Science.gov

Sample records for gathering pace driven

  1. Keeping Pace

    ERIC Educational Resources Information Center

    Henderson, Nancy

    2008-01-01

    This article describes the struggles of two tough moms who team up to start their own company. Fed up with a lack of stylish, properly-fitting shoes for their children with cerebral palsy, they established "Keeping Pace" which currently offers a selection of stylish girls' and boys' athletic sneakers and casual dress shoes for boys, all sold…

  2. Climate-driven environmental changes around 8,200 years ago favoured increases in cetacean strandings and Mediterranean hunter-gatherers exploited them.

    PubMed

    Mannino, Marcello A; Talamo, Sahra; Tagliacozzo, Antonio; Fiore, Ivana; Nehlich, Olaf; Piperno, Marcello; Tusa, Sebastiano; Collina, Carmine; Di Salvo, Rosaria; Schimmenti, Vittoria; Richards, Michael P

    2015-01-01

    Cetacean mass strandings occur regularly worldwide, yet the compounded effects of natural and anthropogenic factors often complicate our understanding of these phenomena. Evidence of past stranding episodes may, thus, be essential to establish the potential influence of climate change. Investigations on bones from the site of Grotta dell'Uzzo in North West Sicily (Italy) show that the rapid climate change around 8,200 years ago coincided with increased strandings in the Mediterranean Sea. Stable isotope analyses on collagen from a large sample of remains recovered at this cave indicate that Mesolithic hunter-gatherers relied little on marine resources. A human and a red fox dating to the 8.2-kyr-BP climatic event, however, acquired at least one third of their protein from cetaceans. Numerous carcasses should have been available annually, for at least a decade, to obtain these proportions of meat. Our findings imply that climate-driven environmental changes, caused by global warming, may represent a serious threat to cetaceans in the near future.

  3. Climate-driven environmental changes around 8,200 years ago favoured increases in cetacean strandings and Mediterranean hunter-gatherers exploited them

    PubMed Central

    Mannino, Marcello A.; Talamo, Sahra; Tagliacozzo, Antonio; Fiore, Ivana; Nehlich, Olaf; Piperno, Marcello; Tusa, Sebastiano; Collina, Carmine; Di Salvo, Rosaria; Schimmenti, Vittoria; Richards, Michael P.

    2015-01-01

    Cetacean mass strandings occur regularly worldwide, yet the compounded effects of natural and anthropogenic factors often complicate our understanding of these phenomena. Evidence of past stranding episodes may, thus, be essential to establish the potential influence of climate change. Investigations on bones from the site of Grotta dell’Uzzo in North West Sicily (Italy) show that the rapid climate change around 8,200 years ago coincided with increased strandings in the Mediterranean Sea. Stable isotope analyses on collagen from a large sample of remains recovered at this cave indicate that Mesolithic hunter-gatherers relied little on marine resources. A human and a red fox dating to the 8.2-kyr-BP climatic event, however, acquired at least one third of their protein from cetaceans. Numerous carcasses should have been available annually, for at least a decade, to obtain these proportions of meat. Our findings imply that climate-driven environmental changes, caused by global warming, may represent a serious threat to cetaceans in the near future. PMID:26573384

  4. Climate-driven environmental changes around 8,200 years ago favoured increases in cetacean strandings and Mediterranean hunter-gatherers exploited them.

    PubMed

    Mannino, Marcello A; Talamo, Sahra; Tagliacozzo, Antonio; Fiore, Ivana; Nehlich, Olaf; Piperno, Marcello; Tusa, Sebastiano; Collina, Carmine; Di Salvo, Rosaria; Schimmenti, Vittoria; Richards, Michael P

    2015-01-01

    Cetacean mass strandings occur regularly worldwide, yet the compounded effects of natural and anthropogenic factors often complicate our understanding of these phenomena. Evidence of past stranding episodes may, thus, be essential to establish the potential influence of climate change. Investigations on bones from the site of Grotta dell'Uzzo in North West Sicily (Italy) show that the rapid climate change around 8,200 years ago coincided with increased strandings in the Mediterranean Sea. Stable isotope analyses on collagen from a large sample of remains recovered at this cave indicate that Mesolithic hunter-gatherers relied little on marine resources. A human and a red fox dating to the 8.2-kyr-BP climatic event, however, acquired at least one third of their protein from cetaceans. Numerous carcasses should have been available annually, for at least a decade, to obtain these proportions of meat. Our findings imply that climate-driven environmental changes, caused by global warming, may represent a serious threat to cetaceans in the near future. PMID:26573384

  5. Climate-driven environmental changes around 8,200 years ago favoured increases in cetacean strandings and Mediterranean hunter-gatherers exploited them

    NASA Astrophysics Data System (ADS)

    Mannino, Marcello A.; Talamo, Sahra; Tagliacozzo, Antonio; Fiore, Ivana; Nehlich, Olaf; Piperno, Marcello; Tusa, Sebastiano; Collina, Carmine; di Salvo, Rosaria; Schimmenti, Vittoria; Richards, Michael P.

    2015-11-01

    Cetacean mass strandings occur regularly worldwide, yet the compounded effects of natural and anthropogenic factors often complicate our understanding of these phenomena. Evidence of past stranding episodes may, thus, be essential to establish the potential influence of climate change. Investigations on bones from the site of Grotta dell’Uzzo in North West Sicily (Italy) show that the rapid climate change around 8,200 years ago coincided with increased strandings in the Mediterranean Sea. Stable isotope analyses on collagen from a large sample of remains recovered at this cave indicate that Mesolithic hunter-gatherers relied little on marine resources. A human and a red fox dating to the 8.2-kyr-BP climatic event, however, acquired at least one third of their protein from cetaceans. Numerous carcasses should have been available annually, for at least a decade, to obtain these proportions of meat. Our findings imply that climate-driven environmental changes, caused by global warming, may represent a serious threat to cetaceans in the near future.

  6. Cardiac pacing and aviation.

    PubMed

    Toff, W D; Edhag, O K; Camm, A J

    1992-12-01

    Certain applicants with stable disturbances of rhythm or conduction requiring cardiac pacing, in whom no other disqualifying condition is present, may be considered fit for medical certification restricted to multi-crew operations. The reliability of modern pacing systems appears adequate to permit restricted certification even in pacemaker dependent subjects except for certain models of pacemakers and leads known to be at increased risk of failure. These are to be avoided. There is little evidence to suggest that newer devices are any more reliable than their predecessors. Single and dual chamber systems appear to have similar reliability up to 4 years, after which time significant attrition of dual chamber devices occurs, principally due to battery depletion. All devices require increased scrutiny as they approach their end of life as predicted from longevity data and pacing characteristics. Unipolar and bipolar leads are of similar reliability, apart from a number of specific bipolar polyurethane leads which have been identified. Atrial leads, particularly those without active fixation, are less secure than ventricular leads and applicants who are dependent on atrial sensing or pacing should be denied certification. Bipolar leads are to be preferred due to the lower risk of myopotential and exogenous EMI. Sensor-driven adaptive-rate pacing systems using active sensors may have reduced longevity and require close scrutiny. Activity-sensing devices using piezoelectric crystal sensors may be subject to significant rate rises in rotary wing aircraft. The impracticality of restricted certification in helicopters will, in any event, preclude certification. Such devices would best be avoided in hovercraft (air cushioned vehicle) pilots. Only minor rate rises are likely in fixed-wing aircraft which are unlikely to be of significance. Anti-tachycardia devices and implanted defibrillators are inconsistent with any form of certification to fly. PMID:1493823

  7. Pacing Without Wires: Leadless Cardiac Pacing

    PubMed Central

    Bernard, Michael L.

    2016-01-01

    Background: Worldwide, more than 700,000 pacemakers are implanted annually with more than 250,000 implanted in the United States. Since the first fully transvenous pacemaker implantations in the early 1960s, great technologic advances have been made in pacing systems. However, the combination of subcutaneous pulse generators and transvenous pacing leads has remained constant for more than 50 years. Leadless pacing systems offer an alternative to traditional pacing systems by eliminating the need for permanent transvenous leads while providing therapy for patients with bradyarrhythmias. Methods: We discuss the 2 leadless cardiac pacemakers (LCPs), the Nanostim Leadless Pacemaker and Micra Transcatheter Pacing System, and the 1 ultrasound-powered device, the WiCS-LV, that have been studied in humans. Currently LCPs are restricted to single-chamber pacing, specifically, ventricular pacing. Dual-chamber pacing and multichamber pacing with leadless systems have yet to be studied. Results: LCPs represent the greatest advancement in bradycardia therapy since the first transvenous pacemaker implantation more than 50 years ago. Conclusion: Initial studies of both the Nanostim and Micra LCPs show favorable efficacy and safety results compared to transvenous pacemakers. Pending US Food and Drug Administration approval, these devices will transform our ability to provide pacing for patients with bradyarrhythmias. Future developments may allow for completely leadless single-chamber and multichamber pacing, ushering in an era of pacing without wires.

  8. Pacing Without Wires: Leadless Cardiac Pacing

    PubMed Central

    Bernard, Michael L.

    2016-01-01

    Background: Worldwide, more than 700,000 pacemakers are implanted annually with more than 250,000 implanted in the United States. Since the first fully transvenous pacemaker implantations in the early 1960s, great technologic advances have been made in pacing systems. However, the combination of subcutaneous pulse generators and transvenous pacing leads has remained constant for more than 50 years. Leadless pacing systems offer an alternative to traditional pacing systems by eliminating the need for permanent transvenous leads while providing therapy for patients with bradyarrhythmias. Methods: We discuss the 2 leadless cardiac pacemakers (LCPs), the Nanostim Leadless Pacemaker and Micra Transcatheter Pacing System, and the 1 ultrasound-powered device, the WiCS-LV, that have been studied in humans. Currently LCPs are restricted to single-chamber pacing, specifically, ventricular pacing. Dual-chamber pacing and multichamber pacing with leadless systems have yet to be studied. Results: LCPs represent the greatest advancement in bradycardia therapy since the first transvenous pacemaker implantation more than 50 years ago. Conclusion: Initial studies of both the Nanostim and Micra LCPs show favorable efficacy and safety results compared to transvenous pacemakers. Pending US Food and Drug Administration approval, these devices will transform our ability to provide pacing for patients with bradyarrhythmias. Future developments may allow for completely leadless single-chamber and multichamber pacing, ushering in an era of pacing without wires. PMID:27660571

  9. Almanac 2013: cardiac arrhythmias and pacing--an editorial overview of selected research that has driven recent advances in clinical cardiology.

    PubMed

    Liew, Reginald

    2014-04-01

    Important advances have been made in the past few years in the fields of clinical cardiac electrophysiology and pacing. Researchers and clinicians have a greater understanding of the pathophysiological mechanisms underlying atrial fibrillation (AF), which has transpired into improved methods of detection, risk stratification, and treatments. The introduction of novel oral anticoagulants has provided clinicians with alternative options in managing patients with AF at moderate to high thromboembolic risk and further data has been emerging on the use of catheter ablation for the treatment of symptomatic AF. Another area of intense research in the field of cardiac arrhythmias and pacing is in the use of cardiac resynchronisation therapy (CRT) for the treatment of patients with heart failure. Following the publication of major landmark randomised controlled trials reporting that CRT confers a survival advantage in patients with severe heart failure and improves symptoms, many subsequent studies have been performed to further refine the selection of patients for CRT and determine the clinical characteristics associated with a favourable response. The field of sudden cardiac death and implantable cardioverter defibrillators also continues to be actively researched, with important new epidemiological and clinical data emerging on improved methods for patient selection, risk stratification, and management.This review covers the major recent advances in these areas related to cardiac arrhythmias and pacing. PMID:24783482

  10. Almanac 2013: cardiac arrhythmias and pacing--an editorial overview of selected research that has driven recent advances in clinical cardiology.

    PubMed

    Liew, Reginald

    2014-04-01

    Important advances have been made in the past few years in the fields of clinical cardiac electrophysiology and pacing. Researchers and clinicians have a greater understanding of the pathophysiological mechanisms underlying atrial fibrillation (AF), which has transpired into improved methods of detection, risk stratification, and treatments. The introduction of novel oral anticoagulants has provided clinicians with alternative options in managing patients with AF at moderate to high thromboembolic risk and further data has been emerging on the use of catheter ablation for the treatment of symptomatic AF. Another area of intense research in the field of cardiac arrhythmias and pacing is in the use of cardiac resynchronisation therapy (CRT) for the treatment of patients with heart failure. Following the publication of major landmark randomised controlled trials reporting that CRT confers a survival advantage in patients with severe heart failure and improves symptoms, many subsequent studies have been performed to further refine the selection of patients for CRT and determine the clinical characteristics associated with a favourable response. The field of sudden cardiac death and implantable cardioverter defibrillators also continues to be actively researched, with important new epidemiological and clinical data emerging on improved methods for patient selection, risk stratification, and management.This review covers the major recent advances in these areas related to cardiac arrhythmias and pacing.

  11. Temporary internal pacing.

    PubMed

    Ortiz Díaz-Miguel, R; Gómez Grande, M L

    2014-12-01

    Technology and insertion techniques for cardiac temporary internal pacing have experienced a remarkable development over the last few years. Despite this fact, the procedure continues to have potentially fatal associated complications. Temporary internal pacing is indicated for the treatment of bradyarrhythmias or tachyarrhythmias refractory to conventional treatment, or arrhythmias causing cardiovascular or clinical instability of the patient. On the other hand, the indications of temporary cardiac pacing are far less well defined than those of permanent pacing. Since the decision of implementing temporary pacing is complex and delicate, it should always be carefully considered, and over-indication should be avoided. We must base these decisions on robust knowledge of the arrhythmias that may benefit from temporary internal pacing, and should also acquire the habit of considering external temporary pacing among other less aggressive treatments, and to make the best use of new technologies such as echocardiography that add accuracy to the procedure. PMID:24786750

  12. Self-Paced Fortran.

    ERIC Educational Resources Information Center

    Burnett, James

    1979-01-01

    This paper describes the instructional format of the lecture and the self-paced methods of teaching FORTRAN at Michigan State University and compares end-of-term grades of students taking a second computer science course based on whether they took the first course in the self-paced or the traditional lecture format. (Author/BB)

  13. Gatherings as Patchworks

    ERIC Educational Resources Information Center

    McPhail, Clark

    2008-01-01

    Erving Goffman's concept of the gathering: the co-presence of two or more individuals in a common location in space and time. Research has shown that most gathering members assemble, remain and ultimately disperse together with one or more companions. "Singles" assemble and act alone but may intermittently interact with other "singles: or "withs"…

  14. The Way We Gather

    ERIC Educational Resources Information Center

    Donahoe, Marta

    2010-01-01

    "The way you make your bed is the way your day will go." The way in which people gather is an extension of the making-the-bed analogy: "The way we gather is the way our school days go." The mindfulness people bring to the little ways they behave with one another sets the tone for the entire organization. When Montessori speaks of allowing the…

  15. Physiological cardiac pacing: Current status.

    PubMed

    Das, Asit; Kahali, Dhiman

    2016-01-01

    Adverse hemodynamics of right ventricular (RV) pacing is a well-known fact. It was believed to be the result of atrio-ventricular (AV) dyssynchrony and sequential pacing of the atrium and ventricle may solve these problems. However, despite maintenance of AV synchrony, the dual chamber pacemakers in different trials have failed to show its superiority over single chamber RV apical pacing in terms of death, progression of heart failure, and atrial fibrillation (AF). As a consequence, investigators searched for alternate pacing sites with a more physiological activation pattern and better hemodynamics. Direct His bundle pacing and Para-Hisian pacing are the most physiological ventricular pacing sites. But, this is technically difficult. Ventricular septal pacing compared to apical pacing results in a shorter electrical activation delay and consequently less mechanical dyssynchrony. But, the study results are heterogeneous. Selective site atria pacing (atrial septal) is useful for patients with atrial conduction disorders in prevention of AF. PMID:27543481

  16. PACE Status Update

    SciTech Connect

    M., Zimring,; Hoffman, I.; Fuller, M.

    2010-08-11

    The Federal Housing Finance Agency (FHFA) regulates Fannie Mae, Freddie Mac, and the 12 Federal Home Loan Banks (the government-sponsored enterprises - GSEs). On July 6, 2010, FHFA and the Office of the Comptroller of the Currency (OCC) concluded that Property Assessed Clean Energy (PACE) programs 'present significant safety and soundness concerns' to the housing finance industry. This statement came after a year of discussions with state and federal agencies in which PACE, a novel mechanism for financing energy efficiency and renewable energy improvements, has gone from receiving support from the White House, canonization as one of Scientific American's 'World Changing Ideas' and legislative adoption in 24 states to questionable relevance, at least in the residential sector. Whether PACE resumes its expansion as an innovative tool for financing energy efficiency and clean generation depends on outcomes in each of the three branches of government - discussions on a PACE pilot phase among federal agencies, litigation in federal court, and legislation in Congress - all highly uncertain. This policy brief addresses the practical impacts of these possible outcomes on existing and emerging PACE programs across the United States and potential paths forward.

  17. Self-Paced Studies.

    ERIC Educational Resources Information Center

    Faust, Norma Jean

    1995-01-01

    Discusses the use of self-paced units. Development suggestions include determining the form of the units, including goals, responsibilities, and definitions of terms; keeping them short; including a variety of activities; and requiring that all lessons be completed at school. Contains sample units on climatology and meteorology, the sun, and…

  18. Recent developments in cardiac pacing.

    PubMed

    Rodak, D J

    1995-10-01

    Indications for cardiac pacing continue to expand. Pacing to improve functional capacity, which is now common, relies on careful patient selection and technical improvements, such as complex software algorithms and diagnostic capabilities.

  19. Visual aided pacing in respiratory maneuvers

    NASA Astrophysics Data System (ADS)

    Rambaudi, L. R.; Rossi, E.; Mántaras, M. C.; Perrone, M. S.; Siri, L. Nicola

    2007-11-01

    A visual aid to pace self-controlled respiratory cycles in humans is presented. Respiratory manoeuvres need to be accomplished in several clinic and research procedures, among others, the studies on Heart Rate Variability. Free running respiration turns to be difficult to correlate with other physiologic variables. Because of this fact, voluntary self-control is asked from the individuals under study. Currently, an acoustic metronome is used to pace respiratory frequency, its main limitation being the impossibility to induce predetermined timing in the stages within the respiratory cycle. In the present work, visual driven self-control was provided, with separate timing for the four stages of a normal respiratory cycle. This visual metronome (ViMet) was based on a microcontroller which power-ON and -OFF an eight-LED bar, in a four-stage respiratory cycle time series handset by the operator. The precise timing is also exhibited on an alphanumeric display.

  20. Securing Contactless Chips with PACE

    NASA Astrophysics Data System (ADS)

    Kügler, Dennis

    PACE (Password Authenticated Connection Establishment) is a cryptographic protocol that was developed to provide a secure knowledge-based authentication mechanism for contactless chips. The problems that are inherent to (but not limited to) contactless chips are described and PACE as a solution based on cryptographic tools is sketched. Finally, it is shown how to use PACE together with traditional short PINs of 4-6 digits as access control mechanism for contactless chips withstanding denial-of-service attacks.

  1. Factors influencing pacing in triathlon

    PubMed Central

    Wu, Sam SX; Peiffer, Jeremiah J; Brisswalter, Jeanick; Nosaka, Kazunori; Abbiss, Chris R

    2014-01-01

    Triathlon is a multisport event consisting of sequential swim, cycle, and run disciplines performed over a variety of distances. This complex and unique sport requires athletes to appropriately distribute their speed or energy expenditure (ie, pacing) within each discipline as well as over the entire event. As with most physical activity, the regulation of pacing in triathlon may be influenced by a multitude of intrinsic and extrinsic factors. The majority of current research focuses mainly on the Olympic distance, whilst much less literature is available on other triathlon distances such as the sprint, half-Ironman, and Ironman distances. Furthermore, little is understood regarding the specific physiological, environmental, and interdisciplinary effects on pacing. Therefore, this article discusses the pacing strategies observed in triathlon across different distances, and elucidates the possible factors influencing pacing within the three specific disciplines of a triathlon. PMID:25258562

  2. Factors influencing pacing in triathlon.

    PubMed

    Wu, Sam Sx; Peiffer, Jeremiah J; Brisswalter, Jeanick; Nosaka, Kazunori; Abbiss, Chris R

    2014-01-01

    Triathlon is a multisport event consisting of sequential swim, cycle, and run disciplines performed over a variety of distances. This complex and unique sport requires athletes to appropriately distribute their speed or energy expenditure (ie, pacing) within each discipline as well as over the entire event. As with most physical activity, the regulation of pacing in triathlon may be influenced by a multitude of intrinsic and extrinsic factors. The majority of current research focuses mainly on the Olympic distance, whilst much less literature is available on other triathlon distances such as the sprint, half-Ironman, and Ironman distances. Furthermore, little is understood regarding the specific physiological, environmental, and interdisciplinary effects on pacing. Therefore, this article discusses the pacing strategies observed in triathlon across different distances, and elucidates the possible factors influencing pacing within the three specific disciplines of a triathlon.

  3. Gathering Information for Evaluation Planning.

    ERIC Educational Resources Information Center

    Esser, Thomas J.

    This publication is intended to provide rehabilitation professionals with information about and structure for conducting the client information-gathering process prior to beginning vocational evaluation services. It can be divided into two major parts: (1) presentation of information and a model for structuring the information-gathering process…

  4. Sensors for rate responsive pacing

    PubMed Central

    Dell'Orto, Simonetta; Valli, Paolo; Greco, Enrico Maria

    2004-01-01

    Advances in pacemaker technology in the 1980s have generated a wide variety of complex multiprogrammable pacemakers and pacing modes. The aim of the present review is to address the different rate responsive pacing modalities presently available in respect to physiological situations and pathological conditions. Rate adaptive pacing has been shown to improve exercise capacity in patients with chronotropic incompetence. A number of activity and metabolic sensors have been proposed and used for rate control. However, all sensors used to optimize pacing rate metabolic demands show typical limitations. To overcome these weaknesses the use of two sensors has been proposed. Indeed an unspecific but fast reacting sensor is combined with a more specific but slower metabolic one. Clinical studies have demonstrated that this methodology is suitable to reproduce normal sinus behavior during different types and loads of exercise. Sensor combinations require adequate sensor blending and cross checking possibly controlled by automatic algorithms for sensors optimization and simplicity of programming. Assessment and possibly deactivation of some automatic functions should be also possible to maximize benefits from the dual sensor system in particular conditions. This is of special relevance in patient whose myocardial contractility is limited such as in subjects with implantable defibrillators and biventricular pacemakers. The concept of closed loop pacing, implementing a negative feedback relating pacing rate and the control signal, will provide new opportunities to optimize dual-sensors system and deserves further investigation. The integration of rate adaptive pacing into defibrillators is the natural consequence of technical evolution. PMID:16943981

  5. Multiresolution image gathering and restoration

    NASA Technical Reports Server (NTRS)

    Fales, Carl L.; Huck, Friedrich O.; Alter-Gartenberg, Rachel; Rahman, Zia-Ur

    1992-01-01

    In this paper we integrate multiresolution decomposition with image gathering and restoration. This integration leads to a Wiener-matrix filter that accounts for the aliasing, blurring, and noise in image gathering, together with the digital filtering and decimation in signal decomposition. Moreover, as implemented here, the Wiener-matrix filter completely suppresses the blurring and raster effects of the image-display device. We demonstrate that this filter can significantly improve the fidelity and visual quality produced by conventional image reconstruction. The extent of this improvement, in turn, depends on the design of the image-gathering device.

  6. Optogenetic pacing in Drosophila melanogaster

    PubMed Central

    Alex, Aneesh; Li, Airong; Tanzi, Rudolph E.; Zhou, Chao

    2015-01-01

    Electrical stimulation is currently the gold standard for cardiac pacing. However, it is invasive and nonspecific for cardiac tissues. We recently developed a noninvasive cardiac pacing technique using optogenetic tools, which are widely used in neuroscience. Optogenetic pacing of the heart provides high spatial and temporal precisions, is specific for cardiac tissues, avoids artifacts associated with electrical stimulation, and therefore promises to be a powerful tool in basic cardiac research. We demonstrated optogenetic control of heart rhythm in a well-established model organism, Drosophila melanogaster. We developed transgenic flies expressing a light-gated cation channel, channelrhodopsin-2 (ChR2), specifically in their hearts and demonstrated successful optogenetic pacing of ChR2-expressing Drosophila at different developmental stages, including the larva, pupa, and adult stages. A high-speed and ultrahigh-resolution optical coherence microscopy imaging system that is capable of providing images at a rate of 130 frames/s with axial and transverse resolutions of 1.5 and 3.9 μm, respectively, was used to noninvasively monitor Drosophila cardiac function and its response to pacing stimulation. The development of a noninvasive integrated optical pacing and imaging system provides a novel platform for performing research studies in developmental cardiology. PMID:26601299

  7. Pacing in Olympic track races: competitive tactics versus best performance strategy.

    PubMed

    Thiel, Christian; Foster, Carl; Banzer, Winfried; De Koning, Jos

    2012-01-01

    The purpose of this study was to describe pacing strategies in the 800 to 10,000-m Olympic finals. We asked 1) if Olympic finals differed from World Records, 2) how variable the pace was, 3) whether runners faced catastrophic events, and 4) for the winning strategy. Publically available data from the Beijing 2008 Olympic Games gathered by four transponder antennae under the 400-m track were analysed to extract descriptors of pacing strategies. Individual pacing patterns of 133 finalists were visualised using speed by distance plots. Six of eight plots differed from the patterns reported for World Records. The coefficient of running speed variation was 3.6-11.4%. In the long distance finals, runners varied their pace every 100 m by a mean 1.6-2.7%. Runners who were 'dropped' from the field achieved a stable running speed and displayed an endspurt. Top contenders used variable pacing strategies to separate themselves from the field. All races were decided during the final lap. Olympic track finalists employ pacing strategies which are different from World Record patterns. The observed micro- and macro-variations of pace may have implications for training programmes. Dropping off the pace of the leading group is an active step, and the result of interactive psychophysiological decision making.

  8. Presentation Time Concerning System-Paced Multimedia Instructions and the Superiority of Learner Pacing

    ERIC Educational Resources Information Center

    Stiller, Klaus D.; Petzold, Kirstin; Zinnbauer, Peter

    2011-01-01

    The superiority of learner-paced over system-paced instructions was demonstrated in multiple experiments. In these experiments, the system-paced presentations were highly speeded, causing cognitive overload, while the learner-paced instructions allowed adjustments of the presentational flow to the learner's needs by pacing facilities, mostly…

  9. Seismic Data Gathering and Validation

    SciTech Connect

    Coleman, Justin

    2015-02-01

    Three recent earthquakes in the last seven years have exceeded their design basis earthquake values (so it is implied that damage to SSC’s should have occurred). These seismic events were recorded at North Anna (August 2011, detailed information provided in [Virginia Electric and Power Company Memo]), Fukushima Daichii and Daini (March 2011 [TEPCO 1]), and Kaswazaki-Kariwa (2007, [TEPCO 2]). However, seismic walk downs at some of these plants indicate that very little damage occurred to safety class systems and components due to the seismic motion. This report presents seismic data gathered for two of the three events mentioned above and recommends a path for using that data for two purposes. One purpose is to determine what margins exist in current industry standard seismic soil-structure interaction (SSI) tools. The second purpose is the use the data to validated seismic site response tools and SSI tools. The gathered data represents free field soil and in-structure acceleration time histories data. Gathered data also includes elastic and dynamic soil properties and structural drawings. Gathering data and comparing with existing models has potential to identify areas of uncertainty that should be removed from current seismic analysis and SPRA approaches. Removing uncertainty (to the extent possible) from SPRA’s will allow NPP owners to make decisions on where to reduce risk. Once a realistic understanding of seismic response is established for a nuclear power plant (NPP) then decisions on needed protective measures, such as SI, can be made.

  10. Gathering Design References from Nature

    ERIC Educational Resources Information Center

    Debs, Luciana; Kelley, Todd

    2015-01-01

    Teaching design to middle and high school students can be challenging. One of the first procedures in teaching design is to help students gather information that will be useful in the design phase. An early stage of engineering design as described by Lewis (2005), calls for the designer to establish the state of the art of the problem. During this…

  11. Science Unit Plans. PACE '94.

    ERIC Educational Resources Information Center

    Schoon, Kenneth J., Ed.; Wiles, Clyde A., Ed.

    This booklet contains mathematics unit plans for Biology, Chemistry, and Physical Science developed by PACE (Promoting Academic Excellence In Mathematics, Science & Technology for Workers of the 21st Century). Each unit plan contains suggested timing, objectives, skills to be acquired, workplace relationships, learning activities with suggested…

  12. The PACE evaluation: initial findings.

    PubMed

    Branch, L G; Coulam, R F; Zimmerman, Y A

    1995-06-01

    As of mid-1994 there were nine replications of the On Lok model operating under dual capitation payments as sites in the Program of All-inclusive Care for the Elderly (PACE). A tenth site had begun operating under capitation, but was unable to remain viable. The present descriptive study documents the growth and development of the first seven of these sites, all that had been operating under capitation during 1992. Comparisons among these sites and with On Lok are presented in the areas of organizational structure, client characteristics, approaches to case management, service delivery options, and financing. There is considerable variability in the implementation of the PACE model. Combined Medicare and Medicaid capitation monthly payments range from $2,147 to $5,973. These seven PACE sites (excluding On Lok) served a total of 888 current clients at the end of 1992, after a cumulative 136 months of experience under capitation. The very slow enrollment rates may imply that the target clients are less enthusiastic about this model than are its architects. The client selection process may suggest niche-marketing or skimming, but not the full representation of the nursing home population in their states. Given both the slow enrollment and the niche-marketing (the benevolent term) or skimming (the pejorative term) that has occurred, caution about the long-term viability of the PACE model may be warranted. PMID:7622088

  13. Mathematics Unit Plans. PACE '94.

    ERIC Educational Resources Information Center

    Wiles, Clyde A., Ed.; Schoon, Kenneth J., Ed.

    This booklet contains mathematics unit plans for Algebra 1, Geometry, Math for Technology, Mathematical Problem Solving, and Pre-Algebra developed by PACE (Promoting Academic Excellence In Mathematics, Science & Technology for Workers of the 21st Century). Each unit plan contains suggested timing, objectives, skills to be acquired, workplace…

  14. The PACE evaluation: initial findings.

    PubMed

    Branch, L G; Coulam, R F; Zimmerman, Y A

    1995-06-01

    As of mid-1994 there were nine replications of the On Lok model operating under dual capitation payments as sites in the Program of All-inclusive Care for the Elderly (PACE). A tenth site had begun operating under capitation, but was unable to remain viable. The present descriptive study documents the growth and development of the first seven of these sites, all that had been operating under capitation during 1992. Comparisons among these sites and with On Lok are presented in the areas of organizational structure, client characteristics, approaches to case management, service delivery options, and financing. There is considerable variability in the implementation of the PACE model. Combined Medicare and Medicaid capitation monthly payments range from $2,147 to $5,973. These seven PACE sites (excluding On Lok) served a total of 888 current clients at the end of 1992, after a cumulative 136 months of experience under capitation. The very slow enrollment rates may imply that the target clients are less enthusiastic about this model than are its architects. The client selection process may suggest niche-marketing or skimming, but not the full representation of the nursing home population in their states. Given both the slow enrollment and the niche-marketing (the benevolent term) or skimming (the pejorative term) that has occurred, caution about the long-term viability of the PACE model may be warranted.

  15. Right ventricular apex pacing: is it obsolete?

    PubMed

    Sanaa, Islem; Franceschi, Frédéric; Prevot, Sébastien; Bastard, Emilie; Deharo, Jean-Claude

    2009-02-01

    Clinical trials in patients with pacemakers for sinus node dysfunction or atrioventricular block have highlighted the fact that desynchronization of ventricular contraction induced by right ventricular apical pacing is associated with long-term morbidity and mortality. These clinical data confirm pathophysiological results indicating that right ventricular apical pacing causes abnormal ventricular contraction, reduces pump function and leads to myocardial hypertrophy and ultrastructural abnormalities. In this manuscript, we discuss the clinical evidence for the adverse and beneficial effects of various right ventricular pacing sites, left ventricular pacing sites and biventricular pacing. We also propose a decisional algorithm for pacing modalities, based on atrioventricular conduction, left ventricular function and expected lifespan. PMID:19303581

  16. Self-stabilizing Deterministic Gathering

    NASA Astrophysics Data System (ADS)

    Dieudonné, Yoann; Petit, Franck

    In this paper, we investigate the possibility to deterministically solve the gathering problem (GP) with weak robots (anonymous, autonomous, disoriented, oblivious, deaf, and dumb). We introduce strong multiplicity detection as the ability for the robots to detect the exact number of robots located at a given position. We show that with strong multiplicity detection, there exists a deterministic self-stabilizing algorithm solving GP for n robots if, and only if, n is odd.

  17. Self-Paced Instruction: A Review

    ERIC Educational Resources Information Center

    Allison, Elisabeth

    1975-01-01

    Discussed the benefits and costs of self-paced instruction (SPI) based on brief summaries of experiences in teaching introductory economics at seven universities. Provided also is a six-step pattern for setting up a self-paced course. The author concludes that the evidence on the educational benefits of self-paced instruction is at present…

  18. 42 CFR 460.186 - PACE premiums.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 42 Public Health 4 2010-10-01 2010-10-01 false PACE premiums. 460.186 Section 460.186 Public...) Payment § 460.186 PACE premiums. The amount that a PACE organization can charge a participant as a monthly premium depends on the participant's eligibility under Medicare and Medicaid, as follows: (a)...

  19. 42 CFR 460.34 - Duration of PACE program agreement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.34 Duration of PACE program agreement. An agreement...

  20. 42 CFR 460.60 - PACE organizational structure.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Administrative Requirements § 460.60 PACE organizational structure. (a) A...

  1. 42 CFR 460.34 - Duration of PACE program agreement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.34 Duration of PACE program agreement. An agreement...

  2. 42 CFR 460.34 - Duration of PACE program agreement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.34 Duration of PACE program agreement. An agreement...

  3. 42 CFR 460.60 - PACE organizational structure.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Administrative Requirements § 460.60 PACE organizational structure. (a) A...

  4. 42 CFR 460.60 - PACE organizational structure.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Administrative Requirements § 460.60 PACE organizational structure. (a) A...

  5. 42 CFR 460.34 - Duration of PACE program agreement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.34 Duration of PACE program agreement. An agreement...

  6. 42 CFR 460.60 - PACE organizational structure.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Administrative Requirements § 460.60 PACE organizational structure. (a) A...

  7. 42 CFR 460.60 - PACE organizational structure.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Administrative Requirements § 460.60 PACE organizational structure. (a) A...

  8. 42 CFR 460.34 - Duration of PACE program agreement.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.34 Duration of PACE program agreement. An agreement...

  9. Robins gather in a tree

    NASA Technical Reports Server (NTRS)

    2000-01-01

    In a wooded area of Kennedy Space Center, robins gather on a tree branch just beginning to show new Spring growth. A member of the thrush family, robins inhabit towns, gardens, open woodlands and agricultural lands. They range through most of North America, spending winters in large roosts mostly in the United States but also Newfoundland, southern Ontario and British Columbia. The Center shares a boundary with the Merritt Island National Wildlife Refuge, a haven and habitat for more than 331 species of birds. The Refuge encompasses 92,000 acres that are also a habitat for 31 mammals, 117 fishes, and 65 amphibians and reptiles. The marshes and open water of the refuge provide wintering areas for 23 species of migratory waterfowl, as well as a year-round home for great blue herons, great egrets, wood storks, cormorants, brown pelicans and other species of marsh and shore birds, as well as a variety of insects.

  10. Keeping pace with Capitol Hill

    USGS Publications Warehouse

    Cooper, C.

    2007-01-01

    At the Capitol Hill, the legislative branch of the United States government, the work is always at pace. Working with Congress is a tough job yet, rewarding. The Congress worked hard together to serve the public interest but many big issues are one small part of what Congress does. However, many US news media do not report what the government does instead, the media report what the government argues about. The media reports the conflicts but story is always incomplete. In order for the people know what is happening to the government, contact the congressional representative to know the complete story.

  11. Thallium cardiac stressing by esophageal pacing

    SciTech Connect

    Allen, M.L.; Vacek, J.L.; Preston, D.F.; Robinson, R.G.; Feldkamp, M.J. )

    1989-09-01

    Forty-three patients were examined with the transesophageal pacing method of cardiac stressing and thallium imaging. Transesophageal cardiac pacing, using a pill electrode or a permanent pacemaker lead, is a safe alternative for patients who are physically unable to exercise. Prior studies suggest that transvenous right atrial pacing with thallium injection is equivalent to physical exercise thallium studies in the detection of coronary artery disease. The esophageal pacing bipolar electrode similarly increases heart rate without the necessity of transvenous pacing or fluoroscopy and without the adverse side effects often seen when using pharmacologic stressing agents (i.e., dipyridamole). The results compare well with cardiac catheterization, echocardiographic, and electrocardiographic results. Cardiac paced stress testing requires no sedation, is performed on an out-patient basis, and causes little if any discomfort for the patient.

  12. From Traditional Accountability to Shared Responsibility: The Benefits and Challenges of Student Consultants Gathering Midcourse Feedback in College Classrooms

    ERIC Educational Resources Information Center

    Cook-Sather, Alison

    2009-01-01

    The explicit purpose of gathering feedback in college classes is to improve those courses, usually along the lines of structure, organisation, pace, or some other aspect of the course over which the professor typically has control. A potential outcome that is less immediately obvious is the shift that can take place regarding who is responsible…

  13. A decade of nuclear pacing

    SciTech Connect

    Parsonnet, V.; Gilbert, L.; Zucker, I.R.; Werres, R.; Atherley, T.; Manhardt, M.; Cort, J.

    1984-01-01

    In April, 1973, a decade-long study was begun on nuclear-powered pacemakers. The first 15 of these were designed by the Numec Corporation under a contract from the United States Atomic Energy Commission. Altogether 151 units powered by the isotope plutonium 238 were implanted in 131 patients; the pacemakers of 4 different manufacturers were used. The last nuclear pacemaker was implanted in January, 1983. The actuarial survival at 10 years was 92%, meeting the original performance goal of the Commission of 90%. Ninety pulse generators are still in service today; 25 patients have died and 36 pulse generators have been replaced with non-nuclear units. The most common indication for replacement was an inappropriate pacing mode. This high reliability and superior performance suggest that continued use of a radioisotopic power source is justified, particularly if combined with the electronic circuits of today's dual-chambered, multiprogrammable, and multifunctional pacemakers.

  14. Consistency of Students' Pace in Online Learning

    ERIC Educational Resources Information Center

    Hershkovitz, Arnon; Nachmias, Rafi

    2009-01-01

    The purpose of this study is to investigate the consistency of students' behavior regarding their pace of actions over sessions within an online course. Pace in a session is defined as the number of logged actions divided by session length (in minutes). Log files of 6,112 students were collected, and datasets were constructed for examining pace…

  15. Web Tools: Keeping Learners on Pace

    ERIC Educational Resources Information Center

    Kosloski, Mickey

    2016-01-01

    One of the greatest challenges in teaching technology and engineering is pacing. Some students grasp new technological concepts quickly, while others need repetition and may struggle to keep pace. This poses an obstacle for the technology and engineering teacher, and is particularly true when teaching students to build a website. However, there…

  16. Update in cardiac arrhythmias and pacing.

    PubMed

    García-Bolao, Ignacio; Ruiz-Mateas, Francisco; Bazan, Victor; Berruezo, Antonio; Alcalde, Oscar; Leal del Ojo, Juan; Acosta, Juan; Martínez Sellés, Manuel; Mosquera, Ignacio

    2015-03-01

    This article discusses the main advances in cardiac arrhythmias and pacing published between 2013 and 2014. Special attention is given to the interventional treatment of atrial fibrillation and ventricular arrhythmias, and on advances in cardiac pacing and implantable cardioverter defibrillators, with particular reference to the elderly patient.

  17. Passive Active Conservation Evaluator. PACE programmer's manual

    NASA Astrophysics Data System (ADS)

    1981-11-01

    The program features, programming conventions, and algorithms of the PACE comuter program are described. This manual is intended to aid programmers in installing and modifying the program. Written descriptions of program routines, a listing of the program and is data base, a section on programming conventions, an explanation of the algorithms within the program, and advice on installation of PACE are included.

  18. Experience with an ICD incorporating biventricular pacing.

    PubMed

    Kühlkamp, V; Dörnberger, V; Rüb, N; Eigenberger, B; Kettering, K; Bosch, R; Mewis, C

    2003-04-01

    Biventricular pacing for cardiac resynchronization is a promising therapy for symptomatic improvement in selected patients with underlying severe congestive heart failure. ICD treatment has been shown to prolong life in patients with life threatening ventricular tachyarrhythmias, but it does not improve quality of life. This review discusses current experience with ICD's incorporating biventricular pacing.

  19. 42 CFR 460.186 - PACE premiums.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... 42 Public Health 4 2014-10-01 2014-10-01 false PACE premiums. 460.186 Section 460.186 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY...

  20. 42 CFR 460.186 - PACE premiums.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... 42 Public Health 4 2011-10-01 2011-10-01 false PACE premiums. 460.186 Section 460.186 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY...

  1. 42 CFR 460.186 - PACE premiums.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... 42 Public Health 4 2013-10-01 2013-10-01 false PACE premiums. 460.186 Section 460.186 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY...

  2. Endocardial pacing: the wave of the future?

    PubMed

    Bordachar, Pierre; Ploux, Sylvain; Lumens, Joost

    2012-10-01

    Cardiac resynchronization therapy (CRT) is a proven treatment for heart failure and requires the implantation of a left ventricular (LV) lead, usually placed in a tributary of the coronary sinus. Encouraged by the fact that approximately 30 % of the patients receiving CRT do not benefit from this therapy, LV endocardial pacing has been proposed as an alternative to traditional LV transvenous epicardial pacing. Endocardial LV pacing has a number of potential advantages over conventional LV epicardial pacing, including a more physiological endocardial-to-epicardial transmural activation sequence, a faster ventricular activation, a larger choice of stimulation sites and a potential superior hemodynamic performance. On the other hand, cardiologists will have to deal with new implant techniques' (transseptal), higher risk of thromboembolic events, and challenging extraction procedures of infected material. The future of endocardial stimulation will depend on the results of randomized studies adequately powered to assess the feasibility, the safety and the effectiveness of this new pacing strategy.

  3. The Pace of Cultural Evolution

    PubMed Central

    Perreault, Charles

    2012-01-01

    Today, humans inhabit most of the world’s terrestrial habitats. This observation has been explained by the fact that we possess a secondary inheritance mechanism, culture, in addition to a genetic system. Because it is assumed that cultural evolution occurs faster than biological evolution, humans can adapt to new ecosystems more rapidly than other animals. This assumption, however, has never been tested empirically. Here, I compare rates of change in human technologies to rates of change in animal morphologies. I find that rates of cultural evolution are inversely correlated with the time interval over which they are measured, which is similar to what is known for biological rates. This correlation explains why the pace of cultural evolution appears faster when measured over recent time periods, where time intervals are often shorter. Controlling for the correlation between rates and time intervals, I show that (1) cultural evolution is faster than biological evolution; (2) this effect holds true even when the generation time of species is controlled for; and (3) culture allows us to evolve over short time scales, which are normally accessible only to short-lived species, while at the same time allowing for us to enjoy the benefits of having a long life history. PMID:23024804

  4. 42 CFR 460.170 - Reinstatement in PACE.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.170 Reinstatement in PACE. (a) A...

  5. 42 CFR 460.170 - Reinstatement in PACE.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.170 Reinstatement in PACE. (a) A...

  6. 42 CFR 460.122 - PACE organization's appeals process.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Rights § 460.122 PACE organization's appeals process. For...

  7. 42 CFR 460.180 - Medicare payment to PACE organizations.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Payment § 460.180 Medicare payment to PACE organizations. (a) Principle...

  8. 42 CFR 460.180 - Medicare payment to PACE organizations.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Payment § 460.180 Medicare payment to PACE organizations. (a) Principle...

  9. 42 CFR 460.122 - PACE organization's appeals process.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Rights § 460.122 PACE organization's appeals process. For...

  10. 42 CFR 460.170 - Reinstatement in PACE.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.170 Reinstatement in PACE. (a) A...

  11. 42 CFR 460.180 - Medicare payment to PACE organizations.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Payment § 460.180 Medicare payment to PACE organizations. (a) Principle...

  12. 42 CFR 460.170 - Reinstatement in PACE.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.170 Reinstatement in PACE. (a) A...

  13. 42 CFR 460.122 - PACE organization's appeals process.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Rights § 460.122 PACE organization's appeals process. For...

  14. Intelligence Gathering Post-9/11

    ERIC Educational Resources Information Center

    Loftus, Elizabeth F.

    2011-01-01

    The gathering of information for intelligence purposes often comes from interviewing a variety of individuals. Some, like suspects and captured prisoners, are individuals for whom the stakes are especially high and who might not be particularly cooperative. But information is also gathered from myriad individuals who have relevant facts to…

  15. Transferring PACE Assessments Upon Home Sale

    SciTech Connect

    National Renewable Energy Laboratory; Coughlin, Jason; Fuller, Merrian; Zimring, Mark

    2010-04-12

    A significant barrier to investing in renewable energy and comprehensive energy efficiency improvements to homes across the country is the initial capital cost. Property Assessed Clean Energy (PACE) financing is one of several new financial models broadening access to clean energy by addressing this upfront cost issue. Recently, the White House cited PACE programs as an important element of its 'Recovery through Retrofit' plan. The residential PACE model involves the creation of a special clean energy financing district that homeowners elect to opt into. Once opted in, the local government (usually at the city or county level) finances the upfront investment of the renewable energy installation and/or energy efficiency improvements. A special lien is attached to the property and the assessment is paid back as a line item on the property tax bill. As of April 2010, 17 states have passed legislation to allow their local governments to create PACE programs, two already have the authority to set up PACE programs, and over 10 additional states are actively developing enabling legislation. This policy brief analyzes one of the advantages of PACE, which is the transferability of the special assessment from one homeowner to the next when the home is sold. This analysis focuses on the potential for the outstanding lien to impact the sales negotiation process, rather than the legal nature of the lien transfer itself. The goal of this paper is to consider what implications a PACE lien may have on the home sales negotiation process so that it can be addressed upfront rather than risk a future backlash to PACE programs. If PACE programs do expand at a rapid rate, the chances are high that there will be other cases where prospective buyers uses PACE liens to negotiate lower home prices or require repayment of the lien as a condition of sale. As a result, PACE programs should highlight this issue as a potential risk factor for the sake of full disclosure. A good example of this

  16. Conservation law for self-paced movements.

    PubMed

    Huh, Dongsung; Sejnowski, Terrence J

    2016-08-01

    Optimal control models of biological movements introduce external task factors to specify the pace of movements. Here, we present the dual to the principle of optimality based on a conserved quantity, called "drive," that represents the influence of internal motivation level on movement pace. Optimal control and drive conservation provide equivalent descriptions for the regularities observed within individual movements. For regularities across movements, drive conservation predicts a previously unidentified scaling law between the overall size and speed of various self-paced hand movements in the absence of any external tasks, which we confirmed with psychophysical experiments. Drive can be interpreted as a high-level control variable that sets the overall pace of movements and may be represented in the brain as the tonic levels of neuromodulators that control the level of internal motivation, thus providing insights into how internal states affect biological motor control.

  17. Conservation law for self-paced movements.

    PubMed

    Huh, Dongsung; Sejnowski, Terrence J

    2016-08-01

    Optimal control models of biological movements introduce external task factors to specify the pace of movements. Here, we present the dual to the principle of optimality based on a conserved quantity, called "drive," that represents the influence of internal motivation level on movement pace. Optimal control and drive conservation provide equivalent descriptions for the regularities observed within individual movements. For regularities across movements, drive conservation predicts a previously unidentified scaling law between the overall size and speed of various self-paced hand movements in the absence of any external tasks, which we confirmed with psychophysical experiments. Drive can be interpreted as a high-level control variable that sets the overall pace of movements and may be represented in the brain as the tonic levels of neuromodulators that control the level of internal motivation, thus providing insights into how internal states affect biological motor control. PMID:27418602

  18. Update on arrhythmias and cardiac pacing 2013.

    PubMed

    Almendral, Jesús; Pombo, Marta; Martínez-Alday, Jesús; González-Rebollo, José M; Rodríguez-Font, Enrique; Martínez-Ferrer, José; Castellanos, Eduardo; García-Fernández, F Javier; Ruiz-Mateas, Francisco

    2014-04-01

    This report discusses a selection of the most relevant articles on cardiac arrhythmias and pacing published in 2013. The first section discusses arrhythmias, classified as regular paroxysmal supraventricular tachyarrhythmias, atrial fibrillation, and ventricular arrhythmias, together with their treatment by means of an implantable cardioverter defibrillator. The next section reviews cardiac pacing, subdivided into resynchronization therapy, remote monitoring of implantable devices, and pacemakers. The final section discusses syncope.

  19. Update on arrhythmias and cardiac pacing 2013.

    PubMed

    Almendral, Jesús; Pombo, Marta; Martínez-Alday, Jesús; González-Rebollo, José M; Rodríguez-Font, Enrique; Martínez-Ferrer, José; Castellanos, Eduardo; García-Fernández, F Javier; Ruiz-Mateas, Francisco

    2014-04-01

    This report discusses a selection of the most relevant articles on cardiac arrhythmias and pacing published in 2013. The first section discusses arrhythmias, classified as regular paroxysmal supraventricular tachyarrhythmias, atrial fibrillation, and ventricular arrhythmias, together with their treatment by means of an implantable cardioverter defibrillator. The next section reviews cardiac pacing, subdivided into resynchronization therapy, remote monitoring of implantable devices, and pacemakers. The final section discusses syncope. PMID:24774592

  20. Optogenetic pacing in Drosophila melanogaster (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Alex, Aneesh; Li, Airong; Men, Jing; Jerwick, Jason; Tanzi, Rudolph E.; Zhou, Chao

    2016-03-01

    A non-invasive, contact-less cardiac pacing technology can be a powerful tool in basic cardiac research and in clinics. Currently, electrical pacing is the gold standard for cardiac pacing. Although highly effective in controlling the cardiac function, the invasive nature, non-specificity to cardiac tissues and possible tissue damage limits its capabilities. Optical pacing of heart is a promising alternative, which is non-invasive and more specific, has high spatial and temporal precision, and avoids shortcomings in electrical stimulation. Optical coherence tomography has been proved to be an effective technique in non-invasive imaging in vivo with ultrahigh resolution and imaging speed. In the last several years, non-invasive specific optical pacing in animal hearts has been reported in quail, zebrafish, and rabbit models. However, Drosophila Melanogaster, which is a significant model with orthologs of 75% of human disease genes, has rarely been studied concerning their optical pacing in heart. Here, we combined optogenetic control of Drosophila heartbeat with optical coherence microscopy (OCM) technique for the first time. The light-gated cation channel, channelrhodopsin-2 (ChR2) was specifically expressed by transgene as a pacemaker in drosophila heart. By stimulating the pacemaker with 472 nm pulsed laser light at different frequencies, we achieved non-invasive and more specific optical control of the Drosophila heart rhythm, which demonstrates the wide potential of optical pacing for studying cardiac dynamics and development. Imaging capability of our customized OCM system was also involved to observe the pacing effect visually. No tissue damage was found after long exposure to laser pulses, which proved the safety of optogenetic control of Drosophila heart.

  1. First observation of ELM pacing with vertical jogs in a spherical torus

    NASA Astrophysics Data System (ADS)

    Gerhardt, S. P.; Ahn, J.-W.; Canik, J. M.; Maingi, R.; Bell, R.; Gates, D.; Goldston, R.; Hawryluk, R.; Le Blanc, B. P.; Menard, J.; Sontag, A. C.; Sabbagh, S.; Tritz, K.

    2010-06-01

    Experiments in a number of conventional aspect ratio tokamaks have been successful in pacing edge localized modes (ELMs) by rapid vertical jogging of the plasma. This paper demonstrates the first pacing of ELMs in a spherical torus plasma. Applied 30 Hz vertical jogs synchronized the ELMs with the upward motion of the plasma. 45 Hz jogs also lead to an increase in the ELM frequency, though the synchronization of the ELMs and jogs was unclear. A reduction in the ELM energy was observed at the higher driven ELM frequencies.

  2. First observation of ELM pacing with vertical jogs in a spherical torus

    SciTech Connect

    Gerhardt, S.P.; Ahn, Joon-Wook; Canik, John; Maingi, R.; Bell, R.; Gates, D.; Goldston, R.; Hawryluk, R.; Le Blanc, B. P.; Menard, J.; Sontag, Aaron C; Sabbagh, S. A.; Tritz, K.

    2010-01-01

    Experiments in a number of conventional aspect ratio tokamaks have been successful in pacing edge localized modes (ELMs) by rapid vertical jogging of the plasma. This paper demonstrates the first pacing of ELMs in a spherical torus plasma. Applied 30 Hz vertical jogs synchronized the ELMs with the upward motion of the plasma. 45 Hz jogs also lead to an increase in the ELM frequency, though the synchronization of the ELMs and jogs was unclear. A reduction in the ELM energy was observed at the higher driven ELM frequencies.

