Sample records for historical control study

  1. Repurposing historical control clinical trial data to provide safety context.

    PubMed

    Bhuyan, Prakash; Desai, Jigar; Louis, Matthew St; Carlsson, Martin; Bowen, Edward; Danielson, Mark; Cantor, Michael N

    2016-02-01

    Billions of dollars spent, millions of subject-hours of clinical trial experience and an abundance of archived study-level data, yet why are historical data underutilized? We propose that historical data can be aggregated to provide safety, background incidence rate and context to improve the evaluation of new medicinal products. Here, we describe the development and application of the eControls database, which is derived from the control arms of studies of licensed products, and discuss the challenges and potential solutions to the proper application of historical data to help interpret product safety. Copyright © 2015 Elsevier Ltd. All rights reserved.

  2. Comparison of anticipated and actual control group outcomes in randomised trials in paediatric oncology provides evidence that historically controlled studies are biased in favour of the novel treatment.

    PubMed

    Moroz, Veronica; Wilson, Jayne S; Kearns, Pamela; Wheatley, Keith

    2014-12-10

    Historically controlled studies are commonly undertaken in paediatric oncology, despite their potential biases. Our aim was to compare the outcome of the control group in randomised controlled trials (RCTs) in paediatric oncology with those anticipated in the sample size calculations in the protocols. Our rationale was that, had these RCTs been performed as historical control studies instead, the available outcome data used to calculate the sample size in the RCT would have been used as the historical control outcome data. A systematic search was undertaken for published paediatric oncology RCTs using the Cochrane Central Register of Controlled Trials (CENTRAL) database from its inception up to July 2013. Data on sample size assumptions and observed outcomes (timetoevent and proportions) were extracted to calculate differences between randomised and historical control outcomes, and a one-sample t-test was employed to assess whether the difference between anticipated and observed control groups differed from zero. Forty-eight randomised questions were included. The median year of publication was 2005, and the range was from 1976 to 2010. There were 31 superiority and 11 equivalence/noninferiority randomised questions with time-to-event outcomes. The median absolute difference between observed and anticipated control outcomes was 5.0% (range: -23 to +34), and the mean difference was 3.8% (95% CI: +0.57 to +7.0; P = 0.022). Because the observed control group (that is, standard treatment arm) in RCTs performed better than anticipated, we found that historically controlled studies that used similar assumptions for the standard treatment were likely to overestimate the benefit of new treatments, potentially leading to children with cancer being given ineffective therapy that may have additional toxicity.

  3. Bias from historical control groups used in orthodontic research: a meta-epidemiological study.

    PubMed

    Papageorgiou, Spyridon N; Koretsi, Vasiliki; Jäger, Andreas

    2017-02-01

    The validity of meta-analysis is dependent upon the quality of included studies. Here, we investigated whether the design of untreated control groups (i.e. source and timing of data collection) influences the results of clinical trials in orthodontic research. This meta-epidemiological study used unrestricted literature searching for meta-analyses in orthodontics including clinical trials with untreated control groups. Differences in standardized mean differences (ΔSMD) and their 95% confidence intervals (CIs) were calculated according to the untreated control group through multivariable random-effects meta-regression controlling for nature of the interventional group and study sample size. Effects were pooled with random-effects synthesis, followed by mixed-effect subgroup and sensitivity analyses. Studies with historical control groups reported deflated treatment effects compared to studies with concurrent control groups (13 meta-analyses; ΔSMD = -0.31; 95% CI = -0.53, -0.10; P = 0.004). Significant differences were found according to the type of historical control group (based either on growth study or clinical archive; 11 meta-analyses; ΔSMD = 0.40; 95% CI = 0.21, 0.59; P < 0.001). The use of historical control groups in orthodontic clinical research was associated with deflation of treatment effects, which was independent from whether the interventional group was prospective or retrospective and from the study's sample size. Caution is warranted when interpreting clinical studies with historical untreated control groups or when interpreting systematic reviews that include such studies. PROSPERO (CRD42015024179). None. © The Author 2016. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

  4. Adaptive adjustment of the randomization ratio using historical control data

    PubMed Central

    Hobbs, Brian P.; Carlin, Bradley P.; Sargent, Daniel J.

    2013-01-01

    Background Prospective trial design often occurs in the presence of “acceptable” [1] historical control data. Typically this data is only utilized for treatment comparison in a posteriori retrospective analysis to estimate population-averaged effects in a random-effects meta-analysis. Purpose We propose and investigate an adaptive trial design in the context of an actual randomized controlled colorectal cancer trial. This trial, originally reported by Goldberg et al. [2], succeeded a similar trial reported by Saltz et al. [3], and used a control therapy identical to that tested (and found beneficial) in the Saltz trial. Methods The proposed trial implements an adaptive randomization procedure for allocating patients aimed at balancing total information (concurrent and historical) among the study arms. This is accomplished by assigning more patients to receive the novel therapy in the absence of strong evidence for heterogeneity among the concurrent and historical controls. Allocation probabilities adapt as a function of the effective historical sample size (EHSS) characterizing relative informativeness defined in the context of a piecewise exponential model for evaluating time to disease progression. Commensurate priors [4] are utilized to assess historical and concurrent heterogeneity at interim analyses and to borrow strength from the historical data in the final analysis. The adaptive trial’s frequentist properties are simulated using the actual patient-level historical control data from the Saltz trial and the actual enrollment dates for patients enrolled into the Goldberg trial. Results Assessing concurrent and historical heterogeneity at interim analyses and balancing total information with the adaptive randomization procedure leads to trials that on average assign more new patients to the novel treatment when the historical controls are unbiased or slightly biased compared to the concurrent controls. Large magnitudes of bias lead to approximately equal allocation of patients among the treatment arms. Using the proposed commensurate prior model to borrow strength from the historical data, after balancing total information with the adaptive randomization procedure, provides admissible estimators of the novel treatment effect with desirable bias-variance trade-offs. Limitations Adaptive randomization methods in general are sensitive to population drift and more suitable for trials that initiate with gradual enrollment. Balancing information among study arms in time-to-event analyses is difficult in the presence of informative right-censoring. Conclusions The proposed design could prove important in trials that follow recent evaluations of a control therapy. Efficient use of the historical controls is especially important in contexts where reliance on pre-existing information is unavoidable because the control therapy is exceptionally hazardous, expensive, or the disease is rare. PMID:23690095

  5. Adaptive adjustment of the randomization ratio using historical control data.

    PubMed

    Hobbs, Brian P; Carlin, Bradley P; Sargent, Daniel J

    2013-01-01

    Prospective trial design often occurs in the presence of 'acceptable' historical control data. Typically, these data are only utilized for treatment comparison in a posteriori retrospective analysis to estimate population-averaged effects in a random-effects meta-analysis. We propose and investigate an adaptive trial design in the context of an actual randomized controlled colorectal cancer trial. This trial, originally reported by Goldberg et al., succeeded a similar trial reported by Saltz et al., and used a control therapy identical to that tested (and found beneficial) in the Saltz trial. The proposed trial implements an adaptive randomization procedure for allocating patients aimed at balancing total information (concurrent and historical) among the study arms. This is accomplished by assigning more patients to receive the novel therapy in the absence of strong evidence for heterogeneity among the concurrent and historical controls. Allocation probabilities adapt as a function of the effective historical sample size (EHSS), characterizing relative informativeness defined in the context of a piecewise exponential model for evaluating time to disease progression. Commensurate priors are utilized to assess historical and concurrent heterogeneity at interim analyses and to borrow strength from the historical data in the final analysis. The adaptive trial's frequentist properties are simulated using the actual patient-level historical control data from the Saltz trial and the actual enrollment dates for patients enrolled into the Goldberg trial. Assessing concurrent and historical heterogeneity at interim analyses and balancing total information with the adaptive randomization procedure lead to trials that on average assign more new patients to the novel treatment when the historical controls are unbiased or slightly biased compared to the concurrent controls. Large magnitudes of bias lead to approximately equal allocation of patients among the treatment arms. Using the proposed commensurate prior model to borrow strength from the historical data, after balancing total information with the adaptive randomization procedure, provides admissible estimators of the novel treatment effect with desirable bias-variance trade-offs. Adaptive randomization methods in general are sensitive to population drift and more suitable for trials that initiate with gradual enrollment. Balancing information among study arms in time-to-event analyses is difficult in the presence of informative right-censoring. The proposed design could prove important in trials that follow recent evaluations of a control therapy. Efficient use of the historical controls is especially important in contexts where reliance on preexisting information is unavoidable because the control therapy is exceptionally hazardous, expensive, or the disease is rare.

  6. Yaughan and Curriboo Plantations. Studies in Afro-American Archaeology,

    DTIC Science & Technology

    1983-04-01

    ceramics pres- ent were produced by Indians instead of Blacks. Careful historical research was employed to control that variable. The third variable...studies without independ- ent controls over some classes of non -material variables. Historical archaeology offers the opportunity for controlling some of...these non -material variables. The non -material variables must be controlled so that attention can be focused on the archaeological data. Once models

  7. 75 FR 1793 - Study Team for the Los Alamos Historical Document Retrieval and Assessment (LAHDRA) Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-01-13

    ... DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention Study Team for the Los Alamos Historical Document Retrieval and Assessment (LAHDRA) Project The Centers for Disease... the following meeting. Name: Public Meeting of the Study Team for the Los Alamos Historical Document...

  8. Use of historical control data for assessing treatment effects in clinical trials.

    PubMed

    Viele, Kert; Berry, Scott; Neuenschwander, Beat; Amzal, Billy; Chen, Fang; Enas, Nathan; Hobbs, Brian; Ibrahim, Joseph G; Kinnersley, Nelson; Lindborg, Stacy; Micallef, Sandrine; Roychoudhury, Satrajit; Thompson, Laura

    2014-01-01

    Clinical trials rarely, if ever, occur in a vacuum. Generally, large amounts of clinical data are available prior to the start of a study, particularly on the current study's control arm. There is obvious appeal in using (i.e., 'borrowing') this information. With historical data providing information on the control arm, more trial resources can be devoted to the novel treatment while retaining accurate estimates of the current control arm parameters. This can result in more accurate point estimates, increased power, and reduced type I error in clinical trials, provided the historical information is sufficiently similar to the current control data. If this assumption of similarity is not satisfied, however, one can acquire increased mean square error of point estimates due to bias and either reduced power or increased type I error depending on the direction of the bias. In this manuscript, we review several methods for historical borrowing, illustrating how key parameters in each method affect borrowing behavior, and then, we compare these methods on the basis of mean square error, power and type I error. We emphasize two main themes. First, we discuss the idea of 'dynamic' (versus 'static') borrowing. Second, we emphasize the decision process involved in determining whether or not to include historical borrowing in terms of the perceived likelihood that the current control arm is sufficiently similar to the historical data. Our goal is to provide a clear review of the key issues involved in historical borrowing and provide a comparison of several methods useful for practitioners. Copyright © 2013 John Wiley & Sons, Ltd.

  9. Using historical control information for the design and analysis of clinical trials with overdispersed count data.

    PubMed

    Gsteiger, Sandro; Neuenschwander, Beat; Mercier, Francois; Schmidli, Heinz

    2013-09-20

    Results from clinical trials are never interpreted in isolation. Previous studies in a similar setting provide valuable information for designing a new trial. For the analysis, however, the use of trial-external information is challenging and therefore controversial, although it seems attractive from an ethical or efficiency perspective. Here, we consider the formal use of historical control data on lesion counts in a multiple sclerosis trial. The approach to incorporating historical data is Bayesian, in that historical information is captured in a prior that accounts for between-trial variability and hence leads to discounting of historical data. We extend the meta-analytic-predictive approach, a random-effects meta-analysis of historical data combined with the prediction of the parameter in the new trial, from normal to overdispersed count data of individual-patient or aggregate-trial format. We discuss the prior derivation for the lesion mean count in the control group of the new trial for two populations. For the general population (without baseline enrichment), with 1936 control patients from nine historical trials, between-trial variability was moderate to substantial, leading to a prior effective sample size of about 45 control patients. For the more homogenous population (with enrichment), with 412 control patients from five historical trials, the prior effective sample size was approximately 63 patients. Although these numbers are small relative to the historical data, they are fairly typical in settings where between-trial heterogeneity is moderate. For phase II, reducing the number of control patients by 45 or by 63 may be an attractive option in many multiple sclerosis trials. Copyright © 2013 John Wiley & Sons, Ltd.

  10. Learning Historical Thinking with Oral History Interviews: A Cluster Randomized Controlled Intervention Study of Oral History Interviews in History Lessons

    ERIC Educational Resources Information Center

    Bertram, Christiane; Wagner, Wolfgang; Trautwein, Ulrich

    2017-01-01

    The present study examined the effectiveness of the oral history approach with respect to students' historical competence. A total of 35 ninth-grade classes (N = 900) in Germany were randomly assigned to one of four conditions--live, video, text, or a (nontreated) control group--in a pretest, posttest, and follow-up design. Comparing the three…

  11. Use of historical control data for assessing treatment effects in clinical trials

    PubMed Central

    Viele, Kert; Berry, Scott; Neuenschwander, Beat; Amzal, Billy; Chen, Fang; Enas, Nathan; Hobbs, Brian; Ibrahim, Joseph G.; Kinnersley, Nelson; Lindborg, Stacy; Micallef, Sandrine; Roychoudhury, Satrajit; Thompson, Laura

    2014-01-01

    Clinical trials rarely, if ever, occur in a vacuum. Generally, large amounts of clinical data are available prior to the start of a study, particularly on the current study’s control arm. There is obvious appeal in using (i.e., ‘borrowing’) this information. With historical data providing information on the control arm, more trial resources can be devoted to the novel treatment while retaining accurate estimates of the current control arm parameters. This can result in more accurate point estimates, increased power, and reduced type I error in clinical trials, provided the historical information is sufficiently similar to the current control data. If this assumption of similarity is not satisfied, however, one can acquire increased mean square error of point estimates due to bias and either reduced power or increased type I error depending on the direction of the bias. In this manuscript, we review several methods for historical borrowing, illustrating how key parameters in each method affect borrowing behavior, and then, we compare these methods on the basis of mean square error, power and type I error. We emphasize two main themes. First, we discuss the idea of ‘dynamic’ (versus ‘static’) borrowing. Second, we emphasize the decision process involved in determining whether or not to include historical borrowing in terms of the perceived likelihood that the current control arm is sufficiently similar to the historical data. Our goal is to provide a clear review of the key issues involved in historical borrowing and provide a comparison of several methods useful for practitioners. PMID:23913901

  12. The research on regional conservation planning of urban historical and cultural areas based on GIS

    NASA Astrophysics Data System (ADS)

    Li, Shangli; Xu, Jian; Li, Qian

    2017-06-01

    With the rapid economic development and the growth of population happening in the urban historical and cultural areas, heritage and historical buildings along with their natural and artificial surrounding environments are suffering constructive destruction. Due to the lack of precise partition of protection region and construction control region in the local cultural relics protection law, traditional regional conservation planning cannot engaged with the urban controllability detailed planning very well. According to the several protection regulations about heritage and historical buildings from latest laws, we choose Baxian Temple area to study on the improvments of traditional regional conservation planning. The technical methods of this study mainly rely on GIS, which can complete the fundamental work of each stage. With the analytic hierarchy process(AHP), the comprehensive architectural value assessments can be calculated according to the investigation results. Based on the calculation results and visual corridor analysis, the precise range of protection region and construction control region can be decided and the specific protection measures can be formulated.

  13. DEPRESSED AFFECT AND HISTORICAL LOSS AMONG NORTH AMERICAN INDIGENOUS ADOLESCENTS

    PubMed Central

    Whitbeck, Les B.; Walls, Melissa L.; Johnson, Kurt D.; Morrisseau, Allan D.; McDougall, Cindy M.

    2011-01-01

    This study reports on the prevalence and correlates of perceived historical loss among 459 North American Indigenous adolescents aged 11–13 years from the northern Midwest of the United States and central Canada. The adolescents reported daily or more thoughts of historical loss at rates similar to their female caretakers. Confirmatory factor analysis indicated that our measure of perceived historical loss and the Center for Epidemiologic Studies Depression scale were separate but related constructs. Regression analysis indicated that, even when controlling for family factors, perceived discrimination, and proximal negative life events, perceived historical loss had independent effects on adolescent’s depressive symptoms. The construct of historical loss is discussed in terms of Indigenous ethnic cleansing and life course theory. PMID:20052631

  14. Depressed affect and historical loss among North American Indigenous adolescents.

    PubMed

    Whitbeck, Les B; Walls, Melissa L; Johnson, Kurt D; Morrisseau, Allan D; McDougall, Cindy M

    2009-01-01

    This study reports on the prevalence and correlates of perceived historical loss among 459 North American Indigenous adolescents aged 11-13 years from the northern Midwest of the United States and central Canada. The adolescents reported daily or more thoughts of historical loss at rates similar to their female caretakers. Confirmatory factor analysis indicated that our measure of perceived historical loss and the Center for Epidemiologic Studies Depression scale were separate but related constructs. Regression analysis indicated that, even when controlling for family factors, perceived discrimination, and proximal negative life events, perceived historical loss had independent effects on adolescents' depressive symptoms. The construct of historical loss is discussed in terms of Indigenous ethnic cleansing and life course theory.

  15. Traffic Predictive Control: Case Study and Evaluation

    DOT National Transportation Integrated Search

    2017-06-26

    This project developed a quantile regression method for predicting future traffic flow at a signalized intersection by combining both historical and real-time data. The algorithm exploits nonlinear correlations in historical measurements and efficien...

  16. Archaeological and Historic Cultural Resources Inventory for a Flood Control Project at Halstad, Norman County, Minnesota.

    DTIC Science & Technology

    1982-05-21

    2476 Prepared for: St. Paul District, Corps of Engineers St. Paul, Minnesota Prepared by: HISTORICAL AND ARCHAEOLOGICAL SURVEYS, INC. 1702 Dyke Avenue...HISTORICAL STUDIES . . 9 3. ENVIRONMENTAL SETTING . . . . . . . . . 15 3.1 Geology . . . . . . . . . . . 15 3.2 Soils . . . . . . . . . . . 16 3.3 Climate...Historical and archaeological data from HASI’s company library in Grand Forks, North Dakota, also were used in preparing overviews and in analysis

  17. Airborne Operations in World War II, European Theater

    DTIC Science & Technology

    1956-09-01

    GARDEN Gee Hamilcar HANDS UP Formation usually composed of two or more elements and roughly equivalent to a squadron Forward Visual Control Post Ground...USAF HISTORICAL STUDIES: NO. 97 AIRBORNE OPERATIONS IN WORLD WAR II, EUROPEAN THEATER By Dr. John C. Warren USAF Historical Division Research Studies...OMB control number. 1. REPORT DATE SEP 1956 2. REPORT TYPE 3. DATES COVERED - 4. TITLE AND SUBTITLE Airborne Operations in World War II 5a

  18. The chemical characteristics of soil in control and experimentally thinned plots in mesic oak forests along a historical deposition gradient

    Treesearch

    Ralph E. J. Boerner; Elaine Kennedy Sutherland

    1997-01-01

    This study examined the variations in the chemical parameters of soils of seven forests located along a historical deposition gradient spanning 8.5° longitude from southern Illinois to central West Virginia. Four to six mature control plots were sampled on two of the sites, and two experimentally thinned and two control plots were sampled on the remaining five sites....

  19. Pregnancy prevention among American Indian men ages 18 to 24: the role of mental health and intention to use birth control.

    PubMed

    Rink, Elizabeth; FourStar, Kris; Medicine Elk, Jarrett; Dick, Rebecca; Jewett, Lacey; Gesink, Dionne

    2012-01-01

    The Fort Peck Sexual Health Project: A Contextual Analysis of Native American Men is a community-based participatory research (CBPR) project that explores the extent to which knowledge, attitudes, and beliefs about sex, intimate relationships, and mental health influence sexual and reproductive health. For the purpose of this study, the influence of age, fatherhood, and mental health factors related to historical trauma and loss on young American Indian (AI) men's intention to use birth control was examined. In-depth interviews were conducted with 112 Native American men between the ages of 18 and 24 years. The mean age reported was 21 years. Thirty-eight percent of the young men reported having children. The young men reported experiences of historical trauma during their lifetime as well as emotional responses due to historical losses. Ninety-five percent reported that it was very important that they use some form of birth control to prevent their partner from getting pregnant within the next year. Logistic regression analysis indicated that, as age increased, young men were less likely to use birth control to prevent pregnancy. The young men who reported feelings of loss due to experiences related to historical trauma and loss were more likely to use birth control. Findings from this study suggest that public health efforts to educate AI men about planned pregnancies and the use of birth control may be most effective in adolescence. Public health programs that address mental health concerns such as the emotional responses due to historical losses may assist young AI men in their decision to use birth control.

  20. Modern Universities, Absent Citizenship? Historical Perspectives. CIRCLE Working Paper 39

    ERIC Educational Resources Information Center

    Talcott, William

    2005-01-01

    The historical study of university campuses can tell us much about the changing character and presuppositions of citizenship. Likewise, the study of citizenship can shed considerable light on the nature of universities. Throughout American history, various elite institutions can be seen struggling to establish a semblance of order and control in…

  1. A Quasi-Experimental Control Group Design Study to Determine the Effect of Integrating Character Education into a High School Social Studies Curriculum through Storytelling

    ERIC Educational Resources Information Center

    Long, Russell L.

    2014-01-01

    The purpose of this study was to offer evidence for the development of student character through the integration of historical storytelling into a social studies classroom. A quasi-experimental study was conducted to determine the effect of character education through historical storytelling integrated into a United States history curriculum on…

  2. Standard care versus protocol based therapy for new onset Pseudomonas aeruginosa in cystic fibrosis.

    PubMed

    Mayer-Hamblett, Nicole; Rosenfeld, Margaret; Treggiari, Miriam M; Konstan, Michael W; Retsch-Bogart, George; Morgan, Wayne; Wagener, Jeff; Gibson, Ronald L; Khan, Umer; Emerson, Julia; Thompson, Valeria; Elkin, Eric P; Ramsey, Bonnie W

    2013-10-01

    The Early Pseudomonal Infection Control (EPIC) randomized trial rigorously evaluated the efficacy of different antibiotic regimens for eradication of newly identified Pseudomonas (Pa) in children with cystic fibrosis (CF). Protocol based therapy in the trial was provided based on culture positivity independent of symptoms. It is unclear whether outcomes observed in the clinical trial were different than those that would have been observed with historical standard of care driven more heavily by respiratory symptoms than culture positivity alone. We hypothesized that the incidence of Pa recurrence and hospitalizations would be significantly reduced among trial participants as compared to historical controls whose standard of care preceded the widespread adoption of tobramycin inhalation solution (TIS) as initial eradication therapy at the time of new isolation of Pa. Eligibility criteria from the trial were used to derive historical controls from the Epidemiologic Study of CF (ESCF) who received standard of care treatment from 1995 to 1998, before widespread availability of TIS. Pa recurrence and hospitalization outcomes were assessed over a 15-month time period. As compared to 100% of the 304 trial participants, only 296/608 (49%) historical controls received antibiotics within an average of 20 weeks after new onset Pa. Pa recurrence occurred among 104/298 (35%) of the trial participants as compared to 295/549 (54%) of historical controls (19% difference, 95% CI: 12%, 26%, P < 0.001). No significant differences in the incidence of hospitalization were observed between cohorts. Protocol-based antimicrobial therapy for newly acquired Pa resulted in a lower rate of Pa recurrence but comparable hospitalization rates as compared to a historical control cohort less aggressively treated with antibiotics for new onset Pa. © 2013 Wiley Periodicals, Inc.

  3. Standard Care versus Protocol Based Therapy for New Onset Pseudomonas aeruginosa in Cystic Fibrosis

    PubMed Central

    Mayer-Hamblett, Nicole; Rosenfeld, Margaret; Treggiari, Miriam M.; Konstan, Michael W.; Retsch-Bogart, George; Morgan, Wayne; Wagener, Jeff; Gibson, Ronald L.; Khan, Umer; Emerson, Julia; Thompson, Valeria; Elkin, Eric P.; Ramsey, Bonnie W.

    2014-01-01

    Rationale The Early Pseudomonal Infection Control (EPIC) randomized trial rigorously evaluated the efficacy of different antibiotic regimens for eradication of newly identified Pseudomonas (Pa) in children with cystic fibrosis (CF). Protocol based therapy in the trial was provided based on culture positivity independent of symptoms. It is unclear whether outcomes observed in the clinical trial were different than those that would have been observed with historical standard of care driven more heavily by respiratory symptoms than culture positivity alone. We hypothesized that the incidence of Pa recurrence and hospitalizations would be significantly reduced among trial participants as compared to historical controls whose standard of care preceded the widespread adoption of tobramycin inhalation solution (TIS) as initial eradication therapy at the time of new isolation of Pa. Methods Eligibility criteria from the trial were used to derive historical controls from the Epidemiologic Study of CF (ESCF) who received standard of care treatment from 1995 to 1998, before widespread availability of TIS. Pa recurrence and hospitalization outcomes were assessed over a 15-month time period. Results As compared to 100% of the 304 trial participants, only 296/608 (49%) historical controls received antibiotics within an average of 20 weeks after new onset Pa. Pa recurrence occurred among 104/298 (35%) of the trial participants as compared to 295/549 (54%) of historical controls (19% difference, 95% CI: 12%, 26%, p<0.001). No significant differences in the incidence of hospitalization were observed between cohorts. Conclusions Protocol-based antimicrobial therapy for newly acquired Pa resulted in a lower rate of Pa recurrence but comparable hospitalization rates as compared to a historical control cohort less aggressively treated with antibiotics for new onset Pa. PMID:23818295

  4. 36 CFR 251.122 - Historical operator special use authorizations.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... this section; (3) A change in the controlling interest of a historical operator through sale...) A change in the controlling interest of a historical operator that results only in the acquisition of the controlling interest by an individual or individuals, who were personally engaged in the...

  5. Elder American Indian women's knowledge of pelvic floor disorders and barriers to seeking care.

    PubMed

    Dunivan, Gena C; Komesu, Yuko M; Cichowski, Sara B; Lowery, Christine; Anger, Jennifer T; Rogers, Rebecca G

    2015-01-01

    The objectives of this study are to evaluate urinary incontinence and pelvic organ prolapse knowledge among elder southwestern American Indian women and to assess barriers to care for pelvic floor disorders through community-engaged research. Our group was invited to provide an educational talk on urinary incontinence and pelvic organ prolapse at an annual meeting of American Indian elders. Female attendees aged 55 years or older anonymously completed demographic information and 2 validated questionnaires, the Prolapse and Incontinence Knowledge Questionnaire (PIKQ) and Barriers to Incontinence Care Seeking Questionnaire (BICS-Q). Questionnaire results were compared with historical controls from the original PIKQ and BICS-Q validation study. One hundred forty-four women completed the questionnaires. The mean age was 77.7 ± 9.1 years. The mean (SD) for PIKQ of urinary incontinence score was 6.6 (3.0) (similar to historic gynecology controls 6.8 [3.3], P = 0.49), and the mean (SD) for PIKQ on pelvic organ prolapse score was 5.4 (2.9) (better than historic gynecology controls 3.6 [3.2], P < 0.01). Barriers to care seeking reported by the elder women were highest on the BICS-Q subscales of "cost" and "inconvenience." Urinary incontinence knowledge is similar to historic gynecology controls, and pelvic organ prolapse knowledge is higher than historic gynecology controls among elder southwestern American Indian women. American Indian elder women report high levels of barriers to care. The greatest barriers to care seeking for this population were related to cost and inconvenience, reflecting the importance of assessing socioeconomic status when investigating barriers to care. Addressing these barriers may enhance care-seeking southwestern American Indian women.

  6. Feature-based registration of historical aerial images by Area Minimization

    NASA Astrophysics Data System (ADS)

    Nagarajan, Sudhagar; Schenk, Toni

    2016-06-01

    The registration of historical images plays a significant role in assessing changes in land topography over time. By comparing historical aerial images with recent data, geometric changes that have taken place over the years can be quantified. However, the lack of ground control information and precise camera parameters has limited scientists' ability to reliably incorporate historical images into change detection studies. Other limitations include the methods of determining identical points between recent and historical images, which has proven to be a cumbersome task due to continuous land cover changes. Our research demonstrates a method of registering historical images using Time Invariant Line (TIL) features. TIL features are different representations of the same line features in multi-temporal data without explicit point-to-point or straight line-to-straight line correspondence. We successfully determined the exterior orientation of historical images by minimizing the area formed between corresponding TIL features in recent and historical images. We then tested the feasibility of the approach with synthetic and real data and analyzed the results. Based on our analysis, this method shows promise for long-term 3D change detection studies.

  7. Impact of prescription drug-monitoring program on controlled substance prescribing in the ED.

    PubMed

    McAllister, Matthew W; Aaronson, Patrick; Spillane, Joe; Schreiber, Mark; Baroso, Genelyn; Kraemer, Dale; Smotherman, Carmen; Gray-Eurom, Kelly

    2015-06-01

    In 2009, Florida initiated a statewide prescription drug-monitoring program (PDMP) to encourage safer prescribing of controlled substances and reduce drug abuse and diversion. Data supporting the utility of such programs in the emergency department (ED) is scarce. This study sought to determine the effect of PDMP data on controlled substance prescribing from the ED. In this pre-post study utilizing a historical control, pharmacists in the ED provided prescribers with a summary of the PDMP data for their patients. The number of controlled substances prescribed in the intervention group was compared with that prescribed in the historical control to determine if the intervention resulted in a change in the average number of controlled substance prescribed. Among the 710 patients evaluated, providing prescribers with PDMP data did not alter the average number of controlled substance per patient prescribed (0.23 controlled substances per patient in the historical control compared with 0.28 controlled substances per patient in the intervention group; 95% confidence interval [CI], -0.016 to 0.116; P = .125). All prescribers surveyed indicated that having PDMP data altered their controlled substance prescribing and felt more comfortable prescribing controlled substances. Although the results did not demonstrate a change in the average number of controlled substances prescribed when prescribers were provided with PDMP data, results from the survey indicate that prescribers felt the data altered their prescribing of controlled substances, and thus were more contented prescribing controlled substances. Copyright © 2015 Elsevier Inc. All rights reserved.

  8. The influence of prophylactic proton pump inhibitor treatment on the development of symptomatic marginal ulceration in Roux-en-Y gastric bypass patients: a historic cohort study.

    PubMed

    Coblijn, Usha K; Lagarde, Sjoerd M; de Castro, Steve M M; Kuiken, Sjoerd D; van Tets, Willem F; van Wagensveld, Bart A

    2016-02-01

    Marginal ulceration at the gastrojejunostomy is a serious complication after laparoscopic Roux-en-Y gastric bypass surgery (LRYGB) and occurs in 1%-16% of patients. Proton pump inhibitors (PPIs) might lower the occurrence of these ulcers. The aim of the present study was to evaluate the effect of 6 months prophylactic usage of PPIs on the development of marginal ulceration and compare this with a historic patient control group. A single institution cohort at a bariatric center of excellence, The Sint Lucas Andreas Zienkenhuis, Amsterdam A consecutive database of patients who underwent LRYGB from November 2007 to September 2012 in a single institution was retrospectively reviewed. From August 2011, patients received a standard dose of pantozol 40 mg once daily directly postoperatively for 6 months. No standard PPI prophylaxis was administered before August 2011, and the patients not using PPIs in this historic cohort served as the control group. A total of 610 patients underwent LRYGB, of which 128 patients (21.0%) underwent revisional surgery. Postoperative PPIs were administered in the intervention group of 337 patients, compared with the historic control group consisting of 273 patients. Six patients (1.2%) who received postoperative PPIs versus 20 patients (7.3 %) in the historic control group developed marginal ulceration (P = .001). Patients using proton pump inhibitors developed fewer gastrointestinal complaints postoperatively (P< .001). Routine usage of PPIs reduced the occurrence of marginal ulceration after LRYGB. Copyright © 2016 American Society for Bariatric Surgery. Published by Elsevier Inc. All rights reserved.

  9. Allelic distribution of human leucocyte antigen in historical and recently diagnosed tuberculosis patients in Southern Italy.

    PubMed

    Ruggiero, Giuseppina; Cosentini, Elena; Zanzi, Delia; Sanna, Veronica; Terrazzano, Giuseppe; Matarese, Giuseppe; Sanduzzi, Alessandro; Perna, Francesco; Zappacosta, Serafino

    2004-03-01

    This study addresses the analysis of the human leucocyte antigen (HLA) allele distribution in 54 historical and in 68 recently diagnosed tuberculosis (TB) patients. The historical cohort was characterized by the presence of large fibrocavernous lesions effectively treated with therapeutic pneumothorax during the period 1950-55. Patients and healthy controls enrolled in the study were from the Campania region of southern Italy. No significant association between HLA alleles and TB in the population of recently diagnosed TB patients was observed. On the contrary, among the historical TB patients there was a strong association with an increased frequency of the HLA-DR4 allele alone and/or in the presence of the HLA-B14 allele (P = 0.000004; Pc = 0.0008), as well as with a decreased frequency of the HLA-A2+,-B14-,DR4- allele association (P = 0.00005; Pc = 0.01). In order to exclude any interference from age-related factors, these results were confirmed by comparing the historical cohort of TB patients with an age-matched healthy control population of the same ethnic origin (P = 0.00004; Pc = 0.008; and P = 0.0001; and Pc = 0.02, respectively).

  10. Efficacy and safety of conversion to monotherapy with eslicarbazepine acetate in adults with uncontrolled partial-onset seizures: a historical-control phase III study.

    PubMed

    Jacobson, Mercedes P; Pazdera, Ladislav; Bhatia, Perminder; Grinnell, Todd; Cheng, Hailong; Blum, David

    2015-03-28

    Eslicarbazepine acetate (ESL, Aptiom®) is a once-daily (QD) anticonvulsant, approved as adjunctive treatment of partial-onset seizures (POS). It is extensively converted after oral administration to eslicarbazepine, and is believed to exert its effect through inhibition of voltage-gated sodium channels. The possible role of ESL as monotherapy to treat POS has not yet been established. This study was an 18-week, multicenter, randomized double-blind trial of gradual conversion to ESL monotherapy in adults with POS not well controlled by 1-2 antiepileptic drugs (AEDs), using historical data as the control. The study comprised an 8-week baseline period, a 2-week titration period, a 6-week AED conversion period, a 10-week monotherapy period, and either a 1-week taper period or optional entry to an open-label extension study. The primary endpoint compared the Kaplan-Meier (KM)-estimated 112-day exit rate with a threshold value calculated from the historical controls. There were 172 randomized patients; 154 (90%) entered the AED conversion period and 121 (70%) completed the study. The KM-estimated exit rates [confidence interval (CI)] were 15.6% [8.1-28.7%] for ESL 1200 mg, and 12.8% [7.5-21.5%] for ESL 1600 mg. The upper limits of the 95% CI KM-estimates were below the pre-specified threshold for historical control of 65.3%, indicating that ESL was efficacious in reducing seizure-related exits, compared with historical control. During the 18-week double-blind treatment period, median reductions in standardized seizure frequency occurred with ESL 1200 mg (36.1%) and ESL 1600 mg (47.5%). The responder rates (a 50% or greater reduction in seizure frequency from baseline) during the 18-week double-blind period and the monotherapy period, respectively, were 35.2% and 38.9% for ESL 1200 mg, and 46.0% and 46.0% for ESL 1600 mg. The overall adverse event profile was consistent with the known safety profile of ESL. These findings indicate that ESL monotherapy (1200 and 1600 mg QD) was efficacious and well tolerated in this study. NCT01091662 ; EudraCT No. 2010-018684-42.

  11. Genetic adaptation to historical pathogen burdens.

    PubMed

    Fedderke, Johannes W; Klitgaard, Robert E; Napolioni, Valerio

    2017-10-01

    Historical pathogen burdens are examined as possible triggers for genetic adaptation. Evidence of adaptation emerges for the acid phosphatase locus 1 (ACP1), interleukin-6 (IL6), interleukin-10 (IL10 ), human leukocyte antigen (HLA) polymorphisms, along with a measure of heterozygosity over 783 alleles. Results are robust to controlling for the physical and historical environment humans faced, and to endogeneity of the historical pathogen burden measure. The present study represents a proof-of-concept which may pave the way to the analysis of future aggregate measures coming from whole-genome sequencing/genotyping data. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. What Can We Learn From Historical Trends and Distributions of Malaria? Historical Case Studies From the US, Italy, and Sri Lanka

    NASA Astrophysics Data System (ADS)

    Matthews, E.

    2008-12-01

    Malaria is currently prevalent in many countries and has been for centuries. Primary controllers of the distribution and incidence of malaria in the past have been economic, social, military, political etc. with a modest contribution from local climate variations. Studies of potential impacts of climate change on the epidemiology of diseases such as malaria have focused on the impact of changing environmental conditions on vector physiology but little attention has been paid to factors that explain historical variations in spatial and temporal distributions of the disease. This talk reports results of three historical case studies from the US, Italy and Sri Lanka that bring together a breadth of information from varied sources in order to illustrate the value of including such information in studies of disease-climate connections.

  13. Bayesian selective response-adaptive design using the historical control.

    PubMed

    Kim, Mi-Ok; Harun, Nusrat; Liu, Chunyan; Khoury, Jane C; Broderick, Joseph P

    2018-06-13

    High quality historical control data, if incorporated, may reduce sample size, trial cost, and duration. A too optimistic use of the data, however, may result in bias under prior-data conflict. Motivated by well-publicized two-arm comparative trials in stroke, we propose a Bayesian design that both adaptively incorporates historical control data and selectively adapt the treatment allocation ratios within an ongoing trial responsively to the relative treatment effects. The proposed design differs from existing designs that borrow from historical controls. As opposed to reducing the number of subjects assigned to the control arm blindly, this design does so adaptively to the relative treatment effects only if evaluation of cumulated current trial data combined with the historical control suggests the superiority of the intervention arm. We used the effective historical sample size approach to quantify borrowed information on the control arm and modified the treatment allocation rules of the doubly adaptive biased coin design to incorporate the quantity. The modified allocation rules were then implemented under the Bayesian framework with commensurate priors addressing prior-data conflict. Trials were also more frequently concluded earlier in line with the underlying truth, reducing trial cost, and duration and yielded parameter estimates with smaller standard errors. © 2018 The Authors. Statistics in Medicine Published by John Wiley & Sons, Ltd.

  14. Incorporating historical information in biosimilar trials: Challenges and a hybrid Bayesian-frequentist approach.

    PubMed

    Mielke, Johanna; Schmidli, Heinz; Jones, Byron

    2018-05-01

    For the approval of biosimilars, it is, in most cases, necessary to conduct large Phase III clinical trials in patients to convince the regulatory authorities that the product is comparable in terms of efficacy and safety to the originator product. As the originator product has already been studied in several trials beforehand, it seems natural to include this historical information into the showing of equivalent efficacy. Since all studies for the regulatory approval of biosimilars are confirmatory studies, it is required that the statistical approach has reasonable frequentist properties, most importantly, that the Type I error rate is controlled-at least in all scenarios that are realistic in practice. However, it is well known that the incorporation of historical information can lead to an inflation of the Type I error rate in the case of a conflict between the distribution of the historical data and the distribution of the trial data. We illustrate this issue and confirm, using the Bayesian robustified meta-analytic-predictive (MAP) approach as an example, that simultaneously controlling the Type I error rate over the complete parameter space and gaining power in comparison to a standard frequentist approach that only considers the data in the new study, is not possible. We propose a hybrid Bayesian-frequentist approach for binary endpoints that controls the Type I error rate in the neighborhood of the center of the prior distribution, while improving the power. We study the properties of this approach in an extensive simulation study and provide a real-world example. © 2018 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  15. [Intraoperative chemotherapy against peritoneal dissemination of gastric cancer with intraperitoneal activated carbon particles adsorbing mitomycin C].

    PubMed

    Hagiwara, A; Takahashi, T; Sawai, K; Yamaguchi, T; Iwamoto, A; Yoneyama, C

    1989-02-01

    For prevention and therapy of peritoneal dissemination, a new dosage from (MMC-CH) comprising carbon particles adsorbing mitomycin C was given to 44 patients (the MMC-CH group) undergoing gastrectomy for gastric cancer, of which advancing stage was classified into the category of H0, and S2 or S3, and P0, P1, P2 or P3 according to the General Rules for the Gastric Cancer Study. MMC-CH, principally at 50 mg person in terms of mitomycin C was administered intraperitoneally before the surgical wound was closed. Historical control group was composed of 53 patients not given MMC-CH, who underwent gastrectomy for gastric cancer in the same advancing stage as those of the 44 patients. There was statistically no significant difference of age, sex, depth of infiltration, macroscopically and microscopically defined progression of lymph-nodal metastases, between the MMC-CH group and the historical control group. The survival rate of the overall patients, and each group of the patients with the lesion defined as P0, P1, P2, or P3 was compared with Kaplan-Meier's method between the MMC-CH group and the historical control group. In the MMC-CH group, the survival rates of the overall patients and the patients with P0, P1, or P2 lesion were statistically significantly higher than those in the historical control group. However, the rate of the P3 patients in the MMC-CH group was statistically significantly lower than in the historical control group.

  16. Sexual selection under parental choice: evidence from sixteen historical societies.

    PubMed

    Apostolou, Menelaos

    2012-08-11

    Asymmetrical fitness benefits between parents and offspring result in the ideal spouse not being the ideal in-law. This enables parents to attempt to control the mating behavior of their children, and when they succeed, parental choice becomes a primary sexual selection force. A number of studies indicate that parental choice is dominant in contemporary pre-industrial societies. This paper presents evidence from the historical record which indicates that parental choice was also dominant during the later stages of human evolution. More specifically, 40 variables have been coded for a sample of 16 historical societies. Consistent with the model of parental choice, it is found that mating is controlled by parents, male parents exercise more control over marriage arrangements than females, and more control is exercised over female than male offspring. Finally, the specific qualities that parents desire in an in-law and offspring desire in a spouse have also been identified. The implications of these findings are discussed.

  17. Designing a SCADA system simulator for fast breeder reactor

    NASA Astrophysics Data System (ADS)

    Nugraha, E.; Abdullah, A. G.; Hakim, D. L.

    2016-04-01

    SCADA (Supervisory Control and Data Acquisition) system simulator is a Human Machine Interface-based software that is able to visualize the process of a plant. This study describes the results of the process of designing a SCADA system simulator that aims to facilitate the operator in monitoring, controlling, handling the alarm, accessing historical data and historical trend in Nuclear Power Plant (NPP) type Fast Breeder Reactor (FBR). This research used simulation to simulate NPP type FBR Kalpakkam in India. This simulator was developed using Wonderware Intouch software 10 and is equipped with main menu, plant overview, area graphics, control display, set point display, alarm system, real-time trending, historical trending and security system. This simulator can properly simulate the principle of energy flow and energy conversion process on NPP type FBR. This SCADA system simulator can be used as training media for NPP type FBR prospective operators.

  18. SMS text messaging improves outpatient attendance.

    PubMed

    Downer, Sean R; Meara, John G; Da Costa, Annette C; Sethuraman, Kannan

    2006-08-01

    To evaluate the operational and financial efficacy of sending short message service (SMS) text message reminders to the mobile telephones of patients with scheduled outpatient clinic appointments. Cohort study with historical control. Royal Children's Hospital, Melbourne, Victoria. Patients who gave a mobile telephone contact number and were scheduled to attend an outpatient clinic at the Royal Children's Hospital, Melbourne in October, November and December 2004 (trial group) or in October, November and December 2003 (historical control group). Failure-to-attend (FTA) rate compared between the trial group, whose members were sent a reminder, and the historical control group, whose members were not sent a reminder. Financial benefits versus cost of sending reminders. 22,658 patients with a mobile telephone contact number scheduled to attend an outpatient clinic appointment in October, November and December 2004 were sent an SMS reminder; 20,448 (90.2%) of these patients attended their appointment. The control group included 22,452 patients with a mobile telephone contact number scheduled to attend an appointment, with 18,073 (80.5%) patients attending. The FTA rate was significantly lower in the trial group than in the historical control group (9.8% v 19.5%; P < 0.001). The cost of sending the SMS reminders was small compared with the increase in patient revenue and associated benefits generated as a result of improved attendance. The observed reduction in FTA rate was in line with that found using traditional reminder methods and a prior pilot study using SMS. The FTA reduction coupled with the increase in patient revenue suggests that reminding patients using SMS is a very cost effective approach for improving patient attendance.

  19. The effect of motor control and tactile acuity training on patients with non-specific low back pain and movement control impairment.

    PubMed

    Gutknecht, Magdalena; Mannig, Angelika; Waldvogel, Anja; Wand, Benedict M; Luomajoki, Hannu

    2015-10-01

    Movement control impairment is a clinical subgroup of non-specific low back pain which can be assessed reliably. There is a strong correlation between tactile acuity and movement control suggesting these two treatments might have additive effects. The first research aim was to determine if patients with a motor control impairment demonstrated improvement in outcome with combined tactile acuity and motor control training. The second aim was to determine if tactile acuity training enhanced the effect of motor control training. The primary study was a single-arm cohort study conducted in three physiotherapy practices in the German-speaking part of Switzerland. 40 patients (23 males and 17 females) suffering from non-specific low back pain (NSLBP) and movement control impairment were treated. Patients were assessed at baseline and immediately post treatment. Treatment included exercises to lumbopelvic control and graphesthesia training to improve tactile acuity. Treatment effects were evaluated using the Roland Morris disability questionnaire (RMQ) and the patient-specific functional scale (PSFS). The performance on a set of six movement control tests and lumbar two-point discrimination were also assessed. The results of this cohort study were compared with a historic control group which was comparable with the primary study but included only motor control exercises. All the outcomes improved significantly with the combined training (RMQ - 2.2 pts., PSFS - 2.8 pts.; MCTB - 2.02 pts. & TPD - 17.07 mm; all p < 0.05). In comparison to the outcomes of the historic control, there was no significant differences in movement control, patient-specific functional complaints or disability between the groups. The results of this study, based on a before and after intervention comparison, showed that outcome improved significantly following combined tactile acuity and motor control training. However, compared to an earlier study, the tactile acuity training did not have an additional effect to the results. The use of historical controls does not control for allocation bias and the results obtained here require verification in a randomized controlled trial. Copyright © 2014 Elsevier Ltd. All rights reserved.

  20. Gender Differences in Student Engagement among African American Undergraduates at Historically Black Colleges and Universities

    ERIC Educational Resources Information Center

    Harper, Shaun R.; Carini, Robert M.; Bridges, Brian K.; Hayek, John C.

    2004-01-01

    Differences in student engagement between women and men at historically Black colleges and universities (HBCUs) are examined in this study. Data were collected from 1,167 African American undergraduate students at 12 four-year HBCUs that participated in the National Survey of Student Engagement. Controlling for several factors that might obscure…

  1. 41 CFR 102-78.65 - What are Federal agencies' historic preservation responsibilities when disposing of real property...

    Code of Federal Regulations, 2012 CFR

    2012-01-01

    ... agencies' historic preservation responsibilities when disposing of real property under their control? 102... real property under their control? Federal agencies must— (a) To the extent practicable, establish and implement alternatives for historic properties, including adaptive use, that are not needed for current or...

  2. 41 CFR 102-78.65 - What are Federal agencies' historic preservation responsibilities when disposing of real property...

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... agencies' historic preservation responsibilities when disposing of real property under their control? 102... real property under their control? Federal agencies must— (a) To the extent practicable, establish and implement alternatives for historic properties, including adaptive use, that are not needed for current or...

  3. 41 CFR 102-78.65 - What are Federal agencies' historic preservation responsibilities when disposing of real property...

    Code of Federal Regulations, 2014 CFR

    2014-01-01

    ... agencies' historic preservation responsibilities when disposing of real property under their control? 102... real property under their control? Federal agencies must— (a) To the extent practicable, establish and implement alternatives for historic properties, including adaptive use, that are not needed for current or...

  4. 41 CFR 102-78.65 - What are Federal agencies' historic preservation responsibilities when disposing of real property...

    Code of Federal Regulations, 2011 CFR

    2011-01-01

    ... agencies' historic preservation responsibilities when disposing of real property under their control? 102... real property under their control? Federal agencies must— (a) To the extent practicable, establish and implement alternatives for historic properties, including adaptive use, that are not needed for current or...

  5. 41 CFR 102-78.65 - What are Federal agencies' historic preservation responsibilities when disposing of real property...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... agencies' historic preservation responsibilities when disposing of real property under their control? 102... real property under their control? Federal agencies must— (a) To the extent practicable, establish and implement alternatives for historic properties, including adaptive use, that are not needed for current or...

  6. Composite and Loose Concepts, Historical Analogies, and the Logic of Control in Comparative Historical Analysis

    ERIC Educational Resources Information Center

    Møller, Jørgen

    2016-01-01

    The use of controlled comparisons pervades comparative historical analysis. Heated debates have surrounded the methodological purchase of such comparisons. However, the quality and validity of the conceptual building blocks on which the comparisons are based have largely been ignored. This article discusses a particular problem pertaining to these…

  7. Retesting young STI clinic visitors with urogenital Chlamydia trachomatis infection in the Netherlands; response to a text message reminder and reinfection rates: a prospective study with historical controls.

    PubMed

    Kampman, Cjg; Koedijk, Fdh; Driessen-Hulshof, Hcm; Hautvast, Jla; van den Broek, Ivf

    2016-03-01

    The objective of this study is to assess the effect of reminder text messages 6 months after the initial treatment on retest and chlamydia reinfection rates in young heterosexuals compared with a historical control group and to assess factors associated with both outcomes. Heterosexual people (aged 16-23 years), testing positive for urogenital chlamydia, were offered a retest after 6 months. Participants received a text message reminder at 6 months after the initial chlamydia diagnosis. Rates of retest uptake and the result of the retest were analysed using Cox regression. Prevalence ratios (PRs) were calculated to identify factors associated with these outcomes. Furthermore, the retest rate was compared with the retest rate of a historical control group. 30.6% (253/838) of the study group returned within 5-8 months compared with 9.2% (140/1530) in the historical control group. Women and persons who were not notified for a sexually transmitted infection (STI) at inclusion were more likely to return for a retest. 20.4% (56/275) of participants had a chlamydia reinfection upon retesting. Reinfection was higher in participants reporting STI-related symptoms (PR 3.2, 95% CI 1.8 to 5.6) and in participants who were notified for an STI at retest (PR 5.3, 95% CI 2.4 to 11.5). A text message reminder appeared to have a clear, positive impact on the resulting retest rate. These results also indicate that retesting is necessary to identify chlamydia reinfections. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

  8. How Do Quality-of-Life and Gastrointestinal Symptoms Differ Between Post-cholecystectomy Patients and the Background Population?

    PubMed

    Wanjura, Viktor; Sandblom, Gabriel

    2016-01-01

    Previous studies have indicated a correlation between indication for cholecystectomy and long-term gastrointestinal quality-of-life (QoL). The aim of the present study was to compare QoL in a post-cholecystectomy cohort with the background population and with historical controls. A post-cholecystectomy study group (on average 4 years after cholecystectomy) was compared with a control group from the background population using the Gastrointestinal Quality-of-Life Index (GIQLI). EQ-5D scores were compared with expected scores derived from recent historical data. The post-cholecystectomy study group (N = 451) had better QoL measured by the EQ-5D compared with historical controls (p < 0.001), similar total GIQLI scores as the control group (N = 390), but scored worse on the GIQLI gastrointestinal symptoms subscale score (p < 0.001). The results include an item-by-item breakdown of the GIQLI questionnaire where the scores for diarrhea, bowel urgency, bloating, regurgitation, abdominal pain, flatus, fullness, nausea, uncontrolled stools, belching, heartburn, restricted eating, and bowel frequency were found to be significantly lower (i.e. worse) in the post-cholecystectomy cohort than in the control group. The opposite was true for relationships, endurance, sexual life, physical strength, feeling fit, not being frustrated by illness, and being able to carry out leisure activities, i.e. items related to general performance and well-being. In this study, QoL after cholecystectomy was good, but there was an increased prevalence of gastrointestinal symptoms compared to the background population.

  9. Efficacy and safety of conversion to monotherapy with eslicarbazepine acetate in adults with uncontrolled partial-onset seizures: a randomized historical-control phase III study based in North America.

    PubMed

    Sperling, Michael R; Harvey, Jay; Grinnell, Todd; Cheng, Hailong; Blum, David

    2015-04-01

    To assess the efficacy and safety of eslicarbazepine acetate (ESL) as monotherapy in North American patients with partial-onset seizures (POS). This multicenter, randomized, double-blind "withdrawal to monotherapy" study used historical control data as the comparator. Adults with POS medically uncontrolled by one to two antiepileptic drugs gradually converted to ESL monotherapy. Following an 8-week baseline period, patients were randomized 2:1 to receive ESL 1,600 mg (n = 128) or 1,200 mg QD (n = 65) for 18 weeks. The primary end point was the proportion of patients meeting predefined exit criteria (signifying worsening seizure control). Treatment was considered effective if the 95% upper confidence limit (UCL) for the Kaplan-Meier estimated exit rate was lower than the exit rate threshold calculated from the historical control (65.3%). Kaplan-Meier estimated exit rates were: ESL 1,600 mg, 28.7% (95% CI 21.2-38.1%) and 1,200 mg, 44.4% (32.5-58.3%). The difference between doses was not significant (p = 0.07). For both doses, the 95% UCLs for the exit rate were ˂ 65.3%; ESL monotherapy was considered superior to the historical control. There was no statistically significant increase in the risk of study exit related to carbamazepine use. Nine (7.6%) and five patients (8.3%) remained seizure-free during the 10-week monotherapy period, while taking ESL 1,600 and 1,200 mg, respectively. The reductions in median standardized seizure frequency (seizures per 28 days) between baseline and the 18-week treatment period were: ESL 1,600 mg, 42% and 1,200 mg, 31%. Treatment-emergent adverse events (TEAEs) occurring in ≥ 10% of patients were dizziness, headache, fatigue, somnolence, nausea, and nasopharyngitis. The TEAE most frequently leading to discontinuation was hyponatremia (2.1%). ESL was efficacious and well tolerated as monotherapy in North American patients, and led to a reduction in seizure frequency. Exit rates for ESL 1,600 and 1,200 mg QD were superior to the historical control; the difference in exit rates between doses was not statistically significant. © 2015 The Authors. Epilepsia published by Wiley Periodicals, Inc. on behalf of International League Against Epilepsy.

  10. Colours Convey Lanna Identity in Lamphun and Chiang Mai Area

    NASA Astrophysics Data System (ADS)

    Raksawin, Karuna; Wonglaksanapan, Arphaphon; Suthasupa, Supagtra

    2017-10-01

    Colour control is a specific tool to identify local environment. Especially in the historic area or conservation area, to promote colour control is very necessary. Therefore, there are many standards of colour to control such as Munsell, colour name, and L*a*b*. This research is aimed to analyze the appropriate colour control by using a Munsell standard colour which is suitable to visual perception. The study area is scoped in northern region of Lanna culture in Thailand which nowadays used names of colours to control. Chiang Mai and Lamphun are selected to be case study because they are in a center of Lanna Empire of Thailand and have many historic significant things such as city wall, temple, monastery, palace, and city moat. The mainly procedure conducts in this article is based on the analysis of material colour. The study chose local natural materials which are used in the historic significant things. Earthen clay tile, wooden roof tile, burnt clay brick, laterites, hard wood, bamboo, silver, and gold are evaluated. The procedure used the DIC application of android processor on smart phone. This application has a conversion data to switch a colour value from pick-up point in photo to many colour values such as RGB, CMYK which Munsell value is included. The photos were taken within the historic area of Chiang Mai and Lamphun by random. The result can scope a range of colours of Munsell standard of natural colour (N), red (R), yellow (Y), and yellow-red (YR). A natural colour (N) can be suggested a range 1.0-9.0 (N 1.0-9.0). Red can be ranged the value between 3.0-7.0 and chroma between 3.0-9.0 (R 3.0-7.0/3.0-9.0). Yellow can be ranged the value between 6.0-9.0 and chroma between 4.0-12.0 (Y 6.0-9.0/4.0-12.0). Yellow-red can be ranged the value between 2.0-8.0 and chroma between 2.0-11.0 (YR 2.0-8.0/2.0-11.0). The results can be revealed a process of colour analysis of historic colour control and may offer to be an ordinance in further.

  11. Influence of an injury reduction program on injury and fitness outcomes among soldiers

    PubMed Central

    Knapik, J; Bullock, S; Canada, S; Toney, E; Wells, J; Hoedebecke, E; Jones, B

    2004-01-01

    Objective: This study evaluated the influence of a multiple injury control intervention on injury and physical fitness outcomes among soldiers attending United States Army Ordnance School Advanced Individual Training. Methods: The study design was quasiexperimental involving a historical control group (n = 2559) that was compared to a multiple intervention group (n = 1283). Interventions in the multiple intervention group included modified physical training, injury education, and a unit based injury surveillance system (UBISS). The management responsible for training independently formed an Injury Control Advisory Committee that examined surveillance reports from the UBISS and recommended changes to training. On arrival at school, individual soldiers completed a demographics and lifestyle questionnaire and took an army physical fitness test (APFT: push-ups, sit-ups, and two mile run). Injuries among soldiers were tracked by a clinic based injury surveillance system that was separate from the UBISS. Soldiers completed a final APFT eight weeks after arrival at school. Results: Cox regression (survival analysis) was used to examine differences in time to the first injury while controlling for group differences in demographics, lifestyle characteristics, and physical fitness. The adjusted relative risk of a time loss injury was 1.5 (95% confidence interval 1.2 to 1.8) times higher in the historical control men and 1.8 (95% confidence interval 1.1 to 2.8) times higher in the historical control women compared with the multiple intervention men and women, respectively. After correcting for the lower initial fitness of the multiple intervention group, there were no significant differences between the multiple intervention and historical control groups in terms of improvements in push-ups, sit-ups, or two mile run performance. Conclusions: This multiple intervention program contributed to a reduction in injuries while improvements in physical fitness were similar to a traditional physical training program previously used at the school. PMID:14760025

  12. Light use study for vertical channelization devices

    DOT National Transportation Integrated Search

    2003-05-01

    Although the Manual on Uniform Traffic Control Devices (MUTCD) does not require the use of warning lights on channelization devices, the Arizona Department of Transportation (ADOT) has historically required their use on all traffic control devices us...

  13. Integrated Vehicle Ground Vibration Testing of Manned Spacecraft: Historical Precedent

    NASA Technical Reports Server (NTRS)

    Lemke, Paul R.; Tuma, Margaret L.; Askins, Bruce R.

    2008-01-01

    For the first time in nearly 30 years, NASA is developing a new manned space flight launch system. The Ares I will carry crew and cargo to not only the International Space Station, but onward for the future exploration of the Moon and Mars. The Ares I control system and structural designs use complex computer models for their development. An Integrated Vehicle Ground Vibration Test (IVGVT) will validate the efficacy of these computer models. The IVGVT will reduce the technical risk of unexpected conditions that could place the vehicle or crew in jeopardy. The Ares Project Office's Flight and Integrated Test Office commissioned a study to determine how historical programs, such as Saturn and Space Shuttle, validated the structural dynamics of an integrated flight vehicle. The study methodology was to examine the historical record and seek out members of the engineering community who recall the development of historic manned launch vehicles. These records and interviews provided insight into the best practices and lessons learned from these historic development programs. The information that was gathered allowed the creation of timelines of the historic development programs. The timelines trace the programs from the development of test articles through test preparation, test operations, and test data reduction efforts. These timelines also demonstrate how the historical tests fit within their overall vehicle development programs. Finally, the study was able to quantify approximate staffing levels during historic development programs. Using this study, the Flight and Integrated Test Office was able to evaluate the Ares I Integrated Vehicle Ground Vibration Test schedule and workforce budgets in light of the historical precedents to determine if the test had schedule or cost risks associated with it.

  14. Mission Control Center/Building 30. Historical Documentation

    NASA Technical Reports Server (NTRS)

    2010-01-01

    As part of this nation-wide study, in September 2006, historical survey and evaluation of NASA-owned and managed facilities was conducted by NASA's Lyndon B. Johnson Space Center (JSC) in Houston, Texas. The results of this study are presented in a report entitled, Survey and Evaluation of NASA-owned Historic Facilities and Properties in the Context of the U.S. Space Shuttle Program, Lyndon B. Johnson Space Center, Houston, Texas, prepared in November 2007 by NASA JSC s contractor, Archaeological Consultants, Inc. As a result of this survey, the Mission Control Center (Building 30) was determined eligible for listing in the NRHP, with concurrence by the Texas State Historic Preservation Officer (SHPO). The survey concluded that Building 30 is eligible for the NRHP under Criteria A and C in the context of the U.S. Space Shuttle Program (1969-2010). Because it has achieved significance within the past 50 years, Criteria Consideration G applies. It should be noted that the Mission Control Center was designated a National Historic Landmark in 1985 for its role in the Apollo 11 Lunar Landing. At the time of this documentation, Building 30 was still used to support the SSP as an engineering research facility, which is also sometimes used for astronaut training. This documentation package precedes any undertaking as defined by Section 106 of the NHPA, as amended, and implemented in 36 CFR Part 800, as NASA JSC has decided to proactively pursue efforts to mitigate the potential adverse affects of any future modifications to the facility. It includes a historical summary of the Space Shuttle program; the history of JSC in relation to the SSP; a narrative of the history of Building 30 and how it supported the SSP; and a physical description of the structure. In addition, photographs documenting the construction and historical use of Building 30 in support of the SSP, as well as photographs of the facility documenting the existing conditions, special technological features, and engineering details, are included. A contact sheet printed on archival paper, and an electronic copy of the work product on CD, are also provided.

  15. Efficacy of induction therapy with ATG and intravenous immunoglobulins in patients with low-level donor-specific HLA-antibodies.

    PubMed

    Bächler, K; Amico, P; Hönger, G; Bielmann, D; Hopfer, H; Mihatsch, M J; Steiger, J; Schaub, S

    2010-05-01

    Low-level donor-specific HLA-antibodies (HLA-DSA) (i.e. detectable by single-antigen flow beads, but negative by complement-dependent cytotoxicity crossmatch) represent a risk factor for early allograft rejection. The short-term efficacy of an induction regimen consisting of polyclonal anti-T-lymphocyte globulin (ATG) and intravenous immunoglobulins (IvIg) in patients with low-level HLA-DSA is unknown. In this study, we compared 67 patients with low-level HLA-DSA not having received ATG/IvIg induction (historic control) with 37 patients, who received ATG/IvIg induction. The two groups were equal regarding retransplants, HLA-matches, number and class of HLA-DSA. The overall incidence of clinical/subclinical antibody-mediated rejection (AMR) was lower in the ATG/IvIg than in the historic control group (38% vs. 55%; p = 0.03). This was driven by a significantly lower rate of clinical AMR (11% vs. 46%; p = 0.0002). Clinical T-cell-mediated rejection (TCR) was significantly lower in the ATG/IvIg than in the historic control group (0% vs. 50%; p < 0.0001). Within the first year, allograft loss due to AMR occurred in 7.5% in the historic control and in 0% in the ATG/IvIg group. We conclude that in patients with low-level HLA-DSA, ATG/IvIg induction significantly reduces TCR and the severity of AMR, but the high rate of subclinical AMR suggests an insufficient control of the humoral immune response.

  16. SEWER-SEDIMENT CONTROL: OVERVIEW OF AN EPA WET-WEATHER FLOW RESEARCH PROGRAM

    EPA Science Inventory

    This paper presents a historical overview of the sewer sediment control projects conducted by the Wet-Weather Flow Research Program of the USEPA. Research presented includes studies of the causes of sewer solids deposition and development/evaluation of control methods that can pr...

  17. World Ocean Database and the Global Temperature and Salinity Profile Program Database: Synthesis of historical and near real-time ocean profile data

    NASA Astrophysics Data System (ADS)

    Boyer, T.; Sun, L.; Locarnini, R. A.; Mishonov, A. V.; Hall, N.; Ouellet, M.

    2016-02-01

    The World Ocean Database (WOD) contains systematically quality controlled historical and recent ocean profile data (temperature, salinity, oxygen, nutrients, carbon cycle variables, biological variables) ranging from Captain Cooks second voyage (1773) to this year's Argo floats. The US National Centers for Environmental Information (NCEI) also hosts the Global Temperature and Salinity Profile Program (GTSPP) Continuously Managed Database (CMD) which provides quality controlled near-real time ocean profile data and higher level quality controlled temperature and salinity profiles from 1990 to present. Both databases are used extensively for ocean and climate studies. Synchronization of these two databases will allow easier access and use of comprehensive regional and global ocean profile data sets for ocean and climate studies. Synchronizing consists of two distinct phases: 1) a retrospective comparison of data in WOD and GTSPP to ensure that the most comprehensive and highest quality data set is available to researchers without the need to individually combine and contrast the two datasets and 2) web services to allow the constantly accruing near-real time data in the GTSPP CMD and the continuous addition and quality control of historical data in WOD to be made available to researchers together, seamlessly.

  18. Antihyperlipidemic Medication Treatment Patterns and Statin Adherence Among Patients with ASCVD in a Managed Care Plan After Release of the 2013 ACC/AHA Guideline on the Treatment of Blood Cholesterol.

    PubMed

    Bellows, Brandon K; Olsen, Cody J; Voelker, Jennifer; Wander, Curtis

    2016-08-01

    The American College of Cardiology (ACC) and American Heart Association (AHA) released a new blood cholesterol treatment guideline in November 2013. It is unknown how the new recommendations have affected cholesterol medication use and adherence in a commercial health plan. To evaluate the effect of the 2013 guideline release on antihyperlipidemic treatment patterns and statin adherence in patients with atherosclerotic cardiovascular disease (ASCVD) compared with a historical control group. This study was a historical cohort analysis of adult patients (aged 21-75 years) with clinical ASCVD enrolled in a SelectHealth commercial health plan. Patients were included in the guideline implementation cohort if they had a medical claim with an ICD-9-CM diagnosis of ASCVD in the year before the November 2013 ACC/AHA guideline release. The index date was defined as the first outpatient medical claim with an ICD-9-CM for ASCVD in the first 6 months after the guideline was released. Patients were required to have continuous enrollment for ≥ 1 year before and after the index date. These same criteria were applied to patients exactly 4 years earlier to identify a historical control group. Patients meeting these criteria formed the antihyperlipidemic treatment patterns cohort. Of these, patients who also had ≥1 pharmacy claim for a statin in the 1-year pre- and post-index periods were included in the statin adherence cohort. Antihyperlipidemic treatment patterns were assessed using pharmacy claims for antihyperlipidemic medications in the 1-year pre- and post-index periods. Antihyperlipidemic medication claims were classified as a nonstatin cholesterol medication, low-intensity statin, moderate-intensity statin, or high-intensity statin. To address differences in pre-index antihyperlipidemic medications between the guideline implementation and historical control groups, patients were randomly matched 1:1 based on pre-index classification in a post hoc analysis. Post-index antihyperlipidemic classifications were compared between groups using a Stuart-Maxwell test. The change in mean statin adherence (proportion of days covered [PDC]) was compared within and between groups using paired and independent t-tests, respectively. The proportion of adherent patients (PDC ≥ 0.80) in the pre- and post-index periods was compared between groups using a chi-square test. A multivariable logistic regression was used to compare the likelihood of being adherent in the post-index period while controlling for pre-index adherence and other potential confounders. A total of 7,818 adult members with ASCVD in the index period and 1 year before the index period were identified. Of those, 1,841 patients met the criteria to be included in the analysis, and 1,526 patients were matched on antihyperlipidemic classification and included in the antihyperlipidemic treatment patterns analysis. Baseline characteristics were similar, although the guideline implementation group was younger (58.3 vs. 60.5 years, P < 0.001), and more were male (74.8% vs. 71.3%, P = 0.106) than the historical control group. In the matched cohort, there was a significant difference in the post-index antihyperlipidemic classification (P < 0.001), which appeared to be a result of the difference in nonstatin cholesterol medications (guideline 6.9% vs. historical 13.0%) and high-intensity statins (guideline 23.7% vs. historical 16.3%). Of the 1,841 patients in the antihyperlipidemic treatment patterns cohort, 919 patients met inclusion criteria for the statin adherence analysis. Although PDC decreased over time in both groups, significantly more patients in the guideline implementation group were adherent in the post-index period than the historical control group (66.5% vs. 57.3%, respectively; P = 0.005). Additionally, patients in the guideline implementation group were more likely than the historical control to be adherent in the post-index period when adjusting for potential confounders (OR = 1.49, 95% CI = 1.10-2.03; P = 0.011). Since the release of the updated ACC/AHA treatment guideline, more commercial health plan patients with ASCVD used high-intensity statins and fewer used nonstatin cholesterol medications than historical controls. Additionally, since the guideline release, more patients are adherent to statin therapy than historical controls. This study provides managed care organizations with valuable information regarding the effect of the 2013 ACC/AHA guideline. No outside funding or services were received for this work. Outside of the current study, Bellows has received research funding from Biogen Idec, Regeneron Pharmaceuticals, Myriad Genetic Laboratories, Shire Development, and Bristol-Myers Squibb and an honorariam from Avanir Pharmaceuticals. Voelker received summer intern support from Pfizer and the AMCP Foundation during the time of this study. The remaining authors have nothing to disclose. All authors contributed to study concept and design and to the revision of the manuscript. Bellows, Olsen, and Voelker collected the data, assisted by Wander; data interpretation was performed primarily by Bellows, along with Olsen and Voelker and assisted by Wander. The manuscript was primarily written by Bellows, along with the other authors.

  19. COLLECTION SYSTEM SOLIDS CONTROL: OVERVIEW OF AN EPA WET-WEATHER FLOW RESEARCH PROGRAM

    EPA Science Inventory

    This paper presents an historical overview of the sewer-solids control projects conducted by the Wet-Weather Flow Research Program of the US EPA. Research includes studies of the causes of sewer-solids deposition and development/evaluation of control methods that can prevent sewe...

  20. Bayesian Phase II optimization for time-to-event data based on historical information.

    PubMed

    Bertsche, Anja; Fleischer, Frank; Beyersmann, Jan; Nehmiz, Gerhard

    2017-01-01

    After exploratory drug development, companies face the decision whether to initiate confirmatory trials based on limited efficacy information. This proof-of-concept decision is typically performed after a Phase II trial studying a novel treatment versus either placebo or an active comparator. The article aims to optimize the design of such a proof-of-concept trial with respect to decision making. We incorporate historical information and develop pre-specified decision criteria accounting for the uncertainty of the observed treatment effect. We optimize these criteria based on sensitivity and specificity, given the historical information. Specifically, time-to-event data are considered in a randomized 2-arm trial with additional prior information on the control treatment. The proof-of-concept criterion uses treatment effect size, rather than significance. Criteria are defined on the posterior distribution of the hazard ratio given the Phase II data and the historical control information. Event times are exponentially modeled within groups, allowing for group-specific conjugate prior-to-posterior calculation. While a non-informative prior is placed on the investigational treatment, the control prior is constructed via the meta-analytic-predictive approach. The design parameters including sample size and allocation ratio are then optimized, maximizing the probability of taking the right decision. The approach is illustrated with an example in lung cancer.

  1. Studies of poststrike air traffic control specialist trainees. II., Selection and screening programs.

    DOT National Transportation Integrated Search

    1988-07-01

    Specific contributions of aviation psychologists to the selection and Academy training of FAA air traffic control specialists are presented in an historical context. Research results which formed the basis for the written aptitude selection tests, Th...

  2. 75 FR 72829 - Los Alamos Historical Document Retrieval and Assessment (LAHDRA) Project

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-11-26

    ... Historical Document Retrieval and Assessment (LAHDRA) Project The Centers for Disease Control and Prevention... release of the Final Report of the Los Alamos Historical Document Retrieval and Assessment (LAHDRA)Project... information about historical chemical or radionuclide releases from facilities at the Los Alamos National...

  3. 76 FR 28071 - Notice of Inventory Completion: Colorado Historical Society (History Colorado), Denver, CO

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-05-13

    ...: Colorado Historical Society (History Colorado), Denver, CO AGENCY: National Park Service, Interior. ACTION... control of the Colorado Historical Society (History Colorado), Denver, CO. The human remains were removed.... A detailed assessment of the human remains was made by the Colorado Historical Society (History...

  4. Non-inferiority tests for anti-infective drugs using control group quantiles.

    PubMed

    Fay, Michael P; Follmann, Dean A

    2016-12-01

    In testing for non-inferiority of anti-infective drugs, the primary endpoint is often the difference in the proportion of failures between the test and control group at a landmark time. The landmark time is chosen to approximately correspond to the qth historic quantile of the control group, and the non-inferiority margin is selected to be reasonable for the target level q. For designing these studies, a troubling issue is that the landmark time must be pre-specified, but there is no guarantee that the proportion of control failures at the landmark time will be close to the target level q. If the landmark time is far from the target control quantile, then the pre-specified non-inferiority margin may not longer be reasonable. Exact variable margin tests have been developed by Röhmel and Kieser to address this problem, but these tests can have poor power if the observed control failure rate at the landmark time is far from its historic value. We develop a new variable margin non-inferiority test where we continue sampling until a pre-specified proportion of failures, q, have occurred in the control group, where q is the target quantile level. The test does not require any assumptions on the failure time distributions, and hence, no knowledge of the true [Formula: see text] control quantile for the study is needed. Our new test is exact and has power comparable to (or greater than) its competitors when the true control quantile from the study equals (or differs moderately from) its historic value. Our nivm R package performs the test and gives confidence intervals on the difference in failure rates at the true target control quantile. The tests can be applied to time to cure or other numeric variables as well. A substantial proportion of new anti-infective drugs being developed use non-inferiority tests in their development, and typically, a pre-specified landmark time and its associated difference margin are set at the design stage to match a specific target control quantile. If through changing standard of care or selection of a different population the target quantile for the control group changes from its historic value, then the appropriateness of the pre-specified margin at the landmark time may be questionable. Our proposed test avoids this problem by sampling until a pre-specified proportion of the controls have failed. © The Author(s) 2016.

  5. A Transferencia do Controle da Educacao da Igreja para o Estado (The Transfer of Educational Control from the Church to the State).

    ERIC Educational Resources Information Center

    Silva, Marcos

    2000-01-01

    Analyzes the principal phases in the historical process of the occidental world that resulted in the transfer of educational control from the church to the state, demonstrating some of the consequences of this historic turn. (BT)

  6. Historical and Future Trends in Global Source-receptor Relationships of Mercury

    NASA Astrophysics Data System (ADS)

    Chen, L.; Zhang, W.; Wang, X.

    2017-12-01

    Growing concerns about the risk associated with increasing environmental Mercury (Hg) levels have resulted in a focus on the relationships between intercontinental emitted and accumulated Hg. We use a global biogeochemical Hg model with eight continental regions and a global ocean to evaluate the legacy impacts of historical anthropogenic releases (2000 BC to 2008 AD) on global source-receptor relationships of Hg. The legacy impacts of historical anthropogenic releases are confirmed to be significant on the source-receptor relationships according to our results. Historical anthropogenic releases from Asia account for 8% of total soil Hg in North America, which is smaller than the proportion ( 17%) from previous studies. The largest contributors to the global oceanic Hg are historical anthropogenic releases from North America (26%), Asia (16%), Europe (14%) and South America (14%). Although anthropogenic releases from Asia have exceeded North America since the 1970s, source contributions to global Hg receptors from Asia have not exceeded North America so far. Future projections indicate that if Hg emissions are not effectively controlled, Asia will exceed North America as the largest contributor to the global ocean in 2019 and this has a long-term adverse impact on the future environment. For the Arctic Ocean, historical anthropogenic release from North America contributes most to the oceanic Hg reservoir and future projections reveal that the legacy impacts of historical releases from mid-latitudes would lead to the potential of rising Hg in the Arctic Ocean in the future decades, which calls for more effective Hg controls on mid-latitude releases.

  7. Historical and future trends in global source-receptor relationships of mercury.

    PubMed

    Chen, Long; Zhang, Wei; Zhang, Yanxu; Tong, Yindong; Liu, Maodian; Wang, Huanhuan; Xie, Han; Wang, Xuejun

    2018-01-01

    Growing concern about the risk associated with increasing environmental mercury (Hg) concentrations has resulted in a focus on the relationships between intercontinental emitted and accumulated Hg. We use a global biogeochemical Hg model with 8 continental regions and a global ocean to evaluate the legacy impacts of historical anthropogenic releases (2000BCE to 2008AD) on global source-receptor relationships of Hg. Legacy impacts of historical anthropogenic releases are confirmed to be significant on the source-receptor relationships according to our results. Historical anthropogenic releases from Asia account for 8% of total soil Hg in North America, which is smaller than the proportion (~17%) from previous studies. The largest contributors to the global oceanic Hg are historical anthropogenic releases from North America (26%), Asia (16%), Europe (14%) and South America (14%). Although anthropogenic releases from Asia have exceeded North America since the 1970s, source contributions to global Hg receptors from Asia have not exceeded North America so far. Future projections indicate that if Hg emissions are not effectively controlled, Asia will exceed North America as the largest contributor to the global ocean in 2019 and this has a long-term adverse impact on the future environment. For the Arctic Ocean, historical anthropogenic release from North America contributes most to the oceanic Hg reservoir and future projections reveal that the legacy impacts of historical releases from mid-latitudes would lead to the potential of rising Hg in the Arctic Ocean in the future decades, which calls for more effective Hg controls on mid-latitude releases. Copyright © 2017 Elsevier B.V. All rights reserved.

  8. Self-Esteem, Locus of Control, and First-Time NCLEX-RN Passage of BSN Students at Historically Black Colleges and Universities.

    PubMed

    Chavis, Pamella Ivey

    Relationships between self-esteem, locus of control (LOC), and first-time passage of National Council Licensure Examination for Registered Nurses (NCLEX-RN®) were examined at baccalaureate nursing programs at two historically black colleges and universities. Shortages continue to exceed demands for RNs prepared at the baccalaureate level. Inconsistent pass rates on the NCLEX-RN for graduates of historically black colleges and universities impede the supply of RNs. Surveys and archival data were used to examine characteristics of the sample and explore relationships among variables. All participants (N = 90) reported high self-esteem and internal LOC. Models suggested that all those with high self-esteem and internal LOC would pass the NCLEX-RN; only 85 percent passed the first time. Statistical analysis revealed a lack of statistical significance between self-esteem, LOC, and first-time passage. Variables not included in the study may have affected first-time passage.

  9. A phase II flexible screening design allowing for interim analysis and comparison with historical control.

    PubMed

    Wu, Wenting; Bot, Brian; Hu, Yan; Geyer, Susan M; Sargent, Daniel J

    2013-07-01

    Sargent and Goldberg [1] proposed a randomized phase II flexible screening design (SG design) which took multiple characteristics of candidate regimens into consideration in selecting a regimen for further phase III testing. In this paper, we extend the SG design by including provisions for an interim analysis and/or a comparison to a historical control. By including a comparison with a historical control, a modified SG design not only identifies a more promising treatment but also assures that the regimen has a clinically meaningful level of efficacy as compared to a historical control. By including an interim analysis, a modified SG design could reduce the number of patients exposed to inferior treatment regimens. When compared to the original SG design, the modified designs increase the sample size moderately, but expand the utility of the flexible screening design substantially. Copyright © 2013 Elsevier Inc. All rights reserved.

  10. Sandia National Laboratories, Tonopah Test Range Fire Control Bunker (Building 09-51): Photographs and Written Historical and Descriptive Data

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

    Ullrich, Rebecca A.

    The Fire Control Bunker (Building 09-51) is a contributing element to the Sandia National Laboratories (SNL) Tonopah Test Range (TTR) Historic District. The SNL TTR Historic District played a significant role in U.S. Cold War history in the areas of stockpile surveillance and non-nuclear field testing of nuclear weapons design. The district covers approximately 179,200 acres and illustrates Cold War development testing of nuclear weapons components and systems. This report includes historical information, architectural information, sources of information, project information, maps, blueprints, and photographs.

  11. Advancing the management and control of typhoid fever: a review of the historical role of human challenge studies.

    PubMed

    Waddington, Claire S; Darton, Thomas C; Woodward, William E; Angus, Brian; Levine, Myron M; Pollard, Andrew J

    2014-05-01

    Typhoid infection causes considerable morbidity and mortality worldwide, particularly in settings where lack of clean water and inadequate sanitation facilitate disease spread through faecal-oral transmission. Improved understanding of the pathogenesis, immune control and microbiology of Salmonella Typhi infection can help accelerate the development of improved vaccines and diagnostic tests necessary for disease control. S. Typhi is a human-restricted pathogen; therefore animal models are limited in their relevance to human infection. During the latter half of the 20th century, induced human infection ("challenge") studies with S. Typhi were used effectively to assess quantitatively the human host response to challenge and to measure directly the efficacy of typhoid vaccines in preventing clinical illness. Here, the findings of these historic challenge studies are reviewed, highlighting the pivotal role that challenge studies have had in improving our understanding of the host-pathogen interaction, and illustrating issues relevant to modern typhoid challenge model design. Crown Copyright © 2014. Published by Elsevier Ltd. All rights reserved.

  12. Vehicle and positive control values from the in vivo rodent comet assay and biomonitoring studies using human lymphocytes: historical database and influence of technical aspects.

    PubMed

    Pant, Kamala; Springer, S; Bruce, S; Lawlor, T; Hewitt, N; Aardema, M J

    2014-10-01

    There is increased interest in the in vivo comet assay in rodents as a follow-up approach for determining the biological relevance of chemicals that are genotoxic in in vitro assays. This is partly because, unlike other assays, DNA damage can be assessed in this assay in virtually any tissue. Since background levels of DNA damage can vary with the species, tissue, and cell processing method, a robust historical control database covering multiple tissues is essential. We describe extensive vehicle and positive control data for multiple tissues from rats and mice. In addition, we report historical data from control and genotoxin-treated human blood. Technical issues impacting comet results are described, including the method of cell preparation and freezing. Cell preparation by scraping (stomach and other GI tract organs) resulted in higher % tail DNA than mincing (liver, spleen, kidney etc) or direct collection (blood or bone marrow). Treatment with the positive control genotoxicant, ethyl methanesulfonate (EMS) in rats and methyl methanesulfonate in mice, resulted in statistically significant increases in % tail DNA. Background DNA damage was not markedly increased when cell suspensions were stored frozen prior to preparing slides, and the outcome of the assay was unchanged (EMS was always positive). In conclusion, historical data from our laboratory for the in vivo comet assay for multiple tissues from rats and mice, as well as human blood show very good reproducibility. These data and recommendations provided are aimed at contributing to the design and proper interpretation of results from comet assays. © 2014 Wiley Periodicals, Inc.

  13. Methodological proceedings to evaluate the physical accessibility in urban historic sites.

    PubMed

    Ribeiro, Gabriela Sousa; Martins, Laura Bezerra; Monteiro, Circe Maria Gama

    2012-01-01

    Historic urban sites are set by cultural and social diversities, generating multiple activities and use and access to these sites should be available to all people including those with disabilities. Taking into consideration that using the same methodology that was used in different historic sites researches with positive results facilitates replication, we aimed to develop methodological procedures that identify conditions of physical accessibility in open public spaces and access to public buildings in historic urban sites to support proposals about design requirements for improvements to the problems diagnosed and control inadequacies of the physical environment. The study methods and techniques from different areas of knowledge culminated in a proposal built with an emphasis on user participation that could be applied with low cost and in relatively short period of time.

  14. Residual Effects of Fertilization History Increase Nitrous Oxide Emissions from Zero-N Controls: Implications for Estimating Fertilizer-Induced Emission Factors.

    PubMed

    LaHue, Gabriel T; van Kessel, Chris; Linquist, Bruce A; Adviento-Borbe, Maria Arlene; Fonte, Steven J

    2016-09-01

    Agricultural N fertilization is the dominant driver of increasing atmospheric nitrous oxide (NO) concentrations over the past half-century, yet there is considerable uncertainty in estimates of NO emissions from agriculture. Such estimates are typically based on the amount of N applied and a fertilizer-induced emission factor (EF), which is calculated as the difference in emissions between a fertilized plot and a zero-N control plot divided by the amount of N applied. A fertilizer-induced EF of 1% is currently recognized by the Intergovernmental Panel on Climate Change (IPCC) based on several studies analyzing published field measurements of NO emissions. Although many zero-N control plots used in these measurements received historical N applications, the potential for a residual impact of these inputs on NO emissions has been largely ignored and remains poorly understood. To address this issue, we compared NO emissions under laboratory conditions from soils sampled within zero-N control plots that had historically received N inputs versus soils from plots that had no N inputs for 20 yr. Historical N fertilization of zero-N control plots increased initial NO emissions by roughly one order of magnitude on average relative to historically unfertilized control plots. Higher NO emissions were positively correlated with extractable N and potentially mineralizable N. This finding suggests that accounting for fertilization history may help reduce the uncertainty associated with the IPCC fertilizer-induced EF and more accurately estimate the contribution of fertilizer N to agricultural NO emissions, although further research to demonstrate this relationship in the field is needed. Copyright © by the American Society of Agronomy, Crop Science Society of America, and Soil Science Society of America, Inc.

  15. 12. Historic view of Building 100 control room, showing television ...

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

    12. Historic view of Building 100 control room, showing television monitoring of tests and personnel operating rocket engine test controls. May 27, 1957. On file at NASA Plumbrook Research Facility, Sandusky, Ohio. NASA photo number C-45021. - Rocket Engine Testing Facility, GRC Building No. 100, NASA Glenn Research Center, Cleveland, Cuyahoga County, OH

  16. Study of Automatic Image Rectification and Registration of Scanned Historical Aerial Photographs

    NASA Astrophysics Data System (ADS)

    Chen, H. R.; Tseng, Y. H.

    2016-06-01

    Historical aerial photographs directly provide good evidences of past times. The Research Center for Humanities and Social Sciences (RCHSS) of Taiwan Academia Sinica has collected and scanned numerous historical maps and aerial images of Taiwan and China. Some maps or images have been geo-referenced manually, but most of historical aerial images have not been registered since there are no GPS or IMU data for orientation assisting in the past. In our research, we developed an automatic process of matching historical aerial images by SIFT (Scale Invariant Feature Transform) for handling the great quantity of images by computer vision. SIFT is one of the most popular method of image feature extracting and matching. This algorithm extracts extreme values in scale space into invariant image features, which are robust to changing in rotation scale, noise, and illumination. We also use RANSAC (Random sample consensus) to remove outliers, and obtain good conjugated points between photographs. Finally, we manually add control points for registration through least square adjustment based on collinear equation. In the future, we can use image feature points of more photographs to build control image database. Every new image will be treated as query image. If feature points of query image match the features in database, it means that the query image probably is overlapped with control images.With the updating of database, more and more query image can be matched and aligned automatically. Other research about multi-time period environmental changes can be investigated with those geo-referenced temporal spatial data.

  17. Detention basin alternative outlet design study.

    DOT National Transportation Integrated Search

    2016-10-01

    This study examines the outlets structures CDOT has historically employed to drain water quality treatment detention basins and flood control basins, presents two new methods of metering the water quality capture volume (WQCV), namely 1) the Elliptic...

  18. Comparison of a Stratified Group Intervention (STarT Back) With Usual Group Care in Patients With Low Back Pain: A Nonrandomized Controlled Trial.

    PubMed

    Murphy, Susan E; Blake, Catherine; Power, Camillus K; Fullen, Brona M

    2016-04-01

    A nonrandomized controlled trial. This study aims to explore the effectiveness of group-based stratified care in primary care. Stratified care based on psychosocial screening (STarT Back) has demonstrated greater clinical and cost-effectiveness in patients with low back pain. However, low back pain interventions are often delivered in groups and evaluating this system of care in a group setting is important. Patients were recruited from 60 general practices and linked physiotherapy services. A new group stratified intervention was compared with a historical nonstratified control group. Patients stratified as low, medium and high risk were offered risk-matched group care. Consenting participants completed self-report measures of functional disability (primary outcome measure), pain, psychological distress, and beliefs. The historical control received a generic group intervention. Analysis was by intention to treat. In total, 251 patients in the new stratified intervention and 332 in the historical control were included in the primary analysis at 12 weeks. The mean age of patients was 43 ± 10.98 years. Overall adjusted mean changes in the RMDQ scores were higher in the stratified intervention than in the control arm at 12-week follow-up (P = 0.028). Exploring the risk groups, individually the high-risk stratified group, demonstrated better outcome over the controls (P = 0.031). The medium-risk stratified intervention demonstrated equally good outcomes (P = 0.125), and low-risk stratified patients, despite less intervention, did as well as the historical controls (P = 0.993). Stratified care delivered in a group setting demonstrated superior outcomes in the high-risk patients, and equally good outcomes for the medium and low-risk groups. This model, embedded in primary care, provides an early and effective model of chronic disease management and adds another dimension to the utility of the STarT Back system of care. 2.

  19. Intravenous thrombolysis guided by a telemedicine consultation system for acute ischaemic stroke patients in China: the protocol of a multicentre historically controlled study

    PubMed Central

    Yuan, Ziwen; Wang, Bo; Li, Feijiang; Wang, Jing; Zhi, Jin; Luo, Erping; Liu, Zhirong; Zhao, Gang

    2015-01-01

    Introduction The rate of intravenous thrombolysis with tissue-type plasminogen activator or urokinase for stroke patients is extremely low in China. It has been demonstrated that a telestroke service may help to increase the rate of intravenous thrombolysis and improve stroke care quality in local hospitals. The aim of this study, also called the Acute Stroke Advancing Program, is to evaluate the effectiveness and safety of decision-making concerning intravenous thrombolysis via a telemedicine consultation system for acute ischaemic stroke patients in China. Methods and analysis This is a multicentre historically controlled study with a planned enrolment of 300 participants in each of two groups. The telestroke network consists of one hub hospital and 14 spoke hospitals in underserved regions of China. The usual stroke care quality in the spoke hospitals without guidance from the hub hospital will be used as the historical control. The telemedicine consultation system is an interactive, two-way, wireless, audiovisual system accessed on portable devices. The primary outcome is the percentage of patients treated with intravenous thrombolysis within 4.5 h of stroke onset. Ethics and dissemination The project has been approved by the Institutional Review Board of Xijing Hospital. The results will be published in scientific journals and presented to local government and relevant institutes. Trial registration number NCT02088346 (12 March 2014). PMID:25979867

  20. Using Historical Data to Automatically Identify Air-Traffic Control Behavior

    NASA Technical Reports Server (NTRS)

    Lauderdale, Todd A.; Wu, Yuefeng; Tretto, Celeste

    2014-01-01

    This project seeks to develop statistical-based machine learning models to characterize the types of errors present when using current systems to predict future aircraft states. These models will be data-driven - based on large quantities of historical data. Once these models are developed, they will be used to infer situations in the historical data where an air-traffic controller intervened on an aircraft's route, even when there is no direct recording of this action.

  1. 11. Historic view of Building 100 control room, showing personnel ...

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

    11. Historic view of Building 100 control room, showing personnel operating rocket engine test controls and observer watching activity from observation room. May 27, 1957. On file at NASA Plumbrook Research Center, Sandusky, Ohio. NASA photo number C-45020. - Rocket Engine Testing Facility, GRC Building No. 100, NASA Glenn Research Center, Cleveland, Cuyahoga County, OH

  2. Propulsion Control Technology Development in the United States A Historical Perspective

    NASA Technical Reports Server (NTRS)

    Jaw, Link C.a; Garg, Sanjay

    2005-01-01

    This paper presents a historical perspective of the advancement of control technologies for aircraft gas turbine engines. The paper primarily covers technology advances in the United States in the last 60 years (1940 to approximately 2002). The paper emphasizes the pioneering technologies that have been tested or implemented during this period, assimilating knowledge and experience from industry experts, including personal interviews with both current and retired experts. Since the first United States-built aircraft gas turbine engine was flown in 1942, engine control technology has evolved from a simple hydro-mechanical fuel metering valve to a full-authority digital electronic control system (FADEC) that is common to all modern aircraft propulsion systems. At the same time, control systems have provided engine diagnostic functions. Engine diagnostic capabilities have also evolved from pilot observation of engine gauges to the automated on-board diagnostic system that uses mathematical models to assess engine health and assist in post-flight troubleshooting and maintenance. Using system complexity and capability as a measure, we can break the historical development of control systems down to four phases: (1) the start-up phase (1942 to 1949), (2) the growth phase (1950 to 1969), (3) the electronic phase (1970 to 1989), and (4) the integration phase (1990 to 2002). In each phase, the state-of-the-art control technology is described and the engines that have become historical landmarks, from the control and diagnostic standpoint, are identified. Finally, a historical perspective of engine controls in the last 60 years is presented in terms of control system complexity, number of sensors, number of lines of software (or embedded code), and other factors.

  3. 18. Historic plan of Building 100 control room. March 21, ...

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

    18. Historic plan of Building 100 control room. March 21, 1956. NASA GRC drawing number CE-101736. (On file at NASA Glenn Research Center). - Rocket Engine Testing Facility, GRC Building No. 100, NASA Glenn Research Center, Cleveland, Cuyahoga County, OH

  4. Best Practices for Use of Historical Control Data of Proliferative Rodent Lesions.

    EPA Science Inventory

    The Historical Control Data Working Group under the direction of the Scientific and Regulatory Policy Committee (SRPC) of the Society of Toxicologic Pathology (STP) was tasked with reviewing the current scientific practices, regulatory guidance and relevant literature pertaining ...

  5. Improving overlay control through proper use of multilevel query APC

    NASA Astrophysics Data System (ADS)

    Conway, Timothy H.; Carlson, Alan; Crow, David A.

    2003-06-01

    Many state-of-the-art fabs are operating with increasingly diversified product mixes. For example, at Cypress Semiconductor, it is not unusual to be concurrently running multiple technologies and many devices within each technology. This diverse product mix significantly increases the difficulty of manually controlling overlay process corrections. As a result, automated run-to-run feedforward-feedback control has become a necessary and vital component of manufacturing. However, traditional run-to-run controllers rely on highly correlated historical events to forecast process corrections. For example, the historical process events typically are constrained to match the current event for exposure tool, device, process level and reticle ID. This narrowly defined process stream can result in insufficient data when applied to lowvolume or new-release devices. The run-to-run controller implemented at Cypress utilizes a multi-level query (Level-N) correlation algorithm, where each subsequent level widens the search criteria for available historical data. The paper discusses how best to widen the search criteria and how to determine and apply a known bias to account for tool-to-tool and device-to-device differences. Specific applications include offloading lots from one tool to another when the first tool is down for preventive maintenance, utilizing related devices to determine a default feedback vector for new-release devices, and applying bias values to account for known reticle-to-reticle differences. In this study, we will show how historical data can be leveraged from related devices or tools to overcome the limitations of narrow process streams. In particular, this paper discusses how effectively handling narrow process streams allows Cypress to offload lots from a baseline tool to an alternate tool.

  6. Reproductive health policy affecting low-income women: historical precedents and current need for social work action.

    PubMed

    Averitt Taylor, Jessica

    2014-01-01

    This article provides an overview of the historical arguments surrounding reproductive health policy and current policy initiatives. Because reproductive policy itself is a vast subject matter with sometimes blurry boundaries, the struggle concerning the advent of birth control is used to illustrate the historic complexities of policy affecting such a wide array of individuals. The battle over introduction of the birth control pill is pertinent because the very same arguments are used today in debates over reproductive health policy.

  7. Evaluation of lidocaine treatment on frequency of cardiac arrhythmias, acute kidney injury, and hospitalization time in dogs with gastric dilatation volvulus.

    PubMed

    Bruchim, Yaron; Itay, Srugo; Shira, Ben-Halevy; Kelmer, Efrat; Sigal, Yudelecitch; Itamar, Aroch; Gilad, Segev

    2012-08-01

    To assess the efficacy of IV lidocaine in decreasing complication rate and improving the outcome in dogs with gastric dilatation volvulus (GDV). Prospective non-controlled study of 83 lidocaine-treated dogs with GDV compared to 47 untreated historical controls with GDV. University veterinary teaching hospital. One hundred and thirty client-owned dogs with naturally occurring GDV. Study group dogs were treated at presentation with lidocaine (2 mg/kg, IV bolus) followed by constant rate infusion (CRI) of 0.05 mg/kg/min for 24 h. Historical control dogs did not receive any lidocaine. There were no group differences in age, body weight, time lag from onset of clinical signs to presentation, rectal temperature and pulse rate at presentation, and proportion of gastric wall necrosis. The proportions of cardiac arrhythmias and acute kidney injury (AKI) were significantly (P< 0.001 and P = 0.045, respectively) lower in the lidocaine group (10/83 [12%] versus 18/47 [38.3%] and 3/83 [3.6] versus 0/47). Median hospitalization time period was shorter (P = 0.05) in the lidocaine group compared to the controls (median 48 h; range 24-360 h versus median 72 h; range 24-144 h, respectively). Early treatment with IV lidocaine bolus, followed by CRI of lidocaine for 24 h post presentation decreased the occurrence of cardiac arrhythmias, AKI and hospitalization time period significantly in lidocaine-treated dogs with GDV compared to untreated historical controls. Due to the nonblinded, placebo-uncontrolled, nonrandomized nature of the current study, further evaluation of the efficacy of lidocaine in dogs with GDV is warranted. © Veterinary Emergency and Critical Care Society 2012.

  8. Home-based intermediate care program vs hospitalization: Cost comparison study.

    PubMed

    Armstrong, Catherine Deri; Hogg, William E; Lemelin, Jacques; Dahrouge, Simone; Martin, Carmel; Viner, Gary S; Saginur, Raphael

    2008-01-01

    To explore whether a home-based intermediate care program in a large Canadian city lowers the cost of care and to look at whether such home-based programs could be a solution to the increasing demands on Canadian hospitals. Single-arm study with historical controls. Department of Family Medicine at the Ottawa Hospital (Civic campus) in Ontario. Patients requiring hospitalization for acute care. Participants were matched with historical controls based on case-mix, most responsible diagnosis, and level of complexity. Placement in the home-based intermediate care program. Daily home visits from the nurse practitioner and 24-hour access to care by telephone. Multivariate regression models were used to estimate the effect of the program on 5 outcomes: length of stay in hospital, cost of care substituted for hospitalization (Canadian dollars), readmission for a related diagnosis, readmission for any diagnosis, and costs incurred by community home-care services for patients following discharge from hospital. The outcomes of 43 hospital admissions were matched with those of 363 controls. Patients enrolled in the program stayed longer in hospital (coefficient 3.3 days, P < .001), used more community care services following discharge (coefficient $729, P = .007), and were more likely to be readmitted to hospital within 3 months of discharge (coefficient 17%, P = .012) than patients treated in hospital. Total substituted costs of home-based care were not significantly different from the costs of hospitalization (coefficient -$501, P = .11). While estimated cost savings were not statistically significant, the limitations of our study suggest that we underestimated these savings. In particular, the economic inefficiencies of a small immature program and the inability to control for certain factors when selecting historical controls affected our results. Further research is needed to determine the economic effect of mature home-based programs.

  9. Conversion to lacosamide monotherapy in the treatment of focal epilepsy: Results from a historical-controlled, multicenter, double-blind study

    PubMed Central

    Wechsler, Robert T; Li, George; French, Jacqueline; O'Brien, Terence J; D'Cruz, O'Neill; Williams, Paulette; Goodson, Robin; Brock, Melissa

    2014-01-01

    Objective To evaluate the efficacy and safety of conversion to lacosamide 400 mg/day monotherapy in adults with focal epilepsy. Methods This historical-controlled, double-blind study (NCT00520741) enrolled patients aged 16–70 years on stable doses of 1–2 antiepileptic drugs (AEDs) and experiencing 2–40 partial-onset seizures per 28 days during the 8-week prospective Baseline. Patients were randomized to lacosamide 400 or 300 mg/day (3:1 ratio), starting at 200 mg/day and titrated over 3 weeks to randomized dose. Patients then withdrew background AEDs over 6 weeks and entered a 10-week Monotherapy Phase. The primary assessment was the Kaplan-Meier–predicted percentage of patients on 400 mg/day in the full analysis set (FAS) meeting ≥1 predefined seizure-related exit criterion by day 112, compared with the historical-control threshold (65.3%). Results Four hundred twenty-five patients were enrolled and were eligible for safety analyses (400 mg/day, n = 319; 300 mg/day, n = 106). A total of 271 (63.8%) of 425 patients completed the Lacosamide Maintenance Phase (combined AED Withdrawal and Monotherapy Phases). Among 284 patients in the 400 mg/day group in the FAS, 82 (28.9%) met ≥1 exit criterion; the Kaplan-Meier–predicted exit percentage at day 112 for 400 mg/day (30.0%; 95% confidence interval [CI] 24.6–35.5%) was lower than the historical control. When exit events, withdrawal due to treatment-emergent adverse events (TEAEs), and withdrawal due to lack of efficacy were summed (n = 90), the predicted exit percentage (32.3%; 95% CI 26.8–37.8%) was also lower than the historical control. Most patients receiving 400 mg/day reported some improvement on the Clinical Global Impression of Change (75.4%) and Patient Global Impression of Change (74.3%). Overall, the most common (>10%) TEAEs were dizziness (24.0%), headache (14.4%), nausea (13.4%), convulsion (11.5%), somnolence (10.4%), and fatigue (10.1%); most (74.1%) were mild-to-moderate in intensity. Seventy-two patients (16.9%) discontinued due to TEAEs. Seventeen patients (4%, all receiving 400 mg/day) experienced serious AEs. Significance Lacosamide 400 mg/day monotherapy was effective, with a favorable safety profile in patients with focal epilepsy. PMID:24915838

  10. Conversion to lacosamide monotherapy in the treatment of focal epilepsy: results from a historical-controlled, multicenter, double-blind study.

    PubMed

    Wechsler, Robert T; Li, George; French, Jacqueline; O'Brien, Terence J; D'Cruz, O'Neill; Williams, Paulette; Goodson, Robin; Brock, Melissa

    2014-07-01

    To evaluate the efficacy and safety of conversion to lacosamide 400 mg/day monotherapy in adults with focal epilepsy. This historical-controlled, double-blind study (NCT00520741) enrolled patients aged 16-70 years on stable doses of 1-2 antiepileptic drugs (AEDs) and experiencing 2-40 partial-onset seizures per 28 days during the 8-week prospective Baseline. Patients were randomized to lacosamide 400 or 300 mg/day (3:1 ratio), starting at 200 mg/day and titrated over 3 weeks to randomized dose. Patients then withdrew background AEDs over 6 weeks and entered a 10-week Monotherapy Phase. The primary assessment was the Kaplan-Meier-predicted percentage of patients on 400 mg/day in the full analysis set (FAS) meeting ≥ 1 predefined seizure-related exit criterion by day 112, compared with the historical-control threshold (65.3%). Four hundred twenty-five patients were enrolled and were eligible for safety analyses (400 mg/day, n = 319; 300 mg/day, n = 106). A total of 271 (63.8%) of 425 patients completed the Lacosamide Maintenance Phase (combined AED Withdrawal and Monotherapy Phases). Among 284 patients in the 400 mg/day group in the FAS, 82 (28.9%) met ≥ 1 exit criterion; the Kaplan-Meier-predicted exit percentage at day 112 for 400 mg/day (30.0%; 95% confidence interval [CI] 24.6-35.5%) was lower than the historical control. When exit events, withdrawal due to treatment-emergent adverse events (TEAEs), and withdrawal due to lack of efficacy were summed (n = 90), the predicted exit percentage (32.3%; 95% CI 26.8-37.8%) was also lower than the historical control. Most patients receiving 400 mg/day reported some improvement on the Clinical Global Impression of Change (75.4%) and Patient Global Impression of Change (74.3%). Overall, the most common (>10%) TEAEs were dizziness (24.0%), headache (14.4%), nausea (13.4%), convulsion (11.5%), somnolence (10.4%), and fatigue (10.1%); most (74.1%) were mild-to-moderate in intensity. Seventy-two patients (16.9%) discontinued due to TEAEs. Seventeen patients (4%, all receiving 400 mg/day) experienced serious AEs. Lacosamide 400 mg/day monotherapy was effective, with a favorable safety profile in patients with focal epilepsy. Wiley Periodicals, Inc. © 2014 International League Against Epilepsy.

  11. Use of computational fluid dynamics in optimization of natural smoke ventilation from a historical shopping mall - Case study

    NASA Astrophysics Data System (ADS)

    Krajewski, Grzegorz; Wegrzyński, Wojciech

    2018-01-01

    In this paper, the Authors present results of a complex case study, in which a natural smoke ventilation system was introduced into a historical mall Koszyki Market Hall located in the centre of Warsaw. As historical authorities protected the building, the only solution possible was to use a natural system - known for deficient performance in façade applications. To maximise the performance of the smoke control system, a Computational Wind Engineering exercise was performed. The goal was to find the most difficult wind attack angles, and optimise the performance at these conditions. Once the wind influence was known, a transient analysis was performed that included the growth of the fire within the building, as well as a numerical evacuation study. The resulting system was immune to the wind effects, and provided safe evacuation to users of the building, even in difficult wind conditions.

  12. 14. Historic view of engineer in Building 100 control room ...

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

    14. Historic view of engineer in Building 100 control room examining data printout. 1957. On file at NASA Plumbrook Research Facility, Sandusky, Ohio. NASA photo number C-46210. - Rocket Engine Testing Facility, GRC Building No. 100, NASA Glenn Research Center, Cleveland, Cuyahoga County, OH

  13. 13. Historic view of Building 100 control room, showing personnel ...

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

    13. Historic view of Building 100 control room, showing personnel with data recording instrumentation. 1957. On file at NASA Plumbrook Research Facility, Sandusky, Ohio. NASA photo number C-46211. - Rocket Engine Testing Facility, GRC Building No. 100, NASA Glenn Research Center, Cleveland, Cuyahoga County, OH

  14. Taking People's History Back to the People: An Approach to Making History Popular, Relevant, and Intellectual

    ERIC Educational Resources Information Center

    Lempert, David H

    2013-01-01

    This article takes the educational vision of people's history an additional step, combining it with experiential approaches to democratic education that have developed over the past century and presenting the tools for students and adults to take control of their own historical study, control their heritage, and personalize the study of…

  15. American Curriculum Theory and the Problem of Social Control, 1918-1938.

    ERIC Educational Resources Information Center

    Franklin, Barry M.

    Curriculum as a field of study emerged in an intellectual climate in which the idea of social control was dominant. The intent of this paper is to look historically at the integration of the idea of social control into curriculum discourse, to indicate its dominant position as the underlying assumption of most early curriculum work, and to suggest…

  16. Pregabalin monotherapy in patients with partial-onset seizures

    PubMed Central

    Kwan, Patrick; Fakhoury, Toufic; Pitman, Verne; DuBrava, Sarah; Knapp, Lloyd; Yurkewicz, Lorraine

    2014-01-01

    Objective: To assess pregabalin monotherapy for partial-onset seizures using a historical-controlled conversion-to-monotherapy design. Methods: Adults with inadequately controlled partial-onset seizures while receiving 1 or 2 antiepileptic drugs during an 8-week prospective baseline were randomized to double-blind monotherapy with pregabalin 600 or 150 mg/d (4:1) for 20 weeks (8-week conversion and 12-week monotherapy period). The primary endpoint was the seizure-related exit rate for pregabalin 600 mg/d, based on discontinuations due to predefined criteria. Efficacy was declared if the upper limit of the 95% confidence interval for the exit rate was below a historical-control threshold of 74%, with stepwise evaluation using a threshold of 68%. Results: The trial was stopped early for positive efficacy after an interim analysis in 125 patients. The full study population included 161 patients, with 148 evaluable for efficacy. The mean time since epilepsy diagnosis was 14 years. Overall, 54.3% (600 mg/d) and 46.9% (150 mg/d) of patients completed 20 weeks of double-blind treatment. Seizure-related exit rate in the 600 mg/d group (27.5%; 95% confidence interval, 17.8%–37.2%) was significantly below the 74% and 68% thresholds (p < 0.001 for both). Eight patients on 600 mg/d and 2 on 150 mg/d were seizure-free throughout pregabalin monotherapy. Pregabalin's overall safety profile was consistent with prior trials. Conclusions: Pregabalin monotherapy was safe and efficacious for patients with inadequately controlled partial-onset seizures. Classification of evidence: This study provides Class III evidence that patients with inadequately controlled partial-onset seizures switched to pregabalin monotherapy have fewer seizure-related exit events compared with historical controls switched to pseudo-placebo monotherapy. PMID:24415567

  17. 15. Historic view of engineer in Building 100 control room ...

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

    15. Historic view of engineer in Building 100 control room examining data printout. August 28, 1962. On file at NASA Plumbrook Research Facility, Sandusky, Ohio. NASA photo number C-61500. - Rocket Engine Testing Facility, GRC Building No. 100, NASA Glenn Research Center, Cleveland, Cuyahoga County, OH

  18. Quasi-Experiments in Schools: The Case for Historical Cohort Control Groups

    ERIC Educational Resources Information Center

    Walser, Tamara M.

    2014-01-01

    There is increased emphasis on using experimental and quasi-experimental methods to evaluate educational programs; however, educational evaluators and school leaders are often faced with challenges when implementing such designs in educational settings. Use of a historical cohort control group design provides a viable option for conducting…

  19. VIEW OF HISTORIC SLATE SWITCHBOARD IN THE CONTROL ROOM OF ...

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

    VIEW OF HISTORIC SLATE SWITCHBOARD IN THE CONTROL ROOM OF THE ELWHA POWERHOUSE, INCLUDING: METERS, PROTECTIVE RELAYS, AND SWITCHES. NOTE ADDITION OF PERSONAL COMPUTERS FOR POWER METERING AND OPERATIONS. PHOTO BY JET LOWE, HAER, 1995. - Elwha River Hydroelectric System, Elwha Hydroelectric Dam & Plant, Port Angeles, Clallam County, WA

  20. Development of Methodology to Classify Historical Panchromatic Aerial Photography. Analysis of Landscape Features on Point Au Fer Island, Louisiana - from 1956 to 2009: A Case Study

    DTIC Science & Technology

    2011-12-01

    7,386 acres). Hurricanes and other extreme extratropical storms have been shown to contribute to extensive shoreline erosion and breaching, and the...that provide protection from storms ; serve as species habitat; act as a control for nutrient and pollution transfer; support fish, agriculture...quickly and accurately classify historical panchromatic photography in order to identify storm -induced land loss and impacts (Morton et al. 2005; Barras

  1. Impact of a Newly Implemented Burn Protocol on Surgically Managed Partial Thickness Burns at a Specialized Burns Center in Singapore.

    PubMed

    Tay, Khwee-Soon Vincent; Chong, Si-Jack; Tan, Bien-Keem

    2016-03-01

    This study evaluated the impact of a newly implemented protocol for superficial to mid-dermal partial thickness burns which involves early surgery and rapid coverage with biosynthetic dressing in a specialized national burns center in Singapore. Consecutive patients with 5% or greater total body surface area (TBSA) superficial to mid-dermal partial thickness burns injury admitted to the Burns Centre at the Singapore General Hospital between August and December 2014 for surgery within 48 hours of injury were prospectively recruited into the study to form the protocol group. Comparable historical cases from the year 2013 retrieved from the burns center audit database were used to form the historical control group. Demographics (age, sex), type and depth of burns, %TBSA burnt, number of operative sessions, and length of stay were recorded for each patient of both cohorts. Thirty-nine burns patients managed under the new protocol were compared with historical control (n = 39) comparable in age and extensiveness of burns. A significantly shorter length of stay (P < 0.05) per TBSA burns was observed in the new protocol group (0.74 day/%TBSA) versus historical control (1.55 day/%TBSA). Fewer operative sessions were needed under the new protocol for burns 10% or greater TBSA burns (P < 0.05). The authors report their promising experience with a newly implemented protocol for surgically managed burns patients which involves early surgery and appropriate use of biosynthetic dressing on superficial to mid-dermal partial thickness burns. Clinically, shorter lengths of stay, fewer operative sessions, and decreased need for skin grafting of burns patient were observed.

  2. Control of Initialized Fractional-Order Systems. Revised

    NASA Technical Reports Server (NTRS)

    Hartley, Tom T.; Lorenzo, Carl F.

    2002-01-01

    Due to the importance of historical effects in fractional-order systems, this paper presents a general fractional-order control theory that includes the time-varying initialization response. Previous studies have not properly accounted for these historical effects. The initialization response, along with the forced response, for fractional-order systems is determined. Stability properties of fractional-order systems are presented in the complex w-plane, which is a transformation of the s-plane. Time responses are discussed with respect to pole positions in the complex w-plane and frequency response behavior is included. A fractional-order vector space representation, which is a generalization of the state space concept, is presented including the initialization response. Control methods for vector representations of initialized fractional-order systems are shown. Nyquist, root-locus, and other input-output control methods are adapted to the control of fractional-order systems. Finally, the fractional-order differintegral is generalized to continuous order-distributions that have the possibility of including a continuum of fractional orders in a system element.

  3. Control of Initialized Fractional-Order Systems

    NASA Technical Reports Server (NTRS)

    Hartly, Tom T.; Lorenzo, Carl F.

    2002-01-01

    Due to the importance of historical effects in fractional-order systems, this paper presents a general fractional-order control theory that includes the time-varying initialization response. Previous studies have not properly accounted for these historical effects. The initialization response, along with the forced response, for fractional-order systems is determined. Stability properties of fractional-order systems are presented in the complex Airplane, which is a transformation of the s-plane. Time responses are discussed with respect to pole positions in the complex Airplane and frequency response behavior is included. A fractional-order vector space representation, which is a generalization of the state space concept, is presented including the initialization response. Control methods for vector representations of initialized fractional-order systems are shown. Nyquist, root-locus, and other input-output control methods are adapted to the control of fractional-order systems. Finally, the fractional-order differintegral is generalized to continuous order-distributions that have the possibility of including a continuum of fractional orders in a system element.

  4. 75 FR 21018 - Notice of Proposed Information Collection for Public Comment: Notice of Funding Availability for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-04-22

    ... Availability for the Historically Black Colleges and Universities (HBCU) Program. OMB Control Number: 2528-0235...-27300. Members of the Affected Public: Historically Black Colleges and Universities (HBCU). Estimation... Information Collection for Public Comment: Notice of Funding Availability for the Historically Black Colleges...

  5. Strings Attached? Linking Historically Black Colleges and Universities Public Revenue Sources with Efficiency

    ERIC Educational Resources Information Center

    Coupet, Jason

    2017-01-01

    Historically Black Colleges and Universities (HBCUs), a set of US higher education institutions historically tasked with educating African-American students, receive both state and federal funding. However, state governments often assert operational control through the political process, potentially influencing how key resources are used. Do these…

  6. 76 FR 17444 - Notice of Inventory Completion: Colorado Historical Society (History Colorado), Denver, CO

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-03-29

    ...: Colorado Historical Society (History Colorado), Denver, CO AGENCY: National Park Service, Interior. ACTION... control of the Colorado Historical Society (History Colorado), Denver, CO. The human remains were removed... (History Colorado) professional staff in consultation with representatives of the Hopi Tribe of Arizona...

  7. Factors Contributing to Self Control for Incarcerated Youth

    ERIC Educational Resources Information Center

    Winquist, Trancita

    2010-01-01

    This study was conducted to examine characteristics contributing to high self control for incarcerated youth. Subjects include fifty youth (8 females and 42 males) ages 14 through 18 incarcerated for at least 60 days. Data on subjects' responses from a validated measure (Grasmick et. al. Scale, 1993) and data from historical records, STAR reading…

  8. A multiyear quality control study of alpha-track radon monitors.

    PubMed

    Pearson, M D; Martz, D E; George, J L; Langner, G H

    1992-01-01

    Quality control exposures of commercial alpha-track radon monitors have been conducted approximately weekly at the U.S. Department of Energy (DOE) Grand Junction Projects Office since early 1987 in support of DOE remedial action programs. The results of these exposures provide a historical record of the comparative performances of these radon monitors.

  9. Study design and hierarchy of evidence for surgical decision making.

    PubMed

    Sprague, Sheila; McKay, Paula; Thoma, Achilleas

    2008-04-01

    This article provides a historical overview of the hierarchy of evidence for surgical decision making and discusses key study designs in the hierarchy of evidence. This encompasses meta-analyses, randomized controlled trials, and observational studies, including cohort and case-controlled studies, case series and case reports, and basic science studies. This article also reviews the principles and importance of evidence-based plastic surgery and describes several systems to rate the strength of the scientific evidence.

  10. Historical climate controls soil respiration responses to current soil moisture.

    PubMed

    Hawkes, Christine V; Waring, Bonnie G; Rocca, Jennifer D; Kivlin, Stephanie N

    2017-06-13

    Ecosystem carbon losses from soil microbial respiration are a key component of global carbon cycling, resulting in the transfer of 40-70 Pg carbon from soil to the atmosphere each year. Because these microbial processes can feed back to climate change, understanding respiration responses to environmental factors is necessary for improved projections. We focus on respiration responses to soil moisture, which remain unresolved in ecosystem models. A common assumption of large-scale models is that soil microorganisms respond to moisture in the same way, regardless of location or climate. Here, we show that soil respiration is constrained by historical climate. We find that historical rainfall controls both the moisture dependence and sensitivity of respiration. Moisture sensitivity, defined as the slope of respiration vs. moisture, increased fourfold across a 480-mm rainfall gradient, resulting in twofold greater carbon loss on average in historically wetter soils compared with historically drier soils. The respiration-moisture relationship was resistant to environmental change in field common gardens and field rainfall manipulations, supporting a persistent effect of historical climate on microbial respiration. Based on these results, predicting future carbon cycling with climate change will require an understanding of the spatial variation and temporal lags in microbial responses created by historical rainfall.

  11. Characteristics of Cavotricuspid Isthmus Ablation for Atrial Flutter Guided by Novel Parameters Using a Contact Force Catheter.

    PubMed

    Gould, Paul A; Booth, Cameron; Dauber, Kieran; Ng, Kevin; Claughton, Andrew; Kaye, Gerald C

    2016-12-01

    This study sought to investigate specific contact force (CF) parameters to guide cavotricuspid isthmus (CTI) ablation and compare the outcome with a historical control cohort. Patients (30) undergoing CTI ablation were enrolled prospectively in the Study cohort and compared with a retrospective Control cohort of 30 patients. Ablation in the Study cohort was performed using CF parameters >10 g and <40 g and a Force Time Integral (FTI) of 800 ± 10 g. The Control cohort underwent traditionally guided CTI ablation. Traditional parameters (electrogram and impedance change) were assessed in both cohorts. All ablations regardless of achieving targets were included in data analysis. Bidirectional CTI block was achieved in all of the Study and 27 of the Control cohort. Atrial flutter recurred in 3 (10%) patients (follow-up 564 ± 212 days) in the study cohort and in 3 (10%) patients (follow-up 804 ± 540 days) in the Control cohort. There were no major complications in either cohort. Traditional parameters correlated poorly with CF parameters. In the Study cohort, flutter recurrence was associated with significantly lower FTI and ablation duration, but was not associated with total average CF. CTI ablation can be safely performed using CF parameters guiding ablation, with similar long-term results to a historical ablation control group. Potentially CF parameters may provide adjunctive information to enable a more efficient CTI ablation. Further research is required to confirm this. © 2016 Wiley Periodicals, Inc.

  12. Teaching the Meaning of the Second Amendment: A Brief Note on Recent Research.

    ERIC Educational Resources Information Center

    Oder, Broeck N.

    1998-01-01

    Provides a brief overview of historical and legal scholarship on gun control and the Second Amendment to the United States Constitution. Limits its scope to works by acknowledged legal and historical scholars, avoiding contemporary pro- and anti-gun-control opinion pieces. Includes a bibliography of further resources for teachers. (DSK)

  13. Landscape and Residential Variables Associated with Plague-Endemic Villages in the West Nile Region of Uganda

    PubMed Central

    MacMillan, Katherine; Enscore, Russell E.; Ogen-Odoi, Asaph; Borchert, Jeff N.; Babi, Nackson; Amatre, Gerald; Atiku, Linda A.; Mead, Paul S.; Gage, Kenneth L.; Eisen, Rebecca J.

    2011-01-01

    Plague, caused by the bacteria Yersinia pestis, is a severe, often fatal disease. This study focuses on the plague-endemic West Nile region of Uganda, where limited information is available regarding environmental and behavioral risk factors associated with plague infection. We conducted observational surveys of 10 randomly selected huts within historically classified case and control villages (four each) two times during the dry season of 2006 (N = 78 case huts and N = 80 control huts), which immediately preceded a large plague outbreak. By coupling a previously published landscape-level statistical model of plague risk with this observational survey, we were able to identify potential residence-based risk factors for plague associated with huts within historic case or control villages (e.g., distance to neighboring homestead and presence of pigs near the home) and huts within areas previously predicted as elevated risk or low risk (e.g., corn and other annual crops grown near the home, water storage in the home, and processed commercial foods stored in the home). The identified variables are consistent with current ecologic theories on plague transmission dynamics. This preliminary study serves as a foundation for future case control studies in the area. PMID:21363983

  14. The relationship between historical development and potentially toxic element concentrations in urban soils.

    PubMed

    McIlwaine, Rebekka; Doherty, Rory; Cox, Siobhan F; Cave, Mark

    2017-01-01

    Increasing urbanisation has a direct impact on soil quality, resulting in elevated concentrations of potentially toxic elements (PTEs) in soils. This research aims to assess if soil PTE concentrations can be used as an 'urbanisation tracer' by investigating geogenic and anthropogenic source contributions and controls, and considering PTE enrichment across historical urban development zones. The UK cities of Belfast and Sheffield are chosen as study areas, where available shallow and deep concentrations of PTEs in soil are compared to identify geogenic and anthropogenic contributions to PTEs. Cluster analysis and principal component analysis are used to elucidate the main controls over PTE concentrations. Pollution indices indicate that different periods of historical development are linked to enrichment of different PTEs. Urban subdomains are identified and background values calculated using various methodologies and compared to generic site assessment criteria. Exceedances for a number of the PTEs considered suggest a potential human health risk could be posed across subdomains of both Belfast and Sheffield. This research suggests that airborne diffuse contamination from often historical sources such as traffic, domestic combustion and industrial processes contribute greatly to soil contamination within urban environments. The relationship between historical development and differing PTEs is a novel finding, suggesting that PTEs have the potential for use as 'urbanisation tracers'. The investigative methodology employed has potential applications for decision makers, urban planners, regulators and developers of urban areas. Copyright © 2016 Elsevier Ltd. All rights reserved.

  15. RITA--Registry of Industrial Toxicology Animal data: the application of historical control data for Leydig cell tumors in rats.

    PubMed

    Nolte, Thomas; Rittinghausen, Susanne; Kellner, Rupert; Karbe, Eberhard; Kittel, Birgit; Rinke, Matthias; Deschl, Ulrich

    2011-11-01

    Historical data for Leydig cell tumors from untreated or vehicle treated rats from carcinogenicity studies collected in the RITA database are presented. Examples are given for analyses of these data for dependency on variables considered to be of possible influence on the spontaneous incidence of Leydig cell tumors. In the 7453 male rats available for analysis, only one case of a Leydig cell carcinoma was identified. The incidence of Leydig cell adenomas differed markedly between strains. High incidences of close to 100% have been found in F344 rats, while the mean incidence was 4.2% in Sprague-Dawley rats and 13.7% in Wistar rats. Incidences in Wistar rats were highly variable, primarily caused by different sources of animals. Mean incidences per breeder varied from 2.8 to 39.9%. Analyses for the dependency on further parameters have been performed in Wistar rats. In breeders G and I, the Leydig cell tumor incidence decreased over the observation period and with increasing mean terminal body weight. The incidence of Leydig cell tumors increased with mean age at necropsy and was higher in studies with dietary admixture compared to gavage studies. These parameters had no effect on Leydig cell tumor incidence in breeders A and B. Animals from almost all breeders had a considerably higher mean age at necropsy when bearing a Leydig cell adenoma than animals without a Leydig cell adenoma. Studies with longitudinal trimming of the testes had a higher incidence than studies with transverse trimming. The observed dependencies and breeder differences are discussed and explanations are given. Consequences for the use of historical control data are outlined. With the retrospective analyses presented here we were able to confirm the published features of Leydig cell adenomas and carcinomas. This indicates that the RITA database is a valuable tool for analyses of tumors for their biological features. Furthermore, it demonstrates that the RITA database is highly beneficial for the definition of reliable historical control data for carcinogenicity studies on a scientifically solid basis. Copyright © 2010 Elsevier GmbH. All rights reserved.

  16. Newly Digitized Historical Climate Data of the German Bight and the Southern Baltic Sea Coasts

    NASA Astrophysics Data System (ADS)

    Röhrbein, Dörte; Tinz, Birger; von Storch, Hans

    2015-04-01

    The detection of historical climate information plays an important role with regard to the discussion on climate change, particularly on storminess. The German Meteorological Service houses huge archives of historical handwritten journals of weather observations. A considerable number of original observation sheets from stations along the coast of the German Bight and the southern Baltic Sea exists which has been until recently almost unnoticed. These stations are called signal stations and are positioned close to the shore. However, for this region meteorological observation data of 128 stations exist from 1877 to 1999 and are partly digitized. In this study we show an analysis of firstly newly digitized wind and surface air pressure data of 15 stations from 1877 to 1939 and we also present a case study of the storm surge at the coast of the southern Baltic Sea in December 1913. The data are quality controlled by formal, climatological, temporal and consistency checks. It is shown that these historical climate data are usable in consistency and quality for further investigations on climate change, e.g. as input for regional and global reanalysis.

  17. Early crisis nontechnical skill teaching in residency leads to long-term skill retention and improved performance during crises: A prospective, nonrandomized controlled study.

    PubMed

    Doumouras, Aristithes G; Engels, Paul T

    2017-07-01

    Medical error is common in crises, and the majority of observed errors are nontechnical in nature. The long-term impact of teaching crisis nontechnical skills to residents has not been evaluated. The objective of this study was to determine the effect of simulation-based teaching of crisis nontechnical skills compared to controls one year after initial teaching. This was a prospective study using both historical controls and a before-and-after methodology to evaluate the effect of a high-fidelity simulation curriculum that used crisis resource management principles to teach nontechnical skills. Postgraduate year 2 and 3 residents were invited to take part in a prospective training course over 2 years. The primary outcome was leader performance evaluated by expert raters using the previously validated 7-point Ottawa Global Rating Scale. Overall, 23 residents performed 30 simulations over the 2 years with the intervention group of 7 residents being assessed in both years. After adjustment, the postgraduate year 3 intervention group who received training the previous year had significantly higher overall performance scores than all postgraduate year 2 scores (1.09 95% confidence interval 0.70-1.47, P < .001) and the historical postgraduate year 3 cohort who received no prior training (1.20, 95% confidence interval 0.37-2.03, P = .005). There was no decay of skills noted over the course of the study. Postgraduate year 3 residents who had prior training had significantly improved crisis performance compared to historical postgraduate year 3 controls and untrained postgraduate year 2 residents. There were no significant differences between the crisis performance of postgraduate year 2 residents and the untrained postgraduate year 3 controls. This confirms the beneficial effect and long-term retention after crisis nontechnical skill training. Copyright © 2016 Elsevier Inc. All rights reserved.

  18. Perfection and complexity in the lower Brazos River

    NASA Astrophysics Data System (ADS)

    Phillips, Jonathan D.

    2007-11-01

    The "perfect landscape" concept is based on the notion that any specific geomorphic system represents the combined, interacting effects of a set of generally applicable global laws and a set of geographically and historically contingent local controls. Because the joint probability of any specific combination of local and global controls is low, and the local controls are inherently idiosyncratic, the probability of existence of any given landscape is vanishingly small. A perfect landscape approach to geomorphic complexity views landscapes as circumstantial, contingent outcomes of deterministic laws operating in a specific environmental and historical context. Thus, explaining evolution of complex landscapes requires the integration of global and local approaches. Because perfection in this sense is the most important and pervasive form of complexity, the study of geomorphic complexity is not restricted to nonlinear dynamics, self-organization, or any other aspects of complexity theory. Beyond what can be achieved via complexity theory, the details of historical and geographic contexts must be addressed. One way to approach this is via synoptic analyses, where the relevant global laws are applied in specific situational contexts. A study of non-acute tributary junctions in the lower Brazos River, Texas illustrates this strategy. The application of generalizations about tributary junction angles, and of relevant theories, does not explain the unexpectedly high occurrence or the specific instances of barbed or straight junctions in the study area. At least five different causes for the development of straight or obtuse junction angles are evident in the lower Brazos. The dominant mechanism, however, is associated with river bank erosion and lateral channel migration which encroaches on upstream-oriented reaches of meandering tributaries. Because the tributaries are generally strongly incised in response to Holocene incision of the Brazos, the junctions are not readily reoriented to the expected acute angle. The findings are interpreted in the context of nonlinear divergent evolution, geographical and historical contingency, synoptic frameworks for generalizing results, and applicability of the dominant processes concept in geomorphology.

  19. Application of Decision Tree to Obtain Optimal Operation Rules for Reservoir Flood Control Considering Sediment Desilting-Case Study of Tseng Wen Reservoir

    NASA Astrophysics Data System (ADS)

    ShiouWei, L.

    2014-12-01

    Reservoirs are the most important water resources facilities in Taiwan.However,due to the steep slope and fragile geological conditions in the mountain area,storm events usually cause serious debris flow and flood,and the flood then will flush large amount of sediment into reservoirs.The sedimentation caused by flood has great impact on the reservoirs life.Hence,how to operate a reservoir during flood events to increase the efficiency of sediment desilting without risk the reservoir safety and impact the water supply afterward is a crucial issue in Taiwan.  Therefore,this study developed a novel optimization planning model for reservoir flood operation considering flood control and sediment desilting,and proposed easy to use operating rules represented by decision trees.The decision trees rules have considered flood mitigation,water supply and sediment desilting.The optimal planning model computes the optimal reservoir release for each flood event that minimum water supply impact and maximum sediment desilting without risk the reservoir safety.Beside the optimal flood operation planning model,this study also proposed decision tree based flood operating rules that were trained by the multiple optimal reservoir releases to synthesis flood scenarios.The synthesis flood scenarios consists of various synthesis storm events,reservoir's initial storage and target storages at the end of flood operating.  Comparing the results operated by the decision tree operation rules(DTOR) with that by historical operation for Krosa Typhoon in 2007,the DTOR removed sediment 15.4% more than that of historical operation with reservoir storage only8.38×106m3 less than that of historical operation.For Jangmi Typhoon in 2008,the DTOR removed sediment 24.4% more than that of historical operation with reservoir storage only 7.58×106m3 less than that of historical operation.The results show that the proposed DTOR model can increase the sediment desilting efficiency and extend the reservoir life.

  20. Exposures to diesel exhaust in the International Brotherhood of Teamsters, 1950-1990.

    PubMed

    Bailey, Chad R; Somers, Joseph H; Steenland, Kyle

    2003-01-01

    A prior case-control study found a positive, monotonic exposure-response relationship between exposure to diesel exhaust and lung cancer among decedents of the Central States Conference of the International Brotherhood of Teamsters. In response to critiques of the Teamsters' exposure estimates by the Health Effects Institute's Diesel Epidemiology Panel, historical exposures and associated uncertainties are investigated here. Historic diesel exhaust exposures are predicted as a function of heavy-duty diesel truck emissions, increasing use of diesel engines, and occupational elemental carbon (EC) measurements taken during the late 1980s and early 1990s. EC from diesel and nondiesel sources is distinguished in light of recent studies indicating a substantial contribution of gasoline vehicles to ambient EC. Monte Carlo sampling is used to characterize exposure distributions. The methodology used in this article-a probabilistic model for historical exposure assessment-is novel.

  1. Historical Evaluation of Groundwater Responses to Underground Injection Controls in an Urban Watershed

    NASA Astrophysics Data System (ADS)

    Harrison, M.; Haggerty, R.; Santelmann, M. V.

    2017-12-01

    Underground injection controls (UICs) are drywells designed to recharge stormwater to alleviate flooding events. The development of UICs affect the dynamics of the urban hydrologic setting in which more than half of precipitation can be recharged directly into UICs systems. This study seeks to better understand how the development of UICs affect groundwater levels and streamflows. The Portland, OR metropolitan area consist of well over 10,000 of UICs to mitigate flooding during storm events. This study evaluates historical precipitation, streamflow, and groundwater levels from over 20 monitoring wells within a watershed in the city Portland, OR along with well log data of UICs. UICs within the study area are approximately 30 feet in depth and have noted to contribute to about 12% of recharge. This study evaluates the dynamics of groundwater levels in relation towards the development of UICs. The results of obtained from this analysis is applied to model seasonal groundwater, precipitation, and streamflow relationships within a neighborhood subcatchment.

  2. Lessons learned in command environment development

    NASA Astrophysics Data System (ADS)

    Wallace, Daniel F.; Collie, Brad E.

    2000-11-01

    As we consider the issues associated with the development of an Integrated Command Environment (ICE), we must obviously consider the rich history in the development of control rooms, operations centers, information centers, dispatch offices, and other command and control environments. This paper considers the historical perspective of control environments from the industrial revolution through the information revolution, and examines the historical influences and the implications that that has for us today. Environments to be considered are military command and control spaces, emergency response centers, medical response centers, nuclear reactor control rooms, and operations centers. Historical 'lessons learned' from the development and evolution of these environments will be examined to determine valuable models to use, and those to be avoided. What are the pitfalls? What are the assumptions that drive the environment design? Three case histories will be presented, examining (1) the control room of the Three Mile Island power plant, (2) the redesign of the US Naval Space Command operations center, and (3) a testbed for an ICE aboard a naval surface combatant.

  3. Constructing the effect of alternative intervention strategies on historic epidemics.

    PubMed

    Cook, A R; Gibson, G J; Gottwald, T R; Gilligan, C A

    2008-10-06

    Data from historical epidemics provide a vital and sometimes under-used resource from which to devise strategies for future control of disease. Previous methods for retrospective analysis of epidemics, in which alternative interventions are compared, do not make full use of the information; by using only partial information on the historical trajectory, augmentation of control may lead to predictions of a paradoxical increase in disease. Here we introduce a novel statistical approach that takes full account of the available information in constructing the effect of alternative intervention strategies in historic epidemics. The key to the method lies in identifying a suitable mapping between the historic and notional outbreaks, under alternative control strategies. We do this by using the Sellke construction as a latent process linking epidemics. We illustrate the application of the method with two examples. First, using temporal data for the common human cold, we show the improvement under the new method in the precision of predictions for different control strategies. Second, we show the generality of the method for retrospective analysis of epidemics by applying it to a spatially extended arboreal epidemic in which we demonstrate the relative effectiveness of host culling strategies that differ in frequency and spatial extent. Some of the inferential and philosophical issues that arise are discussed along with the scope of potential application of the new method.

  4. Infections and their control: a historical perspective Swb Newsom Infections and their control: a historical perspective Sage/Infection Prevention Society £17.95 235pp 9781849204538 1849204535 [Formula: see text].

    PubMed

    2010-10-27

    BILL NEWSOM, an eminent, but now retired, medical microbiologist, provides a personal but engaging review of infections and our attempts to control them. it is a fascinating social history of what has become an essential service, and Newsom highlights the need to be aware of past struggles and avoid repeating mistakes.

  5. The effect of a calcium phosphate mouth rinse on (chemo) radiation induced oral mucositis in head and neck cancer patients: a prospective study.

    PubMed

    Stokman, M A; Burlage, F R; Spijkervet, F K L

    2012-08-01

    Promising results of a calcium phosphate (CP) mouth rinse on reduced severity of oral mucositis have been reported. The aim of this study was to determine the effect of a CP mouth rinse on the frequency, duration and severity of (chemo) radiation induced oral mucositis in patients with head-neck cancer. patients with oral malignancies, treated with (chemo) radiotherapy, were included. Patients rinsed four times a day with a CP mouth rinse. Patients not willing to rinse with the CP mouth rinse served as control. Mucositis was scored according to the WHO score at baseline and twice a week during the full course of (chemo) radiotherapy. Patient's self-reported mouth-throat soreness (MTS) was evaluated at the same time interval using a diary in the CP mouth rinse group. The outcomes on MTS were compared with a historical control group. Fifty-two patients were analysed: 25 CP mouth rinse group, 11 control group and 16 historical group. There was no significant difference between the CP group and control group on development and severity of oral mucositis. No significant difference was found for subjective outcomes on MTS between the CP group and the historical group. The CP mouth rinse seems to have no influence on the frequency, duration and severity of oral mucositis during (chemo) radiation in patients with head and neck cancer. A trend to develop less MTS for drinking and eating was found when applying the CP mouth rinse. © 2012 John Wiley & Sons A/S.

  6. Tribally Controlled Colleges: Making Good Medicine. American Indian Studies, Volume 3.

    ERIC Educational Resources Information Center

    Stein, Wayne J.

    This book traces the development of tribally controlled colleges (TCC), placing them in a historical context within Native American higher education and within the junior and community college movement. It examines the first 10 years of the movement, focusing in particular on six TCC's and the American Indian Higher Education Consortium (AIHEC),…

  7. Statistical Process Control. Impact and Opportunities for Ohio.

    ERIC Educational Resources Information Center

    Brown, Harold H.

    The first purpose of this study is to help the reader become aware of the evolution of Statistical Process Control (SPC) as it is being implemented and used in industry today. This is approached through the presentation of a brief historical account of SPC, from its inception through the technological miracle that has occurred in Japan. The…

  8. Explanation of Change (EoC) Study: Approach and Findings

    NASA Technical Reports Server (NTRS)

    Bitten, Robert E.; Emmons, Debra L.; Bordi, Francesco; Scolese, Christopher

    2013-01-01

    This study investigated thirty historical NASA science missions to explain the cost change experienced. The study included investigation of historical milestone and monthly status report documentation followed by interviews with key project personnel. Based on the information collected, the reasons for cost change were binned, at the highest level, into four separate categories: NASA External, Project External, Internal Planning, and Internal Execution. The results identified that roughly a third of the change is outside of the project's control, a third is due to assumptions made in project planning, and a third is due to the inherent difficulty of building highly complex, one-of-a-kind, cutting edge, Earth and space science missions.

  9. [Discourses and practices concerning the social participation process in health education activities: community mobilization in the PCDEN/PE. Programa de Controle das Doenças Endêmicas do Nordeste/Pernambuco].

    PubMed

    Acioli, M D; de Carvalho, E F

    1998-01-01

    This study analyzes and compares several social participation concepts in health education processes to practical experiences with schistosomiasis prevention measures under the Northeast Endemic Disease Control Program (Brazilian Ministry of Health/World Bank, 1987). Using qualitative methods, institutional documents and discourses were interpreted (Sucam, FNS, and Ministry of Health). A field study was also performed (using interviews with community-based health agents and the general population) in the Zona da Mata region of Pernambuco (a historically endemic area for schistosomiasis), focused in the county of Amaraji. Comparing discourses and educational practices, we found factors that explain respective points of convergence and divergence, as well as elements linked to the social and historical process of the target population which systematically limit the efficacy of such educational measures.

  10. Mackay campus of environmental education and digital cultural construction: the application of 3D virtual reality

    NASA Astrophysics Data System (ADS)

    Chien, Shao-Chi; Chung, Yu-Wei; Lin, Yi-Hsuan; Huang, Jun-Yi; Chang, Jhih-Ting; He, Cai-Ying; Cheng, Yi-Wen

    2012-04-01

    This study uses 3D virtual reality technology to create the "Mackay campus of the environmental education and digital cultural 3D navigation system" for local historical sites in the Tamsui (Hoba) area, in hopes of providing tourism information and navigation through historical sites using a 3D navigation system. We used Auto CAD, Sketch Up, and SpaceEyes 3D software to construct the virtual reality scenes and create the school's historical sites, such as the House of Reverends, the House of Maidens, the Residence of Mackay, and the Education Hall. We used this technology to complete the environmental education and digital cultural Mackay campus . The platform we established can indeed achieve the desired function of providing tourism information and historical site navigation. The interactive multimedia style and the presentation of the information will allow users to obtain a direct information response. In addition to showing the external appearances of buildings, the navigation platform can also allow users to enter the buildings to view lifelike scenes and textual information related to the historical sites. The historical sites are designed according to their actual size, which gives users a more realistic feel. In terms of the navigation route, the navigation system does not force users along a fixed route, but instead allows users to freely control the route they would like to take to view the historical sites on the platform.

  11. Historical climate controls soil respiration responses to current soil moisture

    PubMed Central

    Waring, Bonnie G.; Rocca, Jennifer D.; Kivlin, Stephanie N.

    2017-01-01

    Ecosystem carbon losses from soil microbial respiration are a key component of global carbon cycling, resulting in the transfer of 40–70 Pg carbon from soil to the atmosphere each year. Because these microbial processes can feed back to climate change, understanding respiration responses to environmental factors is necessary for improved projections. We focus on respiration responses to soil moisture, which remain unresolved in ecosystem models. A common assumption of large-scale models is that soil microorganisms respond to moisture in the same way, regardless of location or climate. Here, we show that soil respiration is constrained by historical climate. We find that historical rainfall controls both the moisture dependence and sensitivity of respiration. Moisture sensitivity, defined as the slope of respiration vs. moisture, increased fourfold across a 480-mm rainfall gradient, resulting in twofold greater carbon loss on average in historically wetter soils compared with historically drier soils. The respiration–moisture relationship was resistant to environmental change in field common gardens and field rainfall manipulations, supporting a persistent effect of historical climate on microbial respiration. Based on these results, predicting future carbon cycling with climate change will require an understanding of the spatial variation and temporal lags in microbial responses created by historical rainfall. PMID:28559315

  12. A comprehensive intervention following the clinical pathway of eating and swallowing disorder in the elderly with dementia: historically controlled study.

    PubMed

    Arahata, Masahisa; Oura, Makoto; Tomiyama, Yuka; Morikawa, Naoe; Fujii, Hatsue; Minani, Shinji; Shimizu, Yukihiro

    2017-07-14

    Eating problems in patients with advanced dementia are strongly associated with their deteriorating survival. Food and drink intake in people with dementia may be supported by specific interventions, but the effectiveness of such interventions is backed by almost no evidence. However, comprehensive geriatric assessment (CGA) might potentially clarify the etiology of decreased oral intake in people with dementia; thus improving their clinical outcomes. This study was a single-arm, non-randomized trial that included historically controlled patients for comparison. We defined elderly patients with both severely decreased oral intake depending on artificial hydration and/or nutrition (AHN) and dementia as "Eating and Swallowing Disorder of the Elderly with Dementia (ESDED)". In the intervention group, participants received CGA through the original clinical pathway with multidisciplinary interventions. This was followed by individualized therapeutic interventions according to assessment of the etiology of their eating problems. During the intervention period (between 1st April 2013 and 31st March 2015), 102 cases of ESDED were enrolled in the study and 90 patients had completed receiving CGA. Conversely, 124 ESDED patient controls were selected from the same hospital enrolled during the historical period (between 1st April 2011 and 31st March 2012). Most participants in both groups were bedridden with severe cognitive impairment. For the intervention group, an average of 4.3 interventional strategies was recommended per participant after CGA. Serological tests, diagnostic imaging and other diagnostic examinations were much more frequently performed in the intervention group. Recovery rate from ESDED in the intervention group was significantly higher than that in the historical group (51% v.s. 34%, respectively, P = 0.02). The 1-year AHN-free survival in the intervention group was significantly higher than that in the historical group (28% v.s. 15%, respectively, P = 0.01). No significant difference between the two groups was found for 1-year overall survival (37% v.s. 28%, respectively, P = 0.08). Use of CGA with multidisciplinary interventions could improve the functional status of eating and allow elderly patients with severe eating problems and dementia to survive independently without the need for AHN. ISRCTN57646445 , this trial was retrospectively registered on 8th December 2015.

  13. Study on Control of Security and Storage of Holdings: A RAMP Study with Guidelines.

    ERIC Educational Resources Information Center

    Thomas, D. L.

    Intended to assist developing countries in the essential task of preserving historical records and, therefore, deliberately oriented towards economy and a low level of technology, this study provides an outline of currently accepted standards that archivists in developing countries, especially those in tropical areas, can apply to their own…

  14. Determinants of fire activity during the last 3500 yr at a wildland-urban interface, Alberta, Canada

    NASA Astrophysics Data System (ADS)

    Davis, Emma L.; Courtney Mustaphi, Colin J.; Gall, Amber; Pisaric, Michael F. J.; Vermaire, Jesse C.; Moser, Katrina A.

    2016-11-01

    Long-term records of wildfires and their controlling factors are important sources of information for informing land management practices. Here, dendrochronology and lake sediment analyses are used to develop a 3500-yr fire and vegetation history for a montane forest in Jasper National Park, Alberta, Canada. The tree-ring record (AD 1771-2012) indicates that this region historically experienced a mixed-severity fire regime, and that effective fire suppression excluded widespread fire events from the study area during the 20th century. A sediment core collected from Little Trefoil Lake, located near the Jasper townsite, is analyzed for subfossil pollen and macroscopic charcoal (>150 μm). When comparing the tree-ring record to the 3500-yr record of sediment-derived fire events, only high-severity fires are represented in the charcoal record. Comparisons between the charcoal record and historical climate and pollen data indicate that climate and vegetation composition have been important controls on the fire regime for most of the last 3500 yr. Although fire frequency is presently within the historical range of variability, the fire return interval of the last 150 yr is longer than expected given modern climate and vegetation conditions, indicating that humans have become the main control on fire activity around Little Trefoil Lake.

  15. Bacterial diversity is strongly associated with historical penguin activity in an Antarctic lake sediment profile.

    PubMed

    Zhu, Renbin; Shi, Yu; Ma, Dawei; Wang, Can; Xu, Hua; Chu, Haiyan

    2015-11-25

    Current penguin activity in Antarctica affects the geochemistry of sediments and their microbial communities; the effects of historical penguin activity are less well understood. Here, bacterial diversity in ornithogenic sediment was investigated using high-throughput pyrosequencing. The relative abundances of dominant phyla were controlled by the amount of historical penguin guano deposition. Significant positive correlations were found between both the bacterial richness and diversity, and the relative penguin number (p < 0.01); this indicated that historical penguin activity drove the vertical distribution of the bacterial communities. The lowest relative abundances of individual phyla corresponded to lowest number of penguin population at 1,800-2,300 yr BP during a drier and colder period; the opposite was observed during a moister and warmer climate (1,400-1,800 yr BP). This study shows that changes in the climate over millennia affected penguin populations and the outcomes of these changes affect the sediment bacterial community today.

  16. Bacterial diversity is strongly associated with historical penguin activity in an Antarctic lake sediment profile

    PubMed Central

    Zhu, Renbin; Shi, Yu; Ma, Dawei; Wang, Can; Xu, Hua; Chu, Haiyan

    2015-01-01

    Current penguin activity in Antarctica affects the geochemistry of sediments and their microbial communities; the effects of historical penguin activity are less well understood. Here, bacterial diversity in ornithogenic sediment was investigated using high-throughput pyrosequencing. The relative abundances of dominant phyla were controlled by the amount of historical penguin guano deposition. Significant positive correlations were found between both the bacterial richness and diversity, and the relative penguin number (p < 0.01); this indicated that historical penguin activity drove the vertical distribution of the bacterial communities. The lowest relative abundances of individual phyla corresponded to lowest number of penguin population at 1,800–2,300 yr BP during a drier and colder period; the opposite was observed during a moister and warmer climate (1,400–1,800 yr BP). This study shows that changes in the climate over millennia affected penguin populations and the outcomes of these changes affect the sediment bacterial community today. PMID:26601753

  17. Comparison of the efficacy and cost effectiveness of pre-emptive therapy as directed by CMV antigenemia and prophylaxis with ganciclovir in lung transplant recipients.

    PubMed

    Kelly, J; Hurley, D; Raghu, G

    2000-04-01

    CMV disease remains a major complication of lung transplantation and attempts to prevent it have met with marginal success. In a previous study we documented that universal prophylaxis did not prevent CMV disease but merely delayed it, and was very costly. We compared the efficacy and cost of pre-emptive therapy with ganciclovir, guided by CMV antigenemia, to that of historic controls that received universal prophylaxis with ganciclovir. CMV antigenemia assay was done routinely and pre-emptive therapy was initiated if greater than 25 CMV positive cells per 100,000 polymorphonuclear cells were found. Nineteen patients were enrolled; 6 of of whom received 12 courses of pre-emptive therapy. The incidence of CMV disease was 26% compared to 38% for the historical controls (p = 0.51). None of the patients that received pre-emptive therapy developed CMV disease following that therapy. Antigenemia failed to predict disease in 5 patients that developed it, and thus it is unknown if pre-emptive therapy could have prevented it. There was no mortality in either the study patients or historic controls directly related to CMV. The net savings with pre-emptive therapy was $2569 per patient. We conclude that pre-emptive therapy with ganciclovir is as safe and effective as universal prophylaxis in preventing CMV disease in lung transplant recipients, and is less expensive. The appropriate surveillance technique and timing remain to be determine to optimize the efficacy of pre-emptive therapy.

  18. Effectiveness of clinical pathways for total knee and total hip arthroplasty: literature review.

    PubMed

    Kim, Stephen; Losina, Elena; Solomon, Daniel H; Wright, John; Katz, Jeffrey N

    2003-01-01

    Although many hospitals have implemented clinical pathways to standardize the process of care, the effectiveness of clinical pathways for total hip and knee arthroplasties has not been reviewed critically. We searched for articles comparing outcomes of total hip or knee arthroplasty for patients who were treated using clinical pathways as opposed to patients treated without these pathways. Eleven studies met criteria for inclusion. Ten used historical controls, and 1 was a randomized trial. The studies had important methodological limitations. In general, the articles showed that patients treated using pathways experienced shorter hospital stays and lower costs, with comparable clinical outcomes as compared with patients treated without clinical pathways. We concluded that clinical pathways appear successful in reducing costs and length of stay in the acute care hospital, with no compromise in patient outcomes. However, interpretation of these studies is complicated by substantial methodological limitations, particularly the use of historical controls and failure to account for length of stay in rehabilitation facilities. Copyright 2003, Elsevier Science (USA). All rights reserved.

  19. Hydrologic calibration of paired watersheds using a MOSUM approach

    Treesearch

    H. Ssegane; Devendra Amatya; A. Muwamba; G. M. Chescheir; T. Appelboom; E. W. Tollner; J. E. Nettles; M. A. Youssef; F. Birgand; R. W. Skaggs

    2015-01-01

    Paired watershed studies have historically been used to quantify hydrologic effects of land use and management practices by concurrently monitoring two neighboring watersheds (a control and a treatment) during the calibration (pre-treatment) and post-treatment periods. This study characterizes seasonal water table and flow response to rainfall during the...

  20. VEMAP phase 2 bioclimatic database. I. Gridded historical (20th century) climate for modeling ecosystem dynamics across the conterminous USA

    Treesearch

    Timothy G.F. Kittel; Nan. A. Rosenbloom; J.A. Royle; C. Daly; W.P. Gibson; H.H. Fisher; P. Thornton; D.N. Yates; S. Aulenbach; C. Kaufman; R. McKeown; Dominque Bachelet; David S. Schimel

    2004-01-01

    Analysis and simulation of biospheric responses to historical forcing require surface climate data that capture those aspects of climate that control ecological processes, including key spatial gradients and modes of temporal variability. We developed a multivariate, gridded historical climate dataset for the conterminous USA as a common input database for the...

  1. Comparison of partially covered nitinol stents with partially covered stainless stents as a historical control in a multicenter study of distal malignant biliary obstruction: the WATCH study.

    PubMed

    Isayama, Hiroyuki; Mukai, Tsuyoshi; Itoi, Takao; Maetani, Iruru; Nakai, Yousuke; Kawakami, Hiroshi; Yasuda, Ichiro; Maguchi, Hiroyuki; Ryozawa, Shomei; Hanada, Keiji; Hasebe, Osamu; Ito, Kei; Kawamoto, Hirofumi; Mochizuki, Hitoshi; Igarashi, Yoshinori; Irisawa, Atsushi; Sasaki, Tamito; Togawa, Osamu; Hara, Taro; Kamada, Hideki; Toda, Nobuo; Kogure, Hirofumi

    2012-07-01

    Covered self-expandable metal stents (CSEMSs) were developed to prevent tumor ingrowth, but stent migration is one of the problems with CSEMSs. To evaluate a new, commercially available CSEMS with flared ends and low axial force compared with a commercially available CSEMS without the anti-migration system and high axial force. Multicenter, prospective study with a historical cohort. Twenty Japanese referral centers. This study involved patients with unresectable distal malignant biliary obstruction. Placement of a new, commercially available, partially covered SEMS. Recurrent biliary obstruction rate, time to recurrent biliary obstruction, stent-related complications, survival. Between April 2009 and March 2010, 141 patients underwent partially covered nitinol stent placement, and between May 2001 and January 2007, 138 patients underwent placement of partially covered stainless stents as a historical control. The silicone cover of the partially covered nitinol stents prevented tumor ingrowth. There were no significant differences in survival (229 vs 219 days; P = .250) or the rate of recurrent biliary obstruction (33% vs 38%; P = .385) between partially covered nitinol stents and partially covered stainless stents. Stent migration was less frequent (8% vs 17%; P = .019), and time to recurrent biliary obstruction was significantly longer (373 vs 285 days; P = .007) with partially covered nitinol stents. Stent removal was successful in 26 of 27 patients (96%). Nonrandomized, controlled trial. Partially covered nitinol stents with an anti-migration system and less axial force demonstrated longer time to recurrent biliary obstruction with no tumor ingrowth and less stent migration. Copyright © 2012 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.

  2. Public policies on healthcare-associated infections: a Brazil and UK case study.

    PubMed

    Padoveze, Maria Clara; Melo, Sara; Bishop, Simon; Poveda, Vanessa de Brito; Fortaleza, Carlos Magno Castelo Branco

    2017-12-11

    To summarize the historical events and drivers underlying public policy for the prevention and control of healthcare-associated infections in Brazil and in the United Kingdom. In doing so, the article aims to identify lessons and recommendations for future development of public policy. The analysis is based on a historical overview of national healthcare-associated infections programs taken from previously published sources. Findings highlight how the development of healthcare-associated infections prevention and control policies followed similar trajectories in Brazil and the United Kingdom. This can be conceptualized around four sequential phases: Formation, Consolidation, Standardization, and Monitoring and Evaluation. However, while we identified similar phases of development in Brazil and the United Kingdom, it can be seen that the former entered each stage around 20 years after the latter.

  3. Arms control: moral, political and historical lesson

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

    Thompson, K.W.

    1990-01-01

    Many of the world's most influential policy-makers and analysts view arms control as a scientific and technological problem. They measure a nation's nuclear power exclusively by megatonnage and throw-weights leaving the intangible elements of military and political power to philosophers and historians. They tend to ignore the human and qualitative aspects of power. This is a book that shift the emphasis to aspects of the nuclear problem which are sometimes overlooked. Basically, these elements are bound up in the moral, political, and historical lessons of the nuclear age. Nonquantitative factors have been central to studies of national defense and militarymore » power since the rise of the modern nation state system. However, most students of present-day nuclear weapons tend to stress their revolutionary character. Because they are considered wholly unique, analysts tend to write about them in a historical and apolitical terms. One purpose of the collection of papers in this little volume is to redirect attention to the moral, political, and historical lessons that the nuclear age presents. What most distinguishes the writings of contributors to this volume is their use of certain well-established principles and concepts long acknowledged in military and foreign policy analysis. Thus Father Hehir asks many of the same questions that students of ethics and foreign policy have asked for four hundred years.« less

  4. Interactive virtual reality Wii in geriatric day hospital: a study to assess its feasibility, acceptability and efficacy.

    PubMed

    Chan, Tuen Ching; Chan, Fei; Shea, Yat Fung; Lin, Oi Yee; Luk, James Ka Hay; Chan, Felix Hon Wai

    2012-10-01

    Rehabilitation using interactive virtual reality Wii (Wii-IVR) was shown to be feasible in patients with different medical problems, but there was no study examining its use in a geriatric day hospital (GDH). The aim of the present study was to test the feasibility, acceptability and efficacy of Wii-IVR in GDH. It was a clinical trial with matched historic controls. Patients of a GDH were recruited to participate in Wii-IVR by playing "Wii Fit". Participants used a Wii controller to carry out movements involved in an arm ergometer. Each participant received eight sessions of Wii-IVR in addition to conventional GDH rehabilitation. Feasibility was assessed by the total time receiving Wii-IVR, the percentage of maximal heart rate reserve (%MHR) and Borg perceived exertion scale (BS) after participating in Wii-IVR. %MHR and BS were compared with those after carrying out an arm ergometer for the same duration. Acceptability was assessed by an interviewer-administered questionnaire. Efficacy was assessed by comparing improvements in Functional Independence Measure (FIM) between participants and matched historic controls, who received conventional GDH rehabilitations only. A total of 30 patients completed the study. Participants completed a total of 1941 min of event-free Wii-IVR. The mean %MHR was 15.9% ± 9.9% and the mean BS was 7.9 ± 2.3. There was no significant difference in %MHR and BS between participating in Wii-IVR and arm ergometer. Most participants found Wii-IVR similar to the arm ergometer, and would like to continue Wii-IVR if they had Wii at home. Improvements in FIM of participants were significantly more than that of historic controls. Wii-IVR in GDH was feasible and most participants accepted it. Participants had more improvements in FIM. © 2012 Japan Geriatrics Society.

  5. Using a stochastic model and cross-scale analysis to evaluate controls on historical low-severity fire regimes

    Treesearch

    Maureen C. Kennedy; Donald McKenzie

    2010-01-01

    Fire-scarred trees provide a deep temporal record of historical fire activity, but identifying the mechanisms therein that controlled landscape fire patterns is not straightforward. We use a spatially correlated metric for fire co-occurrence between pairs of trees (the Sørensen distance variogram), with output from a neutral model for fire history, to infer the...

  6. Advances in control of wheat rusts

    USDA-ARS?s Scientific Manuscript database

    This chapter provides a summary of recent advances in wheat rust research. Although the emphasis is on recent developments, some historical context is provided. Critical concepts in studying the wheat rusts are pathogen and host genetics, host-pathogen interactions, epidemiology and management strat...

  7. ATRAZINE AND REPRODUCTIVE FUNCTION: MODE AND MECHANISM OF ACTION STUDIES

    EPA Science Inventory

    Atrazine, a chlorotriazine herbicide, is used to control annual grasses and broadleaf weeds. In this review, we summarize our laboratory's work evaluating the neuroendocrine toxicity of atrazine (and related chlorotriazines) from an historic perspective. We provide the rationale ...

  8. Prevention of dimethylsulfoxide-related nausea and vomiting by prophylactic administration of ondansetron for patients receiving autologous cryopreserved peripheral blood stem cells.

    PubMed

    Eisenberg, Seth; Wickline, Mihkaila; Linenberger, Michael; Gooley, Ted; Holmberg, Leona

    2013-05-01

    To evaluate the effectiveness of ondansetron for the prevention of nausea and vomiting from dimethylsulfoxide (DMSO) during autologous stem cell transplantation (ASCT) infusion. Nonrandomized cohort using historical control. Comprehensive cancer center outpatient infusion department. 50 patients receiving ASCT in the outpatient setting. Patients were assessed for nausea and vomiting on their infusion day using the Multinational Association of Supportive Care in Cancer Antiemesis Tool (MAT) at arrival, pre-ASCT infusion, pre-ondansetron administration, prior to the first bag, and after each bag of stem cells. A standard script was used to ensure consistency. Ondansetron, 16 mg IV, was administered 30-90 minutes prior to each ASCT infusion. Number and volume of stem cells bags, as well as infusion rate and emesis episodes, were recorded. Nausea scores and vomiting episodes were compared to historical data. Subjectivity of nausea, potential Hawthorne Effect. Forty-five percent of patients had an MAT score greater than 2 on arrival, decreasing to 18% after receiving ondansetron before the first bag. Twenty-four percent had MAT increases of more than two points by infusion end compared to 58% in the historic control group. Eighteen percent of patients vomited compared to 28% of historic controls. The administration of 16 mg of IV ondansetron significantly reduced DMSO-related nausea and episodes of vomiting in patients receiving ASCT. Prophylactic administration of ondansetron had a positive effect on reducing nausea symptoms and episodes of vomiting during ASCT infusions. These results prompted a change in clinical practice. More research is required to determine whether the inclusion of other antiemetic agents would provide even greater benefit. To date, no other published studies have explored the benefits of premedicating patients with ondansetron prior to ASCT infusions. This study is the first to establish efficacy of ondansetron for an unlabeled indication. These results may pave the way for future research in decreasing nausea and vomiting in this setting.

  9. Clinical utility of the Prostate Health Index (phi) for biopsy decision management in a large group urology practice setting.

    PubMed

    White, Jay; Shenoy, B Vittal; Tutrone, Ronald F; Karsh, Lawrence I; Saltzstein, Daniel R; Harmon, William J; Broyles, Dennis L; Roddy, Tamra E; Lofaro, Lori R; Paoli, Carly J; Denham, Dwight; Reynolds, Mark A

    2018-04-01

    Deciding when to biopsy a man with non-suspicious DRE findings and tPSA in the 4-10 ng/ml range can be challenging, because two-thirds of such biopsies are typically found to be benign. The Prostate Health Index (phi) exhibits significantly improved diagnostic accuracy for prostate cancer detection when compared to tPSA and %fPSA, however only one published study to date has investigated its impact on biopsy decisions in clinical practice. An IRB approved observational study was conducted at four large urology group practices using a physician reported two-part questionnaire. Physician recommendations were recorded before and after receiving the phi test result. A historical control group was queried from each site's electronic medical records for eligible men who were seen by the same participating urologists prior to the implementation of the phi test in their practice. 506 men receiving a phi test were prospectively enrolled and 683 men were identified for the historical control group (without phi). Biopsy and pathological findings were also recorded for both groups. Men receiving a phi test showed a significant reduction in biopsy procedures performed when compared to the historical control group (36.4% vs. 60.3%, respectively, P < 0.0001). Based on questionnaire responses, the phi score impacted the physician's patient management plan in 73% of cases, including biopsy deferrals when the phi score was low, and decisions to perform biopsies when the phi score indicated an intermediate or high probability of prostate cancer (phi ≥36). phi testing significantly impacted the physician's biopsy decision for men with tPSA in the 4-10 ng/ml range and non-suspicious DRE findings. Appropriate utilization of phi resulted in a significant reduction in biopsy procedures performed compared to historical patients seen by the same participating urologists who would have met enrollment eligibility but did not receive a phi test.

  10. Optimizing Blood Transfusion Practices Through Bundled Intervention Implementation in Patients With Gynecologic Cancer Undergoing Laparotomy.

    PubMed

    Wallace, Sumer K; Halverson, Jessica W; Jankowski, Christopher J; DeJong, Stephanie R; Weaver, Amy L; Weinhold, Megan R; Borah, Bijan J; Moriarty, James P; Cliby, William A; Kor, Daryl J; Higgins, Andrew A; Otto, Hilary A; Dowdy, Sean C; Bakkum-Gamez, Jamie N

    2018-05-01

    To examine blood transfusion practices and develop a standardized bundle of interventions to address the high rate of perioperative red blood cell transfusion among patients with ovarian and endometrial cancer. This was a retrospective cohort study. Our primary aim was to determine whether an implemented bundled intervention was associated with a reduction in perioperative red blood cell transfusions among cases of laparotomy for cancer. Secondary aims included comparing perioperative demographic, surgical, complication, and cost data. Interventions included blood transfusion practice standardization using American Society of Anesthesiologists guidelines, an intraoperative hemostasis checklist, standardized intraoperative fluid status communication, and evidence-based use of tranexamic acid. Prospective data from women undergoing laparotomy for ovarian or endometrial cancer from September 28, 2015, to May 31, 2016, defined the study cohort and were compared with historical controls (September 1, 2014, to September 25, 2015). Outcomes were compared in the full unadjusted cohorts and in propensity-matched cohorts. In the intervention and historical cohorts, respectively, 89 and 184 women underwent laparotomy for ovarian cancer (n=74 and 152) or advanced endometrial cancer (n=15 and 32). Tranexamic acid was administered in 54 (60.7%) patients. The perioperative transfusion rate was lower for the intervention group compared with historical controls (18.0% [16/89] vs 41.3% [76/184], P<.001), a 56.4% reduction. This improvement in the intervention group remained significant after propensity matching (16.2% [13/80] vs 36.2% [29/80], P=.004). The hospital readmission rate was also lower for the intervention group compared with historical controls (1.1% [1/89] vs 12.5% [23/184], P=.002); however, this improvement did not attain statistical significance after propensity matching (1.2% [1/80] vs 7.5% [6/80], P=.12). Cost analysis demonstrated that this intervention was cost-neutral during index hospitalization plus 30-day follow-up. Application of a standardized bundle of evidence-based interventions was associated with reduced blood use in our gynecologic oncology practice.

  11. Measurement of historical cliff-top changes and estimation of future trends using GIS data between Bridlington and Hornsea - Holderness Coast (UK)

    NASA Astrophysics Data System (ADS)

    Castedo, Ricardo; de la Vega-Panizo, Rogelio; Fernández-Hernández, Marta; Paredes, Carlos

    2015-02-01

    A key requirement for effective coastal zone management is good knowledge of historical rates of change and the ability to predict future shoreline evolution, especially for rapidly eroding areas. Historical shoreline recession analysis was used for the prediction of future cliff shoreline positions along a section of 9 km between Bridlington and Hornsea, on the northern area of the Holderness Coast, UK. The analysis was based on historical maps and aerial photographs dating from 1852 to 2011 using the Digital Shoreline Analysis System (DSAS) 4.3, extension of ESRI's ArcInfo 10.×. The prediction of future shorelines was performed for the next 40 years using a variety of techniques, ranging from extrapolation from historical data, geometric approaches like the historical trend analysis, to a process-response numerical model that incorporates physically-based equations and geotechnical stability analysis. With climate change and sea-level rise implying that historical rates of change may not be a reliable guide for the future, enhanced visualization of the evolving coastline has the potential to improve awareness of these changing conditions. Following the IPCC, 2013 report, two sea-level rise rates, 2 mm/yr and 6 mm/yr, have been used to estimate future shoreline conditions. This study illustrated that good predictive models, once their limitations are estimated or at least defined, are available for use by managers, planners, engineers, scientists and the public to make better decisions regarding coastal management, development, and erosion-control strategies.

  12. National Historic Preservation Act (NHPA) Section 106 Process: Florence Copper, Inc. (FCI)

    EPA Pesticide Factsheets

    Collection of National Historic Preservation Act (NHPA) documents relating to Public Notice of Intent to Issue a Class III Underground Injection Control Area Permit for Florence Copper, Inc. (FCI) - Florence, AZ (closed)

  13. CDC Releases Report on 30-Year Low in Youth Homicide Rates

    MedlinePlus

    ... CDC Newsroom Share Compartir This page is a historical archive and is no longer maintained. For current ... site? Print Updates Subscribe Listen This is a Historical Document Content source: Centers for Disease Control and ...

  14. 32. HISTORIC VIEW OF GERMAN ROCKET SOCIETY VETERAN KURT HEINISCH ...

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

    32. HISTORIC VIEW OF GERMAN ROCKET SOCIETY VETERAN KURT HEINISCH IN CONTROL ROOM AT TEST STAND NO. 1, PEENEMUENDE. - Marshall Space Flight Center, Redstone Rocket (Missile) Test Stand, Dodd Road, Huntsville, Madison County, AL

  15. PAINT SPRAY BOOTH MODIFICATIONS FOR RECIRCULATION VENTILATION

    EPA Science Inventory

    The control of emissions from spray painting operations has historically been cost prohibitive, due to the high exhaust flow rates coupled with low volatile organic compound (VOC) and hazardous air pollutant (HAP) Concentrations. Past studies, conducted by the U.S. EPA and U.S. ...

  16. Urban science education: examining current issues through a historical lens

    NASA Astrophysics Data System (ADS)

    McLaughlin, Cheryl A.

    2014-12-01

    This paper reviews and synthesizes urban science education studies published between 2000 and 2013 with a view to identifying current challenges faced by both teachers and students in urban classrooms. Additionally, this paper considers the historical events that have shaped the conditions, bureaucracies, and interactions of urban institutions. When the findings from these urban science education studies were consolidated with the historical overview provided, it was revealed that the basic design and regulatory policies of urban schools have not substantively changed since their establishment in the nineteenth century. Teachers in urban science classrooms continue to face issues of inequality, poverty, and social injustice as they struggle to meet the needs of an increasingly diverse student population. Furthermore, persistent concerns of conflicting Discourses, cultural dissonance, and oppression create formidable barriers to science learning. Despite the many modifications in structure and organization, urban students are still subjugated and marginalized in systems that emphasize control and order over high-quality science education.

  17. A Legal Discourse Community: Text Centered and Interdisciplinary in Social and Political Context.

    ERIC Educational Resources Information Center

    Griggs, Karen

    1996-01-01

    Reviews recent studies of legal discourse and nonacademic writing and presents the results of a historical case study on an environmental public policy. Finds that a dynamic discourse community changed writing roles among government employees, lay members of the audience, and water pollution control board members. States that controversial…

  18. Asfotase Alfa Treatment Improves Survival for Perinatal and Infantile Hypophosphatasia

    PubMed Central

    Rockman-Greenberg, Cheryl; Ozono, Keiichi; Riese, Richard; Moseley, Scott; Melian, Agustin; Thompson, David D.; Bishop, Nicholas; Hofmann, Christine

    2016-01-01

    Context: Hypophosphatasia (HPP) is an inborn error of metabolism that, in its most severe perinatal and infantile forms, results in 50–100% mortality, typically from respiratory complications. Objectives: Our objective was to better understand the effect of treatment with asfotase alfa, a first-in-class enzyme replacement therapy, on mortality in neonates and infants with severe HPP. Design/Setting: Data from patients with the perinatal and infantile forms of HPP in two ongoing, multicenter, multinational, open-label, phase 2 interventional studies of asfotase alfa treatment were compared with data from similar patients from a retrospective natural history study. Patients: Thirty-seven treated patients (median treatment duration, 2.7 years) and 48 historical controls of similar chronological age and HPP characteristics. Interventions: Treated patients received asfotase alfa as sc injections either 1 mg/kg six times per week or 2 mg/kg thrice weekly. Main Outcome Measures: Survival, skeletal health quantified radiographically on treatment, and ventilatory status were the main outcome measures for this study. Results: Asfotase alfa was associated with improved survival in treated patients vs historical controls: 95% vs 42% at age 1 year and 84% vs 27% at age 5 years, respectively (P < .0001, Kaplan-Meier log-rank test). Whereas 5% (1/20) of the historical controls who required ventilatory assistance survived, 76% (16/21) of the ventilated and treated patients survived, among whom 75% (12/16) were weaned from ventilatory support. This better respiratory outcome accompanied radiographic improvements in skeletal mineralization and health. Conclusions: Asfotase alfa mineralizes the HPP skeleton, including the ribs, and improves respiratory function and survival in life-threatening perinatal and infantile HPP. PMID:26529632

  19. Evaluation of Marine Corps Manpower Computer Simulation Model

    DTIC Science & Technology

    2016-12-01

    merit- based promotion selection that is in conjunction with the “up or out” manpower system. To ensure mission accomplishment within M&RA, it is...historical data the MSM pulls from an online Oracle database. Two types of data base pulls occur here: acquiring historical data of manpower pyramid...is based off of the assumption that the historical manpower progression is constant, and therefore is controllable. This unfortunately does not marry

  20. 41 CFR 102-83.105 - What happens if there is no available space in non-historic buildings under the custody and...

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false What happens if there is no available space in non-historic buildings under the custody and control of the U.S. Postal Service... Space Urban Areas § 102-83.105 What happens if there is no available space in non-historic buildings...

  1. Low cortical bone density measured by computed tomography in children and adolescents with untreated hyperthyroidism.

    PubMed

    Numbenjapon, Nawaporn; Costin, Gertrude; Gilsanz, Vicente; Pitukcheewanont, Pisit

    2007-05-01

    To determine whether increased thyroid hormones levels have an effect on various bone components (cortical vs cancellous bone). The anthropometric and 3-dimensional quantitative computed tomography (CT) bone measurements, including bone density (BD), cross-sectional area (CSA) of the lumbar spine and femur, and cortical bone area (CBA) of the femur, of 18 children and adolescents with untreated hyperthyroidism were reviewed and compared with those of age-, sex-, and ethnicity-matched historical controls. No significant differences in height, weight, body mass index (BMI), or pubertal staging between patients and controls were found. Cortical BD was significantly lower (P < .001) in children and adolescents with hyperthyroidism compared with historical controls. After adjusting for weight and height, no difference in femur CSA between hyperthyroid children and historical controls was evident. No significant correlations among thyroid hormone levels, antithyroid antibody levels, and cortical BD values were found. As determined by CT, cortical bone is the preferential site of bone loss in children and adolescents with untreated hyperthyroidism.

  2. Roles of sunlight and natural ventilation for controlling infection: historical and current perspectives.

    PubMed

    Hobday, R A; Dancer, S J

    2013-08-01

    Infections caught in buildings are a major global cause of sickness and mortality. Understanding how infections spread is pivotal to public health yet current knowledge of indoor transmission remains poor. To review the roles of natural ventilation and sunlight for controlling infection within healthcare environments. Comprehensive literature search was performed, using electronic and library databases to retrieve English language papers combining infection; risk; pathogen; and mention of ventilation; fresh air; and sunlight. Foreign language articles with English translation were included, with no limit imposed on publication date. In the past, hospitals were designed with south-facing glazing, cross-ventilation and high ceilings because fresh air and sunlight were thought to reduce infection risk. Historical and recent studies suggest that natural ventilation offers protection from transmission of airborne pathogens. Particle size, dispersal characteristics and transmission risk require more work to justify infection control practices concerning airborne pathogens. Sunlight boosts resistance to infection, with older studies suggesting potential roles for surface decontamination. Current knowledge of indoor transmission of pathogens is inadequate, partly due to lack of agreed definitions for particle types and mechanisms of spread. There is recent evidence to support historical data on the effects of natural ventilation but virtually none for sunlight. Modern practice of designing healthcare buildings for comfort favours pathogen persistence. As the number of effective antimicrobial agents declines, further work is required to clarify absolute risks from airborne pathogens along with any potential benefits from additional fresh air and sunlight. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  3. Austrian Daily Climate Data Rescue and Quality Control

    NASA Astrophysics Data System (ADS)

    Jurkovic, A.; Lipa, W.; Adler, S.; Albenberger, J.; Lechner, W.; Swietli, R.; Vossberg, I.; Zehetner, S.

    2010-09-01

    Checked climate datasets are a "conditio sine qua non" for all projects that are relevant for environment and climate. In the framework of climate change studies and analysis it is essential to work with quality controlled and trustful data. Furthermore these datasets are used as input for various simulation models. In regard to investigations of extreme events, like strong precipitation periods, drought periods and similar ones we need climate data in high temporal resolution (at least in daily resolution). Because of the historical background - during Second World War the majority of our climate sheets were sent to Berlin, where the historical sheets were destroyed by a bomb attack and so important information got lost - only several climate sheets, mostly duplicates, before 1939 are available and stored in our climate data archive. In 1970 the Central Institute for Meteorology and Geodynamics in Vienna started a first attempt to digitize climate data by means of punch cards. With the introduction of a routinely climate data quality control in 1984 we can speak of high-class-checked daily data (finally checked data, quality flag 6). Our group is working on the processing of digitization and quality control of the historical data for the period 1872 to 1983 for 18 years. Since 2007 it was possible to intensify the work (processes) in the framework of an internal project, namely Austrian Climate Data Rescue and Quality Control. The aim of this initiative was - and still is - to supply daily data in an outstanding good and uniform quality. So this project is a kind of pre-project for all scientific projects which are working with daily data. In addition to routine quality checks (that are running since 1984) using the commercial Bull Software we are testing our data with additional open source software, namely ProClim.db. By the use of this spatial and statistical test procedure, the elements air temperature and precipitation - for several sites in Carinthia - could already be checked, flagged and corrected. Checking the output (so called- error list) of ProClim is very time consuming and needs trained staff; however, in last instance it is necessary. Due to the guideline "Your archive is your business card for quality" the sub-project NEW ARCHIVE was initialized and started at the end of 2009. Our paper archive contains historical, up to 150 year-old, climate sheets that are valuable cultural assets. Unfortunately the storage of these historical and actual data treasures turned out to be more than suboptimal (insufficient protection against dust, dirt, humidity and light incidence). Because of this fact a concept for a new storage system and archive database was generated and already partly realized. In a nutshell this presentation shows on the one hand the importance of recovering historical climate sheets for climate change research - even if it is exhausting and time consuming - and gives on the other hand a general overview of used quality control procedures at our institute.

  4. The active comparator, new user study design in pharmacoepidemiology: historical foundations and contemporary application

    PubMed Central

    Lund, Jennifer L.; Richardson, David B.; Stürmer, Til

    2016-01-01

    Better understanding of biases related to selective prescribing of, and adherence to, preventive treatments has led to improvements in the design and analysis of pharmacoepidemiologic studies. One influential development has been the “active comparator, new user” study design, which seeks to emulate the design of a head-to-head randomized controlled trial. In this review, we first discuss biases that may affect pharmacoepidemiologic studies and describe their direction and magnitude in a variety of settings. We then present the historical foundations of the active comparator, new user study design and explain how this design conceptually mitigates biases leading to a paradigm shift in pharmacoepidemiology. We offer practical guidance on the implementation of the study design using administrative databases. Finally, we provide an empirical example in which the active comparator, new user study design addresses biases that have previously impeded pharmacoepidemiologic studies. PMID:26954351

  5. Nonlinear control systems - A brief overview of historical and recent advances

    NASA Astrophysics Data System (ADS)

    Iqbal, Jamshed; Ullah, Mukhtar; Khan, Said Ghani; Khelifa, Baizid; Ćuković, Saša

    2017-12-01

    Last five decades witnessed remarkable developments in linear control systems and thus problems in this subject has been largely resolved. The scope of the present paper is beyond linear solutions. Modern technology demands sophisticated control laws to meet stringent design specifications thus highlighting the increasingly conspicuous position of nonlinear control systems, which is the topic of this paper. Historical role of analytical concepts in analysis and design of nonlinear control systems is briefly outlined. Recent advancements in these systems from applications perspective are examined with critical comments on associated challenges. It is anticipated that wider dissemination of this comprehensive review will stimulate more collaborations among the research community and contribute to further developments.

  6. Improving Operational Acceptability of Dynamic Weather Routes Through Analysis of Commonly Use Routings

    NASA Technical Reports Server (NTRS)

    Evans, Antony D.; Sridhar, Banavar; McNally, David

    2016-01-01

    The Dynamic Weather Routes (DWR) tool is a ground-based trajectory automation system that continuously and automatically analyzes active in-flight aircraft in en route airspace to find simple modifications to flight plan routes that can save significant flying time, while avoiding weather and considering traffic conflicts, airspace sector congestion, special use airspace, and FAA routing restrictions. Trials of the DWR system have shown that significant delay savings are possible. However, some DWR advised routes are also rejected by dispatchers or modified before being accepted. Similarly, of those sent by dispatchers to flight crews as proposed route change requests, many are not accepted by air traffic control, or are modified before implementation as Center route amendments. Such actions suggest that the operational acceptability of DWR advised route corrections could be improved, which may reduce workload and increase delay savings. This paper analyzes the historical usage of different flight routings, varying from simple waypoint pairs to lengthy strings of waypoints incorporating jet routes, in order to improve DWR route acceptability. An approach is developed that can be incorporated into DWR, advising routings with high historical usage and savings potential similar to that of the nominal DWR advisory. It is hypothesized that modifying a nominal DWR routing to one that is commonly used, and nearby, will result in more actual savings since common routings are generally familiar and operationally acceptable to air traffic control. The approach allows routing segments with high historical usage to be concatenated to form routes that meet all DWR constraints. The relevance of a route's historical usage to its acceptance by dispatchers and air traffic control is quantified by analyzing historical DWR data. Results indicate that while historical usage may be less of a concern to flight dispatchers accepting or rejecting DWR advised route corrections, it may be important to air traffic control acceptance of DWR routes.

  7. A method to characterise site, urban and regional ambient background radiation.

    PubMed

    Passmore, C; Kirr, M

    2011-03-01

    Control dosemeters are routinely provided to customers to monitor the background radiation so that it can be subtracted from the gross response of the dosemeter to arrive at the occupational dose. Landauer, the largest dosimetry processor in the world with subsidiaries in Australia, Brazil, China, France, Japan, Mexico and the UK, has clients in approximately 130 countries. The Glenwood facility processes over 1.1 million controls per year. This network of clients around the world provides a unique ability to monitor the world's ambient background radiation. Control data can be mined to provide useful historical information regarding ambient background rates and provide a historical baseline for geographical areas. Historical baseline can be used to provide site or region-specific background subtraction values, document the variation in ambient background radiation around a client's site or provide a baseline for measuring the efficiency of clean-up efforts in urban areas after a dirty bomb detonation.

  8. Home-based intermediate care program vs hospitalization

    PubMed Central

    Armstrong, Catherine Deri; Hogg, William E.; Lemelin, Jacques; Dahrouge, Simone; Martin, Carmel; Viner, Gary S.; Saginur, Raphael

    2008-01-01

    OBJECTIVE To explore whether a home-based intermediate care program in a large Canadian city lowers the cost of care and to look at whether such home-based programs could be a solution to the increasing demands on Canadian hospitals. DESIGN Single-arm study with historical controls. SETTING Department of Family Medicine at the Ottawa Hospital (Civic campus) in Ontario. PARTICIPANTS Patients requiring hospitalization for acute care. Participants were matched with historical controls based on case-mix, most responsible diagnosis, and level of complexity. INTERVENTIONS Placement in the home-based intermediate care program. Daily home visits from the nurse practitioner and 24-hour access to care by telephone. MAIN OUTCOME MEASURES Multivariate regression models were used to estimate the effect of the program on 5 outcomes: length of stay in hospital, cost of care substituted for hospitalization (Canadian dollars), readmission for a related diagnosis, readmission for any diagnosis, and costs incurred by community home-care services for patients following discharge from hospital. RESULTS The outcomes of 43 hospital admissions were matched with those of 363 controls. Patients enrolled in the program stayed longer in hospital (coefficient 3.3 days, P < .001), used more community care services following discharge (coefficient $729, P = .007), and were more likely to be readmitted to hospital within 3 months of discharge (coefficient 17%, P = .012) than patients treated in hospital. Total substituted costs of home-based care were not significantly different from the costs of hospitalization (coefficient -$501, P = .11). CONCLUSION While estimated cost savings were not statistically significant, the limitations of our study suggest that we underestimated these savings. In particular, the economic inefficiencies of a small immature program and the inability to control for certain factors when selecting historical controls affected our results. Further research is needed to determine the economic effect of mature home-based programs. PMID:18208958

  9. Manual-control Analysis Applied to the Money-supply Control Task

    NASA Technical Reports Server (NTRS)

    Wingrove, R. C.

    1984-01-01

    The recent procedure implemented by the Federal Reserve Board to control the money supply is formulated in the form of a tracking model as used in the study of manual-control tasks. Using this model, an analysis is made to determine the effect of monetary control on the fluctuations in economic output. The results indicate that monetary control can reduce the amplitude of fluctuations at frequencies near the region of historic business cycles. However, with significant time lags in the control loop, monetary control tends to increase the amplitude of the fluctuations at the higher frequencies. How the investigator or student can use the tools developed in the field of manual-control analysis to study the nature of economic fluctuations and to examine different strategies for stabilization is examined.

  10. The Detection and Attribution Model Intercomparison Project (DAMIP v1.0)contribution to CMIP6

    DOE PAGES

    Gillett, Nathan P.; Shiogama, Hideo; Funke, Bernd; ...

    2016-10-18

    Detection and attribution (D&A) simulations were important components of CMIP5 and underpinned the climate change detection and attribution assessments of the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. The primary goals of the Detection and Attribution Model Intercomparison Project (DAMIP) are to facilitate improved estimation of the contributions of anthropogenic and natural forcing changes to observed global warming as well as to observed global and regional changes in other climate variables; to contribute to the estimation of how historical emissions have altered and are altering contemporary climate risk; and to facilitate improved observationally constrained projections of futuremore » climate change. D&A studies typically require unforced control simulations and historical simulations including all major anthropogenic and natural forcings. Such simulations will be carried out as part of the DECK and the CMIP6 historical simulation. In addition D&A studies require simulations covering the historical period driven by individual forcings or subsets of forcings only: such simulations are proposed here. Key novel features of the experimental design presented here include firstly new historical simulations with aerosols-only, stratospheric-ozone-only, CO2-only, solar-only, and volcanic-only forcing, facilitating an improved estimation of the climate response to individual forcing, secondly future single forcing experiments, allowing observationally constrained projections of future climate change, and thirdly an experimental design which allows models with and without coupled atmospheric chemistry to be compared on an equal footing.« less

  11. The Detection and Attribution Model Intercomparison Project (DAMIP v1.0) contribution to CMIP6

    NASA Astrophysics Data System (ADS)

    Gillett, Nathan P.; Shiogama, Hideo; Funke, Bernd; Hegerl, Gabriele; Knutti, Reto; Matthes, Katja; Santer, Benjamin D.; Stone, Daithi; Tebaldi, Claudia

    2016-10-01

    Detection and attribution (D&A) simulations were important components of CMIP5 and underpinned the climate change detection and attribution assessments of the Fifth Assessment Report of the Intergovernmental Panel on Climate Change. The primary goals of the Detection and Attribution Model Intercomparison Project (DAMIP) are to facilitate improved estimation of the contributions of anthropogenic and natural forcing changes to observed global warming as well as to observed global and regional changes in other climate variables; to contribute to the estimation of how historical emissions have altered and are altering contemporary climate risk; and to facilitate improved observationally constrained projections of future climate change. D&A studies typically require unforced control simulations and historical simulations including all major anthropogenic and natural forcings. Such simulations will be carried out as part of the DECK and the CMIP6 historical simulation. In addition D&A studies require simulations covering the historical period driven by individual forcings or subsets of forcings only: such simulations are proposed here. Key novel features of the experimental design presented here include firstly new historical simulations with aerosols-only, stratospheric-ozone-only, CO2-only, solar-only, and volcanic-only forcing, facilitating an improved estimation of the climate response to individual forcing, secondly future single forcing experiments, allowing observationally constrained projections of future climate change, and thirdly an experimental design which allows models with and without coupled atmospheric chemistry to be compared on an equal footing.

  12. Emergency abdominal aortic aneurysm repair with a preferential endovascular strategy: mortality and cost-effectiveness analysis.

    PubMed

    Kapma, Marten R; Groen, Henk; Oranen, Bjorn I; van der Hilst, Christian S; Tielliu, Ignace F; Zeebregts, Clark J; Prins, Ted R; van den Dungen, Jan J; Verhoeven, Eric L

    2007-12-01

    To assess mortality and treatment costs of a new management protocol with preferential use of emergency endovascular aneurysm repair (eEVAR) for acute abdominal aortic aneurysm (AAA). From September 2003 until February 2005, 49 consecutive patients (45 men; mean age 71 years) with acute AAA were entered into a prospective study of a new management protocol that featured preferential use of eEVAR (n=18); patients with unsuitable anatomy or who were hemodynamically unstable underwent open repair (n=31). Mortality data and costs of treatment were compared in this mixed prospective group to a historical control group consisting of 147 patients (128 men; mean age 71 years) who underwent open repair from January 1998 to December 2001. All direct medical costs were included from the moment of admission until discharge from the hospital. Mortality in the mixed prospective group (18%) was lower than in the historical control group (31%), but the difference did not reach statistical significance (p=0.099). The mean total cost in the mixed prospective group was 17,164 euro compared to 21,084 euro in the historical open repair group (p=0.255). A preferential eEVAR protocol for acute AAA can decrease mortality and does not increase overall costs during initial treatment, but larger studies are needed to determine if these trends are statistically significant.

  13. Does Perturbation Training Prevent Falls after Discharge from Stroke Rehabilitation? A Prospective Cohort Study with Historical Control.

    PubMed

    Mansfield, Avril; Schinkel-Ivy, Alison; Danells, Cynthia J; Aqui, Anthony; Aryan, Raabeae; Biasin, Louis; DePaul, Vincent G; Inness, Elizabeth L

    2017-10-01

    Individuals with stroke fall frequently, and no exercise intervention has been shown to prevent falls post stroke. Perturbation-based balance training (PBT), which involves practicing reactions to instability, shows promise for preventing falls in older adults and individuals with Parkinson's disease. This study aimed to determine if PBT during inpatient stroke rehabilitation can prevent falls after discharge into the community. Individuals with subacute stroke completed PBT as part of routine inpatient rehabilitation (n = 31). Participants reported falls experienced in daily life for up to 6 months post discharge. Fall rates were compared to a matched historical control group (HIS) who did not complete PBT during inpatient rehabilitation. Five of 31 PBT participants, compared to 15 of 31 HIS participants, reported at least 1 fall. PBT participants reported 10 falls (.84 falls per person per year) whereas HIS participants reported 31 falls (2.0 falls per person per year). When controlled for follow-up duration and motor impairment, fall rates were lower in the PBT group than the HIS group (rate ratio: .36 [.15, .79]; P = .016). These findings suggest that PBT is promising for reducing falls post stroke. While this was not a randomized controlled trial, this study may provide sufficient evidence for implementing PBT in stroke rehabilitation practice. Copyright © 2017 National Stroke Association. Published by Elsevier Inc. All rights reserved.

  14. The EpiDerm™ 3D human reconstructed skin micronucleus (RSMN) assay: Historical control data and proof of principle studies for mechanistic assay adaptations.

    PubMed

    Roy, Shambhu; Kulkarni, Rohan; Hewitt, Nicola J; Aardema, Marilyn J

    2016-07-01

    The in vitro human reconstructed skin micronucleus (RSMN) assay in EpiDerm™ is a promising novel animal alternative for evaluating genotoxicity of topically applied chemicals. It is particularly useful for assessing cosmetic ingredients that can no longer be tested using in vivo assays. To advance the use of this test especially for regulatory decision-making, we have established the RSMN assay in our laboratory according to Good Laboratory Practice and following the principles of the OECD test guideline 487 in vitro mammalian cell micronucleus test. Proficiency with the assay was established by correctly identifying direct-acting genotoxins and genotoxins requiring metabolism, as well as non-genotoxic/non-carcinogenic chemicals. We also report the analysis of our historical control data that demonstrate vehicle control and positive control values for %micronuclei in binucleated cells are in the ranges reported previously. Technical issues including evaluating various solvents with both 48h and 72h treatment regimens were investigated. For the first time, mechanistic studies using CREST analysis revealed that the RSMN assay is suitable for distinguishing aneugens and clastogens. Moreover, the assay is also suitable for measuring cytokines as markers for proliferative and toxic effects of chemicals. Copyright © 2016 Elsevier B.V. All rights reserved.

  15. 88. Photographic copy of historic photo, June 25, 1930 (original ...

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

    88. Photographic copy of historic photo, June 25, 1930 (original print filed in Record Group 115, National Archives, Washington, D.C.). CEMENT AGGREGATE AND WATER CONTROLS AT OWYHEE DAM MIXING PLANT. - Owyhee Dam, Across Owyhee River, Nyssa, Malheur County, OR

  16. The survival benefit of dual dispatch of EMS and fire-fighters in out-of-hospital cardiac arrest may differ depending on population density--a prospective cohort study.

    PubMed

    Nordberg, Per; Jonsson, Martin; Forsberg, Sune; Ringh, Mattias; Fredman, David; Riva, Gabriel; Hasselqvist-Ax, Ingela; Hollenberg, Jacob

    2015-05-01

    Outcome after out-of-hospital cardiac arrest (OHCA) varies between contexts. Dual dispatching of fire-fighters or police in addition to emergency medical services (EMS) has the potential to increase survival, but the effect in urban vs. rural areas is unknown. The aim of this study was to determine the effects of dual dispatching on response times and outcome in regions with different population density. The study design was a prospective cohort study of EMS-treated OHCAs from 2004 (historical controls, only EMS dispatch) and 2006-2009 (intervention, dual dispatch of EMS and fire-fighters), with data on exact geographical coordinates. Patients were divided into four subgroups depending on population density: rural (<250 persons/km2), suburban (250-2999/km2), urban (3000-5999/km2) and downtown (≥6000/km2). Totally, 2513 OHCAs were included (historical controls, n=571 and intervention, n=1942). Median time to arrival of first unit shortened significantly in all subgroups, ranging from 0.8 to 3.2 min, with the main time gain in the rural area. There were significant differences in 30-day survival between the historical controls vs. the intervention group in the suburban population (3.1% vs. 7.0%, p=0.02) and in downtown (4.1 vs. 14.6, p=0.04). In the urban population the difference was 2.7 vs. 6.9% (p=0.06) and in the rural population (4.7 vs. 5.3, p=0.82). Dual dispatch of fire-fighters and EMS in OHCA significantly reduced response times in all studied regions. The 30-day survival increased significantly in the downtown and suburban populations, while a limited impact was seen in the rural areas. Copyright © 2015 Elsevier Ireland Ltd. All rights reserved.

  17. George Herbert Mead, Curriculum Theorist: The Curriculum Field and the Problem of Social Control.

    ERIC Educational Resources Information Center

    Franklin, Barry M.

    This paper is one of three presented at a symposium intended to suggest how historical studies of the curriculum field can aid in identifying alternative perspectives to the prevailing scientific-technical perspective, an orientation that has dominated the curriculum field since its inception as a formal area of study. This paper contends that…

  18. Ste. Genevieve, Missouri Feasibility Report (Flood Control Study for Historic Ste. Genevieve - 80061). Volume 1. Main Report Public Views and Responses.

    DTIC Science & Technology

    1985-03-01

    Species Act of 1973, Available habitat as amended State Wildlife Code of Missouri Available habitat Floodplain Forest Fish and Wildife Coordination...Ste. Genevieve. The most valuable wildlife habitat in the study area is the riparian forest corridors adjacent to portions of the tributary streams

  19. Mitigation technologies to control high-temperature stress in crop plants

    USDA-ARS?s Scientific Manuscript database

    The book entitled “Crop Responses to Global Warming” describes the traditional historical shifts within the earth’s atmospheric temperature and weighs the evidence regarding anthropogenetic elicited changes within the level of temperature. There is not an abundant study to elucidate the shift in te...

  20. Desert Talons: Historical Perspectives and Implications of Air Policing in the Middle East

    DTIC Science & Technology

    2009-04-01

    predominant role in support of a smaller ground force has historical precedent. During the 1920s, the Royal Air Forces (RAF) air control method adhered...the Royal Air Force’s (RAF) air control method adhered to the concepts of the inverted blockade, minimum force, precision targeting, and force...owing to its process of rapid communications, Air Methods are, in short, the reverse of the old punitive column. Our policy is one of prevention

  1. Digitalizing historical high resolution water level data: Challenges and opportunities

    NASA Astrophysics Data System (ADS)

    Holinde, Lars; Hein, Hartmut; Barjenbruch, Ulrich

    2017-04-01

    Historical tide-gauge data offer the opportunities for determining variations in key characteristics for water level data and the analyses of past extreme events (storm surges). These information are important for calculating future trends and scenarios. But there are challenges involved due to the extensive effort needed to digitalize gauge sheets and quality control the resulting historical data. Based on these conditions, two main sources for inaccuracies in historical time series can be identified. First are several challenges due to the digitalization of the historical data, e.g. general quality of the sheets, multiple crossing lines of the observed water levels and additional comments on the sheet describing problems or additional information during the measurements. Second are problems during the measurements themselves. These can include the incorrect positioning of the sheets, trouble with the tide-gauge and maintenance. Errors resulting from these problems can be e.g. flat lines, discontinuities and outlier. Especially, the characterization of outliers has to be conducted carefully, to distinguish between real outliers and the appearance of extreme events. Methods for the quality control process involve the use of statistics, machine learning and neural networks. These will be described and applied to three different time series from tide gauge stations at the cost of Lower Saxony, Germany. Resulting difficulties and outcomes of the quality control process will be presented and explained. Furthermore, we will present a first glance at analyses for these time series.

  2. Effects of Holocene climate change on the historical demography of migrating sharp-shinned hawks (Accipiter striatus velox) in North America.

    PubMed

    Hull, Joshua M; Girman, Derek J

    2005-01-01

    DNA sequences of the mitochondrial control region were analysed from 298 individual sharp-shinned hawks (Accipiter striatus velox) sampled at 12 different migration study sites across North America. The control region proved to be an appropriate genetic marker for identification of continental-scale population genetic structure and for determining the historical demography of population units. These data suggest that sharp-shinned hawks sampled at migration sites in North America are divided into distinct eastern and western groups. The eastern group appears to have recently expanded in response to the retreat of glacial ice at the end of the last glacial maximum. The western group appears to have been strongly effected by the Holocene Hypsithermal dry period, with molecular evidence indicating the most recent expansion following this mid-Holocene climatic event 7000-5000 years before present.

  3. Effects of computerized decision support systems on blood glucose regulation in critically ill surgical patients.

    PubMed

    Fogel, Sandy L; Baker, Christopher C

    2013-04-01

    The use of computerized decision support systems (CDSS) in glucose control for critically ill surgical patients has been reported in both diabetic and nondiabetic patients. Prospective studies evaluating its effect on glucose control are, however, lacking. The objective of this study was to evaluate patient-specific computerized IV insulin dosing on blood glucose levels (BGLs) by comparing patients treated pre-CDSS with those treated post-CDSS. A prospective study was performed in 4 surgical ICUs and 1 progressive care unit comparing patient data pre- and post-implementation of CDSS. The primary outcomes measures were the impact of the CDSS on glycemic control in this population and on reducing the incidence of severe hypoglycemia. Data on 1,682 patient admissions were evaluated, which corresponded to 73,290 BGLs post-CDSS compared with 44,972 BGLs pre-CDSS. The percentage of hyperglycemic events improved, with BGLs of >150 mg/dL decreasing by 50% compared with 6-month historical controls during the 18-month study period from July 2010 through December 2011. This was true for all 5 units individually (p < 0.0001, by one sample sign test). In addition, severe hypoglycemia (defined as BGL <40 mg/dL) decreased from 1% to 0.05% after implementing CDSS (p < 0.0001 by 2-sided binomial test). Patients whose BGLs were managed using CDSS were statistically significantly more likely to have a glucose reading under control (<150 mg/dL) than in the 6-month historical controls and to avoid serious hypoglycemia (p < 0.0001). Copyright © 2013 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  4. Triage and optimization: A new paradigm in the treatment of massive pulmonary embolism.

    PubMed

    Pasrija, Chetan; Shah, Aakash; George, Praveen; Kronfli, Anthony; Raithel, Maxwell; Boulos, Francesca; Ghoreishi, Mehrdad; Bittle, Gregory J; Mazzeffi, Michael A; Rubinson, Lewis; Gammie, James S; Griffith, Bartley P; Kon, Zachary N

    2018-04-07

    Massive pulmonary embolism (PE) remains a highly fatal condition. Although venoarterial extracorporeal membrane oxygenation (VA-ECMO) and surgical pulmonary embolectomy in the management of massive PE have been reported previously, the outcomes remain less than ideal. We hypothesized that the institution of a protocolized approach of triage and optimization using VA-ECMO would result in improved outcomes compared with historical surgical management. All patients with a massive PE referred to the cardiac surgery service between 2010 and 2017 were retrospectively reviewed. Patients were stratified by treatment strategy: historical control versus the protocolized approach. In the historical control group, the primary intervention was surgical pulmonary embolectomy. In the protocol approach group, patients were treated based on an algorithmic approach using VA-ECMO. The primary outcome was 1-year survival. A total of 56 patients (control, n = 27; protocol, n = 29) were identified. All 27 patients in the historical control group underwent surgical pulmonary embolectomy, whereas 2 of 29 patients in the protocol approach group were deemed appropriate for direct surgical pulmonary embolectomy. The remaining 27 patients were placed on VA-ECMO. In the protocol approach group, 15 of 29 patients were treated with anticoagulation alone and 14 patients ultimately required surgical pulmonary embolectomy. One-year survival was significantly lower in the historical control group compared with the protocol approach group (73% vs 96%; P = .02), with no deaths occurring after surgical pulmonary embolectomy in the protocol approach group. A protocolized strategy involving the aggressive institution of VA-ECMO appears to be an effective method to triage and optimize patients with massive PE to recovery or intervention. Implementation of this strategy rather than an aggressive surgical approach may reduce the mortality associated with massive PE. Copyright © 2018 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  5. Historical Review of Environmental Education in China

    ERIC Educational Resources Information Center

    Qing, Tian

    2004-01-01

    This article presents the historical review of environmental education in China. As China's economy began to grow, environmental pollution and ecological destruction initially appeared locally in the early 1980s. These local environmental issues were primarily managed and controlled by state and local environmental protection agencies. In…

  6. Phase 2 Study of Temozolomide-Based Chemoradiation Therapy for High-Risk Low-Grade Gliomas: Preliminary Results of Radiation Therapy Oncology Group 0424

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

    Fisher, Barbara J., E-mail: barbara.fisher@lhsc.on.ca; Hu, Chen; Macdonald, David R.

    2015-03-01

    Purpose: Radiation Therapy Oncology Group (RTOG) 0424 was a phase 2 study of a high-risk low-grade glioma (LGG) population who were treated with temozolomide (TMZ) and radiation therapy (RT), and outcomes were compared to those of historical controls. This study was designed to detect a 43% increase in median survival time (MST) from 40.5 to 57.9 months and a 20% improvement in 3-year overall survival (OS) rate from 54% to 65% at a 10% significance level (1-sided) and 96% power. Methods and Materials: Patients with LGGs with 3 or more risk factors for recurrence (age ≥40 years, astrocytoma histology, bihemispherical tumor, preoperativemore » tumor diameter of ≥6 cm, or a preoperative neurological function status of >1) were treated with RT (54 Gy in 30 fractions) and concurrent and adjuvant TMZ. Results: From 2005 to 2009, 129 evaluable patients (75 males and 54 females) were accrued. Median age was 49 years; 91% had a Zubrod score of 0 or 1; and 69%, 25%, and 6% of patients had 3, 4, and 5 risk factors, respectively. Patients had median and minimum follow-up examinations of 4.1 years and 3 years, respectively. The 3-year OS rate was 73.1% (95% confidence interval: 65.3%-80.8%), which was significantly improved compared to that of prespecified historical control values (P<.001). Median survival time has not yet been reached. Three-year progression-free survival was 59.2%. Grades 3 and 4 adverse events occurred in 43% and 10% of patients, respectively. One patient died of herpes encephalitis. Conclusions: The 3-year OS rate of 73.1% for RTOG 0424 high-risk LGG patients is higher than that reported for historical controls (P<.001) and the study-hypothesized rate of 65%.« less

  7. 40 CFR 798.5460 - Rodent heritable translocation assays.

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... treatment and control groups. (4) Control groups—(i) Concurrent controls. No concurrent positive or negative... control groups. Historical or concurrent controls shall be specified, as well as the randomization... SUBSTANCES CONTROL ACT (CONTINUED) HEALTH EFFECTS TESTING GUIDELINES Genetic Toxicity § 798.5460 Rodent...

  8. 40 CFR 798.5460 - Rodent heritable translocation assays.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... treatment and control groups. (4) Control groups—(i) Concurrent controls. No concurrent positive or negative... control groups. Historical or concurrent controls shall be specified, as well as the randomization... SUBSTANCES CONTROL ACT (CONTINUED) HEALTH EFFECTS TESTING GUIDELINES Genetic Toxicity § 798.5460 Rodent...

  9. 40 CFR 798.5460 - Rodent heritable translocation assays.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... treatment and control groups. (4) Control groups—(i) Concurrent controls. No concurrent positive or negative... control groups. Historical or concurrent controls shall be specified, as well as the randomization... SUBSTANCES CONTROL ACT (CONTINUED) HEALTH EFFECTS TESTING GUIDELINES Genetic Toxicity § 798.5460 Rodent...

  10. 40 CFR 798.5460 - Rodent heritable translocation assays.

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... treatment and control groups. (4) Control groups—(i) Concurrent controls. No concurrent positive or negative... control groups. Historical or concurrent controls shall be specified, as well as the randomization... SUBSTANCES CONTROL ACT (CONTINUED) HEALTH EFFECTS TESTING GUIDELINES Genetic Toxicity § 798.5460 Rodent...

  11. 40 CFR 798.5460 - Rodent heritable translocation assays.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... treatment and control groups. (4) Control groups—(i) Concurrent controls. No concurrent positive or negative... control groups. Historical or concurrent controls shall be specified, as well as the randomization... SUBSTANCES CONTROL ACT (CONTINUED) HEALTH EFFECTS TESTING GUIDELINES Genetic Toxicity § 798.5460 Rodent...

  12. Safety and feasibility of endovascular aortic aneurysm repair as day surgery.

    PubMed

    Hanley, Stephen C; Steinmetz, Oren; Mathieu, Eva S; Obrand, Daniel; Mackenzie, Kent; Corriveau, Marc-Michel; Abraham, Cherrie Z; Gill, Heather L

    2018-06-01

    The adoption of endovascular aneurysm repair (EVAR) during the past two decades has led to significantly shorter length of stay as well as lower hospital resource use. Currently, most patients are admitted to the hospital after EVAR; however, there are no standard observation periods, and timing of discharge is based on clinical judgment. The aim of this study was to confirm the safety and feasibility of performing EVAR as outpatient surgery. We developed criteria to identify patients for potential same-day discharge (infrarenal aneurysm, low perioperative risk, to be accompanied for first 24 hours). We then implemented a prospective trial that observed patients planned for same-day discharge and compared them with a historical control group (patients who had undergone EVAR during the previous 2 years and met same-day discharge criteria). Basic demographic and operative data as well as length of stay, inpatient and perioperative complications, emergency department visits, readmissions, reinterventions, and deaths were collected. The primary outcome was the 30-day complication rate, and the study was powered to assess noninferiority. Prospectively, we assessed 266 patients and planned 110 (41%) for outpatient EVAR (62% of historical controls met outpatient criteria). Demographic characteristics were similar between planned outpatients and historical controls. In planned outpatients, hospital stay was significantly shorter (0.7 ± 2.6 days vs 2.5 ± 6.9 days; P < .01), and 79% were discharged the same day of surgery. The 30-day follow-up was available for all study patients and 94% of control patients; there were no differences in complication (11% vs 9%), readmission (2% vs 4%), reintervention (4% vs 4%), or mortality (1% vs 1%) rates, but study patients had significantly more emergency department visits (15% vs 6%; P < .05). Unsuccessful same-day discharge was associated with longer operative times, increased blood loss, and use of general anesthesia. In selected patients undergoing elective EVAR, same-day discharge is feasible without increasing complication rates. Health resource utilization remains a challenge in transitioning to an outpatient model. Copyright © 2018. Published by Elsevier Inc.

  13. Narrative and evidence. How can case studies from the history of science support claims in the philosophy of science?

    PubMed

    Kinzel, Katherina

    2015-02-01

    A common method for warranting the historical adequacy of philosophical claims is that of relying on historical case studies. This paper addresses the question as to what evidential support historical case studies can provide to philosophical claims and doctrines. It argues that in order to assess the evidential functions of historical case studies, we first need to understand the methodology involved in producing them. To this end, an account of historical reconstruction that emphasizes the narrative character of historical accounts and the theory-laden character of historical facts is introduced. The main conclusion of this paper is that historical case studies are able to provide philosophical claims with some evidential support, but that, due to theory-ladenness, their evidential import is restricted. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Borax Stump Treatment for Control of Annosus Root Disease in the Eastside Pine Type Forests of Northeastern California

    Treesearch

    John T. Kliejunas

    1989-01-01

    A historical perspective and description of recent studies on the use of borax to treat pine stumps against infection by Heterobasidion annosum in eastside pine stands of northeastern California are presented. The studies indicate that boraxing of pines in eastside pine stands is an effective means of preventing annosus infection. Data and...

  15. American Civilization in Historic Perspective, Part I. A Guide for Teaching Social Studies, Grade 11.

    ERIC Educational Resources Information Center

    New York State Education Dept., Albany. Bureau of Secondary Curriculum Development.

    This teaching guide offers illustrative and reference materials that are both narrative and graphic on the three topics of Mass Media, Conflicting Ideologies, and Social Control. The objective is to furnish primary materials on these topics not easily available to teachers. Emphasis is on organizing the selections as short cases or studies.…

  16. Multicenter Evaluation of Octreotide as Secondary Prophylaxis in Patients With Left Ventricular Assist Devices and Gastrointestinal Bleeding.

    PubMed

    Shah, Keyur B; Gunda, Sampath; Emani, Sitaramesh; Kanwar, Manreet K; Uriel, Nir; Colombo, Paolo C; Uber, Patricia A; Sears, Melissa L; Chuang, Joyce; Farrar, David J; Brophy, Donald F; Smallfield, George B

    2017-11-01

    Gastrointestinal (GI) bleeding is one of the most common complications after continuous-flow left ventricular assist device implantation. More than one third of patients with incident bleed go on to develop recurrent GI bleeding. Octreotide, a somatostatin analog, is proposed to reduce the risk of recurrent GI bleeding in this population. This multicenter, retrospective analysis evaluated 51 continuous-flow left ventricular assist device patients who received secondary prophylaxis with octreotide after their index GI bleed from 2009 to 2015. All patients had a hospitalization for GI bleed and received octreotide after discharge. Patient demographics, medical and medication history, and clinical characteristics of patients who rebled after receiving octreotide were compared with non-rebleeders. These data were also compared with matched historical control patients previously enrolled in the HMII (HeartMate II) clinical trials, none of whom received octreotide, to provide a context for the bleeding rates. Twelve patients (24%) who received secondary octreotide prophylaxis developed another GI bleed, whereas 39 (76%) did not. There were similar intergroup demographics; however, significantly more bleeders had a previous GI bleeding history before left ventricular assist device placement (33% versus 5%; P =0.02) and greater frequency of angiodysplasia confirmed during endoscopy (58% versus 23%; P =0.03). Fewer patients in this study experienced a recurrent GI bleed compared with a matched historical control group that did not receive octreotide (24% versus 43%; P =0.04). Patients with continuous-flow left ventricular assist device receiving secondary prophylaxis with octreotide had a significantly lower GI bleed recurrence compared with historical controls not treated with octreotide. Additional prospective studies are needed to confirm these data. © 2017 American Heart Association, Inc.

  17. Commentary on: Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research

    PubMed Central

    Van Der Linden, Martial

    2015-01-01

    This commentary proposes a complementary perspective to that developed by Billieux, Schimmenti, Khazaal, Maurage and Heeren (2015). The addiction-as-disease approach tends to sideline explanatory factors of a psychosocial, cultural, political, or historical nature. I therefore suggest taking into account not only the personal characteristics (loss of self-control, impulsivity) related to the disease model, but also the social determinants of addictive behaviors (weak social ties, social exclusion, hyperindividualism, poverty, unemployment, etc.). Moreover, the disease model of addiction removes addictive behaviors from the cultural and historical contexts that shape them. I argue that the cultural and historical reasons for which certain factors (such as loss of self-control) became so important in the explanation of addictive behaviors should be more thoroughly considered. PMID:26551902

  18. The Role of Women in Chinese Society.

    ERIC Educational Resources Information Center

    Biaggio, Mary Kay

    Historically, men's and women's roles in China have been highly structured. The People's Republic of China has stressed the importance of women overcoming historical oppression and has adopted policies aimed at emancipating women. When the Chinese Communist Party took control of China in 1949, the new government clearly stated the importance of…

  19. Education in Bosnia: Religion, Language and Control.

    ERIC Educational Resources Information Center

    McCreight, Richard Douglas

    This book investigates the forces shaping the development of education systems in Bosnia and the impact those historical forces may, or may not, have on the condition of secondary education in Bosnia today. Initial chapters offer historical background about educational development in the Balkans and in Bosnia. The volume outlines the accumulative…

  20. A Synthesis of Equilibrium and Historical Models of Landform Development.

    ERIC Educational Resources Information Center

    Renwick, William H.

    1985-01-01

    The synthesis of two approaches that can be used in teaching geomorphology is described. The equilibrium approach explains landforms and landform change in terms of equilibrium between landforms and controlling processes. The historical approach draws on climatic geomorphology to describe the effects of Quaternary climatic and tectonic events on…

  1. Ideological and Historical Challenges in Business Education

    ERIC Educational Resources Information Center

    Nino, Lana

    2011-01-01

    Business schools bear a central mission in our society and are responsible for training business managers who work in, lead, and indeed control our corporations and drive our economy's wealth. Historical and ideological challenges have influenced business education and steered it off the expected path. Several theoretical frameworks such as…

  2. 94. Photographic copy of historic photo, December 26, 1929 (original ...

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

    94. Photographic copy of historic photo, December 26, 1929 (original print filed in Record Group 115, National Archives, Washington, D.C.). OWYHEE DAM-LOADING CAR FROM CABLEWAY SKIP. CABLEWAY CONTROL HOUSE IN UPPER RIGHT, PART OF UPPER COFFERDAM AT LEFT. - Owyhee Dam, Across Owyhee River, Nyssa, Malheur County, OR

  3. Proof of Principle of Ocular sparing in dogs with sinonasal tumors treated with intensity-modulated radiation therapy

    PubMed Central

    Lawrence, Jessica A.; Forrest, Lisa J.; Turek, Michelle M.; Miller, Paul E.; Mackie, T. Rockwell; Jaradat, Hazim A.; Vail, David M.; Dubielzig, Richard R.; Chappell, Richard; Mehta, Minesh P.

    2010-01-01

    Intensity modulated radiation therapy (IMRT) allows optimization of radiation dose delivery to complex tumor volumes with rapid dose drop-off to surrounding normal tissues. A prospective study was performed to evaluate the concept of conformal avoidance using IMRT in canine sinonasal cancer. The potential of IMRT to improve clinical outcome with respect to acute and late ocular toxicity was evaluated. Thirty-one dogs with sinonasal cancer were treated definitively with IMRT using helical tomotherapy and/or dynamic multileaf collimator (DMLC) delivery. Ocular toxicity was evaluated prospectively and compared to a comparable group of historical controls treated with conventional two-dimensional radiotherapy (2D-RT) techniques. Treatment plans were devised for each dog using helical tomotherapy and DMLC that achieved the target dose to the planning treatment volume and limited critical normal tissues to the prescribed dose-volume constraints. Overall acute and late toxicities were limited and minor, detectable by an experienced observer. This was in contrast to the profound ocular morbidity observed in the historical control group treated with 2D-RT. Overall median survival for IMRT treated and 2D treated dogs was 420 days and 411 days, respectively. Compared with conventional techniques, IMRT reduced dose delivered to eyes and resulted in bilateral ocular sparing in the dogs reported herein. These data provide proof-of-principle that conformal avoidance radiotherapy can be delivered through high conformity IMRT, resulting in decreased normal tissue toxicity as compared to historical controls treated with 2D-RT. PMID:20973393

  4. Patterns and Controls of Erosion along the Elson Lagoon Coastline, Barrow, Alaska (2003-2016)

    NASA Astrophysics Data System (ADS)

    Tweedie, C. E.; Escarzaga, S. M.; Cody, R. P.; Manley, W. F.; Gaylord, A. G.; Aiken, Q.; Lopez, A. F.; Aguirre, A.; George, C.; Nelson, L.; Brown, J.

    2016-12-01

    With arctic warming and the combined effect of decreased summer sea ice extent, longer fetch for wave propagation, warmer sea surface and ground temperature, and longer periods of open water; the propensity for increased arctic coastal erosion rates and land-ocean sediment inputs to increase has been recognized for some time. In this study, we report on coastal erosion trends along a 11km stretch of coastline adjacent to the Barrow Environmental Observatory (BEO) where the position of the 2-4 meter high coastal bluff has been monitored annually with survey grade differential GPS (dGPS). Modern and historic erosion trends can be viewed through interactive web mapping applications at http://barrowmapped.org/. Rates of aerial and volumetric erosion losses averaged 0.7-2.8 meters and 0.8-3.5 cubic meters per meter of coast per year from 2003-2015 for each of the four coastal sections monitored. These losses equate to losses to the atmosphere and/or inputs to lagoon waters 53-220kgC per meter of coast per year. Such aerial losses are lower than from other areas of the Beaufort Sea coast that lack protective barrier islands, but 25-30% higher than historic decadal-scale change rates estimated for this section of coastline. However, regression analyses indicate no significant change to the rate of erosion during the past 13 years. Historic hotspots of erosion remained modern hotspots of erosion, and increases in modern erosion rates were greatest for sections of coast where historically high rates of erosion have been recorded. Regionally, the Elson Lagoon study area shows some of the highest rates of erosion for the Barrow Peninsula, which are generally 2-3 times mean annual erosion rates recorded for the Chukchi Sea Coastline near Barrow. Regression tree analysis used to isolate the relative importance of different biophysical controls of erosion differ between analyses run for aerial and volumetric losses along the Elson Lagoon Coast. These analyses also highlight key differences in controls between sampling periods with high/low wind-wave activity. In particular, analyses show the important influence of wave energy, land cover type, and landscape geomorphic history on modern coastal erosion dynamics.

  5. Performance of Disease Risk Score Matching in Nested Case-Control Studies: A Simulation Study.

    PubMed

    Desai, Rishi J; Glynn, Robert J; Wang, Shirley; Gagne, Joshua J

    2016-05-15

    In a case-control study, matching on a disease risk score (DRS), which includes many confounders, should theoretically result in greater precision than matching on only a few confounders; however, this has not been investigated. We simulated 1,000 hypothetical cohorts with a binary exposure, a time-to-event outcome, and 13 covariates. Each cohort comprised 2 subcohorts of 10,000 patients each: a historical subcohort and a concurrent subcohort. DRS were estimated in the historical subcohorts and applied to the concurrent subcohorts. Nested case-control studies were conducted in the concurrent subcohorts using incidence density sampling with 2 strategies-matching on age and sex, with adjustment for additional confounders, and matching on DRS-followed by conditional logistic regression for 9 outcome-exposure incidence scenarios. In all scenarios, DRS matching yielded lower average standard errors and mean squared errors than did matching on age and sex. In 6 scenarios, DRS matching also resulted in greater empirical power. DRS matching resulted in less relative bias than did matching on age and sex at lower outcome incidences but more relative bias at higher incidences. Post-hoc analysis revealed that the effect of DRS model misspecification might be more pronounced at higher outcome incidences, resulting in higher relative bias. These results suggest that DRS matching might increase the statistical efficiency of case-control studies, particularly when the outcome is rare. © The Author 2016. Published by Oxford University Press on behalf of the Johns Hopkins Bloomberg School of Public Health. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

  6. Engineering and Environmental Study of DDT Contamination of Huntsville Spring Branch, Indian Creek, and Adjacent Lands and Waters, Wheeler Reservoir, Alabama. Volume 1. Summary.

    DTIC Science & Technology

    1980-11-01

    health effects. That aspect of the problem is being investigated by the Center for Disease Control in Atlanta. 2.0 EXTENT OF THE PROBLEM Historically...AIR POLLUTION CONTROL ACT OF 1971 111-85 8.12 OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION 111-85 8.13 EXECUTIVE ORDER 11988 111-85 8.14 EXECUTIVE...that was specifically excluded from this study was human health effects. That aspect of the problem is being investigated by the Center for Disease

  7. Historical reconstruction of wastewater and land use impacts to groundwater used for public drinking water: exposure assessment using chemical data and GIS.

    PubMed

    Swartz, Christopher H; Rudel, Ruthann A; Kachajian, Jennifer R; Brody, Julia G

    2003-09-01

    Land use in geographic areas that replenish groundwater and surface water resources is increasingly recognized as an important factor affecting drinking water quality. Efforts to understand the implications for health, particularly outcomes with long latency or critical exposure windows, have been hampered by lack of historical exposure data for unregulated pollutants. This limitation has hindered studies of the possible links between breast cancer risk and drinking water impacted by endocrine disrupting compounds and mammary carcinogens, for example. This paper describes a methodology to assess potential historical exposure to a broad range of chemicals associated with wastewater and land use impacts to 132 groundwater wells and one surface water body supplying drinking water to 18 public distribution systems on Cape Cod, MA. We calculated annual measures of impact to each distribution system and used the measures as exposure estimates for the residential addresses of control women in the Cape Cod Breast Cancer and Environment Study (Cape Cod Study). Impact was assessed using (1) historical chemical measurements of nitrate at the water supply sources (performed as required by the Safe Water Drinking Act) and (2) a geographic information system analysis of land use within the zones of contribution (ZOCs) delineated for each well in a state-mandated wellhead protection program. The period for which these impact estimates were developed (1972-1995) was constrained by the availability of chemical measurements and land use data and consideration of time required for groundwater transport of contaminants to the water supply wells. Trends in these estimates for Cape Cod suggest increasing impact to drinking water quality for land use over the study period. Sensitivity analyses were conducted to assess the effect on the distribution of controls' cumulative exposure estimates from (1) reducing the area of the ZOCs to reflect typical well operating conditions rather than extreme pumping conditions used for the regulatory ZOCs, (2) assuming residences received their drinking water entirely from the closest well or cluster of wells rather than a volume-weighted annual district-wide average, and (3) changing the travel time considered for contaminants to reach wells from land use sources. We found that the rank and distribution of controls' cumulative exposure estimates were affected most by the assumption concerning district mixing; in particular, assignment of exposure estimates based on impact values for the closest well(s) consistently produced a larger number of unexposed controls than when a district-wide average impact value was used. As expected, the results suggest that adequate characterization of water quality heterogeneity within water supplies is an important component of exposure assessment methodologies in health studies investigating impacted drinking water.

  8. Sweat chloride concentrations in children with Idiopathic Nephrotic Syndrome.

    PubMed

    Guglani, Lokesh; Moir, Devin; Jain, Amrish

    2016-01-01

    Idiopathic Nephrotic Syndrome (INS) has been believed to cause a false positive elevation of sweat chloride concentrations, as measured by the sweat test. Sweat tests were done for 11 children with acute onset INS at admission and again while they were in remission, with results being compared to normal historical controls. The initial sweat chloride concentration for 10 patients was normal (mean16.7 ± 11.02 mmol/L) and 1 patient had inadequate collection. This latter patient and two others were excluded during follow-up because of diagnoses other than INS. Sweat test results for the eight INS patients during follow up remained unchanged when they were in remission (16.94 ± 7.88 mmol/L; P = 0.98; Wilcoxon Matched-Pairs Signed Rank Test). In comparing sweat chloride concentrations from INS patients to those from 20 historical control subjects, we found no significant differences (Mann-Whitney Test; initial vs. control P = 0.643; follow up vs. control P = 0.806). INS does not cause a false positive sweat test. Further studies should be done to objectively assess the conditions that have been reported to affect sweat chloride concentrations. © 2015 Wiley Periodicals, Inc.

  9. Spontaneous Findings in the Eyes of Cynomolgus Monkeys ( Macaca fascicularis) of Mauritian Origin.

    PubMed

    Woicke, Jochen; Haile, Solomon; Mysore, Jagannatha; Peden, W Michael; Lejeune, Typhaine; Sanderson, Thomas; Brodie, Thomas

    2018-04-01

    Spontaneous findings noted in the eyes of Mauritian cynomolgus monkeys are described and descriptions are supplemented with illustrations. Findings observed after extensive histopathologic examinations (20 to 44 sections per eye) from 20 control, 17 treatment-naive stock monkeys, and 2 findings noted in drug-treated monkeys that were considered to be spontaneous are included. Also included are findings from 361 control monkeys of routine toxicity studies performed at our laboratories, for most of which a standard histopathological examination of 1 section per eye was conducted. Common observations in monkeys examined extensively and in historical controls were limited to lymphocytic or mononuclear cell infiltrations of the uvea and/or conjunctiva/sclera and, less commonly observed, melanocytoma of the ciliary body or iris. Findings noted only in monkeys examined extensively consisted of inflammation of the conjunctiva, ora serrata cysts, glial nodules, focal degeneration of the retina, cystoid degeneration of the central retina, ballooning degeneration of the ciliary epithelium, cyst of the ciliary body, and decreased pigmentation of the retinal pigment epithelium. Changes recorded only in historical controls included retinal atrophy and nuclear displacement in the retina. Lesions are discussed and compared with pertinent literature.

  10. Evaluation of CAESAR-Lisflood as a tool for modelling river channel change and floodplain sediment residence times.

    NASA Astrophysics Data System (ADS)

    Feeney, Christopher; Smith, Hugh; Chiverrell, Richard; Hooke, Janet; Cooper, James

    2017-04-01

    Sediment residence time represents the duration of particle storage, from initial deposition to remobilisation, within reservoirs such as floodplains. Residence time influences rates of downstream redistribution of sediment and associated contaminants and is a useful indicator of landform stability and hence, preservation potential of alluvial archives of environmental change. River channel change controls residence times, reworking sediments via lateral migration, avulsion and incision through floodplain deposits. As reworking progresses, the floodplain age distribution is 'updated', reflecting the time since 'older' sediments were removed and replaced with 'younger' ones. The relationship between ages and the spatial extents they occupy can be used to estimate the average floodplain sediment residence times. While dating techniques, historic maps and remote sensing can reconstruct age distributions from historic reworking, modelling provides advantages, including: i) capturing detailed river channel changes and resulting floodplain ages over longer timescales and higher resolutions than from historic mapping, and ii) control over inputs to simulate hypothetical scenarios to investigate the effects of different environmental drivers on residence times. CAESAR-Lisflood is a landform evolution model capable of simulating variable channel width, divergent flow, and both braided and meandering planforms. However, the model's ability to accurately simulate channel changes requires evaluation if it is to be useful for quantitative evaluation of floodplain sediment residence times. This study aims to simulate recent historic river channel changes along ten 1 km reaches in northern England. Simulation periods were defined by available overlapping historic map and mean daily flow datasets, ranging 27-39 years. LiDAR-derived 2 m DEMs were modified to smooth out present-day channels and burn in historic channel locations. To reduce run times, DEMs were resampled to coarser resolutions based on the size of the channel and historic rate of lateral channel migration. Separate pre-defined coarse and finer channel bed and floodplain grain size distributions were used, respectively, in combination with constructed reach DEMs for model simulations. Calibration was performed by modifying selected parameters to obtain best fits between observed and modelled channel planforms. Initial simulations suggest the model can broadly reproduce observed planform change and is comparable in terms of channel sinuosities and the mean radius of curvature. As such, CAESAR-Lisflood may provide a useful tool for evaluating floodplain sediment residence times under environmental change scenarios.

  11. Anthropocene streams and base-level controls from historic dams in the unglaciated mid-Atlantic region, USA

    USGS Publications Warehouse

    Merritts, Dorothy; Walter, Robert; Rahnis, Michael; Hartranft, Jeff; Cox, Scott; Gellis, Allen; Potter, Noel; Hilgartner, William; Langland, Michael; Manion, Lauren; Lippincott, Caitlin; Siddiqui, Sauleh; Rehman, Zain; Scheid, Chris; Kratz, Laura; Shilling, Andrea; Jenschke, Matthew; Datin, Katherine; Cranmer, Elizabeth; Reed, Austin; Matuszewski, Derek; Voli, Mark; Ohlson, Erik; Neugebauer, Ali; Ahamed, Aakash; Neal, Conor; Winter, Allison; Becker, Steven

    2011-01-01

    Recently, widespread valley-bottom damming for water power was identified as a primary control on valley sedimentation in the mid-Atlantic US during the late seventeenth to early twentieth century. The timing of damming coincided with that of accelerated upland erosion during post-European settlement land-use change. In this paper, we examine the impact of local drops in base level on incision into historic reservoir sediment as thousands of ageing dams breach. Analysis of lidar and field data indicates that historic milldam building led to local base-level rises of 2-5 m (typical milldam height) and reduced valley slopes by half. Subsequent base-level fall with dam breaching led to an approximate doubling in slope, a significant base-level forcing. Case studies in forested, rural as well as agricultural and urban areas demonstrate that a breached dam can lead to stream incision, bank erosion and increased loads of suspended sediment, even with no change in land use. After dam breaching, key predictors of stream bank erosion include number of years since dam breach, proximity to a dam and dam height. One implication of this work is that conceptual models linking channel condition and sediment yield exclusively with modern upland land use are incomplete for valleys impacted by milldams. With no equivalent in the Holocene or late Pleistocene sedimentary record, modern incised stream-channel forms in the mid-Atlantic region represent a transient response to both base-level forcing and major changes in land use beginning centuries ago. Similar channel forms might also exist in other locales where historic milling was prevalent.

  12. Interpretation in Historical Writing: The Study of Development in Librarianship.

    ERIC Educational Resources Information Center

    Colson, John Calvin

    Study of the development of libraries and librarianship may be done only historically, by analysis of the records of development. Such study necessarily is interpretive because historical study does not establish facts, but proceeds from them. In historical study an hypothesis may not be used as in scientific study, because the hypothesis is not…

  13. [Application of cohort study in cancer prevention and control].

    PubMed

    Dai, Min; Bai, Yana; Pu, Hongquan; Cheng, Ning; Li, Haiyan; He, Jie

    2016-03-01

    Cancer control is a long-term work. Cancer research and intervention really need the support of cohort study. In the recent years, more and more cohort studies on cancer control were conducted in China along with the increased ability of scientific research in China. Since 2010, Cancer Hospital, Chinese Academy of Medical Sciences, collaborated with Lanzhou University and the Worker' s Hospital of Jinchuan Group Company Limited, have carried out a large-scale cohort study on cancer, which covered a population of more than 50 000 called " Jinchang cohort". Since 2012, a National Key Public Health Project, "cancer screening in urban China" , has been conducted in Jinchang, which strengthened the Jinchang cohort study. Based on the Jinchang cohort study, historical cohort study, cross-sectional study and prospective cohort study have been conducted, which would provide a lot of evidence for the cancer control in China.

  14. Does chemotherapy improve survival in high-risk stage I and II Merkel cell carcinoma of the skin?

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

    Poulsen, Michael G.; Rischin, Danny; Porter, Ian

    2006-01-01

    Purpose: The effectiveness of synchronous carboplatin, etoposide, and radiation therapy in improving survival was evaluated by comparison of a matched set of historic control subjects with patients treated in a prospective Phase II study that used synchronous chemotherapy and radiation and adjuvant chemotherapy. Patients and Methods: Patients were included in the analysis if they had disease localized to the primary site and nodes, and they were required to have at least one of the following high-risk features: recurrence after initial therapy, involved nodes, primary size greater than 1 cm, or gross residual disease after surgery. All patients who received chemotherapymore » were treated in a standardized fashion as part of a Phase II study (Trans-Tasman Radiation Oncology Group TROG 96:07) from 1997 to 2001. Radiation was delivered to the primary site and nodes to a dose of 50 Gy in 25 fractions over 5 weeks, and synchronous carboplatin (AUC 4.5) and etoposide, 80 mg/m{sup 2} i.v. on Days 1 to 3, were given in Weeks 1, 4, 7, and 10. The historic group represents a single institution's experience from 1988 to 1996 and was treated with surgery and radiation alone, and patients were included if they fulfilled the eligibility criteria of TROG 96:07. Patients with occult cutaneous disease were not included for the purpose of this analysis. Because of imbalances in the prognostic variables between the two treatment groups, comparisons were made by application of Cox's proportional hazard modeling. Overall survival, disease-specific survival, locoregional control, and distant control were used as endpoints for the study. Results: Of the 102 patients who had high-risk Stage I and II disease, 40 were treated with chemotherapy (TROG 96:07) and 62 were treated without chemotherapy (historic control subjects). When Cox's proportional hazards modeling was applied, the only significant factors for overall survival were recurrent disease, age, and the presence of residual disease. For disease-specific survival, recurrent disease was the only significant factor. Primary site on the lower limb had an adverse effect on locoregional control. For distant control, the only significant factor was residual disease. Conclusions: The multivariate analysis suggests chemotherapy has no effect on survival, but because of the wide confidence limits, a chemotherapy effect cannot be excluded. A study of this size is inadequately powered to detect small improvements in survival, and a larger randomized study remains the only way to truly confirm whether chemotherapy improves the results in high-risk MCC.« less

  15. Interactive effects of biochar ageing in soils related to feedstock, pyrolysis temperature, and historic charcoal production.

    NASA Astrophysics Data System (ADS)

    Heitkötter, Julian; Marschner, Bernd

    2015-04-01

    Biochar is suggested for soil amelioration and carbon sequestration, based on its assumed role as the key factor for the long-term fertility of Terra preta soils. Several studies have shown that certain biochar properties can undergo changes through ageing processes, especially regarding charge characteristics. However, only a few studies determined the changes of different biochars under the same incubation conditions and in different soils. The objective of this study was to characterize the changes of pine chip (PC)- and corn digestate (CD)-derived biochars pyrolyzed at 400 or 600 °C during 100 days of laboratory incubation in a historical kiln soil and an adjacent control soil. Separation between soil and biochar was ensured by using mesh bags. Especially, changes in charge characteristics depended on initial biochar properties affected by feedstock and pyrolysis temperature and on soil properties affected by historic charcoal production. While the cation exchange capacity (CEC) markedly increased for both CD biochars during incubation, PC biochars showed no or only slight increases in CEC. Corresponding to the changes in CEC, ageing of biochars also increased the amount of acid functional groups with increases being in average about 2-fold higher in CD biochars than in PC biochars. Further and in contrast to other studies, the surface areas of biochars increased during ageing, likely due to ash leaching and degradation of tar residues. Changes in CEC and surface acidity of CD biochars were more pronounced after incubation in the control soil, while surface area increase was higher in the kiln soil. Since the two acidic forest soils used in this this study did not greatly differ in physical or chemical properties, the main process for inducing these differences in the buried biochar most likely is related to the differences in dissolved organic carbon (DOC). Although the kiln soil contained about 50% more soil organic carbon due to the presence of charcoal particles, extractable DOC was lower and less aromatic than in the adjacent control soil, likely due to strong sorption of dissolved organic matter (DOM) onto charcoal particles. We suggest that higher sorption of DOM onto the surface of biochar in the control soil provided additional acid functional groups and thus increased the surface charge to a greater extent than in the DOC poorer kiln soil. Hence, biochars incubated in the kiln soil showed less changes in CEC and surface acidity. Higher availability of DOM in the control soil could also stimulate microbial activity to a larger extent, resulting in higher oxidation rates of biochars incubated in the control soil.

  16. Joint geriatric and old-age psychiatric wards in the U.K., 1940s-early 1990s: a historical study.

    PubMed

    Hilton, Claire

    2014-10-01

    This study aims to investigate the history of joint geriatric-psychiatric units. For policy making and planning of high-quality clinical service models, clinical and social contexts need to be considered. Longitudinal, contextual information can be provided by historical analyses, including the successes and failures of earlier, similar services. Historical analyses complement clinical, randomised controlled studies and may contribute to ensuring optimum outcomes for future schemes. Standard historical methodology was used, including searching published sources and institutional and personal archives and conducting a 'witness seminar' and individual oral history interviews. Proposals to create joint units have existed since 1947. Most clinically successful units were led by enthusiastic, dedicated clinicians. Joint units had the potential to provide appropriate assessment and treatment for patients with multiple disorders and education for staff and students. Joint units never became widespread. Reasons for the limited success of joint geriatric-psychiatric units might have included personalities of individuals, administrative boundaries separating geriatrics and medicine, unequal numbers of geriatricians and old-age psychiatrists, varying professional ideologies about the meaning of 'integrated' services, lack of reciprocity for each other's inpatients and lack of government support. Identified stumbling blocks need to be considered when planning joint clinical schemes. If current research indicates benefits of integrated wards for patients and their families, there needs to be ways to ensure that personal factors and fashions of management or government re-prioritisation will not lead to their premature termination. Copyright © 2014 John Wiley & Sons, Ltd.

  17. Explosive activity associated with the growth of volcanic domes

    USGS Publications Warehouse

    Newhall, C.G.; Melson, W.G.

    1983-01-01

    Domes offer unique opportunities to measure or infer the characteristics of magmas that, at domes and elsewhere, control explosive activity. A review of explosive activity associated with historical dome growth shows that: 1. (1) explosive activity has occurred in close association with nearly all historical dome growth; 2. (2) whole-rock SiO2 content, a crude but widely reported indicator of magma viscosity, shows no systematic relationship to the timing and character of explosions; 3. (3) the average rate of dome growth, a crude indicator of the rate of supply of magma and volatiles to the near-surface enviornment, shows no systematic relationship to the timing or character of explosions; and 4. (4) new studies at Arenal and Mount St. Helens suggest that water content is the dominant control on explosions from water-rich magmas, whereas the crystal content and composition of the interstitial melt (and hence magma viscosity) are equally or more important controls on explosions from water-poor magmas. New efforts should be made to improve current, rather limited techniques for monitoring pre-eruption volatile content and magma viscosity, and thus the explosive potential of magmas. ?? 1983.

  18. 15. INTERIOR OVERVIEW TO SOUTHEAST. ACTIVE CONTROL PANEL AND GENERATORS ...

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

    15. INTERIOR OVERVIEW TO SOUTHEAST. ACTIVE CONTROL PANEL AND GENERATORS AT LEFT, HISTORIC CONTROL PANEL AT RIGHT. - Santa Ana River Hydroelectric System, SAR-1 Powerhouse, Redlands, San Bernardino County, CA

  19. The Extinction of Dengue through Natural Vulnerability of Its Vectors

    PubMed Central

    Williams, Craig R.; Bader, Christie A.; Kearney, Michael R.; Ritchie, Scott A.; Russell, Richard C.

    2010-01-01

    Background Dengue is the world's most important mosquito-borne viral illness. Successful future management of this disease requires an understanding of the population dynamics of the vector, especially in the context of changing climates. Our capacity to predict future dynamics is reflected in our ability to explain the significant historical changes in the distribution and abundance of the disease and its vector. Methodology/Principal Findings Here we combine daily weather records with simulation modelling techniques to explain vector (Aedes aegypti (L.)) persistence within its current and historic ranges in Australia. We show that, in regions where dengue presently occurs in Australia (the Wet Tropics region of Far North Queensland), conditions are persistently suitable for year-round adult Ae. aegypti activity and oviposition. In the historic range, however, the vector is vulnerable to periodic extinction due to the combined influence of adult activity constraints and stochastic loss of suitable oviposition sites. Conclusions/Significance These results, together with changes in water-storage behaviour by humans, can explain the observed historical range contraction of the disease vector. For these reasons, future eradication of dengue in wet tropical regions will be extremely difficult through classical mosquito control methods alone. However, control of Ae. aegypti in sub-tropical and temperate regions will be greatly facilitated by government policy regulating domestic water-storage. Exploitation of the natural vulnerabilities of dengue vectors (e.g., habitat specificity, climatic limitations) should be integrated with the emerging novel transgenic and symbiotic bacterial control techniques to develop future control and elimination strategies. PMID:21200424

  20. Process identification of the SCR system of coal-fired power plant for de-NOx based on historical operation data.

    PubMed

    Li, Jian; Shi, Raoqiao; Xu, Chuanlong; Wang, Shimin

    2018-05-08

    The selective catalytic reduction (SCR) system, as one principal flue gas treatment method employed for the NO x emission control of the coal-fired power plant, is nonlinear and time-varying with great inertia and large time delay. It is difficult for the present SCR control system to achieve satisfactory performance with the traditional feedback and feedforward control strategies. Although some improved control strategies, such as the Smith predictor control and the model predictive control, have been proposed for this issue, a well-matched identification model is essentially required to realize a superior control of the SCR system. Industrial field experiment is an alternative way to identify the SCR system model in the coal-fired power plant. But it undesirably disturbs the operation system and is costly in time and manpower. In this paper, a process identification model of the SCR system is proposed and developed by applying the asymptotic method to the sufficiently excited data, selected from the original historical operation database of a 350 MW coal-fired power plant according to the condition number of the Fisher information matrix. Numerical simulations are carried out based on the practical historical operation data to evaluate the performance of the proposed model. Results show that the proposed model can efficiently achieve the process identification of the SCR system.

  1. Genetic affinities among the historical provinces of Romania and Central Europe as revealed by an mtDNA analysis.

    PubMed

    Cocoş, Relu; Schipor, Sorina; Hervella, Montserrat; Cianga, Petru; Popescu, Roxana; Bănescu, Claudia; Constantinescu, Mihai; Martinescu, Alina; Raicu, Florina

    2017-03-07

    As a major crossroads between Asia and Europe, Romania has experienced continuous migration and invasion episodes. The precise routes may have been shaped by the topology of the territory and had diverse impacts on the genetic structure of mitochondrial DNA (mtDNA) in historical Romanian provinces. We studied 714 Romanians from all historical provinces, Wallachia, Dobrudja, Moldavia, and Transylvania, by analyzing the mtDNA control region and coding markers to encompass the complete landscape of mtDNA haplogroups. We observed a homogenous distribution of the majority of haplogroups among the Romanian provinces and a clear association with the European populations. A principal component analysis and multidimensional scaling analysis supported the genetic similarity of the Wallachia, Moldavia, and Dobrudja groups with the Balkans, while the Transylvania population was closely related to Central European groups. These findings could be explained by the topology of the Romanian territory, where the Carpathian Arch played an important role in migration patterns. Signals of Asian maternal lineages were observed in all Romanian historical provinces, indicating gene flow along the migration routes through East Asia and Europe. Our current findings based on the mtDNA analysis of populations in historical provinces of Romania suggest similarity between populations in Transylvania and Central Europe, supported both by the observed clines in haplogroup frequencies for several European and Asian maternal lineages and MDS analyses.

  2. Effects of Historical and Social Variables on Instruction Following

    ERIC Educational Resources Information Center

    Kroger-Costa, Andreia; Abreu-Rodrigues, Josele

    2012-01-01

    The present study investigated the effect of the presence of the experimenter on behavioral sensitivity to contingency change. In history training, college students were exposed to differential reinforcement of low rate (DRL) and fixed-ratio (FR) schedules, and in testing, to a fixed-interval (FI) schedule. For the control group, instructions were…

  3. Adaptive Search through Constraint Violations

    DTIC Science & Technology

    1990-01-01

    procedural) knowledge? Different methodologies are used to investigate these questions: Psychological experiments, computer simulations, historical studies...learns control knowledge through adaptive search. Unlike most other psychological models of skill acquisition, HS is a model of analytical, or...Newzll, 1986; VanLehn, in press). Psychological models of skill acquisition employ different problem solving mechanisms (forward search, backward

  4. Wellness and College Type in African American Male College Students: An Examination of Differences

    ERIC Educational Resources Information Center

    Spurgeon, Shawn L.

    2009-01-01

    African American male students (N = 203) attending a historically Black college or university (HBCU) and a predominantly White institution (PWI) participated in a study to determine differences in wellness. HBCU students scored significantly higher than did PWI students on Friendship, Love, Sense of Control, and Gender Identity. PWI students…

  5. Balancing the Equation: Do Course Variations in Algebra 1 Provide Equal Student Outcomes?

    ERIC Educational Resources Information Center

    Kenfield, Danielle M.

    2013-01-01

    Historically, algebra has served as a gatekeeper that divides students into academic programs with varying opportunities to learn and controls access to higher education and career opportunities. Successful completion of Algebra 1 demonstrates mathematical proficiency and allows access to a sequential and progressive path of advanced study that…

  6. Aboriginal Employment & Training Program Development--Toward an Internally Controlled Process.

    ERIC Educational Resources Information Center

    Stevenson, Phyllis Fay

    A case study was conducted of the Peguis Adult High School program (PAHS), a community-based adult education in a Manitoba First Nation community for repeat dropouts and students who did not fit into regular high school. A literature review of the historical relationship between federal/provincial governments and First Nation communities examined…

  7. School-Based Management: The Changing Locus of Control in American Public Education.

    ERIC Educational Resources Information Center

    Drury, Darrel; Levin, Douglas

    School-based management is a reinvention and countermovement to a broader historical trend to centralize and standardize American education. The present study represents one component of the Organisation for Economic Cooperation and Development's project to investigate how schools in 12 member nations can most effectively respond to recent…

  8. Use of electronic nose technology to identify cattle experimentally infected with Mycobacterium bovis: A pilot study

    USDA-ARS?s Scientific Manuscript database

    Electronic nose technology has historically been utilized for the detection of volatile organic compounds (VOCs) and semi-volatile compounds in air, soil, water, and for quality control in food, beverage and cosmetic industries. Breath analysis has been used experimentally in humans and animals to ...

  9. James Webb Space Telescope Out of Chamber “A” on This Week @NASA – December 1, 2017

    NASA Image and Video Library

    2017-12-01

    Our James Webb Space Telescope is now out of the historic Chamber A vacuum facility at our Johnson Space Center in Houston, after completing cryogenic testing designed to ensure the telescope works well in the cold, airless environment of space. Set to launch in 2019, Webb will study every phase in the history of our Universe, starting with the first luminous glows following the Big Bang. Also, NASA’s Next Mars Rover Mission, New Space Station Crew Trains for Launch, Update for Next SpaceX Launch to Space Station, Giant Black Hole Pair Photobombs Andromeda Galaxy, and Historic Apollo Mission Control Center Will Be Restored!

  10. Teaching and Learning with Online Historical Maps

    ERIC Educational Resources Information Center

    Bolick, Cheryl Mason

    2006-01-01

    Teaching social studies with historical maps allows teachers and students not only to examine a historical event or place, but to analyze the story behind the map. Historical maps can provide insight into the people and cultures of earlier times. Studying these historic maps may help students challenge the notion that people of earlier time…

  11. Nuclear Technology Requires Control by the People, anywhere on Our Planet.

    NASA Astrophysics Data System (ADS)

    Synek, Miroslav

    2000-03-01

    ------- Human society on our planet, in its historical development, utilizing the knowledge of physics, has reached a powerful technology of nuclear intercontinental ballistic missiles, conceivably controllable through a computerized "push-button". Whenever this technology falls under the control of an irresponsible , miscalculating, or, insane, DICTATOR, with powerful means of a mass-produced nuclear built-up, anywhere on our planet, the very survival of all humanity on our planet could be threatened. --- Therefore, it is a historical urgency that this technology is under the control by a government of the people, by the people and for the people, based on a sufficiently secure system of FREE ELECTIONS, in any country on our planet, wherever and whenever such a threatening possibility exists.

  12. Spatiotemporal air pollution exposure assessment for a Canadian population-based lung cancer case-control study

    PubMed Central

    2012-01-01

    Background Few epidemiological studies of air pollution have used residential histories to develop long-term retrospective exposure estimates for multiple ambient air pollutants and vehicle and industrial emissions. We present such an exposure assessment for a Canadian population-based lung cancer case-control study of 8353 individuals using self-reported residential histories from 1975 to 1994. We also examine the implications of disregarding and/or improperly accounting for residential mobility in long-term exposure assessments. Methods National spatial surfaces of ambient air pollution were compiled from recent satellite-based estimates (for PM2.5 and NO2) and a chemical transport model (for O3). The surfaces were adjusted with historical annual air pollution monitoring data, using either spatiotemporal interpolation or linear regression. Model evaluation was conducted using an independent ten percent subset of monitoring data per year. Proximity to major roads, incorporating a temporal weighting factor based on Canadian mobile-source emission estimates, was used to estimate exposure to vehicle emissions. A comprehensive inventory of geocoded industries was used to estimate proximity to major and minor industrial emissions. Results Calibration of the national PM2.5 surface using annual spatiotemporal interpolation predicted historical PM2.5 measurement data best (R2 = 0.51), while linear regression incorporating the national surfaces, a time-trend and population density best predicted historical concentrations of NO2 (R2 = 0.38) and O3 (R2 = 0.56). Applying the models to study participants residential histories between 1975 and 1994 resulted in mean PM2.5, NO2 and O3 exposures of 11.3 μg/m3 (SD = 2.6), 17.7 ppb (4.1), and 26.4 ppb (3.4) respectively. On average, individuals lived within 300 m of a highway for 2.9 years (15% of exposure-years) and within 3 km of a major industrial emitter for 6.4 years (32% of exposure-years). Approximately 50% of individuals were classified into a different PM2.5, NO2 and O3 exposure quintile when using study entry postal codes and spatial pollution surfaces, in comparison to exposures derived from residential histories and spatiotemporal air pollution models. Recall bias was also present for self-reported residential histories prior to 1975, with cases recalling older residences more often than controls. Conclusions We demonstrate a flexible exposure assessment approach for estimating historical air pollution concentrations over large geographical areas and time-periods. In addition, we highlight the importance of including residential histories in long-term exposure assessments. For submission to: Environmental Health PMID:22475580

  13. Cryptococcal meningitis management in Tanzania with strict schedule of serial lumber punctures using intravenous tubing sets: an operational research study.

    PubMed

    Meda, John; Kalluvya, Samuel; Downs, Jennifer A; Chofle, Awilly A; Seni, Jeremiah; Kidenya, Benson; Fitzgerald, Daniel W; Peck, Robert N

    2014-06-01

    Cryptococcal meningitis (CM) has a mortality rate of ∼70% among HIV-infected adults in low-income countries. Controlling intracranial pressure (ICP) is essential in CM, but it is difficult in low-income countries because manometers and practical ICP management protocols are lacking. As part of a continuous quality improvement project, our Tanzanian hospital initiated a new protocol for ICP management for CM. All adult inpatients with CM are included in a prospective patient registry. At the time of analysis, this registry included data from 2 years before the initiation of this new ICP management protocol and for a 9-month period after. ICP was measured at baseline and at days 3, 7, and 14 by both manometer and intravenous (IV) tubing set. All patients were given IV fluconazole according to Tanzanian treatment guidelines and were followed until 30 days after admission. Among adult inpatients with CM, 32 of 35 patients (91%) had elevated ICP on admission. Cerebrospinal fluid pressure measurements using the improvised IV tubing set demonstrated excellent agreement (r = 0.96) with manometer measurements. Compared with historical controls, the new ICP management protocol was associated with a significant reduction in 30-day mortality (16/35 [46%] vs. 48/64 [75%] in historical controls; hazard ratio = 2.1 [95% CI: 1.1 to 3.8]; P = 0.018]. Increased ICP is almost universal among HIV-infected adults admitted with CM in Tanzania. Intensive ICP management with a strict schedule of serial lumbar punctures reduced in-hospital mortality compared with historical controls. ICP measurement with IV tubing sets may be a good alternative in resource-limited health facilities where manometers are not available.

  14. Historical and Cultural Perspectives on Centralization/Decentralization in Continuing Education.

    ERIC Educational Resources Information Center

    Edelson, Paul J.

    1995-01-01

    Views centralization/decentralization from four perspectives: historical, as an outgrowth of professionalism, in the culture of higher education, and management theory. Suggests that some form of centralized control will always be necessary if continuing education is to function in a larger organization, but smaller units may be the wave of the…

  15. 83. Photographic copy of historic photo, December 16, 1929 (original ...

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

    83. Photographic copy of historic photo, December 16, 1929 (original print filed in Record Group 115, National Archives, Washington, D.C.). OWYHEE DAM-LOOKING DOWNSTREAM FROM UPPER COFFERDAM (POINT #15) SHOWING CREVICE AND KEYWAY CUTOFF; ALSO CABLEWAY CONTROL HOUSE AND ENTRANCE ADIT. - Owyhee Dam, Across Owyhee River, Nyssa, Malheur County, OR

  16. 76 FR 71601 - Record of Decision, Long Walk National Historic Trail Feasibility Study/Abbreviated Final...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-11-18

    ... National Historic Trail Feasibility Study/Abbreviated Final Environmental Impact Statement, National Trails... Decision on the Abbreviated Final Environmental Impact Statement for the Long Walk National Historic Trail... Final Environmental Impact Statement for the Long Walk National Historic Trail Feasibility Study...

  17. Southeast Florida Sediment Assessment and Needs Determination (SAND) Study

    DTIC Science & Technology

    2014-09-01

    of previous studies, geophysical, geotechnical, and geomorphic data sets in their analysis, primarily deviating from one another in controlling... geomorphic features of the continental shelf north of latitude N26º 40’ (geographically around the upland location of Lake Worth Inlet, Florida) by cross...2012 NOAA bathymetry, recent borings, and historical seismic data to delineate shoal, flat, rock exposure, and other geomorphic boundaries. The

  18. Effectiveness of Fire and Fire Surrogate Treatments For Controlling Wildfire Behavior in Piedmont Forests: A Simulation Study

    Treesearch

    Helen H. Mohr; Thomas A. Waldrop; Sandra Rideout; Ross J. Phillips; Charles T. Flint

    2004-01-01

    The need for fuel reduction has increased in United States forests due to decades of fire exclusion. Excessive fuel buildup has led to uncharacteristically severe fires in areas with historically short-interval, low-to-moderate-intensity fire regimes. The National Fire and Fire Surrogate (NFFS) Study compared the impacts of three fuel-reduction treatments on numerous...

  19. Sensitivity of intermittent streams to climate variations in the United States

    NASA Astrophysics Data System (ADS)

    Eng, K.

    2015-12-01

    There is growing interest in the effects of climate change on streamflows because of the potential negative effects on aquatic biota and water supplies. Previous studies of climate controls on flows have primarily focused on perennial streams, and few studies have examined the effect of climate variability on intermittent streams. Our objectives in this study were to (1) identify regions showing similar patterns of intermittency, and (2) evaluate the sensitivity of intermittent streams to historical variability in climate in the United States. This study was carried out at 265 intermittent streams by evaluating: (1) correlations among time series of flow metrics (number of zero-flow events, the average of the central 50% and largest 10% of flows) with precipitation (magnitudes, durations and intensity) and temperature, and (2) decadal changes in the seasonality and long-term trends of these flow metrics. Results identified five distinct seasonal patterns of flow intermittency: fall, fall-to-winter, non-seasonal, summer, and summer-to-winter intermittent streams. In addition, strong associations between the low-flow metrics and historical climate variability were found. However, the lack of trends in historical variations in precipitation results in no significant seasonal shifts or decade-to-decade trends in the low-flow metrics over the period of record (1950 to 2013).

  20. Commentary on: Are we overpathologizing everyday life? A tenable blueprint for behavioral addiction research. Addictions as a psychosocial and cultural construction.

    PubMed

    van der Linden, Martial

    2015-09-01

    This commentary proposes a complementary perspective to that developed by Billieux, Schimmenti, Khazaal, Maurage and Heeren (2015). The addiction-as-disease approach tends to sideline explanatory factors of a psychosocial, cultural, political, or historical nature. I therefore suggest taking into account not only the personal characteristics (loss of self-control, impulsivity) related to the disease model, but also the social determinants of addictive behaviors (weak social ties, social exclusion, hyperindividualism, poverty, unemployment, etc.). Moreover, the disease model of addiction removes addictive behaviors from the cultural and historical contexts that shape them. I argue that the cultural and historical reasons for which certain factors (such as loss of self-control) became so important in the explanation of addictive behaviors should be more thoroughly considered.

  1. Brainwashing, LSD, and CIA: historical and ethical perspective.

    PubMed

    Buckman, J

    1977-01-01

    The history of various attempts at thought control and chemical warfare is briefly reviewed. Brainwashing, thought control, industrial and national espionage, and covert activities are becoming more sophisticated. These issues have been revived and accentuated by the Vietnam war, the Middle East Crisis, Watergate, the CIA investigations and the Patty Hearst trial. Historical perspective and the ethical implications of these activities are explored. It is suggested that there is a growing level of individual and international mistrust amounting to paranoia and complicating the issues of individual freedom, civil rights and human experimentation.

  2. Historical Thinking: An Evaluation of Student and Teacher Ability to Analyze Sources

    ERIC Educational Resources Information Center

    Cowgill, Daniel Armond, II; Waring, Scott M.

    2017-01-01

    The purpose of this study was to partially replicate the "Historical Problem Solving: A Study of the Cognitive Process Using Historical Evidence" study conducted by Sam Wineburg in 1991. The Historical Problem Solving study conducted by Wineburg (1991) sought to compare the ability of historians and top level students, as they analyzed…

  3. New Opportunities of Low-Cost Photogrammetry for Culture Heritage Preservation

    NASA Astrophysics Data System (ADS)

    Shults, R.

    2017-05-01

    In the paper, the questions of using the technologies of low-cost photogrammetry in combination with the additional capabilities of modern smartphones are considered. The research was carried out on the example of documenting the historical construction of the II World War - the Kiev Fortified Region. Brief historical information about the object of research is given. The possibilities of using modern smartphones as measuring instruments are considered. To get high-quality results, the camera of the smartphone was calibrated. The calibration results were used in the future to perform 3D modeling of defense facilities. Photographing of three defense structures in a different state: destroyed, partially destroyed and operating was carried out. Based on the results of photography using code targets, 3D object models were constructed. To verify the accuracy of the 3D modelling, control measurements of the lines between the code targets at the objects were performed. The obtained results are satisfying, and the technology considered in the paper can be recommended for use in performing archaeological and historical studies.

  4. Reconstruction of the 1945 Wieringermeer Flood

    NASA Astrophysics Data System (ADS)

    Hoes, O. A. C.; Hut, R. W.; van de Giesen, N. C.; Boomgaard, M.

    2013-03-01

    The present state-of-the-art in flood risk assessment focuses on breach models, flood propagation models, and economic modelling of flood damage. However, models need to be validated with real data to avoid erroneous conclusions. Such reference data can either be historic data, or can be obtained from controlled experiments. The inundation of the Wieringermeer polder in the Netherlands in April 1945 is one of the few examples for which sufficient historical information is available. The objective of this article is to compare the flood simulation with flood data from 1945. The context, the breach growth process and the flood propagation are explained. Key findings for current flood risk management addresses the importance of the drainage canal network during the inundation of a polder, and the uncertainty that follows from not knowing the breach growth parameters. This case study shows that historical floods provide valuable data for the validation of models and reveal lessons that are applicable in current day flood risk management.

  5. Global imprint of historical connectivity on freshwater fish biodiversity.

    PubMed

    Dias, Murilo S; Oberdorff, Thierry; Hugueny, Bernard; Leprieur, Fabien; Jézéquel, Céline; Cornu, Jean-François; Brosse, Sébastien; Grenouillet, Gael; Tedesco, Pablo A

    2014-09-01

    The relative importance of contemporary and historical processes is central for understanding biodiversity patterns. While several studies show that past conditions can partly explain the current biodiversity patterns, the role of history remains elusive. We reconstructed palaeo-drainage basins under lower sea level conditions (Last Glacial Maximum) to test whether the historical connectivity between basins left an imprint on the global patterns of freshwater fish biodiversity. After controlling for contemporary and past environmental conditions, we found that palaeo-connected basins displayed greater species richness but lower levels of endemism and beta diversity than did palaeo-disconnected basins. Palaeo-connected basins exhibited shallower distance decay of compositional similarity, suggesting that palaeo-river connections favoured the exchange of fish species. Finally, we found that a longer period of palaeo-connection resulted in lower levels of beta diversity. These findings reveal the first unambiguous results of the role played by history in explaining the global contemporary patterns of biodiversity. © 2014 John Wiley & Sons Ltd/CNRS.

  6. Clinical Outcomes of Virologically-Suppressed Patients with Pre-existing HIV-1 Drug Resistance Mutations Switching to Rilpivirine/Emtricitabine/Tenofovir Disoproxil Fumarate in the SPIRIT Study.

    PubMed

    Porter, Danielle P; Toma, Jonathan; Tan, Yuping; Solberg, Owen; Cai, Suqin; Kulkarni, Rima; Andreatta, Kristen; Lie, Yolanda; Chuck, Susan K; Palella, Frank; Miller, Michael D; White, Kirsten L

    2016-02-01

    Antiretroviral regimen switching may be considered for HIV-1-infected, virologically-suppressed patients to enable treatment simplification or improve tolerability, but should be guided by knowledge of pre-existing drug resistance. The current study examined the impact of pre-existing drug resistance mutations on virologic outcomes among virologically-suppressed patients switching to Rilpivirine (RPV)/emtricitabine (FTC)/tenofovir disoproxil fumarate (TDF). SPIRIT was a phase 3b study evaluating the safety and efficacy of switching to RPV/FTC/TDF in virologically-suppressed HIV-1-infected patients. Pre-existing drug resistance at baseline was determined by proviral DNA genotyping for 51 RPV/FTC/TDF-treated patients with known mutations by historical RNA genotype and matched controls and compared with clinical outcome at Week 48. Drug resistance mutations in protease or reverse transcriptase were detected in 62.7% of patients by historical RNA genotype and in 68.6% by proviral DNA genotyping at baseline. Proviral DNA sequencing detected 89% of occurrences of NRTI and NNRTI resistance-associated mutations reported by historical genotype. Mutations potentially affecting RPV activity, including E138A/G/K/Q, Y181C, and H221Y, were detected in isolates from 11 patients by one or both assays. None of the patients with single mutants had virologic failure through Week 48. One patient with pre-existing Y181Y/C and M184I by proviral DNA genotyping experienced virologic failure. Nineteen patients with K103N present by historical genotype were confirmed by proviral DNA sequencing and 18/19 remained virologically-suppressed. Virologic success rates were high among virologically-suppressed patients with pre-existing NRTI and NNRTI resistance-associated mutations who switched to RPV/FTC/TDF in the SPIRIT study. While plasma RNA genotyping remains preferred, proviral DNA genotyping may provide additional value in virologically-suppressed patients for whom historical resistance data are unavailable.

  7. The Controlled Cortical Impact Model of Experimental Brain Trauma: Overview, Research Applications, and Protocol.

    PubMed

    Osier, Nicole; Dixon, C Edward

    2016-01-01

    Controlled cortical impact (CCI) is a commonly used and highly regarded model of brain trauma that uses a pneumatically or electromagnetically controlled piston to induce reproducible and well-controlled injury. The CCI model was originally used in ferrets and it has since been scaled for use in many other species. This chapter will describe the historical development of the CCI model, compare and contrast the pneumatic and electromagnetic models, and summarize key short- and long-term consequences of TBI that have been gleaned using this model. In accordance with the recent efforts to promote high-quality evidence through the reporting of common data elements (CDEs), relevant study details-that should be reported in CCI studies-will be noted.

  8. A multi-proxy reconstruction of millennial scale drought history for Northern England

    NASA Astrophysics Data System (ADS)

    Macdonald, Dr; Chiverrell, Dr; Hind, Ms; Todd, Ms; Charman, Dr

    2012-04-01

    Drought is one of the major natural hazards experienced worldwide; they are complex with both causes and multifaceted impacts poorly understood. Few studies of drought events from a long-term perspective have been undertaken in the UK. This presents problems in determining important drought characteristics such as duration, frequency and severity. In order to undertake robust drought analyses reliable long-term data are required. Historical records have long been recognised as valuable data sources within historical climatology; however, the application of historical records in drought analysis is in its infancy, with few historical studies considering drought. This paper presents a reconstruction of drought events for NW England, from around AD 1000 to 2009, drawing upon instrumental, historical and sedimentary records. The drought record is extended to a millennial timescale by coupling the long, continuous instrumental meteorological records available for this area since the late 18th century, with descriptive historical accounts of droughts (since c.AD 1600) and a sedimentary peat sequences from an ombrotrophic mire (Butterburn Flow), where a water table variation history has been inferred from sub-fossil testate amoebae. The testate amoebae analyses were undertaken at 3mm sampling resolution, providing a sub-decadal (2-5 year) sample resolution. Calibration of the sedimentary sequences to the instrument series over the last c.250 years, coupled with chronological control provided by air fall pollutants (Pb and Zn) histories and radiocarbon dating, reveals a detailed millennial drought-dry phase history. The results identify a number of severe droughts - dry phases that have been of longer duration and of greater severity than the 1976 drought, the most memorable drought in living memory in the UK. The results of this work illustrate that current water resource management plans within the UK would struggle to maintain potable water supplies, indicating the need for greater resilience within current water management plans.

  9. Study on the relationship between the opening of environmental tax and the prevention and control of air pollution in China

    NASA Astrophysics Data System (ADS)

    Gao, Guilin; Wang, Tianyi

    2018-03-01

    This article systematically expounds the status quo and sources of air pollution, the experience of foreign environmental tax policy, the advantages and disadvantages of environmental taxes levied in our country through literature research, historical analysis and comparative analysis and put forward recommendations on tax policy of prevention and control of air pollution by combining with the specific national conditions in our country. As one of the basic means of national macro-control, the tax policy is the major countermeasure that cannot be ignored in the prevention and control of air pollution. Studying the tax policy of prevention and control of air pollution will help to effectively control air pollution, develop a green economy and recycle economy and achieve the goal of improving environmental quality.

  10. Powerful nuclear technology, anywhere, requires functioning system of free elections

    NASA Astrophysics Data System (ADS)

    Synek, Miroslav

    2000-03-01

    Historical development on our planet, utilizing the knowledge of physics, has reached a powerful technology of nuclear intercontinental ballistic missiles, conceivably controllable through a computerized ``push-button". Whenever this technology falls under the control of an irresponsible, miscalculating, or, insane, dictator, with powerful means of a mass-produced nuclear built-up, anywhere on our planet, the very survival of all humanity on our planet could be threatened. Therefore, it is a historical urgency that this technology is under the control by a government of the people, by the people and for the people, based on a sufficiently secure system of free elections, in any country on our planet, wherever and whenever such a threatening possibility exists.

  11. Bassett Creek Watershed, Hennepin County, Minnesota. Feasibility Report for Flood Control.

    DTIC Science & Technology

    1976-03-01

    acuat ion of oc residence in the upper wnter- hl~t., ail .- [it iliii.lnC (f e loial f lood plain ordtinances moidif i(d to rc.l et ,,rnpo.-,,1 ,,,ni i...groups such as insects , earthworms, clams and snails. ’HISTORICAL AND ARCHAEOLOGICAL RESOURCES Coordination with state and county historical

  12. Democracy is a historical urgency

    NASA Astrophysics Data System (ADS)

    Synek, Miroslav

    2014-03-01

    Survival of human society on this planet depends heavily on coping with advanced nuclear technological development. Democracy is a historical urgency, in the age of intercontinental nuclear missiles, computerized on a push-button, conceivably controllable by a miscalculating, suicidal and very powerful dictator, producing a global nuclear holocaust, on our entire planet. Diplomacy should help humanity to approach the contemporary situation.

  13. The historical foundations of prescribed burning for wildlife: a southeastern perspective

    Treesearch

    A. Sydney Johnson; Philip E. Hale

    2002-01-01

    Controlled burning has deep historical roots in the South, where the practice was quickly adopted from the Indians by early European settlers. It became used widely, primarily to improve forage conditions for free-ranging cattle and to improve visibility and access. Likewise, hunting is deeply imbedded in southern culture and was an attraction to visitors throughout...

  14. New from the Old - Measuring Coastal Cliff Change with Historical Oblique Aerial Photos

    NASA Astrophysics Data System (ADS)

    Warrick, J. A.; Ritchie, A.

    2016-12-01

    Oblique aerial photographs are commonly collected to document coastal landscapes. Here we show that these historical photographs can be used to develop topographic models with Structure-from-Motion (SfM) photogrammetric techniques if adequate photo-to-photo overlaps exist. Focusing on the 60-m high cliffs of Fort Funston, California, photographs from the California Coastal Records Project were combined with ground control points to develop topographic point clouds of the study area for five years between 2002 and 2010. Uncertainties in the results were assessed by comparing SfM-derived point clouds with airborne lidar data, and the differences between these data were related to the number and spatial distribution of ground control points used in the SfM analyses. With six or more ground control points the root mean squared error between the SfM and lidar data was less than 0.3 m (minimum = 0.18 m) and the mean systematic error was consistently less than 0.10 m. Because of the oblique orientation of the imagery, the SfM-derived point clouds provided coverage on vertical to overhanging portions of the cliff, and point densities from the SfM techniques averaged between 17 and 161 points/m2 on the cliff face. The time-series of topographic point clouds revealed many topographic changes, including landslides, rockfalls and the erosion of landslide talus along the Fort Funston beach. Thus, we concluded that historical oblique photographs, such as those generated by the California Coastal Records Project, can provide useful tools for mapping coastal topography and measuring coastal change.

  15. Outcomes from a Computer-Assisted Intervention Simultaneously Targeting Cannabis and Tobacco Use

    PubMed Central

    Lee, Dustin C.; Budney, Alan J.; Brunette, Mary F.; Hughes, John R.; Etter, Jean-Francois; Stanger, Catherine

    2015-01-01

    BACKGROUND Cannabis users frequently report concurrent tobacco use, and tobacco use is associated with poorer outcomes during treatment for cannabis use disorders (CUD). Interventions that simultaneously target both tobacco and cannabis use disorders may enhance cessation outcomes for either or both substances. METHODS This study evaluated an intervention integrating highly effective treatments for cannabis and tobacco use disorders. Thirty-two participants meeting diagnostic criteria for CUD and reporting daily tobacco use were enrolled in a 12-week computer-assisted behavioral treatment for CUD. Participants were encouraged to participate in a tobacco intervention that included a computer-assisted behavioral treatment tailored for tobacco and cannabis co-users, and nicotine-replacement therapy (NRT). Cannabis and tobacco outcomes were evaluated using descriptive statistics and were compared to a historical control group that received treatment for CUD but not tobacco. RESULTS Participants achieved 3.6 ± 4.3 consecutive weeks of cannabis abstinence, which was comparable to the historical control group (3.1 ± 4.4). A majority of the sample (78%) completed at least one tobacco module and 44% initiated NRT. Over half (56%) initiated tobacco quit attempts, and 28% were tobacco abstinent for at least two consecutive weeks. Participants showed greater reduction in tobacco use (cigarettes per day) than the historical control group, but differences in tobacco abstinence rates during the final month of treatment were not statistically significant (12.5% vs 4%). CONCLUSION Findings suggest that providing a tobacco intervention during treatment for CUD is feasible and may positively impact tobacco use without negatively affecting cannabis use outcomes. PMID:26307942

  16. Low locoregional recurrence rates in patients treated after 2000 with doxorubicin based chemotherapy, modified radical mastectomy, and post-mastectomy radiation

    PubMed Central

    Greenbaum, Michael P.; Strom, Eric A.; Allen, Pamela K.; Perkins, George H.; Oh, Julia L.; Tereffe, Welela; Yu, Tse-Kuan; Buchholz, Thomas A.; Woodward, Wendy. A.

    2011-01-01

    Purpose To determine the rate of locoregional recurrence (LRR) associated with modern tri-modality therapy. Methods We retrospectively reviewed data from 291 consecutive PMRT patients treated from 1999 to 2001. These patients were compared to an historical group of 313 patients treated from 1979 to 1988 who had fluoroscopic simulation and contour-generated 2D planning. 1999–2001 spans the adoption of CT simulators for breast radiation therapy and a comparison was made between patients simulated before and after the implementation of CT simulation. Five-year actuarial rates for LRR, distal metastasis (DM), and overall survival (OS) between the pre and post CT simulation cohorts were compared as well. Results Compared to a 2D planned historic control, the combined contemporary patients had improved outcomes at 5 years for all endpoints studied; LRR 3.0% vs. 11.5%, DM 29.2% vs. 39.2%, and OS 79.2% vs. 70.6% (p = 0.0004, 0.0052, 0.0012, respectively). Significant factors in a multivariate analysis for LRR were: advanced T-stage (RR = 2.14, CI = 1.11–4.11, p = 0.023), and percent positive nodes (RR = 1.01, CI = 1.00–1.02, p = 0.012). The comparison of the pre and post CT-simulated PMRT patients (1999–2001) found no significant difference in any endpoint. Conclusions The rate of locoregional control for PMRT patients treated with modern radiotherapy is outstanding and has improved significantly compared to historical controls. PMID:20227126

  17. The Impact of College Drug Policy on Students' Drug Usage

    ERIC Educational Resources Information Center

    Sawyer, Holly N.

    2012-01-01

    Illicit drug usage at Historically Black Colleges and Universities (HBCU) is a topic of limited research. The research questions that guided this study were (a) What is the relationship between college policy on illicit drugs and students' frequency of drug usage after controlling for college location (urban or rural) and students' age,…

  18. The Application of a Resilience Assessment Approach to Promote Campus Environmental Management: A South African Case Study

    ERIC Educational Resources Information Center

    Muller, Irene; Tempelhoff, Johann

    2016-01-01

    Purpose: This paper aims to outline the benefits of using resilience assessment instead of command and control mechanisms to evaluate sustainable campus environments. Design/Methodology/Approach: An exploratory mixed-method design was followed for the purposes of the project. During the first qualitative phase, a historical timeline of the focal…

  19. A Comparison of Aphasia Therapy Outcomes before and after a Very Early Rehabilitation Programme Following Stroke

    ERIC Educational Resources Information Center

    Godecke, Erin; Ciccone, Natalie A.; Granger, Andrew S.; Rai, Tapan; West, Deborah; Cream, Angela; Cartwright, Jade; Hankey, Graeme J.

    2014-01-01

    Background: Very early aphasia rehabilitation studies have shown mixed results. Differences in therapy intensity and therapy type contribute significantly to the equivocal results. Aims: To compare a standardized, prescribed very early aphasia therapy regimen with a historical usual care control group at therapy completion (4-5 weeks post-stroke)…

  20. Empowerment Versus Control: Historical Accounts of Lesbian and Gay Lives.

    ERIC Educational Resources Information Center

    Minton, Henry L.

    This paper analyzes the textual data produced by both the participants and the interpreter in George W. Henry's two-volume monograph, "Sex Variants" (1941), a study of homosexuality based on a sample of 80 socially well-adjusted homosexuals from New York City's lesbian and gay community. It is stated that the Henry volumes provide a rich…

  1. History of Science as an Instructional Context: Student Learning in Genetics and Nature of Science

    NASA Astrophysics Data System (ADS)

    Kim, Sun Young; Irving, Karen E.

    2010-02-01

    This study (1) explores the effectiveness of the contextualized history of science on student learning of nature of science (NOS) and genetics content knowledge (GCK), especially interrelationships among various genetics concepts, in high school biology classrooms; (2) provides an exemplar for teachers on how to utilize history of science in genetics instruction; and (3) suggests a modified concept mapping assessment tool for both NOS and GCK. A quasi-experimental control group research design was utilized with pretests, posttests, and delayed posttests, combining qualitative data and quantitative data. The experimental group was taught with historical curricular lessons, while the control group was taught with non-historical curricular lessons. The results indicated that students in the experimental group developed better understanding in targeted aspects of NOS immediately after the intervention and retained their learning 2 months after the intervention. Both groups developed similar genetics knowledge in the posttest, and revealed a slight decay in their understanding in the delayed posttest.

  2. Ranibizumab for the Prevention of Radiation Complications in Patients Treated With Proton Beam Irradiation for Choroidal Melanoma (An American Ophthalmological Society Thesis)

    PubMed Central

    Kim, Ivana K.; Lane, Anne Marie; Jain, Purva; Awh, Caroline; Gragoudas, Evangelos S.

    2016-01-01

    Purpose: To investigate the safety and potential efficacy of ranibizumab for prevention of radiation complications in patients treated with proton irradiation for choroidal melanoma Methods: Forty patients with tumors located within 2 disc diameters of the optic nerve and/or macula were enrolled in this open-label study. Participants received ranibizumab 0.5 mg or 1.0 mg at tumor localization and every 2 months thereafter for the study duration of 24 months. The incidence of adverse events, visual acuity, and other measures of ocular morbidity related to radiation complications were assessed. Historical controls with similar follow-up meeting the eligibility criteria for tumor size, location, and baseline visual acuity were assembled for comparison. Results: Fifteen patients with large tumors and 25 patients with small/medium tumors were enrolled. Thirty-two patients completed the month 24 visit. No serious ocular or systemic adverse events related to ranibizumab were observed. At 24 months, the proportion of patients with visual acuity ≥ 20/200 was 30/31 (97%) in the study group versus 92/205 (45%) in historical controls (P < .001). The proportion of patients with visual acuity ≥20/40 was 24/31 (77%) in the study group versus 46/205 (22%) in controls at 24 months (P<.001). Clinical evidence of radiation maculopathy at month 24 was seen in 8/24 (33%) patients with small/medium tumors versus 42/62 (68%) of controls (P = .004). Three patients with large tumors developed metastases. Conclusions: In this small pilot study, prophylactic ranibizumab appears generally safe in patients treated with proton irradiation for choroidal melanoma. High rates of visual acuity retention were observed through 2 years. PMID:27630373

  3. A Probability Analysis of Historical Pregnancy and Fetal Data from Dutch Belted and New Zealand White Rabbit Strains from Embryo-Fetal Development Studies.

    PubMed

    Posobiec, Lorraine M; Cox, Estella M; Solomon, Howard M; Lewis, Elise M; Wang, Kai-fen; Stanislaus, Dinesh

    2016-04-01

    Embryo-fetal development (EFD) studies, typically in pregnant rats and rabbits, are conducted prior to enrolling females of reproductive age in clinical trials. Common rabbit strains used are the New Zealand White (NZW) and Dutch Belted (DB). As fetal abnormalities can occur in all groups, including controls, Historical Control Data (HCD) is compiled using data from control groups of EFD studies, and is used along with each study's concurrent control group to help determine whether fetal abnormalities are caused by the test article or are part of background incidences. A probability analysis was conducted on 2014 HCD collected at Charles River Inc., Horsham PA on Covance NZW, Covance DB, and Charles River (CR) NZW rabbits. The analysis was designed to determine the probability of 2 or 3 out of a group of 22 does aborting their litter or of having a fetal abnormality by chance. Results demonstrate that pregnancy parameters and fetal observations differ not only between strains, but between sources of rabbits of the same strain. As a result the probability of these observations occurring by chance in two or three litters was drastically different. Although no one single strain is perfect, this analysis highlights the need to appreciate the inherent differences in pregnancy and fetal abnormalities between strains, and points out that an apparent isolated increased incidence of an observation in one strain will not necessarily be test-article related in another strain. A robust HCD is critical for interpretation of EFD rabbit studies, regardless of the rabbit strain used. © 2016 Wiley Periodicals, Inc.

  4. Quality of life, mood and seizure control in patients with brain tumor related epilepsy treated with lacosamide as add-on therapy: A prospective explorative study with a historical control group.

    PubMed

    Maschio, Marta; Zarabla, Alessia; Maialetti, Andrea; Fabi, Alessandra; Vidiri, Antonello; Villani, Veronica; Giannarelli, Diana

    2017-08-01

    Brain tumor-related epilepsy (BTRE) is often drug resistant and patients can be forced to take polytherapy that can adversely affect their quality of life (QoL). Lacosamide (LCM) is a new antiepileptic drug (AED) used as adjunctive therapy in patients with partial seizures with or without secondary generalization, with a favorable pharmacokinetic profile that seems to be effective and well tolerated. Therefore it represents a possible therapeutic choice for patients with BTRE. We propose a prospective study with a historical control group to evaluate the effect of LCM as add-on therapy on seizure control and quality of life in patients with BTRE. This study has been designed to test the superiority of Lacosamide over Levetiracetam as an add-on. We compared a prospective cohort of 25 patients treated with Lacosamide with a historical control group (n=19) treated with Levetiracetam as an add-on. We recruited 25 adult patients (M 18, F 7; mean age 41.9) affected by BTRE with uncontrolled partial-onset seizures treated with AED polytherapy. We added LCM as an add-on. Patients were evaluated at baseline, after 3months and at 6months. This population has been compared with a historical control group of 19 BTRE adult patients (M 13, F 6; median age 48.0, range: 28-70) with uncontrolled partial-onset seizures treated with LEV as add-on. The patients underwent QoL, mood and adverse events tests (Adverse Event Profile-AEP) and evaluation of seizure frequency. Twelve patients had high grade gliomas, and thirteen had low grade gliomas. During follow-up, thirteen patients underwent chemotherapy, three radiotherapy and five patients had disease progression. Nine patients had simple partial seizures, eight had complex partial seizures, and eight had secondary generalized seizures. Fifteen patients were in monotherapy and ten in polytherapy with AEDs. LCM was added up to reach the maximum dosage of 400mg/die (mean final dose 300mg/die). Four patients dropped out due to poor compliance and 1 for inefficacy. In the historical control group treated with LEV (mean final dose 2000mg/die) 12 patients had high-grade gliomas, and 7 had low grade gliomas. Thirteen patients were in monotherapy and 6 in polytherapy with AEDs. In the 22 patients evaluable of 25 patients treated with LCM, we observed at final follow-up 7 patients seizure free, 12 with a significant reduction of seizures≥50%, 2 stable and 1 patient with number of seizures increased. Mean seizure frequency at baseline compared with baseline period: the mean number of seizures significantly decreased from baseline (9.4) to final follow-up (1.2) (P=0.005). The Responder Rate was 86.4%. Comparing responder rate of 22 evaluable patients with LCM with responder rate of 19 patients with LEV we didn't observe significant differences (p=0.31). In our patients treated with LCM we didn't observe significant difference at 3 and 6months in QoL tests results; we observe a significant reduction in the mean score of Karnofsky Performance Status (KPS) and Barthel Index (BI) between baseline and 6months of follow-up (KPS p=0.003; BI p=0.007). No clinical side effects were observed. Comparing the LCM with the historical group treated with LEV in add-on, we observed that LCM seems to have a higher clinical efficacy than LEV. In our patients, we did not observe any significant changes in QoL tests, indicating stability in all quality of life domains explored, despite the objective worsening in their functional status. Although this is a small series with a relatively short follow-up, our data indicates that LCM in add-on in patients with BTRE appears to be as effective as LEV in add-on, without impact on mood and quality of life. Copyright © 2017 Elsevier Inc. All rights reserved.

  5. A boundary-optimized rejection region test for the two-sample binomial problem.

    PubMed

    Gabriel, Erin E; Nason, Martha; Fay, Michael P; Follmann, Dean A

    2018-03-30

    Testing the equality of 2 proportions for a control group versus a treatment group is a well-researched statistical problem. In some settings, there may be strong historical data that allow one to reliably expect that the control proportion is one, or nearly so. While one-sample tests or comparisons to historical controls could be used, neither can rigorously control the type I error rate in the event the true control rate changes. In this work, we propose an unconditional exact test that exploits the historical information while controlling the type I error rate. We sequentially construct a rejection region by first maximizing the rejection region in the space where all controls have an event, subject to the constraint that our type I error rate does not exceed α for any true event rate; then with any remaining α we maximize the additional rejection region in the space where one control avoids the event, and so on. When the true control event rate is one, our test is the most powerful nonrandomized test for all points in the alternative space. When the true control event rate is nearly one, we demonstrate that our test has equal or higher mean power, averaging over the alternative space, than a variety of well-known tests. For the comparison of 4 controls and 4 treated subjects, our proposed test has higher power than all comparator tests. We demonstrate the properties of our proposed test by simulation and use our method to design a malaria vaccine trial. Published 2017. This article is a U.S. Government work and is in the public domain in the USA.

  6. Space Station Displays and Controls Technology Evolution

    NASA Technical Reports Server (NTRS)

    Blackburn, Greg C.

    1990-01-01

    Viewgraphs on space station displays and controls technology evolution are presented. Topics covered include: a historical perspective; major development objectives; current development activities; key technology areas; and technology evolution issues.

  7. Irritable bowel syndrome and chronic fatigue 3 years after acute giardiasis: historic cohort study.

    PubMed

    Wensaas, Knut-Arne; Langeland, Nina; Hanevik, Kurt; Mørch, Kristine; Eide, Geir Egil; Rortveit, Guri

    2012-02-01

    Giardia lamblia is a common cause of gastroenteritis worldwide, but there is limited knowledge about the long-term complications. To estimate the relative risk of irritable bowel syndrome (IBS) and chronic fatigue 3 years after acute giardiasis. Controlled historic cohort study with 3 years' follow-up. Data collected by mailed questionnaire. Waterborne outbreak of giardiasis in the city of Bergen, Norway. 817 patients exposed to Giardia lamblia infection verified by detection of cysts in stool samples and 1128 matched controls. IBS and chronic fatigue. The prevalence of IBS in the exposed group was 46.1%, compared with 14.0% in the control group, and the adjusted RR=3.4 (95% CI 2.9 to 3.8). Chronic fatigue was reported by 46.1% of the exposed group and 12.0% of the controls, the adjusted RR was 4.0 (95% CI 3.5 to 4.5). IBS and chronic fatigue were associated and the RR for the exposed group of having a combination of the two outcomes was 6.8 (95% CI 5.3 to 8.5). The RR was also increased for having just one of the two syndromes, 1.8 for IBS (95% CI 1.4 to 2.3) and 2.2 for chronic fatigue (95% CI 1.7 to 2.8). Infection with Giardia lamblia in a non-endemic area was associated with a high prevalence of IBS and chronic fatigue 3 years after acute illness, and the risk was significantly higher than in the control group. This shows that the potential consequences of giardiasis are more serious than previously known. Further studies are needed, especially in areas where giardiasis is endemic.

  8. Historical perspective on the moon base: the British experience

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

    Jones, E.M.; Finney, B.R.

    Among the many historical episodes that have relevance to the establishment of a human base, the voyages of Captain Cook, and the founding of Britain's Botany Bay colony in Australia seems particularly appropriate. The process resulting in the selection of Cook rewards study, as do his relations with the Admiralty, with the scientific establishment and with the scientists who accompanies him. Britain's tight control of the Botany Bay settlement and its unwillingness to promote early self-sufficiency may have delayed the time when Australia became self-supporting. Structuring the lunar base to offer opportunities for private initiatives may hasten the day whenmore » it becomes a self-supporting settlement rather than an externally supported scientific base on an Antarctic model.« less

  9. Tobacco as a social currency: cigarette gifting and sharing in China.

    PubMed

    Rich, Zachary C; Xiao, Shuiyuan

    2012-03-01

    China produces and consumes more tobacco than any other country in the world and as such is at the forefront of the world tobacco epidemic. Many studies have recently emerged that directly or indirectly reference the acts of giving and sharing cigarettes as a major contributor to China's high tobacco usage. The goal of this report is to review relevant literature relating to sharing and gifting cigarettes as well as provide useful historic and cultural contexts. Important differences between the act of giving individual cigarettes and the gifting of packaged cigarettes are explored as well as explanations for how both these practices have influenced current tobacco control efforts. Available Chinese and English sources on gifting and sharing cigarettes in China published between 1991 and 2011 were reviewed and discussed with a cultural and historical background. The practices of gifting and sharing cigarettes strongly contribute to smoking initiation as well as failure to quit smoking among Chinese males. Historical and cultural roots have reinforced these practices and hampered efforts to reduce tobacco use in China. Traditional tobacco control efforts should be combined with culture-specific approaches to reduce tobacco usage in China. The regular exchange of cigarettes normalizes smoking across society and promotes tobacco's acceptability. Great efforts should be taken not only to minimize these practices among males but also to discourage their adoption by females.

  10. Earthquake recovery of historic buildings: exploring cost and time needs.

    PubMed

    Al-Nammari, Fatima M; Lindell, Michael K

    2009-07-01

    Disaster recovery of historic buildings has rarely been investigated even though the available literature indicates that they face special challenges. This study examines buildings' recovery time and cost to determine whether their functions (that is, their use) and their status (historic or non-historic) affect these outcomes. The study uses data from the city of San Francisco after the 1989 Loma Prieta earthquake to examine the recovery of historic buildings owned by public agencies and non-governmental organisations. The results show that recovery cost is affected by damage level, construction type and historic status, whereas recovery time is affected by the same variables and also by building function. The study points to the importance of pre-incident recovery planning, especially for building functions that have shown delayed recovery. Also, the study calls attention to the importance of further investigations into the challenges facing historic building recovery.

  11. The relative roles of environment, history and local dispersal in controlling the distributions of common tree and shrub species in a tropical forest landscape, Panama

    USGS Publications Warehouse

    Svenning, J.-C.; Engelbrecht, B.M.J.; Kinner, D.A.; Kursar, T.A.; Stallard, R.F.; Wright, S.J.

    2006-01-01

    We used regression models and information-theoretic model selection to assess the relative importance of environment, local dispersal and historical contingency as controls of the distributions of 26 common plant species in tropical forest on Barro Colorado Island (BCI), Panama. We censused eighty-eight 0.09-ha plots scattered across the landscape. Environmental control, local dispersal and historical contingency were represented by environmental variables (soil moisture, slope, soil type, distance to shore, old-forest presence), a spatial autoregressive parameter (??), and four spatial trend variables, respectively. We built regression models, representing all combinations of the three hypotheses, for each species. The probability that the best model included the environmental variables, spatial trend variables and ?? averaged 33%, 64% and 50% across the study species, respectively. The environmental variables, spatial trend variables, ??, and a simple intercept model received the strongest support for 4, 15, 5 and 2 species, respectively. Comparing the model results to information on species traits showed that species with strong spatial trends produced few and heavy diaspores, while species with strong soil moisture relationships were particularly drought-sensitive. In conclusion, history and local dispersal appeared to be the dominant controls of the distributions of common plant species on BCI. Copyright ?? 2006 Cambridge University Press.

  12. 78 FR 18364 - Electronic Prescriptions for Controlled Substances Notice of Approved Certification Process

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-03-26

    ... DEPARTMENT OF JUSTICE Drug Enforcement Administration [Docket No. DEA-364] Electronic... certification processes for providers of Electronic Prescriptions for Controlled Substances (EPCS) applications... established by Congress. Electronic Prescriptions for Controlled Substances (EPCS) Historically, where federal...

  13. Ancestral chloroplast polymorphism and historical secondary contact in a broad hybrid zone of Aesculus (Sapindaceae).

    PubMed

    Modliszewski, Jennifer L; Thomas, David T; Fan, Chuanzhu; Crawford, Daniel J; Depamphilis, Claude W; Xiang, Qiu-Yun Jenny

    2006-03-01

    Knowledge regarding the origin and maintenance of hybrid zones is critical for understanding the evolutionary outcomes of natural hybridization. To evaluate the contribution of historical contact vs. long-distance gene flow in the formation of a broad hybrid zone in central and northern Georgia that involves Aesculus pavia, A. sylvatica, and A. flava, three cpDNA regions (matK, trnD-trnT, and trnH-trnK) were analyzed. The maternal inheritance of cpDNA in Aesculus was confirmed via sequencing of matK from progeny of controlled crosses. Restriction site analyses identified 21 unique haplotypes among 248 individuals representing 29 populations from parental species and hybrids. Haplotypes were sequenced for all cpDNA regions. Restriction site and sequence data were subjected to phylogeographic and population genetic analyses. Considerable cpDNA variation was detected in the hybrid zone, as well as ancestral cpDNA polymorphism; furthermore, the distribution of haplotypes indicates limited interpopulation gene flow via seeds. The genealogy and structure of genetic variation further support the historical presence of A. pavia in the Piedmont, although they are at present locally extinct. In conjunction with previous allozyme studies, the cpDNA data suggest that the hybrid zone originated through historical local gene flow, yet is maintained by periodic long-distance pollen dispersal.

  14. Improved 1-year mortality in elderly patients with a hip fracture following integrated orthogeriatric treatment.

    PubMed

    Folbert, E C; Hegeman, J H; Vermeer, M; Regtuijt, E M; van der Velde, D; Ten Duis, H J; Slaets, J P

    2017-01-01

    To improve the quality of care and reduce the healthcare costs of elderly patients with a hip fracture, surgeons and geriatricians collaborated intensively due to the special needs of these patients. After treatment at the Centre for Geriatric Traumatology (CvGT), we found a significant decrease in the 1-year mortality rate in frail elderly patients compared to the historical control patients who were treated with standard care. The study aimed to evaluate the effect of an orthogeriatric treatment model on elderly patients with a hip fracture on the 1-year mortality rate and identify associated risk factors. This study included patients, aged 70 years and older, who were admitted with a hip fracture and treated in accordance with the integrated orthogeriatric treatment model of the CvGT at the Hospital Group Twente (ZGT) between April 2008 and October 2013. Data registration was carried out by several disciplines using the clinical pathways of the CvGT database. A multivariate logistic regression analysis was used to identify independent risk factors for 1-year mortality. The outcome measures for the 850 patients were compared with those of 535 historical control patients who were managed under standard care between October 2002 and March 2008. The analysis demonstrated that the 1-year mortality rate was 23.2 % (n = 197) in the CvGT group compared to 35.1 % (n = 188) in the historical control group (p < 0.001). Independent risk factors for 1-year mortality were male gender (odds ratio (OR) 1.68), increasing age (OR 1.06), higher American Society of Anesthesiologists (ASA) score (ASA 3 OR 2.43, ASA 4-5 OR 7.05), higher Charlson Comorbidity Index (CCI) (CCI 1-2 OR 1.46, CCI 3-4 OR 1.59, CCI 5 OR 2.71), malnutrition (OR 2.01), physical limitations in activities of daily living (OR 2.35), and decreasing Barthel Index (BI) (OR 0.96). After integrated orthogeriatric treatment, a significant decrease was seen in the 1-year mortality rate in the frail elderly patients with a hip fracture compared to the historical control patients who were treated with standard care. The most important risk factors for 1-year mortality were male gender, increasing age, malnutrition, physical limitations, increasing BI, and medical conditions. Awareness of risk factors that affect the 1-year mortality can be useful in optimizing care and outcomes. Orthogeriatric treatment should be standard for elderly patients with hip fractures due to the multidimensional needs of these patients.

  15. Russian Dreams and Prussian Ghosts: Immanuel Kant Baltic Federal University and Debates over Historical Memory and Identity in Kaliningrad

    ERIC Educational Resources Information Center

    Clarkson, Alexander

    2017-01-01

    This article examines how the Immanuel Kant Baltic Federal University and the Kaliningrad State Technical University have come to exert considerable influence over debates surrounding historical memory and identity in the Kaliningrad region. Under the direct control of the Russian Federation, the Baltic exclave of Kaliningrad is surrounded by…

  16. Invasive Species Guidebook for Department of Defense Installations in the Delaware River Basin: Identification, Control, and Restoration

    DTIC Science & Technology

    2009-06-01

    155 SECTION II: PREVENTING RECURRING INVASIVE SPECIES AND RESTORING HISTORICAL PLANT COMMUNITIES ...Wilcove et al. 1998, Westbrook et al. 2005). Beyond degradation to ecological communities , invasive species can threaten human health and cause...recurrence of problem invasive species. This section also gives recommendations for returning management areas to historical native plant communities

  17. Failure of gamma-aminobutyrate acid-beta agonist baclofen to improve balance, gait, and postural control after vestibular schwannoma resection.

    PubMed

    De Valck, Claudia F J; Vereeck, Luc; Wuyts, Floris L; Van de Heyning, Paul H

    2009-04-01

    Incomplete postural control often occurs after vestibular schwannoma (VS) surgery. Customized vestibular rehabilitation in man improves and speeds up this process. Animal experiments have shown an improved and faster vestibular compensation after administration of the gamma-aminobutyrate acid (GABA)-beta agonist baclofen. To examine whether medical treatment with baclofen provides an improvement of the compensation process after VS surgery. A time-series study with historical control. Tertiary referral center. Thirteen patients who underwent VS resection were included and compared with a matched group of patients. In addition to an individualized vestibular rehabilitation protocol, the study group received medical treatment with 30 mg baclofen (a GABA-beta agonist) daily during the first 6 weeks after surgery. Clinical gait and balance tests (Romberg maneuver, standing on foam, tandem Romberg, single-leg stance, Timed Up & Go test, tandem gait, Dynamic Gait Index) and Dizziness Handicap Inventory. Follow-up until 24 weeks after surgery. When examining the postoperative test results, the group treated with baclofen did not perform better when compared with the matched (historical control) group. Repeated-measures analysis of variance revealed no significant group effect, but a significant time effect for almost all balance tests during the acute recovery period was found. An interaction effect between time and intervention was seen concerning single-leg stance and Dizziness Handicap Inventory scores for the acute recovery period. Medical therapy with baclofen did not seem to be beneficial in the process of central vestibular compensation.

  18. Determining Historical Pesticide Deposition on Cape Cod through Sediment Core Analysis:A Validation of GIS as An Exposure Assessment Tool

    NASA Astrophysics Data System (ADS)

    Feingold, B. J.; Benoit, G.; Rudel, R.

    2006-12-01

    Geographic Information Systems (GIS) has emerged as a powerful tool to assess current and historical exposure to environmental pollutants. GIS aids in the visualization and understanding of associations between exposure to contaminants and disease. This study is an example of the bridge between environmental science and public health and of how new technology such as GIS can be incorporated into these fields to strengthen both the research and the communication of scientific results. It attempts to validate a GIS-based aerial drift model which predicts the residential exposure to and boundaries of historical organochlorine pesticide (OCP) drift from applications on cranberry bogs, tree pest sprayings and others by analytically quantifying the historical pesticide deposition in a transect of lakes radiating from a distinct spray source. This model was previously used to assess historical residential exposure to OCPs in an environmental epidemiological case-control study of breast cancer incidence on Cape Cod, MA, where the incidence rate of the disease is significantly higher than in the rest of the state. The model's validation in this current study is essential to establishing its predictive ability and thus, its further use. Ground truthing of the model was done through the collection and analysis of sediment cores along a transect of five hydrologically independent kettle ponds radiating from a distinct OCP tree-pest spray area. Measurements of OCP concentrations, total carbon and total organic carbon were determined, and dating of the sediments was completed using 210Pb and verified using 137Cs. Each 50-cm core was sliced into 25 2- cm sections for the analyses, creating a fine-scale depositional history in each pond. Information gathered from each core allows for the determination of the extent and degree of dissipation of individual spray events of a known source area and determine how well the model fits the actual data.

  19. Phase II Study of First‐Line Trebananib Plus Sorafenib in Patients with Advanced Hepatocellular Carcinoma

    PubMed Central

    Blanc, Jean‐Frederic; Miles, Steven; Ganten, Tom; Trojan, Jörg; Cebon, Jonathan; Liem, Andre K.; Lipton, Lara; Gupta, Charu; Wu, Benjamin; Bass, Michael; Hollywood, Ellen; Ma, Jennifer; Bradley, Margaret; Litten, Jason; Saltz, Leonard B.

    2017-01-01

    Abstract Lessons Learned. Trebananib leveraging anti‐angiogenic mechanism that is distinct from the classic sorafenib anti‐vascular endothelial growth factor inhibition did not demonstrate improved progression‐free survival at 4 months in patients with advanced hepatocellular carcinoma (HCC).In support of previously reported high Ang‐2 levels’ association with poor outcome in HCC for patients, trebananib treatment with lower baseline Ang‐2 at study entry was associated with improved overall survival to 22 months and may suggest future studies to be performed within the context of low baseline Ang‐2. Background. Ang‐1 and Ang‐2 are angiopoietins thought to promote neovascularization via activation of the Tie‐2 angiopoietin receptor. Trebananib sequesters Ang‐1 and Ang‐2, preventing interaction with the Tie‐2 receptor. Trebananib plus sorafenib combination has acceptable toxicity. Elevated Ang‐2 levels are associated with poor prognosis in hepatocellular carcinoma (HCC). Methods. Patients with HCC, Eastern Cooperative Oncology Group ≤2, and Childs‐Pugh A received IV trebananib at 10 mg/kg or 15 mg/kg weekly plus sorafenib 400 mg orally twice daily. The study was planned for ≥78% progression‐free survival (PFS) rate at 4 months relative to 62% for sorafenib historical control (power = 80% α = 0.20). Secondary endpoints included safety, tolerability, overall survival (OS), and multiple biomarkers, including serum Ang‐2. Results. Thirty patients were enrolled sequentially in each of the two nonrandomized cohorts. Demographics were comparable between the two arms and the historical controls. PFS rates at 4 months were 57% and 54% on the 10 mg/kg and 15 mg/kg trebananib cohorts, respectively. Median OS was 17 and 11 months, respectively. Grade 3 and above events noted in ≥10% of patients included fatigue, hypertension, diarrhea, liver failure, palmar‐plantar erythrodysesthesia syndrome, dyspnea, and hypophosphatemia. One death was due to hepatic failure. Serum Ang‐2 dichotomized at the median was associated with improved OS in both cohorts. Conclusion. There was no improvement in PFS rate at 4 months in either cohort, when compared with sorafenib historical control. PMID:28592620

  20. 40 CFR Appendix A to Part 57 - Primary Nonferrous Smelter Order (NSO) Application

    Code of Federal Regulations, 2011 CFR

    2011-07-01

    ... Profit and Loss Summary A.4 Historical Capital Investment Summary B.1 Pre-Control Revenue Forecast B.2 Pre-Control Cost Forecast B.3 Pre-Control Forecast Profit and Loss Summary B.4 Constant Controls Revenue Forecast B.5 Constant Controls Cost Forecast B.6 Constant Controls Forecast Profit and Loss...

  1. Physics Leads to Free Elections in the Nuclear Age.

    NASA Astrophysics Data System (ADS)

    Synek, Miroslav

    2001-10-01

    ------------- Complex historical development on our planet, utilizing the knowledge of physics, has reached a powerful technology of nuclear intercontinental missiles, conceivably controllable through a computerized "push-button". Whenever this technology falls under the control of an irresponsible, miscalculating, or, insane dictator, with sufficiently powerful means of a huge, mass-produced, nuclear-missile built-up, anywhere on our planet, the very survival of all humanity on our planet could be threatened. Therefore, it is a historical urgency that this technology be under the control by a government of the people, by the people and for the people, based on a sufficiently reliable system of free elections, in any country on our planet, wherever and whenever a total nuclear holocaust could originate.

  2. Dynamically Hedging Oil and Currency Futures Using Receding Horizontal Control and Stochastic Programming

    NASA Astrophysics Data System (ADS)

    Cottrell, Paul Edward

    There is a lack of research in the area of hedging future contracts, especially in illiquid or very volatile market conditions. It is important to understand the volatility of the oil and currency markets because reduced fluctuations in these markets could lead to better hedging performance. This study compared different hedging methods by using a hedging error metric, supplementing the Receding Horizontal Control and Stochastic Programming (RHCSP) method by utilizing the London Interbank Offered Rate with the Levy process. The RHCSP hedging method was investigated to determine if improved hedging error was accomplished compared to the Black-Scholes, Leland, and Whalley and Wilmott methods when applied on simulated, oil, and currency futures markets. A modified RHCSP method was also investigated to determine if this method could significantly reduce hedging error under extreme market illiquidity conditions when applied on simulated, oil, and currency futures markets. This quantitative study used chaos theory and emergence for its theoretical foundation. An experimental research method was utilized for this study with a sample size of 506 hedging errors pertaining to historical and simulation data. The historical data were from January 1, 2005 through December 31, 2012. The modified RHCSP method was found to significantly reduce hedging error for the oil and currency market futures by the use of a 2-way ANOVA with a t test and post hoc Tukey test. This study promotes positive social change by identifying better risk controls for investment portfolios and illustrating how to benefit from high volatility in markets. Economists, professional investment managers, and independent investors could benefit from the findings of this study.

  3. Writing Latina/o Historical Narratives: Narratives at the Intersection of Critical Historical Inquiry and LatCrit

    ERIC Educational Resources Information Center

    Salinas, Cinthia S.; Fránquiz, María E.; Rodríguez, Noreen Naseem

    2016-01-01

    This qualitative case study examines the experiences of Latina prospective teachers enrolled in a bilingual social studies methods course that focused attention upon critical historical inquiry. The students built historical narratives that deliberately addressed oft-ignored histories of Communities of Color. The analysis argues however that…

  4. Expanding the Notion of Historical Text through Historic Building Analysis

    ERIC Educational Resources Information Center

    Baron, Christine; Dobbs, Christina

    2015-01-01

    Among the disciplinary skills necessary for understanding in the social studies classroom is the ability to determine context and build meaning from past events. Historical buildings are an important component of historical study, and they serve as a type of nontraditional text that students can decode and use to construct meaning about multiple…

  5. Fostering Historical Thinking toward Civil Rights Movement Counter-Narratives: Documentary Film in Elementary Social Studies

    ERIC Educational Resources Information Center

    Buchanan, Lisa Brown

    2015-01-01

    This article describes how elementary preservice teachers used four documentary films to think historically about the United States Civil Rights Movement. The author situates the descriptive case study within research about historical thinking and documentary film, identifying the need for using documentary film to think historically in the…

  6. Long-term socio-economic consequences and health care costs of poliomyelitis: a historical cohort study involving 3606 polio patients.

    PubMed

    Nielsen, Nete Munk; Kay, Lise; Wanscher, Benedikte; Ibsen, Rikke; Kjellberg, Jakob; Jennum, Poul

    2016-06-01

    Worldwide 10-20 million individuals are living with disabilities after acute poliomyelitis. However, very little is known about the socio-economic consequences and health care costs of poliomyelitis. We carried out a historical register-based study including 3606 individuals hospitalised for poliomyelitis in Copenhagen, Denmark 1940-1954, and 13,795 age and gender-matched Danes. Participants were followed from 1980 until 2012, and family, socio-economic conditions and health care costs were evaluated in different age groups using chi-squared tests, boot-strapped t tests or hazard ratios (HR) calculated in Cox-regression models. The analyses were performed separately for paralytic and non-paralytic polio survivors and their controls, respectively. Compared with controls a higher percentage of paralytic polio survivors remained childless, whereas no difference was observed for non-paralytic polio survivors. The educational level among paralytic as well as non-paralytic polio survivors was higher than that among their controls, employment rate at the ages of 40, 50 and 60 years was slightly lower, whereas total income in the age intervals of 31-40, 41-50 and 51-60 years were similar to controls. Paralytic and non-paralytic polio survivors had a 2.5 [HR = 2.52 (95 % confidence interval (CI); 2.29-2.77)] and 1.4 [HR = 1.35 (95 % CI; 1.23-1.49)]-fold higher risk, respectively, of receiving disability pension compared with controls. Personal health care costs were considerably higher in all age groups in both groups of polio survivors. Individuals with a history of poliomyelitis are well educated, have a slightly lower employment rate, an income similar to controls, but a considerably higher cost in the health care system.

  7. The Use of a Situation-Comedy in the Delivery of Media Messages: A Content Analysis of Health-Related Themes

    ERIC Educational Resources Information Center

    Trunfio, Tony N.

    2011-01-01

    A quantitative-qualitative historical content analysis of selected Seinfeld television comedy episodes was conducted for this study. Episodes were analyzed for the presence of health-related messages pertaining to the U.S. Centers for Disease Control and Prevention's health priority areas, which include the most harmful risk behaviors affecting…

  8. Education as Instrument or as Empowerment? Untangling White Privilege in the Politics of Ethnic Studies: The Case of the Tucson Unified School District

    ERIC Educational Resources Information Center

    Dotts, Brian W.

    2015-01-01

    Public school curriculum battles offer great examples for illustrating how politics saturates education policy, particularly in the State of Texas. However, Arizona has emerged as another peculiar contender in contemporary battles to control high school curricula. Curriculum battles have deep historical roots in Arizona and elsewhere that go…

  9. Increasing community capacity to reduce tobacco-related health disparities in African American communities.

    PubMed

    Jones, Pamela R; Waters, Catherine M; Oka, Roberta K; McGhee, Eva M

    2010-01-01

    The purpose of this study was to understand the processes and interactions that African American tobacco control organizations use to engage African American communities in tobacco control efforts. The study used grounded theory methods to interpret participant's perspectives on tobacco control. The study sample consisted of African American tobacco control program directors from African American tobacco control organizations throughout the United States. Data collection involved 1 interview per participant using a semistructured interview at a location selected by the participant. Each interview lasted approximately 30-90 min. The results showed that organizations used specific strategies to involve African Americans in tobacco control. The tobacco control organizations built community capacity using 3 processes: developing relationships and partnerships, raising awareness, and creating collective power. Contextual, cultural processes, and historical references used by African American tobacco control organizations provide insight into how to engage African American communities in tobacco control efforts and achieve tobacco-related health parity. Public health professionals and nurses should be aware of these and other strategies that may increase the involvement of African American communities in tobacco control. © 2010 Wiley Periodicals, Inc.

  10. VEMAP Phase 2 bioclimatic database. I. Gridded historical (20th century) climate for modeling ecosystem dynamics across the conterminous USA

    USGS Publications Warehouse

    Kittel, T.G.F.; Rosenbloom, N.A.; Royle, J. Andrew; Daly, Christopher; Gibson, W.P.; Fisher, H.H.; Thornton, P.; Yates, D.N.; Aulenbach, S.; Kaufman, C.; McKeown, R.; Bachelet, D.; Schimel, D.S.; Neilson, R.; Lenihan, J.; Drapek, R.; Ojima, D.S.; Parton, W.J.; Melillo, J.M.; Kicklighter, D.W.; Tian, H.; McGuire, A.D.; Sykes, M.T.; Smith, B.; Cowling, S.; Hickler, T.; Prentice, I.C.; Running, S.; Hibbard, K.A.; Post, W.M.; King, A.W.; Smith, T.; Rizzo, B.; Woodward, F.I.

    2004-01-01

    Analysis and simulation of biospheric responses to historical forcing require surface climate data that capture those aspects of climate that control ecological processes, including key spatial gradients and modes of temporal variability. We developed a multivariate, gridded historical climate dataset for the conterminous USA as a common input database for the Vegetation/Ecosystem Modeling and Analysis Project (VEMAP), a biogeochemical and dynamic vegetation model intercomparison. The dataset covers the period 1895-1993 on a 0.5?? latitude/longitude grid. Climate is represented at both monthly and daily timesteps. Variables are: precipitation, mininimum and maximum temperature, total incident solar radiation, daylight-period irradiance, vapor pressure, and daylight-period relative humidity. The dataset was derived from US Historical Climate Network (HCN), cooperative network, and snowpack telemetry (SNOTEL) monthly precipitation and mean minimum and maximum temperature station data. We employed techniques that rely on geostatistical and physical relationships to create the temporally and spatially complete dataset. We developed a local kriging prediction model to infill discontinuous and limited-length station records based on spatial autocorrelation structure of climate anomalies. A spatial interpolation model (PRISM) that accounts for physiographic controls was used to grid the infilled monthly station data. We implemented a stochastic weather generator (modified WGEN) to disaggregate the gridded monthly series to dailies. Radiation and humidity variables were estimated from the dailies using a physically-based empirical surface climate model (MTCLIM3). Derived datasets include a 100 yr model spin-up climate and a historical Palmer Drought Severity Index (PDSI) dataset. The VEMAP dataset exhibits statistically significant trends in temperature, precipitation, solar radiation, vapor pressure, and PDSI for US National Assessment regions. The historical climate and companion datasets are available online at data archive centers. ?? Inter-Research 2004.

  11. Encouraging Historical Thinking at Historic Sites

    ERIC Educational Resources Information Center

    Baron, Christine

    2010-01-01

    This study seeks to contribute to our understanding of the problem of effectively encouraging historical thinking by (a) evaluating, and modifying Wineburg's heuristics for historical thinking for applicability to the problem-solving activities historians use at historic sites; (b) establishing the efficacy of a hypermedia-based education program…

  12. Prospective trial of angiography and embolization for all grade III to V blunt splenic injuries: nonoperative management success rate is significantly improved.

    PubMed

    Miller, Preston R; Chang, Michael C; Hoth, J Jason; Mowery, Nathan T; Hildreth, Amy N; Martin, R Shayn; Holmes, James H; Meredith, J Wayne; Requarth, Jay A

    2014-04-01

    Nonoperative management (NOM) of blunt splenic injury is well accepted. Substantial failure rates in higher injury grades remain common, with one large study reporting rates of 19.6%, 33.3%, and 75% for grades III, IV, and V, respectively. Retrospective data show angiography and embolization can increase salvage rates in these severe injuries. We developed a protocol requiring referral of all blunt splenic injuries, grades III to V, without indication for immediate operation for angiography and embolization. We hypothesized that angiography and embolization of high-grade blunt splenic injury would reduce NOM failure rates in this population. This was a prospective study at our Level I trauma center as part of a performance-improvement project. Demographics, injury characteristics, and outcomes were compared with historic controls. The protocol required all stable patients with grade III to V splenic injuries be referred for angiography and embolization. In historic controls, referral was based on surgeon preference. From January 1, 2010 to December 31, 2012, there were 168 patients with grades III to V spleen injuries admitted; NOM was undertaken in 113 (67%) patients. The protocol was followed in 97 patients, with a failure rate of 5%. Failure rate in the 16 protocol deviations was 25% (p = 0.02). Historic controls from January 1, 2007 to December 31, 2009 were compared with the protocol group. One hundred and fifty-three patients with grade III to V injuries were admitted during this period, 80 (52%) patients underwent attempted NOM. Failure rate was significantly higher than for the protocol group (15%, p = 0.04). Use of a protocol requiring angiography and embolization for all high-grade spleen injuries slated for NOM leads to a significantly decreased failure rate. We recommend angiography and embolization as an adjunct to NOM for all grade III to V splenic injuries. Copyright © 2014 American College of Surgeons. Published by Elsevier Inc. All rights reserved.

  13. Malaria resurgence: a systematic review and assessment of its causes

    PubMed Central

    2012-01-01

    Background Considerable declines in malaria have accompanied increased funding for control since the year 2000, but historical failures to maintain gains against the disease underscore the fragility of these successes. Although malaria transmission can be suppressed by effective control measures, in the absence of active intervention malaria will return to an intrinsic equilibrium determined by factors related to ecology, efficiency of mosquito vectors, and socioeconomic characteristics. Understanding where and why resurgence has occurred historically can help current and future malaria control programmes avoid the mistakes of the past. Methods A systematic review of the literature was conducted to identify historical malaria resurgence events. All suggested causes of these events were categorized according to whether they were related to weakened malaria control programmes, increased potential for malaria transmission, or technical obstacles like resistance. Results The review identified 75 resurgence events in 61 countries, occurring from the 1930s through the 2000s. Almost all resurgence events (68/75 = 91%) were attributed at least in part to the weakening of malaria control programmes for a variety of reasons, of which resource constraints were the most common (39/68 = 57%). Over half of the events (44/75 = 59%) were attributed in part to increases in the intrinsic potential for malaria transmission, while only 24/75 (32%) were attributed to vector or drug resistance. Conclusions Given that most malaria resurgences have been linked to weakening of control programmes, there is an urgent need to develop practical solutions to the financial and operational threats to effectively sustaining today’s successful malaria control programmes. PMID:22531245

  14. The Development of the Final Approach Spacing Tool (FAST): A Cooperative Controller-Engineer Design Approach

    DOT National Transportation Integrated Search

    1995-08-01

    Historically, the development of advanced automation for air traffic control in : the United States has excluded the input of the air traffic controller until the : end of the development process. In contrast, the development of the Final : Approach ...

  15. Adjuvant NY-ESO-1 vaccine immunotherapy in high-risk resected melanoma: a retrospective cohort analysis.

    PubMed

    Lattanzi, Michael; Han, Joseph; Moran, Una; Utter, Kierstin; Tchack, Jeremy; Sabado, Rachel Lubong; Berman, Russell; Shapiro, Richard; Huang, Hsin-Hui; Osman, Iman; Bhardwaj, Nina; Pavlick, Anna C

    2018-05-18

    Cancer-testis antigen NY-ESO-1 is a highly immunogenic melanoma antigen which has been incorporated into adjuvant vaccine clinical trials. Three such early-phase trials were conducted at our center among patients with high-risk resected melanoma. We herein report on the pooled long-term survival outcomes of these patients in comparison to historical controls. All melanoma patients treated at NYU Langone Health under any of three prospective adjuvant NY-ESO-1 vaccine trials were retrospectively pooled into a single cohort. All such patients with stage III melanoma were subsequently compared to historical control patients identified via a prospective institutional database with protocol-driven follow-up. Survival times were calculated using the Kaplan-Meier method, and Cox proportional hazard models were employed to identify significant prognostic factors and control for confounding variables. A total of 91 patients were treated with an NY-ESO-1 vaccine for the treatment of high-risk resected melanoma. Of this group, 67 patients were stage III and were selected for comparative analysis with 123 historical control patients with resected stage III melanoma who received no adjuvant therapy. Among the pooled vaccine cohort (median follow-up 61 months), the estimated median recurrence-free survival was 45 months, while the median overall survival was not yet reached. In the control cohort of 123 patients (median follow-up 30 months), the estimated median recurrence-free and overall survival were 22 and 58 months, respectively. Within the retrospective stage III cohort, NY-ESO-1 vaccine was associated with decreased risk of recurrence (HR = 0.56, p < 0.01) and death (HR = 0.51, p = 0.01). Upon controlling for sub-stage, the adjuvant NY-ESO-1 clinical trial cohort continued to exhibit decreased risk of recurrence (HR = 0.45, p < 0.01) and death (HR = 0.40, p < 0.01). In this small retrospective cohort of resected stage III melanoma patients, adjuvant NY-ESO-1 vaccine immunotherapy was associated with longer recurrence-free and overall survival relative to historical controls. These data support the continued investigation of adjuvant NY-ESO-1 based immunotherapy regimens in melanoma.

  16. Modelling carbon responses of tundra ecosystems to historical and projected climate: Sensitivity of pan-Arctic carbon storage to temporal and spatial variation in climate

    USGS Publications Warehouse

    McGuire, A.D.; Clein, Joy S.; Melillo, J.M.; Kicklighter, D.W.; Meier, R.A.; Vorosmarty, C.J.; Serreze, Mark C.

    2000-01-01

    Historical and projected climate trends for high latitudes show substantial temporal and spatial variability. To identify uncertainties in simulating carbon (C) dynamics for pan-Arctic tundra, we compare the historical and projected responses of tundra C storage from 1921 to 2100 between simulations by the Terrestrial Ecosystem Model (TEM) for the pan-Arctic and the Kuparuk River Basin, which was the focus of an integrated study of C dynamics from 1994 to 1996. In the historical period from 1921 to 1994, the responses of net primary production (NPP) and heterotrophic respiration (RH) simulated for the Kuparuk River Basin and the pan-Arctic are correlated with the same factors; NPP is positively correlated with net nitrogen mineralization (NMIN) and RH is negatively correlated with mean annual soil moisture. In comparison to the historical period, the spatially aggregated responses of NPP and RH for the Kuparuk River Basin and the pan-Arctic in our simulations for the projected period have different sensitivities to temperature, soil moisture and NMIN. In addition to being sensitive to soil moisture during the projected period, RH is also sensitive to temperature and there is a significant correlation between RH and NMIN. We interpret the increases in NPP during the projected period as being driven primarily by increases in NMIN, and that the correlation between NPP and temperature in the projected period is a result primarily of the causal linkage between temperature, RH, and NMIN. Although similar factors appear to be controlling simulated regional-and biome-scale C dynamics, simulated C dynamics at the two scales differ in magnitude with higher increases in C storage simulated for the Kuparuk River Basin than for the pan-Arctic at the end of the historical period and throughout the projected period. Also, the results of the simulations indicate that responses of C storage show different climate sensitivities at regional and pan-Arctic spatial scales and that these sensitivities change across the temporal scope of the simulations. The results of the TEM simulations indicate that the scaling of C dynamics to a region of arctic tundra may not represent C dynamics of pan-Arctic tundra because of the limited spatial variation in climate and vegetation within a region relative to the pan-Arctic. For reducing uncertainties, our analyses highlight the importance of incorporating the understanding gained from process-level studies of C dynamics in a region of arctic tundra into process-based models that simulate C dynamics in a spatially explicit fashion across the spatial domain of pan-Arctic tundra. Also, efforts to improve gridded datasets of historical climate for the pan-Arctic would advance the ability to assess the responses of C dynamics for pan-Arctic tundra in a more realistic fashion. A major challenge will be to incorporate topographic controls over soil moisture in assessing the response of C storage for pan-Arctic tundra.

  17. Archeological and Historic Cultural Resources Inventory for a Proposed Flood Control Project at Devils Lake, Ramsey County, North Dakota.

    DTIC Science & Technology

    1983-10-01

    Chautauqua Association signed a contract with J.H. McCulloch to secure a right-of- way for the Chautauqua Railway. McCulloch received a 30 year franchise in...excavation at Bakery of U.S. military fort Palo Duro St. Park, TX; Test excavation at historic dugout Sea Rim State Park, TX; Archaeological survey San

  18. World population, world health and security: 20th century trends.

    PubMed

    Bashford, A

    2008-03-01

    The connection between infectious disease control and national security is now firmly entrenched. This article takes a historical look at another security issue once prominent in debate on foreign policy and international relations, but now more or less absent: overpopulation. It explores the nature of the debate on population as a security question, and its complicated historical relation to the development of world health.

  19. Ancient DNA reveals substantial genetic diversity in the California Condor (Gymnogyps californianus) prior to a population bottleneck

    USGS Publications Warehouse

    D'Elia, Jesse; Haig, Susan M.; Mullins, Thomas D.; Miller, Mark P.

    2016-01-01

    Critically endangered species that have undergone severe population bottlenecks often have little remaining genetic variation, making it difficult to reconstruct population histories to apply in reintroduction and recovery strategies. By using ancient DNA techniques, it is possible to combine genetic evidence from the historical population with contemporary samples to provide a more complete picture of a species' genetic variation across its historical range and through time. Applying this approach, we examined changes in the mitochondrial DNA (mtDNA) control region (526 base pairs) of the endangered California Condor (Gymnogyps californianus). Results showed a >80% reduction in unique haplotypes over the past 2 centuries. We found no spatial sorting of haplotypes in the historical population; the periphery of the range contained haplotypes that were common throughout the historical range. Direct examination of mtDNA from California Condor museum specimens provided a new window into historical population connectivity and genetic diversity showing: (1) a substantial loss of haplotypes, which is consistent with the hypothesis that condors were relatively abundant in the nineteenth century, but declined rapidly as a result of human-caused mortality; and (2) no evidence of historical population segregation, meaning that the available genetic data offer no cause to avoid releasing condors in unoccupied portions of their historical range.

  20. Correlation of psoriasis activity with socioeconomic status: cross-sectional analysis of patients enrolled in the Psoriasis Longitudinal Assessment and Registry (PSOLAR).

    PubMed

    Kimball, A B; Augustin, M; Gordon, K B; Krueger, G G; Pariser, D; Fakharzadeh, S; Goyal, K; Calabro, S; Lee, S; Lin, R; Li, N; Srivastava, B; Guenther, L

    2018-05-10

    The interdependence between socioeconomic status and disease control in patients with severe psoriasis is not well understood. To assess whether worse disease control among patients with historically severe psoriasis correlated with negative socioeconomic status, we conducted a cross-sectional analysis from Psoriasis Longitudinal Assessment and Registry (PSOLAR), a large, observational study of psoriasis patients receiving, or eligible to receive, conventional systemic or biologic therapies. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  1. More Technology, Better Learning Resources, Better Learning? Lessons from Adopting Virtual Microscopy in Undergraduate Medical Education

    PubMed Central

    Helle, Laura; Nivala, Markus; Kronqvist, Pauliina

    2013-01-01

    The adoption of virtual microscopy at the University of Turku, Finland, created a unique real-world laboratory for exploring ways of reforming the learning environment. The purpose of this study was to evaluate the students' reactions and the impact of a set of measures designed to boost an experimental group's understanding of abnormal histology through an emphasis on knowledge of normal cells and tissues. The set of measures included (1) digital resources to review normal structures and an entrance examination for enforcement, (2) digital course slides highlighting normal and abnormal tissues, and (3) self-diagnostic quizzes. The performance of historical controls was used as a baseline, as previous students had never been exposed to the above-mentioned measures. The students' understanding of normal histology was assessed in the beginning of the module to determine the impact of the first set of measures, whereas that of abnormal histology was assessed at the end of the module to determine the impact of the whole set of measures. The students' reactions to the instructional measures were assessed by course evaluation data. Additionally, four students were interviewed. Results confirmed that the experimental group significantly outperformed the historical controls in understanding normal histology. The students held favorable opinions on the idea of emphasizing normal structures. However, with regards to abnormal histology, the historical controls outperformed the experimental group. In conclusion, allowing students access to high-quality digitized materials and boosting prerequisite skills are clearly not sufficient to boost final competence. Instead, the solution may lie in making students externally accountable for their learning throughout their training. Anat Sci Educ 6: 73–80. © 2012 American Association of Anatomists. PMID:22930425

  2. More technology, better learning resources, better learning? Lessons from adopting virtual microscopy in undergraduate medical education.

    PubMed

    Helle, Laura; Nivala, Markus; Kronqvist, Pauliina

    2013-01-01

    The adoption of virtual microscopy at the University of Turku, Finland, created a unique real-world laboratory for exploring ways of reforming the learning environment. The purpose of this study was to evaluate the students' reactions and the impact of a set of measures designed to boost an experimental group's understanding of abnormal histology through an emphasis on knowledge of normal cells and tissues. The set of measures included (1) digital resources to review normal structures and an entrance examination for enforcement, (2) digital course slides highlighting normal and abnormal tissues, and (3) self-diagnostic quizzes. The performance of historical controls was used as a baseline, as previous students had never been exposed to the above-mentioned measures. The students' understanding of normal histology was assessed in the beginning of the module to determine the impact of the first set of measures, whereas that of abnormal histology was assessed at the end of the module to determine the impact of the whole set of measures. The students' reactions to the instructional measures were assessed by course evaluation data. Additionally, four students were interviewed. Results confirmed that the experimental group significantly outperformed the historical controls in understanding normal histology. The students held favorable opinions on the idea of emphasizing normal structures. However, with regards to abnormal histology, the historical controls outperformed the experimental group. In conclusion, allowing students access to high-quality digitized materials and boosting prerequisite skills are clearly not sufficient to boost final competence. Instead, the solution may lie in making students externally accountable for their learning throughout their training. Copyright © 2012 American Association of Anatomists.

  3. Historical Sediment Sources and Delivery on the Lower Mississippi River

    NASA Astrophysics Data System (ADS)

    Dahl, T. A.; Biedenharn, D. S.; Little, C. D.

    2015-12-01

    The development of the Lower Mississippi River (LMR) and its floodplain for navigation and flood control has been ongoing since the 18th century, with the most concerted efforts occurring as a result of the Flood Control Act (FCA) of 1928 following the Great Flood of 1927. The Mississippi River and Tributaries (MR&T) Project that was spawned from the FCA of 1928 has produced a massive, comprehensive system for flood control and channel stabilization that includes levees, channel improvements, and floodways, as well as tributary reservoirs and other basin improvements. Additionally, the development of the river for safe and dependable navigation has generated a substantial engineering effort involving river training structures, meander cutoffs, and dredging. The historical, and present-day morphology of the LMR reflects an integration of all these engineering interventions (and the process-responses they have triggered in the fluvial system), combined with natural drivers of channel change and evolution, including floods and droughts, hurricanes, neotectonic activity, geologic outcrops, climate change, and relative sea-level rise. In response to the complex requirements in navigation, flood risk reduction, and environmental restoration, all with multiple stakeholders, the U.S. Army Corps of Engineers created the Mississippi River Geomorphology & Potamology (MRG&P) Program. The goals of the MRG&P are to advance the knowledge of the geomorphology of the LMR and to transfer this technology to improve and sustain long-term management of the system. The results presented herein come from several MRG&P studies. The historical river morphology, and particularly the sources and delivery of sediments have changed dramatically over the past two centuries. In this presentation, the changes in sediment sources, and the manner in which this sediment is delivered through the channel system from the early 1800s to present-day is described.

  4. Improved Virologic Suppression With HIV Subspecialty Care in a Large Prison System Using Telemedicine: An Observational Study With Historical Controls

    PubMed Central

    Young, Jeremy D.; Patel, Mahesh; Badowski, Melissa; Mackesy-Amiti, Mary Ellen; Vaughn, Pyrai; Shicker, Louis; Puisis, Michael; Ouellet, Lawrence J.

    2014-01-01

    Correctional populations have an elevated human immunodeficiency virus (HIV) prevalence, yet many individuals lack access to subspecialty care. Our study showed that HIV-infected inmates had significantly greater virologic suppression and higher CD4 T-lymphocyte counts when managed by a multidisciplinary team of subspecialists conducting clinics via telemedicine. In other studies, these outcomes have been associated with reductions on HIV-related morbidity and mortality, as well as HIV transmission. PMID:24723283

  5. Mercury in the Grand Calumet River/Indiana Harbor Canal and Lake Michigan, Lake County, Indiana, August 2001 and May 2002

    USGS Publications Warehouse

    Risch, Martin R.

    2005-01-01

    Data from this study have implications for a Total Maximum Daily Load (TMDL) for mercury in the Grand Calumet River/Indiana Harbor Canal. Comparisons of data from this study with historical data do not show substantial changes in the distribution of mercury in the study area from 1994 through 2002. Treated municipal effluent had larger mercury concentrations than industrial effluent and presents a potential for larger mercury loads that could be controlled to achieve a TMDL, based on concentration. Mercury in ground-water discharge may be difficult to control to achieve a TMDL because of its diffuse and widespread distribution.

  6. 40 CFR 799.9130 - TSCA acute inhalation toxicity.

    Code of Federal Regulations, 2012 CFR

    2012-07-01

    ... of the substance in the atmosphere, a vehicle control group should be used when historical data are... system to assign animals to test groups and control groups randomly is required. (2) Control groups. A concurrent untreated control group is not necessary. Where a vehicle other than water is used to generate an...

  7. 40 CFR 799.9130 - TSCA acute inhalation toxicity.

    Code of Federal Regulations, 2013 CFR

    2013-07-01

    ... of the substance in the atmosphere, a vehicle control group should be used when historical data are... system to assign animals to test groups and control groups randomly is required. (2) Control groups. A concurrent untreated control group is not necessary. Where a vehicle other than water is used to generate an...

  8. 40 CFR 799.9130 - TSCA acute inhalation toxicity.

    Code of Federal Regulations, 2014 CFR

    2014-07-01

    ... of the substance in the atmosphere, a vehicle control group should be used when historical data are... system to assign animals to test groups and control groups randomly is required. (2) Control groups. A concurrent untreated control group is not necessary. Where a vehicle other than water is used to generate an...

  9. Historical perspective on biological control of postharvest diseases – past, present, and future

    USDA-ARS?s Scientific Manuscript database

    The birth of the field of biological control of postharvest diseases can be traced back to 1984 when a researcher testing an antagonist (Bacillus subtilis) in the field to control brown rot of peaches (caused by Monilinia fructicola ) decided to apply the antagonist directly to the peach to control ...

  10. Imputation method for lifetime exposure assessment in air pollution epidemiologic studies

    PubMed Central

    2013-01-01

    Background Environmental epidemiology, when focused on the life course of exposure to a specific pollutant, requires historical exposure estimates that are difficult to obtain for the full time period due to gaps in the historical record, especially in earlier years. We show that these gaps can be filled by applying multiple imputation methods to a formal risk equation that incorporates lifetime exposure. We also address challenges that arise, including choice of imputation method, potential bias in regression coefficients, and uncertainty in age-at-exposure sensitivities. Methods During time periods when parameters needed in the risk equation are missing for an individual, the parameters are filled by an imputation model using group level information or interpolation. A random component is added to match the variance found in the estimates for study subjects not needing imputation. The process is repeated to obtain multiple data sets, whose regressions against health data can be combined statistically to develop confidence limits using Rubin’s rules to account for the uncertainty introduced by the imputations. To test for possible recall bias between cases and controls, which can occur when historical residence location is obtained by interview, and which can lead to misclassification of imputed exposure by disease status, we introduce an “incompleteness index,” equal to the percentage of dose imputed (PDI) for a subject. “Effective doses” can be computed using different functional dependencies of relative risk on age of exposure, allowing intercomparison of different risk models. To illustrate our approach, we quantify lifetime exposure (dose) from traffic air pollution in an established case–control study on Long Island, New York, where considerable in-migration occurred over a period of many decades. Results The major result is the described approach to imputation. The illustrative example revealed potential recall bias, suggesting that regressions against health data should be done as a function of PDI to check for consistency of results. The 1% of study subjects who lived for long durations near heavily trafficked intersections, had very high cumulative exposures. Thus, imputation methods must be designed to reproduce non-standard distributions. Conclusions Our approach meets a number of methodological challenges to extending historical exposure reconstruction over a lifetime and shows promise for environmental epidemiology. Application to assessment of breast cancer risks will be reported in a subsequent manuscript. PMID:23919666

  11. Historical ecology: past, present and future

    PubMed Central

    Szabó, Péter

    2017-01-01

    The term ‘historical ecology’ has been used with various meanings since the first half of the 20th century. Studies labelled as historical ecology have been produced in at least four academic disciplines: history, ecology, geography and anthropology. Although all those involved seem to agree that historical ecology concerns the historical interconnectedness of nature and human culture, this field of study has no unified methodology, specialized institutional background and common publication forums. Knowledge of the development of historical ecology is also limited. As a result, the current multitude of definitions of historical ecology is accompanied by divergent opinions as to where the origins of the field are to be sought. In this review, I follow the development of historical ecology from the 18th century to the present. In the first part, I briefly describe some early examples of historical ecological investigations, followed by a description of the various scientific strands in the 20th century that contributed to the formation of historical ecology. In the second part, I discuss the past five decades of historical ecological investigations in more detail, focusing mostly (but not exclusively) on works that their respective authors identified as historical ecology. I also examine the appearance and interconnectedness of the two main trends (ecological and anthropological) in historical ecological research. In the last part, I attempt to outline the future of historical ecology based on common features in existing research. It appears that at present historical ecology is at the crossroads. With rapidly growing interest in historical ecological research, it may move towards institutionalization or remain an umbrella term. PMID:25174685

  12. Use of the self-organizing feature map to diagnose abnormal engineering change

    NASA Astrophysics Data System (ADS)

    Lu, Ruei-Shan; Wu, Zhi-Ting; Peng, Kuo-Wei; Yu, Tai-Yi

    2015-07-01

    This study established identification manners with self-organizing feature map (SOM) to achieve the goal of monitoring Engineering Change (EC) based on historical data of a company that specializes in computers and peripherals. The product life cycle of this company is 3-6 months. The historical data were divided into three parts, each covering four months. The first part, comprising 2,343 records from January to April (the training period), comprise the Control Group. The second and third parts comprise Experimental Groups (EG) 1 and 2, respectively. For EG 1 and 2, the successful rate of recognizing information on abnormal ECs was approximately 96% and 95%, respectively. This paper shows the importance and screening procedures of abnormal engineering change for a particular company specializing in computers and peripherals.

  13. Historical Contributions to Vertical Flight at the NASA Langley Research Center

    NASA Technical Reports Server (NTRS)

    Hodges, William T.; Gorton, Susan A.; Jackson, Karen E.

    2016-01-01

    The NASA Langley Research Center has had a long and distinguished history in powered lift technology development. This research has formed the foundation of knowledge for the powered lift community worldwide. From aerodynamics to structures, aeromechanics, powered lift, acoustics, materials, stability & control, structural dynamics and human factors, Langley has made significant contributions to the advancement of vertical lift technologies. This research has encompassed basic phenomenological studies through subscale laboratory testing, analytical tool development, applied demonstrations and full scale flight-testing. Since the dedication of Langley in 1920, it has contributed to the understanding, design, analysis, and flight test development of experimental and production V/STOL configurations. This paper will chronicle significant areas of research through the decades from 1920 to 2015 with historical photographs and references.

  14. Human Brucellosis in Maghreb: Existence of a Lineage Related to Socio-Historical Connections with Europe

    PubMed Central

    Lounes, Nedjma; Cherfa, Moulay-Ali; Le Carrou, Gilles; Bouyoucef, Abdellah; Jay, Maryne; Garin-Bastuji, Bruno; Mick, Virginie

    2014-01-01

    Despite control/eradication programs, brucellosis, major worldwide zoonosis due to the Brucella genus, is endemic in Northern Africa and remains a major public health problem in the Maghreb region (Algeria/Morocco/Tunisia). Brucella melitensis biovar 3 is mostly involved in human infections and infects mainly small ruminants. Human and animal brucellosis occurrence in the Maghreb seems still underestimated and its epidemiological situation remains hazy. This study summarizes official data, regarding Brucella melitensis infections in Algeria, from 1989 to 2012, with the purpose to provide appropriate insights concerning the epidemiological situation of human and small ruminant brucellosis in Maghreb. Algeria and Europe are closely linked for historical and economical reasons. These historical connections raise the question of their possible impact on the genetic variability of Brucella strains circulating in the Maghreb. Other purpose of this study was to assess the genetic diversity among Maghreb B. melitensis biovar 3 strains, and to investigate their possible epidemiological relationship with European strains, especially with French strains. A total of 90 B. melitensis biovar 3 Maghreb strains isolated over a 25 year-period (1989–2014), mainly from humans, were analysed by MLVA-16. The obtained results were compared with genotypes of European B. melitensis biovar 3 strains. Molecular assays showed that Algerian strains were mainly distributed into two distinct clusters, one Algerian cluster related to European sub-cluster. These results led to suggest the existence of a lineage resulting from socio-historical connections between Algeria and Europe that might have evolved distinctly from the Maghreb autochthonous group. This study provides insights regarding the epidemiological situation of human brucellosis in the Maghreb and is the first molecular investigation regarding B. melitensis biovar 3 strains circulating in the Maghreb. PMID:25517901

  15. Comparison of Two Surface Contamination Sampling Techniques Conducted for the Characterization of Two Pajarito Site Manhattan Project National Historic Park Properties

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

    Lopez, Tammy Ann

    Technical Area-18 (TA-18), also known as Pajarito Site, is located on Los Alamos National Laboratory property and has historic buildings that will be included in the Manhattan Project National Historic Park. Characterization studies of metal contamination were needed in two of the four buildings that are on the historic registry in this area, a “battleship” bunker building (TA-18-0002) and the Pond cabin (TA-18-0029). However, these two buildings have been exposed to the elements, are decades old, and have porous and rough surfaces (wood and concrete). Due to these conditions, it was questioned whether standard wipe sampling would be adequate tomore » detect surface dust metal contamination in these buildings. Thus, micro-vacuum and surface wet wipe sampling techniques were performed side-by-side at both buildings and results were compared statistically. A two-tail paired t-test revealed that the micro-vacuum and wet wipe techniques were statistically different for both buildings. Further mathematical analysis revealed that the wet wipe technique picked up more metals from the surface than the microvacuum technique. Wet wipes revealed concentrations of beryllium and lead above internal housekeeping limits; however, using an yttrium normalization method with linear regression analysis between beryllium and yttrium revealed a correlation indicating that the beryllium levels were likely due to background and not operational contamination. PPE and administrative controls were implemented for National Park Service (NPS) and Department of Energy (DOE) tours as a result of this study. Overall, this study indicates that the micro-vacuum technique may not be an efficient technique to sample for metal dust contamination.« less

  16. Reconstruction assessment of historical land use: A case study in the Kamo River basin, Kyoto, Japan

    NASA Astrophysics Data System (ADS)

    Luo, Pingping; Takara, Kaoru; Apip; He, Bin; Nover, Daniel

    2014-02-01

    Reconstruction assessment of historical land use can be useful for understanding historical conditions and the impact of long-term land-use change. This study establishes a new method to estimate historical land use based on a set of basic rules generated from the comparison of present land-use and historical documents. This method has been formalized in the paleo-land-use reconstruction (PLUR) program, allowing users to quickly reconstruct historical land use using historical information. The 1843, 1902 and 1927 historical land use conditions were generated using the PLUR model for the Kamo River basin (KRB). Our results show that between 1902 and 1976, three golf courses (Ohara Public course, Kamigamo course and Funayama course) replaced forest land in the KRB. As a result of agricultural development, the area occupied by paddy fields in 1843 was 2.48 km2 less than that in 1902. Urban areas increased from 1843 to 1976, mainly reflecting declining coverage of paddy fields after 1902. The approach presented in this study can be used to support land-use change analyses and reconstruction of paleo-hydrology. This study also provides a discussion of the major drivers of land use change.

  17. Experimental basin studies—an international and historical perspective of forest impacts

    NASA Astrophysics Data System (ADS)

    Whitehead, P. G.; Robinson, M.

    1993-05-01

    The long tradition of catchment studies in hydrology results from the need to understand the water balance operating in basins, the processes controlling water movements and the impacts of land-use change on water quantity and quality. The interactions between physical, chemical and biological behaviour have become an increasingly dominant theme in recent years, and this has been boosted by global environmental problems such as acid rain and climatic change. After a historical summary of catchment studies, a brief review is given of some of the most influential experiments and their underlying objectives and results, concentrating on those concerned with one land-use change in particular — to/from forestry. In interpreting the effects of a change in forest cover, it is necessary also to consider impacts of the associated site disturbance, including possible soil compaction and road construction as a result of logging and any artificial drainage before tree planting. The recent tendency to link basin studies into networks is discussed, with examples of currently active networks.

  18. Influence of the Saros Fault on the Periodicity of Earthquake Activity (Gelibolu Peninsula, NW Turkey)

    NASA Astrophysics Data System (ADS)

    İpek Gültekin, Derya; Karakoç, Okan; Şahin, Murat; Elitez, İrem; Yaltırak, Cenk

    2017-04-01

    Active faults are vital in terms of settlement and socio-economic aspects of a region. For this reason, it is important to determine the characteristics and impact areas of active faults correctly. The Marmara region is a tectonically active region located in the northwestern Anatolia. The northern part of the North Anatolian Fault, which was named the Saros Fault, passes through the westernmost part of this region. The Saros Fault is a 52 km-long and NE-SW-trending right-lateral strike-slip fault. In this study, the seismicity of the Gelibolu Peninsula has been examined in the light of historical records. When considering the historical records, 545, 986, 1354 and 1756 earthquakes led to damage on the settlements close to the Saros Fault. The dates of historical earthquakes were calculated by integration of previously published empirical formulas, year difference between events and velocity of GPS vectors. The acceleration map (PGA MAPS) of the region has been produced by taking into account these earthquake magnitudes, fault geometry and geology of the region, and consequently, it was seen that these maps overlap quite well with the damage records of historical earthquakes. Considering the periodicity of the Saros Fault, which majorly controls the seismicity in the region, it is aimed to find an answer to the question "how does a recent earthquake affect the region?" by the help of historical earthquake records and PGA modelling. In conclusion, our data showed that PGA values are dominant in the northern side of the Gelibolu Peninsula and this region may be affected by a magnitude 7.3 earthquake.

  19. Historical and recent large megathrust earthquakes in Chile

    NASA Astrophysics Data System (ADS)

    Ruiz, S.; Madariaga, R.

    2018-05-01

    Recent earthquakes in Chile, 2014, Mw 8.2 Iquique, 2015, Mw 8.3 Illapel and 2016, Mw 7.6 Chiloé have put in evidence some problems with the straightforward application of ideas about seismic gaps, earthquake periodicity and the general forecast of large megathrust earthquakes. In northern Chile, before the 2014 Iquique earthquake 4 large earthquakes were reported in written chronicles, 1877, 1786, 1615 and 1543; in North-Central Chile, before the 2015 Illapel event, 3 large earthquakes 1943, 1880, 1730 were reported; and the 2016 Chiloé earthquake occurred in the southern zone of the 1960 Valdivia megathrust rupture, where other large earthquakes occurred in 1575, 1737 and 1837. The periodicity of these events has been proposed as a good long-term forecasting. However, the seismological aspects of historical Chilean earthquakes were inferred mainly from old chronicles written before subduction in Chile was discovered. Here we use the original description of earthquakes to re-analyze the historical archives. Our interpretation shows that a-priori ideas, like seismic gaps and characteristic earthquakes, influenced the estimation of magnitude, location and rupture area of the older Chilean events. On the other hand, the advance in the characterization of the rheological aspects that controlled the contact between Nazca and South-American plate and the study of tsunami effects provide better estimations of the location of historical earthquakes along the seismogenic plate interface. Our re-interpretation of historical earthquakes shows a large diversity of earthquakes types; there is a major difference between giant earthquakes that break the entire plate interface and those of Mw 8.0 that only break a portion of it.

  20. Waterflood control system for maximizing total oil recovery

    DOEpatents

    Patzek, Tadeusz Wiktor; Silin, Dimitriy Borisovic; De, Asoke Kumar

    2005-06-07

    A control system and method for determining optimal fluid injection pressure is based upon a model of a growing hydrofracture due to waterflood injection pressure. This model is used to develop a control system optimizing the injection pressure by using a prescribed injection goal coupled with the historical times, pressures, and volume of injected fluid at a single well. In this control method, the historical data is used to derive two major flow components: the transitional component, where cumulative injection volume is scaled as the square root of time, and a steady-state breakthrough component, which scales linearly with respect to time. These components provide diagnostic information and allow for the prevention of rapid fracture growth and associated massive water break through that is an important part of a successful waterflood, thereby extending the life of both injection and associated production wells in waterflood secondary oil recovery operations.

  1. Waterflood control system for maximizing total oil recovery

    DOEpatents

    Patzek, Tadeusz Wiktor [Oakland, CA; Silin, Dimitriy Borisovich [Pleasant Hill, CA; De, Asoke Kumar [San Jose, CA

    2007-07-24

    A control system and method for determining optimal fluid injection pressure is based upon a model of a growing hydrofracture due to waterflood injection pressure. This model is used to develop a control system optimizing the injection pressure by using a prescribed injection goal coupled with the historical times, pressures, and volume of injected fluid at a single well. In this control method, the historical data is used to derive two major flow components: the transitional component, where cumulative injection volume is scaled as the square root of time, and a steady-state breakthrough component, which scales linearly with respect to time. These components provide diagnostic information and allow for the prevention of rapid fracture growth and associated massive water break through that is an important part of a successful waterflood, thereby extending the life of both injection and associated production wells in waterflood secondary oil recovery operations.

  2. Nuclear technology requires free elections

    NASA Astrophysics Data System (ADS)

    Synek, Miroslav

    1999-10-01

    The historical development on our planet has reached a powerful technology of nuclear intercontinental ballistic missiles, conceivably controllable through a computerized ``push-button." If this technology ever falls under the control of an irresponsible, miscalculating, or insane DICTATOR, with powerful means of a mass-produced nuclear built-up, anywhere on our planet, the very SURVIVAL OF ALL HUMANITY on our planet could be threatened. Therefore, it is a historical urgency that this technology is under the control by the people, through a sufficiently secure system of FREE ELECTIONS, in any country, wherever and whenever such a threatening possibility exists. Of course, a starting system of FREE ELECTIONS, even if quite rudimentary, should try to provide for its continuous functioning, with an underlying appropriate freedom of expression and with rules for its continuation, while aiming towards continuous improvements.

  3. Percuflex Helical Ureteral Stents Significantly Reduce Patient Analgesic Requirements Compared to Control Stents.

    PubMed

    Chew, Ben H; Rebullar, Karla A; Harriman, David; McDougall, Elspeth; Paterson, Ryan F; Lange, Dirk

    2017-12-01

    Ureteral stent symptoms are experienced by the majority of patients with ureteral stents. No one stent or technology has shown a clear advantage. The Helical™ stent, a spirally cut stent made of proprietary Percuflex™ material, was designed to conform to the shape of the ureter and better accommodate patient movement. We prospectively sought to compare unscheduled visits, analgesic use, and pain scores in patients who received a Percuflex Helical ureteral stent following ureteroscopy compared to a historical control group. Fifteen (n = 15) patients undergoing ureteroscopy for the treatment of kidney stones were consented for study. A Percuflex Helical ureteral stent was inserted after treating the urinary stone. The historical control group consisted of 30 patients, from a previous (ketorolac eluting) ureteral stent study utilizing the same protocol and clinical monitoring forms, who received a regular Percuflex ureteral stent. The control patients were matched by age and sex. The primary study outcome was to compare unscheduled visits. Secondary outcomes included comparison of Visual Pain Analog Scale (VPAS) scores and analgesic use between the two groups. There were no differences in the gender, age, BMI, or stone characteristics between groups. Both groups underwent retrograde ureteroscopy using holmium:YAG laser lithotripsy and stone fragmentation. There was a significant reduction in the amount of analgesics required in the Helical stent group (4.4 ± 7.99 mg morphine equivalents) compared to controls (16.75 ± 18.31 mg, p = 0.0035) to achieve similar VPAS scores. There was no difference in unscheduled visits (20%) or VPAS scores (13.84 ± 13.68 helical vs 14.29 ± 11.58 control, p = 0.7910) between groups. Patients who received a Percuflex Helical ureteral stent required significantly fewer analgesics than those who received a Percuflex stent and both had equivalent pain scores.

  4. Post-marketing safety evaluation of a tetanus toxoid, reduced diphtheria toxoid and 3-component acellular pertussis vaccine administered to a cohort of adolescents in a United States health maintenance organization.

    PubMed

    Klein, Nicola P; Hansen, John; Lewis, Edwin; Lyon, Liisa; Nguyen, Bessie; Black, Steven; Weston, Wayde M; Wu, Sterling; Li, Ping; Howe, Barbara; Friedland, Leonard R

    2010-07-01

    Prelicensure clinical studies may not include sufficient numbers of subjects to assess the potential for rare postvaccination adverse events. The aim of this postlicensure study (NCT00297856) was to evaluate uncommon outcomes following vaccination with a tetanus, reduced-antigen-content diphtheria, and acellular pertussis vaccine (Tdap, Boostrix GlaxoSmithKline) in a large adolescent cohort. We monitored safety outcomes among 13,427 10 to 18-year-old adolescents enrolled in the Northern California Kaiser Permanente Health Care Plan who received Tdap vaccination as part of their normal health care. Subjects were evaluated using self-control analysis comparing days 0 to 29 to days 30 to 59 postvaccination for neurologic events, hematologic events and allergic reactions. We evaluated new onset chronic illnesses within 6 months of Tdap vaccination by comparing with historical Td controls matched for age at vaccination, season, sex, and geographic area. We also compared the incidence of events of interest between the Tdap and historical cohorts as exploratory analyses. No increased risk for medically attended neurologic (odds ratio [OR], 0.962; 95% confidence interval [CI], 0.533-1.733) or allergic reactions (OR, 1.091; 95% CI, 0.441-2.729) was observed following Tdap vaccination when comparing the first 30 postvaccination days to the second 30 postvaccination days. There was one hematologic event within 30 days of Tdap, compared with 0 events within days 30 to 59 (P = 1.0). When compared with matched historical Td recipients, no increase in new onset chronic illnesses (OR, 0.634; 95% CI, 0.475-0.840) was seen after Tdap. No deaths occurred in the Tdap cohort during the study. This study provides no evidence for an increased risk for neurologic, hematologic, allergic events, or new onset of chronic illnesses among adolescents vaccinated with Tdap.

  5. Textbook vs. Historical Fiction: Impact on Social Studies Students

    ERIC Educational Resources Information Center

    Rider, Amanda

    2013-01-01

    The purpose of this study was to examine the effects of adding historical fiction novels as a supplement to the textbook in an eighth grade social studies course. This qualitative study focused on student interest and feedback as their social studies class was altered through the addition of historical fiction novels. The research questions were…

  6. Textural analysis of high resolution imagery to quantify bush encroachment in Madikwe Game Reserve, South Africa, 1955-1996

    Treesearch

    A. T. Hudak; C.A. Wessman

    2001-01-01

    Fire suppression associated with decades of cattle grazing can result in bush encroachment in savannas. Textural analyses of historical, high resolution images was used to characterize bush densities across a South African study landscape. A control site, where vegetation was assumed to have changed minimally for the duration of the image record (1955-1996), was used...

  7. Spatial patterns and controls on historical fire regimes and forest structure in the Klamath Mountains

    Treesearch

    Alan H. Taylor; Carl N. Skinner

    2003-01-01

    Fire exclusion in mixed conifer forests has increased the risk of fire due to decades of fuel accumulation. Restoration of fire into altered forests is a challenge because of a poor understanding of the spatial and temporal dynamics of fire regimes. In this study the spatial and temporal characteristics of fire regimes and forest age structure are reconstructed in a...

  8. Inventory of Archaeological and Historical Resources Lava Flow Control Study, Hilo, Hawaii,

    DTIC Science & Technology

    1979-05-01

    amale- p 11111 S.PIaN. Sitea card; hial. 1971 :2 aa. INVENTRh Y OF AIIAj4AOLGICAL AND HISIORICAL ESItIMCES Sit umber Site Ded𔃻ption e Period Coed...liaison. 1932:294 SO-a-Al-ST Kalled , paved 4 PPI.Site Card; NHudson, 1932:29S.2W6 terraced platorm bo-Li-AI. 55$ Legendary crevite, Esrsaa% 1903:Is

  9. A Historical Study of Operational Command: A Resource for Researchers

    DTIC Science & Technology

    2005-03-01

    PJHQ) in the United Kingdom. Control, the impact of command arrangements on the proper functioning of operational level headquarters is shown...might interact in a joint environment, identifying the different types of communication and social networks that exist, determining the influence of...introduction of information technology and its tools has spawned ideas such as Network Centric Warfare (NCW) or Network Enabled Warfare (NEW), there is

  10. A Historical Study of Operational: A Resource for Researches

    DTIC Science & Technology

    2005-03-01

    PJHQ) in the United Kingdom. Control, the impact of command arrangements on the proper functioning of operational level headquarters is shown...might interact in a joint environment, identifying the different types of communication and social networks that exist, determining the influence of...introduction of information technology and its tools has spawned ideas such as Network Centric Warfare (NCW) or Network Enabled Warfare (NEW), there is

  11. Historical review of termite activity at Forest Service termiticide test sites from 1971 to 2004

    Treesearch

    J.E. Mulrooney; T.L. Wagner; T.G. Shelton; C.J. Peterson; P.D. Gerard

    2007-01-01

    The U.S. Forest Service has a long history of providing termiticide efficacy data used for product registration and labeling. Four primary test sites (Arizona and Florida, Mississippi, and South Carolina [hereafter southeast]) have been used for this purpose. Various parameters of termite attack at water-only control plots were examined in this study to assess the...

  12. Randomised clinical trial: sofosbuvir and ledipasvir in patients with transfusion-dependent thalassaemia and HCV genotype 1 or 4 infection.

    PubMed

    Mangia, A; Sarli, R; Gamberini, R; Piga, A; Cenderello, G; Piazzolla, V; Santoro, R; Caruso, V; Quarta, A; Ganga, R; Copetti, M; Forni, G

    2017-08-01

    Patients with thalassaemia major depend on blood transfusions. In Italy, up to 80% of thalassaemia patients bear HCV antibodies due to HCV contaminated transfusions before 1990. Thalassaemia patients with HCV infection have high risk of developing HCC. Treatment based on Pegylated-IFN (Peg-IFN) and Ribavirin (RBV) was limited by relevant side effects. To evaluate the impact of Sofosbuvir/Ledipasvir (SOF/LDV) fixed dose combination for 12 weeks without RBV, in patients with thalassaemia major and HCV Genotype 1 or 4 (GT1/4). Open label, historically-controlled, nationwide multicentre study in thalassaemia patients including naïve with cirrhosis and prior treatment failure without cirrhosis. SOF/LDV single pill was administered for 12 weeks to 100 patients of whom 16% had cirrhosis. The control group included 96 patients with comparable baseline characteristics treated with Peg-IFN/RBV. The primary end point was sustained virologic response at follow-up week 12 or 24 after IFN-free or Peg-IFN/RBV, respectively. In the study group, sustained virological response (SVR) was reported in 98% of patients (95% CI 95.3%-100%). Cirrhotic as well as prior treatment failure achieved 100% SVR. In the control group, SVR was 47.9% (95% CI 37.9%-57.9%). Adverse events including fatigue, headache, nausea, decrease in haemoglobin or increase in ferritin levels were rare and significantly less common in the study than in the historical control group. In conclusion, SOF/LDV for 12 weeks provides simple, highly effective and safe Peg-IFN/RBV-free treatment for HCV GT1/4 thalassaemia patients. EUDRACT number 2015-002401-1. © 2017 John Wiley & Sons Ltd.

  13. Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE). Early evaluation of a complex intervention

    PubMed Central

    Shaw, Martin; Iwashyna, Theodore J.; Daniel, Malcolm; Devine, Helen; Jarvie, Lyndsey; Kinsella, John; MacTavish, Pamela; Quasim, Tara

    2017-01-01

    Background Many patients suffer significant physical, social and psychological problems in the months and years following critical care discharge. At present, there is minimal evidence of any effective interventions to support this patient group following hospital discharge. The aim of this project was to understand the impact of a complex intervention for ICU survivors. Methods Quality improvement project conducted between September 2014 and June 2016, enrolling 49 selected patients from one ICU in Scotland. To evaluate the impact of this programme outcomes were compared to an existing cohort of patients from the same ICU from 2008–2009. Patients attended a five week peer supported rehabilitation programme. This multidisciplinary programme included pharmacy, physiotherapy, nursing, medical, and psychology input. The primary outcome in this evaluation was the EQ-5D, a validated measure of health-related quality of life. The minimally clinically important difference (MCID) in the EQ-5D is 0.08. We also measured change in self-efficacy over the programme duration. Based on previous research, this study utilised a 2.4 (6%) point change in self-efficacy scores as a MCID. Results 40 patients (82%) completed follow-up surveys at 12 months. After regression adjustment for those factors known to impact recovery from critical care, there was a 0.07–0.16 point improvement in quality of life for those patients who took part in the intervention compared to historical controls from the same institution, depending on specific regression strategy used. Self-efficacy scores increased by 2.5 points (6.25%) over the duration of the five week programme (p = 0.003), and was sustained at one year post intervention. In the year following ICU, 15 InS:PIRE patients returned to employment or volunteering roles (88%) compared with 11 (46%) in the historical control group (p = 0.15). Conclusions and relevance This historical control study suggests that a complex intervention may improve quality of life and self-efficacy in survivors of ICU. A larger, multi-centre study is needed to investigate this intervention further. PMID:29186177

  14. Intensive Care Syndrome: Promoting Independence and Return to Employment (InS:PIRE). Early evaluation of a complex intervention.

    PubMed

    McPeake, Joanne; Shaw, Martin; Iwashyna, Theodore J; Daniel, Malcolm; Devine, Helen; Jarvie, Lyndsey; Kinsella, John; MacTavish, Pamela; Quasim, Tara

    2017-01-01

    Many patients suffer significant physical, social and psychological problems in the months and years following critical care discharge. At present, there is minimal evidence of any effective interventions to support this patient group following hospital discharge. The aim of this project was to understand the impact of a complex intervention for ICU survivors. Quality improvement project conducted between September 2014 and June 2016, enrolling 49 selected patients from one ICU in Scotland. To evaluate the impact of this programme outcomes were compared to an existing cohort of patients from the same ICU from 2008-2009. Patients attended a five week peer supported rehabilitation programme. This multidisciplinary programme included pharmacy, physiotherapy, nursing, medical, and psychology input. The primary outcome in this evaluation was the EQ-5D, a validated measure of health-related quality of life. The minimally clinically important difference (MCID) in the EQ-5D is 0.08. We also measured change in self-efficacy over the programme duration. Based on previous research, this study utilised a 2.4 (6%) point change in self-efficacy scores as a MCID. 40 patients (82%) completed follow-up surveys at 12 months. After regression adjustment for those factors known to impact recovery from critical care, there was a 0.07-0.16 point improvement in quality of life for those patients who took part in the intervention compared to historical controls from the same institution, depending on specific regression strategy used. Self-efficacy scores increased by 2.5 points (6.25%) over the duration of the five week programme (p = 0.003), and was sustained at one year post intervention. In the year following ICU, 15 InS:PIRE patients returned to employment or volunteering roles (88%) compared with 11 (46%) in the historical control group (p = 0.15). This historical control study suggests that a complex intervention may improve quality of life and self-efficacy in survivors of ICU. A larger, multi-centre study is needed to investigate this intervention further.

  15. Materials, used in historical buildings, analysis methods and solutions puroposals

    NASA Astrophysics Data System (ADS)

    Döndüren, M. Sami; Sişik, Ozlem

    2017-10-01

    Most of historical buildings are built with pressure principle and have the characteristics of masonry structures. Therefore, the structure components of buildings are constituted bearing walls, columns, buttresses, vaults and domes. Natural stone, cut stone, rubble stone brick or alternate materials were used in the bearing elements. Brick-dust and mortar with more binding feature were used as combination elements. In time, some problems were occurred in used materials and in structure as a result of various effects. Therefore, it is necessary to apply various applications in framework of repair and strengthening of buildings. In this study, restoration of historic buildings and the control of the adequacy of the bearing systems as one most important part of structure were examined. For this purpose, static analysis of Edirne-Merkez Demirtaş (Timurtaş) mosque located in Edirne was tested. Testes could give suggestions and be applied if buildings needed be revealed. The structure was modelled with finite element model of sap2000 package program and the forces generated under various loads and stresses, the occurred deformation due to that, overflow of allowable stress of this deformation and stresses were investigated. As the results of this study can be note that the maximum compressive stress at the construction is calculated as 1.1 MPa.

  16. Data processing workflows from low-cost digital survey to various applications: three case studies of Chinese historic architecture

    NASA Astrophysics Data System (ADS)

    Sun, Z.; Cao, Y. K.

    2015-08-01

    The paper focuses on the versatility of data processing workflows ranging from BIM-based survey to structural analysis and reverse modeling. In China nowadays, a large number of historic architecture are in need of restoration, reinforcement and renovation. But the architects are not prepared for the conversion from the booming AEC industry to architectural preservation. As surveyors working with architects in such projects, we have to develop efficient low-cost digital survey workflow robust to various types of architecture, and to process the captured data for architects. Although laser scanning yields high accuracy in architectural heritage documentation and the workflow is quite straightforward, the cost and portability hinder it from being used in projects where budget and efficiency are of prime concern. We integrate Structure from Motion techniques with UAV and total station in data acquisition. The captured data is processed for various purposes illustrated with three case studies: the first one is as-built BIM for a historic building based on registered point clouds according to Ground Control Points; The second one concerns structural analysis for a damaged bridge using Finite Element Analysis software; The last one relates to parametric automated feature extraction from captured point clouds for reverse modeling and fabrication.

  17. Quasi-experimental study designs series-paper 1: introduction: two historical lineages.

    PubMed

    Bärnighausen, Till; Røttingen, John-Arne; Rockers, Peter; Shemilt, Ian; Tugwell, Peter

    2017-09-01

    The objective of this study was to contrast the historical development of experiments and quasi-experiments and provide the motivation for a journal series on quasi-experimental designs in health research. A short historical narrative, with concrete examples, and arguments based on an understanding of the practice of health research and evidence synthesis. Health research has played a key role in developing today's gold standard for causal inference-the randomized controlled multiply blinded trial. Historically, allocation approaches developed from convenience and purposive allocation to alternate and, finally, to random allocation. This development was motivated both by concerns for manipulation in allocation as well as statistical and theoretical developments demonstrating the power of randomization in creating counterfactuals for causal inference. In contrast to the sequential development of experiments, quasi-experiments originated at very different points in time, from very different scientific perspectives, and with frequent and long interruptions in their methodological development. Health researchers have only recently started to recognize the value of quasi-experiments for generating novel insights on causal relationships. While quasi-experiments are unlikely to replace experiments in generating the efficacy and safety evidence required for clinical guidelines and regulatory approval of medical technologies, quasi-experiments can play an important role in establishing the effectiveness of health care practice, programs, and policies. The papers in this series describe and discuss a range of important issues in utilizing quasi-experimental designs for primary research and quasi-experimental results for evidence synthesis. Copyright © 2017 Elsevier Inc. All rights reserved.

  18. Help bring back the celebration of life: A community-based participatory study of rural Aboriginal women’s maternity experiences and outcomes

    PubMed Central

    2013-01-01

    Background Despite clear evidence regarding how social determinants of health and structural inequities shape health, Aboriginal women’s birth outcomes are not adequately understood as arising from the historical, economic and social circumstances of their lives. The purpose of this study was to understand rural Aboriginal women’s experiences of maternity care and factors shaping those experiences. Methods Aboriginal women from the Nuxalk, Haida and 'Namgis First Nations and academics from the University of British Columbia in nursing, medicine and counselling psychology used ethnographic methods within a participatory action research framework. We interviewed over 100 women, and involved additional community members through interviews and community meetings. Data were analyzed within each community and across communities. Results Most participants described distressing experiences during pregnancy and birthing as they grappled with diminishing local maternity care choices, racism and challenging economic circumstances. Rural Aboriginal women’s birthing experiences are shaped by the intersections among rural circumstances, the effects of historical and ongoing colonization, and concurrent efforts toward self-determination and more vibrant cultures and communities. Conclusion Women’s experiences and birth outcomes could be significantly improved if health care providers learned about and accounted for Aboriginal people’s varied encounters with historical and ongoing colonization that unequivocally shapes health and health care. Practitioners who better understand Aboriginal women’s birth outcomes in context can better care in every interaction, particularly by enhancing women’s power, choice, and control over their experiences. Efforts to improve maternity care that account for the social and historical production of health inequities are crucial. PMID:23360168

  19. Future Years Defense Program (FYDP) Structure

    DTIC Science & Technology

    2004-04-01

    JC - United States Central Command DoD 7045.7-H, April 2004 12 JCA - CJCS Controlled Activities JE - United States European Command JFC - United...Codes ARMY TITLECODE TITLECODE(H) = Historical (H) = Historical 1291 Line of Sight Anti-Tank (LOSAT) Battalion 1295 Armored Cavalry Squadrons (ACR) 1296...TRI-TAC) 0208010N Joint Tactical Communications Program (TRI-TAC) 0208011A CJCS Exercise Program 0208011F CJCS Exercise Program 0208011J CJCS Exercise

  20. Phase 3 trial of defibrotide for the treatment of severe veno-occlusive disease and multi-organ failure

    PubMed Central

    Riches, Marcie L.; Kernan, Nancy A.; Brochstein, Joel A.; Mineishi, Shin; Termuhlen, Amanda M.; Arai, Sally; Grupp, Stephan A.; Guinan, Eva C.; Martin, Paul L.; Steinbach, Gideon; Krishnan, Amrita; Nemecek, Eneida R.; Giralt, Sergio; Rodriguez, Tulio; Duerst, Reggie; Doyle, John; Antin, Joseph H.; Smith, Angela; Lehmann, Leslie; Champlin, Richard; Gillio, Alfred; Bajwa, Rajinder; D’Agostino, Ralph B.; Massaro, Joseph; Warren, Diane; Miloslavsky, Maja; Hume, Robin L.; Iacobelli, Massimo; Nejadnik, Bijan; Hannah, Alison L.; Soiffer, Robert J.

    2016-01-01

    Hepatic veno-occlusive disease (VOD), also called sinusoidal obstruction syndrome (SOS), is a potentially life-threatening complication of hematopoietic stem cell transplantation (HSCT). Untreated hepatic VOD/SOS with multi-organ failure (MOF) is associated with >80% mortality. Defibrotide has shown promising efficacy treating hepatic VOD/SOS with MOF in phase 2 studies. This phase 3 study investigated safety and efficacy of defibrotide in patients with established hepatic VOD/SOS and advanced MOF. Patients (n = 102) given defibrotide 25 mg/kg per day were compared with 32 historical controls identified out of 6867 medical charts of HSCT patients by blinded independent reviewers. Baseline characteristics between groups were well balanced. The primary endpoint was survival at day +100 post-HSCT; observed rates equaled 38.2% in the defibrotide group and 25% in the controls (23% estimated difference; 95.1% confidence interval [CI], 5.2-40.8; P = .0109, using a propensity-adjusted analysis). Observed day +100 complete response (CR) rates equaled 25.5% for defibrotide and 12.5% for controls (19% difference using similar methodology; 95.1% CI, 3.5-34.6; P = .0160). Defibrotide was generally well tolerated with manageable toxicity. Related adverse events (AEs) included hemorrhage or hypotension; incidence of common hemorrhagic AEs (including pulmonary alveolar [11.8% and 15.6%] and gastrointestinal bleeding [7.8% and 9.4%]) was similar between the defibrotide and control groups, respectively. Defibrotide was associated with significant improvement in day +100 survival and CR rate. The historical-control methodology offers a novel, meaningful approach for phase 3 evaluation of orphan diseases associated with high mortality. This trial was registered at www.clinicaltrials.gov as #NCT00358501. PMID:26825712

  1. Phase 3 trial of defibrotide for the treatment of severe veno-occlusive disease and multi-organ failure.

    PubMed

    Richardson, Paul G; Riches, Marcie L; Kernan, Nancy A; Brochstein, Joel A; Mineishi, Shin; Termuhlen, Amanda M; Arai, Sally; Grupp, Stephan A; Guinan, Eva C; Martin, Paul L; Steinbach, Gideon; Krishnan, Amrita; Nemecek, Eneida R; Giralt, Sergio; Rodriguez, Tulio; Duerst, Reggie; Doyle, John; Antin, Joseph H; Smith, Angela; Lehmann, Leslie; Champlin, Richard; Gillio, Alfred; Bajwa, Rajinder; D'Agostino, Ralph B; Massaro, Joseph; Warren, Diane; Miloslavsky, Maja; Hume, Robin L; Iacobelli, Massimo; Nejadnik, Bijan; Hannah, Alison L; Soiffer, Robert J

    2016-03-31

    Hepatic veno-occlusive disease (VOD), also called sinusoidal obstruction syndrome (SOS), is a potentially life-threatening complication of hematopoietic stem cell transplantation (HSCT). Untreated hepatic VOD/SOS with multi-organ failure (MOF) is associated with >80% mortality. Defibrotide has shown promising efficacy treating hepatic VOD/SOS with MOF in phase 2 studies. This phase 3 study investigated safety and efficacy of defibrotide in patients with established hepatic VOD/SOS and advanced MOF. Patients (n = 102) given defibrotide 25 mg/kg per day were compared with 32 historical controls identified out of 6867 medical charts of HSCT patients by blinded independent reviewers. Baseline characteristics between groups were well balanced. The primary endpoint was survival at day +100 post-HSCT; observed rates equaled 38.2% in the defibrotide group and 25% in the controls (23% estimated difference; 95.1% confidence interval [CI], 5.2-40.8;P= .0109, using a propensity-adjusted analysis). Observed day +100 complete response (CR) rates equaled 25.5% for defibrotide and 12.5% for controls (19% difference using similar methodology; 95.1% CI, 3.5-34.6;P= .0160). Defibrotide was generally well tolerated with manageable toxicity. Related adverse events (AEs) included hemorrhage or hypotension; incidence of common hemorrhagic AEs (including pulmonary alveolar [11.8% and 15.6%] and gastrointestinal bleeding [7.8% and 9.4%]) was similar between the defibrotide and control groups, respectively. Defibrotide was associated with significant improvement in day +100 survival and CR rate. The historical-control methodology offers a novel, meaningful approach for phase 3 evaluation of orphan diseases associated with high mortality. This trial was registered at www.clinicaltrials.gov as #. © 2016 by The American Society of Hematology.

  2. Comparison between Topical and Oral Tranexamic Acid in Management of Traumatic Hyphema

    PubMed Central

    Jahadi Hosseini, Seyed Hamid Reza; Khalili, Mohammad Reza; Motallebi, Mahmoud

    2014-01-01

    Background: We sought to determine the efficacy of topical tranexamic acid (5%) in the management of traumatic hyphema. Methods: Thirty eyes with gross traumatic hyphema were enrolled in this study. The patients were treated with tranexamic acid (5%) eye drop every 6 hours for 5 days. The main outcome measures were best corrected visual acuity (BCVA), Intra-ocular pressure (IOP), day of clot absorption, and rate of rebleeding. These parameters were evaluated daily for 4 days and thereafter at the 8th and 14th days after treatment. The patients were also compared with two historical control groups of patients (80 eyes) with traumatic hyphema; the first control group was treated with oral placebo and the other group was treated with oral tranexamic acid at our department. Result: Prior to treatment, the mean logarithm of the minimum angle of resolution (logMAR) BCVA was 0.59±0.62. BCVA was increased to 0.08±0.14 at day 14 (P<0.001) and the mean IOP before treatment was 13.7±3.9 mm Hg, which was reduced to 11.4±1.8 mm Hg at day 14 (P=0.004). Rebleeding occurred in one (3.3%) patient on the 4th day post treatment. Comparison between the case group and the other two historical control groups with respect to the rebleeding rate demonstrated statistically significant differences between the case group and the first control group (P=0.008) but no statistically significant differences between the case group and the second control group (P=0.25). Conclusion: Topical tranexamic acid seems promising in the management of traumatic hyphema. However, the small sample size of the present study precludes the conclusion that topical tranexamic acid can replace the oral tranexamic acid. PMID:24753640

  3. Sample size for post-marketing safety studies based on historical controls.

    PubMed

    Wu, Yu-te; Makuch, Robert W

    2010-08-01

    As part of a drug's entire life cycle, post-marketing studies are an important part in the identification of rare, serious adverse events. Recently, the US Food and Drug Administration (FDA) has begun to implement new post-marketing safety mandates as a consequence of increased emphasis on safety. The purpose of this research is to provide exact sample size formula for the proposed hybrid design, based on a two-group cohort study with incorporation of historical external data. Exact sample size formula based on the Poisson distribution is developed, because the detection of rare events is our outcome of interest. Performance of exact method is compared to its approximate large-sample theory counterpart. The proposed hybrid design requires a smaller sample size compared to the standard, two-group prospective study design. In addition, the exact method reduces the number of subjects required in the treatment group by up to 30% compared to the approximate method for the study scenarios examined. The proposed hybrid design satisfies the advantages and rationale of the two-group design with smaller sample sizes generally required. 2010 John Wiley & Sons, Ltd.

  4. Historical ecology: past, present and future.

    PubMed

    Szabó, Péter

    2015-11-01

    The term 'historical ecology' has been used with various meanings since the first half of the 20th century. Studies labelled as historical ecology have been produced in at least four academic disciplines: history, ecology, geography and anthropology. Although all those involved seem to agree that historical ecology concerns the historical interconnectedness of nature and human culture, this field of study has no unified methodology, specialized institutional background and common publication forums. Knowledge of the development of historical ecology is also limited. As a result, the current multitude of definitions of historical ecology is accompanied by divergent opinions as to where the origins of the field are to be sought. In this review, I follow the development of historical ecology from the 18th century to the present. In the first part, I briefly describe some early examples of historical ecological investigations, followed by a description of the various scientific strands in the 20th century that contributed to the formation of historical ecology. In the second part, I discuss the past five decades of historical ecological investigations in more detail, focusing mostly (but not exclusively) on works that their respective authors identified as historical ecology. I also examine the appearance and interconnectedness of the two main trends (ecological and anthropological) in historical ecological research. In the last part, I attempt to outline the future of historical ecology based on common features in existing research. It appears that at present historical ecology is at a crossroads. With rapidly growing interest in historical ecological research, it may move towards institutionalization or remain an umbrella term. © 2014 The Authors. Biological Reviews © 2014 Cambridge Philosophical Society.

  5. 75 FR 77897 - Long Walk National Historic Trail Feasibility Study, Abbreviated Final Environmental Impact...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2010-12-14

    ... DEPARTMENT OF THE INTERIOR National Park Service [7700-1104-SZS] Long Walk National Historic Trail Feasibility Study, Abbreviated Final Environmental Impact Statement, National Trails Intermountain Region, NM... Environmental Impact Statement for the Long Walk National Historic Trail Feasibility Study. SUMMARY: Pursuant to...

  6. δ15N as a proxy for historic anthropogenic nitrogen loading in Charleston Harbor, SC, USA

    NASA Astrophysics Data System (ADS)

    Payne, T. N.; Andrus, C. F. T.

    2015-12-01

    Bivalve shell geochemistry can serve as a useful indicator of changes in coastal environments. There is increasing interest in developing paleoenvironmental proxies from mollusk shell organic components. Numerous studies have focused on how the δ15N obtained from bivalve tissues can be used to trace present-day wastewater input into estuaries. However, comparatively little attention has been paid to tracing the impact of anthropogenic nitrogen loading into estuaries over time. By measuring historic levels of δ15N in the organic fraction of oyster shells (Crassostrea virginica) from archaeological sites around Charleston Harbor and comparing those levels to the δ15N content of modern shells, it is possible to assess how nitrogen has fluctuated historically in the area. Whole-shell samples from the Late Archaic Period (~3000-4000 BP, Late Woodland Period (~1400-800 BP), 18th and 19th centuries, and modern controls were measured for %N and d15N. Evidence of increased anthropogenic input of N is expected to begin in the early historic period based on similar analysis in Chesapeake Bay. More ancient samples may give insight into baseline conditions prior to recent population growth and industrialization. This information could help understand how large-scale anthropogenic nitrogen loading has affected coastal ecosystems over time and guide future remediation. Furthermore, this project will help refine and improve this novel proxy of past environmental conditions.

  7. The prevalence of radiological glenohumeral osteoarthritis in long-term type 1 diabetes: the Dialong shoulder study.

    PubMed

    Juel, N G; Brox, J I; Hellund, J C; Holte, K B; Berg, T J

    2017-12-14

    This study compares the prevalence of radiological osteoarthritis (OA) in patients with type 1 diabetes mellitus (DM1) for > 45 years and controls, and explores the association with shoulder pain and glycaemic burden in patients with DM1. The Dialong study is a cross-sectional, observational study with 30 years of historical data on long-term glycaemic control. We included 102 patients with DM1 and 73 diabetes-free controls. Demographic data, worst shoulder pain last week [numeric rating scale (NRS) 0-10], pain on abduction at examination (NRS 0-10), and current and historical glycosylated haemoglobin (HbA 1c ) levels were collected. Standardized shoulder X-rays were taken and interpreted for OA applying the Kellgren-Lawrence classification. In the diabetes group (49% women), the mean ± sd duration of DM1 was 50.6 ± 4.8 years, mean 30 year HbA 1c 7.4%, and age 61.9 ± 7.1 years. The mean age of controls (57% women) was 62.6 ± 7.0 years. Radiological glenohumeral OA was found in 36 diabetes patients (35%) and 10 controls (14%) [odds ratio (OR) 3.4, 95% confidence interval (CI) 1.6 to 7.5; p = 0.002]. Few persons had moderate and severe OA [6.9% vs 1.3%, OR 5.3 (95% Cl 0.6 to 44.1); p = 0.1]. Fifteen diabetes patients had painful OA versus two controls (adjusted OR 5.4, 95% CI 0.6 to 47.9; p = 0.13). There was no association between OA and long-term glycaemic burden (mean 30 year HbA 1c ) in the diabetes group (p > 0.2). Radiological glenohumeral OA was more common in patients with DM1 than in controls for mild, but not moderate and severe OA. The radiological findings were not associated with shoulder pain or long-term glycaemic burden.

  8. Command generator tracker based direct model reference adaptive control of a PUMA 560 manipulator. Thesis

    NASA Technical Reports Server (NTRS)

    Swift, David C.

    1992-01-01

    This project dealt with the application of a Direct Model Reference Adaptive Control algorithm to the control of a PUMA 560 Robotic Manipulator. This chapter will present some motivation for using Direct Model Reference Adaptive Control, followed by a brief historical review, the project goals, and a summary of the subsequent chapters.

  9. Commensurate Priors for Incorporating Historical Information in Clinical Trials Using General and Generalized Linear Models

    PubMed Central

    Hobbs, Brian P.; Sargent, Daniel J.; Carlin, