole tool and through the central bore of any tool intermediate the first transceiving element and a second transceiving element. Upon receiving an electrical signal from the cable, the second transceiving element may convert such signal to a magnetic field. The magnetic field may be detected by a third transceiving element in close proximity to the second transceiving element. In this manner, many different tools may be included in a downhole transmission network without requiring substantial modification, if any, of any particular tool.
Mitigation of hazards from future lahars from Mount Merapi in the Krasak River channel near Yogyakarta, central Java

USGS Publications Warehouse

Ege, John R.; ,

1983-01-01

Procedures for reducing hazards from future lahars and debris flows in the Krasak River channel near Yogyakarta, Central Java, Indonesia, include (1) determining the history of the location, size, and effects of previous lahars and debris flows, and (2) decreasing flow velocities. The first may be accomplished by geologic field mapping along with acquiring information by interviewing local residents, and the second by increasing the cross sectional area of the river channel and constructing barriers in the flow path.
Tropical forests: present status and future outlook.

PubMed

Myers, N

1991-09-01

Tropical forests still cover almost 8 million km squared of the humid tropics but they are being destroyed at ever-more rapid rates. In 1989, the area deforested amounted to 142,200 km squared, or nearly 90% more than in 1979. Thus, whereas the 1989 amounted total to 1.8% of the remaining biome, the proportion could well continue to rise for the foreseeable future, until there is little forest in just a few decades. Deforestati on patterns are far from even throughout the biome. In much of the Southeast and Southern Asia, East and West Africa, and Central America, there is likely to be little forest left by the year 2000 or shortly thereafter. But in the Zaire basin, western Brazilian Amazonia, and the Guyana highlands, sizeable expanses of forest could persist a good while longer. The main agent of deforestation in the 'shifted cultivator' or displaced peasant, who, responding to land hunger and general lack of rural development in traditional farming areas of countries concerned, feels there is no alternative but to adopt a slash-and-burn lifestyle in forestlands. This person is now accounting for at least 60% of deforestation, a rapidly expanding proportion. However, he receives far less policy attention than the commercial logger, the cattle rancher, and other agents of deforestation.
Recent and projected future climatic suitability of North America for the Asian tiger mosquito Aedes albopictus.

PubMed

Ogden, Nicholas H; Milka, Radojević; Caminade, Cyril; Gachon, Philippe

2014-12-02

Since the 1980s, populations of the Asian tiger mosquito Aedes albopictus have become established in south-eastern, eastern and central United States, extending to approximately 40°N. Ae. albopictus is a vector of a wide range of human pathogens including dengue and chikungunya viruses, which are currently emerging in the Caribbean and Central America and posing a threat to North America. The risk of Ae. albopictus expanding its geographic range in North America under current and future climate was assessed using three climatic indicators of Ae. albopictus survival: overwintering conditions (OW), OW combined with annual air temperature (OWAT), and a linear index of precipitation and air temperature suitability expressed through a sigmoidal function (SIG). The capacity of these indicators to predict Ae. albopictus occurrence was evaluated using surveillance data from the United States. Projected future climatic suitability for Ae. albopictus was obtained using output of nine Regional Climate Model experiments (RCMs). OW and OWAT showed >90% specificity and sensitivity in predicting observed Ae. albopictus occurrence and also predicted moderate to high risk of Ae. albopictus invasion in Pacific coastal areas of the Unites States and Canada under current climate. SIG also well predicted observed Ae. albopictus occurrence (ROC area under the curve was 0.92) but predicted wider current climatic suitability in the north-central and north-eastern United States and south-eastern Canada. RCM output projected modest (circa 500 km) future northward range expansion of Ae. albopictus by the 2050s when using OW and OWAT indicators, but greater (600-1000 km) range expansion, particularly in eastern and central Canada, when using the SIG indicator. Variation in future possible distributions of Ae. albopictus was greater amongst the climatic indicators used than amongst the RCM experiments. Current Ae. albopictus distributions were well predicted by simple climatic indicators and northward range expansion was predicted for the future with climate change. However, current and future predicted geographic distributions of Ae. albopictus varied amongst the climatic indicators used. Further field studies are needed to assess which climatic indicator is the most accurate in predicting regions suitable for Ae. albopictus survival in North America.
PLANT DIVERSITY

EPA Science Inventory

Habitat change statistics and species-area curves were used to estimate the effects of alternative future scenarios for agriculture on plant diversity in Iowa farmlands. Study areas were two watersheds in central Iowa of about 50 and 90 square kilometers, respectively. Future s...
WILDLIFE HABITAT

EPA Science Inventory

Habitat change statistics were used to estimate the effects of alternative future scenarios for agriculture on non-fish vertebrate diversity in Iowa farmlands. Study areas were two watersheds in central Iowa of about 50 and 90 square kilometers, respectively. Future scenarios w...
Diffraction-Based Optical Switch

NASA Technical Reports Server (NTRS)

Sperno, Stevan M. (Inventor); Fuhr, Peter L. (Inventor); Schipper, John F. (Inventor)

2005-01-01

Method and system for controllably redirecting a light beam, having a central wavelength lambda, from a first light-receiving site to a second light-receiving site. A diffraction grating is attached to or part of a piezoelectric substrate, which is connected to one or two controllable voltage difference sources. When a substrate voltage difference is changed and the diffraction grating length in each of one or two directions is thereby changed, at least one of the diffraction angle, the diffraction order and the central wavelength is controllably changed. A diffracted light beam component, having a given wavelength, diffraction angle and diffraction order, that is initially received at a first light receiving site (e.g., a detector or optical fiber) is thereby controllably shifted or altered and can be received at a second light receiving site. A polynomially stepped, chirped grating is used in one embodiment. In another embodiment, an incident light beam, having at least one of first and second wavelengths, lambda1 and lambda2, is received and diffracted at a first diffraction grating to provide a first diffracted beam. The first diffracted beam is received and diffracted at a second diffraction grating to produce a second diffracted beam. The second diffracted beam is received at a light-sensitive transducer, having at least first and second spaced apart light detector elements that are positioned so that, when the incident light beam has wavelength lambda1 or lambda2 (lambda1 not equal to lambda2), the second diffracted beam is received at the first element or at the second element, respectively; change in a selected physical parameter at the second grating can also be sensed or measured. A sequence of spaced apart light detector elements can be positioned along a linear or curvilinear segment with equal or unequal spacing.
The Quality Rating System of Chinese Preschool Education: Prospects and Challenges

ERIC Educational Resources Information Center

Hu, Bi Ying; Li, Kejian

2012-01-01

In China, the Central People's Government (2010) recently promulgated the "Compendium for China's Mid- and Long-Term Education Development," which declared that 95% of Chinese children should receive at least one year of preschool education, while 75% of children should receive a three-year preschool education by 2020. Subsequently, The…
Effects of Cover Stories on Problem Solving in a Statistics Course

ERIC Educational Resources Information Center

Ricks, Travis Rex; Wiley, Jennifer

2014-01-01

Does having more knowledge or interest in the topics used in example problems facilitate or hinder learning in statistics? Undergraduates enrolled in Introductory Psychology received a lesson on central tendency. Following the lesson, half of the students completed a worksheet with a baseball cover story while the other half received a weather…
Preliminary design of a solar central receiver for a site-specific repowering application (Saguaro Power Plant). Volume III. Specifications. Final report, October 1982-September 1983

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

Weber, E.R.

1983-09-01

This volume on specifications for the Saguaro Power Plant includes the following: subsystem interface definition document; solar collector subsystem specification; receiver specification; thermal energy storage specification; solar steam generator specification; and master control system specification.
Putting down roots in earthquake country-Your handbook for earthquakes in the Central United States

USGS Publications Warehouse

Contributors: Dart, Richard; McCarthy, Jill; McCallister, Natasha; Williams, Robert A.

2011-01-01

This handbook provides information to residents of the Central United States about the threat of earthquakes in that area, particularly along the New Madrid seismic zone, and explains how to prepare for, survive, and recover from such events. It explains the need for concern about earthquakes for those residents and describes what one can expect during and after an earthquake. Much is known about the threat of earthquakes in the Central United States, including where they are likely to occur and what can be done to reduce losses from future earthquakes, but not enough has been done to prepare for future earthquakes. The handbook describes such preparations that can be taken by individual residents before an earthquake to be safe and protect property.

Large-scale use of solar energy with central receivers

NASA Astrophysics Data System (ADS)

Kreith, F.; Meyer, R. T.

1983-12-01

The working principles of solar central receiver power plants are outlined and applications are discussed. Heliostat arrays direct sunlight into a receiver cavity mounted on a tower, heating the working fluid in the tower to temperatures exceeding 500 C. The formulation for the image plane and the geometric concentration ratio for a heliostat field are provided, noting that commercial electric power plants will require concentration ratios of 200-1000. Automated controls consider imperfections in the mirrors, tracking errors, and seasonal insolation intensity and angular variations. Membranes may be used instead of rigid heliostat mirrors to reduce costs, while trade-offs exist between the efficiencies of cavity and exterior receivers on the tower. Sensible heat storage has proved most effective for cloudy or nighttime operations. Details of the DOE Solar One 10 MW plant, which began operation in 1982, are provided, with mention given to the 33.6 continuous hours of power generation that have been achieved. Projected costs of commercial installations are $700/kWt, and possible applications include recovering and refining oil, processing natural gas, uranium ore, and sugar cane, drying gypsum board, and manufacturing ammonia.
Heat transfer experiments with a central receiver tube subjected to unsteady and non-uniform heat flux

NASA Astrophysics Data System (ADS)

Fernández-Torrijos, María; Marugán-Cruz, Carolina; Sobrino, Celia; Santana, Domingo

2017-06-01

In this work, a molten salt test loop to study the heat transfer process in external molten salt receivers is described. The experimental installation is formed by a cylindrical molten salt tank, a pump, a flow meter, and an induction heater to generate the heat flux, which is applied in a small rectangular region of the tube surface. In central tower plants, the external receiver pipe is considered to be under unilateral concentrated solar radiation, because only one side of the pipe receives high heat flux. The main advantage of using an induction heater is the control of heating in different areas of the tube. In order to measure the effects of a non-homogenous and unsteady heat flux on the wall temperature distribution a series of experiments have been carried out. 4 K-type thermocouples have been welded at different axial and azimuthal positions of the pipe to obtain the wall temperature distribution. Different temperature measurements have been made varying the heat flux and water velocity to study their effects on the heat transfer process.
Neighborhood comparison operator

NASA Technical Reports Server (NTRS)

Gennery, Donald B. (Inventor)

1987-01-01

Digital values in a moving window are compared by an operator having nine comparators (18) connected to line buffers (16) for receiving a succession of central pixels together with eight neighborhood pixels. A single bit of program control determines whether the neighborhood pixels are to be compared with the central pixel or a threshold value. The central pixel is always compared with the threshold. The comparator output, plus 2 bits indicating odd-even pixel/line information about the central pixel, addresses a lookup table (20) to provide 14 bits of information, including 2 bits which control a selector (22) to pass either the central pixel value, the other 12 bits of table information, or the bit-wise logic OR of all neighboring pixels.
The role of horizontal thermal advection in regulating wintertime mean and extreme temperatures over the central United States during the past and future

NASA Astrophysics Data System (ADS)

Wang, F.; Vavrus, S. J.

2017-12-01

Horizontal temperature advection plays an especially prominent role in affecting winter climate over continental interiors, where both climatological conditions and extreme weather are strongly regulated by transport of remote air masses. Central North America is one such region, and it experienced a major cold-air outbreak (CAO) a few years ago that some have related to amplified Arctic warming. Despite the known importance of dynamics in shaping the winter climate of this sector and the potential for climate change to modify heat transport, limited attention has been paid to the regional impact of thermal advection. Here, we use a reanalysis product and output from the Community Earth System Model's Large Ensemble to quantify the roles of zonal and meridional temperature advection over the central U. S. during winter, both in the late 20th and 21st centuries. We frame our findings as a "tug of war" between opposing influences of the two advection components and between these dynamical forcings vs. thermodynamic changes under greenhouse warming. For example, Arctic amplification leads to much warmer polar air masses, causing a moderation of cold-air advection into the central U. S., yet the model also simulates a wavier mean circulation and stronger northerly flow during CAOs, favoring lower regional temperatures. We also compare the predominant warming effect of zonal advection and overall cooling effect of meridional temperature advection as an additional tug of war. During both historical and future periods, zonal temperature advection is stronger than meridional advection over the Central U. S. The model simulates a future weakening of both zonal and meridional temperature advection, such that westerly flow provides less warming and northerly flow less cooling. On the most extreme warm days in the past and future, both zonal and meridional temperature advection have positive (warming) contributions. On the most extreme cold days, meridional cold air advection is more important than zonal warm air advection. CAOs in the future feature stronger northerly flow but less extreme temperatures (even relative to the warmer climate), exemplifying the complex competition between thermodynamic and dynamic influences.
Online Bibliographic Databases in South Central Pennsylvania: Current Status and Training Needs.

ERIC Educational Resources Information Center

Townley, Charles

A survey of libraries in south central Pennsylvania was designed to identify those that are using or planning to use databases and assess their perceived training needs. This report describes the methodology and analyzes the responses received form the 57 libraries that completed the questionnaire. Data presented in eight tables are concerned with…
Global Norms and Local Politics: Uses and Abuses of Education Gender Quotas in Tajikistan

ERIC Educational Resources Information Center

Silova, Iveta; Abdushukurova, Tatiana

2009-01-01

In Central Asia, the post-Soviet transformation period has been accompanied by significant economic and social costs, including the widening of the gender gaps in politics, economy and the social sphere. Tajikistan, which receives the largest amount of international aid and has the worst record of gender inequity in Central Asia, has quickly…
Radiation necrosis causing failure of automatic ventilation during sleep with central sleep apnea

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

Udwadia, Z.F.; Athale, S.; Misra, V.P.

A patient operated upon for a midline cerebellar hemangioblastoma developed failure of automatic respiration during sleep, together with central sleep apnea syndrome, approximately two years after receiving radiation therapy to the brain. Clinical and CT scan findings were compatible with a diagnosis of radiation necrosis as the cause of his abnormal respiratory control.
[Genesis and political background of "Sonderaktion Krakau" 6 XI 1939].

PubMed

August, J

1998-01-01

The decision to imprison Cracow's University professors on November 6, 1939 was made in connection with the establishment of the so-called General Government, as a second stage of German security police action in nazi-occupied Poland to ensure German rule also over Central and Southern Poland. By this way Sonderaktion Krakau (Special Action Cracow)--as continuation of politische Flurbereinigung (political cleaning up) started in German occupied Western Poland in September 1939--was a part of a second wave of persecution directed against the Polish societies' social classes indicated by Nazi leaders and chiefs of German security police as Poland's leadership, a wave of persecution now, since the end of October 1939, enlarged on Central and Southern Poland. The imprisonment of the Cracow Professors subsequently marked the perspective, that Poland's scientific and academic institutions as a whole would be destroyed, so that in future no Polish scientists, intellectuals and university people even would have the possibility to do scientific work and to have subsistence from doing this kind of work. As a consequence, Poland's intellectuals and university-trained people as a social class in future would disappear indefinitely, and the people of Poland, deprived of intellectual leadership, would be transformed into a mass of dependend lower-class working people, so that the Nazi leaders mournfull future-scenario for their rule in German occupied Central and Eastern Europe would become reality. By this way the imprisonment of the Cracow Professors on November 6, 1939 was the first step to realize Nazi future plans concerning Central and Eastern Europe.
Ionization detector, electrode configuration and single polarity charge detection method

DOEpatents

He, Z.

1998-07-07

An ionization detector, an electrode configuration and a single polarity charge detection method each utilize a boundary electrode which symmetrically surrounds first and second central interlaced and symmetrical electrodes. All of the electrodes are held at a voltage potential of a first polarity type. The first central electrode is held at a higher potential than the second central or boundary electrodes. By forming the first and second central electrodes in a substantially interlaced and symmetrical pattern and forming the boundary electrode symmetrically about the first and second central electrodes, signals generated by charge carriers are substantially of equal strength with respect to both of the central electrodes. The only significant difference in measured signal strength occurs when the charge carriers move to within close proximity of the first central electrode and are received at the first central electrode. The measured signals are then subtracted and compared to quantitatively measure the magnitude of the charge. 10 figs.
Ionization detector, electrode configuration and single polarity charge detection method

DOEpatents

He, Zhong

1998-01-01

An ionization detector, an electrode configuration and a single polarity charge detection method each utilize a boundary electrode which symmetrically surrounds first and second central interlaced and symmetrical electrodes. All of the electrodes are held at a voltage potential of a first polarity type. The first central electrode is held at a higher potential than the second central or boundary electrodes. By forming the first and second central electrodes in a substantially interlaced and symmetrical pattern and forming the boundary electrode symmetrically about the first and second central electrodes, signals generated by charge carriers are substantially of equal strength with respect to both of the central electrodes. The only significant difference in measured signal strength occurs when the charge carriers move to within close proximity of the first central electrode and are received at the first central electrode. The measured signals are then subtracted and compared to quantitatively measure the magnitude of the charge.
Exposure prediction approaches used in air pollution epidemiology studies: Keyfindings and future recommendations

EPA Science Inventory

Many epidemiologic studies of the health effects of exposure to ambient air pollution use measurements from central-site monitors as their exposure estimate. However, measurements from central-site monitors may lack the spatial and temporal resolution required to capture exposure...
Scanning seismic intrusion detection method and apparatus. [monitoring unwanted subterranean entry and departure

NASA Technical Reports Server (NTRS)

Lee, R. D. (Inventor)

1983-01-01

An intrusion monitoring system includes an array of seismic sensors, such as geophones, arranged along a perimeter to be monitored for unauthorized intrusion as by surface movement or tunneling. Two wires lead from each sensor to a central monitoring station. The central monitoring station has three modes of operation. In a first mode of operation, the output of all of the seismic sensors is summed into a receiver for amplification and detection. When the amplitude of the summed signals exceeds a certain predetermined threshold value an alarm is sounded. In a second mode of operation, the individual output signals from the sensors are multiplexed into the receiver for sequentially interrogating each of the sensors.
Is a reduction in radiation lung volume and dose necessary with paclitaxel chemotherapy for node-positive breast cancer?

PubMed

Taghian, Alphonse G; Assaad, Sherif I; Niemierko, Andrzej; Floyd, Scott R; Powell, Simon N

2005-06-01

To evaluate and quantify the effect of irradiated lung volume, radiation dose, and paclitaxel chemotherapy on the development of radiation pneumonitis (RP) in breast cancer patients with positive lymph nodes. We previously reported the incidence of RP among 41 patients with breast cancer treated with radiotherapy (RT) and adjuvant paclitaxel-containing chemotherapy. We recorded the central lung distance, a measure of the extent of lung included in the RT volume, in these patients. We used this measure and the historical and observed rates of RP in our series to model the lung tolerance to RT in patients receiving chemotherapy (CHT) both with and without paclitaxel. To evaluate the risk factors for the development of RP, we performed a case-control study comparing paclitaxel-treated patients who developed RP with those who did not, and a second case-control study comparing patients receiving paclitaxel in addition to standard CHT/RT (n = 41) and controls receiving standard CHT/RT alone (n = 192). The actuarial rate of RP in the paclitaxel-treated group was 15.4% compared with 0.9% among breast cancer patients treated with RT and non-paclitaxel-containing CHT. Our mathematical model found that the effective lung tolerance for patients treated with paclitaxel was reduced by approximately 24%. No statistically significant difference was found with regard to the dose delivered to specific radiation fields, dose per fraction, central lung distance, or percentage of lung irradiated in the case-control study of paclitaxel-treated patients who developed RP compared with those who did not. In the comparison of 41 patients receiving RT and CHT with paclitaxel and 192 matched controls receiving RT and CHT without paclitaxel, the only significant differences identified were the more frequent use of a supraclavicular radiation field and a decrease in the RT lung dose among the paclitaxel-treated patients. This finding indicates that the major factor associated with development of RP was paclitaxel treatment. The use of paclitaxel chemotherapy and RT in the primary treatment of node-positive breast cancer is likely to increase the incidence of RP. In patients treated with paclitaxel, reducing the percentage of lung irradiated by 24% should reduce the risk of RP to 1%, according to our calculations of lung tolerance. Future clinical trials using combination CHT that includes paclitaxel and RT should carefully evaluate the incidence and severity of RP and should also accurately monitor the extent of lung included within the RT volume to develop safe guidelines for the delivery of what is becoming standard therapy for node-positive breast cancer.
Integrated simulation of consumptive use and land subsidence in the Central Valley, California, for the past and for a future subject to urbanization and climate change

USGS Publications Warehouse

Hanson, Randall T.; Flint, Alan L.; Faunt, Claudia C.; Cayan, Daniel R.; Flint, Lorraine E.; Leake, Stanley A.; Schmid, Wolfgang

2010-01-01

Competition for water resources is growing throughout California, particularly in the Central Valley where about 20% of all groundwater used in the United States is consumed for agriculture and urban water supply. Continued agricultural use coupled with urban growth and potential climate change would result in continued depletion of groundwater storage and associated land subsidence throughout the Central Valley. For 1962-2003, an estimated 1,230 hectare meters (hm3) of water was withdrawn from fine-grained beds, resulting in more than three meters (m) of additional land subsidence locally. Linked physically-based, supply-constrained and emanddriven hydrologic models were used to simulate future hydrologic conditions under the A2 climate projection scenario that assumes continued "business as usual" greenhouse gas emissions. Results indicate an increased subsidence in the second half of the twenty-first century. Potential simulated land subsidence extends into urban areas and the eastern side of the valley where future surface-water deliveries may be depleted.
Silent emergency alarm system for schools and the like

NASA Technical Reports Server (NTRS)

Read, W. S.; Roberts, V. W. (Inventor)

1973-01-01

An emergency alert system is described. In a school each classroom (or other area) is instrumented with a hidden microphone and receiver tuned to a non-audible frequency. The receivers' outputs are connected to a central display unit in the school's administrative office. Each instructor is provided with a small concealable transmitter which, when hand activated by the instructor upon the occurrance of any emergency, generates a non-audible signal at the receiver's tuned frequency.
Structure of the Upper Mantle and Mantle Transition Zone in Central Mongolia

NASA Astrophysics Data System (ADS)

Cui, Z.; Meltzer, A.; Stachnik, J.; Fischer, K. M.; Russo, R. M.; Munkhuu, U.; Baasanbat, T.

2016-12-01

Located between two major Archean cratons, the Siberian Craton to the north and the Tarim and Sino-Korean Cratons to the south, the lithosphere of Central Mongolia was constructed over an extended period of orogenesis associated with the Central Asian Orogenic Belt. Archean to Early Proterozoic basement was modified by accreted subduction complexes during the Paleozoic and early Mesozoic and basalt magmatism in the Cenozoic. Central and western Mongolia constitute a significant portion of the greater Mongolian plateau, an approximately 2.6 million km2area of Central Asia with an average elevation of 1500 meters. The high topography of the Mongolian Plateau has been attributed to far-field effects of India-Asia convergence, Pacific plate subduction, mantle plume activity, convective mantle flow, and magmatic underplating. The origin and persistence of continental plateaus through time provides insight into the evolution of continents and interactions between mantle dynamics and surface processes. As part of a larger interdisciplinary project to understand the origin of high topography in continental interiors we deployed 112 seismic broadband stations in central Mongolia as three separate subarrays in two separate mobilizations over a four year period (2012-2016). The stations extend from the Hovsgol rift in northern Mongolia, through the Hangay Dome, and into the Gobi Altai in southern Mongolia. We use S wave Receiver functions (SRF) to examine the lithosphere asthenosphere boundary and P wave Receiver functions (PRF) to investigate the mantle transition zone (MTZ). Preliminary SRF results from the subarray in the Hangay show lithospheric thinning and E-W variation. The LAB beneath the Hangay is 100km. It gradually thins to 90 km at the western end of the central Hangay and thins more abruptly to 80km at the eastern end of the central Hangay. These results are in agreement with results from joint inversion of receiver functions and surface waves and teleseismic tomography. PRF exhibit a clear Ps arrival from the 410-km discontinuity but a weak Ps phase converted from 660-km discontinuity in both station and CCP stacks. The 410-km Ps arrival is gradually delayed from south to north corresponding to a depth change of 20km. Several stations with visible 660-km Ps suggest a 10-30 km thinning within the MTZ.
Understanding key drivers controlling daily stable isotope variations in precipitation of Costa Rica, Central America

NASA Astrophysics Data System (ADS)

Sanchez-Murillo, Ricardo; Welsh, Kristin; Birkel, Christian; Esquivel-Hernández, Germain; Corrales-Salazar, Jose; Boll, Jan; Brooks, Erin; Roupsard, Olivier; Katchan, Irina; Arce-Mesén, Rafael; Soulsby, Chris; Araguás-Araguás, Luis

2015-04-01

Costa Rica is located on the Central American Isthmus, which receives direct moisture inputs from the Caribbean Sea and the Pacific Ocean. The relatively narrow, but high relief Central American land bridge is characterized by unique mountainous and lowland microclimates. However, only limited knowledge exists about the impact of relief and regional atmospheric circulation patterns on precipitation origin, transport, and isotopic composition in this tropical region. Therefore, the main scope of this study is to identify the key drivers controlling variations in meteoric waters of Costa Rica using stable isotopes based on daily sample collection for the year 2013. The monitoring sites comprise three strategic locations across Costa Rica: Heredia (Central Valley), Turrialba (Caribbean slope), and Caño Seco (South Pacific slope). Sporadic dry season rain is mostly related to isolated enriched events ranging from -5.8‰ d18O up to -0.9‰ d18O. By mid-May, the Intertropical Convergence Zone reaches Costa Rica resulting in a notable depletion in isotope ratios (up to -18.5‰ d18O). HYSPLIT back air mass trajectories indicate the strong influence on the origin and transport of precipitation of two main moisture transport mechanisms, the Caribbean Low Level Jet and the Colombian Low Level Jet as well as localized convection events. Multiple linear regression models constructed based on Random Forests of surface meteorological information and atmospheric sounding profiles suggest that Lifted Condensation Level and surface relative humidity are the main factors controlling isotopic variations. These findings diverge from the recognized 'amount effect' in monthly composite samples across the tropics. Understanding of stable isotope dynamics in tropical precipitation can be used to enhance catchment and groundwater modeling efforts in ungauged basins where scarcity of long-term monitoring data drastically limit current and future water resources management.
Human Robotic Study at Houghton Crater - virtual reality study from NASA Ames (FFC) Future Fight

NASA Technical Reports Server (NTRS)

2002-01-01

Human Robotic Study at Houghton Crater - virtual reality study from NASA Ames (FFC) Future Fight Central simulator tower L-R: Dr Geoffrey Briggs; Jen Jasper (seated); Dr Jan Akins and Mr. Tony Gross, Ames
Iron metabolism: current facts and future directions

PubMed Central

Tandara, Leida; Salamunic, Ilza

2012-01-01

Iron metabolism has been intensively examined over the last decade and there are many new players in this field which are worth to be introduced. Since its discovery many studies confirmed role of liver hormone hepcidin as key regulator of iron metabolism and pointed out liver as the central organ of system iron homeostasis. Liver cells receive multiple signals related to iron balance and respond by transcriptional regulation of hepcidin expression. This liver hormone is negative regulator of iron metabolism that represses iron efflux from macrophages, hepatocytes and enterocytes by its binding to iron export protein ferroportin. Ferroportin degradation leads to cellular iron retention and decreased iron availability. At level of a cell IRE/IRP (iron responsive elements/iron responsive proteins) system allows tight regulation of iron assimilation that prevents an excess of free intracellular iron which could lead to oxidative stress and damage of DNA, proteins and lipid membranes by ROS (reactive oxygen species). At the same time IRE/IRP system provides sufficient iron in order to meet the metabolic needs. Recently a significant progress in understanding of iron metabolism has been made and new molecular participants have been characterized. Article gives an overview of the current understanding of iron metabolism: absorption, distribution, cellular uptake, release, and storage. We also discuss mechanisms underlying systemic and cellular iron regulation with emphasis on central regulatory hormone hepcidin. PMID:23092063
17 CFR 240.15c3-1b - Adjustments to net worth and aggregate indebtedness for certain commodities transactions...

Code of Federal Regulations, 2013 CFR

2013-04-01

...) Deduct all unsecured receivables, advances and loans except for: (A) Management fees receivable from... broker or dealer in computing “net capital” and which are not receivable from (A) a futures commission... other form of receivable shall not be considered “secured” for the purposes of paragraph (a)(3) of this...

17 CFR 240.15c3-1b - Adjustments to net worth and aggregate indebtedness for certain commodities transactions...

Code of Federal Regulations, 2012 CFR

2012-04-01

...) Deduct all unsecured receivables, advances and loans except for: (A) Management fees receivable from... broker or dealer in computing “net capital” and which are not receivable from (A) a futures commission... other form of receivable shall not be considered “secured” for the purposes of paragraph (a)(3) of this...
17 CFR 240.15c3-1b - Adjustments to net worth and aggregate indebtedness for certain commodities transactions...

Code of Federal Regulations, 2011 CFR

2011-04-01

...) Deduct all unsecured receivables, advances and loans except for: (A) Management fees receivable from... broker or dealer in computing “net capital” and which are not receivable from (A) a futures commission... other form of receivable shall not be considered “secured” for the purposes of paragraph (a)(3) of this...
17 CFR 240.15c3-1b - Adjustments to net worth and aggregate indebtedness for certain commodities transactions...

Code of Federal Regulations, 2014 CFR

2014-04-01

...) Deduct all unsecured receivables, advances and loans except for: (A) Management fees receivable from... broker or dealer in computing “net capital” and which are not receivable from (A) a futures commission... other form of receivable shall not be considered “secured” for the purposes of paragraph (a)(3) of this...
Solar central receiver heliostat reflector assembly

DOEpatents

Horton, Richard H.; Zdeb, John J.

1980-01-01

A heliostat reflector assembly for a solar central receiver system comprises a light-weight, readily assemblable frame which supports a sheet of stretchable reflective material and includes mechanism for selectively applying tension to and positioning the sheet to stretch it to optical flatness. The frame is mounted on and supported by a pipe pedestal assembly that, in turn, is installed in the ground. The frame is controllably driven in a predetermined way by a light-weight drive system so as to be angularly adjustable in both elevation and azimuth to track the sun and efficiently continuously reflect the sun's rays to a focal zone, i.e. central receiver, which forms part of a solar energy utilization system, such as a solar energy fueled electrical power generation system. The frame may include a built-in system for testing for optical flatness of the reflector. The preferable geometric configuration of the reflector is octagonal; however, it may be other shapes, such as hexagonal, pentagonal or square. Several different embodiments of means for tensioning and positioning the reflector to achieve optical flatness are disclosed. The reflector assembly is based on the stretch frame concept which provides an extremely light-weight, simple, low-cost reflector assembly that may be driven for positioning and tracking by a light-weight, inexpensive drive system.
Fund raiser futures.

PubMed

Glasrud, B

1999-08-01

Fund raisers must prefigure the philanthropic temperament of our future society. From there, they must prepare new attitudes, methodologies and technologies to cultivate the donor, receive the gift and maintain the relationship.
Capsaicin-responsive corneal afferents do not contain TRPV1 at their central terminals in trigeminal nucleus caudalis in rats.

PubMed

Hegarty, Deborah M; Hermes, Sam M; Largent-Milnes, Tally M; Aicher, Sue A

2014-11-01

We examined the substrates for ocular nociception in adult male Sprague-Dawley rats. Capsaicin application to the ocular surface in awake rats evoked nocifensive responses and suppressed spontaneous grooming responses. Thus, peripheral capsaicin was able to activate the central pathways encoding ocular nociception. Our capsaicin stimulus evoked c-Fos expression in a select population of neurons within rostral trigeminal nucleus caudalis in anesthetized rats. These activated neurons also received direct contacts from corneal afferent fibers traced with cholera toxin B from the corneal surface. However, the central terminals of the corneal afferents that contacted capsaicin-activated trigeminal neurons did not contain TRPV1. To determine if TRPV1 expression had been altered by capsaicin stimulation, we examined TRPV1 content of corneal afferents in animals that did not receive capsaicin stimulation. These studies confirmed that while TRPV1 was present in 30% of CTb-labeled corneal afferent neurons within the trigeminal ganglion, TRPV1 was only detected in 2% of the central terminals of these corneal afferents within the trigeminal nucleus caudalis. Other TRP channels were also present in low proportions of central corneal afferent terminals in unstimulated animals (TRPM8, 2%; TRPA1, 10%). These findings indicate that a pathway from the cornea to rostral trigeminal nucleus caudalis is involved in corneal nociceptive transmission, but that central TRP channel expression is unrelated to the type of stimulus transduced by the peripheral nociceptive endings. Copyright © 2014 Elsevier B.V. All rights reserved.
Incidence and risk factors for central venous access port-related infection in Chinese cancer patients.

PubMed

Wang, Ting-Yao; Lee, Kuan-Der; Chen, Ping-Tsung; Chen, Min-Chi; Chen, Yi-Yang; Huang, Cih-En; Kuan, Feng-Che; Chen, Chih-Cheng; Lu, Chang Hsien

2015-11-01

Cytotoxic chemotherapy via central venous access ports is an important part of the standard treatment for most cancers, but it is accompanied with the risk of infections. This study aimed to analyze the incidence and risk factors for central venous access port-related infection (CPI) among Chinese patients receiving cytotoxic chemotherapy. Between January 1, 2002 and December 31, 2005 a total of 1391 cancer patients with 1449 totally implantable central venous access ports were evaluated. The log-rank test and Cox proportional hazards model were used for the analyses of risk factors. The overall CPI incidence rate was 0.21 per 1000 catheter-days. Hematological malignancies and head and neck cancer were associated with an increased risk of CPI (hazard ratio 4.00 and 4.11, respectively, both p < 0.001) and less infection-free catheter longevity (p < 0.001) compared with other cancer types. Chemotherapy in an adjuvant setting was associated with a lower risk of infection than for patients in a nonadjuvant setting (p < 0.001). The most common pathogens isolated from CPI were Pseudomonas aeruginosa and Candida. Infection remains to be a challenging issue for totally implantable central venous ports. Implementation of an insertion bundle for the prevention of central line-associated bloodstream infections is warranted, especially for those patients with hematological and head and neck cancers, as well as for patients receiving chemotherapy in the metastatic settings. Copyright © 2015. Published by Elsevier B.V.
Assessment of Climate Change Impacts on Agricultural Water Demands and Crop Yields in California's Central Valley

NASA Astrophysics Data System (ADS)

Tansey, M. K.; Flores-Lopez, F.; Young, C. A.; Huntington, J. L.

