Reasons and correlates of contraceptive discontinuation in Kuwait.

PubMed

Shah, N M; Shah, M A; Chowdhury, R I; Menon, I

2007-09-01

(1) To examine the probability of discontinuation of various methods within 1, 2, and three years of use and the reasons for discontinuation; 2) to analyse the socio-demographic correlates of discontinuation. Data from a survey of Kuwaiti women in reproductive ages conducted in 1999 were used. Information on duration of use of modern and traditional methods, and reasons for discontinuation during the 72 months before the survey were analysed. Probabilities of discontinuation were estimated through multiple decrement life table analysis. After 1 year, 30% of modern and 40% of traditional method users had discontinued; after 3 years, discontinuation increased to 66 and 70%, respectively. After 36 months, only 40% of IUD users discontinued compared with 74% of oral contraceptive users. The desire to become pregnant was the leading reason for discontinuation of most modern methods, while method failure was an equally important reason for traditional methods. Discontinuation was significantly more frequent among higher parity, non-working and Bedouin women, and among those who said Islam disapproves of contraception. Contraception is used largely for spacing. More than two-thirds of the women studied had discontinued most methods after three years, except the IUD, which was used only by about 10% of them. Traditional methods are often discontinued due to method failure and may result in an unintended pregnancy. Better counselling is warranted for traditional methods. Health care for managing side effects of modern methods also needs improvement.

Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment.

PubMed

Gameiro, S; Boivin, J; Peronace, L; Verhaak, C M

2012-01-01

BACKGROUND Chances of achieving parenthood are high for couples who undergo fertility treatment. However, many choose to discontinue before conceiving. A systematic review was conducted to investigate patients' stated reasons for and predictors of discontinuation at five fertility treatment stages. METHODS Six databases were systematically searched. Search-terms referred to fertility treatment and discontinuation. Studies reporting on patients' stated reasons for or predictors of treatment discontinuation were included. A list of all reasons for discontinuation presented in each study was made, different categories of reasons were defined and the percentage of selections of each category was calculated. For each predictor, it was noted how many studies investigated it and how many found a positive and/or negative association with discontinuation. RESULTS The review included 22 studies that sampled 21 453 patients from eight countries. The most selected reasons for discontinuation were: postponement of treatment (39.18%, postponement of treatment or unknown 19.17%), physical and psychological burden (19.07%, psychological burden 14%, physical burden 6.32%), relational and personal problems (16.67%, personal reasons 9.27%, relational problems 8.83%), treatment rejection (13.23%) and organizational (11.68%) and clinic (7.71%) problems. Some reasons were common across stages (e.g. psychological burden). Others were stage-specific (e.g. treatment rejection during workup). None of the predictors reported were consistently associated with discontinuation. CONCLUSIONS Much longitudinal and theory led research is required to explain discontinuation. Meanwhile, treatment burden should be addressed by better care organization and support for patients. Patients should be well informed, have the opportunity to discuss values and worries about treatment and receive advice to decide about continuing treatment.

Why do patients discontinue fertility treatment? A systematic review of reasons and predictors of discontinuation in fertility treatment

PubMed Central

Gameiro, S.; Boivin, J.; Peronace, L.; Verhaak, C.M.

2012-01-01

BACKGROUND Chances of achieving parenthood are high for couples who undergo fertility treatment. However, many choose to discontinue before conceiving. A systematic review was conducted to investigate patients' stated reasons for and predictors of discontinuation at five fertility treatment stages. METHODS Six databases were systematically searched. Search-terms referred to fertility treatment and discontinuation. Studies reporting on patients' stated reasons for or predictors of treatment discontinuation were included. A list of all reasons for discontinuation presented in each study was made, different categories of reasons were defined and the percentage of selections of each category was calculated. For each predictor, it was noted how many studies investigated it and how many found a positive and/or negative association with discontinuation. RESULTS The review included 22 studies that sampled 21 453 patients from eight countries. The most selected reasons for discontinuation were: postponement of treatment (39.18%, postponement of treatment or unknown 19.17%), physical and psychological burden (19.07%, psychological burden 14%, physical burden 6.32%), relational and personal problems (16.67%, personal reasons 9.27%, relational problems 8.83%), treatment rejection (13.23%) and organizational (11.68%) and clinic (7.71%) problems. Some reasons were common across stages (e.g. psychological burden). Others were stage-specific (e.g. treatment rejection during workup). None of the predictors reported were consistently associated with discontinuation. CONCLUSIONS Much longitudinal and theory led research is required to explain discontinuation. Meanwhile, treatment burden should be addressed by better care organization and support for patients. Patients should be well informed, have the opportunity to discuss values and worries about treatment and receive advice to decide about continuing treatment. PMID:22869759

Discontinuity stresses in metallic pressure vessels

NASA Technical Reports Server (NTRS)

1971-01-01

The state of the art, criteria, and recommended practices for the theoretical and experimental analyses of discontinuity stresses and their distribution in metallic pressure vessels for space vehicles are outlined. The applicable types of pressure vessels include propellant tanks ranging from main load-carrying integral tank structure to small auxiliary tanks, storage tanks, solid propellant motor cases, high pressure gas bottles, and pressurized cabins. The major sources of discontinuity stresses are discussed, including deviations in geometry, material properties, loads, and temperature. The advantages, limitations, and disadvantages of various theoretical and experimental discontinuity analysis methods are summarized. Guides are presented for evaluating discontinuity stresses so that pressure vessel performance will not fall below acceptable levels.

38 CFR 21.5835 - Specific discontinuance dates.

Code of Federal Regulations, 2011 CFR

2011-07-01

... individual. If an individual dies— (1) VA will discontinue educational assistance effective the last day of... educational assistance. (2) VA will discontinue subsistence allowance effective the individual's last date of... in lieu of educational assistance, VA will discontinue educational assistance effective the date on...

38 CFR 21.5835 - Specific discontinuance dates.

Code of Federal Regulations, 2014 CFR

2014-07-01

... individual. If an individual dies— (1) VA will discontinue educational assistance effective the last day of... educational assistance. (2) VA will discontinue subsistence allowance effective the individual's last date of... in lieu of educational assistance, VA will discontinue educational assistance effective the date on...

38 CFR 21.5835 - Specific discontinuance dates.

Code of Federal Regulations, 2013 CFR

2013-07-01

... individual. If an individual dies— (1) VA will discontinue educational assistance effective the last day of... educational assistance. (2) VA will discontinue subsistence allowance effective the individual's last date of... in lieu of educational assistance, VA will discontinue educational assistance effective the date on...

Branch point reconstructors for discontinuous light phase functions

NASA Astrophysics Data System (ADS)

Le Bigot, Eric O.; Wild, Walter J.; Kibblewhite, Edward J.

1998-09-01

The study of phase discontinuities caused by atmospheric turbulence is a recent research topic; their study might yield significant improvements in high-quality adaptive optics systems, laser weapons and laser communication. We present in this paper an introduction to discontinuities in the light phase. We also provide a geometrical description of phase discontinuities, a study of their effect on Hartmann-Shack sensor measurements, as well as algorithms for measuring discontinuous light phases and the position of phase discontinuities.

Management applications of discontinuity theory | Science ...

EPA Pesticide Factsheets

1.Human impacts on the environment are multifaceted and can occur across distinct spatiotemporal scales. Ecological responses to environmental change are therefore difficult to predict, and entail large degrees of uncertainty. Such uncertainty requires robust tools for management to sustain ecosystem goods and services and maintain resilient ecosystems. 2.We propose an approach based on discontinuity theory that accounts for patterns and processes at distinct spatial and temporal scales, an inherent property of ecological systems. Discontinuity theory has not been applied in natural resource management and could therefore improve ecosystem management because it explicitly accounts for ecological complexity. 3.Synthesis and applications. We highlight the application of discontinuity approaches for meeting management goals. Specifically, discontinuity approaches have significant potential to measure and thus understand the resilience of ecosystems, to objectively identify critical scales of space and time in ecological systems at which human impact might be most severe, to provide warning indicators of regime change, to help predict and understand biological invasions and extinctions and to focus monitoring efforts. Discontinuity theory can complement current approaches, providing a broader paradigm for ecological management and conservation This manuscript provides insight on using discontinuity approaches to aid in managing complex ecological systems. In part

27 CFR 40.331 - Discontinuance of operations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... operations. 40.331 Section 40.331 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE... AND TUBES, AND PROCESSED TOBACCO Suspension and Discontinuance of Operations by Manufacturers § 40.331 Discontinuance of operations. Every manufacturer of tobacco products who desires to discontinue operations under...

Excursions in fluvial (dis)continuity

Treesearch

Gordon E. Grant; Jim E. O' Connor; Elizabeth Safran

2017-01-01

Lurking below the twin concepts of connectivity and disconnectivity are their first, and in someways, richer cousins: continuity and discontinuity. In this paper we explore how continuity and discontinuity represent fundamental and complementary perspectives in fluvial geomorphology, and how these perspectives inform and underlie our conceptions of connectivity in...

Discontinuation of Buprenorphine Maintenance Therapy: Perspectives and Outcomes

PubMed Central

Bentzley, Brandon S.; Barth, Kelly S.; Back, Sudie E.; Book, Sarah W.

2015-01-01

Buprenorphine maintenance therapy (BMT) is increasingly the preferred opioid maintenance agent due to its reduced toxicity and availability in an office-based setting in the United States. Although BMT has been shown to be highly efficacious, it is often discontinued soon after initiation. No current systematic review has yet investigated providers’ or patients’ reasons for BMT discontinuation or the outcomes that follow. Hence, provider and patient perspectives associated with BMT discontinuation after a period of stable buprenorphine maintenance and the resultant outcomes were systematically reviewed with specific emphasis on pre-buprenorphine-taper parameters predictive of relapse following BMT discontinuation. Few identified studies address provider or patient perspectives associated with buprenorphine discontinuation. Within the studies reviewed providers with residency training in BMT were more likely to favor long term BMT instead of detoxification, and providers were likely to consider BMT discontinuation in the face of medication misuse. Patients often desired to remain on BMT because of fear of relapse to illicit opioid use if they were to discontinue BMT. The majority of patients who discontinued BMT did so involuntarily, often due to failure to follow strict program requirements, and 1 month following discontinuation, rates of relapse to illicit opioid use exceeded 50% in every study reviewed. Only lower buprenorphine maintenance dose, which may be a marker for attenuated addiction severity, predicted better outcomes across studies. Relaxed BMT program requirements and frequent counsel on the high probability of relapse if BMT is discontinued may improve retention in treatment and prevent the relapse to illicit opioid use that is likely to follow BMT discontinuation. PMID:25601365

27 CFR 478.127 - Discontinuance of business.

Code of Federal Regulations, 2010 CFR

2010-04-01

... business was located: Provided, however, Where State law or local ordinance requires the delivery of... 27 Alcohol, Tobacco Products and Firearms 3 2010-04-01 2010-04-01 false Discontinuance of business... Records § 478.127 Discontinuance of business. Where a licensed business is discontinued and succeeded by a...

Identifying the factors underlying discontinuation of triptans.

PubMed

Wells, Rebecca E; Markowitz, Shira Y; Baron, Eric P; Hentz, Joseph G; Kalidas, Kavita; Mathew, Paul G; Halker, Rashmi; Dodick, David W; Schwedt, Todd J

2014-02-01

To identify factors associated with triptan discontinuation among migraine patients. It is unclear why many migraine patients who are prescribed triptans discontinue this treatment. This study investigated correlates of triptan discontinuation with a focus on potentially modifiable factors to improve compliance. This multicenter cross-sectional survey (n = 276) was performed at US tertiary care headache clinics. Headache fellows who were members of the American Headache Society Headache Fellows Research Consortium recruited episodic and chronic migraine patients who were current triptan users (use within prior 3 months and for ≥1 year) or past triptan users (no use within 6 months; prior use within 2 years). Univariate analyses were first completed to compare current triptan users to past users for: migraine characteristics, other migraine treatments, triptan education, triptan efficacy, triptan side effects, type of prescribing provider, Migraine Disability Assessment (MIDAS) scores and Beck Depression Inventory (BDI) scores. Then, a multivariable logistic regression model was selected from all possible combinations of predictor variables to determine the factors that best correlated with triptan discontinuation. Compared with those still using triptans (n = 207), those who had discontinued use (n = 69) had higher rates of medication overuse (30 vs. 18%, P = .04) and were more likely to have ever used opioids for migraine treatment (57 vs. 38%, P = .006) as well as higher MIDAS (mean 63 vs. 37, P = .001) and BDI scores (mean 10.4 vs. 7.4, P = .009). Compared with discontinued users, current triptan users were more likely to have had their triptan prescribed by a specialist (neurologist, headache specialist, or pain specialist) (74 vs. 54%, P = .002) and were more likely to report headache resolution (53 vs. 14%, P < .001) or a reduction in pain intensity (71 vs. 28%, P < .001) most of the time from their triptan. On a 1

27 CFR 46.138 - Discontinuance of business.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 27 Alcohol, Tobacco Products and Firearms 2 2012-04-01 2011-04-01 true Discontinuance of business. 46.138 Section 46.138 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU....138 Discontinuance of business. A dealer who for any reason discontinues business is not entitled to a...

27 CFR 46.138 - Discontinuance of business.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 27 Alcohol, Tobacco Products and Firearms 2 2014-04-01 2014-04-01 false Discontinuance of business. 46.138 Section 46.138 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU....138 Discontinuance of business. A dealer who for any reason discontinues business is not entitled to a...

27 CFR 31.162 - Discontinuance of business.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Discontinuance of business... and Reports § 31.162 Discontinuance of business. When a wholesale dealer in liquors who is required, under § 31.160, to file a monthly summary report discontinues business, a monthly summary report marked...

Hidden dynamics in models of discontinuity and switching

NASA Astrophysics Data System (ADS)

Jeffrey, Mike R.

2014-04-01

Sharp switches in behaviour, like impacts, stick-slip motion, or electrical relays, can be modelled by differential equations with discontinuities. A discontinuity approximates fine details of a switching process that lie beyond a bulk empirical model. The theory of piecewise-smooth dynamics describes what happens assuming we can solve the system of equations across its discontinuity. What this typically neglects is that effects which are vanishingly small outside the discontinuity can have an arbitrarily large effect at the discontinuity itself. Here we show that such behaviour can be incorporated within the standard theory through nonlinear terms, and these introduce multiple sliding modes. We show that the nonlinear terms persist in more precise models, for example when the discontinuity is smoothed out. The nonlinear sliding can be eliminated, however, if the model contains an irremovable level of unknown error, which provides a criterion for systems to obey the standard Filippov laws for sliding dynamics at a discontinuity.

Excursions in fluvial (dis)continuity

NASA Astrophysics Data System (ADS)

Grant, Gordon E.; O'Connor, Jim; Safran, Elizabeth

2017-01-01

Lurking below the twin concepts of connectivity and disconnectivity are their first, and in some ways, richer cousins: continuity and discontinuity. In this paper we explore how continuity and discontinuity represent fundamental and complementary perspectives in fluvial geomorphology, and how these perspectives inform and underlie our conceptions of connectivity in landscapes and rivers. We examine the historical roots of continuum and discontinuum thinking, and how much of our understanding of geomorphology rests on contrasting views of continuity and discontinuity. By continuum thinking we refer to a conception of geomorphic processes as well as geomorphic features that are expressed along continuous gradients without abrupt changes, transitions, or thresholds. Balance of forces, graded streams, and hydraulic geometry are all examples of this perspective. The continuum view has played a prominent role in diverse disciplinary fields, including ecology, paleontology, and evolutionary biology, in large part because it allows us to treat complex phenomena as orderly progressions and invoke or assume equilibrium processes that introduce order and prediction into our sciences. In contrast the discontinuous view is a distinct though complementary conceptual framework that incorporates non-uniform, non-progressive, and non-equilibrium thinking into understanding geomorphic processes and landscapes. We distinguish and discuss examples of three different ways in which discontinuous thinking can be expressed: 1) discontinuous spatial arrangements or singular events; 2) specific process domains generally associated with thresholds, either intrinsic or extrinsic; and 3) physical dynamics or changes in state, again often threshold-linked. In moving beyond the continuous perspective, a fertile set of ideas comes into focus: thresholds, non-equilibrium states, heterogeneity, catastrophe. The range of phenomena that is thereby opened up to scientific exploration similarly expands

Excursions in fluvial (dis)continuity

USGS Publications Warehouse

Grant, Gordon E.; O'Connor, James E.; Safran, Elizabeth

2017-01-01

Lurking below the twin concepts of connectivity and disconnectivity are their first, and in some ways, richer cousins: continuity and discontinuity. In this paper we explore how continuity and discontinuity represent fundamental and complementary perspectives in fluvial geomorphology, and how these perspectives inform and underlie our conceptions of connectivity in landscapes and rivers. We examine the historical roots of continuum and discontinuum thinking, and how much of our understanding of geomorphology rests on contrasting views of continuity and discontinuity. By continuum thinking we refer to a conception of geomorphic processes as well as geomorphic features that are expressed along continuous gradients without abrupt changes, transitions, or thresholds. Balance of forces, graded streams, and hydraulic geometry are all examples of this perspective. The continuum view has played a prominent role in diverse disciplinary fields, including ecology, paleontology, and evolutionary biology, in large part because it allows us to treat complex phenomena as orderly progressions and invoke or assume equilibrium processes that introduce order and prediction into our sciences.In contrast the discontinuous view is a distinct though complementary conceptual framework that incorporates non-uniform, non-progressive, and non-equilibrium thinking into understanding geomorphic processes and landscapes. We distinguish and discuss examples of three different ways in which discontinuous thinking can be expressed: 1) discontinuous spatial arrangements or singular events; 2) specific process domains generally associated with thresholds, either intrinsic or extrinsic; and 3) physical dynamics or changes in state, again often threshold-linked. In moving beyond the continuous perspective, a fertile set of ideas comes into focus: thresholds, non-equilibrium states, heterogeneity, catastrophe. The range of phenomena that is thereby opened up to scientific exploration similarly expands

Delirium Associated With Fluoxetine Discontinuation: A Case Report.

PubMed

Fan, Kuang-Yuan; Liu, Hsing-Cheng

Withdrawal symptoms on selective serotonin reuptake inhibitor (SSRI) discontinuation have raised clinical attention increasingly. However, delirium is rarely reported in the SSRI discontinuation syndrome. We report a case of delirium developing after fluoxetine discontinuation in a 65-year-old female patient with major depressive disorder. She experienced psychotic depression with limited response to treatment of fluoxetine 40 mg/d and quetiapine 100 mg/d for 3 months. After admission, we tapered fluoxetine gradually in 5 days because of its limited effect. However, delirious pictures developed 2 days after we stopped fluoxetine. Three days later, we added back fluoxetine 10 mg/d. Her delirious features gradually improved, and the clinical presentation turned into previous psychotic depression state. We gradually increased the medication to fluoxetine 60 mg/d and olanzapine 20 mg/d in the following 3 weeks. Her psychotic symptoms decreased, and there has been no delirious picture noted thereafter. Delirium associated with fluoxetine discontinuation is a much rarer complication in SSRI discontinuation syndrome. The symptoms of SSRI discontinuation syndrome may be attributable to a rapid decrease in serotonin availability. In general, the shorter the half-life of any medication, the greater the likelihood patients will experience discontinuation symptoms. Genetic vulnerability might be a potential factor to explain that SSRI discontinuation syndrome also occurred rapidly in people taking long-half-life fluoxetine. The genetic polymorphisms of both pharmacokinetic and pharmacodynamic pathways might be potentially associated with SSRI discontinuation syndrome.

Hybridized Multiscale Discontinuous Galerkin Methods for Multiphysics

DTIC Science & Technology

2015-09-14

discontinuous Galerkin method for the numerical solution of the Helmholtz equation , J. Comp. Phys., 290, 318–335, 2015. [14] N.C. NGUYEN, J. PERAIRE...approximations of the Helmholtz equation for a very wide range of wave frequencies. Our approach combines the hybridizable discontinuous Galerkin methodology...local approximation spaces of the hybridizable discontinuous Galerkin methods with precomputed phases which are solutions of the eikonal equation in

General practitioners' decisions about discontinuation of medication: an explorative study.

PubMed

Nixon, Michael Simon; Vendelø, Morten Thanning

2016-06-20

Purpose - The purpose of this paper is to investigate how general practitioners' (GPs) decisions about discontinuation of medication are influenced by their institutional context. Design/methodology/approach - In total, 24 GPs were interviewed, three practices were observed and documents were collected. The Gioia methodology was used to analyse data, drawing on a theoretical framework that integrate the sensemaking perspective and institutional theory. Findings - Most GPs, who actively consider discontinuation, are reluctant to discontinue medication, because the safest course of action for GPs is to continue prescriptions, rather than discontinue them. The authors conclude that this is in part due to the ambiguity about the appropriateness of discontinuing medication, experienced by the GPs, and in part because the clinical guidelines do not encourage discontinuation of medication, as they offer GPs a weak frame for discontinuation. Three reasons for this are identified: the guidelines provide dominating triggers for prescribing, they provide weak priming for discontinuation as an option, and they underscore a cognitive constraint against discontinuation. Originality/value - The analysis offers new insights about decision making when discontinuing medication. It also offers one of the first examinations of how the institutional context embedding GPs influences their decisions about discontinuation. For policymakers interested in the discontinuation of medication, the findings suggest that de-stigmatising discontinuation on an institutional level may be beneficial, allowing GPs to better justify discontinuation in light of the ambiguity they experience.

38 CFR 21.4135 - Discontinuance dates.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Payments; Educational Assistance Allowance § 21.4135 Discontinuance dates. The effective date of reduction or discontinuance of educational assistance allowance will be as specified in this section. If more than one type of...

38 CFR 21.4135 - Discontinuance dates.

Code of Federal Regulations, 2010 CFR

2010-07-01

...) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Payments; Educational Assistance Allowance § 21.4135 Discontinuance dates. The effective date of reduction or discontinuance of educational assistance allowance will be as specified in this section. If more than one type of...

Variational models for discontinuity detection

NASA Astrophysics Data System (ADS)

Vitti, Alfonso; Battista Benciolini, G.

2010-05-01

The Mumford-Shah variational model produces a smooth approximation of the data and detects data discontinuities by solving a minimum problem involving an energy functional. The Blake-Zisserman model permits also the detection of discontinuities in the first derivative of the approximation. This model can result in a quasi piece-wise linear approximation, whereas the Mumford-Shah can result in a quasi piece-wise constant approximation. The two models are well known in the mathematical literature and are widely adopted in computer vision for image segmentation. In Geodesy the Blake-Zisserman model has been applied successfully to the detection of cycle-slips in linear combinations of GPS measurements. Few attempts to apply the model to time series of coordinates have been done so far. The problem of detecting discontinuities in time series of GNSS coordinates is well know and its relevance increases as the quality of geodetic measurements, analysis techniques, models and products improves. The application of the Blake-Zisserman model appears reasonable and promising due to the model characteristic to detect both position and velocity discontinuities in the same time series. The detection of position and velocity changes is of great interest in geophysics where the discontinuity itself can be the very relevant object. In the work for the realization of reference frames, detecting position and velocity discontinuities may help to define models that can handle non-linear motions. In this work the Mumford-Shah and the Blake-Zisserman models are briefly presented, the treatment is carried out from a practical viewpoint rather than from a theoretical one. A set of time series of GNSS coordinates has been processed and the results are presented in order to highlight the capabilities and the weakness of the variational approach. A first attempt to derive some indication for the automatic set up of the model parameters has been done. The underlying relation that could links

38 CFR 21.9635 - Discontinuance dates.

Code of Federal Regulations, 2013 CFR

2013-07-01

... effective the last date of attendance; and (ii) Independent study or distance learning effective on the... learning, VA will terminate educational assistance effective the date the last lesson was serviced... Discontinuance dates. The effective date of a reduction or discontinuance of educational assistance will be as...

27 CFR 11.38 - Discontinued products.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Discontinued products. 11.38 Section 11.38 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... products. When a producer or importer discontinues the production or importation of a product, a trade...

Trapped particles at a magnetic discontinuity

NASA Technical Reports Server (NTRS)

Stern, D. P.

1972-01-01

At a tangential discontinuity between two constant magnetic fields a layer of trapped particles can exist, this work examines the conditions under which the current carried by such particles tends to maintain the discontinuity. Three cases are examined. If the discontinuity separates aligned vacuum fields, the only requirement is that they be antiparallel. With arbitrary relative orientations, the field must have equal intensities on both sides. Finally, with a guiding center plasma on both sides, the condition reduces to a relation which is also derivable from hydromagnetic theory. Arguments are presented for the occurrence of such trapped modes in the magnetopause and for the non-existence of specular particle reflection.

Mesoscale thermospheric wind in response to nightside auroral brightening

NASA Astrophysics Data System (ADS)

Nishimura, T.; Zou, Y.; Gabrielse, C.; Lyons, L. R.; Varney, R. H.; Conde, M.; Hampton, D. L.; Mende, S. B.

2017-12-01

Although high-latitude ionospheric flows and thermospheric winds in the F-region are overall characterized by two-cell patterns over a global scale ( 1000 km), intense energy input from the magnetosphere often occurs in a mesoscale ( 100 km) and transient manner ( 10 min). Intense mesoscale energy input would drive enhanced mesoscale winds, whose properties are closely associated with auroral arcs and associated ionospheric flows. However, how thermospheric winds respond to and distribute around mesoscale magnetospheric input has not been characterized systematically. This presentation addresses how mesoscale winds distribute around quasi-steady arcs, evolve and distribute around transient arcs, and vary with geomagnetic and solar activity. We use Scanning Doppler Imagers (SDIs), all-sky imagers and PFISR over Alaska. A channel of azimuthal neutral wind is often found associated with localized flow channels adjacent to quasi-steady discrete aurora. The wind speed dynamically changes after a short time lag (a few tens of minutes) from auroral brightenings, including auroral streamers and intensifications on preexisting auroral arcs. This is in contrast to a much longer time lag ( 1 hour) reported previously. During a storm main phase, a coherent equatorward motion of the Harang discontinuity was seen in plasma flow, aurora and neutral wind, with a few degrees of equatorward displacement of the neutral wind Harang, which is probably due to the inertia. These results suggest that a tight M-I-T connection exists under the energy input of assorted auroral arcs and that mesoscale coupling processes are important in M-I-T energy transfer.

27 CFR 25.277 - Discontinuance of operations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... BUREAU, DEPARTMENT OF THE TREASURY LIQUORS BEER Pilot Brewing Plants § 25.277 Discontinuance of operations. When operations of a pilot brewing plant are to be discontinued, the operator shall notify the...

27 CFR 25.277 - Discontinuance of operations.

Code of Federal Regulations, 2011 CFR

2011-04-01

... BUREAU, DEPARTMENT OF THE TREASURY LIQUORS BEER Pilot Brewing Plants § 25.277 Discontinuance of operations. When operations of a pilot brewing plant are to be discontinued, the operator shall notify the...

A Practical Guide to Regression Discontinuity

ERIC Educational Resources Information Center

Jacob, Robin; Zhu, Pei; Somers, Marie-Andrée; Bloom, Howard

2012-01-01

Regression discontinuity (RD) analysis is a rigorous nonexperimental approach that can be used to estimate program impacts in situations in which candidates are selected for treatment based on whether their value for a numeric rating exceeds a designated threshold or cut-point. Over the last two decades, the regression discontinuity approach has…

38 CFR 21.7635 - Discontinuance dates.

Code of Federal Regulations, 2012 CFR

2012-07-01

...-Educational Assistance § 21.7635 Discontinuance dates. The effective date of reduction or discontinuance of... mitigating circumstances VA will terminate or reduce educational assistance effective the first date of the... practices of the institution of higher learning. (Authority: 10 U.S.C. 16136(b), 38 U.S.C. 3680(a); Pub. L...

38 CFR 21.7635 - Discontinuance dates.

Code of Federal Regulations, 2011 CFR

2011-07-01

...-Educational Assistance § 21.7635 Discontinuance dates. The effective date of reduction or discontinuance of... mitigating circumstances VA will terminate or reduce educational assistance effective the first date of the... practices of the institution of higher learning. (Authority: 10 U.S.C. 16136(b), 38 U.S.C. 3680(a); Pub. L...

38 CFR 21.7635 - Discontinuance dates.

Code of Federal Regulations, 2014 CFR

2014-07-01

...-Educational Assistance § 21.7635 Discontinuance dates. The effective date of reduction or discontinuance of... mitigating circumstances VA will terminate or reduce educational assistance effective the first date of the... practices of the institution of higher learning. (Authority: 10 U.S.C. 16136(b), 38 U.S.C. 3680(a); Pub. L...

38 CFR 21.7635 - Discontinuance dates.

Code of Federal Regulations, 2010 CFR

2010-07-01

...-Educational Assistance § 21.7635 Discontinuance dates. The effective date of reduction or discontinuance of... mitigating circumstances VA will terminate or reduce educational assistance effective the first date of the... practices of the institution of higher learning. (Authority: 10 U.S.C. 16136(b), 38 U.S.C. 3680(a); Pub. L...

38 CFR 21.7635 - Discontinuance dates.

Code of Federal Regulations, 2013 CFR

2013-07-01

...-Educational Assistance § 21.7635 Discontinuance dates. The effective date of reduction or discontinuance of... mitigating circumstances VA will terminate or reduce educational assistance effective the first date of the... practices of the institution of higher learning. (Authority: 10 U.S.C. 16136(b), 38 U.S.C. 3680(a); Pub. L...

Strategies for discontinuation of proton pump inhibitors: a systematic review.

PubMed

Haastrup, Peter; Paulsen, Maja S; Begtrup, Luise M; Hansen, Jane M; Jarbøl, Dorte E

2014-12-01

Proton pump inhibitors (PPIs) are considered to be overprescribed. Consensus on how to attempt discontinuation is, however, lacking. We therefore conducted a systematic review of clinical studies on discontinuation of PPIs. Systematic review based on clinical studies investigating discontinuation strategies and discontinuation rates for users of antisecretory medication judged eligible for withdrawal. The databases Medline, Embase and Cochrane Library were searched to December 2013 using the terms antisecretory, anti-ulcer, PPI, acid suppressant, discontinuation, step-down, step down, cessation, tapering, withdrawal and withhold. Search terms were used either singularly or in combination. Papers written in English or Scandinavian were included. Concurrent hand searching was undertaken to pursue references of references. The website ClinicalTrials.gov was searched for unpublished results and ongoing studies. A total of 371 abstracts were scrutinized to determine relevancy. The thorough search resulted in six clinical studies on strategies for discontinuation of PPIs. All discontinuation regimens used in the studies differed, and several interventions have been tested in order to decrease use of PPIs. Discontinuations were reported across all studies ranging from 14% to 64% without deteriorating symptom control. Tapering seems to be a more effective discontinuation strategy than abrupt discontinuation. Discontinuation of PPIs is feasible in a clinical setting, and a substantial number of the patients treated without a clear indication can safely reduce or discontinue treatment. Tapering seems to be the most effective way of doing this. © The Author 2014. Published by Oxford University Press. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Possibility of Ionospheric Cause of FACs and Convection Field in the Magnetosphere-Ionosphere System: The Harang Reversal, Premidnight Upward-FAC, and the Ionospheric Hall Polarization Field

NASA Astrophysics Data System (ADS)

Nakamizo, A.; Yoshikawa, A.

2016-12-01

Whereas it is generally thought that Birkeland Currents (FACs) are generated in the magnetosphere and that the ionospheric convection reflects the magnetospheric convection, we present a possibility that the ionosphere drives FACs and the convection field in the M-I system. We apply this idea to the Harang Reversal (HR) for demonstration. By using an ionospheric potential solver we calculate the electrostatic field for given distributions of FACs and conductance. The result shows that a conspicuous structure resembling HR is generated even for a symmetric distribution of the R1-type FACs and that the Hall polarization field is produced at the equatorward boundary of the auroral region as the primary currents diverge/converge at the conductance gradient there, which causes the potential deformation (HR). Conventionally HR has been considered to be of the magnetospheric origin, and a ring current model actually produces the corresponding structure in the magnetosphere [e.g., Erickson et al., 1991]. Observationally the divE equivalent to HR is consistent with the premidnight upward-FAC seen in Iijima and Potemra's diagram. A recent theoretical study [Ohtani et al., 2016] proposes that HR is a required structure for the interchange stability of the magnetotail in the presence of the R1 and R2-FAC systems including a premidnight upward-FAC. Returning to our result, the important point is that HR is reproduced at the conductance edge by the ionospheric polarization field, for which the primary field originates from the R1-FACs distributed far from that region. We also suggest: (i) In a more realistic finite ΣA, the total ionospheric polarization is partly released by a FAC, which may be a part of the premidnight upward-FAC. (ii) However, existing simulation models do not allow this type of current closure, and accordingly they may enhance the HR structure in the magnetosphere. This discussion should hold generally and would promote the global M-I coupling studies to the

A Fourier spectral-discontinuous Galerkin method for time-dependent 3-D Schrödinger-Poisson equations with discontinuous potentials

NASA Astrophysics Data System (ADS)

Lu, Tiao; Cai, Wei

2008-10-01

In this paper, we propose a high order Fourier spectral-discontinuous Galerkin method for time-dependent Schrödinger-Poisson equations in 3-D spaces. The Fourier spectral Galerkin method is used for the two periodic transverse directions and a high order discontinuous Galerkin method for the longitudinal propagation direction. Such a combination results in a diagonal form for the differential operators along the transverse directions and a flexible method to handle the discontinuous potentials present in quantum heterojunction and supperlattice structures. As the derivative matrices are required for various time integration schemes such as the exponential time differencing and Crank Nicholson methods, explicit derivative matrices of the discontinuous Galerkin method of various orders are derived. Numerical results, using the proposed method with various time integration schemes, are provided to validate the method.

39 CFR 241.3 - Discontinuance of USPS-operated retail facilities.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 39 Postal Service 1 2013-07-01 2013-07-01 false Discontinuance of USPS-operated retail facilities... ESTABLISHMENT CLASSIFICATION, AND DISCONTINUANCE § 241.3 Discontinuance of USPS-operated retail facilities. (a... of whether an existing retail Post Office, station, or branch should be discontinued. The rules cover...

39 CFR 241.3 - Discontinuance of USPS-operated retail facilities.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 39 Postal Service 1 2014-07-01 2014-07-01 false Discontinuance of USPS-operated retail facilities... ESTABLISHMENT CLASSIFICATION, AND DISCONTINUANCE § 241.3 Discontinuance of USPS-operated retail facilities. (a... of whether an existing retail Post Office, station, or branch should be discontinued. The rules cover...

39 CFR 241.3 - Discontinuance of USPS-operated retail facilities.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 39 Postal Service 1 2012-07-01 2012-07-01 false Discontinuance of USPS-operated retail facilities... ESTABLISHMENT CLASSIFICATION, AND DISCONTINUANCE § 241.3 Discontinuance of USPS-operated retail facilities. (a... of whether an existing retail Post Office, station, or branch should be discontinued. The rules cover...

Method for simulating discontinuous physical systems

DOEpatents

Baty, Roy S.; Vaughn, Mark R.

2001-01-01

The mathematical foundations of conventional numerical simulation of physical systems provide no consistent description of the behavior of such systems when subjected to discontinuous physical influences. As a result, the numerical simulation of such problems requires ad hoc encoding of specific experimental results in order to address the behavior of such discontinuous physical systems. In the present invention, these foundations are replaced by a new combination of generalized function theory and nonstandard analysis. The result is a class of new approaches to the numerical simulation of physical systems which allows the accurate and well-behaved simulation of discontinuous and other difficult physical systems, as well as simpler physical systems. Applications of this new class of numerical simulation techniques to process control, robotics, and apparatus design are outlined.

Program Discontinuance: A Faculty Perspective Revisited. Adopted Fall 2012

ERIC Educational Resources Information Center

Academic Senate for California Community Colleges, 2012

2012-01-01

The 1998 Academic Senate for California Community Colleges paper Program Discontinuance: A Faculty Perspective presented issues of program discontinuance and addressed principles and key factors for effective faculty participation in the development of fair and equitable program discontinuance processes. In 2009, an Academic Senate resolution…

Search for seismic discontinuities in the lower mantle

NASA Astrophysics Data System (ADS)

Vinnik, Lev; Kato, Mamoru; Kawakatsu, Hitoshi

2001-09-01

Indications of lower mantle discontinuities have been debated for decades, but still little is known about their properties, and their origins are enigmatic. In our study broad-band recordings of deep events are examined for the presence of signals from the lower-mantle discontinuities with a novel technique. We deconvolve vertical component of the P-wave coda in the period range around 10s by the S waveform and stack many deconvolved traces with moveout time corrections. In synthetic seismograms for an earth model without lower mantle discontinuities, the strongest signal thus detected in the time window of interest is often s`410'P phase (generated as S and reflected as P from the `410km' discontinuity above the source). In actual seismograms there are other phases that can be interpreted as converted from S to P at discontinuities in the lower mantle beneath the seismic source. We summarize the results of processing the seismograms (1) of deep events in Sunda arc at seismograph stations in east Asia, (2) deep Kermadec-Fiji-Tonga events at the J-array and FREESIA networks in Japan and stations in east Asia, and (3) deep events in the northwest Pacific region (Mariana, Izu-Bonin and the Japan arc) recorded at stations in north America. In our data there are indications of discontinuities near 860-880, 1010-1120, 1170-1250 and 1670-1800km depths. The clearest signals are obtained from the discontinuity at a depth of 1200km. We argue that the `900', `1200' and `1700km' discontinuities are global, but laterally variable in both depth and strength. Seismic stratification of the lower mantle may have bearings on the patterns of subduction, as revealed by tomographic models.

Influence of pacer continuity on continuous and discontinuous visuo-motor synchronisation.

PubMed

Zelic, Gregory; Varlet, Manuel; Kim, Jeesun; Davis, Chris

2016-09-01

Previous research has reported that synchronising movements with an external pacer, known as sensorimotor synchronisation (SMS), is more stable when the movements are discrete/discontinuous rather than continuous. A standard explanation considers that more efficient mechanisms are involved for regulating synchronisation when producing discontinuous movements. To date, however, only discontinuous pacers (e.g., metronomes) have been investigated to compare discontinuous and continuous SMS. We propose an alternative explanation whereby the discontinuous SMS has benefited from the matching between the (dis)continuous nature of the pacer and the (dis)continuous nature of the movements of synchronisation. The present experiment tested this explanation by examining the relative stability of discontinuous and continuous SMS when synchronising with a continuous pacer. Twelve participants finger tapped (discontinuous SMS) or continuously oscillated their forearm (continuous SMS) in synchrony with an oscillatory visual target. The continuity of the pacer was manipulated by varying the kinematic (harmonic to Rayleigh-like oscillations) and the frequency (0.5 and 1Hz) of the target oscillations. Overall, the results showed a more stable continuous than discontinuous SMS. Furthermore, the stability of the discontinuous SMS improved when increasing the discontinuity of the target displacements (high nonlinear kinematic and low frequency), showing an interaction between movement type and pacer continuity in SMS. Copyright © 2016 Elsevier B.V. All rights reserved.

27 CFR 555.61 - Discontinuance of business or operations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 3 2010-04-01 2010-04-01 false Discontinuance of business... Permits § 555.61 Discontinuance of business or operations. Where an explosive materials business or operations is either discontinued or succeeded by a new owner, the owner of the business or operations...

14 CFR 221.300 - Discontinuation of electronic tariff system.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 14 Aeronautics and Space 4 2013-01-01 2013-01-01 false Discontinuation of electronic tariff system... of electronic tariff system. In the event that the electronic tariff system is discontinued, or the source of the data is changed, or a filer discontinues its business, all electronic data records prior to...

14 CFR 221.300 - Discontinuation of electronic tariff system.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Discontinuation of electronic tariff system... of electronic tariff system. In the event that the electronic tariff system is discontinued, or the source of the data is changed, or a filer discontinues its business, all electronic data records prior to...

14 CFR 221.300 - Discontinuation of electronic tariff system.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 14 Aeronautics and Space 4 2012-01-01 2012-01-01 false Discontinuation of electronic tariff system... of electronic tariff system. In the event that the electronic tariff system is discontinued, or the source of the data is changed, or a filer discontinues its business, all electronic data records prior to...

14 CFR 221.300 - Discontinuation of electronic tariff system.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 14 Aeronautics and Space 4 2011-01-01 2011-01-01 false Discontinuation of electronic tariff system... of electronic tariff system. In the event that the electronic tariff system is discontinued, or the source of the data is changed, or a filer discontinues its business, all electronic data records prior to...

27 CFR 44.161 - Discontinuance of operations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... operations. 44.161 Section 44.161 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE... Operations § 44.161 Discontinuance of operations. Every export warehouse proprietor who desires to discontinue operations and close out his warehouse shall dispose of all cigars, cigarettes, and cigarette...

PML-IRIS during Fingolimod Diagnosed after Natalizumab Discontinuation.

PubMed

Killestein, J; Vennegoor, A; van Golde, A E L; Bourez, R L J H; Wijlens, M L B; Wattjes, M P

2014-01-01

Background. Natalizumab treatment is frequently discontinued and replaced by alternative medication in multiple sclerosis (MS) patients having a high risk of progressive multifocal leukoencephalopathy (PML). Case Presentation. We report a PML case that was missed on magnetic resonance imaging (MRI) at the time Natalizumab treatment was discontinued. The patient subsequently developed a PML-immune reconstitution inflammatory syndrome after the initiation of Fingolimod treatment, suggesting that immune reconstitution may occur even during Fingolimod induced lymphopenia. Conclusion. This report highlights the need for strict drug surveillance using MRI of Natalizumab-associated MS patients at the time of drug discontinuation and beyond. This is important with respect to pharmacovigilance purposes not only for Natalizumab, but also for alternative drugs used after Natalizumab discontinuation.

Analysis of shielded CPW discontinuities with air-bridges

NASA Technical Reports Server (NTRS)

Dib, N. I.; Katehi, P. B.; Ponchak, George E.

1992-01-01

The effect of air-bridges on the performance of various coplanar waveguides (CPW) discontinuities is studied. Specifically, the coupled open-end CPW's and the short-end shunt CPW stub discontinuities are considered. The high frequency effect of the air-bridge is evaluated using a hybrid technique. At first, the frequency dependent equivalent circuit of the planar discontinuity without the air-bridge is derived using the Space Domain Integral Equation (SDIE) method. Then, the circuit is modified by incorporating the air-bridge's parasitic inductance and capacitance which are evaluated using a simple quasi-static model. The frequency response of each discontinuity with and without the air-bridge is studied and the scattering parameters are plotted in the frequency range 30-50 GHz for typical CPW dimensions.

Hyperspherical Sparse Approximation Techniques for High-Dimensional Discontinuity Detection

DOE PAGES

Zhang, Guannan; Webster, Clayton G.; Gunzburger, Max; ...

2016-08-04

This work proposes a hyperspherical sparse approximation framework for detecting jump discontinuities in functions in high-dimensional spaces. The need for a novel approach results from the theoretical and computational inefficiencies of well-known approaches, such as adaptive sparse grids, for discontinuity detection. Our approach constructs the hyperspherical coordinate representation of the discontinuity surface of a function. Then sparse approximations of the transformed function are built in the hyperspherical coordinate system, with values at each point estimated by solving a one-dimensional discontinuity detection problem. Due to the smoothness of the hypersurface, the new technique can identify jump discontinuities with significantly reduced computationalmore » cost, compared to existing methods. Several approaches are used to approximate the transformed discontinuity surface in the hyperspherical system, including adaptive sparse grid and radial basis function interpolation, discrete least squares projection, and compressed sensing approximation. Moreover, hierarchical acceleration techniques are also incorporated to further reduce the overall complexity. In conclusion, rigorous complexity analyses of the new methods are provided, as are several numerical examples that illustrate the effectiveness of our approach.« less

Reasons for discontinuation of reversible contraceptive methods by women with epilepsy.

PubMed

Mandle, Hannah B; Cahill, Kaitlyn E; Fowler, Kristen M; Hauser, W Allen; Davis, Anne R; Herzog, Andrew G

2017-05-01

To report the reasons for discontinuation of contraceptive methods by women with epilepsy (WWE). These retrospective data come from a web-based survey regarding the contraceptive practices of 1,144 WWE in the community, ages 18-47 years. We determined the frequencies of contraceptive discontinuations and the reasons for discontinuation. We compared risk ratios for rates of discontinuation among contraceptive methods and categories. We used chi-square analysis to test the independence of discontinuation reasons among the various contraceptive methods and categories and when stratified by antiepileptic drug (AED) categories. Nine hundred fifty-nine of 2,393 (40.6%) individual, reversible contraceptive methods were discontinued. One-half (51.8%) of the WWE who discontinued a method discontinued at least two methods. Hormonal contraception was discontinued most often (553/1,091, 50.7%) with a risk ratio of 1.94 (1.54-2.45, p < 0.0001) compared to intrauterine devices (IUDs), the category that was discontinued the least (57/227, 25.1%). Among all individual methods, the contraceptive patch was stopped most often (79.7%) and the progestin-IUD was stopped the least (20.1%). The top three reasons for discontinuation among all methods were reliability concerns (13.9%), menstrual problems (13.5%), and increased seizures (8.6%). There were significant differences among discontinuation rates and reasons when stratified by AED category for hormonal contraception but not for any other contraceptive category. Contraception counseling for WWE should consider the special experience profiles that are unique to this special population on systemic hormonal contraception. Wiley Periodicals, Inc. © 2017 International League Against Epilepsy.

Continuous and discontinuous transitions to synchronization.

PubMed

Wang, Chaoqing; Garnier, Nicolas B

2016-11-01

We describe how the transition to synchronization in a system of globally coupled Stuart-Landau oscillators changes from continuous to discontinuous when the nature of the coupling is moved from diffusive to reactive. We explain this drastic qualitative change as resulting from the co-existence of a particular synchronized macrostate together with the trivial incoherent macrostate, in a range of parameter values for which the latter is linearly stable. In contrast to the paradigmatic Kuramoto model, this particular state observed at the synchronization transition contains a finite, non-vanishing number of synchronized oscillators, which results in a discontinuous transition. We consider successively two situations where either a fully synchronized state or a partially synchronized state exists at the transition. Thermodynamic limit and finite size effects are briefly discussed, as well as connections with recently observed discontinuous transitions.

Discontinuation among University Students in Southern Thailand

ERIC Educational Resources Information Center

Sittichai, Ruthaychonnee; Tongkumchum, Phattrawan; McNeil, Nittaya

2009-01-01

This study uses a statistical model to account for the pattern of discontinuation of university study at Pattani campus of Prince of Songkla University (PSU) in southern Thailand. University records for 11,408 bachelor degree students enrolled between 1999 and 2006 were used. Discontinuation rates were analyzed by using a logistic regression model…

27 CFR 31.138 - Discontinuance of business.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Discontinuance of business. 31.138 Section 31.138 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... § 31.138 Discontinuance of business. A dealer going out of business must register that event within 30...

41 CFR 109-39.105 - Discontinuance or curtailment of service.

Code of Federal Regulations, 2010 CFR

2010-07-01

... AVIATION, TRANSPORTATION, AND MOTOR VEHICLES 39-INTERAGENCY FLEET MANAGEMENT SYSTEMS 39.1-Establishment, Modification, and Discontinuance of Interagency Fleet Management Systems § 109-39.105 Discontinuance or... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Discontinuance or...

What happens when people discontinue taking medications? Lessons from COMBINE.

PubMed

Stout, Robert L; Braciszewski, Jordan M; Subbaraman, Meenakshi Sabina; Kranzler, Henry R; O'Malley, Stephanie S; Falk, Daniel

2014-12-01

We use intensive longitudinal data methods to illuminate processes affecting patients' drinking in relation to the discontinuation of medications within an alcohol treatment study. Although previous work has focused on broad measures of medication adherence, we focus on dynamic changes in drinking both before and after patients discontinue. We conducted secondary data analyses using the COMBINE (Combined Pharmacotherapies and Behavioral Interventions for Alcohol Dependence) study, focused on participants who discontinued medications prior to the planned end of treatment. Using an interrupted time-series analysis, we analysed drinking in the weeks before and after discontinuation and also studied outcomes at the end of the COMBINE follow-up. Unites States of America. We describe the subsample of COMBINE participants who discontinued medications (n = 450), and compare them with those who were medication-adherent (n = 559) and with those who discontinued but had substantial missing data (n = 217). The primary outcomes were percentage of days abstinent (PDA) and percentage of heavy drinking days (PHDD). Medication adherence data were used to approximate the date of discontinuation. For many patients, an increase in drinking began weeks before discontinuation (PDA: F(1,4803) = 19.07, P < 0.001; PHDD: F(1,4804) = 8.58, P = 0.003) then escalated at discontinuation (PDA: F(1,446) = 5.05, P = 0.025; PHDD: F(1,446) = 4.52, P = 0.034). Among other effects, the amount of change was moderated by the reason for discontinuation (e.g. adverse event; PDA: F(2,4803) = 3.85, P = 0.021; PHDD: F(2,4804) = 5.36, P = 0.005) and also whether it occurred in the first or second half of treatment (PDA: F(1,4803) = 5.23, P = 0.022; PHDD: F(1,4804) = 8.79, P = 0.003). A patient's decision to stop taking medications during alcohol treatment appears to take place during a weeks-long process of disengagement from treatment. Patients who discontinue medications early in treatment or without

Accountability Accentuates Interindividual-Intergroup Discontinuity by Enforcing Parochialism.

PubMed

Wildschut, Tim; van Horen, Femke; Hart, Claire

2015-01-01

Interindividual-intergroup discontinuity is the tendency for relations between groups to be more competitive than relations between individuals. We examined whether the discontinuity effect arises in part because group members experience normative pressure to favor the ingroup (parochialism). Building on the notion that accountability enhances normative pressure, we hypothesized that the discontinuity effect would be larger when accountability is present (compared to absent). A prisoner's dilemma game experiment supported this prediction. Specifically, intergroup (compared to interindividual) interaction activated an injunctive ingroup-favoring norm, and accountability enhanced the influence of this norm on competitive behavior.

14 CFR Section 16 - Objective Classification-Discontinued Operations

Code of Federal Regulations, 2010 CFR

2010-01-01

... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Objective Classification-Discontinued Operations Section 16 Section 16 Aeronautics and Space OFFICE OF THE SECRETARY, DEPARTMENT OF TRANSPORTATION... AIR CARRIERS Profit and Loss Classification Section 16 Objective Classification—Discontinued...

Physics-based process model approach for detecting discontinuity during friction stir welding

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

Shrivastava, Amber; Pfefferkorn, Frank E.; Duffie, Neil A.

2015-02-12

The goal of this work is to develop a method for detecting the creation of discontinuities during friction stir welding. This in situ weld monitoring method could significantly reduce the need for post-process inspection. A process force model and a discontinuity force model were created based on the state-of-the-art understanding of flow around an friction stir welding (FSW) tool. These models are used to predict the FSW forces and size of discontinuities formed in the weld. Friction stir welds with discontinuities and welds without discontinuities were created, and the differences in force dynamics were observed. In this paper, discontinuities weremore » generated by reducing the tool rotation frequency and increasing the tool traverse speed in order to create "cold" welds. Experimental force data for welds with discontinuities and welds without discontinuities compared favorably with the predicted forces. The model currently overpredicts the discontinuity size.« less

Discontinuous dual-primal mixed finite elements for elliptic problems

NASA Technical Reports Server (NTRS)

Bottasso, Carlo L.; Micheletti, Stefano; Sacco, Riccardo

2000-01-01

We propose a novel discontinuous mixed finite element formulation for the solution of second-order elliptic problems. Fully discontinuous piecewise polynomial finite element spaces are used for the trial and test functions. The discontinuous nature of the test functions at the element interfaces allows to introduce new boundary unknowns that, on the one hand enforce the weak continuity of the trial functions, and on the other avoid the need to define a priori algorithmic fluxes as in standard discontinuous Galerkin methods. Static condensation is performed at the element level, leading to a solution procedure based on the sole interface unknowns. The resulting family of discontinuous dual-primal mixed finite element methods is presented in the one and two-dimensional cases. In the one-dimensional case, we show the equivalence of the method with implicit Runge-Kutta schemes of the collocation type exhibiting optimal behavior. Numerical experiments in one and two dimensions demonstrate the order accuracy of the new method, confirming the results of the analysis.

47 CFR 1.764 - Discontinuance, reduction, or impairment of service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 1 2010-10-01 2010-10-01 false Discontinuance, reduction, or impairment of... Applications Under Title II of Communications Act § 1.764 Discontinuance, reduction, or impairment of service... discontinuance, reduction, or impairment of service shall be made in the form and manner, with the number of...

47 CFR 90.157 - Discontinuance of station operation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false Discontinuance of station operation. 90.157 Section 90.157 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES PRIVATE LAND MOBILE RADIO SERVICES Applications and Authorizations § 90.157 Discontinuance of...

An analysis of the personal reasons for discontinuing IUD use.

PubMed

Petta, C A; Amatya, R; Farr, G; Chi, I

1994-10-01

The objective of this study was to evaluate possible factors associated with discontinuing use of TCu 380A IUDs due to personal reasons among 2748 users. Overall, a total of 88 subjects discontinued using the TCu 380A IUD within 12 months postinsertion for personal reasons. The most common reasons were planned pregnancy (32%) and husband or family opinion against IUD use (26%). The gross cumulative 12-month life table discontinuation rate for all personal reasons was 4.0 per 100 women. Having no education and/or living in a rural area were the sociodemographic characteristics associated with an increased risk of discontinuation for personal reasons. Effective and regular counseling about IUD use, especially among illiterate women, may help prevent IUD discontinuations related to personal reasons.

Accountability Accentuates Interindividual-Intergroup Discontinuity by Enforcing Parochialism

PubMed Central

Wildschut, Tim; van Horen, Femke; Hart, Claire

2015-01-01

Interindividual-intergroup discontinuity is the tendency for relations between groups to be more competitive than relations between individuals. We examined whether the discontinuity effect arises in part because group members experience normative pressure to favor the ingroup (parochialism). Building on the notion that accountability enhances normative pressure, we hypothesized that the discontinuity effect would be larger when accountability is present (compared to absent). A prisoner’s dilemma game experiment supported this prediction. Specifically, intergroup (compared to interindividual) interaction activated an injunctive ingroup-favoring norm, and accountability enhanced the influence of this norm on competitive behavior. PMID:26635691

Primary care providers’ perspectives on discontinuing prostate cancer screening

PubMed Central

Pollack, Craig E.; Platz, Elizabeth A.; Bhavsar, Nrupen A.; Noronha, Gary; Green, Gene E.; Chen, Sean; Carter, H. Ballentine

2012-01-01

Background Clinical guidelines recommend against routine prostate specific antigen (PSA) screening in older men and those with lower life expectancies. We examined providers’ decision-making regarding discontinuing PSA screening. Methods We administered a survey of primary providers from a large, university-affiliated primary care practice. Providers were asked about their current screening practices, factors that influence their decision to discontinue screening, and barriers to discontinuing screening. Bivariate and multivariable logistic regression analyses were used to examine whether taking age and/or life expectancy into account and barriers to discontinuing were associated with clinician characteristics and practice styles. Results 88.7% of providers participated in the survey (125 out of 141). Over half (59.3%) took both age and life expectancy into account whereas 12.2% did not consider either in their decisions to discontinue PSA screening. Providers varied with the age they typically stop screening and majority (66.4%) report difficulty in assessing life expectancy. Taking patient age and life expectancy into account was not associated with provider characteristics or practice styles. The most frequently cited barriers to discontinuing PSA screening were patient expectation (74.4%) and time constraints (66.4%). Black providers were significantly less likely than non-black providers to endorse barriers related to time constraints and clinical uncertainty, though these results are limited by the small sample size of black providers. Conclusion Though age and life expectancy often figure prominently in decisions to employ screening, providers face multiple barriers to discontinue PSA routine screening, PMID:22517310

Discontinuous precipitation at the deformation band in copper alloy

NASA Astrophysics Data System (ADS)

Han, Seung Zeon; Ahn, Jee Hyuk; You, Young Soo; Lee, Jehyun; Goto, Masahiro; Kim, Kwangho; Kim, Sangshik

2018-01-01

The Cu-Ni-Si alloy is known as a precipitation hardening alloy, where the Ni2Si intermetallic compound is precipitated in the matrix during aging. There are two types of precipitation of Ni2Si: continuous and discontinuous cellular. The discontinuous cellular precipitation is generally initiated at interfaces especially grain boundaries in the matrix. To observe the grain boundary effect on the discontinuous precipitation, a large-grained Cu-Ni-Si-Ti alloy was intentionally fabricated by unidirectional solidification and plastically deformed by groove rolling. While discontinuous cellular precipitation has been generally known to occur only at the high angled grain boundaries in the alloys, we found that it was also generated inside the grains, at the deformation bands formed by plastic deformation.

Discontinuation of nicotine replacement therapy among smoking-cessation attempters.

PubMed

Burns, Emily K; Levinson, Arnold H

2008-03-01

Nicotine replacement therapy (NRT) doubles successful quitting, but more than half of NRT users do not comply with optimal treatment regimens. From the 2005 Colorado state tobacco survey, quit attempters who utilized NRT (N=366) were analyzed in spring 2007. Descriptive and regression analyses were used to examine reasons for discontinuing NRT, length of time on NRT, and quit intentions. The reasons for discontinuing NRT were resuming smoking (34%), side effects (17%), NRT not helping with quitting (14%), quitting smoking (10%), and cost (5%). Poverty, age, and non-Latino minority status were associated with reasons for discontinuation other than quitting smoking. Having side effects was associated with a short duration of NRT use and 95% lower odds of intending to quit in the next month. In the first population-level study examining reasons for discontinuing NRT, general-population smokers who initiate NRT use when attempting to quit are highly likely to discontinue NRT prematurely. Age and culturally-appropriate medication management interventions may increase NRT compliance and improve cessation outcomes.

39 CFR 241.3 - Discontinuance of post offices.

Code of Federal Regulations, 2011 CFR

2011-07-01

.... These rules are designed to ensure that the reasons leading a district manager, Customer Service and... originally assigned to the discontinued post office may be changed if the responsible district manager... to the discontinued post office. (ii) If the ZIP Code is changed and the parent post office covers...

50 CFR 13.26 - Discontinuance of permit activity.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 50 Wildlife and Fisheries 1 2010-10-01 2010-10-01 false Discontinuance of permit activity. 13.26 Section 13.26 Wildlife and Fisheries UNITED STATES FISH AND WILDLIFE SERVICE, DEPARTMENT OF THE INTERIOR... PLANTS GENERAL PERMIT PROCEDURES Permit Administration § 13.26 Discontinuance of permit activity. When a...

Magnetic discontinuities in magnetohydrodynamic turbulence and in the solar wind.

PubMed

Zhdankin, Vladimir; Boldyrev, Stanislav; Mason, Joanne; Perez, Jean Carlos

2012-04-27

Recent measurements of solar wind turbulence report the presence of intermittent, exponentially distributed angular discontinuities in the magnetic field. In this Letter, we study whether such discontinuities can be produced by magnetohydrodynamic (MHD) turbulence. We detect the discontinuities by measuring the fluctuations of the magnetic field direction, Δθ, across fixed spatial increments Δx in direct numerical simulations of MHD turbulence with an imposed uniform guide field B(0). A large region of the probability density function (pdf) for Δθ is found to follow an exponential decay, proportional to exp(-Δθ/θ(*)), with characteristic angle θ(*)≈(14°)(b(rms)/B(0))(0.65) for a broad range of guide-field strengths. We find that discontinuities observed in the solar wind can be reproduced by MHD turbulence with reasonable ratios of b(rms)/B(0). We also observe an excess of small angular discontinuities when Δx becomes small, possibly indicating an increasing statistical significance of dissipation-scale structures. The structure of the pdf in this case closely resembles the two-population pdf seen in the solar wind. We thus propose that strong discontinuities are associated with inertial-range MHD turbulence, while weak discontinuities emerge from dissipation-range turbulence. In addition, we find that the structure functions of the magnetic field direction exhibit anomalous scaling exponents, which indicates the existence of intermittent structures.

27 CFR 19.19 - Discontinuance of storage facilities.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Discontinuance of storage... Provisions § 19.19 Discontinuance of storage facilities. If TTB determines that a proprietor's bonded storage... spirits stored in the facility to another storage facility. The transfer will take place at such time and...

27 CFR 19.79 - Discontinuance of storage facilities.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Discontinuance of storage... Provisions Activities Not Subject to This Part § 19.79 Discontinuance of storage facilities. When the appropriate TTB officer finds that any facilities for the storage of spirits on bonded premises are unsafe or...

27 CFR 19.19 - Discontinuance of storage facilities.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2013-04-01 2013-04-01 false Discontinuance of storage... Provisions § 19.19 Discontinuance of storage facilities. If TTB determines that a proprietor's bonded storage... spirits stored in the facility to another storage facility. The transfer will take place at such time and...

Discontinuation of dialysis.

PubMed

Motes, C E

1989-10-01

With the evolution and recognition of a legal right to self-determination and right to privacy, it is inevitable that some competent end stage renal disease patients opt to discontinue dialysis. Although justified as a constitutional right, there are other issues that must be considered in resolving their decision to forego dialysis treatment. This article addresses pertinent moral, ethical, and legal issues pertaining to this right.

On one-sided filters for spectral Fourier approximations of discontinuous functions

NASA Technical Reports Server (NTRS)

Wei, Cai; Gottlieb, David; Shu, Chi-Wang

1991-01-01

The existence of one-sided filters, for spectral Fourier approximations of discontinuous functions, which can recover spectral accuracy up to discontinuity from one side, was proved. A least square procedure was also used to construct such a filter and test it on several discontinuous functions numerically.

A Hyperspherical Adaptive Sparse-Grid Method for High-Dimensional Discontinuity Detection

DOE PAGES

Zhang, Guannan; Webster, Clayton G.; Gunzburger, Max D.; ...