  3. First Observation Of ELM Pacing With Vertical Jogs In A Spherical Torus

    SciTech Connect

    Gerhardt, S P; Canik, J M; Maingi, R; Bell, R; Gates, d; Goldston, R; Hawryluk, R; Le Blanc, B P; Menard, J; Sontag, A C; Sabbagh, S

    2010-07-15

    Experiments in a number of conventional aspect ratio tokamaks have been successful in pacing edge localized modes (ELMs) by rapid vertical jogging of the plasma. This paper demonstrates the first pacing of ELMs in a spherical torus plasma. Applied 30 Hz vertical jogs synchronized the ELMs with the upward motion of the plasma. 45 Hz jogs also lead to an increase in the ELM frequency, though the synchronization of the ELMs and jogs was unclear. A reduction in the ELM energy was observed at the higher driven ELM frequencies. __________________________________________________

  4. Legal vs Ethical News-Gathering Methods.

    ERIC Educational Resources Information Center

    Vahl, Rod

    1990-01-01

    Discusses legal and ethical issues surrounding methods of news-gathering, including undercover reporting, misrepresentation of the reporter's identity, fabrication, and plagiarism. Maintains that high school reporters should search out and follow guidelines for their information-seeking methods. (SR)

  5. An information theory of image gathering

    NASA Technical Reports Server (NTRS)

    Fales, Carl L.; Huck, Friedrich O.

    1991-01-01

    Shannon's mathematical theory of communication is extended to image gathering. Expressions are obtained for the total information that is received with a single image-gathering channel and with parallel channels. It is concluded that the aliased signal components carry information even though these components interfere with the within-passband components in conventional image gathering and restoration, thereby degrading the fidelity and visual quality of the restored image. An examination of the expression for minimum mean-square-error, or Wiener-matrix, restoration from parallel image-gathering channels reveals a method for unscrambling the within-passband and aliased signal components to restore spatial frequencies beyond the sampling passband out to the spatial frequency response cutoff of the optical aperture.

  6. 42 CFR 460.122 - PACE organization's appeals process.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... team denies a request for services or payment, the PACE organization must give a participant written... 42 Public Health 4 2010-10-01 2010-10-01 false PACE organization's appeals process. 460.122... FOR THE ELDERLY (PACE) Participant Rights § 460.122 PACE organization's appeals process. For...

  7. Left ventricular guidewire pacing for transcatheter aortic valve implantation.

    PubMed

    Guérios, Enio E; Wenaweser, Peter; Meier, Bernhard

    2013-12-01

    Previous reports prove the safety and efficacy of cardiac pacing employing a guidewire in the left ventricle as unipolar pacing electrode. We describe the use of left ventricular guidewire pacing as an alternative to conventional transvenous temporary right ventricular pacing in the context of transcatheter aortic valve implantation.

  8. Weather and Environmental Hazards at Mass Gatherings

    PubMed Central

    Soomaroo, Lee; Murray, Virginia

    2012-01-01

    Introduction Reviews of mass gathering events have traditionally concentrated on crowd variables that affect the level and type of medical care needed. Weather and environmental hazards at mass gathering events have not been fully researched. This review examines these events and aims to provide future suggestions for event organisers, medical resource planners, and emergency services, including local hospital emergency departments. Methods A review was conducted using computerised data bases: MEDLINE, The Cochrane Library, HMIC and EMBASE, with Google used to widen the search beyond peer-reviewed publications, to identify grey literature. All peer-review literature articles found containing information pertaining to lessons identified from mass gathering disasters due to weather or environmental hazards leading to participant death, injury or illness were analysed and reviewed. Disasters occurring due to crowd variables were not included. These articles were read, analysed, abstracted and summarised. Results 20 articles from literature search were found detailing mass gathering disasters relating directly to weather or environmental hazards from 1988 – 2011, with only 17 cases found within peer-review literature. Two events grey literature from 2011 are due to undergo further inquiry while one article reviews an event originally occurring in 1922. Analysis of cases were categorised in to heat and cold-related events, lightning and storms and disease outbreak. Conclusions Mass gathering events have an enormous potential to place a severe strain on the local health care system, Prior health resource and environmental planning for heat & cold-related illness, lightning & storms, and disease outbreak can advance emergency preparedness and response to potential disasters. Citation: Soomaroo L, Murray V. Weather and Environmental Hazards at Mass Gatherings. PLoS Currents Disasters. 2012 Jul 31 Keywords: Mass Gatherings, Disasters, Sporting Events, Festivals, Concerts

  9. A Simulation Study of Paced TCP

    NASA Technical Reports Server (NTRS)

    Kulik, Joanna; Coulter, Robert; Rockwell, Dennis; Partridge, Craig

    2000-01-01

    In this paper, we study the performance of paced TCP, a modified version of TCP designed especially for high delay- bandwidth networks. In typical networks, TCP optimizes its send-rate by transmitting increasingly large bursts, or windows, of packets, one burst per round-trip time, until it reaches a maximum window-size, which corresponds to the full capacity of the network. In a network with a high delay-bandwidth product, however, Transmission Control Protocol's (TCPs) maximum window-size may be larger than the queue size of the intermediate routers, and routers will begin to drop packets as soon as the windows become too large for the router queues. The TCP sender then concludes that the bottleneck capacity of the network has been reached, and it limits its send-rate accordingly. Partridge proposed paced TCP as a means of solving the problem of queueing bottlenecks. A sender using paced TCP would release packets in multiple, small bursts during a round-trip time in which ordinary TCP would release a single, large burst of packets. This approach allows the sender to increase its send-rate to the maximum window size without encountering queueing bottlenecks. This paper describes the performance of paced TCP in a simulated network and discusses implementation details that can affect the performance of paced TCP.

  10. Prevention of pneumococcal infections during mass gathering.

    PubMed

    Al-Tawfiq, Jaffar A; Memish, Ziad A

    2016-01-01

    The interest in mass gathering and its implications has been increasing due to globalization and international travel. The potential occurrence of infectious disease outbreaks during mass gathering is most feared. In this context, respiratory tract infections are of great concern due to crowding in a limited space which facilitates and magnifies the potential of disease spread among attendees. Pneumococcal disease is best described among pilgrims to Makkah and vaccination is one of the methods for the prevention of this disease. Pneumonia was described in a mass gathering with a prevalence of 4.8/100,000 pilgrims and contributes to 15-39% of hospitalizations. Various studies showed that 7-37% of pilgrims are 65 y of age or older. The uptake of pneumococcal vaccine among pilgrims is low at 5%. There is no available data to make strong recommendations for S. pneumoniae vaccination of all pilgrims, it is important that a high risk population receive the indicated vaccination. We reviewed the available literature on the burden of pneumococcal infections during mass gathering and evaluate the available literature on pneumococcal vaccinations for attendees of mass gathering.

  11. Prevention of pneumococcal infections during mass gathering

    PubMed Central

    Al-Tawfiq, Jaffar A; Memish, Ziad A

    2016-01-01

    The interest in mass gathering and its implications has been increasing due to globalization and international travel. The potential occurrence of infectious disease outbreaks during mass gathering is most feared. In this context, respiratory tract infections are of great concern due to crowding in a limited space which facilitates and magnifies the potential of disease spread among attendees. Pneumococcal disease is best described among pilgrims to Makkah and vaccination is one of the methods for the prevention of this disease. Pneumonia was described in a mass gathering with a prevalence of 4.8/100,000 pilgrims and contributes to 15–39% of hospitalizations. Various studies showed that 7–37% of pilgrims are 65 y of age or older. The uptake of pneumococcal vaccine among pilgrims is low at 5%. There is no available data to make strong recommendations for S. pneumoniae vaccination of all pilgrims, it is important that a high risk population receive the indicated vaccination. We reviewed the available literature on the burden of pneumococcal infections during mass gathering and evaluate the available literature on pneumococcal vaccinations for attendees of mass gathering. PMID:26176306

  12. Permanent cardiac pacing in Malaysia. An update.

    PubMed

    Saw, H S; Chong, K T; Singham, A M

    1981-10-01

    Updated data on permanent cardiac pacing in Malaysia is presented. Over the past 3 1/2 years (1976-1980), 75 patients underwent insertion of pacemakers giving an annual incidence of about 20 cases as compared with a total of 21 cases in the previous 8 years (1968-1977). Many of the features reported in an earlier paper in 1977 viz mode of presentation, age and sex distribution and indications for pacing remain unchanged. Over this period only 4 patients required lead replacement. Since concentrating mainly on the use of epicardial leads implanted via a subxiphoid approach, complications have been remarkably low. The problem of availability of pacemakers has been averted. Cost remains a major consideration when recommending one pacemaker in preference over another. The details concerning clinical features, indications for pacing, complications and other problems encountered in the management of these patients are discussed.

  13. Reflections on the Gathering: Participatory Worlds.

    ERIC Educational Resources Information Center

    Briccetti, Lee; Zeitlin, Steve

    2003-01-01

    Offers a mediation on the 2003 People's Poetry Gathering. Includes two writers' thoughts on epics and ballads. Contends that the themes of epics remain relevant, yet there must always be a gap between the modern reader and the ancient epic singer. Proposes that studying folklore and finding ways to preserve and present older forms in innovative…

  14. What Happened to Woman the Gatherer?

    ERIC Educational Resources Information Center

    Zihlman, Adrienne L.

    Reactions to the "woman the gatherer" theory, introduced in the 1970's as an alternative to the "man the hunter" thesis in anthropology, have been to accept, ignore it, or combine it with the hunting theory. The "man the hunter" model stresses that primitive males hunted for meat and provided food and protection for their mates and children who…

  15. Parker Lecturers Gather at Joint Assembly

    NASA Astrophysics Data System (ADS)

    Crooker, Nancy

    2008-08-01

    Present and past Parker Lecturers, who are Bowie Lecturers of AGU's Space Physics and Aeronomy (SPA) section, gathered at the Joint Assembly in Fort Lauderdale, Fla., on the occasion of the fiftieth anniversary of the publication of Eugene Parker's famous paper predicting the existence of the supersonic solar wind (see Figure 1).

  16. An Integrated Preprofessional Individually Paced Instruction Curriculum.

    ERIC Educational Resources Information Center

    McCollom, Kenneth A.; Kurtz, Edwin B.

    The individually-paced instruction program carried out by the engineering faculty at Oklahoma State University is described in this article to illustrate its goals, principles, characteristics, developments, and present status. The instructional model is discussed in connection with behavioral objectives, criteria for performance, and student…

  17. Self-Paced Instruction: Hello, Education

    ERIC Educational Resources Information Center

    Leuba, Richard J.; Flammer, Gordon H.

    1975-01-01

    Answers criticisms of self-paced instruction (SPI) by citing advantages of SPI over lecture methods. Concludes that criticisms of SPI are useful since they indicate in which areas further research should be conducted to improve this method of instruction. (MLH)

  18. Self-Paced Physics, Course Materials.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Samples of the Self-Paced Physics Course materials are presented in this collection for dissemination purposes. Descriptions are included of course objectives, characteristics, structures, and content. As a two-semester course of study for science and engineering sophomores, most topics are on a level comparable to that of classical physics by…

  19. Self-Paced Graphics with Track Options.

    ERIC Educational Resources Information Center

    Hilliard, Garland K.

    An engineering graphics course offered at North Carolina State University for freshman engineering students is described. The course is divided into 14 units and the students are allowed to proceed at their own pace. The first 11 units comprise the required core; the remaining 3 units may be chosen from other areas such as computer graphics,…

  20. The potential and reality of permanent his bundle pacing.

    PubMed

    Barba-Pichardo, Rafael; Moriña-Vázquez, Pablo; Venegas-Gamero, José; Frutos-López, Manuel; Moreno-Lozano, Valle; Herrera-Carranza, Manuel

    2008-10-01

    Right ventricular apex pacing can have deleterious effects. Our aims were to investigate how many patients referred for permanent pacing were suitable candidates for permanent His bundle pacing, and to determine the proportion in whom such pacing was successful. All cases of suprahisian block and most cases of infrahisian block (71.4%) were corrected by temporary His bundle pacing. However, permanent His bundle pacing was achieved in only 55% of cases in which it was attempted, and in only 35.4% of all possible cases. PMID:18817687

  1. Four chamber pacing in dilated cardiomyopathy.

    PubMed

    Cazeau, S; Ritter, P; Bakdach, S; Lazarus, A; Limousin, M; Henao, L; Mundler, O; Daubert, J C; Mugica, J

    1994-11-01

    A 54-year-old man received a four chamber pacing system for severe congestive heart failure (NYHA functional Class IV). His ECG showed a left bundle branch block (200-msec QRS duration) with 200-msec PR interval, normal QRS axis, and 90-msec interatrial interval. An acute hemodynamic study with insertion of four temporary leads was performed prior to the implant, which demonstrated a significant increase in cardiac output and decrease of pulmonary capillary wedge pressure. A permanent pacemaker was implanted based on the encouraging results of the acute study. The right chamber leads were introduced by cephalic and subclavian approaches. The left atrium was paced with a coronary sinus lead, Medtronic SP 2188-58 model. An epicardial Medtronic 5071 lead was placed on the LV free wall. The four leads were connected to a standard bipolar DDD pacemaker, Chorus 6234. The two atrial leads were connected via a Y-connector to the atrial channel of the pacemaker with a bipolar pacing configuration. The two ventricular leads were connected in a similar fashion to the ventricular channel of the device. The right chamber leads were connected to the distal poles. The left chamber leads were connected to the proximal poles of the pacemaker. Six weeks later, the patient's clinical status improved markedly with a weight loss of 17 kg and disappearance of peripheral edema. His functional class was reduced to NYHA II. Four chamber pacing is technically feasible. In patients with evidence of interventricular dyssynchrony, this original pacing mode probably provides a mechanical activation sequence closer to the natural one.(ABSTRACT TRUNCATED AT 250 WORDS)

  2. Optimal pacing for symptomatic AV block: a comparison of VDD and DDD pacing.

    PubMed

    Huang, Max; Krahn, Andrew D; Yee, Raymond; Klein, George J; Skanes, Allan C

    2003-12-01

    VDD pacing provides the physiological benefits of atrioventricular synchronous pacing with the convenience of a single lead system, but is hampered by uncertainty regarding long-term atrial sensing and potential development of sinus node disease. To examine the long-term reliability and complication rates of VDD pacing, we compared the outcome of 112 consecutive patients (age 70 +/- 13 years, 59% male) with symptomatic AV block who received a single pass bipolar VDD system to 80 patients (age 63 +/- 16 years, 70% male) who received DDD pacing for the same indication. All patients were judged to have intact sinus node function based on submitted ECGs and monitoring results at the time of implant. Implant time was reduced in VDD patients compared to DDD patients (63 +/- 20 vs 97 +/- 36 minutes, P < 0.0001). Implant complications occurred in 5 (6%) DDD patients compared to 3 (3%) VDD patients (P = 0.15). The implant P wave was lower with VDD pacing compared to DDD patients (2.91 +/- 1.48 vs 4.0 +/- 1.7 mV, P < 0.0001), but remained stable during long-term follow-up in both groups. During 17.7 +/- 10.0 months of follow-up in the VDD group, only 2 VDD patients were reprogrammed to VVIR mode, compared to 3 DDD patients. Physiological atrioventricular activation was maintained in 94%-99% of beats throughout the follow-up period in the VDD group. VDD pacing is an excellent strategy for treatment of patients with symptomatic AV block. The lower cost, high reliability, and abbreviated implantation time suggest that VDD pacing is a viable alternative to DDD pacing in patients with high-degree AV block and normal sinus node function.

  3. Optimal pacing for symptomatic AV block: a comparison of VDD and DDD pacing.

    PubMed

    Huang, Max; Krahn, Andrew D; Yee, Raymond; Klein, George J; Skanes, Allan C

    2004-01-01

    VDD pacing provides the physiological benefits of atrioventricular synchronous pacing with the convenience of a single lead system, but is hampered by uncertainty regarding long term atrial sensing and potential development of sinus node disease. To examine the long-term reliability and complication rates of VDD pacing, we compared the outcome of 112 consecutive patients (age 70 +/- 13 years, 59% men) with symptomatic AV block who received a single pass bipolar VDD system, to 80 patients (age 63 +/- 16 years, 70% men) who received DDD pacing for the same indication. All patients were judged to have intact sinus node function based on submitted ECGs and monitoring results at the time of implant. Implant time was reduced in VDD patients compared to DDD patients (63 +/- 20 vs 97 +/- 36 minutes, P < 0.0001). Implant complications occurred in 5 (6%) DDD patients compared to 3 (3%) VDD patients (P = 0.15). The implant P wave was lower with VDD pacing compared to DDD patients (2.91 +/- 1.48 vs 4.0 +/- 1.7 mv, P < 0.0001), but remained stable during long-term follow-up in both groups. During 17.7 +/- 10.0 months of follow-up in the VDD group, only two VDD patients were reprogrammed to VVIR mode, compared to three DDD patients. Physiological atrioventricular activation was maintained in 94%-99% of beats throughout the follow-up period in the VDD group. VDD pacing is an excellent strategy for treatment of patients with symptomatic AV block. The lower cost, high reliability, and abbreviated implantation time suggest that VDD pacing is a viable alternative to DDD pacing in patients with high degree AV block and normal sinus node function.

  4. Single chamber atrial pacing: an underused and cost-effective pacing modality in sinus node disease

    PubMed Central

    Clarke, K; Connelly, D; Charles, R

    1998-01-01

    Objective—To determine the safety and cost effectiveness of single chamber atrial pacing in patients with sinus node disease.
Design—Retrospective follow up study.
Setting—Tertiary referral centre.
Patients—81 patients with single chamber atrial pacemakers implanted between 1992 and 1996.
Main outcome measures—The development of high grade atrioventricular block resulting in a further pacemaker procedure. The cost savings of changing our current pacing practice to conform with British Pacing and Electrophysiology Group guidelines.
Results—During the follow up period, four patients (5.8%) required a further procedure to upgrade their atrial pacemaker to a dual chamber system owing to the development of high grade atrioventricular block. In 1995 and 1996, 343 pacemakers were implanted in patients with sinus node disease; 19 (5.5%) received single chamber atrial pacemakers and 271 (79%) dual chamber pacemakers. If the current pacing practice was changed so that all patients received single chamber atrial pacemakers, with revision for symptomatic atrioventricular block, savings in excess of £206 000 would have been made in the two year period.
Conclusions—Atrial pacing in patients with sinus node disease is underused. The need for patients to undergo further procedures owing to the development of atrioventricular block is small and significant cost savings could be made by changing pacemaker practice.

 Keywords: sinus node disease;  atrial pacing;  cost effectiveness PMID:9875119

  5. The Problem of Pacing a Student Learning at Home.

    ERIC Educational Resources Information Center

    Yule, Ronald M.

    1985-01-01

    The problem of pacing distance learning students is discussed together with suggested pacing methods: insertion of questions in text of study guides; short-term, regular assignments; tutorial letters; audiocassette and videotape usage; and computer assisted instruction. (MBR)

  6. 42 CFR 460.50 - Termination of PACE program agreement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Sanctions, Enforcement Actions, and Termination § 460.50 Termination of...

  7. 42 CFR 460.50 - Termination of PACE program agreement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Sanctions, Enforcement Actions, and Termination § 460.50 Termination of...

  8. 42 CFR 460.50 - Termination of PACE program agreement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Sanctions, Enforcement Actions, and Termination § 460.50 Termination of...

  9. 42 CFR 460.50 - Termination of PACE program agreement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Sanctions, Enforcement Actions, and Termination § 460.50 Termination of...

  10. 42 CFR 460.50 - Termination of PACE program agreement.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Sanctions, Enforcement Actions, and Termination § 460.50 Termination of...

  11. Teaching in hunter-gatherer infancy.

    PubMed

    Hewlett, Barry S; Roulette, Casey J

    2016-01-01

    A debate exists as to whether teaching is part of human nature and central to understanding culture or whether it is a recent invention of Western, Educated, Industrial, Rich, Democratic cultures. Some social-cultural anthropologists and cultural psychologists indicate teaching is rare in small-scale cultures while cognitive psychologists and evolutionary biologists indicate it is universal and key to understanding human culture. This study addresses the following questions: Does teaching of infants exist in hunter-gatherers? If teaching occurs in infancy, what skills or knowledge is transmitted by this process, how often does it occur and who is teaching? The study focuses on late infancy because cognitive psychologists indicate that one form of teaching, called natural pedagogy, emerges at this age. Videotapes of Aka hunter-gatherer infants were used to evaluate whether or not teaching exists among Aka hunter-gatherers of central Africa. The study finds evidence of multiple forms of teaching, including natural pedagogy, that are used to enhance learning of a variety of skills and knowledge.

  12. Hunter-Gatherer Energetics and Human Obesity

    PubMed Central

    Pontzer, Herman; Raichlen, David A.; Wood, Brian M.; Mabulla, Audax Z. P.; Racette, Susan B.; Marlowe, Frank W.

    2012-01-01

    Western lifestyles differ markedly from those of our hunter-gatherer ancestors, and these differences in diet and activity level are often implicated in the global obesity pandemic. However, few physiological data for hunter-gatherer populations are available to test these models of obesity. In this study, we used the doubly-labeled water method to measure total daily energy expenditure (kCal/day) in Hadza hunter-gatherers to test whether foragers expend more energy each day than their Western counterparts. As expected, physical activity level, PAL, was greater among Hadza foragers than among Westerners. Nonetheless, average daily energy expenditure of traditional Hadza foragers was no different than that of Westerners after controlling for body size. The metabolic cost of walking (kcal kg−1 m−1) and resting (kcal kg−1 s−1) were also similar among Hadza and Western groups. The similarity in metabolic rates across a broad range of cultures challenges current models of obesity suggesting that Western lifestyles lead to decreased energy expenditure. We hypothesize that human daily energy expenditure may be an evolved physiological trait largely independent of cultural differences. PMID:22848382

  13. Teaching in hunter–gatherer infancy

    PubMed Central

    Hewlett, Barry S.; Roulette, Casey J.

    2016-01-01

    A debate exists as to whether teaching is part of human nature and central to understanding culture or whether it is a recent invention of Western, Educated, Industrial, Rich, Democratic cultures. Some social–cultural anthropologists and cultural psychologists indicate teaching is rare in small-scale cultures while cognitive psychologists and evolutionary biologists indicate it is universal and key to understanding human culture. This study addresses the following questions: Does teaching of infants exist in hunter–gatherers? If teaching occurs in infancy, what skills or knowledge is transmitted by this process, how often does it occur and who is teaching? The study focuses on late infancy because cognitive psychologists indicate that one form of teaching, called natural pedagogy, emerges at this age. Videotapes of Aka hunter–gatherer infants were used to evaluate whether or not teaching exists among Aka hunter–gatherers of central Africa. The study finds evidence of multiple forms of teaching, including natural pedagogy, that are used to enhance learning of a variety of skills and knowledge. PMID:26909166

  14. Image gathering and processing - Information and fidelity

    NASA Technical Reports Server (NTRS)

    Huck, F. O.; Fales, C. L.; Halyo, N.; Samms, R. W.; Stacy, K.

    1985-01-01

    In this paper we formulate and use information and fidelity criteria to assess image gathering and processing, combining optical design with image-forming and edge-detection algorithms. The optical design of the image-gathering system revolves around the relationship among sampling passband, spatial response, and signal-to-noise ratio (SNR). Our formulations of information, fidelity, and optimal (Wiener) restoration account for the insufficient sampling (i.e., aliasing) common in image gathering as well as for the blurring and noise that conventional formulations account for. Performance analyses and simulations for ordinary optical-design constraints and random scences indicate that (1) different image-forming algorithms prefer different optical designs; (2) informationally optimized designs maximize the robustness of optimal image restorations and lead to the highest-spatial-frequency channel (relative to the sampling passband) for which edge detection is reliable (if the SNR is sufficiently high); and (3) combining the informationally optimized design with a 3 by 3 lateral-inhibitory image-plane-processing algorithm leads to a spatial-response shape that approximates the optimal edge-detection response of (Marr's model of) human vision and thus reduces the data preprocessing and transmission required for machine vision.

  15. PACE (Revised). Resource Guide. Research & Development Series No. 240D.

    ERIC Educational Resources Information Center

    Ashmore, M. Catherine; Pritz, Sandra G.

    This resource guide contains information on the Program for Acquiring Competence in Entrepreneurship (PACE) materials, a glossary, and listings of sources of information. Introductory materials include a description of PACE, information on use of PACE materials, and objectives of the 18 units for all three levels at which they are developed. An…

  16. 77 FR 3958 - Mortgage Assets Affected by PACE Programs

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-01-26

    ... assets affected by Property Assessed Clean Energy (``PACE'') programs and Notice of Intent (``NOI'') to... property assessed clean energy (PACE) programs.'' In response to and compliance with the California... property assessed clean energy (PACE) programs.'' The California District Court further ordered that ``...

  17. Applying 20/20 Hindsight to Self-Pacing.

    ERIC Educational Resources Information Center

    Dunkleberger, Gary E.

    1980-01-01

    Discussed are several suggestions for the maintenance of a science self-paced classroom. Topics include the use of computers for student self-assessment, teachers and students roles in the self-paced classroom, and laboratory setup and packaging in the self-paced science laboratory. (Author/DS)

  18. Pacing, Pixels, and Paper: Flexibility in Learning Words from Flashcards

    ERIC Educational Resources Information Center

    Sage, Kara; Rausch, Joseph; Quirk, Abigail; Halladay, Lauren

    2016-01-01

    The present study focused on how self-control over pace might help learners successfully extract information from digital learning aids. Past research has indicated that too much control over pace can be overwhelming, but too little control over pace can be ineffective. Within the popular self-testing domain of flashcards, we sought to elucidate…

  19. The Efficacy of PACE in the Remediation of Naming Deficits.

    ERIC Educational Resources Information Center

    Li, Edith Chin; And Others

    1988-01-01

    The study compared PACE (Promoting Aphasics' Communicative Effectiveness) and traditional stimulation therapy in the remediation of naming deficits in a 66-year-old conduction aphasic. In PACE, client and clinician engage in natural interaction sequences using multiple channels, including gestures, to communicate. PACE resulted in greater gains in…

  20. His bundle pacing: Initial experience and lessons learned.

    PubMed

    Deshmukh, Amrish; Deshmukh, Pramod

    2016-01-01

    Direct His bundle pacing provides the most physiologic means of artificial pacing of the ventricles with a preserved His-Purkinje system and may play a role in patients with a diseased intrinsic conduction system. We describe our initial motivations and experience with permanent direct His bundle pacing and important lessons learned since that time. PMID:27591359

  1. State of the art of leadless pacing

    PubMed Central

    Sperzel, Johannes; Burri, Haran; Gras, Daniel; Tjong, Fleur V.Y.; Knops, Reinoud E.; Hindricks, Gerhard; Steinwender, Clemens; Defaye, Pascal

    2015-01-01

    Despite undisputable benefits, conventional pacemaker therapy is associated with specific complications related to the subcutaneous device and the transvenous leads. Recently, two miniaturized leadless pacemakers, Nanostim™ (St. Jude Medical) and Micra™ (Medtronic), which can be completely implanted inside the right ventricle using steerable delivery systems, entered clinical application. The WiCS™-cardiac resynchronisation therapy (CRT) system (wireless cardiac stimulation for CRT, EBR Systems) delivers leadless left ventricular endocardial stimulation for cardiac resynchronization. In addition to obvious cosmetic benefits, leadless pacing systems may have the potential to overcome some complications of conventional pacing. However, acute and long-term complications still remains to be determined, as well as the feasibility of device explantation years after device placement. PMID:26024918

  2. Diaphragm pacing: the state of the art

    PubMed Central

    Legras, Antoine; Arame, Alex; Pricopi, Ciprian; Boucherie, Jean-Claude; Badia, Alain; Panzini, Capucine Morelot

    2016-01-01

    Diaphragm pacing (DP) is an orphan surgical procedure that may be proposed in strictly selected ventilator-dependent patients to get an active diaphragm contraction. The goal is to wean from mechanical ventilation (MV) and restore permanent efficient breathing. The two validated indications, despite the lack of randomised control trials, concern patients with high-level spinal cord injuries (SCI) and central hypoventilation syndromes (CHS). To date, two different techniques exist. The first, intrathoracic diaphragm pacing (IT-DP), based on a radiofrequency method, in which the electrodes are directly placed around the phrenic nerve. The second, intraperitoneal diaphragm pacing (IP-DP) uses intradiaphragmatic electrodes implanted through laparoscopy. In both techniques, the phrenic nerves must be intact and diaphragm reconditioning is always required after implantation. No perioperative mortality has been reported and ventilator-weaning rate is about 72% to 96% in both techniques. Improvement of quality of life, by restoring a more physiological breathing, has been almost constant in patients that could be weaned. Failure or delay in recovery of effective diaphragm contractions could be due to irreversible amyotrophy or chest wall damage. Recent works have evaluated the interest of IP-DP in amyotrophic lateral sclerosis (ALS). After some short series were reported in the literature, the only multicentric randomized study including 74 ALS patients was prematurely stopped because of excessive mortality in paced patients. Then, another trial analysed the place of IP-DP in peripheral diaphragm dysfunction but, given the multiple biases, the published results cannot validate that indication. Reviewing all available literature as in our experience, shows that DP is an effective method to wean selected patients dependent on ventilator and improve their daily life. Other potential indications will have to be evaluated by randomised control trials. PMID:27195135

  3. Slow Pace for Race to Top Spending

    ERIC Educational Resources Information Center

    McNeil, Michele

    2012-01-01

    Almost two years into the federal Race to the Top program, states are spending their shares of the $4 billion prize at a snail's pace--a reflection of the challenges the 12 winners face as they try to get ambitious education improvement plans off the ground. Through the end of March, the 11 states and the District of Columbia had spent just 14…

  4. Gait Alterations During Constant Pace Treadmill Racewalking.

    PubMed

    Hanley, Brian

    2015-08-01

    Racewalking is an Olympic event requiring great endurance, and racewalkers often use treadmills in training because of the benefits of having a flat unchanging surface where pace judgment can be learned and because inclement weather can be avoided. The effects of fatigue associated with racewalking on a treadmill have not been studied and could be informative with regard to the maintenance of legal technique. The aim of this study was to measure key gait variables during a physically demanding treadmill racewalk. Fourteen international racewalkers completed 10 km on an instrumented treadmill at a pace equivalent to 103% of their recent best time. Spatiotemporal and ground reaction force data were recorded at 4 distances. High-speed videography data were simultaneously recorded to analyze changes in knee angle between the early and late stages. Increases in step length and corresponding decreases in cadence were found, although the small changes were not considered meaningful. There was also a small increase in flight time and a small decrease in push-off force. There were no other significant changes for any other variables (including knee angles). The increase in flight time might be important given that racewalkers are not permitted a visible loss of contact and suggests that fatiguing sessions on a treadmill can lead to the adoption of nonlegal technique. However, this disadvantage of treadmill training can be negated if the coach scrutinizes athletes throughout the session, and overall the consistent technique used is of benefit with regard to learning correct form and pacing ability. PMID:25647657

  5. Almanac 2013: cardiac arrhythmias and pacing.

    PubMed

    Liew, Reginald

    2013-10-01

    Important advances have been made in the past few years in the fields of clinical cardiac electrophysiology and pacing. Researchers and clinicians have a greater understanding of the pathophysiological mechanisms underlying atrial fibrillation (AF), which has transpired into improved methods of detection, risk stratification, and treatments. The introduction of novel oral anticoagulants has provided clinicians with alternative options in managing patients with AF at moderate to high thromboembolic risk and further data has been emerging on the use of catheter ablation for the treatment of symptomatic AF. Another area of intense research in the field of cardiac arrhythmias and pacing is in the use of cardiac resynchronisation therapy (CRT) for the treatment of patients with heart failure. Following the publication of major landmark randomised controlled trials reporting that CRT confers a survival advantage in patients with severe heart failure and improves symptoms, many subsequent studies have been performed to further refine the selection of patients for CRT and determine the clinical characteristics associated with a favourable response. The field of sudden cardiac death and implantable cardioverter defibrillators also continues to be actively researched, with important new epidemiological and clinical data emerging on improved methods for patient selection, risk stratification, and management. This review covers the major recent advances in these areas related to cardiac arrhythmias and pacing.

  6. An Exploratory Study of Student-Paced versus Teacher-Paced Accommodations for Large-Scale Math Tests.

    ERIC Educational Resources Information Center

    Hollenbeck, Keith; Rozek-Tedesco, Marick A.; Tindal, Gerald; Glasgow, Aaron

    2000-01-01

    This study examined whether a teacher-paced video (TPV) accommodation or a student-paced computer (SPC) accommodation provided differential access for student with disabilities versus their general education peers on a large-scale math test. It found that although both pacing accommodations significantly influenced mean scores, the SPC…

  7. Measurements of methane emissions from natural gas gathering facilities and processing plants: measurement results.

    PubMed

    Mitchell, Austin L; Tkacik, Daniel S; Roscioli, Joseph R; Herndon, Scott C; Yacovitch, Tara I; Martinez, David M; Vaughn, Timothy L; Williams, Laurie L; Sullivan, Melissa R; Floerchinger, Cody; Omara, Mark; Subramanian, R; Zimmerle, Daniel; Marchese, Anthony J; Robinson, Allen L

    2015-03-01

    Facility-level methane emissions were measured at 114 gathering facilities and 16 processing plants in the United States natural gas system. At gathering facilities, the measured methane emission rates ranged from 0.7 to 700 kg per hour (kg/h) (0.6 to 600 standard cubic feet per minute (scfm)). Normalized emissions (as a % of total methane throughput) were less than 1% for 85 gathering facilities and 19 had normalized emissions less than 0.1%. The range of methane emissions rates for processing plants was 3 to 600 kg/h (3 to 524 scfm), corresponding to normalized methane emissions rates <1% in all cases. The distributions of methane emissions, particularly for gathering facilities, are skewed. For example, 30% of gathering facilities contribute 80% of the total emissions. Normalized emissions rates are negatively correlated with facility throughput. The variation in methane emissions also appears driven by differences between inlet and outlet pressure, as well as venting and leaking equipment. Substantial venting from liquids storage tanks was observed at 20% of gathering facilities. Emissions rates at these facilities were, on average, around four times the rates observed at similar facilities without substantial venting. PMID:25668106

  8. Method for gathering and summarizing internet information

    DOEpatents

    Potok, Thomas E [Oak Ridge, TN; Elmore, Mark Thomas [Oak Ridge, TN; Reed, Joel Wesley [Knoxville, TN; Treadwell, Jim N; Samatova, Nagiza Faridovna [Oak Ridge, TN

    2008-01-01

    A computer method of gathering and summarizing large amounts of information comprises collecting information from a plurality of information sources (14, 51) according to respective maps (52) of the information sources (14), converting the collected information from a storage format to XML-language documents (26, 53) and storing the XML-language documents in a storage medium, searching for documents (55) according to a search query (13) having at least one term and identifying the documents (26) found in the search, and displaying the documents as nodes (33) of a tree structure (32) having links (34) and nodes (33) so as to indicate similarity of the documents to each other.

  9. Method for gathering and summarizing internet information

    DOEpatents

    Potok, Thomas E.; Elmore, Mark Thomas; Reed, Joel Wesley; Treadwell, Jim N.; Samatova, Nagiza Faridovna

    2010-04-06

    A computer method of gathering and summarizing large amounts of information comprises collecting information from a plurality of information sources (14, 51) according to respective maps (52) of the information sources (14), converting the collected information from a storage format to XML-language documents (26, 53) and storing the XML-language documents in a storage medium, searching for documents (55) according to a search query (13) having at least one term and identifying the documents (26) found in the search, and displaying the documents as nodes (33) of a tree structure (32) having links (34) and nodes (33) so as to indicate similarity of the documents to each other.

  10. System for gathering and summarizing internet information

    DOEpatents

    Potok, Thomas E.; Elmore, Mark Thomas; Reed, Joel Wesley; Treadwell, Jim N.; Samatova, Nagiza Faridovna

    2006-07-04

    A computer method of gathering and summarizing large amounts of information comprises collecting information from a plurality of information sources (14, 51) according to respective maps (52) of the information sources (14), converting the collected information from a storage format to XML-language documents (26, 53) and storing the XML-language documents in a storage medium, searching for documents (55) according to a search query (13) having at least one term and identifying the documents (26) found in the search, and displaying the documents as nodes (33) of a tree structure (32) having links (34) and nodes (33) so as to indicate similarity of the documents to each other.

  11. 42 CFR 460.32 - Content and terms of PACE program agreement.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.32 Content and terms of PACE program agreement....

  12. 42 CFR 460.90 - PACE benefits under Medicare and Medicaid.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Services § 460.90 PACE benefits under Medicare and Medicaid. If a...

  13. 42 CFR 460.32 - Content and terms of PACE program agreement.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.32 Content and terms of PACE program agreement....

  14. 42 CFR 460.32 - Content and terms of PACE program agreement.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.32 Content and terms of PACE program agreement....

  15. 42 CFR 460.90 - PACE benefits under Medicare and Medicaid.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Services § 460.90 PACE benefits under Medicare and Medicaid. If a...

  16. 42 CFR 460.32 - Content and terms of PACE program agreement.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Program Agreement § 460.32 Content and terms of PACE program agreement....

  17. 42 CFR 460.90 - PACE benefits under Medicare and Medicaid.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Services § 460.90 PACE benefits under Medicare and Medicaid. If a...

  18. 42 CFR 460.90 - PACE benefits under Medicare and Medicaid.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Services § 460.90 PACE benefits under Medicare and Medicaid. If a...

  19. Comparison of effectiveness of right ventricular septal pacing versus right ventricular apical pacing.

    PubMed

    Cano, Oscar; Osca, Joaquín; Sancho-Tello, María-José; Sánchez, Juan M; Ortiz, Víctor; Castro, José E; Salvador, Antonio; Olagüe, José

    2010-05-15

    Chronic right ventricular apical pacing (RVAP) has been associated with negative hemodynamic and clinical effects. The aim of the present study was to compare RVAP with right ventricular septal pacing (RVSP) in terms of echocardiographic features and clinical outcomes. A total of 93 patients without structural heart disease and with an indication for a permanent pacemaker were randomly assigned to receive a screw-in lead either in the RV apex (n = 46) or in the RV mid-septum (n = 47). The patients were divided into 3 subgroups according to the percentage of ventricular pacing: control group (n = 21, percentage of ventricular pacing < or =10%), RVAP group (n = 28), or RVSP group (n = 32; both latter groups had a percentage of ventricular pacing >10%). The RVAP group had more intraventricular dyssynchrony and a trend toward a worse left ventricular ejection fraction compared to the RVSP and control groups at 12 months of follow-up (maximal delay to peak systolic velocity between any of the 6 left ventricular basal segments was 57.8 +/- 38.2, 35.5 +/- 20.6, and 36.5 +/- 17.8 ms for RVAP, RVSP, and control group, respectively; p = 0.006; mean left ventricular ejection fraction 62.9 +/- 7.9%, 66.5 +/- 7.2%, and 66.6 +/- 7.2%, respectively, p = 0.14). Up to 48.1% of the RVAP patients showed significant intraventricular dyssynchrony compared to 19.4% of the RVSP patients and 23.8% of the controls (p = 0.04). However, no overt clinical benefits from RVSP were found. In conclusion, RVAP was associated with increased dyssynchrony compared to the RVSP and control patients. RVSP could represent an alternative pacing site in selected patients to reduce the harmful effects of traditional RVAP. PMID:20451689

  20. Evidence for a Border-Collision Bifurcation in Paced Cardiac Tissue

    NASA Astrophysics Data System (ADS)

    Berger, Carolyn

    2005-11-01

    Bifurcations in the electrical response of cardiac tissue can destabilize spatial-temporal waves of electrical activity in the heart, leading to tachycardia or even fibrillation. Therefore, it is important to characterize the types of bifurcations occurring in cardiac tissue. Our goal is to classify the bifurcation that occurs in cardiac cells when a change in pacing rate induces a transition from 1:1 to 2:2 phase-locked behavior. Current mathematical models predict that the bifurcation mediating the transition is a supercritical pitchfork type. For such a bifurcation, small random noise is predicted to be amplified by greater amounts as the bifurcation is approached (Weisenfeld). However, our experimental observations of paced bullfrog myocardium driven by small beat-to-beat alternations in the pacing rate (rather than driven by noise) displays de-amplification as the bifurcation is approached. To explain this surprising result, we hypothesize that the transition to 2:2 behavior is mediated by border-collision bifurcation, which is predicted to show little noise amplification. Wiesenfeld, K. Phys. Rev. A 32, 1744 (1985).

  1. Protecting Privacy and Securing the Gathering of Location Proofs - The Secure Location Verification Proof Gathering Protocol

    NASA Astrophysics Data System (ADS)

    Graham, Michelle; Gray, David

    As wireless networks become increasingly ubiquitous, the demand for a method of locating a device has increased dramatically. Location Based Services are now commonplace but there are few methods of verifying or guaranteeing a location provided by a user without some specialised hardware, especially in larger scale networks. We propose a system for the verification of location claims, using proof gathered from neighbouring devices. In this paper we introduce a protocol to protect this proof gathering process, protecting the privacy of all involved parties and securing it from intruders and malicious claiming devices. We present the protocol in stages, extending the security of this protocol to allow for flexibility within its application. The Secure Location Verification Proof Gathering Protocol (SLVPGP) has been designed to function within the area of Vehicular Networks, although its application could be extended to any device with wireless & cryptographic capabilities.

  2. Maine PACE Program Final Technical Report

    SciTech Connect

    Fischer, Dana; Adamson, Joy M

    2015-01-30

    The ARRA EECBG BetterBuilding helped augment the existing Home Energy Savings Programs (HESP) and incentives with financing through a subordinate lien PACE and HUD PowerSaver programs. The program was designed to document innovative techniques to dramatically increase the number of homes participating in weatherization programs in participating towns. Maine will support new energy efficiency retrofit pilots throughout the state, designed to motivate a large number of homeowners to invest in comprehensive home energy efficiency upgrades to bring real solutions to market.

  3. Autonomous Exploration for Gathering Increased Science

    NASA Technical Reports Server (NTRS)

    Bornstein, Benjamin J.; Castano, Rebecca; Estlin, Tara A.; Gaines, Daniel M.; Anderson, Robert C.; Thompson, David R.; DeGranville, Charles K.; Chien, Steve A.; Tang, Benyang; Burl, Michael C.; Judd, Michele A.

    2010-01-01

    The Autonomous Exploration for Gathering Increased Science System (AEGIS) provides automated targeting for remote sensing instruments on the Mars Exploration Rover (MER) mission, which at the time of this reporting has had two rovers exploring the surface of Mars (see figure). Currently, targets for rover remote-sensing instruments must be selected manually based on imagery already on the ground with the operations team. AEGIS enables the rover flight software to analyze imagery onboard in order to autonomously select and sequence targeted remote-sensing observations in an opportunistic fashion. In particular, this technology will be used to automatically acquire sub-framed, high-resolution, targeted images taken with the MER panoramic cameras. This software provides: 1) Automatic detection of terrain features in rover camera images, 2) Feature extraction for detected terrain targets, 3) Prioritization of terrain targets based on a scientist target feature set, and 4) Automated re-targeting of rover remote-sensing instruments at the highest priority target.

  4. Use of balloon flotation pacing catheters for prophylactic temporary pacing during diagnostic and therapeutic catheterization procedures.

    PubMed

    Harvey, J R; Wyman, R M; McKay, R G; Baim, D S

    1988-11-01

    The use of prophylactic temporary pacemakers during diagnostic catheterization, coronary angioplasty and percutaneous balloon valvuloplasty was investigated retrospectively over an 18-month period. Balloon flotation temporary pacemaker leads were placed in 193 (12%) of 1,609 patients undergoing diagnostic catheterization, 641 (65%) of 993 patients undergoing coronary angioplasty and 199 (100%) of 199 patients undergoing aortic or mitral valvuloplasty. There were no perforations or significant arrhythmic complications related to pacemaker placement in these 1,033 cases, and pacing was initiated promptly when required by withdrawal of the catheter tip into the right ventricle. Significant bradycardia or new conduction defects developed in 17 patients (1%) during diagnostic catheterization, 10 patients (1%) during angioplasty and 20 patients (10%) during valvuloplasty, but were severe enough to require initiation of temporary pacing in only 1 (0.06%), 4 (0.4%) and 5 (2.5%) patients, respectively. No patient undergoing diagnostic catheterization or angioplasty (but 5 patients undergoing valvuloplasty) required immediate pacing support to treat a life-threatening bradycardia. The total cost of prophylactic pacemakers was $103,300, with a cost per actual use of $19,300 for diagnostic cases, $16,025 for angioplasty and $3,980 for balloon valvuloplasty. These data suggest that prophylactic temporary pacing is not indicated during either diagnostic catheterization or coronary angioplasty, but should be used routinely during balloon valvuloplasty.

  5. 49 CFR 192.8 - How are onshore gathering lines and regulated onshore gathering lines determined?

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... Administrator finds a longer separation distance is justified in a particular case (see 49 CFR § 190.9). (4) The... Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... downstream compressor used to increase gathering line pressure for delivery to another pipeline. (b)...

  6. 49 CFR 192.8 - How are onshore gathering lines and regulated onshore gathering lines determined?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... Administrator finds a longer separation distance is justified in a particular case (see 49 CFR § 190.9). (4) The... Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... downstream compressor used to increase gathering line pressure for delivery to another pipeline. (b)...

  7. 49 CFR 192.8 - How are onshore gathering lines and regulated onshore gathering lines determined?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... Administrator finds a longer separation distance is justified in a particular case (see 49 CFR § 190.9). (4) The... Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... downstream compressor used to increase gathering line pressure for delivery to another pipeline. (b)...

  8. 49 CFR 192.8 - How are onshore gathering lines and regulated onshore gathering lines determined?

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... Administrator finds a longer separation distance is justified in a particular case (see 49 CFR § 190.9). (4) The... Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... downstream compressor used to increase gathering line pressure for delivery to another pipeline. (b)...

  9. 49 CFR 192.8 - How are onshore gathering lines and regulated onshore gathering lines determined?

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... Administrator finds a longer separation distance is justified in a particular case (see 49 CFR § 190.9). (4) The... Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... downstream compressor used to increase gathering line pressure for delivery to another pipeline. (b)...

  10. Flood damage data gathering: procedures and use

    NASA Astrophysics Data System (ADS)

    Molinari, D.; Aronica, G. T.; Ballio, F.; Berni, N.; Pandolfo, C.

    2012-04-01

    Damage data represents the basis on which flood risk models, re-founding schemes and mitigation activities are grounded on. Nevertheless damage data have been collected so far mainly at the national-regional scale; few databases exist at the local scale and, even if present, no standard exist for their development. On the contrary, risk analyses and mitigation strategies are usually carried out at local scale. This contribution describes the ongoing activity to collect and analyze local damage data coming from past events with recently hit Umbria an Sicily regions (central and south part of Italy respectively). Data from past events will be discussed from two different perspectives. In Italy, procedures to gather damage data after a flood are defined by law. According to this, authors will first question whether or not collected data are suitable to give an exhaustive representation of the total impact the events had on the affected territories. As regards, suggestions are provided about how gathering procedures can improve. On the other hand, collected data will be discussed with respect to their implementation in the definition of depth-damage curves for the Italian context; literature review highlights indeed that no curves are available for Italy. Starting from the knowledge of observed hazard intensity and damage data, available curves from other countries are validated, the objective being to reduce the uncertainty which currently characterise damage estimation. Indeed, a variety of curves can be found in literature and the choice of one curve in place of another can change damage assessment results of one order of magnitude. The validation procedure will allow, in its turn, to face a secondary but key question for the contribution, being the identification of those hazard and vulnerability features that should be recorded and kept updated in a local GIS database to support risk modelling, funding and management. The two areas under investigation are prone to

  11. A review of multisite pacing to achieve cardiac resynchronization therapy.

    PubMed

    Rinaldi, Christopher Aldo; Burri, Haran; Thibault, Bernard; Curnis, Antonio; Rao, Archana; Gras, Daniel; Sperzel, Johannes; Singh, Jagmeet P; Biffi, Mauro; Bordachar, Pierre; Leclercq, Christophe

    2015-01-01

    Non-response to cardiac resynchronization therapy remains a significant problem in up to 30% of patients. Multisite stimulation has emerged as a way of potentially overcoming non-response. This may be achieved by the use of multiple leads placed within the coronary sinus and its tributaries (dual-vein pacing) or more recently by the use of multipolar (quadripolar) left ventricular pacing leads which can deliver pacing stimuli at multiple sites within the same vein. This review covers the role of multisite pacing including the interaction with the underlying pathophysiology, the current and planned studies, and the potential pitfalls of this technology. PMID:25214507

  12. Enact legislation supporting residential property assessed clean energy financing (PACE)

    SciTech Connect

    Saha, Devashree

    2012-11-15

    Congress should enact legislation that supports residential property assessed clean energy (PACE) programs in the nation’s states and metropolitan areas. Such legislation should require the Federal Housing Finance Agency (FHFA) to allow Fannie Mae and Freddie Mac to purchase residential mortgages with PACE assessments while at the same time providing responsible underwriting standards and a set of benchmarks for residential PACE assessments in order to minimize financial risks to mortgage holders. Congressional support of residential PACE financing will improve energy efficiency, encourage job creation, and foster economic growth in the nation’s state and metropolitan areas.

  13. Noninvasive external cardiac pacing for thallium-201 scintigraphy

    SciTech Connect

    Feldman, M.D.; Warren, S.E.; Gervino, E.V.; Aroesty, J.M.; Royal, H.D.; Parker, J.A.; Silverman, K.J.; Kolodny, G.M.; Zoll, P.M.; McKay, R.G.

    1988-01-01

    Improvements in noninvasive external cardiac pacing have led to a technique with reliable electrical capture and tolerable patient discomfort. To assess the use of this modality of pacing in combination with thallium scintigraphy as a noninvasive pacing stress test, we applied simultaneous noninvasive cardiac pacing, hemodynamic monitoring, and thallium-201 scintigraphy in 14 patients undergoing cardiac catheterization for chest pain syndromes. Two patients had normal coronary arteries, while the remaining 12 had significant coronary artery disease. Thallium scintigraphic responses to pacing were compared to routine exercise thallium stress testing in nine of these 14 patients. All patients were noninvasively paced to more than 85% of the age-predicted maximum heart rate. Twelve patients demonstrated reversible thallium defects, which corresponded in 11 cases to significant lesions seen on coronary angiography. Of nine patients who underwent both pacing and exercise thallium stress tests, comparable maximal rate-pressure products were achieved. Moreover, thallium imaging at peak pacing and during delayed views did not differ significantly from exercise thallium scintigraphy. A limiting factor associated with the technique was local patient discomfort, which occurred to some degree in all patients. We conclude that noninvasive external cardiac pacing together with thallium scintigraphy is capable of detecting significant coronary artery disease and may be comparable to routine exercise thallium stress testing. This new modality of stress testing could be useful in patients unable to undergo the exercise required for standard exercise tolerance testing, particularly if improvements in the technology can be found to reduce further the local discomfort.

  14. [Mass gatherings - health risks and preventive strategies].

    PubMed

    Steffen, Robert

    2013-06-01

    Experience from mass gatherings - usually attended by at least 25'000 persons - shows that approximately one in a thousand participants will consult with an on-site medical emergency service. Communicable diseases usually play a minor role. Historically outbreaks of meningococcal disease were recorded after the hajj, but this has been well controlled in the past few years subsequent to vaccinations and other measures required by the Kingdom of Saudi Arabia health authorities. Major stress of the regional public health system is associated with accidents and non-communicable diseases, the majority being trivial. Host and environmental risk factors can result in a dramatic increase in the rate of consultations: Age and pre-existing illness play a decisive role particularly in pilgrims, be that in Mecca or Lourdes. Emotional factors may influence behavior; aggressions can develop. Alcohol and drugs, also the duration of an event may play a decisive role. Extreme climatic conditions, both heat and cold, also exhaustion result in a dramatic increase of emergency consultations. Infrastructure must be adapted for the crowd size, particularly stampede associated disasters can be avoided. The World Health Organization and other interested expert groups have in the past few years formulated interdisciplinary programs for prevention.

  15. Gathering headers in a distributed environment

    NASA Astrophysics Data System (ADS)

    Goodrich, Bret D.; Wampler, Steve B.; Hubbard, John R.

    2008-08-01

    The Advanced Technology Solar Telescope (ATST) has implemented a novel method for gathering header information on data products. At the time of data collection, the specific state of the telescope and instrumentation needs to be collected and associated with the saved data. The ATST performs this task by issuing a header request event across the ATST event system. All observatory software components that are registered for the event and are participating in the current experiment or observation report status information to a central header repository. Various types of header request events may be selected for start or stop of individual frames, groups of frames, or entire observations. The final data products are created by combining the data files with all or some of stored header information in the database. The resulting data file may be generated in any possible format, including FITS. Much of the implementation of this approach is integrated into the ATST technical framework, simplifying the development process for component writers and ensuring consistent responses to header request events.

  16. Image-gathering system design for information and fidelity

    NASA Technical Reports Server (NTRS)

    Huck, Friedrich O.; Fales, Carl L.; Mccormick, Judith A.; Park, Stephen K.

    1988-01-01

    Image gathering and processing are assessed in terms of information and fidelity, and the relationship between these two figures of merit is examined. It is assumed that the system is linear and isoplanatic and that the signal and noise amplitudes are Gaussian, wide-sense stationary, and statistically independent. Within these constraints, it is found that the combined process of image gathering and reconstruction (which is intended to reproduce the output of the image-gathering system) behaves as optical, or photographic, image formation in that the informationally optimized design of the image-gathering system ordinarily does not maximize the fidelity of the reconstructed image. The combined process of image gathering and restoration (which is intended to reproduce the input of the image-gathering system) behaves more as a communication channel in that the informationally optimized design of the image-gathering system tends to maximize the fidelity of optimally restored representations of the input.