2012-12-01

Long term planning for the management of California's water resources requires assessment of the effects of future climate changes on both water supply and demand. Considerable progress has been made on the evaluation of the effects of future climate changes on water supplies but less information is available with regard to water demands. Uncertainty in future climate projections increases the difficulty of assessing climate impacts and evaluating long range adaptation strategies. Compounding the uncertainty in the future climate projections is the fact that most readily available downscaled climate projections lack sufficient meteorological information to compute evapotranspiration (ET) by the widely accepted ASCE Penman-Monteith (PM) method. This study addresses potential changes in future Central Valley water demands and crop yields by examining the effects of climate change on soil evaporation, plant transpiration, growth and yield for major types of crops grown in the Central Valley of California. Five representative climate scenarios based on 112 bias corrected spatially downscaled CMIP 3 GCM climate simulations were developed using the hybrid delta ensemble method to span a wide range future climate uncertainty. Analysis of historical California Irrigation Management Information System meteorological data was combined with several meteorological estimation methods to compute future solar radiation, wind speed and dew point temperatures corresponding to the GCM projected temperatures and precipitation. Future atmospheric CO2 concentrations corresponding to the 5 representative climate projections were developed based on weighting IPCC SRES emissions scenarios. The Land, Atmosphere, and Water Simulator (LAWS) model was used to compute ET and yield changes in the early, middle and late 21st century for 24 representative agricultural crops grown in the Sacramento, San Joaquin and Tulare Lake basins. Study results indicate that changes in ET and yield vary between crops due to plant specific sensitivities to temperature, solar radiation and the vapor pressure deficits. Shifts in the growth period to earlier in the year, shortened growth period for annual crops as well as extended fall growth can also exert important influences. Projected increases in CO2 concentrations in the late 21st century exert very significant influences on ET and yield for many crops. To characterize potential impacts and the range of uncertainty, changes in total agricultural water demands and yields were computed assuming that current crop types and acreages in 21 Central Valley regional planning areas remained constant throughout the 21st century for each of the 5 representative future climate scenarios.
Escaping the impulse to immediate gratification: the prospect concept promotes a future-oriented mindset, prompting an inclination towards delayed gratification.

PubMed

Cheng, Ying-Yao; Shein, Paichi Pat; Chiou, Wen-Bin

2012-02-01

People's willingness to postpone receiving an immediate reward in order to gain additional benefits in the future, that is, a tendency to shallow delay discounting, is closely related to one's health, wealth, and happiness. We conducted two experiments investigating how the prospect concept can induce a future-oriented mindset and induce people to behave accordingly. We found that engaging in prospective imagery led the participants to focus on delayed utility over immediate utility in financial decisions (Experiment 1). Participants who received the prospect prime via a scrambled-sentence task decreased their desire to pursue hedonic activities for instant gratification (Experiment 2). Moreover, a state of future orientation mediated the effect of the prospect prime on measures of delayed gratification (Experiments 1 and 2). Thus, reminders of prospect may activate a mindset for future orientation by which delayed gratification is strengthened. ©2011 The British Psychological Society.
The 10 MWe solar thermal central receiver pilot plant solar facilities design integration, RADL item 1-10

NASA Astrophysics Data System (ADS)

1980-07-01

Accomplishments are reported in the areas of: program management, system integration, the beam characterization system, receiver unit, thermal storage subsystems, master control system, plant support subsystem and engineering services. A solar facilities design integration program action items update is included. Work plan changes and cost underruns are discussed briefly. (LEW)
A Fresh Approach for Fresh Faces: Central Office Leaders Adopt Strategies to Support New Teachers

ERIC Educational Resources Information Center

Molitor, Suzanne; Burkett, Dina; Cunningham, Allison; Dell, Cheryl; Presta, Anna

2014-01-01

The Ontario Ministry of Education established the New Teacher Induction Program in 2006, ensuring that new teachers in the province receive orientation, mentoring, and continuous professional learning in their first year. Through this program, districts receive funding and opportunities to support mentors and respond to the needs of novice…
Sources of Social Capital: Effects of Altruistic Citizenship Behavior and Job Involvement on Advice Network Centrality

ERIC Educational Resources Information Center

Zhang, Mian; Zheng, Wei; Wei, Jun

2009-01-01

Social capital has been receiving increasing attention in HRD research. However, the sources of social capital have received inadequate attention. Little has been done to reveal how people obtain their social capital in the workplace. This study investigated the effects of employees' altruistic citizenship behavior and job involvement on their…
How do illness-anxious individuals process health-threatening information? A systematic review of evidence for the cognitive-behavioral model.

PubMed

Leonidou, Chrysanthi; Panayiotou, Georgia

2018-08-01

According to the cognitive-behavioral model, illness anxiety is developed and maintained through biased processing of health-threatening information and maladaptive responses to such information. This study is a systematic review of research that attempted to validate central tenets of the cognitive-behavioral model regarding etiological and maintenance mechanisms in illness anxiety. Sixty-two studies, including correlational and experimental designs, were identified through a systematic search of databases and were evaluated for their quality. Outcomes were synthesized following a qualitative thematic approach under categories of theoretically driven mechanisms derived from the cognitive-behavioral model: attention, memory and interpretation biases, perceived awareness and inaccuracy in perception of somatic sensations, negativity bias, emotion dysregulation, and behavioral avoidance. Findings partly support the cognitive-behavioral model, but several of its hypothetical mechanisms only receive weak support due to the scarcity of relevant studies. Directions for future research are suggested based on identified gaps in the existing literature. Copyright © 2018 Elsevier Inc. All rights reserved.
“Threshold‐crossing”: A Useful Way to Establish the Counterfactual in Clinical Trials?

PubMed Central

Eichler, H‐G; Bloechl‐Daum, B; Bauer, P; Bretz, F; Brown, J; Hampson, LV; Honig, P; Krams, M; Leufkens, H; Lim, R; Lumpkin, MM; Murphy, MJ; Pignatti, F; Posch, M; Schneeweiss, S; Trusheim, M

2016-01-01

A central question in the assessment of benefit/harm of new treatments is: how does the average outcome on the new treatment (the factual) compare to the average outcome had patients received no treatment or a different treatment known to be effective (the counterfactual)? Randomized controlled trials (RCTs) are the standard for comparing the factual with the counterfactual. Recent developments necessitate and enable a new way of determining the counterfactual for some new medicines. For select situations, we propose a new framework for evidence generation, which we call “threshold‐crossing.” This framework leverages the wealth of information that is becoming available from completed RCTs and from real world data sources. Relying on formalized procedures, information gleaned from these data is used to estimate the counterfactual, enabling efficacy assessment of new drugs. We propose future (research) activities to enable “threshold‐crossing” for carefully selected products and indications in which RCTs are not feasible. PMID:27650716
Feasibility of cognitive remediation therapy for adults with autism spectrum disorders: a single-group pilot study.

PubMed

Okuda, Tomoko; Asano, Kenichi; Numata, Noriko; Hirano, Yoshiyuki; Yamamoto, Tetsuya; Tanaka, Mari; Matsuzawa, Daisuke; Shimizu, Eiji; Iyo, Masaomi; Nakazato, Michiko

2017-01-01

Set-shifting (SS) difficulties and weak central coherence (CC) are commonly associated with autism spectrum disorders (ASD). Cognitive remediation therapy (CRT) aims to improve such cognitive processing; however, there are no reports on CRT for patients with ASD. This pilot study aimed to provide preliminary evidence to support the use of CRT for individuals with ASD and provide data to inform future studies. Nineteen individuals with ASD were recruited and administered a series of neuropsychological and questionnaire measures to examine cognitive function and clinical outcomes such as anxiety and depression. Participants received CRT, and cognitive function and clinical variables were re-evaluated at postintervention and after 3 months. The participants demonstrated significant improvement in CC and anxiety at postintervention, which was maintained at 3-month follow-up. Although SS scores had improved with a large effect size, this was not statistically significant. CRT improved CC and anxiety scores for individuals with ASD, suggesting that CRT is an effective treatment for individuals with ASD.
Audience response made easy: using personal digital assistants as a classroom polling tool.

PubMed

Menon, Anil S; Moffett, Shannon; Enriquez, Melissa; Martinez, Miriam M; Dev, Parvati; Grappone, Todd

2004-01-01

Both teachers and students benefit from an interactive classroom. The teacher receives valuable input about effectiveness, student interest, and comprehension, whereas student participation, active learning, and enjoyment of the class are enhanced. Cost and deployment have limited the use of existing audience response systems, allowing anonymous linking of teachers and students in the classroom. These limitations can be circumvented, however, by use of personal digital assistants (PDAs), which are cheaper and widely used by students. In this study, the authors equipped a summer histology class of 12 students with PDAs and wireless Bluetooth cards to allow access to a central server. Teachers displayed questions in multiple-choice format as a Web page on the server and students responded with their PDAs, a process referred to as polling. Responses were immediately compiled, analyzed, and displayed. End-of-class survey results indicated that students were enthusiastic about the polling tool. The surveys also provided technical feedback that will be valuable in streamlining future trials.
(Coordinated research of chemotherapeutic agents and radiopharmaceuticals)

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

Srivastava, P.C.

1991-01-14

The traveler received a United Nations Development Program (UNDP) Award for Distinguished Scientists to visit Indian Research Institutions including Central Drug Research Institute (CDRI), Lucknow, the host institution, in cooperation with the Council of Scientific and Industrial Research (CSIR) of India. At CDRI, the traveler had meetings to discuss progress and future directions of on-going collaborative research work on nucleosides and had the opportunity to initiate new projects with the divisions of pharmacology, biopolymers, and membrane biology. As a part of this program, the traveler also visited Sanjay Gandhi Post Graduate Institute (SGPI) of Medical Sciences, Lucknow; Board of Radiationmore » and Isotope Technology (BRIT) and Bhabha Atomic Research Center (BARC), Bombay; Variable Energy Cyclotron Center (VECC) and Indian Institute of Chemical Biology, Calcutta. He also attended the Indo-American Society of Nuclear Medicine Meeting held in Calcutta. The traveler delivered five seminars describing various aspects of radiopharmaceutical development at the Oak Ridge National Laboratory (ORNL) and discussed the opportunities for exchange visits to ORNL by Indian scientists.« less
On the Use of Local Assessments for Monitoring Centrally Reviewed Endpoints with Missing Data in Clinical Trials*

PubMed Central

Brummel, Sean S.; Gillen, Daniel L.

2014-01-01

Due to ethical and logistical concerns it is common for data monitoring committees to periodically monitor accruing clinical trial data to assess the safety, and possibly efficacy, of a new experimental treatment. When formalized, monitoring is typically implemented using group sequential methods. In some cases regulatory agencies have required that primary trial analyses should be based solely on the judgment of an independent review committee (IRC). The IRC assessments can produce difficulties for trial monitoring given the time lag typically associated with receiving assessments from the IRC. This results in a missing data problem wherein a surrogate measure of response may provide useful information for interim decisions and future monitoring strategies. In this paper, we present statistical tools that are helpful for monitoring a group sequential clinical trial with missing IRC data. We illustrate the proposed methodology in the case of binary endpoints under various missingness mechanisms including missing completely at random assessments and when missingness depends on the IRC’s measurement. PMID:25540717
Design of a National Retail Data Monitor for Public Health Surveillance

PubMed Central

Wagner, Michael M.; Robinson, J. Michael; Tsui, Fu-Chiang; Espino, Jeremy U.; Hogan, William R.

2003-01-01

The National Retail Data Monitor receives data daily from 10,000 stores, including pharmacies, that sell health care products. These stores belong to national chains that process sales data centrally and utilize Universal Product Codes and scanners to collect sales information at the cash register. The high degree of retail sales data automation enables the monitor to collect information from thousands of store locations in near to real time for use in public health surveillance. The monitor provides user interfaces that display summary sales data on timelines and maps. Algorithms monitor the data automatically on a daily basis to detect unusual patterns of sales. The project provides the resulting data and analyses, free of charge, to health departments nationwide. Future plans include continued enrollment and support of health departments, developing methods to make the service financially self-supporting, and further refinement of the data collection system to reduce the time latency of data receipt and analysis. PMID:12807802
Do metacognitive judgments alter memory performance beyond the benefits of retrieval practice? A comment on and replication attempt of Dougherty, Scheck, Nelson, and Narens (2005).

PubMed

Dougherty, Michael R; Robey, Alison M; Buttaccio, Daniel

2018-05-01

A central question in the metacognitive literature concerns whether the act of making a metacognitive judgment alters one's memory for the information about which the judgment was made. Dougherty, Scheck, Nelson, and Narens (2005, Memory & Cognition, 33(6), 1096-1115) attempted to address this question by having participants make either retrospective confidence judgments (RCJs; i.e., evaluations of past retrieval success), judgments of learning (JOLs; i.e., predictions of future retrieval success), or no explicit judgments. When comparing final retrieval accuracy they found that accuracy was greater for items where participants had made JOLs compared with items that received RCJs or no judgment, suggesting that simply making a JOL can improve later memory performance. The present article presents results from four separate replication attempts that fail to duplicate this finding. Combined results provide compelling evidence that making a metacognitive judgment, regardless of the type, has no impact on later memory performance above and beyond retrieval practice.

Reprogramming Glia Into Neurons in the Peripheral Auditory System as a Solution for Sensorineural Hearing Loss: Lessons From the Central Nervous System

PubMed Central

Meas, Steven J.; Zhang, Chun-Li; Dabdoub, Alain

2018-01-01

Disabling hearing loss affects over 5% of the world’s population and impacts the lives of individuals from all age groups. Within the next three decades, the worldwide incidence of hearing impairment is expected to double. Since a leading cause of hearing loss is the degeneration of primary auditory neurons (PANs), the sensory neurons of the auditory system that receive input from mechanosensory hair cells in the cochlea, it may be possible to restore hearing by regenerating PANs. A direct reprogramming approach can be used to convert the resident spiral ganglion glial cells into induced neurons to restore hearing. This review summarizes recent advances in reprogramming glia in the CNS to suggest future steps for regenerating the peripheral auditory system. In the coming years, direct reprogramming of spiral ganglion glial cells has the potential to become one of the leading biological strategies to treat hearing impairment. PMID:29593497
Audience Response Made Easy: Using Personal Digital Assistants as a Classroom Polling Tool

PubMed Central

Menon, Anil S.; Moffett, Shannon; Enriquez, Melissa; Martinez, Miriam M.; Dev, Parvati; Grappone, Todd

2004-01-01

Both teachers and students benefit from an interactive classroom. The teacher receives valuable input about effectiveness, student interest, and comprehension, whereas student participation, active learning, and enjoyment of the class are enhanced. Cost and deployment have limited the use of existing audience response systems, allowing anonymous linking of teachers and students in the classroom. These limitations can be circumvented, however, by use of personal digital assistants (PDAs), which are cheaper and widely used by students. In this study, the authors equipped a summer histology class of 12 students with PDAs and wireless Bluetooth cards to allow access to a central server. Teachers displayed questions in multiple-choice format as a Web page on the server and students responded with their PDAs, a process referred to as polling. Responses were immediately compiled, analyzed, and displayed. End-of-class survey results indicated that students were enthusiastic about the polling tool. The surveys also provided technical feedback that will be valuable in streamlining future trials. PMID:14764615
The Northern Forest Futures Project: examining past, present, and future trends affecting forests in and around the central hardwood forest region

Treesearch

Stephen Shifley

2013-01-01

Th e Northern Forest Futures Project is intended to be a window on tomorrow's forests, revealing how today's trends and choices can change the future landscape of the Northeast and Midwest. Th e research is focused on the 20 states bounded by Maine, Maryland, Missouri and Minnesotathe most heavily forested and most densely populated quadrant of the...
Advanced solar receiver conceptual design study

NASA Technical Reports Server (NTRS)

Kesseli, J. B.; Lacy, D. E.

1987-01-01

High temperature solar dynamic Brayton and Stirling receivers are investigated as candidate electrical power generating systems for future LEO missions. These receivers are smaller and more efficient than conventional receivers, and they offer less structural complexity and fewer thermal stress problems. Use of the advanced Direct Absorption Storage Receiver allows many of the problems associated with working with high-volumetric-change phase-change materials to be avoided. A specific mass reduction of about 1/3 with respect to the baseline receiver has been realized.
Groundwater-Surface water interaction in agricultural watershed that encompasses dense network of High Capacity wells

NASA Astrophysics Data System (ADS)

Talib, A.; Desai, A. R.

2017-12-01

The Central Sands region of Wisconsin is characterized by productive trout streams, lakes, farmland and forest. However, stream channelization, past wetland drainage, and ground water withdrawals have disrupted the hydrology of this Central Sands region. Climatically driven conditions in last decade (2000-2008) alone are unable to account for the severely depressed water levels. Increased interception and evapotranspiration from afforested areas in central sand Wisconsin may also be culprit for reduced water recharge. Hence, there is need to study the cumulative effects of changing precipitation patterns, groundwater withdrawals, and forest evapotranspiration to improve projections of the future of lake levels and water availability in this region. Here, the SWAT-MODFLOW coupled model approach was applied at large spatio-temporal scale. The coupled model fully integrates a watershed model (SWAT) with a groundwater flow model (MODFLOW). Surface water and ground water flows were simulated integratively at daily time step to estimate the groundwater discharge to the stream network in Central Sands that encompasses high capacity wells. The model was calibrated (2010-2013) and validated (2014-2017) based on streamflow, groundwater extraction, and water table elevation. As the long-term trends in some of the primary drivers is presently ambiguous in Central Sands under future climate, as is the case for total precipitation or timing of precipitation, we relied on a sensitivity student to quantitatively access how primary and secondary drivers may influence future net groundwater recharge. We demonstrate how such an approach could then be coupled with decision-making models to evaluate the effectiveness of groundwater withdrawal policies under a changing climate.
The China Patient-centered Evaluative Assessment of Cardiac Events (China PEACE) retrospective heart failure study design

PubMed Central

Yu, Yuan; Zhang, Hongzhao; Li, Xi; Lu, Yuan; Masoudi, Frederick A; Li, Jing

2018-01-01

Introduction Heart failure (HF) is a leading cause of hospitalisation in China, which is experiencing a rapid increase in cardiovascular disease prevalence. Yet, little is known about current burden of disease, quality of care and treatment outcomes of HF in China. The objective of this paper is to describe the study methodology, data collection and abstraction, and progress to date of the China Patient-centered Evaluative Assessment of Cardiac Events 5 Retrospective Heart Failure Study (China PEACE 5r-HF). Methods and analysis The China PEACE 5r-HF Study will examine a nationally representative sample of more than 10 000 patient records hospitalised for HF in 2015 in China. The study is a retrospective cohort study. Patients have been selected using a two-stage sampling design stratified by economic–geographical regions. We will collect patient characteristics, diagnostic testing, treatments and in-hospital outcomes, including death and complications, and charges of hospitalisation. Data quality will be monitored by a central coordinating centre and will address case ascertainment, data abstraction and data management. As of October 2017, we have sampled 15 538 medical records from 189 hospitals, and have received 15 057 (96.9%) of these for data collection, and completed data abstraction and quality control on 7971. Ethics and dissemination The Central Ethics Committee at the Chinese National Center for Cardiovascular Diseases approved the study. All collaborating hospitals accepted central ethics committee approval with the exception of 15 hospitals, which obtained local approval by internal ethics committees. Findings will be disseminated in future peer-reviewed papers and will serve as a foundation for improving the care for HF in China. Trial registration number NCT02877914. PMID:29748344
The 1430s: a cold period of extraordinary internal climate variability during the early Spörer Minimum with social and economic impacts in north-western and central Europe

NASA Astrophysics Data System (ADS)

Camenisch, Chantal; Keller, Kathrin M.; Salvisberg, Melanie; Amann, Benjamin; Bauch, Martin; Blumer, Sandro; Brázdil, Rudolf; Brönnimann, Stefan; Büntgen, Ulf; Campbell, Bruce M. S.; Fernández-Donado, Laura; Fleitmann, Dominik; Glaser, Rüdiger; González-Rouco, Fidel; Grosjean, Martin; Hoffmann, Richard C.; Huhtamaa, Heli; Joos, Fortunat; Kiss, Andrea; Kotyza, Oldřich; Lehner, Flavio; Luterbacher, Jürg; Maughan, Nicolas; Neukom, Raphael; Novy, Theresa; Pribyl, Kathleen; Raible, Christoph C.; Riemann, Dirk; Schuh, Maximilian; Slavin, Philip; Werner, Johannes P.; Wetter, Oliver

2016-12-01

Changes in climate affected human societies throughout the last millennium. While European cold periods in the 17th and 18th century have been assessed in detail, earlier cold periods received much less attention due to sparse information available. New evidence from proxy archives, historical documentary sources and climate model simulations permit us to provide an interdisciplinary, systematic assessment of an exceptionally cold period in the 15th century. Our assessment includes the role of internal, unforced climate variability and external forcing in shaping extreme climatic conditions and the impacts on and responses of the medieval society in north-western and central Europe.Climate reconstructions from a multitude of natural and anthropogenic archives indicate that the 1430s were the coldest decade in north-western and central Europe in the 15th century. This decade is characterised by cold winters and average to warm summers resulting in a strong seasonal cycle in temperature. Results from comprehensive climate models indicate consistently that these conditions occurred by chance due to the partly chaotic internal variability within the climate system. External forcing like volcanic eruptions tends to reduce simulated temperature seasonality and cannot explain the reconstructions. The strong seasonal cycle in temperature reduced food production and led to increasing food prices, a subsistence crisis and a famine in parts of Europe. Societies were not prepared to cope with failing markets and interrupted trade routes. In response to the crisis, authorities implemented numerous measures of supply policy and adaptation such as the installation of grain storage capacities to be prepared for future food production shortfalls.
The Fed and the U.S. Constitution: Too Much Independence?

ERIC Educational Resources Information Center

Suiter, Mary C.; Schug, Mark C.

2012-01-01

Central banking in the United States has a long and controversial history dating back to the earliest days of the republic. One of the most widely presented arguments against a central bank has been that the U.S. Constitution does not expressly grant the federal government power to charter a bank. Recently, this issue has received new scrutiny in…
Education for Management in Central America. The Role of the Library of the Instituto Centroamericano de Administracion de Empresas

ERIC Educational Resources Information Center

Bloch, Thomas

1973-01-01

The institute, established in 1968, is a multinational organization for education in management at the post-graduate level. Its library, with five staff members, now has 4,000 volumes and receives 300 periodical publications: it should eventually become a Central American business and economic management information and research center. (Author/SJ)
The Future Subjunctive in Galician-Portuguese: A Review of "Cantigas de Santa Maria" and "A Demanda do Santo Graal"

ERIC Educational Resources Information Center

Schultheis, Maria Luiza Carrano

2009-01-01

The usage and disappearance of the Central Ibero-Romance future subjunctive have been extensively researched through Old Spanish texts. Studies on the future subjunctive as it evolved in the farther Western Ibero-Romance languages, represented by Galician and Portuguese, have been scarce, if not incomplete. This dissertation partially fills the…
Futures project anticipates changes and challenges facing forests of the northern United States

Treesearch

Stephen R. Shifley; W. Keith Moser; Michael E. Goerndt; Nianfu Song; Mark D. Nelson; David J. Nowak; Patrick D. Miles; Brett J. Butler; Ryan D. DeSantis; Francisco X. Aguilar; Brian G. Tavernia

2014-01-01

The Northern Forest Futures Project aims to reveal how today's trends and choices are likely to change the future forest landscape in the northeastern and midwestern United States. The research is focused on the 20-state quadrant bounded by Maine, Maryland, Missouri, and Minnesota. This area, which encompasses most of the Central Hardwood Forest region, is the...
Public Managers Should Be Proactive

ERIC Educational Resources Information Center

Carlson, Thomas S.

1976-01-01

Future public managers should be proactive by creating management processes before problems arise. Planning prevents reactive or crisis managing. Future managers should also be prepared to meet dilemmas and paradoxes such as centralization versus decentralization of decision-making and work processes, politics versus administration dichotomy, and…
Use of peripherally inserted central venous catheters (PICCs) in children receiving autologous or allogeneic stem-cell transplantation.

PubMed

Benvenuti, Stefano; Ceresoli, Rosanna; Boroni, Giovanni; Parolini, Filippo; Porta, Fulvio; Alberti, Daniele

2018-03-01

The aim of our study was to present our experience with the use of peripherally inserted central catheters (PICCs) in pediatric patients receiving autologous or allogenic blood stem-cell transplantation. The insertion of the device in older children does not require general anesthesia and does not require a surgical procedure. From January 2014 to January 2017, 13 PICCs were inserted as a central venous device in 11 pediatric patients submitted to 14 autologous or allogeneic stem-cell transplantation, at the Bone Marrow Transplant Unit of the Children's Hospital of Brescia. The mean age of patients at the time of the procedure was 11.3 years (range 3-18 years). PICCs remained in place for an overall period of 4104 days. All PICCs were positioned by the same specifically trained physician and utilized by nurses of our stem-cell transplant unit. No insertion-related complications were observed. Late complications were catheter ruptures and line occlusions (1.2 per 1000 PICC days). No rupture or occlusion required removal of the device. No catheter-related venous thrombosis, catheter-related bloodstream infection (CRBSI), accidental removal or permanent lumen occlusion were observed. Indications for catheter removal were completion of therapy (8 patients) and death (2 patients). Three PICCs are currently being used for blood sampling in follow-up patients after transplantation. Our data suggest that PICCs are a safe and effective alternative to conventional central venous catheters even in pediatric patients with high risk of infectious and hemorrhagic complications such as patients receiving stem-cell transplantation.
Advanced pancreatic adenocarcinoma outcomes with transition from devolved to centralised care in a regional Cancer Centre.

PubMed

Faluyi, Olusola O; Connor, Joanna L; Chatterjee, Madhuchanda; Ikin, Carl; Wong, Helen; Palmer, Daniel H

2017-02-14

Previous observations suggest suboptimal 'real world' survival outcomes for advanced pancreatic adenocarcinoma. We hypothesized that centralisation of advanced pancreatic adenocarcinoma management would improve chemotherapy treatment and survival from the disease. The data was prospectively collected on all cases of advanced pancreatic adenocarcinoma reviewed through Clatterbridge Cancer Centre according to two groups; 1 October 2009-31st Dec 2010 (devolved care) or 1 January 2013-31 March 2014 (centralised care). Analysis included treatment received, 30-day chemotherapy mortality rate and overall survival (OS). More patients received chemotherapy with central care (67.0% (n=115) vs 43.0% (n=121); P=2.2 × 10 -4 ) with no difference in 30-day mortality (20.8% vs 25%; P=0.573) but reduced time to commencement of chemotherapy (18 vs 28 days, P=1.0 × 10 -3 ). More patients received second-line chemotherapy with central care (23.4% vs 1.9%, P=1.4 × 10 -4 ), while OS was significantly increased with central care (median: Five vs three months, HR 0.785, P=0.045). Exploratory analysis suggested that it was those with a poorer performance status, elderly or with metastatic disease who benefited the most from transition to central care. A centralised clinic model for advanced pancreatic cancer management resulted in prompt, safe and higher use of chemotherapy compared with devolved care. This was associated with a modest survival benefit. Prospective studies are required to validate the findings reported and the basis for improved survival with centralised care.
Progesterone increases resistance of ophthalmic and central retinal arteries in climacteric women.

PubMed

Souza, M A M De; Souza, B M De; Geber, S

2013-04-01

To evaluate the effect of a synthetic progestin on the vascular resistance of the ophthalmic and central retinal arteries in climacteric women, compared to placebo, using transorbital ultrasound with Doppler velocimetry. We performed a prospective, randomized, double-blinded, placebo-controlled study with 216 climacteric women. Subjects were randomly allocated to one of two groups: either the group receiving placebo (one pill/day for 30 days) (n = 108) or the group receiving progestin (5 mg medroxyprogesterone acetate/day for 30 days) (n = 108). Transorbital Doppler velocimetric ultrasound was performed, before and after treatment; we measured the pulsatility index, resistance index and systole/diastole ratio. The mean ages of the participants in the study group and the control group were 54 ± 6.2 years (range 48-59 years) and 55 ± 6.8 years (range 46-60 years), respectively. When we compared the effect of the progestin on the central retinal artery before and after treatment, we observed a significant increase after the treatment in all Doppler indices. The same was observed when we compared the effect of the progestin on the ophthalmic artery. In the group of women receiving placebo, the Doppler indices were similar before and after treatment. Our results demonstrate the existence of a progestogenic vasoconstrictive effect in the ophthalmic and central retinal arteries. As this study provides new data, the observed effect needs further investigations to better elucidate its extent. Moreover, our findings may be particularly useful to others interested in understanding the vascular dynamics of the cerebral vessels and to researchers running clinical trials related to hormone replacement therapy.
Longitudinal histories as predictors of future diagnoses of domestic abuse: modelling study

PubMed Central

Kohane, Isaac S; Mandl, Kenneth D

2009-01-01

Objective To determine whether longitudinal data in patients’ historical records, commonly available in electronic health record systems, can be used to predict a patient’s future risk of receiving a diagnosis of domestic abuse. Design Bayesian models, known as intelligent histories, used to predict a patient’s risk of receiving a future diagnosis of abuse, based on the patient’s diagnostic history. Retrospective evaluation of the model’s predictions using an independent testing set. Setting A state-wide claims database covering six years of inpatient admissions to hospital, admissions for observation, and encounters in emergency departments. Population All patients aged over 18 who had at least four years between their earliest and latest visits recorded in the database (561 216 patients). Main outcome measures Timeliness of detection, sensitivity, specificity, positive predictive values, and area under the ROC curve. Results 1.04% (5829) of the patients met the narrow case definition for abuse, while 3.44% (19 303) met the broader case definition for abuse. The model achieved sensitive, specific (area under the ROC curve of 0.88), and early (10-30 months in advance, on average) prediction of patients’ future risk of receiving a diagnosis of abuse. Analysis of model parameters showed important differences between sexes in the risks associated with certain diagnoses. Conclusions Commonly available longitudinal diagnostic data can be useful for predicting a patient’s future risk of receiving a diagnosis of abuse. This modelling approach could serve as the basis for an early warning system to help doctors identify high risk patients for further screening. PMID:19789406
Parenting Needs of Urban, African American Fathers.

PubMed

Smith, Tyler K; Tandon, S Darius; Bair-Merritt, Megan H; Hanson, Janice L

2015-07-01

Fathers play a critical role in children's development; similarly, fatherhood positively affects men's health. Among the larger population of fathers relatively little is known about the parenting knowledge of urban, African American fathers. Focusing on urban, African American fathers, the objectives of this study were to (1) understand the primary sources from which fathers learn about parenting, (2) determine where and how fathers prefer to receive future parenting education, and (3) explore the information perceived as most valuable to fathers and how this compares with the recommended anticipatory guidance (Bright Futures-based) delivered during well visits. Five focus groups, with a total of 21 participants, were conducted with urban fathers at a community-based organization. Study eligibility included being more than 18 years old, English speaking, and having at least one child 0 to 5 years old. During the focus groups, fathers were asked where they received parenting information, how and where they preferred to receive parenting information, and what they thought about Bright Futures parenting guidelines. Fathers most commonly described receiving parenting information from their own relatives rather than from their child's health care provider. Most fathers preferred to learn parenting from a person rather than a technology-based source and expressed interest in learning more about parenting at community-based locations. Although fathers viewed health care providers' role as primarily teaching about physical health, they valued Bright Futures anticipatory guidance about parenting. Fathers valued learning about child rearing, health, and development. Augmenting physician counseling about Bright Futures with community-based parenting education may be beneficial for fathers. © The Author(s) 2014.
Neighborhood comparison operator

NASA Technical Reports Server (NTRS)

Gennery, D. B. (Inventor)

1985-01-01

Digital values in a moving window are compared by an operator having nine comparators connected to line buffers for receiving a succession of central pixels together with eight neighborhood pixels. A single bit of program control determines whether the neighborhood pixels are to be compared with the central pixel or a threshold value. The central pixel is always compared with the threshold. The omparator output plus 2 bits indicating odd-even pixel/line information about the central pixel addresses a lookup table to provide 14 bits of information, including 2 bits which control a selector to pass either the central pixel value, the other 12 bits of table information, or the bit-wise logical OR of all nine pixels through circuit that implements a very wide OR gate.
Management of spruce-fir in even-aged stands in the central Rocky Mountains

Treesearch

Robert R. Alexander; Carleton B. Edminster

1980-01-01

Potential production of Engelmann spruce and subalpine fir in the central Rocky Mountains is simulated for vario.us combinations of stand density, site quality, ages, and thinning schedules. Such estimates are needed to project future development of stands managed in different ways for various uses.
The Centrality of Engagement in Higher Education: Reflections and Future Directions

ERIC Educational Resources Information Center

Fitzgerald, Hiram E.; Bruns, Karen; Sonka, Steven T.; Furco, Andrew; Swanson, Louis

2016-01-01

In this commentary, the authors reflect on their 2012 article, "The Centrality of Engagement in Higher Education" (EJ1001357) reprinted in this 20th anniversary issue of "Journal of Higher Education Outreach and Engagement." In their original article, they argued that for higher education to contribute meaningfully to…

Central California Action Associates, Inc.

ERIC Educational Resources Information Center

Sortor, Maia, Comp.

The overall goal of the Central California Action Associates Inc. (CCAA) program is to provide basic education and pre-vocational training so that migrant and seasonal adult farm workers will be able to upgrade their economic and social lives. Without increased educational attainment, the San Joaquin Valley farm workers face a grim future because…
Changes in Retinal and Choroidal Vascular Blood Flow after Oral Sildenafil: An Optical Coherence Tomography Angiography Study.

PubMed

Berrones, David; Salcedo-Villanueva, Guillermo; Morales-Cantón, Virgilio; Velez-Montoya, Raul

2017-01-01

To describe changes in the retina and choroidal flow by optical coherence tomography angiography (OCT-A) after a single dose of oral sildenafil. A case-control study. Patients in the study group received 50 mg of oral sildenafil. Patients in the control group received a sham pill. Retinal and choroidal images were obtained at baseline (before pill ingestion) and 1 hour after ingestion. Central macular and choroidal thickness, choroidal and outer retina flow, and the retinal and choroidal vascular density were compared using a Mann-Whitney U test. Twenty eyes were enrolled into the study group and 10 eyes in the control group. There was a significant difference in central choroidal thickness and outer retina blood flow between groups after 1 hour of sildenafil ingestion ( p < 0.01). There were no differences in central macular thickness, choroidal flow, and retinal vascular density among groups. A single dose of oral sildenafil increases choroidal thickness, probably due to sildenafil-induced vasodilation.
Changes in Retinal and Choroidal Vascular Blood Flow after Oral Sildenafil: An Optical Coherence Tomography Angiography Study

PubMed Central

Berrones, David; Morales-Cantón, Virgilio

2017-01-01

Purpose To describe changes in the retina and choroidal flow by optical coherence tomography angiography (OCT-A) after a single dose of oral sildenafil. Method A case-control study. Patients in the study group received 50 mg of oral sildenafil. Patients in the control group received a sham pill. Retinal and choroidal images were obtained at baseline (before pill ingestion) and 1 hour after ingestion. Central macular and choroidal thickness, choroidal and outer retina flow, and the retinal and choroidal vascular density were compared using a Mann-Whitney U test. Results Twenty eyes were enrolled into the study group and 10 eyes in the control group. There was a significant difference in central choroidal thickness and outer retina blood flow between groups after 1 hour of sildenafil ingestion (p < 0.01). There were no differences in central macular thickness, choroidal flow, and retinal vascular density among groups. Conclusions A single dose of oral sildenafil increases choroidal thickness, probably due to sildenafil-induced vasodilation. PMID:29129998
Vascular resistance of central retinal and ophthalmic arteries in postmenopausal women after use of tibolone.