2015-06-24

This study proposes and analyzes a hyperspherical adaptive hierarchical sparse-grid method for detecting jump discontinuities of functions in high-dimensional spaces. The method is motivated by the theoretical and computational inefficiencies of well-known adaptive sparse-grid methods for discontinuity detection. Our novel approach constructs a function representation of the discontinuity hypersurface of an N-dimensional discontinuous quantity of interest, by virtue of a hyperspherical transformation. Then, a sparse-grid approximation of the transformed function is built in the hyperspherical coordinate system, whose value at each point is estimated by solving a one-dimensional discontinuity detection problem. Due to the smoothness of the hypersurface, the newmore » technique can identify jump discontinuities with significantly reduced computational cost, compared to existing methods. In addition, hierarchical acceleration techniques are also incorporated to further reduce the overall complexity. Rigorous complexity analyses of the new method are provided as are several numerical examples that illustrate the effectiveness of the approach.« less

Numerical Simulations of Shock Wave Refraction at Inclined Gas Contact Discontinuity

ERIC Educational Resources Information Center

Bulat, Pavel V.; Volkov, Konstantin N.

2016-01-01

When a shock wave interacts with a contact discontinuity, there may appear a reflected rarefaction wave, a deflected contact discontinuity and a refracted supersonic shock. The numerical simulation of shock wave refraction at a plane contact discontinuity separating gases with different densities is performed. Euler equations describing inviscid…

Waiting-time distributions of magnetic discontinuities: clustering or Poisson process?

PubMed

Greco, A; Matthaeus, W H; Servidio, S; Dmitruk, P

2009-10-01

Using solar wind data from the Advanced Composition Explorer spacecraft, with the support of Hall magnetohydrodynamic simulations, the waiting-time distributions of magnetic discontinuities have been analyzed. A possible phenomenon of clusterization of these discontinuities is studied in detail. We perform a local Poisson's analysis in order to establish if these intermittent events are randomly distributed or not. Possible implications about the nature of solar wind discontinuities are discussed.

Waiting-time distributions of magnetic discontinuities: Clustering or Poisson process?

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

Greco, A.; Matthaeus, W. H.; Servidio, S.

2009-10-15

Using solar wind data from the Advanced Composition Explorer spacecraft, with the support of Hall magnetohydrodynamic simulations, the waiting-time distributions of magnetic discontinuities have been analyzed. A possible phenomenon of clusterization of these discontinuities is studied in detail. We perform a local Poisson's analysis in order to establish if these intermittent events are randomly distributed or not. Possible implications about the nature of solar wind discontinuities are discussed.

Etiology of Ibrutinib Discontinuation and Outcomes in Chronic Lymphocytic Leukemia Patients

PubMed Central

Maddocks, Kami J.; Ruppert, Amy S.; Lozanski, Gerard; Heerema, Nyla A.; Zhao, Weiqiang; Abruzzo, Lynne; Lozanski, Arletta; Davis, Melanie; Gordon, Amber; Smith, Lisa L.; Mantel, Rose; Jones, Jeffrey A.; Flynn, Joseph M.; Jaglowski, Samantha M.; Andritsos, Leslie A.; Awan, Farrukh; Blum, Kristie A.; Grever, Michael R.; Johnson, Amy J.; Byrd, John C.; Woyach, Jennifer A.

2015-01-01

Importance The Bruton’s Tyrosine Kinase inhibitor ibrutinib is effective in patients with chronic lymphocytic leukemia (CLL). Reasons for discontinuation from this drug and outcomes following discontinuation have not been evaluated outside of clinical trials with relatively short follow-up. Objective To determine features associated with discontinuation of ibrutinib and outcomes. Design 308 patients participating in four sequential trials of ibrutinib were included. These trials accrued patients included in this analysis from May 2010 until April 2014, and data were locked in June 2014. Setting The Ohio State University Comprehensive Cancer Center Participants Patients with CLL enrolled on 4 sequential clinical trials. Main Outcome Measure Patients were evaluated for time to discontinuation, reasons for discontinuation, and survival following discontinuation. For patients who discontinued due to progression, targeted deep sequencing was performed in samples at baseline and relapse. Results With a median follow-up of 20 months, 232 patients remain on therapy, 31 have discontinued because of progression, and 45 have discontinued for other reasons. Disease progression includes Richter’s transformation or progressive CLL. Richter’s appeared to occur early and CLL progressions later (cumulative incidence at 12 months: 4.5% (95% CI: 2.0% to 7.0%) and 0.3% (95% CI: 0% to 1.0%), respectively). Median survival following Richter’s transformation was 3.5 months (95% CI: 0.3–6.0), and 17.6 months (95% CI: 4.7-not reached) following CLL progression. Sequencing on peripheral blood from 8 patients with Richter’s transformation revealed 2 with mutations in BTK, and a lymph node sample showed no mutations in BTK or PLCγ2. Deep sequencing on 11 patients with CLL progression revealed BTK or PLCγ2 mutations in all. These mutations were not identified pre-treatment in any patient. Conclusions and Relevance This single institution experience with ibrutinib confirms it to

Hales discontinuity beneath India: selective appearance and a case for systematic modeling

NASA Astrophysics Data System (ADS)

Mitra, S.; Chaudhury, J.

2016-12-01

Hales discontinuity was first reported in Lake Superior at depth of 80-90 km, characterized by an increase in P-wave velocity from 8.05 to 8.45 km/s. Subsequent, worldwide studies have observed this discontinuity beneath selected continental regions and Pacific Ocean, with depth varying from 40 to 115 km. The cause for the absence of observable signal corresponding to the Hales discontinuity beneath a number of seismic stations and the large depth variation of the discontinuity are poorly understood. In the Indian subcontinent, the Hales discontinuity has been selectively imaged beneath the Southern Granulite Terrain, Eastern Dharwar, Bastar and Aravalli Cratons. These studies used low frequency P-wave receiver functions (P-RFs) to show that the Hales discontinuity corresponds to a PHs phase arriving between 7.5 and 11 s. A few studies have forwarded modeled this phase to demonstrate that this arrival is distinct from Moho reverberations and corresponds to a depth range of 75-90 km. However, these studies have ignored the effect of mid-crustal discontinuity, which had been observed in P-RF inverted crustal models beneath these stations, and its first reverberation coincide with the reported PHs. We demonstrate through forward modeling that the observed Hales discontinuity PHs can be matched by the PpPs from mid-crustal discontinuity beneath the cratons, with the exception of Hyderabad (HYB), where this discontinuity was reported to be deepest at 90 km. We perform joint inversion of the HYB P-RFs with Rayleigh wave dispersion to obtain a 32 km thick two layer crust, and Hales discontinuity at a depth of 108±2 km, with 4% increase in S-wave velocity from 4.6 to 4.8 km/s. Several mechanisms have been proposed to explain this velocity discontinuity, which include transition from spinel to garnet peridotite or changes in cation partitioning in olivine. We intend to evaluate the velocity increase based on thermoelasticity data of minerals constituting peridotite.

Discontinuities, cross-scale patterns, and the organization of ecosystems

USGS Publications Warehouse

Nash, Kirsty L.; Allen, Craig R.; Angeler, David G.; Barichievy, Chris; Eason, Tarsha; Garmestani, Ahjond S.; Graham, Nicholas A.J.; Granholm, Dean; Knutson, Melinda; Nelson, R. John; Nystrom, Magnus; Stow, Craig A.; Sandstrom, Shana M.

2014-01-01

Ecological structures and processes occur at specific spatiotemporal scales, and interactions that occur across multiple scales mediate scale-specific (e.g., individual, community, local, or regional) responses to disturbance. Despite the importance of scale, explicitly incorporating a multi-scale perspective into research and management actions remains a challenge. The discontinuity hypothesis provides a fertile avenue for addressing this problem by linking measureable proxies to inherent scales of structure within ecosystems. Here we outline the conceptual framework underlying discontinuities and review the evidence supporting the discontinuity hypothesis in ecological systems. Next we explore the utility of this approach for understanding cross-scale patterns and the organization of ecosystems by describing recent advances for examining nonlinear responses to disturbance and phenomena such as extinctions, invasions, and resilience. To stimulate new research, we present methods for performing discontinuity analysis, detail outstanding knowledge gaps, and discuss potential approaches for addressing these gaps.

A non-conventional discontinuous Lagrangian for viscous flow

PubMed Central

Marner, F.

2017-01-01

Drawing an analogy with quantum mechanics, a new Lagrangian is proposed for a variational formulation of the Navier–Stokes equations which to-date has remained elusive. A key feature is that the resulting Lagrangian is discontinuous in nature, posing additional challenges apropos the mathematical treatment of the related variational problem, all of which are resolvable. In addition to extending Lagrange's formalism to problems involving discontinuous behaviour, it is demonstrated that the associated equations of motion can self-consistently be interpreted within the framework of thermodynamics beyond local equilibrium, with the limiting case recovering the classical Navier–Stokes equations. Perspectives for applying the new formalism to discontinuous physical phenomena such as phase and grain boundaries, shock waves and flame fronts are provided. PMID:28386415

A non-conventional discontinuous Lagrangian for viscous flow.

PubMed

Scholle, M; Marner, F

2017-02-01

Drawing an analogy with quantum mechanics, a new Lagrangian is proposed for a variational formulation of the Navier-Stokes equations which to-date has remained elusive. A key feature is that the resulting Lagrangian is discontinuous in nature, posing additional challenges apropos the mathematical treatment of the related variational problem, all of which are resolvable. In addition to extending Lagrange's formalism to problems involving discontinuous behaviour, it is demonstrated that the associated equations of motion can self-consistently be interpreted within the framework of thermodynamics beyond local equilibrium, with the limiting case recovering the classical Navier-Stokes equations. Perspectives for applying the new formalism to discontinuous physical phenomena such as phase and grain boundaries, shock waves and flame fronts are provided.

The structure of rotational discontinuities. [in solar wind

NASA Technical Reports Server (NTRS)

Neugebauer, M.

1989-01-01

This study examines the structures of a set of rotational discontinuities detected in the solar wind by the ISEE-3 spacecraft. It is found that the complexity of the structure increases as the angle theta between the propagation vector k and the magnetic field decreases. For rotational discontinuities that propagate at a large angle to the field with an ion (left-hand) sense of rotation, the magnetic hodograms tend to be flattened, in agreement with prior numerical simulations. When theta is large, angular 'overshoots' are often observed at one or both ends of the discontinuity. When the propagation is nearly parallel to the field (when theta is small), many different types of structure are seen, ranging from straight lines, to S-shaped curves, to complex, disorganized shapes.

News and views in discontinuous phase transitions

NASA Astrophysics Data System (ADS)

Nagler, Jan

2014-03-01

Recent progress in the theory of discontinuous percolation allow us to better understand the the sudden emergence of large-scale connectedness both in networked systems and on the lattice. We analytically study mechanisms for the amplification of critical fluctuations at the phase transition point, non-self-averaging and power law fluctuations. A single event analysis allow to establish criteria for discontinuous percolation transitions, even on the high-dimensional lattice. Some applications such as salad bowl percolation, and inverse fragmentation are discussed.

Contribution of strong discontinuities to the power spectrum of the solar wind.

PubMed

Borovsky, Joseph E

2010-09-10

Eight and a half years of magnetic field measurements (2(22) samples) from the ACE spacecraft in the solar wind at 1 A.U. are analyzed. Strong (large-rotation-angle) discontinuities in the solar wind are collected and measured. An artificial time series is created that preserves the timing and amplitudes of the discontinuities. The power spectral density of the discontinuity series is calculated and compared with the power spectral density of the solar-wind magnetic field. The strong discontinuities produce a power-law spectrum in the "inertial subrange" with a spectral index near the Kolmogorov -5/3 index. The discontinuity spectrum contains about half of the power of the full solar-wind magnetic field over this "inertial subrange." Warnings are issued about the significant contribution of discontinuities to the spectrum of the solar wind, complicating interpretation of spectral power and spectral indices.

7 CFR 247.17 - Notification of discontinuance of participant.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Section 247.17 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.17... effective date of discontinuance. (b) What must a local agency do if it has to discontinue a participant...

7 CFR 247.17 - Notification of discontinuance of participant.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 247.17 Agriculture Regulations of the Department of Agriculture (Continued) FOOD AND NUTRITION SERVICE, DEPARTMENT OF AGRICULTURE CHILD NUTRITION PROGRAMS COMMODITY SUPPLEMENTAL FOOD PROGRAM § 247.17... effective date of discontinuance. (b) What must a local agency do if it has to discontinue a participant...

Regression Discontinuity for Causal Effect Estimation in Epidemiology.

PubMed

Oldenburg, Catherine E; Moscoe, Ellen; Bärnighausen, Till

Regression discontinuity analyses can generate estimates of the causal effects of an exposure when a continuously measured variable is used to assign the exposure to individuals based on a threshold rule. Individuals just above the threshold are expected to be similar in their distribution of measured and unmeasured baseline covariates to individuals just below the threshold, resulting in exchangeability. At the threshold exchangeability is guaranteed if there is random variation in the continuous assignment variable, e.g., due to random measurement error. Under exchangeability, causal effects can be identified at the threshold. The regression discontinuity intention-to-treat (RD-ITT) effect on an outcome can be estimated as the difference in the outcome between individuals just above (or below) versus just below (or above) the threshold. This effect is analogous to the ITT effect in a randomized controlled trial. Instrumental variable methods can be used to estimate the effect of exposure itself utilizing the threshold as the instrument. We review the recent epidemiologic literature reporting regression discontinuity studies and find that while regression discontinuity designs are beginning to be utilized in a variety of applications in epidemiology, they are still relatively rare, and analytic and reporting practices vary. Regression discontinuity has the potential to greatly contribute to the evidence base in epidemiology, in particular on the real-life and long-term effects and side-effects of medical treatments that are provided based on threshold rules - such as treatments for low birth weight, hypertension or diabetes.

The derivative discontinuity of the exchange-correlation functional.

PubMed

Mori-Sánchez, Paula; Cohen, Aron J

2014-07-28

The derivative discontinuity is a key concept in electronic structure theory in general and density functional theory in particular. The electronic energy of a quantum system exhibits derivative discontinuities with respect to different degrees of freedom that are a consequence of the integer nature of electrons. The classical understanding refers to the derivative discontinuity of the total energy as a function of the total number of electrons (N), but it can also manifest at constant N. Examples are shown in models including several hydrogen systems with varying numbers of electrons or nuclear charge (Z), as well as the 1-dimensional Hubbard model (1DHM). Two sides of the problem are investigated: first, the failure of currently used approximate exchange-correlation functionals in DFT and, second, the importance of the derivative discontinuity in the exact electronic structure of molecules, as revealed by full configuration interaction (FCI). Currently, all approximate functionals, including hybrids, miss the derivative discontinuity, leading to basic errors that can be seen in many ways: from the complete failure to give the total energy of H2 and H2(+), to the missing gap in Mott insulators such as stretched H2 and the thermodynamic limit of the 1DHM, or a qualitatively incorrect density in the HZ molecule with two electrons and incorrect electron transfer processes. Description of the exact particle behaviour of electrons is emphasised, which is key to many important physical processes in real systems, especially those involving electron transfer, and offers a challenge for the development of new exchange-correlation functionals.

A High-resolution Model of Field-aligned Currents Through Empirical Orthogonal Functions Analysis (MFACE)

NASA Technical Reports Server (NTRS)

He, Maosheng; Vogt, Joachim; Luehr, Hermann; Sorbalo, Eugen; Blagau, Adrian; Le, Guan; Lu, Gang

2012-01-01

Ten years of CHAMP magnetic field measurements are integrated into MFACE, a model of field-aligned currents (FACs) using empirical orthogonal functions (EOFs). EOF1 gives the basic Region-1/Region-2 pattern varying mainly with the interplanetary magnetic field Bz component. EOF2 captures separately the cusp current signature and By-related variability. Compared to existing models, MFACE yields significantly better spatial resolution, reproduces typically observed FAC thickness and intensity, improves on the magnetic local time (MLT) distribution, and gives the seasonal dependence of FAC latitudes and the NBZ current signature. MFACE further reveals systematic dependences on By, including 1) Region-1/Region-2 topology modifications around noon; 2) imbalance between upward and downward maximum current density; 3) MLT location of the Harang discontinuity. Furthermore, our procedure allows quantifying response times of FACs to solar wind driving at the bow shock nose: we obtain 20 minutes and 35-40 minutes lags for the FAC density and latitude, respectively.

[Social representations of TB patients on treatment discontinuation].

PubMed

Chirinos, Narda Estela Calsin; Meirelles, Betina Hörner Schlindwein; Bousfield, Andréa Barbará Silva

2015-01-01

To understand the social representations of people with TB who discontinued treatment in a Program of Tuberculosis Control. a descriptive study of qualitative approach conducted in the city of Lima, Peru. Data were collected from October to November 2012, through semi-structured interviews with eight individuals and the method used was thematic content analysis. The categories led to the construction of the social representation that the disease and the treatment bring suffering. This representation influences non-adherence to treatment and may increase the rates of treatment discontinuation. Educational strategies linked to social interaction processes, to subjectivity and to the patient context are needed to reduce the rates of discontinuation of tuberculosis treatment, relapses and multi-drug resistance. The evaluations point to new challenges that must be faced to achieve the Millennium Development Goals.

Forensic Excavation of Rock Masses: A Technique to Investigate Discontinuity Persistence

NASA Astrophysics Data System (ADS)

Shang, J.; Hencher, S. R.; West, L. J.; Handley, K.

2017-11-01

True persistence of rock discontinuities (areas with insignificant tensile strength) is an important factor controlling the engineering behaviour of fractured rock masses, but is extremely difficult to quantify using current geological survey methodologies, even where there is good rock exposure. Trace length as measured in the field or using remote measurement devices is actually only broadly indicative of persistence for rock engineering practice and numerical modelling. Visible traces of discontinuities are treated as if they were open fractures within rock mass classifications, despite many such traces being non-persistent and actually retaining considerable strength. The common assumption of 100% persistence, based on trace length, is generally extremely conservative in terms of strength and stiffness, but not always so and may lead to a wrong prediction of failure mechanism or of excavatability. Assuming full persistence would give hopelessly incorrect predictions of hydraulic conductivity. A new technique termed forensic excavation of rock masses is introduced, as a procedure for directly investigating discontinuity persistence. This technique involves non-explosive excavation of rock masses by injecting an expansive chemical splitter along incipient discontinuities. On expansion, the splitter causes the incipient traces to open as true joints. Experiments are described in which near-planar rock discontinuities, through siltstone and sandstone, were opened up by injecting the splitter into holes drilled along the lines of visible traces of the discontinuities in the laboratory and in the field. Once exposed the surfaces were examined to investigate the pre-existing persistence characteristics of the incipient discontinuities. One conclusion from this study is that visible trace length of a discontinuity can be a poor indicator of true persistence (defined for a fracture area with negligible tensile strength). An observation from this series of experiments

Automatic extraction of discontinuity orientation from rock mass surface 3D point cloud

NASA Astrophysics Data System (ADS)

Chen, Jianqin; Zhu, Hehua; Li, Xiaojun

2016-10-01

This paper presents a new method for extracting discontinuity orientation automatically from rock mass surface 3D point cloud. The proposed method consists of four steps: (1) automatic grouping of discontinuity sets using an improved K-means clustering method, (2) discontinuity segmentation and optimization, (3) discontinuity plane fitting using Random Sample Consensus (RANSAC) method, and (4) coordinate transformation of discontinuity plane. The method is first validated by the point cloud of a small piece of a rock slope acquired by photogrammetry. The extracted discontinuity orientations are compared with measured ones in the field. Then it is applied to a publicly available LiDAR data of a road cut rock slope at Rockbench repository. The extracted discontinuity orientations are compared with the method proposed by Riquelme et al. (2014). The results show that the presented method is reliable and of high accuracy, and can meet the engineering needs.

21 CFR 314.91 - Obtaining a reduction in the discontinuance notification period.

Code of Federal Regulations, 2013 CFR

2013-04-01

... AND HUMAN SERVICES (CONTINUED) DRUGS FOR HUMAN USE APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG... manufacturer of certain products notifies FDA that it will discontinue manufacturing the product. The discontinuance notification period ends when manufacturing ceases. (b) When can FDA reduce the discontinuance...

21 CFR 314.91 - Obtaining a reduction in the discontinuance notification period.

Code of Federal Regulations, 2011 CFR

2011-04-01

... AND HUMAN SERVICES (CONTINUED) DRUGS FOR HUMAN USE APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG... manufacturer of certain products notifies FDA that it will discontinue manufacturing the product. The discontinuance notification period ends when manufacturing ceases. (b) When can FDA reduce the discontinuance...

21 CFR 314.91 - Obtaining a reduction in the discontinuance notification period.

Code of Federal Regulations, 2012 CFR

2012-04-01

... AND HUMAN SERVICES (CONTINUED) DRUGS FOR HUMAN USE APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG... manufacturer of certain products notifies FDA that it will discontinue manufacturing the product. The discontinuance notification period ends when manufacturing ceases. (b) When can FDA reduce the discontinuance...

21 CFR 314.91 - Obtaining a reduction in the discontinuance notification period.

Code of Federal Regulations, 2010 CFR

2010-04-01

... AND HUMAN SERVICES (CONTINUED) DRUGS FOR HUMAN USE APPLICATIONS FOR FDA APPROVAL TO MARKET A NEW DRUG... manufacturer of certain products notifies FDA that it will discontinue manufacturing the product. The discontinuance notification period ends when manufacturing ceases. (b) When can FDA reduce the discontinuance...

Discontinuities in the shallow Martian crust at Lunae, Syria, and Sinai Plana

USGS Publications Warehouse

Davis, P.A.; Golombek, M.P.

1990-01-01

Detailed photoclinometric profiles across 125 erosional features and 141 grabens in the western equatorial region of Mars indicate the presence of three discontinuities within the shallow crust, at depths of 0.3, 0.6 km, 1 km, and 2-3 km. The shallowest discontinuity corresponds to thickness estimates for the ridged plains unit in this region, and thus the discontinuity probably is the contact between a sequence of layered rock making up this unit and the underlying megaregolith. The 1-km discontinuity is reflected in the base levels of erosion of all the features studied, and it may correspond to the base of the proposed layer of ground ice. Model calculations show that graben-bounding faults consistently intersect at the mechanical discontinuity at about 1 km depth. This discontinuity may represent an interface between ice-laden and dry regolith, ice-laden and water-laden regolith, or pristine and cemented regolith. A correlation between wall valley head depth and local thickness of the faulted layer suggests that the 1-km discontinuity also controlled the depth of the heads of sapping canyons. The third discontinuity, at a depth of 2-3 km, corresponds to the proposed base of the Martian megaregolith and is probably the interface between overlying, ejected breccia and in situ, fractured basement rocks. -from Authors

Severe disease exacerbations in patients with multiple sclerosis after discontinuing fingolimod.

PubMed

Członkowska, Anna; Smoliński, Łukasz; Litwin, Tomasz

Discontinuation of fingolimod in patients with multiple sclerosis (MS) can lead to disease reactivation. In this review, we describe cases of severe exacerbations in patients with MS following discontinuation of fingolimod, including three cases from our center. We consider potential mechanisms of disease reactivation after cessation of fingolimod, and the evidence supporting this rebound effect. We conclude that discontinuation of fingolimod results in the return of disease activity, which then leads to severe exacerbations (i.e., rebounds) in a clinically significant proportion of patients. Lastly, we consider disease-modifying treatment options for patients who discontinue fingolimod. Copyright © 2017. Published by Elsevier Urban & Partner Sp. z o.o.

Technological Discontinuities and Organizational Environments.

ERIC Educational Resources Information Center

Tushman, Michael L.; Anderson, Philip

1986-01-01

Technological effects on environmental conditions are analyzed using longitudinal data from the minicomputer, cement, and airline industries. Technology evolves through periods of incremental change punctuated by breakthroughs that enhance or destroy the competence of firms. Competence-destroying discontinuities increase environmental turbulence;…

Reciprocity principle for scattered fields from discontinuities in waveguides.

PubMed

Pau, Annamaria; Capecchi, Danilo; Vestroni, Fabrizio

2015-01-01

This study investigates the scattering of guided waves from a discontinuity exploiting the principle of reciprocity in elastodynamics, written in a form that applies to waveguides. The coefficients of reflection and transmission for an arbitrary mode can be derived as long as the principle of reciprocity is satisfied at the discontinuity. Two elastodynamic states are related by the reciprocity. One is the response of the waveguide in the presence of the discontinuity, with the scattered fields expressed as a superposition of wave modes. The other state is the response of the waveguide in the absence of the discontinuity oscillating according to an arbitrary mode. The semi-analytical finite element method is applied to derive the needed dispersion relation and wave mode shapes. An application to a solid cylinder with a symmetric double change of cross-section is presented. This model is assumed to be representative of a damaged rod. The coefficients of reflection and transmission of longitudinal waves are investigated for selected values of notch length and varying depth. Copyright © 2014 Elsevier B.V. All rights reserved.

Risk of Vascular Thrombotic Events Following Discontinuation of Antithrombotics After Peptic Ulcer Bleeding.

PubMed

Kim, Seung Young; Hyun, Jong Jin; Suh, Sang Jun; Jung, Sung Woo; Jung, Young Kul; Koo, Ja Seol; Yim, Hyung Joon; Park, Jong Jae; Chun, Hoon Jai; Lee, Sang Woo

2016-04-01

To evaluate whether the risk of cardiovascular events increases when antithrombotics are discontinued after ulcer bleeding. Peptic ulcer bleeding associated with antithrombotics has increased due to the increase in the proportion of elderly population. Little is known about the long-term effects of discontinuing antithrombotics after peptic ulcer bleeding. The aim of this study was to evaluate whether the risk of cardiovascular events increases when antithrombotics are discontinued after ulcer bleeding. We reviewed the medical records of patients with ulcer bleeding who were taking antiplatelet agents or anticoagulants at the time of ulcer bleeding. Cox-regression model was used to adjust for potential confounders, and analyzed association between discontinuation of antithrombotic drugs after ulcer bleeding and thrombotic events such as ischemic heart disease or stroke. Of the 544 patients with ulcer bleeding, 72 patients who were taking antithrombotics and followed up for >2 months were analyzed. Forty patients discontinued antithrombotics after ulcer bleeding (discontinuation group) and 32 patients continued antithrombotics with or without transient interruption (continuation group). Thrombotic events developed more often in discontinuation group than in the continuation group [7/32 (21.9%) vs. 1/40 (2.5%), P=0.019]. Hazard ratio for thrombotic event when antithrombotics were continuously discontinued was 10.9 (95% confidence interval, 1.3-89.7). There were no significant differences in recurrent bleeding events between the 2 groups. Discontinuation of antithrombotics after peptic ulcer bleeding increases the risk of cardiovascular events. Therefore, caution should be taken when discontinuing antithrombotics after ulcer bleeding.

EVALUATING DISCONTINUITIES IN COMPLEX SYSTEMS: TOWARD QUANTITATIVE MEASURE OF RESILIENCE

EPA Science Inventory

The textural discontinuity hypothesis (TDH) is based on the observation that animal body mass distributions exhibit discontinuities that may reflect the texture of the landscape available for exploitation. This idea has been extended to other complex systems, hinting that the ide...

Drug Discontinuation Effects Are Part of the Pharmacology of a Drug

PubMed Central

2011-01-01

Most reviews of drug withdrawal effects focus on drugs of potential abuse such as opioids, benzodiazepines, etc. Abrupt discontinuation of many other drugs used in medicine cause withdrawal syndromes, some of which can be fatal. Discontinuation of a number of cardiovascular drugs can increase risk of cardiovascular events above that of people not taking these drugs. These include β-adrenergic receptor antagonists, aspirin, HMG-CoA reductase inhibitors (statins), and heparin. Rebound hypertension occurs after abrupt cessation of many antihypertensive drugs. The possibility of discontinuation syndromes has usually been neglected until adverse clinical events force them to be noticed. Attention to the possibility of drug discontinuation effects is an important part of drug safety evaluation. PMID:21849624

Transition density of one-dimensional diffusion with discontinuous drift

NASA Technical Reports Server (NTRS)

Zhang, Weijian

1990-01-01

The transition density of a one-dimensional diffusion process with a discontinuous drift coefficient is studied. A probabilistic representation of the transition density is given, illustrating the close connections between discontinuities of the drift and Brownian local times. In addition, some explicit results are obtained based on the trivariate density of Brownian motion, its occupation, and local times.

The 520 km Discontinuity: No Longer Just the Middle Child of the Transition Zone

NASA Astrophysics Data System (ADS)

Houser, C.; Williams, Q.

2008-12-01

The 520 km discontinuity is more difficult to image and changes character laterally more relative to its siblings the 410 km and 660 km discontinuities. The 520 km discontinuity is thought to result from the phase change of β-spinel to γ-spinel, a transition which has a smaller impedance contrast than the olivine to β-spinel or the γ-spinel to perovskite and periclase transitions that are associated with the 410 km and 660 km discontinuities, respectively. In addition, there are gradual phase changes occurring in the pyroxene component of the mantle between the 410 km and 660 km discontinuity which complicate imaging and interpretation of the 520 km discontinuity. The best global coverage of discontinuity depth comes from the stacking of SS precursors, seismic phases that bounce off the discontinuities and arrive as precursors to the main SS phase. A recent study by Houser et al. (2008) contains the largest compilation of SS precursor measurements. However, since the 520 km discontinuity is not ubiquitously observed, its characteristics were not addressed. Here, we examine the geographic distribution (which is global, but not even) of high quality 520 km discontinuity measurements derived from precursors. The principal result is that the depth of the 520 km discontinuity has a higher correlation with tomographically-imaged high and low seismic velocities than either the 410 km or 660 km discontinuities. This stronger temperature sensitivity is in accord with determinations of the Clapeyron slopes of the differing transitions. Furthermore, this correlation is observed in a wide range of tectonic environments, and the prospect thus exists that the 520 km discontinuity will, where it is observed, provide a tighter bound on temperature within the transition zone than either of the other major discontinuities. Furthermore, improved constraints on the temperature distribution at depth may produce improved insight into the relative roles of thermal and compositional

Bounded extremum seeking with discontinuous dithers

DOE PAGES

Scheinker, Alexander; Scheinker, David

2016-03-21

The analysis of discontinuous extremum seeking (ES) controllers, e.g. those applicable to digital systems, has historically been more complicated than that of continuous controllers. We establish a simple and general extension of a recently developed bounded form of ES to a general class of oscillatory functions, including functions discontinuous with respect to time, such as triangle or square waves with dead time. We establish our main results by combining a novel idea for oscillatory control with an extension of functional analytic techniques originally utilized by Kurzweil, Jarnik, Sussmann, and Liu in the late 80s and early 90s and recently studiedmore » by Durr et al. Lastly, we demonstrate the value of the result with an application to inverter switching control.« less

41 CFR 101-39.105 - Discontinuance or curtailment of service.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., AND MOTOR VEHICLES 39-INTERAGENCY FLEET MANAGEMENT SYSTEMS 39.1-Establishment, Modification, and Discontinuance of Interagency Fleet Management Systems § 101-39.105 Discontinuance or curtailment of service. (a... efficiencies are realized from the operation of any fleet management system, the Administrator, GSA, will...

Fatigue Behavior of HY-130 Steel Weldments Containing Fabrication Discontinuities.

DTIC Science & Technology

1985-04-18

discontinuities to solutions for elliptical discontinuities. One such approach has been formalized in the ASME Section XI Boiler and Pressure Vessel Code [1... Boiler and Pressure Vessel Code , Section XI, "Rules for Inservice Inspection of Nuclear Reactor Coolant Systems," American Society of Mechanical

Adaptive Discontinuous Evolution Galerkin Method for Dry Atmospheric Flow

DTIC Science & Technology

2013-04-02

standard one-dimensional approximate Riemann solver used for the flux integration demonstrate better stability, accuracy as well as reliability of the...discontinuous evolution Galerkin method for dry atmospheric convection. Comparisons with the standard one-dimensional approximate Riemann solver used...instead of a standard one- dimensional approximate Riemann solver , the flux integration within the discontinuous Galerkin method is now realized by

Discontinuous Spectral Difference Method for Conservation Laws on Unstructured Grids

NASA Technical Reports Server (NTRS)

Liu, Yen; Vinokur, Marcel; Wang, Z. J.

2004-01-01

A new, high-order, conservative, and efficient method for conservation laws on unstructured grids is developed. The concept of discontinuous and high-order local representations to achieve conservation and high accuracy is utilized in a manner similar to the Discontinuous Galerkin (DG) and the Spectral Volume (SV) methods, but while these methods are based on the integrated forms of the equations, the new method is based on the differential form to attain a simpler formulation and higher efficiency. A discussion on the Discontinuous Spectral Difference (SD) Method, locations of the unknowns and flux points and numerical results are also presented.

How do horizontal, frictional discontinuities affect reverse fault-propagation folding?

NASA Astrophysics Data System (ADS)

Bonanno, Emanuele; Bonini, Lorenzo; Basili, Roberto; Toscani, Giovanni; Seno, Silvio

2017-09-01

The development of new reverse faults and related folds is strongly controlled by the mechanical characteristics of the host rocks. In this study we analyze the impact of a specific kind of anisotropy, i.e. thin mechanical and frictional discontinuities, in affecting the development of reverse faults and of the associated folds using physical scaled models. We perform analog modeling introducing one or two initially horizontal, thin discontinuities above an initially blind fault dipping at 30° in one case, and 45° in another, and then compare the results with those obtained from a fully isotropic model. The experimental results show that the occurrence of thin discontinuities affects both the development and the propagation of new faults and the shape of the associated folds. New faults 1) accelerate or decelerate their propagation depending on the location of the tips with respect to the discontinuities, 2) cross the discontinuities at a characteristic angle (∼90°), and 3) produce folds with different shapes, resulting not only from the dip of the new faults but also from their non-linear propagation history. Our results may have direct impact on future kinematic models, especially those aimed to reconstruct the tectonic history of faults that developed in layered rocks or in regions affected by pre-existing faults.

Hospital Factors Associated With Care Discontinuity Following Emergency General Surgery.

PubMed

Havens, Joaquim M; Olufajo, Olubode A; Tsai, Thomas C; Jiang, Wei; Columbus, Alexandra B; Nitzschke, Stephanie L; Cooper, Zara; Salim, Ali

2017-03-01

Although there is evidence that changes in clinicians during the continuum of care (care discontinuity) are associated with higher mortality and complications among surgical patients, little is known regarding the drivers of care discontinuity among emergency general surgery (EGS) patients. To identify hospital factors associated with care discontinuity among EGS patients. We performed a retrospective analysis of the 100% Medicare inpatient claims file, from January 1, 2008, to November 30, 2011, and matched patient details to hospital information in the 2011 American Hospital Association Annual Survey database. We selected patients aged 65 years and older who had the most common procedures associated with the previously defined American Association for the Surgery of Trauma EGS diagnosis categories and survived to hospital discharge across the United States. The current analysis was conducted from February 1, 2016, to March 24, 2016. Care discontinuity defined as readmission within 30 days to nonindex hospitals. There were 109 443 EGS patients readmitted within 30 days of discharge and 20 396 (18.6%) were readmitted to nonindex hospitals. Of the readmitted patients, 61 340 (56%) were female. Care discontinuity was higher among patients who were male (19.5% vs 18.0%), those younger than 85 years old (19.0% vs 16.6%), and those who lived 12.8 km (8 miles) or more away from the index hospitals (23.7% vs 14.8%) (all P < .001). Care discontinuity was independently associated with mortality (adjusted odds ratio [aOR], 1.16; 95% CI, 1.08-1.25). Hospital factors associated with care discontinuity included bed size of 200 or more (aOR, 1.45; 95% CI, 1.36-1.54), safety-net status (aOR, 1.35; 95% CI, 1.27-1.43), and teaching status (aOR, 1.18; 95% CI, 1.09-1.28). Care discontinuity was significantly lower among designated trauma centers (aOR, 0.89; 95% CI, 0.83-0.94) and highest among hospitals in the Midwest (aOR, 1.15; 95% CI, 1.05-1.26). Nearly 1 in 5 older EGS

Wave field features of shallow vertical discontinuity and their application in non-destructive detection

USGS Publications Warehouse

Liu, J.; Xia, J.; Luo, Y.; Chen, C.; Li, X.; Huang, Y.

2007-01-01

The geotechnical integrity of critical infrastructure can be seriously compromised by the presence of fractures or crevices. Non-destructive techniques to accurately detect fractures in critical infrastructure such as dams and highways could be of significant benefit to the geotechnical industry. This paper investigates the application of shallow seismic and georadar methods to the detection of a vertical discontinuity using numerical simulations. The objective is to address the kinematical analysis of a vertical discontinuity, determine the resulting wave field characteristics, and provide the basis for determining the existence of vertical discontinuities based on the recorded signals. Simulation results demonstrate that: (1) A reflection from a vertical discontinuity produces a hyperbolic feature on a seismic or georadar profile; (2) In order for a reflection from a vertical discontinuity to be produced, a reflecting horizon below the discontinuity must exist, the offset between source and receiver (x0) must be non-zero, on the same side of the vertical discontinuity; (3) The range of distances from the vertical discontinuity where a reflection event is observed is proportional to its length and to x0; (4) Should the vertical crevice (or fracture) pass through a reflecting horizon, dual hyperbolic features can be observed on the records, and this can be used as a determining factor that the vertical crevice passes through the interface; and (5) diffractions from the edges of the discontinuity can be recorded with relatively smaller amplitude than reflections and their ranges are not constrained by the length of discontinuity. If the length of discontinuity is short enough, diffractions are the dominant feature. Real-world examples show that the shallow seismic reflection method and the georadar method are capable of recording the hyperbolic feature, which can be interpreted as vertical discontinuity. Thus, these methods show some promise as effective non

Decreased responsiveness following lithium discontinuation in bipolar disorder: A naturalistic observation study.

PubMed

Cakir, Sibel; Yazıcı, Olcay; Post, Robert M

2017-01-01

Lithium is a cornerstone in treatment of bipolar disorder. Findings are conflicting as to whether acquired unresponsiveness occurs following the discontinuation. Retrospective life chart data were evaluated to investigate the incidence of loss of response. Sixty-five patients chosen from a larger cohort, followed with prospective life charts, who discontinued lithium and had a second lithium treatment. Patients who had at least 2 mood episodes when they were drug naïve to describe the natural frequency of illness and 3 mood episodes before the discontinuation were included. The type of response was defined as excellent, partial, or poor according to mirror design method. Eighteen of 65 patients (27.6%) had a decreased response to lithium following its discontinuation. Nine of these patients (13.8%) were unresponsive and nine patients (13.8%) had attenuated response to second lithium treatment. The mean time of discontinuation was longer in the patients who show decreased response (245.8+268.2 vs. 117.9+149.8 days, p=.01). Those who had episode recurrences during the discontinuation were more likely to show reduced responsiveness upon re-treatment. After discontinuation of lithium treatment, more than a quarter of the patients showed an attenuated response or unresponsiveness, and initial partial responders more likely to show unresponsiveness than excellent responders. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

47 CFR 27.66 - Discontinuance, reduction, or impairment of service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 2 2010-10-01 2010-10-01 false Discontinuance, reduction, or impairment of..., reduction, or impairment of service. (a) Involuntary act. If the service provided by a fixed common carrier... notify the Commission, in writing, as to the reasons for discontinuance, reduction, or impairment of...

46 CFR 550.507 - Postponement, discontinuance, or suspension of action.

Code of Federal Regulations, 2010 CFR

2010-10-01

... action. The Commission may, on its own motion or upon petition, postpone, discontinue, or suspend any and... 46 Shipping 9 2010-10-01 2010-10-01 false Postponement, discontinuance, or suspension of action. 550.507 Section 550.507 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS...

46 CFR 550.507 - Postponement, discontinuance, or suspension of action.

Code of Federal Regulations, 2011 CFR

2011-10-01

... action. The Commission may, on its own motion or upon petition, postpone, discontinue, or suspend any and... 46 Shipping 9 2011-10-01 2011-10-01 false Postponement, discontinuance, or suspension of action. 550.507 Section 550.507 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS...

Father's Labour Migration and Children's School Discontinuation in Rural Mozambique.

PubMed

Yabiku, Scott T; Agadjanian, Victor

2017-08-01

We examine how the discontinuation of schooling among left-behind children is related to multiple dimensions of male labor migration: the accumulation of migration experience, the timing of these migration experiences in the child's life course, and the economic success of the migration. Our setting is rural southern Mozambique, an impoverished area with massive male labor out-migration. Results show that fathers' economically successful labor migration is more beneficial for children's schooling than unsuccessful migration or non-migration. There are large differences, however, by gender: compared to sons of non-migrants, sons of migrant fathers (regardless of migration success) have lower rates of school discontinuation, while daughters of migrant fathers have rates of school discontinuation no different than daughters of non-migrants. Furthermore, accumulated labor migration across the child's life course is beneficial for boys' schooling, but not girls'. Remittances sent in the past year reduce the rate of discontinuation for sons, but not daughters.

Longitudinal studies of botulinum toxin in cervical dystonia: Why do patients discontinue therapy?

PubMed

Jinnah, H A; Comella, Cynthia L; Perlmutter, Joel; Lungu, Codrin; Hallett, Mark

2018-06-01

Numerous studies have established botulinum toxin (BoNT) to be safe and effective for the treatment of cervical dystonia (CD). Despite its well-documented efficacy, there has been growing awareness that a significant proportion of CD patients discontinue therapy. The reasons for discontinuation are only partly understood. This summary describes longitudinal studies that provided information regarding the proportions of patients discontinuing BoNT therapy, and the reasons for discontinuing therapy. The data come predominantly from un-blinded long-term follow-up studies, registry studies, and patient-based surveys. All types of longitudinal studies provide strong evidence that BoNT is both safe and effective in the treatment of CD for many years. Overall, approximately one third of CD patients discontinue BoNT. The most common reason for discontinuing therapy is lack of benefit, often described as primary or secondary non-response. The apparent lack of response is only rarely related to true immune-mediated resistance to BoNT. Other reasons for discontinuing include side effects, inconvenience, cost, or other reasons. Although BoNT is safe and effective in the treatment of the majority of patients with CD, approximately one third discontinue. The increasing awareness of a significant proportion of patients who discontinue should encourage further efforts to optimize administration of BoNT, to improve BoNT preparations to extend duration or reduce side effects, to develop add-on therapies that may mitigate swings in symptom severity, or develop entirely novel treatment approaches. Copyright © 2017 Elsevier Ltd. All rights reserved.

Mingus Discontinuous Multiphysics

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

Pat Notz, Dan Turner

Mingus provides hybrid coupled local/non-local mechanics analysis capabilities that extend several traditional methods to applications with inherent discontinuities. Its primary features include adaptations of solid mechanics, fluid dynamics and digital image correlation that naturally accommodate dijointed data or irregular solution fields by assimilating a variety of discretizations (such as control volume finite elements, peridynamics and meshless control point clouds). The goal of this software is to provide an analysis framework form multiphysics engineering problems with an integrated image correlation capability that can be used for experimental validation and model

21 CFR 1301.52 - Termination of registration; transfer of registration; distribution upon discontinuance of business.

Code of Federal Regulations, 2010 CFR

2010-04-01

... discontinues business or professional practice. Any registrant who ceases legal existence or discontinues... registration; distribution upon discontinuance of business. 1301.52 Section 1301.52 Food and Drugs DRUG... of registration; transfer of registration; distribution upon discontinuance of business. (a) Except...

Diabetes insipidus after discontinuation of vasopressin infusion for septic shock.

PubMed

Rana, H; Ferguson, N; Dicpinigaitis, P V

2018-04-01

Despite widespread use of vasopressin for the treatment of septic shock, few cases of diabetes insipidus (DI) following its discontinuation have been reported. A 54-year-old man presented with pneumonia progressing to septic shock, requiring norepinephrine and vasopressin for refractory hypotension. After clinical improvement, the patient on 3 separate occasions developed polyuria and severe hypernatremia upon discontinuation of vasopressin, with prompt recovery upon its resumption. Occurrence of DI upon discontinuation of vasopressin infusion appears to be rare, but incidence may be underestimated due to a paucity of published reports. Actual incidence and underlying mechanism of this phenomenon remain to be elucidated. © 2017 John Wiley & Sons Ltd.

The Morphosyntax of Discontinuous Exponence

ERIC Educational Resources Information Center

Campbell, Amy Melissa

2012-01-01

This thesis offers a systematic treatment of discontinuous exponence, a pattern of inflection in which a single feature or a set of features bundled in syntax is expressed by multiple, distinct morphemes. This pattern is interesting and theoretically relevant because it represents a deviation from the expected one-to-one relationship between…

Heat exchanger containing a component capable of discontinuous movement

DOEpatents

Wilson, David Gordon

2001-04-17

Regenerative heat exchangers are described for transferring heat between hot and cold fluids. The heat exchangers have seal-leakage rates significantly less than those of conventional regenerative heat exchangers because the matrix is discontinuously moved and is releasably sealed while in a stationary position. Both rotary and modular heat exchangers are described. Also described are methods for transferring heat between a hot and cold fluid using the discontinuous movement of matrices.

Heat exchanger containing a component capable of discontinuous movement

DOEpatents

Wilson, David G.

1993-01-01

Regenerative heat exchangers are described for transferring heat between hot and cold fluids. The heat exchangers have seal-leakage rates significantly less than those of conventional regenerative heat exchangers because the matrix is discontinuously moved and is releasably sealed while in a stationary position. Both rotary and modular heat exchangers are described. Also described are methods for transferring heat between a hot and cold fluid using the discontinuous movement of matrices.

Heat exchanger containing a component capable of discontinuous movement

DOEpatents

Wilson, David Gordon

2002-01-01

Regenerative heat exchangers are described for transferring heat between hot and cold fluids. The heat exchangers have seal-leakage rates significantly less than those of conventional regenerative heat exchangers because the matrix is discontinuously moved and is releasably sealed while in a stationary position. Both rotary and modular heat exchangers are described. Also described are methods for transferring heat between a hot and cold fluid using the discontinuous movement of matrices.

Discontinuities in Early Development of the Understanding of Physical Causality

ERIC Educational Resources Information Center

Aschersleben, Gisa; Henning, Anne; Daum, Moritz M.

2013-01-01

Research on early physical reasoning has shown surprising discontinuities in developmental trajectories. Infants possess some skills that seem to disappear and then re-emerge in childhood. It has been suggested that prediction skills required in search tasks might cause these discontinuities (Keen, 2003). We tested 3.5- to 5-year-olds'…

A CLASS OF RECONSTRUCTED DISCONTINUOUS GALERKIN METHODS IN COMPUTATIONAL FLUID DYNAMICS

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

Hong Luo; Yidong Xia; Robert Nourgaliev

2011-05-01

A class of reconstructed discontinuous Galerkin (DG) methods is presented to solve compressible flow problems on arbitrary grids. The idea is to combine the efficiency of the reconstruction methods in finite volume methods and the accuracy of the DG methods to obtain a better numerical algorithm in computational fluid dynamics. The beauty of the resulting reconstructed discontinuous Galerkin (RDG) methods is that they provide a unified formulation for both finite volume and DG methods, and contain both classical finite volume and standard DG methods as two special cases of the RDG methods, and thus allow for a direct efficiency comparison.more » Both Green-Gauss and least-squares reconstruction methods and a least-squares recovery method are presented to obtain a quadratic polynomial representation of the underlying linear discontinuous Galerkin solution on each cell via a so-called in-cell reconstruction process. The devised in-cell reconstruction is aimed to augment the accuracy of the discontinuous Galerkin method by increasing the order of the underlying polynomial solution. These three reconstructed discontinuous Galerkin methods are used to compute a variety of compressible flow problems on arbitrary meshes to assess their accuracy. The numerical experiments demonstrate that all three reconstructed discontinuous Galerkin methods can significantly improve the accuracy of the underlying second-order DG method, although the least-squares reconstructed DG method provides the best performance in terms of both accuracy, efficiency, and robustness.« less

Seismic imaging of a mid-lithospheric discontinuity beneath Ontong Java Plateau

NASA Astrophysics Data System (ADS)

Tharimena, Saikiran; Rychert, Catherine A.; Harmon, Nicholas

2016-09-01

Ontong Java Plateau (OJP) is a huge, completely submerged volcanic edifice that is hypothesized to have formed during large plume melting events ∼90 and 120 My ago. It is currently resisting subduction into the North Solomon trench. The size and buoyancy of the plateau along with its history of plume melting and current interaction with a subduction zone are all similar to the characteristics and hypothesized mechanisms of continent formation. However, the plateau is remote, and enigmatic, and its proto-continent potential is debated. We use SS precursors to image seismic discontinuity structure beneath Ontong Java Plateau. We image a velocity increase with depth at 28 ± 4 km consistent with the Moho. In addition, we image velocity decreases at 80 ± 5 km and 282 ± 7 km depth. Discontinuities at 60-100 km depth are frequently observed both beneath the oceans and the continents. However, the discontinuity at 282 km is anomalous in comparison to surrounding oceanic regions; in the context of previous results it may suggest a thick viscous root beneath OJP. If such a root exists, then the discontinuity at 80 km bears some similarity to the mid-lithospheric discontinuities (MLDs) observed beneath continents. One possibility is that plume melting events, similar to that which formed OJP, may cause discontinuities in the MLD depth range. Plume-plate interaction could be a mechanism for MLD formation in some continents in the Archean prior to the onset of subduction.

Long-term outcomes for patients with chronic lymphocytic leukemia who discontinue ibrutinib.

PubMed

Jain, Preetesh; Thompson, Philip A; Keating, Michael; Estrov, Zeev; Ferrajoli, Alessandra; Jain, Nitin; Kantarjian, Hagop; Burger, Jan A; O'Brien, Susan; Wierda, William G

2017-06-15

Ibrutinib is a Bruton tyrosine kinase inhibitor and is approved for the treatment of patients with chronic lymphocytic leukemia (CLL) in frontline and relapsed/refractory settings. The authors previously reported poor outcomes for patients who discontinued ibrutinib; however, long-term outcomes were not reported. Data from 320 patients who received ibrutinib on clinical studies between 2010 and 2015 at The University of Texas MD Anderson Cancer Center were retrospectively analyzed. Long-term outcomes among patients with CLL after they discontinued ibrutinib were analyzed. Ninety of 320 patients (28%) who were treated on ibrutinib-based regimens discontinued ibrutinib. Of these, 80 had relapsed/refractory disease, and 10 were treatment-naive. The median time to discontinuation was 15 months (range, 1.2-54 months). After a median follow-up of 38 months after starting ibrutinib, 40 patients (44%) remained alive. Major reasons for ibrutinib discontinuation were intolerance (n = 29; 32%), miscellaneous (n = 28; 31%), progression (n = 19; 21%), and Richter transformation (RT) (n = 9; 10%). The median survival according to the reason for discontinuation was 33 months for ibrutinib intolerance, 11 months for miscellaneous causes, 16 months for progressive CLL, and 2 months for RT. Among the 19 patients who had progressive CLL, 42% responded to subsequent therapy. Ibrutinib discontinuation was observed during therapy. Patients with CLL who had disease transformation had especially poor outcomes, whereas those who developed progressive disease during ibrutinib therapy had a median survival of <1.5 years. Survival was associated with the reason for discontinuation; patients who had progressive CLL had better survival compared with those who had disease transformation. Effective salvage strategies for patients with CLL who progress on ibrutinib therapy is of critical importance. Cancer 2017;123:2268-2273. © 2017 American Cancer Society. © 2017 American Cancer Society.

Discontinuation and Nonpublication of Randomized Clinical Trials Conducted in Children

PubMed Central

Pica, Natalie

2016-01-01

BACKGROUND: Trial discontinuation and nonpublication represent potential waste in research resources and lead to compromises in medical evidence. Pediatric trials may be particularly vulnerable to these outcomes given the challenges encountered in conducting trials in children. We aimed to determine the prevalence of discontinuation and nonpublication of randomized clinical trials (RCTs) conducted in pediatric populations. METHODS: Retrospective, cross-sectional study of pediatric RCTs registered in ClinicalTrials.gov from 2008 to 2010. Data were collected from the registry and associated publications identified (final search on September 1, 2015). RESULTS: Of 559 trials, 104 (19%) were discontinued early, accounting for an estimated 8369 pediatric participants. Difficulty with patient accrual (37%) was the most commonly cited reason for discontinuation. Trials were less likely to be discontinued if they were funded by industry compared with academic institutions (odds ratio [OR] 0.46, 95% confidence interval [CI] 0.27–0.77). Of the 455 completed trials, 136 (30%) were not published, representing 69 165 pediatric participants. Forty-two unpublished trials posted results on ClinicalTrials.gov. Trials funded by industry were more than twice as likely to result in nonpublication at 24 and 36 months (OR 2.21, 95% CI 1.35–3.64; OR 3.12, 95% CI 1.6–6.08, respectively) and had a longer mean time to publication compared with trials sponsored by academia (33 vs 24 months, P < .001). CONCLUSIONS: In this sample of pediatric RCTs, discontinuation and nonpublication were common, with thousands of children exposed to interventions that did not lead to informative or published findings. Trial funding source was an important determinant of these outcomes, with both academic and industry sponsors contributing to inefficiencies. PMID:27492817

Discontinuation and Nonpublication of Randomized Clinical Trials Conducted in Children.

PubMed

Pica, Natalie; Bourgeois, Florence

2016-09-01

Trial discontinuation and nonpublication represent potential waste in research resources and lead to compromises in medical evidence. Pediatric trials may be particularly vulnerable to these outcomes given the challenges encountered in conducting trials in children. We aimed to determine the prevalence of discontinuation and nonpublication of randomized clinical trials (RCTs) conducted in pediatric populations. Retrospective, cross-sectional study of pediatric RCTs registered in ClinicalTrials.gov from 2008 to 2010. Data were collected from the registry and associated publications identified (final search on September 1, 2015). Of 559 trials, 104 (19%) were discontinued early, accounting for an estimated 8369 pediatric participants. Difficulty with patient accrual (37%) was the most commonly cited reason for discontinuation. Trials were less likely to be discontinued if they were funded by industry compared with academic institutions (odds ratio [OR] 0.46, 95% confidence interval [CI] 0.27-0.77). Of the 455 completed trials, 136 (30%) were not published, representing 69 165 pediatric participants. Forty-two unpublished trials posted results on ClinicalTrials.gov. Trials funded by industry were more than twice as likely to result in nonpublication at 24 and 36 months (OR 2.21, 95% CI 1.35-3.64; OR 3.12, 95% CI 1.6-6.08, respectively) and had a longer mean time to publication compared with trials sponsored by academia (33 vs 24 months, P < .001). In this sample of pediatric RCTs, discontinuation and nonpublication were common, with thousands of children exposed to interventions that did not lead to informative or published findings. Trial funding source was an important determinant of these outcomes, with both academic and industry sponsors contributing to inefficiencies. Copyright © 2016 by the American Academy of Pediatrics.

Parents’ Subjective Assessment of Effects of Antiepileptic Drug Discontinuation

PubMed Central

Kim, Gun-Ha; Byeon, Jung Hye; Eun, So-Hee; Eun, Baik-Lin

2015-01-01

Background and Purpose: Many parents express worries about potential negative side effects of antiepileptic drugs (AED) on cognition, behavior, mood, and academic achievement. We aimed to evaluate parents’ subjective feelings about cognitive or behavioral changes in their children and their quality of life after antiepileptic drug (AED) discontinuation. Methods: A modified questionnaire based on the Korean-Quality of Life in Childhood Epilepsy and the Korean-Child Behavior Checklist was answered by parents whose children were seizure-free over the course of 1 month after AED discontinuation. All children were seizure-free for at least 2 years before AED withdrawal. Results: Fifty-eight eligible patients (mean age, 14.1 ± 4.5 years) were examined. Except valproate in cognition (p = 0.03), parents did not feel significant change after discontinuation of different drugs. They felt improvement of behavior in generalized epilepsy (p = 0.04) and better quality of life in children less than 6 year of age at diagnosis of epilepsy (p = 0.02). Conclusions: We propose that factors such as earlier age at diagnosis of epilepsy or type of epilepsy might influence parents’ subjective feelings about their children’s well-being after drug discontinuation, rather than the drug itself. PMID:26157667

AED discontinuation may be dangerous for seizure-free patients.

PubMed

Schmidt, Dieter

2011-02-01

Despite its benefits, stopping antiepileptic drugs (AEDs) in seizure-free patients is associated with several risks. AED discontinuation doubles the risk of seizure recurrence for up to 2 years compared with continued treatment. On average, one in three patients has a seizure recurrence, though the range can go up to 66% (34%, range 12-66%, 95% CI: 27-43). Furthermore, the outcome of treating a seizure recurrence in patients who have been seizure-free for years is surprisingly poor in some patients. Although the long-term prognosis is not worsened by drug discontinuation, one in five patients does not re-enter remission and for some patients, it may take several years to become seizure-free again. The risk of seizure recurrence is particularly high for those with juvenile myoclonic epilepsy and symptomatic focal epilepsy, the most frequent epilepsies in adults. Seizure-recurrence may have devastating, medical, psychological and social consequences for the individual, for example injury, loss of self-esteem, unemployment and losing a driver's license. Discontinuation should be avoided in patients with a high risk of seizure recurrence. Given these risks, patients will ultimately have to decide themselves whether they wish to discontinue drug treatment after full informed consent.

Injection-Sensitive Mechanics of Hydraulic Fracture Interaction with Discontinuities

NASA Astrophysics Data System (ADS)

Chuprakov, D.; Melchaeva, O.; Prioul, R.

2014-09-01

We develop a new analytical model, called OpenT, that solves the elasticity problem of a hydraulic fracture (HF) contact with a pre-existing discontinuity natural fracture (NF) and the condition for HF re-initiation at the NF. The model also accounts for fluid penetration into the permeable NFs. For any angle of fracture intersection, the elastic problem of a blunted dislocation discontinuity is solved for the opening and sliding generated at the discontinuity. The sites and orientations of a new tensile crack nucleation are determined based on a mixed stress- and energy-criterion. In the case of tilted fracture intersection, the finite offset of the new crack initiation point along the discontinuity is computed. We show that aside from known controlling parameters such stress contrast, cohesional and frictional properties of the NFs and angle of intersection, the fluid injection parameters such as the injection rate and the fluid viscosity are of first-order in the crossing behavior. The model is compared to three independent laboratory experiments, analytical criteria of Blanton, extended Renshaw-Pollard, as well as fully coupled numerical simulations. The relative computational efficiency of OpenT model (compared to the numerical models) makes the model attractive for implementation in modern engineering tools simulating hydraulic fracture propagation in naturally fractured environments.

Fitness in animals correlates with proximity to discontinuities in body mass distributions.

USGS Publications Warehouse

Angeler, David G.; Allen, Craig R.; Vila-Gispert, Anna; Almeida, David

2014-01-01

Discontinuous structure in landscapes may cause discontinuous, aggregated species body-mass patterns, reflecting the scales of structure available to animal communities within a landscape. Empirical analyses have shown that the location of species within body mass aggregations, which reflect this scale-specific organization, is non-random with regard to several ecological phenomena, including species extinctions. The propensity of declining species to have body masses proximate to discontinuities suggests that transition zones between scaling regimes ultimately decreases the ecological fitness for some species. We test this proposition using vulnerable and unthreatened fish species in Mediterranean streams with differing levels of human impact. We show that the proximity to discontinuities in body mass aggregations (“distance-to-edge”) of more vs. less fit individuals within vulnerable and unthreatened populations differs. Specifically, regression analysis between the scaled mass index, a proxy of animal fitness, and distance-to-edge reveals negative and positive relationships for vulnerable and unthreatened species, respectively. That is, fitness is higher close to discontinuities in vulnerable populations and toward the center of body mass aggregation groups in unthreatened populations. Our results demonstrate the suitability of the discontinuity framework for scrutinizing non-random patterns of environmental impact in populations. Further exploration of the usefulness of this method across other ecosystems and organism groups is warranted.

Parallel Implementation of the Discontinuous Galerkin Method

NASA Technical Reports Server (NTRS)

Baggag, Abdalkader; Atkins, Harold; Keyes, David

1999-01-01

This paper describes a parallel implementation of the discontinuous Galerkin method. Discontinuous Galerkin is a spatially compact method that retains its accuracy and robustness on non-smooth unstructured grids and is well suited for time dependent simulations. Several parallelization approaches are studied and evaluated. The most natural and symmetric of the approaches has been implemented in all object-oriented code used to simulate aeroacoustic scattering. The parallel implementation is MPI-based and has been tested on various parallel platforms such as the SGI Origin, IBM SP2, and clusters of SGI and Sun workstations. The scalability results presented for the SGI Origin show slightly superlinear speedup on a fixed-size problem due to cache effects.

Predictors of Discontinuation of Tumor Necrosis Factor Inhibitors in Patients with Rheumatoid Arthritis

PubMed Central

AGARWAL, SANDEEP K.; GLASS, ROBERTA J.; SHADICK, NANCY A.; COBLYN, JONATHAN S.; ANDERSON, RONALD J.; MAHER, NANCY E.; WEINBLATT, MICHAEL E.; SOLOMON, DANIEL H.