  17. Far field pacing supersedes anti-tachycardia pacing in a generic model of excitable media

    NASA Astrophysics Data System (ADS)

    Bittihn, Philip; Luther, Gisela; Bodenschatz, Eberhard; Krinsky, Valentin; Parlitz, Ulrich; Luther, Stefan

    2008-10-01

    Removing anchored spirals from obstacles is an important step in terminating cardiac arrhythmia. Conventional anti-tachycardia pacing (ATP) has this ability, but only under very restrictive conditions. In a generic model of excitable media, we demonstrate that for unpinning spiral waves from obstacles this profound limitation of ATP can be overcome by far field pacing (FFP). More specifically, an argument is presented for why FFP includes and thus can only extend the capabilities of ATP in the configurations considered. By numerical simulations, we show that in the model there exists a parameter region in which unpinning is possible by FFP but not by ATP. The relevance of this result regarding clinical applications is discussed.

  18. Receivers Gather Data for Climate, Weather Prediction

    NASA Technical Reports Server (NTRS)

    2012-01-01

    Signals from global positioning system (GPS) satellites are now being used for more than just location and navigation information. By looking at the radio waves from GPS satellites, a technology developed at NASA s Jet Propulsion Laboratory (JPL) not only precisely calculates its position, but can also use a technique known as radio occultation to help scientists study the Earth s atmosphere and gravity field to improve weather forecasts, monitor climate change, and enhance space weather research. The University Corporation for Atmospheric Research (UCAR), a nonprofit group of universities in Boulder, Colorado, compares radio occultation to the appearance of a pencil when viewed though a glass of water. The water molecules change the path of visible light waves so that the pencil appears bent, just like molecules in the air bend GPS radio signals as they pass through (or are occulted by) the atmosphere. Through measurements of the amount of bending in the signals, scientists can construct detailed images of the ionosphere (the energetic upper part of the atmosphere) and also gather information about atmospheric density, pressure, temperature, and moisture. Once collected, this data can be input into weather forecasting and climate models for weather prediction and climate studies. Traditionally, such information is obtained through the use of weather balloons. In 1998, JPL started developing a new class of GPS space science receivers, called Black Jack, that could take precise measurements of how GPS signals are distorted or delayed along their way to the receiver. By 2006, the first demonstration of a GPS radio occultation constellation was launched through a collaboration among Taiwan s National Science Council and National Space Organization, the U.S. National Science Foundation, NASA, the National Oceanic and Atmospheric Administration (NOAA), and other Federal entities. Called the Constellation Observing System for Meteorology, Ionosphere, and Climate (COSMIC

  19. A Self-Pacing Program in Algebra, Volume 2.

    ERIC Educational Resources Information Center

    Baltimore County Public Schools, Towson, MD.

    This self-pacing program is the result of a cooperative curriculum development project between The Maryland Department of Education and The Baltimore County Schools. Included is a teachers guide for the use of the materials. The philosophy of this approach is that of individualization of instruction wherein the student moves at a pace commensurate…

  20. PACE: has it changed the chronic care paradigm?

    PubMed

    Lynch, Marty; Hernandez, Mauro; Estes, Carroll

    2008-01-01

    The Program of All-inclusive Care for the Elderly (PACE) grew out of a small community organization in San Francisco and has been replicated by non-profit organizations in a number of other communities across the country. The authors review the successes of PACE as reported in the literature and discuss reasons for its limited growth as well as its significant influence on state and federal long term care policy. They argue that PACE has significantly changed how we think of long term care through its pioneering work fully integrating medical and long term care. PACE has also provided an influential model for breaking down the funding silos that characterize the medical and long term care services arena. State Medicaid agencies and Medicare have learned from PACE. Health plans and private long term insurers may also still learn from PACE. However, the fact that only a little more than 10,000 elders have enrolled in PACE nationwide prevents the authors from finding that PACE has brought about significant structural change in a long term care industry dominated by for-profit nursing homes.

  1. Postpericardiotomy syndrome following temporary and permanent transvenous pacing

    PubMed Central

    Bajaj, B.; Evans, K.; Thomas, P.

    1999-01-01

    The postpericardiotomy syndrome may occur as a complication of temporary and permanent pacing. Physicians involved in procedures which may be complicated by this condition therefore need to be aware of its diagnosis and management.


Keywords: postpericardiotomy syndrome; cardiac pacing PMID:10435173

  2. Social Interaction in Self-Paced Distance Education

    ERIC Educational Resources Information Center

    Anderson, Terry; Upton, Lorne; Dron, Jon; Malone, Judi; Poelhuber, Bruno

    2015-01-01

    In this paper we present a case study of a self-paced university course that was originally designed to support independent, self-paced study at distance. We developed a social media intervention, in design-based research terms, that allows these independent students to contribute archived content to enhance the course, to engage in discussions…

  3. Achievement Monitoring of Individually Paced Instruction. Final Report.

    ERIC Educational Resources Information Center

    Pinsky, Paul D.

    A study was made to monitor achievement of individually paced instruction. The project concentrated on designing testing procedures in group paced instructional programs to provide information to student, teachers, parents and administrators which could be used in both a formative and summative evaluation. The three objectives of the project were:…

  4. Is Self-Paced Instruction Really Worth It?

    ERIC Educational Resources Information Center

    Roberson, J. A.; Crowe, C. T.

    1975-01-01

    Describes a self-paced, learning-for-mastery course in undergraduate fluid mechanics. Includes the method of course assessment, method of student evaluation, and a description of the instructor's role and work load. Summarizes aspects of self-paced instruction considered favorable and unfavorable. (GS)

  5. 42 CFR 460.122 - PACE organization's appeals process.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... writing. (e) Services furnished during appeals process. During the appeals process, the PACE organization... Section 460.122 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE...

  6. Rural Policy Development: An NRHA and PACE Association Collaborative Model

    ERIC Educational Resources Information Center

    Fitzgerald, Peter; Morgan, Alan; Morris, Tom

    2004-01-01

    The Program of All-Inclusive Care for the Elderly (PACE) offers a unique model of comprehensive care for frail, elderly people. To date, all of the PACE programs have been located in urban areas. Rural advocates and policymakers, however, believe the program may hold great promise for use in rural areas, which have higher percentages of elderly…

  7. Making time for soil: Technoscientific futurity and the pace of care.

    PubMed

    de la Bellacasa, Maria Puig

    2015-10-01

    The dominant drive for understanding soil has been to pace its fertility with human demand. Today, warnings about soil's exhaustion and endangered ecology raise concerns marked by fears of gloomy environmental futures, prompting scientists and soil practitioners urgently to develop better ways of taking care of soils. Yet the pace required by ecological soil care could be at odds with the predominant temporal orientation of technoscientific intervention, which is driven by an inherently progressivist, productionist and restless mode of futurity. Through a conceptual and historical approach to the soil sciences and other domains of soil knowledge, this article looks for soil ontologies and relations to soil care that are obscured by the predominant timescape. Contemporary discussions of the future of the soil sciences expose tensions between 'progress as usual'--by intensifying productivity--and the need to protect the pace of soil renewal. The intimate relation of soil science with productionism is being interrogated, as ecology attempts to engage with soil as a living community rather than a receptacle for crops. In this context, and beyond science, the 'foodweb' model of soil ecology has become a figure of alternative human-soil relations that involve environmental practitioners in the soil community. Reading these ways of making time for soil as a form of 'care time' helps to reveal a diversity of more-than-human interdependent temporalities, disrupting the anthropocentric appeal of predominant timescales of technoscientific futurity and their reductive notion of innovation. PMID:26630817

  8. Making time for soil: Technoscientific futurity and the pace of care.

    PubMed

    de la Bellacasa, Maria Puig

    2015-10-01

    The dominant drive for understanding soil has been to pace its fertility with human demand. Today, warnings about soil's exhaustion and endangered ecology raise concerns marked by fears of gloomy environmental futures, prompting scientists and soil practitioners urgently to develop better ways of taking care of soils. Yet the pace required by ecological soil care could be at odds with the predominant temporal orientation of technoscientific intervention, which is driven by an inherently progressivist, productionist and restless mode of futurity. Through a conceptual and historical approach to the soil sciences and other domains of soil knowledge, this article looks for soil ontologies and relations to soil care that are obscured by the predominant timescape. Contemporary discussions of the future of the soil sciences expose tensions between 'progress as usual'--by intensifying productivity--and the need to protect the pace of soil renewal. The intimate relation of soil science with productionism is being interrogated, as ecology attempts to engage with soil as a living community rather than a receptacle for crops. In this context, and beyond science, the 'foodweb' model of soil ecology has become a figure of alternative human-soil relations that involve environmental practitioners in the soil community. Reading these ways of making time for soil as a form of 'care time' helps to reveal a diversity of more-than-human interdependent temporalities, disrupting the anthropocentric appeal of predominant timescales of technoscientific futurity and their reductive notion of innovation.

  9. Reducing risks to health and wellbeing at mass gatherings: the role of the Sendai Framework for Disaster Risk Reduction.

    PubMed

    Aitsi-Selmi, Amina; Murray, Virginia; Heymann, David; McCloskey, Brian; Azhar, Esam I; Petersen, Eskild; Zumla, Alimuddin; Dar, Osman

    2016-06-01

    Mass gatherings of people at religious pilgrimages and sporting events are linked to numerous health hazards, including the transmission of infectious diseases, physical injuries, and an impact on local and global health systems and services. As with other forms of disaster, mass gathering-related disasters are the product of the management of different hazards, levels of exposure, and vulnerability of the population and environment, and require comprehensive risk management that looks beyond single hazards and response. Incorporating an all-hazard, prevention-driven, evidence-based approach that is multisectoral and multidisciplinary is strongly advocated by the Sendai Framework for Disaster Risk Reduction 2015-2030. This paper reviews some of the broader impacts of mass gatherings, the opportunity for concerted action across policy sectors and scientific disciplines offered by the year 2015 (including through the Sendai Framework), and the elements of a 21(st) century approach to mass gatherings. PMID:27062983

  10. An Undergraduate Intern Program at PACES

    NASA Technical Reports Server (NTRS)

    Starks, Scott A.

    1997-01-01

    The University of Texas at El Paso (UTEP) established the Pan American Center for Earth and Environmental Studies (PACES) in 1995 to conduct basic and applied research that contributes to NASA's Mission to Planet Earth. Specifically, PACES provides a repository of remote sensing and other information that supports investigations into an improved understanding of geological, ecological and environmental processes occurring in the southwestern United States and Northern Mexico. Approximately 85% of UTEP's students come from El Paso County, a fast growing urban region representative of many large cities in the Southwest that have, or will soon have, a majority of their population composed of groups currently underrepresented in the scientific and technical workforce. UTEP's student population has an ethnic distribution (63% Hispanic, 32% Anglo, 3% African American, 1.5 % Asian American, and less than 1% Native American) that closely matches the demographics of the region it serves. Thus, UTEP has a mission to serve a multicultural population where minority students comprise the majority. Most Hispanic students at UTEP are primarily of Mexican origin. A large number are first or second-generation U.S. citizens. Characteristics that unite Hispanic students, in particular those of Mexican-origin, are a strong sense of family loyalty and a belief that all family members are responsible for contributing to the economic stability and well-being of the family. Most of their families are larger in number than the national average, and a variety of generations live together or share considerable resources. Thus, many young people feel an obligation and a desire to go to work at a young age and to continue working while in college, thereby assisting their parents and other family members. Older siblings understand that they have responsibilities to do household chores, to aid their younger siblings economically, and to assist elderly family members. This "work ethic" within the

  11. Computer-Paced versus Experimenter-Paced Working Memory Span Tasks: Are They Equally Reliable and Valid?

    ERIC Educational Resources Information Center

    Bailey, Heather

    2012-01-01

    Working memory span tasks are popular measures, in part, because performance on these tasks predicts performance on other measures of cognitive ability. The traditional method of span-task administration is the experimenter-paced version, whose reliability and validity have been repeatedly demonstrated. However, computer-paced span tasks are…

  12. Regulation of Pacing Strategy during Athletic Competition

    PubMed Central

    de Koning, Jos J.; Foster, Carl; Bakkum, Arjan; Kloppenburg, Sil; Thiel, Christian; Joseph, Trent; Cohen, Jacob; Porcari, John P.

    2011-01-01

    Background Athletic competition has been a source of interest to the scientific community for many years, as a surrogate of the limits of human ambulatory ability. One of the remarkable things about athletic competition is the observation that some athletes suddenly reduce their pace in the mid-portion of the race and drop back from their competitors. Alternatively, other athletes will perform great accelerations in mid-race (surges) or during the closing stages of the race (the endspurt). This observation fits well with recent evidence that muscular power output is regulated in an anticipatory way, designed to prevent unreasonably large homeostatic disturbances. Principal Findings Here we demonstrate that a simple index, the product of the momentary Rating of Perceived Exertion (RPE) and the fraction of race distance remaining, the Hazard Score, defines the likelihood that athletes will change their velocity during simulated competitions; and may effectively represent the language used to allow anticipatory regulation of muscle power output. Conclusions These data support the concept that the muscular power output during high intensity exercise performance is actively regulated in an anticipatory manner that accounts for both the momentary sensations the athlete is experiencing as well as the relative amount of a competition to be completed. PMID:21283744

  13. Pushing the Pace of Tree Species Migration

    PubMed Central

    Lazarus, Eli D.; McGill, Brian J.

    2014-01-01

    Plants and animals have responded to past climate changes by migrating with habitable environments, sometimes shifting the boundaries of their geographic ranges by tens of kilometers per year or more. Species migrating in response to present climate conditions, however, must contend with landscapes fragmented by anthropogenic disturbance. We consider this problem in the context of wind-dispersed tree species. Mechanisms of long-distance seed dispersal make these species capable of rapid migration rates. Models of species-front migration suggest that even tree species with the capacity for long-distance dispersal will be unable to keep pace with future spatial changes in temperature gradients, exclusive of habitat fragmentation effects. Here we present a numerical model that captures the salient dynamics of migration by long-distance dispersal for a generic tree species. We then use the model to explore the possible effects of assisted colonization within a fragmented landscape under a simulated tree-planting scheme. Our results suggest that an assisted-colonization program could accelerate species-front migration rates enough to match the speed of climate change, but such a program would involve an environmental-sustainability intervention at a massive scale. PMID:25162663

  14. 50 CFR 453.04 - Committee information gathering.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS ENDANGERED SPECIES EXEMPTION PROCESS ENDANGERED SPECIES COMMITTEE § 453.04 Committee information gathering. (a) Written...

  15. 50 CFR 453.04 - Committee information gathering.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS ENDANGERED SPECIES EXEMPTION PROCESS ENDANGERED SPECIES COMMITTEE § 453.04 Committee information gathering. (a) Written...

  16. 50 CFR 453.04 - Committee information gathering.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS ENDANGERED SPECIES EXEMPTION PROCESS ENDANGERED SPECIES COMMITTEE § 453.04 Committee information gathering. (a) Written...

  17. 50 CFR 453.04 - Committee information gathering.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS ENDANGERED SPECIES EXEMPTION PROCESS ENDANGERED SPECIES COMMITTEE § 453.04 Committee information gathering. (a) Written...

  18. 50 CFR 453.04 - Committee information gathering.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... ADMINISTRATION, DEPARTMENT OF COMMERCE); ENDANGERED SPECIES COMMITTEE REGULATIONS ENDANGERED SPECIES EXEMPTION PROCESS ENDANGERED SPECIES COMMITTEE § 453.04 Committee information gathering. (a) Written...

  19. Growth, innovation, scaling, and the pace of life in cities

    PubMed Central

    Bettencourt, Luís M. A.; Lobo, José; Helbing, Dirk; Kühnert, Christian; West, Geoffrey B.

    2007-01-01

    Humanity has just crossed a major landmark in its history with the majority of people now living in cities. Cities have long been known to be society's predominant engine of innovation and wealth creation, yet they are also its main source of crime, pollution, and disease. The inexorable trend toward urbanization worldwide presents an urgent challenge for developing a predictive, quantitative theory of urban organization and sustainable development. Here we present empirical evidence indicating that the processes relating urbanization to economic development and knowledge creation are very general, being shared by all cities belonging to the same urban system and sustained across different nations and times. Many diverse properties of cities from patent production and personal income to electrical cable length are shown to be power law functions of population size with scaling exponents, β, that fall into distinct universality classes. Quantities reflecting wealth creation and innovation have β ≈1.2 >1 (increasing returns), whereas those accounting for infrastructure display β ≈0.8 <1 (economies of scale). We predict that the pace of social life in the city increases with population size, in quantitative agreement with data, and we discuss how cities are similar to, and differ from, biological organisms, for which β<1. Finally, we explore possible consequences of these scaling relations by deriving growth equations, which quantify the dramatic difference between growth fueled by innovation versus that driven by economies of scale. This difference suggests that, as population grows, major innovation cycles must be generated at a continually accelerating rate to sustain growth and avoid stagnation or collapse. PMID:17438298

  20. Processing radio PSAs: production pacing, arousing content, and age.

    PubMed

    Lang, Annie; Schwartz, Nancy; Lee, Seungjo; Angelini, James

    2007-09-01

    This experiment uses the limited capacity model of mediated message processing (LC3MP) to investigate the effects of production pacing and arousing content in radio public service announcements (PSAs) on the emotional and cognitive responses of college-age and tween (9-12-year-olds) participants. The LC3MP predicts that both arousing content and production pacing should increase emotional arousal, physiological arousal, cognitive effort, and encoding up to the point of cognitive overload after which cognitive effort and encoding should decrease. Results showed that, as expected, arousing content did increase emotional arousal and cognitive effort for both tweens and college students, though the effect was larger for college students. For production pacing, however, the results were less clear cut. First, it was found that for radio PSAs pacing increased arousal for calm messages only. Further, the effects of production pacing on cognitive effort were larger for tweens and were experienced primarily during the first 25 seconds of the message, while college students were less affected by production pacing, and those effects appeared in the last 25 seconds of the messages. Finally, none of the messages in this experiment resulted in cognitive overload - thus both production pacing and arousing content increased memory for both groups of participants.

  1. Obstacles to activity pacing: assessment, relationship to activity and functioning.

    PubMed

    Cane, Douglas; McCarthy, Mary; Mazmanian, Dwight

    2016-07-01

    Activity pacing is frequently included among the strategies provided to individuals with chronic pain to manage pain and improve functioning. Individuals with chronic pain may, however, limit their use of activity pacing because they perceive significant obstacles to its use. This study describes the development of a measure to assess obstacles to activity pacing and examines the relationship of this measure to activity patterns and functioning. A sample of 637 individuals with chronic pain completed items describing potential obstacles to activity pacing as part of their pretreatment assessment. Item analyses were used to construct a 14-item measure of obstacles to activity pacing. A subset of these individuals completed the measure again after completion of a group treatment program. The resulting measure demonstrated excellent internal consistency and was minimally affected by social desirability. Correlations with measures of activity and psychosocial functioning provided initial construct validity for the measure. Sex differences were found with women initially identifying more obstacles to activity pacing. Fewer obstacles were identified by both men and women after treatment, and these changes were related to modest changes in activity patterns and functioning. The present results identify a number of obstacles that may limit the use of activity pacing by individuals with chronic pain. Treatment may result in a decrease in the number of obstacles identified, and this change is related to changes in the individual's activity pattern and psychosocial functioning. PMID:26963845

  2. 42 CFR 460.24 - Limit on number of PACE program agreements.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Organization Application and Waiver Process § 460.24 Limit on number...

  3. 42 CFR 460.24 - Limit on number of PACE program agreements.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Organization Application and Waiver Process § 460.24 Limit on number...

  4. 42 CFR 460.24 - Limit on number of PACE program agreements.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Organization Application and Waiver Process § 460.24 Limit on number...

  5. 42 CFR 460.24 - Limit on number of PACE program agreements.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Organization Application and Waiver Process § 460.24 Limit on number...

  6. 42 CFR 460.24 - Limit on number of PACE program agreements.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PACE Organization Application and Waiver Process § 460.24 Limit on number...

  7. Innovative pacing: Recent advances, emerging technologies, and future directions in cardiac pacing.

    PubMed

    Austin, Christopher; Kusumoto, Fred

    2016-07-01

    The field of cardiovascular medicine is rapidly evolving as advancements in technology and engineering provide clinicians new and exciting ways to care for an aging population. Cardiac pacing, in particular, has seen a series of game-changing technologies emerge in the past several years spurred by low-power electronics, high density batteries, improved catheter delivery systems and innovative software design. We look at several of these emerging pacemaker technologies, discussing the rationale, current state and future directions of these pioneering developments in electrophysiology. PMID:27017442

  8. Fast Paced, Low Cost Projects at MSFC

    NASA Technical Reports Server (NTRS)

    Watson-Morgan, Lisa; Clinton, Raymond

    2012-01-01

    What does an orbiting microsatellite, a robotic lander and a ruggedized camera and telescope have in common? They are all fast paced, low cost projects managed by Marshall Space Flight Center (MSFC) teamed with successful industry partners. MSFC has long been synonymous with human space flight large propulsion programs, engineering acumen and risk intolerance. However, there is a growing portfolio/product line within MSFC that focuses on these smaller, fast paced projects. While launching anything into space is expensive, using a managed risk posture, holding to schedule and keeping costs low by stopping at egood enough f were key elements to their success. Risk is defined as the possibility of loss or failure per Merriam Webster. The National Aeronautics and Space Administration (NASA) defines risk using procedural requirement 8705.4 and establishes eclasses f to discern the acceptable risk per a project. It states a Class D risk has a medium to significant risk of not achieving mission success. MSFC, along with industry partners, has created a niche in Class D efforts. How did the big, cautious MSFC succeed on these projects that embodied the antithesis of its heritage in human space flight? A key factor toward these successful projects was innovative industry partners such as Dynetics Corporation, University of Alabama in Huntsville (UAHuntsville), Johns Hopkins Applied Physics Laboratory (JHU APL), Teledyne Brown Engineering (TBE), Von Braun Center for Science and Innovation (VCSI), SAIC, and Jacobs. Fast Affordable Satellite Technology (FastSat HSV01) is a low earth orbit microsatellite that houses six instruments with the primary scientific objective of earth observation and technology demonstration. The team was comprised of Dynetics, UAHuntsvile, SAIC, Goddard Space Flight Center (GSFC) and VCSI with the United States Air Force Space Test Program as the customer. The team completed design, development, manufacturing, environmental test and integration in

  9. Play as a Foundation for Hunter-Gatherer Social Existence

    ERIC Educational Resources Information Center

    Gray, Peter

    2009-01-01

    The author offers the thesis that hunter-gatherers promoted, through cultural means, the playful side of their human nature and this made possible their egalitarian, nonautocratic, intensely cooperative ways of living. Hunter-gatherer bands, with their fluid membership, are likened to social-play groups, which people could freely join or leave.…

  10. 32 CFR 651.52 - Aids to information gathering.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... 32 National Defense 4 2011-07-01 2011-07-01 false Aids to information gathering. 651.52 Section 651.52 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED... Process § 651.52 Aids to information gathering. The proponent may use or develop graphic or...

  11. 32 CFR 651.52 - Aids to information gathering.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... 32 National Defense 4 2014-07-01 2013-07-01 true Aids to information gathering. 651.52 Section 651.52 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED... Process § 651.52 Aids to information gathering. The proponent may use or develop graphic or...

  12. 32 CFR 651.52 - Aids to information gathering.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... 32 National Defense 4 2012-07-01 2011-07-01 true Aids to information gathering. 651.52 Section 651.52 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED... Process § 651.52 Aids to information gathering. The proponent may use or develop graphic or...

  13. 32 CFR 651.52 - Aids to information gathering.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... 32 National Defense 4 2013-07-01 2013-07-01 false Aids to information gathering. 651.52 Section 651.52 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED... Process § 651.52 Aids to information gathering. The proponent may use or develop graphic or...

  14. 32 CFR 651.52 - Aids to information gathering.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 32 National Defense 4 2010-07-01 2010-07-01 true Aids to information gathering. 651.52 Section 651.52 National Defense Department of Defense (Continued) DEPARTMENT OF THE ARMY (CONTINUED... Process § 651.52 Aids to information gathering. The proponent may use or develop graphic or...

  15. 43 CFR 423.26 - Public events and gatherings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ..., and waterbodies are governed by 43 CFR part 429. ... 43 Public Lands: Interior 1 2010-10-01 2010-10-01 false Public events and gatherings. 423.26... of Conduct § 423.26 Public events and gatherings. You must not conduct public assemblies,...

  16. 43 CFR 423.26 - Public events and gatherings.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ..., and waterbodies are governed by 43 CFR part 429. ... 43 Public Lands: Interior 1 2011-10-01 2011-10-01 false Public events and gatherings. 423.26... of Conduct § 423.26 Public events and gatherings. You must not conduct public assemblies,...

  17. 43 CFR 423.26 - Public events and gatherings.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ..., and waterbodies are governed by 43 CFR part 429. ... 43 Public Lands: Interior 1 2014-10-01 2014-10-01 false Public events and gatherings. 423.26... of Conduct § 423.26 Public events and gatherings. You must not conduct public assemblies,...

  18. 43 CFR 423.26 - Public events and gatherings.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ..., and waterbodies are governed by 43 CFR part 429. ... 43 Public Lands: Interior 1 2013-10-01 2013-10-01 false Public events and gatherings. 423.26... of Conduct § 423.26 Public events and gatherings. You must not conduct public assemblies,...

  19. 43 CFR 423.26 - Public events and gatherings.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ..., and waterbodies are governed by 43 CFR part 429. ... 43 Public Lands: Interior 1 2012-10-01 2011-10-01 true Public events and gatherings. 423.26... of Conduct § 423.26 Public events and gatherings. You must not conduct public assemblies,...

  20. The PACES Summer Science Trek: A Pre-College Science

    NASA Technical Reports Server (NTRS)

    Smith, Michelle B.

    1997-01-01

    The University of Texas at El Paso (UTEP) received five-year funding to form the Pan American Center for Earth and Environmental Studies (PACES) in July 1995. PACES has as its goals to conduct research contributing to NASA's Mission to Planet Earth and to develop skilled scientists and engineers. PACES seeks to gain a more comprehensive understanding of geological, ecological and environmental processes and changes taking place in the southwestern United States and northern Mexico region. The PACES center has collaborative ties with two NASA field center (Goddard Space Flight Center and Ames Research Center) and the Jet Propulsion Laboratory. The original proposal contained no provision for outreach programs. However, at a meeting in the fall of 1995, Dan Goldin, NASA Administrator, issued the challenge that in order to accomplish NASA's goals to educate more of the citizenry in science and engineering, the Centers should take a broader perspective aimed at younger children.

  1. Critical role of inhomogeneities in pacing termination of cardiac reentry

    NASA Astrophysics Data System (ADS)

    Sinha, Sitabhra; Stein, Kenneth M.; Christini, David J.

    2002-09-01

    Reentry around nonconducting ventricular scar tissue, a cause of lethal arrhythmias, is typically treated by rapid electrical stimulation from an implantable cardioverter defibrillator. However, the dynamical mechanisms of termination (success and failure) are poorly understood. To elucidate such mechanisms, we study the dynamics of pacing in one- and two-dimensional models of anatomical reentry. In a crucial realistic difference from previous studies of such systems, we have placed the pacing site away from the reentry circuit. Our model-independent results suggest that with such off-circuit pacing, the existence of inhomogeneity in the reentry circuit is essential for successful termination of tachycardia under certain conditions. Considering the critical role of such inhomogeneities may lead to more effective pacing algorithms.

  2. Characteristics associated with sexual assaults at mass gatherings

    PubMed Central

    Sampsel, Kari; Godbout, Justin; Leach, Tara; Taljaard, Monica; Calder, Lisa

    2016-01-01

    Introduction Sexual assault is disturbingly common, yet little is known about those occurring at mass gatherings, defined as a group of people congregated for a common purpose. Our objectives were to examine patterns of variation in sexual assault associated with mass gatherings and to determine factors associated with assaults occurring at mass gatherings. Methods We performed a case series analysis from January to December, 2013. We included all patients >16 years presenting within 30 days of their sexual assault to the Ottawa Hospital Sexual Assault and Partner Abuse Care Program (SAPACP). Cases were stratified by whether or not they occurred at mass gatherings. We abstracted from the SAPACP records: patient and sexual assault characteristics, alcohol or drug consumption and medical and forensic care accepted. We performed descriptive analyses and multiple logistical regression to identify factors associated with mass gathering assaults. Results We found 204 cases of sexual assault, of which 53 (26%) occurred at mass gatherings. Relative frequencies of mass gathering sexual assaults peaked during New Year's Eve, Canada Day, university frosh week and Halloween. We found the following factors were statistically significantly associated with sexual assault at mass gatherings: younger age (OR=0.95, 95% CI 0.91 to 0.99); voluntary consumption of drugs and alcohol (3.88, 95% CI 1.34 to 11.23); assault occurring on a holiday (2.37, 95% CI 1.00 to 5.64) and the assailant unknown to the victim (2.43, 95% CI 1.15 to 5). Interpretation This study is the first to describe patterns of variation in sexual assault incidents associated with occurrence of mass gatherings as well as factors associated with such assaults. We will disseminate these results to key stakeholders in order to develop prevention-minded policies for future mass gatherings. PMID:26315648

  3. The Efficacy of Self-Paced Study in Multitrial Learning

    ERIC Educational Resources Information Center

    de Jonge, Mario; Tabbers, Huib K.; Pecher, Diane; Jang, Yoonhee; Zeelenberg, René

    2015-01-01

    In 2 experiments we investigated the efficacy of self-paced study in multitrial learning. In Experiment 1, native speakers of English studied lists of Dutch-English word pairs under 1 of 4 imposed fixed presentation rate conditions (24 × 1 s, 12 × 2 s, 6 × 4 s, or 3 × 8 s) and a self-paced study condition. Total study time per list was equated for…

  4. PACE and the Federal Housing Finance Agency (FHFA)

    SciTech Connect

    Zimring, Mark; Fuller, Merrian

    2010-03-17

    The FHFA regulates Fannie Mae, Freddie Mac, and the 12 Federal Home Loan Banks (the government-sponsored enterprises - GSEs). On June 18, 2009, James B. Lockhart III, then Director of FHFA, released a letter expressing concern about the negative impact of energy loan tax assessment programs (ELTAPs) - also known as Property Assessed Clean Energy (PACE) programs - on both the housing finance system and homeowner program participants. Subsequently, a number of PACE proponents responded to the concerns laid out in the FHFA letter. In early Fall 2009, word circulated that FHFA was planning to follow its June letter with guidance to other agencies, possibly including Fannie Mae and Freddie Mac, discouraging them from buying loans on properties subject to PACE-type assessment liens. This triggered a second round of stakeholder letters, several of which were addressed to President Obama. On October 18, 2009, the White House, in what some believe was an attempt to obviate the need for FHFA guidance, released a Policy Framework for PACE Financing Programs that outlined best practices guidance for homeowner and lender protection. As of February 2010, FHFA and the GSEs have agreed to monitor PACE programs and work with stakeholders and the Administration to consider additional guidance beyond the Policy Framework and to collect more information on PACE program efficacy and risks. A summary of the communications timeline and highlights of the communications are provided.

  5. Did recent world record marathon runners employ optimal pacing strategies?

    PubMed

    Angus, Simon D

    2014-01-01

    We apply statistical analysis of high frequency (1 km) split data for the most recent two world-record marathon runs: Run 1 (2:03:59, 28 September 2008) and Run 2 (2:03:38, 25 September 2011). Based on studies in the endurance cycling literature, we develop two principles to approximate 'optimal' pacing in the field marathon. By utilising GPS and weather data, we test, and then de-trend, for each athlete's field response to gradient and headwind on course, recovering standardised proxies for power-based pacing traces. The resultant traces were analysed to ascertain if either runner followed optimal pacing principles; and characterise any deviations from optimality. Whereas gradient was insignificant, headwind was a significant factor in running speed variability for both runners, with Runner 2 targeting the (optimal) parallel variation principle, whilst Runner 1 did not. After adjusting for these responses, neither runner followed the (optimal) 'even' power pacing principle, with Runner 2's macro-pacing strategy fitting a sinusoidal oscillator with exponentially expanding envelope whilst Runner 1 followed a U-shaped, quadratic form. The study suggests that: (a) better pacing strategy could provide elite marathon runners with an economical pathway to significant performance improvements at world-record level; and (b) the data and analysis herein is consistent with a complex-adaptive model of power regulation.

  6. Feasibility of Leadless Cardiac Pacing Using Injectable Magnetic Microparticles.

    PubMed

    Rotenberg, Menahem Y; Gabay, Hovav; Etzion, Yoram; Cohen, Smadar

    2016-01-01

    A noninvasive, effective approach for immediate and painless heart pacing would have invaluable implications in several clinical scenarios. Here we present a novel strategy that utilizes the well-known mechano-electric feedback of the heart to evoke cardiac pacing, while relying on magnetic microparticles as leadless mechanical stimulators. We demonstrate that after localizing intravenously-injected magnetic microparticles in the right ventricular cavity using an external electromagnet, the application of magnetic pulses generates mechanical stimulation that provokes ventricular overdrive pacing in the rat heart. This temporary pacing consistently managed to revert drug-induced bradycardia, but could only last up to several seconds in the rat model, most likely due to escape of the particles between the applied pulses using our current experimental setting. In a pig model with open chest, MEF-based pacing was induced by banging magnetic particles and has lasted for a longer time. Due to overheating of the electromagnet, we intentionally terminated the experiments after 2 min. Our results demonstrate for the first time the feasibility of external leadless temporary pacing, using injectable magnetic microparticles that are manipulated by an external electromagnet. This new approach can have important utilities in clinical settings in which immediate and painless control of cardiac rhythm is required. PMID:27091192

  7. Feasibility of Leadless Cardiac Pacing Using Injectable Magnetic Microparticles

    PubMed Central

    Rotenberg, Menahem Y.; Gabay, Hovav; Etzion, Yoram; Cohen, Smadar

    2016-01-01

    A noninvasive, effective approach for immediate and painless heart pacing would have invaluable implications in several clinical scenarios. Here we present a novel strategy that utilizes the well-known mechano-electric feedback of the heart to evoke cardiac pacing, while relying on magnetic microparticles as leadless mechanical stimulators. We demonstrate that after localizing intravenously-injected magnetic microparticles in the right ventricular cavity using an external electromagnet, the application of magnetic pulses generates mechanical stimulation that provokes ventricular overdrive pacing in the rat heart. This temporary pacing consistently managed to revert drug-induced bradycardia, but could only last up to several seconds in the rat model, most likely due to escape of the particles between the applied pulses using our current experimental setting. In a pig model with open chest, MEF-based pacing was induced by banging magnetic particles and has lasted for a longer time. Due to overheating of the electromagnet, we intentionally terminated the experiments after 2 min. Our results demonstrate for the first time the feasibility of external leadless temporary pacing, using injectable magnetic microparticles that are manipulated by an external electromagnet. This new approach can have important utilities in clinical settings in which immediate and painless control of cardiac rhythm is required. PMID:27091192

  8. The Pace of Perceivable Extreme Climate Change

    NASA Astrophysics Data System (ADS)

    Tan, X.; Gan, T. Y.

    2015-12-01

    When will the signal of obvious changes in extreme climate emerge over climate variability (Time of Emergence, ToE) is a key question for planning and implementing measures to mitigate the potential impact of climate change to natural and human systems that are generally adapted to potential changes from current variability. We estimated ToEs for the magnitude, duration and frequency of global extreme climate represented by 24 extreme climate indices (16 for temperature and 8 for precipitation) with different thresholds of the signal-to-noise (S/N) ratio based on projections of CMIP5 global climate models under RCP8.5 and RCP4.5 for the 21st century. The uncertainty of ToE is assessed by using 3 different methods to calculate S/N for each extreme index. Results show that ToEs of the projected extreme climate indices based on the RCP4.5 climate scenarios are generally projected to happen about 20 years later than that for the RCP8.5 climate scenarios. Under RCP8.5, the projected magnitude, duration and frequency of extreme temperature on Earth will all exceed 2 standard deviations by 2100, and the empirical 50th percentile of the global ToE for the frequency and magnitude of hot (cold) extreme are about 2040 and 2054 (2064 and 2054) for S/N > 2, respectively. The 50th percentile of global ToE for the intensity of extreme precipitation is about 2030 and 2058 for S/N >0.5 and S/N >1, respectively. We further evaluated the exposure of ecosystems and human societies to the pace of extreme climate change by determining the year of ToE for various extreme climate indices projected to occur over terrestrial biomes, marine realms and major urban areas with large populations. This was done by overlaying terrestrial, ecoregions and population maps with maps of ToE derived, to extract ToEs for these regions. Possible relationships between GDP per person and ToE are also investigated by relating the mean ToE for each country and its average value of GDP per person.

  9. Methane Emissions from United States Natural Gas Gathering and Processing.

    PubMed

    Marchese, Anthony J; Vaughn, Timothy L; Zimmerle, Daniel J; Martinez, David M; Williams, Laurie L; Robinson, Allen L; Mitchell, Austin L; Subramanian, R; Tkacik, Daniel S; Roscioli, Joseph R; Herndon, Scott C

    2015-09-01

    New facility-level methane (CH4) emissions measurements obtained from 114 natural gas gathering facilities and 16 processing plants in 13 U.S. states were combined with facility counts obtained from state and national databases in a Monte Carlo simulation to estimate CH4 emissions from U.S. natural gas gathering and processing operations. Total annual CH4 emissions of 2421 (+245/-237) Gg were estimated for all U.S. gathering and processing operations, which represents a CH4 loss rate of 0.47% (±0.05%) when normalized by 2012 CH4 production. Over 90% of those emissions were attributed to normal operation of gathering facilities (1697 +189/-185 Gg) and processing plants (506 +55/-52 Gg), with the balance attributed to gathering pipelines and processing plant routine maintenance and upsets. The median CH4 emissions estimate for processing plants is a factor of 1.7 lower than the 2012 EPA Greenhouse Gas Inventory (GHGI) estimate, with the difference due largely to fewer reciprocating compressors, and a factor of 3.0 higher than that reported under the EPA Greenhouse Gas Reporting Program. Since gathering operations are currently embedded within the production segment of the EPA GHGI, direct comparison to our results is complicated. However, the study results suggest that CH4 emissions from gathering are substantially higher than the current EPA GHGI estimate and are equivalent to 30% of the total net CH4 emissions in the natural gas systems GHGI. Because CH4 emissions from most gathering facilities are not reported under the current rule and not all source categories are reported for processing plants, the total CH4 emissions from gathering and processing reported under the EPA GHGRP (180 Gg) represents only 14% of that tabulated in the EPA GHGI and 7% of that predicted from this study.

  10. Yongmin Kim: setting the pace for bioengineers.

    PubMed

    Johnson, Jessica

    2012-01-01

    Early in his career, Yongmin Kim adopted an interdisciplinary approach to research that a more ego-driven researcher would have shied away from. He teamed with statisticians, electrical engineers, medical doctors, computer scientists, and industry executives to produce a steady stream of around 450 publications and a slew of innovations to medical imaging equipment that he has often had the pleasure of seeing put to use in hospitals in as short as two years. But Kim did not sit back and bask in his accomplishments. The moment he reached a goal, he set his sights on the next one. Having helped build the University of Washington's Bioengineering Department, where he led students and faculty for 29 years, the IEEE Fellow and former Engineering in Medicine and Biology Society (EMBS) president resigned his tenured faculty position and set out to meet another challenge: serving as president of South Korea's Pohang University of Science and Technology (POSTECH). PMID:22344945

  11. A Multiscale Tridomain Model for Simulating Bioelectric Gastric Pacing

    PubMed Central

    Sathar, Shameer; Trew, Mark L.; O’Grady, Greg

    2015-01-01

    Goal Gastric motility disorders have been associated with abnormal slow wave electrical activity (‘gastric dysrhythmias’). Gastric pacing is a potential therapy for gastric dysrhythmias, however, new pacing protocols are required that can effectively modulate motility patterns, while being power efficient. This study presents a novel comprehensive 3D multi-scale modeling framework of the human stomach, including anisotropic conduction, capable of evaluating pacing strategies. Methods A high resolution anatomically realistic mesh was generated from CT images taken from a human stomach. Principal conduction axes were calculated and embedded within this model based on a modified Laplace-Dirichlet rule based algorithm. A continuum based tridomain formulation was implemented and evaluated for performance, and used to model the slow wave propagation, which takes into account the two main cell types present in gastric musculature. Model parameters were found by matching predicted normal slow-wave activity to experimental observation and data. These simulation parameters were applied while modeling an external pacing event to entrain slow wave patterns. Results The proposed formulation was found to be 2 times more efficient than a previous formulation for a normal slow wave simulation. Convergence analysis showed that a mesh resolution of ≈ 0.4 –0.5mm is required for an accurate solution process. Conclusion The effect of different pacing frequencies on entrainment demonstrated that the pacing protocols are limited by the frequency of the native propagation and the refractory period of the cellular activity. Significance The model is expected to become an important tool in studying pacing protocols for both efficiency and effectiveness. PMID:26080372

  12. Environmental and Health Consideration for Mass Gatherings at Football Events

    ERIC Educational Resources Information Center

    Fodero, Severio D.

    1976-01-01

    University health services along with local and state agencies have the responsibility through a coordinated effort to insure that acceptable environmental sanitation standards are maintained during mass gatherings at athletic events. (MB)

  13. 18 CFR 290.102 - Information gathering and filing.

    Code of Federal Regulations, 2010 CFR

    2010-04-01

    ... 1978 COLLECTION OF COST OF SERVICE INFORMATION UNDER SECTION 133 OF THE PUBLIC UTILITY REGULATORY POLICIES ACT OF 1978 Coverage, Compliance and Definitions § 290.102 Information gathering and filing....

  14. Gathering Complete Response from Mexican-Americans by Personal Interview

    ERIC Educational Resources Information Center

    Zusman, Marty E.; Olson, Arnold O.

    1977-01-01

    To investigate the quality of response to the personal interview, a survey was undertaken among Mexican-American migrant parents and children. Results demonstrate that the personal interview does not gather complete response. (Author/AM)

  15. The Death of Hank Gathers: A Legacy of Confusion.

    PubMed

    Munnings, F

    1990-05-01

    The death of basketball star Hank Gathers will push physicians, coaches, parents, and athletes to take a much harder look at the risks involved in allowing athletes with cardiovascular problems to play.

  16. Pacing impedance variability in tined steroid eluting leads.

    PubMed

    Danilovic, D; Ohm, O J

    1998-07-01

    The aim of the study was to investigate pacing impedance (PI) behavior in ambulatory patients. Eighteen atrial and 18 ventricular tined steroid eluting leads with 1.2-mm2 and 5.6-mm2 electrodes were implanted in 20 patients. At 9-27 months after implantation PI was measured automatically by means of additional algorithms downloaded via telemetry links into implanted Thera pulse generators. PI was determined based on the voltage drop on the output capacitor during the 5 V-1 ms pacing impulse, at the programmable sampling rates from 1 second to 30 minutes. The study examined in particular: (1) PI trends and variations associated with different breathing patterns, body postures, provocative maneuvers, bike exercise, and during 24 hours; (2) impact of pacing rate and AV-delay on PI; (3) correlation between PI variability and pacing threshold, lead configuration, absolute PI value, age, gender, disease, and cardiac chamber. The most important findings were: (1) large PI variations of up to 450 omega were observed in properly functioning leads, (2) PI variability exhibited a weak negative correlation with pacing thresholds as if electrode positional stability was not a major factor underlying PI variations, (3) unipolar and bipolar PI variations were equivalent to each other (correlation factor = 0.93) implying that PI was mostly dependent on the circumstances around the lead tip.

  17. The formal pace of Sesame Street over 26 years.

    PubMed

    Koolstra, Cees M; van Zanten, Juliette; Lucassen, Nicole; Ishaak, Nazreen

    2004-08-01

    Television producers often use a high rate in the succession of visual and auditory features in their programs to attract the attention of viewers. In this study an attempt was made to measure the formal pace of television programs by scoring the rates of an extensive set of formal visual and auditory characteristics. Sesame Street was chosen as a focal point because this educational program--with its high pace--is very successful in its competition with the majority of commercial programs from which children can choose to watch at home. The analyzed material consisted of 49 Dutch episodes of Sesame Street broadcast between 1977 and 2003. The formal pace characteristics of separate program items from Sesame Street could be reliably established. Factor analysis indicated that clear pace factors were (a) "editing," consisting of a frequent use of different types of shots (total shots, medium shots, and close-ups) combined with a large number of cuts and (b) speech rate. Over a period of 26 years, the pace of editing increased: the mean number of cuts increased from about 4 to 8 per minute. The mean speech rate decreased from 175 to 139 words per minute.

  18. T wave alternans during exercise and atrial pacing in humans

    NASA Technical Reports Server (NTRS)

    Hohnloser, S. H.; Klingenheben, T.; Zabel, M.; Li, Y. G.; Albrecht, P.; Cohen, R. J.

    1997-01-01

    INTRODUCTION: Evidence is accumulating that microvolt T wave alternans (TWA) is a marker of increased risk for ventricular tachyarrhythmias. Initially, atrial pacing was used to elevate heart rate and elicit TWA. More recently, a noninvasive approach has been developed that elevates heart rate using exercise. METHODS AND RESULTS: In 30 consecutive patients with a history of ventricular tachyarrhythmias, the spectral method was used to detect TWA during both atrial pacing and submaximal exercise testing. The concordance rate for the presence or absence of TWA using the two measurement methods was 84%. There was a patient-specific heart rate threshold for the detection of TWA that averaged 100 +/- 14 beats/min during exercise compared with 97 +/- 9 beats/min during right atrial pacing (P = NS). Beyond this threshold, there was a significant and comparable increase in level of TWA with decreasing pacing cycle length and increasing exercise heart rates. CONCLUSIONS: The present study is the first to demonstrate that microvolt TWA can be assessed reliably and noninvasively during exercise stress. There is a patient-specific heart rate threshold beyond which TWA continues to increase with increasing heart rates. Heart rate thresholds for the onset of TWA measured during atrial pacing and exercise stress were comparable, indicating that heart rate alone appears to be the main factor of determining the onset of TWA during submaximal exercise stress.

  19. Pacing impedance variability in tined steroid eluting leads.

    PubMed

    Danilovic, D; Ohm, O J

    1998-07-01

    The aim of the study was to investigate pacing impedance (PI) behavior in ambulatory patients. Eighteen atrial and 18 ventricular tined steroid eluting leads with 1.2-mm2 and 5.6-mm2 electrodes were implanted in 20 patients. At 9-27 months after implantation PI was measured automatically by means of additional algorithms downloaded via telemetry links into implanted Thera pulse generators. PI was determined based on the voltage drop on the output capacitor during the 5 V-1 ms pacing impulse, at the programmable sampling rates from 1 second to 30 minutes. The study examined in particular: (1) PI trends and variations associated with different breathing patterns, body postures, provocative maneuvers, bike exercise, and during 24 hours; (2) impact of pacing rate and AV-delay on PI; (3) correlation between PI variability and pacing threshold, lead configuration, absolute PI value, age, gender, disease, and cardiac chamber. The most important findings were: (1) large PI variations of up to 450 omega were observed in properly functioning leads, (2) PI variability exhibited a weak negative correlation with pacing thresholds as if electrode positional stability was not a major factor underlying PI variations, (3) unipolar and bipolar PI variations were equivalent to each other (correlation factor = 0.93) implying that PI was mostly dependent on the circumstances around the lead tip. PMID:9670178

  20. Stability of disability among PACE enrollees: financial and programmatic implications.

    PubMed

    Mukamel, D B; Temkin-Greener, H; Clark, M L

    1998-01-01

    This article examines the experience of the first 11 Program of All-inclusive Care for the Elderly (PACE) programs. It investigates changes in functional status of participants in relation to length of enrollment in the program and individual risk characteristics. Our findings indicate that mature programs experience stable disability mix over time, supporting the rationale for the current PACE payment method. However, significant differences exist between programs, suggesting that payment rates could be more program specific. Analysis of the effect of patient characteristics at admission on the likelihood of improvement in functional status identified areas for quality improvement. The implications of this study have increasing importance in light of the expected expansion of PACE to approximately 100 sites by the year 2000.

  1. Optogenetics for in vivo cardiac pacing and resynchronization therapies.

    PubMed

    Nussinovitch, Udi; Gepstein, Lior

    2015-07-01

    Abnormalities in the specialized cardiac conduction system may result in slow heart rate or mechanical dyssynchrony. Here we apply optogenetics, widely used to modulate neuronal excitability, for cardiac pacing and resynchronization. We used adeno-associated virus (AAV) 9 to express the Channelrhodopsin-2 (ChR2) transgene at one or more ventricular sites in rats. This allowed optogenetic pacing of the hearts at different beating frequencies with blue-light illumination both in vivo and in isolated perfused hearts. Optical mapping confirmed that the source of the new pacemaker activity was the site of ChR2 transgene delivery. Notably, diffuse illumination of hearts where the ChR2 transgene was delivered to several ventricular sites resulted in electrical synchronization and significant shortening of ventricular activation times. These findings highlight the unique potential of optogenetics for cardiac pacing and resynchronization therapies.

  2. Pacing accuracy during an incremental step test in adolescent swimmers.

    PubMed

    Scruton, Adrian; Baker, James; Roberts, Justin; Basevitch, Itay; Merzbach, Viviane; Gordon, Dan

    2015-01-01

    To assess pacing accuracy in a group of adolescent swimmers during an incremental step test. Fifteen well-trained swimmers (age 15±1.5 years; height 170.2±8.8 cm; mass 60.2±6.6 kg), completed two 7×200 m tests, separated by ~72 hours. They swam to a predetermined incrementally increasing pace per step and were instructed to swim at even pace. Upon completion of each step, rating of perceived exertion, heart rate and blood lactate were recorded. Significant differences observed for both trials between actual and predicted swim time (P<0.05). Significant differences also observed between the first and second 100 m of each step in trial 1 for step 1 (P=0.001, effect size [ES] =0.54), step 2 (P=0.0001, ES =0.57), step 4 (P=0.0001, ES =0.53), step 5 (P=0.005, ES =0.65), step 6 (P=0.0001, ES =0.50), and step 7 (P=0.0001, ES =0.70). Similar responses witnessed for trial 2 (P<0.05). Findings suggest that the finite anaerobic capacity was engaged sooner than would normally be anticipated, as a function of an inability to regulate pace. This is proposed to be a consequence of the volume of exposure to the biological and psychological sensations and cognitive developmental status. Given the apparent error in pacing judgment exhibited in this population group, caution should be applied when adopting such tests to monitor training responses with adolescent athletes, and alternate means of modulating pace be investigated.

  3. Pacing accuracy during an incremental step test in adolescent swimmers

    PubMed Central

    Scruton, Adrian; Baker, James; Roberts, Justin; Basevitch, Itay; Merzbach, Viviane; Gordon, Dan

    2015-01-01

    To assess pacing accuracy in a group of adolescent swimmers during an incremental step test. Fifteen well-trained swimmers (age 15±1.5 years; height 170.2±8.8 cm; mass 60.2±6.6 kg), completed two 7×200 m tests, separated by ~72 hours. They swam to a predetermined incrementally increasing pace per step and were instructed to swim at even pace. Upon completion of each step, rating of perceived exertion, heart rate and blood lactate were recorded. Significant differences observed for both trials between actual and predicted swim time (P<0.05). Significant differences also observed between the first and second 100 m of each step in trial 1 for step 1 (P=0.001, effect size [ES] =0.54), step 2 (P=0.0001, ES =0.57), step 4 (P=0.0001, ES =0.53), step 5 (P=0.005, ES =0.65), step 6 (P=0.0001, ES =0.50), and step 7 (P=0.0001, ES =0.70). Similar responses witnessed for trial 2 (P<0.05). Findings suggest that the finite anaerobic capacity was engaged sooner than would normally be anticipated, as a function of an inability to regulate pace. This is proposed to be a consequence of the volume of exposure to the biological and psychological sensations and cognitive developmental status. Given the apparent error in pacing judgment exhibited in this population group, caution should be applied when adopting such tests to monitor training responses with adolescent athletes, and alternate means of modulating pace be investigated. PMID:26346728

  4. Pacing during an ultramarathon running event in hilly terrain

    PubMed Central

    Cole-Hunter, Tom; Wiegand, Aaron N.; Solomon, Colin

    2016-01-01

    Purpose The dynamics of speed selection as a function of distance, or pacing, are used in recreational, competitive, and scientific research situations as an indirect measure of the psycho-physiological status of an individual. The purpose of this study was to determine pacing on level, uphill and downhill sections of participants in a long (>80 km) ultramarathon performed on trails in hilly terrain. Methods Fifteen ultramarathon runners competed in a  173 km event (five finished at  103 km) carrying a Global-Positioning System (GPS) device. Using the GPS data, we determined the speed, relative to average total speed, in level (LEV), uphill (UH) and downhill (DH) gradient categories as a function of total distance, as well as the correlation between overall performance and speed variability, speed loss, and total time stopped. Results There were no significant differences in normality, variances or means in the relative speed in 173-km and 103-km participants. Relative speed decreased in LEV, UH and DH. The main component of speed loss occurred between 5% and 50% of the event distance in LEV, and between 5% and 95% in UH and DH. There were no significant correlations between overall performance and speed loss, the variability of speed, or total time stopped. Conclusions Positive pacing was observed at all gradients, with the main component of speed loss occurring earlier (mixed pacing) in LEV compared to UH and DH. A speed reserve (increased speed in the last section) was observed in LEV and UH. The decrease in speed and variability of speed were more important in LEV and DH than in UH. The absence of a significant correlation between overall performance and descriptors of pacing is novel and indicates that pacing in ultramarathons in trails and hilly terrain differs to other types of running events. PMID:27812406

  5. Self-paced BCI using multiple SWT-based classifiers.

    PubMed

    Faradji, Farhad; Ward, Rabab K; Birch, Gary E

    2008-01-01

    The presence of false activations inhibits the use of existing self-paced BCIs in real life applications. We present a new design method for a self-paced BCI that yielded 0% false activations using the data of two subjects. This system obtains templates/shapes of the movement related finger flexion patterns. To obtain the templates, the intentional control data are decomposed into 5 levels using the stationary wavelet transform. Then, ensemble averaging is done. These templates are used to train 5 radial basis function neural networks. This is followed by a majority voting classifier.