PubMed

de Souza, Marco Aurélio Martins; de Souza, Bruno Martins; Geber, Selmo

2012-03-01

The aim of this study was to evaluate the effect of tibolone on vascular resistance of the central retinal and ophthalmic artery in postmenopausal women and to compare this effect with that of placebo using transorbital ultrasound with Doppler velocimetry. We performed a prospective randomized, double-blinded, placebo-controlled study. A total of 100 healthy postmenopausal women (follicle-stimulating hormone, >40 IU/L) younger than 65 years were studied. The participants were randomly allocated to two groups: placebo (n = 50) and tibolone (2.5 mg; n = 50). Transorbital Doppler velocimetric ultrasound was performed before treatment and 80 days after. The mean age was similar in both groups. Participants who received tibolone did not show any difference in pulsatility index, resistance index, and systole/diastole ratio of the central retinal and ophthalmic arteries after treatment. The same was observed in participants who received placebo. Our study demonstrates that tibolone administration to healthy postmenopausal women does not affect the resistance of small-caliber cerebral arteries.
Control system development for a 1 MW/e/ solar thermal power plant

NASA Technical Reports Server (NTRS)

Daubert, E. R.; Bergthold, F. M., Jr.; Fulton, D. G.

1981-01-01

The point-focusing distributed receiver power plant considered consists of a number of power modules delivering power to a central collection point. Each power module contains a parabolic dish concentrator with a closed-cycle receiver/turbine/alternator assembly. Currently, a single-module prototype plant is under construction. The major control system tasks required are related to concentrator pointing control, receiver temperature control, and turbine speed control. Attention is given to operational control details, control hardware and software, and aspects of CRT output display.
The relationship between future time perspective, self-efficacy and risky sexual behaviour in the Black youth of central South Africa.

PubMed

Abousselam, Nikki; Naudé, Luzelle; Lens, Willy; Esterhuyse, Karel

2016-01-01

An interest exists in understanding why adolescents partake in risky sexual behaviours, as well as the risk and protective practices associated with risky sexual behaviour. The aim of this study was to investigate the moderator effect of future time perspective in the relationship between self-efficacy and risky sexual behaviour. A random cluster consisting of 467 learners from English medium high schools of central South Africa participated in this study. The participants' risky sexual behaviour, self-efficacy and future time perspective were measured with the Perceptions of HIV/AIDS Risk Survey, Generalised Perceived Self-efficacy Scale and the Zimbardo Time Perspective Inventory, respectively. Product term regression analysis was performed. It was found that both self-efficacy and future time perspective were negatively related to risky sexual behaviour. No moderating effect was found for future time perspective in the relationship between self-efficacy and risky sexual behaviour. Self-efficacy and future time perspective were identified as qualities that protect adolescents from engaging in risky sexual behaviours. This finding can be useful in developing prevention programmes. Intervention programmes aimed at the youth should foster a sense of hope and possibility about the future and the development of goals and aspirations to prevent risky behaviour.
The global pyrogenic carbon cycle and its impact on the level of atmospheric CO2 over past and future centuries.

PubMed

Landry, Jean-Sébastien; Matthews, H Damon

2017-08-01

The incomplete combustion of vegetation and dead organic matter by landscape fires creates recalcitrant pyrogenic carbon (PyC), which could be consequential for the global carbon budget if changes in fire regime, climate, and atmospheric CO 2 were to substantially affect gains and losses of PyC on land and in oceans. Here, we included global PyC cycling in a coupled climate-carbon model to assess the role of PyC in historical and future simulations, accounting for uncertainties through five sets of parameter estimates. We obtained year-2000 global stocks of (Central estimate, likely uncertainty range in parentheses) 86 (11-154), 47 (2-64), and 1129 (90-5892) Pg C for terrestrial residual PyC (RPyC), marine dissolved PyC, and marine particulate PyC, respectively. PyC cycling decreased atmospheric CO 2 only slightly between 1751 and 2000 (by 0.8 Pg C for the Central estimate) as PyC-related fluxes changed little over the period. For 2000 to 2300, we combined Representative Concentration Pathways (RCPs) 4.5 and 8.5 with stable or continuously increasing future fire frequencies. For the increasing future fire regime, the production of new RPyC generally outpaced the warming-induced accelerated loss of existing RPyC, so that PyC cycling decreased atmospheric CO 2 between 2000 and 2300 for most estimates (by 4-8 Pg C for Central). For the stable fire regime, however, PyC cycling usually increased atmospheric CO 2 (by 1-9 Pg C for Central), and only the most extreme choice of parameters maximizing PyC production and minimizing PyC decomposition led to atmospheric CO 2 decreases under RCPs 4.5 and 8.5 (by 5-8 Pg C). Our results suggest that PyC cycling will likely reduce the future increase in atmospheric CO 2 if landscape fires become much more frequent; however, in the absence of a substantial increase in fire frequency, PyC cycling might contribute to, rather than mitigate, the future increase in atmospheric CO 2 . © 2016 John Wiley & Sons Ltd.
Combined effects of climate change and forest clearing on the Amazon vegetation: Projections for 2080-2100

NASA Astrophysics Data System (ADS)

Cook, K. H.; Vizy, E. K.

2007-05-01

A regional climate model with resolution of 60 km coupled with a potential vegetation model is used to simulate future vegetation distributions over South America. The coupled model, which produces an accurate representation of today's climate and vegetation, is forced with increasing atmospheric CO2 concentrations, sea surface temperature from a global model, and scenarios of future land use practices to predict climate and vegetation distributions for the last 2 decades of the 21st century. When only climate change is considered, under a business-as-usual scenario for global emissions, the extent of the Amazon rainforest is reduced by about 70 per cent by the end of this century, and the shrubland (caatinga) vegetation of Brazil's Nordeste region spreads westward and southward. Reductions in annual mean precipitation are widespread and rainfall becomes insufficient to support the rainforest in these regions, but some areas receive more precipitation. The length of the dry season increases in the central and southern Amazon in association with changes in the large-scale tropical circulation. Without this change in seasonality, local refugia of Amazon vegetation would be preserved and the retreat of the rainforest would be somewhat less extensive. Including various projections of future land use practices in addition to climate change may accelerate the unrecoverable demise of the rainforest and feedback to modify climate on regional space scales. The portions of the rainforest that are most vulnerable to climate change are the same as those that are under the most pressure from human activity, presenting a remarkable competition.
Extending the amygdala in theories of threat processing

PubMed Central

Fox, Andrew S.; Oler, Jonathan A.; Tromp, Do P.M.; Fudge, Julie L.; Kalin, Ned H.

2015-01-01

The central extended amygdala is an evolutionarily conserved set of interconnected brain regions that play an important role in threat processing to promote survival. Two core components of the central extended amygdala, the central nucleus of the amygdala (Ce) and the lateral bed nucleus of the stria terminalis (BST) are highly similar regions that serve complimentary roles by integrating fear- and anxiety-relevant information. Survival depends on the central extended amygdala's ability to rapidly integrate and respond to threats that vary in their immediacy, proximity, and characteristics. Future studies will benefit from understanding alterations in central extended amygdala function in relation to stress-related psychopathology. PMID:25851307
Initial flight test of a Loran-C receiver/data collection system

NASA Technical Reports Server (NTRS)

Fischer, J. P.; Nickum, J. D.

1978-01-01

Development of a low cost Loran C receiver for general aviation use is discussed. The preparation and procedure of a flight test conducted with a receiver design which utilizes a phase locked loop oscillator to track the Loran C signals is described. It is indicated that such a receiver is a viable alternative for future work in developing a low cost Loran-C navigator.
[Study protocol of a prevention of recurrent suicidal behaviour program based on case management (PSyMAC)].

PubMed

Sáiz, Pilar A; Rodríguez-Revuelta, Julia; González-Blanco, Leticia; Burón, Patricia; Al-Halabí, Susana; Garrido, Marlen; García-Alvarez, Leticia; García-Portilla, Paz; Bobes, Julio

2014-01-01

Prevention of suicidal behaviour is a public health priority in the European Union. A previous suicide attempt is the best risk predictor for future attempts, as well as completed suicides. The primary aim of this article is to describe a controlled study protocol designed for prevention of recurrent suicidal behaviour that proposes case management, and includes a psychoeducation program, as compared with the standard intervention (PSyMAC). Patients admitted from January 2011 to June 2013 to the emergency room of the Hospital Universitario Central de Asturias were evaluated using a protocol including sociodemographic, psychiatric, and psychosocial assessment. Patients were randomly assigned to either a group receiving continuous case management including participation in a psychoeducation program (experimental group), or a control group receiving standard care. The primary objective is to examine whether or not the period of time until recurrent suicidal behaviour in the experimental group is significantly different from that of the control group. PSyMAC proposes low cost and easily adaptable interventions to the usual clinical setting that can help to compensate the shortcoming of specific action protocols and suicidal behaviour prevention programs in our country. The evaluation of PSyMAC results will determine their real effectivity as a case-magament program to reduce suicidal risk. Copyright © 2013 SEP y SEPB. Published by Elsevier España. All rights reserved.
Crustal structure in the southern part of Central Java based on analysis of tele-seismic receiver function using a neighbourhood algorithm

NASA Astrophysics Data System (ADS)

Ariyanto, P.; Syuhada; Rosid, S.; Anggono, T.; Januarti, Y.

2018-03-01

In this study, we applied receiver functions analysis to determine the crustal thickness, the ratio of Vp/Vs and the S wave velocity in the southern part of the Central Java. We selected tele-seismic data with magnitude more than 6 (M>6) and epicenter distance 30°-90° recorded from 3 broadband stations: UGM, YOGI, and WOJI station, as part of Indonesia-Geophone Network (IA-GE). Inversions were performed using nonlinear Neighborhood Algorithm (NA). We observed Ps phase conversion on the receiver functions corresponding to Moho depth at around 36-39 km. We also observed strong negative phase arrivals at around 10-12 s which might be associated with Indo-Australian subducting slab underneath the stations. The inversion results show the presence of low velocity zone with high Vp/Vs ratio (>1.78) in the middle crust around the study area which could be related to the Merapi-Lawu Anomaly (MLA).
Design and calibration of a novel transient radiative heat flux meter for a spacecraft thermal test

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

Sheng, Chunchen; Hu, Peng, E-mail: hupeng@ustc.edu.cn; Cheng, Xiaofang

2016-06-15

Radiative heat flux measurement is significantly important for a spacecraft thermal test. To satisfy the requirements of both high accuracy and fast response, a novel transient radiative heat flux meter was developed. Its thermal receiver consists of a central thermal receiver and two thermal guarded annular plates, which ensure the temperature distribution of the central thermal receiver to be uniform enough for reasonably applying lumped heat capacity method in a transient radiative heat flux measurement. This novel transient radiative heat flux meter design can also take accurate measurements regardless of spacecraft surface temperature and incident radiation spectrum. The measurement principlemore » was elaborated and the coefficients were calibrated. Experimental results from testing a blackbody furnace and an Xenon lamp show that this novel transient radiative heat flux meter can be used to measure transient radiative heat flux up to 1400 W/m{sup 2} with high accuracy and the response time of less than 10 s.« less
Application of a reversible chemical reaction system to solar thermal power plants

NASA Technical Reports Server (NTRS)

Hanseth, E. J.; Won, Y. S.; Seibowitz, L. P.

1980-01-01

Three distributed dish solar thermal power systems using various applications of SO2/SO3 chemical energy storage and transport technology were comparatively assessed. Each system features various roles for the chemical system: (1) energy storage only, (2) energy transport, or (3) energy transport and storage. These three systems were also compared with the dish-Stirling, using electrical transport and battery storage, and the central receiver Rankine system, with thermal storage, to determine the relative merit of plants employing a thermochemical system. As an assessment criterion, the busbar energy costs were compared. Separate but comparable solar energy cost computer codes were used for distributed receiver and central receiver systems. Calculations were performed for capacity factors ranging from 0.4 to 0.8. The results indicate that SO2/SO3 technology has the potential to be more cost effective in transporting the collected energy than in storing the energy for the storage capacity range studied (2-15 hours)
Novel imaging closed loop control strategy for heliostats

NASA Astrophysics Data System (ADS)

Bern, Gregor; Schöttl, Peter; Heimsath, Anna; Nitz, Peter

2017-06-01

Central Receiver Systems use up to thousands of heliostats to concentrate solar radiation. The precise control of heliostat aiming points is crucial not only for efficiency but also for reliable plant operation. Besides the calibration of open loop control systems, closed loop tracking strategies are developed to address a precise and efficient aiming strategy. The need for cost reductions in the heliostat field intensifies the motivation for economic closed loop control systems. This work introduces an approach for a closed loop heliostat tracking strategy using image analysis and signal modulation. The approach aims at the extraction of heliostat focal spot position within the receiver domain by means of a centralized remote vision system decoupled from the rough conditions close to the focal area. Taking an image sequence of the receiver while modulating a signal on different heliostats, their aiming points are retrieved. The work describes the methodology and shows first results from simulations and practical tests performed in small scale, motivating further investigation and deployment.
49 CFR 32.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2011 CFR

2011-10-01

... receive? 32.115 Section 32.115 Transportation Office of the Secretary of Transportation GOVERNMENTWIDE... the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as described in § 32. 510(c...
49 CFR 32.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2013 CFR

2013-10-01

... receive? 32.115 Section 32.115 Transportation Office of the Secretary of Transportation GOVERNMENTWIDE... the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as described in § 32. 510(c...
49 CFR 32.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2012 CFR

2012-10-01

... receive? 32.115 Section 32.115 Transportation Office of the Secretary of Transportation GOVERNMENTWIDE... the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as described in § 32. 510(c...
49 CFR 32.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2014 CFR

2014-10-01

... receive? 32.115 Section 32.115 Transportation Office of the Secretary of Transportation GOVERNMENTWIDE... the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as described in § 32. 510(c...
Impacts of Changing Climate, Hydrology and Land Use on the Stormwater Runoff of Urbanizing Central Florida

NASA Astrophysics Data System (ADS)

Huq, E.; Abdul-Aziz, O. I.

2017-12-01

We computed the historical and future storm runoff scenarios for the Shingle Creek Basin, including the growing urban centers of central Florida (e.g., City of Orlando). Storm Water Management Model (SWMM 5.1) of US EPA was used to develop a mechanistic hydrologic model for the basin by incorporating components of urban hydrology, hydroclimatological variables, and land use/cover features. The model was calibrated and validated with historical streamflow of 2004-2013 near the outlet of the Shingle Creek. The calibrated model was used to compute the sensitivities of stormwater budget to reference changes in hydroclimatological variables (rainfall and evapotranspiration) and land use/cover features (imperviousness, roughness). Basin stormwater budgets for the historical (2010s = 2004-2013) and future periods (2050s = 2030-2059; 2080s = 2070-2099) were also computed based on downscaled climatic projections of 20 GCMs-RCMs representing the coupled model intercomparison project (CMIP5), and anticipated changes in land use/cover. The sensitivity analyses indicated the dominant drivers of urban runoff in the basin. Comparative assessment of the historical and future stormwater runoff scenarios helped to locate basin areas that would be at a higher risk of future stormwater flooding. Importance of the study lies in providing valuable guidelines for managing stormwater flooding in central Florida and similar growing urban centers around the world.

Carl D. Perkins Vocational and Technical Education Act of 1998. Report to Congress on State Performance, Program Year 2004-05

ERIC Educational Resources Information Center

US Department of Education, 2007

2007-01-01

The "Carl D. Perkins Vocational and Technical Education Act of 1998" requires that the Secretary provide the appropriate committees of Congress copies of annual reports received by the department from each eligible agency that receives funds under the Act. Congress has made "accountability for results" a central focus of the…
Solar tower enhanced natural draft dry cooling tower

NASA Astrophysics Data System (ADS)

Yang, Huiqiang; Xu, Yan; Acosta-Iborra, Alberto; Santana, Domingo

2017-06-01

Concentrating Solar Power (CSP) plants are located in desert areas where the Direct Normal Irradiance (DNI) value is very high. Since water resource is scarcely available, mechanical draft cooing technology is commonly used, with power consumption of mechanical fans being approximately 2% of the total power generated. Today, there is only one solar power plant (Khi Solar One in South Africa) uses a condenser installed in a Natural Draft Cooling (NDC) tower that avoids the windage loss of water occurring in wet cooling towers. Although, Khi Solar One is a cavity receiver power tower, the receivers can be hung onto the NDC tower. This paper looks at a novel integration of a NDC tower into an external molten salt receiver of a solar power plant, which is one of a largest commercial molten salt tower in China, with 100MWe power capacity. In this configuration study, the NDC tower surrounds the concrete tower of the receiver concentrically. In this way, the receiver concrete tower is the central support of the NDC tower, which consists of cable networks that are fixed to the concrete tower and suspended at a certain height over the floor. The cable networks support the shell of the NDC tower. To perform a preliminary analysis of the behavior of this novel configuration, two cases of numerical simulation in three dimensional (3D) models have been solved using the commercial Computational Fluid Dynamics (CFD) code, ANSYS Fluent 6.3. The results show that the integration of the NDC tower into an external central receiver tower is feasible. Additionally, the total heat transfer rate is not reduced but slightly increases when the molten salt receiver is in operation because of the additional natural draft induced by the high temperature of the receiver.
Effectiveness and Tradeoffs between Portfolios of Adaptation Strategies Addressing Future Climate and Socioeconomic Uncertainties in California's Central Valley

NASA Astrophysics Data System (ADS)

Tansey, M. K.; Van Lienden, B.; Das, T.; Munevar, A.; Young, C. A.; Flores-Lopez, F.; Huntington, J. L.

2013-12-01

The Central Valley of California is one of the major agricultural areas in the United States. The Central Valley Project (CVP) is operated by the Bureau of Reclamation to serve multiple purposes including generating approximately 4.3 million gigawatt hours of hydropower and providing, on average, 5 million acre-feet of water per year to irrigate approximately 3 million acres of land in the Sacramento, San Joaquin, and Tulare Lake basins, 600,000 acre-feet per year of water for urban users, and 800,000 acre-feet of annual supplies for environmental purposes. The development of effective adaptation and mitigation strategies requires assessing multiple risks including potential climate changes as well as uncertainties in future socioeconomic conditions. In this study, a scenario-based analytical approach was employed by combining three potential 21st century socioeconomic futures with six representative climate and sea level change projections developed using a transient hybrid delta ensemble method from an archive of 112 bias corrected spatially downscaled CMIP3 global climate model simulations to form 18 future socioeconomic-climate scenarios. To better simulate the effects of climate changes on agricultural water demands, analyses of historical agricultural meteorological station records were employed to develop estimates of future changes in solar radiation and atmospheric humidity from the GCM simulated temperature and precipitation. Projected changes in atmospheric carbon dioxide were computed directly by weighting SRES emissions scenarios included in each representative climate projection. These results were used as inputs to a calibrated crop water use, growth and yield model to simulate the effects of climate changes on the evapotranspiration and yields of major crops grown in the Central Valley. Existing hydrologic, reservoir operations, water quality, hydropower, greenhouse gas (GHG) emissions and both urban and agricultural economic models were integrated into a suite of decision support tools to assess the impacts of future socioeconomic-climate uncertainties on key performance metrics for the CVP, State Water Project and other Central Valley water management systems under current regulatory requirements. Four thematic portfolios consisting of regional and local adaptation strategies including changes in reservoir operations, increased water conservation, storage and conveyance were developed and simulated to evaluate their potential effectiveness in meeting delivery reliability, water quality, environmental, hydropower, GHG, urban and agricultural economic performance criteria. The results indicate that the portfolios exhibit a considerable range of effectiveness depending on the socioeconomic-climate scenario. For most criteria, the portfolios were more sensitive to climate projections than socioeconomic assumptions. However, the results demonstrate that important tradeoffs occur between portfolios depending on the performance criteria considered.
SU-F-T-565: Assessment of Dosimetric Accuracy for a 3D Gel-Based Dosimetry Service

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

Rosen, B; Lam, K; Moran, J

Purpose: To assess the 3D dosimetric accuracy when using a mail-in service for square and stereotactic fields in a clinical environment. Methods: The 3D dosimetry mail-in service (3DDaaS), offered by Modus QA (London, ON), was used to measure dose distributions from a 6 MV beam of a Varian Clinac. Plastic jars filled with radiosensitive ClearView™ gel were received, CT scanned (for registration and density information), irradiated, and then mailed back to the manufacturer for optical CT readout. Three square field irradiations (2×2, 4×4, and 10×10 cm{sup 2}) were performed with jars immobilized in a water tank, and a composite small-fieldmore » stereotactic delivery was performed using an in-air holder. Dosimetric properties of the gel were quantified within the 25–50 Gy dose range using 3D optical attenuation (OA) distributions provided by the manufacturer. OA was normalized to 100% at the position of isocenter, which received 40Gy. Percentage depth dose, profiles, and 3D gamma distributions (3%/1mm criteria) were calculated to quantify feasibility for relative dosimetry. Results: Mean CT-measured density in the central (3×3×3) cm{sup 3} gel region was 40 ± 3 HU, indicating good homogeneity and near-water-equivalence. Measured and calculated central axis doses agreed to within ±3% in the 25–50 Gy dose range. For the square field irradiations, dose profiles agreed to within 1mm. Gamma analysis of the composite irradiation yielded 99.8%, 91.4%, and 79.1% passing rates for regions receiving at least 10, 5, and 2 Gy, respectively, indicating feasibility for use in high-dose regions. Absolute response varied by up to 16% between jars, indicating limitations for absolute dosimetry under the mail-in conditions. Conclusion: 3DDaaS is a novel near-water-equivalent dosimetry system accurate to within 3% dose and 1mm 3D spatial resolution, and is straightforward to use in a clinical setting. Future investigations are warranted to improve dosimeter response in low-dose regions. The authors would like to thank ModusQA (London, ON) for providing the gels and optical readouts used this work. This work was partially funded by NIH P01CA059827.« less
Asking the Presidents: The Most Pressing Issues at Community Colleges in the North Central Region. AIR 1988 Annual Forum Paper.

ERIC Educational Resources Information Center

Budig, Jeanne E.

A survey of 350 presidents at two-year colleges in the North Central Accreditation Region generated a list of their perceptions of the currently most pressing issues related to accreditation, academic transfer and vocational/technical education. A total of 162 usable responses was received. Results included the finding that the most pressing issue…
Effects of harvesting treatments on the ant community in a Mississippi River bottomland hardwood forest in west-central Mississippi

Treesearch

Lynne C. Thompson; David M. General; Brian Roy Lockhart

2010-01-01

We assessed effects that harvesting treatments had on the ant community in a Mississippi River bottomland hardwood forest in west-central MS. Ants were collected on Pittman Island using pitfall traps from July to November in 1996, 1997, and 2000. The forest received three replicated harvesting treatments in 1995, including: 1) uncut controls (check), 2) selection...
[The characteristics of the geroprotective action of magnetotherapy in elderly patients with combined cardiovascular pathology].

PubMed

Abramovich, S G; Fedotchenko, A A; Koriakina, A V; Pogodin, K V; Smirnov, S N

1999-01-01

Central hemodynamics, diastolic and pumping functions of the heart, myocardial reactivity, microcirculation and biological age of cardiovascular system were studied in 66 elderly patients suffering from hypertension and ischemic heart disease. The patients received systemic magnetotherapy which produced a geroprotective effect as shown by improved microcirculation, myocardial reactivity, central hemodynamics reducing biological age of cardiovascular system and inhibiting its ageing.
Acute Central Neuropeptide Y Administration Increases Food Intake but Does Not Affect Hepatic Very Low-Density Lipoprotein (Vldl) Production in Mice

PubMed Central

Havekes, Louis M.; Romijn, Johannes A.; Rensen, Patrick C. N.

2013-01-01

Objective Central neuropeptide Y (NPY) administration stimulates food intake in rodents. In addition, acute modulation of central NPY signaling increases hepatic production of very low-density lipoprotein (VLDL)-triglyceride (TG) in rats. As hypertriglyceridemia is an important risk factor for atherosclerosis, for which well-established mouse models are available, we set out to validate the effect of NPY on hepatic VLDL-TG production in mice, to ultimately investigate whether NPY, by increasing VLDL production, contributes to the development of atherosclerosis. Research Design and Methods Male C57Bl/6J mice received an intracerebroventricular (i.c.v.) cannula into the lateral (LV) or third (3V) ventricle of the brain. One week later, after a 4 h fast, the animals received an intravenous (i.v.) injection of Tran35S (100 µCi) followed by tyloxapol (500 mg/kg body weight; BW), enabling the study of hepatic VLDL-apoB and VLDL-TG production, respectively. Immediately after the i.v. injection of tyloxapol, the animals received either an i.c.v. injection of NPY (0.2 mg/kg BW in artificial cerebrospinal fluid; aCSF), synthetic Y1 receptor antagonist GR231118 (0.5 mg/kg BW in aCSF) or vehicle (aCSF), or an i.v. injection of PYY3–36 (0.5 mg/kg BW in PBS) or vehicle (PBS). Results Administration of NPY into both the LV and 3V increased food intake within one hour after injection (+164%, p<0.001 and +367%, p<0.001, respectively). NPY administration neither in the LV nor in the 3V affected hepatic VLDL-TG or VLDL-apoB production. Likewise, antagonizing central NPY signaling by either PYY3–36 or GR231118 administration did not affect hepatic VLDL production. Conclusion In mice, as opposed to rats, acute central administration of NPY increases food intake without affecting hepatic VLDL production. These results are of great significance when extrapolating findings on the central regulation of hepatic VLDL production between species. PMID:23460782
Thermal resistance model for CSP central receivers

NASA Astrophysics Data System (ADS)

de Meyer, O. A. J.; Dinter, F.; Govender, S.

2016-05-01

The receiver design and heliostat field aiming strategy play a vital role in the heat transfer efficiency of the receiver. In molten salt external receivers, the common operating temperature of the heat transfer fluid or molten salt ranges between 285°C to 565°C. The optimum output temperature of 565°C is achieved by adjusting the mass flow rate of the molten salt through the receiver. The reflected solar radiation onto the receiver contributes to the temperature rise in the molten salt by means of heat transfer. By investigating published work on molten salt external receiver operating temperatures, corresponding receiver tube surface temperatures and heat losses, a model has been developed to obtain a detailed thermographic representation of the receiver. The steady state model uses a receiver flux map as input to determine: i) heat transfer fluid mass flow rate through the receiver to obtain the desired molten salt output temperature of 565°C, ii) receiver surface temperatures iii) receiver tube temperatures iv) receiver efficiency v) pressure drop across the receiver and vi) corresponding tube strain per panel.
The combined influence of Pacific decadal oscillation and Atlantic multidecadal oscillation on central Mexico since the early 1600s

NASA Astrophysics Data System (ADS)

Park, Jungjae; Byrne, Roger; Böhnel, Harald

2017-04-01

Periodic droughts have been one of the most serious environmental issues in central Mexico since the earliest times. The impacts of future droughts are likely to become even more severe as the current global warming trend increases potential evaporation and moisture deficits. A full understanding of the mechanism underlying climate variability is imperative to narrow the uncertainty about future droughts and predict water availability. The climatic complexity generated by the combined influence of both Atlantic and Pacific forcings, however, causes considerable difficulty in interpreting central Mexican climate records. Also, the lack of high-resolution information regarding the climate in the recent past makes it difficult to clearly understand current drought mechanisms. Our new high-resolution δ18 O record from Hoya Rincon de Parangueo in central Mexico provides useful information on climate variations since the early 1600s. According to our results, the central Mexican climate has been predominantly controlled by the combined influence of the 20-year Pacific Decadal Oscillation (PDO) and the 70-year Atlantic Multidecadal Oscillation (AMO). However, the AMO probably lost much of its influence in central Mexico in the early 20th century and the PDO has mostly driven climate change since. Marked dryness was mostly associated with co-occurrence of highly positive PDO and negative AMO between ∼1600 and 1900.
Tumors of the central nervous system: clinical aspects, molecular mechanisms, unanswered questions, and future research directions.

PubMed

Babcock, Michael A; Kostova, Felina V; Guha, Abhijit; Packer, Roger J; Pollack, Ian F; Maria, Bernard L

2008-10-01

Central nervous system tumors are the most common solid tumors in children. Many histological subtypes and biological variants exist. The 2007 Neurobiology of Disease in Children Symposium, held in conjunction with the 36th annual meeting of the Child Neurology Society, aimed to define current knowledge in the field and to develop specific aims for future clinical, translational, and fundamental science. Because of advances in structural and metabolic imaging, surgical technique, and combination therapies, the life expectancy of children with some of the most common tumors, such as cerebellar astrocytomas and medulloblastomas, has improved. Other common tumor types, including diffuse pontine gliomas and malignant embryonal tumors, still have a dismal prognosis. As novel therapies are identified for pediatric central nervous system tumors, long-term survival may be associated with considerable disability. A cooperative effort is crucial to early diagnosis and to translating basic research findings into safe, effective new treatments.
Central exclusive production at RHIC

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

Adamczyk, Leszek; Guryn, Włodek; Turnau, Jacek

The present status and future plans of the physics program of Central Exclusive Production (CEP) at RHIC are described. The measurements are based on the detection of the forward protons from the Double Pomeron Exchange (DPE) process in the Roman Pot system and of the recoil system of charged particles from the DPE process measured in the STAR experiment’s Time Projection Chamber (TPC). The data described here were taken using polarized proton-proton collisions at ps = 200 GeV. The preliminary spectra of two pion and four pion invariant mass reconstructed by STAR TPC in central region of pseudo-rapidity | |more » < 1, are presented. Near future plans to take data with the current system at center-of-mass energy ps = 200 GeV and plans to upgrade the forward proton tagging sys- tem are presented. Also a possible addition of the Roman Pots to the sPHENIX detector is discussed.« less
Neuroimaging of Pain: Human Evidence and Clinical Relevance of Central Nervous System Processes and Modulation.

PubMed

Martucci, Katherine T; Mackey, Sean C

2018-06-01

Neuroimaging research has demonstrated definitive involvement of the central nervous system in the development, maintenance, and experience of chronic pain. Structural and functional neuroimaging has helped elucidate central nervous system contributors to chronic pain in humans. Neuroimaging of pain has provided a tool for increasing our understanding of how pharmacologic and psychologic therapies improve chronic pain. To date, findings from neuroimaging pain research have benefitted clinical practice by providing clinicians with an educational framework to discuss the biopsychosocial nature of pain with patients. Future advances in neuroimaging-based therapeutics (e.g., transcranial magnetic stimulation, real-time functional magnetic resonance imaging neurofeedback) may provide additional benefits for clinical practice. In the future, with standardization and validation, brain imaging could provide objective biomarkers of chronic pain, and guide treatment for personalized pain management. Similarly, brain-based biomarkers may provide an additional predictor of perioperative prognoses.
The Centrality of Engagement in Higher Education

ERIC Educational Resources Information Center

Fitzgerald, Hiram E.; Bruns, Karen; Sonka, Steven T.; Furco, Andrew; Swanson, Louis

2016-01-01

The centrality of engagement is critical to the success of higher education in the future. Engagement is essential to most effectively achieving the overall purpose of the university, which is focused on the knowledge enterprise. Today's engagement is scholarly, is an aspect of learning and discovery, and enhances society and higher education.…
Serious Play with Dynamic Plane Transformations

ERIC Educational Resources Information Center

King, James

2011-01-01

Transformations are a central organizing idea in geometry. They are included in most geometry curricula and are likely to appear with even greater emphasis in the future, given the central role they play in the "Common Core State Standards" for K-12 mathematics. One of the attractions of geometry is the ability to draw and construct the…
Why Communication Education Is Important: The Centrality of the Discipline in the 21st Century

ERIC Educational Resources Information Center

Morreale, Sherwyn P.; Pearson, Judy C.

2008-01-01

This study provides a rationale for the claim that communication instruction is critical to students' future personal and professional success. Thematic analysis of 93 journal and newspaper articles, reports, and surveys provide evidence of the centrality of communication in developing the whole person, improving the educational enterprise, being…
Boosting Post-Secondary and Career Success: A Two-Generation Approach for the Promise Neighborhood. Education

ERIC Educational Resources Information Center

Halbert, Hannah

2014-01-01

The Cleveland Central Promise Neighborhood (CCPN) initiative brings together Central neighborhood residents, community stakeholders and partners to create the kind of community where every child can have career and college success. Helping children achieve a bright future filled with opportunity is the cornerstone of the Promise Initiative. The…
Radical Democracy and Our Future: A Call to Action. The Dialectics of Liberty.

ERIC Educational Resources Information Center

Gatto, John Taylor

1995-01-01

Examines the relationship between centralization and public education. Suggests that compulsory schooling is key to the increasingly centralized and "managed" nature of society and that the nationalization of schooling has undermined individual rights to liberty and democracy. Advocates that communities be responsible for their children and for…
Higher Education in Central America: Historical Foundations for Its Future Projection.

ERIC Educational Resources Information Center

Arriaza, Ricardo Sol

1996-01-01

Three trends in Central American higher education are examined in historical context: (1) inertia from lack of mobility, bureaucracy, and corporate influence; (2) elitism as a response to budgetary constraints; and (3) attempts to increase responsiveness to educational needs and demands. Issues examined include earlier attempts at change, slow…
Review article: Hydrological modeling in glacierized catchments of central Asia - status and challenges

NASA Astrophysics Data System (ADS)

Chen, Yaning; Li, Weihong; Fang, Gonghuan; Li, Zhi

2017-02-01

Meltwater from glacierized catchments is one of the most important water supplies in central Asia. Therefore, the effects of climate change on glaciers and snow cover will have increasingly significant consequences for runoff. Hydrological modeling has become an indispensable research approach to water resources management in large glacierized river basins, but there is a lack of focus in the modeling of glacial discharge. This paper reviews the status of hydrological modeling in glacierized catchments of central Asia, discussing the limitations of the available models and extrapolating these to future challenges and directions. After reviewing recent efforts, we conclude that the main sources of uncertainty in assessing the regional hydrological impacts of climate change are the unreliable and incomplete data sets and the lack of understanding of the hydrological regimes of glacierized catchments of central Asia. Runoff trends indicate a complex response to changes in climate. For future variation of water resources, it is essential to quantify the responses of hydrologic processes to both climate change and shrinking glaciers in glacierized catchments, and scientific focus should be on reducing uncertainties linked to these processes.

Variation in Crustal Structure of the Lesser Caucasus Region from Teleseismic Receiver Functions

NASA Astrophysics Data System (ADS)

Lin, C. M.; Tseng, T. L.; Huang, B. S.; Legendre, C. P.; Karakhanian, A.