2009-01-01

Objective Tumor necrosis factor-α (TNF) inhibitors have transformed management of rheumatoid arthritis (RA); however, many patients discontinue TNF inhibitors. Our goal was to determine the discontinuation rate of TNF inhibitors and identify predictors associated with discontinuation. Methods Enrollees in the Brigham RA Sequential Study (BRASS) formed the eligible cohort. Patients reporting use of a TNF inhibitor with at least 6 months of followup were followed until reporting TNF inhibitor discontinuation or their last study visit if they continued therapy. Potential predictor variables, including demographic and clinical data assessed at baseline and 6 months prior to study endpoint, were identified using a Cox proportional regression. Results Among 961 patients in BRASS, 503 were using a TNF inhibitor with at least 6 months of followup in BRASS (mean length of followup 39 mo, SD 13). Two hundred ten patients (42%) reported discontinuation of TNF inhibitor. Higher physician global scores (hazard ratio 1.27, 95% CI 1.18–1.38) and RA Disease Activity Index scores (HR 1.13, 95% CI 1.05–1.22) 6 months prior to stopping the TNF inhibitor and higher number of TNF inhibitors used previously (HR 1.30, 95% CI 1.03–1.66) were associated with discontinuation of TNF inhibitor. Prior use of synthetic disease modifying antirheumatic drugs (HR 0.50, 95% CI 0.34–0.72) and more years of cumulative methotrexate use (HR 0.24, 95% CI 0.12–0.47) were inversely associated with discontinuation of TNF inhibitor. Conclusion These data demonstrate that a significant number of patients with RA discontinue TNF inhibitors. Several easily characterized clinical variables have a modest predictive association with reduced probability of TNF inhibitor discontinuation. PMID:18634159

Heat exchanger containing a component capable of discontinuous movement

DOEpatents

Wilson, D.G.

1993-11-09

Regenerative heat exchangers are described for transferring heat between hot and cold fluids. The heat exchangers have seal-leakage rates significantly less than those of conventional regenerative heat exchangers because the matrix is discontinuously moved and is releasably sealed while in a stationary position. Both rotary and modular heat exchangers are described. Also described are methods for transferring heat between a hot and cold fluid using the discontinuous movement of matrices. 11 figures.

47 CFR 63.63 - Emergency discontinuance, reduction, or impairment of service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... impairment of service. 63.63 Section 63.63 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED... AND IMPAIRMENT OF SERVICE BY COMMON CARRIERS; AND GRANTS OF RECOGNIZED PRIVATE OPERATING AGENCY STATUS Discontinuance, Reduction, Outage and Impairment § 63.63 Emergency discontinuance, reduction, or impairment of...

The effect of topography of upper-mantle discontinuities on SS precursors

NASA Astrophysics Data System (ADS)

Koroni, Maria; Trampert, Jeannot

2016-01-01

Using the spectral-element method, we explored the effect of topography of upper-mantle discontinuities on the traveltimes of SS precursors recorded on transverse component seismograms. The latter are routinely used to infer the topography of mantle transition zone discontinuities. The step from precursory traveltimes to topographic changes is mainly done using linearised ray theory, or sometimes using finite-frequency kernels. We simulated exact seismograms in 1-D and 3-D elastic models of the mantle. In a second simulation, we added topography to the discontinuities. We compared the waveforms obtained with and without topography by cross correlation of the SS precursors. Since we did not add noise, the precursors are visible in individual seismograms without the need of stacking. The resulting time anomalies were then converted into topographic variations and compared to the original topographic models. Based on the correlation between initial and inferred models, and provided that ray coverage is good, we found that linearised ray theory gives a relatively good idea on the location of the uplifts and depressions of the discontinuities. It seriously underestimates the amplitude of the topographic variations by a factor ranging between 2 and 7. Real data depend on the 3-D elastic structure and the topography. All studies to date correct for the 3-D elastic effects assuming that the traveltimes can be linearly decomposed into a structure and a discontinuity part. We found a strong non-linearity in this decomposition which cannot be modelled without a fully non-linear inversion for elastic structure and discontinuities simultaneously.

Premature trial discontinuation often not accurately reflected in registries: comparison of registry records with publications.

PubMed

Alturki, Reem; Schandelmaier, Stefan; Olu, Kelechi Kalu; von Niederhäusern, Belinda; Agarwal, Arnav; Frei, Roy; Bhatnagar, Neera; Hooft, Lotty; von Elm, Erik; Briel, Matthias

2017-01-01

One quarter of randomized clinical trials (RCTs) are prematurely discontinued and frequently remain unpublished. Trial registries can document whether a trial is ongoing, suspended, discontinued, or completed and therefore represent an important source for trial status information. The accuracy of this information is unclear. To examine the accuracy of completion status and reasons for discontinuation documented in trial registries as compared to corresponding publications of discontinued RCTs and to investigate potential predictors for accurate trial status information in registries. We conducted a cross-sectional study comparing information provided in publications (reference standard) to corresponding registry entries. First, we reviewed publications of RCTs providing information on both discontinuation and registration. We identified eligible publications through systematic searches of MEDLINE and EMBASE (2010-2014) and an international cohort of 1,017 RCTs initiated between 2000 and 2003. Second, pairs of investigators independently and in duplicate extracted data from publications and corresponding registry records. Third, for each discontinued RCT, we compared publication information to registry information. We used multivariable regression to examine whether accurate labeling of trials as discontinued (vs. other status) in the registry was associated with recent initiation of RCT, industry sponsorship, multicenter design, or larger sample size. We identified 173 publications of RCTs that were discontinued due to slow recruitment (55%), harm (16%), futility (11%), benefit (5%), other reasons (3%), or multiple reasons (9%). Trials were registered with clinicaltrials.gov (77%), isrctn.com (14%), or other registries (8%). Of the 173 corresponding registry records, 77 (45%) trials were labeled as discontinued and 57 (33%) provided a reason for discontinuation (of which 53, 93%, provided the same reason as in the publication). Labeling of discontinued trials as

Regression Discontinuity in Prospective Evaluations: The Case of the FFVP Evaluation

ERIC Educational Resources Information Center

Klerman, Jacob Alex; Olsho, Lauren E. W.; Bartlett, Susan

2015-01-01

While regression discontinuity has usually been applied retrospectively to secondary data, it is even more attractive when applied prospectively. In a prospective design, data collection can be focused on cases near the discontinuity, thereby improving internal validity and substantially increasing precision. Furthermore, such prospective…

A method for modeling discontinuities in a microwave coaxial transmission line

NASA Technical Reports Server (NTRS)

Otoshi, T. Y.

1992-01-01

A method for modeling discontinuities in a coaxial transmission line is presented. The methodology involves the use of a nonlinear least-squares fit program to optimize the fit between theoretical data (from the model) and experimental data. When this method was applied to modeling discontinuities in a slightly damaged Galileo spacecraft S-band (2.295-GHz) antenna cable, excellent agreement between theory and experiment was obtained over a frequency range of 1.70-2.85 GHz. The same technique can be applied for diagnostics and locating unknown discontinuities in other types of microwave transmission lines, such as rectangular, circular, and beam waveguides.

A method for modeling discontinuities in a microwave coaxial transmission line

NASA Astrophysics Data System (ADS)

Otoshi, T. Y.

1992-08-01

A method for modeling discontinuities in a coaxial transmission line is presented. The methodology involves the use of a nonlinear least-squares fit program to optimize the fit between theoretical data (from the model) and experimental data. When this method was applied to modeling discontinuities in a slightly damaged Galileo spacecraft S-band (2.295-GHz) antenna cable, excellent agreement between theory and experiment was obtained over a frequency range of 1.70-2.85 GHz. The same technique can be applied for diagnostics and locating unknown discontinuities in other types of microwave transmission lines, such as rectangular, circular, and beam waveguides.

Selective serotonin reuptake inhibitor discontinuation: side effects and other factors that influence medication adherence.

PubMed

Goethe, John W; Woolley, Stephen B; Cardoni, Alex A; Woznicki, Brenda A; Piez, Deborah A

2007-10-01

Patients with major depression discontinue taking their antidepressants for many reasons. Although side effects are often cited as the reason for discontinuation, few prospective studies have addressed this question, and none has specifically examined discontinuation in patients with severe depression. Inpatients and outpatients treated with a selective serotonin reuptake inhibitor for major depressive disorder were identified after admission. Three months later, patients were contacted and interviewed to determine antidepressant usage and the side effects experienced, including when these were experienced and their severity. Between October 2001 and April 2003, 406 English- or Spanish-speaking patients aged 18 to 75 years were followed up. One in 4 patients discontinued the index antidepressant. Among specific side effects noted, only "change in weight" and "anxiety" were significant predictors of discontinuation after controlling for confounders. Experiencing 1 or more "extremely" bothersome side effects was associated with more than a doubling of the risk of discontinuation, but the presence of side effects and side effects less severe than "extremely" bothersome were not significant predictors. There were no differences among selective serotonin reuptake inhibitor antidepressants in either the presence/absence of side effects or in the discontinuation rates. The results suggest that the contribution of side effects to antidepressant discontinuation is more complex than previously suggested. Disparate findings from earlier studies may reflect aspects of study design, such as examining populations whose severity of depression varied widely or not controlling for important confounding factors. Future research should separately examine high-risk groups (or control for severity of depression) and carefully rule out other potential contributors to discontinuation.

A hyper-spherical adaptive sparse-grid method for high-dimensional discontinuity detection

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

Zhang, Guannan; Webster, Clayton G.; Gunzburger, Max D.

This work proposes and analyzes a hyper-spherical adaptive hierarchical sparse-grid method for detecting jump discontinuities of functions in high-dimensional spaces is proposed. The method is motivated by the theoretical and computational inefficiencies of well-known adaptive sparse-grid methods for discontinuity detection. Our novel approach constructs a function representation of the discontinuity hyper-surface of an N-dimensional dis- continuous quantity of interest, by virtue of a hyper-spherical transformation. Then, a sparse-grid approximation of the transformed function is built in the hyper-spherical coordinate system, whose value at each point is estimated by solving a one-dimensional discontinuity detection problem. Due to the smoothness of themore » hyper-surface, the new technique can identify jump discontinuities with significantly reduced computational cost, compared to existing methods. Moreover, hierarchical acceleration techniques are also incorporated to further reduce the overall complexity. Rigorous error estimates and complexity analyses of the new method are provided as are several numerical examples that illustrate the effectiveness of the approach.« less

Speedup of minimum discontinuity phase unwrapping algorithm with a reference phase distribution

NASA Astrophysics Data System (ADS)

Liu, Yihang; Han, Yu; Li, Fengjiao; Zhang, Qican

2018-06-01

In three-dimensional (3D) shape measurement based on phase analysis, the phase analysis process usually produces a wrapped phase map ranging from - π to π with some 2 π discontinuities, and thus a phase unwrapping algorithm is necessary to recover the continuous and nature phase map from which 3D height distribution can be restored. Usually, the minimum discontinuity phase unwrapping algorithm can be used to solve many different kinds of phase unwrapping problems, but its main drawback is that it requires a large amount of computations and has low efficiency in searching for the improving loop within the phase's discontinuity area. To overcome this drawback, an improvement to speedup of the minimum discontinuity phase unwrapping algorithm by using the phase distribution on reference plane is proposed. In this improved algorithm, before the minimum discontinuity phase unwrapping algorithm is carried out to unwrap phase, an integer number K was calculated from the ratio of the wrapped phase to the nature phase on a reference plane. And then the jump counts of the unwrapped phase can be reduced by adding 2K π, so the efficiency of the minimum discontinuity phase unwrapping algorithm is significantly improved. Both simulated and experimental data results verify the feasibility of the proposed improved algorithm, and both of them clearly show that the algorithm works very well and has high efficiency.

How to achieve long-term breast-feeding: factors associated with early discontinuation.

PubMed

Camurdan, Aysu Duyan; Ilhan, Mustafa N; Beyazova, Ufuk; Sahin, Figen; Vatandas, Nilgun; Eminoglu, Sancar

2008-11-01

To evaluate the factors associated with discontinuation of breast-feeding before 12 months in order to make suggestions for achieving long-term breast-feeding. A descriptive cross-sectional study. Gazi University Medical School, Ankara, Turkey. Mothers of 1230 children who discontinued breast-feeding at least 15 d before the last visit were asked to fill out a questionnaire about the discontinuation process. Logistic regression analysis was performed to assess the independent effects of factors that might influence breast-feeding discontinuation. Mean breast-feeding duration of the study group was 11.04 (SD 7.45) months. Introduction of bottle-feeding correlated with discontinuation of breast-feeding (r=0.507, P = 0.001). Important risk factors for discontinuation of breast-feeding before the first 12 months were not exclusively breast-feeding at 3 and 6 months, prematurity, not having a plan about breast-feeding duration and maternity leave duration of discontinuation were the baby's unwillingness to eat solid foods while breast-feeding and the mother's perception that 'the baby is old enough', respectively. The factors that improve long-term breast-feeding are successful exclusive breast-feeding in the first few months, intention of the mother to breast-feed and sufficient duration of maternity leave. This study emphasizes the importance of successful breast-feeding counselling during the first few months to achieve the desired long-term breast-feeding.

THE FORMATION OF ROTATIONAL DISCONTINUITIES IN COMPRESSIVE THREE-DIMENSIONAL MHD TURBULENCE

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

Yang, Liping; Feng, Xueshang; Zhang, Lei

Measurements of solar wind turbulence reveal the ubiquity of discontinuities. In this study we investigate how the discontinuities, especially rotational discontinuities (RDs), are formed in MHD turbulence. In a simulation of the decaying compressive three-dimensional (3D) MHD turbulence with an imposed uniform background magnetic field, we detect RDs with sharp field rotations and little variations of magnetic field intensity, as well as mass density. At the same time, in the de Hoffman–Teller frame, the plasma velocity is nearly in agreement with the Alfvén speed, and is field-aligned on both sides of the discontinuity. We take one of the identified RDsmore » to analyze its 3D structure and temporal evolution in detail. By checking the magnetic field and plasma parameters, we find that the identified RD evolves from the steepening of the Alfvén wave with moderate amplitude, and that steepening is caused by the nonuniformity of the Alfvén speed in the ambient turbulence.« less

Discontinuous Galerkin finite element methods for radiative transfer in spherical symmetry

NASA Astrophysics Data System (ADS)

Kitzmann, D.; Bolte, J.; Patzer, A. B. C.

2016-11-01

The discontinuous Galerkin finite element method (DG-FEM) is successfully applied to treat a broad variety of transport problems numerically. In this work, we use the full capacity of the DG-FEM to solve the radiative transfer equation in spherical symmetry. We present a discontinuous Galerkin method to directly solve the spherically symmetric radiative transfer equation as a two-dimensional problem. The transport equation in spherical atmospheres is more complicated than in the plane-parallel case owing to the appearance of an additional derivative with respect to the polar angle. The DG-FEM formalism allows for the exact integration of arbitrarily complex scattering phase functions, independent of the angular mesh resolution. We show that the discontinuous Galerkin method is able to describe accurately the radiative transfer in extended atmospheres and to capture discontinuities or complex scattering behaviour which might be present in the solution of certain radiative transfer tasks and can, therefore, cause severe numerical problems for other radiative transfer solution methods.

Discontinuous categories affect information-integration but not rule-based category learning.

PubMed

Maddox, W Todd; Filoteo, J Vincent; Lauritzen, J Scott; Connally, Emily; Hejl, Kelli D

2005-07-01

Three experiments were conducted that provide a direct examination of within-category discontinuity manipulations on the implicit, procedural-based learning and the explicit, hypothesis-testing systems proposed in F. G. Ashby, L. A. Alfonso-Reese, A. U. Turken, and E. M. Waldron's (1998) competition between verbal and implicit systems model. Discontinuous categories adversely affected information-integration but not rule-based category learning. Increasing the magnitude of the discontinuity did not lead to a significant decline in performance. The distance to the bound provides a reasonable description of the generalization profile associated with the hypothesis-testing system, whereas the distance to the bound plus the distance to the trained response region provides a reasonable description of the generalization profile associated with the procedural-based learning system. These results suggest that within-category discontinuity differentially impacts information-integration but not rule-based category learning and provides information regarding the detailed processing characteristics of each category learning system. ((c) 2005 APA, all rights reserved).

Spurious Behavior of Shock-Capturing Methods: Problems Containing Stiff Source Terms and Discontinuities

NASA Technical Reports Server (NTRS)

Yee, Helen M. C.; Kotov, D. V.; Wang, Wei; Shu, Chi-Wang

2013-01-01

The goal of this paper is to relate numerical dissipations that are inherited in high order shock-capturing schemes with the onset of wrong propagation speed of discontinuities. For pointwise evaluation of the source term, previous studies indicated that the phenomenon of wrong propagation speed of discontinuities is connected with the smearing of the discontinuity caused by the discretization of the advection term. The smearing introduces a nonequilibrium state into the calculation. Thus as soon as a nonequilibrium value is introduced in this manner, the source term turns on and immediately restores equilibrium, while at the same time shifting the discontinuity to a cell boundary. The present study is to show that the degree of wrong propagation speed of discontinuities is highly dependent on the accuracy of the numerical method. The manner in which the smearing of discontinuities is contained by the numerical method and the overall amount of numerical dissipation being employed play major roles. Moreover, employing finite time steps and grid spacings that are below the standard Courant-Friedrich-Levy (CFL) limit on shockcapturing methods for compressible Euler and Navier-Stokes equations containing stiff reacting source terms and discontinuities reveals surprising counter-intuitive results. Unlike non-reacting flows, for stiff reactions with discontinuities, employing a time step and grid spacing that are below the CFL limit (based on the homogeneous part or non-reacting part of the governing equations) does not guarantee a correct solution of the chosen governing equations. Instead, depending on the numerical method, time step and grid spacing, the numerical simulation may lead to (a) the correct solution (within the truncation error of the scheme), (b) a divergent solution, (c) a wrong propagation speed of discontinuities solution or (d) other spurious solutions that are solutions of the discretized counterparts but are not solutions of the governing equations

78 FR 11733 - Georgia Southwestern Railroad, Inc.-Discontinuance of Service Exemption-in Chattahoochee, Marion...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-19

... discontinue service, not to abandon the line, trail use/rail banking and public use conditions are not... No. AB 290 (Sub-No. 344X)] Georgia Southwestern Railroad, Inc.--Discontinuance of Service Exemption...--Discontinuance of Service Exemption--in Chattahoochee, Marion, and Schley Counties, GA Central of Georgia...

Contraceptive discontinuation and pregnancy postabortion in Nepal: a longitudinal cohort study.

PubMed

Puri, Mahesh; Henderson, Jillian T; Harper, Cynthia C; Blum, Maya; Joshi, Deepak; Rocca, Corinne H

2015-04-01

To examine postabortion contraceptive discontinuation and pregnancy in Nepal, where abortion was decriminalized in 2002. We conducted an observational cohort study of 654 women obtaining abortions from four public and nongovernmental facilities in 2011. Patients completed questionnaires at their abortion visit and 6 and 12 months later. We used Cox proportional hazards models to assess contraceptive discontinuation and pregnancy by method initiated postabortion and other sociodemographic and reproductive factors. Among the 78% (508/654) of women who initiated a modern contraceptive method within 3 months postabortion, the 1-year contraceptive discontinuation rate was 62 per 100 person-years. Discontinuation was far lower among the 5% of women using long-acting reversible methods (21/100 person-years) than among those using condoms (74/100 person-years), pills (61/100 person-years) and the injectable [64/100 person-years; adjusted hazard ratio (aHR)=0.32 (0.15-0.68)]. Unmarried women and those not living with their husband experienced higher contraceptive discontinuation [aHR=2.16 (1.47-3.17)]. The 1-year pregnancy rate for all women was 9/100 person-years. Pregnancy was highest among those who initiated no modern method postabortion (13/100 person-years) and condoms (12/100 person-years), and pregnancy was lowest among users of long-acting reversible methods (3/100 person-years). The poorest women were at increased pregnancy risk [aHR=2.31 (1.32-4.10)]. Women using intrauterine devices and implants experienced greatly reduced contraceptive discontinuation and pregnancy within a year postabortion, although initiation of these long-acting methods was low. Increased availability of long-acting methods in Nepal and similar settings may help to prevent unwanted pregnancy and attendant maternal mortality and morbidities. Initiation of modern contraception was high postabortion; however, 1-year discontinuation was high for the condom, pill and injectable, the methods most

A Floating Node Method for the Modelling of Discontinuities Within a Finite Element

NASA Technical Reports Server (NTRS)

Pinho, Silvestre T.; Chen, B. Y.; DeCarvalho, Nelson V.; Baiz, P. M.; Tay, T. E.

2013-01-01

This paper focuses on the accurate numerical representation of complex networks of evolving discontinuities in solids, with particular emphasis on cracks. The limitation of the standard finite element method (FEM) in approximating discontinuous solutions has motivated the development of re-meshing, smeared crack models, the eXtended Finite Element Method (XFEM) and the Phantom Node Method (PNM). We propose a new method which has some similarities to the PNM, but crucially: (i) does not introduce an error on the crack geometry when mapping to natural coordinates; (ii) does not require numerical integration over only part of a domain; (iii) can incorporate weak discontinuities and cohesive cracks more readily; (iv) is ideally suited for the representation of multiple and complex networks of (weak, strong and cohesive) discontinuities; (v) leads to the same solution as a finite element mesh where the discontinuity is represented explicitly; and (vi) is conceptually simpler than the PNM.

The Cultural Discontinuity Hypothesis: An Appalachian American Perspective in Eastern Kentucky

ERIC Educational Resources Information Center

Conner, Timothy W., II

2017-01-01

K.M. Tyler et al. (2008) propose a quantitative method to measure differences between school and home experiences had by students of ethnic minority status and how such differences (cultural discontinuity) may affect psychological factors related to student achievement. Although study of cultural discontinuity has been applied to understanding…

Outpatient CPOE orders discontinued due to 'erroneous entry': prospective survey of prescribers' explanations for errors.

PubMed

Hickman, Thu-Trang T; Quist, Arbor Jessica Lauren; Salazar, Alejandra; Amato, Mary G; Wright, Adam; Volk, Lynn A; Bates, David W; Schiff, Gordon

2018-04-01

Computerised prescriber order entry (CPOE) systems users often discontinue medications because the initial order was erroneous. To elucidate error types by querying prescribers about their reasons for discontinuing outpatient medication orders that they had self-identified as erroneous. During a nearly 3 year retrospective data collection period, we identified 57 972 drugs discontinued with the reason 'Error (erroneous entry)." Because chart reviews revealed limited information about these errors, we prospectively studied consecutive, discontinued erroneous orders by querying prescribers in near-real-time to learn more about the erroneous orders. From January 2014 to April 2014, we prospectively emailed prescribers about outpatient drug orders that they had discontinued due to erroneous initial order entry. Of 2 50 806 medication orders in these 4 months, 1133 (0.45%) of these were discontinued due to error. From these 1133, we emailed 542 unique prescribers to ask about their reason(s) for discontinuing these mediation orders in error. We received 312 responses (58% response rate). We categorised these responses using a previously published taxonomy. The top reasons for these discontinued erroneous orders included: medication ordered for wrong patient (27.8%, n=60); wrong drug ordered (18.5%, n=40); and duplicate order placed (14.4%, n=31). Other common discontinued erroneous orders related to drug dosage and formulation (eg, extended release versus not). Oxycodone (3%) was the most frequent drug discontinued error. Drugs are not infrequently discontinued 'in error.' Wrong patient and wrong drug errors constitute the leading types of erroneous prescriptions recognised and discontinued by prescribers. Data regarding erroneous medication entries represent an important source of intelligence about how CPOE systems are functioning and malfunctioning, providing important insights regarding areas for designing CPOE more safely in the future. © Article author

An optimization-based approach for high-order accurate discretization of conservation laws with discontinuous solutions

NASA Astrophysics Data System (ADS)

Zahr, M. J.; Persson, P.-O.

2018-07-01

This work introduces a novel discontinuity-tracking framework for resolving discontinuous solutions of conservation laws with high-order numerical discretizations that support inter-element solution discontinuities, such as discontinuous Galerkin or finite volume methods. The proposed method aims to align inter-element boundaries with discontinuities in the solution by deforming the computational mesh. A discontinuity-aligned mesh ensures the discontinuity is represented through inter-element jumps while smooth basis functions interior to elements are only used to approximate smooth regions of the solution, thereby avoiding Gibbs' phenomena that create well-known stability issues. Therefore, very coarse high-order discretizations accurately resolve the piecewise smooth solution throughout the domain, provided the discontinuity is tracked. Central to the proposed discontinuity-tracking framework is a discrete PDE-constrained optimization formulation that simultaneously aligns the computational mesh with discontinuities in the solution and solves the discretized conservation law on this mesh. The optimization objective is taken as a combination of the deviation of the finite-dimensional solution from its element-wise average and a mesh distortion metric to simultaneously penalize Gibbs' phenomena and distorted meshes. It will be shown that our objective function satisfies two critical properties that are required for this discontinuity-tracking framework to be practical: (1) possesses a local minima at a discontinuity-aligned mesh and (2) decreases monotonically to this minimum in a neighborhood of radius approximately h / 2, whereas other popular discontinuity indicators fail to satisfy the latter. Another important contribution of this work is the observation that traditional reduced space PDE-constrained optimization solvers that repeatedly solve the conservation law at various mesh configurations are not viable in this context since severe overshoot and

78 FR 60375 - Norfolk Southern Railway Company-Discontinuance of Service Exemption-in Claiborne County, TN, and...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-01

...); Docket No. AB 55 (Sub-No. 732X)] Norfolk Southern Railway Company--Discontinuance of Service Exemption... exemption under 49 CFR part 1152 Subpart F--Exempt Abandonments and Discontinuances of Service and Trackage Rights for NSR to discontinue service over, and for CSXT to discontinue trackage rights operations over...

Fertility and contraceptive adoption and discontinuation in rural Kenya.

PubMed

Ferguson, A G

1992-01-01

After a long period of slow progress, the recent uptake of contraceptive use in Kenya has been dramatic. This report describes adoption of a method and method switching and discontinuation among a cohort of married women aged 25-34 in two contrasting rural areas. A retrospective "fertility diary" completed by each woman provided information on spousal separation, reproductive status, and contraceptive use over a period of 46-48 months. Contraceptive prevalence rose rapidly over the period in both areas, with significant net adoption of injectables in both areas and of IUDs in one only. Method discontinuation was concentrated among users of pills, barrier methods, and "natural" methods, and only one-third of all discontinuations were voluntary. The wide differences between the two rural areas in contraceptive prevalence were not totally reflected in recent fertility levels, and the contribution of other proximate determinants of fertility, particularly postpartum amenorrhea and spousal separation, are discussed.

Time-dependent behavior of rough discontinuities under shearing conditions

NASA Astrophysics Data System (ADS)

Wang, Zhen; Shen, Mingrong; Ding, Wenqi; Jang, Boan; Zhang, Qingzhao

2018-02-01

The mechanical properties of rocks are generally controlled by their discontinuities. In this study, the time-dependent behavior of rough artificial joints under shearing conditions was investigated. Based on Barton’s standard profile lines, samples with artificial joint surfaces were prepared and used to conduct the shear and creep tests. The test results showed that the shear strength of discontinuity was linearly related to roughness, and subsequently an empirical equation was established. The long-term strength of discontinuity can be identified using the inflection point of the isocreep-rate curve, and it was linearly related to roughness. Furthermore, the ratio of long-term and instantaneous strength decreased with the increase of roughness. The shear-stiffness coefficient increased with the increase of shear rate, and the influence of shear rate on the shear stiffness coefficient decreased with the decrease of roughness. Further study of the mechanism revealed that these results could be attributed to the different time-dependent behavior of intact and joint rocks.

27 CFR 18.38 - Permanent discontinuance.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Permanent discontinuance. 18.38 Section 18.38 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS PRODUCTION OF VOLATILE FRUIT-FLAVOR CONCENTRATE Qualification Changes...

27 CFR 18.38 - Permanent discontinuance.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2013-04-01 2013-04-01 false Permanent discontinuance. 18.38 Section 18.38 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY ALCOHOL PRODUCTION OF VOLATILE FRUIT-FLAVOR CONCENTRATE Qualification Changes...

27 CFR 18.38 - Permanent discontinuance.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2014-04-01 2014-04-01 false Permanent discontinuance. 18.38 Section 18.38 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY ALCOHOL PRODUCTION OF VOLATILE FRUIT-FLAVOR CONCENTRATE Qualification Changes...

27 CFR 18.38 - Permanent discontinuance.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2012-04-01 2012-04-01 false Permanent discontinuance. 18.38 Section 18.38 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU, DEPARTMENT OF THE TREASURY LIQUORS PRODUCTION OF VOLATILE FRUIT-FLAVOR CONCENTRATE Qualification Changes...

Schrödinger propagation of initial discontinuities leads to divergence of moments

NASA Astrophysics Data System (ADS)

Marchewka, A.; Schuss, Z.

2009-09-01

We show that the large phase expansion of the Schrödinger propagation of an initially discontinuous wave function leads to the divergence of average energy, momentum, and displacement, rendering them unphysical states. If initially discontinuous wave functions are considered to be approximations to continuous ones, the determinant of the spreading rate of these averages is the maximal gradient of the initial wave function. Therefore a dilemma arises between the inclusion of discontinuous wave functions in quantum mechanics and the requirement of finite moments.

Substructures of the mantle transition-zone discontinuities and compositional heterogeneities in the mid-mantle

NASA Astrophysics Data System (ADS)

Wei, S. S.; Shearer, P. M.

2017-12-01

The mantle transition-zone discontinuities are usually attributed to isochemical phase transformations of olivine and its high-pressure polymorphs. However, recent seismic observations have shown complexities in these discontinuities that cannot be explained by conventional models of thermal variations. Here we analyse SS precursor stacking results to investigate global mantle transition-zone properties. The precursor waveforms provide information on the seismic velocity and density profiles across and near the major mantle discontinuities. A sporadic low-velocity layer immediately above the 410-km discontinuity is observed worldwide, including East Asia, western North America, eastern South America, and 33-50% of the resolved Pacific Ocean. The 520-km discontinuity exhibits significant variations in its sharpness and depth, and occasionally appears to be split. Structures underlying the 660-km discontinuity show even larger complexities: a sub-discontinuity at 700-800 km depth is detected in some regions, of which some require a positive velocity gradient whereas others have a negative gradient. All of these lateral variations show no geographical correlation with discontinuity topography or tomographic models of seismic velocity, suggesting that they are not caused by regional thermal anomalies. Alternatively, our observations can be explained by compositional heterogeneities in the mid-mantle, including major minerals and volatile content, which may result in additional phase transformations and partial melting. These compositional heterogeneities should be taken into account in future geodynamic models of mantle convection and the deep water cycle.

An Analysis of Contraceptive Discontinuation among Female, Reversible Method Users in Urban Honduras

PubMed Central

Barden-O’Fallon, Janine; Speizer, Ilene S.; Cálix, Javier; Rodriguez, Francisco

2013-01-01

A panel study examining the effects of individual characteristics, side effects experienced, and service quality on contraceptive discontinuation was undertaken in four urban areas of Honduras. Data were collected from October 2006 to December 2007. The baseline population included 800 women aged 15–44 who were new or continuing users of the injectable, IUD, or oral contraceptive pill. A total of 671 women (84%) were re-interviewed after one year. Life tables and Cox proportional hazards models are used to present discontinuation rates and factors associated with contraceptive discontinuation. Among new users, discontinuation of the baseline method at 12 months was high (45%); especially for users of the injectable (50%). In the hazards model, service quality had little effect on discontinuation, while individual characteristics and the experience of specific side effects showed significant effects. The results suggest that programs should emphasize continuous contraceptive coverage rather than continuous use of a particular method. PMID:21500697

Egyptian ever-married women's attitude toward discontinuation of female genital cutting.

PubMed

Afifi, M

2010-01-01

This study aimed to examine Egyptian ever-married women's beliefs and attitude toward the discontinuation of female genital cutting (FGC). We also examined the significant sources of information which the women with positive attitude were exposed to the year prior to the survey. In a national representative community-based sample of 15,573 ever-married Egyptian women, the intention to continue the practice of FGC and other sociodemographical variables were collected from the 2000 Egypt Demographic and Health Survey data. A secondary in-depth analysis was conducted on the data in order to investigate the women's attitude and its associated factors. Only 12.4 percent of the sample intended to discontinue the practice. The logistic regression models showed that women with a positive attitude to discontinue the practice believed that FGC was not an important part of religious traditions, that husbands did not prefer a cut wife, and that FGC reduced sexual desire. The most significant sources of information related to a positive attitude to discontinue the practice were community discussions, the mosques or churches and the newspapers. The aforementioned sources of information are related to the social and religious aspects of women in the Egyptian community. In order to change women's attitude toward the discontinuation of this unhealthy practice, communication rather than passive learning is needed.

Second tyrosine kinase inhibitor discontinuation attempt in patients with chronic myeloid leukemia.

PubMed

Legros, Laurence; Nicolini, Franck E; Etienne, Gabriel; Rousselot, Philippe; Rea, Delphine; Giraudier, Stéphane; Guerci-Bresler, Agnès; Huguet, Françoise; Gardembas, Martine; Escoffre, Martine; Ianotto, Jean-Christophe; Noël, Marie-Pierre; Varet, Bruno R; Pagliardini, Thomas; Touitou, Irit; Morisset, Stéphane; Mahon, Francois-Xavier

2017-11-15

Several studies have demonstrated that approximately one-half of patients with chronic myeloid leukemia (CML) who receive treatment with tyrosine kinase inhibitors (TKIs) and achieve and maintain a deep molecular response (DMR) are able to successfully discontinue therapy. In patients who have a molecular relapse, a DMR is rapidly regained upon treatment re-initiation. The authors report the results from RE-STIM, a French observational, multicenter study that evaluated treatment-free remission (TFR) in 70 patients who re-attempted TKI discontinuation after a first unsuccessful attempt. After the second TKI discontinuation attempt, the trigger for treatment re-introduction was the loss of a major molecular response in all patients. The median follow-up was 38.3 months (range, 4.7-117 months), and 45 patients (64.3%) lost a major molecular response after a median time off therapy of 5.3 months (range, 2-42 months). TFR rates at 12, 24, and 36 months were 48% (95% confidence interval [CI], 37.6%-61.5%), 42% (95% CI, 31.5%-55.4%), and 35% (95% CI, 24.4%-49.4%), respectively. No progression toward advanced-phase CML occurred, and no efficacy issue was observed upon TKI re-introduction. In univariate analysis, the speed of molecular relapse after the first TKI discontinuation attempt was the only factor significantly associated with outcome. The TFR rate at 24 months was 72% (95% CI, 48.8%-100%) in patients who remained in DMR within the first 3 months after the first TKI discontinuation and 36% (95% CI, 25.8%-51.3%) for others. This study is the first to demonstrate that a second TKI discontinuation attempt is safe and that a first failed attempt at discontinuing TKI does not preclude a second successful attempt. Cancer 2017;123:4403-10. © 2017 American Cancer Society. © 2017 American Cancer Society.

Evaluation of Pump Discontinuation and Associated Factors in the T1D Exchange Clinic Registry

PubMed Central

Wong, Jenise C.; Boyle, Claire; DiMeglio, Linda A.; Mastrandrea, Lucy D.; Abel, Kimber-Lee; Cengiz, Eda; Cemeroglu, Pinar A.; Aleppo, Grazia; Largay, Joseph F.; Foster, Nicole C.; Beck, Roy W.; Adi, Saleh

2017-01-01

Background: The objectives of this study were to examine factors associated with insulin pump discontinuation among children and adults followed longitudinally for 1 year in the multicenter T1D Exchange clinic registry, and to provide participant-reported reasons for stopping pump therapy. Methods: We longitudinally followed 8935 participants of all ages using an insulin pump at the time of registry enrollment. Logistic regressions were used to identify demographic and clinical factors associated with pump discontinuation. Pump discontinuation was self-reported by participants on a first annual follow-up survey. Results: The overall frequency of pump discontinuation was 3%. Discontinuation was higher in adolescents (4%) and young adults (4%) than in younger children (3%) or older adults (1%). In multivariate analysis of children between 6 and <13 and 13 and <18 years, participants who discontinued pump use were more likely to have higher HbA1c levels at baseline (adjusted P < .001 for both). The top participant-reported reasons for discontinuing the pump included problems with wearability (57%), disliking the pump or feeling anxious (44%), and problems with glycemic control (30%). Conclusions: In T1D Exchange registry participants, insulin pump discontinuation is uncommon, but more prevalent among adolescents and young adults, and youth with poor glycemic control. Given the known benefits of pump therapy, these populations should be targeted for support and education on troubleshooting pump use. Common reasons for discontinuation should also be considered in future device design and technological improvement. PMID:27595711

Evaluation of Pump Discontinuation and Associated Factors in the T1D Exchange Clinic Registry.

PubMed

Wong, Jenise C; Boyle, Claire; DiMeglio, Linda A; Mastrandrea, Lucy D; Abel, Kimber-Lee; Cengiz, Eda; Cemeroglu, Pinar A; Aleppo, Grazia; Largay, Joseph F; Foster, Nicole C; Beck, Roy W; Adi, Saleh

2017-03-01

The objectives of this study were to examine factors associated with insulin pump discontinuation among children and adults followed longitudinally for 1 year in the multicenter T1D Exchange clinic registry, and to provide participant-reported reasons for stopping pump therapy. We longitudinally followed 8935 participants of all ages using an insulin pump at the time of registry enrollment. Logistic regressions were used to identify demographic and clinical factors associated with pump discontinuation. Pump discontinuation was self-reported by participants on a first annual follow-up survey. The overall frequency of pump discontinuation was 3%. Discontinuation was higher in adolescents (4%) and young adults (4%) than in younger children (3%) or older adults (1%). In multivariate analysis of children between 6 and <13 and 13 and <18 years, participants who discontinued pump use were more likely to have higher HbA1c levels at baseline (adjusted P < .001 for both). The top participant-reported reasons for discontinuing the pump included problems with wearability (57%), disliking the pump or feeling anxious (44%), and problems with glycemic control (30%). In T1D Exchange registry participants, insulin pump discontinuation is uncommon, but more prevalent among adolescents and young adults, and youth with poor glycemic control. Given the known benefits of pump therapy, these populations should be targeted for support and education on troubleshooting pump use. Common reasons for discontinuation should also be considered in future device design and technological improvement.

Extreme interplanetary rotational discontinuities at 1 AU

NASA Astrophysics Data System (ADS)

Lepping, R. P.; Wu, C.-C.

2005-11-01

This study is concerned with the identification and description of a special subset of four Wind interplanetary rotational discontinuities (from an earlier study of 134 directional discontinuities by Lepping et al. (2003)) with some "extreme" characteristics, in the sense that every case has (1) an almost planar current sheet surface, (2) a very large discontinuity angle (ω), (3) at least moderately strong normal field components (>0.8 nT), and (4) the overall set has a very broad range of transition layer thicknesses, with one being as thick as 50 RE and another at the other extreme being 1.6 RE, most being much thicker than are usually studied. Each example has a well-determined surface normal (n) according to minimum variance analysis and corroborated via time delay checking of the discontinuity with observations at IMP 8 by employing the local surface planarity. From the variance analyses, most of these cases had unusually large ratios of intermediate-to-minimum eigenvalues (λI/λmin), being on average 32 for three cases (with a fourth being much larger), indicating compact current sheet transition zones, another (the fifth) extreme property. For many years there has been a controversy as to the relative distribution of rotational (RDs) to tangential discontinuities (TDs) in the solar wind at 1 AU (and elsewhere, such as between the Sun and Earth), even to the point where some authors have suggested that RDs with large ∣Bn∣s are probably not generated or, if generated, are unstable and therefore very rare. Some of this disagreement apparently has been due to the different selection criteria used, e.g., some allowed eigenvalue ratios (λI/λmin) to be almost an order of magnitude lower than 32 in estimating n, usually introducing unacceptable error in n and therefore also in ∣Bn∣. However, we suggest that RDs may not be so rare at 1 AU, but good quality cases (where ∣Bn∣ confidently exceeds the error in ∣Bn∣) appear to be uncommon, and further

38 CFR 21.4135 - Discontinuance dates.

Code of Federal Regulations, 2013 CFR

2013-07-01

... receive educational assistance under the Montgomery GI Bill—Active Duty. If a veteran makes a valid election, as provided in § 21.7045(d), to receive educational assistance under the Montgomery GI Bill... assistance must be discontinued or who becomes restricted to payment of educational assistance allowance at a...

Changes Ii Pain Intensity Following Discontinuation of Long-Term Opioid Therapy for Chronic Non-Cancer Pain.

PubMed

McPherson, Sterling; Smith, Crystal Lederhos; Dobscha, Steven K; Morasco, Benjamin J; Demidenko, Michael I; Meath, Thomas H A; Lovejoy, Travis I

2018-06-13

Little is known about changes in pain intensity that may occur following discontinuation of long-term opioid therapy (LTOT). The objective of this study was to characterize pain intensity following opioid discontinuation over 12 months. This retrospective VA administrative data study identified N=551 patients nationally who discontinued LTOT. Data over 24 months (12 months prior to and following discontinuation) were abstracted from VA administrative records. Random effects regression analyses examined changes in 0-10 pain numeric rating scale scores over time, while growth mixture models delineated pain trajectory sub-groups. Mean estimated pain at the time of opioid discontinuation was 4.9. Changes in pain following discontinuation were characterized by slight but statistically non-significant declines in pain intensity over 12 months post-discontinuation (B=-0.20, p=0.14). Follow-up growth mixture models identified four pain trajectory classes characterized by the following post-discontinuation pain levels: no pain (average pain at discontinuation=0.37), mild clinically-significant pain (average pain=3.90), moderate clinically-significant pain (average pain=6.33), and severe clinically-significant pain (average pain=8.23). Similar to the overall sample, pain trajectories in each of the four classes were characterized by slight reductions in pain over time, with patients in the mild and moderate pain trajectory categories experiencing the greatest pain reductions post-discontinuation (B=-0.11, p=0.05 and B=-0.11, p=0.04, respectively). Pain intensity following discontinuation of LTOT does not, on average, worsen for patients and may slightly improve, particularly for patients with mild-to-moderate pain at the time of discontinuation. Clinicians should consider these findings when discussing risks of opioid therapy and potential benefits of opioid taper with patients.

Local Discontinuous Galerkin Methods for the Cahn-Hilliard Type Equations

DTIC Science & Technology

2007-01-01

Kuramoto-Sivashinsky equations , the Ito-type coupled KdV equa- tions, the Kadomtsev - Petviashvili equation , and the Zakharov-Kuznetsov equation . A common...Local discontinuous Galerkin methods for the Cahn-Hilliard type equations Yinhua Xia∗, Yan Xu† and Chi-Wang Shu ‡ Abstract In this paper we develop...local discontinuous Galerkin (LDG) methods for the fourth-order nonlinear Cahn-Hilliard equation and system. The energy stability of the LDG methods is

Reasons and predictors of discontinuation of running after a running program for novice runners.

PubMed

Fokkema, Tryntsje; Hartgens, Fred; Kluitenberg, Bas; Verhagen, Evert; Backx, Frank J G; van der Worp, Henk; Bierma-Zeinstra, Sita M A; Koes, Bart W; van Middelkoop, Marienke

2018-06-18

To determine the proportion of participants of a running program for novice runners that discontinued running and investigate the main reasons to discontinue and characteristics associated with discontinuation. Prospective cohort study. The study included 774 participants of Start to Run, a 6-week running program for novice runners. Before the start of the program, participants filled-in a baseline questionnaire to collect information on demographics, physical activity and perceived health. The 26-weeks follow-up questionnaire was used to obtain information on the continuation of running (yes/no) and main reasons for discontinuation. To determine predictors for discontinuation of running, multivariable logistic regression was performed. Within 26 weeks after the start of the 6-week running program, 29.5% of the novice runners (n=225) had stopped running. The main reason for discontinuation was a running-related injury (n=108, 48%). Being female (OR 1.74; 95% CI 1.13-2.68), being unsure about the continuation of running after the program (OR 2.06; 95% CI 1.31-3.24) and (almost) no alcohol use (OR 1.62; 95%CI 1.11-2.37) were associated with a higher chance of discontinuation of running. Previous running experience less than one year previously (OR 0.46; 95% CI 0.26-0.83) and a higher score on the RAND-36 subscale physical functioning (OR 0.98; 95% CI 0.96-0.99) were associated with a lower chance of discontinuation. In this group of novice runners, almost one-third stopped running within six months. A running-related injury was the main reason to stop running. Women with a low perceived physical functioning and without running experience were prone to discontinue running. Copyright © 2018. Published by Elsevier Ltd.

Learning from failure - rationale and design for a study about discontinuation of randomized trials (DISCO study)

PubMed Central

2012-01-01

Background Randomized controlled trials (RCTs) may be discontinued because of apparent harm, benefit, or futility. Other RCTs are discontinued early because of insufficient recruitment. Trial discontinuation has ethical implications, because participants consent on the premise of contributing to new medical knowledge, Research Ethics Committees (RECs) spend considerable effort reviewing study protocols, and limited resources for conducting research are wasted. Currently, little is known regarding the frequency and characteristics of discontinued RCTs. Methods/Design Our aims are, first, to determine the prevalence of RCT discontinuation for specific reasons; second, to determine whether the risk of RCT discontinuation for specific reasons differs between investigator- and industry-initiated RCTs; third, to identify risk factors for RCT discontinuation due to insufficient recruitment; fourth, to determine at what stage RCTs are discontinued; and fifth, to examine the publication history of discontinued RCTs. We are currently assembling a multicenter cohort of RCTs based on protocols approved between 2000 and 2002/3 by 6 RECs in Switzerland, Germany, and Canada. We are extracting data on RCT characteristics and planned recruitment for all included protocols. Completion and publication status is determined using information from correspondence between investigators and RECs, publications identified through literature searches, or by contacting the investigators. We will use multivariable regression models to identify risk factors for trial discontinuation due to insufficient recruitment. We aim to include over 1000 RCTs of which an anticipated 150 will have been discontinued due to insufficient recruitment. Discussion Our study will provide insights into the prevalence and characteristics of RCTs that were discontinued. Effective recruitment strategies and the anticipation of problems are key issues in the planning and evaluation of trials by investigators, Clinical

Predictors of discontinuation of antipsychotic medication and subsequent outcomes in the European First Episode Schizophrenia Trial (EUFEST).

PubMed

Landolt, Karin; Rössler, Wulf; Ajdacic-Gross, Vladeta; Derks, Eske M; Libiger, Jan; Kahn, René S; Fleischhacker, W Wolfgang

2016-04-01

This study had two aims: to describe patients suffering from first-episode schizophrenia who had stopped taking any antipsychotic medication, and to gain information on the predictors of successful discontinuation. We investigated data from the European First Episode Schizophrenia Trial (EUFEST). From the 325 patients included, 15.7% discontinued all antipsychotic medication. In a first analysis, clinical and sociodemographical predictors of discontinuing any antipsychotic medication were identified, using Cox regression. In the second analysis, logistic regression was used to determine variables associated with those patients who had stopped taking antipsychotic medication and had a favourable outcome, i.e., successful discontinuation. A good outcome was defined as a) having had no relapse within the whole observation period (80.6%), and b) having had no relapse and symptomatic remission at 12-month-follow-up (37.2%). Cox regression revealed that a higher proportion of patients from Western European countries and Israel stopped antipsychotic medication than from Central and Eastern European countries, that relapse was associated with discontinuation, and that discontinuers had lower compliance and higher quality of life. Predictors of successful discontinuation differed with the outcome definition used. Using definition b), successful discontinuers had a better baseline prognosis and better baseline social integration. Using definition a), successful discontinuers more often were from Western European countries. Region and clinical factors were associated with discontinuation. Prognosis and social integration played an important role in predicting successful discontinuation. As this study had several limitations, for example the observational design regarding discontinuation, further studies are needed to identify predictors of successful discontinuation. Copyright © 2016 Elsevier B.V. All rights reserved.

Introduction to the special issue on discontinuity of fluvial systems

NASA Astrophysics Data System (ADS)

Burchsted, Denise; Daniels, Melinda; Wohl, Ellen E.

2014-01-01

Fluvial systems include natural and human-created barriers that modify local base level; as such, these discontinuities alter the longitudinal flux of water and sediment by storing, releasing, or changing the flow path of those materials. Even in the absence of distinct barriers, fluvial systems are typically discontinuous and patchy. The size of fluvial discontinuities ranges across scales from 100 m, such as riffles, to 104 m, such as lava dams or major landslides. The frequency of occurrence appears to be inversely related to size, with creation and failure of the small features, such as beaver dams, occurring on a time scale of 100 to 101 years and a frequency of occurrence at scales as low as 101 m. In contrast, larger scale discontinuities, such as lava dams, can last for time scales up to 105 years and have a frequency of occurrence of approximately 104 m. The heterogeneity generated by features is an essential part of river networks and should be considered as part of river management. Therefore, we suggest that "natural" dams are a useful analog for human dams when evaluating options for river restoration. This collection of papers on the studies of natural dams includes bedrock barriers, log jams and beaver dams. The collection also addresses the discontinuity generated by a floodplain — in the absence of an obvious barrier in the channel — and tools for evaluation of riverbed heterogeneity. It is completed with a study of impact of human dams on floodplain sedimentation. These papers will help geomorphologists and river managers understand the factors that control river heterogeneity across scales and around the world.

A High Order Discontinuous Galerkin Method for 2D Incompressible Flows

NASA Technical Reports Server (NTRS)

Liu, Jia-Guo; Shu, Chi-Wang

1999-01-01

In this paper we introduce a high order discontinuous Galerkin method for two dimensional incompressible flow in vorticity streamfunction formulation. The momentum equation is treated explicitly, utilizing the efficiency of the discontinuous Galerkin method The streamfunction is obtained by a standard Poisson solver using continuous finite elements. There is a natural matching between these two finite element spaces, since the normal component of the velocity field is continuous across element boundaries. This allows for a correct upwinding gluing in the discontinuous Galerkin framework, while still maintaining total energy conservation with no numerical dissipation and total enstrophy stability The method is suitable for inviscid or high Reynolds number flows. Optimal error estimates are proven and verified by numerical experiments.

Bilateral filter regularized accelerated Demons for improved discontinuity preserving registration.

PubMed

Demirović, D; Šerifović-Trbalić, A; Prljača, N; Cattin, Ph C

2015-03-01

The classical accelerated Demons algorithm uses Gaussian smoothing to penalize oscillatory motion in the displacement fields during registration. This well known method uses the L2 norm for regularization. Whereas the L2 norm is known for producing well behaving smooth deformation fields it cannot properly deal with discontinuities often seen in the deformation field as the regularizer cannot differentiate between discontinuities and smooth part of motion field. In this paper we propose replacement the Gaussian filter of the accelerated Demons with a bilateral filter. In contrast the bilateral filter not only uses information from displacement field but also from the image intensities. In this way we can smooth the motion field depending on image content as opposed to the classical Gaussian filtering. By proper adjustment of two tunable parameters one can obtain more realistic deformations in a case of discontinuity. The proposed approach was tested on 2D and 3D datasets and showed significant improvements in the Target Registration Error (TRE) for the well known POPI dataset. Despite the increased computational complexity, the improved registration result is justified in particular abdominal data sets where discontinuities often appear due to sliding organ motion. Copyright © 2014 Elsevier Ltd. All rights reserved.

On the structure of contact binaries. I - The contact discontinuity

NASA Technical Reports Server (NTRS)

Shu, F. H.; Lubow, S. H.; Anderson, L.

1976-01-01

The problem of the interior structure of contact binaries is reviewed, and a simple resolution of the difficulties which plague the theory is suggested. It is proposed that contact binaries contain a contact discontinuity between the lower surface of the common envelope and the Roche lobe of the cooler star. This discontinuity is maintained against thermal diffusion by fluid flow, and the transition layer is thin to the extent that the dynamical time scale is short in comparison with the thermal time scale. The idealization that the transition layer has infinitesimal thickness allows a simple formulation of the structure equations which are closed by appropriate jump conditions across the discontinuity. The further imposition of the standard boundary conditions suffices to define a unique model for the system once the chemical composition, the masses of the two stars, and the orbital separation are specified.

Continuity and Discontinuity in Education: Example of Transition from Preschool to School

ERIC Educational Resources Information Center

Babic, Nada

2017-01-01

This article reconsiders multiple perspectives about continuity and discontinuity of early childhood education. Theoretical starting points, childhood policies and research of continuity and discontinuity exemplified through transition to school, are promising in rethinking and creating productive practices of childhood in different sociocultural…

Reasons for Discontinuing Hashish Use in a Group of Central European Athletes.

ERIC Educational Resources Information Center

Duncan, David F.

1988-01-01

Examined self-reported reasons for discontinuing marijuana use among 61 former marijuana using students at central European sports training facility. Most common reasons given for discontinuing marijuana use were dislike of effects, athletic training regimen, health reasons, and mental/emotional problems. (Author/NB)

Estimation of discontinuous coefficients in parabolic systems: Applications to reservoir simulation

NASA Technical Reports Server (NTRS)

Lamm, P. D.

1984-01-01

Spline based techniques for estimating spatially varying parameters that appear in parabolic distributed systems (typical of those found in reservoir simulation problems) are presented. The problem of determining discontinuous coefficients, estimating both the functional shape and points of discontinuity for such parameters is discussed. Convergence results and a summary of numerical performance of the resulting algorithms are given.

Fatigue behavior of 5Ni-Cr-Mo-V steel weldments containing fabrication discontinuities

NASA Technical Reports Server (NTRS)

Gill, Steven J.; Hauser, Joseph A., II; Crooker, Thomas W.; Kruse, Brian J.; Menon, Ravi

1988-01-01

The applicability of linear elastic fracture mechanics to characterize the fatigue behavior of high-strength steel weldments containing lack-of-penetration (LOP) and slag/lack-of-fusion (S/LOF) discontinuities is explored. Full penetration, double-V butt welds with reinforcements removed were tested under zero-to-tension axial loading. Various filler metals and welding techniques were used. Both sound welds and welds containing discontinuities were cycled to failure. Where possible, cycles to crack initiation were estimated by strain gage measurements. The fracture mechanics approach was successful in correlating the fatigue lifetimes of specimens containing single LOP discontinuities of varying size. However, the fatigue behavior of specimens containing multiple S/LOF discontinuities proved to be much more complex and difficult to analyze.

Global Discontinuity Structure of the Mantle Transition Zone from Finite-Frequency Tomography of SS Precursors

NASA Astrophysics Data System (ADS)

Guo, Z.; Zhou, Y.

2017-12-01

We report global structure of the 410-km and 660-km discontinuities from finite-frequency tomography using frequency-dependent traveltime measurements of SS precursors recorded at the Global Seismological Network (GSN). Finite-frequency sensitivity kernels for discontinuity depth perturbations are calculated in the framework of traveling-wave mode coupling. We parametrize the global discontinuities using a set of spherical triangular grid points and solve the tomographic inverse problem based on singular value decomposition. Our global 410-km and 660-km discontinuity models reveal distinctly different characteristics beneath the oceans and subduction zones. In general, oceanic regions are associated with a thinner mantle transition zone and depth perturbations of the 410-km and 660-km discontinuities are anti-correlated, in agreement with a thermal origin and an overall warm and dry mantle beneath the oceans. The perturbations are not uniform throughout the oceans but show strong small-scale variations, indicating complex processes in the mantle transition zone. In major subduction zones (except for South America where data coverage is sparse), depth perturbations of the 410-km and 660-km discontinuities are correlated, with both the 410-km and the 660-km discontinuities occurring at greater depths. The distributions of the anomalies are consistent with cold stagnant slabs just above the 660-km discontinuity and ascending return flows in a superadiabatic upper mantle.

Seismic imaging of lithospheric discontinuities and continental evolution

NASA Astrophysics Data System (ADS)

Bostock, M. G.

1999-09-01

Discontinuities in physical properties within the continental lithosphere reflect a range of processes that have contributed to craton stabilization and evolution. A survey of recent seismological studies concerning lithospheric discontinuities is made in an attempt to document their essential characteristics. Results from long-period seismology are inconsistent with the presence of continuous, laterally invariant, isotropic boundaries within the upper mantle at the global scale. At regional scales, two well-defined interfaces termed H (˜60 km depth) and L (˜200 km depth) of continental affinity are identified, with the latter boundary generally exhibiting an anisotropic character. Long-range refraction profiles are frequently characterized by subcontinental mantle that exhibits a complex stratification within the top 200 km. The shallow layering of this package can behave as an imperfect waveguide giving rise to the so-called teleseismic Pn phase, while the L-discontinuity may define its lower base as the culmination of a low velocity zone. High-resolution, seismic reflection profiling provides sufficient detail in a number of cases to document the merging of mantle interfaces into lower continental crust below former collisional sutures and magmatic arcs, thus unambiguously identifying some lithospheric discontinuities with thrust faults and subducted oceanic lithosphere. Collectively, these and other seismic observations point to a continental lithosphere whose internal structure is dominated by a laterally variable, subhorizontal layering. This stratigraphy appears to be more pronounced at shallower lithospheric levels, includes dense, anisotropic layers of order 10 km in thickness, and exhibits horizontal correlation lengths comparable to the lateral dimensions of overlying crustal blocks. A model of craton evolution which relies on shallow subduction as a principal agent of craton stabilization is shown to be broadly compatible with these characteristics.

High-order dynamic modeling and parameter identification of structural discontinuities in Timoshenko beams by using reflection coefficients

NASA Astrophysics Data System (ADS)

Fan, Qiang; Huang, Zhenyu; Zhang, Bing; Chen, Dayue

2013-02-01

Properties of discontinuities, such as bolt joints and cracks in the waveguide structures, are difficult to evaluate by either analytical or numerical methods due to the complexity and uncertainty of the discontinuities. In this paper, the discontinuity in a Timoshenko beam is modeled with high-order parameters and then these parameters are identified by using reflection coefficients at the discontinuity. The high-order model is composed of several one-order sub-models in series and each sub-model consists of inertia, stiffness and damping components in parallel. The order of the discontinuity model is determined based on the characteristics of the reflection coefficient curve and the accuracy requirement of the dynamic modeling. The model parameters are identified through the least-square fitting iteration method, of which the undetermined model parameters are updated in iteration to fit the dynamic reflection coefficient curve with the wave-based one. By using the spectral super-element method (SSEM), simulation cases, including one-order discontinuities on infinite- and finite-beams and a two-order discontinuity on an infinite beam, were employed to evaluate both the accuracy of the discontinuity model and the effectiveness of the identification method. For practical considerations, effects of measurement noise on the discontinuity parameter identification are investigated by adding different levels of noise to the simulated data. The simulation results were then validated by the corresponding experiments. Both the simulation and experimental results show that (1) the one-order discontinuities can be identified accurately with the maximum errors of 6.8% and 8.7%, respectively; (2) and the high-order discontinuities can be identified with the maximum errors of 15.8% and 16.2%, respectively; and (3) the high-order model can predict the complex discontinuity much more accurately than the one-order discontinuity model.

Simplified Discontinuous Galerkin Methods for Systems of Conservation Laws with Convex Extension

NASA Technical Reports Server (NTRS)

Barth, Timothy J.

1999-01-01

Simplified forms of the space-time discontinuous Galerkin (DG) and discontinuous Galerkin least-squares (DGLS) finite element method are developed and analyzed. The new formulations exploit simplifying properties of entropy endowed conservation law systems while retaining the favorable energy properties associated with symmetric variable formulations.

27 CFR 18.38 - Permanent discontinuance.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Permanent discontinuance. 18.38 Section 18.38 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE BUREAU... by the Office of Management and Budget under control number 1512-0046) [T.D. ATF-104, 47 FR 23921...

A Discontinuous Potential Model for Protein-Protein Interactions.

PubMed

Shao, Qing; Hall, Carol K

2016-01-01

Protein-protein interactions play an important role in many biologic and industrial processes. In this work, we develop a two-bead-per-residue model that enables us to account for protein-protein interactions in a multi-protein system using discontinuous molecular dynamics simulations. This model deploys discontinuous potentials to describe the non-bonded interactions and virtual bonds to keep proteins in their native state. The geometric and energetic parameters are derived from the potentials of mean force between sidechain-sidechain, sidechain-backbone, and backbone-backbone pairs. The energetic parameters are scaled with the aim of matching the second virial coefficient of lysozyme reported in experiment. We also investigate the performance of several bond-building strategies.

Fundamental gaps with approximate density functionals: The derivative discontinuity revealed from ensemble considerations

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

Kraisler, Eli; Kronik, Leeor

2014-05-14

The fundamental gap is a central quantity in the electronic structure of matter. Unfortunately, the fundamental gap is not generally equal to the Kohn-Sham gap of density functional theory (DFT), even in principle. The two gaps differ precisely by the derivative discontinuity, namely, an abrupt change in slope of the exchange-correlation energy as a function of electron number, expected across an integer-electron point. Popular approximate functionals are thought to be devoid of a derivative discontinuity, strongly compromising their performance for prediction of spectroscopic properties. Here we show that, in fact, all exchange-correlation functionals possess a derivative discontinuity, which arises naturallymore » from the application of ensemble considerations within DFT, without any empiricism. This derivative discontinuity can be expressed in closed form using only quantities obtained in the course of a standard DFT calculation of the neutral system. For small, finite systems, addition of this derivative discontinuity indeed results in a greatly improved prediction for the fundamental gap, even when based on the most simple approximate exchange-correlation density functional – the local density approximation (LDA). For solids, the same scheme is exact in principle, but when applied to LDA it results in a vanishing derivative discontinuity correction. This failure is shown to be directly related to the failure of LDA in predicting fundamental gaps from total energy differences in extended systems.« less

Accurate solution of the Poisson equation with discontinuities

NASA Astrophysics Data System (ADS)

Nave, Jean-Christophe; Marques, Alexandre; Rosales, Rodolfo

2017-11-01

Solving the Poisson equation in the presence of discontinuities is of great importance in many applications of science and engineering. In many cases, the discontinuities are caused by interfaces between different media, such as in multiphase flows. These interfaces are themselves solutions to differential equations, and can assume complex configurations. For this reason, it is convenient to embed the interface into a regular triangulation or Cartesian grid and solve the Poisson equation in this regular domain. We present an extension of the Correction Function Method (CFM), which was developed to solve the Poisson equation in the context of embedded interfaces. The distinctive feature of the CFM is that it uses partial differential equations to construct smooth extensions of the solution in the vicinity of interfaces. A consequence of this approach is that it can achieve high order of accuracy while maintaining compact discretizations. The extension we present removes the restrictions of the original CFM, and yields a method that can solve the Poisson equation when discontinuities are present in the solution, the coefficients of the equation (material properties), and the source term. We show results computed to fourth order of accuracy in two and three dimensions. This work was partially funded by DARPA, NSF, and NSERC.