  6. Rising to the challenge: accelerated pace of discovery transforms marine virology.

    PubMed

    Brum, Jennifer R; Sullivan, Matthew B

    2015-03-01

    Marine viruses have important roles in microbial mortality, gene transfer, metabolic reprogramming and biogeochemical cycling. In this Review, we discuss recent technological advances in marine virology including the use of near-quantitative, reproducible metagenomics for large-scale investigation of viral communities and the emergence of gene-based viral ecology. We also describe the reprogramming of microbially driven processes by viral metabolic genes, the identification of novel viruses using cultivation-dependent and cultivation-independent tools, and the potential for modelling studies to provide a framework for studying virus-host interactions. These transformative advances have set a rapid pace in exploring and predicting how marine viruses manipulate and respond to their environment.

  7. Adaptive memory: fitness relevance and the hunter-gatherer mind.

    PubMed

    Nairne, James S; Pandeirada, Josefa N S; Gregory, Karie J; Van Arsdall, Joshua E

    2009-06-01

    Recent studies suggest that human memory systems are "tuned" to remember information that is processed in terms of its fitness value. When people are asked to rate the relevance of words to a survival scenario, performance on subsequent surprise memory tests exceeds that obtained after most other known encoding techniques. The present experiments explored this effect using survival scenarios designed to mimic the division of labor thought to characterize early hunter-gatherer societies. It has been suggested that males and females have different cognitive specializations due to the unique survival tasks (hunting and gathering, respectively) they typically performed during periods of human evolution; the present experiments tested whether such specializations might be apparent in memory for words rated for relevance to these activities. Males and females were asked to rate the relevance of random words to prototypical hunting and gathering scenarios or to matched, non-fitness-relevant control scenarios (gathering food on a scavenger hunt or in a hunting contest). Surprise retention tests revealed superior memory for the words when they were rated for relevance to hunting and gathering scenarios, compared with when they were rated for relevance to the control scenarios, but no sex differences were found in memory performance.

  8. Self-paced brain-computer interface control of ambulation in a virtual reality environment

    NASA Astrophysics Data System (ADS)

    Wang, Po T.; King, Christine E.; Chui, Luis A.; Do, An H.; Nenadic, Zoran

    2012-10-01

    Objective. Spinal cord injury (SCI) often leaves affected individuals unable to ambulate. Electroencephalogram (EEG) based brain-computer interface (BCI) controlled lower extremity prostheses may restore intuitive and able-body-like ambulation after SCI. To test its feasibility, the authors developed and tested a novel EEG-based, data-driven BCI system for intuitive and self-paced control of the ambulation of an avatar within a virtual reality environment (VRE). Approach. Eight able-bodied subjects and one with SCI underwent the following 10-min training session: subjects alternated between idling and walking kinaesthetic motor imageries (KMI) while their EEG were recorded and analysed to generate subject-specific decoding models. Subjects then performed a goal-oriented online task, repeated over five sessions, in which they utilized the KMI to control the linear ambulation of an avatar and make ten sequential stops at designated points within the VRE. Main results. The average offline training performance across subjects was 77.2±11.0%, ranging from 64.3% (p = 0.001 76) to 94.5% (p = 6.26×10-23), with chance performance being 50%. The average online performance was 8.5±1.1 (out of 10) successful stops and 303±53 s completion time (perfect = 211 s). All subjects achieved performances significantly different than those of random walk (p < 0.05) in 44 of the 45 online sessions. Significance. By using a data-driven machine learning approach to decode users’ KMI, this BCI-VRE system enabled intuitive and purposeful self-paced control of ambulation after only 10 minutes training. The ability to achieve such BCI control with minimal training indicates that the implementation of future BCI-lower extremity prosthesis systems may be feasible.

  9. The effects of fluid ingestion on free-paced intermittent-sprint performance and pacing strategies in the heat.

    PubMed

    Skein, Melissa; Duffield, Rob

    2010-02-01

    The purpose of this study was to examine the effects of fluid ingestion on pacing strategies and performance during intermittent-sprint exercise in the heat. Nine male rugby players performed a habituation session and 2 x 50-min intermittent-sprint protocols at a temperature of 31 degrees C, either with or without fluid. Participants were informed of a third session (not performed) to ensure that they remained blind to all respective conditions. The protocol consisted of a 15-m sprint every minute separated by self-paced bouts of hard running, jogging, and walking for the remainder of the minute. Sprint time, distance covered during self-paced exercise, and vertical jump height before and after exercise were recorded. Heart rate, core temperature, nude mass, capillary blood haematocrit, pH, lactate concentration, perceptual ratings of perceived exertion, thermal stress, and thirst were also recorded. Sprint times (fluid vs. no-fluid: 2.82 +/- 0.11 vs. 2.82 +/- 0.14) and distance covered during self-paced exercise (fluid vs. no-fluid: 4168 +/- 419 vs. 3981 +/- 263 m) were not different between conditions (P = 0.10-0.98) but were progressively reduced to a greater extent in the no-fluid trial (7 +/- 13%) (d = 0.56-0.58). There were no differences (P = 0.22-1.00; d = <0.20-0.84) between conditions in any physiological measures. Perceptual ratings of perceived exertion and thermal stress did not differ between conditions (P = 0.34-0.91; d < or =0.20-0.48). Rating of thirst after exercise was lower in the fluid trial (P = 0.02; d = 0.62-0.73). The present results suggest that fluid availability did not improve intermittent-sprint performance, however did affect pacing strategies with a greater reduction in distance covered of self-paced exercise during the no-fluid trial. PMID:20077276

  10. Social learning among Congo Basin hunter–gatherers

    PubMed Central

    Hewlett, Barry S.; Fouts, Hillary N.; Boyette, Adam H.; Hewlett, Bonnie L.

    2011-01-01

    This paper explores childhood social learning among Aka and Bofi hunter–gatherers in Central Africa. Existing literature suggests that hunter–gatherer social learning is primarily vertical (parent-to-child) and that teaching is rare. We use behavioural observations, open-ended and semi-structured interviews, and informal and anecdotal observations to examine the modes (e.g. vertical versus horizontal/oblique) and processes (e.g. teaching versus observation and imitation) of cultural transmission. Cultural and demographic contexts of social learning associated with the modes and processes of cultural transmission are described. Hunter–gatherer social learning occurred early, was relatively rapid, primarily vertical under age 5 and oblique and horizontal between the ages of 6 and 12. Pedagogy and other forms of teaching existed as early as 12 months of age, but were relatively infrequent by comparison to other processes of social learning such as observation and imitation. PMID:21357239

  11. Wealth Transmission and Inequality Among Hunter-Gatherers

    PubMed Central

    Hill, Kim; Marlowe, Frank; Nolin, David; Wiessner, Polly; Gurven, Michael; Bowles, Samuel; Mulder, Monique Borgerhoff; Hertz, Tom; Bell, Adrian

    2010-01-01

    We report quantitative estimates of intergenerational transmission and population-wide inequality for wealth measures in a set of hunter-gatherer populations. Wealth is defined broadly as factors that contribute to individual or household well-being, ranging from embodied forms such as weight and hunting success to material forms such household goods, as well as relational wealth in exchange partners. Intergenerational wealth transmission is low to moderate in these populations, but is still expected to have measurable influence on an individual’s life chances. Wealth inequality (measured with Gini coefficients) is moderate for most wealth types, matching what qualitative ethnographic research has generally indicated (if not the stereotype of hunter-gatherers as extreme egalitarians). We discuss some plausible mechanisms for these patterns, and suggest ways in which future research could resolve questions about the role of wealth in hunter-gatherer social and economic life. PMID:21151711

  12. The Print and Computer Enlargement System--PACE. Final Report.

    ERIC Educational Resources Information Center

    Morford, Ronald A.

    The Print and Computer Enlargement (PACE) System is being designed as a portable computerized reading and writing system that enables a low-vision person to read regular print and then create and edit text using large-print computerized output. The design goal was to develop a system that: weighed no more than 12 pounds so it could be easily…

  13. 42 CFR 460.180 - Medicare payment to PACE organizations.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... risk adjustment model. (5) CMS may adjust the monthly capitation amount to take into account other... or Federal workers' compensation, any no-fault insurance, or any liability insurance policy or plan, including a self-insured plan, the PACE organization may charge any of the following: (i) The...

  14. Curriculum Designs for Tech Prep Clusters. PACE '94.

    ERIC Educational Resources Information Center

    Schoon, Kenneth J., Ed.; Wiles, Clyde A., Ed.

    This booklet contains descriptions of various Tech Prep programs developed by PACE (Promoting Academic Excellence In Mathematics, Science & Technology for Workers of the 21st Century). Each entry includes general program descriptions, curriculum outlines, and course descriptions. The clusters and their specialty areas described in the booklet are:…

  15. "Set the Pace": Nutrition Education DVD for Head Start Parents

    ERIC Educational Resources Information Center

    Adedze, Pascasie; Orr, Robin A.; Chapman-Novakofski, Karen; Donovan, Sharon M.

    2013-01-01

    Childhood overweight remains a major public health problem and innovative nutrition education programs are still needed. Thus, the "Set the Pace" is a nutrition education DVD for Head Start parents which provides visual nutrition education and physical activities to incorporate in their daily routines. (Contains 1 table.)

  16. Self-Paced Physics, Segments 37-40.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Four study segments of the Self-Paced Physics Course materials are presented in this eighth problems and solutions book used as a part of course assignments. The content is related to magnetic induction, Faraday's law, induced currents, Lenz's law, induced electromotive forces, time-varying magnetic fields, self-inductance, inductors,…

  17. Mixed microprocessor-random logic approach for innovative pacing systems.

    PubMed

    Gaggini, G; Garberoglio, B; Silvestri, L

    1992-11-01

    Modern pacing systems are becoming more and more sophisticated. Conversion of the information supplied by a sensor into suitable parameters for a rate controlling algorithm and the management of complex timing are common tasks for an integrated circuit (IC) in cardiac pacing. An effective solution consists of using a microprocessor to implement algorithms and pacing modes in a flexible way. The key point of using the same hardware resources for different tasks on a time sharing basis allows the design of a less complex IC when compared to a random logic structure with the same performances. The major design problems in a full microprocessor solution are its relatively low operating speed due to the low frequency clock necessary for low current drain, and the sequential structure of the machine itself. This can lead to unacceptable timing inaccuracy in all situations requiring the management of complex decision trees. In order to take full benefit from the advantages of a microprocessor structure without these drawbacks, a mixed microprocessor-random logic approach has been investigated. This architecture uses a microprocessor core to perform all high level nonreal-time operations (setup of the pacing cycle, data reduction and processing, data integrity checks) while a set of random logic peripherals is used for all critical timing aspects.

  18. Hardware packet pacing using a DMA in a parallel computer

    DOEpatents

    Chen, Dong; Heidelberger, Phillip; Vranas, Pavlos

    2013-08-13

    Method and system for hardware packet pacing using a direct memory access controller in a parallel computer which, in one aspect, keeps track of a total number of bytes put on the network as a result of a remote get operation, using a hardware token counter.

  19. Microcomputers in Education: A Self-Paced Orientation.

    ERIC Educational Resources Information Center

    Carey, Doris; Carey, Regan

    Designed to serve as a self-paced computer course for education students with no experience using microcomputers, this manual contains instructions for operating an Apple IIe microcomputer, its introductory software, and Bank Street Writer, using the DOS 3.3 System Master. The lessons, which contain illustrations and sample screens, include…

  20. ET-1 levels in cardioischemic patients undergoing atrial pacing.

    PubMed

    Parlapiano, C; Borgia, M C; Tonnarini, G; Alessandri, N; Campana, E; Quaglione, R; Ciccaglioni, A; Giancaspro, G; Pantone, P; Giovanniello, T; Califano, F

    2001-01-01

    Atrial pacing (AP) procedure was carried out in 11 cardioischemic patients to reproduce tachycardia-induced myocardial ischemia. Six control subjects underwent the same procedure until the maximum pacing rate was reached. During the procedure, endothelin-1 (ET-1) and plasma lactate levels were measured in the coronary sinus and in the aortic root. In all the patients, atrial pacing provoked electrocardiographic signs and metabolic evidence of myocardial ischemia and a significant decrease (p<0.001) in left ventricular ejection fraction. At AP-induced ischemia, coronary sinus (17.31 +/- 4.20 pg/mL) and arterial (9.60 +/- 3.31 pg/mL) ET-1 plasma levels were significantly different (p<0.001) in the patients. On the contrary, at maximum pacing rate, no significant difference (p=0.186) emerged between coronary sinus (9.72 +/- 1.09 pg/mL) and arterial (8.95 +/- 0.75 pg/mL) plasma ET-1 levels in the control group. These results suggest that, in cardioischemic patients, tachycardia can induce the coronary endothelium to release significant amounts of ET-1. PMID:11563817

  1. Self-Paced Physics, Segments 28-31.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Four study segments of the Self-Paced Physics Course materials are presented in this sixth problems and solutions book used as a part of student course work. The subject matter is related to electric currents, current densities, resistances, Ohm's law, voltages, Joule heating, electromotive forces, single loop circuits, series and parallel…

  2. Self-Paced Physics, Segments 24-27.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Four study segments of the Self-Paced Physics Course materials are presented in this fifth problems and solutions book used as a part of student course work. The subject matter is related to work in electric fields, potential differences, parallel plates, electric potential energies, potential gradients, capacitances, and capacitor circuits.…

  3. Self-Paced Physics, Segments 19-23.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Five study segments of the Self-Paced Physics Course materials are presented in this fourth problems and solutions book used as a part of student course work. The subject matter is related to electric charges, insulators, Coulomb's law, electric fields, lines of force, solid angles, conductors, motion of charged particles, dipoles, electric flux,…

  4. The Pace of Vocabulary Growth Helps Predict Later Vocabulary Skill

    ERIC Educational Resources Information Center

    Rowe, Meredith L.; Raudenbush, Stephen W.; Goldin-Meadow, Susan

    2012-01-01

    Children vary widely in the rate at which they acquire words--some start slow and speed up, others start fast and continue at a steady pace. Do early developmental variations of this sort help predict vocabulary skill just prior to kindergarten entry? This longitudinal study starts by examining important predictors (socioeconomic status [SES],…

  5. Library Skills for Teachers: A Self-Paced Workbook.

    ERIC Educational Resources Information Center

    Mech, Terrence

    Designed to introduce education students to the basic library resources in the field, this self-paced workbook assumes a basic knowledge of the library and its resources. Each section in the eight-chapter workbook discusses a particular type of reference material and sample entries are provided when appropriate. Eleven assignments (two multiple…

  6. Evaluation of Self-Paced Instructional Materials in Pharmaceutics

    ERIC Educational Resources Information Center

    Ayres, James W.; And Others

    1977-01-01

    The instructional effectiveness of two different presentation methods (lecture and self-paced or modularized) was examined using two groups of pharmacy students. Little or no difference was found in this study of junior and senior students at Oregon State University. (LBH)

  7. A method for permanent transvenous left ventricular pacing.

    PubMed

    Blanc, J J; Benditt, D G; Gilard, M; Etienne, Y; Mansourati, J; Lurie, K G

    1998-11-01

    LV-based pacing has recently been reported to be of benefit in patients with severe cardiac failure and left bundle branch block. LV permanent pacing has been reported using epicardial leads but the surgical mortality is excessive. A transvenous approach is now favored. In this regard, cannulation of the coronary sinus and of one of its tributaries using only the permanent electrode is feasible but technically challenging. We describe a "long guiding sheath" method using catheterization, and a long radiopaque and peelable sheath. Once the coronary sinus is cannulated with the electrophysiological catheter, the long sheath is advanced to the mid-part of the coronary sinus. The permanent pacing electrode is then placed through the sheath and into a tributary of the coronary sinus. This method has been attempted in 10 patients and was successful in 8, with an average lead insertion time of 21 +/- 5.5 minutes and an average fluoroscopic time of 11 +/- 5.5 minutes. In conclusion, although transvenous left ventricular pacing remains a challenge, the "long guiding sheath" approach appears to facilitate this procedure with both a high success rate and an acceptable procedure time. PMID:9826852

  8. PACES: A Model of Student Well-Being

    ERIC Educational Resources Information Center

    Nelson, Mark D.; Tarabochia, Dawn W.; Koltz, Rebecca L.

    2015-01-01

    School counselors design, deliver, and evaluate comprehensive, developmental school counseling programs that are focused on enhancing student development and success. A model of student well-being, known as PACES, is defined and described that consists of five distinct and interactive domains: physical, affective, cognitive, economic, and social.…

  9. Self-Paced Physics, Segments 11-14.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Four segments of the Self-Paced Physics Course materials are presented in this problems and solutions book for use as the third part of student course work. The subject-matter topics are related to impulses, inelastic and elastic collisions, two-dimensional collision problems, universal constant of gravitation, gravitational acceleration and…

  10. Kentucky's Parent and Child Education (PACE) Program. Innovations.

    ERIC Educational Resources Information Center

    Devlin, Kevin M.

    A lack of education is a major cause of poverty among many Kentucky citizens. In 1986, Kentucky's dropout rate was the second highest of the 50 states. That same year, Kentucky established the Parent and Child Education (PACE) Program in an effort to combat the problems of insufficient education and poverty that tend to be perpetuated from…

  11. Differential Response to Question Pacing in Learning from Prose.

    ERIC Educational Resources Information Center

    Koran, Mary Lou; Koran, John J., Jr.

    In an experiment designed to explore the interaction of individual differences with question pacing in learning from written materials, 93 college students were administered aptitude tests representing verbal and memory abilities and then randomly assigned to treatments in which questions were placed after every one or four pages or were omitted…

  12. PACE Model Gives Advertising Campaign-Centered Curriculum (Commentary).

    ERIC Educational Resources Information Center

    Thayer, Frank

    1990-01-01

    Describes PACE (Portfolio, Assignments, Content, and Evaluation), an advertising curriculum model in which students work on real advertising campaigns. Explains that students form account groups which locate products needing promotional assistance. Identifies the goals of the curriculum to be competent writing and practical understanding of…

  13. Tools and Trends in Self-Paced Language Instruction

    ERIC Educational Resources Information Center

    Godwin-Jones, Robert

    2007-01-01

    Ever since the PLATO system of the 1960's, CALL (computer assisted language learning) has had a major focus on providing self-paced, auto-correcting exercises for language learners to practice their skills and improve their knowledge of discrete areas of language learning. The computer has been recognized from the beginning as a patient and…

  14. PACE Center: A Mobile Career Information and Exploration Center.

    ERIC Educational Resources Information Center

    Bingham County Career Education, Blackfoot, ID.

    An innovative component of the Federally-sponsored Bingham County career education project is the Programed Activities for Career Exploration (PACE) Center, a mobile unit offering programed student activities to assist individual students in career planning. The mobile center visits each high school in the county; the sophomore year is selected as…

  15. Self-Paced Physics, Segments 32-36.

    ERIC Educational Resources Information Center

    New York Inst. of Tech., Old Westbury.

    Five study segments of the Self-Paced Physics Course materials are presented in this seventh problems and solutions book used as a part of student course work. The content is related to magnetic fields, magnetic moments, forces on charged particles in magnetic fields, electron volts, cyclotron, electronic charge to mass ratio, current-carrying…

  16. Basic Library Skills: A Self-Paced Workbook.

    ERIC Educational Resources Information Center

    Tierney, Judith

    This self-paced workbook is designed to introduce college students to the resources and facilities of the library and to providing the knowledge and skills necessary to do basic library research. Two introductory chapters include a library-specific tour with floor plans (the D. Leonard Corgan Library, Wilkes-Barre, Pennsylvania) and information…

  17. Self-Pacing Online Technology Approach: The Preservice Teacher Course.

    ERIC Educational Resources Information Center

    Sanders, Jay

    This paper describes an online technology course at Middle Tennessee State University that meets the needs of many preservice teachers and models techniques that can be applied in their K-12 classrooms. The first section describes the self-pacing online technology approach, including the following components of the online model: World Wide…

  18. Advances in Atmospheric Correction for NASA's PACE mission

    NASA Astrophysics Data System (ADS)

    Remer, L. A.; Franz, B. A.; Boss, E.

    2015-12-01

    The PACE (Pre- Aerosol, Clouds and ocean Ecosystem) mission is a strategic Climate Continuity mission, included in NASA's 2010 plan: "Responding to the Challenge of Climate and Environmental Change: NASA's Plan for a Climate-Centric Architecture for Earth Observations and Applications from Space". On a polar orbit, PACE will make climate-quality global measurements that are essential for understanding ocean biology, biogeochemistry, ecology, aerosol and cloud properties. These measurements will be used to help determine how the ocean and atmosphere are influencing and being influenced by a changing climate. At the heart of the PACE mission is a broad spectrum moderate resolution (~1 km nadir) radiometer, called the Ocean Color Instrument (OCI). OCI will provide high spectral resolution (5 nm) from the UV to NIR (350 - 800 nm), with additional spectral bands in the NIR and SWIR to support atmospheric correction, and aerosol and cloud science. Never before has a U.S. space borne instrument measured across such a broad spectral range at such a fine spectral and spatial resolutions on a global scale. The added capability of OCI presents unique new opportunities for oceanic and atmospheric retrievals, but also new challenges, especially for atmospheric correction. These challenges are being met in a variety of creative ways. In addition to OCI, PACE may include a multi-spectral, multi-angle polarimeter that will enhance aerosol and cloud characterization, aid significantly in atmospheric correction for oceanic retrievals, and may offer new insight into characterization of oceanic hydrosols. With these advanced global remote sensing capabilities PACE is expected to: (1) Provide high quality observations for both basic science research, as well as applications; and (2) Extend the current time-series of climate quality data to enable detection of long-term trends.

  19. Efficient Sensor Data Gathering and Resilient Communication for Rescue Scenarios

    NASA Astrophysics Data System (ADS)

    Munaretto, Daniele; An, Chunlei; Widmer, Joerg; Timm-Giel, Andreas

    Wireless Sensor Networks (WSNs) have been used mainly to collect environmental data and send it to a base station. Routing protocols are needed to efficiently direct the information flows to the base station. Since sensor nodes have strict energy constraints, data gathering and communication schemes for WSNs need to be designed for an efficient utilization of the available resources. An emergency management scenario is investigated, where a sensor network is deployed as virtual lifeline when entering a building. In addition to navigation support, the virtual lifeline is also used for two purposes. Firstly, to exchange short voice messages between fire fighter and command post. For the communication between command post and fire fighter a fast and reliable routing protocol (EMRO) has been developed based on a broadcasting scheme. Secondly, for data gathering a network coding based algorithm has been designed. The feasibility of simultaneously using this virtual lifeline for data gathering and communications is investigated in this paper by means of simulation and real experiments. The resilience to packet loss and node failure, as well as the transmission delay are investigated by means of short voice messages for the communication part and temperature readings for data gathering.

  20. Adding a psychological dimension to mass gatherings medicine.

    PubMed

    Hopkins, Nick; Reicher, Stephen

    2016-06-01

    Mass gatherings pose distinctive challenges for medicine. One neglected aspect of this is that the behaviour of people participating in such events is different from the behaviour they exhibit in their everyday lives. This paper seeks to describe a social psychological perspective on the processes shaping people's behaviour at mass gatherings and to explore how these are relevant for an understanding of the processes impacting on the transmission of infection. It is inadequate to conceptualize mass gatherings as simply an aggregate of a large number of individuals. Rather, those present may conceptualize themselves in terms of a collective with a shared group identity. Thinking of oneself and others as members of a collective changes one's behaviour. First, one behaves in terms of one's understanding of the norms associated with the group. Second, the relationships between group members become more trusting and supportive. Understanding these two behavioural changes is key to understanding how and why mass gathering participants may behave in ways that make them more or less vulnerable to infection transmission. Implications for health education interventions are discussed. PMID:26751239

  1. Efficacy of Montessori Education in Attention Gathering Skill of Children

    ERIC Educational Resources Information Center

    Yildirim Dogru, S. Sunay

    2015-01-01

    The aim of this study is to evaluate the efficacy of Montessori education which is offered to upskill the attention gathering skill of children with attention-deficit/hyperactivity disorder. In total fifteen pre-schooler participants, six girls and nine boys who are diagnosed with ADHD (7 of the children with ADHD, 8 with only AD), joined to this…

  2. Psychosocial effects of perceived emotional synchrony in collective gatherings.

    PubMed

    Páez, Dario; Rimé, Bernard; Basabe, Nekane; Wlodarczyk, Anna; Zumeta, Larraitz

    2015-05-01

    In a classic theory, Durkheim (1912) predicted that because of the social sharing of emotion they generate, collective gatherings bring participants to a stage of collective effervescence in which they experience a sense of union with others and a feeling of empowerment accompanied by positive affect. This would lead them to leave the collective situation with a renewed sense of confidence in life and in social institutions. A century after Durkheim's predictions of these effects, though, they remained untested as a whole. This article reports 4 studies, 2 correlational, 1 semilongitudinal, and 1 experimental, assessing the positive effects of participation in either positively valenced (folkloric marches) or negatively valenced (protest demonstrations) collective gatherings. Results confirmed that collective gatherings consistently strengthened collective identity, identity fusion, and social integration, as well as enhancing personal and collective self-esteem and efficacy, positive affect, and positive social beliefs among participants. In line with a central tenet of the theory, emotional communion, or perceived emotional synchrony with others mediated these effects. Higher perceived emotional synchrony was associated with stronger emotional reactions, stronger social support, and higher endorsement of social beliefs and values. Participation in symbolic collective gatherings also particularly reinforced identity fusion when perceived emotional synchrony was high. The respective contributions of perceived emotional synchrony and flow, or optimal experience, were also assessed. Whereas perceived emotional synchrony emerged as strongly related to the various social outcomes, flow was observed to be related first to collective efficacy and self-esteem, and thus, to encompass mainly empowerment effects. PMID:25822033

  3. Wild Food Summit: Anishinaabe Relearning Traditional Gathering Practices

    ERIC Educational Resources Information Center

    Sorensen, Barbara Ellen

    2011-01-01

    Wild Food Summits is a program initiated by Steve Dahlberg, the White Earth Tribal & Community College Extension director. Dahlberg began Wild Food Summits to teach people about identifying and gathering wild greens, mushrooms, and other edible plant life. The whole community comes together to cook and eat the foods. The tribal college has…

  4. 49 CFR 510.5 - Information gathering hearings.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ....5 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION INFORMATION GATHERING POWERS § 510.5 Information... and 156 of the Safety Act (15 U.S.C. 1412, 1416) to receive data, views and arguments...

  5. 49 CFR 510.5 - Information gathering hearings.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ....5 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL HIGHWAY TRAFFIC SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION INFORMATION GATHERING POWERS § 510.5 Information... and 156 of the Safety Act (15 U.S.C. 1412, 1416) to receive data, views and arguments...

  6. An information gathering system for medical image inspection

    NASA Astrophysics Data System (ADS)

    Lee, Young-Jin; Bajcsy, Peter

    2005-04-01

    We present an information gathering system for medical image inspection that consists of software tools for capturing computer-centric and human-centric information. Computer-centric information includes (1) static annotations, such as (a) image drawings enclosing any selected area, a set of areas with similar colors, a set of salient points, and (b) textual descriptions associated with either image drawings or links between pairs of image drawings, and (2) dynamic (or temporal) information, such as mouse movements, zoom level changes, image panning and frame selections from an image stack. Human-centric information is represented by video and audio signals that are acquired by computer-mounted cameras and microphones. The short-term goal of the presented system is to facilitate learning of medical novices from medical experts, while the long-term goal is to data mine all information about image inspection for assisting in making diagnoses. In this work, we built basic software functionality for gathering computer-centric and human-centric information of the aforementioned variables. Next, we developed the information playback capabilities of all gathered information for educational purposes. Finally, we prototyped text-based and image template-based search engines to retrieve information from recorded annotations, for example, (a) find all annotations containing the word "blood vessels", or (b) search for similar areas to a selected image area. The information gathering system for medical image inspection reported here has been tested with images from the Histology Atlas database.

  7. Honey, Hadza, hunter-gatherers, and human evolution.

    PubMed

    Marlowe, Frank W; Berbesque, J Colette; Wood, Brian; Crittenden, Alyssa; Porter, Claire; Mabulla, Audax

    2014-06-01

    Honey is the most energy dense food in nature. It is therefore not surprising that, where it exists, honey is an important food for almost all hunter-gatherers. Here we describe and analyze widespread honey collecting among foragers and show that where it is absent, in arctic and subarctic habitats, honey bees are also rare to absent. Second, we focus on one hunter-gatherer society, the Hadza of Tanzania. Hadza men and women both rank honey as their favorite food. Hadza acquire seven types of honey. Hadza women usually acquire honey that is close to the ground while men often climb tall baobab trees to raid the largest bee hives with stinging bees. Honey accounts for a substantial proportion of the kilocalories in the Hadza diet, especially that of Hadza men. Cross-cultural forager data reveal that in most hunter-gatherers, men acquire more honey than women but often, as with the Hadza, women do acquire some. Virtually all warm-climate foragers consume honey. Our closest living relatives, the great apes, take honey when they can. We suggest that honey has been part of the diet of our ancestors dating back to at least the earliest hominins. The earliest hominins, however, would have surely been less capable of acquiring as much honey as more recent, fully modern human hunter-gatherers. We discuss reasons for thinking our early ancestors would have acquired less honey than foragers ethnographically described, yet still significantly more than our great ape relatives.

  8. 18 CFR 290.102 - Information gathering and filing.

    Code of Federal Regulations, 2013 CFR

    2013-04-01

    ... 18 Conservation of Power and Water Resources 1 2013-04-01 2013-04-01 false Information gathering and filing. 290.102 Section 290.102 Conservation of Power and Water Resources FEDERAL ENERGY... 1978 COLLECTION OF COST OF SERVICE INFORMATION UNDER SECTION 133 OF THE PUBLIC UTILITY...

  9. 18 CFR 290.102 - Information gathering and filing.

    Code of Federal Regulations, 2014 CFR

    2014-04-01

    ... 18 Conservation of Power and Water Resources 1 2014-04-01 2014-04-01 false Information gathering and filing. 290.102 Section 290.102 Conservation of Power and Water Resources FEDERAL ENERGY... 1978 COLLECTION OF COST OF SERVICE INFORMATION UNDER SECTION 133 OF THE PUBLIC UTILITY...

  10. 18 CFR 290.102 - Information gathering and filing.

    Code of Federal Regulations, 2011 CFR

    2011-04-01

    ... 18 Conservation of Power and Water Resources 1 2011-04-01 2011-04-01 false Information gathering and filing. 290.102 Section 290.102 Conservation of Power and Water Resources FEDERAL ENERGY... 1978 COLLECTION OF COST OF SERVICE INFORMATION UNDER SECTION 133 OF THE PUBLIC UTILITY...

  11. 18 CFR 290.102 - Information gathering and filing.

    Code of Federal Regulations, 2012 CFR

    2012-04-01

    ... 18 Conservation of Power and Water Resources 1 2012-04-01 2012-04-01 false Information gathering and filing. 290.102 Section 290.102 Conservation of Power and Water Resources FEDERAL ENERGY... 1978 COLLECTION OF COST OF SERVICE INFORMATION UNDER SECTION 133 OF THE PUBLIC UTILITY...

  12. Rising above the Gathering Storm, Revisited: Rapidly Approaching Category 5

    ERIC Educational Resources Information Center

    National Academies Press, 2010

    2010-01-01

    In the face of so many daunting near-term challenges, U.S. government and industry are letting the crucial strategic issues of U.S. competitiveness slip below the surface. Five years ago, the National Academies prepared "Rising Above the Gathering Storm," a book that cautioned: "Without a renewed effort to bolster the foundations of…

  13. STS 51-D crewmembers gather to eat breakfast

    NASA Technical Reports Server (NTRS)

    1985-01-01

    STS 51-D crewmembers gather to eat breakfast prior to leaving for the launch pad. From left to right Rhea Seddon, Donald E. Williams, Charles D. Walker, Karol J. Bobko, Jeffrey A. Hoffman, S. David Griggs and U.S. Senator E.J. (Jake) Garn discuss phases of the upcoming flight. Desert is a cake decorated with the 51-D logo.

  14. Using On-Line Bulletin Boards to Gather Preliminary Information

    ERIC Educational Resources Information Center

    Kelley, Kathleen; Govindasamy, Ramu; Hyde, Jeffrey

    2012-01-01

    Internet bulletin-board sessions can be used to collect preliminary, qualitative data. This method allows Extension personnel to gather responses from stakeholders about potential programming, consumer needs and desires, and preference for program delivery method without assembling participants in one location. Several other advantages exist,…

  15. Camp stability predicts patterns of hunter–gatherer cooperation

    PubMed Central

    2016-01-01

    Humans regularly cooperate with non-kin, which has been theorized to require reciprocity between repeatedly interacting and trusting individuals. However, the role of repeated interactions has not previously been demonstrated in explaining real-world patterns of hunter–gatherer cooperation. Here we explore cooperation among the Agta, a population of Filipino hunter–gatherers, using data from both actual resource transfers and two experimental games across multiple camps. Patterns of cooperation vary greatly between camps and depend on socio-ecological context. Stable camps (with fewer changes in membership over time) were associated with greater reciprocal sharing, indicating that an increased likelihood of future interactions facilitates reciprocity. This is the first study reporting an association between reciprocal cooperation and hunter–gatherer band stability. Under conditions of low camp stability individuals still acquire resources from others, but do so via demand sharing (taking from others), rather than based on reciprocal considerations. Hunter–gatherer cooperation may either be characterized as reciprocity or demand sharing depending on socio-ecological conditions. PMID:27493770

  16. Using Walk-Throughs to Gather Data for School Improvement

    ERIC Educational Resources Information Center

    Skretta, John

    2007-01-01

    This article discusses walk-throughs as a valuable source of instructional data for teachers and administrators. Data gathering and analysis can be a dynamic and exciting process when walk-throughs are incorporated into a school's improvement plan as an instructional snapshot. At Norris High School in Firth, Nebraska, the principal uses…

  17. PACE IV: The Developmental Physical Education Curriculum from Theory to Practice (PACE = Positive Approaches to Children's Education).

    ERIC Educational Resources Information Center

    Indiana Univ., Bloomington. Dept. of Kinesiology.

    The purpose of PACE is to bring together individuals who have been responsible for new, innovative, and exciting developmental physical education programs. The following summaries are included: "Literacy in the Gym" (Tami Benham); "Activity Ideas for Fundamental Movement Skill Development" (Thomas H. Green); "Creative Movement Activities: A…

  18. Effects of pacing magnitudes and forms on bistability width in a modeled ventricular tissue

    NASA Astrophysics Data System (ADS)

    Huang, Xiaodong; Liu, Xuemei; Zheng, Lixian; Mi, Yuanyuan; Qian, Yu

    2013-07-01

    Bistability in periodically paced cardiac tissue is relevant to cardiac arrhythmias and its control. In the present paper, one-dimensional tissue of the phase I Luo-Rudy model is numerically investigated. The effects of various parameters of pacing signals on bistability width are studied. The following conclusions are obtained: (i) Pacing can be classified into two types: pulsatile and sinusoidal types. Pulsatile pacing reduces bistability width as its magnitude is increased. Sinusoidal pacing increases the width as its amplitude is increased. (ii) In a pacing period the hyperpolarizing part plays a more important role than the depolarizing part. Variations of the hyperpolarizing ratio in a period evidently change the width of bistability and its variation tendency. (iii) A dynamical mechanism is proposed to qualitatively explain the phenomena, which reveals the reason for the different effects of pulsatile and sinusoidal pacing on bistability. The methods for changing bistability width by external pacing may help control arrhythmias in cardiology.

  19. 42 CFR 460.150 - Eligibility to enroll in a PACE program.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.150 Eligibility to enroll in...

  20. 42 CFR 460.150 - Eligibility to enroll in a PACE program.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.150 Eligibility to enroll in...

  1. 42 CFR 460.150 - Eligibility to enroll in a PACE program.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.150 Eligibility to enroll in...

  2. 42 CFR 460.150 - Eligibility to enroll in a PACE program.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... SERVICES (CONTINUED) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) PROGRAMS OF ALL-INCLUSIVE CARE FOR THE ELDERLY (PACE) Participant Enrollment and Disenrollment § 460.150 Eligibility to enroll in...

  3. Neurophysiological determinants of theoretical concepts and mechanisms involved in pacing.

    PubMed

    Roelands, Bart; de Koning, Jos; Foster, Carl; Hettinga, Floor; Meeusen, Romain

    2013-05-01

    Fatigue during prolonged exercise is often described as an acute impairment of exercise performance that leads to an inability to produce or maintain a desired power output. In the past few decades, interest in how athletes experience fatigue during competition has grown enormously. Research has evolved from a dominant focus on peripheral causes of fatigue towards a complex interplay between peripheral and central limitations of performance. Apparently, both feedforward and feedback mechanisms, based on the principle of teleoanticipation, regulate power output (e.g., speed) during a performance. This concept is called 'pacing' and represents the use of energetic resources during exercise, in a way such that all energy stores are used before finishing a race, but not so far from the end of a race that a meaningful slowdown can occur.It is believed that the pacing selected by athletes is largely dependent on the anticipated exercise duration and on the presence of an experientially developed performance template. Most studies investigating pacing during prolonged exercise in ambient temperatures, have observed a fast start, followed by an even pace strategy in the middle of the event with an end sprint in the final minutes of the race. A reduction in pace observed at commencement of the event is often more evident during exercise in hot environmental conditions. Further, reductions in power output and muscle activation occur before critical core temperatures are reached, indicating that subjects can anticipate the exercise intensity and heat stress they will be exposed to, resulting in a tactical adjustment of the power output. Recent research has shown that not only climatic stress but also pharmacological manipulation of the central nervous system has the ability to cause changes in endurance performance. Subjects seem to adapt their strategy specifically in the early phases of an exercise task. In high-ambient temperatures, dopaminergic manipulations clearly

  4. A Study of Instructional Methods Used in Fast-Paced Classes

    ERIC Educational Resources Information Center

    Lee, Seon-Young; Olszewski-Kubilius, Paula

    2006-01-01

    This study involved 15 secondary-level teachers who taught fast-paced classes at a university based summer program and similar regularly paced classes in their local schools in order to examine how teachers differentiate or modify instructional methods and content selections for fast-paced classes. Interviews were conducted with the teachers…

  5. Effects of Modality and Pace on Achievement, Mental Effort, and Positive Affect in Multimedia Learning Environments

    ERIC Educational Resources Information Center

    Izmirli, Serkan; Kurt, Adile Askim

    2016-01-01

    The purpose of the study was to examine the effects of instruction given with different multimedia modalities (written text + animation or narration + animation) on the academic achievement, cognitive load, and positive affect in different paces (learner-paced or system-paced); 97 freshmen university students divided into four groups taught in…

  6. Society for the Teaching of Psychology and the University of Wisconsin-Milwaukee: U-Pace

    ERIC Educational Resources Information Center

    EDUCAUSE, 2014

    2014-01-01

    The Society for the Teaching of Psychology and the University of Wisconsin-Milwaukee (UWM) partnered to disseminate U-Pace, a technology-enabled instructional model that promotes student success through deeper learning. UWM developed U-Pace in 2006 for an Introduction to Psychology course and, over time, evidence indicates that U-Pace not only…

  7. Unintended Outcomes of University-Community Partnerships: Building Organizational Capacity with PACE International Partners

    ERIC Educational Resources Information Center

    Lloyd, Kate; Clark, Lindie; Hammersley, Laura; Baker, Michaela; Rawlings-Sanaei, Felicity; D'ath, Emily

    2015-01-01

    Professional and Community Engagement (PACE) at Macquarie University provides experiential opportunities for students and staff to contribute to more just, inclusive and sustainable societies by engaging in activities with partner organizations. PACE International offers a range of opportunities with partners overseas. Underpinning PACE is a…

  8. "U-Pace" Instruction: Improving Student Success by Integrating Content Mastery and Amplified Assistance

    ERIC Educational Resources Information Center

    Reddy, Diane M.; Pfeiffer, Heidi M.; Fleming, Raymond; Ports, Katie A.; Pedrick, Laura E.; Barnack-Tavlaris, Jessica L.; Jirovec, Danielle L.; Helion, Alicia M.; Swain, Rodney A.

    2013-01-01

    "U-Pace," an instructional intervention, has potential for widespread implementation because student behavior recorded in any learning management system is used by "U-Pace" instructors to tailor coaching of student learning based on students' strengths and motivations. "U-Pace" utilizes an online learning environment to integrate content mastery…

  9. "U-Pace" Instruction: Improving Student Success by Integrating Content Mastery and Amplified Assistance

    ERIC Educational Resources Information Center

    Reddy, Diane M.; Pfeiffer, Heidi M.; Fleming, Raymond; Ports, Katie A.; Pedrick, Laura E.; Barnack-Tavlaris, Jessica L.; Jirovec, Danielle L.; Helion, Alicia M.; Swain, Rodney A.

    2013-01-01

    "U-Pace," an instructional intervention, has potential for widespread implementation because student behavior recorded in any learning management system is used by "U-Pace" instructors to tailor coaching of student learning based on students' strengths and motivations. "U-Pace" utilizes an online learning…

  10. What Pace Is Best? Assessing Adults' Learning from Slideshows and Video

    ERIC Educational Resources Information Center

    Sage, Kara

    2014-01-01

    When acquiring information from a 2D platform, self-control and/or optimal pacing may help reduce cognitive load and enhance learning outcomes. In the present research, adults viewed novel action sequences via one of four learning media: (1) self-paced slideshows, where viewers advanced through slides at their own pace by clicking a mouse, (2)…

  11. Optimal pacing for running 400- and 800-m track races

    NASA Astrophysics Data System (ADS)

    Reardon, James

    2013-06-01

    We present a toy model of anaerobic glycolysis that utilizes appropriate physiological and mathematical consideration while remaining useful to the athlete. The toy model produces an optimal pacing strategy for 400-m and 800-m races that is analytically calculated via the Euler-Lagrange equation. The calculation of the optimum v(t) is presented in detail, with an emphasis on intuitive arguments in order to serve as a bridge between the basic techniques presented in undergraduate physics textbooks and the more advanced techniques of control theory. Observed pacing strategies in 400-m and 800-m world-record races are found to be well-fit by the toy model, which allows us to draw a new physiological interpretation for the advantages of common weight-training practices.

  12. Temporary leadless pacing in a patient with severe device infection.

    PubMed

    Kypta, Alexander; Blessberger, Hermann; Lichtenauer, Michael; Steinwender, Clemens

    2016-05-17

    A 64-year-old patient underwent implantation of a transcatheter pacing systems (TPS) for severe lead endocarditis. The patient experienced fever after a dental procedure. On the transoesophageal echocardiogram (TEE), vegetations were attached to the leads. Because the patient was pacemaker dependent, a temporary pacing lead had to be placed. After removal, however, he did not improve. A second TEE showed new vegetations. Ventricular fibrillation occurred spontaneously; so isoprenalin had to be stopped and a new lead was implanted. Vegetations appeared soon after the new temporary lead was placed. We used a TPS as a bridging device, followed by implantation of a resynchronisation system, and explantation of the TPS. After the Micra TPS was implanted, the patient recovered noticeably. All inflammation parameters were negative and an additional (18)F-fluorodeoxyglucose-positron emission tomography/CT imaging also proved to be negative. So a CRT-D device was then implanted, and the TCP was removed.

  13. Temporary leadless pacing in a patient with severe device infection.

    PubMed

    Kypta, Alexander; Blessberger, Hermann; Lichtenauer, Michael; Steinwender, Clemens

    2016-01-01

    A 64-year-old patient underwent implantation of a transcatheter pacing systems (TPS) for severe lead endocarditis. The patient experienced fever after a dental procedure. On the transoesophageal echocardiogram (TEE), vegetations were attached to the leads. Because the patient was pacemaker dependent, a temporary pacing lead had to be placed. After removal, however, he did not improve. A second TEE showed new vegetations. Ventricular fibrillation occurred spontaneously; so isoprenalin had to be stopped and a new lead was implanted. Vegetations appeared soon after the new temporary lead was placed. We used a TPS as a bridging device, followed by implantation of a resynchronisation system, and explantation of the TPS. After the Micra TPS was implanted, the patient recovered noticeably. All inflammation parameters were negative and an additional (18)F-fluorodeoxyglucose-positron emission tomography/CT imaging also proved to be negative. So a CRT-D device was then implanted, and the TCP was removed. PMID:27190123

  14. Factors affecting the regulation of pacing: current perspectives

    PubMed Central

    Mauger, Alexis R

    2014-01-01

    During prolonged dynamic and rhythmic exercise, muscular pain and discomfort arises as a result of an increased concentration of deleterious metabolites. Sensed by peripheral nociceptors and transmitted via afferent feedback to the brain, this provides important information regarding the physiological state of the muscle. These sensations ultimately contribute to what is termed “exercise-induced pain”. Despite being well recognized by athletes and coaches, and suggested to be integral to exercise performance, this construct has largely escaped attention in experimental work. This perspective article highlights the current understanding of pacing in endurance performance, and the causes of exercise-induced pain. A new perspective is described, which proposes how exercise-induced pain may be a contributing factor in helping individuals to regulate their work rate during exercise and thus provides an important construct in pacing. PMID:25228823

  15. Water, Sanitation, and Hygiene at the World's Largest Mass Gathering.

    PubMed

    Vortmann, Michael; Balsari, Satchit; Holman, Susan R; Greenough, P Gregg

    2015-02-01

    The 2013 Kumbh Mela, a Hindu religious festival and the largest human gathering on earth, drew an estimated 120 million pilgrims to bathe at the holy confluence of the Ganga (Ganges) and Yamuna rivers. To accommodate the massive numbers, the Indian government constructed a temporary city on the flood plains of the two rivers and provided it with roads, electricity, water and sanitation facilities, police stations, and a tiered healthcare system. This phenomenal operation and its impacts have gone largely undocumented. To address this gap, the authors undertook an evaluation and systematic monitoring initiative to study preparedness and response to public health emergencies at the event. This paper describes the water, sanitation, and hygiene components, with particular emphasis on preventive and mitigation strategies; the capacity for surveillance and response to diarrheal disease outbreaks; and the implications of lessons learned for other mass gatherings. PMID:25783442

  16. Water, Sanitation, and Hygiene at the World's Largest Mass Gathering.

    PubMed

    Vortmann, Michael; Balsari, Satchit; Holman, Susan R; Greenough, P Gregg

    2015-02-01

    The 2013 Kumbh Mela, a Hindu religious festival and the largest human gathering on earth, drew an estimated 120 million pilgrims to bathe at the holy confluence of the Ganga (Ganges) and Yamuna rivers. To accommodate the massive numbers, the Indian government constructed a temporary city on the flood plains of the two rivers and provided it with roads, electricity, water and sanitation facilities, police stations, and a tiered healthcare system. This phenomenal operation and its impacts have gone largely undocumented. To address this gap, the authors undertook an evaluation and systematic monitoring initiative to study preparedness and response to public health emergencies at the event. This paper describes the water, sanitation, and hygiene components, with particular emphasis on preventive and mitigation strategies; the capacity for surveillance and response to diarrheal disease outbreaks; and the implications of lessons learned for other mass gatherings.

  17. Simple circuit for pacing hearts of experimental animals.

    PubMed

    Freeman, G L; Colston, J T

    1992-06-01

    In this paper we describe a simple pacing circuit which can be used to drive the heart over a wide range of rates. The circuit is an astable multivibrator, based on an LM555 integrated circuit. It is powered by a 9-V battery and is small enough for use in rabbits. The circuit is easily constructed and inexpensive, making it attractive for numerous applications in cardiovascular research.

  18. Young Children's Help-Seeking as Active Information Gathering

    ERIC Educational Resources Information Center

    Vredenburgh, Christopher; Kushnir, Tamar

    2016-01-01

    Young children's social learning is a topic of great interest. Here, we examined preschoolers' (M = 52.44 months, SD = 9.7 months) help-seeking as a social information gathering activity that may optimize and support children's opportunities for learning. In a toy assembly task, we assessed each child's competency at assembling toys and the…

  19. Modelling mechanisms of social network maintenance in hunter-gatherers

    PubMed Central

    Pearce, Eiluned

    2014-01-01

    Due to decreasing resource densities, higher latitude hunter-gatherers need to maintain their social networks over greater geographic distances than their equatorial counterparts. This suggests that as latitude increases, the frequency of face-to-face interaction decreases for ‘weak tie’ relationships in the outer mating pool (~500-strong) and tribal (~1500-strong) layers of a hunter-gatherer social network. A key question, then, is how a hunter-gatherer tribe sustains coherence as a single identifiable unit given that members are distributed across a large geographic area. The first step in answering this question is to establish whether the expectation that network maintenance raises a challenge for hunter-gatherers is correct, or whether sustaining inter-group contact is in fact trivial. Here I present a null model that represents mobile groups as randomly and independently moving gas particles. The aim of this model is to examine whether face-to-face contact can be maintained with every member of an individual’s tribe at all latitudes even under the baseline assumption of random movement. Contrary to baseline expectations, the number of encounters between groups predicted by the gas model cannot support tribal cohesion and is significantly negatively associated with absolute latitude. In addition, above ~40 degrees latitude random mobility no longer produces a sufficient number of encounters between groups to maintain contact across the 500-strong mating pool. These model predictions suggest that the outermost layers of hunter-gatherers’ social networks may require additional mechanisms of support in the form of strategies that either enhance encounter rates, such as coordinated mobility patterns, or lessen the need for face-to-face interaction, such as the use of symbolic artefacts to represent social affiliations. Given the predicted decline in encounters away from the equator, such additional supports might be most strongly expressed at high

  20. Complex gas/lift gathering system project in Nigeria

    SciTech Connect

    Not Available

    1981-08-01

    A new gas lift and gathering system is located in the Makaraba oil field, Nigeria. It connects 12 wellheads to a flow station by a series of 6-in. pipelines and one 16-in. trunk-line. The complexity of the project was due to the swampy site conditions which necessitated all work being conducted with floating plant, including a specially made laybarge and amphibious swamp buggies.

  1. Hunter-Gatherers and the Origins of Religion.

    PubMed

    Peoples, Hervey C; Duda, Pavel; Marlowe, Frank W

    2016-09-01

    Recent studies of the evolution of religion have revealed the cognitive underpinnings of belief in supernatural agents, the role of ritual in promoting cooperation, and the contribution of morally punishing high gods to the growth and stabilization of human society. The universality of religion across human society points to a deep evolutionary past. However, specific traits of nascent religiosity, and the sequence in which they emerged, have remained unknown. Here we reconstruct the evolution of religious beliefs and behaviors in early modern humans using a global sample of hunter-gatherers and seven traits describing hunter-gatherer religiosity: animism, belief in an afterlife, shamanism, ancestor worship, high gods, and worship of ancestors or high gods who are active in human affairs. We reconstruct ancestral character states using a time-calibrated supertree based on published phylogenetic trees and linguistic classification and then test for correlated evolution between the characters and for the direction of cultural change. Results indicate that the oldest trait of religion, present in the most recent common ancestor of present-day hunter-gatherers, was animism, in agreement with long-standing beliefs about the fundamental role of this trait. Belief in an afterlife emerged, followed by shamanism and ancestor worship. Ancestor spirits or high gods who are active in human affairs were absent in early humans, suggesting a deep history for the egalitarian nature of hunter-gatherer societies. There is a significant positive relationship between most characters investigated, but the trait "high gods" stands apart, suggesting that belief in a single creator deity can emerge in a society regardless of other aspects of its religion. PMID:27154194

  2. Hunter-Gatherers and the Origins of Religion.

    PubMed

    Peoples, Hervey C; Duda, Pavel; Marlowe, Frank W

    2016-09-01

    Recent studies of the evolution of religion have revealed the cognitive underpinnings of belief in supernatural agents, the role of ritual in promoting cooperation, and the contribution of morally punishing high gods to the growth and stabilization of human society. The universality of religion across human society points to a deep evolutionary past. However, specific traits of nascent religiosity, and the sequence in which they emerged, have remained unknown. Here we reconstruct the evolution of religious beliefs and behaviors in early modern humans using a global sample of hunter-gatherers and seven traits describing hunter-gatherer religiosity: animism, belief in an afterlife, shamanism, ancestor worship, high gods, and worship of ancestors or high gods who are active in human affairs. We reconstruct ancestral character states using a time-calibrated supertree based on published phylogenetic trees and linguistic classification and then test for correlated evolution between the characters and for the direction of cultural change. Results indicate that the oldest trait of religion, present in the most recent common ancestor of present-day hunter-gatherers, was animism, in agreement with long-standing beliefs about the fundamental role of this trait. Belief in an afterlife emerged, followed by shamanism and ancestor worship. Ancestor spirits or high gods who are active in human affairs were absent in early humans, suggesting a deep history for the egalitarian nature of hunter-gatherer societies. There is a significant positive relationship between most characters investigated, but the trait "high gods" stands apart, suggesting that belief in a single creator deity can emerge in a society regardless of other aspects of its religion.

  3. Gathering naturalistic, objective data on the behavior of schizophrenic patients.

    PubMed

    Harmatz, M G; Mendelsohn, R; Glassman, M L

    1975-02-01

    A behavioral observation system, consisting of 12 behavior categories and an apparatus for recording them, was designed as a tool for gathering objective, naturalistic data on the ongoing behavior of hospitalized schizophrenics. After the system was tested and evaluated, it was used to draw behavioral profiles of 62 schizophrenics on two psychiatric wards of a Veterans Administration hospital. The results indicate the labeled schizophrenic is typified by a lack of adaptive behavior, a blankness, and a failure to get involved with his environment.

  4. 640 X 480 Pace HgCdTe FPA

    NASA Astrophysics Data System (ADS)

    Kozlowski, Lester J.; Bailey, Robert B.; Cabelli, Scott A.; Cooper, Donald E.; McComas, Gail D.; Vural, Kadri; Tennant, William E.