2016-12-01

The Caucasus, including the mountains of Greater and Lesser Caucasus, is formed by the continental collision between Arabia and Eurasia. The crustal thickness for this region was mostly constrained by joint analysis of receiver functions and surface waves. Although the thickest value of 52 km was reported under the Lesser Caucasus, the resolution of earlier studies were often limited by sparse array. Large gradient across Moho also makes the definition of Moho difficult. Moreover, higher value of the Vp/Vs ratio is commonly reported in the northeastern Turkey but no estimates had been made for the Caucasus. To further investigate the detail structure around the Lesser Caucasus, we constructed a new seismic network in Georgia and Armenia. We also include other broadband stations to enhance the coverage. The average interval in the Lesser Caucasus is roughly 30 km, much denser than any previous experiments. We selected P-waveforms from teleseismic earthquakes during the operation (January 2012 - June 2016) to calculate receiver functions and then estimate the crustal thickness (H) and Vp/Vs ratio (k) with the H-k stacking technique. Our preliminary results show that Moho depth increases from 40 km under the northeastern Turkey to 50 km beneath northern Georgia, no station with Moho deeper than 50 km under the Lesser Caucasus. The Vp/Vs ratios in the northeastern Anatolian plateau are around 1.8, which is slightly higher than the average of global continents but consistent with the previous estimates. Further to the east, some stations show anomalously higher Vp/Vs ratio in central & southern Armenia that may be associated with Holocene volcanism. In the future, we plan to join locally measured dispersion curves to invert the velocity model without velocity-depth trade-off. We expect to resolve the velocity variations of the crust beneath this region in small scale that may be tied to the continental collision and surface volcanism. Keywords: Caucasus, receiver function, continental collision, volcanic plateau, crustal structure
Interns reflect: the effect of formative assessment with feedback during pre-internship.

PubMed

McKenzie, Susan; Burgess, Annette; Mellis, Craig

2017-01-01

It is widely known that the opportunity for medical students to be observed and to receive feedback on their procedural skills performance is variable in the senior years. To address this problem, we provided our Pre-Intern (PrInt) students with "one-to-one" formative feedback on their ability to perform urethral catheterization (U/C) and hypothesized that their future practice of U/C as interns would benefit. This study sought to evaluate the performance and practice of interns in U/C 4-5 months after having received feedback on their performance of U/C as PrInt students. Between 2013 and 2014, two cohorts of interns, (total n=66) who had received recent formative feedback on their U/C performance as PrInt students at Central Clinical School, were invited to complete an anonymous survey. The survey contained nine closed unvalidated questions and one open-ended question, designed to allow interns to report on their current practice of U/C. Forty-one out of 66 interns (62%) completed the survey. Thirty-five out of 41 respondents (85%) reported that the assessment with feedback during their PrInt term was beneficial to their practice. Thirty of 41 (73%) reported being confident to perform U/C independently. Eleven out of 41 respondents (27%) reported that they had received additional training at intern orientation. Nine of the 11 interns (82%) reported that they had a small, but a significant, increase in confidence to perform U/C when compared with the 30 of the 41 respondents (73%) who had not ( p =0.03). Our results substantiate our hypothesis that further education by assessment with feedback in U/C during PrInt was of benefit to interns' performance. Additional educational reinforcement in U/C during intern orientation further improved intern confidence. Our results indicate that extra pre- and post-graduation procedural skills training, with feedback, should be universal.
Interns reflect: the effect of formative assessment with feedback during pre-internship

PubMed Central

McKenzie, Susan; Burgess, Annette; Mellis, Craig

2017-01-01

Background It is widely known that the opportunity for medical students to be observed and to receive feedback on their procedural skills performance is variable in the senior years. To address this problem, we provided our Pre-Intern (PrInt) students with “one-to-one” formative feedback on their ability to perform urethral catheterization (U/C) and hypothesized that their future practice of U/C as interns would benefit. This study sought to evaluate the performance and practice of interns in U/C 4–5 months after having received feedback on their performance of U/C as PrInt students. Methods Between 2013 and 2014, two cohorts of interns, (total n=66) who had received recent formative feedback on their U/C performance as PrInt students at Central Clinical School, were invited to complete an anonymous survey. The survey contained nine closed unvalidated questions and one open-ended question, designed to allow interns to report on their current practice of U/C. Results Forty-one out of 66 interns (62%) completed the survey. Thirty-five out of 41 respondents (85%) reported that the assessment with feedback during their PrInt term was beneficial to their practice. Thirty of 41 (73%) reported being confident to perform U/C independently. Eleven out of 41 respondents (27%) reported that they had received additional training at intern orientation. Nine of the 11 interns (82%) reported that they had a small, but a significant, increase in confidence to perform U/C when compared with the 30 of the 41 respondents (73%) who had not (p=0.03). Conclusion Our results substantiate our hypothesis that further education by assessment with feedback in U/C during PrInt was of benefit to interns’ performance. Additional educational reinforcement in U/C during intern orientation further improved intern confidence. Our results indicate that extra pre- and post-graduation procedural skills training, with feedback, should be universal. PMID:28138270
Vision, Training Hours, and Road Testing Results in Bioptic Drivers

PubMed Central

Dougherty, Bradley E.; Flom, Roanne E.; Bullimore, Mark A.; Raasch, Thomas W.

2015-01-01

Purpose Bioptic telescopic spectacles (BTS) can be used by people with central visual acuity that does not meet the state standards to obtain an unrestricted driver’s license. The purpose of this study was to examine the relationships among visual and demographic factors, training hours, and the results of road testing for bioptic drivers. Methods A retrospective study of patients who received an initial daylight bioptic examination at the Ohio State University and subsequently received a bioptic license was conducted. Data were collected on vision including visual acuity, contrast sensitivity, and visual field. Hours of driver training and results of Highway Patrol road testing were extracted from records. Relationships among vision, training hours, and road testing were analyzed. Results Ninety-seven patients who completed a vision examination between 2004 and 2008 and received daylight licensure with BTS were included. Results of the first Highway Patrol road test were available for 74 patients. The median interquartile range (IQR) hours of training prior to road testing was 21±17 hours, (range of 9 to 75 hours). Candidates without previous licensure were younger (p< 0.001) and had more documented training (p< 0.001). Lack of previous licensure and more training were significantly associated with having failed a portion of the Highway Patrol test and points deducted on the road test. Conclusions New bioptic drivers without previous non-bioptic driving experience required more training and performed more poorly on road testing for licensure than those who had previous non-bioptic licensure. No visual factor was predictive of road testing results after adjustment for previous experience. The hours of training received remained predictive of road testing outcome even with adjustment for previous experience. These results suggest that previous experience and trainer assessments should be investigated as potential predictors of road safety in bioptic drivers in future studies. PMID:25946098
Prophylaxis of radiation-induced nausea and vomiting: a systematic review and meta-analysis of randomized controlled trials.

PubMed

Li, Wing S; van der Velden, Joanne M; Ganesh, Vithusha; Vuong, Sherlyn; Raman, Srinivas; Popovic, Marko; Lam, Henry; Wong, Kam H; Ngan, Roger K; Burbach, J P Maarten; DeAngelis, Carlo; Xxxx, Rachel McDonald; Chow, Edward

2017-04-01

The aim of this article was to systematically review the efficacy and safety of various antiemetics in prophylaxis of radiation-induced nausea and vomiting (RINV). A literature search of Ovid MEDLINE, EMBASE and Cochrane CENTRAL was performed to identify randomized controlled trials (RCTs) that evaluated the efficacy of prophylaxis for RINV in patients receiving radiotherapy to abdomen/pelvis, including total body irradiation (TBI). Primary endpoints were complete control of nausea and complete control of vomiting during acute and delayed phases. Secondary endpoints included use of rescue medication, quality of life (QoL) and incidence of adverse events. Seventeen RCTs were identified. Among patients receiving radiotherapy to abdomen/pelvis, our meta-analysis showed that prophylaxis with a 5-hydroxytryptamine-3 receptor antagonist (5HT3 RA) was significantly more efficacious than placebo and dopamine receptor antagonists in both complete control of vomiting [OR 0.49; 95% confidence interval (CI): 0.33-0.72 and OR 0.17; 95% CI: 0.05-0.58 respectively] and complete control of nausea (OR 0.43; 95% CI: 0.26-0.70 and OR 0.46; 95% CI: 0.24-0.88 respectively). 5HT3 RAs were also more efficacious than rescue therapy and dopamine receptor antagonists plus dexamethasone. The addition of dexamethasone to 5HT3 RA compared to 5HT3 RA alone provides a modest improvement in prophylaxis of RINV. Among patients receiving TBI, 5HT3 RA was more effective than other agents (placebo, combination of metoclopramide, dexamethasone and lorazepam). 5HT3 RAs are more effective than other antiemetics for prophylaxis of RINV in patients receiving radiotherapy to abdomen/pelvis and TBI. Future RCTs should investigate the efficacy of newer agents such as substance P neurokinin 1 receptor antagonists in addition to 5HT3 RAs in prophylaxis of RINV during both acute and delayed phases.
Ignitability test method and apparatus

NASA Technical Reports Server (NTRS)

Bement, Laurence J. (Inventor); Bailey, James W. (Inventor); Schimmel, Morry L. (Inventor)

1989-01-01

An apparatus for testing ignitability of an initiator includes a body with a central cavity, initiator holder for holding the initiator over the central cavity of the body, an ignition material holder disposed in the central cavity of the body and a cavity facing the initiator holder which receives a measured quantity of ignition material to be ignited by the initiator and a chamber in communication with the cavity of the ignition material holder and the central cavity of the body. A measuring system for analyzing pressure characteristics is generated by ignition material by the initiator. The measuring system includes at least one transducer coupled to an oscillograph for recording pressure traces generated by ignition.
Ignitability test method and apparatus

NASA Technical Reports Server (NTRS)

Bement, Laurence J. (Inventor); Bailey, James W. (Inventor); Schimmel, Morry L. (Inventor)

1991-01-01

An apparatus for testing ignitability of an initiator includes a body having a central cavity, an initiator holder for holding the initiator over the central cavity of the body, an ignition material holder disposed in the central cavity of the body and having a cavity facing the initiator holder which receives a measured quantity of ignition material to be ignited by the initiator. It contains a chamber in communication with the cavity of the ignition material and the central cavity of the body, and a measuring system for analyzing pressure characteristics generated by ignition of the ignition material by the initiator. The measuring system includes at least one transducer coupled with an oscillograph for recording pressure traces generated by ignition.
Are there trends towards drier hydrological conditions in Central America?

NASA Astrophysics Data System (ADS)

Hidalgo, H. G.

2013-12-01

A summary of hydrological projections at the end of the century from 30 General Circulation Models (GCMs) is presented; and several hydrometeorological parameters are analyzed to validate if there are hydroclimatological trends during the observational period (1982-2005) consistent with the GCMs results. At the end of the century the median of 30 GCM simulations projects a drier future for Tegucigalpa and San Jose, with a marked increment in evapotranspiration in the first half of the rainy season along with reductions of soil moisture. With respect to the observations (1982-2005): 1) the Normalized Difference Vegetation Index showed negative trends in the North Pacific coast of Costa Rica, the border of Honduras and Nicaragua, and especially in southern Mexico (except the Yucatan Peninsula). Positive trends were found in the several parts of Central America, 2) the Palmer Drought Severity Index showed strong and consistent trends from Nicaragua to the North of Central America and southern Mexico (not including Yucatan), consistent with the direction of GCM projections; 3) negative precipitation trends in satellite data were found in Nicaragua, with strong trends in its Caribbean coast; 4) NCEP/NCAR Reanalysis precipitation showed strong negative trends in northern Central America, the Central Valley, the Dry Pacific of Costa Rica and the South-Pacific coast of Nicaragua, all consistent with the direction of GCM projections; and 5) station data showed no significant trends however, and 6) Reanalysis' temperature showed positive trends in southern Mexico (not including Yucatan) and negative trends in El Salvador. It can be concluded that several trends in drought indexes and precipitation are consistent with the future projected by the GCMs; that is, with some exceptions some of the trends were validated towards a drier future for the region, especially in the northern part.
Concerns and perceptions immediately following Superstorm Sandy: ratings for property damage were higher than for health issues

PubMed Central

Burger, Joanna; Gochfeld, Michael

2015-01-01

Governmental officials, health and safety professionals, early responders, and the public are interested in the perceptions and concerns of people faced with a crisis, especially during and immediately after a disaster strikes. Reliable information can lead to increased individual and community preparedness for upcoming crises. The objective of this research was to evaluate concerns of coastal and central New Jersey residents within the first 100 days of Superstorm Sandy’s landfall. Respondents living in central New Jersey and Jersey shore communities were differentially impacted by the storm, with shore residents having higher evacuation rates (47% vs. 13%), more flood waters in their homes, longer power outages (average 23 vs. 6 days), and longer periods without Internet (29 vs. 6 days). Ratings of concerns varied both among and within categories as a function of location (central vs. coastal New Jersey), stressor level (ranging from 1 to 3 for combinations of power outages, high winds, and flooding), and demographics. Respondents were most concerned about property damage, health, inconveniences, ecological services, and nuclear power plants in that order. Respondents from the shore gave higher ratings to the concerns within each major category, compared to those from central Jersey. Four findings have implications for understanding future risk, recovery, and resiliency: (1) respondents with the highest stressor level (level 3) were more concerned about water damage than others, (2) respondents with flood damage were more concerned about water drainage and mold than others, (3) respondents with the highest stressor levels rated all ecological services higher than others, and (4) shore respondents rated all ecological services higher than central Jersey residents. These data provide information to design future preparedness plans, improve resiliency for future severe weather events, and reduce public health risk. PMID:27011757
Efficacy and safety of recombinant activated factor vii in major surgical procedures: systematic review and meta-analysis of randomized clinical trials.

PubMed

Ranucci, Marco; Isgrò, Giuseppe; Soro, Giorgio; Conti, Daniela; De Toffol, Barbara

2008-03-01

To investigate the efficacy and safety of recombinant activated factor VII (rFVIIa) treatment in patients undergoing major surgical procedures. Relevant studies were searched in BioMedCentral, CENTRAL, PubMed, and PubMed Central. Only randomized controlled trials on humans undergoing major surgery were included. Efficacy was determined as the rate of patients receiving allogeneic packed red blood cells; safety was assessed in terms of thromboembolic complications and mortality rate. We followed the Cochrane Collaboration method for data extraction and internal validity procedures, as well as the Quality of Reporting of Meta-analyses statement. Seven randomized controlled trials met the inclusion criteria. Treatment with rFVIIa is associated with a reduced risk of receiving allogeneic packed red blood cells (odds ratio, 0.29; 95% confidence interval, 0.10-0.80). In a subgroup analysis, only patients receiving at least 50 mug/kg of rFVIIa had a significant benefit (odds ratio, 0.43; 95% confidence interval, 0.23-0.78). No differences in thromboembolic complications and mortality rates were observed. Treatment with rFVIIa is effective in reducing the rate of patients undergoing transfusion with allogeneic packed red blood cells. However, the cost-benefit ratio is favorable only in patients who need a huge number of packed red blood cell units. No safety concerns arise from the present study.
Use and abuse of prescribed opioids, central nervous system depressants, and stimulants among U.S. active duty military personnel in FY 2010.

PubMed

Jeffery, Diana D; May, Laurie; Luckey, Bill; Balison, Barbara M; Klette, Kevin L

2014-10-01

This study establishes rates of use/abuse of Schedule II-IV prescription medications in U.S. active duty military personnel, and characterizes correlates of such use/abuse. All active duty personnel serving for 12 months during fiscal year 2010 were included. Data were obtained from medical and pharmacy claims and drug screening results. Logistic regression models were used to examine predictors of drug use, along with bivariate analyses to compare abuse of prescribed and illegal drugs. Nearly one-third of active duty service members received at least one prescription for opioids, central nervous system depressants, or stimulants, with 26.4% having received at least one prescription for opioids. About 0.7%, 1.4%, and 0.6% of the total force received >90-day prescriptions for opioids, central nervous system depressants, or stimulants, respectively. Battlefield injury, receipt of psychotropic medications, and substance abuse adverse events were predictive of >90-day supply of opioids. About 0.7% of the total force had documented known drug abuse for prescribed drugs compared to 0.4% for illegal drug abuse. We recommend systematic monitoring of prescriptions for controlled substances which may carry serious consequences, evaluation of the impact of controlled substances on military readiness, and examination of the rationale for prescribing controlled drugs. Reprint & Copyright © 2014 Association of Military Surgeons of the U.S.
16 CFR 316.4 - Requirement to place warning labels on commercial electronic mail that contains sexually oriented...

Code of Federal Regulations, 2014 CFR

2014-01-01

... person who initiates, to a protected computer, the transmission of a commercial electronic mail message... electronic mail message or other form of Internet-based communication requesting not to receive future... received; and (B) Remains capable of receiving such messages or communications for no less than 30 days...
16 CFR 316.4 - Requirement to place warning labels on commercial electronic mail that contains sexually oriented...

Code of Federal Regulations, 2013 CFR

2013-01-01

... person who initiates, to a protected computer, the transmission of a commercial electronic mail message... electronic mail message or other form of Internet-based communication requesting not to receive future... received; and (B) Remains capable of receiving such messages or communications for no less than 30 days...
16 CFR 316.4 - Requirement to place warning labels on commercial electronic mail that contains sexually oriented...

Code of Federal Regulations, 2012 CFR

2012-01-01

... person who initiates, to a protected computer, the transmission of a commercial electronic mail message... electronic mail message or other form of Internet-based communication requesting not to receive future... received; and (B) Remains capable of receiving such messages or communications for no less than 30 days...
16 CFR 316.4 - Requirement to place warning labels on commercial electronic mail that contains sexually oriented...

Code of Federal Regulations, 2011 CFR

2011-01-01

... person who initiates, to a protected computer, the transmission of a commercial electronic mail message... electronic mail message or other form of Internet-based communication requesting not to receive future... received; and (B) Remains capable of receiving such messages or communications for no less than 30 days...
Archeological Data Recovery of the Camino Site (16JE223), A Spanish Colonial Period Site Near New Orleans, Louisiana

DTIC Science & Technology

1996-03-01

Barataria Basin. Byrd (1976) examined the nutritional and caloric value of this brackish water mollusk in order to determine its relative importance to... Yucatan ) received 149 settlers in the period 1733-1735; the future San Antonio, Texas, received 56 Islefios in 1730; St. Augustine received 707
Transforaminal epidural steroid injections influence Mechanical Diagnosis and Therapy (MDT) pain response classification in candidates for lumbar herniated disc surgery.

PubMed

van Helvoirt, Hans; Apeldoorn, Adri T; Knol, Dirk L; Arts, Mark P; Kamper, Steven J; van Tulder, Maurits W; Ostelo, Raymond W

2016-04-27

Prospective cohort study. Although lumbar radiculopathy is regarded as a specific diagnosis, the most effective treatment strategy is unclear. Commonly used treatments include transforaminal epidural steroid injections (TESIs) and Mechanical Diagnosis & Therapy (MDT), but no studies have investigated the effectiveness of this combination. MDT differentiates pain centralization (C) from non-centralization (NC), which indicates good vs. poor prognostic validity respectively. The main aims were 1) to determine changes in Mechanical Diagnosis and Therapy (MDT) pain response classifications after transforaminal epidural steroid injections (TESIs) in candidates for lumbar herniated disc surgery and 2) to evaluate differences in short and long term outcomes for patients with different pain response classifications. Candidates for lumbar herniated disc surgery were assessed with a MDT protocol and their pain response classified as centralizing or peripheralizing. For this study,only patients were eligible who showed a peripheralizing pain response at intake. All patients then received TESIs and were reassessed and classified using the MDT protocol, into groups according to pain response (resolved, centralizing, peripheralizing with less pain and peripheralising with severe pain). After receiving targeted treatment based on pain response after TESIs, ranging from advice, MDT or surgery, follow-up assessments were completed at discharge and at 12 months. The primary outcomes were disability (Roland-Morris Disability Questionnaire [RMDQ] for Sciatica), pain severity in leg (visual analogue scale [VAS], 0-100) and global perceived effect (GPE). Linear mixed-models were used to determine between-groups differences in outcome. A total of 77 patients with lumbar disc herniation and peripheralizing symptoms were included. Patients received an average of 2 (SD 0.7) TESIs. After TESIs, 17 patients (22%) were classified as peripheralizing with continuing severe pain.These patients underwent surgery and were not further evaluated. Eleven (14%) patients were classified as resolved, 37 (48%) as centralizing with significant less pain, and 12 (16%) as peripheralizing with significant less pain. None of these patients underwent surgery. Resolved and centralizer subgroups had better outcomes in terms of VAS and RMDQ than the non-operated peripheralizers at discharge and at 12 months. The succes rates (GPE) for the resolved, centralizing, and peripheralizing with less pain patients were 100%, 100% and 33% respectively at short term, and 100%, 92% and 50% respectively at long term. After TESIs, a peripheralizing pain pattern changed to resolved or centralizing in 62% of the patients. For the non-operated patients, those with a centralising pattern after TESIs reported better pain and disability outcomes than those with peripheralizing pattern at short and long term.
Evaluating the impact of future climate change on irrigated maize production in Kansas

USDA-ARS?s Scientific Manuscript database

The United States southern and central High Plains including western Kansas are experiencing declining ground water supplies from the Ogallala as a result of withdrawals for irrigation exceeding annual recharge, this situation will be exacerbated by future climate change. The purpose of this simulat...
Future Education: Learning the Future. Scenarios and Strategies in Europe. CEDEFOP Reference Series.

ERIC Educational Resources Information Center

van Wieringen, Fons; Sellin, Burkart; Schmidt, Ghislaine

Five research institutes covering five European Union (EU) member states and five Central and Eastern European countries participated in a scenario project designed to improve understanding of vocational education and training (VET) systems in their economic-technological, employment-labor, and training-knowledge environments. The participating…
Inventing the Future: Options and Strategies for Educators.

ERIC Educational Resources Information Center

Burdin, Joel L.; Nutter, Norma

A brief overview of Alvin Toffler's "waves" explanation of history (agricultural, industrial, and post-industrial) introduces reflections on future educational practices. While the limitations of the typical American home once made it imperative that education occur in centralized places, societal changes, as well as the development of individual…

Uncertainty of climate change impacts on soil erosion from cropland in central Oklahoma

USDA-ARS?s Scientific Manuscript database

Impacts of climate change on soil erosion and the potential need for additional conservation actions are typically estimated by applying a hydrologic and soil erosion model under present and future climate conditions defined by an emission scenario. Projecting future climate conditions harbors sever...
Curiosity: A Link to Assessing Lifelong Learning

ERIC Educational Resources Information Center

Fulcher, Keston H.

2008-01-01

Scores of colleges and universities have pledged to promote lifelong learning in their most central document, the mission statement. Moreover, "A Test of Leadership: Charting the Future of Higher Education," the report from the Secretary of Education's Commission on the Future of Higher Education (2006), stresses the importance of lifelong…
The Future of Private Practice in Audiology

PubMed Central

Fabry, David A.

2016-01-01

Although private practice in audiology has evolved during the past 40 years, hearing aids have remained as a central component to success. This article will discuss present and future trends for the next 40 years, including parallels to other professions and the need to innovate beyond technology. PMID:28028329
Successful Salvage of Central Venous Catheters in Patients with Catheter-Related or Central Line-Associated Bloodstream Infections by Using a Catheter Lock Solution Consisting of Minocycline, EDTA, and 25% Ethanol

PubMed Central

Chaftari, Anne-Marie; Zakhour, Ramia; Jordan, Mary; Al Hamal, Zanaib; Jiang, Ying; Yousif, Ammar; Garoge, Kumait; Mulanovich, Victor; Viola, George M.; Kanj, Soha; Pravinkumar, Egbert; Rosenblatt, Joel; Hachem, Ray

2016-01-01

In cancer patients with long-term central venous catheters (CVC), removal and reinsertion of a new CVC at a different site might be difficult because of the unavailability of accessible vascular sites. In vitro and animal studies showed that a minocycline-EDTA-ethanol (M-EDTA-EtOH) lock solution may eradicate microbial organisms in biofilms, hence enabling the treatment of central line-associated bloodstream infections (CLABSI) while retaining the catheter in situ. Between April 2013 and July 2014, we enrolled 30 patients with CLABSI in a prospective study and compared them to a historical group of 60 patients with CLABSI who had their CVC removed and a new CVC inserted. Each catheter lumen was locked with an M-EDTA-EtOH solution for 2 h administered once daily, for a total of 7 doses. Patients who received locks had clinical characteristics that were comparable to those of the control group. The times to fever resolution and microbiological eradication were similar in the two groups. Patients with the lock intervention received a shorter duration of systemic antibiotic therapy than that of the control patients (median, 11 days versus 16 days, respectively; P < 0.0001), and they were able to retain their CVCs for a median of 74 days after the onset of bacteremia. The M-EDTA-EtOH lock was associated with a significantly decreased rate of mechanical and infectious complications compared to that of the CVC removal/reinsertion group, who received a longer duration of systemic antimicrobial therapy. (This study has been registered at ClinicalTrials.gov under registration no. NCT01539343.) PMID:27001822
Central line replacement following infection does not improve reinfection rates in pediatric pulmonary hypertension patients receiving intravenous prostanoid therapy.

PubMed

McCarthy, Elisa K; Ogawa, Michelle T; Hopper, Rachel K; Feinstein, Jeffrey A; Gans, Hayley A

2018-01-01

Treatment of pediatric pulmonary hypertension (PH) with IV prostanoids has greatly improved outcomes but requires a central line, posing inherent infection risk. This study examines the types of infections, infection rates, and importantly the effect of line management strategies on reinfection in children receiving IV prostanoids for PH. This study is a retrospective review of all pediatric PH patients receiving intravenous epoprostenol (EPO) or treprostinil (TRE) at one academic tertiary care center between 2000 and 2014. No patients declined participation in the study or were otherwise excluded. Infectious complications were characterized by organism(s), infection rates, time to next infection, and line management decisions (salvage vs. replace). Of the 40 patients followed, 13 sustained 38 infections involving 49 pathogens, with a predominance of gram-positive (GP) organisms (n = 35). The pooled infection rate was 1.06 per 1000 prostanoid days with no difference between EPO and TRE. No significant difference in reinfection rate was observed when comparing line salvage to replacement, regardless of organism type. Both overall and organism-type comparisons suggest longer time between line infections following line salvage compared with line replacement (732 vs. 410 days overall; 793 vs. 363 days for GP; 611 vs. 581 days for gram-negative [GN]; P > 0.05 for all comparisons). Central line replacement following blood stream infections in pediatric PH patients does not improve subsequent infection rates or time to next infection, and may lead to unnecessary risks associated with line replacement, including potential loss of vascular access. A revised approach to central line infections in pediatric PH is proposed.
Future changes in the climatology of the Great Plains low-level jet derived from fine resolution multi-model simulations.

PubMed

Tang, Ying; Winkler, Julie; Zhong, Shiyuan; Bian, Xindi; Doubler, Dana; Yu, Lejiang; Walters, Claudia

2017-07-10

The southerly Great Plains low-level jet (GPLLJ) is one of the most significant circulation features of the central U.S. linking large-scale atmospheric circulation with the regional climate. GPLLJs transport heat and moisture, contribute to thunderstorm and severe weather formation, provide a corridor for the springtime migration of birds and insects, enhance wind energy availability, and disperse air pollution. We assess future changes in GPLLJ frequency using an eight member ensemble of dynamically-downscaled climate simulations for the mid-21st century. Nocturnal GPLLJ frequency is projected to increase in the southern plains in spring and in the central plains in summer, whereas current climatological patterns persist into the future for daytime and cool season GPLLJs. The relationship between future GPLLJ frequency and the extent and strength of anticyclonic airflow over eastern North America varies with season. Most simulations project a westward shift of anticyclonic airflow in summer, but uncertainty is larger for spring with only half of the simulations suggesting a westward expansion. The choice of regional climate model and the driving lateral boundary conditions have a large influence on the projected future changes in GPLLJ frequency and highlight the importance of multi-model ensembles to estimate the uncertainty surrounding the future GPLLJ climatology.
Factors blocking the development of north - central Rzeszów

NASA Astrophysics Data System (ADS)

Rybka, Adam; Mazur, Rafał

2017-12-01

Rzeszów is one of the best developing cities in Poland. Once the small HQ of a principality - due to complicated historical conditioning - it has now become a place where an increasing number of people choose to live. The city with its bursting life, streets and squares starts and ends, however, in an area which only a few dozen years ago still catered for one fifth of the current population. The main reason for this phenomenon is the presence of spatial barriers, which significantly limit the development of the central urban area. This article analyzes the elements, which block the development of the north-central part of Rzeszów. An appropriate diagnosis of the problem may in the future allow the right actions in urban planning to be taken in order to cross these barriers. This may lead to the future development of areas with huge urbanization potential. Investments undertaken by city authorities to develop the northern peripheries of Rzeszów may trigger the development of the central district in this direction. This may occur as a result of concrete design interventions. The new part of the central district should have the scale and proportions of urban space that answer to the needs of a dynamically developing capital of the Podkarpacie region.
Record dry summer in 2015 challenges precipitation projections in Central Europe.

PubMed

Orth, René; Zscheischler, Jakob; Seneviratne, Sonia I

2016-06-21

Central Europe was characterized by a humid-temperate climate in the 20(th) century. Climate change projections suggest that climate in this area will shift towards warmer temperatures by the end of the 21(st) century, while projected precipitation changes are highly uncertain. Here we show that the 2015 summer rainfall was the lowest on record since 1901 in Central Europe, and that climate models that perform best in the three driest years of the historical time period 1901-2015 project stronger drying trends in the 21(st) century than models that perform best in the remaining years. Analyses of precipitation and derived soil moisture reveal that the 2015 event was drier than both the recent 2003 or 2010 extreme summers in Central Europe. Additionally there are large anomalies in satellite-derived vegetation greenness. In terms of precipitation and temperature anomalies, the 2015 summer in Central Europe is found to lie between historical climate in the region and that characteristic of the Mediterranean area. Even though the models best capturing past droughts are not necessarily generally more reliable in the future, the 2015 drought event illustrates that potential future drying trends have severe implications and could be stronger than commonly assumed from the entire IPCC AR5 model ensemble.
Neurophysiological findings relevant to echolocation in marine animals

NASA Technical Reports Server (NTRS)

Bullock, T. H.; Ridgway, S. H.

1972-01-01

A review of echolocation mechanisms in marine mammals, chiefly porpoises, is given. Data cover peripheral auditory and central neurophysiological specializations favorable to the analysis of echolocating clicks and their echoes. Conclusions show (1) signals are received from 50 up to at least 135 kHz, (2) sound is received through the mandible skin, and (3) the midbrain sites are insensitive to low frequencies (below 6 kHz).
Protocols using Anonymous Connections: Mobile Applications

DTIC Science & Technology

1997-01-01

call from a cell phone ; the phone never receives a call in the ordinary sense of `receive’. We will return to discuss paging brie y below. The principals...speci ed in our protocol are the caller’s cell phone P , the central switch S, and the callee intended to receive the call R. We now present our...protocol for initiating a call from a cell phone . 1. P )P S : Payment info., N 2. S )P P : Ack or Nack 3. P ,P S $ R : Conversation To make a call from a
Roads, Power, and Schools: A Brighter Future for Bishkek and the Region

DTIC Science & Technology

2010-12-13

support developing democracy are by no means unique to Kyrgyzstan or Central Asia . The language in the latest National Security Strategy (NSS) guides U.S...Corporation (MCC), American Uni- versity Central Asia (AUCA), and the National Democratic Institute (NDI) are prime examples of American foreign policy at...Central Asia , this small country is just as important strategi- cally as it was when the Silk Road that passes through it was one of the world’s main trade
77 FR 71501 - International Fisheries; Western and Central Pacific Fisheries for Highly Migratory Species...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-03

...NMFS issues regulations under the authority of the Western and Central Pacific Fisheries Convention Implementation Act (WCPFC Implementation Act) to implement requirements for U.S. fishing vessels used for commercial fishing that offload or receive transshipments of highly migratory species (HMS), U.S. fishing vessels used for commercial fishing that provide bunkering or other support services to fishing vessels, and U.S. fishing vessels used for commercial fishing that receive bunkering or engage in other support services, in the area of application of the Convention on the Conservation and Management of Highly Migratory Fish Stocks in the Western and Central Pacific Ocean (Convention). Some of the requirements also apply to transshipments of fish caught in the area of application of the Convention (Convention Area) and transshipped elsewhere. NMFS also issues requirements regarding notification of entry into and exit from the ``Eastern High Seas Special Management Area'' (Eastern SMA) and requirements relating to discards from purse seine fishing vessels. This action is necessary for the United States to implement decisions of the Commission for the Conservation and Management of Highly Migratory Fish Stocks in the Western and Central Pacific Ocean (Commission or WCPFC) and to satisfy its obligations under the Convention, to which it is a Contracting Party.
Cavity radiation model for solar central receivers

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

Lipps, F.W.

1981-01-01

The Energy Laboratory of the University of Houston has developed a computer simulation program called CREAM (i.e., Cavity Radiations Exchange Analysis Model) for application to the solar central receiver system. The zone generating capability of CREAM has been used in several solar re-powering studies. CREAM contains a geometric configuration factor generator based on Nusselt's method. A formulation of Nusselt's method provides support for the FORTRAN subroutine NUSSELT. Numerical results from NUSSELT are compared to analytic values and values from Sparrow's method. Sparrow's method is based on a double contour integral and its reduction to a single integral which is approximatedmore » by Guassian methods. Nusselt's method is adequate for the intended engineering applications, but Sparrow's method is found to be an order of magnitude more efficient in many situations.« less
Assessment of clinical efficacy and safety in a randomized double-blind study of etanercept and sulfasalazine in patients with ankylosing spondylitis from Eastern/Central Europe, Latin America, and Asia.

PubMed

Damjanov, Nemanja; Shehhi, Waleed Al; Huang, Feng; Kotak, Sameer; Burgos-Vargas, Ruben; Shirazy, Khalid; Bananis, Eustratios; Szumski, Annette; Llamado, Lyndon J Q; Mahgoub, Ehab

2016-05-01

Despite the demonstrated efficacy of etanercept for the treatment of ankylosing spondylitis (AS), sulfasalazine is often prescribed, especially in countries with limited access to biologic agents. The objective of this subset analysis of the ASCEND trial was to compare the efficacy of etanercept and sulfasalazine in treating patients with AS from Asia, Eastern/Central Europe, and Latin America. A total of 287 patients, 190 receiving etanercept 50 mg once weekly and 97 receiving sulfasalazine 3 g daily, from eight countries were included in this subset analysis. Differences in disease activity and patient-reported outcomes assessing health-related quality-of-life (HRQoL) parameters in response to treatment were analyzed using the Cochran-Mantel-Haenszel test for categorical efficacy endpoints and analysis of covariance model for continuous variables. At week 16, a significantly greater proportion of patients receiving etanercept achieved ASAS20 (79.0 %) compared with patients receiving sulfasalazine (61.9 %; p = 0.002). At week 16, treatment with etanercept also resulted in significantly better responses than sulfasalazine for ASAS40 (64.7 vs. 35.1 %; p < 0.001), ASAS5/6 (48.1 vs. 26.3 %; p < 0.001), proportion of patients achieving 50 % response in Bath AS Disease Activity Index (65.8 vs. 42.3 %; p < 0.001), partial remission (35.3 vs. 17.5 %; p = 0.002), and all HRQoL parameters. Both treatments were well tolerated. Etanercept was significantly more effective than sulfasalazine in the treatment of patients with AS from Asia, Central/Eastern Europe, and Latin America.
Intravitreal aflibercept for macular edema secondary to central retinal vein occlusion: 18-month results of the phase 3 GALILEO study.