Why do couples discontinue unlimited free IVF treatments?

PubMed

Lande, Yechezkel; Seidman, Daniel S; Maman, Ettie; Baum, Micha; Hourvitz, Ariel

2015-03-01

Worldwide, IVF is often discontinued before a live birth is achieved due to high costs. Even when partial financial coverage is provided, often medical providers advise treatment discontinuation. In Israel, unlimited IVF is offered free of charge for a couples' first two children. Our objective was to assess the reasons couples discontinue IVF treatments before achieving two children in a completely unlimited cost-free environment. This cohort study included all primary infertile women, <35 years, referred for their first IVF cycle to Sheba IVF unit between 2001 and 2002. Patients were followed until February 2012. Those who ceased treatments for 12 months were interviewed to assess the main reason they ceased treatments. Of the 134 couples included, only 46 ceased IVF treatments without achieving two children, after performing an average of 6.2 IVF cycles to achieve their first birth. The reasons given were: lost hope of success (13), psychological burden (18), divorce (6), medical staff recommendation (5), bureaucratic difficulties (3) and general medical condition (1). The main reasons for "drop out" in our cost-free environment were as follows: psychological burden and lost hope of success. Due to high availability of treatments, medical staff recommendation was a less significant factor in our study.

Does research into contraceptive method discontinuation address women's own reasons? A critical review.

PubMed

Inoue, Kumiyo; Barratt, Alexandra; Richters, Juliet

2015-10-01

To examine the clinical and epidemiological literature addressing contraceptive method change or discontinuation and to assess whether the documented reasons reflected women's experiences. Major databases including Medline and PsycINFO were searched using keywords related to contraception and discontinuation, adherence and satisfaction, for articles published between January 2003 and February 2013. Studies in developed countries that focused on women of reproductive age and reasons for method change or discontinuation were included. Reasons reported were categorised and examined. A total of 123 papers were reviewed in detail. Medical terminology was generally used to describe reasons for method discontinuation. The top two reported reasons were bleeding and pregnancy, but there was a lack of consensus about the categorisation of reasons. Broad categories that were not self-explanatory were included in more than half of the papers, often without further explanation. Only 12 studies expanded on categories containing 'other', 'non-medical' or 'personal' reasons. Eight papers included categories that attributed discontinuation to the participant, such as 'dissatisfied with method'. Studies of reasons for discontinuation of contraceptives do not well describe women's specific reasons. Studies rely heavily on medical terms and often fail to document women's subjective experiences. Future studies should create an opportunity for women to articulate their non-medical reasons in their own words, including those related to their sexual lives. Furthermore, researchers should distinguish, if possible, between reasons for discontinuation of a method and reasons for ceasing participation in a research study. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

Magnetic field directional discontinuities - Characteristics between 0.46 and 1.0 AU

NASA Technical Reports Server (NTRS)

Lepping, R. P.; Behannon, K. W.

1986-01-01

Based on Mariner 10 data, a statistical survey and an application of the Sonnerup-Cahill variance procedure to a visual identification with 1.2-s averages for time intervals corresponding to the equally spaced heliocentric distances of 1.0, 0.72 and 0.46 AU, are employed to study the characteristics of directional discontinuities (DDs) in the interplanetary magnetic field. Analysis using two methods demonstrated that the ratio of tangential discontinuities (TDs) to rotational discontinuities (RDs) decreased with decreasing radial distance. Decreases in average discontinuity thickness of 41 percent between 1.0 and 0.72 AU, and 56 percent between 1.0 and 0.46 AU, were found for both TDs and RDs, in agreement with Pioneer 10 data between 1 and 5 AU. Normalization of the individual DD thicknesses with respect to the estimated local proton gyroradius (R sub L) gave a nearly constant average thickness at the three locations, 36 + or - 5 R sub L, for both RDs and TDs.

14 CFR 16 - Objective Classification-Discontinued Operations

Code of Federal Regulations, 2012 CFR

2012-01-01

... CERTIFICATED AIR CARRIERS Profit and Loss Classification Section 16 Objective Classification—Discontinued... the disposal of investor controlled companies and nontransport ventures whether sold, abandoned, spun... transport or transport-related operations. (b) This account shall be subdivided as follows by all air...

48 CFR 49.302 - Discontinuance of vouchers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Discontinuance of vouchers. 49.302 Section 49.302 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TERMINATION OF CONTRACTS Additional Principles for Cost-Reimbursement Contracts Terminated for...

Healthcare resource utilization following switch or discontinuation in multiple sclerosis patients on disease modifying drugs.

PubMed

Reynolds, Matthew W; Stephen, Reejis; Seaman, Chris; Rajagopalan, Kitty

2010-03-01

The objective of this study was to explore the cost and utilization in the period following discontinuations or switches of disease modifying drugs (DMDs) for patients with multiple sclerosis (MS). Secondary objectives included an assessment of the time to switch or discontinuation from index DMD treatment. Cases were defined as a billed MS diagnosis in continuously enrolled patients initiated with interferon-beta1a IM, interferon-beta1b SC, glatiramer acetate, and interferon-beta1a SC found in the PharMetrics Patient-Centric Database. Information on patient demographics, diagnoses, procedures, pharmacy-dispensed drugs, and costs was extracted; reasons for discontinuation and expenses outside of the healthcare system were not available. Treatment discontinuations and switches between study drugs were defined using pharmacy prescription patterns and analyzed by descriptive and regression methods. The non-pharmacy medical costs in the 18 months following switching or discontinuation were compared to the costs in a randomly selected similar period for those patients who did not switch or discontinue these agents. A total of 5,772 MS patients were continuously enrolled and were treated with one or more of the four drugs of interest, and about half of these patients switched drugs or discontinued treatment for at least 90 days. Patients initiated with interferon-beta1b SC were more likely to discontinue treatment compared to interferon-beta1a IM users. Non-pharmaceutical medical costs were highest for those switching treatments followed by those discontinuing DMDs in the 18 months following a switch or discontinuation, compared to persistent users of these drugs. Interferon beta1b SC initiators had higher costs following changes or discontinuations, while glatiramer acetate and interferon-beta1a SC users had lower subsequent costs compared to interferon-beta1a IM users. Unfortunately, the reasons for stopping the initial treatment cannot be determined from analysis of

Experimental and Numerical Analysis of Performance Discontinuity of a Pump-Turbine under Pumping Mode

NASA Astrophysics Data System (ADS)

Zhang, X.; Burgstaller, R.; Lai, X.; Gehrer, A.; Kefalas, A.; Pang, Y.

2016-11-01

The performance discontinuity of a pump-turbine under pumping mode is harmful to stable operation of units in hydropower station. In this paper, the performance discontinuity phenomenon of the pump-turbine was studied by means of experiment and numerical simulation. In the experiment, characteristics of the pump-turbine with different diffuser vane openings were tested in order to investigate the effect of pumping casing to the performance discontinuity. While other effects such as flow separation and rotating stall are known to have an effect on the discontinuity, the present studied test cases show that prerotation is the dominating effect for the instability, positions of the positive slope of characteristics are almost the same in different diffuser vane opening conditions. The impeller has principal effect to the performance discontinuity. In the numerical simulation, CFD analysis of tested pump-turbine has been done with k-ω and SST turbulence model. It is found that the position of performance curve discontinuity corresponds to flow recirculation at impeller inlet. Flow recirculation at impeller inlet is the cause of the discontinuity of characteristics curve. It is also found that the operating condition of occurrence of flow recirculation at impeller inlet is misestimated with k-ω and SST turbulence model. Furthermore, the original SST model has been modified. We predict the occurrence position of flow recirculation at impeller inlet correctly with the modified SST turbulence model, and it also can improve the prediction accuracy of the pump- turbine performance at the same time.

Cultural Discontinuity: Toward a Quantitative Investigation of a Major Hypothesis in Education

ERIC Educational Resources Information Center

Tyler, Kenneth M.; Uqdah, Aesha L.; Dillihunt, Monica L.; Beatty-Hazelbaker, ReShanta; Conner, Timothy; Gadson, Nadia; Henchy, Alexandra; Hughes, Travonia; Mulder, Shambra; Owens, Elizabeth; Roan-Belle, Clarissa; Smith, LaToya; Stevens, Ruby

2008-01-01

Education researchers have suggested that the academic challenges faced by many ethnic minority students are linked to perceived cultural discontinuity between students' home- and school-based experiences. However, there has been very little empirical inquiry into the existence and effects of cultural discontinuity for these students. The purpose…

Effect of manufacturing defects on optical performance of discontinuous freeform lenses.

PubMed

Wang, Kai; Liu, Sheng; Chen, Fei; Liu, Zongyuan; Luo, Xiaobing

2009-03-30

Discontinuous freeform lens based secondary optics are essential to LED illumination systems. Surface roughness and smooth transition between two discrete sub-surfaces are two of the most common manufacturing defects existing in discontinuous freeform lenses. The effects of these two manufacturing defects on the optical performance of two discontinuous freeform lenses were investigated by comparing the experimental results with the numerical simulation results based on Monte Carlo ray trace method. The results demonstrated that manufacturing defects induced surface roughness had small effect on the light output efficiency and the shape of light pattern of the PMMA lens but significantly affected the uniformity of light pattern, which declined from 0.644 to 0.313. The smooth transition surfaces with deviation angle more than 60 degrees existing in the BK7 glass lens, not only reduced the uniformity of light pattern, but also reduced the light output efficiency from 96.9% to 91.0% and heavily deformed the shape of the light pattern. Comparing with the surface roughness, the smooth transition surface had a much more adverse effect on the optical performance of discontinuous freeform lenses. Three methods were suggested to improve the illumination performance according to the analysis and discussion.

Mammographic density changes following discontinuation of tamoxifen in premenopausal women with oestrogen receptor-positive breast cancer.

PubMed

Kim, Won Hwa; Cho, Nariya; Kim, Young-Seon; Yi, Ann

2018-04-06

To evaluate the changes in mammographic density after tamoxifen discontinuation in premenopausal women with oestrogen receptor-positive breast cancers and the underlying factors METHODS: A total of 213 consecutive premenopausal women with breast cancer who received tamoxifen treatment after curative surgery and underwent three mammograms (baseline, after tamoxifen treatment, after tamoxifen discontinuation) were included. Changes in mammographic density after tamoxifen discontinuation were assessed qualitatively (decrease, no change, or increase) by two readers and measured quantitatively by semi-automated software. The association between % density change and clinicopathological factors was evaluated using univariate and multivariate regression analyses. After tamoxifen discontinuation, a mammographic density increase was observed in 31.9% (68/213, reader 1) to 22.1% (47/213, reader 2) by qualitative assessment, with a mean density increase of 1.8% by quantitative assessment compared to density before tamoxifen discontinuation. In multivariate analysis, younger age (≤ 39 years) and greater % density decline after tamoxifen treatment (≥ 17.0%) were independent factors associated with density change after tamoxifen discontinuation (p < .001 and p = .003, respectively). Tamoxifen discontinuation was associated with mammographic density change with a mean density increase of 1.8%, which was associated with younger age and greater density change after tamoxifen treatment. • Increased mammographic density after tamoxifen discontinuation can occur in premenopausal women. • Mean density increase after tamoxifen discontinuation was 1.8%. • Density increase is associated with age and density decrease after tamoxifen.

Scaffold optimization in discontinuous epitope containing protein mimics of gp120 using smart libraries.

PubMed

Mulder, Gwenn E; Quarles van Ufford, H Linda C; van Ameijde, Jeroen; Brouwer, Arwin J; Kruijtzer, John A W; Liskamp, Rob M J

2013-04-28

A diversity of protein surface discontinuous epitope mimics is now rapidly and efficiently accessible. Despite the important role of protein-protein interactions involving discontinuous epitopes in a wide range of diseases, mimicry of discontinuous epitopes using peptide-based molecules remains a major challenge. Using copper(I) catalyzed azide-alkyne cycloaddition (CuAAC), we have developed a general and efficient method for the synthesis of collections of discontinuous epitope mimics. Up to three different cyclic peptides, representing discontinuous epitopes in HIV-gp120, were conjugated to a selection of scaffold molecules. Variation of the scaffold molecule, optimization of the ring size of the cyclic peptides and screening of the resulting libraries for successful protein mimics led to an HIV gp120 mimic with an IC50 value of 1.7 μM. The approach described here provides rapid and highly reproducible access to clean, smart libraries of very complex bio-molecular constructs representing protein mimics for use as synthetic vaccines and beyond.

Impedance Discontinuity Reduction Between High-Speed Differential Connectors and PCB Interfaces

NASA Technical Reports Server (NTRS)

Navidi, Sal; Agdinaoay, Rodell; Walter, Keith

2013-01-01

High-speed serial communication (i.e., Gigabit Ethernet) requires differential transmission and controlled impedances. Impedance control is essential throughout cabling, connector, and circuit board construction. An impedance discontinuity arises at the interface of a high-speed quadrax and twinax connectors and the attached printed circuit board (PCB). This discontinuity usually is lower impedance since the relative dielectric constant of the board is higher (i.e., polyimide approx. = 4) than the connector (Teflon approx. = 2.25). The discontinuity can be observed in transmit or receive eye diagrams, and can reduce the effective link margin of serial data networks. High-speed serial data network transmission improvements can be made at the connector-to-board interfaces as well as improving differential via hole impedances. The impedance discontinuity was improved by 10 percent by drilling a 20-mil (approx. = 0.5-mm) hole in between the pin of a differential connector spaced 55 mils (approx. = 1.4 mm) apart as it is attached to the PCB. The effective dielectric constant of the board can be lowered by drilling holes into the board material between the differential lines in a quadrax or twinax connector attachment points. The differential impedance is inversely proportional to the square root of the relative dielectric constant. This increases the differential impedance and thus reduces the above described impedance discontinuity. The differential via hole impedance can also be increased in the same manner. This technique can be extended to multiple smaller drilled holes as well as tapered holes (i.e., big in the middle followed by smaller ones diagonally).

Discontinuities of Plastic Deformation in Metallic Glasses with Different Glass Forming Ability

NASA Astrophysics Data System (ADS)

Hurakova, Maria; Csach, Kornel; Miskuf, Jozef; Jurikova, Alena; Demcak, Stefan; Ocelik, Vaclav; Hosson, Jeff Th. M. De

The metallic ribbons Fe40Ni40B20, Cu47Ti35Zr11Ni6Si1 and Zr65Cu17.5Ni10Al7.5 with different microhardness and glass forming ability were studied at different loading rates from 0.05 to 100 mN/s. We describe in details the differences in elemental discontinuities on the loading curves for the studied alloys. It was found that the discontinuities began at a certain local deformation independently on the macroscopic mechanical properties of a ribbon. More developed discontinuities at higher deformations are created for the materials with lower microhardness and so lower strength.

A Discontinuous Galerkin Finite Element Method for Hamilton-Jacobi Equations

NASA Technical Reports Server (NTRS)

Hu, Changqing; Shu, Chi-Wang

1998-01-01

In this paper, we present a discontinuous Galerkin finite element method for solving the nonlinear Hamilton-Jacobi equations. This method is based on the Runge-Kutta discontinuous Galerkin finite element method for solving conservation laws. The method has the flexibility of treating complicated geometry by using arbitrary triangulation, can achieve high order accuracy with a local, compact stencil, and are suited for efficient parallel implementation. One and two dimensional numerical examples are given to illustrate the capability of the method.

A Moving Discontinuous Galerkin Finite Element Method for Flows with Interfaces

DTIC Science & Technology

2017-12-07

Naval Research Laboratory Washington, DC 20375-5320 NRL/MR/6040--17-9765 A Moving Discontinuous Galerkin Finite Element Method for Flows with...guidance to revise the method to ensure such properties. Acknowledgements This work was sponsored by the Office of Naval Research through the Naval...18. NUMBER OF PAGES 17. LIMITATION OF ABSTRACT A Moving Discontinuous Galerkin Finite Element Method for Flows with Interfaces Andrew Corrigan, Andrew

On cell entropy inequality for discontinuous Galerkin methods

NASA Technical Reports Server (NTRS)

Jiang, Guangshan; Shu, Chi-Wang

1993-01-01

We prove a cell entropy inequality for a class of high order discontinuous Galerkin finite element methods approximating conservation laws, which implies convergence for the one dimensional scalar convex case.

76 FR 41413 - Post Office Organization and Administration: Establishment, Classification, and Discontinuance

Federal Register 2010, 2011, 2012, 2013, 2014

2011-07-14

...) to improve the process for discontinuing Post Offices and other Postal Service-operated retail... appears below. The Postal Service is currently in the process of consultation under 39 U.S.C. 1004(b)-(d... or branches, the Postal Service is making that same process applicable to the discontinuance of all...

Estimation of the Continuous and Discontinuous Leverage Effects

PubMed Central

Aït-Sahalia, Yacine; Fan, Jianqing; Laeven, Roger J. A.; Wang, Christina Dan; Yang, Xiye

2017-01-01

This paper examines the leverage effect, or the generally negative covariation between asset returns and their changes in volatility, under a general setup that allows the log-price and volatility processes to be Itô semimartingales. We decompose the leverage effect into continuous and discontinuous parts and develop statistical methods to estimate them. We establish the asymptotic properties of these estimators. We also extend our methods and results (for the continuous leverage) to the situation where there is market microstructure noise in the observed returns. We show in Monte Carlo simulations that our estimators have good finite sample performance. When applying our methods to real data, our empirical results provide convincing evidence of the presence of the two leverage effects, especially the discontinuous one. PMID:29606780

Discontinuous Galerkin Methods and High-Speed Turbulent Flows

NASA Astrophysics Data System (ADS)

Atak, Muhammed; Larsson, Johan; Munz, Claus-Dieter

2014-11-01

Discontinuous Galerkin methods gain increasing importance within the CFD community as they combine arbitrary high order of accuracy in complex geometries with parallel efficiency. Particularly the discontinuous Galerkin spectral element method (DGSEM) is a promising candidate for both the direct numerical simulation (DNS) and large eddy simulation (LES) of turbulent flows due to its excellent scaling attributes. In this talk, we present a DNS of a compressible turbulent boundary layer along a flat plate at a free-stream Mach number of M = 2.67 and assess the computational efficiency of the DGSEM at performing high-fidelity simulations of both transitional and turbulent boundary layers. We compare the accuracy of the results as well as the computational performance to results using a high order finite difference method.

Estimation of the Continuous and Discontinuous Leverage Effects.

PubMed

Aït-Sahalia, Yacine; Fan, Jianqing; Laeven, Roger J A; Wang, Christina Dan; Yang, Xiye

2017-01-01

This paper examines the leverage effect, or the generally negative covariation between asset returns and their changes in volatility, under a general setup that allows the log-price and volatility processes to be Itô semimartingales. We decompose the leverage effect into continuous and discontinuous parts and develop statistical methods to estimate them. We establish the asymptotic properties of these estimators. We also extend our methods and results (for the continuous leverage) to the situation where there is market microstructure noise in the observed returns. We show in Monte Carlo simulations that our estimators have good finite sample performance. When applying our methods to real data, our empirical results provide convincing evidence of the presence of the two leverage effects, especially the discontinuous one.

New exponential synchronization criteria for time-varying delayed neural networks with discontinuous activations.

PubMed

Cai, Zuowei; Huang, Lihong; Zhang, Lingling

2015-05-01

This paper investigates the problem of exponential synchronization of time-varying delayed neural networks with discontinuous neuron activations. Under the extended Filippov differential inclusion framework, by designing discontinuous state-feedback controller and using some analytic techniques, new testable algebraic criteria are obtained to realize two different kinds of global exponential synchronization of the drive-response system. Moreover, we give the estimated rate of exponential synchronization which depends on the delays and system parameters. The obtained results extend some previous works on synchronization of delayed neural networks not only with continuous activations but also with discontinuous activations. Finally, numerical examples are provided to show the correctness of our analysis via computer simulations. Our method and theoretical results have a leading significance in the design of synchronized neural network circuits involving discontinuous factors and time-varying delays. Copyright © 2015 Elsevier Ltd. All rights reserved.

The Local Discontinuous Galerkin Method for Time-Dependent Convection-Diffusion Systems

NASA Technical Reports Server (NTRS)

Cockburn, Bernardo; Shu, Chi-Wang

1997-01-01

In this paper, we study the Local Discontinuous Galerkin methods for nonlinear, time-dependent convection-diffusion systems. These methods are an extension of the Runge-Kutta Discontinuous Galerkin methods for purely hyperbolic systems to convection-diffusion systems and share with those methods their high parallelizability, their high-order formal accuracy, and their easy handling of complicated geometries, for convection dominated problems. It is proven that for scalar equations, the Local Discontinuous Galerkin methods are L(sup 2)-stable in the nonlinear case. Moreover, in the linear case, it is shown that if polynomials of degree k are used, the methods are k-th order accurate for general triangulations; although this order of convergence is suboptimal, it is sharp for the LDG methods. Preliminary numerical examples displaying the performance of the method are shown.

47 CFR 5.81 - Discontinuance of station operation.

Code of Federal Regulations, 2010 CFR

2010-10-01

... THAN BROADCAST) Applications and Licenses § 5.81 Discontinuance of station operation. In case of... mobile station in the Experimental Radio Service, the licensee shall forward the station license to the...

78 FR 8407 - Authorization To Manufacture and Distribute Postage Evidencing Systems; Discontinued Indicia

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-06

... discontinuing the non-IBI or non-IMI indicia over such a short period of time it would put them at risk in the... has discussed with the industry the need to discontinue these indicia. Since the introduction of the...

27 CFR 40.525 - Discontinuance of operations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... operations. 40.525 Section 40.525 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE... AND TUBES, AND PROCESSED TOBACCO Manufacture of Processed Tobacco Operations by Manufacturers of Processed Tobacco § 40.525 Discontinuance of operations. Every manufacturer of processed tobacco who desires...

Cognitive function and discontinuation of adjuvant hormonal therapy in older breast cancer survivors: CALGB 369901 (Alliance).

PubMed

Bluethmann, Shirley M; Alfano, Catherine M; Clapp, Jonathan D; Luta, George; Small, Brent J; Hurria, Arti; Cohen, Harvey J; Sugarman, Steven; B Muss, Hyman; Isaacs, Claudine; Mandelblatt, Jeanne S

2017-10-01

To investigate the effects of cognitive function on discontinuation of hormonal therapy in breast cancer survivors ages 65+ ("older"). Older breast cancer survivors with invasive, non-metastatic disease, and no reported cognitive difficulties were recruited from 78 Alliance sites between 2004 and 2011. Eligible survivors (n = 1280) completed baseline interviews; follow-up was conducted annually for up to 7 years. Survivors with estrogen-receptor-positive (ER+) cancers who initiated hormonal therapy (n = 990) were included. Self-reported cognitive function was measured using the EORTC-QLQ30 scale; a difference of eight points on the 0-100 scale was considered clinically significant. Based on varying rates of discontinuation over time, discontinuation was evaluated separately for three time periods: early (<1 year); midpoint (1-3 years); and late discontinuation (>3-5 years). Cox models for each time period were used to evaluate the effects of cognition immediately preceding discontinuation, controlling for age, chemotherapy, and other covariates. Survivors were 65-91 years old (mean 72.6 years), and 79% had stages 1 or 2A disease. Overall, 43% discontinued hormonal therapy before 5 years. Survivors who reported lower cognitive function in the period before discontinuation had greater hazards of discontinuing therapy at the treatment midpoint (HR 1.22 per 8-point difference, CI 1.09-1.40, p < 0.001), considering covariates, but cognition was not related to discontinuation in the other periods. Self-reported cognitive problems were a significant risk factor for discontinuation of hormonal therapy 1-3 years post-initiation. Additional research is needed on the temporality of cognitive effects and hormonal therapy to support survivorship care needs of older survivors.

Automated extraction and analysis of rock discontinuity characteristics from 3D point clouds

NASA Astrophysics Data System (ADS)

Bianchetti, Matteo; Villa, Alberto; Agliardi, Federico; Crosta, Giovanni B.

2016-04-01

A reliable characterization of fractured rock masses requires an exhaustive geometrical description of discontinuities, including orientation, spacing, and size. These are required to describe discontinuum rock mass structure, perform Discrete Fracture Network and DEM modelling, or provide input for rock mass classification or equivalent continuum estimate of rock mass properties. Although several advanced methodologies have been developed in the last decades, a complete characterization of discontinuity geometry in practice is still challenging, due to scale-dependent variability of fracture patterns and difficult accessibility to large outcrops. Recent advances in remote survey techniques, such as terrestrial laser scanning and digital photogrammetry, allow a fast and accurate acquisition of dense 3D point clouds, which promoted the development of several semi-automatic approaches to extract discontinuity features. Nevertheless, these often need user supervision on algorithm parameters which can be difficult to assess. To overcome this problem, we developed an original Matlab tool, allowing fast, fully automatic extraction and analysis of discontinuity features with no requirements on point cloud accuracy, density and homogeneity. The tool consists of a set of algorithms which: (i) process raw 3D point clouds, (ii) automatically characterize discontinuity sets, (iii) identify individual discontinuity surfaces, and (iv) analyse their spacing and persistence. The tool operates in either a supervised or unsupervised mode, starting from an automatic preliminary exploration data analysis. The identification and geometrical characterization of discontinuity features is divided in steps. First, coplanar surfaces are identified in the whole point cloud using K-Nearest Neighbor and Principal Component Analysis algorithms optimized on point cloud accuracy and specified typical facet size. Then, discontinuity set orientation is calculated using Kernel Density Estimation and

ADER discontinuous Galerkin schemes for general-relativistic ideal magnetohydrodynamics

NASA Astrophysics Data System (ADS)

Fambri, F.; Dumbser, M.; Köppel, S.; Rezzolla, L.; Zanotti, O.

2018-07-01

We present a new class of high-order accurate numerical algorithms for solving the equations of general-relativistic ideal magnetohydrodynamics in curved space-times. In this paper, we assume the background space-time to be given and static, i.e. we make use of the Cowling approximation. The governing partial differential equations are solved via a new family of fully discrete and arbitrary high-order accurate path-conservative discontinuous Galerkin (DG) finite-element methods combined with adaptive mesh refinement and time accurate local time-stepping. In order to deal with shock waves and other discontinuities, the high-order DG schemes are supplemented with a novel a posteriori subcell finite-volume limiter, which makes the new algorithms as robust as classical second-order total-variation diminishing finite-volume methods at shocks and discontinuities, but also as accurate as unlimited high-order DG schemes in smooth regions of the flow. We show the advantages of this new approach by means of various classical two- and three-dimensional benchmark problems on fixed space-times. Finally, we present a performance and accuracy comparisons between Runge-Kutta DG schemes and ADER high-order finite-volume schemes, showing the higher efficiency of DG schemes.

ADER discontinuous Galerkin schemes for general-relativistic ideal magnetohydrodynamics

NASA Astrophysics Data System (ADS)

Fambri, F.; Dumbser, M.; Köppel, S.; Rezzolla, L.; Zanotti, O.

2018-03-01

We present a new class of high-order accurate numerical algorithms for solving the equations of general-relativistic ideal magnetohydrodynamics in curved spacetimes. In this paper we assume the background spacetime to be given and static, i.e. we make use of the Cowling approximation. The governing partial differential equations are solved via a new family of fully-discrete and arbitrary high-order accurate path-conservative discontinuous Galerkin (DG) finite-element methods combined with adaptive mesh refinement and time accurate local timestepping. In order to deal with shock waves and other discontinuities, the high-order DG schemes are supplemented with a novel a-posteriori subcell finite-volume limiter, which makes the new algorithms as robust as classical second-order total-variation diminishing finite-volume methods at shocks and discontinuities, but also as accurate as unlimited high-order DG schemes in smooth regions of the flow. We show the advantages of this new approach by means of various classical two- and three-dimensional benchmark problems on fixed spacetimes. Finally, we present a performance and accuracy comparisons between Runge-Kutta DG schemes and ADER high-order finite-volume schemes, showing the higher efficiency of DG schemes.

FEMALE SEX AND DISCONTINUATION OF ISONIAZID DUE TO ADVERSE EFFECTS DURING THE TREATMENT OF LATENT TUBERCULOSIS

PubMed Central

Pettit, April C.; Bethel, James; Hirsch-Moverman, Yael; Colson, Paul W.; Sterling, Timothy R.

2013-01-01

SUMMARY Objectives To determine the rate of and risk factors for discontinuation of isoniazid due to adverse effects during the treatment of latent tuberculosis infection in a large, multi-site study. Methods The Tuberculosis Epidemiologic Studies Consortium (TBESC) conducted a prospective study from March 2007–September 2008 among adults initiating isoniazid for treatment of LTBI at 12 sites in the US and Canada. The relative risk for isoniazid discontinuation due to adverse effects was determined using negative binomial regression. Adjusted models were constructed using forward stepwise regression. Results Of 1,306 persons initiating isoniazid, 617 (47.2%, 95% CI 44.5–50.0%) completed treatment and 196 (15.0%, 95% CI 13.1–17.1%) discontinued due to adverse effects. In multivariable analysis, female sex (RR 1.67, 95% CI 1.32–2.10, p<0.001) and current alcohol use (RR 1.41, 95% CI 1.13–1.77, p=0.003) were independently associated with isoniazid discontinuation due to adverse effects. Conclusions The rate of discontinuation of isoniazid due to adverse effects was substantially higher than reported earlier. Women were at increased risk of discontinuing isoniazid due to adverse effects; close monitoring of women for adverse effects may be warranted. Current alcohol use was also associated with isoniazid discontinuation; counseling patients to abstain from alcohol could decrease discontinuation due to adverse effects. PMID:23845828

OPG-Fc but Not Zoledronic Acid Discontinuation Reverses Osteonecrosis of the Jaws (ONJ) in Mice

PubMed Central

de Molon, Rafael Scaf; Shimamoto, Hiroaki; Bezouglaia, Olga; Pirih, Flavia Q; Dry, Sarah M; Kostenuik, Paul; Boyce, Rogely W; Dwyer, Denise; Aghaloo, Tara L; Tetradis, Sotirios

2016-01-01

Osteonecrosis of the jaws (ONJ) is a significant complication of antiresorptive medications, such as bisphosphonates and denosumab. Antiresorptive discontinuation to promote healing of ONJ lesions remains highly controversial and understudied. Here, we investigated whether antiresorptive discontinuation alters ONJ features in mice, employing the potent bisphosphonate zoledronic acid (ZA) or the receptor activator of NF-κB ligand (RANKL) inhibitor OPG-Fc, utilizing previously published ONJ animal models. Mice were treated with vehicle (veh), ZA, or OPG-Fc for 11 weeks to induce ONJ, and antiresorptives were discontinued for 6 or 10 weeks. Maxillae and mandibles were examined by µCT imaging and histologically. ONJ features in ZA and OPG-Fc groups included periosteal bone deposition, empty osteocyte lacunae, osteonecrotic areas, and bone exposure, each of which substantially resolved 10 weeks after discontinuing OPG-Fc but not ZA. Full recovery of tartrate-resistant acid phosphatase-positive (TRAP+) osteoclast numbers occurred after discontinuing OPG-Fc but not ZA. Our data provide the first experimental evidence demonstrating that discontinuation of a RANKL inhibitor, but not a bisphosphonate, reverses features of osteonecrosis in mice. It remains unclear whether antiresorptive discontinuation increases the risk of skeletal-related events in patients with bone metastases or fracture risk in osteoporosis patients, but these preclinical data may nonetheless help to inform discussions on the rationale for a “drug holiday” in managing the ONJ patient. PMID:25727550

Applicability of radon emanometry in lithologically discontinuous sites contaminated by organic chemicals.

PubMed

De Miguel, Eduardo; Barrio-Parra, Fernando; Elío, Javier; Izquierdo-Díaz, Miguel; García-González, Jerónimo Emilio; Mazadiego, Luis Felipe; Medina, Rafael

2018-06-02

The applicability of radon ( 222 Rn) measurements to delineate non-aqueous phase liquids (NAPL) contamination in subsoil is discussed at a site with lithological discontinuities through a blind test. Three alpha spectroscopy monitors were used to measure radon in soil air in a 25,000-m 2 area, following a regular sampling design with a 20-m 2 grid. Repeatability and reproducibility of the results were assessed by means of duplicate measurements in six sampling positions. Furthermore, three points not affected by oil spills were sampled to estimate radon background concentration in soil air. Data histograms, Q-Q plots, variograms, and cluster analysis allowed to recognize two data populations, associated with the possible path of a fault and a lithological discontinuity. Even though the concentration of radon in soil air was dominated by this discontinuity, the characterization of the background emanation in each lithological unit allowed to distinguish areas potentially affected by NAPL, thus justifying the application of radon emanometry as a screening technique for the delineation of NAPL plumes in sites with lithological discontinuities.

Investigation of Efavirenz Discontinuation in Multi-ethnic Populations of HIV-positive Individuals by Genetic Analysis.

PubMed

Cummins, Nathan W; Neuhaus, Jacqueline; Chu, Haitao; Neaton, James; Wyen, Christoph; Rockstroh, Jürgen K; Skiest, Daniel J; Boyd, Mark A; Khoo, Saye; Rotger, Margalida; Telenti, Amalio; Weinshilboum, Richard; Badley, Andrew D

2015-07-01

Efavirenz (EFV) based antiretroviral therapy is expanding worldwide. However discontinuation of EFV containing regimens is common in some patients, particularly black patients, due most often to neuropsychiatric side effects. These adverse drug effects often result in premature drug discontinuation, as well as considerable morbidity. We genotyped CYP2A6, CYP2B6 and CYP3A4, which encode enzymes principally involved in EFV metabolism, from patients enrolled in the multinational SMART, FIRST and ESPRIT studies, for whom outcome data of treatment adherence was available. Patients with loss or decrease of function single nucleotide polymorphisms (SNPs) in the above genes were assigned a risk score based upon the number of SNPs present weighted relative to whether CYP2B6 (main metabolism pathway) and/or CYP2A6 and CYP3A4 (accessory pathways) were involved. Cox regression models were used to study the association between high genetic risk and time from initiation to EFV discontinuation. Failure was defined as discontinuation of an antiretroviral regimen other than for virologic failure or protocol determined discontinuation. Patients with highest pharmacogenetic risk, as defined by cumulative SNPs in CYP2A6, CYP2B6 and CYP3A4, have an increased risk of discontinuation of EFV containing therapy compared to patients with lower genetic risk scores (adjusted HR 1.9, 95% CI 1.2, 3.1, P = 0.009). High genetic risk score was not associated with an increased risk of discontinuing atazanavir or nevirapine. High genetic risk was present more often in blacks compared to non-blacks (Adjusted OR 4.5, 95% CI: 1.9,10.5), and treatment discontinuation was also increased in blacks overall (Adjusted HR 1.4, 95% CI 1.0, 1.9). However, high genetic risk was more associated with treatment discontinuation than race alone for both blacks (Adjusted OR 1.9, 95% CI 0.8, 4.8) and non-blacks (Adjusted OR 5.3, 95% CI 1.5, 18.0). Premature discontinuation of ART delays the time to effective long

27 CFR 478.57 - Discontinuance of business.

Code of Federal Regulations, 2012 CFR

2012-04-01

..., AND EXPLOSIVES, DEPARTMENT OF JUSTICE FIREARMS AND AMMUNITION COMMERCE IN FIREARMS AND AMMUNITION Licenses § 478.57 Discontinuance of business. (a) Where a firearm or ammunition business is either... ammunition feeding device, except as provided in the law, any person who manufactures, imports, or deals in...

27 CFR 478.57 - Discontinuance of business.

Code of Federal Regulations, 2011 CFR

2011-04-01

..., AND EXPLOSIVES, DEPARTMENT OF JUSTICE FIREARMS AND AMMUNITION COMMERCE IN FIREARMS AND AMMUNITION Licenses § 478.57 Discontinuance of business. (a) Where a firearm or ammunition business is either... ammunition feeding device, except as provided in the law, any person who manufactures, imports, or deals in...

27 CFR 40.461 - Discontinuance of operations.

Code of Federal Regulations, 2010 CFR

2010-04-01

... operations. 40.461 Section 40.461 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE... AND TUBES, AND PROCESSED TOBACCO Manufacture of Cigarette Papers and Tubes Operations by Manufacturers § 40.461 Discontinuance of operations. Every manufacturer of cigarette papers and tubes who desires to...

Beyond the group mind: a quantitative review of the interindividual-intergroup discontinuity effect.

PubMed

Wildschut, Tim; Pinter, Brad; Vevea, Jack L; Insko, Chester A; Schopler, John

2003-09-01

This quantitative review of 130 comparisons of interindividual and intergroup interactions in the context of mixed-motive situations reveals that intergroup interactions are generally more competitive than interindividual interactions. The authors identify 4 moderators of this interindividual-intergroup discontinuity effect, each based on the theoretical perspective that the discontinuity effect flows from greater fear and greed in intergroup relative to interindividual interactions. Results reveal that each moderator shares a unique association with the magnitude of the discontinuity effect. The discontinuity effect is larger when (a) participants interact with an opponent whose behavior is unconstrained by the experimenter or constrained by the experimenter to be cooperative rather than constrained by the experimenter to be reciprocal, (b) group members make a group decision rather than individual decisions, (c) unconstrained communication between participants is present rather than absent, and (d) conflict of interest is severe rather than mild.

Wave Propagation in Discontinuous Media by the Scattering Matrix Method

NASA Astrophysics Data System (ADS)

Perino, A.; Orta, R.; Barla, G.

2012-09-01

Propagation of elastic waves in discontinuous media is studied in this paper by the scattering matrix method (SMM). An electromagnetic transmission line analogy is also used to set up the mathematical model. The SMM operates in the frequency domain and allows for all wave polarizations (P, SV and SH). Rock masses are examples of discontinuous media in which the discontinuities (fractures or joints) influence wave propagation. Both elastic and viscoelastic joints are considered and the latter are described by Kelvin-Voigt, Maxwell and Burgers models. Rock joints with Coulomb slip behavior are also analyzed, by applying the averaging principle of Caughy (J Appl Mech 27:640-643, 1960). The evaluation of the effects of periodic discontinuities in a homogeneous medium is presented by introducing the concept of Bloch waves. The dispersion curves of these waves are useful to explain the existence of frequency bands of strong attenuation, also in the case of lossless (perfectly elastic) structures. Simple expressions of transmission and reflection coefficients are obtained. Finally, the SMM results are compared with those computed via the distinct element method (DEM). The comparisons are performed on a medium with joints with Coulomb slip behavior and the agreement is satisfactory, although the SMM must be applied in conjunction with the equivalent linearization technique. Even if the DEM is much more general, the SMM in these simple cases is extremely faster and provides a higher physical insight.

A coupled electro-thermal Discontinuous Galerkin method

NASA Astrophysics Data System (ADS)

Homsi, L.; Geuzaine, C.; Noels, L.

2017-11-01

This paper presents a Discontinuous Galerkin scheme in order to solve the nonlinear elliptic partial differential equations of coupled electro-thermal problems. In this paper we discuss the fundamental equations for the transport of electricity and heat, in terms of macroscopic variables such as temperature and electric potential. A fully coupled nonlinear weak formulation for electro-thermal problems is developed based on continuum mechanics equations expressed in terms of energetically conjugated pair of fluxes and fields gradients. The weak form can thus be formulated as a Discontinuous Galerkin method. The existence and uniqueness of the weak form solution are proved. The numerical properties of the nonlinear elliptic problems i.e., consistency and stability, are demonstrated under specific conditions, i.e. use of high enough stabilization parameter and at least quadratic polynomial approximations. Moreover the prior error estimates in the H1-norm and in the L2-norm are shown to be optimal in the mesh size with the polynomial approximation degree.

Severe multiple sclerosis reactivation during prolonged lymphopenia after dimethyl fumarate discontinuation.

PubMed

Zecca, C; Antozzi, C G; Torri Clerici, V; Ferrazzini, M; Mantegazza, R E; Rossi, S; Gobbi, C

2018-06-01

Delayed-release dimethyl fumarate (DMF) treatment can be associated with reduced lymphocyte and leucocyte counts, which might persist after DMF discontinuation. We report the case of a patient with severe disease reactivation despite prolonged lymphopenia after DMF discontinuation. We describe the frequency and impact of prolonged lymphopenia after DMF discontinuation at two tertiary MS centres. A 36-year-old female patient with multiple sclerosis was switched to DMF after 14 years of treatment with interferon beta-1a. DMF was suspended after 4 months because of persistent lymphopenia for 3 months. Six months later, the patient had a severe relapse with multiple enhancing brain lesions at MRI although lymphopenia was still persistent. Haematological assessment excluded other causes of lymphopenia, which was evaluated as a probable iatrogenic complication of DMF. The patient was treated with i.v. methylprednisolone 1 gr daily for 3 days with clinical recovery. Prolonged lymphopenia after DMT discontinuation does not protect against disease reactivation. Starting a new immune therapy should be balanced against the option of a "wait and see." A different immunotherapeutic strategy such as an anti-B therapeutic approach could be considered. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Change in Stiffness of Pavement Layers in the Linear Discontinuous Deformation Area

NASA Astrophysics Data System (ADS)

Grygierek, Marcin

2017-10-01

The underground mining exploitation causes deformations on the surface of the area which are classified as continuous or discontinuous. Mining deformations cause loosening or compression of the subsoil. Loosening has an impact on the reduction of the subsoil stiffness. As a result the reduction of subsoil stiffness causes loosening of construction layers built in that subsoil. Pavement is a specific case. If there happens to be loosening then the fatigue life of pavement is reduced and premature damages can be observed such as fatigue cracks or/and structural deformation. Discontinuous deformations are an especially interesting case. They not only cause the reduction of the stiffness of the subsoil and pavement layers but also cause rapid deterioration in roughness. Change of roughness is very dangerous especially on fast roads such as a highway. Lately there can be observed the so called linear discontinuous surface deformations in the lanes in the mining area. Unfortunately, the ‘in situ’ research, presenting experiments on the effect of linear discontinuous deformations on the pavement, is in short supply. It is especially crucial with regard to the design of pavement reinforcement and the specification of optimal length of the reinforced part of the road. The article presents the results of ‘in situ’ tests carried out on the chosen pavements where the so called linear discontinuous surface deformation has appeared. The genesis of the damage is connected with the underground mining exploitation. Falling Weight Deflectometer (FWD) has been used in researches. Measuring points were carried out with high frequency which helped to acquire a very interesting distribution of deflections. The distribution of deflections well shows the impact of linear discontinuous deformation on the changes in stiffness pavement layers. In the analysis of data from FWD there has been used back calculation which worked modulus of layers out. The results of researches and

The effect of topography of upper mantle discontinuities on SS precursors

NASA Astrophysics Data System (ADS)

Koroni, M.; Trampert, J.

2015-12-01

We assessed the reliability of methods used to infer the topography of the mantle transition zone discontinuities. In particular, using the spectral-element method,we explored the effect of topography of the '410' and '660' mantle discontinuities on the travel times of SS precursors recorded on transverse component seismograms.The latter are routinely used to infer the topography of mantle transition zone discontinuities. The step from precursorytravel times to topographic changes is mainly done using linearised ray theory, or sometimes using finite frequency kernels.We simulated exact seismograms in 1-D and 3-D elastic models of the mantle. In a second simulation, we added topography to the discontinuities. We compared the waveforms obtained with and without topography by cross-correlation of the SS precursors. Since we did not add noise, the precursors are visible in individual seismograms without the need of stacking. The resultingtime anomalies were then converted into topographic variations and compared to the original models of topography. We found that linearised ray theory gives a relatively good idea on the location of the uplifts and depressions of the discontinuities, provided that the ray coverage is good, although it seriously underestimates the amplitude of the topography. The amplitude of the topographic variation is underestimated in average by a factor of 2.8 for the '660' and of 4.5 for the '410'. Additionally, we found a strong non-linearity in the measured data which cannot be modelled without a fully non-linear inversion for elastic structure and discontinuities simultaneously.

A flux splitting scheme with high-resolution and robustness for discontinuities

NASA Technical Reports Server (NTRS)

Wada, Yasuhiro; Liou, Meng-Sing

1994-01-01

A flux splitting scheme is proposed for the general nonequilibrium flow equations with an aim at removing numerical dissipation of Van-Leer-type flux-vector splittings on a contact discontinuity. The scheme obtained is also recognized as an improved Advection Upwind Splitting Method (AUSM) where a slight numerical overshoot immediately behind the shock is eliminated. The proposed scheme has favorable properties: high-resolution for contact discontinuities; conservation of enthalpy for steady flows; numerical efficiency; applicability to chemically reacting flows. In fact, for a single contact discontinuity, even if it is moving, this scheme gives the numerical flux of the exact solution of the Riemann problem. Various numerical experiments including that of a thermo-chemical nonequilibrium flow were performed, which indicate no oscillation and robustness of the scheme for shock/expansion waves. A cure for carbuncle phenomenon is discussed as well.

Changes in elderly women's health-related quality of life following discontinuation of hormone replacement therapy

PubMed Central

Heller, Debra A; Gold, Carol H; Ahern, Frank M; Pringle, Kristine E; Brown, Theresa V; Glessner, Margaret R

2005-01-01

Background Many women have discontinued hormone replacement therapy (HRT) in view of recent findings. The goal of this study was to determine if HRT discontinuation is associated with changes in health-related quality of life (HRQOL) in elderly women. Methods We studied women enrolled in Pennsylvania's Pharmaceutical Assistance Contract for the Elderly (PACE) program, linking prescription claims with data from a longitudinal mail survey. HRQOL measures included the number of days out of the last 30 that physical health was not good and analogous measures for mental health, pain, and interference with activities, as well as a composite "healthy days" measure developed by CDC. Longitudinal analyses focused on 2,357 women who completed surveys in both 2002 and 2003, and who used HRT at baseline (mean age = 75.5, range = 65–102). Propensity scores were used to match HRT continuers and discontinuers according to HRT type, demographics, and baseline HRQOL. Analysis of covariance was used to compare HRQOL change in continuers and discontinuers. Results Between 2002 and 2003, 43% of HRT users discontinued therapy. Analysis of covariance to examine HRQOL change revealed complex interactions with age. Discontinuers aged 65–74 reported greater increases in days in which mental health was not good (p < .05), fewer "healthy days" (p < .05), more days in which health interfered with activities (p < .01), and more days with pain (p < .01). Among women aged 75–84, HRT discontinuers reported more days in which physical health was not good (p < .01); no other significant effects were observed in this group. Relative to HRT continuers, discontinuers aged 85 and older experienced apparent HRQOL improvements following cessation, with fewer days in which physical health was not good (p < .01), fewer days of poor mental health (p < .05), and more "healthy days" (p < .01). Conclusions These results suggest that there are substantial age differences in response to HRT discontinuation

Reasons for lithium discontinuation in men and women with bipolar disorder: a retrospective cohort study.

PubMed

Öhlund, Louise; Ott, Michael; Oja, Sofia; Bergqvist, Malin; Lundqvist, Robert; Sandlund, Mikael; Salander Renberg, Ellinor; Werneke, Ursula

2018-02-07

Lithium remains first choice as maintenance treatment for bipolar affective disorder. Yet, about half of all individuals may stop their treatment at some point, despite lithium's proven benefits concerning the prevention of severe affective episodes and suicide. Retrospective cohort study in the Swedish region of Norrbotten into the causes of lithium discontinuation. The study was set up to (1) test whether patients with bipolar affective disorder or schizoaffective disorder, treated with lithium maintenance therapy, were more likely to discontinue lithium because of adverse effects than lack of therapeutic effectiveness, (2) explore gender differences, (3) understand the role of diagnosis and (4) identify who, patient or doctor, took the initiative to stop lithium. Review of medical records for all episodes of lithium discontinuation that had occurred between 1997 and 2013 with the intent to stop lithium for good. Of 873 patients treated with lithium, 54% discontinued lithium, corresponding to 561 episodes of lithium discontinuation. In 62% of episodes, lithium was discontinued due to adverse effects, in 44% due to psychiatric reasons, and in 12% due to physical reasons interfering with lithium treatment. The five single most common adverse effects leading to lithium discontinuation were diarrhoea (13%), tremor (11%), polyuria/polydipsia/diabetes insipidus (9%), creatinine increase (9%) and weight gain (7%). Women were as likely as men to take the initiative to stop lithium, but twice as likely to consult a doctor before taking action (p < 0.01). Patients with type 1 BPAD or SZD were more likely to discontinue lithium than patients with type 2 or unspecified BPAD (p < 0.01). Patients with type 1 BPAD or SZD were more likely to refuse medication (p < 0.01). Conversely, patients with type 2 or unspecified BPAD were three times as likely to discontinue lithium for lack or perceived lack of effectiveness (p < 0.001). Stopping lithium treatment is

Increments in plasma homovanillic acid concentrations after neuroleptic discontinuation are associated with worsening of schizophrenic symptoms.

PubMed

Khan, R S; Amin, F; Powchik, P; Knott, P; Goldstein, M; Apter, S; Kerman, B; Jaff, S; Davidson, M

1990-01-01

1. Thirty-two male schizophrenic patients participated in this study. 2. Plasma concentrations of the dopamine metabolite, homovanillic acid (pHVA) were assessed once on neuroleptic medication and twice a week for a maximum of six weeks after its discontinuation. 3. Psychiatric symptomatology was assessed once on neuroleptic medication and once a week for a maximum of six weeks after its discontinuation, using the brief psychiatric rating scale (BPRS). 4. pHVA and total BPRS score increased significantly after discontinuation of neuroleptic as compared to baseline. 5. The magnitude of pHVA and BPRS increments after discontinuation of neuroleptic correlated significantly. 6. Results of this study suggest that worsening of schizophrenic symptoms after discontinuation of neuroleptic treatment is associated with increased pHVA concentrations.

Using EHR Data to Detect Prescribing Errors in Rapidly Discontinued Medication Orders.

PubMed

Burlison, Jonathan D; McDaniel, Robert B; Baker, Donald K; Hasan, Murad; Robertson, Jennifer J; Howard, Scott C; Hoffman, James M

2018-01-01

Previous research developed a new method for locating prescribing errors in rapidly discontinued electronic medication orders. Although effective, the prospective design of that research hinders its feasibility for regular use. Our objectives were to assess a method to retrospectively detect prescribing errors, to characterize the identified errors, and to identify potential improvement opportunities. Electronically submitted medication orders from 28 randomly selected days that were discontinued within 120 minutes of submission were reviewed and categorized as most likely errors, nonerrors, or not enough information to determine status. Identified errors were evaluated by amount of time elapsed from original submission to discontinuation, error type, staff position, and potential clinical significance. Pearson's chi-square test was used to compare rates of errors across prescriber types. In all, 147 errors were identified in 305 medication orders. The method was most effective for orders that were discontinued within 90 minutes. Duplicate orders were most common; physicians in training had the highest error rate ( p  < 0.001), and 24 errors were potentially clinically significant. None of the errors were voluntarily reported. It is possible to identify prescribing errors in rapidly discontinued medication orders by using retrospective methods that do not require interrupting prescribers to discuss order details. Future research could validate our methods in different clinical settings. Regular use of this measure could help determine the causes of prescribing errors, track performance, and identify and evaluate interventions to improve prescribing systems and processes. Schattauer GmbH Stuttgart.

High Resolution Seismic Images of Transition Zone Discontinuities beneath the Hawaii-Emperor Seamount Chain

NASA Astrophysics Data System (ADS)

Cao, Q.; Wang, P.; van der Hilst, R. D.; Shim, S.

2009-12-01

Taking advantage of the abundance of natural sources (earthquakes) in western Pacific subduction zones and the many seismograph stations in the Americas, we use inverse scattering - a generalized Radon transform - of SS precursors to image the transition zone discontinuities underneath Hawaii and the Hawaii-Emperor seamount chain. The GRT makes use of scattering theory and extracts structural information from broad band data windows that include precursors to SS (which are the specular reflections at the discontinuities that form the main arrivals) as well as non-specular scattered energy (which is often discarded as noise). More than 150,000 seismograms (from the IRIS Data Management Center) are used to form a 3-D image of the transition zone discontinuities beneath the central Pacific. In addition to clear signals near 410, 520, and 660 km depth, the data also reveal scatter interfaces near 370 km dept and between 800-1000 km depth, which may be regional, laterally intermittent scatter horizons. Our images reveal a conspicuous uplift of the 660 discontinuity in a region of 800km in diameter to the west of the active volcanoes of Hawaii. No correspondent localized depression of the 410 discontinuity is found. Instead, we find a smaller scale anomaly suggesting that the 410 discontinuity is locally elevated in the same region. This may indicate the presence of melt or minor chemical constitutes. The lack of correlation between and differences in lateral length scale of the topographies of the 410 and 660 km discontinuities are also consistent with a deep-mantle plume impinging on the transition zone, creating a pond of hot material underneath 660 discontinuity, and with secondary plumes connecting to the present-day hotspot at Earth’s surface. Our observations suggest that more complicated plume morphology and plume dynamics within the Earth's mantle should be taken into account to describe the plumes and, in particular, mass transport across the transition zone

A New Stochastic Approach to Predict Peak and Residual Shear Strength of Natural Rock Discontinuities

NASA Astrophysics Data System (ADS)

Casagrande, D.; Buzzi, O.; Giacomini, A.; Lambert, C.; Fenton, G.

2018-01-01

Natural discontinuities are known to play a key role in the stability of rock masses. However, it is a non-trivial task to estimate the shear strength of large discontinuities. Because of the inherent complexity to access to the full surface of the large in situ discontinuities, researchers or engineers tend to work on small-scale specimens. As a consequence, the results are often plagued by the well-known scale effect. A new approach is here proposed to predict shear strength of discontinuities. This approach has the potential to avoid the scale effect. The rationale of the approach is as follows: a major parameter that governs the shear strength of a discontinuity within a rock mass is roughness, which can be accounted for by surveying the discontinuity surface. However, this is typically not possible for discontinuities contained within the rock mass where only traces are visible. For natural surfaces, it can be assumed that traces are, to some extent, representative of the surface. It is here proposed to use the available 2D information (from a visible trace, referred to as a seed trace) and a random field model to create a large number of synthetic surfaces (3D data sets). The shear strength of each synthetic surface can then be estimated using a semi-analytical model. By using a large number of synthetic surfaces and a Monte Carlo strategy, a meaningful shear strength distribution can be obtained. This paper presents the validation of the semi-analytical mechanistic model required to support the new approach for prediction of discontinuity shear strength. The model can predict both peak and residual shear strength. The second part of the paper lays the foundation of a random field model to support the creation of synthetic surfaces having statistical properties in line with those of the data of the seed trace. The paper concludes that it is possible to obtain a reasonable estimate of peak and residual shear strength of the discontinuities tested from the

Coplanar waveguide discontinuities for P-I-N diode switches and filter applications

NASA Technical Reports Server (NTRS)

Dib, N. I.; Katehi, P. B.; Ponchak, George E.; Simons, Rainee N.

1990-01-01

A full wave space domain integral equation (SDIE) analysis of coplanar waveguide (CPW) two port discontinuities is presented. An experimental setup to measure the S-parameters of such discontinuities is described. Experimental and theoretical results for CPW realizations of pass-band and stop-band filters are presented. The S-parameters of such structures are plotted in the frequency range 5 to 25 GHz.

Super-convergence of Discontinuous Galerkin Method Applied to the Navier-Stokes Equations

NASA Technical Reports Server (NTRS)

Atkins, Harold L.

2009-01-01

The practical benefits of the hyper-accuracy properties of the discontinuous Galerkin method are examined. In particular, we demonstrate that some flow attributes exhibit super-convergence even in the absence of any post-processing technique. Theoretical analysis suggest that flow features that are dominated by global propagation speeds and decay or growth rates should be super-convergent. Several discrete forms of the discontinuous Galerkin method are applied to the simulation of unsteady viscous flow over a two-dimensional cylinder. Convergence of the period of the naturally occurring oscillation is examined and shown to converge at 2p+1, where p is the polynomial degree of the discontinuous Galerkin basis. Comparisons are made between the different discretizations and with theoretical analysis.

Local error estimates for discontinuous solutions of nonlinear hyperbolic equations

NASA Technical Reports Server (NTRS)

Tadmor, Eitan

1989-01-01

Let u(x,t) be the possibly discontinuous entropy solution of a nonlinear scalar conservation law with smooth initial data. Suppose u sub epsilon(x,t) is the solution of an approximate viscosity regularization, where epsilon greater than 0 is the small viscosity amplitude. It is shown that by post-processing the small viscosity approximation u sub epsilon, pointwise values of u and its derivatives can be recovered with an error as close to epsilon as desired. The analysis relies on the adjoint problem of the forward error equation, which in this case amounts to a backward linear transport with discontinuous coefficients. The novelty of this approach is to use a (generalized) E-condition of the forward problem in order to deduce a W(exp 1,infinity) energy estimate for the discontinuous backward transport equation; this, in turn, leads one to an epsilon-uniform estimate on moments of the error u(sub epsilon) - u. This approach does not follow the characteristics and, therefore, applies mutatis mutandis to other approximate solutions such as E-difference schemes.

Darwin's mistake: explaining the discontinuity between human and nonhuman minds.

PubMed

Penn, Derek C; Holyoak, Keith J; Povinelli, Daniel J

2008-04-01

Over the last quarter century, the dominant tendency in comparative cognitive psychology has been to emphasize the similarities between human and nonhuman minds and to downplay the differences as "one of degree and not of kind" (Darwin 1871). In the present target article, we argue that Darwin was mistaken: the profound biological continuity between human and nonhuman animals masks an equally profound discontinuity between human and nonhuman minds. To wit, there is a significant discontinuity in the degree to which human and nonhuman animals are able to approximate the higher-order, systematic, relational capabilities of a physical symbol system (PSS) (Newell 1980). We show that this symbolic-relational discontinuity pervades nearly every domain of cognition and runs much deeper than even the spectacular scaffolding provided by language or culture alone can explain. We propose a representational-level specification as to where human and nonhuman animals' abilities to approximate a PSS are similar and where they differ. We conclude by suggesting that recent symbolic-connectionist models of cognition shed new light on the mechanisms that underlie the gap between human and nonhuman minds.

Continuous versus discontinuous albedo representations in a simple diffusive climate model

NASA Astrophysics Data System (ADS)

Simmons, P. A.; Griffel, D. H.

1988-07-01

A one-dimensional annually and zonally averaged energy-balance model, with diffusive meridional heat transport and including icealbedo feedback, is considered. This type of model is found to be very sensitive to the form of albedo used. The solutions for a discontinuous step-function albedo are compared to those for a more realistic smoothly varying albedo. The smooth albedo gives a closer fit to present conditions, but the discontinuous form gives a better representation of climates in earlier epochs.

Propagation of Boundary-Induced Discontinuity in Stationary Radiative Transfer

NASA Astrophysics Data System (ADS)

Kawagoe, Daisuke; Chen, I.-Kun

2018-01-01

We consider the boundary value problem of the stationary transport equation in the slab domain of general dimensions. In this paper, we discuss the relation between discontinuity of the incoming boundary data and that of the solution to the stationary transport equation. We introduce two conditions posed on the boundary data so that discontinuity of the boundary data propagates along positive characteristic lines as that of the solution to the stationary transport equation. Our analysis does not depend on the celebrated velocity averaging lemma, which is different from previous works. We also introduce an example in two dimensional case which shows that piecewise continuity of the boundary data is not a sufficient condition for the main result.

Antipsychotic discontinuation syndromes: a narrative review of the evidence and its integration into Australian mental health nursing textbooks.

PubMed

Salomon, Carmela; Hamilton, Bridget

2014-02-01

In light of the high number of people discontinuing antipsychotics each year, it is essential that nurses develop a robust understanding of all aspects of the discontinuation experience. While there is a large body of published work documenting post-discontinuation relapse rates, less is known about other aspects of the discontinuation experience. This paper presents the results of a narrative review of international studies of antipsychotic discontinuation syndromes and their relevance to nursing practice. Four key mental health nursing textbooks used in student nurse education in Australia are examined to assess how this evidence has been incorporated into clinical recommendations. This review finds that the evidence for discontinuation syndromes could be more widely disseminated and applied than it is at present. Strikingly, this evidence has not been incorporated into key mental health nursing textbooks in Australia at all. Slow integration into nursing published work may be influenced by a number of clinical and research uncertainties. We consider the impact of this silence on key nursing roles of psycho-education and adverse event monitoring during antipsychotic discontinuation periods. Further robust research should be conducted into discontinuation syndromes as a matter of urgency. Given the high number of consumers potentially impacted upon by discontinuation syndromes, nurse authors and educators should consider revising key nursing textbooks to include the currently available information about discontinuation syndromes. © 2012 The Authors; International Journal of Mental Health Nursing © 2012 Australian College of Mental Health Nurses Inc.

Nature of Fluctuations on Directional Discontinuities Inside a Solar Ejection: Wind and IMP 8 Observations

NASA Technical Reports Server (NTRS)

Vasquez, Bernard J.; Farrugia, Charles J.; Markovskii, Sergei A.; Hollweg, Joseph V.; Richardson, Ian G.; Ogilvie, Keith W.; Lepping, Ronald P.; Lin, Robert P.; Larson, Davin; White, Nicholas E. (Technical Monitor)

2001-01-01

A solar ejection passed the Wind spacecraft between December 23 and 26, 1996. On closer examination, we find a sequence of ejecta material, as identified by abnormally low proton temperatures, separated by plasmas with typical solar wind temperatures at 1 AU. Large and abrupt changes in field and plasma properties occurred near the separation boundaries of these regions. At the one boundary we examine here, a series of directional discontinuities was observed. We argue that Alfvenic fluctuations in the immediate vicinity of these discontinuities distort minimum variance normals, introducing uncertainty into the identification of the discontinuities as either rotational or tangential. Carrying out a series of tests on plasma and field data including minimum variance, velocity and magnetic field correlations, and jump conditions, we conclude that the discontinuities are tangential. Furthermore, we find waves superposed on these tangential discontinuities (TDs). The presence of discontinuities allows the existence of both surface waves and ducted body waves. Both probably form in the solar atmosphere where many transverse nonuniformities exist and where theoretically they have been expected. We add to prior speculation that waves on discontinuities may in fact be a common occurrence. In the solar wind, these waves can attain large amplitudes and low frequencies. We argue that such waves can generate dynamical changes at TDs through advection or forced reconnection. The dynamics might so extensively alter the internal structure that the discontinuity would no longer be identified as tangential. Such processes could help explain why the occurrence frequency of TDs observed throughout the solar wind falls off with increasing heliocentric distance. The presence of waves may also alter the nature of the interactions of TDs with the Earth's bow shock in so-called hot flow anomalies.