    1992-12-01

    A hybrid HgCdTe 640 X 480 infrared (IR) focal plane array (FPA) that meets the sensitivity, resolution, and field-of-view requirements of high-performance medium wavelength infrared (MWIR) imaging systems has been developed. The key technology making this large, high sensitivity device producible is the epitaxial growth of HgCdTe on a CdTe-buffered, sapphire substrate (referred to as PACE, for Producible Alternative to CdTe for Epitaxy; PACE-I refers to sapphire). The device offers TV resolution with excellent sensitivity at temperatures below 120 K. Mean NE(Delta) T as low as 13 mK has been achieved at operating temperatures < 130 K, which is about an order of magnitude better than has been achieved with PtSi 640 X 480 FPAs. In addition, the latter require cooling to PACE-I FPA D* at 78 K and background of 1014 photons/cm2-sec is BLIP-limited at 1 X 1012 cm-Hz1/2/W for the typical mean quantum efficiency of 60 - 70%. Imagery having excellent quality has been obtained using simple two-point nonuniformity compensation.

  5. Alternate Pacing of Border-Collision Period-Doubling Bifurcations.

    PubMed

    Zhao, Xiaopeng; Schaeffer, David G

    2007-11-01

    Unlike classical bifurcations, border-collision bifurcations occur when, for example, a fixed point of a continuous, piecewise C1 map crosses a boundary in state space. Although classical bifurcations have been much studied, border-collision bifurcations are not well understood. This paper considers a particular class of border-collision bifurcations, i.e., border-collision period-doubling bifurcations. We apply a subharmonic perturbation to the bifurcation parameter, which is also known as alternate pacing, and we investigate the response under such pacing near the original bifurcation point. The resulting behavior is characterized quantitatively by a gain, which is the ratio of the response amplitude to the applied perturbation amplitude. The gain in a border-collision period-doubling bifurcation has a qualitatively different dependence on parameters from that of a classical period-doubling bifurcation. Perhaps surprisingly, the differences are more readily apparent if the gain is plotted vs. the perturbation amplitude (with the bifurcation parameter fixed) than if plotted vs. the bifurcation parameter (with the perturbation amplitude fixed). When this observation is exploited, the gain under alternate pacing provides a useful experimental tool to identify a border-collision period-doubling bifurcation.

  6. Evolutionary History of Hunter-Gatherer Marriage Practices

    PubMed Central

    Walker, Robert S.; Hill, Kim R.; Flinn, Mark V.; Ellsworth, Ryan M.

    2011-01-01

    Background The universality of marriage in human societies around the world suggests a deep evolutionary history of institutionalized pair-bonding that stems back at least to early modern humans. However, marriage practices vary considerably from culture to culture, ranging from strict prescriptions and arranged marriages in some societies to mostly unregulated courtship in others, presence to absence of brideservice and brideprice, and polyandrous to polygynous unions. The ancestral state of early human marriage is not well known given the lack of conclusive archaeological evidence. Methodology Comparative phylogenetic analyses using data from contemporary hunter-gatherers around the world may allow for the reconstruction of ancestral human cultural traits. We attempt to reconstruct ancestral marriage practices using hunter-gatherer phylogenies based on mitochondrial DNA sequences. Results Arranged marriages are inferred to go back at least to first modern human migrations out of Africa. Reconstructions are equivocal on whether or not earlier human marriages were arranged because several African hunter-gatherers have courtship marriages. Phylogenetic reconstructions suggest that marriages in early ancestral human societies probably had low levels of polygyny (low reproductive skew) and reciprocal exchanges between the families of marital partners (i.e., brideservice or brideprice). Discussion Phylogenetic results suggest a deep history of regulated exchange of mates and resources among lineages that enhanced the complexity of human meta-group social structure with coalitions and alliances spanning across multiple residential communities. PMID:21556360

  7. Does lateral transmission obscure inheritance in hunter-gatherer languages?

    PubMed

    Bowern, Claire; Epps, Patience; Gray, Russell; Hill, Jane; Hunley, Keith; McConvell, Patrick; Zentz, Jason

    2011-01-01

    In recent years, linguists have begun to increasingly rely on quantitative phylogenetic approaches to examine language evolution. Some linguists have questioned the suitability of phylogenetic approaches on the grounds that linguistic evolution is largely reticulate due to extensive lateral transmission, or borrowing, among languages. The problem may be particularly pronounced in hunter-gatherer languages, where the conventional wisdom among many linguists is that lexical borrowing rates are so high that tree building approaches cannot provide meaningful insights into evolutionary processes. However, this claim has never been systematically evaluated, in large part because suitable data were unavailable. In addition, little is known about the subsistence, demographic, ecological, and social factors that might mediate variation in rates of borrowing among languages. Here, we evaluate these claims with a large sample of hunter-gatherer languages from three regions around the world. In this study, a list of 204 basic vocabulary items was collected for 122 hunter-gatherer and small-scale cultivator languages from three ecologically diverse case study areas: northern Australia, northwest Amazonia, and California and the Great Basin. Words were rigorously coded for etymological (inheritance) status, and loan rates were calculated. Loan rate variability was examined with respect to language area, subsistence mode, and population size, density, and mobility; these results were then compared to the sample of 41 primarily agriculturalist languages. Though loan levels varied both within and among regions, they were generally low in all regions (mean 5.06%, median 2.49%, and SD 7.56), despite substantial demographic, ecological, and social variation. Amazonian levels were uniformly very low, with no language exhibiting more than 4%. Rates were low but more variable in the other two study regions, in part because of several outlier languages where rates of borrowing were

  8. Does Lateral Transmission Obscure Inheritance in Hunter-Gatherer Languages?

    PubMed Central

    Bowern, Claire; Epps, Patience; Gray, Russell; Hill, Jane; Hunley, Keith; McConvell, Patrick; Zentz, Jason

    2011-01-01

    In recent years, linguists have begun to increasingly rely on quantitative phylogenetic approaches to examine language evolution. Some linguists have questioned the suitability of phylogenetic approaches on the grounds that linguistic evolution is largely reticulate due to extensive lateral transmission, or borrowing, among languages. The problem may be particularly pronounced in hunter-gatherer languages, where the conventional wisdom among many linguists is that lexical borrowing rates are so high that tree building approaches cannot provide meaningful insights into evolutionary processes. However, this claim has never been systematically evaluated, in large part because suitable data were unavailable. In addition, little is known about the subsistence, demographic, ecological, and social factors that might mediate variation in rates of borrowing among languages. Here, we evaluate these claims with a large sample of hunter-gatherer languages from three regions around the world. In this study, a list of 204 basic vocabulary items was collected for 122 hunter-gatherer and small-scale cultivator languages from three ecologically diverse case study areas: northern Australia, northwest Amazonia, and California and the Great Basin. Words were rigorously coded for etymological (inheritance) status, and loan rates were calculated. Loan rate variability was examined with respect to language area, subsistence mode, and population size, density, and mobility; these results were then compared to the sample of 41 primarily agriculturalist languages in [1]. Though loan levels varied both within and among regions, they were generally low in all regions (mean 5.06%, median 2.49%, and SD 7.56), despite substantial demographic, ecological, and social variation. Amazonian levels were uniformly very low, with no language exhibiting more than 4%. Rates were low but more variable in the other two study regions, in part because of several outlier languages where rates of borrowing were

  9. Natural gas gathering and transportation issues, 1998 Texas perspective

    SciTech Connect

    Kitchens, R.L.

    1998-12-31

    In 1996 and 1997, the natural gas industry was intensely focused on the debate surrounding proposed new rules governing the gathering and transportation of natural gas in Texas by the Railroad Commission. This paper reviews that debate and several other regulatory issues that could impact the natural gas and gas processing industries over the next few years. In addition to the review of the Code of Conduct, this paper focuses on results of the informal complaint process, implementation of new legislation requiring the approval of construction of sour gas pipelines and several other natural gas related issues.

  10. Mass gathering medicine: event factors predicting patient presentation rates.

    PubMed

    Locoh-Donou, Samuel; Yan, Guofen; Berry, Thomas; O'Connor, Robert; Sochor, Mark; Charlton, Nathan; Brady, William

    2016-08-01

    This study was conducted to identify the event characteristics of mass gatherings that predict patient presentation rates held in a southeastern US university community. We conducted a retrospective review of all event-based emergency medical services (EMS) records from mass gathering patient presentations over an approximate 23 month period, from October 24, 2009 to August 27, 2011. All patrons seen by EMS were included. Event characteristics included: crowd size, venue percentage filled seating, venue location (inside/outside), venue boundaries (bounded/unbounded), presence of free water (i.e., without cost), presence of alcohol, average heat index, presence of climate control (i.e., air conditioning), and event category (football, concerts, public exhibitions, non-football athletic events). We identified 79 mass gathering events, for a total of 670 patient presentations. The cumulative patron attendance was 917,307 persons. The patient presentation rate (PPR) for each event was calculated as the number of patient presentations per 10,000 patrons in attendance. Overdispersed Poisson regression was used to relate this rate to the event characteristics while controlling for crowd size. In univariate analyses, increased rates of patient presentations were strongly associated with outside venues [rate ratio (RR) = 3.002, p < 0.001], unbounded venues (RR = 2.839, p = 0.001), absence of free water (RR = 1.708, p = 0.036), absence of climate control (RR = 3.028, p < 0.001), and a higher heat index (RR = 1.211 per 10-unit heat index increase, p = 0.003). The presence of alcohol was not significantly associated with the PPR. Football events had the highest PPR, followed sequentially by public exhibitions, concerts, and non-football athletic events. In multivariate models, the strong predictors from the univariate analyses retained their predictive significance for the PPR, together with heat index and percent seating. In the setting of mass event

  11. Information gathering for the Transportation Statistics Data Bank

    SciTech Connect

    Shappert, L.B.; Mason, P.J.

    1981-10-01

    The Transportation Statistics Data Bank (TSDB) was developed in 1974 to collect information on the transport of Department of Energy (DOE) materials. This computer program may be used to provide the framework for collecting more detailed information on DOE shipments of radioactive materials. This report describes the type of information that is needed in this area and concludes that the existing system could be readily modified to collect and process it. The additional needed information, available from bills of lading and similar documents, could be gathered from DOE field offices and transferred in a standard format to the TSDB system. Costs of the system are also discussed briefly.

  12. Modeling rapidly disseminating infectious disease during mass gatherings

    PubMed Central

    2012-01-01

    We discuss models for rapidly disseminating infectious diseases during mass gatherings (MGs), using influenza as a case study. Recent innovations in modeling and forecasting influenza transmission dynamics at local, regional, and global scales have made influenza a particularly attractive model scenario for MG. We discuss the behavioral, medical, and population factors for modeling MG disease transmission, review existing model formulations, and highlight key data and modeling gaps related to modeling MG disease transmission. We argue that the proposed improvements will help integrate infectious-disease models in MG health contingency plans in the near future, echoing modeling efforts that have helped shape influenza pandemic preparedness plans in recent years. PMID:23217051

  13. Biventricular stimulation to prevent cardiac desynchronization: rationale, design, and endpoints of the 'Biventricular Pacing for Atrioventricular Block to Prevent Cardiac Desynchronization (BioPace)' study.

    PubMed

    Funck, Reinhard C; Blanc, Jean-Jacques; Mueller, Hans-Helge; Schade-Brittinger, Carmen; Bailleul, Christophe; Maisch, Bernhard

    2006-08-01

    Despite the deleterious effects of cardiac dyssynchrony and the positive effects of cardiac resynchronization therapy, patients with high-degree atrioventricular block continue to receive desynchronizing right ventricular (RV) pacing systems. Although it is unclear whether the negative effects of RV pacing and left bundle branch block (LBBB) are comparable, and whether they depend on the presence and the degree of structural heart disease, one may hypothesize that RV pacing may have similar effects to LBBB. In the BioPace trial, the long-term effects of RV pacing vs. biventricular pacing will be prospectively compared in 1200 pacemaker patients with high likelihood of mostly paced ventricular events, regardless of whether in sinus rhythm or in atrial fibrillation (AF). After echocardiographic examination of left ventricular (LV) function, patients will be randomly assigned to the implantation of an RV vs. a biventricular pacing system and followed for up to 5 years. Primary study endpoints are survival, quality of life (QoL), and the distance covered in a 6-min hall walk (6-MHW) at 24 months after implantation. Secondary endpoints are QoL and the 6-MHW result at 12 months after implantation, hospitalization rate, LV dimensions, LV ejection fraction, and the development of chronic AF and other adverse events. PMID:16864616

  14. Feasibility of dual-chamber (DDD) pacing via a single-pass (VDD) pacing lead employing a floating atrial ring (dipole): case series, future considerations, and refinements.

    PubMed

    Kassotis, John; Voigt, Louis; Mongwa, Mbu; Reddy, C V R

    2005-01-01

    The objective of this study was to assess the feasibility of DDD pacing from a standard single-pass VDD pacemaker system. Over the past 2 decades significant advances have been made in the development of single-pass VDD pacing systems. These have been shown in long-term prospective studies to effectively preserve atrioventricular (AV)synchrony in patients with AV block and normal sinus node function. What remains problematic is the development of a single-pass pacing system capable of DDD pacing. Such a lead configuration would be useful in those patients with peripheral venous anomalies and in younger patients with congenital anomalies, which may require lead revisions in the future. In addition, with the increased use of resynchronization (biventricular pacing) therapy, the availability of a reliable single-pass lead will minimize operative time, enhance patient safety, and minimize the amount of hardware within the heart. The feasibility of DDD pacing via a Medtronic Capsure VDD-2 (Model #5038) pacing lead was evaluated. Twenty patients who presented with AV block and normal sinus node function were recruited for this study. Atrial pacing thresholds and sensitivities were assessed intraoperatively in the supine position with various respiratory maneuvers. Five patients who agreed to participate in long-term follow-up received a dual-chamber generator and were evaluated periodically over a 12-month period. Mean atrial sensitivity was 2.35 +/- 0.83 mV at the time of implantation. Effective atrial stimulation was possible in all patients at the time of implantation (mean stimulation threshold 3.08 +/- 1.04 V at 0.5 ms [bipolar], 3.34 +/- 0.95 V at 0.5 ms [unipolar]). Five of the 20 patients received a Kappa KDR701 generator, and atrial electrical properties were followed up over a 1-year period. There was no significant change in atrial pacing threshold or incidence of phrenic nerve stimulation over the 1-year follow-up. A standard single-pass VDD pacing lead

  15. Toward a More Efficient Implementation of Antifibrillation Pacing

    PubMed Central

    Wilson, Dan; Moehlis, Jeff

    2016-01-01

    We devise a methodology to determine an optimal pattern of inputs to synchronize firing patterns of cardiac cells which only requires the ability to measure action potential durations in individual cells. In numerical bidomain simulations, the resulting synchronizing inputs are shown to terminate spiral waves with a higher probability than comparable inputs that do not synchronize the cells as strongly. These results suggest that designing stimuli which promote synchronization in cardiac tissue could improve the success rate of defibrillation, and point towards novel strategies for optimizing antifibrillation pacing. PMID:27391010

  16. Metagenome Sequencing of the Hadza Hunter-Gatherer Gut Microbiota.

    PubMed

    Rampelli, Simone; Schnorr, Stephanie L; Consolandi, Clarissa; Turroni, Silvia; Severgnini, Marco; Peano, Clelia; Brigidi, Patrizia; Crittenden, Alyssa N; Henry, Amanda G; Candela, Marco

    2015-06-29

    Through human microbiome sequencing, we can better understand how host evolutionary and ontogenetic history is reflected in the microbial function. However, there has been no information on the gut metagenome configuration in hunter-gatherer populations, posing a gap in our knowledge of gut microbiota (GM)-host mutualism arising from a lifestyle that describes over 90% of human evolutionary history. Here, we present the first metagenomic analysis of GM from Hadza hunter-gatherers of Tanzania, showing a unique enrichment in metabolic pathways that aligns with the dietary and environmental factors characteristic of their foraging lifestyle. We found that the Hadza GM is adapted for broad-spectrum carbohydrate metabolism, reflecting the complex polysaccharides in their diet. Furthermore, the Hadza GM is equipped for branched-chain amino acid degradation and aromatic amino acid biosynthesis. Resistome functionality demonstrates the existence of antibiotic resistance genes in a population with little antibiotic exposure, indicating the ubiquitous presence of environmentally derived resistances. Our results demonstrate how the functional specificity of the GM correlates with certain environment and lifestyle factors and how complexity from the exogenous environment can be balanced by endogenous homeostasis. The Hadza gut metagenome structure allows us to appreciate the co-adaptive functional role of the GM in complementing the human physiology, providing a better understanding of the versatility of human life and subsistence. PMID:25981789

  17. Image gathering and digital restoration for fidelity and visual quality

    NASA Technical Reports Server (NTRS)

    Huck, Friedrich O.; Alter-Gartenberg, Rachel; Rahman, Zia-Ur

    1991-01-01

    The fidelity and resolution of the traditional Wiener restorations given in the prevalent digital processing literature can be significantly improved when the transformations between the continuous and discrete representations in image gathering and display are accounted for. However, the visual quality of these improved restorations also is more sensitive to the defects caused by aliasing artifacts, colored noise, and ringing near sharp edges. In this paper, these visual defects are characterized, and methods for suppressing them are presented. It is demonstrated how the visual quality of fidelity-maximized images can be improved when (1) the image-gathering system is specifically designed to enhance the performance of the image-restoration algorithm, and (2) the Wiener filter is combined with interactive Gaussian smoothing, synthetic high edge enhancement, and nonlinear tone-scale transformation. The nonlinear transformation is used primarily to enhance the spatial details that are often obscurred when the normally wide dynamic range of natural radiance fields is compressed into the relatively narrow dynamic range of film and other displays.

  18. Executing a gather operation on a parallel computer

    DOEpatents

    Archer, Charles J.; Ratterman, Joseph D.

    2012-03-20

    Methods, apparatus, and computer program products are disclosed for executing a gather operation on a parallel computer according to embodiments of the present invention. Embodiments include configuring, by the logical root, a result buffer or the logical root, the result buffer having positions, each position corresponding to a ranked node in the operational group and for storing contribution data gathered from that ranked node. Embodiments also include repeatedly for each position in the result buffer: determining, by each compute node of an operational group, whether the current position in the result buffer corresponds with the rank of the compute node, if the current position in the result buffer corresponds with the rank of the compute node, contributing, by that compute node, the compute node's contribution data, if the current position in the result buffer does not correspond with the rank of the compute node, contributing, by that compute node, a value of zero for the contribution data, and storing, by the logical root in the current position in the result buffer, results of a bitwise OR operation of all the contribution data by all compute nodes of the operational group for the current position, the results received through the global combining network.

  19. Gathered Mediterranean food plants--ethnobotanical investigations and historical development.

    PubMed

    Rivera, Diego; Obón, Concepción; Heinrich, Michael; Inocencio, Cristina; Verde, Alonso; Fajardo, José

    2006-01-01

    The diversity of local Mediterranean food elements is not known in detail, but offers itself to search for new vegetables, salads, fruits and spices which could be used in to enrich diets outside their region of origin. Most amid those interesting local elements are edible wild plants and weeds. Ethnobotanical research has identified ca. 2,300 different plant and fungi taxa, which are gathered and consumed in the Mediterranean. Among these, >1,000 are only consumed in one single zone, therefore are strictly local. The percentage of local gathered food plant (GFP) taxa (present in <5 samples), is higher in the main centers of diversity at the periphery of the Mediterranean (Sahara, Alps, Caucasus, Canary Islands, the Levant). Islands (Sicily, Sardinia, Crete, Cyprus) also show a high proportion. Endemism of GFP taxa only accounts for a limited number of these 'ethnobotanical endemics' (only ca. 350 are endemic/ endangered species). On the other hand, only a few taxa--30 occurring in >20 samples--are consumed in most of the Mediterranean. Most have been analyzed in the Local Food- Nutraceuticals project. The ca. 800 GFP taxa that occur in more than the 5% of localities show a geographical pattern that permits one to recognize seven geographical groups. These groups show relationships with types of Mediterranean diet and could also be related with human genetic polymorphism through long-term co-evolution in a geographical mosaic pattern.

  20. Higher sympathetic nerve activity during ventricular (VVI) than during dual-chamber (DDD) pacing

    NASA Technical Reports Server (NTRS)

    Taylor, J. A.; Morillo, C. A.; Eckberg, D. L.; Ellenbogen, K. A.

    1996-01-01

    OBJECTIVES: We determined the short-term effects of single-chamber ventricular pacing and dual-chamber atrioventricular (AV) pacing on directly measured sympathetic nerve activity. BACKGROUND: Dual-chamber AV cardiac pacing results in greater cardiac output and lower systemic vascular resistance than does single-chamber ventricular pacing. However, it is unclear whether these hemodynamic advantages result in less sympathetic nervous system outflow. METHODS: In 13 patients with a dual-chamber pacemaker, we recorded the electrocardiogram, noninvasive arterial pressure (Finapres), respiration and muscle sympathetic nerve activity (microneurography) during 3 min of underlying basal heart rate and 3 min of ventricular and AV pacing at rates of 60 and 100 beats/min. RESULTS: Arterial pressure was lowest and muscle sympathetic nerve activity was highest at the underlying basal heart rate. Arterial pressure increased with cardiac pacing and was greater with AV than with ventricular pacing (change in mean blood pressure +/- SE: 10 +/- 3 vs. 2 +/- 2 mm Hg at 60 beats/min; 21 +/- 5 vs. 14 +/- 2 mm Hg at 100 beats/min; p < 0.05). Sympathetic nerve activity decreased with cardiac pacing and the decline was greater with AV than with ventricular pacing (60 beats/min -40 +/- 11% vs. -17 +/- 7%; 100 beats/min -60 +/- 9% vs. -48 +/- 10%; p < 0.05). Although most patients showed a strong inverse relation between arterial pressure and muscle sympathetic nerve activity, three patients with severe left ventricular dysfunction (ejection fraction < or = 30%) showed no relation between arterial pressure and sympathetic activity. CONCLUSIONS: Short-term AV pacing results in lower sympathetic nerve activity and higher arterial pressure than does ventricular pacing, indicating that cardiac pacing mode may influence sympathetic outflow simply through arterial baroreflex mechanisms. We speculate that the greater incidence of adverse outcomes in patients treated with single-chamber ventricular

  1. INDIVIDUAL DIFFERENCES IN LEARNING FROM SELF-PACED PROGRAMED INSTRUCTION, REPORT 1--STUDIES IN TELEVISED INSTRUCTION, INDIVIDUALIZING GROUP INSTRUCTION.

    ERIC Educational Resources Information Center

    GROPPER, GEORGE L.; KRESS, GERARD C., JR.

    SELF-PACED INSTRUCTION, DETERMINANTS OF A SELF-ADOPTED PACE, AND THE EFFECTS OF THE PACE ADOPTED ON BEHAVIOR WERE STUDIED. THIS REPRESENTED THE FIRST IN A SERIES OF THREE STUDIES, CONCERNING THE RELATIONSHIP BETWEEN PACING MODE AND BEHAVIOR. (REFER TO ACCESSION NUMBERS ED 003 200, ED 003 201, AND ED 003 202 FOR ADDITIONAL INFORMATION ON THIS…

  2. Paced QRS duration and myocardial scar amount: predictors of long-term outcome of right ventricular apical pacing.

    PubMed

    Lee, Seung-Ah; Cha, Myung-Jin; Cho, Youngjin; Oh, Il-Young; Choi, Eue-Keun; Oh, Seil

    2016-07-01

    Long-term right ventricular apical pacing (RVAP) is reportedly associated with heart failure (HF) development. However, the predictors of pacing-induced HF (PHF) remained unclear. We retrospectively enrolled 234 patients without structural heart disease who underwent a permanent pacemaker implantation with RVAP between 1982 and 2004. RVAP-induced HF was defined as left ventricular ejection fraction decrease >5 % with HF symptom without other HF development etiology. The QRS duration of a paced beat (pQRSd) and myocardial scar score were analyzed from each patient's 12-lead ECG. During a mean 15.6 years (range 3.3-30.0 years), 48 patients (20.5 %) patients developed RVAP-induced HF. The PHF group patients had a longer pQRSd (192.4 ± 13.5 vs. 175.7 ± 14.7 ms in non-PHF patients, p < 0.001) and a higher myocardial scar score (5.2 ± 1.9 vs. 2.7 ± 1.9, respectively p < 0.001). In multivariate Cox regression analysis, old age at implantation [Hazard ratio (HR) 1.62, 95 % confidential interval (CI) 1.22-2.16, p = 0.001], a longer pQRSd (HR 1.54, 95 % CI 1.15-2.05, p = 0.003), a higher myocardial scar score (HR 1.23, 95 % CI 1.03-1.49, p = 0.037), and a higher percentage of ventricular pacing (HR 1.31, 95 % CI 1.01-1.49, p = 0.010) were independent predictors of PHF. Based on the results of the receiver-operating characteristic (ROC) curve, the pQRSd cutoff was 185 ms (AUC 0.79, sensitivity 66.7 %, specificity 76.3 %) and myocardial scar score cutoff value was 4 (AUC 0.81, sensitivity 81.3 %, specificity 66.1 %). The pQRSd was positively correlated with scar score (r = 0.70, p < 0.001). pQRSd ≥185 ms and/or myocardial scar score ≥4 might be independent long-term prognostic markers of PHF.

  3. The pace of East African monsoon evolution during the Holocene

    NASA Astrophysics Data System (ADS)

    Weldeab, Syee; Menke, Valerie; Schmiedl, Gerhard

    2014-03-01

    African monsoon precipitation experienced a dramatic change in the course of the Holocene. The pace with which the African monsoon shifted from a strong early to middle to a weak late Holocene is critical for our understanding of climate dynamics, hydroclimate-vegetation interaction, and shifts of prehistoric human settlements, yet it is controversially debated. On the basis of planktonic foraminiferal Ba/Ca time series from the eastern Mediterranean Sea, here we present a proxy record of Nile River runoff that provides a spatially integrated measure of changes in East African monsoon (EAM) precipitation. The runoff record indicates a markedly gradual middle to late Holocene EAM transition that lasted over 3500 years. The timing and pace of runoff change parallels those of insolation and vegetation changes over the Nile basin, indicating orbitally forced variation of insolation as the main EAM forcing and the absence of a nonlinear precipitation-vegetation feedback. A tight correspondence between a threshold level of Nile River runoff and the timing of occupation/abandonment of settlements suggests that along with climate changes in the eastern Sahara, the level of Nile River and intensity of summer floods were likely critical for the habitability of the Nile Valley (Egypt).

  4. The Transfer Functions of Cardiac Tissue during Stochastic Pacing

    PubMed Central

    de Lange, Enno; Kucera, Jan P.

    2009-01-01

    Abstract The restitution properties of cardiac action potential duration (APD) and conduction velocity (CV) are important factors in arrhythmogenesis. They determine alternans, wavebreak, and the patterns of reentrant arrhythmias. We developed a novel approach to characterize restitution using transfer functions. Transfer functions relate an input and an output quantity in terms of gain and phase shift in the complex frequency domain. We derived an analytical expression for the transfer function of interbeat intervals (IBIs) during conduction from one site (input) to another site downstream (output). Transfer functions can be efficiently obtained using a stochastic pacing protocol. Using simulations of conduction and extracellular mapping of strands of neonatal rat ventricular myocytes, we show that transfer functions permit the quantification of APD and CV restitution slopes when it is difficult to measure APD directly. We find that the normally positive CV restitution slope attenuates IBI variations. In contrast, a negative CV restitution slope (induced by decreasing extracellular [K+]) amplifies IBI variations with a maximum at the frequency of alternans. Hence, it potentiates alternans and renders conduction unstable, even in the absence of APD restitution. Thus, stochastic pacing and transfer function analysis represent a powerful strategy to evaluate restitution and the stability of conduction. PMID:19134481

  5. Pilot trial of an age-paced parenting newsletter.

    PubMed

    Keane, Brigid; Waterston, Tony; McConachie, Helen; Towner, Elizabeth; Cook, Margaret; Birks, Eileen

    2005-10-01

    Supporting parents in the first three years of a child's life has the potential to produce successful outcomes. Present government initiatives such as Sure Start focus on this age group. An American educational intervention, in the style of a monthly newsletter, was adapted for use in the UK for parents of young children. Topics were presented in an easy-to-read format and focused on infant emotional development, parent interaction and play. Newsletters, called Baby Express were posted at monthly intervals to the family home providing age-paced information which could meet the specific needs of parents at that stage of their child's life. The aim of the study was to determine the applicability of the newsletter to UK parents and evaluate their satisfaction. Sixty home-based interviews were conducted and 95 per cent of mothers reported reading all or part of the newsletter. Changes in parenting style were spontaneously reported by 28 per cent of mothers. This study found that an aged-paced parenting newsletter was an acceptable and useful method of supporting parents in the early months of a child's life and promotes positive changes in parenting behaviour. PMID:16245675

  6. The Mixed-Phase Arctic Cloud Experiment (M-PACE)

    NASA Technical Reports Server (NTRS)

    Verlinde, J.; Harrington, J. Y.; McFarquhar, G. M.; Yannuzzi, V. T.; Avramov, A.; Greenberg, S.; Johnson, N.; Zhang, G.; Poellot, M. R.; Mather, J. H.; Turner, D. D.; Eloranta, E. W.; Zak, B. D.; Prenni, A. J.; Daniel, J. S.; Kok, G. L.; Tobin, D. C.; Holz, R.; Sassen, K.; Spangenberg, D.; Minnis, P.; Tooman, T. P.; Ivey, M. D.; Richardson, S. J.; Bahramann, C. P.

    2007-01-01

    The Mixed-Phase Arctic Cloud Experiment (M-PACE) was conducted September 27 through October 22, 2004 on the North Slope of Alaska. The primary objective was to collect a data set suitable to study interactions between microphysics, dynamics and radiative transfer in mixed-phase Arctic clouds. Observations taken during the 1997/1998 Surface Heat and Energy Budget of the Arctic (SHEBA) experiment revealed that Arctic clouds frequently consist of one (or more) liquid layers precipitating ice. M-PACE sought to investigate the physical processes of these clouds utilizing two aircraft (an in situ aircraft to characterize the microphysical properties of the clouds and a remote sensing aircraft to constraint the upwelling radiation) over the Department of Energy s Atmospheric Radiation Measurement (ARM) Climate Research Facility (ACRF) on the North Slope of Alaska. The measurements successfully documented the microphysical structure of Arctic mixed-phase clouds, with multiple in situ profiles collected in both single-layer and multi-layer clouds over two ground-based remote sensing sites. Liquid was found in clouds with temperatures down to -30 C, the coldest cloud top temperature below -40 C sampled by the aircraft. Remote sensing instruments suggest that ice was present in low concentrations, mostly concentrated in precipitation shafts, although there are indications of light ice precipitation present below the optically thick single-layer clouds. The prevalence of liquid down to these low temperatures could potentially be explained by the relatively low measured ice nuclei concentrations.

  7. Pilot trial of an age-paced parenting newsletter.

    PubMed

    Keane, Brigid; Waterston, Tony; McConachie, Helen; Towner, Elizabeth; Cook, Margaret; Birks, Eileen

    2005-10-01

    Supporting parents in the first three years of a child's life has the potential to produce successful outcomes. Present government initiatives such as Sure Start focus on this age group. An American educational intervention, in the style of a monthly newsletter, was adapted for use in the UK for parents of young children. Topics were presented in an easy-to-read format and focused on infant emotional development, parent interaction and play. Newsletters, called Baby Express were posted at monthly intervals to the family home providing age-paced information which could meet the specific needs of parents at that stage of their child's life. The aim of the study was to determine the applicability of the newsletter to UK parents and evaluate their satisfaction. Sixty home-based interviews were conducted and 95 per cent of mothers reported reading all or part of the newsletter. Changes in parenting style were spontaneously reported by 28 per cent of mothers. This study found that an aged-paced parenting newsletter was an acceptable and useful method of supporting parents in the early months of a child's life and promotes positive changes in parenting behaviour.

  8. Data reproducibility of pace strategy in a laboratory test run.

    PubMed

    de França, Elias; Xavier, Ana Paula; Hirota, Vinicius Barroso; Côrrea, Sônia Cavalcanti; Caperuto, Érico Chagas

    2016-06-01

    This data paper contains data related to a reproducibility test for running pacing strategy in an intermittent running test until exhaustion. Ten participants underwent a crossover study (test and retest) with an intermittent running test. The test was composed of three-minute sets (at 1 km/h above Onset Blood Lactate Accumulation) until volitional exhaustion. To assess pace strategy change, in the first test participants chose the rest time interval (RTI) between sets (ranging from 30 to 60 s) and in the second test the maximum RTI values were either the RTI chosen in the first test (maximum RTI value), or less if desired. To verify the reproducibility of the test, rating perceived exertion (RPE), heart rate (HR) and blood plasma lactate concentration ([La]p) were collected at rest, immediately after each set and at the end of the tests. As results, RTI, RPE, HR, [La]p and time to exhaustion were not statistically different (p>0.05) between test and retest, as well as they demonstrated good intraclass correlation. PMID:27081672

  9. Data reproducibility of pace strategy in a laboratory test run

    PubMed Central

    de França, Elias; Xavier, Ana Paula; Hirota, Vinicius Barroso; Côrrea, Sônia Cavalcanti; Caperuto, Érico Chagas

    2016-01-01

    This data paper contains data related to a reproducibility test for running pacing strategy in an intermittent running test until exhaustion. Ten participants underwent a crossover study (test and retest) with an intermittent running test. The test was composed of three-minute sets (at 1 km/h above Onset Blood Lactate Accumulation) until volitional exhaustion. To assess pace strategy change, in the first test participants chose the rest time interval (RTI) between sets (ranging from 30 to 60 s) and in the second test the maximum RTI values were either the RTI chosen in the first test (maximum RTI value), or less if desired. To verify the reproducibility of the test, rating perceived exertion (RPE), heart rate (HR) and blood plasma lactate concentration ([La]p) were collected at rest, immediately after each set and at the end of the tests. As results, RTI, RPE, HR, [La]p and time to exhaustion were not statistically different (p>0.05) between test and retest, as well as they demonstrated good intraclass correlation. PMID:27081672

  10. Effects of spironolactone towards rabbit atrial remodeling with rapid pacing.

    PubMed

    Wang, Lian-Fa; Gu, Lei; Huang, Meng-Xun; Zhou, Wen-Bing; Li, Hua; Zhang, Bang-Zhu

    2016-01-01

    This study aimed to observe the effects of spironolactone towards the rabbit atrial remodeling with rapid atrial pacing (RAP). 30 rabbits were randomly divided into control group, RAP group and spironolactone group, with 10 rabbits in each group. RAP was performed at the speed of 800 beats/min for 8 h, atrial effective refractory period (AERP) was determined before and at the 1(st), 2(nd), 4(th), 6(th) and 8(th) of the pacing, the expressions of atrial muscular calcium channel α1C subunit and β1 subunit mRNA were performed the RT-PCR detection, and ultrastructural changes of atrial myocytes were observed. AERP of RAP group shortened, with poor frequency adaptability; the expressions of calcium channel α1C subunit and β1 subunit mRNA decreased 22% and 26%, respectively, when compared with the control group; ultrastructure of atrial myocytes changed significantly. AERP of spironotlactone group shortened less that RAP group, and the frequency adaptability was maintained, the decreased expressions of calcium channel α1C subunit and β1 subunit mRNA significantly reduced. RAP could cause atrial remodeling, while spironolactone could inhibit RAP-induced atrial remodeling. PMID:26826809

  11. Detecting Disease Outbreaks in Mass Gatherings Using Internet Data

    PubMed Central

    Yom-Tov, Elad; Cox, Ingemar J; McKendry, Rachel A

    2014-01-01

    Background Mass gatherings, such as music festivals and religious events, pose a health care challenge because of the risk of transmission of communicable diseases. This is exacerbated by the fact that participants disperse soon after the gathering, potentially spreading disease within their communities. The dispersion of participants also poses a challenge for traditional surveillance methods. The ubiquitous use of the Internet may enable the detection of disease outbreaks through analysis of data generated by users during events and shortly thereafter. Objective The intent of the study was to develop algorithms that can alert to possible outbreaks of communicable diseases from Internet data, specifically Twitter and search engine queries. Methods We extracted all Twitter postings and queries made to the Bing search engine by users who repeatedly mentioned one of nine major music festivals held in the United Kingdom and one religious event (the Hajj in Mecca) during 2012, for a period of 30 days and after each festival. We analyzed these data using three methods, two of which compared words associated with disease symptoms before and after the time of the festival, and one that compared the frequency of these words with those of other users in the United Kingdom in the days following the festivals. Results The data comprised, on average, 7.5 million tweets made by 12,163 users, and 32,143 queries made by 1756 users from each festival. Our methods indicated the statistically significant appearance of a disease symptom in two of the nine festivals. For example, cough was detected at higher than expected levels following the Wakestock festival. Statistically significant agreement (chi-square test, P<.01) between methods and across data sources was found where a statistically significant symptom was detected. Anecdotal evidence suggests that symptoms detected are indeed indicative of a disease that some users attributed to being at the festival. Conclusions Our work

  12. Remote multi-position information gathering system and method

    DOEpatents

    Hirschfeld, T.B.

    1986-12-02

    A technique for gathering specific information from various remote locations, especially fluorimetric information characteristic of particular materials at the various locations is disclosed herein. This technique uses a single source of light disposed at still a different, central location and an overall optical network including an arrangement of optical fibers cooperating with the light source for directing individual light beams into the different information bearing locations. The incoming light beams result in corresponding displays of light, e.g., fluorescent light, containing the information to be obtained. The optical network cooperates with these light displays at the various locations for directing outgoing light beams containing the same information as their cooperating displays from these locations to the central location. Each of these outgoing beams is applied to a detection arrangement, e.g., a fluorescence spectroscope, for retrieving the information contained thereby. 9 figs.

  13. Remote multi-position information gathering system and method

    DOEpatents

    Hirschfeld, T.B.

    1989-01-24

    A technique for gathering specific information from various remote locations, especially fluorimetric information characteristic of particular materials at the various locations is disclosed herein. This technique uses a single source of light disposed at still a different, central location and an overall optical network including an arrangement of optical fibers cooperating with the light source for directing individual light beams into the different information bearing locations. The incoming light beams result in corresponding displays of light, e.g., fluorescent light, containing the information to be obtained. The optical network cooperates with these light displays at the various locations for directing outgoing light beams containing the same information as their cooperating displays from these locations to the central location. Each of these outgoing beams is applied to a detection arrangement, e.g., a fluorescence spectroscope, for retrieving the information contained thereby. 9 figs.

  14. Remote multi-position information gathering system and method

    DOEpatents

    Hirschfeld, Tomas B.

    1989-01-01

    A technique for gathering specific information from various remote locations, especially fluorimetric information characteristic of particular materials at the various locations is disclosed herein. This technique uses a single source of light disposed at still a different, central location and an overall optical network including an arrangement of optical fibers cooperating with the light source for directing individual light beams into the different information bearing locations. The incoming light beams result in corresponding displays of light, e.g., fluorescent light, containing the information to be obtained. The optical network cooperates with these light displays at the various locations for directing outgoing light beams containing the same information as their cooperating displays from these locations to the central location. Each of these outgoing beams is applied to a detection arrangement, e.g., a fluorescence spectroscope, for retrieving the information contained thereby.

  15. Remote multi-position information gathering system and method

    DOEpatents

    Hirschfeld, Tomas B.

    1986-01-01

    A technique for gathering specific information from various remote locations, especially fluorimetric information characteristic of particular materials at the various locations is disclosed herein. This technique uses a single source of light disposed at still a different, central location and an overall optical network including an arrangement of optical fibers cooperating with the light source for directing individual light beams into the different information bearing locations. The incoming light beams result in corresponding displays of light, e.g., fluorescent light, containing the information to be obtained. The optical network cooperates with these light displays at the various locations for directing ongoing light beams containing the same information as their cooperating displays from these locations to the central location. Each of these outgoing beams is applied to a detection arrangement, e.g., a fluorescence spectroscope, for retrieving the information contained thereby.

  16. Remote multi-position information gathering system and method

    DOEpatents

    Hirschfeld, Tomas B.

    1986-01-01

    A technique for gathering specific information from various remote locations, especially fluorimetric information characteristic of particular materials at the various locations is disclosed herein. This technique uses a single source of light disposed at still a different, central location and an overall optical network including an arrangement of optical fibers cooperating with the light source for directing individual light beams into the different information bearing locations. The incoming light beams result in corresponding displays of light, e.g., fluorescent light, containing the information to be obtained. The optical network cooperates with these light displays at the various locations for directing outgoing light beams containing the same information as their cooperating displays from these locations to the central location. Each of these outgoing beams is applied to a detection arrangement, e.g., a fluorescence spectroscope, for retrieving the information contained thereby.

  17. Gut microbiome of the Hadza hunter-gatherers.

    PubMed

    Schnorr, Stephanie L; Candela, Marco; Rampelli, Simone; Centanni, Manuela; Consolandi, Clarissa; Basaglia, Giulia; Turroni, Silvia; Biagi, Elena; Peano, Clelia; Severgnini, Marco; Fiori, Jessica; Gotti, Roberto; De Bellis, Gianluca; Luiselli, Donata; Brigidi, Patrizia; Mabulla, Audax; Marlowe, Frank; Henry, Amanda G; Crittenden, Alyssa N

    2014-01-01

    Human gut microbiota directly influences health and provides an extra means of adaptive potential to different lifestyles. To explore variation in gut microbiota and to understand how these bacteria may have co-evolved with humans, here we investigate the phylogenetic diversity and metabolite production of the gut microbiota from a community of human hunter-gatherers, the Hadza of Tanzania. We show that the Hadza have higher levels of microbial richness and biodiversity than Italian urban controls. Further comparisons with two rural farming African groups illustrate other features unique to Hadza that can be linked to a foraging lifestyle. These include absence of Bifidobacterium and differences in microbial composition between the sexes that probably reflect sexual division of labour. Furthermore, enrichment in Prevotella, Treponema and unclassified Bacteroidetes, as well as a peculiar arrangement of Clostridiales taxa, may enhance the Hadza's ability to digest and extract valuable nutrition from fibrous plant foods. PMID:24736369

  18. Willets gather in the Merritt Island National Wildlife Refuge.

    NASA Technical Reports Server (NTRS)

    2000-01-01

    Willets gather around a plant in the shallow waters of the Merritt Island National Wildlife Refuge, which shares a boundary with Kennedy Space Center. Willets are best identified in flight by their black-and-white wing pattern; on the ground by their thick black bills and gray legs. They breed in southern Canada, the United States and the West Indies, wintering from the southern U.S. to central South America. The 92,000-acre refuge is a habitat for more than 330 species of birds, 31 mammals, 117 fishes and 65 amphibians and reptiles. The marshes and open water of the refuge provide wintering areas for 23 species of migratory waterfowl, as well as a year-round home for great blue herons, great egrets, wood storks, cormorants, brown pelicans and other species of marsh and shore birds.

  19. Curation of Microscopic Astromaterials by NASA: "Gathering Dust Since 1981"

    NASA Technical Reports Server (NTRS)

    Frank, D. R.; Bastien, R. K.; Rodriguez, M.; Gonzalez, C.; Zolensky, M. E.

    2013-01-01

    Employing the philosophy that "Small is Beautiful", NASA has been collecting and curating microscopic astromaterials since 1981. These active collections now include interplanetary dust collected in Earth's stratosphere by U-2, ER-2 and WB-57F aircraft (the Cosmic Dust Program - our motto is "Gathering dust since 1981"), comet Wild-2 coma dust (the Stardust Mission), modern interstellar dust (also the Stardust Mission), asteroid Itokawa regolith dust (the Hayabusa Mission - joint curation with JAXA-ISAS), and interplanetary dust impact features on recovered portions of the following spacecraft: Skylab, the Solar Maximum Satellite, the Palapa Satellite, the Long Duration Exposure Facility (LDEF), the MIR Space Station, the International Space Station, and the Hubble Space Telescope (all in the Space Exposed Hardware Laboratory).

  20. Costs and benefits in hunter-gatherer punishment.

    PubMed

    Boehm, Christopher

    2012-02-01

    Hunter-gatherer punishment involves costs and benefits to individuals and groups, but the costs do not necessarily fit with the assumptions made in models that consider punishment to be altruistic--which brings in the free-rider problem and the problem of second-order free-riders. In this commentary, I present foragers' capital punishment patterns ethnographically, in the interest of establishing whether such punishment is likely to be costly; and I suggest that in many cases abstentions from punishment that might be taken as defections by free-riders are actually caused by social-structural considerations rather than being an effect of free-rider genes. This presentation of data supplements the ethnographic analysis provided by Guala.

  1. Tools for multi-aspect data gathering and sensor fusion

    NASA Astrophysics Data System (ADS)

    Smith, Roderick A.; Emblen, Chris

    1997-07-01

    At long range, only the highlight echoes are available for classifying targets as minelike; their variation with aspect provides vital classification clues. Gathering this data with experimental equipment presents new challenges for planning, operation and post processing. The course of the ship varies from minute to minute, as it attempts to follow the tracks between waypoints. the sonar array orientation must compensate for the motion, to maintain the sonar footprint over the target. This task is relatively straight forward with the wide sector angels and large range extent of in-service minehunting sonars. Some experimental wide band sonar modules however only process a few tens of meters of range extent. Skilled operators, low seastage and graphic tools are then needed to acquire the target echo. DRA is writing software modules to visualize and plan the mine hunting strategy and fusion of data in such scenarios, aimed at trials planners, sonar operators, and processing engineers.

  2. Last hunter-gatherers and first farmers of Europe.

    PubMed

    Tresset, Anne; Vigne, Jean-Denis

    2011-03-01

    The Neolithisation of Europe has seen the transformation of hunting-gathering societies into farming communities. At least partly exogenous in its origins, this process led to major transformations in many aspects of life-styles, such as social structures, land use or diet. It involved the arrival of new human populations and gave way to the importation, intentional or unwanted of many non-European animal and plant species. It also provoked important changes in interactions between humans and natural environments. In many respects, it set the foundations of long-term European peasantry developments and prefigured later agropastoral colonizations. As such, it must be seen as a major turning point in the history of European populations.

  3. Using the Web for Competitive Intelligence (CI) Gathering

    NASA Technical Reports Server (NTRS)

    Rocker, JoAnne; Roncaglia, George

    2002-01-01

    Businesses use the Internet as a way to communicate company information as a way of engaging their customers. As the use of the Web for business transactions and advertising grows, so too, does the amount of useful information for practitioners of competitive intelligence (CI). CI is the legal and ethical practice of information gathering about competitors and the marketplace. Information sources like company webpages, online newspapers and news organizations, electronic journal articles and reports, and Internet search engines allow CI practitioners analyze company strengths and weaknesses for their customers. More company and marketplace information than ever is available on the Internet and a lot of it is free. Companies should view the Web not only as a business tool but also as a source of competitive intelligence. In a highly competitive marketplace can any organization afford to ignore information about the other players and customers in that same marketplace?

  4. Gut microbiome of the Hadza hunter-gatherers

    PubMed Central

    Schnorr, Stephanie L.; Candela, Marco; Rampelli, Simone; Centanni, Manuela; Consolandi, Clarissa; Basaglia, Giulia; Turroni, Silvia; Biagi, Elena; Peano, Clelia; Severgnini, Marco; Fiori, Jessica; Gotti, Roberto; De Bellis, Gianluca; Luiselli, Donata; Brigidi, Patrizia; Mabulla, Audax; Marlowe, Frank; Henry, Amanda G.; Crittenden, Alyssa N.

    2014-01-01

    Human gut microbiota directly influences health and provides an extra means of adaptive potential to different lifestyles. To explore variation in gut microbiota and to understand how these bacteria may have co-evolved with humans, here we investigate the phylogenetic diversity and metabolite production of the gut microbiota from a community of human hunter-gatherers, the Hadza of Tanzania. We show that the Hadza have higher levels of microbial richness and biodiversity than Italian urban controls. Further comparisons with two rural farming African groups illustrate other features unique to Hadza that can be linked to a foraging lifestyle. These include absence of Bifidobacterium and differences in microbial composition between the sexes that probably reflect sexual division of labour. Furthermore, enrichment in Prevotella, Treponema and unclassified Bacteroidetes, as well as a peculiar arrangement of Clostridiales taxa, may enhance the Hadza’s ability to digest and extract valuable nutrition from fibrous plant foods. PMID:24736369

  5. Gathering and using information on a global scale

    NASA Technical Reports Server (NTRS)

    Mathews, C. W.

    1977-01-01

    The importance of information gathered, integrated and analyzed over broad regions of the world is discussed. Means of acquiring information on critical areas are outlined, and the particular role that remote sensing can play is described in each case. The possible implementation of a global information system and some of the current difficulties in initiation of such a system on an operational basis are explored. In this way, issues will be surfaced for consideration. Topics include: the importance of innovative leadership, and some actions that the government might take, both in Congress and in the Executive Branch; the relationship of U.S. government activities to international interests and to industry; and the need to stimulate more private sector initiative and to transfer responsibilities from government to commercial interests.

  6. Pacing a data transfer operation between compute nodes on a parallel computer

    DOEpatents

    Blocksome, Michael A.

    2011-09-13

    Methods, systems, and products are disclosed for pacing a data transfer between compute nodes on a parallel computer that include: transferring, by an origin compute node, a chunk of an application message to a target compute node; sending, by the origin compute node, a pacing request to a target direct memory access (`DMA`) engine on the target compute node using a remote get DMA operation; determining, by the origin compute node, whether a pacing response to the pacing request has been received from the target DMA engine; and transferring, by the origin compute node, a next chunk of the application message if the pacing response to the pacing request has been received from the target DMA engine.

  7. Prevention of influenza at Hajj: applications for mass gatherings

    PubMed Central

    Haworth, Elizabeth; Barasheed, Osamah; Memish, Ziad A; Rashid, Harunor; Booy, Robert

    2013-01-01

    Summary Outbreaks of infectious diseases that spread via respiratory route, e.g. influenza, are common amongst Hajj congregation in Mecca, Saudi Arabia. The Saudi Arabian authority successfully organized the Hajj 2009 amidst fear of pandemic influenza. While severe influenza A(H1N1)pdm09 was rare, the true burden of pandemic influenza at Hajj that year remains speculative. In this article we review the latest evidence on influenza control and discuss our experience of influenza and its prevention at Hajj and possible application to other mass gatherings. Depending on study design the attack rate of seasonal influenza at Hajj has ranged from 6% in polymerase chain reaction or culture confirmed studies to 38% in serological surveillance. No significant effect of influenza vaccine or the use of personal protective measures against influenza has been established from observational studies, although the uptake of the vaccine and adherence to face masks and hand hygiene has been low. In all, there is a relatively poor evidence base for control of influenza. Until better evidence is obtained, vaccination coupled with rapid antiviral treatment of symptomatic individuals remains the mainstay of prevention at Hajj and other mass gatherings. Hajj pilgrimage provides a unique opportunity to test the effectiveness of various preventive measures that require a large sample size, such as testing the efficacy of plain surgical masks against laboratory-confirmed influenza. After successful completion of a pilot trial conducted among Australian pilgrims at the 2011 Hajj, a large multinational cluster randomized controlled trial is being planned. This will require effective international collaboration. PMID:23761581

  8. A comprehensive analysis of high school genetics standards: are states keeping pace with modern genetics?

    PubMed

    Dougherty, M J; Pleasants, C; Solow, L; Wong, A; Zhang, H

    2011-01-01

    Science education in the United States will increasingly be driven by testing and accountability requirements, such as those mandated by the No Child Left Behind Act, which rely heavily on learning outcomes, or "standards," that are currently developed on a state-by-state basis. Those standards, in turn, drive curriculum and instruction. Given the importance of standards to teaching and learning, we investigated the quality of life sciences/biology standards with respect to genetics for all 50 states and the District of Columbia, using core concepts developed by the American Society of Human Genetics as normative benchmarks. Our results indicate that the states' genetics standards, in general, are poor, with more than 85% of the states receiving overall scores of Inadequate. In particular, the standards in virtually every state have failed to keep pace with changes in the discipline as it has become genomic in scope, omitting concepts related to genetic complexity, the importance of environment to phenotypic variation, differential gene expression, and the differences between inherited and somatic genetic disease. Clearer, more comprehensive genetics standards are likely to benefit genetics instruction and learning, help prepare future genetics researchers, and contribute to the genetic literacy of the U.S. citizenry.

  9. Rate-related accelerating (autodecremental) atrial pacing for reversion of paroxysmal supraventricular tachycardia.

    PubMed

    Nathan, A; Hellestrand, K; Ward, D; Spurrell, R; Camm, J

    1982-01-01

    Twenty consecutive patients with paroxysmal intra A-V nodal or atrio-ventricular tachycardia had a new tachycardia reversion pacing modality evaluated during routine electrophysiological study. The pacing was controlled by a micropressor interfaced with a stimulator connected to a right atrial pacing electrode. On detection of tachycardia the first pacing cycle interval is equal to the tachycardia cycle length minus a decrement value D. Each subsequent pacing cycle is further reduced by the same value of D, thus accelerating the pacing burst until a plateau of 100 beats/min faster than tachycardia (with an absolute lower limit of 275 beats/min) is reached. Seven different values of D (2, 4, 8, 16, 24, 34, 50 msec) were assessed in combination with three different durations of pacing P (500, 5000 msec). With P:500, only 2/20 tachycardias were terminated, but with P:1000, 16/20 were terminated. With P:5000 all were terminated and the combination successful in all patients was P:5000 and D:16. No unwanted arrhythmias were induced. In contrast, competitive constant rate overdrive atrial pacing accomplished tachycardia termination in all cases, but in four instances resulted in atrial flutter or fibrillation. Autodecremental pacing, which tends to avoid stimulation in the vulnerable period, allowed safe and successful termination of all tachycardias evaluated in this study. PMID:7069321

  10. Sex differences in pacing during ‘Ultraman Hawaii’

    PubMed Central

    Nikolaidis, Pantelis T.