PubMed

Ogura, Yuichiro; Roider, Johann; Korobelnik, Jean-François; Holz, Frank G; Simader, Christian; Schmidt-Erfurth, Ursula; Vitti, Robert; Berliner, Alyson J; Hiemeyer, Florian; Stemper, Brigitte; Zeitz, Oliver; Sandbrink, Rupert

2014-11-01

To evaluate intravitreal aflibercept for treatment of macular edema secondary to central retinal vein occlusion (CRVO). Randomized, double-masked, phase 3 study. A total of 177 patients with macular edema secondary to CRVO were randomized to receive 2 mg intravitreal aflibercept (n = 106) or sham (n = 71) every 4 weeks for 20 weeks. From weeks 24 to 48, patients were monitored every 4 weeks; the former group received intravitreal aflibercept as needed (PRN), and the sham group received sham. From weeks 52 to 76, patients were monitored every 8 weeks, and both groups received intravitreal aflibercept PRN. The primary endpoint (proportion of patients who gained ≥15 letters) was at week 24. This study reports exploratory outcomes at week 76. The proportion of patients who gained ≥15 letters in the intravitreal aflibercept and sham groups was 60.2% vs 22.1% at week 24 (patients discontinued before week 24 were considered nonresponders; P < .0001), 60.2% vs 32.4% at week 52 (last observation carried forward, P < .001), and 57.3% vs 29.4% at week 76 (last observation carried forward; P < .001). Mean μm change from baseline central retinal thickness was -448.6 vs -169.3 at week 24 (P < .0001), -423.5 vs -219.3 at week 52 (P < .0001), and -389.4 vs -306.4 at week 76 (P = .1122). Over 76 weeks, the most common ocular serious adverse event in the intravitreal aflibercept group was macular edema (3.8%). The visual and anatomic improvements seen after fixed, monthly dosing at week 24 were largely maintained when treatment intervals were extended. Patients with macular edema following CRVO benefited from early treatment with intravitreal aflibercept. Copyright © 2014 Elsevier Inc. All rights reserved.
Acute sleep deprivation preconditions the heart against ischemia/ reperfusion injury: the role of central GABA-A receptors

PubMed Central

Parsa, Hoda; Imani, Alireza; Faghihi, Mahdieh; Riahi, Esmail; Badavi, Mohammad; Shakoori, Abbas; Rastegar, Tayebeh; Aghajani, Marjan; Rajani, Sulail Fatima

2017-01-01

Objective(s): Central γ-aminobutyric acid (GABA) neurotransmission modulates cardiovascular functions and sleep. Acute sleep deprivation (ASD) affects functions of various body organs via different mechanisms. Here, we evaluated the effect of ASD on cardiac ischemia/reperfusion injury (IRI), and studied the role of GABA-A receptor inhibition in central nucleus of amygdala (CeA) by assessing nitric oxide (NO) and oxidative stress. Materials and Methods: The CeA in sixty male Wistar rats was cannulated for saline or bicuculline (GABA-A receptor antagonist) administration. All animals underwent 30 min of coronary occlusion (ischemia), followed by 2 hr reperfusion (IR). The five experimental groups (n=12) included are as follows: IR: received saline; BIC+IR: received Bicuculline; MLP+IR: received saline, followed by the placement of animals in an aquarium with multiple large platforms; ASD+IR: underwent ASD in an aquarium with multiple small platforms; and BIC+ASD+IR: received bicuculline prior to ASD. Results: Bicuculline administration increased the malondialdehyde levels and infarct size, and decreased the NO metabolites levels and endothelial nitric oxide synthase (eNOS) gene expression in infarcted and non-infarcted areas in comparison to IR group. ASD reduced malondialdehyde levels and infarct size and increased NO metabolites, corticosterone levels and eNOS expression in infarcted and non-infarcted areas as compared to the IR group. Levels of malondialdehyde were increased while levels of NO metabolites, corticosterone and eNOS expression in infarcted and non-infarcted areas were reduced in the BIC+ASD+IR as compared to the ASD+IR group. Conclusion: Blockade of GABA-A receptors in the CeA abolishes ASD-induced cardioprotection by suppressing oxidative stress and NO production. PMID:29299201
Acute sleep deprivation preconditions the heart against ischemia/ reperfusion injury: the role of central GABA-A receptors.

PubMed

Parsa, Hoda; Imani, Alireza; Faghihi, Mahdieh; Riahi, Esmail; Badavi, Mohammad; Shakoori, Abbas; Rastegar, Tayebeh; Aghajani, Marjan; Rajani, Sulail Fatima

2017-11-01

Central γ-aminobutyric acid (GABA) neurotransmission modulates cardiovascular functions and sleep. Acute sleep deprivation (ASD) affects functions of various body organs via different mechanisms. Here, we evaluated the effect of ASD on cardiac ischemia/reperfusion injury (IRI), and studied the role of GABA-A receptor inhibition in central nucleus of amygdala (CeA) by assessing nitric oxide (NO) and oxidative stress. The CeA in sixty male Wistar rats was cannulated for saline or bicuculline (GABA-A receptor antagonist) administration. All animals underwent 30 min of coronary occlusion (ischemia), followed by 2 hr reperfusion (IR). The five experimental groups (n=12) included are as follows: IR: received saline; BIC+IR: received Bicuculline; MLP+IR: received saline, followed by the placement of animals in an aquarium with multiple large platforms; ASD+IR: underwent ASD in an aquarium with multiple small platforms; and BIC+ASD+IR: received bicuculline prior to ASD. Bicuculline administration increased the malondialdehyde levels and infarct size, and decreased the NO metabolites levels and endothelial nitric oxide synthase (eNOS) gene expression in infarcted and non-infarcted areas in comparison to IR group. ASD reduced malondialdehyde levels and infarct size and increased NO metabolites, corticosterone levels and eNOS expression in infarcted and non-infarcted areas as compared to the IR group. Levels of malondialdehyde were increased while levels of NO metabolites, corticosterone and eNOS expression in infarcted and non-infarcted areas were reduced in the BIC+ASD+IR as compared to the ASD+IR group. Blockade of GABA-A receptors in the CeA abolishes ASD-induced cardioprotection by suppressing oxidative stress and NO production.
Decreasing troponin turnaround time in the emergency department using the central laboratory: A process improvement study.

PubMed

Boelstler, Arlene M; Rowland, Ralph; Theoret, Jennifer; Takla, Robert B; Szpunar, Susan; Patel, Shraddha P; Lowry, Andrew M; Pena, Margarita E

2015-03-01

To implement collaborative process improvement measures to reduce emergency department (ED) troponin turnaround time (TAT) to less than 60min using central laboratory. This was an observational, retrospective data study. A multidisciplinary team from the ED and laboratory identified opportunities and developed a new workflow model. Process changes were implemented in ED patient triage, staffing, lab collection and processing. Data collected included TAT of door-to-order, order-to-collect, collect-to-received, received-to-result, door-to-result, ED length of stay, and hemolysis rate before (January-August, 2011) and after (September 2011-June 2013) process improvement. After process improvement and implementation of the new workflow model, decreased median TAT (in min) was seen in door-to-order (54 [IQR43] vs. 11 [IQR20]), order-to-collect (15 [IQR 23] vs. 10 [IQR12]), collect-to-received (6 [IQR8] vs. 5 [IQR5]), received-to-result (30 [IQR12] vs. 24 [IQR11]), and overall door-to-result (117 [IQR60] vs. 60 [IQR40]). A troponin TAT of <60min was realized beginning in May 2012 (59 [IQR39]). Hemolysis rates decreased (14.63±0.74 vs. 3.36±1.99, p<0.0001), as did ED length of stay (5.87±2.73h vs. 5.15±2.34h, p<0.0001). Conclusion Troponin TAT of <60min using a central laboratory was achieved with collaboration between the ED and the laboratory; additional findings include a decreased ED length of stay. Copyright © 2014 The Canadian Society of Clinical Chemists. Published by Elsevier Inc. All rights reserved.
A remote drip infusion monitoring system employing Bluetooth.

PubMed

Amano, Hikaru; Ogawa, Hidekuni; Maki, Hiromichi; Tsukamoto, Sosuke; Yonezawa, Yoshiharu; Caldwell, W Morton

2012-01-01

We have developed a remote drip infusion monitoring system for use in hospitals. The system consists of several infusion monitoring devices and a central monitor. The infusion monitoring device employing a Bluetooth module can detect the drip infusion rate and an empty infusion solution bag, and then these data are sent to the central monitor placed at the nurses' station via the Bluetooth. The central monitor receives the data from several infusion monitoring devices and then displays graphically them. Therefore, the developed system can monitor intensively the drip infusion situation of the several patients at the nurses' station.
Boosting Post-Secondary and Career Success: A Two-Generation Approach for the Promise Neighborhood. Education. Executive Summary

ERIC Educational Resources Information Center

Halbert, Hannah

2014-01-01

The Cleveland Central Promise Neighborhood (CCPN) initiative brings together Central neighborhood residents, community stakeholders and partners to create the kind of community where every child can have career and college success. Helping children achieve a bright future filled with opportunity is the cornerstone of the Promise Initiative. The…

Shifts and future trends in the forest resources of the Central Hardwood region

Treesearch

Thomas L. Schmidt; William H. McWilliams

2003-01-01

Forests in the Central Hardwood region are undergoing change in terms of area, volume, species composition, and forest structure. These forests are dominated by deciduous species; are increasing their average stand size, volume, and age; and, are experiencing woody plant species replacement as shade intolerant species are being replaced by more shade tolerant species....
Shifts and future trends in the forest resources of the Central Hardwood Region

Treesearch

Thomas L. Schmidt; William H. McWilliams

2003-01-01

Forests in the Central Hardwood region are undergoing change in terms of area, volume, species composition, and forest structure. These forests are dominated by deciduous species; are increasing their average stand size, volume, and age; and, are experiencing woody plant species replacement as shade intolerant species are being replaced by more shade tolerant species....
Impact of Sustainable Agriculture on Secondary School Agricultural Education Teachers and Programs in the North Central Region.

ERIC Educational Resources Information Center

Agbaje, Kehinde Aderemi Ajaiyeoba; Martin, Robert A.; Williams, David L.

2001-01-01

Responses from 298 of 600 secondary agriculture teachers in north central United States revealed limited impact of sustainable agriculture. Most teachers had neutral perceptions; a moderate number taught it, but not from a systems perspective. However, related agronomy topics were taught, providing a possible foundation for future inclusion of…
Breeding strategies for north central tree improvement programs

Treesearch

Ronald P. Overton; Hyun Kang

1985-01-01

The rationales and concepts of long-term tree breeding are discussed and compared with those for short-term breeding. A model breeding program is reviewed which maximizes short-term genetic gain for currently important traits and provides genetic resources that can be used effectively in future short-term breeding. The resources of the north-central region are examined...
Adaptation and validation of the REGEN expert system for the Central Appalachians

Treesearch

Lance A. Vickers; Thomas R. Fox; David L. Loftis; David A. Boucugnani

2011-01-01

REGEN is an expert system that predicts future species composition at the onset of stem exclusion using preharvest stand conditions. To extend coverage into hardwood stands of the Central Appalachians, we developed REGEN knowledge bases for four site qualities (xeric, subxeric, submesic, mesic) based on relevant literature and expert opinion. Data were collected from...
Toward a New Definition of Employability. Report by the North Central Indiana Workforce Literacy Task Force.

ERIC Educational Resources Information Center

Center for Remediation Design, Washington, DC.

The North Central Indiana Workplace Literacy Initiative seeks to develop a curriculum management system addressing work force literacy needs and a coordinated human resource investment system meeting individual economic self-sufficiency needs and labor market needs. The workplace of the future will contain six key changes: employers will require…
Scenario planning.

PubMed

Enzmann, Dieter R; Beauchamp, Norman J; Norbash, Alexander

2011-03-01

In facing future developments in health care, scenario planning offers a complementary approach to traditional strategic planning. Whereas traditional strategic planning typically consists of predicting the future at a single point on a chosen time horizon and mapping the preferred plans to address such a future, scenario planning creates stories about multiple likely potential futures on a given time horizon and maps the preferred plans to address the multiple described potential futures. Each scenario is purposefully different and specifically not a consensus worst-case, average, or best-case forecast; nor is scenario planning a process in probabilistic prediction. Scenario planning focuses on high-impact, uncertain driving forces that in the authors' example affect the field of radiology. Uncertainty is the key concept as these forces are mapped onto axes of uncertainty, the poles of which have opposed effects on radiology. One chosen axis was "market focus," with poles of centralized health care (government control) vs a decentralized private market. Another axis was "radiology's business model," with one pole being a unified, single specialty vs a splintered, disaggregated subspecialty. The third axis was "technology and science," with one pole representing technology enabling to radiology vs technology threatening to radiology. Selected poles of these axes were then combined to create 3 scenarios. One scenario, termed "entrepreneurialism," consisted of a decentralized private market, a disaggregated business model, and threatening technology and science. A second scenario, termed "socialized medicine," had a centralized market focus, a unified specialty business model, and enabling technology and science. A third scenario, termed "freefall," had a centralized market focus, a disaggregated business model, and threatening technology and science. These scenarios provide a range of futures that ultimately allow the identification of defined "signposts" that can suggest which basic features among the "possible futures" are playing out. Scenario planning provides for the implementation of appropriate constructed strategic responses. Scenarios allow for a pre-prepared game plan available for ready use as the future unfolds. They allow a deliberative response rather than a hastily constructed, urgent response. Copyright © 2011 American College of Radiology. Published by Elsevier Inc. All rights reserved.
Patterns of innervation of neurones in the inferior mesenteric ganglion of the cat.

PubMed Central

Julé, Y; Krier, J; Szurszewski, J H

1983-01-01

The patterns of peripheral and central synaptic input to non-spontaneous, irregular discharging and regular discharging neurones in the inferior mesenteric ganglion of the cat were studied in vitro using intracellular recording techniques. All three types of neurones in rostral and caudal lobes received central synaptic input primarily from L3 and L4 spinal cord segments. Since irregular discharging neurones received synaptic input from intraganglionic regular discharging neurones, some of the central input to irregular discharging neurones may have been relayed through the regular discharging neurones. In the rostral lobes of the ganglion, more than 70% of the non-spontaneous and irregular discharging neurones tested received peripheral synaptic input from the lumbar colonic, intermesenteric and left and right hypogastric nerves. Most of the regular discharging neurones tested received synaptic input from the intermesenteric and lumbar colonic nerves; none of the regular discharging neurones received synaptic input from the hypogastric nerves. Some of the peripheral synaptic input from the lumbar colonic and intermesenteric nerves to irregular discharging neurones may have been relayed through the regular discharging neurones. Axons of non-spontaneous and irregular discharging neurones located in the rostral lobes travelled to the periphery exclusively in the lumbar colonic nerves. Antidromic responses were not observed in regular discharging neurones during stimulation of any of the major peripheral nerve trunks. This suggests these neurones were intraganglionic. In the caudal lobes, irregular discharging neurones received a similar pattern of peripheral synaptic input as did irregular discharging neurones located in the rostral lobes. The majority of irregular discharging neurones in the caudal lobes projected their axons to the periphery through the lumbar colonic nerves. Non-spontaneous neurones in the caudal lobes, in contrast to those located in the rostral lobes, received peripheral synaptic input primarily from the hypogastric nerves. Axons of the majority of non-spontaneous neurones located in the caudal lobes travelled to the periphery through hypogastric nerves. The results suggest that non-spontaneous neurones and irregular discharging neurones in the rostral lobes and the majority of irregular discharging neurones in the caudal lobes transact and integrate neural commands destined for abdominal viscera supplied by the lumbar colonic nerves. Non-spontaneous neurones in the caudal lobes transact and integrate neural commands destined for pelvic viscera supplied by the hypogastric nerves. PMID:6655582
Patterns of innervation of neurones in the inferior mesenteric ganglion of the cat.

PubMed

Julé, Y; Krier, J; Szurszewski, J H

1983-11-01

The patterns of peripheral and central synaptic input to non-spontaneous, irregular discharging and regular discharging neurones in the inferior mesenteric ganglion of the cat were studied in vitro using intracellular recording techniques. All three types of neurones in rostral and caudal lobes received central synaptic input primarily from L3 and L4 spinal cord segments. Since irregular discharging neurones received synaptic input from intraganglionic regular discharging neurones, some of the central input to irregular discharging neurones may have been relayed through the regular discharging neurones. In the rostral lobes of the ganglion, more than 70% of the non-spontaneous and irregular discharging neurones tested received peripheral synaptic input from the lumbar colonic, intermesenteric and left and right hypogastric nerves. Most of the regular discharging neurones tested received synaptic input from the intermesenteric and lumbar colonic nerves; none of the regular discharging neurones received synaptic input from the hypogastric nerves. Some of the peripheral synaptic input from the lumbar colonic and intermesenteric nerves to irregular discharging neurones may have been relayed through the regular discharging neurones. Axons of non-spontaneous and irregular discharging neurones located in the rostral lobes travelled to the periphery exclusively in the lumbar colonic nerves. Antidromic responses were not observed in regular discharging neurones during stimulation of any of the major peripheral nerve trunks. This suggests these neurones were intraganglionic. In the caudal lobes, irregular discharging neurones received a similar pattern of peripheral synaptic input as did irregular discharging neurones located in the rostral lobes. The majority of irregular discharging neurones in the caudal lobes projected their axons to the periphery through the lumbar colonic nerves. Non-spontaneous neurones in the caudal lobes, in contrast to those located in the rostral lobes, received peripheral synaptic input primarily from the hypogastric nerves. Axons of the majority of non-spontaneous neurones located in the caudal lobes travelled to the periphery through hypogastric nerves. The results suggest that non-spontaneous neurones and irregular discharging neurones in the rostral lobes and the majority of irregular discharging neurones in the caudal lobes transact and integrate neural commands destined for abdominal viscera supplied by the lumbar colonic nerves. Non-spontaneous neurones in the caudal lobes transact and integrate neural commands destined for pelvic viscera supplied by the hypogastric nerves.
Central diabetes insipidus in pediatric severe traumatic brain injury.

PubMed

Alharfi, Ibrahim M; Stewart, Tanya Charyk; Foster, Jennifer; Morrison, Gavin C; Fraser, Douglas D

2013-02-01

To determine the occurrence rate of central diabetes insipidus in pediatric patients with severe traumatic brain injury and to describe the clinical, injury, biochemical, imaging, and intervention variables associated with mortality. Retrospective chart and imaging review. Children's Hospital, level 1 trauma center. Severely injured (Injury Severity Score ≥ 12) pediatric trauma patients (>1 month and <18 yr) with severe traumatic brain injury (presedation Glasgow Coma Scale ≤ 8 and head Maximum Abbreviated Injury Scale ≥ 4) that developed acute central diabetes insipidus between January 2000 and December 2011. Of 818 severely injured trauma patients, 180 had severe traumatic brain injury with an overall mortality rate of 27.2%. Thirty-two of the severe traumatic brain injury patients developed acute central diabetes insipidus that responded to desamino-8-D-arginine vasopressin and/or vasopressin infusion, providing an occurrence rate of 18%. At the time of central diabetes insipidus diagnosis, median urine output and serum sodium were 6.8 ml/kg/hr (interquartile range = 5-11) and 154 mmol/L (interquartile range = 149-159), respectively. The mortality rate of central diabetes insipidus patients was 87.5%, with 71.4% declared brain dead after central diabetes insipidus diagnosis. Early central diabetes insipidus onset, within the first 2 days of severe traumatic brain injury, was strongly associated with mortality (p < 0.001), as were a lower presedation Glasgow Coma Scale (p = 0.03), a lower motor Glasgow Coma Scale (p = 0.01), an occurrence of fixed pupils (p = 0.04), and a prolonged partial thromboplastin time (p = 0.04). Cerebral edema on the initial computed tomography, obtained in the first 24 hrs after injury, was the only imaging finding associated with death (p = 0.002). Survivors of central diabetes insipidus were more likely to have intracranial pressure monitoring (p = 0.03), have thiopental administered to induce coma (p = 0.04) and have received a decompressive craniectomy for elevated intracranial pressure (p = 0.04). The incidence of central diabetes insipidus in pediatric patients with severe traumatic brain injury is 18%. Mortality was associated with early central diabetes insipidus onset and cerebral edema on head computed tomography. Central diabetes insipidus nonsurvivors were less likely to have received intracranial pressure monitoring, thiopental coma and decompressive craniectomy.
Efficacy of Intravitreal Anti-vascular Endothelial Growth Factor or Steroid Injection in Diabetic Macular Edema According to Fluid Turbidity in Optical Coherence Tomography

PubMed Central

Lee, Kyungmin; Chung, Heeyoung; Park, Youngsuk

2014-01-01

Purpose To determine if short term effects of intravitreal anti-vascular endothelial growth factor or steroid injection are correlated with fluid turbidity, as detected by spectral domain optical coherence tomography (SD-OCT) in diabetic macular edema (DME) patients. Methods A total of 583 medical records were reviewed and 104 cases were enrolled. Sixty eyes received a single intravitreal bevacizumab injection (IVB) on the first attack of DME and 44 eyes received triamcinolone acetonide treatment (IVTA). Intraretinal fluid turbidity in DME patients was estimated with initialintravitreal SD-OCT and analyzed with color histograms from a Photoshop program. Central macular thickness and visual acuity using a logarithm from the minimum angle of resolution chart, were assessed at the initial period and 2 months after injections. Results Visual acuity and central macular thickness improved after injections in both groups. In the IVB group, visual acuity and central macular thickness changed less as the intraretinal fluid became more turbid. In the IVTA group, visual acuity underwent less change while central macular thickness had a greater reduction (r = -0.675, p = 0.001) as the intraretinal fluid was more turbid. Conclusions IVB and IVTA injections were effective in reducing central macular thickness and improving visual acuity in DME patients. Further, fluid turbidity, which was detected by SD-OCT may be one of the indexes that highlight the influence of the steroid-dependent pathogenetic mechanism. PMID:25120338
Efficacy of intravitreal anti-vascular endothelial growth factor or steroid injection in diabetic macular edema according to fluid turbidity in optical coherence tomography.

PubMed

Lee, Kyungmin; Chung, Heeyoung; Park, Youngsuk; Sohn, Joonhong

2014-08-01

To determine if short term effects of intravitreal anti-vascular endothelial growth factor or steroid injection are correlated with fluid turbidity, as detected by spectral domain optical coherence tomography (SD-OCT) in diabetic macular edema (DME) patients. A total of 583 medical records were reviewed and 104 cases were enrolled. Sixty eyes received a single intravitreal bevacizumab injection (IVB) on the first attack of DME and 44 eyes received triamcinolone acetonide treatment (IVTA). Intraretinal fluid turbidity in DME patients was estimated with initial intravitreal SD-OCT and analyzed with color histograms from a Photoshop program. Central macular thickness and visual acuity using a logarithm from the minimum angle of resolution chart, were assessed at the initial period and 2 months after injections. Visual acuity and central macular thickness improved after injections in both groups. In the IVB group, visual acuity and central macular thickness changed less as the intraretinal fluid became more turbid. In the IVTA group, visual acuity underwent less change while central macular thickness had a greater reduction (r = -0.675, p = 0.001) as the intraretinal fluid was more turbid. IVB and IVTA injections were effective in reducing central macular thickness and improving visual acuity in DME patients. Further, fluid turbidity, which was detected by SD-OCT may be one of the indexes that highlight the influence of the steroid-dependent pathogenetic mechanism.
Chagas disease

MedlinePlus

... the walls Living in Central or South America Poverty Receiving a blood transfusion from a person who ... by URAC, also known as the American Accreditation HealthCare Commission (www.urac.org). URAC's accreditation program is ...
Whole Neuraxis Irradiation to Address Central Nervous System Relapse in High-Risk Neuroblastoma

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

Croog, Victoria J., E-mail: vcroog@sibley.or; Kramer, Kim; Cheung, Nai-Kong V.

Background: As systemic control of high-risk neuroblastoma (NB) has improved, relapse in the central nervous system (CNS) is an increasingly recognized entity that carries a grim prognosis. This study describes the use of craniospinal irradiation (CSI) for CNS relapse and compares outcomes to patients who received focal radiotherapy (RT). Methods: A retrospective query identified 29 children with NB treated at Memorial Sloan-Kettering Cancer Center since 1987 who received RT for CNS relapse. At CNS relapse, 16 patients received CSI (median dose, 2160cGy), and 13 received focal RT. Of those who underwent CSI, 14 (88%) received intra-Ommaya (IO) radioimmunotherapy (RIT); onemore » patient in the non-CSI cohort received IO-RIT. Results: Patient characteristics were similar between the groups. Time to CNS relapse was 20 and 17 months for the CSI and non-CSI cohorts, respectively. At a median follow-up of 28 months, 12 patients (75%) in the CSI group are alive without CNS disease, including two patients with isolated skeletal relapse. Another patient is alive without disease after a brain relapse was retreated with RT. Three patients died-one with no NB at autopsy, one of CNS disease, and one of systemic disease. The two patients who died of NB did not receive IO-RIT. All 13 patients in the non-CSI cohort died at a median of 8.8 months. Conclusions: Low-dose CSI together with IO-RIT provides durable CNS remissions and improved survival compared with focal RT and conventional therapies. Further evaluation of long-term NB survivors after CSI is warranted to determine the treatment consequences for this cohort.« less
Adaptive receiver structures for asynchronous CDMA systems

NASA Astrophysics Data System (ADS)

Rapajic, Predrag B.; Vucetic, Branka S.

1994-05-01

Adaptive linear and decision feedback receiver structures for coherent demodulation in asynchronous code division multiple access (CDMA) systems are considered. It is assumed that the adaptive receiver has no knowledge of the signature waveforms and timing of other users. The receiver is trained by a known training sequence prior to data transmission and continuously adjusted by an adaptive algorithm during data transmission. The proposed linear receiver is as simple as a standard single-user detector receiver consisting of a matched filter with constant coefficients, but achieves essential advantages with respect to timing recovery, multiple access interference elimination, near/far effect, narrowband and frequency-selective fading interference suppression, and user privacy. An adaptive centralized decision feedback receiver has the same advantages of the linear receiver but, in addition, achieves a further improvement in multiple access interference cancellation at the expense of higher complexity. The proposed receiver structures are tested by simulation over a channel with multipath propagation, multiple access interference, narrowband interference, and additive white Gaussian noise.
The social network of international health aid.

PubMed

Han, Lu; Koenig-Archibugi, Mathias; Opsahl, Tore

2018-06-01

International development assistance for health generates an emergent social network in which policy makers in recipient countries are connected to numerous bilateral and multilateral aid agencies and to other aid recipients. Ties in this global network are channels for the transmission of knowledge, norms and influence in addition to material resources, and policy makers in centrally situated governments receive information faster and are exposed to a more diverse range of sources and perspectives. Since diversity of perspectives improves problem-solving capacity, the structural position of aid-receiving governments in the health aid network can affect the health outcomes that those governments are able to attain. We apply a recently developed Social Network Analysis measure to health aid data for 1990-2010 to investigate the relationship between country centrality in the health aid network and improvements in child health. A generalized method of moments (GMM) analysis indicates that, controlling for the volume of health aid and other factors, higher centrality in the health aid network is associated with better child survival rates in a sample of 110 low and middle income countries. Copyright © 2018 Elsevier Ltd. All rights reserved.
15 CFR 29.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2011 CFR

2011-01-01

... contracts that I receive? 29.115 Section 29.115 Commerce and Foreign Trade Office of the Secretary of... § 29.115 Does this part affect the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as...
43 CFR 43.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2010 CFR

2010-10-01

... contracts that I receive? 43.115 Section 43.115 Public Lands: Interior Office of the Secretary of the... § 43.115 Does this part affect the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as...
15 CFR 29.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2010 CFR

2010-01-01

... contracts that I receive? 29.115 Section 29.115 Commerce and Foreign Trade Office of the Secretary of... § 29.115 Does this part affect the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as...
15 CFR 29.115 - Does this part affect the Federal contracts that I receive?

Code of Federal Regulations, 2013 CFR

2013-01-01

... contracts that I receive? 29.115 Section 29.115 Commerce and Foreign Trade Office of the Secretary of... § 29.115 Does this part affect the Federal contracts that I receive? It will affect future contract awards indirectly if you are debarred or suspended for a violation of the requirements of this part, as...

Integrating ecosystem services analysis into scenario planning practice: accounting for street tree benefits with i-Tree valuation in Central Texas.

PubMed

Hilde, Thomas; Paterson, Robert

2014-12-15

Scenario planning continues to gain momentum in the United States as an effective process for building consensus on long-range community plans and creating regional visions for the future. However, efforts to integrate more sophisticated information into the analytical framework to help identify important ecosystem services have lagged in practice. This is problematic because understanding the tradeoffs of land consumption patterns on ecological integrity is central to mitigating the environmental degradation caused by land use change and new development. In this paper we describe how an ecosystem services valuation model, i-Tree, was integrated into a mainstream scenario planning software tool, Envision Tomorrow, to assess the benefits of public street trees for alternative future development scenarios. The tool is then applied to development scenarios from the City of Hutto, TX, a Central Texas Sustainable Places Project demonstration community. The integrated tool represents a methodological improvement for scenario planning practice, offers a way to incorporate ecosystem services analysis into mainstream planning processes, and serves as an example of how open source software tools can expand the range of issues available for community and regional planning consideration, even in cases where community resources are limited. The tool also offers room for future improvements; feasible options include canopy analysis of various future land use typologies, as well as a generalized street tree model for broader U.S. application. Copyright © 2014 Elsevier Ltd. All rights reserved.
End-of-Life Care in Nunavik, Quebec: Inuit Experiences, Current Realities, and Ways Forward.

PubMed

Hordyk, Shawn Renee; Macdonald, Mary Ellen; Brassard, Paul

2017-06-01

Increasing longevity for Inuit living in Nunavik, northern Quebec, has resulted in heightened rates of cancers and chronic diseases necessitating complex treatments. Consequently, end-of-life (EOL) care, once the domain of Inuit families and communities, has come to include professionalized healthcare providers with varying degrees of awareness of factors to consider in providing care to Inuit populations. To better understand the factors shaping EOL care in Nunavik to support the development of a sustainable model of care. Using focused ethnography, we conducted participant observations and informal and semistructured interviews with 103 participants (community members, healthcare practitioners, and administrators) across Nunavik and in Montreal, the affiliated tertiary care center. Data domains included the following: care trajectories; patient and family experiences receiving and providing EOL care; local and urban resources and challenges; and ways forward. Sociocultural, historical, and geographic factors shape EOL care in Nunavik, presenting a complex set of challenges for Inuit patients, families, and healthcare providers. A sustainable model of EOL care requires building on shared initiatives, capitalizing on the existing strengths in communities, and attending to the multiple bereavement needs in the region. Building a sustainable model of EOL care requires respectful collaboration among governing structures, healthcare institutions, and community members. It must centrally value local knowledge and initiatives. To ensure Inuit families and patients are supported throughout the dying process, future initiatives must centrally include local stakeholders in both the design and evaluation of any changes to the current healthcare system.
The ALICE DAQ infoLogger

NASA Astrophysics Data System (ADS)

Chapeland, S.; Carena, F.; Carena, W.; Chibante Barroso, V.; Costa, F.; Dénes, E.; Divià, R.; Fuchs, U.; Grigore, A.; Ionita, C.; Delort, C.; Simonetti, G.; Soós, C.; Telesca, A.; Vande Vyvre, P.; Von Haller, B.; Alice Collaboration

2014-04-01

ALICE (A Large Ion Collider Experiment) is a heavy-ion experiment studying the physics of strongly interacting matter and the quark-gluon plasma at the CERN LHC (Large Hadron Collider). The ALICE DAQ (Data Acquisition System) is based on a large farm of commodity hardware consisting of more than 600 devices (Linux PCs, storage, network switches). The DAQ reads the data transferred from the detectors through 500 dedicated optical links at an aggregated and sustained rate of up to 10 Gigabytes per second and stores at up to 2.5 Gigabytes per second. The infoLogger is the log system which collects centrally the messages issued by the thousands of processes running on the DAQ machines. It allows to report errors on the fly, and to keep a trace of runtime execution for later investigation. More than 500000 messages are stored every day in a MySQL database, in a structured table keeping track for each message of 16 indexing fields (e.g. time, host, user, ...). The total amount of logs for 2012 exceeds 75GB of data and 150 million rows. We present in this paper the architecture and implementation of this distributed logging system, consisting of a client programming API, local data collector processes, a central server, and interactive human interfaces. We review the operational experience during the 2012 run, in particular the actions taken to ensure shifters receive manageable and relevant content from the main log stream. Finally, we present the performance of this log system, and future evolutions.
Moho depth model for the Central Asian Orogenic Belt from satellite gravity gradients

NASA Astrophysics Data System (ADS)

Guy, Alexandra; Holzrichter, Nils; Ebbing, Jörg

2017-09-01

The main purpose of this study is to construct a new 3-D model of the Central Asian Orogenic Belt (CAOB) crust, which can be used as a starting point for future lithospheric studies. The CAOB is a Paleozoic accretionary orogen surrounded by the Siberian Craton to the north and the North China and Tarim Cratons to the south. This area is of great interest due to its enigmatic and still not completely understood geodynamic evolution. First, we estimate an initial crustal thickness by inversion of the vertical gravity component of the Gravity Field and Steady-State Ocean Circulation Explorer (GOCE) and DTU10 models. Second, 3-D forward modeling of the GOCE gravity gradients is performed, which determines the topography of the Moho, the geometry, and the density distribution of the deeper parts of the CAOB and its surroundings, taking into account the lateral and vertical density variations of the crust. The model is constrained by seismic refraction, reflection, and receiver function studies and geological studies. In addition, we discuss the isostatic implications of the differences between the seismic Moho and the resulting 3-D gravity Moho, complemented by the analysis of the lithostatic load distribution at the upper mantle level. Finally, the correlation between the contrasting tectonic domains and the thickness of the crust reveals the inheritance of Paleozoic and Mesozoic geodynamics, particularly the magmatic provinces and the orocline which preserve their crustal features.
Central institutional review board review for an academic trial network.