Discontinuation risk comparison among 'real-world' newly anticoagulated atrial fibrillation patients: Apixaban, warfarin, dabigatran, or rivaroxaban.

PubMed

Lip, Gregory Y H; Pan, Xianying; Kamble, Shital; Kawabata, Hugh; Mardekian, Jack; Masseria, Cristina; Phatak, Hemant

2018-01-01

Discontinuation of oral anticoagulants may expose non-valvular atrial fibrillation (NVAF) patients to an increased risk of stroke. This study describes the real-world discontinuation rates and compared the risk of drug discontinuation among NVAF patients initiating apixaban, warfarin, dabigatran, or rivaroxaban. This retrospective cohort study evaluated newly-anticoagulated NVAF patients in the MarketScan® data population from 01/01/2012 through 12/31/2014. Discontinuation was defined as a lack of subsequent prescription of the index drug within 30 days after the last supply day of the last prescription. A Cox model was used to estimate the hazard ratio (HR) of discontinuation, adjusted for age, sex, and comorbidities. Among 45,361 eligible NVAF patients, 15,461 (34.1%) initiated warfarin; 7,438 (16.4%) apixaban; 4,661 (10.3%) dabigatran; and 17,801 (39.2%) initiated rivaroxaban treatment. Compared to warfarin, patients who initiated dabigatran (adjusted HR [aHR]: 0.84, 95% confidence interval [CI]: 0.80-0.87, P<0.001), rivaroxaban (aHR: 0.70, 95% CI: 0.68-0.73, P<0.001), or apixaban (aHR: 0.57, 95% CI: 0.55-0.60, P<0.001) were 16%, 30%, and 43% less likely to discontinue treatment, respectively. When compared to apixaban, patients who initiated dabigatran (aHR: 1.46, 95% CI: 1.38-1.54, P<0.001) or rivaroxaban (aHR: 1.23, 95% CI: 1.17-1.28, P<0.001) were more likely to discontinue treatment. Among newly-anticoagulated NVAF patients in the real-world setting, initiation on rivaroxaban, dabigatran, or apixaban was associated with a significantly lower risk of discontinuation compared to warfarin. When compared to apixaban, patients who initiated treatment with warfarin, dabigatran, or rivaroxaban were more likely to discontinue treatment.

Impact of hypoglycemic events and HbA1c level on sulfonylurea discontinuation and down-titration.

PubMed

Laires, Pedro A; Tang, Jackson; Fan, Chun Po Steve; Li, Zhiyi; Qiu, Ying; Iglay, Kristy

2017-04-01

A retrospective cohort study using GE Centricity electronic medical records assessed the association between post-index hypoglycemia and HbA1c with discontinuation and down-titration of sulfonylureas among patients with Type 2 diabetes mellitus. Adult patients with an index prescription for a sulfonylurea and ≥12 months' continuous records pre- and post-index were eligible. Sulfonylurea discontinuation and down-titration was assessed 1-year post-index. Discontinuation occurred if the date of a prescription was >90 days from the preceding prescription plus days of supply. Down-titration occurred when a subsequent prescription was lower than the index dose. Cox regression assessed the association between post-index hypoglycemia and HbA1c with time to sulfonylurea discontinuation and down-titration, as well as other factors. 28,371 participants were included in the study; 13,459 (47.4%) were discontinuers, 717 (2.5%) were down-titraters, and 14,195 (50.0%) were continuers. 0.6% of continuers experienced hypoglycemia 1-year post-index, compared with 3.1% of down-titraters and 0.8% of discontinuers (p < 0.0001). Patients with post-index hypoglycemia had a significantly higher rate of discontinuation (hazard ratio [HR] = 1.82, 95% CI: 1.47-2.23) and down-titration (HR = 4.25, 95% CI: 1.92-8.03). Patients with higher post-index HbA1c and use of 2 nd generation sulfonylureas had an increased rate of discontinuation (HR = 1.05, 95% CI: 1.04-1.06; HR = 1.19, 95% CI: 1.14-1.24, respectively). Approximately half of participants who initiated sulfonylureas discontinued or down-titrated therapy within one year. Both post-index hypoglycemia and higher HbA1c were significant risk factors for sulfonylurea treatment change.

The discontinuity theory of immunity

PubMed Central

Pradeu, Thomas; Vivier, Eric

2017-01-01

Some biological systems detect the rate of change in a stimulus rather than the stimulus itself only. We suggest that the immune system works in this way. According to the discontinuity theory of immunity, the immune system responds to sudden changes in antigenic stimulation and is rendered tolerant by slow or continuous stimulation. This basic principle, which is supported by recent data on immune checkpoints in viral infections, cancers, and allergies, can be seen as a unifying framework for diverse immune responses. PMID:28239677

Contraceptive discontinuation and switching among Ghanaian women: evidence from the Ghana Demographic and Health Survey, 2008.

PubMed

Modey, Emefa J; Aryeetey, Richmond; Adanu, Richard

2014-03-01

This study identifies factors associated with contraceptive discontinuation and switching among Ghanaian women of reproductive age, using data from 1,378 female respondents of the 2008 Ghana Demographic and Health Survey. Logistic regression models were used to determine relationships between key socio-demographic factors and user status. Discontinued use occurred among 56% of ever users and switching among 55% of current users. The IUD was most abandoned (70%) and its use was associated with almost twice the odds of discontinuation (OR = 1.97; 95% CI (1.04, 3.75)). Having a history of terminated pregnancy significantly predicted both discontinuation (OR = 1.36; 95% CI (1.03, 1.79) and switching (OR = 1.78; 95% CI (1.16, 2.73)) and intention to limit births significantly predicted lower discontinuation (OR = 0.71; 95% CI (0.52, 0.96)). Counseling services emphasizing contraceptive options and reinforcing switching are critically needed to reduce unwanted pregnancies that may result from poor method use and discontinuation especially among post-abortion clients and IUD users.

Periodic synchronization control of discontinuous delayed networks by using extended Filippov-framework.

PubMed

Cai, Zuowei; Huang, Lihong; Guo, Zhenyuan; Zhang, Lingling; Wan, Xuting

2015-08-01

This paper is concerned with the periodic synchronization problem for a general class of delayed neural networks (DNNs) with discontinuous neuron activation. One of the purposes is to analyze the problem of periodic orbits. To do so, we introduce new tools including inequality techniques and Kakutani's fixed point theorem of set-valued maps to derive the existence of periodic solution. Another purpose is to design a switching state-feedback control for realizing global exponential synchronization of the drive-response network system with periodic coefficients. Unlike the previous works on periodic synchronization of neural network, both the neuron activations and controllers in this paper are allowed to be discontinuous. Moreover, owing to the occurrence of delays in neuron signal, the neural network model is described by the functional differential equation. So we introduce extended Filippov-framework to deal with the basic issues of solutions for discontinuous DNNs. Finally, two examples and simulation experiments are given to illustrate the proposed method and main results which have an important instructional significance in the design of periodic synchronized DNNs circuits involving discontinuous or switching factors. Copyright © 2015 Elsevier Ltd. All rights reserved.

Interface structure in nanoscale multilayers near continuous-to-discontinuous regime

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

Pradhan, P. C.; Majhi, A.; Nayak, M., E-mail: mnayak@rrcat.gov.in

2016-07-28

Interfacial atomic diffusion, reaction, and formation of microstructure in nanoscale level are investigated in W/B{sub 4}C multilayer (ML) system as functions of thickness in ultrathin limit. Hard x-ray reflectivity (XRR) and x-ray diffuse scattering in conjunction with x-ray absorption near edge spectroscopy (XANES) in soft x-ray and hard x-ray regimes and depth profiling x-ray photoelectron spectroscopy (XPS) have been used to precisely evaluate detailed interfacial structure by systematically varying the individual layer thickness from continuous-to-discontinuous regime. It is observed that the interfacial morphology undergoes an unexpected significant modification as the layer thickness varies from continuous-to-discontinuous regime. The interfacial atomic diffusionmore » increases, the physical density of W layer decreases and that of B{sub 4}C layer increases, and further more interestingly the in-plane correlation length decreases substantially as the layer thickness varies from continuous-to-discontinuous regime. This is corroborated using combined XRR and x-ray diffused scattering analysis. XANES and XPS results show formation of more and more tungsten compounds at the interfaces as the layer thickness decreases below the percolation threshold due to increase in the contact area between the elements. The formation of compound enhances to minimize certain degree of disorder at the interfaces in the discontinuous region that enables to maintain the periodic structure in ML. The degree of interfacial atomic diffusion, interlayer interaction, and microstructure is correlated as a function of layer thickness during early stage of film growth.« less

Levels and determinants of switching following intrauterine device discontinuation in 14 developing countries.

PubMed

Ali, Mohamed M; Park, Min Hae; Ngo, Thoai D

2014-07-01

To examine the levels and determinants of switching to any reversible modern contraceptive method following intrauterine device (IUD) discontinuation due to method-related reasons among women in developing countries. We analysed 5-year contraceptive calendar data from 14 Demographic and Health Surveys, conducted in 1993-2008 (n=218,092 women; 17,151 women contributed a total of 18,485 IUD episodes). Life-table methods were used to determine overall and cause-specific probabilities of IUD discontinuation at 12 months of use. For IUD episodes discontinued due to method-related reasons, the probability of switching to another reversible modern method within 3 months was estimated, overall and by place of residence, education level, motivation for use, age category and wealth tertiles. Country-specific rate ratios (RR) were estimated using generalized linear models, and pooled RRs using meta-analyses. The median duration of uninterrupted IUD use was 37 months. At 12 months, median probability of discontinuation was 13.2% and median probability of discontinuation due to method-related reasons was 8.9%. Within 3 months of discontinuation due to method-related reasons, half of the women had switched to another reversible modern method, 12% switched to traditional methods, 12% became pregnant, and 25% remained at risk for pregnancy. More educated women were more likely to switch to another reversible modern method than women with primary education or less (pooled RR 1.47; 95% CI 1.10-1.96), as were women in the highest wealth tertile (pooled RR 1.38; 95% CI 1.04-1.83) and women who were limiting births (pooled RR 1.35; 95% CI 1.08-1.68). Delays to switching and switching to less reliable methods following IUD discontinuation remain a problem, exposing women to the risk of unwanted pregnancy. Family planning programmes should aim to improve quality of services through strengthening of counselling and follow-up services to support women's continuation of effective methods

Unplanned medication discontinuation as a potential pharmacovigilance signal: a nested young person cohort study

PubMed Central

2014-01-01

Background Because of relatively small treatment numbers together with low adverse drug reaction (ADR) reporting rates the timely identification of ADRs affecting children and young people is problematic. The primary objective of this study was to assess the utility of unplanned medication discontinuation as a signal for possible ADRs in children and young people. Methods Using orlistat as an exemplar, all orlistat prescriptions issued to patients up to 18 years of age together with patient characteristics, prescription duration, co-prescribed medicines and recorded clinical (Read) codes were identified from the Primary Care Informatics Unit database between 1st Jan 2006-30th Nov 2009. Binary logistic regression was used to assess association between characteristics and discontinuation. Results During the study period, 79 patients were prescribed orlistat (81% female, median age 17 years). Unplanned medication discontinuation rates for orlistat were 52% and 77% at 1 and 3-months. Almost 20% of patients were co-prescribed an anti-depressant. One month unplanned medication discontinuation was significantly lower in the least deprived group (SIMD 1–2 compared to SIMD 9–10 OR 0.09 (95% CI0.01 – 0.83)) and those co-prescribed at least one other medication. At 3 months, discontinuation was higher in young people (≥17 yr versus, OR 3.07 (95% CI1.03 – 9.14)). Read codes were recorded for digestive, respiratory and urinary symptoms around the time of discontinuation for 24% of patients. Urinary retention was reported for 7.6% of patients. Conclusions Identification of unplanned medication discontinuation using large primary care datasets may be a useful tool for pharmacovigilance signal generation and detection of potential ADRs in children and young people. PMID:24594374

Risk factors for discontinuation of insulin pump therapy in pediatric and young adult patients.

PubMed

Kostev, Karel; Rockel, Timo; Rosenbauer, Joachim; Rathmann, Wolfgang

2014-12-01

Previous studies have shown that only a small number of pediatric and young adult patients discontinue pump therapy, but risk factors for discontinuation are unclear. To identify characteristics of pediatric and young adult patients with pump therapy which are associated with discontinuation of treatment. Retrospective cohort study using a representative nationwide database (LRx; IMS Health) in Germany covering >80% of all prescriptions to members of statutory health insurances in 2008-2011. All patients (age group <25 years) with new prescriptions of insulin pumps were identified (2009-2010) and were followed for 12 months. Overall, 2452 new pump users were identified, of whom 177 (7.2%) switched to other forms of insulin therapy within 12 months. In multivariate logistic regression, younger age (<6 years; reference 18 to <25 years: Odds ratio, OR, 95% CI: 0.36; 0.17-0.74) and use of teflon needles (reference steel needles: OR, 95% CI: 0.59; 0.41-0.83) were related to a lower odds of pump discontinuation. A non-significant trend was found for male sex (OR, 95% CI: 0.75; 0.52-1.08). Prescriptions of thyroid therapeutics (ATC H03A: OR, 95% CI: 1.79; 1.23-2.61) and antiepileptics (N03: OR, 95% CI: 3.14; 1.49-6.59) were significantly associated with discontinuation of pump therapy. About 93% of pediatric and young adult patients maintained insulin pump therapy within 12 months. Age <6 years, male sex and teflon needle use were associated with a lower risk of discontinuation. Thyroid therapy (indicating autoimmunity) and antiepileptic drug prescriptions were associated with a higher likelihood for discontinuation of insulin pump treatment. Copyright © 2014 Primary Care Diabetes Europe. Published by Elsevier Ltd. All rights reserved.

Discontinuation of tofacitinib after achieving low disease activity in patients with rheumatoid arthritis: a multicentre, observational study.

PubMed

Kubo, Satoshi; Yamaoka, Kunihiro; Amano, Koichi; Nagano, Shuji; Tohma, Shigeto; Suematsu, Eiichi; Nagasawa, Hayato; Iwata, Kanako; Tanaka, Yoshiya

2017-08-01

To determine whether tofacitinib can be discontinued in patients with RA who achieve low disease activity (LDA). RA patients with LDA after tofacitinib treatment in a phase III and long-term extension study were enrolled in this multicentre, non-randomized, open, prospective, observational study. The decision of discontinuation or continuation of tofacitinib was determined based on patient-physician decision making with informed consent. The primary endpoint was the proportion of patients who remained tofacitinib-free at post-treatment week 52. Clinical outcome was compared between those who continued and those who discontinued tofacitinib. The last observation carried forward method was used for patients who could not discontinue tofacitinib before week 52. Of 64 patients, 54 discontinued and 10 continued tofacitinib therapy. At post-treatment week 52, 20 of the 54 patients (37%) of the discontinuation group remained tofacitinib-free without disease flare. Disease activity at post-treatment week 52 was higher in the discontinuation group than the continuation group. Among the discontinuation group, the RF titre at baseline was significantly lower in patients who remained tofacitinib-free than those who did not (40 vs 113 U/ml). In fact, a higher proportion of patients with lower RF remained tofacitinib-free at week 52 compared with those with higher RF at baseline. In patients who could not achieve tofacitinib-free status, re-initiation of tofacitinib or other biologics improved disease activity. It is possible to discontinue tofacitinib without flare in about a third of patients with RA. A low RF predicts maintenance of LDA after discontinuation of tofacitinib. © The Author 2017. Published by Oxford University Press on behalf of the British Society for Rheumatology. All rights reserved. For Permissions, please email: journals.permissions@oup.com

21 CFR 801.57 - Discontinuation of legacy FDA identification numbers assigned to devices.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 21 Food and Drugs 8 2014-04-01 2014-04-01 false Discontinuation of legacy FDA identification... Device Identification § 801.57 Discontinuation of legacy FDA identification numbers assigned to devices... been assigned an FDA labeler code to facilitate use of NHRIC or NDC numbers may continue to use that...

Discontinuities concentrate mobile predators: Quantifying organism-environment interactions at a seascape scale

USGS Publications Warehouse

Kennedy, Christina G.; Mather, Martha E.; Smith, Joseph M.; Finn, John T.; Deegan, Linda A.

2016-01-01

Understanding environmental drivers of spatial patterns is an enduring ecological problem that is critical for effective biological conservation. Discontinuities (ecologically meaningful habitat breaks), both naturally occurring (e.g., river confluence, forest edge, drop-off) and anthropogenic (e.g., dams, roads), can influence the distribution of highly mobile organisms that have land- or seascape scale ranges. A geomorphic discontinuity framework, expanded to include ecological patterns, provides a way to incorporate important but irregularly distributed physical features into organism–environment relationships. Here, we test if migratory striped bass (Morone saxatilis) are consistently concentrated by spatial discontinuities and why. We quantified the distribution of 50 acoustically tagged striped bass at 40 sites within Plum Island Estuary, Massachusetts during four-monthly surveys relative to four physical discontinuities (sandbar, confluence, channel network, drop-off), one continuous physical feature (depth variation), and a geographic location variable (region). Despite moving throughout the estuary, striped bass were consistently clustered in the middle geographic region at sites with high sandbar area, close to channel networks, adjacent to complex confluences, with intermediate levels of bottom unevenness, and medium sized drop-offs. In addition, the highest striped bass concentrations occurred at sites with the greatest additive physical heterogeneity (i.e., where multiple discontinuities co-occurred). The need to incorporate irregularly distributed features in organism–environment relationships will increase as high-quality telemetry and GIS data accumulate for mobile organisms. The spatially explicit approach we used to address this challenge can aid both researchers who seek to understand the impact of predators on ecosystems and resource managers who require new approaches for biological conservation.

Discontinuous gas exchange, water loss, and metabolism in Protaetia cretica (Cetoniinae, Scarabaeidae).

PubMed

Matthews, Philip G D; White, Craig R

2012-01-01

Insects are at high risk of desiccation because of their small size, high surface-area-to-volume ratio, and air-filled tracheal system that ramifies throughout their bodies to transport O(2) and CO(2) to and from respiring cells. Although the tracheal system offers a high-conductance pathway for the movement of respiratory gases, it has the unintended consequence of allowing respiratory transpiration to the atmosphere. When resting, many species exchange respiratory gases discontinuously, and an early hypothesis for the origin of these discontinuous gas exchange cycles (DGCs) is that they serve to reduce respiratory water loss. In this study, we test this "hygric" hypothesis by comparing rates of CO(2) exchange and water loss among flower beetles Protaetia cretica (Cetoniinae, Scarabaeidae) breathing either continuously or discontinuously. We show that, consistent with the expectations of the hygric hypothesis, rates of total water loss are higher during continuous gas exchange than during discontinuous gas exchange and that the ratio of respiratory water loss to CO(2) exchange is lower during discontinuous gas exchange. This conclusion is in agreement with other studies of beetles and cockroaches that also support the hygric hypothesis. However, this result does not exclude other adaptive hypotheses supported by work on ants and moth pupae. This ambiguity may arise because there are multiple independent evolutionary origins of DGCs and no single adaptive function underlying their genesis. Alternatively, the observed reduction in water loss during DGCs may be a side effect of a nonadaptive gas exchange pattern that is elicited during periods of inactivity.

48 CFR 49.303 - Procedure after discontinuing vouchers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Procedure after discontinuing vouchers. 49.303 Section 49.303 Federal Acquisition Regulations System FEDERAL ACQUISITION REGULATION CONTRACT MANAGEMENT TERMINATION OF CONTRACTS Additional Principles for Cost-Reimbursement...

High Rate of Discontinuation May Diminish PrEP Coverage Among Young Men Who Have Sex with Men.

PubMed

Morgan, Ethan; Ryan, Daniel T; Newcomb, Michael E; Mustanski, Brian

2018-05-04

Understanding pre-exposure prophylaxis (PrEP) discontinuation is key to maximizing its effectiveness at the individual and population levels. Data came from the RADAR cohort study of MSM aged 16-29 years, 2015-2017. Participants included those who reported past 6-month PrEP use and discontinued its use by the interview date. Of the 197 participants who had used PrEP in the past 6 months, 65 discontinued use. Primary reasons for PrEP discontinuation included trouble getting to doctor's appointments (14, 21.5%) and issues related to insurance coverage or loss (13, 20.0%). Few (21%) who discontinued spoke to their doctor first, which has important implications for future long acting formulations.

77 FR 74736 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-17

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... discontinuance or modification of a signal system. FRA assigned the petition docket number FRA-2012-0087... Street NE., Atlanta, Georgia 30309. NS seeks approval of the proposed discontinuance of automatic signals...

Durable Complete Response After Discontinuation of Pembrolizumab in Patients With Metastatic Melanoma.

PubMed

Robert, Caroline; Ribas, Antoni; Hamid, Omid; Daud, Adil; Wolchok, Jedd D; Joshua, Anthony M; Hwu, Wen-Jen; Weber, Jeffrey S; Gangadhar, Tara C; Joseph, Richard W; Dronca, Roxana; Patnaik, Amita; Zarour, Hassane; Kefford, Richard; Hersey, Peter; Zhang, Jin; Anderson, James; Diede, Scott J; Ebbinghaus, Scot; Hodi, F Stephen

2017-12-28

Purpose Pembrolizumab provides durable antitumor activity in metastatic melanoma, including complete response (CR) in about 15% of patients. Data are limited on potential predictors of CR and patient disposition after pembrolizumab discontinuation after CR. We describe baseline characteristics and long-term follow-up in patients who experienced CR with pembrolizumab in the KEYNOTE-001 study ( ClinicalTrials.gov identifier: NCT01295827). Patients and Methods Patients with ipilimumab-naive or -treated advanced/metastatic melanoma received one of three dose regimens of pembrolizumab. Eligible patients who received pembrolizumab for ≥ 6 months and at least two treatments beyond confirmed CR could discontinue therapy. Response was assessed every 12 weeks by central Response Evaluation Criteria in Solid Tumors version 1.1. For this analysis, CR was defined per investigator assessment, immune-related response criteria, and potential predictors of CR were evaluated using univariate and multivariate analyses. Results Of 655 treated patients, 105 (16.0%) achieved CR after median follow-up of 43 months. At data cutoff, 92 patients (87.6%) had CR, with median follow-up of 30 months from first CR. Fourteen (13.3%) patients continued to receive treatment for a median of ≥ 40 months. Pembrolizumab was discontinued by 91 patients (86.7%), including 67 (63.8%) who proceeded to observation without additional anticancer therapy. The 24-month disease-free survival rate from time of CR was 90.9% in all 105 patients with CR and 89.9% in the 67 patients who discontinued pembrolizumab after CR for observation. Tumor size and programmed death-ligand 1 status were among the baseline factors independently associated with CR by univariate analysis. Conclusion Patients with metastatic melanoma can have durable complete remission after discontinuation of pembrolizumab, and the low incidence of relapse after median follow-up of approximately 2 years from discontinuation provides hope for a

Reasons for continuing or discontinuing olanzapine in the treatment of schizophrenia from the perspectives of patients and clinicians

PubMed Central

Chen, Jian; Ascher-Svanum, Haya; Nyhuis, Allen W; Case, Michael G; Phillips, Glenn A; Schuh, Kory J; Hoffmann, Vicki Poole

2011-01-01

Background The aim of this study was to assess the reasons for discontinuing or continuing olanzapine in patients with schizophrenia, from the perspectives of the patients and their clinicians. Methods The Reasons for Antipsychotic Discontinuation/Continuation (RAD) is a pair of questionnaires assessing these reasons from the perspectives of patients and their clinicians. Outpatients with schizophrenia (n = 199) who were not acutely ill participated in a 22-week open-label study of olanzapine from November 2006 to September 2008. Reasons for continuing or discontinuing olanzapine (on a five-point scale), along with the single most important reason and the top primary reasons, were identified. Concordance between reasons given by patients and clinicians was assessed. Results The top primary reasons for continuing olanzapine were patients’ perceptions of improvement, improvement of positive symptoms, and improved functioning. The study discontinuation rate was low (30.2%), and only a subset of patients who discontinued reported reasons for medication discontinuation. The top primary reasons for discontinuing olanzapine were insufficient improvement or worsening of positive symptoms, adverse events, and insufficient improvement or worsening of negative symptoms. Ratings given by patients and clinicians were highly concordant. Conclusion The main reason for continuing or discontinuing olanzapine appears to be medication efficacy, especially for positive symptoms. Reasons for medication discontinuation differ somewhat from reasons for continuation, with a high level of concordance between patient and clinician responses. PMID:22114469

14 CFR Section 16 - Objective Classification-Discontinued Operations

Code of Federal Regulations, 2011 CFR

2011-01-01

... AIR CARRIERS Profit and Loss Classification Section 16 Objective Classification—Discontinued... the disposal of investor controlled companies and nontransport ventures whether sold, abandoned, spun... transport or transport-related operations. (b) This account shall be subdivided as follows by all air...

77 FR 31429 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2012-05-25

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... discontinuance or modification of a signal system. FRA assigned the petition Docket Number FRA-2012-0046... discontinuance of an automatic block signal (ABS) system and a traffic control signal (TCS) system on the...

47 CFR 63.505 - Contents of applications for any type of discontinuance, reduction, or impairment of telephone...

Code of Federal Regulations, 2010 CFR

2010-10-01

... discontinuance, reduction, or impairment of telephone service not specifically provided for in this part. 63.505... (CONTINUED) EXTENSION OF LINES, NEW LINES, AND DISCONTINUANCE, REDUCTION, OUTAGE AND IMPAIRMENT OF SERVICE BY...; Examples § 63.505 Contents of applications for any type of discontinuance, reduction, or impairment of...

Nonlinear interaction of a fast magnetogasdynamic shock with a tangential discontinuity

NASA Technical Reports Server (NTRS)

Neubauer, F. M.

1973-01-01

A basic problem, which is of considerable interest in geoastrophysical applications of magnetogasdynamics, is the nonlinear interaction of a fast shock (S sub f) with a tangential discontinuity (T). The problem is treated for an arbitrary S sub f interacting with an arbitrary T under the assumption that in the frame of reference in which S sub f and T are at rest, the flow is superfast on both sides of T, and that a steady flow develops. As a result of the nonlinear analysis a flow pattern is obtained consisting of the incident discontinuities S sub f 1 and T2 and a transmitted fast shock S sub f 3, the modified tangential discontinuity T4 and a reflected fast shock S sub f 5 or fast rarefaction wave R sub f 5. The results are discussed in terms of seven significant similarity parameters. In addition special cases like changes in magnetic field direction only, changes in desnity or velocity shear only etc. are discussed.

Discontinuous Galerkin Approaches for Stokes Flow and Flow in Porous Media

NASA Astrophysics Data System (ADS)

Lehmann, Ragnar; Kaus, Boris; Lukacova, Maria

2014-05-01

Firstly, we present results of a study comparing two different numerical approaches for solving the Stokes equations with strongly varying viscosity: the continuous Galerkin (i.e., FEM) and the discontinuous Galerkin (DG) method. Secondly, we show how the latter method can be extended and applied to flow in porous media governed by Darcy's law. Nonlinearities in the viscosity or other material parameters can lead to discontinuities in the velocity-pressure solution that may not be approximated well with continuous elements. The DG method allows for discontinuities across interior edges of the underlying mesh. Furthermore, depending on the chosen basis functions, it naturally enforces local mass conservation, i.e., in every mesh cell. Computationally, it provides the capability to locally adapt the polynomial degree and needs communication only between directly adjacent mesh cells making it highly flexible and easy to parallelize. The methods are compared for several geophysically relevant benchmarking setups and discussed with respect to speed, accuracy, computational efficiency.

A case of new onset keratosis pilaris after discontinuation of erlotinib.

PubMed

Okereke, Uchenna R; Colozza, Sara; Cohen, David E

2014-11-01

Keratosis pilaris and keratosis pilaris-like eruptions have been reported in association with RAF inhibitors sorafenib and vemurafenib. We describe herein what is to our knowledge the first reported case of new onset keratosis pilaris after discontinuation of EGFR inhibitor erlotinib. A 60 year-old female with stage IV lung cancer was treated with erlotinib (100 mg/d). The patient elected to discontinue erlotinib after four years secondary to adverse systemic reactions. However, five months later small, monomorphic, rough, folliculocentric papules with surrounding mild erythema characteristic of keratosis pilaris were noted on upper back and arms. This serves as the first documented case of new onset keratosis pilaris in a patient after discontinuation of erlotinib. We report the present case to show the possible association of keratosis pilaris with not only RAF inhibitors, but also the EGFR inhibitor erlotinib. Further investigation will determine whether this is a class effect with other systemic EGFR inhibitors.

Uncertainty Quantification given Discontinuous Climate Model Response and a Limited Number of Model Runs

NASA Astrophysics Data System (ADS)

Sargsyan, K.; Safta, C.; Debusschere, B.; Najm, H.

2010-12-01

Uncertainty quantification in complex climate models is challenged by the sparsity of available climate model predictions due to the high computational cost of model runs. Another feature that prevents classical uncertainty analysis from being readily applicable is bifurcative behavior in climate model response with respect to certain input parameters. A typical example is the Atlantic Meridional Overturning Circulation. The predicted maximum overturning stream function exhibits discontinuity across a curve in the space of two uncertain parameters, namely climate sensitivity and CO2 forcing. We outline a methodology for uncertainty quantification given discontinuous model response and a limited number of model runs. Our approach is two-fold. First we detect the discontinuity with Bayesian inference, thus obtaining a probabilistic representation of the discontinuity curve shape and location for arbitrarily distributed input parameter values. Then, we construct spectral representations of uncertainty, using Polynomial Chaos (PC) expansions on either side of the discontinuity curve, leading to an averaged-PC representation of the forward model that allows efficient uncertainty quantification. The approach is enabled by a Rosenblatt transformation that maps each side of the discontinuity to regular domains where desirable orthogonality properties for the spectral bases hold. We obtain PC modes by either orthogonal projection or Bayesian inference, and argue for a hybrid approach that targets a balance between the accuracy provided by the orthogonal projection and the flexibility provided by the Bayesian inference - where the latter allows obtaining reasonable expansions without extra forward model runs. The model output, and its associated uncertainty at specific design points, are then computed by taking an ensemble average over PC expansions corresponding to possible realizations of the discontinuity curve. The methodology is tested on synthetic examples of

Discontinuous Observers Design for Finite-Time Consensus of Multiagent Systems With External Disturbances.

PubMed

Liu, Xiaoyang; Ho, Daniel W C; Cao, Jinde; Xu, Wenying

This brief investigates the problem of finite-time robust consensus (FTRC) for second-order nonlinear multiagent systems with external disturbances. Based on the global finite-time stability theory of discontinuous homogeneous systems, a novel finite-time convergent discontinuous disturbed observer (DDO) is proposed for the leader-following multiagent systems. The states of the designed DDO are then used to design the control inputs to achieve the FTRC of nonlinear multiagent systems in the presence of bounded disturbances. The simulation results are provided to validate the effectiveness of these theoretical results.This brief investigates the problem of finite-time robust consensus (FTRC) for second-order nonlinear multiagent systems with external disturbances. Based on the global finite-time stability theory of discontinuous homogeneous systems, a novel finite-time convergent discontinuous disturbed observer (DDO) is proposed for the leader-following multiagent systems. The states of the designed DDO are then used to design the control inputs to achieve the FTRC of nonlinear multiagent systems in the presence of bounded disturbances. The simulation results are provided to validate the effectiveness of these theoretical results.

A new method for automatic discontinuity traces sampling on rock mass 3D model

NASA Astrophysics Data System (ADS)

Umili, G.; Ferrero, A.; Einstein, H. H.

2013-02-01

A new automatic method for discontinuity traces mapping and sampling on a rock mass digital model is described in this work. The implemented procedure allows one to automatically identify discontinuity traces on a Digital Surface Model: traces are detected directly as surface breaklines, by means of maximum and minimum principal curvature values of the vertices that constitute the model surface. Color influence and user errors, that usually characterize the trace mapping on images, are eliminated. Also trace sampling procedures based on circular windows and circular scanlines have been implemented: they are used to infer trace data and to calculate values of mean trace length, expected discontinuity diameter and intensity of rock discontinuities. The method is tested on a case study: results obtained applying the automatic procedure on the DSM of a rock face are compared to those obtained performing a manual sampling on the orthophotograph of the same rock face.

A genuinely discontinuous approach for multiphase EHD problems

NASA Astrophysics Data System (ADS)

Natarajan, Mahesh; Desjardins, Olivier

2017-11-01

Electrohydrodynamics (EHD) involves solving the Poisson equation for the electric field potential. For multiphase flows, although the electric field potential is a continuous quantity, due to the discontinuity in the electric permittivity between the phases, additional jump conditions at the interface, for the normal and tangential components of the electric field need to be satisfied. All approaches till date either ignore the jump conditions, or involve simplifying assumptions, and hence yield unconvincing results even for simple test problems. In the present work, we develop a genuinely discontinuous approach for the Poisson equation for multiphase flows using a Finite Volume Unsplit Volume of Fluid method. The governing equation and the jump conditions without assumptions are used to develop the method, and its efficiency is demonstrated by comparison of the numerical results with canonical test problems having exact solutions. Postdoctoral Associate, Department of Mechanical and Aerospace Engineering.

Safety of Temporary Discontinuation of Antihypertensive Medication in Patients With Difficult-to-Control Hypertension.

PubMed

Beeftink, Martine M A; van der Sande, Nicolette G C; Bots, Michiel L; Doevendans, Pieter A; Blankestijn, Peter J; Visseren, Frank L J; Voskuil, Michiel; Spiering, Wilko

2017-05-01

Successful control of blood pressure relies on identification of secondary causes and contributing factors of hypertension. As antihypertensive medication can interfere with diagnostic investigations, temporary discontinuation of medication is advised. However, there are concerns about the safety of temporary discontinuation of antihypertensive medication in patients with difficult-to-control hypertension. We assessed the occurrence of adverse cardiovascular and cerebrovascular events potentially attributable to temporary discontinuation of antihypertensive medication between February 2010 and March 2016 (n=604) in our Analysis of Complicated Hypertension screening program. A reference group (n=604) was extracted from the SMART study (Second Manifestations of Arterial Disease) cohort (comprising a similar cohort at our hospital in whom medication was not stopped) and individually matched for blood pressure, age, sex, and history of cardiovascular disease. Discontinuation of medication was well tolerated; 62% reported no complaints, 24% had mild discomfort that could be left untreated, and 14% experienced complaints that required prescription of antihypertensive escape medication. Three major adverse events were observed in the Analysis of Complicated Hypertension group between discontinuation of medication and 30 days after restart of medication (event rate=31.2 events per 1000 patient-year). In the reference cohort, 5 cardiovascular events were observed during a similar follow-up period (event rate=51.2 events per 1000 patient-year). In conclusion, discontinuation of antihypertensive medication for the diagnostic evaluation of hypertension does not increase the acute risk of cardiovascular events when performed in a well-controlled setting in specialized hospitals with appropriate protocols for monitoring safety. © 2017 American Heart Association, Inc.

Effect of self-consistent magnetic field on plasma sheet penetration to the inner magnetosphere: Rice convection model simulations combined with modified Dungey force-balanced magnetic field solver

NASA Astrophysics Data System (ADS)

Gkioulidou, Matina; Wang, Chih-Ping; Lyons, Larry R.

2011-12-01

Transport of plasma sheet particles into the inner magnetosphere is crucial to the development of the region 2 (R2) field-aligned current system (FAC), which results in the shielding of the penetration electric field and the formation of subauroral polarization streams (SAPS) and the Harang reversal, phenomena closely associated with storms and substorms. In addition to the electric field, this transport is also strongly affected by the magnetic field, which changes with plasma pressure and is distinctly different from the dipole field in the inner plasma sheet. To determine the feedback of force-balanced magnetic field to the transport, we have integrated the Rice convection model (RCM) with a modified Dungey magnetic field solver to obtain the required force balance in the equatorial plane. Comparing our results with those from a RCM run using a T96 magnetic field, we find that transport under a force-balanced magnetic field results in weaker pressure gradients and thus weaker R2 FAC in the near-Earth region and weaker shielding of the penetration electric field. As a result, plasma sheet protons and electrons penetrate farther earthward, and their inner edges become closer together and more azimuthally symmetric than in the T96 case. The Harang reversal extends farther dawnward, and the SAPS become more confined in radial and latitudinal extents. The magnitudes of azimuthal pressure gradient, the inner edges of thermal protons and electrons, the latitudinal range of the Harang reversal, and the radial and latitudinal widths of the SAPS from the force-balanced run are found to be more consistent with observations.

38 CFR 21.5835 - Specific discontinuance dates.

Code of Federal Regulations, 2010 CFR

2010-07-01

... attendance. (Authority: 10 U.S.C. 2143) (e) False claim. VA will discontinue educational assistance and... assistance will end on the effective date of the revocation. See § 21.5743(e). (Authority: 10 U.S.C. 2147) (j... institution of higher learning approved by the Secretary of Defense or the Secretary of Education, as the case...

Oral contraceptive discontinuation and its aftermath in 19 developing countries.

PubMed

Ali, Mohamed M; Cleland, John

2010-01-01

The purpose of the article was to document oral contraceptive (OC) discontinuation and switching in a large number of low- and middle-income countries, and to assess the effects of women's education and reason for use (spacing vs. limitation). An attempt was made to explain intercountry variations. Calendar data from 19 Demographic and Health Surveys conducted between 1999 and 2005 were used. Data were analyzed by single- and multiple-decrement life tables and by Cox proportional hazard model. The probability of stopping OC use within 12 months for reasons that implied dissatisfaction with the method ranged from 15% in Indonesia to over 40% in Bolivia and Peru with a median value of 28%. On average, 35% switched to a modern method within 3 months and 16% to a less effective 'traditional' method. Both education and reason for use were strongly related to the probability of switching to a modern method. Discontinuation was lower and switching higher in countries judged to have strong family planning programs. Both discontinuation of use and inadequate switching to alternative methods are major but neglected problems in the family planning services of many developing countries.

A detailed map of the 660-kilometer discontinuity beneath the izu-bonin subduction zone.

PubMed

Wicks, C W; Richards, M A

1993-09-10

Dynamical processes in the Earth's mantle, such as cold downwelling at subduction zones, cause deformations of the solid-state phase change that produces a seismic discontinuity near a depth of 660 kilometers. Observations of short-period, shear-to-compressional wave conversions produced at the discontinuity yield a detailed map of deformation beneath the Izu-Bonin subduction zone. The discontinuity is depressed by about 60 kilometers beneath the coldest part of the subducted slab, with a deformation profile consistent with the expected thermal signature of the slab, the experimentally determined Clapeyron slope of the phase transition, and the regional tectonic history.

Upper Mantle Discontinuity Structure Beneath the Western Atlantic Ocean and Eastern North America from SS Precursors

NASA Astrophysics Data System (ADS)

Schmerr, N. C.; Beghein, C.; Kostic, D.; Baldridge, A. M.; West, J. D.; Nittler, L. R.; Bull, A. L.; Montesi, L.; Byrne, P. K.; Hummer, D. R.; Plescia, J. B.; Elkins-Tanton, L. T.; Lekic, V.; Schmidt, B. E.; Elkins, L. J.; Cooper, C. M.; ten Kate, I. L.; Van Hinsbergen, D. J. J.; Parai, R.; Glass, J. B.; Ni, J.; Fuji, N.; McCubbin, F. M.; Michalski, J. R.; Zhao, C.; Arevalo, R. D., Jr.; Koelemeijer, P.; Courtier, A. M.; Dalton, H.; Waszek, L.; Bahamonde, J.; Schmerr, B.; Gilpin, N.; Rosenshein, E.; Mach, K.; Ostrach, L. R.; Caracas, R.; Craddock, R. A.; Moore-Driskell, M. M.; Du Frane, W. L.; Kellogg, L. H.

2015-12-01

Seismic discontinuities within the mantle arise from a wide range of mechanisms, including changes in mineralogy, major element composition, melt content, volatile abundance, anisotropy, or a combination of the above. In particular, the depth and sharpness of upper mantle discontinuities at 410 and 660 km depth are attributed to solid-state phase changes sensitive to both mantle temperature and composition, where regions of thermal heterogeneity produce topography and chemical heterogeneity changes the impedance contrast across the discontinuity. Seismic mapping of this topography and sharpness thus provides constraint on the thermal and compositional state of the mantle. The EarthScope USArray is providing unprecedented access to a wide variety of new regions previously undersampled by the SS precursors. This includes the boundary between the oceanic plate in the western Atlantic Ocean and continental margin of eastern North America. Here we use a seismic array approach to image the depth, sharpness, and topography of the upper mantle discontinuities, as well as other possible upper mantle reflectors beneath this region. This array approach utilizes seismic waves that reflect off the underside of a mantle discontinuity and arrive several hundred seconds prior to the SS seismic phase as precursory energy. In this study, we collected high-quality broadband data SS precursors data from shallow focus (< 30 km deep), mid-Atlantic ridge earthquakes recorded by USArray seismometers in Alaska. We generated 4th root vespagrams to enhance the SS precursors and determine how they sample the mantle. Our data show detection of localized structure on the discontinuity boundaries as well as additional horizons, such as the X-discontinuity and a potential reflection from a discontinuity near the depth of the lithosphere-asthenosphere boundary. These structures are related to the transition from predominantly old ocean lithosphere to underlying continental lithosphere, as while

Antileukemic Efficacy of Continuous vs Discontinuous Dexamethasone in Murine Models of Acute Lymphoblastic Leukemia

PubMed Central

Ramsey, Laura B.; Janke, Laura J.; Payton, Monique A.; Cai, Xiangjun; Paugh, Steven W.; Karol, Seth E.; Kamdem, Landry Kamdem; Cheng, Cheng; Williams, Richard T.; Jeha, Sima; Pui, Ching-Hon; Evans, William E.; Relling, Mary V.

2015-01-01

Osteonecrosis is one of the most common, serious, toxicities resulting from the treatment of acute lymphoblastic leukemia. In recent years, pediatric acute lymphoblastic leukemia clinical trials have used discontinuous rather than continuous dosing of dexamethasone in an effort to reduce the incidence of osteonecrosis. However, it is not known whether discontinuous dosing would compromise antileukemic efficacy of glucocorticoids. Therefore, we tested the efficacy of discontinuous dexamethasone against continuous dexamethasone in murine models bearing human acute lymphoblastic leukemia xenografts (n = 8 patient samples) or murine BCR-ABL+ acute lymphoblastic leukemia. Plasma dexamethasone concentrations (7.9 to 212 nM) were similar to those achieved in children with acute lymphoblastic leukemia using conventional dosages. The median leukemia-free survival ranged from 16 to 59 days; dexamethasone prolonged survival from a median of 4 to 129 days in all seven dexamethasone-sensitive acute lymphoblastic leukemias. In the majority of cases (7 of 8 xenografts and the murine BCR-ABL model) we demonstrated equal efficacy of the two dexamethasone dosing regimens; whereas for one acute lymphoblastic leukemia sample, the discontinuous regimen yielded inferior antileukemic efficacy (log-rank p = 0.002). Our results support the clinical practice of using discontinuous rather than continuous dexamethasone dosing in patients with acute lymphoblastic leukemia. PMID:26252865

What Maintains the Central North Pacific Genetic Discontinuity in Pacific Herring?

PubMed Central

Liu, Ming; Lin, Longshan; Gao, Tianxiang; Yanagimoto, Takashi; Sakurai, Yasunori; Grant, W. Stewart

2012-01-01

Pacific herring show an abrupt genetic discontinuity in the central North Pacific that represents secondary contact between refuge populations previously isolated during Pleistocene glaciations. Paradoxically, high levels of gene flow produce genetic homogeneity among ocean-type populations within each group. Here, we surveyed variability in mtDNA control-region sequences (463 bp) and nine microsatellite loci in Pacific herring from sites across the North Pacific to further explore the nature of the genetic discontinuity around the Alaska Peninsula. Consistent with previous studies, little divergence (ΦST  = 0.011) was detected between ocean-type populations of Pacific herring in the North West Pacific, except for a population in the Yellow Sea (ΦST  = 0.065). A moderate reduction in genetic diversity for both mtDNA and microsatellites in the Yellow Sea likely reflects founder effects during the last colonization of this sea. Reciprocal monophyly between divergent mtDNA lineages (ΦST  = 0.391) across the Alaska Peninsula defines the discontinuity across the North Pacific. However, microsatellites did not show a strong break, as eastern Bering Sea (EBS) herring were more closely related to NE Pacific than to NW Pacific herring. This discordance between mtDNA and microsatellites may be due to microsatellite allelic convergence or to sex-biased dispersal across the secondary contact zone. The sharp discontinuity between Pacific herring populations may be maintained by high-density blocking, competitive exclusion or hybrid inferiority. PMID:23300525

Evaluation of Hydraulically Significant Discontinuities in Dockum Group Mudrocks in Andrews County, Texas

NASA Astrophysics Data System (ADS)

Holt, R. M.; Kuszmaul, J. S.; Cao, S.; Powers, D. W.

2013-12-01

Triassic mudrocks of the Dockum Group (Cooper Canyon Formation) host four, below-grade landfills at the Waste Control Specialists (WSC) site in Andrews County, Texas, including: a hazardous waste landfill and three radioactive waste landfills. At the study site, the Dockum consists of mudrocks with sparse siltstone/sandstone interbeds that developed in a semi-arid environment from an ephemeral meandering fluvial system. Sedimentary studies reveal that the mudrocks are ancient floodplain vertisols (soils with swelling clays) and siltstone/sandstone interbeds are fluvial channel deposits that were frequently subaerially exposed. Rock discontinuities, including fractures and syndepositional slickensided surfaces, were mapped during the excavation of the WCS radioactive waste landfills along vertical faces prepared by the construction contractor. Face locations were selected to insure a sampled area with nearly complete vertical coverage for each landfill. Individual discontinuities were mapped and their strike, dip, length, roughness, curvature, staining, and evidence of displacement were described. In the three radioactive waste disposal landfills, over 1750 discontinuities across 35 excavated faces were mapped and described, where each face was nominally 8 to 10 ft tall and 50 to 100 ft long. Genetic units related to paleosol development were identified. On average, the orientation of the discontinuities was horizontal, and no other significant trends were observed. Mapping within the landfill excavations shows that most discontinuities within Dockum rocks are horizontal, concave upward, slickensided surfaces that developed in the depositional environment, as repeated wetting and drying cycles led to shrinking and swelling of floodplain vertisols. Fractures that showed staining (a possible indicator of past or present hydraulic activity) are rare, vertical to near-vertical, and occur mainly in, and adjacent to, mechanically stiff siltstone and sandstone interbeds

78 FR 64065 - Discontinuance of Annual Financial Assessments

Federal Register 2010, 2011, 2012, 2013, 2014

2013-10-25

... asks the veteran to update the financial assessment when they arrive for their next health care... DEPARTMENT OF VETERANS AFFAIRS Discontinuance of Annual Financial Assessments AGENCY: Department... Veterans Affairs (VA) will no longer request that certain veterans enrolled in the VA health care system...

14 CFR 170.25 - LORAN-C discontinuance criteria.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Section 170.25 Aeronautics and Space FEDERAL AVIATION ADMINISTRATION, DEPARTMENT OF TRANSPORTATION... nonprecision approach may be subject to discontinuance when the present value of the continued maintenance costs (PVCM) of the LORAN-C approach exceed the present value of its remaining life-cycle benefits (PVB...

27 CFR 19.695 - Notice of permanent discontinuance.

Code of Federal Regulations, 2011 CFR

2011-04-01

... a proprietor permanently discontinues operations as an alcohol fuel plant, the proprietor must file... of the alcohol fuel plant permit and the proprietor's request that the permit be cancelled; (b) A written statement disclosing whether or not all spirits, including fuel alcohol, have been lawfully...

Kinetic theory and turbulent discontinuities. [shock tube flow

NASA Technical Reports Server (NTRS)

Johnson, J. A., III; I, L.; Li, Y.; Ramaian, R.; Santigo, J. P.

1981-01-01

Shock tube discontinuities were used to test and extend a kinetic theory of turbulence. In shock wave and contact surface fluctuations, coherent phenomena were found which provide new support for the microscopic nonempirical approach to turbulent systems, especially those with boundary layer-like instabilities.

Fracture criteria for discontinuously reinforced metal matrix composites

NASA Technical Reports Server (NTRS)

Rack, H. J.; Goree, J. G.; Albritton, J.; Ratnaparkhi, P.

1988-01-01

Summarized is the progress achieved during the period September 16, 1987 to August 15, l988 on NASA Grant NAG1-724, Fracture Criteria for Discontinuously Reinforced Metal Matrix Composites. Appended are copies of three manuscripts prepared under NASA funding during the performance period.

Consequence of Schooling: Cultural Discontinuity amongst the Inuit.

ERIC Educational Resources Information Center

Williamson, Karla Jessen

1987-01-01

Discusses factors related to cultural discontinuity (concept of human existence, souls and naming practices, importance of children) and their effects on the school system. Emphasizes importance of school authorities to understand the total Inuit traditional culture to make education more relevant to Inuit youth. (NEC)

Improved method for detecting local discontinuities in CMB data by finite differencing

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

Bowyer, Jude; Jaffe, Andrew H.

2011-01-15

An unexpected distribution of temperatures in the CMB could be a sign of new physics. In particular, the existence of cosmic defects could be indicated by temperature discontinuities via the Kaiser-Stebbins effect. In this paper, we show how performing finite differences on a CMB map, with the noise regularized in harmonic space, may expose such discontinuities, and we report the results of this process on the 7-year Wilkinson Microwave Anisotropy Probe data.

41 CFR 101-39.105-1 - Transfers from discontinued or curtailed fleet management systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... discontinued or curtailed fleet management systems. 101-39.105-1 Section 101-39.105-1 Public Contracts and... AVIATION, TRANSPORTATION, AND MOTOR VEHICLES 39-INTERAGENCY FLEET MANAGEMENT SYSTEMS 39.1-Establishment, Modification, and Discontinuance of Interagency Fleet Management Systems § 101-39.105-1 Transfers from...

Observations of seismic anisotropy above/below D" discontinuity and its mineral physics interpretation

NASA Astrophysics Data System (ADS)

Usui, Y.; Tsuchiya, T.

2011-12-01

Many studies have reported a VSV < VSH anisotropy in various places of the D" layer. However, the depth distribution of the anisotropy is still unclear because the anisotropy has not been investigated above the D" layer. Here, to get a large number of data sets, we used seismic data recorded by new five broad-band stations at East Antarctica. Then we carefully analyzed the shear wave splitting focusing above the D" layer beneath the Antarctic Ocean. Most of the data showed that SH waves arrive earlier than SV waves. We also found that shear wave splitting occurs even above the D" discontinuity. Although the lattice preferred orientation (LPO) of MgSiO3 post-perovskite (PPv) is now thought to be the major source of anisotropy below the discontinuity, this strongly suggests that the anisotropy is caused not only by the PPv phase. The root mean square minimization using seismic waveform modeling has been performed to construct a new transverse isotropic shear wave velocity model. The obtained velocity model has a 2.0 % velocity discontinuity at 2500 km for VSH and undetectable discontinuity for VSV. The anisotropy is estimated to be about 0.5% and 2.5% above and below the discontinuity, respectively. Since perovskite (Pv) and MgO are expected as the primary lower mantle phases and also anisotropic, they could be a source of the anisotropy. However deformation mechanisms of the minerals under high-P,T condition are still under debate. In order to clarify the origin of the anisotropy above/below the discontinuity, we examined the elastic anisotropy of two phase polycrystalline aggregates (Pv + MgO) and (PPv + MgO). We modeled the anisotropy in several different LPO directions with different degree. Results suggest that transversely isotropic aggregate (TIA) of MgO[100] in two phase aggregates (Pv + MgO) reproduces the anisotropy above the discontinuity. This is consistent with a (100) slip plane determined by experiments [Karato, 1998]. Since this system corresponds to

Investigation of upper mantle seismic discontinuities beneath the Indian Ocean using array seismology methods

NASA Astrophysics Data System (ADS)

van Driel, J.; Reiss, A. S.; Thomas, C.

2016-12-01

The topography of upper mantle seismic discontinuities can be used to constrain regional variations in composition and temperature of the Earths mantle. The 410 km discontinuity is caused by the solid-solid phase transition from olivine to wadsleyite. Due to its positive Clapeyron slope, the discontinuity is depressed in hot regimes. The phase transition from ringwoodite to bridgemanite and magnesiowüstite in contrast has a negative Clapeyron slope and therefore is elevated when hot material is present. Cold material is expected to yield an opposing topographic signature, culminating in an elevated 410 km and a depressed 660 km discontinuity. As part of the RHUM-RUM project (Réunion Hotspot and Upper Mantle - Réunions Unterer Mantel) we extract relevant geophysical parameters, by investigating the properties of upper mantle seismic discontinuities beneath the Indian Ocean. The topography of the 410 and 660 km discontinuities, which define the upper and lower bounds of the mantle transition zone, have been mapped using PP and SS underside reflections. This study has utilised over 8500 events with Mw ≥ 5.8, distributed over the entire Indian Ocean. Our robust data set yields a dense coverage of points, which are defined by consistently crossing ray paths. Array seismology methods, such as vespagrams and slowness-backazimuth analysis, are used to enhance the signal-to-noise-ratio and detect and identify weak precursor signals. The differential travel times are corrected for crustal features and converted into depth values of the discontinuities by comparing the measured travel times with theoretical ones derived from ray tracing through the 1D reference Earth model ak135. A `travel-time' stacking method has also been applied for 4° radius bins around each of the bounce points. The addition of a secondary method derives greater stability of our results and allows an enhanced error analysis procedure. In order to better constrain the mineralogical processes taking

Physicians' reasons not to discontinue long-term used off-label antipsychotic drugs in people with intellectual disability.

PubMed

de Kuijper, G M; Hoekstra, P J

2017-10-01

People with intellectual disability (ID) frequently use antipsychotic drugs on an off-label base, often for many years. Physicians' decisions to discontinue these drugs not only depend on patient characteristics, like the presence of mental or behavioural disorders, but also on environmental factors, such as inappropriate living circumstances, and on attitudes, knowledge and beliefs of staff, clients and their representatives towards the effects of antipsychotic drug use. In this study, we therefore investigated the influence of participant and setting-related factors on decisions of physicians not to discontinue off-label prescribed antipsychotics. The study took place in living facilities of six service providers for people with ID spread over the Netherlands and staffed with support professionals, nurses, behavioural scientist and physicians and was part of an antipsychotics discontinuation trial. ID physicians had to decide whether the off-label use of antipsychotics could be discontinued. Medical and pharmaceutical records were used to establish the prevalence of antipsychotic drug use in the study population, along with duration of use and whether the use was off-label. Reasons of physicians not to discontinue the prescription of antipsychotics in those participants who used off-label antipsychotics for more than a year were collected and categorised as related to participant or setting characteristics, including lack of consent to discontinue, and staff members, participants or their legal representatives. Of the 3299 clients of the service providers, 977 used one or more antipsychotic drugs. The prevalence of antipsychotic drug use was 30%. Reasons for use were in 5% of cases, a chronic psychotic disorder classified according to Diagnostic System Mental Disorders, Fourth Edition, criteria, in 25%, present or past (suspected) non-schizophrenia-related psychotic symptoms and in 69%, challenging behaviours. Overall, physicians were willing to discontinue their

78 FR 68146 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-13

..., GA 30309. NS seeks approval of the proposed discontinuance of Control Point (CP) Oak and the discontinuance of the traffic control system (TCS) between CP Maumee, Milepost (MP) DY 1.2/CD 287.65, and Stanley... discontinued on the Oakdale Connection Track between CP 286, MP XA 286.90/CD 286.75, and CP Oak, MP XA 287.80...

Rock discontinuity surface roughness variation with scale

NASA Astrophysics Data System (ADS)

Bitenc, Maja; Kieffer, D. Scott; Khoshelham, Kourosh

2017-04-01

ABSTRACT: Rock discontinuity surface roughness refers to local departures of the discontinuity surface from planarity and is an important factor influencing the shear resistance. In practice, the Joint Roughness Coefficient (JRC) roughness parameter is commonly relied upon and input to a shear strength criterion such as developed by Barton and Choubey [1977]. The estimation of roughness by JRC is hindered firstly by the subjective nature of visually comparing the joint profile to the ten standard profiles. Secondly, when correlating the standard JRC values and other objective measures of roughness, the roughness idealization is limited to a 2D profile of 10 cm length. With the advance of measuring technologies that provide accurate and high resolution 3D data of surface topography on different scales, new 3D roughness parameters have been developed. A desirable parameter is one that describes rock surface geometry as well as the direction and scale dependency of roughness. In this research a 3D roughness parameter developed by Grasselli [2001] and adapted by Tatone and Grasselli [2009] is adopted. It characterizes surface topography as the cumulative distribution of local apparent inclination of asperities with respect to the shear strength (analysis) direction. Thus, the 3D roughness parameter describes the roughness amplitude and anisotropy (direction dependency), but does not capture the scale properties. In different studies the roughness scale-dependency has been attributed to data resolution or size of the surface joint (see a summary of researches in [Tatone and Grasselli, 2012]). Clearly, the lower resolution results in lower roughness. On the other hand, have the investigations of surface size effect produced conflicting results. While some studies have shown a decrease in roughness with increasing discontinuity size (negative scale effect), others have shown the existence of positive scale effects, or both positive and negative scale effects. We

Interferon alpha 2 maintenance therapy may enable high rates of treatment discontinuation in chronic myeloid leukemia.

PubMed

Burchert, A; Saussele, S; Eigendorff, E; Müller, M C; Sohlbach, K; Inselmann, S; Schütz, C; Metzelder, S K; Ziermann, J; Kostrewa, P; Hoffmann, J; Hehlmann, R; Neubauer, A; Hochhaus, A

2015-06-01

A minority of chronic myeloid leukemia (CML) patients is capable of successfully discontinuing imatinib. Treatment modalities to increase this proportion are currently unknown. Here, we assessed the role of interferon alpha 2a (IFN) on therapy discontinuation in a previously reported cohort of 20 chronic phase CML patients who were treated upfront with IFN alpha plus imatinib followed by IFN monotherapy to maintain cytogenetic or molecular remission (MR) after imatinib discontinuation. After a median follow-up of 7.9 years (range, 5.2-12.2), relapse-free survival was 73% (8/11 patients) and 84% (5/6 patients) for patients who discontinued imatinib in major MR (MMR) and MR4/MR4.5, respectively. Ten patients discontinued IFN after a median of 4.5 years (range, 0.24-9.3). After a median of 2.8 years (range, 0.7-5.1), nine of them remain in ongoing treatment-free remission with MR5 (n=6) and MR4.5 (n=3). The four patients who still administer IFN are in stable MR5, MR4.5, MR4, and MMR, respectively. In conclusion, an IFN/imatinib induction treatment followed by a temporary IFN maintenance therapy may enable a high rate of treatment discontinuation in CML patients in at least MMR when stopping imatinib.

Discontinuous Skeletal Gradient Discretisation methods on polytopal meshes

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

Di Pietro, Daniele A.; Droniou, Jérôme; Manzini, Gianmarco

Here, in this work we develop arbitrary-order Discontinuous Skeletal Gradient Discretisations (DSGD) on general polytopal meshes. Discontinuous Skeletal refers to the fact that the globally coupled unknowns are broken polynomials on the mesh skeleton. The key ingredient is a high-order gradient reconstruction composed of two terms: (i) a consistent contribution obtained mimicking an integration by parts formula inside each element and (ii) a stabilising term for which sufficient design conditions are provided. An example of stabilisation that satisfies the design conditions is proposed based on a local lifting of high-order residuals on a Raviart–Thomas–Nédélec subspace. We prove that the novelmore » DSGDs satisfy coercivity, consistency, limit-conformity, and compactness requirements that ensure convergence for a variety of elliptic and parabolic problems. Lastly, links with Hybrid High-Order, non-conforming Mimetic Finite Difference and non-conforming Virtual Element methods are also studied. Numerical examples complete the exposition.« less

Discontinuous finite element method for vector radiative transfer

NASA Astrophysics Data System (ADS)

Wang, Cun-Hai; Yi, Hong-Liang; Tan, He-Ping

2017-03-01

The discontinuous finite element method (DFEM) is applied to solve the vector radiative transfer in participating media. The derivation in a discrete form of the vector radiation governing equations is presented, in which the angular space is discretized by the discrete-ordinates approach with a local refined modification, and the spatial domain is discretized into finite non-overlapped discontinuous elements. The elements in the whole solution domain are connected by modelling the boundary numerical flux between adjacent elements, which makes the DFEM numerically stable for solving radiative transfer equations. Several various problems of vector radiative transfer are tested to verify the performance of the developed DFEM, including vector radiative transfer in a one-dimensional parallel slab containing a Mie/Rayleigh/strong forward scattering medium and a two-dimensional square medium. The fact that DFEM results agree very well with the benchmark solutions in published references shows that the developed DFEM in this paper is accurate and effective for solving vector radiative transfer problems.

Discontinuous Skeletal Gradient Discretisation methods on polytopal meshes

DOE PAGES

Di Pietro, Daniele A.; Droniou, Jérôme; Manzini, Gianmarco

2017-11-21

Here, in this work we develop arbitrary-order Discontinuous Skeletal Gradient Discretisations (DSGD) on general polytopal meshes. Discontinuous Skeletal refers to the fact that the globally coupled unknowns are broken polynomials on the mesh skeleton. The key ingredient is a high-order gradient reconstruction composed of two terms: (i) a consistent contribution obtained mimicking an integration by parts formula inside each element and (ii) a stabilising term for which sufficient design conditions are provided. An example of stabilisation that satisfies the design conditions is proposed based on a local lifting of high-order residuals on a Raviart–Thomas–Nédélec subspace. We prove that the novelmore » DSGDs satisfy coercivity, consistency, limit-conformity, and compactness requirements that ensure convergence for a variety of elliptic and parabolic problems. Lastly, links with Hybrid High-Order, non-conforming Mimetic Finite Difference and non-conforming Virtual Element methods are also studied. Numerical examples complete the exposition.« less

Behaviour of mantle transition zone discontinuities beneath the Indian Ocean from PP and SS precursors

NASA Astrophysics Data System (ADS)

Reiss, Anne-Sophie; Thomas, Christine

2015-04-01

As part of the RHUM-RUM project we investigate the upwelling plume beneath the island La Réunion, located in the Indian Ocean 200 km east of Madagascar. This plume belongs to one of the most active hotspot regions in the world and is still active today. Understanding the depth origin and dimensions of such a plume helps to better understand mantle processes and the heat flux of the Earth. If the plume originates at the core-mantle boundary the Earth is cooled down differently compared with an indirect cooling of plumes originating in the upper mantle. Here we use underside reflections of PP and SS waves off the seismic discontinuities at 410 km and 660 km depth that arrive as precursors to the main phase in order to investigate the topography of these discontinuities that mark the top and bottom of the mantle transition zone. If hotter or colder material intersects the mantle transition zone, the discontinuities at 410 km and 660 km depth are deflected, hence the topography of the mantle transition zone can be an indicator for an upwelling plume. The 410 km discontinuity, which exists due to the phase change of olivine to spinel, should be depressed significantly in the presence of hot upwelling material. Because of the opposite Clapeyron slope of the phase change of spinel to magnesiowuestite and perovskite at 660 km depth, the topography of this discontinuity should be elevated. For this study we analyse over 200 events with Mw ≥ 5.8 and bounce points distributed over the entire Indian Ocean. Array seismology methods, such as vespagrams and slowness-backazimuth analysis, are used to enhance the signal-to-noise-ratio and detect and identify precursors. Using different source-receiver combinations enables us to get a dense coverage of bounce points of PP and SS waves in the Indian Ocean and especially around La Réunion, also with crossing ray paths. The differential travel times of PP and SS arrivals and their precursors of robust stacks are converted into

Discontinuing Oxytocin Infusion in the Active Phase of Labor: A Systematic Review and Meta-analysis.

PubMed

Saccone, Gabriele; Ciardulli, Andrea; Baxter, Jason K; Quiñones, Joanne N; Diven, Liany C; Pinar, Bor; Maruotti, Giuseppe Maria; Martinelli, Pasquale; Berghella, Vincenzo

2017-11-01

To evaluate the benefits and harms of discontinuation of oxytocin after the active phase of labor is reached. Electronic databases (ie, MEDLINE, Scopus, ClinicalTrials.gov, EMBASE, ScienceDirect, the Cochrane Library at the CENTRAL Register of Controlled Trials, Scielo) were searched from their inception until April 2017. We included all randomized controlled trials comparing discontinuation (ie, intervention group) and continuation (ie, control group) of oxytocin infusion after the active phase of labor is reached, either after induction or augmentation of labor. Discontinuation of oxytocin infusion was defined as discontinuing oxytocin infusion when the active phase of labor was achieved. Continuation of oxytocin infusion was defined as continuing oxytocin infusion until delivery. Only trials in singleton gestations with vertex presentation at term were included. The primary outcome was the incidence of cesarean delivery. Nine randomized controlled trials, including 1,538 singleton gestations, were identified as relevant and included in the meta-analysis. All nine trials included only women undergoing induction of labor. In the discontinuation group, if arrest of labor occurred, usually defined as no cervical dilation in 2 hours or inadequate uterine contractions for 2 hours or more, oxytocin infusion was restarted. Women in the control group had oxytocin continued until delivery usually at the same dose used at the time the active phase was reached. Women who were randomized to have discontinuation of oxytocin infusion after the active phase of labor was reached had a significantly lower risk of cesarean delivery (9.3% compared with 14.7%; relative risk 0.64, 95% CI 0.48-0.87) and of uterine tachysystole (6.2% compared with 13.1%; relative risk 0.53, 95% CI 0.33-0.84) compared with those who were randomized to have continuation of oxytocin infusion until delivery. Discontinuation of oxytocin infusion was associated with an increase in the duration of the active

A new method for automated discontinuity trace mapping on rock mass 3D surface model

NASA Astrophysics Data System (ADS)

Li, Xiaojun; Chen, Jianqin; Zhu, Hehua

2016-04-01

This paper presents an automated discontinuity trace mapping method on a 3D surface model of rock mass. Feature points of discontinuity traces are first detected using the Normal Tensor Voting Theory, which is robust to noisy point cloud data. Discontinuity traces are then extracted from feature points in four steps: (1) trace feature point grouping, (2) trace segment growth, (3) trace segment connection, and (4) redundant trace segment removal. A sensitivity analysis is conducted to identify optimal values for the parameters used in the proposed method. The optimal triangular mesh element size is between 5 cm and 6 cm; the angle threshold in the trace segment growth step is between 70° and 90°; the angle threshold in the trace segment connection step is between 50° and 70°, and the distance threshold should be at least 15 times the mean triangular mesh element size. The method is applied to the excavation face trace mapping of a drill-and-blast tunnel. The results show that the proposed discontinuity trace mapping method is fast and effective and could be used as a supplement to traditional direct measurement of discontinuity traces.

A mechanism for magnetospheric substorms

NASA Technical Reports Server (NTRS)

Erickson, G. M.; Heinemann, M.

1994-01-01

Energy-principle analysis performed on two-dimensional, self-consistent solutions for magnetospheric convection indicates that the magnetosphere is unstable to isobaric (yet still frozen-in) fluctuations of plasma-sheet flux tubes. Normally, pdV work associated with compression maintains stability of the inward/outward oscillating normal mode. However, if Earth's ionosphere can provide sufficient mass flux, isobaric expansion of flux tubes can occur. The growth of a field-aligned potential drop in the near-Earth, midnight portion of the plasma sheet, associated with upward field-aligned currents responsible for the Harang discontinuity, redistributes plasma along field lines in a manner that destabilizes the normal mode. The growth of this unstable mode results in an out-of-equilibrium situation near the inner edge. When this occurs over a downtail extent comparable to the half-thickness of the plasma sheet, collapse ensues and forces thinning of the plasma sheet whereby conditions favorable to reconnection occur. This scenario for substorm onset is consistent with observed upward fluxes of ions, parallel potential drops, and observations of substorm onset. These observations include near Earth onset, pseudobreakups, the substorm current wedge, and local variations of plasma-sheet thickness.

Small subsidence of the 660-km discontinuity beneath Japan probed by ScS reverberations

NASA Astrophysics Data System (ADS)

Kato, Mamoru; Misawa, Mika; Kawakatsu, Hitoshi

We investigate layering structure in the mantle beneath Japan using ScS reverberation waveforms of two recent large deep events in the northwest Pacific. We estimate regional variation of the elastic and anelastic structure of the mantle as well as properties of the major velocity discontinuities by modeling broadband seismograms recorded at two dense networks, J-Array and FREESIA. The 660-km discontinuity is the deepest in the region where the stagnant subducting slab in the transition zone is tomographically imaged, but the subsidence is of ∼10 km, much smaller than previous estimates with SS precursors. No significant elevation is detected for the 410-km discontinuity.

Object Segmentation from Motion Discontinuities and Temporal Occlusions–A Biologically Inspired Model

PubMed Central

Beck, Cornelia; Ognibeni, Thilo; Neumann, Heiko

2008-01-01

Background Optic flow is an important cue for object detection. Humans are able to perceive objects in a scene using only kinetic boundaries, and can perform the task even when other shape cues are not provided. These kinetic boundaries are characterized by the presence of motion discontinuities in a local neighbourhood. In addition, temporal occlusions appear along the boundaries as the object in front covers the background and the objects that are spatially behind it. Methodology/Principal Findings From a technical point of view, the detection of motion boundaries for segmentation based on optic flow is a difficult task. This is due to the problem that flow detected along such boundaries is generally not reliable. We propose a model derived from mechanisms found in visual areas V1, MT, and MSTl of human and primate cortex that achieves robust detection along motion boundaries. It includes two separate mechanisms for both the detection of motion discontinuities and of occlusion regions based on how neurons respond to spatial and temporal contrast, respectively. The mechanisms are embedded in a biologically inspired architecture that integrates information of different model components of the visual processing due to feedback connections. In particular, mutual interactions between the detection of motion discontinuities and temporal occlusions allow a considerable improvement of the kinetic boundary detection. Conclusions/Significance A new model is proposed that uses optic flow cues to detect motion discontinuities and object occlusion. We suggest that by combining these results for motion discontinuities and object occlusion, object segmentation within the model can be improved. This idea could also be applied in other models for object segmentation. In addition, we discuss how this model is related to neurophysiological findings. The model was successfully tested both with artificial and real sequences including self and object motion. PMID:19043613

Abrupt opium discontinuation has no significant triggering effect on acute myocardial infarction.

PubMed

Masoomi, Mohammad; Zare, Jahangir; Nasri, Hamidreza; Mirzazadeh, Ali; Sheikhvatan, Mehrdad

2011-04-01

A deleterious effect of withdrawal symptoms due to abrupt discontinuation of opium on the cardiovascular system is one of the recent interesting topics in the cardiovascular field. The current study hypothesized that the withdrawal syndrome due to discontinuing opium might be an important trigger for the appearance of acute myocardial infarction. Eighty-one opium-addicted individuals who were candidates for cardiovascular clinical evaluation and consecutively hospitalized in the coronary care unit (CCU) ward of Shafa Hospital in Kerman between January and July 2009 were included in the study and categorized in the case group, including patients experiencing withdrawal symptoms within 6-12 h after the reduced or discontinued use of opium according to the Diagnostic and Statistical Manual of Mental Disorders-revised IV version (DSM-IV-R) criteria for opium dependence and withdrawal, and the control group, without opium withdrawal symptoms. The appearance of acute myocardial infarction was compared between the two groups using multivariable regression models. Acute myocardial infarction occurred in 50.0% of those with withdrawal symptoms and in 45.1% of patients without evidence of opium withdrawal (P = 0.669). Multivariable analysis showed that opium withdrawal symptoms were not a trigger for acute myocardial infarction adjusting for demographic characteristics, marital status, education level and common coronary artery disease risk profiles [odds ratio (OR) = 0.920, 95% confidence interval (CI) = 0.350-2.419, P = 0.866]. Also, daily dose of opium before reducing or discontinuing use did not predict the appearance of myocardial infarction in the presence of confounder variables (OR = 0.975, 95% CI = 0.832-1.143, P = 0.755). Withdrawal syndrome due to abrupt discontinuation of opium does not have a triggering role for appearance of acute myocardial infarction.

Reasons for Electronic Cigarette Experimentation and Discontinuation Among Adolescents and Young Adults.

PubMed

Kong, Grace; Morean, Meghan E; Cavallo, Dana A; Camenga, Deepa R; Krishnan-Sarin, Suchitra

2015-07-01

Understanding why young people try and stop electronic cigarette (e-cigarette) use is critical to inform e-cigarette regulatory efforts. We conducted 18 focus groups (N = 127) in 1 middle school (MS), 2 high schools (HSs), and 2 colleges in Connecticut to assess themes related to e-cigarette experimentation and discontinuation. We then conducted surveys to evaluate these identified themes in 2 MSs, 4 HSs, and 1 college (N = 1,175) to explore whether reasons for e-cigarette experimentation and/or discontinuation differed by school level or cigarette smoking status. From the focus groups, we identified experimentation themes (i.e., curiosity, flavors, family/peer influence, easy access, and perceptions of e-cigarettes as "cool" and as a healthier/better alternative to cigarettes) and discontinuation themes (i.e., health concerns, loss of interest, high cost, bad taste, and view of e-cigarettes as less satisfying than cigarettes). The survey data showed that the top reasons for experimentation were curiosity (54.4%), appealing flavors (43.8%), and peer influences (31.6%), and the top reasons for discontinuation were responses related to losing interest (23.6%), perceiving e-cigarettes as "uncool" (16.3%), and health concerns (12.1%). Cigarette smokers tried e-cigarettes because of the perceptions that they can be used anywhere and to quit smoking and discontinued because they were not as satisfying as cigarettes. School level differences were detected. E-cigarette prevention efforts toward youth should include limiting e-cigarette flavors, communicating messages emphasizing the health risks of use, and changing social norms surrounding the use of e-cigarettes. The results should be interpreted in light of the limitations of this study. © The Author 2014. Published by Oxford University Press on behalf of the Society for Research on Nicotine and Tobacco. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Exploration of the recurrence in radiation brain necrosis after bevacizumab discontinuation

PubMed Central

Zhuang, Hongqing; Yuan, Xiangkun; Chang, Joe Y.; Song, Yongchun; Wang, Junjie; Yuan, Zhiyong; Wang, Xiaoguang; Wang, Ping

2016-01-01

Objective: The aim of the paper was to investigate the recurrence and its causes of radiation brain necrosis following bevacizumab discontinuation. Methods: This study included 14 patients with radiation brain necrosis (confirmed through imaging) after stereotactic radiotherapy for a primary or metastatic brain tumor and who received bevacizumab treatment from June 2011 through December 2014. The patients received bevacizumab at 5 mg/kg, q3-4w, for at least 3 cycles. The T1 signal intensity from enhanced MRI images was used as the evaluation criteria for the brain necrosis treatment efficacy. Results: brain necrosis improved in 13 of the 14 cases (92.9%). However, during follow-up, 10 of the 13 responsive patients (76.9%) exhibited a recurrence in brain necrosis, and a multiple linear regression analysis shows that brain necrosis recurrence was related to the follow-up time after the initial bevacizumab treatment discontinuation. Conclusion: bevacizumab produced good short-term effects for radiation brain necrosis; however, most of the patients would recurrence after bevacizumab is discontinued. Thus, brain necrosis was irreversible. PMID:26934327

Exploration of the recurrence in radiation brain necrosis after bevacizumab discontinuation.

PubMed

Zhuang, Hongqing; Yuan, Xiangkun; Chang, Joe Y; Song, Yongchun; Wang, Junjie; Yuan, Zhiyong; Wang, Xiaoguang; Wang, Ping

2016-07-26

The aim of the paper was to investigate the recurrence and its causes of radiation brain necrosis following bevacizumab discontinuation. This study included 14 patients with radiation brain necrosis (confirmed through imaging) after stereotactic radiotherapy for a primary or metastatic brain tumor and who received bevacizumab treatment from June 2011 through December 2014. The patients received bevacizumab at 5 mg/kg, q3-4w, for at least 3 cycles. The T1 signal intensity from enhanced MRI images was used as the evaluation criteria for the brain necrosis treatment efficacy. brain necrosis improved in 13 of the 14 cases (92.9%). However, during follow-up, 10 of the 13 responsive patients (76.9%) exhibited a recurrence in brain necrosis, and a multiple linear regression analysis shows that brain necrosis recurrence was related to the follow-up time after the initial bevacizumab treatment discontinuation. bevacizumab produced good short-term effects for radiation brain necrosis; however, most of the patients would recurrence after bevacizumab is discontinued. Thus, brain necrosis was irreversible.

A new approach to treat discontinuities in multi-layered soils

NASA Astrophysics Data System (ADS)

Berardi, Marco; Difonzo, Fabio; Caputo, Maria; Vurro, Michele; Lopez, Luciano

2017-04-01

The water infiltration into two (or more) layered soils can give rise to preferential flow paths at the interface between different soils. The deep understanding of this phenomenon can be of great interest in modeling different environmental problems in geosciences and hydrology. Flow through layered soils arises naturally in agriculture, and layered soils are also engineered as cover liners for landfills. In particular, the treatment of the soil discontinuity is of great interest from the modeling and the numerical point of view, and is still an open problem.% (see, for example, te{Matthews_et_al,Zha_vzj_2013,DeLuca_Cepeda_ASCE_2016}). Assuming to approximate the soils with different porous media, the governing equation for this phenomenon is Richards' equation, in the following form: {eq:different_Richards_1} C_1(ψ) partial ψ/partial t = partial /partial z [ K_1(ψ) ( partial ψ/partial z - 1 ) ], \\quad if \\quad z < \\overline{z}, C_2(ψ) partial ψ/partial t = partial /partial z [ K_2(ψ) ( partial ψ/partial z - 1 ) ], \\quad if \\quad z > \\overline{z}, where \\overline{z} is the spatial threshold that identifies the change in soil structure, and C1 C_2, K_1, K_2, the hydraulic functions that describe the upper and the lower soil, respectively. The ψ-based form is used, in this work. Here we have used the Filippov's theory in order to deal with discontinuous differential systems, and we handled opportunely the numerical discretization in order to treat the abovementioned system by means of this theory, letting the discontinuity depend on the state variable. The advantage of this technique is a better insight on the solution behavior on the discontinuity surface, and the no-need to average the hydraulic conductivity field on the threshold itself, as in the existing literature.

Reasons and predictive factors for discontinuation of PDE-5 inhibitors despite successful intercourse in erectile dysfunction patients

PubMed Central

Kim, S-C; Lee, Y-S; Seo, K-K; Jung, G-W; Kim, T-H

2014-01-01

This study was aimed to identify characteristics of ED patients who discontinued PDE5i despite successful intercourse. Data were collected using a questionnaire from 34 urologic clinics regardless of the effect (success or failure) of PDE5i treatment by visiting the clinics (717), e-mail (64) or post (101) for 882 ED patients who had previously taken any kind of PDE5i on demand four or more times. Discontinuation of PDE5i was defined if the patient had never taken PDE5i for the previous 1 year despite successful intercourse. Of the 882 patients, 485 were included in the final analysis. Difference in the socio-demographic, ED- and partner-related data between the continuation and discontinuation group and factors influencing discontinuation of the PDE5i were analyzed. Among 485 respondents (mean age, 53.6), 116 (23.9%) had discontinued PDE5i use despite successful intercourse. Most common reasons for the discontinuation were ‘reluctant medication-dependent intercourse' (31.0%), ‘spontaneous recovery of erectile function without further treatment' (30.2%), and ‘high cost' (26.7%). In multiple logistic regression analysis, independent factors influencing discontinuation of the drug were cause of ED (psychogenic), short duration of ED, low education (⩽ middle school), and religion (Catholic). In partner-related compliance, only partner's religion (Catholic) was a significant factor. PMID:24305610

38 CFR 21.4210 - Suspension and discontinuance of educational assistance payments, and of enrollments or...

Code of Federal Regulations, 2011 CFR

2011-07-01

... (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Schools § 21.4210 Suspension and discontinuance of educational assistance payments, and of enrollments or... discontinuance of educational assistance payments, and of enrollments or reenrollments for pursuit of approved...

38 CFR 21.4210 - Suspension and discontinuance of educational assistance payments, and of enrollments or...

Code of Federal Regulations, 2010 CFR

2010-07-01

... (CONTINUED) VOCATIONAL REHABILITATION AND EDUCATION Administration of Educational Assistance Programs Schools § 21.4210 Suspension and discontinuance of educational assistance payments, and of enrollments or... discontinuance of educational assistance payments, and of enrollments or reenrollments for pursuit of approved...

27 CFR 19.945 - Notice of permanent discontinuance.

Code of Federal Regulations, 2010 CFR

2010-04-01

... permanently discontinues operations as an alcohol fuel plant shall, after completion of the operations, file a letterhead notice with the appropriate TTB officer. The notice shall be accompanied— (a) By the alcohol fuel... disclosing, as applicable, whether (1) all spirits (including fuel alcohol) have been lawfully disposed of...

High-order Discontinuous Element-based Schemes for the Inviscid Shallow Water Equations: Spectral Multidomain Penalty and Discontinuous Galerkin Methods

DTIC Science & Technology

2011-07-19

multidomain methods, Discontinuous Galerkin methods, interfacial treatment ∗ Jorge A. Escobar-Vargas, School of Civil and Environmental Engineering, Cornell...Click here to view linked References 1. Introduction Geophysical flows exhibit a complex structure and dynamics over a broad range of scales that...hyperbolic problems, where the interfacial patching was implemented with an upwind scheme based on a modified method of characteristics. This approach

A comparative study between shielded and open coplanar waveguide discontinuities

NASA Technical Reports Server (NTRS)

Dib, Nihad I.; Harokopus, W. P., Jr.; Ponchak, G. E.; Katehi, L. P. B.

1993-01-01

A comparative study between open and shielded coplanar waveguide (CPW) discontinuities is presented. The space domain integral equation method is used to characterize several discontinuities such as the open-end CPW and CPW series stubs. Two different geometries of CPW series stubs (straight and bent stubs) are compared with respect to resonant frequency and radiation loss. In addition, the encountered radiation loss due to different CPW shunt stubs is evaluated experimentally. The notion of forced radiation simulation is presented, and the results of such a simulation are compared to the actual radiation loss obtained rigorously. It is shown that such a simulation cannot give reliable results concerning radiation loss from printed circuits.

From continuous to discontinuous transitions in social diffusion

NASA Astrophysics Data System (ADS)

Tuzón, Paula; Fernández-Gracia, Juan; Eguíluz, Víctor M.

2018-03-01

Models of social diffusion reflect processes of how new products, ideas or behaviors are adopted in a population. These models typically lead to a continuous or a discontinuous phase transition of the number of adopters as a function of a control parameter. We explore a simple model of social adoption where the agents can be in two states, either adopters or non-adopters, and can switch between these two states interacting with other agents through a network. The probability of an agent to switch from non-adopter to adopter depends on the number of adopters in her network neighborhood, the adoption threshold T and the adoption coefficient a, two parameters defining a Hill function. In contrast the transition from adopter to non-adopter is spontaneous at a certain rate μ. In a mean-field approach, we derive the governing ordinary differential equations and show that the nature of the transition between the global non-adoption and global adoption regimes depends mostly on the balance between the probability to adopt with one and two adopters. The transition changes from continuous, via a transcritical bifurcation, to discontinuous, via a combination of a saddle-node and a transcritical bifurcation, through a supercritical pitchfork bifurcation. We characterize the full parameter space. Finally, we compare our analytical results with Montecarlo simulations on annealed and quenched degree regular networks, showing a better agreement for the annealed case. Our results show how a simple model is able to capture two seemingly very different types of transitions, i.e., continuous and discontinuous and thus unifies underlying dynamics for different systems. Furthermore the form of the adoption probability used here is based on empirical measurements.

Fundamental ingredients for discontinuous phase transitions in the inertial majority vote model.

PubMed

Encinas, Jesus M; Harunari, Pedro E; de Oliveira, M M; Fiore, Carlos E

2018-06-19

Discontinuous transitions have received considerable interest due to the uncovering that many phenomena such as catastrophic changes, epidemic outbreaks and synchronization present a behavior signed by abrupt (macroscopic) changes (instead of smooth ones) as a tuning parameter is changed. However, in different cases there are still scarce microscopic models reproducing such above trademarks. With these ideas in mind, we investigate the key ingredients underpinning the discontinuous transition in one of the simplest systems with up-down Z 2 symmetry recently ascertained in [Phys. Rev. E 95, 042304 (2017)]. Such system, in the presence of an extra ingredient-the inertia- has its continuous transition being switched to a discontinuous one in complex networks. We scrutinize the role of three central ingredients: inertia, system degree, and the lattice topology. Our analysis has been carried out for regular lattices and random regular networks with different node degrees (interacting neighborhood) through mean-field theory (MFT) treatment and numerical simulations. Our findings reveal that not only the inertia but also the connectivity constitute essential elements for shifting the phase transition. Astoundingly, they also manifest in low-dimensional regular topologies, exposing a scaling behavior entirely different than those from the complex networks case. Therefore, our findings put on firmer bases the essential issues for the manifestation of discontinuous transitions in such relevant class of systems with Z 2 symmetry.

An Application of the Quadrature-Free Discontinuous Galerkin Method

NASA Technical Reports Server (NTRS)

Lockard, David P.; Atkins, Harold L.

2000-01-01

The process of generating a block-structured mesh with the smoothness required for high-accuracy schemes is still a time-consuming process often measured in weeks or months. Unstructured grids about complex geometries are more easily generated, and for this reason, methods using unstructured grids have gained favor for aerodynamic analyses. The discontinuous Galerkin (DG) method is a compact finite-element projection method that provides a practical framework for the development of a high-order method using unstructured grids. Higher-order accuracy is obtained by representing the solution as a high-degree polynomial whose time evolution is governed by a local Galerkin projection. The traditional implementation of the discontinuous Galerkin uses quadrature for the evaluation of the integral projections and is prohibitively expensive. Atkins and Shu introduced the quadrature-free formulation in which the integrals are evaluated a-priori and exactly for a similarity element. The approach has been demonstrated to possess the accuracy required for acoustics even in cases where the grid is not smooth. Other issues such as boundary conditions and the treatment of non-linear fluxes have also been studied in earlier work This paper describes the application of the quadrature-free discontinuous Galerkin method to a two-dimensional shear layer problem. First, a brief description of the method is given. Next, the problem is described and the solution is presented. Finally, the resources required to perform the calculations are given.

47 CFR 63.71 - Procedures for discontinuance, reduction or impairment of service by domestic carriers.

Code of Federal Regulations, 2010 CFR

2010-10-01

... impairment of service by domestic carriers. 63.71 Section 63.71 Telecommunication FEDERAL COMMUNICATIONS..., REDUCTION, OUTAGE AND IMPAIRMENT OF SERVICE BY COMMON CARRIERS; AND GRANTS OF RECOGNIZED PRIVATE OPERATING AGENCY STATUS Discontinuance, Reduction, Outage and Impairment § 63.71 Procedures for discontinuance...

Multistability of neural networks with discontinuous non-monotonic piecewise linear activation functions and time-varying delays.

PubMed

Nie, Xiaobing; Zheng, Wei Xing

2015-05-01

This paper is concerned with the problem of coexistence and dynamical behaviors of multiple equilibrium points for neural networks with discontinuous non-monotonic piecewise linear activation functions and time-varying delays. The fixed point theorem and other analytical tools are used to develop certain sufficient conditions that ensure that the n-dimensional discontinuous neural networks with time-varying delays can have at least 5(n) equilibrium points, 3(n) of which are locally stable and the others are unstable. The importance of the derived results is that it reveals that the discontinuous neural networks can have greater storage capacity than the continuous ones. Moreover, different from the existing results on multistability of neural networks with discontinuous activation functions, the 3(n) locally stable equilibrium points obtained in this paper are located in not only saturated regions, but also unsaturated regions, due to the non-monotonic structure of discontinuous activation functions. A numerical simulation study is conducted to illustrate and support the derived theoretical results. Copyright © 2015 Elsevier Ltd. All rights reserved.

Clinician support and psychosocial risk factors associated with breastfeeding discontinuation.

PubMed

Taveras, Elsie M; Capra, Angela M; Braveman, Paula A; Jensvold, Nancy G; Escobar, Gabriel J; Lieu, Tracy A

2003-07-01

Breastfeeding rates fall short of goals set in Healthy People 2010 and other national recommendations. The current, national breastfeeding continuation rate of 29% at 6 months lags behind the Healthy People 2010 goal of 50%. The objective of this study was to evaluate associations between breastfeeding discontinuation at 2 and 12 weeks postpartum and clinician support, maternal physical and mental health status, workplace issues, and other factors amenable to intervention. A prospective cohort study was conducted of low-risk mothers and infants who were in a health maintenance organization and enrolled in a randomized, controlled trial of home visits. Mothers were interviewed in person at 1 to 2 days postpartum and by telephone at 2 and 12 weeks. Logistic regression modeling was performed to assess the independent effects of the predictors of interest, adjusting for sociodemographic and other confounding variables. Of the 1163 mother-newborn pairs in the cohort, 1007 (87%) initiated breastfeeding, 872 (75%) were breastfeeding at the 2-week interview, and 646 (55%) were breastfeeding at the 12-week interview. In the final multivariate models, breastfeeding discontinuation at 2 weeks was associated with lack of confidence in ability to breastfeed at the 1- to 2-day interview (odds ratio [OR]: 2.8; 95% confidence interval [CI]: 1.02-7.6), early breastfeeding problems (OR: 1.5; 95% CI: 1.1-1.97), Asian race/ethnicity (OR: 2.6; 95% CI: 1.1-5.7), and lower maternal education (OR: 1.5; 95% CI: 1.2-1.9). Mothers were much less likely to discontinue breastfeeding at 12 weeks postpartum if they reported (during the 12-week interview) having received encouragement from their clinician to breastfeed (OR: 0.6; 95% CI: 0.4-0.8). Breastfeeding discontinuation at 12 weeks was also associated with demographic factors and maternal depressive symptoms (OR: 1.18; 95% CI: 1.01-1.37) and returning to work or school by 12 weeks postpartum (OR: 2.4; 95% CI: 1.8-3.3). Our results indicate

On a direct connection of the transition metal impurity levels to the band edge discontinuities in semiconductor heterojunctions

NASA Astrophysics Data System (ADS)

Langer, Jerzy M.; Heinrich, Helmut

1985-11-01

Our recent proposal of using the transition metal impurity levels to predict the isovalent heterojunction (HJ) band-edge discontinuities is further discussed. It is shown that for Ga 1-xAl xAs/GaAs heterojunctions most of the recent discontinuity data follow within experimental error the prediction of the ΔE cb: ΔE vb= 0.64:0.36 discontinuity ratio derived from the Fe 2+ level position in Ga 1-xAl xAs compound. Predictions of valence-band discontinuities for the other III-V and II-VI HJ systems are also given.

Bohman-Frieze-Wormald model on the lattice, yielding a discontinuous percolation transition

NASA Astrophysics Data System (ADS)

Schrenk, K. J.; Felder, A.; Deflorin, S.; Araújo, N. A. M.; D'Souza, R. M.; Herrmann, H. J.

2012-03-01

The BFW model introduced by Bohman, Frieze, and Wormald [Random Struct. Algorithms1042-983210.1002/rsa.20038, 25, 432 (2004)], and recently investigated in the framework of discontinuous percolation by Chen and D'Souza [Phys. Rev. Lett.PRLTAO0031-900710.1103/PhysRevLett.106.115701 106, 115701 (2011)], is studied on the square and simple-cubic lattices. In two and three dimensions, we find numerical evidence for a strongly discontinuous transition. In two dimensions, the clusters at the threshold are compact with a fractal surface of fractal dimension df=1.49±0.02. On the simple-cubic lattice, distinct jumps in the size of the largest cluster are observed. We proceed to analyze the tree-like version of the model, where only merging bonds are sampled, for dimension two to seven. The transition is again discontinuous in any considered dimension. Finally, the dependence of the cluster-size distribution at the threshold on the spatial dimension is also investigated.

A Reconstructed Discontinuous Galerkin Method for the Euler Equations on Arbitrary Grids

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

Hong Luo; Luqing Luo; Robert Nourgaliev

2012-11-01

A reconstruction-based discontinuous Galerkin (RDG(P1P2)) method, a variant of P1P2 method, is presented for the solution of the compressible Euler equations on arbitrary grids. In this method, an in-cell reconstruction, designed to enhance the accuracy of the discontinuous Galerkin method, is used to obtain a quadratic polynomial solution (P2) from the underlying linear polynomial (P1) discontinuous Galerkin solution using a least-squares method. The stencils used in the reconstruction involve only the von Neumann neighborhood (face-neighboring cells) and are compact and consistent with the underlying DG method. The developed RDG method is used to compute a variety of flow problems onmore » arbitrary meshes to demonstrate its accuracy, efficiency, robustness, and versatility. The numerical results indicate that this RDG(P1P2) method is third-order accurate, and outperforms the third-order DG method (DG(P2)) in terms of both computing costs and storage requirements.« less

Adherence, persistence, and medication discontinuation in patients with attention-deficit/hyperactivity disorder – a systematic literature review

PubMed Central

Gajria, Kavita; Lu, Mei; Sikirica, Vanja; Greven, Peter; Zhong, Yichen; Qin, Paige; Xie, Jipan

2014-01-01

Untreated attention-deficit/hyperactivity disorder (ADHD) can lead to substantial adverse social, economic, and emotional outcomes for patients. The effectiveness of current pharmacologic treatments is often reduced, due to low treatment adherence and medication discontinuation. This current systematic literature review analyzes the current state of knowledge surrounding ADHD medication discontinuation, focusing on: 1) the extent of patient persistence; 2) adherence; and 3) the underlying reasons for patients’ treatment discontinuation and how discontinuation rates and reasons vary across patient subgroups. We selected 91 original studies (67 with persistence/discontinuation results, 26 with adherence results, and 41 with reasons for discontinuation, switching, or nonadherence) and 36 expert opinion reviews on ADHD medication discontinuation, published from 1990 to 2013. Treatment persistence on stimulants, measured by treatment duration during the 12-month follow-up periods, averaged 136 days for children and adolescents and 230 days for adults. Owing to substantial study heterogeneity, comparisons across age or medication type subgroups were generally inconclusive; however, long-acting formulations and amphetamines were associated with longer treatment duration than short-acting formulations and methylphenidates. The medication possession ratio, used to measure adherence, was <0.7 for all age groups and medication classes during a 12-month period. Adverse effects were the most commonly cited reason for discontinuation in all studies. Original research studies reported the lack of symptom control as a common discontinuation reason, followed by dosing inconvenience, social stigma associated with ADHD medication, and the patient’s attitude. In summary, although there was a lack of consistency in the measurement of adherence and persistence, these findings indicate that drug adherence and persistence are generally poor among patients with ADHD. Clinicians may be

Age at treatment predicts reason for discontinuation of TNF antagonists: data from the BIOBADASER 2.0 registry.

PubMed

Busquets, Noemí; Tomero, Eva; Descalzo, Miguel Ángel; Ponce, Andrés; Ortiz-Santamaría, Vera; Surís, Xavier; Carmona, Loreto; Gómez-Reino, Juan J

2011-11-01

To assess the retention rate of TNF antagonists in elderly patients suffering from chronic arthropathies and to identify predictive variables of discontinuation by inefficacy or by adverse events (AEs). All patients treated with TNF antagonists in BIOBADASER 2.0, with a diagnosis of either RA or spondyloarthritis (SpA: AS and PsA) were included and classified as <65 (younger) or ≥65 years of age (older) at start of the treatment. Cumulative incidence function for discontinuation (inefficacy or AE) was estimated as being the alternative reason for a competing risk. Competing-risks regression models were used to measure the association between study groups, covariates and reason for discontinuation. A total of 4851 patients were studied; 2957 RA (2291 in the younger group and 666 in the older group) and 1894 SpA (1795 in the younger group and 99 in the older group). Retention curves were statistically differently stratified by age groups, with the SpA younger group having the largest retention rate. Competing-risks regression models showed that in the older group, AEs were the most common reason for discontinuation regardless of the diagnosis of the patient and TNF antagonist molecule, whereas in the younger group, the most common cause of discontinuation was inefficacy. In conclusion, factors predicting discontinuation of TNF antagonists due to AEs are older age and diagnosis of RA. On the other hand, younger age predicts discontinuation due to lack of efficacy.

The effect of manufacturing conditions on discontinuity population and fatigue fracture behavior in carbon/epoxy composites

NASA Astrophysics Data System (ADS)

Hakim, Issa; Laquai, Rene; Walter, David; Mueller, Bernd; Graja, Paul; Meyendorf, Norbert; Donaldson, Steven

2017-02-01

Carbon fiber composites have been increasingly used in aerospace, military, sports, automotive and other fields due to their excellent properties, including high specific strength, high specific modulus, corrosion resistance, fatigue resistance, and low thermal expansion coefficient. Interlaminar fracture is a serious failure mode leading to a loss in composite stiffness and strength. Discontinuities formed during manufacturing process degrade the fatigue life and interlaminar fracture resistance of the composite. In his study, three approaches were implemented and their results were correlated to quantify discontinuities effecting static and fatigue interlaminar fracture behavior of carbon fiber composites. Samples were fabricated by hand layup vacuum bagging manufacturing process under three different vacuum levels, indicated High (-686 mmHg), Moderate (-330 mmHg) and Poor (0 mmHg). Discontinuity content was quantified through-thickness by destructive and nondestructive techniques. Eight different NDE methods were conducted including imaging NDE methods: X-Ray laminography, ultrasonic, high frequency eddy current, pulse thermography, pulse phase thermography and lock-in-thermography, and averaging NDE techniques: X-Ray refraction and thermal conductivity measurements. Samples were subsequently destructively serial sectioned through-thickness into several layers. Both static and fatigue interlaminar fracture behavior under Mode I were conducted. The results of several imaging NDE methods revealed the trend in percentages of discontinuity. However, the results of averaging NDE methods showed a clear correlation since they gave specific values of discontinuity through-thickness. Serial sectioning exposed the composite's internal structure and provided a very clear idea about the type, shape, size, distribution and location of most discontinuities included. The results of mechanical testing showed that discontinuities lead to a decrease in Mode I static interlaminar

Block Volume Estimation from the Discontinuity Spacing Measurements of Mesozoic Limestone Quarries, Karaburun Peninsula, Turkey

PubMed Central

Elci, Hakan; Turk, Necdet

2014-01-01

Block volumes are generally estimated by analyzing the discontinuity spacing measurements obtained either from the scan lines placed over the rock exposures or the borehole cores. Discontinuity spacing measurements made at the Mesozoic limestone quarries in Karaburun Peninsula were used to estimate the average block volumes that could be produced from them using the suggested methods in the literature. The Block Quality Designation (BQD) ratio method proposed by the authors has been found to have given in the same order of the rock block volume to the volumetric joint count (J v) method. Moreover, dimensions of the 2378 blocks produced between the years of 2009 and 2011 in the working quarries have been recorded. Assuming, that each block surfaces is a discontinuity, the mean block volume (V b), the mean volumetric joint count (J vb) and the mean block shape factor of the blocks are determined and compared with the estimated mean in situ block volumes (V in) and volumetric joint count (J vi) values estimated from the in situ discontinuity measurements. The established relations are presented as a chart to be used in practice for estimating the mean volume of blocks that can be obtained from a quarry site by analyzing the rock mass discontinuity spacing measurements. PMID:24696642

Seismic imaging of mantle transition zone discontinuities beneath the northern Red Sea and adjacent areas

NASA Astrophysics Data System (ADS)

Mohamed, A. A.; Gao, S. S.; Elsheikh, A. A.; Liu, K. H.; Yu, Y.; Fat-Helbary, R. E.

2014-11-01

The dramatic asymmetry in terms of surface elevation, Cenozoic volcanisms and earthquake activity across the Red Sea is an enigmatic issue in global tectonics, partially due to the unavailability of broad-band seismic data on the African Plate adjacent to the Red Sea. Here, we report the first comprehensive image of the mantle transition zone (MTZ) discontinuities using data from the Egyptian National Seismic Network, and compare the resulting depths of the 410 and 660-km discontinuities with those observed on the Arabian side. Our results show that when a standard earth model is used for time-to-depth conversion, the resulting depth of the discontinuities increases systematically towards the axis of the Afro-Arabian Dome (AAD) from both the west and east. Relative to the westernmost area, the maximum depression of the 410-km discontinuity is about 30 km, and that of the 660-km discontinuity is about 45 km. The observed systematic variations can best be explained by a model involving a hydrated MTZ and an upper-mantle low-velocity zone beneath the AAD. Models invoking one or more mantle plumes originated from the MTZ or the lower-mantle beneath the study area are not consistent with the observations.

Block volume estimation from the discontinuity spacing measurements of mesozoic limestone quarries, Karaburun Peninsula, Turkey.

PubMed

Elci, Hakan; Turk, Necdet

2014-01-01

Block volumes are generally estimated by analyzing the discontinuity spacing measurements obtained either from the scan lines placed over the rock exposures or the borehole cores. Discontinuity spacing measurements made at the Mesozoic limestone quarries in Karaburun Peninsula were used to estimate the average block volumes that could be produced from them using the suggested methods in the literature. The Block Quality Designation (BQD) ratio method proposed by the authors has been found to have given in the same order of the rock block volume to the volumetric joint count (J(v)) method. Moreover, dimensions of the 2378 blocks produced between the years of 2009 and 2011 in the working quarries have been recorded. Assuming, that each block surfaces is a discontinuity, the mean block volume (V(b)), the mean volumetric joint count (J(vb)) and the mean block shape factor of the blocks are determined and compared with the estimated mean in situ block volumes (V(in)) and volumetric joint count (J(vi)) values estimated from the in situ discontinuity measurements. The established relations are presented as a chart to be used in practice for estimating the mean volume of blocks that can be obtained from a quarry site by analyzing the rock mass discontinuity spacing measurements.

How Can Comparison Groups Strengthen Regression Discontinuity Designs?

ERIC Educational Resources Information Center

Wing, Coady; Cook, Thomas D.

2011-01-01

In this paper, the authors examine some of the ways that different types of non-equivalent comparison groups can be used to strengthen causal inferences based on regression discontinuity design (RDD). First, they consider a design that incorporates pre-test data on assignment scores and outcomes that were collected either before the treatment…

Regularization of discontinuous foliations: Blowing up and sliding conditions via Fenichel theory

NASA Astrophysics Data System (ADS)

Panazzolo, Daniel; da Silva, Paulo R.

2017-12-01

We study the regularization of an oriented 1-foliation F on M ∖ Σ where M is a smooth manifold and Σ ⊂ M is a closed subset, which can be interpreted as the discontinuity locus of F. In the spirit of Filippov's work, we define a sliding and sewing dynamics on the discontinuity locus Σ as some sort of limit of the dynamics of a nearby smooth 1-foliation and obtain conditions to identify whether a point belongs to the sliding or sewing regions.

Risk factors associated with treatment discontinuation and down-titration in type 2 diabetes patients treated with sulfonylureas.

PubMed

Iglay, Kristy; Qiu, Ying; Steve Fan, Chun-Po; Li, Zhiyi; Tang, Jackson; Laires, Pedro

2016-09-01

Sulfonylurea therapy among patients with type 2 diabetes mellitus (T2DM) can be disrupted due to adverse events, including hypoglycemia. A retrospective study using the MarketScan claims database quantified the frequency of sulfonylurea discontinuation or down-titration and identified associated risk factors. Adult patients with an index sulfonylurea prescription between 2008 and 2012 and 1 year continuous enrollment pre- and post-index were included. Therapy changes assessed over 1 year post-index included discontinuation and down-titration. Discontinuation occurred if the date of a fill was >90 days from the end date of the preceding fill. Down-titration occurred when a fill had a lower equivalent dose than the fill on the index date. Kaplan-Meier methods estimated the probability of either discontinuation or down-titration over 12 months, and Cox regression models identified associated risk factors. A total of 104,082 sulfonylurea users were included in the study and the probability of either discontinuation or down-titration at 3, 6 and 12 months was 23.2%, 38.9%, and 52.3%, respectively. Major risk factors associated with therapy changes included post-index hypoglycemia (discontinuation hazard ratio [HR] = 1.78 [1.68, 1.89]; down-titration HR =2.79 [2.40, 3.23]) and concomitant use of insulin (discontinuation HR =1.48 [1.40, 1.57]; down-titration HR =1.82 [1.56, 2.11]). Other risk factors included younger age, female gender, use of second generation sulfonylureas, prior cardiovascular comorbidity and liver disease. The study was not able to assess unreported, potentially mild cases of hypoglycemia, nor was it able to evaluate the association between changes in therapy and HbA1c levels or body weight. More than half of T2DM patients who initiated sulfonylurea therapy discontinued or down-titrated within 1 year. Insulin use and hypoglycemia were associated with sulfonylurea therapy change.

Premature Discontinuation of Prospective Clinical Studies Approved by a Research Ethics Committee - A Comparison of Randomised and Non-Randomised Studies.

PubMed

Blümle, Anette; Schandelmaier, Stefan; Oeller, Patrick; Kasenda, Benjamin; Briel, Matthias; von Elm, Erik

2016-01-01

Premature discontinuation of clinical studies affects about 25% of randomised controlled trials (RCTs) which raises concerns about waste of scarce resources for research. The risk of discontinuation of non-randomised prospective studies (NPSs) is yet unclear. To compare the proportion of discontinued studies between NPSs and RCTs that received ethical approval. We systematically surveyed prospective longitudinal clinical studies that were approved by a single REC in Freiburg, Germany between 2000 and 2002. We collected study characteristics, identified subsequent publications, and surveyed investigators to elucidate whether a study was discontinued and, if so, why. Of 917 approved studies, 547 were prospective longitudinal studies (306 RCTs and 241 NPSs). NPSs were on average smaller than RCTs, more frequently single centre and pilot studies, and less frequently funded by industry. NPSs were less frequently discontinued than RCTs: 32/221 (14%) versus 78/288 (27%, p<0.001, missing data excluded). Poor recruitment was the most frequent reason for discontinuation in both NPSs (36%) and RCTs (37%). Compared to RCTs, NPSs were at lower risk for discontinuation. Measures to reliably predict, sustain, and stimulate recruitment could prevent discontinuation of many RCTs but also of some NPSs.

Pasture succession in the Neotropics: extending the nucleation hypothesis into a matrix discontinuity hypothesis.

PubMed

Peterson, Chris J; Dosch, Jerald J; Carson, Walter P

2014-08-01

The nucleation hypothesis appears to explain widespread patterns of succession in tropical pastures, specifically the tendency for isolated trees to promote woody species recruitment. Still, the nucleation hypothesis has usually been tested explicitly for only short durations and in some cases isolated trees fail to promote woody recruitment. Moreover, at times, nucleation occurs in other key habitat patches. Thus, we propose an extension, the matrix discontinuity hypothesis: woody colonization will occur in focal patches that function to mitigate the herbaceous vegetation effects, thus providing safe sites or regeneration niches. We tested predictions of the classical nucleation hypothesis, the matrix discontinuity hypothesis, and a distance from forest edge hypothesis, in five abandoned pastures in Costa Rica, across the first 11 years of succession. Our findings confirmed the matrix discontinuity hypothesis: specifically, rotting logs and steep slopes significantly enhanced woody colonization. Surprisingly, isolated trees did not consistently significantly enhance recruitment; only larger trees did so. Finally, woody recruitment consistently decreased with distance from forest. Our results as well as results from others suggest that the nucleation hypothesis needs to be broadened beyond its historical focus on isolated trees or patches; the matrix discontinuity hypothesis focuses attention on a suite of key patch types or microsites that promote woody species recruitment. We argue that any habitat discontinuities that ameliorate the inhibition by dense graminoid layers will be foci for recruitment. Such patches could easily be manipulated to speed the transition of pastures to closed canopy forests.

The use of discontinuities and functional groups to assess relative resilience in complex systems

USGS Publications Warehouse

Allen, Craig R.; Gunderson, Lance; Johnson, A.R.

2005-01-01

It is evident when the resilience of a system has been exceeded and the system qualitatively changed. However, it is not clear how to measure resilience in a system prior to the demonstration that the capacity for resilient response has been exceeded. We argue that self-organizing human and natural systems are structured by a relatively small set of processes operating across scales in time and space. These structuring processes should generate a discontinuous distribution of structures and frequencies, where discontinuities mark the transition from one scale to another. Resilience is not driven by the identity of elements of a system, but rather by the functions those elements provide, and their distribution within and across scales. A self-organizing system that is resilient should maintain patterns of function within and across scales despite the turnover of specific elements (for example, species, cities). However, the loss of functions, or a decrease in functional representation at certain scales will decrease system resilience. It follows that some distributions of function should be more resilient than others. We propose that the determination of discontinuities, and the quantification of function both within and across scales, produce relative measures of resilience in ecological and other systems. We describe a set of methods to assess the relative resilience of a system based upon the determination of discontinuities and the quantification of the distribution of functions in relation to those discontinuities. ?? 2005 Springer Science+Business Media, Inc.

Discontinuing Pneumocystis jirovecii Pneumonia Prophylaxis in HIV-Infected Patients With a CD4 Cell Count <200 cells/mm3.

PubMed

Sidhu, Vaninder K; Foisy, Michelle M; Hughes, Christine A

2015-12-01

To review the evidence for discontinuing primary and secondary Pneumocystis jirovecii pneumonia (PJP) prophylaxis in HIV-infected patients with a CD4 count <200 cells/mm(3). We conducted a literature search in MEDLINE, EMBASE, Cochrane Library, Google Scholar, and the International Aids Society Library (up to August 2015) using the following key search terms: Pneumocystis jirovecii, pneumonia, human immunodeficiency virus, primary prophylaxis, secondary prophylaxis, and discontinuation. All English-language studies that evaluated discontinuation of primary and/or secondary PJP prophylaxis in HIV-infected patients with CD4 count <200 cells/mm(3) were included. Five studies were identified, which varied in design, sample size, outcomes, and duration of follow-up. Three studies examined discontinuation of primary and secondary PJP prophylaxis; 1 study evaluated discontinuing primary PJP prophylaxis; and 1 study evaluated stopping secondary PJP prophylaxis. Two out of the 5 studies pooled data for all opportunistic infections. Overall, there was a low incidence of PJP among HIV-infected patients who discontinued primary PJP prophylaxis and were well controlled on antiretroviral therapy (ART). Discontinuation of primary PJP prophylaxis appears to be safe in patients on combination ART with a suppressed HIV viral load and a CD4 count >100 cells/mm(3). Additional data are needed to support the safety of discontinuing secondary PJP prophylaxis. Decisions to discontinue PJP prophylaxis in patients with a CD4 count <200 cells/mm(3) should be done on an individual patient basis, taking into consideration clinical factors, including ongoing adherence to ART. © The Author(s) 2015.

Discontinuation of anti-VEGF cancer therapy promotes metastasis through a liver revascularization mechanism

PubMed Central

Yang, Yunlong; Zhang, Yin; Iwamoto, Hideki; Hosaka, Kayoko; Seki, Takahiro; Andersson, Patrik; Lim, Sharon; Fischer, Carina; Nakamura, Masaki; Abe, Mitsuhiko; Cao, Renhai; Skov, Peter Vilhelm; Chen, Fang; Chen, Xiaoyun; Lu, Yongtian; Nie, Guohui; Cao, Yihai

2016-01-01

The impact of discontinuation of anti-VEGF cancer therapy in promoting cancer metastasis is unknown. Here we show discontinuation of anti-VEGF treatment creates a time-window of profound structural changes of liver sinusoidal vasculatures, exhibiting hyper-permeability and enlarged open-pore sizes of the fenestrated endothelium and loss of VE-cadherin. The drug cessation caused highly leaky hepatic vasculatures permit tumour cell intravasation and extravasation. Discontinuation of an anti-VEGF antibody-based drug and sunitinib markedly promotes liver metastasis. Mechanistically, host hepatocyte, but not tumour cell-derived vascular endothelial growth factor (VEGF), is responsible for cancer metastasis. Deletion of hepatocyte VEGF markedly ablates the ‘off-drug'-induced metastasis. These findings provide mechanistic insights on anti-VEGF cessation-induced metastasis and raise a new challenge for uninterrupted and sustained antiangiogenic therapy for treatment of human cancers. PMID:27580750

Seismic Observations Indicating That the 2015 Ogasawara (Bonin) Earthquake Ruptured Beneath the 660 km Discontinuity

NASA Astrophysics Data System (ADS)

Kuge, Keiko

2017-11-01

The termination of deep earthquakes at a depth of 700 km is a key feature for understanding the physical mechanism of deep earthquakes. The 680 km deep 30 May 2015, Ogasawara (Bonin) earthquake (Mw 7.9) and its aftershocks were recorded by seismic stations at distances from 7° to 19°. Synthetic seismograms indicate that the P waveforms depend on whether the earthquake is located above or below the 660 km discontinuity. In this study, I show that broadband recordings indicate that the 2015 earthquake may have occurred below the 660 km velocity discontinuity. Recordings of the P wave from the strongest aftershock lack evidence for wave triplication expected when a subhorizontal discontinuity underlies the hypocenter. Theoretical waveforms computed with a 660 km discontinuity above the aftershock and mainshock match the observed waveforms more accurately. These observations may indicate earthquake ruptures due to mantle minerals other than olivine or strong deformation of the 660 km phase transition.

The 1D Richards' equation in two layered soils: a Filippov approach to treat discontinuities

NASA Astrophysics Data System (ADS)

Berardi, Marco; Difonzo, Fabio; Vurro, Michele; Lopez, Luciano

2018-05-01

The infiltration process into the soil is generally modeled by the Richards' partial differential equation (PDE). In this paper a new approach for modeling the infiltration process through the interface of two different soils is proposed, where the interface is seen as a discontinuity surface defined by suitable state variables. Thus, the original 1D Richards' PDE, enriched by a particular choice of the boundary conditions, is first approximated by means of a time semidiscretization, that is by means of the transversal method of lines (TMOL). In such a way a sequence of discontinuous initial value problems, described by a sequence of second order differential systems in the space variable, is derived. Then, Filippov theory on discontinuous dynamical systems may be applied in order to study the relevant dynamics of the problem. The numerical integration of the semidiscretized differential system will be performed by using a one-step method, which employs an event driven procedure to locate the discontinuity surface and to adequately change the vector field.

Predictors of premature discontinuation of outpatient treatment after discharge of patients with posttraumatic stress disorder.

PubMed

Wang, Hee Ryung; Woo, Young Sup; Jun, Tae-Youn; Bahk, Won-Myong

2015-01-01

This study aimed to examine the sociodemographic and disease-related variables associated with the premature discontinuation of psychiatric outpatient treatment after discharge among patients with noncombat-related posttraumatic stress disorder. We retrospectively reviewed the medical records of patients who were discharged with a diagnosis of posttraumatic stress disorder. Fifty-five percent of subjects (57/104) prematurely discontinued outpatient treatment within 6 months of discharge. Comparing sociodemographic variables between the 6-month non-follow-up group and 6-month follow-up group, there were no variables that differed between the two groups. However, comparing disease-related variables, the 6-month follow-up group showed a longer hospitalization duration and higher Global Assessment of Function score at discharge. The logistic regression analysis showed that a shorter duration of hospitalization predicted premature discontinuation of outpatient treatment within 6 months of discharge. The duration of psychiatric hospitalization for posttraumatic stress disorder appeared to influence the premature discontinuation of outpatient treatment after discharge.

Long-term outcome of patients with Crohn's disease who discontinued infliximab therapy upon clinical remission.

PubMed

Papamichael, Konstantinos; Vande Casteele, Niels; Gils, Ann; Tops, Sophie; Hauenstein, Scott; Singh, Sharat; Princen, Fred; Van Assche, Gert; Rutgeerts, Paul; Vermeire, Severine; Ferrante, Marc

2015-06-01

There are limited data on the effects of discontinuing infliximab therapy for Crohn's disease (CD). We investigated the long-term outcome of patients with CD who discontinued infliximab while in clinical remission, and searched for prognostic markers of continued remission after infliximab cessation. We performed a retrospective, single-center study of 100 patients with CD who discontinued infliximab upon achieving clinical remission; 84 patients continued immunomodulator therapy. Clinical and endoscopic data were retrieved from a medical database in Belgium, and patients were followed up through April 2013 (median, 9.7 y; interquartile range, 8-11.5 y). Sustained clinical remission (SCR) was defined as maintenance of disease remission, without escalation in medical therapy or CD-related surgeries, until the end of the follow-up period. We measured trough concentrations of infliximab, antibodies to microbial antigens, and circulating inflammatory markers in serum samples collected before treatment and at the time of infliximab discontinuation. At the end of the follow-up period, 52 patients had SCR. Univariate (log-rank) analysis associated SCR with patient age at diagnosis (≥25 y; P = .012) and disease duration (<1 y; P = .017). Among factors evaluated at the time of infliximab discontinuation, infliximab trough concentrations (<6 μg/mL; P = .031), complete mucosal healing (P = .046), and serum positivity for vascular cell adhesion molecule-1 (>0.67 μg/mL; P = .024) were associated with SCR. In multiple Cox proportional hazards regression analysis, only age at diagnosis of 25 years and older was associated independently with SCR (hazard ratio, 1.83; 95% confidence interval, 1.03-3.25; P = .04). In a large, real-life study, 52% of patients with CD who discontinued infliximab upon achieving clinical remission remained in SCR after a median period of approximately 10 years; Most patients remained on immunomodulator therapy. Although patients with CD have

Grades, Gender, and Encouragement: A Regression Discontinuity Analysis

ERIC Educational Resources Information Center

Owen, Ann L.

2010-01-01

The author employs a regression discontinuity design to provide direct evidence on the effects of grades earned in economics principles classes on the decision to major in economics and finds a differential effect for male and female students. Specifically, for female students, receiving an A for a final grade in the first economics class is…

27 CFR 19.19 - Discontinuance of storage facilities.

Code of Federal Regulations, 2011 CFR

2011-04-01

... due on the spirits and then to the cost and expense of the sale and removal, and the remaining balance... 27 Alcohol, Tobacco Products and Firearms 1 2011-04-01 2011-04-01 false Discontinuance of storage facilities. 19.19 Section 19.19 Alcohol, Tobacco Products and Firearms ALCOHOL AND TOBACCO TAX AND TRADE...

In-situ study of discontinuous precipitation in Al-15 at.% Zn

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

Abdou, S.; El-Boragy, M.; Solorzano, G.

1996-05-01

In the present study, attention was focused on in-situ work on discontinuous precipitation in Al-15.0 at.% Zn in a high voltage electron microscope using a hot stage and a video system. The microscope was an AEI instrument with a maximum voltage of 1.25 MV. The voltage used was 500 kV. The scope of the present study was to check if the grain boundary migration in the discontinuous precipitation reaction proceeds in a stop-and-go fashion. From all the observations reported here it can be concluded that the stop-and-go type of grain boundary migration seems to be a very general one. Butmore » in many cases it cannot easily experimentally be proved. In case of discontinuous precipitation in Al-15.0 at.% Zn it has been clearly demonstrated by in-situ observations in a high-voltage electron microscope that the reaction front migration occurs in a stop-and-go fashion. Consequently, there is a drastic difference between the average velocity and the instantaneous velocity. The only quantity, which can be determined in traditional experiments, is the average velocity to which the Petermann-Hornbogen equation is adequate.« less

Multiplicity of the 660-km discontinuity beneath the Izu-Bonin area

NASA Astrophysics Data System (ADS)

Zhou, Yuan-Ze; Yu, Xiang-Wei; Yang, Hui; Zang, Shao-Xian

2012-05-01

The relatively simple subducting slab geometry in the Izu-Bonin region provides a valuable opportunity to study the multiplicity of the 660-km discontinuity and the related response of the subducting slab on the discontinuity. Vertical short-period recordings of deep events with simple direct P phases beneath the Izu-Bonin region were retrieved from two seismic networks in the western USA and were used to study the structure of the 660-km discontinuity. After careful selection and pre-processing, 23 events from the networks, forming 32 pairs of event-network records, were processed. Related vespagrams were produced using the N-th root slant stack method for detecting weak down-going SdP phases that were inverted to the related conversion points. From depth histograms and the spatial distribution of the conversion points, there were three clear interfaces at depths of 670, 710 and 730 km. These interfaces were depressed approximately 20-30 km in the northern region. In the southern region, only two layers were identified in the depth histograms, and no obvious layered structure could be observed from the distribution of the conversion points.

A broadband high-transmission gradient phase discontinuity metasurface

NASA Astrophysics Data System (ADS)

Liu, Yahong; Liu, Congcong; Song, Kun; Li, Meize; Zhao, Xiaopeng

2018-03-01

Metasurfaces have attracted significant attention due to the control of the electromagnetic waves that they enable. In this paper, we demonstrate a high-transmission gradient phase discontinuity metasurface composed of metallic rods and cylindrical dielectric resonators operating at a broadband microwave frequency from 8 GHz to 9.8 GHz, with a fractional bandwidth of 20.2%. The proposed gradient phase discontinuity metasurface can achieve complete 2π transmission phase coverage with π/4 phase intervals by varying the geometric parameters of the dielectric resonators and metallic rods. It is shown that the proposed metasurface can refract a normally incident plane wave to an angle of 30°. The broadband metasurface is flexible, and the refracted angle can be adjusted easily by varying the lattice constant. Besides the broadband anomalous refraction, we also demonstrate the metasurface can produce an interesting vortex and wave-focusing in the wide frequency range from 8 GHz to 9.8 GHz. Finally, we demonstrate that the present metasurface can tailor interference wavefronts to plane wavefronts.

The Role of Cultural Discontinuity in the Academic Outcomes of Latina/o High School Students

ERIC Educational Resources Information Center

Taggart, Amanda

2017-01-01

This study examined the impact of cultural discontinuity on the academic outcomes of Latina/o high school students. Hierarchical multiple regression was utilized to (a) investigate the significant differences between the characteristics and academic outcomes of high school students who do and do not experience cultural discontinuity between their…

Forced-Air Warming Discontinued: Periprosthetic Joint Infection Rates Drop.

PubMed

Augustine, Scott D

2017-06-23

Several studies have shown that the waste heat from forced-air warming (FAW) escapes near the floor and warms the contaminated air resident near the floor. The waste heat then forms into convection currents that rise up and contaminate the sterile field above the surgical table. It has been shown that a single airborne bacterium can cause a periprosthetic joint infection (PJI) following joint replacement surgery. We retrospectively compared PJI rates during a period of FAW to a period of air-free conductive fabric electric warming (CFW) at three hospitals. Surgical and antibiotic protocols were held constant. The pooled multicenter data showed a decreased PJI rate of 78% following the discontinuation of FAW and a switch to air-free CFW (n=2034; P=0.002). The 78% reduction in joint implant infections observed when FAW was discontinued suggests that there is a link between the waste FAW heat and PJIs.

A Streaming Language Implementation of the Discontinuous Galerkin Method

NASA Technical Reports Server (NTRS)

Barth, Timothy; Knight, Timothy

2005-01-01

We present a Brook streaming language implementation of the 3-D discontinuous Galerkin method for compressible fluid flow on tetrahedral meshes. Efficient implementation of the discontinuous Galerkin method using the streaming model of computation introduces several algorithmic design challenges. Using a cycle-accurate simulator, performance characteristics have been obtained for the Stanford Merrimac stream processor. The current Merrimac design achieves 128 Gflops per chip and the desktop board is populated with 16 chips yielding a peak performance of 2 Teraflops. Total parts cost for the desktop board is less than $20K. Current cycle-accurate simulations for discretizations of the 3-D compressible flow equations yield approximately 40-50% of the peak performance of the Merrimac streaming processor chip. Ongoing work includes the assessment of the performance of the same algorithm on the 2 Teraflop desktop board with a target goal of achieving 1 Teraflop performance.

Low-Dose Aspirin Discontinuation and Risk of Cardiovascular Events: A Swedish Nationwide, Population-Based Cohort Study.

PubMed

Sundström, Johan; Hedberg, Jakob; Thuresson, Marcus; Aarskog, Pernilla; Johannesen, Kasper Munk; Oldgren, Jonas

2017-09-26

There are increasing concerns about risks associated with aspirin discontinuation in the absence of major surgery or bleeding. We investigated whether long-term low-dose aspirin discontinuation and treatment gaps increase the risk of cardiovascular events. We performed a cohort study of 601 527 users of low-dose aspirin for primary or secondary prevention in the Swedish prescription register between 2005 and 2009 who were >40 years of age, were free from previous cancer, and had ≥80% adherence during the first observed year of treatment. Cardiovascular events were identified with the Swedish inpatient and cause-of-death registers. The first 3 months after a major bleeding or surgical procedure were excluded from the time at risk. During a median of 3.0 years of follow-up, 62 690 cardiovascular events occurred. Patients who discontinued aspirin had a higher rate of cardiovascular events than those who continued (multivariable-adjusted hazard ratio, 1.37; 95% confidence interval, 1.34-1.41), corresponding to an additional cardiovascular event observed per year in 1 of every 74 patients who discontinue aspirin. The risk increased shortly after discontinuation and did not appear to diminish over time. In long-term users, discontinuation of low-dose aspirin in the absence of major surgery or bleeding was associated with a >30% increased risk of cardiovascular events. Adherence to low-dose aspirin treatment in the absence of major surgery or bleeding is likely an important treatment goal. © 2017 American Heart Association, Inc.

A discontinuous Galerkin method for two-dimensional PDE models of Asian options

NASA Astrophysics Data System (ADS)

Hozman, J.; Tichý, T.; Cvejnová, D.

2016-06-01

In our previous research we have focused on the problem of plain vanilla option valuation using discontinuous Galerkin method for numerical PDE solution. Here we extend a simple one-dimensional problem into two-dimensional one and design a scheme for valuation of Asian options, i.e. options with payoff depending on the average of prices collected over prespecified horizon. The algorithm is based on the approach combining the advantages of the finite element methods together with the piecewise polynomial generally discontinuous approximations. Finally, an illustrative example using DAX option market data is provided.

Magnetic field directional discontinuities. 2: Characteristics between 0.46 and 1.0 AU. [interplanetary magnetic fields

NASA Technical Reports Server (NTRS)

Lepping, R. P.; Benhannon, K. W.

1980-01-01

The characteristics of directional discontinuities (DD's) in the interplanetary magnetic field are studied using data from the Mariner 10 primary mission between 1.0 and 0.46 AU. Statistical and visual survey methods for DD identification resulted in a total of 644 events. Two methods were used to estimate the ratio of the number of tangential discontinuities (TD's) to the number of rotational discontinuities (RD's). Both methods show that the ratio of TD's to RD's varied with time and decreased with decreasing radial distance. A decrease in average discontinuity thickness of approx. 40 percent was found between 1.0 and 0.72 AU and approx. 54 percent between 1.0 and 0.46 AU, independent of type (TD or RD). This decrease in thickness for decreasing r is in qualitative agreement with Pioneer 10 observations between 1 and 5 AU. When the individual DD thickness are normalized with respect to the estimated local proton gyroradius (RA sub L), the average thickness at the three locations is nearly constant, 43 + or - 6 R sub L. This also holds true for both RD's and TD's separately. Statistical distributions of other properties, such as normal components and discontinuity plane angles, are presented.

Formation of magnetic discontinuities through viscous relaxation

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

Kumar, Sanjay; Bhattacharyya, R.; Smolarkiewicz, P. K.

2014-05-15

According to Parker's magnetostatic theorem, tangential discontinuities in magnetic field, or current sheets (CSs), are generally unavoidable in an equilibrium magnetofluid with infinite electrical conductivity and complex magnetic topology. These CSs are due to a failure of a magnetic field in achieving force-balance everywhere and preserving its topology while remaining in a spatially continuous state. A recent work [Kumar, Bhattacharyya, and Smolarkiewicz, Phys. Plasmas 20, 112903 (2013)] demonstrated this CS formation utilizing numerical simulations in terms of the vector magnetic field. The magnetohydrodynamic simulations presented here complement the above work by demonstrating CS formation by employing a novel approach ofmore » describing the magnetofluid evolution in terms of magnetic flux surfaces instead of the vector magnetic field. The magnetic flux surfaces being the possible sites on which CSs develop, this approach provides a direct visualization of the CS formation, helpful in understanding the governing dynamics. The simulations confirm development of tangential discontinuities through a favorable contortion of magnetic flux surfaces, as the magnetofluid undergoes a topology-preserving viscous relaxation from an initial non-equilibrium state with twisted magnetic field. A crucial finding of this work is in its demonstration of CS formation at spatial locations away from the magnetic nulls.« less

An entropy stable nodal discontinuous Galerkin method for the two dimensional shallow water equations on unstructured curvilinear meshes with discontinuous bathymetry

NASA Astrophysics Data System (ADS)

Wintermeyer, Niklas; Winters, Andrew R.; Gassner, Gregor J.; Kopriva, David A.

2017-07-01

We design an arbitrary high-order accurate nodal discontinuous Galerkin spectral element approximation for the non-linear two dimensional shallow water equations with non-constant, possibly discontinuous, bathymetry on unstructured, possibly curved, quadrilateral meshes. The scheme is derived from an equivalent flux differencing formulation of the split form of the equations. We prove that this discretization exactly preserves the local mass and momentum. Furthermore, combined with a special numerical interface flux function, the method exactly preserves the mathematical entropy, which is the total energy for the shallow water equations. By adding a specific form of interface dissipation to the baseline entropy conserving scheme we create a provably entropy stable scheme. That is, the numerical scheme discretely satisfies the second law of thermodynamics. Finally, with a particular discretization of the bathymetry source term we prove that the numerical approximation is well-balanced. We provide numerical examples that verify the theoretical findings and furthermore provide an application of the scheme for a partial break of a curved dam test problem.

The excitation of long period seismic waves by a source spanning a structural discontinuity

NASA Astrophysics Data System (ADS)

Woodhouse, J. H.

Simple theoretical results are obtained for the excitation of seismic waves by an indigenous seismic source in the case that the source volume is intersected by a structural discontinuity. In the long wavelength approximation the seismic radiation is identical to that of a point source placed on one side of the discontinuity or of a different point source placed on the other side. The moment tensors of these two equivalent sources are related by a specific linear transformation and may differ appreciably both in magnitude and geometry. Either of these sources could be obtained by linear inversion of seismic data but the physical interpretation is more complicated than in the usual case. A source which involved no volume change would, for example, yield an isotropic component if, during inversion, it were assumed to lie on the wrong side of the discontinuity. The problem of determining the true moment tensor of the source is indeterminate unless further assumptions are made about the stress glut distribution; one way to resolve this indeterminancy is to assume proportionality between the integrated stress glut on each side of the discontinuity.

The Influence of Antithyroid Drug Discontinuation to the Therapeutic Efficacy of (131)I in Hyperthyroidism.

PubMed

Kartamihardja, A Hussein Sundawa; Massora, Stepanus

2016-01-01

The influence of antithyroid drugs (ATDs) on the therapeutic efficacy of radioactive iodine in hyperthyroidism is still controversial. The aim of this study was to evaluate the effect of ATD discontinuation to the therapeutic efficacy of I-131 in hyperthyroidism patients with long-term ATD treatment. Retrospective study was done to 39 subjects with hyperthyroidism who had been treated with doses of 300 MBq radioactive iodine. The subjects were divided into three groups: Group I (n = 14) had been using ATDs for more than one year and discontinued more than three days; group II (n = 14) had been using ATDs for more than one year but discontinued only for three days or less, and group III (n = 11) has never been used any ATD before radioactive iodine treatment. There was a significant difference in the therapeutic efficacy after three months of radioactive iodine treatment between group I and group II (P = 0.018), group II and group III (P = 0.017), but not between group I and group III (P = 1.0). There was no observed difference on the therapeutic efficacy between the three groups at 6 months after radioactive iodine therapy (P = 0.143). Administration of ATDs more than 1 year without discontinuation decreased response of radioactive iodine treatment in 3 months follow-up. Discontinuation of ATDs for more than 3 days before radioactive iodine treatment is recommended.

The Influence of Antithyroid Drug Discontinuation to the Therapeutic Efficacy of 131I in Hyperthyroidism

PubMed Central

Kartamihardja, A. Hussein Sundawa; Massora, Stepanus

2016-01-01

The influence of antithyroid drugs (ATDs) on the therapeutic efficacy of radioactive iodine in hyperthyroidism is still controversial. The aim of this study was to evaluate the effect of ATD discontinuation to the therapeutic efficacy of I-131 in hyperthyroidism patients with long-term ATD treatment. Retrospective study was done to 39 subjects with hyperthyroidism who had been treated with doses of 300 MBq radioactive iodine. The subjects were divided into three groups: Group I (n = 14) had been using ATDs for more than one year and discontinued more than three days; group II (n = 14) had been using ATDs for more than one year but discontinued only for three days or less, and group III (n = 11) has never been used any ATD before radioactive iodine treatment. There was a significant difference in the therapeutic efficacy after three months of radioactive iodine treatment between group I and group II (P = 0.018), group II and group III (P = 0.017), but not between group I and group III (P = 1.0). There was no observed difference on the therapeutic efficacy between the three groups at 6 months after radioactive iodine therapy (P = 0.143). Administration of ATDs more than 1 year without discontinuation decreased response of radioactive iodine treatment in 3 months follow-up. Discontinuation of ATDs for more than 3 days before radioactive iodine treatment is recommended. PMID:27134556

Modeling Progressive Damage Using Local Displacement Discontinuities Within the FEAMAC Multiscale Modeling Framework

NASA Technical Reports Server (NTRS)

Ranatunga, Vipul; Bednarcyk, Brett A.; Arnold, Steven M.

2010-01-01

A method for performing progressive damage modeling in composite materials and structures based on continuum level interfacial displacement discontinuities is presented. The proposed method enables the exponential evolution of the interfacial compliance, resulting in unloading of the tractions at the interface after delamination or failure occurs. In this paper, the proposed continuum displacement discontinuity model has been used to simulate failure within both isotropic and orthotropic materials efficiently and to explore the possibility of predicting the crack path, therein. Simulation results obtained from Mode-I and Mode-II fracture compare the proposed approach with the cohesive element approach and Virtual Crack Closure Techniques (VCCT) available within the ABAQUS (ABAQUS, Inc.) finite element software. Furthermore, an eccentrically loaded 3-point bend test has been simulated with the displacement discontinuity model, and the resulting crack path prediction has been compared with a prediction based on the extended finite element model (XFEM) approach.

Assessing the feasibility of the Effectiveness of Discontinuing Bisphosphonates trial: a pilot study.

PubMed

Wright, N C; Foster, P J; Mudano, A S; Melnick, J A; Lewiecki, M E; Shergy, W J; Curtis, J R; Cutter, G R; Danila, M I; Kilgore, M L; Lewis, E C; Morgan, S L; Redden, D T; Warriner, A H; Saag, K G

2017-08-01

The Effectiveness of Discontinuing Bisphosphonates (EDGE) study is a planned pragmatic clinical trial to guide "drug holiday" clinical decision making. This pilot study assessed work flow and feasibility of such a study. While participant recruitment and treatment adherence were suboptimal, administrative procedures were generally feasible and minimally disrupted clinic flow. The comparative effectiveness of continuing or discontinuing long-term alendronate (ALN) on fractures is unknown. A large pragmatic ALN discontinuation study has potential to answer this question. We conducted a 6-month pilot study of the planned the EDGE study among current long-term ALN users (women aged ≥65 with ≥3 years of ALN use) to determine study work flow and feasibility including evaluating the administrative aspects of trial conduct (e.g., time to contract, institutional review board (IRB) approval), assessing rates of site and participant recruitment, and evaluating post-randomization outcomes, including adherence, bisphosphonate-associated adverse events, and participant and site satisfaction. We assessed outcomes 1 and 6 months after randomization. Nine sites participated, including seven community-based medical practices and two academic medical centers. On average (SD), contract execution took 3.4 (2.3) months and IRB approval took 13.9 (4.1) days. Sites recruited 27 participants (13 to continue ALN and 14 to discontinue ALN). Over follow-up, 22% of participants did not adhere to their randomization assignment: 30.8% in the continuation arm and 14.3% in the discontinuation arm. No fractures or adverse events were reported. Sites reported no issues regarding work flow, and participants were highly satisfied with the study. Administrative procedures of the EDGE study were generally feasible, with minimal disruption to clinic flow. In this convenience sample, participant recruitment was suboptimal across most practice sites. Accounting for low treatment arm adherence, a

Immunosuppressive Drug Discontinuation in Noninfectious Uveitis From Real-Life Clinical Practice: A Survival Analysis.

PubMed

Abásolo, Lydia; Rosales, Zulema; Díaz-Valle, David; Gómez-Gómez, Alejandro; Peña-Blanco, Rayma C; Prieto-García, Ángela; Benítez-Del-Castillo, José Manuel; Pato, Esperanza; García-Feijoo, Julián; Fernández-Gutiérrez, Benjamín; Rodriguez-Rodriguez, Luis

2016-09-01

To assess in uveitis patients the rate of immunosuppressive drug (ISD) discontinuation in real-life clinical practice, comparing this rate among ISDs. Longitudinal retrospective cohort study. We included uveitis patients attending a tertiary eye referral center from Madrid (Spain) between 1989 and 2015, prescribed any ISDs (cyclosporine, methotrexate, azathioprine, anti-TNF drugs, or others). Our main outcome was discontinuation of all ISDs owing to clinical efficacy, inefficacy, adverse drug reaction (ADR), and other medical causes. Discontinuation rates (DRs) per 100 patient-years were estimated. Variables associated with specific-cause discontinuations were analyzed using Cox bivariate and multivariate models. We analyzed 110 patients with 263 treatment courses and 665.2 patient-years of observation. Cyclosporine (66.4%), methotrexate (47.3%), azathioprine (30.9%), and anti-TNFs (30.9%) were the most frequently used ISDs. Treatment was suspended in 136 cases (mostly owing to clinical efficacy [38.2%], inefficacy [26.5%], and ADRs [22.8%]). All-cause DR with 95% confidence interval was 20.4 [17.3-24.2]. Retention rates at 1 and 10 years were 74% and 16%, respectively. In the multivariate analysis, combined treatment exhibited higher DRs owing to clinical efficacy than other ISDs in monotherapy. Conversely, nonbiologic combination therapy with azathioprine exhibited the highest DR owing to ADRs. Clinical efficacy was the most frequent cause for ISD discontinuation, followed by inefficacy and ADRs. DR owing to efficacy was higher for combination therapy. Furthermore, nonbiologic combination therapy with azathioprine was associated with a higher DR owing to ADRs. Copyright © 2016 Elsevier Inc. All rights reserved.

Mandated Program Review and Program Discontinuance: Qualitative vs. Quantitative Standards. ASHE 1987 Annual Meeting Paper.

ERIC Educational Resources Information Center

Hammond, Martine F.; And Others

Internal and external pressures that affect college program discontinuance schemes were investigated, based on minutes of the Kansas State Board of Regents and three other government-related groups/subgroups. During 1972-1986, a total of 206 programs were merged or discontinued. In 1972 a policy was enacted whereby masters programs that had…

Local Discontinuous Galerkin Methods for Partial Differential Equations with Higher Order Derivatives

NASA Technical Reports Server (NTRS)

Yan, Jue; Shu, Chi-Wang; Bushnell, Dennis M. (Technical Monitor)

2002-01-01

In this paper we review the existing and develop new continuous Galerkin methods for solving time dependent partial differential equations with higher order derivatives in one and multiple space dimensions. We review local discontinuous Galerkin methods for convection diffusion equations involving second derivatives and for KdV type equations involving third derivatives. We then develop new local discontinuous Galerkin methods for the time dependent bi-harmonic type equations involving fourth derivatives, and partial differential equations involving fifth derivatives. For these new methods we present correct interface numerical fluxes and prove L(exp 2) stability for general nonlinear problems. Preliminary numerical examples are shown to illustrate these methods. Finally, we present new results on a post-processing technique, originally designed for methods with good negative-order error estimates, on the local discontinuous Galerkin methods applied to equations with higher derivatives. Numerical experiments show that this technique works as well for the new higher derivative cases, in effectively doubling the rate of convergence with negligible additional computational cost, for linear as well as some nonlinear problems, with a local uniform mesh.

Reinforcing effect of discontinuous microglass fibers on resin-modified glass ionomer cement.

PubMed

Garoushi, Sufyan; Vallittu, Pekka K; Lassila, Lippo

2018-06-08

This study investigated the reinforcing effect of discontinuous-glass fiber fillers with different loading-fractions on selected mechanical properties and wear of resin-modified glass ionomer cement (RMGIC). Experimental fiber-reinforced RMGIC (Exp-RMGIC) was prepared by adding discontinuous-glass fiber of 200-500 µm in length to the powder of RMGIC (GC Fuji II LC) with different weight ratios (15, 20, 25 and 30 wt%). Mechanical properties and wear were determined for each experimental and control material. Scanning electron microscopy was used to evaluate the microstructure of the Exp-RMGICs. Wear pattern was analyzed by a three-dimensional (3D) noncontact optical profilometer. Fiber-reinforced RMGIC (30 wt%) had significantly higher mechanical performance of fracture toughness (1.9 MPa•m 1/2 ), flexural strength (90.3 MPa), and diametral tensile strength (31 MPa) (p<0.05) compared to unreinforced material (0.8 MPa•m 1/2 , 51.9 and 20.7 MPa). The use of discontinuous-glass fiber fillers with RMGIC matrix is novel reinforcement and yielded superior toughening and flexural performance compared to conventional RMGIC.

Detection of discontinuous patterns in spontaneous brain activity of neonates and fetuses.

PubMed

Vairavan, Srinivasan; Eswaran, Hari; Haddad, Naim; Rose, Douglas F; Preissl, Hubert; Wilson, James D; Lowery, Curtis L; Govindan, Rathinaswamy B

2009-11-01

The discontinuous patterns in neonatal magnetoencephalographic (MEG) data are quantified with a novel Hilbert phase (HP) based approach. The expert neurologists' scores were used as the gold standard. The performance of this approach was analyzed using a receiver operating characteristic (ROC) curve, and it was compared with two other approaches, namely spectral ratio (SR) and discrete wavelet transform (DWT) that have been proposed for the detection of discontinuous patterns in neonatal EEG. The area under the ROC curve (AUC) was used as a performance measure. AUCs obtained for SR, HP, and DWT were 0.87, 0.80, and 0.56, respectively. Although the performance of HP was lower than SR, it carries information about the frequency content of the signal that helps to distinguish brain patterns from artifacts such as cardiac residuals. Based on this property, the HP approach was extended to fetal MEG data. Further, using the frequency property of the HP approach, burst duration and interburst interval were computed for the discontinuous patterns detected and they are in agreement with reported values.

A Receiver Function Study of Mantle Transition Zone Discontinuities beneath Egypt and Saudi Arabia

NASA Astrophysics Data System (ADS)

Liu, K. H.; Mohamed, A. A.; Gao, S. S.; Elsheikh, A. A.; Yu, Y.; Fat-Helbary, R. E.

2014-12-01

The dramatic asymmetry in terms of surface elevation, Cenozoic volcanisms, and earthquake activity across the Red Sea is an enigmatic issue in global tectonics, partially due to the unavailability of broadband seismic data on the African plate adjacent to the Red Sea. Here we report the first results from a receiver function study of the mantle transition zone (MTZ) discontinuities using data from the Egyptian National Seismic Network, and compare the resulting depths of the 410 and 660 km discontinuities (d410 and d660) with those observed on the Arabian side. Results using more than 6000 P-to-S receiver functions recorded at 49 broadband seismic stations in Egypt, Saudi Arabia and adjacent areas show that when the IASP91 Earth model is used for time-to-depth conversion, the resulting depth of the discontinuities increases systematically toward the axis of the Afro-Arabian Dome (AAD) from both the west and east. Relative to the westernmost area, the maximum depression of the 410-km discontinuity is about 30 km, and that of the 660-km discontinuity is about 45 km. Highly correlated d410 and d660 depths suggest that the observed apparent depth variations are mostly caused by lateral velocity anomalies in the upper mantle, while the 15 km additional depression of the d660 relative to the d410 requires either a colder-than-normal MTZ or the presence of water in the MTZ. We tested several models involving upper mantle and MTZ velocity anomalies and undulations of the MTZ discontinuities due to temperature anomalies and water content, and found that the observed systematic variations can best be explained by a model involving a hydrated MTZ and an upper-mantle low-velocity zone beneath the AAD (Mohamed et al., 2014, doi: 10.1093/gji/ggu284). Models invoking one or more mantle plumes originated from the MTZ or the lower-mantle beneath the study area are not consistent with the observations.

47 CFR 63.62 - Type of discontinuance, reduction, or impairment of telephone or telegraph service requiring...

Code of Federal Regulations, 2010 CFR

2010-10-01

... impairment of telephone or telegraph service requiring formal application. 63.62 Section 63.62... LINES, NEW LINES, AND DISCONTINUANCE, REDUCTION, OUTAGE AND IMPAIRMENT OF SERVICE BY COMMON CARRIERS... Impairment § 63.62 Type of discontinuance, reduction, or impairment of telephone or telegraph service...

Connection between self-stigma, adherence to treatment, and discontinuation of medication

PubMed Central

Kamaradova, Dana; Latalova, Klara; Prasko, Jan; Kubinek, Radim; Vrbova, Kristyna; Mainerova, Barbora; Cinculova, Andrea; Ociskova, Marie; Holubova, Michaela; Smoldasova, Jarmila; Tichackova, Anezka

2016-01-01

Introduction Self-stigma plays a role in many areas of the patient’s life. Furthermore, it also discourages therapy. The aim of our study was to examine associations between self-stigma and adherence to treatment and discontinuation of medication in patients from various diagnostic groups. Methods This cross-sectional study involved outpatients attending the Department of Psychiatry, University Hospital Olomouc, Czech Republic. The level of self-stigma was measured with the Internalized Stigma of Mental Illness and adherence with the Drug Attitude Inventory. The patients also anonymously filled out a demographic questionnaire which included a question asking whether they had discontinued their medication in the past. Results We examined data from 332 patients from six basic diagnostic categories (substance abuse disorders, schizophrenia, bipolar disorders, depressive disorders, anxiety disorders, and personality disorders). The study showed a statistically significant negative correlation between self-stigma and adherence to treatment in all diagnostic groups. Self-stigma correlated positively and adherence negatively with the severity of disorders. Another important factor affecting both variables was partnership. Self-stigma positively correlated with doses of antidepressants and adherence with doses of anxiolytics. Self-stigma also negatively correlated with education, and positively with a number of hospitalizations and number of psychiatrists visited. Adherence was further positively correlated with age and age of onset of disorders. Regression analysis showed that self-stigma was an important factor negatively influencing adherence to treatment and significantly contributing to voluntary discontinuation of drugs. The level of self-stigma did not differ between diagnostic categories. Patients suffering from schizophrenia had the lowest adherence to treatment. Conclusion The study showed a significant correlation between self-stigma and adherence to treatment

Contrasting Reasons for Discontinuation of Antiretroviral Therapy in Workplace and Public-Sector HIV Programs in South Africa

PubMed Central

Kielmann, Karina; Charalambous, Salome; Karstaedt, Alan S.; Hamilton, Robin; La Grange, Lettie; Fielding, Katherine L.; Churchyard, Gavin J.; Grant, Alison D.

2011-01-01

Abstract We investigated reasons for clinical follow-up and treatment discontinuation among HIV-infected individuals receiving antiretroviral therapy (ART) in a public-sector clinic and in a workplace clinic in South Africa. Participants in a larger cohort study who had discontinued clinical care by the seventh month of treatment were traced using previously provided locator information. Those located were administered a semistructured questionnaire regarding reasons for discontinuing clinical follow-up. Participants who had discontinued antiretroviral therapy were invited to participate in further in-depth qualitative interviews. Fifty-one of 144 (35.4%) in the workplace cohort had discontinued clinical follow-up by the seventh month of treatment. The median age of those who discontinued follow-up was 46 years and median educational level was five years. By contrast, only 16.5% (44/267) of the public-sector cohort had discontinued follow-up. Among them the median age was 37.5 years and median education was 11 years. Qualitative interviews were conducted with 17 workplace participants and 10 public-sector participants. The main reasons for attrition in the workplace were uncertainty about own HIV status and above the value of ART, poor patient–provider relationships and workplace discrimination. In the public sector, these were moving away and having no money for clinic transport. In the workplace, efforts to minimize the time between testing and treatment initiation should be balanced with the need to provide adequate baseline counseling taking into account existing concepts about HIV and ART. In the public sector, earlier diagnosis and ART initiation may help to reduce early mortality, while links to government grants may reduce attrition. PMID:21214378

NATURAL COURSE OF PATIENTS DISCONTINUING TREATMENT FOR AGE-RELATED MACULAR DEGENERATION AND FACTORS ASSOCIATED WITH VISUAL PROGNOSIS.

PubMed

Kim, Jae Hui; Chang, Young Suk; Kim, Jong Woo

2017-12-01

To evaluate the 24-month natural course of visual changes in patients discontinuing treatment despite persistent or recurrent fluid and factors predictive of visual prognosis. This retrospective, observational study included 35 patients (35 eyes) who initially received anti-vascular endothelial growth factor treatment for neovascular age-related macular degeneration (AMD), but discontinued treatment despite persistent or recurrent fluid. The best-corrected visual acuity (BCVA) at treatment discontinuation was determined and compared with the 24-month BCVA, which was then compared between polypoidal choroidal vasculopathy and other neovascular age-related macular degeneration subtypes. Baseline characteristics predictive of visual outcome and the degree of visual change were also analyzed. The mean number of anti-vascular endothelial growth factor injections before treatment discontinuation was 4.0 ± 1.6. The mean logarithm of minimal angle of resolution of BCVA at treatment discontinuation and that at 24 months were 1.02 ± 0.20 (Snellen equivalents = 20/209) and 1.60 ± 0.56 (20/796), respectively (P < 0.001). The 24-month BCVA was not different between polypoidal choroidal vasculopathy and other neovascular age-related macular degeneration subtypes (P = 0.803). The type of fluid (intraretinal fluid vs. no intraretinal fluid) was predictive of 24-month BCVA (P = 0.004) and the degree of changes in BCVA (P = 0.043). Marked deterioration in visual acuity was noted in patients discontinuing treatment, regardless of neovascular age-related macular degeneration subtypes. The presence of intraretinal fluid was associated with worse visual prognosis, suggesting that patients with intraretinal fluid should be strongly warned about their poor prognosis before they decide to discontinue treatment.

Constraining Seismic Structure of Upper-Mantle Discontinuities: A New Approach Using High-Frequency Triplication Data

NASA Astrophysics Data System (ADS)

Ishii, M.; Park, S.

2016-12-01

Constraining elastic properties of the 410- and 660-km discontinuities is crucial for understanding the mantle composition and dynamics. One approach to study the transition zone is to use the "triplicated" arrivals of seismic data. These arrivals consist of three seismic phases that are sensitive to seismic structure slightly above, at, and below the discontinuity. Thus, these data are powerful tools in providing constraints on the depth and velocity jump of the discontinuities with consequences for the studies of mantle composition and relevant phase transitions. One of the most challenging aspects of using the triplication data, however, is to identify the three individual phases that arrive close in time. In order to separate the three phases, we apply Radon transform to short-period seismograms recorded by a dense array of stations. This approach unwraps the triplication pattern, and brings out the high-frequency information that is not easily accessible in the original form of data. Subsequent modeling of the unwrapped data allows velocity jump, depth, and width of the discontinuities to be obtained. This method is applied to study the transition zone around the Kuril subduction zone, a region northeast of Japan. We take advantage of the High-Sensitivity Seismograph Network in Japan that consists of more than 700 stations. These stations provide dense sampling in distance that allows us to capture the triplication pattern. The wave speeds immediately above and below the 410- and 660-km discontinuities as well as their depths and widths are constrained. In general, both discontinuities are depressed compared to the global average, and exhibit finite widths. The width estimates have implications on effects such as the existence of water or melt, and garnet transformations occurring at similar depths as the post-spinel transition.

Medication persistence and discontinuation of rivaroxaban versus warfarin among patients with non-valvular atrial fibrillation.

PubMed

Nelson, Winnie W; Song, Xue; Coleman, Craig I; Thomson, Erin; Smith, David M; Damaraju, C V; Schein, Jeffrey R

2014-12-01

To compare real-world persistence and discontinuation among non-valvular atrial fibrillation (NVAF) patients on rivaroxaban and warfarin in the US. A large nationally representative US claims database was used to conduct a retrospective cohort analysis of patients with NVAF treated with rivaroxaban or warfarin from 1 July 2010 through 31 March 2013. Index date was the date of the first prescription of rivaroxaban or warfarin. All patients were followed until the earliest of inpatient death, end of continuous enrollment, or end of study period. Rivaroxaban patients were matched 1:1 by propensity scores. Medication persistence was defined as absence of refill gap of ≥ 60 days. Discontinuation was defined as no additional refill for at least 90 days and until the end of follow-up. Cox proportional hazards models were estimated to examine the adjusted hazard ratios (aHRs) of rivaroxaban vs. warfarin on non-persistence and discontinuation. A total of 32,886 NVAF patients on rivaroxaban or warfarin met the study inclusion criteria. Each of the 7259 rivaroxaban patients identified were matched 1:1 to warfarin patients. Patients on rivaroxaban had a significantly better rate of persistence (aHR: 0.63, 95% CI 0.59-0.68) and lower rate of discontinuation (aHR: 0.54, 95% CI 0.49-0.58) compared to warfarin recipients. Claims data may have contained inaccuracies and miscoding. Confounding may remain even after propensity score matching and additional adjustments in model. Refill data may not fully reflect actual medication use. Longer follow-up may produce more precise estimates of persistence and discontinuation. This matched cohort analysis indicated that rivaroxaban was associated with significantly higher medication persistence and lower discontinuation rates compared to warfarin.

Measuring persistence to hormonal therapy in patients with breast cancer: accounting for temporary treatment discontinuation.

PubMed

Huiart, Laetitia; Ferdynus, Cyril; Dell'Aniello, Sophie; Bakiri, Naciba; Giorgi, Roch; Suissa, Samy

2014-08-01

Several studies have been conducted to estimate persistence to hormonal therapy among women with breast cancer (BC). Most studies focus on first treatment discontinuation. Patients, however, can have numerous periods of treatment discontinuation or treatment exposure. Our objective is to estimate persistence to tamoxifen in patients with BC while accounting for temporary treatment discontinuations and this by using multi-state (MS) models. A cohort of 10,806 women with BC having received at least one prescription of tamoxifen between 1998 and 2008 was constituted from the UK General Practice Research Database. We fitted a semi-Markov model with three states to estimate the probability of being off treatment over a 5-year period while accounting for temporary treatment discontinuations (transition between on treatment and off treatment) and competing risks (recurrence of BC or death). Non-persistence, as estimated from the MS model, ranged from 12.1% (95% confidence interval [95%CI]: 9.2-15.1) at 1 year to 14.9% (95%CI: 11.7-18.1) at 5 years. Estimations of non-persistence based on the Kaplan-Meier model were higher, i.e., 29.3% (95%CI: 28.1-30.6) at 5 years, as well as those obtained from a competing risk model, i.e., 24.0% (95%CI: 22.9-25.1). Most temporary discontinuations (94.7%) lasted less than 6 months. Temporary treatment discontinuations are frequent and should be accounted for when measuring adherence to treatment. MS models can provide a useful framework for this sort of analysis insofar as they help describe patients' complex behavior. This may help tailor interventions that improve persistence to hormonal therapy among women with BC. Copyright © 2014 John Wiley & Sons, Ltd.

Discontinuity Detection in the Shield Metal Arc Welding Process

PubMed Central

Cocota, José Alberto Naves; Garcia, Gabriel Carvalho; da Costa, Adilson Rodrigues; de Lima, Milton Sérgio Fernandes; Rocha, Filipe Augusto Santos; Freitas, Gustavo Medeiros

2017-01-01

This work proposes a new methodology for the detection of discontinuities in the weld bead applied in Shielded Metal Arc Welding (SMAW) processes. The detection system is based on two sensors—a microphone and piezoelectric—that acquire acoustic emissions generated during the welding. The feature vectors extracted from the sensor dataset are used to construct classifier models. The approaches based on Artificial Neural Network (ANN) and Support Vector Machine (SVM) classifiers are able to identify with a high accuracy the three proposed weld bead classes: desirable weld bead, shrinkage cavity and burn through discontinuities. Experimental results illustrate the system’s high accuracy, greater than 90% for each class. A novel Hierarchical Support Vector Machine (HSVM) structure is proposed to make feasible the use of this system in industrial environments. This approach presented 96.6% overall accuracy. Given the simplicity of the equipment involved, this system can be applied in the metal transformation industries. PMID:28489045

Forced-Air Warming Discontinued: Periprosthetic Joint Infection Rates Drop

PubMed Central

Augustine, Scott D.

2017-01-01

Several studies have shown that the waste heat from forced-air warming (FAW) escapes near the floor and warms the contaminated air resident near the floor. The waste heat then forms into convection currents that rise up and contaminate the sterile field above the surgical table. It has been shown that a single airborne bacterium can cause a periprosthetic joint infection (PJI) following joint replacement surgery. We retrospectively compared PJI rates during a period of FAW to a period of air-free conductive fabric electric warming (CFW) at three hospitals. Surgical and antibiotic protocols were held constant. The pooled multicenter data showed a decreased PJI rate of 78% following the discontinuation of FAW and a switch to air-free CFW (n=2034; P=0.002). The 78% reduction in joint implant infections observed when FAW was discontinued suggests that there is a link between the waste FAW heat and PJIs. PMID:28713524

Discontinuity Detection in the Shield Metal Arc Welding Process.

PubMed

Cocota, José Alberto Naves; Garcia, Gabriel Carvalho; da Costa, Adilson Rodrigues; de Lima, Milton Sérgio Fernandes; Rocha, Filipe Augusto Santos; Freitas, Gustavo Medeiros

2017-05-10

This work proposes a new methodology for the detection of discontinuities in the weld bead applied in Shielded Metal Arc Welding (SMAW) processes. The detection system is based on two sensors-a microphone and piezoelectric-that acquire acoustic emissions generated during the welding. The feature vectors extracted from the sensor dataset are used to construct classifier models. The approaches based on Artificial Neural Network (ANN) and Support Vector Machine (SVM) classifiers are able to identify with a high accuracy the three proposed weld bead classes: desirable weld bead, shrinkage cavity and burn through discontinuities. Experimental results illustrate the system's high accuracy, greater than 90% for each class. A novel Hierarchical Support Vector Machine (HSVM) structure is proposed to make feasible the use of this system in industrial environments. This approach presented 96.6% overall accuracy. Given the simplicity of the equipment involved, this system can be applied in the metal transformation industries.

Factors associated with discontinuation of aripiprazole treatment after switching from other antipsychotics in patients with chronic schizophrenia: A prospective observational study.

PubMed

Takaesu, Yoshikazu; Kishimoto, Taishiro; Murakoshi, Akiko; Takahashi, Nobutada; Inoue, Yuichi

2016-02-28

The purpose of the study was to identify factors associated with discontinuation of aripiprazole after switching from other antipsychotics in patients with schizophrenia in real world clinical settings. From January 2011 to December 2012, a prospective, 48-week open-label study was undertaken. Thirty-eight subjects on antipsychotic monotherapy were switched to aripiprazole. Patients who discontinued aripiprazole were compared to those who continued with regards to demographic characteristics as well as treatment factors. Multiple regression analysis was conducted to identify predictors for aripiprazole discontinuation. Thirteen out of 38 patients (34.2%) discontinued aripiprazole during the follow up period. Nine patients (23.7%) discontinued aripiprazole due to worsening of psychotic symptoms. Multiple logistic regression analysis revealed that only the duration of previous antipsychotic treatment was associated with aripiprazole discontinuation after switching to aripiprazole. The receiver operating curve (ROC) analysis identified that the cut-off length for duration of illness to predict aripiprazole discontinuation was 10.5 years. Longer duration of illness was associated with aripiprazole discontinuation. Greater caution may be required when treating such patients with aripiprazole. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

Premature Discontinuation of Prospective Clinical Studies Approved by a Research Ethics Committee – A Comparison of Randomised and Non-Randomised Studies

PubMed Central

Oeller, Patrick; Kasenda, Benjamin; Briel, Matthias; von Elm, Erik

2016-01-01

Background Premature discontinuation of clinical studies affects about 25% of randomised controlled trials (RCTs) which raises concerns about waste of scarce resources for research. The risk of discontinuation of non-randomised prospective studies (NPSs) is yet unclear. Objectives To compare the proportion of discontinued studies between NPSs and RCTs that received ethical approval. Methods We systematically surveyed prospective longitudinal clinical studies that were approved by a single REC in Freiburg, Germany between 2000 and 2002. We collected study characteristics, identified subsequent publications, and surveyed investigators to elucidate whether a study was discontinued and, if so, why. Results Of 917 approved studies, 547 were prospective longitudinal studies (306 RCTs and 241 NPSs). NPSs were on average smaller than RCTs, more frequently single centre and pilot studies, and less frequently funded by industry. NPSs were less frequently discontinued than RCTs: 32/221 (14%) versus 78/288 (27%, p<0.001, missing data excluded). Poor recruitment was the most frequent reason for discontinuation in both NPSs (36%) and RCTs (37%). Conclusions Compared to RCTs, NPSs were at lower risk for discontinuation. Measures to reliably predict, sustain, and stimulate recruitment could prevent discontinuation of many RCTs but also of some NPSs. PMID:27792749

Resistance to discontinuing breast cancer screening in older women: A qualitative study.

PubMed

Housten, Ashley J; Pappadis, Monique R; Krishnan, Shilpa; Weller, Susan C; Giordano, Sharon H; Bevers, Therese B; Volk, Robert J; Hoover, Diana S

2018-06-01

Screening mammography is associated with reduced breast cancer-specific mortality; however, among older women, evidence suggests that the potential harms of screening may outweigh the benefits. We used a qualitative approach to examine the willingness of older women from different racial/ethnic groups to discontinue breast cancer screening. Women ≥70 years of age who reported having a screening mammogram in the past 3 years and/or reported that they intended to continue screening in the future were recruited for in-depth interviews. Participants who intended to continue screening were asked to describe how the following hypothetical scenarios would impact a decision to discontinue screening: health concerns or limited life expectancy, a physician's recommendation to discontinue, reluctance to undergo treatment, and recommendations from experts or governmental panels to stop screening. Semi-structured, face-to-face interviews were audio-recorded. Data coding and analysis followed inductive and deductive approaches. Regardless of the scenario, participants (n = 29) expressed a strong intention to continue screening. Based on the hypothetical physician recommendations, intentions to continue screening appeared to remain strong. They did not envision a change in their health status that would lead them to discontinue screening and were skeptical of expert/government recommendations. There were no differences observed according to age, race/ethnicity, or education. Among older women who planned to continue screening, intentions to continue breast cancer screening appear to be highly resilient and resistant to recommendations from physicians or expert/government panels. Copyright © 2018 John Wiley & Sons, Ltd.

A discontinuous Poisson-Boltzmann equation with interfacial jump: homogenisation and residual error estimate.

PubMed

Fellner, Klemens; Kovtunenko, Victor A

2016-01-01

A nonlinear Poisson-Boltzmann equation with inhomogeneous Robin type boundary conditions at the interface between two materials is investigated. The model describes the electrostatic potential generated by a vector of ion concentrations in a periodic multiphase medium with dilute solid particles. The key issue stems from interfacial jumps, which necessitate discontinuous solutions to the problem. Based on variational techniques, we derive the homogenisation of the discontinuous problem and establish a rigorous residual error estimate up to the first-order correction.

Establishment and discontinuance criteria for automated weather observing systems (AWOS)

DOT National Transportation Integrated Search

1983-05-01

This report develops establishment and discontinuance criteria for automated : weather observing systems (AWOS) for publication in FAA Order 703l.2B, Airway : Planning Standard Number One. Airway Planning Standard Number One contains : the policy and...

The existence of semiregular solutions to elliptic spectral problems with discontinuous nonlinearities

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

Pavlenko, V N; Potapov, D K

2015-09-30

This paper is concerned with the existence of semiregular solutions to the Dirichlet problem for an equation of elliptic type with discontinuous nonlinearity and when the differential operator is not assumed to be formally self-adjoint. Theorems on the existence of semiregular (positive and negative) solutions for the problem under consideration are given, and a principle of upper and lower solutions giving the existence of semiregular solutions is established. For positive values of the spectral parameter, elliptic spectral problems with discontinuous nonlinearities are shown to have nontrivial semiregular (positive and negative) solutions. Bibliography: 32 titles.

Derivative discontinuity and exchange-correlation potential of meta-GGAs in density-functional theory.

PubMed

Eich, F G; Hellgren, Maria

2014-12-14

We investigate fundamental properties of meta-generalized-gradient approximations (meta-GGAs) to the exchange-correlation energy functional, which have an implicit density dependence via the Kohn-Sham kinetic-energy density. To this purpose, we construct the most simple meta-GGA by expressing the local exchange-correlation energy per particle as a function of a fictitious density, which is obtained by inverting the Thomas-Fermi kinetic-energy functional. This simple functional considerably improves the total energy of atoms as compared to the standard local density approximation. The corresponding exchange-correlation potentials are then determined exactly through a solution of the optimized effective potential equation. These potentials support an additional bound state and exhibit a derivative discontinuity at integer particle numbers. We further demonstrate that through the kinetic-energy density any meta-GGA incorporates a derivative discontinuity. However, we also find that for commonly used meta-GGAs the discontinuity is largely underestimated and in some cases even negative.

Derivative discontinuity and exchange-correlation potential of meta-GGAs in density-functional theory

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

Eich, F. G., E-mail: eichf@missouri.edu; Hellgren, Maria

2014-12-14

We investigate fundamental properties of meta-generalized-gradient approximations (meta-GGAs) to the exchange-correlation energy functional, which have an implicit density dependence via the Kohn-Sham kinetic-energy density. To this purpose, we construct the most simple meta-GGA by expressing the local exchange-correlation energy per particle as a function of a fictitious density, which is obtained by inverting the Thomas-Fermi kinetic-energy functional. This simple functional considerably improves the total energy of atoms as compared to the standard local density approximation. The corresponding exchange-correlation potentials are then determined exactly through a solution of the optimized effective potential equation. These potentials support an additional bound state andmore » exhibit a derivative discontinuity at integer particle numbers. We further demonstrate that through the kinetic-energy density any meta-GGA incorporates a derivative discontinuity. However, we also find that for commonly used meta-GGAs the discontinuity is largely underestimated and in some cases even negative.« less

On the Complicated 410 km Discontinuity beneath Eastern China with the Seismic Triplications

NASA Astrophysics Data System (ADS)

Zhou, Y.; Li, G.; Sui, Y.

2013-12-01

The seismic triplications from the seismograms of mid-deep earthquakes at the Ryuku subduction zone recorded by the Chinese Digital Seismic Network (CDSN) between the epicentral distance between 10°-23° are used to study the upper mantle structure beneath Eastern China. Comparing the observed seismograms with the synthetic ones from different models based on IASP91 earth model and using the ray-tracing method, we found that the 410 km discontinuity is a gradient zone with the thickness of 20 km and there is low velocity layer atop the discontinuity which becomes thin from north to south beneath Eastern China. The complicated 410 km discontinuity with an atop low velocity layer may be caused by the dehydration of the Philippine sea subducting materials which are observed by the seismic tomopgraphy (Qu, et al., 2007; Li and van der Hilst, 2010). The low velocity gradient zone between the depths of 80-200 km is also been observed and may be related to the lithospheric-asthenosphere boundary.

47 CFR 80.471 - Discontinuance or impairment of service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false Discontinuance or impairment of service. 80.471 Section 80.471 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO... or impairment of service. Except as specified in § 20.15(b)(3) of this chapter with respect to...

24 CFR 203.288 - Discontinuance of adjusted premium charge.

Code of Federal Regulations, 2010 CFR

2010-04-01

... instrument, there shall be no adjusted mortgage insurance premium due the Commissioner on account of the... 24 Housing and Urban Development 2 2010-04-01 2010-04-01 false Discontinuance of adjusted premium... HOUSING AND URBAN DEVELOPMENT MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER...

24 CFR 203.288 - Discontinuance of adjusted premium charge.

Code of Federal Regulations, 2011 CFR

2011-04-01

... instrument, there shall be no adjusted mortgage insurance premium due the Commissioner on account of the... 24 Housing and Urban Development 2 2011-04-01 2011-04-01 false Discontinuance of adjusted premium... HOUSING AND URBAN DEVELOPMENT MORTGAGE AND LOAN INSURANCE PROGRAMS UNDER NATIONAL HOUSING ACT AND OTHER...

Adaptive Discontinuous Galerkin Methods in Multiwavelets Bases

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

Archibald, Richard K; Fann, George I; Shelton Jr, William Allison

2011-01-01

We use a multiwavelet basis with the Discontinuous Galerkin (DG) method to produce a multi-scale DG method. We apply this Multiwavelet DG method to convection and convection-diffusion problems in multiple dimensions. Merging the DG method with multiwavelets allows the adaptivity in the DG method to be resolved through manipulation of multiwavelet coefficients rather than grid manipulation. Additionally, the Multiwavelet DG method is tested on non-linear equations in one dimension and on the cubed sphere.

World Health Organization Discontinues Its Drinking-Water Guideline for Manganese

PubMed Central

Frisbie, Seth H.; Mitchell, Erika J.; Dustin, Hannah; Maynard, Donald M.

2012-01-01

Background: The World Health Organization (WHO) released the fourth edition of Guidelines for Drinking-Water Quality in July 2011. In this edition, the 400-µg/L drinking-water guideline for manganese (Mn) was discontinued with the assertion that because “this health-based value is well above concentrations of manganese normally found in drinking water, it is not considered necessary to derive a formal guideline value.” Objective: In this commentary, we review the WHO guideline for Mn in drinking water—from its introduction in 1958 through its discontinuation in 2011. Methods: For the primary references, we used the WHO publications that documented the Mn guidelines. We used peer-reviewed journal articles, government reports, published conference proceedings, and theses to identify countries with drinking water or potential drinking-water supplies exceeding 400 µg/L Mn and peer-reviewed journal articles to summarize the health effects of Mn. Discussion: Drinking water or potential drinking-water supplies with Mn concentrations > 400 µg/L are found in a substantial number of countries worldwide. The drinking water of many tens of millions of people has Mn concentrations > 400 µg/L. Recent research on the health effects of Mn suggests that the earlier WHO guideline of 400 µg/L may have been too high to adequately protect public health. Conclusions: The toxic effects and geographic distribution of Mn in drinking-water supplies justify a reevaluation by the WHO of its decision to discontinue its drinking-water guideline for Mn. PMID:22334150

World Health Organization discontinues its drinking-water guideline for manganese.

PubMed

Frisbie, Seth H; Mitchell, Erika J; Dustin, Hannah; Maynard, Donald M; Sarkar, Bibudhendra

2012-06-01

The World Health Organization (WHO) released the fourth edition of Guidelines for Drinking-Water Quality in July 2011. In this edition, the 400-µg/L drinking-water guideline for manganese (Mn) was discontinued with the assertion that because "this health-based value is well above concentrations of manganese normally found in drinking water, it is not considered necessary to derive a formal guideline value." In this commentary, we review the WHO guideline for Mn in drinking water--from its introduction in 1958 through its discontinuation in 2011. For the primary references, we used the WHO publications that documented the Mn guidelines. We used peer-reviewed journal articles, government reports, published conference proceedings, and theses to identify countries with drinking water or potential drinking-water supplies exceeding 400 µg/L Mn and peer-reviewed journal articles to summarize the health effects of Mn. Drinking water or potential drinking-water supplies with Mn concentrations > 400 µg/L are found in a substantial number of countries worldwide. The drinking water of many tens of millions of people has Mn concentrations > 400 µg/L. Recent research on the health effects of Mn suggests that the earlier WHO guideline of 400 µg/L may have been too high to adequately protect public health. The toxic effects and geographic distribution of Mn in drinking-water supplies justify a reevaluation by the WHO of its decision to discontinue its drinking-water guideline for Mn.

Safety and Benefit of Discontinuing Statin Therapy in the Setting of Advanced, Life-Limiting Illness

PubMed Central

Kutner, Jean S.; Blatchford, Patrick J.; Taylor, Don H.; Ritchie, Christine S.; Bull, Janet H.; Fairclough, Diane L.; Hanson, Laura C.; LeBlanc, Thomas W.; Samsa, Greg P.; Wolf, Steven; Aziz, Noreen M.; Currow, David C.; Ferrell, Betty; Wagner-Johnston, Nina; Zafar, S. Yousuf; Cleary, James F.; Dev, Sandesh; Goode, Patricia S.; Kamal, Arif H.; Kassner, Cordt; Kvale, Elizabeth A.; McCallum, Janelle G.; Ogunseitan, Adeboye B.; Pantilat, Steven Z.; Portenoy, Russell K.; Prince-Paul, Maryjo; Sloan, Jeff A.; Swetz, Keith M.; Von Gunten, Charles F.; Abernethy, Amy P.

2015-01-01

IMPORTANCE For patients with limited prognosis, some medication risks may outweigh the benefits, particularly when benefits take years to accrue; statins are one example. Data are lacking regarding the risks and benefits of discontinuing statin therapy for patients with limited life expectancy. OBJECTIVE To evaluate the safety, clinical, and cost impact of discontinuing statin medications for patients in the palliative care setting. DESIGN, SETTING, AND PARTICIPANTS This was a multicenter, parallel-group, unblinded, pragmatic clinical trial. Eligibility included adults with an estimated life expectancy of between 1 month and 1 year, statin therapy for 3 months or more for primary or secondary prevention of cardiovascular disease, recent deterioration in functional status, and no recent active cardiovascular disease. Participants were randomized to either discontinue or continue statin therapy and were monitored monthly for up to 1 year. The study was conducted from June 3, 2011, to May 2, 2013. All analyses were performed using an intent-to-treat approach. INTERVENTIONS Statin therapy was withdrawn from eligible patients who were randomized to the discontinuation group. Patients in the continuation group continued to receive statins. MAIN OUTCOMES AND MEASURES Outcomes included death within 60 days (primary outcome), survival, cardiovascular events, performance status, quality of life (QOL), symptoms, number of nonstatin medications, and cost savings. RESULTS A total of 381 patients were enrolled; 189 of these were randomized to discontinue statins, and 192 were randomized to continue therapy. Mean (SD) age was 74.1 (11.6) years, 22.0% of the participants were cognitively impaired, and 48.8% had cancer. The proportion of participants in the discontinuation vs continuation groups who died within 60 days was not significantly different (23.8% vs 20.3%; 90% CI, −3.5% to 10.5%; P = .36) and did not meet the noninferiority end point. Total QOL was better for the group

Regulation causes nitrogen cycling discontinuities in Mediterranean rivers.

PubMed

von Schiller, Daniel; Aristi, Ibon; Ponsatí, Lídia; Arroita, Maite; Acuña, Vicenç; Elosegi, Arturo; Sabater, Sergi

2016-01-01

River regulation has fundamentally altered large sections of the world's river networks. The effects of dams on the structural properties of downstream reaches are well documented, but less is known about their effect on river ecosystem processes. We investigated the effect of dams on river nutrient cycling by comparing net uptake of total dissolved nitrogen (TDN), phosphorus (TDP) and organic carbon (DOC) in river reaches located upstream and downstream from three reservoir systems in the Ebro River basin (NE Iberian Peninsula). Increased hydromorphological stability, organic matter standing stocks and ecosystem metabolism below dams enhanced the whole-reach net uptake of TDN, but not that of TDP or DOC. Upstream from dams, river reaches tended to be at biogeochemical equilibrium (uptake≈release) for all nutrients, whereas river reaches below dams acted as net sinks of TDN. Overall, our results suggest that flow regulation by dams may cause relevant N cycling discontinuities in rivers. Higher net N uptake capacity below dams could lead to reduced N export to downstream ecosystems. Incorporating these discontinuities could significantly improve predictive models of N cycling and transport in complex river networks. Copyright © 2015. Published by Elsevier B.V.

Discontinuously reinforced intermetallic matrix composites via XD synthesis. [exothermal dispersion

NASA Technical Reports Server (NTRS)

Kumar, K. S.; Whittenberger, J. D.

1992-01-01

A review is given of recent results obtained for discontinuously reinforced intermetallic matrix composites produced using the XD process. Intermetallic matrices investigated include NiAl, multiphase NiAl + Ni2AlTi, CoAl, near-gamma titanium aluminides, and Ll2 trialuminides containing minor amounts of second phase. Such mechanical properties as low and high temperature strength, compressive and tensile creep, elastic modulus, ambient ductility, and fracture toughness are discussed as functions of reinforcement size, shape, and volume fraction. Microstructures before and after deformation are examined and correlated with measured properties. An observation of interest in many of the systems examined is 'dispersion weakening' at high temperatures and high strain rates. This behavior is not specific to the XD process; rather similar observations have been reported in other discontinuous composites. Proposed mechanisms for this behavior are presented.

Addendum to "Colored-noise-induced discontinuous transitions in symbiotic ecosystems".

PubMed

Sauga, Ako; Mankin, Romi

2005-06-01

A symbiotic ecosystem with Gompertz self-regulation and with adaptive competition between populations is studied by means of a N-species Lotka-Volterra stochastic model. The influence of fluctuating environment on the carrying capacity of a population is modeled as a dichotomous noise. The study is a follow up of previous investigations of symbiotic ecosystems subjected to the generalized Verhulst self-regulation [Phys. Rev. E 69, 061106 (2004); 65, 051108 (2002)]. In the framework of mean-field approximation the behavior of the solutions of the self-consistency equation for a stationary system is examined analytically in the full phase space of system parameters. Depending on the mutual interplay of symbiosis and competition of species, variation of noise parameters (amplitude, correlation time) can induce doubly unidirectional discontinuous transitions as well as single unidirectional discontinuous transitions of the mean population size.

Addendum to ``Colored-noise-induced discontinuous transitions in symbiotic ecosystems''

NASA Astrophysics Data System (ADS)

Sauga, Ako; Mankin, Romi

2005-06-01

A symbiotic ecosystem with Gompertz self-regulation and with adaptive competition between populations is studied by means of a N -species Lotka-Volterra stochastic model. The influence of fluctuating environment on the carrying capacity of a population is modeled as a dichotomous noise. The study is a follow up of previous investigations of symbiotic ecosystems subjected to the generalized Verhulst self-regulation [Phys. Rev. E 69, 061106 (2004); 65, 051108 (2002)]. In the framework of mean-field approximation the behavior of the solutions of the self-consistency equation for a stationary system is examined analytically in the full phase space of system parameters. Depending on the mutual interplay of symbiosis and competition of species, variation of noise parameters (amplitude, correlation time) can induce doubly unidirectional discontinuous transitions as well as single unidirectional discontinuous transitions of the mean population size.

The Risk of Relapse after Anti-TNF Discontinuation in Inflammatory Bowel Disease: Systematic Review and Meta-Analysis.

PubMed

Gisbert, Javier P; Marín, Alicia C; Chaparro, María

2016-05-01

To perform a meta-analysis of the risk of relapse after discontinuation of anti-tumor necrosis factor (anti-TNF) therapy in patients with Crohn's disease (CD) and ulcerative colitis (UC), to evaluate risk factors for relapse, and to assess the response to retreatment with the same anti-TNF. Studies evaluating the incidence of relapse after anti-TNF discontinuation in patients with CD or UC who reached clinical remission with anti-TNFs were included. Bibliographies up to January 2015 were searched. Frequency of relapse after discontinuation of anti-TNF agents was determined; meta-analyses were performed using the inverse-variance method. We included 27 studies (21 infliximab and 6 infliximab/adalimumab). The overall risk of relapse after discontinuation of anti-TNF therapy was 44% for CD (95% confidence interval (CI) 36-51%; I(2)=79%; 912 patients) and 38% for UC (23-52%; I(2)=82%; 266 patients). In CD, the relapse rate was 38% at 6 months after discontinuation (short term), 40% at 12 months (medium term), and 49% at >25 months (long term). In UC, 28% of patients relapsed at 12 months. In CD, when clinical remission was the only criterion for stopping anti-TNF therapy, the relapse rate after 1 year was 42%, which decreased to 26% when endoscopic remission was also required. Retreatment with the same anti-TNF induced remission again in 80% of cases (68-91%). Approximately one-third of patients with inflammatory bowel disease in remission under anti-TNF treatment relapsed 1 year after discontinuation. This proportion increased to half in the long term. In CD patients, the risk of relapse was lower when the criterion for discontinuation was endoscopic remission and not only clinical remission. Response to retreatment with the same anti-TNF agent was favorable.

Velocity structure around the 410 km discontinuity beneath the East China Sea based on the waveform modeling method

NASA Astrophysics Data System (ADS)

Li, W.; Cui, Q.; Gao, Y.; Wei, R.; Zhou, Y.; Yu, J.

2017-12-01

The 410 km discontinuity is the upper boundary of the mantle transition zone. Seismic detections on the structure and morphology of the 410 km discontinuity are helpful to understand the compositions of the Earth's interior and the relevant geodynamics. In this paper, we select the broadband P waveforms of an intermediate earthquake that occurred in the Ryukyu subduction zone and retrieved from the China Digital Seismograph Network, and study the fine velocity structure around the 410 km discontinuity by matching the observed triplicated waveforms with the theoretical ones. Our results reveal that (1) the 410 km discontinuity beneath the East China Sea is mostly a sharp boundary with a small-scale uplift of 8-15 km and a gradient boundary up to 20 km in the most southern part, and (2) there exist a low velocity layer atop the 410 km discontinuity with the thickness of 50-62 km and P-wave velocity decrease of 0.5%-1.5%, and (3) a high velocity anomaly with P-wave decrease of 1.0%-3.0% below 440 km. Combining with the previous topographic results in this area, we speculate that the high velocity anomaly is relevant to the stagnancy of the western Pacific slab in the mantle transition zone, the decomposition of phase E in the slab results in the increase of water content, which would cause the uplift of the 410 km discontinuity, and the low velocity layer atop the discontinuity should be related to the partial melting of the mantle peridotite induced by the dehydration of the hydrous minerals.

Boston Naming Test Discontinuation Rule: "Rigorous" versus "Lenient" Interpretations.

ERIC Educational Resources Information Center

Ferman, Tanis J.; Ivnik, Robert J.; Lucas, John A.

1998-01-01

Two interpretations of the Boston Naming Test (BNT) (E. Kaplan, H. Goodglass, and S. Weintraub, 1983) discontinuation rule of six consecutive failures were found in BNT use with 655 normal older adults and 140 people with Alzheimer's disease. Differences between lenient and rigorous interpretations of responses could have impact on…

Continuing weight-loss effect after topiramate discontinuation in obese persons with schizophrenia: a pilot open-label study.

PubMed

Liang, C-S; Yang, F-W; Huang, S-Y; Ho, P-S

2014-07-01

Few studies have investigated the likelihood of weight maintenance in obese persons with schizophrenia after their initial successful weight loss. This pilot open-label study examined the efficacy of topiramate in weight loss and the trajectory of weight changes after topiramate discontinuation. This study enrolled 10 obese persons with schizophrenia. A 4-month treatment phase was started, followed by a 12-month discontinuation phase. Body weight was measured as the primary outcome every month. Secondary outcomes included leptin levels, fasting glucose, lipid profiles, and insulin resistance index. After the 4-month addition of topiramate, participants lost 1.79 kg of their body weight (95% CI=-3.03 to -0.56, p=0.005). The maximum weight reduction was 4.32 kg, occurring when topiramate had been discontinued for 12 months (95% CI=-6.41 to -2.24, p<0.001). The continuing weight-loss effect after topiramate discontinuation might have resulted from topiramate's potential to improve leptin functioning. These findings demonstrate that topiramate's weight-loss effect could not only persist during its administration, but also continue to improve after its discontinuation. © Georg Thieme Verlag KG Stuttgart · New York.

Discontinuous Galerkin Finite Element Method for Parabolic Problems

NASA Technical Reports Server (NTRS)

Kaneko, Hideaki; Bey, Kim S.; Hou, Gene J. W.

2004-01-01

In this paper, we develop a time and its corresponding spatial discretization scheme, based upon the assumption of a certain weak singularity of parallel ut(t) parallel Lz(omega) = parallel ut parallel2, for the discontinuous Galerkin finite element method for one-dimensional parabolic problems. Optimal convergence rates in both time and spatial variables are obtained. A discussion of automatic time-step control method is also included.

Environmental Discontinuity, Stress, and Sex Effects Upon Susceptibility to Social Influence

ERIC Educational Resources Information Center

Zohner, Dorin

1970-01-01

Social influence was influenced most by prestige suggestion, conformity, and baseline suggestion, in that order. Differential effects of suggestion depended on the effects of type of discontinuity and sex. (MH)

Risk factors for early treatment discontinuation in patients with obsessive-compulsive disorder

PubMed Central

Diniz, Juliana Belo; Malavazzi, Dante Marino; Fossaluza, Victor; Belotto-Silva, Cristina; Borcato, Sonia; Pimentel, Izabel; Miguel, Euripedes Constantino; Shavitt, Roseli Gedanke

2011-01-01

INTRODUCTION: In obsessive-compulsive disorder, early treatment discontinuation can hamper the effectiveness of first-line treatments. OBJECTIVE: This study aimed to investigate the clinical correlates of early treatment discontinuation among obsessive-compulsive disorder patients. METHODS: A group of patients who stopped taking selective serotonin reuptake inhibitors (SSRIs) or stopped participating in cognitive behavioral therapy before completion of the first twelve weeks (total n = 41; n = 16 for cognitive behavioral therapy and n = 25 for SSRIs) were compared with a paired sample of compliant patients (n = 41). Demographic and clinical characteristics were obtained at baseline using structured clinical interviews. Chi-square and Mann-Whitney tests were used when indicated. Variables presenting a p value <0.15 for the difference between groups were selected for inclusion in a logistic regression analysis that used an interaction model with treatment dropout as the response variable. RESULTS: Agoraphobia was only present in one (2.4%) patient who completed the twelve-week therapy, whereas it was present in six (15.0%) patients who dropped out (p = 0.044). Social phobia was present in eight (19.5%) patients who completed the twelve-week therapy and eighteen (45%) patients who dropped out (p = 0.014). Generalized anxiety disorder was present in eight (19.5%) patients who completed the twelve-week therapy and twenty (50%) dropouts (p = 0.004), and somatization disorder was not present in any of the patients who completed the twelve-week therapy; however, it was present in six (15%) dropouts (p = 0.010). According to the logistic regression model, treatment modality (p = 0.05), agoraphobia, the Brown Assessment of Beliefs Scale scores (p = 0.03) and the Beck Anxiety Inventory (p = 0.02) scores were significantly associated with the probability of treatment discontinuation irrespective of interactions with other variables

Continuities and Discontinuities in Psychopathology between Childhood and Adult Life

ERIC Educational Resources Information Center

Rutter, Michael; Kim-Cohen, Julia; Maughan, Barbara

2006-01-01

The possible mechanisms involved in continuities and discontinuities in psychopathology between childhood and adult life are considered in relation to the findings from systematic, prospective, long-term longitudinal studies. Findings on schizophrenia, neurodevelopmental disorders, emotional disturbances, antisocial behaviour and substance abuse…

47 CFR 101.305 - Discontinuance, reduction or impairment of service.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 47 Telecommunication 5 2014-10-01 2014-10-01 false Discontinuance, reduction or impairment of service. 101.305 Section 101.305 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.305...

47 CFR 101.305 - Discontinuance, reduction or impairment of service.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 47 Telecommunication 5 2012-10-01 2012-10-01 false Discontinuance, reduction or impairment of service. 101.305 Section 101.305 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.305...

47 CFR 101.305 - Discontinuance, reduction or impairment of service.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 47 Telecommunication 5 2011-10-01 2011-10-01 false Discontinuance, reduction or impairment of service. 101.305 Section 101.305 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.305...

47 CFR 101.305 - Discontinuance, reduction or impairment of service.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 47 Telecommunication 5 2010-10-01 2010-10-01 false Discontinuance, reduction or impairment of service. 101.305 Section 101.305 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.305...

47 CFR 101.305 - Discontinuance, reduction or impairment of service.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 47 Telecommunication 5 2013-10-01 2013-10-01 false Discontinuance, reduction or impairment of service. 101.305 Section 101.305 Telecommunication FEDERAL COMMUNICATIONS COMMISSION (CONTINUED) SAFETY AND SPECIAL RADIO SERVICES FIXED MICROWAVE SERVICES Miscellaneous Common Carrier Provisions § 101.305...

Appropriateness and long-term discontinuation rate of biological therapies in ulcerative colitis.

PubMed

Maillard, Michel H; Bortolotti, Murielle; Vader, John-Paul; Mottet, Christian; Schoepfer, Alain; Gonvers, Jean-Jacques; Burnand, Bernard; Froehlich, Florian; Michetti, Pierre; Pittet, Valérie

2014-08-01

Anti-TNFα agents are commonly used for ulcerative colitis (UC) therapy in the event of non-response to conventional strategies or as colon-salvaging therapy. The objectives were to assess the appropriateness of biological therapies for UC patients and to study treatment discontinuation over time, according to appropriateness of treatment, as a measure of outcome. We selected adult ulcerative colitis patients from the Swiss IBD cohort who had been treated with anti-TNFα agents. Appropriateness of the first-line anti-TNFα treatment was assessed using detailed criteria developed during the European Panel on the Appropriateness of Therapy for UC. Treatment discontinuation as an outcome was assessed for categories of appropriateness. Appropriateness of the first-line biological treatment was determined in 186 UC patients. For 64% of them, this treatment was considered appropriate. During follow-up, 37% of all patients discontinued biological treatment, 17% specifically because of failure. Time-to-failure of treatment was significantly different among patients on an appropriate biological treatment compared to those for whom the treatment was considered not appropriate (p=0.0007). Discontinuation rate after 2years was 26% compared to 54% between those two groups. Patients on inappropriate biological treatment were more likely to have severe disease, concomitant steroids and/or immunomodulators. They were also consistently more likely to suffer a failure of efficacy and to stop therapy during follow-up. Appropriateness of first-line anti-TNFα therapy results in a greater likelihood of continuing with the therapy. In situations where biological treatment is uncertain or inappropriate, physicians should consider other options instead of prescribing anti-TNFα agents. Copyright © 2014 European Crohn's and Colitis Organisation. Published by Elsevier B.V. All rights reserved.

Tensor-product preconditioners for higher-order space-time discontinuous Galerkin methods

NASA Astrophysics Data System (ADS)

Diosady, Laslo T.; Murman, Scott M.

2017-02-01

A space-time discontinuous-Galerkin spectral-element discretization is presented for direct numerical simulation of the compressible Navier-Stokes equations. An efficient solution technique based on a matrix-free Newton-Krylov method is developed in order to overcome the stiffness associated with high solution order. The use of tensor-product basis functions is key to maintaining efficiency at high-order. Efficient preconditioning methods are presented which can take advantage of the tensor-product formulation. A diagonalized Alternating-Direction-Implicit (ADI) scheme is extended to the space-time discontinuous Galerkin discretization. A new preconditioner for the compressible Euler/Navier-Stokes equations based on the fast-diagonalization method is also presented. Numerical results demonstrate the effectiveness of these preconditioners for the direct numerical simulation of subsonic turbulent flows.

Tensor-Product Preconditioners for Higher-Order Space-Time Discontinuous Galerkin Methods

NASA Technical Reports Server (NTRS)

Diosady, Laslo T.; Murman, Scott M.

2016-01-01

space-time discontinuous-Galerkin spectral-element discretization is presented for direct numerical simulation of the compressible Navier-Stokes equat ions. An efficient solution technique based on a matrix-free Newton-Krylov method is developed in order to overcome the stiffness associated with high solution order. The use of tensor-product basis functions is key to maintaining efficiency at high order. Efficient preconditioning methods are presented which can take advantage of the tensor-product formulation. A diagonalized Alternating-Direction-Implicit (ADI) scheme is extended to the space-time discontinuous Galerkin discretization. A new preconditioner for the compressible Euler/Navier-Stokes equations based on the fast-diagonalization method is also presented. Numerical results demonstrate the effectiveness of these preconditioners for the direct numerical simulation of subsonic turbulent flows.

Regression Discontinuity Design in Gifted and Talented Education Research

ERIC Educational Resources Information Center

Matthews, Michael S.; Peters, Scott J.; Housand, Angela M.

2012-01-01

This Methodological Brief introduces the reader to the regression discontinuity design (RDD), which is a method that when used correctly can yield estimates of research treatment effects that are equivalent to those obtained through randomized control trials and can therefore be used to infer causality. However, RDD does not require the random…

A Bayesian Nonparametric Causal Model for Regression Discontinuity Designs

ERIC Educational Resources Information Center

Karabatsos, George; Walker, Stephen G.

2013-01-01

The regression discontinuity (RD) design (Thistlewaite & Campbell, 1960; Cook, 2008) provides a framework to identify and estimate causal effects from a non-randomized design. Each subject of a RD design is assigned to the treatment (versus assignment to a non-treatment) whenever her/his observed value of the assignment variable equals or…

On a problem of reconstruction of a discontinuous function by its Radon transform

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

Derevtsov, Evgeny Yu.; Maltseva, Svetlana V.; Svetov, Ivan E.

A problem of reconstruction of a discontinuous function by its Radon transform is considered. One of the approaches to the numerical solution for the problem consists in the next sequential steps: a visualization of a set of breaking points; an identification of this set; a determination of jump values; an elimination of discontinuities. We consider three of listed problems except the problem of jump values. The problems are investigated by mathematical modeling using numerical experiments. The results of simulation are satisfactory and allow to hope for the further development of the approach.

The effect of fluoridation and its discontinuation on fluoride profiles in the alveolar bone of rat.

PubMed

Ohmi, Kyohei; Nakagaki, Haruo; Tsuboi, Shinji; Okumura, Akihiro; Sugiyama, Tomoko; Thuy, Tran Thu; Robinson, Colin

2005-10-01

We investigated the effect of fluoridation and its discontinuation on fluoride content in the alveolar portion of the mandible in rats. Drinking water with three different fluoride contents (0, 50, 100 ppmF) was given to rats for three different periods (4, 13 and 25 weeks). Fluoride concentrations were measured in the crest, the middle, and the apical parts of the alveolar bone and in the body of the mandible. Furthermore, after fluoridated drinking water was given to rats for 4 or 13 weeks, distilled water was given to them for 21 or 12 weeks respectively; and the effect of the discontinuation on fluoride profiles was investigated. Layer samples were analyzed by abrasive microsampling. Fluoride and phosphorus concentrations were determined by ion-specific electrode and colorimetric procedures, respectively. There was an increase in fluoride concentrations in the mandible in proportion to the fluoride content in the drinking water and the duration of fluoridation. After fluoridation was discontinued, fluoride concentrations in the surface layers of the mandible presented a decrease. Among the four different parts of the mandible, the upper part of the alveolar bone and the alveolar crest part presented the highest rates of reduction. The relative reduction rate of fluoride concentration was closely related to the duration of discontinuation. The alveolar crest was affected most by the discontinuation of fluoridation, presenting the greatest reduction.

Continuity Conditions on Schrodinger Wave Functions at Discontinuities of the Potential.

ERIC Educational Resources Information Center

Branson, David

1979-01-01

Several standard arguments which attempt to show that the wave function and its derivative must be continuous across jump discontinuities of the potential are reviewed and their defects discussed. (Author/HM)

Locating the Discontinuities of a Bounded Function by the Partial Sums of its Fourier Series I: Periodical Case

NASA Technical Reports Server (NTRS)

Kvernadze, George; Hagstrom,Thomas; Shapiro, Henry

1997-01-01

A key step for some methods dealing with the reconstruction of a function with jump discontinuities is the accurate approximation of the jumps and their locations. Various methods have been suggested in the literature to obtain this valuable information. In the present paper, we develop an algorithm based on identities which determine the jumps of a 2(pi)-periodic bounded not-too-highly oscillating function by the partial sums of its differentiated Fourier series. The algorithm enables one to approximate the locations of discontinuities and the magnitudes of jumps of a bounded function. We study the accuracy of approximation and establish asymptotic expansions for the approximations of a 27(pi)-periodic piecewise smooth function with one discontinuity. By an appropriate linear combination, obtained via derivatives of different order, we significantly improve the accuracy. Next, we use Richardson's extrapolation method to enhance the accuracy even more. For a function with multiple discontinuities we establish simple formulae which "eliminate" all discontinuities of the function but one. Then we treat the function as if it had one singularity following the method described above.

Asymmetry of nonlinear interactions of solar MHD discontinuities with the bow shock

NASA Astrophysics Data System (ADS)

Grib, S. A.; Pushkar, E. A.

2006-07-01

Oblique interaction between the solar fast shock wave, which is a typical nonstationary strong discontinuity in the interplanetary space, and the bow shock front upstream of an Earth-type planetary magnetosphere is studied. Attention has been paid to the qualitative and quantitative (with respect to the proton density distribution) dawn-dusk (or morning-evening) asymmetry of the discontinuities refracted into the magnetosheath, which originates in the ecliptic plane on different sides of the Sun-Earth line. The results under discussion have been corroborated experimentally by the gas-kinetic pattern of the bow-shock front and the WIND and ISEE 3 spacecraft measurements of the plasma density.

Toward Continuous GPS Carrier-Phase Time Transfer: Eliminating the Time Discontinuity at an Anomaly

PubMed Central

Yao, Jian; Levine, Judah; Weiss, Marc

2015-01-01

The wide application of Global Positioning System (GPS) carrier-phase (CP) time transfer is limited by the problem of boundary discontinuity (BD). The discontinuity has two categories. One is “day boundary discontinuity,” which has been studied extensively and can be solved by multiple methods [1–8]. The other category of discontinuity, called “anomaly boundary discontinuity (anomaly-BD),” comes from a GPS data anomaly. The anomaly can be a data gap (i.e., missing data), a GPS measurement error (i.e., bad data), or a cycle slip. Initial study of the anomaly-BD shows that we can fix the discontinuity if the anomaly lasts no more than 20 min, using the polynomial curve-fitting strategy to repair the anomaly [9]. However, sometimes, the data anomaly lasts longer than 20 min. Thus, a better curve-fitting strategy is in need. Besides, a cycle slip, as another type of data anomaly, can occur and lead to an anomaly-BD. To solve these problems, this paper proposes a new strategy, i.e., the satellite-clock-aided curve fitting strategy with the function of cycle slip detection. Basically, this new strategy applies the satellite clock correction to the GPS data. After that, we do the polynomial curve fitting for the code and phase data, as before. Our study shows that the phase-data residual is only ~3 mm for all GPS satellites. The new strategy also detects and finds the number of cycle slips by searching the minimum curve-fitting residual. Extensive examples show that this new strategy enables us to repair up to a 40-min GPS data anomaly, regardless of whether the anomaly is due to a data gap, a cycle slip, or a combination of the two. We also find that interference of the GPS signal, known as “jamming”, can possibly lead to a time-transfer error, and that this new strategy can compensate for jamming outages. Thus, the new strategy can eliminate the impact of jamming on time transfer. As a whole, we greatly improve the robustness of the GPS CP time transfer

Discontinuous Spectral Difference Method for Conservation Laws on Unstructured Grids

NASA Technical Reports Server (NTRS)

Liu, Yen; Vinokur, Marcel

2004-01-01

A new, high-order, conservative, and efficient discontinuous spectral finite difference (SD) method for conservation laws on unstructured grids is developed. The concept of discontinuous and high-order local representations to achieve conservation and high accuracy is utilized in a manner similar to the Discontinuous Galerkin (DG) and the Spectral Volume (SV) methods, but while these methods are based on the integrated forms of the equations, the new method is based on the differential form to attain a simpler formulation and higher efficiency. Conventional unstructured finite-difference and finite-volume methods require data reconstruction based on the least-squares formulation using neighboring point or cell data. Since each unknown employs a different stencil, one must repeat the least-squares inversion for every point or cell at each time step, or to store the inversion coefficients. In a high-order, three-dimensional computation, the former would involve impractically large CPU time, while for the latter the memory requirement becomes prohibitive. In addition, the finite-difference method does not satisfy the integral conservation in general. By contrast, the DG and SV methods employ a local, universal reconstruction of a given order of accuracy in each cell in terms of internally defined conservative unknowns. Since the solution is discontinuous across cell boundaries, a Riemann solver is necessary to evaluate boundary flux terms and maintain conservation. In the DG method, a Galerkin finite-element method is employed to update the nodal unknowns within each cell. This requires the inversion of a mass matrix, and the use of quadratures of twice the order of accuracy of the reconstruction to evaluate the surface integrals and additional volume integrals for nonlinear flux functions. In the SV method, the integral conservation law is used to update volume averages over subcells defined by a geometrically similar partition of each grid cell. As the order of

Effects of controlled discontinuation of long-term used antipsychotics on weight and metabolic parameters in individuals with intellectual disability.

PubMed

de Kuijper, Gerda; Mulder, Hans; Evenhuis, Heleen; Visser, Frank; Hoekstra, Pieter J

2013-08-01

Antipsychotics are frequently prescribed agents in individuals with intellectual disability, often for behavioral symptoms. Efficacy of antipsychotics for this is ambiguous, so discontinuation should be considered. Weight gain and metabolic dysregulation are well-known adverse effects of antipsychotics which increase the risk of the metabolic syndrome. We performed a discontinuation study in 99 adults with intellectual disability, living in residential facilities who used antipsychotics for behavioral symptoms for more than 1 year. The aim of the present study was to investigate the effects of discontinuation of long-term used antipsychotics on weight, body mass index (BMI), and parameters of the metabolic syndrome and to investigate the influence of genetic polymorphisms and medication factors on these outcomes. Discontinuation of antipsychotics led to a mean decrease of 4 cm waist circumference, of 3.5 kg weight, 1.4 kg/m2 BMI, and 7.1 mm Hg systolic blood pressure. In those participants who had not completely discontinued use of antipsychotics we found a decrease in weight and BMI and an increase in fasting glucose. The presence of the C-allele of serotonin 5-hydroxytryptamine receptor polymorphism rs141334 was associated with higher waist circumference and higher plasma levels of triglycerides and lower levels of high-density lipoprotein. Achievement of complete discontinuation predicted a larger decrease in waist circumference and BMI. In conclusion, results of the study show the beneficial effects of discontinuation of long-term used antipsychotics on metabolic outcomes.

Outcomes Following Discontinuation of E. coli l-Asparaginase Upon Severe Allergic Reactions in Children With Acute Lymphoblastic Leukemia.

PubMed

Yen, Hsiu-Ju; Chang, Wan-Hui; Liu, Hsi-Che; Yeh, Ting-Chi; Hung, Giun-Yi; Wu, Kang-Hsi; Peng, Ching-Tien; Chang, Yu-Hsiang; Chang, Te-Kao; Hsiao, Chih-Cheng; Sheen, Jiunn-Ming; Chao, Yu-Hua; Chang, Tai-Tsung; Chiou, Shyh-Shin; Lin, Pei-Chin; Wang, Shih-Chung; Lin, Ming-Tsan; Ho, Wan-Ling; Chen, Yu-Chieh; Liang, Der-Cherng

2016-04-01

Discontinuation of E. coli l-asparaginase in patients with acute lymphoblastic leukemia (ALL) is unavoidable upon severe allergic reaction. We sought to examine outcomes following E. coli l-asparaginase discontinuation due to severe allergic reactions. We evaluated the outcome of children enrolled in Taiwan Pediatric Oncology Group-2002-ALL protocol between 2002 and 2012, who had E. coli l-asparaginase discontinued due to severe allergic reactions, and compared the outcomes of those who continued with Erwinia l-asparaginase (Erwinase) with those who did not. Among 700 patients enrolled in this study, 33 patients had E. coli l-asparaginase treatment discontinued due to severe allergic reactions. Five-year overall survival did not differ significantly among the 648 patients without discontinuation (81 ± 1.6%, mean ± SE), compared to 17 patients with allergic reactions and treated with Erwinase (88 ± 7.8%) and 16 patients with allergic reactions but not treated with Erwinase (87 ± 8.6%). Among 16 patients who did not receive Erwinase, all 10 who received ≥50% of the scheduled doses of E. coli l-asparaginase before discontinuation survived without events. Erwinase treatment may not be needed for some ALL patients with severe allergy to E. coli l-asparaginase if ≥50% of prescribed doses were received and/or therapy is augmented with other agents. © 2015 Wiley Periodicals, Inc.

78 FR 46679 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2013-08-01

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... of a signal system. FRA assigned the petition Docket Number FRA-2013-0073. Applicant: Norfolk..., Georgia 30309. NS seeks approval of the proposed discontinuance of automatic signals within traffic...

Active Correction of Aperture Discontinuities-Optimized Stroke Minimization. I. A New Adaptive Interaction Matrix Algorithm

NASA Astrophysics Data System (ADS)

Mazoyer, J.; Pueyo, L.; N'Diaye, M.; Fogarty, K.; Zimmerman, N.; Leboulleux, L.; St. Laurent, K. E.; Soummer, R.; Shaklan, S.; Norman, C.

2018-01-01

Future searches for bio-markers on habitable exoplanets will rely on telescope instruments that achieve extremely high contrast at small planet-to-star angular separations. Coronagraphy is a promising starlight suppression technique, providing excellent contrast and throughput for off-axis sources on clear apertures. However, the complexity of space- and ground-based telescope apertures goes on increasing over time, owing to the combination of primary mirror segmentation, the secondary mirror, and its support structures. These discontinuities in the telescope aperture limit the coronagraph performance. In this paper, we present ACAD-OSM, a novel active method to correct for the diffractive effects of aperture discontinuities in the final image plane of a coronagraph. Active methods use one or several deformable mirrors that are controlled with an interaction matrix to correct for the aberrations in the pupil. However, they are often limited by the amount of aberrations introduced by aperture discontinuities. This algorithm relies on the recalibration of the interaction matrix during the correction process to overcome this limitation. We first describe the ACAD-OSM technique and compare it to the previous active methods for the correction of aperture discontinuities. We then show its performance in terms of contrast and off-axis throughput for static aperture discontinuities (segmentation, struts) and for some aberrations evolving over the life of the instrument (residual phase aberrations, artifacts in the aperture, misalignments in the coronagraph design). This technique can now obtain the Earth-like planet detection threshold of {10}10 contrast on any given aperture over at least a 10% spectral bandwidth, with several coronagraph designs.

38 CFR 21.4277 - Discontinuance: unsatisfactory progress, conduct and attendance.

Code of Federal Regulations, 2010 CFR

2010-07-01

... progress, conduct and attendance. (a) Satisfactory pursuit of program. Entitlement to benefits for a... the pursuit of such program, continues to maintain satisfactory progress. If the veteran or eligible person does not maintain satisfactory progress, educational benefits will be discontinued by the...

Effect of adhesive interleaving and discontinuous plies on failure of composite laminates subject to transverse normal loads

NASA Technical Reports Server (NTRS)

Jegley, Dawn C.

1989-01-01

Results of a series of tests to determine the effects of adhesive interleaving and discontinuous plies (plies with end-to-end gaps) on the displacements, failure loads and failure modes of graphite-epoxy laminates subjected to transverse normal loads are presented. Adhesive interleaving can be used to contain local damage within a group of plies, i.e., to arrest crack propagation on the interlaminate level, and it can increase the amount of normal displacement the laminate can withstand before failure. However, the addition of adhesive interleaving to a laminate does not significantly increase its load carrying capability. A few discontinuous plies in a laminate can reduce the normal displacement and load at failure by 10 to 40 percent compared to a laminate with no discontinuous plies, but the presence of the ply discontinuities does not generally change the failure location or the failure mode of the laminate.

Sativex in resistant multiple sclerosis spasticity: Discontinuation study in a large population of Italian patients (SA.FE. study)

PubMed Central

Solaro, Claudio; Righini, Isabella; Bergamaschi, Roberto; Bonavita, Simona; Bossio, Roberto Bruno; Brescia Morra, Vincenzo; Costantino, Gianfranco; Cavalla, Paola; Centonze, Diego; Comi, Giancarlo; Cottone, Salvatore; Danni, Maura Chiara; Francia, Ada; Gajofatto, Alberto; Gasperini, Claudio; Zaffaroni, Mauro; Petrucci, Loredana; Signoriello, Elisabetta; Maniscalco, Giorgia Teresa; Spinicci, Gabriella; Matta, Manuela; Mirabella, Massimiliano; Pedà, Graziella; Castelli, Letizia; Rovaris, Marco; Sessa, Edoardo; Spitaleri, Daniele; Paolicelli, Damiano; Granata, Alfredo; Zappia, Mario

2017-01-01

Background The approval of Sativex for the management of multiple sclerosis (MS) spasticity opened a new opportunity to many patients. In Italy, the healthcare payer can be fully reimbursed by the involved pharma company with the cost of treatment for patients not responding after a 4 week (28 days) trial period (Payment by Results, PbR), and 50% reimbursed with the cost of 6 weeks (42 days) treatment for other patients discontinuing (Cost Sharing, CS). The aim of our study was to describe the Sativex discontinuation profile from a large population of spasticity treated Italian MS patients. Methods We collected data of patients from 30 MS centres across the country starting Sativex between January 2014 and February 2015. Data were collected from the mandatory Italian Medicines Agency (AIFA) web-registry. Predictors of treatment discontinuation were assessed using a multivariate Cox proportional regression analysis. Results During the observation period 631 out of 1597 (39.5%) patients discontinued Sativex. The Kaplan-Meier estimates curve showed that 333 patients (20.8%) discontinued treatment at 4 weeks while 422 patients (26.4%) discontinued at 6 weeks. We found after adjusted modeling that a higher NRS score at T1 (adjHR 2.23, 95% 2.07–2.41, p<0.001) and a lower baseline NRS score (adjHR 0.51 95% CI 0.46–0.56, p<0.001) were predictive of treatment discontinuation. Conclusion These data show that the first 6 weeks are useful in identifying those patients in which Sativex could be effective, thus avoiding the cost of longer term evaluation. PMID:28763462

Full wave characterization of microstrip open end discontinuities patterned on anisotropic substrates using potential theory

NASA Technical Reports Server (NTRS)

Toncich, S. S.; Collin, R. E.; Bhasin, K. B.

1993-01-01

A technique for a full wave characterization of microstrip open end discontinuities fabricated on uniaxial anisotropic substrates using potential theory is presented. The substrate to be analyzed is enclosed in a cutoff waveguide, with the anisotropic axis aligned perpendicular to the air-dielectric interface. A full description of the sources on the microstrip line is included with edge conditions built in. Extention to other discontinuities is discussed.

Safety of ipsapirone treatment compared with lorazepam: discontinuation effects.

PubMed Central

Busto, U E; Naranjo, C A; Bremner, K E; Peachey, J E; Bologa, M

1998-01-01

OBJECTIVE: To determine discontinuation effects of ipsapirone, a novel azapirone and partial 5-HTIA agonist that has anxiolytic effects clinically and has not caused dependence or withdrawal symptoms in animals, and to compare these effects with those of the benzodiazepine lorazepam, owing to concern about dependence or withdrawal symptoms following use of these drugs. DESIGN: Prospective, randomized, double-blind, placebo-controlled trial. SETTING: Outpatient and inpatient treatment. PARTICIPANTS: Sixty-five healthy male volunteers who had experience with sedative-hypnotics or anxiolytics and did not meet DSM-III-R criteria for abuse or dependence. INTERVENTIONS: Participants were randomized to receive ipsapirone 15 mg per day (n = 17), ipsapirone 22.5 mg per day (n = 16), lorazepam 3 mg per day (n = 16), or placebo (n = 16) as outpatients for 36 days (treatment) followed by single-blind placebo as inpatients for 3 days and as outpatients for 6 days (withdrawal). OUTCOME MEASURES: Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Scale (HAM-D), Spielberger State Anxiety Scale, Sleep Quality Questionnaire, General Symptom Checklist, self-rated intoxication, Clinical Institute Withdrawal Assessment--Benzodiazepines (CIWA-Benzo), psychomotor testing and urine drug screen. RESULTS: Only 45 subjects completed the study; discontinuation rates did not significantly differ among treatment groups. At day 39, fewer and less severe symptoms (e.g., insomnia and fatigue) were found on the CIWA-Benzo scale after treatment with ipsapirone or placebo than after treatment with lorazepam (p < 0.05). Subjects reported longer sleep latency and poorer sleep quality after receiving lorazepam than after receiving ipsapirone or placebo. Scores on the HAM-D, Spielberger State Anxiety and HAM-A scales did not change from baseline. CONCLUSIONS: Withdrawal symptoms were detected after discontinuation of therapeutic doses of lorazepam. Significantly fewer symptoms were observed after

Safety of ipsapirone treatment compared with lorazepam: discontinuation effects.

PubMed

Busto, U E; Naranjo, C A; Bremner, K E; Peachey, J E; Bologa, M

1998-01-01

To determine discontinuation effects of ipsapirone, a novel azapirone and partial 5-HTIA agonist that has anxiolytic effects clinically and has not caused dependence or withdrawal symptoms in animals, and to compare these effects with those of the benzodiazepine lorazepam, owing to concern about dependence or withdrawal symptoms following use of these drugs. Prospective, randomized, double-blind, placebo-controlled trial. Outpatient and inpatient treatment. Sixty-five healthy male volunteers who had experience with sedative-hypnotics or anxiolytics and did not meet DSM-III-R criteria for abuse or dependence. Participants were randomized to receive ipsapirone 15 mg per day (n = 17), ipsapirone 22.5 mg per day (n = 16), lorazepam 3 mg per day (n = 16), or placebo (n = 16) as outpatients for 36 days (treatment) followed by single-blind placebo as inpatients for 3 days and as outpatients for 6 days (withdrawal). Hamilton Anxiety Rating Scale (HAM-A), Hamilton Depression Scale (HAM-D), Spielberger State Anxiety Scale, Sleep Quality Questionnaire, General Symptom Checklist, self-rated intoxication, Clinical Institute Withdrawal Assessment--Benzodiazepines (CIWA-Benzo), psychomotor testing and urine drug screen. Only 45 subjects completed the study; discontinuation rates did not significantly differ among treatment groups. At day 39, fewer and less severe symptoms (e.g., insomnia and fatigue) were found on the CIWA-Benzo scale after treatment with ipsapirone or placebo than after treatment with lorazepam (p < 0.05). Subjects reported longer sleep latency and poorer sleep quality after receiving lorazepam than after receiving ipsapirone or placebo. Scores on the HAM-D, Spielberger State Anxiety and HAM-A scales did not change from baseline. Withdrawal symptoms were detected after discontinuation of therapeutic doses of lorazepam. Significantly fewer symptoms were observed after withdrawal from anxiolytic doses of ipsapirone.

The Analysis of the Regression-Discontinuity Design in R

ERIC Educational Resources Information Center

Thoemmes, Felix; Liao, Wang; Jin, Ze

2017-01-01

This article describes the analysis of regression-discontinuity designs (RDDs) using the R packages rdd, rdrobust, and rddtools. We discuss similarities and differences between these packages and provide directions on how to use them effectively. We use real data from the Carolina Abecedarian Project to show how an analysis of an RDD can be…

Topography of Upper Mantle Seismic Discontinuities Beneath the North Atlantic: The Azores, Canary and Cape Verde Plumes

NASA Astrophysics Data System (ADS)

Thomas, C.; Saki, M.; Nippress, S. E. J.; Lessing, S.

2014-12-01

We are mapping the topography of upper mantle seismic discontinuities beneath the North Atlantic and surrounding regions by using precursor arrivals to PP and SS seismic waves that reflect off the seismic discontinuities. Numerous source-receiver combinations have been used in order to collect a large dataset of reflection points beneath our investigation area. We analysed over 1700 seismograms from MW>5.8 events using array seismic methods to enhance the signal to noise ratio. The measured time lag between PP (SS) arrivals and their corresponding precursors on robust stacks are used to measure the depth of the transition zone boundaries. The reflectors' depths show a correlation between the location of known hotspots and a significantly depressed 410 km discontinuity indicating a temperature increase of 50-300 K compared to the surrounding mantle. For the 660 km discontinuity three distinct behaviours are visible: i) normal depths beneath Greenland and at a distance of a few hundred kilometres away from known hotspots, ii) shallower 660 km discontinuity compared with the global average value near hotspots closer to the Mid-Atlantic Ridge and iii) very few observations of a 660 km discontinuity at the hotspot locations. We interpret our observations as a large upwelling beneath the southern parts of our study region, possibly due to the South Atlantic convection cell. The thermal anomaly may be blocked by endothermic phase transformation and likely does not extend through the top of the transition zone except for those branches which appear as the Azores, Canaries and Cape Verde hotspots at the surface.

Topography of upper mantle seismic discontinuities beneath the North Atlantic: the Azores, Canary and Cape Verde plumes

NASA Astrophysics Data System (ADS)

Saki, Morvarid; Thomas, Christine; Nippress, Stuart E. J.; Lessing, Stephan

2015-04-01

We are mapping the topography of upper mantle seismic discontinuities beneath the North Atlantic and surrounding regions by using precursor arrivals to PP and SS seismic waves that reflect off the seismic discontinuities. Many source-receiver combinations have been used in order to collect a large dataset of reflection points beneath our investigating area. We analyzed over 1700 seismograms from MW>5.8 events using array seismic methods to enhance the signal to noise ratio. The measured time lag between PP (SS) arrivals and their corresponding precursors on robust stacks are used to measure the depth of the transition zone boundaries. The reflectors' depths show a correlation between the location of hotspots and a significantly depressed 410 km discontinuity indicating a temperature increase of 200-300 K compared to the surrounding mantle. For the 660 km discontinuity three distinct behaviours are visible: i) normal depths beneath Greenland and at a distance of a few hundred kilometres away from the hotspots and ii) shallower 660 km discontinuity compared with the global average value near hotspots closer to the Mid-Atlantic Ridge and iii) very few observations of a 660 km discontinuity at the hotspot locations. We interpret our observations as a large upwelling beneath the southern parts of our study region, possibly due to the South Atlantic convection cell. The thermal anomaly may be blocked by endothermic phase transformation and likely does not extend through the top of the transition zone as whole except for those branches which appear as the Azores, Canaries and Cape Verde hotspots at the surface.

Medication persistence and discontinuation of rivaroxaban and dabigatran etexilate among patients with non-valvular atrial fibrillation.

PubMed

Nelson, Winnie W; Song, Xue; Thomson, Erin; Smith, David M; Coleman, Craig I; Damaraju, C V; Schein, Jeffrey R

2015-01-01

To compare real-world persistence and discontinuation among non-valvular atrial fibrillation (NVAF) patients on rivaroxaban and dabigatran in the US. A large nationally representative US claims database was used to conduct a retrospective cohort analysis of patients with NVAF on rivaroxaban or dabigatran between October 2010 and March 2013. The index date was the date of the first prescription of rivaroxaban or dabigatran. All patients had ≥6 months of data prior to the index date and were followed until the earliest of inpatient death, end of continuous enrollment, or end of the study period. Rivaroxaban patients were matched 1:1 with dabigatran patients using the propensity score matching technique. Cox proportional hazards models were employed to estimate the adjusted hazard ratios (aHRs) of non-persistence and discontinuation. Persistence was defined as absence of a refill gap of ≥60 days. Discontinuation was defined as no additional refill for at least 90 days and until the end of follow-up. A total of 30,337 NVAF patients on rivaroxaban or dabigatran met the study criteria. All 7259 rivaroxaban patients were matched 1:1 to dabigatran patients. Compared with dabigatran users, rivaroxaban patients were 11% less likely to become non-persistent with therapy (aHR: 0.89, 95% CI 0.84-0.95) and 29% less likely to discontinue therapy (aHR: 0.71, 95% CI 0.66-0.77). Claims data are subject to miscoding and inaccuracies. Refill data may not fully reflect actual medication taken. Confounding may remain even after propensity score matching and additional adjustments in model. Longer follow-up may produce more precise estimates of persistence and discontinuation. This matched cohort analysis indicated that, compared to dabigatran, rivaroxaban was associated with better persistence and lower rates of discontinuation.

Predictors for Permanent Discontinuation of Systemic Immunosuppression in Severely Affected Chronic Graft-Versus-Host Disease Patients.

PubMed

Curtis, Lauren M; Pirsl, Filip; Steinberg, Seth M; Mitchell, Sandra A; Baird, Kristin; Cowen, Edward W; Mays, Jacqueline; Buxbaum, Nataliya P; Pichard, Dominique C; Im, Annie; Avila, Daniele; Taylor, Tiffani; Fowler, Daniel H; Gress, Ronald E; Pavletic, Steven Z

2017-11-01

Predicting the duration of systemic therapy in patients with chronic graft-versus-host disease (cGVHD) is of critical clinical importance when counseling patients and for treatment planning. cGVHD characteristics associated with this outcome have not been studied in severely affected patients. The National Institutes of Health (NIH) cGVHD scoring provides a standardized set of organ severity measures that could represent clinically useful and reproducible predictive characteristics. We analyzed 227 previously treated patients most with moderate (n = 54) or severe (n = 170) cGVHD defined by NIH criteria who were prospectively enrolled in a natural history protocol (NCT00092235). Patients received a median of 4 prior systemic therapy regimens and were seen at the NIH for a single time-point visit and were then monitored for survival and ability to discontinue cGVHD systemic therapy. With a median follow-up of 71.1 months, the cumulative incidence of systemic therapy discontinuation was 9.5% (95% confidence interval, 6.0% to 13.9%) at 2 years and 27.7% (95% confidence interval, 20.9% to 34.8%) by 5 years after the initial visit. Factors associated with a higher incidence of immunosuppression discontinuation included lower NIH global severity (P = .019) and lung (P = .030) scores and less extensive deep sclerosis (<37% body surface area, P = .024). Lower patient- and clinician-reported 0 to 10 severity NIH scores and noncyclosporine prophylaxis regimens were also associated with higher incidence of immunosuppression discontinuation (P <.05). In conclusion, we found low success rates for immune suppression discontinuation in previously treated patients who were severely affected with cGVHD. NIH scoring and clinical measures provide new standardized disease-specific tools to predict discontinuation of systemic therapy. Published by Elsevier Inc.

The challenge of pelvic discontinuity: cup-cage reconstruction does better than conventional cages in mid-term.

PubMed

Abolghasemian, M; Tangsaraporn, S; Drexler, M; Barbuto, R; Backstein, D; Safir, O; Kuzyk, P; Gross, A

2014-02-01

The use of ilioischial cage reconstruction for pelvic discontinuity has been replaced by the Trabecular Metal (Zimmer, Warsaw, Indiana) cup-cage technique in our institution, due to the unsatisfactory outcome of using a cage alone in this situation. We report the outcome of 26 pelvic discontinuities in 24 patients (20 women and four men, mean age 65 years (44 to 84)) treated by the cup-cage technique at a mean follow-up of 82 months (12 to 113) and compared them with a series of 19 pelvic discontinuities in 19 patients (18 women and one man, mean age 70 years (42 to 86)) treated with a cage at a mean follow-up of 69 months (1 to 170). The clinical and radiological outcomes as well as the survivorship of the groups were compared. In all, four of the cup-cage group (15%) and 13 (68%) of the cage group failed due to septic or aseptic loosening. The seven-year survivorship was 87.2% (95% confidence interval (CI) 71 to 103) for the cup-cage group and 49.9% (95% CI 15 to 84) for the cage-alone group (p = 0.009). There were four major complications in the cup-cage group and nine in the cage group. Radiological union of the discontinuity was found in all successful cases in the cup-cage group and three of the successful cage cases. Three hips in the cup-cage group developed early radiological migration of the components, which stabilised with a successful outcome. Cup-cage reconstruction is a reliable technique for treating pelvic discontinuity in mid-term follow-up and is preferred to ilioischial cage reconstruction. If the continuity of the bone graft at the discontinuity site is not disrupted, early migration of the components does not necessarily result in failure.

Anaphylactic Reactions After Discontinuation of Hymenoptera Venom Immunotherapy: A Clonal Mast Cell Disorder Should Be Suspected.

PubMed

Bonadonna, Patrizia; Zanotti, Roberta; Pagani, Mauro; Bonifacio, Massimiliano; Scaffidi, Luigi; Olivieri, Elisa; Franchini, Maurizio; Reccardini, Federico; Costantino, Maria Teresa; Roncallo, Chiara; Mauro, Marina; Boni, Elisa; Rizzini, Fabio Lodi; Bilò, Maria Beatrice; Marcarelli, Anna Rosaria; Passalacqua, Giovanni

2017-12-16

Up to 75% of patients with severe anaphylactic reactions after Hymenoptera sting are at risk of further severe reactions if re-stung. Venom immunotherapy (VIT) is highly effective in protecting individuals with ascertained Hymenoptera venom allergy (HVA) and previous severe reactions. After a 3- to 5-year VIT course, most patients remain protected after VIT discontinuation. Otherwise, a lifelong treatment should be considered in high-risk patients (eg, in mastocytosis). Several case reports evidenced that patients with mastocytosis and HVA, although protected during VIT, can re-experience severe and sometimes fatal reactions after VIT discontinuation. To evaluate whether patients who lost protection after VIT discontinuation may suffer from clonal mast cell disorders. The survey describes the characteristics of patients who received a full course of VIT for previous severe reactions and who experienced another severe reaction at re-sting after VIT discontinuation. Those with a Red Española de Mastocitosis score of 2 or more or a serum basal tryptase level of more than 25 ng/mL underwent a hematological workup (bone marrow biopsy, KIT mutation, expression of aberrant CD25) and/or skin biopsy. Nineteen patients (mean age, 56.3 years; 89.5% males) were evaluated. All of them had received at least 4 years of VIT and were protected. After VIT discontinuation they were re-stung and developed, in all but 1 case, severe anaphylactic reactions (12 with loss of consciousness, in the absence of urticaria/angioedema). Eighteen patients (94.7%) had a clonal mast cell disorder, 8 of them with normal tryptase. Looking at this selected population, we suggest that mastocytosis should be considered in patients developing severe reactions at re-sting after VIT discontinuation and, as a speculation, patients with mastocytosis and HVA should be VIT-treated lifelong. Copyright © 2017. Published by Elsevier Inc.

78 FR 59754 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-27

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... of a signal system. FRA assigned the petition Docket Number FRA-2013-0095. Applicant: Grenada Railway... seeks approval of the proposed discontinuance and removal of the automatic block signal (ABS) system...

78 FR 14874 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-07

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... of a signal system. FRA assigned the petition Docket Number FRA-2013-0017. Applicant: Norfolk..., Georgia 30309. NS seeks approval of the proposed temporary discontinuance of the signal system at the...

78 FR 77785 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-24

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... discontinuance or modification of a signal system. FRA assigned the petition Docket Number FRA-2013-0125. Applicants: Union Pacific Railroad, Mr. Phillip A. Danner, AVP Engineering-Signal, 1400 Douglas Street, MS...

78 FR 77786 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2013-12-24

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... Federal Railroad Administration (FRA) seeking approval for the discontinuance or modification of a signal..., Inc., Mr. Timothy P. Purcell, Acting Chief Engineer--Signals, One Penn Plaza East, Newark, NJ 07105...

77 FR 40700 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2012-07-10

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... discontinuance or modification of a signal system. FRA assigned the petition Docket Number FRA-2012-0053. Applicant: Alabama and Tennessee River Railway LLC, Mr. Jason Scott, Vice President Signals & Communications...

The Applicability of the Generalized Method of Cells for Analyzing Discontinuously Reinforced Composites

NASA Technical Reports Server (NTRS)

Pahr, D. H.; Arnold, S. M.

2001-01-01

The paper begins with a short overview of the recent work done in the field of discontinuous reinforced composites, focusing on the different parameters which influence the material behavior of discontinuous reinforced composites, as well as the various analysis approaches undertaken. Based on this overview it became evident, that in order to investigate the enumerated effects in an efficient and comprehensive manner, an alternative approach to the computationally intensive finite-element based micromechanics approach is required. Therefore, an investigation is conducted to demonstrate the utility of utilizing the generalized method of cells (GMC), a semi-analytical micromechanics-based approach, to simulate the elastic and elastoplastic material behavior of aligned short fiber composites. The results are compared with (1) simulations using other micromechanical based mean field models and finite element (FE) unit cell models found in the literature given elastic material behavior, as well as (2) finite element unit cell and a new semianalytical elastoplastic shear lag model in the inelastic range. GMC is shown to definitely have a window of applicability when simulating discontinuously reinforced composite material behavior.

The Applicability of the Generalized Method of Cells for Analyzing Discontinuously Reinforced Composites

NASA Technical Reports Server (NTRS)

Pahr, D. H.; Arnold, S. M.

2001-01-01

The paper begins with a short overview of the recent work done in the field of discontinuous reinforced composites, focusing on the different parameters which influence the material behavior of discontinuous reinforced composites, as well as the various analysis approaches undertaken. Based on this overview it became evident that in order to investigate the enumerated effects in an efficient and comprehensive manner, an alternative approach to the computationally intensive finite-element based micromechanics approach is required. Therefore, an investigation is conducted to demonstrate the utility of utilizing the generalized method of cells (GMC), a semi-analytical micromechanics-based approach, to simulate the elastic and elastoplastic material behavior of aligned short fiber composites. The results are compared with simulations using other micromechanical based mean field models and finite element (FE) unit cell models found in the literature given elastic material behavior, as well as finite element unit cell and a new semianalytical elastoplastic shear lag model in the inelastic range. GMC is shown to definitely have a window of applicability when simulating discontinuously reinforced composite material behavior.

A study of upper mantle discontinuities beneath the Korean Peninsula using teleseismic receiver functions

NASA Astrophysics Data System (ADS)

Lee, S.; Park, Y.; Kim, K.; Rhie, J.

2010-12-01

The study on the topography of the upper mantle discontinuities helps us to understand the complex interactions between the subducting slabs and upper mantle discontinuities. To investigate the depth variation of the upper mantle discontinuities beneath the Korean Peninsula and surrounding regions, we applied the common conversion point stacking of the P-to-s receiver functions. The broadband seismic networks in South Korea and Japan were used to produce the high-resolution receiver function images of the region. The 410- and 660-km discontinuities (hereafter referred to as the 410 and the 660) are clearly imaged and their depth variations show interesting features, especially for the 660. In this region, the subducting Pacific slab bends to flatten over the 660 and several tomographic images indicate that the stagnant slab is extending to the west under China. If the depth of the 660 is affected by the temperature, the broad depression of the 660 is expected and several SS precursor studies support this idea. However, our observation shows that the 660 is locally depressed and its pattern is spatially changing. While the depressed 660 due to the Pacific slab is clearly imaged at lower latitudes (< 37°N), there is no evidence of the depressed 660 to the north. It indicates that the effect of the Pacific slab on the depth variation of the 660 is changing significantly in our study area.

Seismic Migration Imaging of the Crust and Upper Mantle Discontinuity Structure beneath Southern Taiwan

NASA Astrophysics Data System (ADS)

Liu, Y.-S.; Kuo, B.-Y.

2009-04-01

Taiwan is located in the convergent plate boundary zone where the Philippine Sea plate has obliquely collided on the Asian continental margin, initiating the arc-continent collision and subsequent mountain-building in Taiwan. Receiver function has been a powerful tool to image seismic velocity discontinuity structure in the crust and upper mantle which can help illuminate the deep dynamic process of active Taiwan orogeny. In this study, we adopt backprojection migration processing of teleseismic receiver functions to investigate the crust and upper mantle discontinuities beneath southern Taiwan, using the data from Southern Taiwan Transect Seismic Array (STTA), broadband stations of Central Weather Bureau (CWB), Broadband Array in Taiwan for Seismology (BATS), and Taiwan Integrated Geodynamics Research (TAIGER). This composite east-west trending linear array has the aperture of about 150 km with the station spacing of ~5-10 km. Superior to the common midpoint (CMP) stack approach, the migration can properly image the dipping, curved, or laterally-varying topography of discontinuous interfaces which very likely exist under the complicated tectonic setting of Taiwan. We first conduct synthetic experiments to test the depth and lateral resolution of migration images based on the WKBJ synthetic waveforms calculated from available source and receiver distributions. We will next construct the 2-D migration image under the array to reveal the topographic variation of the Moho and lithosphere discontinuities beneath southern Taiwan.

Challenges of the pharmacological management of benzodiazepine withdrawal, dependence, and discontinuation.

PubMed

Fluyau, Dimy; Revadigar, Neelambika; Manobianco, Brittany E

2018-05-01

Benzodiazepines (BZDs) are among the most prescribed sedative hypnotics and among the most misused and abused medications by patients, in parallel with opioids. It is estimated that more than 100 million Benzodiazepine (BZD) prescriptions were written in the United States in 2009. While medically useful, BZDs are potentially dangerous. The co-occurring abuse of opioids and BZD, as well as increases in BZD abuse, tolerance, dependence, and short- and long-term side effects, have prompted a worldwide discussion about the challenging aspects of medically managing the discontinuation of BZDs. Abrupt cessation can cause death. This paper addresses the challenges of medications suggested for the management of BZD discontinuation, their efficacy, the risks of abuse and associated medical complications. The focus of this review is on the challenges of several medications suggested for the management of BZD discontinuation, their efficacy, the risks of abuse, and associated medical complications. An electronic search was performed of Medline, Worldwide Science, Directory of Open Access Journals, Embase, Cochrane Library, Google Scholar, PubMed Central, and PubMed from 1990 to 2017. The review includes double-blind, placebo-controlled studies for the most part, open-label pilot studies, and animal studies, in addition to observational research. We expand the search to review articles, naturalistic studies, and to a lesser extent, letters to the editor/case reports. We exclude abstract and poster presentations, books, and book chapters. The efficacy of these medications is not robust. While some of these medicines are relatively safe to use, some of them have a narrow therapeutic index, with severe, life-threatening side effects. Randomized studies have been limited. There is a paucity of comparative research. The review has several limitations. The quality of the documents varies according to whether they are randomized studies, nonrandomized studies, naturalistic studies

46 CFR 560.9 - Postponement, discontinuance, or suspension of action.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 46 Shipping 9 2011-10-01 2011-10-01 false Postponement, discontinuance, or suspension of action. 560.9 Section 560.9 Shipping FEDERAL MARITIME COMMISSION REGULATIONS AND ACTIONS TO ADDRESS RESTRICTIVE FOREIGN MARITIME PRACTICES ACTIONS TO ADDRESS CONDITIONS UNDULY IMPAIRING ACCESS OF U.S.-FLAG...

Annual peak discharges from small drainage areas in Montana for stations discontinued before 1978

USGS Publications Warehouse

Omang, R.J.; Hull, J.A.; Parrett, Charles

1979-01-01

Annual peak stage and discharge data have been tabulated for crest-stage gage sites in Montana. The crest-stage program was begun in July 1955 to investigate the magnitude and frequency of floods from samll drainage areas. The program has expanded from 45 crest-stage gaging stations initially to 172 stations maintained in 1978. From 1955 to 1978, 156 stations have been discontinued. This report is a tabulation of the stage and discharge data for the discontinued stations. (Woodard-USGS)

Active Control of Sound Radiation due to Subsonic Wave Scattering from Discontinuities on Thin Elastic Beams.

NASA Astrophysics Data System (ADS)

Guigou, Catherine Renee J.

1992-01-01

Much progress has been made in recent years in active control of sound radiation from vibrating structures. Reduction of the far-field acoustic radiation can be obtained by directly modifying the response of the structure by applying structural inputs rather than by adding acoustic sources. Discontinuities, which are present in many structures are often important in terms of sound radiation due to wave scattering behavior at their location. In this thesis, an edge or boundary type discontinuity (clamped edge) and a point discontinuity (blocking mass) are analytically studied in terms of sound radiation. When subsonic vibrational waves impinge on these discontinuities, large scattered sound levels are radiated. Active control is then achieved by applying either control forces, which approximate shakers, or pairs of control moments, which approximate piezoelectric actuators, near the discontinuity. Active control of sound radiation from a simply-supported beam is also examined. For a single frequency, the flexural response of the beam subject to an incident wave or an input force (disturbance) and to control forces or control moments is expressed in terms of waves of both propagating and near-field types. The far-field radiated pressure is then evaluated in terms of the structural response, using Rayleigh's formula or a stationary phase approach, depending upon the application. The control force and control moment magnitudes are determined by optimizing a quadratic cost function, which is directly related to the control performance. On determining the optimal control complex amplitudes, these can be resubstituted in the constitutive equations for the system under study and the minimized radiated fields can be evaluated. High attenuation in radiated sound power and radiated acoustic pressure is found to be possible when one or two active control actuators are located near the discontinuity, as is shown to be mostly associated with local changes in beam response near

Light propagation with phase discontinuities: generalized laws of reflection and refraction.

PubMed

Yu, Nanfang; Genevet, Patrice; Kats, Mikhail A; Aieta, Francesco; Tetienne, Jean-Philippe; Capasso, Federico; Gaburro, Zeno

2011-10-21

Conventional optical components rely on gradual phase shifts accumulated during light propagation to shape light beams. New degrees of freedom are attained by introducing abrupt phase changes over the scale of the wavelength. A two-dimensional array of optical resonators with spatially varying phase response and subwavelength separation can imprint such phase discontinuities on propagating light as it traverses the interface between two media. Anomalous reflection and refraction phenomena are observed in this regime in optically thin arrays of metallic antennas on silicon with a linear phase variation along the interface, which are in excellent agreement with generalized laws derived from Fermat's principle. Phase discontinuities provide great flexibility in the design of light beams, as illustrated by the generation of optical vortices through use of planar designer metallic interfaces.

Factors associated with mouthguard use and discontinuation among rugby players in Malaysia.

PubMed

Liew, Amy Kia Cheen; Abdullah, Dalia; Wan Noorina, Wan Ahmad; Khoo, Selina

2014-12-01

To assess rugby players' preferences for using a mouthguard and to determine the factors contributing to the use and discontinuation of a mouthguard. A cross-sectional study was conducted in two rugby tournaments from 2009 to 2010. Samples were selected by convenience sampling. Participants were required to complete a self-administered questionnaire, which inquired about awareness and pattern of mouthguard use, as well as reasons if discontinued. Completed questionnaires were returned by 456 participants, with an estimated response rate of 77.8%. All participants were male (mean age = 22.73, SD = 3.98). Median duration of playing was 6 years, and median frequency was 6 h per week. Overall mouthguard use was low (31.1%, n = 142), especially for custom-fitted mouthguard (1.8%, n = 8), followed by stock mouthguard (7.7%, n = 35). Boil-and-bite type was most commonly used (21.1%, n = 96). Of those who wore a mouthguard before, only 28% continued using it. The discontinuation rate for each type was as follows: stock, 57.1% (P = 0.032); boil-and-bite, 80.2% (P = 0.002); and custom, 37.5% (P = 0.04). Age was a significant factor for mouthguard use (P = 0.007, OR = 1.10, 95% CI = 1.03-1.17). Breathing disturbance (OR = 3.36, 95% CI = 1.17-9.72) and general discomfort (OR = 3.71, 95% CI = 1.68-8.20) were significant factors in discontinuing mouthguard use. The use of mouthguard was low among rugby players. Custom-made was the least worn type, possibly due to limited availability. The use of mouthguard increased slightly with age but was discouraged by breathing interference and general discomfort. Therefore, preventive effort should focus on early education and reinforcement, as well as on the improvement of wearability and accessibility. © 2014 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

77 FR 9296 - Notice of Application for Approval of Discontinuance or Modification of a Railroad Signal System

Federal Register 2010, 2011, 2012, 2013, 2014

2012-02-16

... of Application for Approval of Discontinuance or Modification of a Railroad Signal System In... or modification of a signal system. FRA assigned the petition Docket Number FRA-2012-0012. UP seeks approval of the proposed discontinuance of the automatic block signal (ABS) system between Control Point...

78 FR 12823 - Notice of Joint Application for Approval of Discontinuance or Modification of a Railroad Signal...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-25

... of Joint Application for Approval of Discontinuance or Modification of a Railroad Signal System In... Administration (FRA) seeking approval for the discontinuance or modification of a signal system. FRA assigned the.... David B. Olson, Chief Engineer Communication and Signals, 500 Water Street, Speed Code J-350...

A full vectorial generalized discontinuous Galerkin beam propagation method (GDG-BPM) for nonsmooth electromagnetic fields in waveguides

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

Fan Kai; Cai Wei; Ji Xia

2008-07-20

In this paper, we propose a new full vectorial generalized discontinuous Galerkin beam propagation method (GDG-BPM) to accurately handle the discontinuities in electromagnetic fields associated with wave propagations in inhomogeneous optical waveguides. The numerical method is a combination of the traditional beam propagation method (BPM) with a newly developed generalized discontinuous Galerkin (GDG) method [K. Fan, W. Cai, X. Ji, A generalized discontinuous Galerkin method (GDG) for Schroedinger equations with nonsmooth solutions, J. Comput. Phys. 227 (2008) 2387-2410]. The GDG method is based on a reformulation, using distributional variables to account for solution jumps across material interfaces, of Schroedinger equationsmore » resulting from paraxial approximations of vector Helmholtz equations. Four versions of the GDG-BPM are obtained for either the electric or magnetic field components. Modeling of wave propagations in various optical fibers using the full vectorial GDG-BPM is included. Numerical results validate the high order accuracy and the flexibility of the method for various types of interface jump conditions.« less

Hippocampal agenesis in an individual who engaged in violent criminal behaviors after discontinuing carbamazepine and paroxetine treatment.

PubMed

Hanada, Hiroaki; Akiyoshi, Jotaro; Kanehisa, Masayuki; Ishitobi, Yoshinobu; Tsuru, Jusen; Tanaka, Yoshihiro; Shimomura, Tsuyoshi; Kawano, Yoshihisa

2013-01-01

Antidepressant discontinuation syndrome (ADS) occurs after abrupt discontinuation of an antidepressant medication. A 23-year-old man with right hippocampal agenesis demonstrated sexual crime (hypersexuality) since the age of eight and had been successfully treated with carbamazepine since the age of 13. He had required increased doses of paroxetine and carbamazepine owing to the development of an unstable affect after quitting his job. He abruptly stopped taking his medication for 3 days and his criminal behaviors re-emerged. We examined changes in brain structure and activity before and after medication cessation, using MRI and functional MRI (fMRI). The image of a girl in a swimsuit increased activity in the thalamus only after medication discontinuation. The alteration in thalamic activity might induce hypersexuality. We conclude that a primary hypersexuality had been suppressed with carbamazepine and paroxetine treatment, and the discontinuation of the medication caused the hypersexuality. © 2012 American Academy of Forensic Sciences.

Asymptotic, multigroup flux reconstruction and consistent discontinuity factors

DOE PAGES

Trahan, Travis J.; Larsen, Edward W.

2015-05-12

Recent theoretical work has led to an asymptotically derived expression for reconstructing the neutron flux from lattice functions and multigroup diffusion solutions. The leading-order asymptotic term is the standard expression for flux reconstruction, i.e., it is the product of a shape function, obtained through a lattice calculation, and the multigroup diffusion solution. The first-order asymptotic correction term is significant only where the gradient of the diffusion solution is not small. Inclusion of this first-order correction term can significantly improve the accuracy of the reconstructed flux. One may define discontinuity factors (DFs) to make certain angular moments of the reconstructed fluxmore » continuous across interfaces between assemblies in 1-D. Indeed, the standard assembly discontinuity factors make the zeroth moment (scalar flux) of the reconstructed flux continuous. The inclusion of the correction term in the flux reconstruction provides an additional degree of freedom that can be used to make two angular moments of the reconstructed flux continuous across interfaces by using current DFs in addition to flux DFs. Thus, numerical results demonstrate that using flux and current DFs together can be more accurate than using only flux DFs, and that making the second angular moment continuous can be more accurate than making the zeroth moment continuous.« less

Investigation of smoothness-increasing accuracy-conserving filters for improving streamline integration through discontinuous fields.

PubMed

Steffen, Michael; Curtis, Sean; Kirby, Robert M; Ryan, Jennifer K

2008-01-01

Streamline integration of fields produced by computational fluid mechanics simulations is a commonly used tool for the investigation and analysis of fluid flow phenomena. Integration is often accomplished through the application of ordinary differential equation (ODE) integrators--integrators whose error characteristics are predicated on the smoothness of the field through which the streamline is being integrated--smoothness which is not available at the inter-element level of finite volume and finite element data. Adaptive error control techniques are often used to ameliorate the challenge posed by inter-element discontinuities. As the root of the difficulties is the discontinuous nature of the data, we present a complementary approach of applying smoothness-enhancing accuracy-conserving filters to the data prior to streamline integration. We investigate whether such an approach applied to uniform quadrilateral discontinuous Galerkin (high-order finite volume) data can be used to augment current adaptive error control approaches. We discuss and demonstrate through numerical example the computational trade-offs exhibited when one applies such a strategy.

Rates of IUCD discontinuation and its associated factors among the clients of a social franchising network in Pakistan

PubMed Central

2012-01-01

Background Modern Intrauterine contraceptive device (IUCD) is very safe, highly effective reversible and inexpensive family planning method which offers 5-10 years of protection against pregnancy. The contraceptive use in Pakistan has been merely 30% for over a decade with IUCD being the least used method. Higher discontinuation rates are documented in developing countries; however no such data is available for Pakistan. Marie Stopes Society (MSS) established a social franchise outlets network branded as 'SURAJ' (Sun) in Pakistan to provide quality family planning services. This study attempts to determine IUCD discontinuation rates and its associated risk factors. Using a semi-structured questionnaire, a cross-sectional study was conducted with 3000 clients who availed IUCD services from Suraj provider 6, 12 and 24 month back,. Data were analyzed in SPSS 17.0; adjusted prevalence ratios were calculated to see associations between discontinuation and its risk factors. Case presentation We found that 22.7% of the IUCD acceptors experienced some health problem; while the overall discontinuation rate was 18.9% with average time of usage of 7.4 (SD ± 5.8) months before discontinuation. Half of them showed health concerns (49.8%); of which a majority (70.2%) returned to Suraj provider for IUCD removal. Women living in Punjab, residing at a travelling time of 30-60 minutes and no previous use of contraceptive are more likely to discontinue IUCD. However, among total women 81.7% still expressed willingness to avail IUCD services from Suraj provider in future, if needed. Conclusion The findings suggest a need for training the providers and field workers to prevent early discontinuation of IUCD among the Suraj clients and by addressing the health concerns through proper counseling, continued follow-up and immediate medical aid/referral in case of complications. PMID:22458444