    2016-01-01

    Background To date, little is known for pacing in ultra-endurance athletes competing in a non-stop event and in a multi-stage event, and especially, about pacing in a multi-stage event with different disciplines during the stages. Therefore, the aim of the present study was to examine the effect of age, sex and calendar year on triathlon performance and variation of performance by events (i.e., swimming, cycling 1, cycling 2 and running) in ‘Ultraman Hawaii’ held between 1983 and 2015. Methods Within each sex, participants were grouped in quartiles (i.e., Q1, Q2, Q3 and Q4) with Q1 being the fastest (i.e., lowest overall time) and Q4 the slowest (i.e., highest overall time). To compare performance among events (i.e., swimming, cycling 1, cycling 2 and running), race time in each event was converted in z score and this value was used for further analysis. Results A between-within subjects ANOVA showed a large sex × event (p = 0.015, η2 = 0.014) and a medium performance group × event interaction (p = 0.001, η2 = 0.012). No main effect of event on performance was observed (p = 0.174, η2 = 0.007). With regard to the sex × event interaction, three female performance groups (i.e., Q2, Q3 and Q4) increased race time from swimming to cycling 1, whereas only one male performance group (Q4) revealed a similar trend. From cycling 1 to cycling 2, the two slower female groups (Q3 and Q4) and the slowest male group (Q4) increased raced time. In women, the fastest group decreased (i.e., improved) race time from swimming to cycling 1 and thereafter, maintained performance, whereas in men, the fastest group decreased race time till cycling 2 and increased it in the running. Conclusion In summary, women pace differently than men during ‘Ultraman Hawaii’ where the fastest women decreased performance on day 1 and could then maintain on day 2 and 3, whereas the fastest men worsened performance on day 1 and 2 but improved on day 3. PMID:27703854

  11. 36 CFR 293.15 - Gathering information about resources other than minerals.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ..., DEPARTMENT OF AGRICULTURE WILDERNESS-PRIMITIVE AREAS § 293.15 Gathering information about resources other... wilderness environment. Prospecting for minerals or any activity for the purpose of gathering...

  12. Pacing and Defibrillators in Complex Congenital Heart Disease

    PubMed Central

    Chubb, Henry; O’Neill, Mark; Rosenthal, Eric

    2016-01-01

    Device therapy in the complex congenital heart disease (CHD) population is a challenging field. There is a myriad of devices available, but none designed specifically for the CHD patient group, and a scarcity of prospective studies to guide best practice. Baseline cardiac anatomy, prior surgical and interventional procedures, existing tachyarrhythmias and the requirement for future intervention all play a substantial role in decision making. For both pacing systems and implantable cardioverter defibrillators, numerous factors impact on the merits of system location (endovascular versus non-endovascular), lead positioning, device selection and device programming. For those with Fontan circulation and following the atrial switch procedure there are also very specific considerations regarding access and potential complications. This review discusses the published guidelines, device indications and the best available evidence for guidance of device implantation in the complex CHD population. PMID:27403295

  13. Coastal oceanography sets the pace of rocky intertidal community dynamics.

    PubMed

    Menge, B A; Lubchenco, J; Bracken, M E S; Chan, F; Foley, M M; Freidenburg, T L; Gaines, S D; Hudson, G; Krenz, C; Leslie, H; Menge, D N L; Russell, R; Webster, M S

    2003-10-14

    The structure of ecological communities reflects a tension among forces that alter populations. Marine ecologists previously emphasized control by locally operating forces (predation, competition, and disturbance), but newer studies suggest that inputs from large-scale oceanographically modulated subsidies (nutrients, particulates, and propagules) can strongly influence community structure and dynamics. On New Zealand rocky shores, the magnitude of such subsidies differs profoundly between contrasting oceanographic regimes. Community structure, and particularly the pace of community dynamics, differ dramatically between intermittent upwelling regimes compared with relatively persistent down-welling regimes. We suggest that subsidy rates are a key determinant of the intensity of species interactions, and thus of structure in marine systems, and perhaps also nonmarine communities.

  14. Listeners lengthen phrase boundaries in self-paced music.

    PubMed

    Kragness, Haley E; Trainor, Laurel J

    2016-10-01

    Previous work has shown that musicians tend to slow down as they approach phrase boundaries (). In the present experiments, we used a paradigm from the action perception literature, the dwell time paradigm (Hard, Recchia, & Tversky, 2011), to investigate whether participants engage in phrase boundary lengthening when self-pacing through musical sequences. When participants used a key press to produce each successive chord of Bach chorales, they dwelled longer on boundary chords than nonboundary chords in both the original chorales and atonal manipulations of the chorales. When a novel musical sequence was composed that controlled for metrical and melodic contour cues to boundaries, the dwell time difference between boundaries and nonboundaries was greater in the tonal condition than in the atonal condition. Furthermore, similar results were found for a group of nonmusicians, suggesting that phrase-final lengthening in musical production is not dependent on musical training and can be evoked by harmonic cues. (PsycINFO Database Record PMID:27379872

  15. Self-paced freshman physics laboratory and student assessment

    NASA Astrophysics Data System (ADS)

    Patterson, J. R.; Prescott, J. R.

    1980-02-01

    Laboratory work is included as an essential part of any physics course because it teaches the student aspects of physics that are distinct from lecture material and that can be learned in no other way. For the same reason it presents its own problems in assessment, particularly in large first-year university classes. For the last five years we have been putting into practice a form of self-paced laboratory experience and assessment. The laboratory is design oriented. The grade for the course is determined by the aggregation of point values for a variable number of experiments completed in a fixed period of time to a satisfactory standard. The marks feature a degree of discrimination comparable to written theory examinations. Within the limits imposed by class size, the student has a fair degree of freedom of choice.

  16. Nuclear magnetic resonance imaging in patients with cardiac pacing devices.

    PubMed

    Buendía, Francisco; Sánchez-Gómez, Juan M; Sancho-Tello, María J; Olagüe, José; Osca, Joaquín; Cano, Oscar; Arnau, Miguel A; Igual, Begoña

    2010-06-01

    Currently, nuclear magnetic resonance imaging is contraindicated in patients with a pacemaker or implantable cardioverter-defibrillator. This study was carried out because the potential risks in this situation need to be clearly defined. This prospective study evaluated clinical and electrical parameters before and after magnetic resonance imaging was performed in 33 patients (five with implantable cardioverter-defibrillators and 28 with pacemakers). In these patients, magnetic resonance imaging was considered clinically essential. There were no clinical complications. There was a temporary communication failure in two cases, sensing errors during imaging in two cases, and a safety signal was generated in one pacemaker at the maximum magnetic resonance frequency and output level. There were no technical restrictions on imaging nor were there any permanent changes in the performance of the cardiac pacing device. PMID:20515632

  17. Listeners lengthen phrase boundaries in self-paced music.

    PubMed

    Kragness, Haley E; Trainor, Laurel J

    2016-10-01

    Previous work has shown that musicians tend to slow down as they approach phrase boundaries (). In the present experiments, we used a paradigm from the action perception literature, the dwell time paradigm (Hard, Recchia, & Tversky, 2011), to investigate whether participants engage in phrase boundary lengthening when self-pacing through musical sequences. When participants used a key press to produce each successive chord of Bach chorales, they dwelled longer on boundary chords than nonboundary chords in both the original chorales and atonal manipulations of the chorales. When a novel musical sequence was composed that controlled for metrical and melodic contour cues to boundaries, the dwell time difference between boundaries and nonboundaries was greater in the tonal condition than in the atonal condition. Furthermore, similar results were found for a group of nonmusicians, suggesting that phrase-final lengthening in musical production is not dependent on musical training and can be evoked by harmonic cues. (PsycINFO Database Record

  18. Gathering “tea” – from necessity to connectedness with nature. Local knowledge about wild plant gathering in the Biosphere Reserve Grosses Walsertal (Austria)

    PubMed Central

    2012-01-01

    Background Wild plant gathering is an essential element in livelihood strategies all over the world. However due to changing circumstances in Europe, the reason for gathering has altered from one of necessity in the past to a pleasurable activity today. Wild plant gathering has therefore also received renewed attention as a form of intangible cultural heritage expressing local preferences, habits and man’s relationship with nature. In the Biosphere Reserve Grosses Walsertal (Austria), local people’s knowledge of the gathering of wild plants and their perception of their own gathering activities are being documented. The focus of this paper is on the uses of herbal teas and the informal guidelines for gathering plants that have been issued by the Bergtee (mountain tea) association. Methods Thirty-six free-list interviews were conducted with subsequent semi-structured interviews and three focus group meetings held with members of the Bergtee association. Participatory observation (gathering and processing plants, mixing and marketing tea) also allowed for greater understanding of what had been reported. Results In total, 140 different gathered plant species were listed by respondents. Herbal tea is the most frequently mentioned use. The Bergtee association, founded by a young man and two middle-aged women in the valley, is a good example of the link between biological and cultural diversity, with the aim of sharing the biosphere reserve’s natural treasures as well as local plant-related knowledge in the form of herbal tea products. The association’s informal guidelines for gathering reflect people’s attitude to nature: monetary income does not play a major role in gathering plants; instead people’s appreciation of the value of the nature around them is to the fore. Conclusions Gathering wild plants can be seen as an expression of people’s regional identity. The conscious appreciation of nature and related local knowledge is crucial for the sustainable

  19. The Influence of Collective Behavior on Pacing in Endurance Competitions.

    PubMed

    Renfree, Andrew; Crivoi do Carmo, Everton; Martin, Louise; Peters, Derek M

    2015-01-01

    A number of theoretical models have been proposed in recent years to explain pacing strategies observed in individual competitive endurance events. These have typically related to the internal regulatory processes that inform the making of decisions relating to muscular work rate. Despite a substantial body of research which has investigated the influence of collective group dynamics on individual behaviors in various animal species, this issue has not been comprehensively studied in individual athletic events. This is somewhat surprising given that athletes often directly compete in close proximity to one another, and that collective behavior has also been observed in other human environments including pedestrian interactions and financial market trading. Whilst the reasons for adopting collective behavior are not fully understood, collective behavior is thought to result from individual agents following simple local rules that result in seemingly complex large systems that act to confer some biological advantage to the collective as a whole. Although such collective behaviors may generally be beneficial, competitive endurance events are complicated by the fact that increasing levels of physiological disruption as activity progresses may compromise the ability of some individuals to continue to interact with other group members. This could result in early fatigue and relative underperformance due to suboptimal utilization of physiological resources by some athletes. Alternatively, engagement with a collective behavior may benefit all due to a reduction in the complexity of decisions to be made and a subsequent reduction in cognitive loading and mental fatigue. This paper seeks evidence for collective behavior in previously published analyses of pacing behavior and proposes mechanisms through which it could potentially be either beneficial, or detrimental to individual performance. It concludes with suggestions for future research to enhance understanding of this

  20. Seasonal Pacing - Match Importance Affects Activity in Professional Soccer

    PubMed Central

    Link, Daniel; de Lorenzo, Michael F.

    2016-01-01

    This research explores the influence of match importance on player activity in professional soccer. Therefore, we used an observational approach and analyzed 1,211 matches of German Bundesliga and 2nd Bundesliga. The importance measurement employed is based on post season consequences of teams involved in a match. This means, if a match result could potentially influence the final rank, and this rank would lead to different consequences for a team, such as qualification for Champions League opposed to qualification for Europe League, then this match is classified as important; otherwise not. Activity was quantified by TOTAL DISTANCE COVERED, SPRINTS, FAST RUNS, DUELS, FOULS and ATTEMPTS. Running parameters were recorded using a semi-automatic optical tracking system, while technical variables were collected by professional data loggers. Based on our importance classification, low important matches occurred at the beginning of round 29. A two-way ANOVA indicates significantly increased FAST RUNS (+4%, d = 0.3), DUELS (+16%, d = 1.0) and FOULS (+36%, d = 1.2) in important matches compared to low important ones. For FAST RUNS and FOULS, this effect only exists in Bundesliga. A comparison of the two leagues show that TOTAL DISTANCE COVERED (+3%, d = 0.9), SPRINTS (+25%, d = 1.4) and FAST RUNS (+15%, d = 1.4) are higher compared to 2nd Bundesliga, whilst FOULS is less in Bundesliga (-7%, d = 0.3). No difference in player activity was found between matches at the beginning of a season (round 1–6) and at the end of a season (round 29–34). We conclude that match importance influences player activity in German professional soccer. The most reasonable explanation is a conscious or unconscious pacing strategy, motivated by preserving abilities or preventing injury. Since this tendency mainly exists in Bundesliga, this may suggest that more skilled players show a higher awareness for the need of pacing. PMID:27281051

  1. Seasonal Pacing - Match Importance Affects Activity in Professional Soccer.

    PubMed

    Link, Daniel; de Lorenzo, Michael F

    2016-01-01

    This research explores the influence of match importance on player activity in professional soccer. Therefore, we used an observational approach and analyzed 1,211 matches of German Bundesliga and 2nd Bundesliga. The importance measurement employed is based on post season consequences of teams involved in a match. This means, if a match result could potentially influence the final rank, and this rank would lead to different consequences for a team, such as qualification for Champions League opposed to qualification for Europe League, then this match is classified as important; otherwise not. Activity was quantified by TOTAL DISTANCE COVERED, SPRINTS, FAST RUNS, DUELS, FOULS and ATTEMPTS. Running parameters were recorded using a semi-automatic optical tracking system, while technical variables were collected by professional data loggers. Based on our importance classification, low important matches occurred at the beginning of round 29. A two-way ANOVA indicates significantly increased FAST RUNS (+4%, d = 0.3), DUELS (+16%, d = 1.0) and FOULS (+36%, d = 1.2) in important matches compared to low important ones. For FAST RUNS and FOULS, this effect only exists in Bundesliga. A comparison of the two leagues show that TOTAL DISTANCE COVERED (+3%, d = 0.9), SPRINTS (+25%, d = 1.4) and FAST RUNS (+15%, d = 1.4) are higher compared to 2nd Bundesliga, whilst FOULS is less in Bundesliga (-7%, d = 0.3). No difference in player activity was found between matches at the beginning of a season (round 1-6) and at the end of a season (round 29-34). We conclude that match importance influences player activity in German professional soccer. The most reasonable explanation is a conscious or unconscious pacing strategy, motivated by preserving abilities or preventing injury. Since this tendency mainly exists in Bundesliga, this may suggest that more skilled players show a higher awareness for the need of pacing.

  2. The Influence of Collective Behavior on Pacing in Endurance Competitions

    PubMed Central

    Renfree, Andrew; Crivoi do Carmo, Everton; Martin, Louise; Peters, Derek M.

    2015-01-01

    A number of theoretical models have been proposed in recent years to explain pacing strategies observed in individual competitive endurance events. These have typically related to the internal regulatory processes that inform the making of decisions relating to muscular work rate. Despite a substantial body of research which has investigated the influence of collective group dynamics on individual behaviors in various animal species, this issue has not been comprehensively studied in individual athletic events. This is somewhat surprising given that athletes often directly compete in close proximity to one another, and that collective behavior has also been observed in other human environments including pedestrian interactions and financial market trading. Whilst the reasons for adopting collective behavior are not fully understood, collective behavior is thought to result from individual agents following simple local rules that result in seemingly complex large systems that act to confer some biological advantage to the collective as a whole. Although such collective behaviors may generally be beneficial, competitive endurance events are complicated by the fact that increasing levels of physiological disruption as activity progresses may compromise the ability of some individuals to continue to interact with other group members. This could result in early fatigue and relative underperformance due to suboptimal utilization of physiological resources by some athletes. Alternatively, engagement with a collective behavior may benefit all due to a reduction in the complexity of decisions to be made and a subsequent reduction in cognitive loading and mental fatigue. This paper seeks evidence for collective behavior in previously published analyses of pacing behavior and proposes mechanisms through which it could potentially be either beneficial, or detrimental to individual performance. It concludes with suggestions for future research to enhance understanding of this

  3. Seasonal Pacing - Match Importance Affects Activity in Professional Soccer.

    PubMed

    Link, Daniel; de Lorenzo, Michael F

    2016-01-01

    This research explores the influence of match importance on player activity in professional soccer. Therefore, we used an observational approach and analyzed 1,211 matches of German Bundesliga and 2nd Bundesliga. The importance measurement employed is based on post season consequences of teams involved in a match. This means, if a match result could potentially influence the final rank, and this rank would lead to different consequences for a team, such as qualification for Champions League opposed to qualification for Europe League, then this match is classified as important; otherwise not. Activity was quantified by TOTAL DISTANCE COVERED, SPRINTS, FAST RUNS, DUELS, FOULS and ATTEMPTS. Running parameters were recorded using a semi-automatic optical tracking system, while technical variables were collected by professional data loggers. Based on our importance classification, low important matches occurred at the beginning of round 29. A two-way ANOVA indicates significantly increased FAST RUNS (+4%, d = 0.3), DUELS (+16%, d = 1.0) and FOULS (+36%, d = 1.2) in important matches compared to low important ones. For FAST RUNS and FOULS, this effect only exists in Bundesliga. A comparison of the two leagues show that TOTAL DISTANCE COVERED (+3%, d = 0.9), SPRINTS (+25%, d = 1.4) and FAST RUNS (+15%, d = 1.4) are higher compared to 2nd Bundesliga, whilst FOULS is less in Bundesliga (-7%, d = 0.3). No difference in player activity was found between matches at the beginning of a season (round 1-6) and at the end of a season (round 29-34). We conclude that match importance influences player activity in German professional soccer. The most reasonable explanation is a conscious or unconscious pacing strategy, motivated by preserving abilities or preventing injury. Since this tendency mainly exists in Bundesliga, this may suggest that more skilled players show a higher awareness for the need of pacing. PMID:27281051

  4. 49 CFR 191.17 - Transmission and gathering systems: Annual report.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Transmission and gathering systems: Annual report...-RELATED CONDITION REPORTS § 191.17 Transmission and gathering systems: Annual report. (a) Except as provided in paragraph (b) of this section, each operator of a transmission or a gathering pipeline...

  5. 49 CFR 191.15 - Transmission and gathering systems: Incident report.

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... 49 Transportation 3 2010-10-01 2010-10-01 false Transmission and gathering systems: Incident...-RELATED CONDITION REPORTS § 191.15 Transmission and gathering systems: Incident report. (a) Except as provided in paragraph (c) of this section, each operator of a transmission or a gathering pipeline...

  6. Show & Tell: A Video Column / Don't Just Gather Data--Use It

    ERIC Educational Resources Information Center

    Fisher, Doug; Frey, Nancy

    2015-01-01

    Schools are awash in data, and teachers are being asked to gather data in a myriad of high-tech and low-tech ways. But gathering is not analyzing, and without analysis there is little reason to gather the data in the first place. Teachers need data-collection systems that lend themselves to rapid analysis and action. This article presents several…

  7. A role for PACE4 in the proteolytic activation of anthrax toxin protective antigen.

    PubMed Central

    Gordon, V M; Rehemtulla, A; Leppla, S H

    1997-01-01

    Several bacterial protein toxins require activation by eukaryotic proteases. Previous studies have shown that anthrax toxin protective antigen (PA), Pseudomonas exotoxin A (PE), and diphtheria toxin (DT) are cleaved by furin C-terminal to the sequences RKKR, RQPR, and RVRR, respectively. Because furin-deficient cells retain some sensitivity to PA and DT, it is evident that other cellular proteases can activate these toxins. Whereas furin has been shown to require arginine residues at positions -1 and -4 for substrate recognition, another protease with an activity which could substitute for furin in toxin activation, the furin-related protease PACE4, requires basic residues in the -1, -2, and -4 positions of the substrate sequence. To examine the relative roles of furin and PACE4 in toxin activation, we used furin-deficient CHO cells (FD11 cells) transfected with either the furin (FD11/furin cells) or PACE4 (FD11/PACE4 cells) gene. Mutant PA proteins containing the cleavage sequence RAAR or KR were cytotoxic toward cells expressing only PACE4. In vitro cleavage data demonstrated that PACE4 can recognize RAAR and, to a much lesser extent, KR and RR. When extracts from PACE4-transfected cells were used as a source of proteases, PACE4 had minimal activity, indicating that it had been partially inactivated or did not remain associated with the cell membranes. Cleavage of iodinated PA containing the sequence RKKR or RAAR was detected on the surface of all cell types tested, but cleavage of a dibasic sequence was detected only intracellularly and only in cells that expressed furin or PACE4. The data provide evidence that PACE4 is present at the exterior of cells, that it plays a role in the proteolytic activation of anthrax toxin PA, and that PACE4 can activate substrates at the sequence RAAR or KR. PMID:9234799

  8. Clinical Outcome After Permanent Pacemaker Implantation in Patients With a High Percentage of Ventricular Pacing.

    PubMed

    Sakatani, Tomohiko; Sakamoto, Akira; Kawamura, Kohei; Tanigaki, Toru; Tsubakimoto, Yoshinori; Isodono, Koji; Kimura, Shinzo; Matsuo, Akiko; Inoue, Keiji; Kitamura, Makoto; Fujita, Hiroshi

    2015-01-01

    Previous reports have suggested that right ventricular apical pacing may lead to cardiac dysfunction. Septal pacing is thought to be superior to apical pacing in the prevention of cardiac dyssynchrony, however, there have been no reports on the contribution of septal pacing to improving clinical outcome.We retrospectively evaluated factors associated with cardiac events in patients with right ventricular pacing.The study population consisted of 256 consecutive patients newly implanted with permanent pacemakers and followed-up for 29 ± 18 months. Cardiac events, consisting of cardiac death or heart failure requiring hospitalization, occurred in 22 patients. Kaplan-Meier curves revealed that patients with a high percentage of ventricular pacing (> 90%, n = 101, group H) had a higher incidence of cardiac events than patients with a low percentage of ventricular pacing (< 10%, n = 83, group L) (P = 0.002). In group H, multivariate analysis showed that age (HR: 1.174, 95%CI: 1.066-1.291, P = 0.001), ejection fraction (EF) (HR: 0.898, 95%CI: 0.836-0.964, P = 0.003), QRS duration during cardiac pacing (HR: 1.059, 95%CI: 1.017-1.103, P = 0.006), and existing basal cardiac diseases (HR: 13.080, 95%CI: 2.463-69.479, P = 0.003) were significant predictors of cardiac events, although pacing site had no significant association with prognosis (P = 0.56).Higher age, lower EF, longer QRS duration during cardiac pacing, and existing basal cardiac diseases are associated with poor prognosis in patients with a high percentage of ventricular pacing. PMID:26549389

  9. Enterocyte-Associated Microbiome of the Hadza Hunter-Gatherers.

    PubMed

    Turroni, Silvia; Rampelli, Simone; Centanni, Manuela; Schnorr, Stephanie L; Consolandi, Clarissa; Severgnini, Marco; Peano, Clelia; Soverini, Matteo; Falconi, Mirella; Crittenden, Alyssa N; Henry, Amanda G; Brigidi, Patrizia; Candela, Marco

    2016-01-01

    By means of a recently developed non-invasive ex vivo minimal model based on the interaction of the human enterocyte-like HT29 cell line and fecal slurries, we explored the enterocyte-associated microbiome of 21 Hadza hunter-gatherers and nine urban living Italians. Though reductionist, this model allows inferring the microbiota structural and functional arrangement as it interacts with enterocytes. Microbial suspensions obtained from Hadza or Italian stools were first evaluated for structural integrity by high resolution-scanning electron microscopy and co-incubated with HT29 cell monolayers. The enterocyte adherent microbiota fraction was then characterized by 16S rRNA gene sequencing and predictive functional profiling using PICRUSt. Compared to Italians, the Hadza enterocyte-associated microbiome was characterized by a greater amount of adhesive microorganisms with pathogenic potential, such as Proteobacteria, Erysipelotrichaceae, Enterococcus, Clostridium and Sarcina. These compositional characteristics were reflected in a functional enrichment in membrane transport, signal transduction, signaling molecules and interaction. Our results depict a new interesting mutualistic configuration of the enterocyte-associated microbiome in Hadza, stressing the importance of microbe-host interaction at the mucosal surface along the course of human evolution. PMID:27375586

  10. Food Sharing among Hadza Hunter-Gatherer Children

    PubMed Central

    Crittenden, Alyssa N.; Zes, David A.

    2015-01-01

    Human prosociality is one of the defining characteristics of our species, yet the ontogeny of altruistic behavior remains poorly understood. The evolution of widespread food sharing in humans helped shape cooperation, family formation, life history, language, and the development of economies of scale. While the behavioral and ecological correlates of food sharing among adults are widely studied, very little is known about food sharing among children. Here, in the first study to analyze the food sharing patterns of hunter-gatherer children, we show that while sharing may be biased towards kin, reciprocity characterizes the majority of all sharing dyads, both related and unrelated. These data lend support to the recent claim that discrimination among kin might be linked with reciprocal altruism theory. Furthermore, we show that age positively correlates with an increase in sharing, both in frequency and amount, supporting recent suggestions that prosocial behaviors and egalitarianism develop strongly in middle childhood when children acquire the normative rules of their society. PMID:26151637

  11. Enterocyte-Associated Microbiome of the Hadza Hunter-Gatherers

    PubMed Central

    Turroni, Silvia; Rampelli, Simone; Centanni, Manuela; Schnorr, Stephanie L.; Consolandi, Clarissa; Severgnini, Marco; Peano, Clelia; Soverini, Matteo; Falconi, Mirella; Crittenden, Alyssa N.; Henry, Amanda G.; Brigidi, Patrizia; Candela, Marco

    2016-01-01

    By means of a recently developed non-invasive ex vivo minimal model based on the interaction of the human enterocyte-like HT29 cell line and fecal slurries, we explored the enterocyte-associated microbiome of 21 Hadza hunter-gatherers and nine urban living Italians. Though reductionist, this model allows inferring the microbiota structural and functional arrangement as it interacts with enterocytes. Microbial suspensions obtained from Hadza or Italian stools were first evaluated for structural integrity by high resolution-scanning electron microscopy and co-incubated with HT29 cell monolayers. The enterocyte adherent microbiota fraction was then characterized by 16S rRNA gene sequencing and predictive functional profiling using PICRUSt. Compared to Italians, the Hadza enterocyte-associated microbiome was characterized by a greater amount of adhesive microorganisms with pathogenic potential, such as Proteobacteria, Erysipelotrichaceae, Enterococcus, Clostridium and Sarcina. These compositional characteristics were reflected in a functional enrichment in membrane transport, signal transduction, signaling molecules and interaction. Our results depict a new interesting mutualistic configuration of the enterocyte-associated microbiome in Hadza, stressing the importance of microbe-host interaction at the mucosal surface along the course of human evolution. PMID:27375586

  12. Complex Plasma Physics and Rising Above the Gathering Storm

    NASA Astrophysics Data System (ADS)

    Hyde, Truell

    2008-11-01

    Research in complex plasma is prevalent across a variety of regimes ranging from the majority of plasma processing environments to many astrophysical settings. Dust particles suspended within such plasmas acquire a charge from collisions with electrons and ions in the plasma. Depending upon the ratio of their interparticle potential energy to their average kinetic energy, once charged these particles can form a gaseous, liquid or crystalline structure with short to longer range ordering. The field of complex plasmas thus offers research opportunities across a wide range of academic disciplines including physics, chemistry, biology, mathematics, electrical engineering and nanoscience. The field of complex plasmas also offers unique educational research opportunities for combating many of the issues raised in Rising Above the Gathering Storm, recently published by the National Academies Press. CASPER's Educational Outreach programs, supported by the National Science Foundation, the Department of Education and the Department of Labor takes advantage of these opportunities through a variety of avenues including a REU / RET program, a High School Scholars Program, integrated curriculum development and the CASPER Physics Circus. Together, these programs impact thousands of students and parents while providing K-12 teachers with curriculum, supporting hands-on material and support for introducing plasma and basic physical science concepts into the classroom. Both research results and educational outreach concepts from the above will be discussed.

  13. Food Sharing among Hadza Hunter-Gatherer Children.

    PubMed

    Crittenden, Alyssa N; Zes, David A

    2015-01-01

    Human prosociality is one of the defining characteristics of our species, yet the ontogeny of altruistic behavior remains poorly understood. The evolution of widespread food sharing in humans helped shape cooperation, family formation, life history, language, and the development of economies of scale. While the behavioral and ecological correlates of food sharing among adults are widely studied, very little is known about food sharing among children. Here, in the first study to analyze the food sharing patterns of hunter-gatherer children, we show that while sharing may be biased towards kin, reciprocity characterizes the majority of all sharing dyads, both related and unrelated. These data lend support to the recent claim that discrimination among kin might be linked with reciprocal altruism theory. Furthermore, we show that age positively correlates with an increase in sharing, both in frequency and amount, supporting recent suggestions that prosocial behaviors and egalitarianism develop strongly in middle childhood when children acquire the normative rules of their society. PMID:26151637

  14. Gathering Occupational Health Data from Informal Workers: The Brazilian Experience.

    PubMed

    Santana, Vilma Sousa; Ferrite, Silvia; Galdino, Adriana; Peres Moura, Maria Cláudia; Machado, Jorge Mesquita Huet

    2016-08-01

    This study describes how occupational health data have been gathered by the Brazilian Unified Health System (SUS) to provide morbidity and mortality estimates for formal and informal workers. In 2007, data on work-related diseases and injuries was incorporated into the compulsory notification system (SINAN) and analyzed by the SUS occupational health service network, which covers all Brazilian states. However, this work has not been fully implemented, resulting in the large-scale undercounting and underreporting of cases, particularly in relation to informal workers. This is suggestive of barriers that prevent access to services and good quality health care. The inclusion of work-related diseases and injuries in SINANs appears to be a feasible strategy for the collection of useful data for the surveillance of the entire universe of workers, particularly in countries where informal workers prevail within the labor force. Attention needs to be paid to the disparities in access and quality that affect low-paid, informal workers. PMID:27235998

  15. Expediting topology data gathering for the TOPDB database.

    PubMed

    Dobson, László; Langó, Tamás; Reményi, István; Tusnády, Gábor E

    2015-01-01

    The Topology Data Bank of Transmembrane Proteins (TOPDB, http://topdb.enzim.ttk.mta.hu) contains experimentally determined topology data of transmembrane proteins. Recently, we have updated TOPDB from several sources and utilized a newly developed topology prediction algorithm to determine the most reliable topology using the results of experiments as constraints. In addition to collecting the experimentally determined topology data published in the last couple of years, we gathered topographies defined by the TMDET algorithm using 3D structures from the PDBTM. Results of global topology analysis of various organisms as well as topology data generated by high throughput techniques, like the sequential positions of N- or O-glycosylations were incorporated into the TOPDB database. Moreover, a new algorithm was developed to integrate scattered topology data from various publicly available databases and a new method was introduced to measure the reliability of predicted topologies. We show that reliability values highly correlate with the per protein topology accuracy of the utilized prediction method. Altogether, more than 52,000 new topology data and more than 2600 new transmembrane proteins have been collected since the last public release of the TOPDB database.

  16. Social networks and cooperation in hunter-gatherers.

    PubMed

    Apicella, Coren L; Marlowe, Frank W; Fowler, James H; Christakis, Nicholas A

    2012-01-26

    Social networks show striking structural regularities, and both theory and evidence suggest that networks may have facilitated the development of large-scale cooperation in humans. Here, we characterize the social networks of the Hadza, a population of hunter-gatherers in Tanzania. We show that Hadza networks have important properties also seen in modernized social networks, including a skewed degree distribution, degree assortativity, transitivity, reciprocity, geographic decay and homophily. We demonstrate that Hadza camps exhibit high between-group and low within-group variation in public goods game donations. Network ties are also more likely between people who give the same amount, and the similarity in cooperative behaviour extends up to two degrees of separation. Social distance appears to be as important as genetic relatedness and physical proximity in explaining assortativity in cooperation. Our results suggest that certain elements of social network structure may have been present at an early point in human history. Also, early humans may have formed ties with both kin and non-kin, based in part on their tendency to cooperate. Social networks may thus have contributed to the emergence of cooperation.

  17. Meningococcal disease during the Hajj and Umrah mass gatherings.

    PubMed

    Yezli, Saber; Assiri, Abdullah M; Alhakeem, Rafat F; Turkistani, Abdulhafiz M; Alotaibi, Badriah

    2016-06-01

    The Hajj and Umrah religious mass gatherings hosted by the Kingdom of Saudi Arabia can facilitate the transmission of infectious diseases. The pilgrimages have been associated with a number of local and international outbreaks of meningococcal disease. These include serogroup A disease outbreaks in 1987 and throughout the 1990s and two international serogroup W135 outbreaks in 2000 and 2001. The implementation of strict preventative measures including mandatory quadrivalent meningococcal vaccination and antibiotic chemoprophylaxis for pilgrims from the African meningitis belt has prevented pilgrimage-associated meningococcal outbreaks since 2001. However, the fluid epidemiology of the disease and the possibility of outbreaks caused by serogroups not covered by the vaccine or emerging hyper-virulent strains, mean that the disease remains a serious public health threat during these events. Continuous surveillance of carriage state and the epidemiology of the disease in the Kingdom and globally and the introduction of preventative measures that provide broad and long-lasting immunity and impact carriage are warranted. PMID:27062987

  18. STS-99 crew gathers for breakfast before launch

    NASA Technical Reports Server (NTRS)

    2000-01-01

    In the Operations and Checkout Building, an eager and smiling STS-99 crew gathers for breakfast before suiting up for launch. From left are Mission Specialists Mamoru Mohri and Janice Voss, Pilot Dominic Gorie, Commander Kevin Kregel, and Mission Specialists Janet Lynn Kavandi and Gerhard Thiele. Mohri is with the National Space Development Agency (NASDA) of Japan, and Thiele is with the European Space Agency. Known as the Shuttle Radar Topography Mission (SRTM), STS-99 is scheduled for liftoff at 12:30 p.m. EST from Launch Pad 39A. The SRTM will chart a new course to produce unrivaled 3-D images of the Earth's surface. The result of the Shuttle Radar Topography Mission could be close to 1 trillion measurements of the Earth's topography. The mission is expected to last about 11days, with Endeavour landing at KSC Tuesday, Feb. 22, at 4:36 p.m. EST. This is the 97th Shuttle flight and 14th for Shuttle Endeavour.

  19. The Telestation: A product for distributed data gathering and operations

    NASA Technical Reports Server (NTRS)

    Cleave, Robert R.; Hoeber, Christopher F.

    1995-01-01

    Advances in computer, navigation and wireless telecommunication technologies are enabling better electronic devices at reduced costs. Individually, these devices have been applied to increase the performance of many common systems, such as desktop computers, surveying equipment, and modems. However, we believe the convergence of these three technologies will create a product that simultaneously lowers life cycle costs while increasing operational effectiveness. Space Systems/Loral (SS/L) is developing portions of this product, known as the Telestation, for both terrestrial and orbital applications. The Telestation consists of an advanced microprocessor for command and data handling; a GPS receiver for position, time, and attitude information; and a Globalstar Transceiver for two-way digital communications. The Telestation provides the user with real-time command and control of globally distributed hardware elements. This capability can be applied terrestrially for gathering information (e.g., science, environmental, etc.) in remote or inhospitable locations, or where logistical support is inadequate. An in-orbit version can be used for spacecraft or payload operations, allowing principal investigators instant access to their payloads during all phases of a mission. This paper describes some cost effectiveness metrics of the Telestation, its development status, and its utility in both terrestrial and orbital applications.

  20. Expediting topology data gathering for the TOPDB database

    PubMed Central

    Dobson, László; Langó, Tamás; Reményi, István; Tusnády, Gábor E.

    2015-01-01

    The Topology Data Bank of Transmembrane Proteins (TOPDB, http://topdb.enzim.ttk.mta.hu) contains experimentally determined topology data of transmembrane proteins. Recently, we have updated TOPDB from several sources and utilized a newly developed topology prediction algorithm to determine the most reliable topology using the results of experiments as constraints. In addition to collecting the experimentally determined topology data published in the last couple of years, we gathered topographies defined by the TMDET algorithm using 3D structures from the PDBTM. Results of global topology analysis of various organisms as well as topology data generated by high throughput techniques, like the sequential positions of N- or O-glycosylations were incorporated into the TOPDB database. Moreover, a new algorithm was developed to integrate scattered topology data from various publicly available databases and a new method was introduced to measure the reliability of predicted topologies. We show that reliability values highly correlate with the per protein topology accuracy of the utilized prediction method. Altogether, more than 52 000 new topology data and more than 2600 new transmembrane proteins have been collected since the last public release of the TOPDB database. PMID:25392424

  1. Data-Driven Planning: Using Assessment in Strategic Planning

    ERIC Educational Resources Information Center

    Bresciani, Marilee J.

    2010-01-01

    Data-driven planning or evidence-based decision making represents nothing new in its concept. For years, business leaders have claimed they have implemented planning informed by data that have been strategically and systematically gathered. Within higher education and student affairs, there may be less evidence of the actual practice of…

  2. Beyond a Unitary Conception of Pedagogic Pace: Quantitative Measurement and Ethnographic Experience

    ERIC Educational Resources Information Center

    Lefstein, Adam; Snell, Julia

    2013-01-01

    English education policy-makers have targeted classroom time as a key area for regulation and intervention, with "brisk pace" widely accepted as a feature of good teaching practice. We problematise this conventional wisdom through an exploration of objective and subjective dimensions of lesson pace in a corpus of 30 Key Stage 2 literacy lessons…

  3. Locating the Business. PACE Revised. Level 1. Unit 7. Research & Development Series No. 240AB7.

    ERIC Educational Resources Information Center

    Ashmore, M. Catherine; Pritz, Sandra G.

    This lesson on locating a business, the seventh in a series of 18 units, is part of the first level of a comprehensive entrepreneurship curriculum entitled: A Program for Acquiring Competence in Entrepreneurship (PACE). (Designed for use with secondary students, the first level of PACE introduces students to the concepts involved in…

  4. Effects of Pacing and Cognitive Style across Dynamic and Non-Dynamic Representations

    ERIC Educational Resources Information Center

    Hoffler, Tim N.; Schwartz, Ruth N.

    2011-01-01

    The effects of self-pacing versus system-pacing were examined in different versions of a computer-based learning environment (static pictures/animations). The role of cognitive style was also considered. While the variables investigated did not have a direct impact on either learning outcome or cognitive load, significant interaction effects were…

  5. PACE: A test bed for the dynamics and control of flexible multibody systems

    NASA Technical Reports Server (NTRS)

    Kwak, Moon K.; Smith, Monty J.; Das, Alok

    1993-01-01

    The Phillips Laboratory at Edwards AFB has constructed a test bed for the validation and comparison of modeling and control theories for the dynamics and control of flexible multibody systems. This project is called the Planar Articulating Controls Experiment (PACE). This paper presents the experimental apparatus for PACE and the problem formulation. An in-depth analysis on DC motor dynamics was also performed.

  6. Keeping Pace with K-12 Online & Blended Learning: An Annual Review of Policy and Practice, 2013

    ERIC Educational Resources Information Center

    Watson, John; Murin, Amy; Vashaw, Lauren; Gemin, Butch; Rapp, Chris

    2013-01-01

    This is the 10th annual "Keeping Pace" report. "Keeping Pace" has several goals: (1) add to the body of knowledge about online education policy and practice, and make recommendations for advances; (2) serve as a reference source for information about programs and policies across the country, both for policymakers and…

  7. Web 2.0 and Social Media Connecting Learners in Self-Paced Study: Practitioners' Perspectives

    ERIC Educational Resources Information Center

    Thiessen, Janice

    2016-01-01

    Distance learners determine the time and place for their studies--those engaged in self-paced study may also choose the rate at which they proceed through their courses. However, it is difficult to incorporate purposeful learner-learner interaction into self-paced study. A multiple-case study included three open universities with in-house design…

  8. Which Students Benefit from Self-Paced Mastery Instruction and Why.

    ERIC Educational Resources Information Center

    Stinard, Thomas A.; Dolphin, Warren D.

    1981-01-01

    The determinants of achievement were compared under conventional and self-paced mastery examination schedules in an anatomy/physiology course. General scholastic ability did not interact with method, but prior preparation in science did. Students with less science preparation showed greater achievement under self-paced mastery testing than their…

  9. Program of all-inclusive care (PACE): past, present, and future.

    PubMed

    Hirth, Victor; Baskins, Judith; Dever-Bumba, Maureen

    2009-03-01

    From modest beginnings in 1973 to over 60 programs nationwide, the PACE concept has proven the value of integrated, interdisciplinary-based care for frail older adults. The evolution of PACE and its regulatory and reimbursement model have changed over time, but the principals of care have remained unchanged. Nationally PACE programs are dealing with some of the same challenges they had 30 years ago and yet PACE programs continue to expand and provide care to an ever wider distribution of populations. The looming issue of ever-growing health care expenditures represents another opportunity for PACE to demonstrate its value while providing a level of quality beyond what could normally be provided by typical Medicare and Medicaid payments for similar conditions and patient characteristics. The future for PACE includes a number of possibilities including flexibility in financing and reimbursement, design changes to work with community-based physicians, potential eligibility adjustments, and growth of rural PACE. The PACE model has clearly demonstrated that in a debilitated, frail population in whom health care expenses would be expect to be high, a combination of team care, managed health care services, and care coordination can lead to both improved health outcomes and reduced expenses over time.

  10. Self-Pacing in a Personalized Psychology Course: Letting Students Set the Deadlines.

    ERIC Educational Resources Information Center

    Roberts, M. Susan; And Others

    1988-01-01

    Describes two studies which evaluated procedures supplemental to instructor-set and student-set deadlines in a self-paced psychology course. One procedure required students to report their progress on quizzes, while the other required them to meet all deadlines. Concludes that both measures reduced procrastination through increased pacing rates…

  11. Financing the Business. PACE Revised. Level 1. Unit 8. Research & Development Series No. 240AB8.

    ERIC Educational Resources Information Center

    Ashmore, M. Catherine; Pritz, Sandra G.

    This lesson on financing a business, the eighth in a series of 18 units, is part of the first level of a comprehensive entrepreneurship curriculum entitled: A Program for Acquiring Competence in Entrepreneurship (PACE). (Designed for use with secondary students, the first level of PACE introduces students to the concepts involved in…

  12. Managing the Finances. PACE Revised. Level 1. Unit 16. Research & Development Series No. 240AB16.

    ERIC Educational Resources Information Center

    Ashmore, M. Catherine; Pritz, Sandra G.

    This lesson on competent financial management, the 16th in a series of 18 units, is part of the first level of a comprehensive entrepreneurship curriculum entitled: A Program for Acquiring Competence in Entrepreneurship (PACE). (Designed for use with secondary students, the first level of PACE introduces students to the concepts involved in…

  13. EVALUATION OF AN INDIVIDUALLY PACED COURSE FOR AIRBORNE RADIO CODE OPERATORS. FINAL REPORT.

    ERIC Educational Resources Information Center

    BALDWIN, ROBERT O.; JOHNSON, KIRK A.

    IN THIS STUDY COMPARISONS WERE MADE BETWEEN AN INDIVIDUALLY PACED VERSION OF THE AIRBORNE RADIO CODE OPERATOR (ARCO) COURSE AND TWO VERSIONS OF THE COURSE IN WHICH THE STUDENTS PROGRESSED AT A FIXED PACE. THE ARCO COURSE IS A CLASS C SCHOOL IN WHICH THE STUDENT LEARNS TO SEND AND RECEIVE MILITARY MESSAGES USING THE INTERNATIONAL MORSE CODE. THE…

  14. The effects of husbandry training on stereotypic pacing in captive African wild dogs (Lycaon pictus).

    PubMed

    Shyne, Amanda; Block, Martin

    2010-01-01

    To examine the effects of operant conditioning on stereotypic pacing in 3 female African wild dogs located at the Franklin Park Zoo in Boston, this study made recordings of pacing behavior immediately following individual sessions of husbandry training and 2 no-training conditions. The study found significant differences in the percentage of observations spent in stereotypic pacing behaviors for all 3 dogs among the 3 different conditions. The authors discuss the data in terms of the contribution of motivated tasks to the effects and the role of food deprivation in the expression of stereotypic pacing. The study suggests that even short periods of training may improve the African wild dogs' welfare by reducing stereotypic pacing following the conditioning sessions.

  15. Specific Intensity for Peaking: Is Race Pace the Best Option?

    PubMed Central

    Munoz, Iker; Seiler, Stephen; Alcocer, Alberto; Carr, Natasha; Esteve-Lanao, Jonathan

    2015-01-01

    Background: The peaking period for endurance competition is characterized for a relative increase of the intensity of training, after a longer period of training relatively dominated by lower intensity and higher volume Objectives: The present study was designed to compare physiological and 10 km performance effects of high intensity training (HIT) versus race pace interval training (RP) during peaking for competition in well-trained runners. Patients and Methods: 13 athletes took part in the study, they were divided into two groups: HIT and RP. HIT performed short intervals at ~105% of the maximal aerobic velocity (MAV), while RP trained longer intervals at a speed of ~90% of the MAV (a speed approximating 10 km race pace). After 12 weeks of baseline training, the athletes trained for 6 weeks under one of the two peaking regimes. Subjects performed 10 km prior to and after the intervention period. The total load of training was matched between groups during the treatment phase. Subjects completed a graded treadmill running test until volitional exhaustion prior to each 10 km race. MAV was determined as the minimal velocity eliciting maximal oxygen consumption (VO2max). Results: Both groups significantly improved their 10 km time (35 minutes 29 seconds ± 1 minutes 41 seconds vs 34 minutes 53 seconds ± 1 minutes 55 seconds, P < 0.01 for HIT; 35 minutes 27 seconds ± 1 minutes 40 seconds vs 34 minutes 53 seconds ± 1 minutes 18 seconds P < 0.01 for RP). VO2max increased after HIT (69 ± 3.6 vs 71.5 ± 4.2 ml.Kg-1.min-1, P < 0.05); while it didn’t for RP (68.4 ± 6 vs 69.8 ± 3 ml.Kg-1.min-1, p>0.05). In contrast, running economy decreased significantly after HIT (210 ± 6 ml.Kg-1.km-1 vs 218 ± 9, P < 0.05). Conclusions: A 6 week period of training at either 105% of MAV or 90% of MAV yielded similar performance gains in a 10km race performed at ~90% MAV. Therefore, the physiological impact of HIT training seems to be positive for VO2max but negative for running

  16. Effect of adaptive paced cardiolocomotor synchronization during running: a preliminary study.

    PubMed

    Phillips, Bill; Jin, Yi

    2013-01-01

    Cardiolocomotor synchronization (CLS) has been well established for individuals engaged in rhythmic activity, such as walking, running, or cycling. When frequency of the activity is at or near the heart rate, entrainment occurs. CLS has been shown in many cases to improve the efficiency of locomotor activity, improving stroke volume, reducing blood pressure variability, and lowering the oxygen uptake (VO2). Instead of a 1:1 frequency ratio of activity to heart rate, an investigation was performed to determine if different harmonic coupling at other simple integer ratios (e.g. 1:2, 2:3, 3:2) could achieve any performance benefits. CLS was ensured by pacing the stride rate according to the measured heartbeat (i.e., adaptive paced CLS, or forced CLS). An algorithm was designed that determined the simplest ratio (lowest denominator) that, when multiplied by the heart rate will fall within an individualized, predetermined comfortable pacing range for the user. The algorithm was implemented on an iPhone 4, which generated a 'tick-tock' sound through the iPhone's headphones. A sham-controlled crossover study was performed with 15 volunteers of various fitness levels. Subjects ran a 3 mile (4.83 km) simulated training run at their normal pace on two consecutive days (randomized one adaptive pacing, one sham). Adaptive pacing resulted in faster runs run times, with subjects running an average of 26:03 ± 3:23 for adaptive pacing and 26:38 ± 3:31 for sham (F = 5.46, p < 0.05). The increase in heart rate from the start of the race as estimated by an exponential time constant was significantly longer during adaptive pacing, τ = 0.99 ± 0.30, compared to sham, τ = 1.53 ± 0.34 (t = -6.62, p < 0.01). Eighty-seven percent of runners found it easy to adjust their stride length to match the pacing signal with seventy-nine percent reporting that pacing helped their performance. These results suggest that adaptive paced CLS may have a beneficial effect on running performance and

  17. Electrical Pacing of Cardiac Tissue Including Potassium Inward Rectification.

    PubMed

    Galappaththige, Suran; Roth, Bradley J

    2015-01-01

    In this study cardiac tissue is stimulated electrically through a small unipolar electrode. Numerical simulations predict that around an electrode are adjacent regions of depolarization and hyperpolarization. Experiments have shown that during pacing of resting cardiac tissue the hyperpolarization is often inhibited. Our goal is to determine if the inward rectifying potassium current (IK1) causes the inhibition of hyperpolarization. Numerical simulations were carried out using the bidomain model with potassium dynamics specified to be inward rectifying. In the simulations, adjacent regions of depolarization and hyperpolarization were observed surrounding the electrode. For cathodal currents the virtual anode produces a hyperpolarization that decreases over time. For long duration pulses the current-voltage curve is non-linear, with very small hyperpolarization compared to depolarization. For short pulses, the hyperpolarization is more prominent. Without the inward potassium rectification, the current voltage curve is linear and the hyperpolarization is evident for both long and short pulses. In conclusion, the inward rectification of the potassium current explains the inhibition of hyperpolarization for long duration stimulus pulses, but not for short duration pulses.

  18. Paleoclimatology: Second clock supports orbital pacing of the ice ages

    SciTech Connect

    Kerr, R.A.

    1997-05-02

    For a while, it looked as if a water-filled crack in the Nevada desert might doom the accepted explanation of the ice ages. Twenty years ago, the so-called astronomical theory had carried the day. Oceanographers had found evidence implying that the march of ice ages over the last million years was paced by the cyclical stretching and squeezing of Earth`s orbit around the sun, which would have altered the way sunlight fell on the planet`s surface. But in 1988, researchers scuba diving in Nevada`s Devils Hole came up with a climate record--captured in carbonate deposits in the crack-that seemed to contradict this chronology. This article discusses the findings and the puzzles that still remain. The records of sea-level change in Barbados coral appear to be right and the astronomical theory is on solid ground using a new clock based on the radioactive decay of uranium-235 to protactinium-231. However, the Devils Hole record also seems to be correct.

  19. Sex Differences in Time Perception during Self-paced Running

    PubMed Central

    HANSON, NICHOLAS J.; BUCKWORTH, JANET

    2016-01-01

    Time perception during exercise may be affected by chosen intensity, and may also affect enjoyment of exercise and subsequent long-term adherence. However, little is known about how individuals perceive the passage of time during exercise, or if factors such as sex are influential. The purpose of this study was to determine if there are sex related differences in perception of time during a bout of exercise in experienced runners. Twenty-two recreational runners (11 men, 11 women) participated in a bout of treadmill running where they were allowed to select their intensity. Sixty second prospective time estimations were taken before, during (at 33%, 66% and 90% of the completed distance), and after the run. Heart rate (HR) was also recorded throughout. The women (M = 91.9, SD = 3.3) ran at a significantly higher percentage of their maximum HR than the men (M = 86.5, SD = 6.4; p = 0.022), choosing to run at a higher relative intensity than the men when given the opportunity to self-pace. The women had relatively lower time estimations overall, showing that they perceived time to be passing by more slowly compared to the men. These results may help to explain sex related differences in exercise adherence. PMID:27766135

  20. Piston designs keep pace with increased engine performance

    SciTech Connect

    Mullins, P.

    1996-12-01

    Piston technology for medium-speed diesel engines is having to keep pace with steadily increasing engine performance criteria. Specific output of medium-speed diesel engines has increased some 50% since 1970, according to Walter Griffiths, chief engineer at the UK-based AE Geotze Special Products Ltd. To satisfy the higher performance now required, a two-piece piston has been developed and went into production in 1995. This type still uses an aluminum alloy forged body, but incorporates a steel crown. The composite piston can carry higher engine ratings and resists the abrasive deposits formed by heavy fuel operation. It has become well established for bore sizes above 300 mm and is becoming increasingly specified for engines down to 200 mm. The latest solution to the carbon deposits on the top of the piston that has gained widespread acceptance within the industry is to reduce the diameter of the bore above the top ring and cut back the top land to maintain the normal operating clearance. This requires an insert to be fitted into the liner after the piston has been assembled. The effect is to limit the carbon build-up on the top land to a specific diameter, which is always less than the bore diameter. Thus there is no possibility of top land contact with the bore over the effective stroke of the piston rings. 2 figs.

  1. Gathering and Learning From Relevant Clinical Data: A New Framework

    PubMed Central

    Farias, Michael; Friedman, Kevin G.; Lock, James E.; Rathod, Rahul H.

    2015-01-01

    Given the rising costs of health care in today’s economic environment, the need for effective, value-driven care has never been more pressing. While the U.S. health care system strives continually to improve patient outcomes, it struggles with the inadequacies due to variation in care and the inefficiencies of unnecessary resource utilization. The tools traditionally used to study care, from retrospective studies to randomized controlled trials, may be inadequate to address the complicated, interdependent questions related to defining effective care. To overcome the deficiencies of these traditional tools and better optimize our health care system, a new kind of methodology is required—one that integrates the functionality of previously existing tools in a novel way. Standardized Clinical Assessment and Management Plans (SCAMPs) were designed to accomplish this goal. A SCAMP is a care pathway, designed by clinicians, to guide medical decision making around a particular disorder. SCAMPs are unique in that they invite knowledge-based diversions from their recommendations and are accompanied by data collection and continuous improvement processes. Through these mechanisms, SCAMPs successfully reduce practice variation, optimize resource use, and create an integrated medical learning system which overcomes many of the inadequacies of traditional research tools. As such, the SCAMP paradigm may represent an important breakthrough in the effort to define and implement effective health care. PMID:25295963

  2. Kinematic hand parameters in front crawl at different paces of swimming.

    PubMed

    Samson, Mathias; Monnet, Tony; Bernard, Anthony; Lacouture, Patrick; David, Laurent

    2015-11-01

    The aim of this study was to investigate the evolution of kinematic hand parameters (sweepback angle, angle of attack, velocity, acceleration and orientation of the hand relative to the absolute coordinate system) throughout an aquatic stroke and to study the possible modifications caused by a variation of the swimming pace. Seventeen competitive swimmers swam at long distance, middle distance and sprint paces. Parameters were calculated from the trajectory of seven markers on the hand measured with an optoelectronic system. Results showed that kinematic hand parameters evolve differently depending on the pace. Angle of attack, sweepback angle, acceleration and orientation of the hand do not vary significantly. The velocity of the hand increases when the pace increases, but only during the less propulsive phases (entry and stretch and downsweep to catch). The more the pace increases and the more the absolute durations of the entry and stretch and downsweep to catch phases decrease. Absolute durations of the insweep and upsweep phases remain constant. During these phases, the propulsive hand forces calculated do not vary significantly when the pace increases. The increase of swimming pace is then explained by the swimmer's capacity to maintain propulsive phases rather than increasing the force generation within each cycle. PMID:26433921

  3. Baseline and post-atrial pacing release of atrial natriuretic factor in mitral stenosis.

    PubMed

    Malatino, L S; Stancanelli, B; Greco, G; Polizzi, G; Leonardi, C; Russo, G; Tamburino, C; Greco, G; Giuffrida, G; Tamburino, G

    1990-01-01

    To investigate the release of atrial natriuretic factor (ANF) in mitral stenosis and the influence of the increase on the frequency of atrial contraction or atrial distention on ANF secretion, we studied 10 patients with symptoms of congestive heart failure (New York Heart Association classes II and III) in sinus rhythm, who were undergoing cardiac catheterization as part of an evaluation workup for mitral stenosis. Echocardiographic tracings, repeat determinations of mean pulmonary artery wedge pressure (MPAWP) and mean right atrial pressure, and blood sampling from the pulmonary artery for measurements of ANF were performed at baseline, during atrial pacing (pacing rate of 125 beats/min for 5 minutes), and 5 minutes after the pacing protocol was completed. Baseline ANF levels were closely related to right atrial pressure (r = 0.89; p less than 0.001) and increased markedly after atrial pacing from 205.6 +/- 39.8 (SEM) to 343.9 +/- 57.9 (SEM) pg/ml. A similar pacing-induced increase was shown for MPAWP and left atrial size. Our data indicate that pacing-induced increases in atrial distention and intracavitary pressure further stimulate release of ANF. However, an independent effect of frequency of atrial pacing on plasma ANF in humans could not be identified. PMID:2136967

  4. [Competitive pacing in a patient with DDD pacemaker and bigeminal ventricular extrasystoles].

    PubMed

    Carbone, Vincenzo; Candelmo, Fiore; Todaro, Chiara; Oreto, Giuseppe

    2008-11-01

    The ECG recorded from a patient with DDD pacemaker showed variable responses of the pacing system to bigeminal ventricular extrasystoles, dependent on the coupling interval of premature beats. For relatively short coupling intervals, the premature spontaneous event was detected by the pacemaker, inhibiting both atrial and ventricular output, and resulting in a relatively long pacing pause. In slightly less premature end-diastolic extrasystoles, in contrast, the pacing system delivered an atrial spike that was superimposed upon the spontaneous premature QRS complex (pseudo-pseudofusion); under these circumstances, the atrial spike was followed, at the end of the programmed atrioventricular interval, by a ventricular spike falling on the extrasystolic T wave apex (competitive ventricular pacing). This phenomenon, however, did not express a sensing malfunction, but was due to post-atrial ventricular blanking (PAVB), a short period initiated by the atrial spike during which ventricular sensing is temporarily disabled, so that no signal can be detected. Finally, whenever premature end-diastolic impulses occurred after PAVB, during the brief interval defined ventricular safety pacing, the spontaneous event was sensed, being followed by an earlier-than-expected ventricular spike, whose prematurity was aimed at avoiding the occurrence of an artificial impulse upon the T wave of extrasystole. In conclusion, despite several not sensed ventricular extrasystoles and competitive pacing, no sensing malfunction was present. This case demonstrates how complex can be the electrocardiographic analysis of a DDD pacemaker, owing to the many complicating phenomena related to this pacing mechanism.

  5. Cardiomyopathy induced by artificial cardiac pacing: myth or reality sustained by evidence?

    PubMed Central

    Ferrari, Andrés Di Leoni; Borges, Anibal Pires; Albuquerque, Luciano Cabral; Sussenbach, Carolina Pelzer; da Rosa, Priscila Raupp; Piantá, Ricardo Medeiros; Wiehe, Mario; Goldani, Marco Antônio

    2014-01-01

    Implantable cardiac pacing systems are a safe and effective treatment for symptomatic irreversible bradycardia. Under the proper indications, cardiac pacing might bring significant clinical benefit. Evidences from literature state that the action of the artificial pacing system, mainly when the ventricular lead is located at the apex of the right ventricle, produces negative effects to cardiac structure (remodeling, dilatation) and function (dissinchrony). Patients with previously compromised left ventricular function would benefit the least with conventional right ventricle apical pacing, and are exposed to the risk of developing higher incidence of morbidity and mortality for heart failure. However, after almost 6 decades of cardiac pacing, just a reduced portion of patients in general would develop these alterations. In this context, there are not completely clear some issues related to cardiac pacing and the development of this cardiomyopathy. Causality relationships among QRS widening with a left bundle branch block morphology, contractility alterations within the left ventricle, and certain substrates or clinical (previous systolic dysfunction, structural heart disease, time from implant) or electrical conditions (QRS duration, percentage of ventricular stimulation) are still subjecte of debate. This review analyses contemporary data regarding this new entity, and discusses alternatives of how to use cardiac pacing in this context, emphasizing cardiac resynchronization therapy. PMID:25372916

  6. Kinematic hand parameters in front crawl at different paces of swimming.

    PubMed

    Samson, Mathias; Monnet, Tony; Bernard, Anthony; Lacouture, Patrick; David, Laurent

    2015-11-01

    The aim of this study was to investigate the evolution of kinematic hand parameters (sweepback angle, angle of attack, velocity, acceleration and orientation of the hand relative to the absolute coordinate system) throughout an aquatic stroke and to study the possible modifications caused by a variation of the swimming pace. Seventeen competitive swimmers swam at long distance, middle distance and sprint paces. Parameters were calculated from the trajectory of seven markers on the hand measured with an optoelectronic system. Results showed that kinematic hand parameters evolve differently depending on the pace. Angle of attack, sweepback angle, acceleration and orientation of the hand do not vary significantly. The velocity of the hand increases when the pace increases, but only during the less propulsive phases (entry and stretch and downsweep to catch). The more the pace increases and the more the absolute durations of the entry and stretch and downsweep to catch phases decrease. Absolute durations of the insweep and upsweep phases remain constant. During these phases, the propulsive hand forces calculated do not vary significantly when the pace increases. The increase of swimming pace is then explained by the swimmer's capacity to maintain propulsive phases rather than increasing the force generation within each cycle.

  7. Increased work pace is unprofitable: a beef-cutting case study.

    PubMed

    Vogel, K; Karltun, J; Yeow, P H P; Eklund, J

    2015-07-01

    The beef industry worldwide is showing a trend towards increased cutting pace aimed at higher profits. However, prior research in the duck meat industry suggested that a higher cutting pace reduced quality and yield, leading to losses. This study aimed to test this hypothesis by investigating the effects of varying beef-cutting paces on yield, quality and economy. A field experiment was conducted on six workers cutting beef fillet, sirloin and entrecôte. Three types of paces were sequentially tested: Baseline (i.e., status quo), 'Quantity focus' (i.e., pace required to maximise quantity) and 'Quality focus' (i.e., pace required to minimise errors). The results showed a significant drop in yield, increased rate of quality deficiency and economic losses with the change to 'Quantity focus' (from Baseline and 'Quality focus') for all meat types. Workers supported these results and also added health problems to the list. The results confirmed that an increased cutting pace is unprofitable. PMID:25828161

  8. Microvolt T-wave alternans during exercise and pacing in patients with acute myocardial infarction.

    PubMed

    Raatikainen, M J Pekka; Jokinen, Vesa; Virtanen, Vesa; Hartikainen, Juha; Hedman, Antti; Huikuri, Heikki V

    2005-01-01

    Cardiac Arrhythmias and Risk Stratification after Myocardial infarction (CARISMA) is a prospective multicenter trial designed to document the incidence of cardiac arrhythmias after acute myocardial infarction (AMI), and to assess the predictive accuracy of various arrhythmic risk markers. In this substudy of the CARISMA trial, microvolt T-wave alternans (TWA) was assessed with specific equipment 6 weeks after AMI during bicycle exercise, atrial (A) pacing, and simultaneous ventricular and atrial (V + A) pacing in 80 patients with left ventricular ejection fraction (LVEF) <40%. The agreement between the acute test results was determined by overall proportion of concordance and the kappa statistic. Sustained TWA was observed in 24, 45, and 50% of the patients during the exercise test, A pacing, and V + A pacing, respectively. The number of indeterminate TWA was significantly lower during V + A pacing (n = 7) than exercise test (n = 34). The TWA concordance rate was 71% between exercise and V + A pacing (kappa= 0.53, P = 0.001), 79% between exercise and A pacing (kappa= 0.54, P < 0.001), and 95% between the two pacing modes (kappa= 0.89, P < 0.001). Patients with positive TWA in all tests had lower LVEF (28 +/- 7% vs 35 +/- 9%, P < 0.01) and wider QT dispersion (99 +/- 44 ms vs 67 +/- 38 ms, P < 0.01) than those with inconsistent test result. The low number of indeterminate tests and high concordance between the test results indicate that V + A pacing may provide a valuable means to assess TWA in patients who cannot complete the exercise test.

  9. Improvement of Right Ventricular Hemodynamics with Left Ventricular Endocardial Pacing during Cardiac Resynchronization Therapy

    PubMed Central

    HYDE, EOIN R.; BEHAR, JONATHAN M.; CROZIER, ANDREW; CLARIDGE, SIMON; JACKSON, TOM; SOHAL, MANAV; GILL, JASWINDER S.; O'NEILL, MARK D.; RAZAVI, REZA; RINALDI, CHRISTOPHER A.

    2016-01-01

    Background Cardiac resynchronization therapy (CRT) with biventricular epicardial (BV‐CS) or endocardial left ventricular (LV) stimulation (BV‐EN) improves LV hemodynamics. The effect of CRT on right ventricular function is less clear, particularly for BV‐EN. Our objective was to compare the simultaneous acute hemodynamic response (AHR) of the right and left ventricles (RV and LV) with BV‐CS and BV‐EN in order to determine the optimal mode of CRT delivery. Methods Nine patients with previously implanted CRT devices successfully underwent a temporary pacing study. Pressure wires measured the simultaneous AHR in both ventricles during different pacing protocols. Conventional epicardial CRT was delivered in LV‐only (LV‐CS) and BV‐CS configurations and compared with BV‐EN pacing in multiple locations using a roving decapolar catheter. Results Best BV‐EN (optimal AHR of all LV endocardial pacing sites) produced a significantly greater RV AHR compared with LV‐CS and BV‐CS pacing (P < 0.05). RV AHR had a significantly increased standard deviation compared to LV AHR (P < 0.05) with a weak correlation between RV and LV AHR (Spearman rs = −0.06). Compromised biventricular optimization, whereby RV AHR was increased at the expense of a smaller decrease in LV AHR, was achieved in 56% of cases, all with BV‐EN pacing. Conclusions BV‐EN pacing produces significant increases in both LV and RV AHR, above that achievable with conventional epicardial pacing. RV AHR cannot be used as a surrogate for optimizing LV AHR; however, compromised biventricular optimization is possible. The beneficial effect of endocardial LV pacing on RV function may have important clinical benefits beyond conventional CRT. PMID:27001004

  10. High-resolution entrainment mapping of gastric pacing: a new analytical tool.

    PubMed

    O'Grady, Gregory; Du, Peng; Lammers, Wim J E P; Egbuji, John U; Mithraratne, Pulasthi; Chen, Jiande D Z; Cheng, Leo K; Windsor, John A; Pullan, Andrew J

    2010-02-01

    Gastric pacing has been investigated as a potential treatment for gastroparesis. New pacing protocols are required to improve symptom and motility outcomes; however, research progress has been constrained by a limited understanding of the effects of electrical stimulation on slow-wave activity. This study introduces high-resolution (HR) "entrainment mapping" for the analysis of gastric pacing and presents four demonstrations. Gastric pacing was initiated in a porcine model (typical amplitude 4 mA, pulse width 400 ms, period 17 s). Entrainment mapping was performed using flexible multielectrode arrays (paced propagation was found to be anisotropic (longitudinal 2.6 +/- 1.7 vs. circumferential 4.5 +/- 0.6 mm/s; P < 0.001). In the third demonstration, a dysrhythmic episode that occurred during pacing was mapped in HR, revealing an ectopic slow-wave focus and uncoupled propagations. In the fourth demonstration, differences were observed between paced and native slow-wave amplitudes (0.24 +/- 0.08 vs. 0.38 +/- 0.14 mV; P < 0.001), velocities (6.2 +/- 2.8 vs. 11.5 +/- 4.7 mm/s; P < 0.001), and activated areas (20.6 +/- 1.9 vs. 32.8 +/- 2.6 cm(2); P < 0.001). Entrainment mapping enables an accurate quantification of the effects of gastric pacing on slow-wave activity, offering an improved method to assess whether pacing protocols are likely to achieve physiologically and clinically useful outcomes. PMID:19926815

  11. Should cities hosting mass gatherings invest in public health surveillance and planning? Reflections from a decade of mass gatherings in Sydney, Australia

    PubMed Central

    Thackway, Sarah; Churches, Timothy; Fizzell, Jan; Muscatello, David; Armstrong, Paul

    2009-01-01

    Background Mass gatherings have been defined by the World Health Organisation as "events attended by a sufficient number of people to strain the planning and response resources of a community, state or nation". This paper explores the public health response to mass gatherings in Sydney, the factors that influenced the extent of deployment of resources and the utility of planning for mass gatherings as a preparedness exercise for other health emergencies. Discussion Not all mass gatherings of people require enhanced surveillance and additional response. The main drivers of extensive public health planning for mass gatherings reflect geographical spread, number of international visitors, event duration and political and religious considerations. In these instances, the implementation of a formal risk assessment prior to the event with ongoing daily review is important in identifying public health hazards. Developing and utilising event-specific surveillance to provide early-warning systems that address the specific risks identified through the risk assessment process are essential. The extent to which additional resources are required will vary and depend on the current level of surveillance infrastructure. Planning the public health response is the third step in preparing for mass gatherings. If the existing public health workforce has been regularly trained in emergency response procedures then far less effort and resources will be needed to prepare for each mass gathering event. The use of formal emergency management structures and co-location of surveillance and planning operational teams during events facilitates timely communication and action. Summary One-off mass gathering events can provide a catalyst for innovation and engagement and result in opportunities for ongoing public health planning, training and surveillance enhancements that outlasted each event. PMID:19735577

  12. 77 FR 60732 - PACE Select Advisors Trust and UBS Global Asset Management (Americas) Inc.; Notice of Application

    Federal Register 2010, 2011, 2012, 2013, 2014

    2012-10-04

    ... COMMISSION PACE Select Advisors Trust and UBS Global Asset Management (Americas) Inc.; Notice of Application... requirements. The requested order would supersede two prior orders.\\1\\ \\1\\ PaineWebber PACE Select Advisors...) and 21666 (Jan. 11, 1996) (order). Applicants: PACE Select Advisors Trust (the ``Trust'') and...

  13. A Closer Look at Split Visual Attention in System- and Self-Paced Instruction in Multimedia Learning

    ERIC Educational Resources Information Center

    Schmidt-Weigand, Florian; Kohnert, Alfred; Glowalla, Ulrich

    2010-01-01

    Two experiments examined visual attention distribution in learning from text and pictures. Participants watched a 16-step multimedia instruction on the formation of lightning. In Experiment 1 (N=90) the instruction was system-paced (fast, medium, slow pace), while it was self-paced in Experiment 2 (N=31). In both experiments the text modality was…

  14. Sex differences in Nintendo Wii performance as expected from hunter-gatherer selection.

    PubMed

    Cherney, Isabelle D; Poss, Jordan L

    2008-06-01

    To test the hunter-gatherer theory of cognitive sex differences, men and women each played four video games on a Wii console: two games simulating skills necessary for hunting (navigation and shooting) and two games simulating skills necessary for gathering (fine motor and visual search). Men outperformed women on the two hunting games, whereas there were no sex differences on the gathering skill games. The findings are discussed in terms of evolutionary psychology theory.

  15. Sawtooth Pacing by Real-Time Auxiliary Power Control in a Tokamak Plasma

    SciTech Connect

    Goodman, T. P.; Felici, F.; Sauter, O.; Graves, J. P.

    2011-06-17

    In the standard scenario of tokamak plasma operation, sawtooth crashes are the main perturbations that can trigger performance-degrading, and potentially disruption-generating, neoclassical tearing modes. This Letter demonstrates sawtooth pacing by real-time control of the auxiliary power. It is shown that the sawtooth crash takes place in a reproducible manner shortly after the removal of that power, and this can be used to precisely prescribe, i.e., pace, the individual sawteeth. In combination with preemptive stabilization of the neoclassical tearing modes, sawtooth pacing provides a new sawtooth control paradigm for improved performance in burning plasmas.

  16. Primary ST changes. Diagnostic aid in paced patients with acute myocardial infarction.

    PubMed Central

    Niremberg, V; Amikam, S; Roguin, N; Pelled, B; Riss, E

    1977-01-01

    In 34 out of 36 patients with apical right ventricular endocardial pacing, primary ischaemic ST alterations were observed during the early stage of acute myocardial infarction. These ST changes, indicating acute injury, were detected in the paced beats in inferior and in anterior infarct. The primary ST changes were consistent only during the early stages of acute myocardial infarction and were not detected when the electrode tip was not in the apex of the right ventricle. It is suggested that the primary ST changes should be used to diagnose acute myocardial infarction in paced patients. Images PMID:861092

  17. Right ventricular septal pacing- clinical and electrical predictors for LV contraction asynchrony

    PubMed Central

    Iorgulescu, C; Radu, DA; Constantinescu, D; Caldararu, C; Dorobantu, M

    2014-01-01

    Purpose: Prolonged pacing from the right ventricular apex (RV) is associated with the LV dyssynchrony leading to progressive left ventricular dysfunction and increased morbidity and mortality. Alternate RV pacing sites-in particular the mid- RV septum and the RV outflow tract (RVOT) septum were considered, but no clear benefit was proven till now for this pacing sites. This may be due to the heterogeneity of the RV septal positions and to the significant number of leads placed on the RV free wall. The aim of this study is to find a reliable method of septal lead placement and to identify those pacing sites which provide better LV electrical activation Methods: 50 consecutive patients referred for pacemaker implants due to AV block were included. Patients with history of heart failure or LVEF < 50% at the implant were excluded. All patients had RV leads placed in septal position. This was achieved with a double curved stilet with the distal curve aimed posteriorly. RV septum and RVOT were mapped during implant aiming for a narrow paced QRS with an axis as close to normal as possible. Pacing lead position was evaluated during the implant using fluoroscopy (AP and LAO 40 °) and than by 12 lead ECG and echo. IntraLV dyssynchrony was evaluated during pacing using SPWMD in short axis parasternal view and the TDI septal to lateral ∆ t. Paced QRS duration and axis were also recorded. The correlation was sought between lead position evaluated by Rx and by echo and between paced QRS duration and axis and LV dyssynchrony. Results: 92%(46) of the patients had the lead in septal position RV (32 in the mid-septal RV and 14 in RVOT), while 8% (4 pts) had the lead on the RVOT RV free wall as shown by echo. An anterior-oriented lead in the left anterior oblique fluoroscopic projection was specific for free wall position while positive QRS in DI in RVOT position was suggestive for free wall position on the ECG. No correlation was made between paced QRS axis and LV dyssynchrony

  18. 43 CFR 5.4 - When is a permit required for news-gathering activities?

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... COMMERCIAL FILMING AND SIMILAR PROJECTS AND STILL PHOTOGRAPHY ON CERTAIN AREAS UNDER DEPARTMENT JURISDICTION.... News-gathering activities involving filming, videography, or still photography do not require a...

  19. 43 CFR 5.4 - When is a permit required for news-gathering activities?

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... COMMERCIAL FILMING AND SIMILAR PROJECTS AND STILL PHOTOGRAPHY ON CERTAIN AREAS UNDER DEPARTMENT JURISDICTION.... News-gathering activities involving filming, videography, or still photography do not require a...

  20. Adaptive Data Gathering in Mobile Sensor Networks Using Speedy Mobile Elements

    PubMed Central

    Lai, Yongxuan; Xie, Jinshan; Lin, Ziyu; Wang, Tian; Liao, Minghong

    2015-01-01

    Data gathering is a key operator for applications in wireless sensor networks; yet it is also a challenging problem in mobile sensor networks when considering that all nodes are mobile and the communications among them are opportunistic. This paper proposes an efficient data gathering scheme called ADG that adopts speedy mobile elements as the mobile data collector and takes advantage of the movement patterns of the network. ADG first extracts the network meta-data at initial epochs, and calculates a set of proxy nodes based on the meta-data. Data gathering is then mapped into the Proxy node Time Slot Allocation (PTSA) problem that schedules the time slots and orders, according to which the data collector could gather the maximal amount of data within a limited period. Finally, the collector follows the schedule and picks up the sensed data from the proxy nodes through one hop of message transmissions. ADG learns the period when nodes are relatively stationary, so that the collector is able to pick up the data from them during the limited data gathering period. Moreover, proxy nodes and data gathering points could also be timely updated so that the collector could adapt to the change of node movements. Extensive experimental results show that the proposed scheme outperforms other data gathering schemes on the cost of message transmissions and the data gathering rate, especially under the constraint of limited data gathering period. PMID:26389903

  1. Transmembrane current imaging in the heart during pacing and fibrillation.

    PubMed

    Gray, Richard A; Mashburn, David N; Sidorov, Veniamin Y; Roth, Bradley J; Pathmanathan, Pras; Wikswo, John P

    2013-10-01

    Recently, we described a method to quantify the time course of total transmembrane current (Im) and the relative role of its two components, a capacitive current (Ic) and a resistive current (Iion), corresponding to the cardiac action potential during stable propagation. That approach involved recording high-fidelity (200 kHz) transmembrane potential (Vm) signals with glass microelectrodes at one site using a spatiotemporal coordinate transformation via measured conduction velocity. Here we extend our method to compute these transmembrane currents during stable and unstable propagation from fluorescence signals of Vm at thousands of sites (3 kHz), thereby introducing transmembrane current imaging. In contrast to commonly used linear Laplacians of extracellular potential (Ve) to compute Im, we utilized nonlinear image processing to compute the required second spatial derivatives of Vm. We quantified the dynamic spatial patterns of current density of Im and Iion for both depolarization and repolarization during pacing (including nonplanar patterns) by calibrating data with the microelectrode signals. Compared to planar propagation, we found that the magnitude of Iion was significantly reduced at sites of wave collision during depolarization but not repolarization. Finally, we present uncalibrated dynamic patterns of Im during ventricular fibrillation and show that Im at singularity sites was monophasic and positive with a significant nonzero charge (Im integrated over 10 ms) in contrast with nonsingularity sites. Our approach should greatly enhance the understanding of the relative roles of functional (e.g., rate-dependent membrane dynamics and propagation patterns) and static spatial heterogeneities (e.g., spatial differences in tissue resistance) via recordings during normal and compromised propagation, including arrhythmias. PMID:24094412

  2. Are postglacial sediment yields of mountain headwaters out of pace?

    NASA Astrophysics Data System (ADS)

    Hoffmann, Thomas

    2014-05-01

    Many high mountains have been sculpted by strong glacial erosion during the Pleistocene that resulted in valley widening and overdeepening and the formation of glacial cirques, U-shaped valleys, and widespread glacial deposits. The retreat of glacial ice exposes oversteepened hillslopes that are susceptible to rockfalls, deep-seated landsliding, gully erosion, and debris flows, and can also result in valley aggradation and reworking of valley deposits through debris flow activity and fluvial processes. It has been argued that sediment fluxes caused by these processes remain elevated even several thousand years after the retreat of valley glaciers. Yet, our knowledge on the response times of postglacial mountain systems to Pleistocene glacial erosion remains insufficient. Here I represent an approach to calculate the response times of postglacial geomorphic systems to Pleistocene glacial erosion based on reservoir theory and the compilation of postglacial sediment budgets in alpine systems. The study is conducted in the Kananaskis Country in the Canadian Rocky Mountains, in which sediment budgets of 5 headwater basins have been complied. The sediment budgets show that sediment delivery from formerly glaciated headwaters is limited indicated by average postglacial sediment delivery ratios (SDR) ranging between 0 and 0.3. The low SDRs are controlled by the glacial history of the headwater and suggest that the response times of sediment flux in alpine headwater basins is in the order of 100-500 kyr. Thus postglacial adjustment of alpine sediment flux exceeds the recurrence interval of the large ice ages during the Pleistocene suggesting that mountain headwaters in the Canadian Rockies are out of pace with respect to glacially-induced changes.

  3. Transmembrane Current Imaging in the Heart during Pacing and Fibrillation

    PubMed Central

    Gray, Richard A.; Mashburn, David N.; Sidorov, Veniamin Y.; Roth, Bradley J.; Pathmanathan, Pras; Wikswo, John P.

    2013-01-01

    Recently, we described a method to quantify the time course of total transmembrane current (Im) and the relative role of its two components, a capacitive current (Ic) and a resistive current (Iion), corresponding to the cardiac action potential during stable propagation. That approach involved recording high-fidelity (200 kHz) transmembrane potential (Vm) signals with glass microelectrodes at one site using a spatiotemporal coordinate transformation via measured conduction velocity. Here we extend our method to compute these transmembrane currents during stable and unstable propagation from fluorescence signals of Vm at thousands of sites (3 kHz), thereby introducing transmembrane current imaging. In contrast to commonly used linear Laplacians of extracellular potential (Ve) to compute Im, we utilized nonlinear image processing to compute the required second spatial derivatives of Vm. We quantified the dynamic spatial patterns of current density of Im and Iion for both depolarization and repolarization during pacing (including nonplanar patterns) by calibrating data with the microelectrode signals. Compared to planar propagation, we found that the magnitude of Iion was significantly reduced at sites of wave collision during depolarization but not repolarization. Finally, we present uncalibrated dynamic patterns of Im during ventricular fibrillation and show that Im at singularity sites was monophasic and positive with a significant nonzero charge (Im integrated over 10 ms) in contrast with nonsingularity sites. Our approach should greatly enhance the understanding of the relative roles of functional (e.g., rate-dependent membrane dynamics and propagation patterns) and static spatial heterogeneities (e.g., spatial differences in tissue resistance) via recordings during normal and compromised propagation, including arrhythmias. PMID:24094412

  4. Obliquity-paced Pliocene West Antarctic ice sheet oscillations

    USGS Publications Warehouse

    Naish, T.; Powell, R.; Levy, R.; Wilson, G.; Scherer, R.; Talarico, F.; Krissek, L.; Niessen, F.; Pompilio, M.; Wilson, T.; Carter, L.; DeConto, R.; Huybers, P.; McKay, R.; Pollard, D.; Ross, J.; Winter, D.; Barrett, P.; Browne, G.; Cody, R.; Cowan, E.; Crampton, J.; Dunbar, G.; Dunbar, N.; Florindo, F.; Gebhardt, C.; Graham, I.; Hannah, M.; Hansaraj, D.; Harwood, D.; Helling, D.; Henrys, S.; Hinnov, L.; Kuhn, G.; Kyle, P.; Laufer, A.; Maffioli, P.; Magens, D.; Mandernack, K.; McIntosh, W.; Millan, C.; Morin, R.; Ohneiser, C.; Paulsen, T.; Persico, D.; Raine, I.; Reed, J.; Riesselman, C.; Sagnotti, L.; Schmitt, D.; Sjunneskog, C.; Strong, P.; Taviani, M.; Vogel, S.; Wilch, T.; Williams, T.

    2009-01-01

    Thirty years after oxygen isotope records from microfossils deposited in ocean sediments confirmed the hypothesis that variations in the Earth's orbital geometry control the ice ages, fundamental questions remain over the response of the Antarctic ice sheets to orbital cycles. Furthermore, an understanding of the behaviour of the marine-based West Antarctic ice sheet (WAIS) during the 'warmer-than-present' early-Pliocene epoch (???5-3 Myr ago) is needed to better constrain the possible range of ice-sheet behaviour in the context of future global warming. Here we present a marine glacial record from the upper 600 m of the AND-1B sediment core recovered from beneath the northwest part of the Ross ice shelf by the ANDRILL programme and demonstrate well-dated, ???40-kyr cyclic variations in ice-sheet extent linked to cycles in insolation influenced by changes in the Earth's axial tilt (obliquity) during the Pliocene. Our data provide direct evidence for orbitally induced oscillations in the WAIS, which periodically collapsed, resulting in a switch from grounded ice, or ice shelves, to open waters in the Ross embayment when planetary temperatures were up to ???3??C warmer than today and atmospheric CO 2 concentration was as high as ???400 p.p.m.v. (refs 5, 6). The evidence is consistent with a new ice-sheet/ice-shelf model that simulates fluctuations in Antarctic ice volume of up to +7 m in equivalent sea level associated with the loss of the WAIS and up to +3 m in equivalent sea level from the East Antarctic ice sheet, in response to ocean-induced melting paced by obliquity. During interglacial times, diatomaceous sediments indicate high surface-water productivity, minimal summer sea ice and air temperatures above freezing, suggesting an additional influence of surface melt under conditions of elevated CO2. ??2009 Macmillan Publishers Limited. All rights reserved.

  5. Research and Its Implications for Secondary School Mathematics Instruction Via Self-Pacing

    ERIC Educational Resources Information Center

    Schoen, Harold L.

    1977-01-01

    Provides a summary of the findings of nearly one hundred-fifty studies dealing with self-paced instruction S(PI) mathematics programs that involved students at the secondary level with some implications for practice. (Author/RK)

  6. Photovoltaics (PV) as an Eligible Measure in Residential PACE Programs: Benefits and Challenges (Fact Sheet)

    SciTech Connect

    Coughlin, J.

    2010-06-01

    Property Assessed Clean Energy (PACE) financing is one of several new financial models broadening access to clean energy by addressing the barrier of initial capital cost. The majority of the PACE programs in the market today include PV as an eligible measure. PV appeals to homeowners as a way to reduce utility bills, self-generate sustainable power, increase energy independence and demonstrate a commitment to the environment. If substantial state incentives for PV exist, PV projects can be economic under PACE, especially when partnered with good net metering policies. At the same time, PV is expensive relative to other eligible measures with a return on investment horizon that might exceed program targets. This fact sheet reviews the benefits and potential challenges of including PV in PACE programs.

  7. The Growing Pains of Integrated Health Care for the Elderly: Lessons from the Expansion of PACE

    PubMed Central

    Gross, Diane L; Temkin-greener, Helena; Kunitz, Stephen; Mukamel, Dana B

    2004-01-01

    The early success of the demonstration Program of All-Inclusive Care for the Elderly (PACE) led to its designation as a permanent Medicare program in 1997. But the growth in the number of programs and enrollment has lagged and does not meet expectations. This article offers insights into the mechanisms influencing the expansion of PACE, from information obtained in interviews and surveys of administrators, medical directors, and financial officers in 27 PACE programs. Sixteen barriers to expansion were found, including competition, PACE model characteristics, poor understanding of the program among referral sources, and a lack of financing for expansion. This experience offers important lessons for providing integrated health care to the frail elderly. PMID:15225330

  8. The formation of bronchocutaneous fistulae due to retained epicardial pacing wires: A literature review

    PubMed Central

    Patris, Vasileios; Argiriou, Michalis; Salem, Agni-Leila; Giakoumidakis, Konstantinos; Baikoussis, Nikolaos G.; Charitos, Christos

    2016-01-01

    Temporary epicardial pacing wires during open-heart surgery are routinely used both for diagnostic and treatment purposes. In complicated cases where patients are unstable or the wires are difficult to remove, the pacing wires are cut at the skin level and allowed to retract by themselves. This procedure rarely causes complications. However, there have been cases reporting that retained pacing wires are linked to the formation of sterno-bronchial fistulae, which may present a while after the date of operation and are usually infected. This review aims to study the cases presenting sterno-bronchial fistulae due to retained epicardial pacing wires and to highlight the important factors associated with these. It is important to note these complications, as fistulae may cause a variety of problems to the patient if undiagnosed and left untreated. With the aid of scans such as fistulography, fistulae can be identified and treated and will improve the patients’ health dramatically. PMID:27716700

  9. The Examination of Exposures of Pleistocene Sediments in the Field: A Self-Paced Exercise.

    ERIC Educational Resources Information Center

    Keene, Peter

    1982-01-01

    Describes a self-paced field exercise which takes college geomorphology students through a step-by-step study of the origin and environment of pleistocene deposits. The exercise could also be adapted for use at the secondary level. (AM)

  10. The growing pains of integrated health care for the elderly: lessons from the expansion of PACE.

    PubMed

    Gross, Diane L; Temkin-Greener, Helena; Kunitz, Stephen; Mukamel, Dana B

    2004-01-01

    The early success of the demonstration Program of All-Inclusive Care for the Elderly (PACE) led to its designation as a permanent Medicare program in 1997. But the growth in the number of programs and enrollment has lagged and does not meet expectations. This article offers insights into the mechanisms influencing the expansion of PACE, from information obtained in interviews and surveys of administrators, medical directors, and financial officers in 27 PACE programs. Sixteen barriers to expansion were found, including competition, PACE model characteristics, poor understanding of the program among referral sources, and a lack of financing for expansion. This experience offers important lessons for providing integrated health care to the frail elderly.

  11. Left Ventricular Mechanical Property Changes During Acute AV Synchronous Right Ventricular Pacing in Children.

    PubMed

    Tejman-Yarden, Shai; Bratincsak, Andras; Bachner-Hinenzon, Noa; Khamis, Hanan; Rzasa, Callie; Adam, Dan; Printz, Beth F; Perry, James C

    2016-01-01

    Prolonged RV pacing is recognized as a cause of LV dysfunction due to dyssynchronous activation. There are no specific longitudinal parameters known to help predict RV pacing-induced LV dysfunction. The aim of the study was to assess the acute effects of AV synchronous RV pacing on LV mechanics using echocardiographic speckle tracking. Nineteen children, aged 6-23 years, underwent echocardiographic evaluation prior to and following elective electrophysiology and ablation studies. The subjects were evaluated in sinus rhythm and later with AV synchronous RV pacing at a cycle length of 550 ms with a short AV delay of 80 ms. The echocardiographic clips were analyzed using speckle tracking methods to calculate LV circumferential and longitudinal strain, rotation and twist in all conditions. Acute RV apical pacing decreased LV longitudinal strain from 16.1 ± 3.7% in sinus rhythm to 14.4 ± 3.3% (p = 0.03) and LV base rotation from -8.4° ± 3.6° to -6.4° ± 4.0° (p = 0.04). The circumferential strain, apical rotation and LV twist were not affected. Separate analysis of subjects with no prior preexcitation showed that acute RV pacing caused significant twist reduction, from 15.9° ± 7.6° to 12.1° ± 7.0° (p = 0.02), and decreased longitudinal strain and base rotation. Patients with preexcitation had abnormalities that persisted acutely after ablation. Acute RV apical pacing causes reductions in LV base rotation, longitudinal strain and twist. The recognition of abnormal LV activation patterns may provide longitudinal clues to LV dysfunction in chronically paced patients and potential novel indices of effective CRT interventions to reverse these abnormalities.

  12. Infants' Visual Attention to Baby DVDs as a Function of Program Pacing

    ERIC Educational Resources Information Center

    Gola, Alice Ann Howard; Calvert, Sandra L.

    2011-01-01

    This study examined the effects of program pacing, defined as the rate of scene and character change per minute, on infants' visual attention to video presentations. Seventy-two infants (twenty-four 6-month-olds, twenty-four 9-month-olds, twenty-four 12-month-olds) were exposed to one of two sets of high- and low-paced commercial infant DVDs. Each…

  13. PACE - A test bed for the dynamics and control of flexible multibody systems

    NASA Astrophysics Data System (ADS)

    Kwak, M. K.; Schlaegel, W. T.; Das, A.

    1993-04-01

    The Phillips Laboratory at Edwards AFB has constructed a test bed for the validation and comparison of modeling and control theories for the dynamics and control of flexible multibody systems. This project is called the Planar Articulating Controls Experiment (PACE). This paper presents the experimental apparatus for PACE and the equations of motion are derived by using the Hamilton principle and the assumed mode method. Control techniques for the slewing control and vibration suppression are also discussed.

  14. Cardiac pacing for severe childhood neurally mediated syncope with reflex anoxic seizures

    PubMed Central

    McLeod, K; Wilson, N; Hewitt, J; Norrie, J; Stephenson, J

    1999-01-01

    OBJECTIVE—To determine whether permanent cardiac pacing could prevent syncope and seizures in children with frequent severe neurally mediated syncope, and if so whether dual chamber pacing was superior to single chamber ventricular pacing.
METHODS—Dual chamber pacemakers were implanted into 12 children (eight male, four female) aged 2-14 years (median 2.8 years) with frequent episodes of reflex anoxic seizures and a recorded prolonged asystole during an attack. The pacemaker was programmed to sensing only (ODO), single chamber ventricular pacing with hysteresis (VVI), and dual chamber pacing with rate drop response (DDD) for four month periods, with each patient allocated to one of the six possible sequences of these modes, according to chronological order of pacemaker implantation. The parent and patient were blinded to the pacemaker mode and asked to record all episodes of syncope or presyncope ("near miss" events). The doctor analysing the results was blinded to the patient and pacemaker mode.
RESULTS—One patient was withdrawn from the study after the pacemaker was removed because of infection. In the remaining children, both dual chamber and single chamber pacing significantly reduced the number of syncopal episodes compared with sensing only (p = 0.0078 for both). VVI was as effective as DDD for preventing syncope, but DDD was superior to VVI in reducing near miss events (p = 0.016).
CONCLUSIONS—Permanent pacing is an effective treatment for children with severe neurally mediated syncope and reflex anoxic seizures. VVI is as effective as DDD in preventing syncope and seizures, but DDD is superior in preventing overall symptoms.


Keywords: syncope; reflex anoxic seizures; pacing; paediatric cardiology PMID:10573501

  15. The effect of visitor number and spice provisioning in pacing expression by jaguars evaluated through a case study.

    PubMed

    Vidal, L S; Guilherme, F R; Silva, V F; Faccio, M C S R; Martins, M M; Briani, D C

    2016-06-01

    Captive animals exhibit stereotypic pacing in response to multiple causes, including the inability to escape from human contact. Environmental enrichment techniques can minimize pacing expression. By using an individual-based approach, we addressed whether the amount of time two males and a female jaguar (Panthera onca) devote to pacing varied with the number of visitors and tested the effectiveness of cinnamon and black pepper in reducing pacing. The amount of time that all jaguars engaged in pacing increased significantly with the number of visitors. Despite the difference between the males regarding age and housing conditions, both devoted significantly less time to pacing following the addition of both spices, which indicates their suitability as enrichment techniques. Mean time devoted to pacing among the treatments did not differ for the female. Our findings pointed out to the validity of individual-based approaches, as they can reveal how suitable olfactory stimuli are to minimizing stereotypies irrespective of particular traits.

  16. The effect of visitor number and spice provisioning in pacing expression by jaguars evaluated through a case study.

    PubMed

    Vidal, L S; Guilherme, F R; Silva, V F; Faccio, M C S R; Martins, M M; Briani, D C

    2016-06-01

    Captive animals exhibit stereotypic pacing in response to multiple causes, including the inability to escape from human contact. Environmental enrichment techniques can minimize pacing expression. By using an individual-based approach, we addressed whether the amount of time two males and a female jaguar (Panthera onca) devote to pacing varied with the number of visitors and tested the effectiveness of cinnamon and black pepper in reducing pacing. The amount of time that all jaguars engaged in pacing increased significantly with the number of visitors. Despite the difference between the males regarding age and housing conditions, both devoted significantly less time to pacing following the addition of both spices, which indicates their suitability as enrichment techniques. Mean time devoted to pacing among the treatments did not differ for the female. Our findings pointed out to the validity of individual-based approaches, as they can reveal how suitable olfactory stimuli are to minimizing stereotypies irrespective of particular traits. PMID:26959957

  17. Information-Gathering Patterns Associated with Higher Rates of Diagnostic Error

    ERIC Educational Resources Information Center

    Delzell, John E., Jr.; Chumley, Heidi; Webb, Russell; Chakrabarti, Swapan; Relan, Anju

    2009-01-01

    Diagnostic errors are an important source of medical errors. Problematic information-gathering is a common cause of diagnostic errors among physicians and medical students. The objectives of this study were to (1) determine if medical students' information-gathering patterns formed clusters of similar strategies, and if so (2) to calculate the…

  18. The Use of Computer Networks in Data Gathering and Data Analysis.

    ERIC Educational Resources Information Center

    Yost, Michael; Bremner, Fred

    This document describes the review, analysis, and decision-making process that Trinity University, Texas, went through to develop the three-part computer network that they use to gather and analyze EEG (electroencephalography) and EKG (electrocardiogram) data. The data are gathered in the laboratory on a PDP-1124, an analog minicomputer. Once…

  19. 76 FR 4651 - Venice Gathering System, L.L.C.; Notice of Request Under Blanket Authorization

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-01-26

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Venice Gathering System, L.L.C.; Notice of Request Under Blanket Authorization January 19, 2010. Take notice that on January 7, 2011, Venice Gathering System, L.L.C....

  20. The Routines-Based Interview: A Method for Gathering Information and Assessing Needs

    ERIC Educational Resources Information Center

    McWilliam, R. A.; Casey, Amy M.; Sims, Jessica

    2009-01-01

    There are multiple ways to gather information from families receiving early intervention services (J. J. Woods & D. P. Lindeman, 2008). In this article, we discuss a specific strategy for doing this through information-gathering conversations with families. The routines-based interview (RBI; R. A. McWilliam, 1992, 2005a) was developed to meet a…

  1. 49 CFR 191.17 - Transmission systems; gathering systems; and liquefied natural gas facilities: Annual report.

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... liquefied natural gas facilities: Annual report. 191.17 Section 191.17 Transportation Other Regulations... OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER GAS BY PIPELINE...; gathering systems; and liquefied natural gas facilities: Annual report. (a) Transmission or Gathering....

  2. 49 CFR 191.17 - Transmission systems; gathering systems; and liquefied natural gas facilities: Annual report.

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... liquefied natural gas facilities: Annual report. 191.17 Section 191.17 Transportation Other Regulations... OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER GAS BY PIPELINE...; gathering systems; and liquefied natural gas facilities: Annual report. (a) Transmission or Gathering....

  3. 49 CFR 191.17 - Transmission systems; gathering systems; and liquefied natural gas facilities: Annual report.

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... liquefied natural gas facilities: Annual report. 191.17 Section 191.17 Transportation Other Regulations... OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER GAS BY PIPELINE...; gathering systems; and liquefied natural gas facilities: Annual report. (a) Transmission or Gathering....

  4. 49 CFR 191.17 - Transmission systems; gathering systems; and liquefied natural gas facilities: Annual report.

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... liquefied natural gas facilities: Annual report. 191.17 Section 191.17 Transportation Other Regulations... OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER GAS BY PIPELINE...; gathering systems; and liquefied natural gas facilities: Annual report. (a) Transmission or Gathering....

  5. 75 FR 360 - Laser Marcellus Gathering Company, LLC; Notice of Petition for Declaratory Order

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-05

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Laser Marcellus Gathering Company, LLC; Notice of Petition for Declaratory Order December 28, 2009. Take notice that on December 23, 2009, Laser Marcellus Gathering Company,...

  6. Autonomous gathering of livestock using a multi-functional sensor network platform

    Technology Transfer Automated Retrieval System (TEKTRAN)

    In this paper we develop algorithms and hardware for the autonomous gathering of cattle. We present a comparison of three different autonomous gathering algorithms that employ sound and/or electric stimuli to guide the cattle. We evaluate these algorithms in simulation by extending previous behavior...

  7. Self-paced and externally triggered rhythmical lower limb movements: a functional MRI study.

    PubMed

    Toyomura, Akira; Shibata, Midori; Kuriki, Shinya

    2012-05-10

    Self-paced rhythmical lower limb movement is an important component of locomotive motion in humans. External stimuli are known to facilitate the generation of rhythmical motion. The importance of such self-paced and externally triggered movements is widely recognized, and these movements of the upper limbs have been studied in detail. However, the difference in neural mechanisms between the self-paced and externally triggered movements of the lower limbs is not clear even in healthy subjects. The present study investigated the neural regions involved in the lower limb movements by using functional magnetic resonance imaging (fMRI). The subjects were fixed face-up to an MRI bed and performed lower limb movements that mimicked walking under self-paced and externally triggered conditions. The results showed that the supplementary motor area, sensorimotor cortex and cerebellum were involved in both types of movement, but the basal ganglia and the thalamus were selectively recruited for the self-paced lower limb movement. These results are compatible with those of previous studies on the control of the lower limbs, and on upper limb movement under self-paced and externally triggered conditions.

  8. Paralympic athletes with cerebral palsy display altered pacing strategies in distance-deceived shuttle running trials.

    PubMed

    Runciman, P; Tucker, R; Ferreira, S; Albertus-Kajee, Y; Derman, W

    2016-10-01

    This study investigated performance and physiology to understand pacing strategies in elite Paralympic athletes with cerebral palsy (CP). Six Paralympic athletes with CP and 13 able-bodied (AB) athletes performed two trials of eight sets of 10 shuttles (total 1600m). One trial was distance-deceived (DEC, 1000 m + 600 m) one trial was nondeceived (N-DEC, 1600 m). Time (s), heart rate (HR, bpm), ratings of perceived exertion (RPE, units), and electromyography of five bilateral muscles (EMG) were recorded for each set of both trials. The CP group ran slower than the AB group, and pacing differences were seen in the CP DEC trial, presenting as a flat pacing profile over the trial (P < 0.05). HR was higher and RPE was lower in the CP group in both trials (P < 0.05). EMG showed small differences between groups, sides, and trials. The present study provides evidence for a possible pacing strategy underlying exercise performance and fatigue in CP. The results of this study show (1) underperformance of the CP group, and (2) altered pacing strategy utilization in the CP group. We proposed that even at high levels of performance, the residual effects of CP may negatively affect performance through selection of conservative pacing strategies during exercise.

  9. Climatic controls on the pace of glacier erosion

    NASA Astrophysics Data System (ADS)

    Koppes, Michele; Hallet, Bernard; Rignot, Eric; Mouginot, Jeremie; Wellner, Julia; Love, Katherine

    2016-04-01

    decrease in long-term relative to modern erosion rates may in part reflect the temporal averaging of warm and cold-based conditions over the lifecycle of these glaciers. Higher temperatures and precipitation rates at the end of glaciations favor the production of water from rainfall, surface melting and internal melting, which promotes sliding, erosion and sediment production and evacuation from under the ice. Hence, climatic variation, more than the extent of ice cover or ice volume, controls the pace at which glaciers shape mountains.

  10. The Nile Delta: climate pacing and vulnerability to Holocene change

    NASA Astrophysics Data System (ADS)

    Marriner, Nick; Flaux, Clément; Morhange, Christophe; Stanley, Jean-Daniel

    2014-05-01

    Deltas are potentially important sentinels to investigate climate-driven changes in palaeohydrology and human impacts, but, paradoxically, have often been overlooked as palaeoclimate records. In this paper, we present two time-series from the Nile Delta to probe both millennial and centennial-scale changes in deltaic hydrogeomorphology over the past 8000 years. In a global Holocene context, the long-term decrease in Nile Delta accretion rates is consistent with insolation-driven changes in the 'monsoon pacemaker', attested throughout the mid-latitude tropics. Using a second record we suggest that, at shorter timescales, many of the major phases of deltaic modification were mediated by climate events linked to El Niño Southern Oscillation- type (ENSO) variability. In the final part of the paper, we propose that following the early to mid-Holocene growth of the Nile's deltaic plain pronounced deltaic erosion is first recorded after ~4000 years ago, the corollaries of falling sediment supply and an intensification of anthropogenic impacts from the Pharaonic period onwards. The study highlights the importance of the world's deltas as sensitive archives to investigate Holocene geosystem responses to climate change, risks and hazards, and societal interaction.

  11. Evaluation of Long Term Effect of RV Apical Pacing on Global LV Function by Echocardiography

    PubMed Central

    Tilkar, Mahendra; Jain, Siddhant; Mondal, Subrata; Sarkar, Piyabi; Modi, Nitin

    2016-01-01

    Introduction We very often face pacemaker implanted patients during follow-up with shortness of breath and effort intolerance inspite of normal clinical parameters. Aim The aim of our study is to evaluate the cause of effort intolerance and probable cause of sub-clinical Congestive Cardiac Failure (CCF) in a case of long term Right Ventricular (RV) apical pacing on global Left Ventricular (LV) function non- invasively by echocardiography. Materials and Methods We studied 54 patients (Male 42, Female 12) of complete heart block (CHB) with RV apical pacing (40 VVI and 14 DCP). Mean duration of pacing was 58+4 months. All patients underwent 24 hours Holter monitoring to determine the percentage of ventricular pacing beats. 2-D Echocardiography was done to assess the regional wall motion of abnormality and global LV ejection fraction by modified Simpson’s rule. These methods were coupled with the Doppler derived Myocardial Performance Index (MPI), tissue Doppler imaging, and mechanical regional dyssynchrony with 3-D Echocardiography. Data were analysed from 54 RV- apical paced patients and compared with age and body surface area of 60 controlled subjects (Male 46, Female 14). Results Evaluation of LV function in 54 patients demonstrated regional wall motion abnormality and Doppler study revealed both LV systolic and diastolic dysfunction compare with control subjects (regional wall motion abnormality 80±6% vs 30±3% with p-value<0.0001) which is proportional to the percentage of ventricular pacing beats (mean paced beat 78%). Global LVEF 50±4% vs 60±2% (p-valve <0.0001) and MPI 0.46 ±0.12 v/s 0.36±0.09 (p-value <0.0001). Conclusion RV–apical pacing induces iatrogenic electrical dyssynchrony which leads to remodeling of LV and produces mechanical dyssynchrony which is responsible for LV dysfunction. Alternate site of RV pacing and/or biventricular pacing should be done to maintain biventricular electrical synchrony which will preserve the LV function. PMID

  12. Can Pacing Be Regulated by Post-Activation Potentiation? Insights from a Self-Paced 30 km Trial in Half-Marathon Runners

    PubMed Central

    Del Rosso, Sebastián; Barros, Edilberto; Tonello, Laís; Oliveira-Silva, Iransé; Behm, David G.; Foster, Carl; Boullosa, Daniel A.

    2016-01-01

    Purpose Given the co-existence of post-activation potentiation (PAP) and fatigue within muscle, it is not known whether PAP could influence performance and pacing during distance running by moderating fatigue. The aim of this study was to assess the influence of PAP on pacing, jumping and other physiological measures during a self-paced 30 km trial. Methods Eleven male endurance-trained runners (half-marathon runners) volunteered to participate in this study. Runners participated in a multi-stage 30 km trial. Before the trial started, determination of baseline blood lactate (bLa) and countermovement jump (CMJ) height was performed. The self-paced 30 km trial consisted of 6 × 5 km splits. At the end of each 5 km split (60 s break), data on time to complete the split, CMJ height, Rating of Perceived Exertion (RPE) and blood lactate were collected while heart rate was continuously monitored. Results There was a significant decrease in speed (e.g. positive pacing strategy after the 4th split, p<0.05) with a progressive increase in RPE throughout the trial. Compared with baseline, CMJ height was significantly (p<0.05) greater than baseline and was maintained until the end of the trial with an increase after the 5th split, concomitant with a significant reduction in speed and an increase in RPE. Significant correlations were found between ΔCMJ and ΔSPEED (r = 0.77 to 0.87, p<0.05) at different time points as well as between RPE and speed (r = -0.61 to -0.82, p<0.05). Conclusion Our results indicates that fatigue and potentiation co-exist during long lasting endurance events, and that the observed increase in jump performance towards the end of the trial could be reflecting a greater potentiation potentially perhaps counteracting the effects of fatigue and preventing further reductions in speed. PMID:26934357

  13. Minimum data set for mass-gathering health research and evaluation: a discussion paper.

    PubMed

    Ranse, Jamie; Hutton, Alison

    2012-12-01

    This paper discusses the need for consistency in mass-gathering data collection and biomedical reporting. Mass gatherings occur frequently throughout the world, and having an understanding of the complexities of mass gatherings is important to inform health services about the possible required health resources. Factors within the environmental, psychosocial and biomedical domains influence the usage of health services at mass gatherings. The biomedical domain includes the categorization of presenting injury or illness, and rates such as patient presentation rate, transferred to hospital rate and referred to hospital rate. These rates provide insight into the usage of onsite health services, prehospital ambulance services. and hospital emergency department services. Within the literature, these rates are reported in a manner that is varied, haphazard and author dependent. This paper proposes moving away from an author-dependent practice of collection and reporting of data. An expert consensus approach is proposed as a means of further developing mass-gathering theory and moving beyond the current situation of reporting on individual case studies. To achieve this, a minimum data set with a data dictionary is proposed in an effort to generate conversation about a possible agreed minimum amount and type of information that should be collected consistently for research and evaluation at mass gatherings. Finally, this paper outlines future opportunities that will emerge from the consistent collection and reporting of mass-gathering data, including the possibility for meta-analysis, comparison of events across societies and modeling of various rates to inform health services. PMID:23174040

  14. A Method Of Evaluating A Subsurface Region Using Gather Sensitive Data Discrimination

    DOEpatents

    Lazaratos, Spyridon K.

    2000-01-11

    A method of evaluating a subsurface region by separating/enhancing a certain type of seismic event data of interest from an overall set of seismic event data which includes other, different types of seismic event data is disclosed herein. In accordance with one feature, a particular type of gather is generated from the seismic event data such that the gather includes at least a portion of the data which is of interest and at least a portion of the other data. A series of data discrimination lines are incorporated into the gather at positions and directions which are established in the gather in a predetermined way. Using the data discrimination lines, the data of interest which is present in the gather is separated/enhanced with respect to the other data within the gather. The separated data may be used for example in producing a map of the particular subterranean region. In accordance with another feature, the gather is selected such that the incorporated discrimination lines approach a near parallel relationship with one another. Thereby, the data is transformed in a way which causes the discrimination lines to be parallel with one another, resulting in reduced frequency distortion accompanied by improved accuracy in the separation/enhancement of data. In accordance with still another feature, the disclosed data separation/enhancement method is compatible with an iterative approach.

  15. Exercise performance in young patients with complete atrioventricular block: the relevance of synchronous atrioventricular pacing.

    PubMed

    Gonzalez Corcia, M Cecilia; Remy, Lorraine Saint; Marchandise, Sebastien; Moniotte, Stephane

    2016-08-01

    At present, there are many pacing strategies for young patients with complete atrioventricular block. The most frequent policy is to attempt placing a dual-chamber system when possible; however, there is a group of patients that is functioning with a non-synchronous ventricular pacing, raising the question of the ideal timing to upgrade their systems. We investigated the exercise performance of a group of children and young adults with complete atrioventricular block and dual-chamber pacemakers in both single- and dual-chamber pacing modalities. A total of 15 patients performed maximal exercise stress testing after programming the VVIR or DDD modes with 2 hours of interval in a double-blind study protocol. Compared with VVIR pacing, DDD pacing resulted in increase in the peak VO2, longer test duration, major increase in the heart rate achieved during peak exercise, decreased systemic non-invasive arterial blood pressure measured at maximal exercise, higher maximal workload, prolongation of the anaerobic threshold timing, and better self-rated performance perception in all the patients. Synchronous atrioventricular pacing contributes to an increase in both the exercise performance and the performance perception in 100% of the patients. This difference contributes to create a sense of "fitness" with repercussions in the overall health, self-esteem, and life quality, as well as encourages youngster to practice sports. Our experience tends to favour upgrading patients' systems to dual-chamber systems before reaching the adolescent years, even if the centre policy is to prolong as long as possible the epicardial site in order to avoid long years of right ventricular pacing. PMID:26796814

  16. Pacing, the missing piece of the puzzle to high-intensity interval training.

    PubMed

    Zadow, E K; Gordon, N; Abbiss, C R; Peiffer, J J

    2015-03-01

    This study examined physiological and perceptual responses to matched work high-intensity interval training using all-out and 2 even-paced methodologies. 15 trained male cyclists performed 3 interval sessions of three 3-min efforts with 3 min of active recovery between efforts. The initial interval session was completed using all-out pacing, with the following 2 sessions being completed with computer- and athlete-controlled pacing in a randomised and semi-counterbalanced manner. Computer- and athlete-controlled intervals were completed at the mean power from the corresponding interval during the all-out trial. Oxygen consumption and ratings of perceived exertion were recorded during each effort. 20 min following each session, participants completed a 4-km time trial and provided sessional rating of perceived exertion. Oxygen consumption was greater during all-out (54.1±6.6 ml.kg(-1).min(-1); p<0.01) and athlete-controlled (53.0±5.8 ml.kg(-1).min(-1); p<0.01) compared with computer-controlled (51.5±5.7 ml.kg(-1).min(-1)). Total time ≥85% maximal oxygen consumption was greater during all-out compared to both even-paced efforts. Sessional ratings of perceived exertion were greater after all-out compared to both even-paced sessions. Mean 4-km power output was lower after all-out compared with both even paced intervals. Distribution of pace throughout high-intensity interval training can influence perceptual and metabolic stress along with subsequent performance and should be considered during the prescription of such training.

  17. Early performance of a miniaturized leadless cardiac pacemaker: the Micra Transcatheter Pacing Study

    PubMed Central

    Ritter, Philippe; Duray, Gabor Z.; Steinwender, Clemens; Soejima, Kyoko; Omar, Razali; Mont, Lluís; Boersma, Lucas VA; Knops, Reinoud E.; Chinitz, Larry; Zhang, Shu; Narasimhan, Calambur; Hummel, John; Lloyd, Michael; Simmers, Timothy Alexander; Voigt, Andrew; Laager, Verla; Stromberg, Kurt; Bonner, Matthew D.; Sheldon, Todd J.; Reynolds, Dwight

    2015-01-01

    Aims Permanent cardiac pacing is the only effective treatment for symptomatic bradycardia, but complications associated with conventional transvenous pacing systems are commonly related to the pacing lead and pocket. We describe the early performance of a novel self-contained miniaturized pacemaker. Methods and results Patients having Class I or II indication for VVI pacing underwent implantation of a Micra transcatheter pacing system, from the femoral vein and fixated in the right ventricle using four protractible nitinol tines. Prespecified objectives were >85% freedom from unanticipated serious adverse device events (safety) and <2 V 3-month mean pacing capture threshold at 0.24 ms pulse width (efficacy). Patients were implanted (n = 140) from 23 centres in 11 countries (61% male, age 77.0 ± 10.2 years) for atrioventricular block (66%) or sinus node dysfunction (29%) indications. During mean follow-up of 1.9 ± 1.8 months, the safety endpoint was met with no unanticipated serious adverse device events. Thirty adverse events related to the system or procedure occurred, mostly due to transient dysrhythmias or femoral access complications. One pericardial effusion without tamponade occurred after 18 device deployments. In 60 patients followed to 3 months, mean pacing threshold was 0.51 ± 0.22 V, and no threshold was ≥2 V, meeting the efficacy endpoint (P < 0.001). Average R-wave was 16.1 ± 5.2 mV and impedance was 650.7 ± 130 ohms. Conclusion Early assessment shows the transcatheter pacemaker can safely and effectively be applied. Long-term safety and benefit of the pacemaker will further be evaluated in the trial. Clinical Trial Registration ClinicalTrials.gov ID NCT02004873. PMID:26045305

  18. Pacing-induced congenital heart defects assessed by OCT (Conference Presentation)

    NASA Astrophysics Data System (ADS)

    Ford, Stephanie M.; McPheeters, Matt T.; Wang, Yves T.; Gu, Shi; Doughman, Yong Qiu; Strainic, James P.; Rollins, Andrew M.; Watanabe, Michiko; Jenkins, Michael W.

    2016-03-01

    The role of hemodynamics in early heart development is poorly understood. In order to successfully assess the impact of hemodynamics on development, we need to monitor and perturb blood flow, and quantify the resultant effects on morphology. Here, we have utilized cardiac optical pacing to create regurgitant flow in embryonic hearts and OCT to quantify regurgitation percentage and resultant morphology. Embryonic quail in a shell-less culture were optically paced at 3 Hz (well above the intrinsic rate or 1.33-1.67 Hz) on day 2 of development (3-4 weeks human) for 5 minutes. The pacing fatigued the heart and led to a prolonged period (> 1 hour) of increased regurgitant flow. Embryos were kept alive until day 3 (cardiac looping - 4-5 weeks human) or day 8 (4 chambered heart - 8 weeks human) to quantify resultant morphologic changes with OCT. All paced embryos imaged at day 3 displayed cardiac defects. The extent of regurgitant flow immediately after pacing was correlated with cardiac cushion size 24-hours post pacing (p-value < 0.01) with higher regurgitation leading to smaller cushions. Almost all embryos (16/18) surviving to day 8 exhibited congenital heart defects (CHDs) including 11/18 with valve defects, 5/18 with ventricular septal defects and 5/18 with hypoplastic right ventricles. Our data suggests that regurgitant flow leads to smaller cushions, which develop into abnormal valves and septa. Our model produces similar phenotypes as found in our fetal alcohol syndrome and velo-cardio-facial/DiGeorge syndrome models suggesting that hemodynamics plays a role in these syndromes as well. Utilizing OCT and optical pacing to understand hemodynamics in development is an important step towards determining CHD mechanisms and ultimately developing earlier treatments.

  19. Short-term pacing in the mouse alters cardiac expression of connexin43

    PubMed Central

    Kontogeorgis, Andrianos; Kaba, Riyaz A; Kang, Eunice; Feig, Jonathan E; Gupta, Pritha P; Ponzio, Marc; Liu, Fangyu; Rindler, Michael J; Wit, Andrew L; Fisher, Edward A; Peters, Nicholas S; Gutstein, David E

    2008-01-01

    Background Cardiac insults such as ischemia, infarction, hypertrophy and dilatation are often accompanied by altered abundance and/or localization of the connexin43 gap junction protein, which may predispose towards arrhythmic complications. Models of chronic dyssynchronous cardiac activation have also been shown to result in redistribution of connexin43 in cardiomyocytes. We hypothesized that alterations in connexin43 expression and localization in the mouse heart might be induced by ventricular pacing over a short period of time. Results The subdiaphragmatic approach was used to pace a series of wild type mice for six hours before the hearts were removed for analysis. Mice were paced at 10–15% above their average anesthetized sinus rate and monitored to ensure 1:1 capture. Short-term pacing resulted in a significant reduction in connexin43 mRNA abundance, a partial redistribution of connexin43 from the sarcolemma to a non-sarcolemmal fraction, and accumulation of ubiquitinated connexin43 without a significant change in overall connexin43 protein levels. These early pacing-induced changes in connexin43 expression were not accompanied by decreased cardiac function, prolonged refractoriness or increased inducibility into sustained arrhythmias. Conclusion Our data suggest that short-term pacing is associated with incipient changes in the expression of the connexin43 gap junction, possibly including decreased production and a slowed rate of degradation. This murine model may facilitate the study of early molecular changes induced by pacing and may ultimately assist in the development of strategies to prevent gap junction remodeling and the associated arrhythmic complications of cardiac disease. PMID:18460209

  20. Batak foraging camps today: a window to the history of a hunting-gathering economy

    SciTech Connect

    Eder, J.F.

    1988-03-01

    Incorporation into wider social and economic systems has brought a variety of changes to the hunting-gathering lifestyle of the Batak of the Philippines. Compared to 100 years ago, Batak hunting-gathering camps today are more limited in duration and smaller in size, hunting-gathering itself is more seasonal in importance, and there are significant differences in technology, resource utilization, the organization of labor, and length of workday. These changes are related to the growing importance of other economic activities and to the nature of Batak market articulation with lowland Filipino society.

  1. Influence of pacing strategy on oxygen uptake during treadmill middle-distance running.

    PubMed

    Sandals, L E; Wood, D M; Draper, S B; James, D V B

    2006-01-01

    The oxygen uptake (VO2) attained during a constant speed 800-m pace trial on a treadmill is less than the maximal VO2 (VO2max) in male middle-distance runners with a high VO2max (i.e., > 65 ml x kg (-1) x min (-1)). We therefore investigated whether the VO2 attained was influenced by the pacing strategy adopted. Eight male middle-distance runners (age 25.8 +/- 3.3 years; height 1.78 +/- 0.10 m; mass 67.8 +/- 4.7 kg) with a personal best 800-m time of 112.0 +/- 3.3 s volunteered to participate. Subjects undertook a speed ramped progressive test to determine VO2max and three 800-m pace runs to exhaustion all in a randomised order. The three 800-m pace runs included constant speed, acceleration, and race simulation runs. Oxygen uptake was determined throughout each test using 15-s Douglas bag collections. Following the application of a 30-s rolling average, the highest VO2 during the progressive test (i.e., VO2max) and the highest VO2 during the 800-m pace runs (i.e., VO2peak) were compared. For the eight runners, VO2max was 67.2 +/- 4.3 ml x kg (-1) x min (-1) x VO2peak was 60.1 +/- 5.1 ml x kg (-1) x min (-1), 61.1 +/- 5.2 ml x kg (-1) x min (-1), and 62.2 +/- 4.9 ml x kg (-1) x min (-1), yielding values of 89.3 +/- 2.4 %, 90.8 +/- 2.8 %, and 92.5 +/- 3.1 % VO2max for the constant speed, acceleration and race simulation runs, respectively. Across runs, repeated measures ANOVA revealed a significant effect (p = 0.048). Trend analysis identified a significant linear trend (p = 0.025) with the % VO2max attained being higher for the acceleration run than the constant speed run, and higher still for the race simulation run. These results demonstrate that in middle-distance runners a) pacing strategy influences the VO2 attained, with a race simulation run elevating the VO2 attained compared with other pacing strategies, and b) regardless of pacing strategy the VO2 attained in an 800-m pace run on a treadmill is less than VO2max. PMID:16388440

  2. Application of PACE Principles for Population Health Management of Frail Older Adults.

    PubMed

    Stefanacci, Richard G; Reich, Shelley; Casiano, Alex

    2015-10-01

    To determine which practices would have the most impact on reducing hospital and emergency department admissions and nursing home placement among older adults with multiple comorbid conditions, a literature search and survey were conducted to identify and prioritize comprehensive care principles as practiced in the Program of All-inclusive Care for the Elderly (PACE). PACE medical directors and members of the PACE interdisciplinary team (IDT) were surveyed to gain their insights on the most impactful practices, which were identified as: End-of-Life Management, Caregiver Support, Management of Red Flags, Medication Management, Participant and Caregiver Health Care System Literacy, and Care Coordination. In addition, this research evaluated measures that could be used to assess an organization's level of success with regard to each of the 6 PACE practices identified. The results reported in this article, found through a survey with PACE medical directors and IDT members concerning effective interventions, can be viewed as strategies to improve care for older adults, enabling them to maintain their independence in the community, avoid the expense of facility-based care, and enhance their quality of life.

  3. Potential Effect of Physical Activity Calorie Equivalent (PACE) Labeling on Adult Fast Food Ordering and Exercise

    PubMed Central

    Antonelli, Ray; Viera, Anthony J.

    2015-01-01

    Introduction Numeric calorie content labels show limited efficacy in reducing the number of calories ordered from fast food meals. Physical activity calorie equivalent (PACE) labels are an alternative that may reduce the number of calories ordered in fast food meals while encouraging patrons to exercise. Methods A total of 1000 adults from 47 US states were randomly assigned via internet survey to one of four generic fast food menus: no label, calories only, calories + minutes, or calories + miles necessary to walk to burn off the calories. After completing hypothetical orders participants were asked to rate the likelihood of calorie-only and PACE labels to influence (1) food choice and (2) physical activity. Results Respondents (n = 823) ordered a median of 1580 calories from the no-label menu, 1200 from the calories-only menu, 1140 from the calories + minutes menu, and 1210 from the calories + miles menu (p = 0.0001). 40% of respondents reported that PACE labels were “very likely” to influence food item choice vs. 28% for calorie-only labels (p<0.0001). 64% of participants reported that PACE labels were “somewhat likely” or “very likely” to influence their level of physical activity vs. 49% for calorie-only labels (p<0.0001). Conclusions PACE labels may be helpful in reducing the number of calories ordered in fast food meals and may have the added benefit of encouraging exercise. PMID:26222056

  4. A biophysically based finite-state machine model for analyzing gastric experimental entrainment and pacing recordings.

    PubMed

    Sathar, Shameer; Trew, Mark L; Du, Peng; O'Grady, Greg; Cheng, Leo K

    2014-04-01

    Gastrointestinal motility is coordinated by slow waves (SWs) generated by the interstitial cells of Cajal (ICC). Experimental studies have shown that SWs spontaneously activate at different intrinsic frequencies in isolated tissue, whereas in intact tissues they are entrained to a single frequency. Gastric pacing has been used in an attempt to improve motility in disorders such as gastroparesis by modulating entrainment, but the optimal methods of pacing are currently unknown. Computational models can aid in the interpretation of complex in vivo recordings and help to determine optimal pacing strategies. However, previous computational models of SW entrainment are limited to the intrinsic pacing frequency as the primary determinant of the conduction velocity, and are not able to accurately represent the effects of external stimuli and electrical anisotropies. In this paper, we present a novel computationally efficient method for modeling SW propagation through the ICC network while accounting for conductivity parameters and fiber orientations. The method successfully reproduced experimental recordings of entrainment following gastric transection and the effects of gastric pacing on SW activity. It provides a reliable new tool for investigating gastric electrophysiology in normal and diseased states, and to guide and focus future experimental studies. PMID:24276722

  5. Atrial pacing and thallium 201 scintigraphy: combined use for diagnosis of coronary artery disease

    SciTech Connect

    Stratmann, H.G.; Mark, A.L.; Walter, K.E.; Fletcher, J.W.; Williams, G.A.

    1987-11-01

    To evaluate the presence of coronary artery disease (CAD), atrial pacing and thallium 201 scintigraphy were performed in 36 patients with stable angina pectoris who were unable to perform an adequate exercise stress test. All patients underwent cardiac catheterization. Nine patients had previously undergone coronary artery bypass surgery. Significant CAD (one or more lesions greater than or equal to 50%) was present in 33 patients. Atrial pacing produced ischemic ST segment depression (greater than or equal to 1 mm) in 18 (55%) patients with CAD, and angina in 20 patients (61%). As the number of vessels with CAD increased, there was no significant change in the sensitivities of pacing-induced angina or ST segment depression for detecting CAD. In the 3 patients without CAD, ST segment depression occurred in 1 patient and angina in none. Thallium 201 scintigraphy demonstrated perfusion defects in 27 (82%) patients with CAD, with fixed defects seen in 13 studies (39%) and reversible defects in 15 (45%). In the 3 patients without CAD, no perfusion defects were seen. The thallium 201 scan successfully predicted the presence of CAD in patients with single-vessel disease but usually underestimated the number of vessels involved in patients with multivessel disease. Combined sensitivity of pacing-induced ST segment depression and an abnormal thallium 201 scan finding for detecting CAD was 91%. The authors conclude that combined atrial pacing and thallium 201 scintigraphy is a useful test for detecting CAD in patients unable to perform an adequate exercise stress test.

  6. Laying, operating innovations pace move to deeper water

    SciTech Connect

    Not Available

    1994-08-01

    Innovations driven by the offshore industry's move into deeper, colder water and its continuing demand for solid operating research were highlighted in technical papers presented at the 26th Offshore Technology Conference held in Houston, May 2--5. For pipe line connecting and laying operations, there were discussions concerning: a diverless jumper connector system for two 12-in. lines to be carried out in 2,130 ft water depth; what's believed to be the first near vertical, deepwater, J-lay project, conducted in 2,860 ft of water; first year results from operation of a prototype subsea, ROV-controlled, lightweight pipe line trencher for flexible lines. In operating research, scientists reported on new laboratory test apparatus and results designed to investigate wax deposition and gel strength of waxy live crude oils. Operators, perhaps for the first time, have data on the impact of oil bubble point, flowrate and paraffin inhibitor on wax deposition and the impact of oil bubble point and pipe size on the gel strength of waxy crudes, including both stock tank oils and live oils.

  7. 49 CFR 191.13 - Distribution systems reporting transmission pipelines; transmission or gathering systems...

    Code of Federal Regulations, 2012 CFR

    2012-10-01

    ... pipelines; transmission or gathering systems reporting distribution pipelines. 191.13 Section 191.13 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER...

  8. 49 CFR 191.13 - Distribution systems reporting transmission pipelines; transmission or gathering systems...

    Code of Federal Regulations, 2011 CFR

    2011-10-01

    ... pipelines; transmission or gathering systems reporting distribution pipelines. 191.13 Section 191.13 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER...

  9. 49 CFR 191.13 - Distribution systems reporting transmission pipelines; transmission or gathering systems...

    Code of Federal Regulations, 2014 CFR

    2014-10-01

    ... pipelines; transmission or gathering systems reporting distribution pipelines. 191.13 Section 191.13 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER...

  10. 49 CFR 191.13 - Distribution systems reporting transmission pipelines; transmission or gathering systems...

    Code of Federal Regulations, 2013 CFR

    2013-10-01

    ... pipelines; transmission or gathering systems reporting distribution pipelines. 191.13 Section 191.13 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER...

  11. 49 CFR 191.13 - Distribution systems reporting transmission pipelines; transmission or gathering systems...

    Code of Federal Regulations, 2010 CFR

    2010-10-01

    ... pipelines; transmission or gathering systems reporting distribution pipelines. 191.13 Section 191.13 Transportation Other Regulations Relating to Transportation (Continued) PIPELINE AND HAZARDOUS MATERIALS SAFETY ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) PIPELINE SAFETY TRANSPORTATION OF NATURAL AND OTHER...

  12. Giant jellyfish Nemopilema nomurai gathering in the Yellow Sea—a numerical study

    NASA Astrophysics Data System (ADS)

    Wei, Hao; Deng, Lijing; Wang, Yuheng; Zhao, Liang; Li, Xia; Zhang, Fang

    2015-04-01

    A particle tracking model, based on output from the Princeton Ocean Model (POM), is established to study the year-to-year variation of the gathering of giant jellyfish Nemopilema nomurai in early autumn in the Yellow Sea. Particles standing for scyphistoma adhered to the bottom are put initially along the coast from the Changjiang River estuary to Haizhou Bay. The triggering temperature for scyphistoma strobilation is set to 13 °C. The simulated N. nomurai distribution is in good agreement with observations in August 2009. Model results suggest that more jellyfish gathered near tidal front in August-September of 2008 than during the same period of 2009. Using a set of sensitivity experiments, the influences of temperature and circulation on N. nomurai gathering are discussed. Model results suggest the modeled difference in fall gathering of jellyfish between 2008 and 2009 can be attributed more to changes in circulation than the triggering of strobilation by spring bottom temperature.

  13. Orbital pacing and ocean circulation-induced collapses of the Mesoamerican monsoon over the past 22,000 y

    PubMed Central

    Lachniet, Matthew S.; Asmerom, Yemane; Bernal, Juan Pablo; Polyak, Victor J.; Vazquez-Selem, Lorenzo

    2013-01-01

    The dominant controls on global paleomonsoon strength include summer insolation driven by precession cycles, ocean circulation through its influence on atmospheric circulation, and sea-surface temperatures. However, few records from the summer North American Monsoon system are available to test for a synchronous response with other global monsoons to shared forcings. In particular, the monsoon response to widespread atmospheric reorganizations associated with disruptions of the Atlantic Meridional Overturning Circulation (AMOC) during the deglacial period remains unconstrained. Here, we present a high-resolution and radiometrically dated monsoon rainfall reconstruction over the past 22,000 y from speleothems of tropical southwestern Mexico. The data document an active Last Glacial Maximum (18–24 cal ka B.P.) monsoon with similar δ18O values to the modern, and that the monsoon collapsed during periods of weakened AMOC during Heinrich stadial 1 (ca. 17 ka) and the Younger Dryas (12.9–11.5 ka). The Holocene was marked by a trend to a weaker monsoon that was paced by orbital insolation. We conclude that the Mesoamerican monsoon responded in concert with other global monsoon regions, and that monsoon strength was driven by variations in the strength and latitudinal position of the Intertropical Convergence Zone, which was forced by AMOC variations in the North Atlantic Ocean. The surprising observation of an active Last Glacial Maximum monsoon is attributed to an active but shallow AMOC and proximity to the Intertropical Convergence Zone. The emergence of agriculture in southwestern Mexico was likely only possible after monsoon strengthening in the Early Holocene at ca. 11 ka. PMID:23690596

  14. Transhepatic permanent pacing in a child with complex cyanotic heart disease after total cavo pulmonary shunt (Kawashima repair).

    PubMed

    Singhi, Anilkumar; Sheriff, Ejaz Ahmed; Sivakumar, Kothandam

    2016-01-01

    Complex cyanotic congenital heart diseases with left isomerism are sometimes associated with atrioventricular nodal conduction disturbances that may need permanent pacing. Surgical palliation in such anatomy connecting the superior vena cava to the pulmonary artery precludes a transvenous access for an endocardial pacing lead to the ventricles. Epicardial leads in these patients fail if the pacing thresholds are very high. We report transhepatic permanent ventricular lead implantation for a young boy with heterotaxy complicated by complete heart block. PMID:27676165

  15. Recent origin and cultural reversion of a hunter-gatherer group.

    PubMed

    Oota, Hiroki; Pakendorf, Brigitte; Weiss, Gunter; von Haeseler, Arndt; Pookajorn, Surin; Settheetham-Ishida, Wannapa; Tiwawech, Danai; Ishida, Takafumi; Stoneking, Mark

    2005-03-01

    Contemporary hunter-gatherer groups are often thought to serve as models of an ancient lifestyle that was typical of human populations prior to the development of agriculture. Patterns of genetic variation in hunter-gatherer groups such as the Kung and African Pygmies are consistent with this view, as they exhibit low genetic diversity coupled with high frequencies of divergent mtDNA types not found in surrounding agricultural groups, suggesting long-term isolation and small population sizes. We report here genetic evidence concerning the origins of the Mlabri, an enigmatic hunter-gatherer group from northern Thailand. The Mlabri have no mtDNA diversity, and the genetic diversity at Y-chromosome and autosomal loci are also extraordinarily reduced in the Mlabri. Genetic, linguistic, and cultural data all suggest that the Mlabri were recently founded, 500-800 y ago, from a very small number of individuals. Moreover, the Mlabri appear to have originated from an agricultural group and then adopted a hunting-gathering subsistence mode. This example of cultural reversion from agriculture to a hunting-gathering lifestyle indicates that contemporary hunter-gatherer groups do not necessarily reflect a pre-agricultural lifestyle.

  16. Communicable diseases as health risks at mass gatherings other than Hajj: what is the evidence?

    PubMed

    Gautret, Philippe; Steffen, Robert

    2016-06-01

    Mass gatherings are characterized by the concentration of people temporally and spatially, and may lead to the emergence of infectious diseases due to enhanced transmission between attendees. This is well-demonstrated in the context of the Hajj and Umrah pilgrimages in Saudi Arabia. The goal of this review was to present the available evidence on outbreaks associated with a variety of pathogens, or also the lack thereof, as assessed by thorough surveillance at any mass gatherings with the exception of those in Saudi Arabia. A systematic search for relevant articles in the literature was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Sixty-eight studies were identified. Although outbreaks have not been reported frequently in or after mass gatherings outside the Hajj and Umrah pilgrimages, they have sometimes occurred at Muslim, Christian, and Hindu religious events, at sports events, and at large-scale open air festivals. In this review it was found that the most common outbreaks at these mass gatherings involved vaccine preventable diseases, mainly measles and influenza, but also mumps and hepatitis A. Meningococcal disease has rarely been recorded. Additionally it was found that the transmission of various communicable diseases that may not be prevented by vaccination has been recorded in association with mass gatherings. These were mainly gastrointestinal infections, caused by a variety of pathogens. It was also noted that some outbreaks occurring at mass gatherings have resulted in the international spread of communicable diseases. PMID:26987476

  17. The development of intelligent, triage-based, mass-gathering emergency medical service PDA support systems.

    PubMed

    Chang, Polun; Hsu, Yueh-Shuang; Tzeng, Yuann-Meei; Sang, Yiing-Yiing; Hou, I-Ching; Kao, Wei-Fong

    2004-09-01

    The support systems for the Emergency Medical Services (EMS) at mass gatherings, such as the local marathon or large international baseball games, are underdeveloped. The purposes of this study were to extend well-developed, triage-based, EMS Personal Digital Assistant (PDA) support systems to cover pre-hospital emergency medical services and onsite evaluation forms for the mass gatherings, and to evaluate users ' perceived ease of use and usefulness of the systems in terms of Davis ' Technology Acceptance Model (TAM). The systems were developed based on an established intelligent triage PDA support system and two other forms the general EMS form from the Taipei EMT and the customer-made Mass Gathering Medical form used by a medical center. Twenty-three nurses and six physicians in the medical center, who had served at mass gatherings, were invited to examine the new systems and answer the TAM questionnaire. The PDA systems were composed of 450 information items within 42 screens in 6 categories. The results supported the potential for using triage-based PDA systems at mass gatherings. Overall, most of the subjects agreed that the systems were easy to use and useful for mass gatherings, and they were willing to accept the systems.

  18. Scatter/Gather Clustering: Flexibly Incorporating User Feedback to Steer Clustering Results.

    PubMed

    Hossain, M S; Ojili, Praveen Kumar Reddy; Grimm, C; Muller, R; Watson, L T; Ramakrishnan, N

    2012-12-01

    Significant effort has been devoted to designing clustering algorithms that are responsive to user feedback or that incorporate prior domain knowledge in the form of constraints. However, users desire more expressive forms of interaction to influence clustering outcomes. In our experiences working with diverse application scientists, we have identified an interaction style scatter/gather clustering that helps users iteratively restructure clustering results to meet their expectations. As the names indicate, scatter and gather are dual primitives that describe whether clusters in a current segmentation should be broken up further or, alternatively, brought back together. By combining scatter and gather operations in a single step, we support very expressive dynamic restructurings of data. Scatter/gather clustering is implemented using a nonlinear optimization framework that achieves both locality of clusters and satisfaction of user-supplied constraints. We illustrate the use of our scatter/gather clustering approach in a visual analytic application to study baffle shapes in the bat biosonar (ears and nose) system. We demonstrate how domain experts are adept at supplying scatter/gather constraints, and how our framework incorporates these constraints effectively without requiring numerous instance-level constraints.

  19. RESPeRATE: the role of paced breathing in hypertension treatment.

    PubMed

    Cernes, Relu; Zimlichman, Reuven

    2015-01-01

    Despite a good adherence to lifestyle modifications and antihypertensive drugs, hypertension remains resistant in more than one-third of patients, thus creating the need for additional strategies, including non-pharmacologic approaches. Slow and deep breathing ("paced breathing") associated in the past with meditation has a direct antihypertensive effect by increasing baroreflex sensitivity. With the method of guiding the pace of breathing, a US Food and Drug Administration-certified device, RESPeRATE, may offer an easy, efficient, inexpensive, and noninvasive option for treating hypertension. Multiple studies showed a significant reduction of blood pressure when RESPeRATE was evaluated in a home and office setting. In conclusion, this review outlines the pathophysiologic background of paced respiration, describes RESPeRATE clinical trials, and presents briefly other guided breathing alternatives. PMID:25539897

  20. Adaptive pacing of visual stimulation for fMRI studies involving overt speech.

    PubMed

    Grabowski, Thomas J; Bauer, Matthew D; Foreman, Derek; Mehta, Sonya; Eaton, Brent L; Graves, William W; Defoe, Dori L; Bolinger, Lizann

    2006-02-01

    We report the development of an interactive approach to single-word language production studies in fMRI. The approach, adaptive pacing, involves real-time adjustment of stimulus presentation times based on individual subject performance timing and content. At the same time, it maintains a stochastic distribution of interstimulus intervals to avoid confounding task covariates with speech-related signal variance. Adaptive pacing of overt speech production is an example of a new class of paradigms that require an observational approach to data acquisition and benefit from a "time-aware" acquisition and processing environment. The advantages of adaptive pacing in fMRI of impaired subjects are expected to be the acquisition of more informative data per unit time, less contamination of data by correlates of non-language processes such as emotion, and facilitation of experiments that combine normal and impaired subjects. PMID:16303319

  1. Three-Dimensional Printing for In Vivo Visualization of His Bundle Pacing Leads.

    PubMed

    Bauch, Terry; Vijayaraman, Pugazhendhi; Dandamudi, Gopi; Ellenbogen, Kenneth

    2015-08-01

    Transvenous pacing leads have been implicated in tricuspid valve dysfunction, and our group has adopted routine use of His bundle pacing to mitigate this effect. Three-dimensional (3D) printing technology holds great promise for advancing medicine, but the high start-up costs can be a deterrent. Seeking confirmation of optimal lead placement relative to the tricuspid annulus, we used low-cost commercial and public domain technologies to generate 3D-printed hearts from selected patients with His bundle pacing leads. Our models successfully demonstrated that such lead placements avoided interference with the tricuspid valve apparatus in these cases. Future applications of 3D printing include facilitating research to minimize lead-valve interactions, understand complex cardiac anatomy, and plan complex surgical procedures.

  2. Jane Jacobs and 'The Need for Aged Buildings': Neighborhood Historical Development Pace and Community Social Relations.

    PubMed

    King, Katherine

    2013-09-01

    Jacobs argued that grand planning schemes intending to redevelop large swaths of a city according to a central theoretical framework fail because planners do not understand that healthy cities are organic, spontaneous, messy, complex systems that result from evolutionary processes. She argued that a gradual pace of redevelopment would facilitate maintenance of existing interpersonal ties. This paper operationalizes the concept of pace of development within a cross-sectional framework as the "age diversity of housing." Analysis of a population-based multilevel community survey of Chicago linked with census housing data predicts individual perceptions of neighborhood social relations (cohesion, control, intergenerational closure, and reciprocal exchange). A gradual pace of redevelopment resulting in historical diversity of housing significantly predicts social relations, lending support to Jacobs's claims. PMID:24163485

  3. Influence of cinnamon and catnip on the stereotypical pacing of oncilla cats (Leopardus tigrinus) in captivity.

    PubMed

    Resende, Letícia de S; Pedretti Gomes, Karla C; Andriolo, Artur; Genaro, Gelson; Remy, Gabriella L; Almeida Ramos, Valdir de

    2011-01-01

    Nonhuman animals in captivity can experience environmental privation that results in their exhibiting abnormal behaviors. Environmental enrichment techniques can help improve their welfare. This study investigated the behavior of 8 zoo-housed oncilla cats (Leopardus tigrinus) in response to 2 odors (catnip and cinnamon) introduced individually into the animals' enclosures for 3 consecutive days. Proportion of scans spent engaging in stereotypical pacing were compared before, during, and after treatments. The addition of cinnamon reduced the proportion of pacing during and after enrichment (Wilcoxon: Z = 3.16, p < .001; Z = 3.16, p < .001, respectively), indicating a prolonged effect of the enrichment on the animals' behavior. Catnip appears to have elicited no significant difference in the stereotypic pacing before, during, or after the enrichment (Friedman: X(2) = 2.69; p = .260). The results highlight the potential use of cinnamon as a method of environmental enrichment for small captive-housed cats.

  4. Influence of cinnamon and catnip on the stereotypical pacing of oncilla cats (Leopardus tigrinus) in captivity.

    PubMed

    Resende, Letícia de S; Pedretti Gomes, Karla C; Andriolo, Artur; Genaro, Gelson; Remy, Gabriella L; Almeida Ramos, Valdir de

    2011-01-01

    Nonhuman animals in captivity can experience environmental privation that results in their exhibiting abnormal behaviors. Environmental enrichment techniques can help improve their welfare. This study investigated the behavior of 8 zoo-housed oncilla cats (Leopardus tigrinus) in response to 2 odors (catnip and cinnamon) introduced individually into the animals' enclosures for 3 consecutive days. Proportion of scans spent engaging in stereotypical pacing were compared before, during, and after treatments. The addition of cinnamon reduced the proportion of pacing during and after enrichment (Wilcoxon: Z = 3.16, p < .001; Z = 3.16, p < .001, respectively), indicating a prolonged effect of the enrichment on the animals' behavior. Catnip appears to have elicited no significant difference in the stereotypic pacing before, during, or after the enrichment (Friedman: X(2) = 2.69; p = .260). The results highlight the potential use of cinnamon as a method of environmental enrichment for small captive-housed cats. PMID:22044295

  5. Modeling parameters that characterize pacing of elite female 800-m freestyle swimmers.

    PubMed

    Lipińska, Patrycja; Allen, Sian V; Hopkins, Will G

    2016-01-01

    Pacing offers a potential avenue for enhancement of endurance performance. We report here a novel method for characterizing pacing in 800-m freestyle swimming. Websites provided 50-m lap and race times for 192 swims of 20 elite female swimmers between 2000 and 2013. Pacing for each swim was characterized with five parameters derived from a linear model: linear and quadratic coefficients for effect of lap number, reductions from predicted time for first and last laps, and lap-time variability (standard error of the estimate). Race-to-race consistency of the parameters was expressed as intraclass correlation coefficients (ICCs). The average swim was a shallow negative quadratic with slowest time in the eleventh lap. First and last laps were faster by 6.4% and 3.6%, and lap-time variability was ±0.64%. Consistency between swimmers ranged from low-moderate for the linear and quadratic parameters (ICC = 0.29 and 0.36) to high for the last-lap parameter (ICC = 0.62), while consistency for race time was very high (ICC = 0.80). Only ~15% of swimmers had enough swims (~15 or more) to provide reasonable evidence of optimum parameter values in plots of race time vs. each parameter. The modest consistency of most of the pacing parameters and lack of relationships between parameters and performance suggest that swimmers usually compensated for changes in one parameter with changes in another. In conclusion, pacing in 800-m elite female swimmers can be characterized with five parameters, but identifying an optimal pacing profile is generally impractical. PMID:25703479

  6. Gathering clouds.

    PubMed

    Conde, Crystal

    2012-01-01

    Many physicians are finding their heads in a "cloud" as they ponder adopting or upgrading an electronic health record (EHR). That doesn't mean they're not in touch with reality. It means they now can choose new web-based systems, also known as cloud-based EHRs, that allow them to pay a monthly subscription fee to access an EHR rather than purchase it. They don't have to buy an expensive server with its associated hardware and software; a computer with an Internet connection will do. PMID:22714732

  7. Gathering clouds.

    PubMed

    Conde, Crystal

    2012-01-01

    Many physicians are finding their heads in a "cloud" as they ponder adopting or upgrading an electronic health record (EHR). That doesn't mean they're not in touch with reality. It means they now can choose new web-based systems, also known as cloud-based EHRs, that allow them to pay a monthly subscription fee to access an EHR rather than purchase it. They don't have to buy an expensive server with its associated hardware and software; a computer with an Internet connection will do.

  8. Gathering Faculties

    ERIC Educational Resources Information Center

    Carriuolo, Nancy

    2001-01-01

    As pre-K-12 classrooms become more diverse, and teachers and students are held ever more accountable for learning, the task of preparing pre-K-12 teachers becomes more of a hot potato. Reflecting public skepticism about whether teachers know as much as they should, Congress has required teacher preparation programs to report their graduates' pass…

  9. The effects of presentation pace and modality on learning a multimedia science lesson

    NASA Astrophysics Data System (ADS)

    Chung, Wen-Hung

    Working memory is a system that consists of multiple components. The visuospatial sketchpad is the main entrance for visual and spatial information, whereas acoustic and verbal information is processed in the phonological loop. The central executive works as a coordinator of information from these two subsystems. Numerous studies have shown that working memory has a very limited capacity. Based on these characteristics of working memory, theories such as cognitive load theory and the cognitive theory of multimedia learning provide multimedia design principles. One of these principles is that when verbal information accompanying pictures is presented in audio mode instead of visually, learning can be more effective than if both text and pictures are presented visually. This is called the modality effect. However, some studies have found that the modality effect does not occur in some situations. In most experiments examining the modality effect, the multimedia is presented as system-paced. If learners are able to repeat listening as many times as they need, the superiority of spoken text over visual text seems lessened. One aim of this study was to examine the modality effect in a learner-controlled condition. This study also used the one-word-at-a-time technique to investigate whether the modality effect would still occur if both reading and listening rates were equal. There were 182 college students recruited for this study. Participants were randomly assigned to seven groups: a self-paced listening group, a self-paced reading group, a self text-block reading group, a general-paced listening group, a general-paced reading group, a fast-paced listening group, and a fast-paced reading group. The experimental material was a cardiovascular multimedia module. A three-by-two between-subjects design was used to test the main effect. Results showed that modality effect was still present but not between the self-paced listening group and the self text-block reading group

  10. Paradoxical responses to pacing maneuvers differentiating atrioventricular node reentrant tachycardia and junctional tachycardia.

    PubMed

    Tokuda, Michifumi; Yamane, Teiichi; Matsuo, Seiichiro; Tokutake, Kenichi; Yokoyama, Kenichi; Hioki, Mika; Narui, Ryohsuke; Tanigawa, Shin-Ichi; Yamashita, Seigo; Inada, Keiichi; Yoshimura, Michihiro

    2016-02-01

    A 40-year-old female presented at our hospital because of heart palpitations. During an electrophysiological study, atrioventricular (AV) conduction showed dual AV nodal physiology. Three types of supraventricular tachycardia (SVT) were induced. The initiation of SVT was reproducibility dependent on a critical A-H interval prolongation. An early premature atrial contraction during SVT repeatedly advanced the immediate His potential with termination of the tachycardia, indicating AV node reentrant tachycardia (AVNRT). However, after atrial overdrive pacing during SVT without termination of the tachycardia, the first return electrogram resulted in an AHHA response, consistent with junctional tachycardia. The mechanism of paradoxical responses to pacing maneuvers differentiating AVNRT and junctional tachycardia was discussed.

  11. Permanent pacing in patients without upper limb venous access: a review of current techniques

    PubMed Central

    Seow, Swee-Chong; Lim, Toon-Wei; Singh, Devinder; Yeo, Wee-Tiong; Kojodjojo, Pipin

    2014-01-01

    Permanent transvenous cardiac pacing is usually accomplished through the upper limb veins. When these are occluded, several other vascular access options exist which include the internal jugular, external jugular, femoral and iliac veins as well as more proximal access of the subclavian veins. Anterograde and retrograde techniques to restore subclavian venous patency has been described. A review of these approaches is undertaken, with a discussion of their pros and cons. Familiarity with these techniques will enable the implanter to perform transvenous pacing when faced with limited vascular access. PMID:27326197

  12. Baseline tests of the EVA change-of-pace coupe electric passenger vehicle

    NASA Technical Reports Server (NTRS)

    Bozek, J. M.; Maslowski, E. A.; Dustin, M. O.

    1977-01-01

    The EVA Change-of-Pace Coupe, is an electric passenger vehicle, to characterize the state-of-the-art of electric vehicles. The EVA Change-of-Pace Coupe is a four passenger sedan that has been coverted to an electric vehicle. It is powered by twenty 6 volt traction batteries through a silicon controlled rectifier chopper controller actuated by a foot throttle to change the voltage applied to the series wound, direct current motor. Braking is accomplished with a vacuum assist hydraulic braking system. Regenerative braking is also provided.

  13. [Influence of development pace on pharyngeal teeth formula in Abramis brama (L.) bream: experimental data].

    PubMed

    Bolotovskii, A A; Levin, B A

    2011-01-01

    An experiment on acceleration and retardation of ontogenesis with thyroid manipulation has revealed direct changes in definitive dentition of pharyngeal bones in Abramis brama bream. As development pace accelerates, the number of teeth reduces to the formula 5-4. When development pace slows down, this number increases to the formula 6-5. Moreover, an additional minor row of teeth (1.6-5.1, 2.6-5.2) is formed. The observed changes transcend typical changes happening in nature. It is assumed that heterochronies provoke changes in the number of teeth.

  14. Diaphragmatic pacing to facilitate ventilator weaning in neuromyelitis optica-associated respiratory failure.

    PubMed

    Rahmlow, Megan R; Boylan, Kevin; Freeman, William D

    2012-07-01

    Patients with neuromyelitis optica may develop neurogenic respiratory failure in the context of severe upper cervical myelitis, which can require prolonged or indefinite mechanical ventilation. Diaphragmatic pacing has FDA approval under a humanitarian device exemption (HDE) to facilitate weaning from mechanical ventilation in the context of cervical spinal cord injury. We describe the use of diaphragmatic pacing in a patient with acute respiratory failure due to a severe attack of neuromyelitis optica on the cervical spinal cord. The device resulted in successful early ventilator weaning. PMID:25877081

  15. In Heart Failure Patients with Left Bundle Branch Block Single Lead MultiSpot Left Ventricular Pacing Does Not Improve Acute Hemodynamic Response To Conventional Biventricular Pacing. A Multicenter Prospective, Interventional, Non-Randomized Study

    PubMed Central

    Sterliński, Maciej; Sokal, Adam; Lenarczyk, Radosław; Van Heuverswyn, Frederic; Rinaldi, C. Aldo; Vanderheyden, Marc; Khalameizer, Vladimir; Francis, Darrel; Heynens, Joeri; Stegemann, Berthold; Cornelussen, Richard

    2016-01-01

    Introduction Recent efforts to increase CRT response by multiSPOT pacing (MSP) from multiple bipols on the same left ventricular lead are still inconclusive. Aim The Left Ventricular (LV) MultiSPOTpacing for CRT (iSPOT) study compared the acute hemodynamic response of MSP pacing by using 3 electrodes on a quadripolar lead compared with conventional biventricular pacing (BiV). Methods Patients with left bundle branch block (LBBB) underwent an acute hemodynamic study to determine the %change in LV+dP/dtmax from baseline atrial pacing compared to the following configurations: BiV pacing with the LV lead in a one of lateral veins, while pacing from the distal, mid, or proximal electrode and all 3 electrodes together (i.e. MSP). All measurements were repeated 4 times at 5 different atrioventricular delays. We also measured QRS-width and individual Q-LV durations. Results Protocol was completed in 24 patients, all with LBBB (QRS width 171±20 ms) and 58% ischemic aetiology. The percentage change in LV+dP/dtmax for MSP pacing was 31.0±3.3% (Mean±SE), which was not significantly superior to any BiV pacing configuration: 28.9±3.2% (LV-distal), 28.3±2.7% (LV-mid), and 29.5±3.0% (LV-prox), respectively. Correlation between LV+dP/dtmax and either QRS-width or Q-LV ratio was poor. Conclusions In patients with LBBB MultiSPOT LV pacing demonstrated comparable improvement in contractility to best conventional BiV pacing. Optimization of atrioventricular delay is important for the best performance for both BiV and MultiSPOT pacing configurations. Trial Registration ClinicalTrials.gov NTC01883141 PMID:27124724

  16. Spatiotemporal dynamics of calcium-driven cardiac alternans.

    PubMed

    Skardal, Per Sebastian; Karma, Alain; Restrepo, Juan G

    2014-05-01

    We investigate the dynamics of spatially discordant alternans (SDA) driven by an instability of intracellular calcium cycling using both amplitude equations [P. S. Skardal, A. Karma, and J. G. Restrepo, Phys. Rev. Lett. 108, 108103 (2012)] and ionic model simulations. We focus on the common case where the bidirectional coupling of intracellular calcium concentration and membrane voltage dynamics produces calcium and voltage alternans that are temporally in phase. We find that, close to the alternans bifurcation, SDA is manifested as a smooth wavy modulation of the amplitudes of both repolarization and calcium transient (CaT) alternans, similarly to the well-studied case of voltage-driven alternans. In contrast, further away from the bifurcation, the amplitude of CaT alternans jumps discontinuously at the nodes separating out-of-phase regions, while the amplitude of repolarization alternans remains smooth. We identify universal dynamical features of SDA pattern formation and evolution in the presence of those jumps. We show that node motion of discontinuous SDA patterns is strongly hysteretic even in homogeneous tissue due to the novel phenomenon of "unidirectional pinning": node movement can only be induced towards, but not away from, the pacing site in response to a change of pacing rate or physiological parameter. In addition, we show that the wavelength of discontinuous SDA patterns scales linearly with the conduction velocity restitution length scale, in contrast to the wavelength of smooth patterns that scales sublinearly with this length scale. Those results are also shown to be robust against cell-to-cell fluctuations due to the property that unidirectional node motion collapses multiple jumps accumulating in nodal regions into a single jump. Amplitude equation predictions are in good overall agreement with ionic model simulations. Finally, we briefly discuss physiological implications of our findings. In particular, we suggest that due to the tendency of

  17. Centennial-scale climate change from decadally-paced explosive volcanism: a coupled sea ice-ocean mechanism

    NASA Astrophysics Data System (ADS)

    Zhong, Y.; Miller, G. H.; Otto-Bliesner, B. L.; Holland, M. M.; Bailey, D. A.; Schneider, D. P.; Geirsdottir, A.

    2011-12-01

    Northern Hemisphere summer cooling through the Holocene is largely driven by the steady decrease in summer insolation tied to the precession of the equinoxes. However, centennial-scale climate departures, such as the Little Ice Age, must be caused by other forcings, most likely explosive volcanism and changes in solar irradiance. Stratospheric volcanic aerosols have the stronger forcing, but their short residence time likely precludes a lasting climate impact from a single eruption. Decadally paced explosive volcanism may produce a greater climate impact because the long response time of ocean surface waters allows for a cumulative decrease in sea-surface temperatures that exceeds that of any single eruption. Here we use a global climate model to evaluate the potential long-term climate impacts from four decadally paced large tropical eruptions. Direct forcing results in a rapid expansion of Arctic Ocean sea ice that persists throughout the eruption period. The expanded sea ice increases the flux of sea ice exported to the northern North Atlantic long enough that it reduces the convective warming of surface waters in the subpolar North Atlantic. In two of our four simulations the cooler surface waters being advected into the Arctic Ocean reduced the rate of basal sea-ice melt in the Atlantic sector of the Arctic Ocean, allowing sea ice to remain in an expanded state for > 100 model years after volcanic aerosols were removed from the stratosphere. In these simulations the coupled sea ice-ocean mechanism maintains the strong positive feedbacks of an expanded Arctic Ocean sea ice cover, allowing the initial cooling related to the direct effect of volcanic aerosols to be perpetuated, potentially resulting in a centennial-scale or longer change of state in Arctic climate. The fact that the sea ice-ocean mechanism was not established in two of our four simulations suggests that a long-term sea ice response to volcanic forcing is sensitive to the stability of the seawater

  18. Future Discounting in Congo Basin Hunter-Gatherers Declines with Socio-Economic Transitions.

    PubMed

    Salali, Gul Deniz; Migliano, Andrea Bamberg

    2015-01-01

    Humans have a tendency to discount the future; that is we value small, short-term rewards over larger, long-term rewards. The degree of future discounting, however, changes in response to socio-ecological factors. Here, we study Mbendjele BaYaka hunter-gatherers of northern Congo and their farmer neighbours to investigate adaptations in inter-temporal preferences in humans. We argue that in immediate-return systems, where food storage is absent and egalitarianism is enforced through levelling mechanisms, future discounting is an adaptive strategy to prevent wealth accumulation and the emergence of hierarchies. This ensures food sharing and allows for survival in unpredictable environments where there is risk of an energy shortfall. On the other hand, when food storage is made possible by the emergence of agriculture or as seen in some delayed-return hunter-gatherer populations, wealth accumulation, hierarchies and lower discount rates become the adaptive strategy. Therefore, individuals in immediate-return, egalitarian societies will discount the future more than those in non-egalitarian, delayed-return societies. Consistent with the predictions we found that market integration and socio-economic transitions decrease the future discounting in Mbendjele hunter-gatherers. Our measures of socio-economic differences marked this transition in hunter-gatherers living in a logging town. The degree of future-discounting was the same between more market-integrated hunter-gatherers and their farmer neighbours.

  19. A distance-aware replica adaptive data gathering protocol for Delay Tolerant Mobile Sensor Networks.

    PubMed

    Feng, Yong; Gong, Haigang; Fan, Mingyu; Liu, Ming; Wang, Xiaomin

    2011-01-01

    In Delay Tolerant Mobile Sensor Networks (DTMSNs) that have the inherent features of intermitted connectivity and frequently changing network topology it is reasonable to utilize multi-replica schemes to improve the data gathering performance. However, most existing multi-replica approaches inject a large amount of message copies into the network to increase the probability of message delivery, which may drain each mobile node's limited battery supply faster and result in too much contention for the restricted resources of the DTMSN, so a proper data gathering scheme needs a trade off between the number of replica messages and network performance. In this paper, we propose a new data gathering protocol called DRADG (for Distance-aware Replica Adaptive Data Gathering protocol), which economizes network resource consumption through making use of a self-adapting algorithm to cut down the number of redundant replicas of messages, and achieves a good network performance by leveraging the delivery probabilities of the mobile sensors as main routing metrics. Simulation results have shown that the proposed DRADG protocol achieves comparable or higher message delivery ratios at the cost of the much lower transmission overhead than several current DTMSN data gathering schemes.

  20. Future Discounting in Congo Basin Hunter-Gatherers Declines with Socio-Economic Transitions

    PubMed Central

    Salali, Gul Deniz; Migliano, Andrea Bamberg

    2015-01-01

    Humans have a tendency to discount the future; that is we value small, short-term rewards over larger, long-term rewards. The degree of future discounting, however, changes in response to socio-ecological factors. Here, we study Mbendjele BaYaka hunter-gatherers of northern Congo and their farmer neighbours to investigate adaptations in inter-temporal preferences in humans. We argue that in immediate-return systems, where food storage is absent and egalitarianism is enforced through levelling mechanisms, future discounting is an adaptive strategy to prevent wealth accumulation and the emergence of hierarchies. This ensures food sharing and allows for survival in unpredictable environments where there is risk of an energy shortfall. On the other hand, when food storage is made possible by the emergence of agriculture or as seen in some delayed-return hunter-gatherer populations, wealth accumulation, hierarchies and lower discount rates become the adaptive strategy. Therefore, individuals in immediate-return, egalitarian societies will discount the future more than those in non-egalitarian, delayed-return societies. Consistent with the predictions we found that market integration and socio-economic transitions decrease the future discounting in Mbendjele hunter-gatherers. Our measures of socio-economic differences marked this transition in hunter-gatherers living in a logging town. The degree of future-discounting was the same between more market-integrated hunter-gatherers and their farmer neighbours. PMID:26381883