PubMed

Kaufmann, Petra; O'Rourke, P Pearl

2015-03-01

Translating discoveries into therapeutics is often delayed by lengthy start-up periods for multicenter clinical trials. One cause of delay can be multiple institutional review board (IRB) reviews of the same protocol. When developing the Network for Excellence in Neuroscience Clinical Trials (NeuroNEXT; hereafter, NN), the National Institute of Neurological Disorders and Stroke (NINDS) established a central IRB (CIRB) based at Massachusetts General Hospital, the academic medical center that received the NN clinical coordinating center grant. The 25 NN sites, located at U.S. academic institutions, agreed to required CIRB use for NN trials. To delineate roles and establish legal relationships between the NN sites and the CIRB, the CIRB executed reliance agreements with the sites and their affiliates that hold federalwide assurance for the protection of human subjects (FWA); this took, on average, 84 days. The first NN protocol reviewed by the CIRB achieved full approval to allow participant enrollment within 56 days and went from grant award to the first patient visit in less than four months. The authors describe anticipated challenges related to institutional oversight responsibilities versus regulatory CIRB review as well as unanticipated challenges related to working with complex organizations that include multiple FWA-holding affiliates. The authors anticipate that CIRB use will decrease NN trial start-up time and thus promote efficient trial implementation. They plan to collect data on timelines and costs associated with CIRB use. The NINDS plans to promote CIRB use in future initiatives.
Current findings on the role of oxytocin in the regulation of food intake.

PubMed

Spetter, Maartje S; Hallschmid, Manfred

2017-07-01

In the face of the alarming prevalence of obesity and its associated metabolic impairments, it is of high basic and clinical interest to reach a complete understanding of the central nervous pathways that establish metabolic control. In recent years, the hypothalamic neuropeptide oxytocin, which is primarily known for its involvement in psychosocial processes and reproductive behavior, has received increasing attention as a modulator of metabolic function. Oxytocin administration to the brain of normal-weight animals, but also animals with diet-induced or genetically engineered obesity reduces food intake and body weight, and can also increase energy expenditure. Up to now, only a handful of studies in humans have investigated oxytocin's contribution to the regulation of eating behavior. Relying on the intranasal pathway of oxytocin administration, which is a non-invasive strategy to target central nervous oxytocin receptors, these experiments have yielded some promising first results. In normal-weight and obese individuals, intranasal oxytocin acutely limits meal intake and the consumption of palatable snacks. It is still unclear to which extent - or if at all - such metabolic effects of oxytocin in humans are conveyed or modulated by oxytocin's impact on cognitive processes, in particular on psychosocial function. We shortly summarize the current literature on oxytocin's involvement in food intake and metabolic control, ponder potential links to social and cognitive processes, and address future perspectives as well as limitations of oxytocin administration in experimental and clinical contexts. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.
Spatial navigation, episodic memory, episodic future thinking, and theory of mind in children with autism spectrum disorder: evidence for impairments in mental simulation?

PubMed Central

Lind, Sophie E.; Bowler, Dermot M.; Raber, Jacob

2014-01-01

This study explored spatial navigation alongside several other cognitive abilities that are thought to share common underlying neurocognitive mechanisms (e.g., the capacity for self-projection, scene construction, or mental simulation), and which we hypothesized may be impaired in autism spectrum disorder (ASD). Twenty intellectually high-functioning children with ASD (with a mean age of ~8 years) were compared to 20 sex, age, IQ, and language ability matched typically developing children on a series of tasks to assess spatial navigation, episodic memory, episodic future thinking (also known as episodic foresight or prospection), theory of mind (ToM), relational memory, and central coherence. This is the first study to explore these abilities concurrently within the same sample. Spatial navigation was assessed using the “memory island” task, which involves finding objects within a realistic, computer simulated, three-dimensional environment. Episodic memory and episodic future thinking were assessed using a past and future event description task. ToM was assessed using the “animations” task, in which children were asked to describe the interactions between two animated triangles. Relational memory was assessed using a recognition task involving memory for items (line drawings), patterned backgrounds, or combinations of items and backgrounds. Central coherence was assessed by exploring differences in performance across segmented and unsegmented versions of block design. Children with ASD were found to show impairments in spatial navigation, episodic memory, episodic future thinking, and central coherence, but not ToM or relational memory. Among children with ASD, spatial navigation was found to be significantly negatively related to the number of repetitive behaviors. In other words, children who showed more repetitive behaviors showed poorer spatial navigation. The theoretical and practical implications of the results are discussed. PMID:25538661
Spatial navigation, episodic memory, episodic future thinking, and theory of mind in children with autism spectrum disorder: evidence for impairments in mental simulation?

PubMed

Lind, Sophie E; Bowler, Dermot M; Raber, Jacob

2014-01-01

This study explored spatial navigation alongside several other cognitive abilities that are thought to share common underlying neurocognitive mechanisms (e.g., the capacity for self-projection, scene construction, or mental simulation), and which we hypothesized may be impaired in autism spectrum disorder (ASD). Twenty intellectually high-functioning children with ASD (with a mean age of ~8 years) were compared to 20 sex, age, IQ, and language ability matched typically developing children on a series of tasks to assess spatial navigation, episodic memory, episodic future thinking (also known as episodic foresight or prospection), theory of mind (ToM), relational memory, and central coherence. This is the first study to explore these abilities concurrently within the same sample. Spatial navigation was assessed using the "memory island" task, which involves finding objects within a realistic, computer simulated, three-dimensional environment. Episodic memory and episodic future thinking were assessed using a past and future event description task. ToM was assessed using the "animations" task, in which children were asked to describe the interactions between two animated triangles. Relational memory was assessed using a recognition task involving memory for items (line drawings), patterned backgrounds, or combinations of items and backgrounds. Central coherence was assessed by exploring differences in performance across segmented and unsegmented versions of block design. Children with ASD were found to show impairments in spatial navigation, episodic memory, episodic future thinking, and central coherence, but not ToM or relational memory. Among children with ASD, spatial navigation was found to be significantly negatively related to the number of repetitive behaviors. In other words, children who showed more repetitive behaviors showed poorer spatial navigation. The theoretical and practical implications of the results are discussed.
17 CFR 240.15c3-3 - Customer protection-reserves and custody of securities.

Code of Federal Regulations, 2010 CFR

2010-04-01

... or dealer has received or acquired or holds funds or securities for the account of that person. The... extent that broker or dealer maintains an omnibus account for the account of customers with the broker or... person has a claim for security futures products held in a futures account, or any security futures...
Analysis of Dose at the Site of Second Tumor Formation After Radiotherapy to the Central Nervous System

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

Galloway, Thomas J.; University of Florida Proton Therapy Institute, Jacksonville, FL; Indelicato, Daniel J., E-mail: dindelicato@floridaproton.org

Purpose: Second tumors are an uncommon complication of multimodality treatment of childhood cancer. The present analysis attempted to correlate the dose received as a component of primary treatment and the site of the eventual development of a second tumor. Methods and Materials: We retrospectively identified 16 patients who had received radiotherapy to sites in the craniospinal axis and subsequently developed a second tumor. We compared the historical fields and port films of the primary treatment with the modern imaging of the second tumor locations. We classified the location of the second tumors as follows: in the boost field; marginal tomore » the boost field, but in a whole-brain field; in a whole-brain field; marginal to the whole brain/primary treatment field; and distant to the field. We divided the dose received into 3 broad categories: high dose (>45 Gy), moderate dose (20-36 Gy), and low dose (<20 Gy). Results: The most common location of the second tumor was in the whole brain field (57%) and in the moderate-dose range (81%). Conclusions: Our data contradict previous publications that suggested that most second tumors develop in tissues that receive a low radiation dose. Almost all the second tumors in our series occurred in tissue within a target volume in the cranium that had received a moderate dose (20-36 Gy). These findings suggest that a major decrease in the brain volume that receives a moderate radiation dose is the only way to substantially decrease the second tumor rate after central nervous system radiotherapy.« less
Risk of Infection Using Peripherally Inserted Central and Umbilical Catheters in Preterm Neonates.

PubMed

Shalabi, Mohamed; Adel, Mohamed; Yoon, Eugene; Aziz, Khalid; Lee, Shoo; Shah, Prakesh S

2015-12-01

To compare the rates of catheter-associated bloodstream infection (CABSI) in preterm infants born at <30 weeks' gestation who received a peripherally inserted central catheter (PICC) versus an umbilical venous catheter (UVC) immediately after birth as their primary venous access. This retrospective matched cohort study examined data from infants born at <30 weeks' gestation and admitted between January 2010 and December 2013 to neonatal units in the Canadian Neonatal Network. Eligible infants who received a PICC on the first day after birth (day 1) were matched with 2 additional groups of infants, those who received a UVC on day 1 and those who received a UVC on day 1 that was then changed for a PICC after 4 days or more. The primary outcome was number of infants with CABSI per 1000 catheter days, which was compared between the 3 groups using multivariable analyses. Data from 540 eligible infants were reviewed (180 per group). There was no significant difference in infants with CABSI/1000 catheter days between the 3 groups (9.3 vs 7.8 vs 8.2/1000 catheter days, respectively; P > .05) despite lower rates of late onset sepsis in the group of infants who received only a UVC. There was no significant difference in the incidence of CABSI between very preterm neonates who received a PICC, UVC, or UVC followed by PICC as the primary mode of venous access after birth. A prospective randomized controlled trial is justified to further guide practice regarding primary venous access and reduction of infection. Copyright © 2015 by the American Academy of Pediatrics.
Intravitreal Aflibercept Injection for Macular Edema Resulting from Central Retinal Vein Occlusion: One-Year Results of the Phase 3 GALILEO Study.

PubMed

Korobelnik, Jean-François; Holz, Frank G; Roider, Johann; Ogura, Yuichiro; Simader, Christian; Schmidt-Erfurth, Ursula; Lorenz, Katrin; Honda, Miki; Vitti, Robert; Berliner, Alyson J; Hiemeyer, Florian; Stemper, Brigitte; Zeitz, Oliver; Sandbrink, Rupert

2014-01-01

To evaluate the efficacy and safety of intravitreal aflibercept injections for treatment of macular edema secondary to central retinal vein occlusion (CRVO). A randomized, multicenter, double-masked phase 3 study. A total of 177 treatment-naive patients with macular edema secondary to CRVO were randomized in a 3:2 ratio. Patients received either 2-mg intravitreal aflibercept or sham injections every 4 weeks for 20 weeks. From week 24 to 48, the aflibercept group received aflibercept as needed (pro re nata [PRN]), and the sham group continued receiving sham injections. The primary efficacy end point was the proportion of patients who gained 15 letters or more in best-corrected visual acuity (BCVA) at week 24. This study reports week 52 results including the proportion of patients who gained 15 letters or more in BCVA and the mean change from baseline BCVA and central retinal thickness. Efficacy end points at week 52 were all exploratory. At week 52, the mean percentage of patients gaining 15 letters or more was 60.2% in the aflibercept group and 32.4% in the sham group (P = 0.0004). Aflibercept patients, compared with sham patients, had a significantly higher mean improvement in BCVA (+16.9 letters vs. +3.8 letters, respectively) and reduction in central retinal thickness (-423.5 μm vs. -219.3 μm, respectively) at week 52 (P < 0.0001 for both). Aflibercept patients received a mean of 2.5 injections (standard deviation, 1.7 injections) during PRN dosing. The most common ocular adverse events in the aflibercept group were related to the injection procedure or the underlying disease, and included macular edema (33.7%), increased intraocular pressure (17.3%), and eye pain (14.4%). Treatment with intravitreal aflibercept provided significant functional and anatomic benefits after 52 weeks as compared with sham. The improvements achieved after 6 monthly doses at week 24 largely were maintained until week 52 with as-needed dosing. Intravitreal aflibercept generally was well tolerated. Copyright © 2014 American Academy of Ophthalmology. Published by Elsevier Inc. All rights reserved.
Franchising the Future

ERIC Educational Resources Information Center

Colomb, Gregory G.

2010-01-01

Central to the future of rhetoric and composition (or writing studies or whatever label we use) is the service mission of composition: to teach students to write. But that term "service" has not and will not serve us well. This essay examines the limitations and dangers of a service mission and explores a different model, that of a franchise, a…
The future of graduate medical education in Germany - position paper of the Committee on Graduate Medical Education of the Society for Medical Education (GMA).

PubMed

David, Dagmar M; Euteneier, Alexander; Fischer, Martin R; Hahn, Eckhart G; Johannink, Jonas; Kulike, Katharina; Lauch, Robert; Lindhorst, Elmar; Noll-Hussong, Michael; Pinilla, Severin; Weih, Markus; Wennekes, Vanessa

2013-01-01

The German graduate medical education system is going through an important phase of changes. Besides the ongoing reform of the national guidelines for graduate medical education (Musterweiterbildungsordnung), other factors like societal and demographic changes, health and research policy reforms also play a central role for the future and competitiveness of graduate medical education. With this position paper, the committee on graduate medical education of the Society for Medical Education (GMA) would like to point out some central questions for this process and support the current discourse. As an interprofessional and interdisciplinary scientific society, the GMA has the resources to contribute in a meaningful way to an evidence-based and future-oriented graduate medical education strategy. In this position paper, we use four key questions with regards to educational goals, quality assurance, teaching competence and policy requirements to address the core issues for the future of graduate medical education in Germany. The GMA sees its task in contributing to the necessary reform processes as the only German speaking scientific society in the field of medical education.
In situ reactor

DOEpatents

Radtke, Corey William; Blackwelder, David Bradley

2004-01-27

An in situ reactor for use in a geological strata, is described and which includes a liner defining a centrally disposed passageway and which is placed in a borehole formed in the geological strata; and a sampling conduit is received within the passageway defined by the liner and which receives a geological specimen which is derived from the geological strata, and wherein the sampling conduit is in fluid communication with the passageway defined by the liner.
Neurogenic orthostatic hypotension: roles of norepinephrine deficiency in its causes, its treatment, and future research directions.

PubMed

Loavenbruck, Adam; Sandroni, Paola

2015-11-01

Although a diversity of neurotransmitters and hormones participate in controlling blood pressure, norepinephrine released from postganglionic sympathetic nerve terminals is an important mediator of the rapid regulation of cardiovascular function required for homeostasis of cerebral perfusion. Hence, neurogenic orthostatic hypotension (NOH) often represents a deficiency of noradrenergic responsiveness to postural change. PubMed searches with 'orthostatic hypotension' and 'norepinephrine' as conjoint search terms and no restriction on language or date, so as to survey the pathophysiologic and clinical relevance of norepinephrine deficiency for current NOH interventions and for future directions in treatment and research. Norepinephrine deficiency in NOH can arise peripherally, due to cardiovascular sympathetic denervation (as in pure autonomic failure, Parkinson's disease, and a variety of neuropathies), or centrally, due to a failure of viscerosensory signals to generate adequate sympathetic traffic to intact sympathetic nerve endings (as in multiple system atrophy). Nonpharmacologic countermeasures such as pre-emptive water intake may yield blood-pressure increases exceeding those achieved pharmacologically. For patients with symptomatic NOH unresponsive to such strategies, a variety of pharmacologic interventions have been administered off-label on the basis of drug mechanisms expected to increase blood pressure via blood-volume expansion or vasoconstriction. Two pressor agents have received FDA approval: the sympathomimetic midodrine and more recently the norepinephrine prodrug droxidopa. Pressor agents are important for treating symptomatic NOH in patients unresponsive to lifestyle changes alone. However, the dysautonomia underlying NOH often permits blood-pressure excursions toward both hypotension and hypertension. Future research should aim to shed light on the resulting management issues, and should also explore the possibility of pharmacotherapy selectively targeting orthostatic blood-pressure decreases.
An unusual case of central diabetes insipidus & hyperglycemic hyperosmolar state following cardiorespiratory arrest

PubMed Central

2013-01-01

Background We are describing an unusual case of severe hyperglycemia and hypernatremia, resistant to treatment. Case presentation A thirty year old female with adenocarcinoma of rectum was admitted with increasing lethargy, headache and drowsiness. She deteriorated rapidly and had cardiac arrest, following which she remained comatose. Her initial serum glucose and sodium were normal, but after receiving dexamethasone and mannitol, the serum glucose progressively increased to 54.7 mmol/L and sodium to 175 mmol/L, despite receiving very high dose of intravenous (IV) insulin infusion. She was evaluated for diabetes insipidus because of continued polyuria even after correction of hyperglycemia. Her serum osmolality was 337 mmol/kg, and urine osmolality was 141 mmol/kg which rose to 382 mmol/kg, after receiving 4 mcg of IV Desmopressin. Conclusion Our patient developed central diabetes insipidus post cardiac arrest and severe dehydration because of diabetes insipidus. Stress of critical illness, dehydration, dexamethasone and IV dextrose infusion were likely responsible for this degree of severe and resistant to treatment hyperglycemia. PMID:23947429
Hydrological climate change projections for Central America

NASA Astrophysics Data System (ADS)

Hidalgo, Hugo G.; Amador, Jorge A.; Alfaro, Eric J.; Quesada, Beatriz

2013-07-01

Runoff climate change projections for the 21st century were calculated from a suite of 30 General Circulation Model (GCM) simulations for the A1B emission scenario in a 0.5° × 0.5° grid over Central America. The GCM data were downscaled using a version of the Bias Correction and Spatial Downscaling (BCSD) method and then used in the Variable Infiltration Capacity (VIC) macroscale hydrological model. The VIC model showed calibration skill in Honduras, Nicaragua, Costa Rica and Panama, but the results for some of the northern countries (Guatemala, El Salvador and Belize) and for the Caribbean coast of Central America was not satisfactory. Bias correction showed to remove effectively the biases in the GCMs. Results of the projected climate in the 2050-2099 period showed median significant reductions in precipitation (as much as 5-10%) and runoff (as much as 10-30%) in northern Central America. Therefore in this sub-region the prevalence of severe drought may increase significantly in the future under this emissions scenario. Northern Central America could warm as much as 3 °C during 2050-2099 and southern Central America could reach increases as much as 4 °C during the same period. The projected dry pattern over Central America is consistent with a southward displacement of the Intertropical Convergence Zone (ITCZ). In addition, downscaling of the NCEP/NCAR Reanalysis data from 1948 to 2012 and posterior run in VIC, for two locations in the northern and southern sub-regions of Central America, suggested that the annual runoff has been decreasing since ca. 1980, which is consistent with the sign of the runoff changes of the GCM projections. However, the Reanalysis 1980-2012 drying trends are generally much stronger than the corresponding GCM trends. Among the possible reasons for that discrepancy are model deficiencies, amplification of the trends due to constructive interference with natural modes of variability in the Reanalysis data, errors in the Reanalysis (modeled) precipitation data, and that the drying signal is more pronounced than predicted by the emissions scenario used. A few studies show that extrapolations of future climate from paleoclimatic indicators project a wetter climate in northern Central America, which is inconsistent with the modeling results presented here. However, these types of extrapolations should be done with caution, as the future climate responds to an extra forcing mechanism (anthropogenic) that was not present prehistorically and therefore the response could also be different than in the past.
Revisiting historical climatic signals to better explore the future: prospects of water cycle changes in Central Sahel

NASA Astrophysics Data System (ADS)

Leauthaud, C.; Demarty, J.; Cappelaere, B.; Grippa, M.; Kergoat, L.; Velluet, C.; Guichard, F.; Mougin, E.; Chelbi, S.; Sultan, B.

2015-06-01

Rainfall and climatic conditions are the main drivers of natural and cultivated vegetation productivity in the semiarid region of Central Sahel. In a context of decreasing cultivable area per capita, understanding and predicting changes in the water cycle are crucial. Yet, it remains challenging to project future climatic conditions in West Africa since there is no consensus on the sign of future precipitation changes in simulations coming from climate models. The Sahel region has experienced severe climatic changes in the past 60 years that can provide a first basis to understand the response of the water cycle to non-stationary conditions in this part of the world. The objective of this study was to better understand the response of the water cycle to highly variable climatic regimes in Central Sahel using historical climate records and the coupling of a land surface energy and water model with a vegetation model that, when combined, simulated the Sahelian water, energy and vegetation cycles. To do so, we relied on a reconstructed long-term climate series in Niamey, Republic of Niger, in which three precipitation regimes can be distinguished with a relative deficit exceeding 25% for the driest period compared to the wettest period. Two temperature scenarios (+2 and +4 °C) consistent with future warming scenarios were superimposed to this climatic signal to generate six virtual future 20-year climate time series. Simulations by the two coupled models forced by these virtual scenarios showed a strong response of the water budget and its components to temperature and precipitation changes, including decreases in transpiration, runoff and drainage for all scenarios but those with highest precipitation. Such climatic changes also strongly impacted soil temperature and moisture. This study illustrates the potential of using the strong climatic variations recorded in the past decades to better understand potential future climate variations.
Central Control and Automation Systems: A Management and Procurement Handbook. Second Edition.

ERIC Educational Resources Information Center

Association of Physical Plant Administrators of Universities and Colleges, Washington, DC.

It is presumed that those reading this book presently own and operate a central control and monitoring system (CCMS) or plan to implement one in the near future. One objective of this workbook is to present useful knowledge from case histories of members of the Association of Physical Plant Administrators of Universities and Colleges as well as…

Spatiotemporal dynamics of simulated wildfire, forest management, and forest succession in central Oregon, USA

Treesearch

Ana M. G. Barros; Alan A. Ager; Michelle A. Day; Haiganoush K. Preisler; Thomas A. Spies; Eric White; Robert J. Pabst; Keith A. Olsen; Emily Platt; John D. Bailey; John P. Bolte

2017-01-01

We use the simulation model Envision to analyze long-term wildfire dynamics and the effects of different fuel management scenarios in central Oregon, USA. We simulated a 50-year future where fuel management activities were increased by doubling and tripling the current area treated while retaining existing treatment strategies in terms of spatial distribution and...
Central America: Current Crisis and Future Prospects. Foreign Policy Association Headline Series, No. 271.

ERIC Educational Resources Information Center

Dominguez, Jorge I.; Lindenberg, Marc

One of a series of booklets on world issues, this document summarizes some of the salient aspects of Central America with special attention given to Nicaragua and El Salvador. The booklet identifies the interests, policies, and choices of the major actors in the drama that engulfs the region and, increasingly, much of the world. Chapter one…
Race to the Top Leaves Children and Future Citizens behind: The Devastating Effects of Centralization, Standardization, and High Stakes Accountability

ERIC Educational Resources Information Center

Onosko, Joe

2011-01-01

President Barack Obama's Race to the Top (RTT) is a profoundly flawed educational reform plan that increases standardization, centralization, and test-based accountability in our nation's schools. Following a brief summary of the interest groups supporting the plan, who is currently participating in this race, why so many states voluntarily…
Historical trends and projections of land use for the South-Central United States.

Treesearch

SoEun Ahn; Andrew J. Plantinga; Ralph J. Alig

2000-01-01

This report presents historical trends and future projections of forest, agricultural, and urban and other land uses for the South-Central United States. A land use share model is used to investigate the relation between the areas of land in alternative uses and economic and demographic factors influencing land use decisions. Two different versions of the empirical...
Preservation of Lithocarpus densiflorus diversity on California?s central Coast: a cooperative project with area residents

Treesearch

Steven Swain; Doug Schmidt; Matteo Garbelotto

2008-01-01

The tanoak (Lithocarpus densiflorus) stands of California?s central coast have suffered high mortality rates due to infection by Phytophthora ramorum. Treatment programs were put in place to test the efficacy of phosphonate compounds in real world situations, to preserve some germplasm and ecosystem elements for future research, and to help mitigate...
Beyond the bundle: a survey of central line-associated bloodstream infection prevention practices used in US and Canadian pediatric hospitals.

PubMed

Klieger, Sarah B; Potter-Bynoe, Gail; Quach, Caroline; Sandora, Thomas J; Coffin, Susan E

2013-11-01

We surveyed US and Canadian pediatric hospitals about their use of central line-associated bloodstream infection (CLABSI) prevention strategies beyond typical insertion and maintenance bundles. We found wide variation in supplemental strategies across hospitals and in their penetration within hospitals. Future studies should assess specific adjunctive prevention strategies and CLABSI rates.
Good Practice in Promoting Gender Equality in Higher Education in Central and Eastern Europe. Studies on Higher Education.

ERIC Educational Resources Information Center

Grunberg, Laura

This volume publishes the results of the United Nations Educational, Scientific, and Cultural Organization (UNESCO) European Centre for Higher Education (CEPES) project, Good Practice in Promoting Gender Inequality in Higher Education in Central and Eastern Europe and the former Soviet Countries. These case studies offer hope for a future in which…
Reaction to the Special Issue on Centralizing the Experiences of LGB People of Color in Counseling Psychology

ERIC Educational Resources Information Center

Zea, Maria Cecilia

2010-01-01

This reaction article comments on the Major Contribution "Centralizing the Experiences of LGB People of Color in Counseling Psychology." The content analysis of the published literature on lesbian, gay, and bisexual (LGB) people of color from 1998 to 2007 provides much-needed information that will help psychologists set future research agendas and…
Demonstrating appropriate silviculture for sustainable forestry in central Siberia: a Russian - American partnership

Treesearch

J. C. Brissette; S. T. Eubanks; A. J. R. Gillespie; R. J. Lasko; A. V. Rykoff

1997-01-01

A joint Northeastern Forest Experiment Station - Eastern Region team is working with Russian counterparts on a Forests for the Future Initiative in the Krasnoyarsk region of central Siberia. Russian team members include scientists from the Sukachev Institute of the Russian Academy of Sciences, managers from a number of units of the Federal Forest Service of Russia, and...
Why Communication Education Is Important: A Third Study on the Centrality of the Discipline's Content and Pedagogy

ERIC Educational Resources Information Center

Morreale, Sherwyn P.; Valenzano, Joseph M.; Bauer, Janessa A.

2017-01-01

The results of this study argue that communication, and specifically oral communication education, is critical to students' future personal and professional success. Similar to two earlier studies, thematic analysis of 679 documents in academic and popular press publications, published from 2008 to 2015, provide support for the centrality of the…
Distribution and Numbers of Pygmies in Central African Forests

PubMed Central

Olivero, Jesús; Fa, John E.; Farfán, Miguel A.; Lewis, Jerome; Hewlett, Barry; Breuer, Thomas; Carpaneto, Giuseppe M.; Fernández, María; Germi, Francesco; Hattori, Shiho; Head, Josephine; Ichikawa, Mitsuo; Kitanaishi, Koichi; Knights, Jessica; Matsuura, Naoki; Migliano, Andrea; Nese, Barbara; Noss, Andrew; Ekoumou, Dieudonné Ongbwa; Paulin, Pascale; Real, Raimundo; Riddell, Mike; Stevenson, Edward G. J.; Toda, Mikako; Vargas, J. Mario; Yasuoka, Hirokazu; Nasi, Robert

2016-01-01

Pygmy populations occupy a vast territory extending west-to-east along the central African belt from the Congo Basin to Lake Victoria. However, their numbers and actual distribution is not known precisely. Here, we undertake this task by using locational data and population sizes for an unprecedented number of known Pygmy camps and settlements (n = 654) in five of the nine countries where currently distributed. With these data we develop spatial distribution models based on the favourability function, which distinguish areas with favourable environmental conditions from those less suitable for Pygmy presence. Highly favourable areas were significantly explained by presence of tropical forests, and by lower human pressure variables. For documented Pygmy settlements, we use the relationship between observed population sizes and predicted favourability values to estimate the total Pygmy population throughout Central Africa. We estimate that around 920,000 Pygmies (over 60% in DRC) is possible within favourable forest areas in Central Africa. We argue that fragmentation of the existing Pygmy populations, alongside pressure from extractive industries and sometimes conflict with conservation areas, endanger their future. There is an urgent need to inform policies that can mitigate against future external threats to these indigenous peoples’ culture and lifestyles. PMID:26735953
Distribution and Numbers of Pygmies in Central African Forests.

PubMed

Olivero, Jesús; Fa, John E; Farfán, Miguel A; Lewis, Jerome; Hewlett, Barry; Breuer, Thomas; Carpaneto, Giuseppe M; Fernández, María; Germi, Francesco; Hattori, Shiho; Head, Josephine; Ichikawa, Mitsuo; Kitanaishi, Koichi; Knights, Jessica; Matsuura, Naoki; Migliano, Andrea; Nese, Barbara; Noss, Andrew; Ekoumou, Dieudonné Ongbwa; Paulin, Pascale; Real, Raimundo; Riddell, Mike; Stevenson, Edward G J; Toda, Mikako; Vargas, J Mario; Yasuoka, Hirokazu; Nasi, Robert

2016-01-01

Pygmy populations occupy a vast territory extending west-to-east along the central African belt from the Congo Basin to Lake Victoria. However, their numbers and actual distribution is not known precisely. Here, we undertake this task by using locational data and population sizes for an unprecedented number of known Pygmy camps and settlements (n = 654) in five of the nine countries where currently distributed. With these data we develop spatial distribution models based on the favourability function, which distinguish areas with favourable environmental conditions from those less suitable for Pygmy presence. Highly favourable areas were significantly explained by presence of tropical forests, and by lower human pressure variables. For documented Pygmy settlements, we use the relationship between observed population sizes and predicted favourability values to estimate the total Pygmy population throughout Central Africa. We estimate that around 920,000 Pygmies (over 60% in DRC) is possible within favourable forest areas in Central Africa. We argue that fragmentation of the existing Pygmy populations, alongside pressure from extractive industries and sometimes conflict with conservation areas, endanger their future. There is an urgent need to inform policies that can mitigate against future external threats to these indigenous peoples' culture and lifestyles.
Neurons That Update Representations of the Future.

PubMed

Seriès, Peggy

2018-06-11

A recent article shows that the brain automatically estimates the probabilities of possible future actions before it has even received all the information necessary to decide what to do next. Crown Copyright © 2018. Published by Elsevier Ltd. All rights reserved.
78 FR 64202 - Quantitative Messaging Research

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-28

... COMMODITY FUTURES TRADING COMMISSION Quantitative Messaging Research AGENCY: Commodity Futures... survey will follow qualitative message testing research (for which CFTC received fast- track OMB approval... comments. Please submit your comments using only one method and identify that it is for the ``Quantitative...
Geostar - Navigation location system

NASA Astrophysics Data System (ADS)

Keyser, Donald A.

The author describes the Radiodetermination Satellite Service (RDSS). The initial phase of the RDSS provides for a unique service enabling central offices and headquarters to obtain position-location information and receive short digital messages from mobile user terminals throughout the contiguous United States, southern Canada, and northern Mexico. The system employs a spread-spectrum, CDMA modulation technique allowing multiple customers to use the system simultaneously, without preassigned coordination with fellow users. Position location is currently determined by employing an existing radio determination receiver, such as Loran-C, GPS, or Transit, in the mobile user terminal. In the early 1990s position location will be determined at a central earth station by time-differential ranging of the user terminals via two or more geostationary satellites. A brief overview of the RDSS system architecture is presented with emphasis on the user terminal and its diverse applications.
Distributed MIMO chaotic radar based on wavelength-division multiplexing technology.

PubMed

Yao, Tingfeng; Zhu, Dan; Ben, De; Pan, Shilong

2015-04-15

A distributed multiple-input multiple-output chaotic radar based on wavelength-division multiplexing technology (WDM) is proposed and demonstrated. The wideband quasi-orthogonal chaotic signals generated by different optoelectronic oscillators (OEOs) are emitted by separated antennas to gain spatial diversity against the fluctuation of a target's radar cross section and enhance the detection capability. The received signals collected by the receive antennas and the reference signals from the OEOs are delivered to the central station for joint processing by exploiting WDM technology. The centralized signal processing avoids precise time synchronization of the distributed system and greatly simplifies the remote units, which improves the localization accuracy of the entire system. A proof-of-concept experiment for two-dimensional localization of a metal target is demonstrated. The maximum position error is less than 6.5 cm.
Optical study of solar tower power plants

NASA Astrophysics Data System (ADS)

Eddhibi, F.; Ben Amara, M.; Balghouthi, M.; Guizani, A.

2015-04-01

The central receiver technology for electricity generation consists of concentrating solar radiation coming from the solar tracker field into a central receiver surface located on the top of the tower. The heliostat field is constituted of a big number of reflective mirrors; each heliostat tracks the sun individually and reflects the sunlight to a focal point. Therefore, the heliostat should be positioned with high precision in order to minimize optical losses. In the current work, a mathematical model for the analysis of the optical efficiency of solar tower field power plant is proposed. The impact of the different factors which influence the optical efficiency is analyzed. These parameters are mainly, the shading and blocking losses, the cosine effect, the atmospheric attenuation and the spillage losses. A new method for the calculation of blocking and shadowing efficiency is introduced and validated by open literature.
High-resolution receiver function imaging reveals Colorado Plateau lithospheric architecture and mantle-supported topography

USGS Publications Warehouse

Domingo, Dorothy L.; R. Aster,; S. Grand,; J Ni,; W.S. Baldridge,; David C. Wilson USGS,

2010-01-01

After maintaining elevations near sea level for over 500 million years, the Colorado Plateau (CP) has a present average elevation of 2 km. We compute new receiver function images from the first dense seismic transect to cross the plateau that reveal a central CP crustal thickness of 42–50 km thinning to 30–35 km at the CP margins. Isostatic calculations show that only approximately 20% of central CP elevations can be explained by thickened crust alone, with the CP edges requiring nearly total mantle compensation. We calculate an uplift budget showing that CP buoyancy arises from a combination of crustal thickening, heating and alteration of the lithospheric root, dynamic support from mantle upwelling, and significant buoyant edge effects produced by small-scale convecting asthenosphere at its margins.
[Pharmacovigilance in Portugal: Activity of the Central Pharmacovigilance Unit].

PubMed

Batel-Marques, Francisco; Mendes, Diogo; Alves, Carlos; Penedones, Ana; Dias, Patricia; Martins, Angelina; Santiago, Luiz Miguel; Fontes-Ribeiro, Carlos; Caramona, Margarida; Macedo, Tice

2015-01-01

The aim of this study was to characterize the spontaneous reports of adverse events that were received by the Central Portugal Regional Pharmacovigilance Unit. Spontaneous reports received between 01/2001 and 12/2013 were considered. The annual reporting ratios were estimated. The cases were characterized according to their seriousness, previous description, causality assessment, origin and professional group of the reporter, type of adverse event and pharmacotherapeutic groups of the suspected drugs most frequently reported. The Pharmacovigilance Unit received 2408 reports that contained 5749 adverse events. In 2013, the reporting rate was estimated at 171 reports per million inhabitants. Fifty-five percent of the reports were assessed as serious. Ninety percent of the cases were assessed as being at least possibly related with the suspected drug. The suspected drugs most frequently reported were anti-infectives for systemic use (n = 809, 33%). The most frequently reported adverse events were "Skin and subcutaneous tissue disorders" (n = 1139, 20%). There were 154 (6.4%) reports resulting in life-threatening situations and/or death, and 88 (3.6%) containing at least one adverse event assessed as serious, unknown and certain or probable. The present results are in line with those found in other studies, namely the seriousness and type of the adverse events and the pharmacotherapeutic groups of the most frequently reported suspected drugs. In the last years, the Central Portugal Regional Pharmacovigilance Unit has registered a growth in the reporting rate in general, as well as an increase in the reporting of unknown and serious adverse drug reactions.
Benefits of repeated individual dietary counselling in long-term weight control in women after delivery.

PubMed

Jaakkola, Johanna; Isolauri, Erika; Poussa, Tuija; Laitinen, Kirsi

2015-10-01

As pregnancy may trigger overweight in women, new means for its prevention are being sought. The aim here was to investigate the effect of individual dietary counselling during and after pregnancy on post-partum weight and waist circumference up to 4 years post-partum. A cohort of women (n = 256) were randomized to receive repeated individual dietary counselling by a nutritionist during and after pregnancy, or as controls not receiving dietary counselling, from the first trimester of pregnancy until 6 months after delivery. Counselling aimed to bring dietary intake into line with recommendations, with particular focus on the increase in the intake of unsaturated fatty acids instead of saturated. Pre-pregnancy weight was taken from welfare clinic records. Weight and waist circumference were measured at 4 years after delivery. The proportion of overweight women increased from 26% prior to pregnancy to 30% at 4 years after delivery among women receiving dietary counselling, as against considerably more, from 32% to 57%, among controls. The prevalence of central adiposity was 31% in women receiving dietary counselling, 64% in controls. Likewise, both the risk of overweight (odds ratio: 0.23, 0.08-0.63, P = 0.005) and central adiposity (odds ratio: 0.18, 0.06-0.52, P = 0.002) were lower in women receiving dietary counselling compared with controls. Repeated dietary counselling initiated in early pregnancy can be beneficial in long-term weight control after delivery. © 2014 John Wiley & Sons Ltd.

Trends in winter circulation over the British Isles and central Europe in twenty-first century projections by 25 CMIP5 GCMs

NASA Astrophysics Data System (ADS)

Stryhal, Jan; Huth, Radan

2018-03-01

Winter midlatitude atmospheric circulation has been extensively studied for its tight link to surface weather, and automated circulation classifications have often been used to this end. Here, eight such classifications are applied to daily sea level pressure patterns simulated by an ensemble of CMIP5 GCMs twenty-first century projections for the British Isles and central Europe in order to robustly estimate future changes in frequency, persistence, and strength of synoptic-scale circulation there. All methods are able to identify present-day biases of models reported before, such as an overestimated occurrence of zonal flow and underestimation of anticyclonic conditions and easterly advection, although the strength of these biases varies among the methods. In future, models show that the zonal flow will become more frequent while the strength of the mean flow is not projected to change. Over the British Isles, the models that better simulate the latitude of zonal flow over the historical period indicate a slight equatorward shift of westerlies in their projections, while the poleward expansion of circulation—expected in future at global scale—is apparent in those models that have large errors. Over central Europe, some classifications indicate an increase in persistence and especially in frequency of anticyclonic types, which is, however, shown to be rather an artifact of some methods than a real feature. On the other hand, the easterly flow is robustly projected to become markedly weaker in central Europe, which we hypothesize might be an important factor contributing to the projected decrease of cold extremes there.
Melanoma central nervous system metastases: current approaches, challenges, and opportunities

PubMed Central

Cohen, Justine V.; Tawbi, Hussain; Margolin, Kim A.; Amravadi, Ravi; Bosenberg, Marcus; Brastianos, Priscilla K.; Chiang, Veronica L.; de Groot, John; Glitza, Isabella C.; Herlyn, Meenhard; Holmen, Sheri L.; Jilaveanu, Lucia B.; Lassman, Andrew; Moschos, Stergios; Postow, Michael A.; Thomas, Reena; Tsiouris, John A.; Wen, Patrick; White, Richard M.; Turnham, Timothy; Davies, Michael A.; Kluger, Harriet M.

2017-01-01

Summary Melanoma central nervous system metastases are increasing, and the challenges presented by this patient population remain complex. In December 2015, the Melanoma Research Foundation and the Wistar Institute hosted the First Summit on Melanoma Central Nervous System (CNS) Metastases in Philadelphia, Pennsylvania. Here, we provide a review of the current status of the field of melanoma brain metastasis research; identify key challenges and opportunities for improving the outcomes in patients with melanoma brain metastases; and set a framework to optimize future research in this critical area. PMID:27615400
Climate change challenges for central banks and financial regulators

NASA Astrophysics Data System (ADS)

Campiglio, Emanuele; Dafermos, Yannis; Monnin, Pierre; Ryan-Collins, Josh; Schotten, Guido; Tanaka, Misa

2018-06-01

The academic and policy debate regarding the role of central banks and financial regulators in addressing climate-related financial risks has rapidly expanded in recent years. This Perspective presents the key controversies and discusses potential research and policy avenues for the future. Developing a comprehensive analytical framework to assess the potential impact of climate change and the low-carbon transition on financial stability seems to be the first crucial challenge. These enhanced risk measures could then be incorporated in setting financial regulations and implementing the policies of central banks.
Impact of Climate Change on Projected Runoff from Mountain Snowpack of the King's Rivershed in California

NASA Astrophysics Data System (ADS)

Dialesandro, J.; Elias, E.; Rango, A.; Steele, C. M.

2016-12-01

The Central Valley of California, like most dryland agricultural areas in the Southwest United States, relies heavily on winter snowpack for water resources. Projections of future climate in the Sierra Mountains of California calls for a warmer climate regime that will impact the snowpack in the Sierra Mountains and thus the water supply for downstream agriculture and municipal uses within California's Central Valley. We simulate the impacts of two future time windows (2040-2069 and 2070-2099) and two future climate scenarios (RCP 4.5 and 8.5) on King's River using the Snowmelt Runoff Model. Snow depletion curves for 2010 are generated using MODIS and SRM parameters are adjusted until measured and simulated runoff reach acceptable agreement (R2 = .81). Future projections are based upon the multimodel mean of 20 CMIP5 models for seasonal future temperature and precipitation at high and low elevation points in the watershed from the multivariate adaptive constructed analogs (MACA) downscaled dataset. Changes in monthly inflow to Pineflat Reservoir, at the pour point of King's River watersheds, show a large decline in June and July inflow for all future climate simulations. Conversely, simulated spring inflow to Pineflat Reservoir is larger in the future. Impacts are most pronounced for end of the century (2070-2099), business as usual (RCP 8.5) simulation. Results are discussed with regard to implications for reservoir storage, groundwater recharge and creative solutions to cope with anticipated changes in runoff.
First year of AIDS services delivery under Title I of the Ryan White CARE Act.

PubMed Central

Bowen, G S; Marconi, K; Kohn, S; Bailey, D M; Goosby, E P; Shorter, S; Niemcryk, S

1992-01-01

This is a review of (a) the emergency assistance for ambulatory HIV medical and support services provided in the first year by eligible metropolitan areas (EMAs) funded under Title I of the Ryan White Comprehensive AIDS Resources Emergency (CARE) Act of 1990, (b) the varied responses and processes by which the 16 urban areas receiving Title I funds in 1991 met legislative mandates, (c) the central nature of planning councils under Title I and their formation and functioning, and (d) issues related to current implementation and future expansion of Title I to additional eligible metropolitan areas. Integral to the review is a brief discussion of the history of AIDS and HIV infection, particularly in cities receiving CARE Act funding, an overview of Title I requirements, and a description of the organizational structures cities are using to implement Title I. Information on Title I EMAs is based on analysis of their 1991 applications, bylaws of their HIV service planning councils, intergovernmental agreements between Title I cities and other political entities, and contracts executed by Title I grantees with providers for the delivery of services. Interviews with personnel in several Title I EMAs, including planning council members and grantee staff members, provided additional information. This is the first descriptive accounting of activities related to the 1991 applications for and uses of Title I funds, and the administrative and service issues related to this process. PMID:1410229
Future changes in the climatology of the Great Plains low-level jet derived from fine resolution multi-model simulations

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

Tang, Ying; Winkler, Julie; Zhong, Shiyuan

The southerly Great Plains low-level jet (GPLLJ) is one of the most significant circulation features of the central U.S. linking large-scale atmospheric circulation with the regional climate. GPLLJs transport heat and moisture, contribute to thunderstorm and severe weather formation, provide a corridor for the springtime migration of birds and insects, enhance wind energy availability, and disperse air pollution. We also assess future changes in GPLLJ frequency using an eight member ensemble of dynamically-downscaled climate simulations for the mid-21st century. Nocturnal GPLLJ frequency is projected to increase in the southern plains in spring and in the central plains in summer, whereasmore » current climatological patterns persist into the future for daytime and cool season GPLLJs. The relationship between future GPLLJ frequency and the extent and strength of anticyclonic airflow over eastern North America varies with season. Most simulations project a westward shift of anticyclonic airflow in summer, but uncertainty is larger for spring with only half of the simulations suggesting a westward expansion. Furthemore, the choice of regional climate model and the driving lateral boundary conditions have a large influence on the projected future changes in GPLLJ frequency and highlight the importance of multi-model ensembles to estimate the uncertainty surrounding the future GPLLJ climatology.« less
Future changes in the climatology of the Great Plains low-level jet derived from fine resolution multi-model simulations

DOE PAGES

Tang, Ying; Winkler, Julie; Zhong, Shiyuan; ...

2017-07-10

The southerly Great Plains low-level jet (GPLLJ) is one of the most significant circulation features of the central U.S. linking large-scale atmospheric circulation with the regional climate. GPLLJs transport heat and moisture, contribute to thunderstorm and severe weather formation, provide a corridor for the springtime migration of birds and insects, enhance wind energy availability, and disperse air pollution. We also assess future changes in GPLLJ frequency using an eight member ensemble of dynamically-downscaled climate simulations for the mid-21st century. Nocturnal GPLLJ frequency is projected to increase in the southern plains in spring and in the central plains in summer, whereasmore » current climatological patterns persist into the future for daytime and cool season GPLLJs. The relationship between future GPLLJ frequency and the extent and strength of anticyclonic airflow over eastern North America varies with season. Most simulations project a westward shift of anticyclonic airflow in summer, but uncertainty is larger for spring with only half of the simulations suggesting a westward expansion. Furthemore, the choice of regional climate model and the driving lateral boundary conditions have a large influence on the projected future changes in GPLLJ frequency and highlight the importance of multi-model ensembles to estimate the uncertainty surrounding the future GPLLJ climatology.« less
Designing a Specialist Post-Graduate Qualification and Continuing Professional Development Structure for the Health Librarian Workforce of the Future

ERIC Educational Resources Information Center

Ritchie, Ann; Hallam, Gillian; Hamill, C.; Lewis, S.; Foti, M.; O'Connor, P.; Clark, C.

2010-01-01

Through a grant received from the Australian Library and Information Association (ALIA), Health Libraries Australia (HLA) is conducting a twelve-month research project with the goal of developing a system-wide approach to education for the future health librarianship workforce. The research has two main aims: to determine the future skills,…
75 FR 62395 - Calculation of Annual Federal Medical Assistance Percentages for Indian Tribes for Use in the...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-10-08

... any time in the future. Indian Tribes not operating their own programs may receive title IV-E funds... through the decennial census ``long form'' will in the future be collected by the Census Bureau using the... frequently than Decennial Census data, leading to more current estimates in the future. The ACS provides...
Nonbreeding duck use at Central Flyway National Wildlife Refuges

USGS Publications Warehouse

Andersson, Kent; Davis, Craig A.; Harris, Grant; Haukos, David A.

2018-01-01

Within the U.S. portion of the Central Flyway, the U.S. Fish and Wildlife Service manages waterfowl on numerous individual units (i.e., Refuges) within the National Wildlife Refuge System. Presently, the extent of waterfowl use that Refuges receive and the contribution of Refuges to waterfowl populations (i.e., the proportion of the Central Flyway population registered at each Refuge) remain unassessed. Such an evaluation would help determine to what extent Refuges support waterfowl relative to stated targets, aid in identifying species requiring management attention, inform management targets, and improve fiscal efficiencies. Using historic monitoring data (1954–2008), we performed this assessment for 23 Refuges in Texas, New Mexico, Oklahoma, Kansas, and Nebraska during migration and wintering months (October–March). We examined six dabbling ducks and two diving ducks, plus all dabbling ducks and all diving ducks across two periods (long-term [all data] and short-term [last 10 October–March periods]). Individual Refuge use was represented by the sum of monthly duck count averages for October–March. We used two indices of Refuge contribution: peak contribution and January contribution. Peak contribution was the highest monthly count average for each October–March period divided by the indexed population total for the Central Flyway in the corresponding year; January contribution used the January count average divided by the corresponding population index. Generally, Refuges in Kansas, Nebraska, and New Mexico recorded most use and contribution for mallards Anas platyrhynchos. Refuges along the Texas Gulf Coast recorded most use and contribution for other dabbling ducks, with Laguna Atascosa and Aransas (including Matagorda Island) recording most use for diving ducks. The long-term total January contribution of the assessed Refuges to ducks wintering in the Central Flyway was greatest for green-winged teal Anas creccawith 35%; 12–15% for American wigeon Mareca americana, gadwall Mareca strepera, and northern pintail Anas acuta; and 7–8% for mallard and mottled duck Anas fulvigula. Results indicated that the reliance on the National Wildlife Refuge System decreased for these ducks, with evidence suggesting that, for several species, the assessed Refuges may be operating at carrying capacity. Future analyses could be more detailed and informative were Refuges to implement a single consistent survey methodology that incorporated estimations of detection bias in the survey process, while concomitantly recording habitat metrics on and neighboring each Refuge.
Nonbreeding Duck Use and Management Contribution Trends for Central Flyway Refuges

USGS Publications Warehouse

Andersson, Kent; Davis, Craig A.; Harris, Grant; Haukos, David A.

2018-01-01

Within the U.S. portion of the Central Flyway, the U.S. Fish and Wildlife Service manages waterfowl on numerous individual units (i.e., Refuges) within the National Wildlife Refuge System. Presently, the extent of waterfowl use that Refuges receive and the contribution of Refuges to waterfowl populations (i.e., the proportion of the Central Flyway population registered at each Refuge) remain unassessed. Such an evaluation would help determine to what extent Refuges support waterfowl relative to stated targets, aid in identifying species requiring management attention, inform management targets, and improve fiscal efficiencies. Using historic monitoring data (1954–2008), we performed this assessment for 23 Refuges in Texas, New Mexico, Oklahoma, Kansas, and Nebraska during migration and wintering months (October–March). We examined six dabbling ducks and two diving ducks, plus all dabbling ducks and all diving ducks across two periods (long-term [all data] and short-term [last 10 October–March periods]). Individual Refuge use was represented by the sum of monthly duck count averages for October–March. We used two indices of Refuge contribution: peak contribution and January contribution. Peak contribution was the highest monthly count average for each October–March period divided by the indexed population total for the Central Flyway in the corresponding year; January contribution used the January count average divided by the corresponding population index. Generally, Refuges in Kansas, Nebraska, and New Mexico recorded most use and contribution for mallards Anas platyrhynchos. Refuges along the Texas Gulf Coast recorded most use and contribution for other dabbling ducks, with Laguna Atascosa and Aransas (including Matagorda Island) recording most use for diving ducks. The long-term total January contribution of the assessed Refuges to ducks wintering in the Central Flyway was greatest for green-winged teal Anas creccawith 35%; 12–15% for American wigeon Mareca americana, gadwall Mareca strepera, and northern pintail Anas acuta; and 7–8% for mallard and mottled duck Anas fulvigula. Results indicated that the reliance on the National Wildlife Refuge System decreased for these ducks, with evidence suggesting that, for several species, the assessed Refuges may be operating at carrying capacity. Future analyses could be more detailed and informative were Refuges to implement a single consistent survey methodology that incorporated estimations of detection bias in the survey process, while concomitantly recording habitat metrics on and neighboring each Refuge.
Spread Spectrum Receiver Electromagnetic Interference (EMI) Test Guide

NASA Technical Reports Server (NTRS)

Wheeler, Mark L.

1998-01-01

This program consisted of: (1) a study to define appropriate EMI test guidelines and test methods for direct sequence (DS) spread spectrum receivers; and (2) preparation of a written test guide to document the recommended test methods. The scope of this test guide includes: (1) a discussion of generic DS receiver performance characteristics; (2) a summary of S-band TDRSS receiver operation; (3) a discussion of DS receiver EMI susceptibility mechanisms and characteristics; (4) a summary of military standard test guidelines; (5) recommended test approach and methods; and (6) general conclusions and recommendations for future studies in the area of spread spectrum receiver testing.
Role of genetics in adapting forests under climate change: lessons learned from common garden experiments in central Europe

NASA Astrophysics Data System (ADS)

Chakraborty, Debojyoti; Schueler, Silvio

2017-04-01

Adaptive management aiming at reducing vulnerability and enhancing the resilience of forested ecosystems is a key to preserving the potential of forests to provide multiple ecosystem services under climate change. Planting alternative or non native tree species adapted to future conditions and also utilizing the genetic variation within tree species has also been suggested as an important adaptive management strategy under climate change. Therefore, knowledge on suitable provenances/populations is a key issue. Provenance trial experiments, where several populations of a species are planted in a particular climate or throughout an appropriate climatic gradient offers a great opportunity to understand adaptive genetic variation within a tree species. These trials were primarily established, for identifying populations with desired growth and fitness characteristics. Due to the increasing interest in climate change, such trials were revisited to understand the relation between growth performance and climate and to recommend suitable populations for future conditions. Here we present the lessons learned from provenance trials of Norway spruce and Douglas -fir in central Europe. With data from provenance trials planted across a wide range of environmental conditions in central Europe we developed multivariate models, Universal Response Functions (URFs). The URFs predict growth performance as a function of climate of planting locations (i.e. environmental factors) and provenance/ population origin (i.e. genetic factors). The flexibility of the URFs as a decision making tool is remarkable. The model can be used as to identify suitable planting material for a give site, and vice versa and also as a species distribution model (SDM) with integrated genetic variation. Under current and climate change scenarios, the URFs were applied to predict populations with higher growth performance in central Europe and also as species distribution models for Douglas-fir (Pseudotsuga menziesii [Mirbel] Franco) and Norway spruce (Picea abies (L.) Karst). For both Douglas-fir and Norway spruce wide variation in growth performance were detected. Populations of Douglas-fir identified by the URFs to be optimum for central Europe current climate and climate change scenarios originate from western Cascades and coastal areas of British Columbia, Washington and Oregon. The current seed stands of Douglas-fir in North America, providing planting materials for Central Europe under the legal framework of the Organization for Economic Cooperation and Development (OECD) were found to be suitable for under future conditions. In case of Norway spruce provenances originating from warm and drier regions of south east Europe were found to be suitable for central Europe under future conditions. Even though calibrated with data from Central Europe, when applied as SDMs, the URFs predicted the observed occurrence of Douglas-fir in its native range in North America with reasonable accuracy compared to contemporary SDMs developed in North America. For both Douglas-fir and Norway spruce significant variation in habitat suitability was found depending on the planted population or seed source indicating the role of intraspecific variation in buffering effects of climate change.
"Threshold-crossing": A Useful Way to Establish the Counterfactual in Clinical Trials?

PubMed

Eichler, H-G; Bloechl-Daum, B; Bauer, P; Bretz, F; Brown, J; Hampson, L V; Honig, P; Krams, M; Leufkens, H; Lim, R; Lumpkin, M M; Murphy, M J; Pignatti, F; Posch, M; Schneeweiss, S; Trusheim, M; Koenig, F

2016-12-01

A central question in the assessment of benefit/harm of new treatments is: how does the average outcome on the new treatment (the factual) compare to the average outcome had patients received no treatment or a different treatment known to be effective (the counterfactual)? Randomized controlled trials (RCTs) are the standard for comparing the factual with the counterfactual. Recent developments necessitate and enable a new way of determining the counterfactual for some new medicines. For select situations, we propose a new framework for evidence generation, which we call "threshold-crossing." This framework leverages the wealth of information that is becoming available from completed RCTs and from real world data sources. Relying on formalized procedures, information gleaned from these data is used to estimate the counterfactual, enabling efficacy assessment of new drugs. We propose future (research) activities to enable "threshold-crossing" for carefully selected products and indications in which RCTs are not feasible. © 2016 The Authors Clinical Pharmacology & Therapeutics published by Wiley Periodicals, Inc. on behalf of American Society for Clinical Pharmacology and Therapeutics.
On the Unreasonable Effectiveness of post-Newtonian Theory in Gravitational-Wave Physics

ScienceCinema

Will, Clifford M.

2017-12-22

The first indirect detection of gravitational waves involved a binary system of neutron stars.Â In the future, the first direct detection may also involve binary systems -- inspiralling and merging binary neutron stars or black holes. This means that it is essential to understand in full detail the two-body system in general relativity, a notoriously difficult problem with a long history. Post-Newtonian approximation methods are thought to work only under slow motion and weak field conditions, while numerical solutions of Einstein's equations are thought to be limited to the final merger phase.Â Recent results have shown that post-Newtonian approximations seem to remain unreasonably valid well into the relativistic regime, while advances in numerical relativity now permit solutions for numerous orbits before merger.Â It is now possible to envision linking post-Newtonian theory and numerical relativity to obtain a complete "solution" of the general relativistic two-body problem.Â These solutions will play a central role in detecting and understanding gravitational wave signals received by interferometric observatories on Earth and in space.
Community Action for Health in India's National Rural Health Mission: One policy, many paths.

PubMed

Gaitonde, Rakhal; San Sebastian, Miguel; Muraleedharan, V R; Hurtig, Anna-Karin

2017-09-01

Community participation as a strategy for health system strengthening and accountability is an almost ubiquitous policy prescription. In 2005, with the election of a new Government in India, the National Rural Health Mission was launched. This was aimed at 'architectural correction' of the health care system, and enshrined 'communitization' as one of its pillars. The mission also provided unique policy spaces and opportunity structures that enabled civil society groups to attempt to bring on to the policy agenda as well as implement a more collective action and social justice based approach to community based accountability. Despite receiving a lot of support and funding from the central ministry in the pilot phase, the subsequent roll out of the process, led in the post-pilot phase by the individual state governments, showed very varied outcomes. This paper using both documentary and interview based data is the first study to document the roll out of this ambitious process. Looking critically at what varied and why, the paper attempts to derive lessons for future implementation of such contested concepts. Copyright © 2017 Elsevier Ltd. All rights reserved.
Uncertainty, God, and scrupulosity: Uncertainty salience and priming God concepts interact to cause greater fears of sin.

PubMed

Fergus, Thomas A; Rowatt, Wade C

2015-03-01

Difficulties tolerating uncertainty are considered central to scrupulosity, a moral/religious presentation of obsessive-compulsive disorder (OCD). We examined whether uncertainty salience (i.e., exposure to a state of uncertainty) caused fears of sin and fears of God, as well as whether priming God concepts affected the impact of uncertainty salience on those fears. An internet sample of community adults (N = 120) who endorsed holding a belief in God or a higher power were randomly assigned to an experimental manipulation of (1) salience (uncertainty or insecurity) and (2) prime (God concepts or neutral). As predicted, participants who received the uncertainty salience and God concept priming reported the greatest fears of sin. There were no mean-level differences in the other conditions. The effect was not attributable to religiosity and the manipulations did not cause negative affect. We used a nonclinical sample recruited from the internet. These results support cognitive-behavioral models suggesting that religious uncertainty is important to scrupulosity. Implications of these results for future research are discussed. Copyright © 2014 Elsevier Ltd. All rights reserved.
Veterinary Immunology Committee Toolkit Workshop 2010: progress and plans.

PubMed

Entrican, Gary; Lunney, Joan K

2012-07-15

The 3rd Veterinary Immunology Committee (VIC) Toolkit Workshop took place at the 9th International Veterinary Immunology Symposium (IVIS) in Tokyo, Japan on 18th August 2010. The Workshop built on previous Toolkit Workshops and covered various aspects of reagent development, commercialization and provision to the veterinary immunology research community. The emphasis was on open communication about current progress and future plans to avoid duplication of effort and to update priorities for reagent development. There were presentations on the major reagent development and networking projects such as the BBSRC/RERAD Immunological Toolbox (2004-2009), US Veterinary Immune Reagent Network (VIRN 2006-2010) that has just received renewal funding for 2010-2014, and EU Network for Animal Diseases Infectiology Research Facilities project (NADIR 2009-2013). There were also presentations and discussions on the use of reagents for assay development, particularly multiplexing, and how these new technologies will underpin basic research developments. Mechanisms for improved information exchange, especially though websites with VIC playing a central role, were identified. Copyright © 2011 Elsevier B.V. All rights reserved.
The Oncology Care Model: Perspectives From the Centers for Medicare & Medicaid Services and Participating Oncology Practices in Academia and the Community.

PubMed

Kline, Ron; Adelson, Kerin; Kirshner, Jeffrey J; Strawbridge, Larissa M; Devita, Marsha; Sinanis, Naralys; Conway, Patrick H; Basch, Ethan

2017-01-01

Cancer care delivery in the United States is often fragmented and inefficient, imposing substantial burdens on patients. Costs of cancer care are rising more rapidly than other specialties, with substantial regional differences in quality and cost. The Centers for Medicare & Medicaid Services (CMS) Innovation Center (CMMIS) recently launched the Oncology Care Model (OCM), which uses payment incentives and practice redesign requirements toward the goal of improving quality while controlling costs. As of March 2017, 190 practices were participating, with approximately 3,200 oncologists providing care for approximately 150,000 unique beneficiaries per year (approximately 20% of the Medicare Fee-for-Service population receiving chemotherapy for cancer). This article provides an overview of the program from the CMS perspective, as well as perspectives from two practices implementing OCM: an academic health system (Yale Cancer Center) and a community practice (Hematology Oncology Associates of Central New York). Requirements of OCM, as well as implementation successes, challenges, financial implications, impact on quality, and future visions, are provided from each perspective.
Surging Seas Risk Finder: A Tool for Local-Scale Flood Risk Assessments in Coastal Cities

NASA Astrophysics Data System (ADS)

Kulp, S. A.; Strauss, B.

2015-12-01

Local decision makers in coastal cities require accurate, accessible, and thorough assessments of flood exposure risk within their individual municipality, in their efforts to mitigate against damage due to future sea level rise. To fill this need, we have developed Climate Central's Surging Seas Risk Finder, an interactive data toolkit which presents our sea level rise and storm surge analysis for every coastal town, city, county, and state within the USA. Using this tool, policy makers can easily zoom in on their local place of interest to receive a detailed flood risk assessment, which synthesizes a wide range of features including total population, socially vulnerable population, housing, property value, road miles, power plants, schools, hospitals, and many other critical facilities. Risk Finder can also be used to identify specific points of interest in danger of exposure at different flood levels. Additionally, this tool provides localized storm surge probabilities and sea level rise projections at tidal gauges along the coast, so that users can quickly understand the risk of flooding in their area over the coming decades.

Cerebro-renal interactions: impact of uremic toxins on cognitive function.

PubMed

Watanabe, Kimio; Watanabe, Tsuyoshi; Nakayama, Masaaki

2014-09-01

Cognitive impairment (CI) associated with chronic kidney disease (CKD) has received attention as an important problem in recent years. Causes of CI with CKD are multifactorial, and include cerebrovascular disease, renal anemia, secondary hyperparathyroidism, dialysis disequilibrium, and uremic toxins (UTs). Among these causes, little is known about the role of UTs. We therefore selected 21 uremic compounds, and summarized reports of cerebro-renal interactions associated with UTs. Among the compounds, uric acid, indoxyl sulfate, p-cresyl sulfate, interleukin 1-β, interleukin 6, TNF-α, and PTH were most likely to affect the cerebro-renal interaction dysfunction; however, sufficient data have not been obtained for other UTs. Notably, most of the data were not obtained under uremic conditions; therefore, the impact and mechanism of each UT on cognition and central nervous system in uremic state remains unknown. At present, impacts and mechanisms of UT effects on cognition are poorly understood. Clarifying the mechanisms and establishing novel therapeutic strategies for cerebro-renal interaction dysfunction is expected to be subject of future research. Copyright © 2014 Elsevier Inc. All rights reserved.
Enhancing cancer patient well-being with a nonpharmacological, heritage-focused intervention.

PubMed

Thomson, Linda J; Ander, Erica E; Menon, Usha; Lanceley, Anne; Chatterjee, Helen J

2012-11-01

Nonpharmacological, arts-focused interventions in health care have demonstrated considerable improvements in cancer patient well-being, although there is a little clinically robust, empirical evidence to demonstrate the value of heritage-focused practices. This study examined the effectiveness of a novel, nonpharmacological, heritage-focused intervention with adult female inpatients receiving cancer treatment in oncology wards of a large, central London hospital. In the tactile experimental condition, participants handled and discussed a selection of museum objects with a facilitator, whereas in the visual control condition, participants discussed photographs of the same objects. Sessions were conducted on a one-to-one basis at patients' bedsides and lasted about half an hour. Quantitative measures of psychological well-being with proven reliability and validity were used in a pretest/post-test control group, quasi-experimental design. Levels of positive emotion, well-being, and happiness were significantly enhanced in the experimental condition compared with the control condition for both oncology and nononcology patients. Findings indicate a future role for heritage-focused practices in enhancing health care environments. Copyright © 2012 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.
Speech recognition systems on the Cell Broadband Engine

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

Liu, Y; Jones, H; Vaidya, S

In this paper we describe our design, implementation, and first results of a prototype connected-phoneme-based speech recognition system on the Cell Broadband Engine{trademark} (Cell/B.E.). Automatic speech recognition decodes speech samples into plain text (other representations are possible) and must process samples at real-time rates. Fortunately, the computational tasks involved in this pipeline are highly data-parallel and can receive significant hardware acceleration from vector-streaming architectures such as the Cell/B.E. Identifying and exploiting these parallelism opportunities is challenging, but also critical to improving system performance. We observed, from our initial performance timings, that a single Cell/B.E. processor can recognize speech from thousandsmore » of simultaneous voice channels in real time--a channel density that is orders-of-magnitude greater than the capacity of existing software speech recognizers based on CPUs (central processing units). This result emphasizes the potential for Cell/B.E.-based speech recognition and will likely lead to the future development of production speech systems using Cell/B.E. clusters.« less
Multistate product traceforward investigation to link imported romaine lettuce to a US cyclosporiasis outbreak - Nebraska, Texas, and Florida, June-August 2013.

PubMed

Buss, B F; Joshi, M V; Dement, J L; Cantu, V; Safranek, T J

2016-10-01

During June-August 2013, 25 US states reported 631 cyclosporiasis cases including Nebraska and Iowa where a regional investigation implicated common-source imported salad mix served in two chain restaurants. At least two common-origin growing fields were likely sources of contaminated romaine lettuce. Using producer- and distributor-provided data, we conducted a grower-specific traceforward investigation to reveal exposures of ill US residents elsewhere who reported symptom onset during 11 June-1 July 2013, the time period established in the Nebraska and Iowa investigation. Romaine lettuce shipped on 2-6 June from one of these Mexico-origin growing fields likely caused cyclosporiasis in 78 persons reporting illness onsets from 11 June to 1 July in Nebraska, Texas, and Florida. Nationwide, 97% (314/324) of persons confirmed with cyclosporiasis with symptom onset from 11 June to 1 July 2013 resided in 11 central and eastern US states receiving approximately two-thirds of romaine lettuce from this field. This grower's production practices should be investigated to determine potential sources of contamination and to develop recommendations to prevent future illnesses.
Manifestation of Central Diabetes Insipidus in a Patient with Thyroid Storm.

PubMed

Nakamichi, Akiko; Ocho, Kazuki; Oka, Kosuke; Yasuda, Miho; Hasegawa, Kou; Iwamuro, Masaya; Obika, Mikako; Rai, Kammei; Otsuka, Fumio

2018-02-28

We herein report a case of central diabetes insipidus complicated with thyroid storm. A middle-aged woman who was receiving treatment for Graves' disease suddenly complained of polydipsia, polyuria and general fatigue. Laboratory tests showed hyperthyroidism, hypernatremia, hypoosmolar urine and a decreased plasma vasopressin level. The occurrence of central diabetes insipidus with hyperthyroidism was revealed on the basis of pituitary magnetic resonance imaging, a water deprivation test and a desmopressin test. The clinical co-existence of diabetes insipidus and hyperthyroidism is very rare; however, the complication should be considered when hypernatremia and/or dehydration progress in patients with Graves's disease as a common autoimmune-related etiology.
Federated learning of predictive models from federated Electronic Health Records.

PubMed

Brisimi, Theodora S; Chen, Ruidi; Mela, Theofanie; Olshevsky, Alex; Paschalidis, Ioannis Ch; Shi, Wei

2018-04-01

In an era of "big data," computationally efficient and privacy-aware solutions for large-scale machine learning problems become crucial, especially in the healthcare domain, where large amounts of data are stored in different locations and owned by different entities. Past research has been focused on centralized algorithms, which assume the existence of a central data repository (database) which stores and can process the data from all participants. Such an architecture, however, can be impractical when data are not centrally located, it does not scale well to very large datasets, and introduces single-point of failure risks which could compromise the integrity and privacy of the data. Given scores of data widely spread across hospitals/individuals, a decentralized computationally scalable methodology is very much in need. We aim at solving a binary supervised classification problem to predict hospitalizations for cardiac events using a distributed algorithm. We seek to develop a general decentralized optimization framework enabling multiple data holders to collaborate and converge to a common predictive model, without explicitly exchanging raw data. We focus on the soft-margin l 1 -regularized sparse Support Vector Machine (sSVM) classifier. We develop an iterative cluster Primal Dual Splitting (cPDS) algorithm for solving the large-scale sSVM problem in a decentralized fashion. Such a distributed learning scheme is relevant for multi-institutional collaborations or peer-to-peer applications, allowing the data holders to collaborate, while keeping every participant's data private. We test cPDS on the problem of predicting hospitalizations due to heart diseases within a calendar year based on information in the patients Electronic Health Records prior to that year. cPDS converges faster than centralized methods at the cost of some communication between agents. It also converges faster and with less communication overhead compared to an alternative distributed algorithm. In both cases, it achieves similar prediction accuracy measured by the Area Under the Receiver Operating Characteristic Curve (AUC) of the classifier. We extract important features discovered by the algorithm that are predictive of future hospitalizations, thus providing a way to interpret the classification results and inform prevention efforts. Copyright © 2018 Elsevier B.V. All rights reserved.
Detection of 183 GHz H2O megamaser emission towards NGC 4945

NASA Astrophysics Data System (ADS)

Humphreys, E. M. L.; Vlemmings, W. H. T.; Impellizzeri, C. M. V.; Galametz, M.; Olberg, M.; Conway, J. E.; Belitsky, V.; De Breuck, C.

2016-08-01

Aims: The aim of this work is to search Seyfert 2 galaxy NGC 4945, a well-known 22 GHz water megamaser galaxy, for H2O (mega)maser emission at 183 GHz. Methods: We used APEX SEPIA Band 5 (an ALMA Band 5 receiver on the APEX telescope) to perform the observations. Results: We detected 183 GHz H2O maser emission towards NGC 4945 with a peak flux density of ~3 Jy near the galactic systemic velocity. The emission spans a velocity range of several hundred km s-1. We estimate an isotropic luminosity of >1000 L⊙, classifying the emission as a megamaser. A comparison of the 183 GHz spectrum with that observed at 22 GHz suggests that 183 GHz emission also arises from the active galactic nucleus (AGN) central engine. If the 183 GHz emission originates from the circumnuclear disk, then we estimate that a redshifted feature at 1084 km s-1 in the spectrum should arise from a distance of 0.022 pc from the supermassive black hole (1.6 × 105 Schwarzschild radii), I.e. closer than the water maser emission previously detected at 22 GHz. This is only the second time 183 GHz maser emission has been detected towards an AGN central engine (the other galaxy being NGC 3079). It is also the strongest extragalactic millimetre/submillimetre water maser detected to date. Conclusions: Strong millimetre 183 GHz H2O maser emission has now been shown to occur in an external galaxy. For NGC 4945, we believe that the maser emission arises, or is dominated by, emission from the AGN central engine. Emission at higher velocity, I.e. for a Keplerian disk closer to the black hole, has been detected at 183 GHz compared with that for the 22 GHz megamaser. This indicates that millimetre/submillimetre H2O masers can indeed be useful for tracing out more of AGN central engine structures and dynamics than previously probed. Future observations using ALMA Band 5 should unequivocally determine the origin of the emission in this and other galaxies.
A Collection of Papers on Self-Study and Institutional Improvement, 2003. Volume 2: Organizational Effectiveness and Future Directions. 2003 Edition.

ERIC Educational Resources Information Center

Van Kollenburg, Susan E., Ed.

Papers in this collection were prepared for the annual meeting of the North Central Association of Colleges and Schools. This volume contains papers related to organizational effectiveness and future directions. Chapter 1, "Mission, Planning, and Organizational Change," contains: (1) "Revitalizing Mission: A Collaborative Model" (Stephany…
Heterogeneous Catalysis: A Central Science for a Sustainable Future.

PubMed

Friend, Cynthia M; Xu, Bingjun

2017-03-21

Developing active, selective, and energy efficient heterogeneous catalytic processes is key to a sustainable future because heterogeneous catalysis is at the center of the chemicals and energy industries. The design, testing, and implementation of robust and selective heterogeneous catalytic processes based on insights from fundamental studies could have a tremendous positive impact on the world.
Shaping the Future of Foreign Language Education: FLES, Articulation, and Proficiency. Report of Central States Conference on the Teaching of Foreign Languages.

ERIC Educational Resources Information Center

Lalande, John F. II, Ed.

Selected papers from the 1988 conference on foreign language issues for the future include: "Articulation for Elementary School Foreign Language Programs: Challenges and Opportunities" (Carol Ann Pesola); "Articulation: A Resolvable Problem?" (Dale L. Lange); "Profiles of Frustration: Second Language Learners with Specific Learning Disabilities"…
Anticipating cascading change in forests: Seeking a deeper understanding of the future

Treesearch

David N. Bengston; Mike Dockry; Stephen R. Shifley

2017-01-01

This study used a participatory group brainstorming process called the Futures Wheel to identify and evaluate the direct and higher-order implications of this trend: Central Hardwood forests lack age-class diversity and will uniformly grow old. Five 1st-order consequences of this trend were identified: continued significant decrease in early-successional forest,...
Growth and yield of quaking aspen in North-central Minnesota.

Treesearch

Bryce E. Schlaegel

1971-01-01

Summaries of total and merchantable stand data from 34 permanent sample plots were used to derive equations for predicting present and future stand volumes. Equations are presented for predicting total cubic-foot volume, ratio of merchantable volume to total volume, and future stand diameter, heights, and basal area. Yield tables are given for total stand volume and...
For the Future of Chinese Universities: Three Conversations from the Past

ERIC Educational Resources Information Center

Pickus, David

2016-01-01

This article argues that ideas from the ancient past supply insight about the future of Chinese universities. I make this case by outlining three claims about the nature and purpose of education in Homer, Plato, and Augustine. I propose that conversations based on these ideas illuminate central underlying problems facing Chinese higher education…
Proceedings of the 1992 Antenna Applications Symposium

DTIC Science & Technology

1993-06-01

consists of two optically fed lx4 subarrays with MMIC based active T/R modules. Custom designed fiber optic links have been employed to provide...factor 1/100,000. However, despite this enormous reduction in power , the peak amplitude is still more than 30 times larger than the rms noise. Based on...only passive components and receives inputs from a central high- power transmitter and also sends outputs to a low-noise receiver. Active ESAs, called
Progressive central puberty in a toddler with partial androgen insensitivity.

PubMed

Dougan, Grace C; Uli, Naveen; Shulman, Dorothy I

2014-03-01

A male infant was diagnosed with partial androgen insensitivity caused by a novel mutation in the androgen receptor. At 3.5 months of age, he received 100 mg of testosterone intramuscularly over the course of 3 months to increase phallic size. He developed pubic hair after 5 months and signs of progressive central precocious puberty when re-examined at 17.5 months, which subsequently was suppressed with depot leuprolide. Copyright © 2014 Mosby, Inc. All rights reserved.
Effects of combined aerobic and resistance exercise on central arterial stiffness and gait velocity in patients with chronic poststroke hemiparesis.

PubMed

Lee, Yong Hee; Park, Soo Hyun; Yoon, Eun Sun; Lee, Chong-Do; Wee, Sang Ouk; Fernhall, Bo; Jae, Sae Young

2015-09-01

The effects of combined aerobic and resistance exercise training on central arterial stiffness and gait velocity in patients with chronic poststroke hemiparesis were investigated. Twenty-six patients with chronic poststroke hemiparesis were randomly assigned to either the combined aerobic and resistance exercise group (n = 14) or the control group (n = 12). The exercise intervention group received a combined aerobic and resistance exercise training (1 hr/day, three times/week for 16 wks), whereas the control group received usual care. Central arterial stiffness was determined by pulse wave velocity and augmentation index. Gait velocity was assessed using the 6-min walk test, 10-m walk test, and the Timed Up-and-Go test. Patients in the exercise intervention group had greater improvement of mean pulse wave velocity (P < 0.001), augmentation index (P = 0.048), and gait velocity (6-min walk test, P < 0.001; 10-m walk test, P < 0.001) than did patients in the control group. Patients in the exercise intervention group also had greater improvements in physical fitness component (grip strength, P < 0.001; muscular strength of upper and lower limbs, P < 0.027; flexibility, P < 0.001) when compared with control patients. The combined aerobic and resistance exercise program significantly reduced central arterial stiffness and increased gait velocity in patients with chronic poststroke hemiparesis.
Crustal Seismic Structure of Central Alberta from Receiver Function Inversions

NASA Astrophysics Data System (ADS)

Chen, Y.; Dokht, R.; Gu, Y. J.; Sacchi, M. D.

2013-12-01

It is widely believed that the basement structure of central Alberta represents the tectonic assembly and evolution of several Archean lithospheric fragments. These fragments underwent episodes of rifting, collision, subduction and melting during the Proterozoic, giving rise to a complex network of tectonic domains with considerable differences in the crustal magnetic and seismic signatures. Observational support for these episodes, e.g., the coeval subduction around the Hearne province, has been limited due to the lack of exposed geology and insufficient teleseismic data prior to 2006. Since mid 2007, the establishment of the Canadian Rockies and Alberta Network (CRANE) has greatly improved the broadband seismic data coverage in central and southern Alberta. Based on 5+ years of CRANE data, we systematically analyze crust and shallow mantle shear velocities through simultaneous inversions of low and high frequency receiver functions. P-to-S converted waves from several stations in central Alberta suggest a significant mid crustal low velocity zone (LVZ), where shear velocity could vary by as much as 35 percent in a depth range of 15-35 km. This structure is not required by the receiver functions from stations along the foothills of the Rocky Mountains. While LVZ of notable magnitudes have been suggested previously in an overlapped part of the study region and attributed to the presence of serpentine or intrusive sill, the spatial dimensions of the anomaly reported in the current study is significantly larger: this anomaly spans hundreds of kilometers horizontally and is generally thicker than 10 km. The presence of mid/lower crustal LVZ in central Alberta is supported by recent group velocity maps based on noise correlation tomography, and the southeastward orientation of this LVZ is consistent with the proposed direction of the subducted oceanic microplate beneath the northwestern Hearne province during the Proterozoic. Still, the cause of the LVZ remains inconclusive, as the broad dimension of the anomaly would require major, potentially multiple, episodes of serpentinization and/or rework after the Paleoproterzoic. This process may span multiple domains and the correlation of present-day seismic structure with the domain boundaries (hence aeromagnetic signatures) remain questionable on the regional scale.
Local Control and Toxicity in a Large Cohort of Central Lung Tumors Treated With Stereotactic Body Radiation Therapy

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

Modh, Ankit; Rimner, Andreas; Williams, Eric

2014-12-01

Purpose: Stereotactic body radiation therapy (SBRT) in central lung tumors has been associated with higher rates of severe toxicity. We sought to evaluate toxicity and local control in a large cohort and to identify predictive dosimetric parameters. Methods and Materials: We identified patients who received SBRT for central tumors according to either of 2 definitions. Local failure (LF) was estimated using a competing risks model, and multivariate analysis (MVA) was used to assess factors associated with LF. We reviewed patient toxicity and applied Cox proportional hazard analysis and log-rank tests to assess whether dose-volume metrics of normal structures correlated with pulmonarymore » toxicity. Results: One hundred twenty-five patients received SBRT for non-small cell lung cancer (n=103) or metastatic lesions (n=22), using intensity modulated radiation therapy. The most common dose was 45 Gy in 5 fractions. Median follow-up was 17.4 months. Incidence of toxicity ≥ grade 3 was 8.0%, including 5.6% pulmonary toxicity. Sixteen patients (12.8%) experienced esophageal toxicity ≥ grade 2, including 50% of patients in whom PTV overlapped the esophagus. There were 2 treatment-related deaths. Among patients receiving biologically effective dose (BED) ≥80 Gy (n=108), 2-year LF was 21%. On MVA, gross tumor volume (GTV) was significantly associated with LF. None of the studied dose-volume metrics of the lungs, heart, proximal bronchial tree (PBT), or 2 cm expansion of the PBT (“no-fly-zone” [NFZ]) correlated with pulmonary toxicity ≥grade 2. There were no differences in pulmonary toxicity between central tumors located inside the NFZ and those outside the NFZ but with planning target volume (PTV) intersecting the mediastinum. Conclusions: Using moderate doses, SBRT for central lung tumors achieves acceptable local control with low rates of severe toxicity. Dosimetric analysis showed no significant correlation between dose to the lungs, heart, or NFZ and severe pulmonary toxicity. Esophageal toxicity may be an underappreciated risk, particularly when PTV overlaps the esophagus.« less
Signal-processing theory for the TurboRogue receiver

NASA Technical Reports Server (NTRS)

Thomas, J. B.

1995-01-01

Signal-processing theory for the TurboRogue receiver is presented. The signal form is traced from its formation at the GPS satellite, to the receiver antenna, and then through the various stages of the receiver, including extraction of phase and delay. The analysis treats the effects of ionosphere, troposphere, signal quantization, receiver components, and system noise, covering processing in both the 'code mode' when the P code is not encrypted and in the 'P-codeless mode' when the P code is encrypted. As a possible future improvement to the current analog front end, an example of a highly digital front end is analyzed.
Co-Authorship and Bibliographic Coupling Network Effects on Citations

PubMed Central

Biscaro, Claudio; Giupponi, Carlo

2014-01-01

This paper analyzes the effects of the co-authorship and bibliographic coupling networks on the citations received by scientific articles. It expands prior research that limited its focus on the position of co-authors and incorporates the effects of the use of knowledge sources within articles: references. By creating a network on the basis of shared references, we propose a way to understand whether an article bridges among extant strands of literature and infer the size of its research community and its embeddedness. Thus, we map onto the article – our unit of analysis – the metrics of authors' position in the co-authorship network and of the use of knowledge on which the scientific article is grounded. Specifically, we adopt centrality measures – degree, betweenneess, and closeness centrality – in the co-authorship network and degree, betweenness centrality and clustering coefficient in the bibliographic coupling and show their influence on the citations received in first two years after the year of publication. Findings show that authors' degree positively impacts citations. Also closeness centrality has a positive effect manifested only when the giant component is relevant. Author's betweenness centrality has instead a negative effect that persists until the giant component - largest component of the network in which all nodes can be linked by a path - is relevant. Moreover, articles that draw on fragmented strands of literature tend to be cited more, whereas the size of the scientific research community and the embeddedness of the article in a cohesive cluster of literature have no effect. PMID:24911416

Efficient receiver tuning using differential evolution strategies

NASA Astrophysics Data System (ADS)

Wheeler, Caleb H.; Toland, Trevor G.

2016-08-01

Differential evolution (DE) is a powerful and computationally inexpensive optimization strategy that can be used to search an entire parameter space or to converge quickly on a solution. The Kilopixel Array Pathfinder Project (KAPPa) is a heterodyne receiver system delivering 5 GHz of instantaneous bandwidth in the tuning range of 645-695 GHz. The fully automated KAPPa receiver test system finds optimal receiver tuning using performance feedback and DE. We present an adaptation of DE for use in rapid receiver characterization. The KAPPa DE algorithm is written in Python 2.7 and is fully integrated with the KAPPa instrument control, data processing, and visualization code. KAPPa develops the technologies needed to realize heterodyne focal plane arrays containing 1000 pixels. Finding optimal receiver tuning by investigating large parameter spaces is one of many challenges facing the characterization phase of KAPPa. This is a difficult task via by-hand techniques. Characterizing or tuning in an automated fashion without need for human intervention is desirable for future large scale arrays. While many optimization strategies exist, DE is ideal for time and performance constraints because it can be set to converge to a solution rapidly with minimal computational overhead. We discuss how DE is utilized in the KAPPa system and discuss its performance and look toward the future of 1000 pixel array receivers and consider how the KAPPa DE system might be applied.
Becoming Scholars: Examining the Link between Moral Problem-Solving and Academic Authorship Practices in Future Educational Leaders in One Southern State

ERIC Educational Resources Information Center

Greer, Jennifer L.

2012-01-01

The public expects its educational leaders--from instructional leaders and principals to college administrators and deans--to be moral exemplars. Nowhere is moral behavior more central to the central mission of teaching and learning than in the realm of academic integrity, where decisions are made daily about grading, testing, promotion,…
Retreating or standing: Responses of forest species and steppe species to climate change in arid eastern central Asia

Treesearch

Hong-Xiang Zhang; Ming-Li Zhang; Stewart C. Sanderson

2013-01-01

The temperature in arid Eastern Central Asia is projected to increase in the future, accompanied by increased variability of precipitation. To investigate the impacts of climate change on plant species in this area, we selected two widespread species as candidates, Clematis sibirica and C. songorica, from montane coniferous forest and arid steppe habitats respectively...
The integration of voice science, voice pathology, medicine, public speaking, acting, and singing.

PubMed

Scherer, R C; Brewer, D W; Colton, R; Rubin, L S; Raphael, B N; Miller, R; Howell, E; Moore, G P

1994-12-01

The integration of voice science, voice pathology, medicine, public speaking, acting, and singing has been central to evolution in all fields. The Voice Foundation Symposia have played a seminal and central role in fostering integration among disciplines. The result has been an improvement in the knowledge and practice in each field. And the future promises to be even more informative and exciting.
The relevance of central command for the neural cardiovascular control of exercise.

PubMed

Williamson, J W

2010-11-01

This paper briefly reviews the role of central command in the neural control of the circulation during exercise. While defined as a feedforward component of the cardiovascular control system, central command is also associated with perception of effort or effort sense. The specific factors influencing perception of effort and their effect on autonomic regulation of cardiovascular function during exercise can vary according to condition. Centrally mediated integration of multiple signals occurring during exercise certainly involves feedback mechanisms, but it is unclear whether or how these signals modify central command via their influence on perception of effort. As our understanding of central neural control systems continues to develop, it will be important to examine more closely how multiple sensory signals are prioritized and processed centrally to modulate cardiovascular responses during exercise. The purpose of this article is briefly to review the concepts underlying central command and its assessment via perception of effort, and to identify potential areas for future studies towards determining the role and relevance of central command for neural control of exercise.
The relevance of central command for the neural cardiovascular control of exercise

PubMed Central

Williamson, J W

2010-01-01

This paper briefly reviews the role of central command in the neural control of the circulation during exercise. While defined as a feedfoward component of the cardiovascular control system, central command is also associated with perception of effort or effort sense. The specific factors influencing perception of effort and their effect on autonomic regulation of cardiovascular function during exercise can vary according to condition. Centrally mediated integration of multiple signals occurring during exercise certainly involves feedback mechanisms, but it is unclear whether or how these signals modify central command via their influence on perception of effort. As our understanding of central neural control systems continues to develop, it will be important to examine more closely how multiple sensory signals are prioritized and processed centrally to modulate cardiovascular responses during exercise. The purpose of this article is briefly to review the concepts underlying central command and its assessment via perception of effort, and to identify potential areas for future studies towards determining the role and relevance of central command for neural control of exercise. PMID:20696787
Theories of central engine for long gamma-ray bursts

NASA Astrophysics Data System (ADS)

Nagataki, Shigehiro

2018-02-01

Long GRBs are the most powerful explosions in the universe since the Big Bang. At least, some fraction of long GRBs are born from the death of massive stars. Likewise, only some fraction of massive stars that satisfy additional special conditions explode as long GRBs associated with supernovae/hypernovae. In this paper, we discuss the explosion mechanism of long GRBs associated with hypernovae: ‘the central engine of long GRBs’. The central engine of long GRBs is very different from that of core-collapse supernovae, although the mechanism of the engine is still not firmly established. In this paper, we review theoretical studies of the central engine of long GRBs. First, we discuss possible progenitor stars. Then several promising mechanisms of the central engine—such as black hole and magnetar formation—will be reviewed. We will also mention some more exotic models. Finally, we describe prospects for future studies of the central engine of long GRBs.
"When Did I Learn and When Shall I Act?": The Developmental Relationship between Episodic Future Thinking and Memory

ERIC Educational Resources Information Center

Naito, Mika; Suzuki, Toshiko

2011-01-01

This study investigated the development of the ability to reflect on one's personal past and future. A total of 64 4- to 6-year-olds received tasks of delayed self-recognition, source memory, delay of gratification, and a newly developed task of future-oriented action timing. Although children's performance on delayed self-recognition, source…
Synthesis of systematic review evidence of interprofessional education.

PubMed

Reeves, Scott; Goldman, Joanne; Burton, Andrea; Sawatzky-Girling, Brenda

2010-01-01

Interprofessional education (IPE) continues to be a central focus within health care and research spheres. As a result, there is a sustained interest in understanding its overall effects on learners, professions, organizations, and patients. Systematic reviews are instrumental in assessing evidence and informing disciplinary fields about the effects of interventions and providing direction for future activity and research. This paper provides a synthesis and critical appraisal of the evidence for IPE contained in the small, but growing, systematic review literature. Six IPE reviews were located. In general, the reviews shared similar definitions of IPE and similar methodological approaches to their inclusion of studies. Findings from the synthesis indicated that IPE varied in terms of content, duration, and professional participation. The synthesis also indicated that studies that evaluated this form of education were of variable quality and captured a range of different outcomes-from reports of learner satisfaction to changes in the delivery of care. While a number of methodological problems were found, in general the synthesis indicated that IPE delivered in a variety of settings was generally well received by learners and enabled the acquisition of knowledge and skills necessary for collaborative working. Some evidence was also found that IPE can improve the delivery of services and make a positive impact on care. The paper goes on to discuss the synthesis findings in relation to the most recent IPE literature and also offers a series of suggestions for future directions.
A nurse- and pharmacist-led treatment advice clinic for patients attending an HIV outpatient clinic.

PubMed

Griffiths, C; Miles, K; Aldam, D; Cornforth, D; Minton, J; Edwards, S; Williams, I

2007-05-01

This paper is a report of a study to map care pathways, examine the approach of different treatment advisors and explore the acceptability of a nurse- and pharmacist-led treatment advice clinic in order to aid decision-making for the future development and evaluation of the clinic. High levels of adherence to antiretroviral drugs are a prerequisite for a successful and durable virological and immunological response to HIV. Treatment guidelines acknowledge that adherence is a process, not a single event, and that adherence support must be integrated into clinical follow-up for all patients receiving these drugs. Data were collected between September 2004 and January 2005 through 17 consultation observations and 10 patient interviews in a specialist treatment advice clinic located within a central London HIV outpatient clinic providing care for over 2200 patients, of whom more than 1300 are taking highly active antiretroviral therapy. The nurses and pharmacist had similar consultation approaches, although follow-up care varied in extent. Benefits of the clinic approach included permitting patients to observe real tablets, tailoring regimens to lifestyles and telephone follow-up. These factors, particularly telephone support, were perceived by patients to assist with adherence. The role of telephone support, perceived to assist with initial adherence, requires further investigation. Future work is also needed to explore the health economics of this approach and to determine the actual impact of the clinic on clinical and adherence outcomes.
Persuasion, Influence, and Value: Perspectives from Communication and Social Neuroscience.

PubMed

Falk, Emily; Scholz, Christin

2018-01-04

Opportunities to persuade and be persuaded are ubiquitous. What determines whether influence spreads and takes hold? This review provides an overview of evidence for the central role of subjective valuation in persuasion and social influence for both propagators and receivers of influence. We first review evidence that decisions to communicate information are determined by the subjective value a communicator expects to gain from sharing. We next review evidence that the effects of social influence and persuasion on receivers, in turn, arise from changes in the receiver's subjective valuation of objects, ideas, and behaviors. We then review evidence that self-related and social considerations are two key inputs to the value calculation in both communicators and receivers. Finally, we highlight biological coupling between communicators and receivers as a mechanism through which perceptions of value can be transmitted.
DOE Office of Scientific and Technical Information (OSTI.GOV)

Kar, Durga P.; Nayak, Praveen P.; Bhuyan, Satyanarayan

In order to power or charge electronic devices wirelessly, a bi-directional wireless power transfer method has been proposed and experimentally investigated. In the proposed design, two receiving coils are used on both sides of a transmitting coil along its central axis to receive the power wirelessly from the generated magnetic fields through strongly coupled magnetic resonance. It has been observed experimentally that the maximum power transfer occurs at the operating resonant frequency for optimum electric load connected across the receiving coils on both side. The optimum wireless power transfer efficiency is 88% for the bi-directional power transfer technique compared 84%more » in the one side receiver system. By adopting the developed bi-directional power transfer method, two electronic devices can be powered up or charged simultaneously instead of a single device through usual one side receiver system without affecting the optimum power transfer efficiency.« less
Peripheral Venous Access Ports: Outcomes Analysis in 109 Patients

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

Bodner, Leonard J.; Nosher, John L.; Patel, Kaushik M.

Purpose: To perform a retrospective outcomes analysis of central venous catheters with peripheral venous access ports, with comparison to published data.Methods: One hundred and twelve central venous catheters with peripherally placed access ports were placed under sonographic guidance in 109 patients over a 4-year period. Ports were placed for the administration of chemotherapy, hyperalimentation, long-term antibiotic therapy, gamma-globulin therapy, and frequent blood sampling. A vein in the upper arm was accessed in each case and the catheter was passed to the superior vena cava or right atrium. Povidone iodine skin preparation was used in the first 65 port insertions. Amore » combination of Iodophor solution and povidone iodine solution was used in the last 47 port insertions. Forty patients received low-dose (1 mg) warfarin sodium beginning the day after port insertion. Three patients received higher doses of warfarin sodium for preexistent venous thrombosis. Catheter performance and complications were assessed and compared with published data.Results: Access into the basilic or brachial veins was obtained in all cases. Ports remained functional for a total of 28,936 patient days. The port functioned in 50% of patients until completion of therapy, or the patient's expiration. Ports were removed prior to completion of therapy in 18% of patients. Eleven patients (9.9% of ports placed) suffered an infectious complication (0.38 per thousand catheter-days)-in nine, at the port implantation site, in two along the catheter. In all 11 instances the port was removed. Port pocket infection in the early postoperative period occurred in three patients (4.7%) receiving a Betadine prep vs two patients (4.2%) receiving a standard O.R. prep. This difference was not statistically significant (p = 0.9). Venous thrombosis occurred in three patients (6.8%) receiving warfarin sodium and in two patients (3%) not receiving warfarin sodium. This difference was not statistically significant (p = 0.6). Aspiration occlusion occurred in 13 patients (11.7%). Intracatheter urokinase was infused in eight of these patients and successfully restored catheter function in all but two instances. These complication rates are comparable to or better than those reported with chest ports.Conclusion: Peripheral ports for long-term central venous access placed by interventional radiologists in the interventional radiology suite are as safe and as effective as chest ports.« less
Identifying Strategic Scientific Opportunities

Cancer.gov

As NCI's central scientific strategy office, CRS collaborates with the institute's divisions, offices, and centers to identify research opportunities to advance NCI's vision for the future of cancer research.
Simulating the potential effects of climate change in two Colorado basins and at two Colorado ski areas

USGS Publications Warehouse

Battaglin, William; Hay, Lauren E.; Markstrom, Steve

2011-01-01

The mountainous areas of Colorado are used for tourism and recreation, and they provide water storage and supply for municipalities, industries, and agriculture. Recent studies suggest that water supply and tourist industries such as skiing are at risk from climate change. In this study, a distributed-parameter watershed model, the Precipitation-Runoff Modeling System (PRMS), is used to identify the potential effects of future climate on hydrologic conditions for two Colorado basins, the East River at Almont and the Yampa River at Steamboat Springs, and at the subbasin scale for two ski areas within those basins.Climate-change input files for PRMS were generated by modifying daily PRMS precipitation and temperature inputs with mean monthly climate-change fields of precipitation and temperature derived from five general circulation model (GCM) simulations using one current and three future carbon emission scenarios. All GCM simulations of mean daily minimum and maximum air temperature for the East and Yampa River basins indicate a relatively steady increase of up to several degrees Celsius from baseline conditions by 2094. GCM simulations of precipitation in the two basins indicate little change or trend in precipitation, but there is a large range associated with these projections. PRMS projections of basin mean daily streamflow vary by scenario but indicate a central tendency toward slight decreases, with a large range associated with these projections.Decreases in water content or changes in the spatial extent of snowpack in the East and Yampa River basins are important because of potential adverse effects on water supply and recreational activities. PRMS projections of each future scenario indicate a central tendency for decreases in basin mean snow-covered area and snowpack water equivalent, with the range in the projected decreases increasing with time. However, when examined on a monthly basis, the projected decreases are most dramatic during fall and spring. Presumably, ski area locations are picked because of a tendency to receive snow and keep snowpack relative to the surrounding area. This effect of ski area location within the basin was examined by comparing projections of March snow-covered area and snowpack water equivalent for the entire basin with more local projections for the portion of the basin that represents the ski area in the PRMS models. These projections indicate a steady decrease in March snow-covered area for the basins but only small changes in March snow-covered area at both ski areas for the three future scenarios until around 2050. After 2050, larger decreases are possible, but there is a large range in the projections of future scenarios. The rates of decrease for snowpack water equivalent and precipitation that falls as snow are similar at the basin and subbasin scale in both basins. Results from this modeling effort show that there is a wide range of possible outcomes for future snowpack conditions in Colorado. The results also highlight the differences between projections for entire basins and projections for local areas or subbasins within those basins.
Future remnant liver function as predictive factor for the hypertrophy response after portal vein embolization.

PubMed

Cieslak, Kasia P; Huisman, Floor; Bais, Thomas; Bennink, Roelof J; van Lienden, Krijn P; Verheij, Joanne; Besselink, Marc G; Busch, Olivier R C; van Gulik, Thomas M

2017-07-01

Preoperative portal vein embolization is widely used to increase the future remnant liver. Identification of nonresponders to portal vein embolization is essential because these patients may benefit from associating liver partition and portal vein ligation for staged hepatectomy (ALPPS), which induces a more powerful hypertrophy response. 99m Tc-mebrofenin hepatobiliary scintigraphy is a quantitative method for assessment of future remnant liver function with a calculated cutoff value for the prediction of postoperative liver failure. The aim of this study was to analyze future remnant liver function before portal vein embolization to predict sufficient functional hypertrophy response after portal vein embolization. Sixty-three patients who underwent preoperative portal vein embolization and computed tomography imaging were included. Hepatobiliary scintigraphy was performed to determine pre-portal vein embolization and post-portal vein embolization future remnant liver function. Receiver operator characteristic analysis of pre-portal vein embolization future remnant liver function was performed to identify patients who would meet the post-portal vein embolization cutoff value for sufficient function (ie, 2.7%/min/m 2 ). Mean pre-portal vein embolization future remnant liver function was 1.80% ± 0.45%/min/m 2 and increased to 2.89% ± 0.97%/min/m 2 post-portal vein embolization. Receiver operator characteristic analysis in 33 patients who did not receive chemotherapy revealed that a pre-portal vein embolization future remnant liver function of ≥1.72%/min/m 2 was able to identify patients who would meet the safe future remnant liver function cutoff value 3 weeks after portal vein embolization (area under the curve = 0.820). The predictive value was less pronounced in 30 patients treated with neoadjuvant chemotherapy (area under the curve = 0.618). A total of 45 of 63 patients underwent liver resection, of whom 5 of 45 developed postoperative liver failure; 4 of 5 patients had a post-portal vein embolization future remnant liver function below the cutoff value for safe resection. When selecting patients for portal vein embolization, future remnant liver function assessed with hepatobiliary scintigraphy can be used as a predictor of insufficient functional hypertrophy after portal vein embolization, especially in nonchemotherapy patients. These patients are potential candidates for ALPPS. Copyright © 2017 Elsevier Inc. All rights reserved.
HIV Immune Recovery Inflammatory Syndrome and Central Nervous System Paracoccidioidomycosis.

PubMed

de Almeida, Sérgio Monteiro; Roza, Thiago Henrique

2017-04-01

The immune reconstitution inflammatory syndrome (IRIS) is a deregulated inflammatory response to invading microorganisms. It is manifested when there is an abrupt change in host immunity from an anti-inflammatory and immunosuppressive state to a pro-inflammatory state as a result of rapid depletion or removal of factors that promote immune suppression or inhibition of inflammation. The aim of this paper is to discuss and re-interpret the possibility of association of paracoccidioidomycosis (PCM) with IRIS in the central nervous system (CNS) in a case from Brazil published by Silva-Vergara ML. et al. (Mycopathologia 177:137-141, 6). An AIDS patient who was not receiving medical care developed pulmonary PCM successfully treated with itraconazole. The patient developed central nervous system PCM (NPCM) after starting the ARV therapy with recovery of immunity and control of HIV viral load, although it was not interpreted as IRIS by the authors, it fulfills the criteria for CNS IRIS. This could be the first case of NPCM associated with IRIS described. Although not frequent, IRIS must be considered in PCM patients and HIV, from endemic areas or patients that traveled to endemic areas, receiving ARV treatment and with worsening symptoms.
Assessment of the potential of solar thermal small power systems in small utilities

NASA Technical Reports Server (NTRS)

Steitz, P.; Mayo, L. G.; Perkins, S. P., Jr.

1978-01-01

The potential economic benefit of small solar thermal electric power systems to small municipal and rural electric utilities is assessed. Five different solar thermal small power system configurations were considered in three different solar thermal technologies. The configurations included: (1) 1 MW, 2 MW, and 10 MW parabolic dish concentrators with a 15 kW heat engine mounted at the focal point of each dish, these systems utilized advanced battery energy storage; (2) a 10 MW system with variable slat concentrators and central steam Rankine energy conversion, this system utilized sensible thermal energy storage; and (3) a 50 MW central receiver system consisting of a field of heliostats concentrating energy on a tower-mounted receiver and a central steam Rankine conversion system, this system also utilized sensible thermal storage. The results are summarized in terms of break-even capital costs. The break-even capital cost was defined as the solar thermal plant capital cost which would have to be achieved in order for the solar thermal plants to penetrate 10 percent of the reference small utility generation mix by the year 2000. The calculated break-even capital costs are presented.
Structure of Lithospheric and Upper Mantle Discontinuities beneath Central Mongolia from Receiver Functions

NASA Astrophysics Data System (ADS)

Cui, Z.; Meltzer, A.; Fischer, K. M.; Stachnik, J. C.; Munkhuu, U.; Tsagaan, B.; Russo, R. M.

2017-12-01

The origin and preservation of high-elevation low-relief surfaces in continental interiors remains an open questions. Central Mongolia constitutes a major portion of the Mongolian Plateau and is an excellent place to link deep earth and surface processes. The lithosphere of Mongolia was constructed through accretionary orogenesis associated with the Central Asian Orogenic Belt (CAOB) from the late Paleozoic to the early Triassic. Alkaline volcanic basalt derived from sublithospheric sources has erupted sporadically in Mongolia since 30 Ma. Constraining the depth variation of lithospheric and upper mantle discontinuities is crucial for understanding the interaction between upper mantle structure and surface topography. We conducted receiver functions (RF) analyses suitable data recorded at112 seismic broadband stations in central Mongolia to image the LAB and mantle transition zone beneath Central Mongolia. A modified H-κ stacking was performed to determine crustal average thickness (H) and Vp/Vs ratio (κ). Central Mongolia is characterized by thick crust (43-57 km) enabling use of both P wave RF and to S wave RF to image the LAB. The PRF traces in the depth domain are stacked based on piercing point locations for the 410 and 660 discontinuities using 0.6 ° × 0.6 ° bins in a grid. From south to north, the average lithospheric thickness is 85km in Gobi Altai gradually thinning northeastward to 78km in the southern Hangay Dome, 72 km in the northern Hangay Dome then increases to 75km in Hovsgol area. While there is overall thinning of the lithosphere from SW to NE, beneath the Hangay, there is a slight increase beneath the highest topography. The thickness of the mantle transition zone (MTZ) beneath central Mongolia is similar to global averages. This evidence argues against the hypothesis that a mantle plume exists beneath Central Mongolia causing low velocity anomalies in the upper mantle. To the east of the Hovsgol area in northern Mongolia, the MTZ thickens 10-15 km mainly due to depression in the 660-km discontinuity, perhaps representing a relict of subducted plate during CAOB.
Different involvement of medial prefrontal cortex and dorso-lateral striatum in automatic and controlled processing of a future conditioned stimulus.

PubMed

Pérez-Díaz, Francisco; Díaz, Estrella; Sánchez, Natividad; Vargas, Juan Pedro; Pearce, John M; López, Juan Carlos

2017-01-01

Recent studies support the idea that stimulus processing in latent inhibition can vary during the course of preexposure. Controlled attentional mechanisms are said to be important in the early stages of preexposure, while in later stages animals adopt automatic processing of the stimulus to be used for conditioning. Given this distinction, it is possible that both types of processing are governed by different neural systems, affecting differentially the retrieval of information about the stimulus. In the present study we tested if a lesion to the dorso-lateral striatum or to the medial prefrontal cortex has a selective effect on exposure to the future conditioned stimulus (CS). With this aim, animals received different amounts of exposure to the future CS. The results showed that a lesion to the medial prefrontal cortex enhanced latent inhibition in animals receiving limited preexposure to the CS, but had no effect in animals receiving extended preexposure to the CS. The lesion of the dorso-lateral striatum produced a decrease in latent inhibition, but only in animals with an extended exposure to the future conditioned stimulus. These results suggest that the dorsal striatum and medial prefrontal cortex play essential roles in controlled and automatic processes. Automatic attentional processes appear to be impaired by a lesion to the dorso-lateral striatum and facilitated by a lesion to the prefrontal cortex.

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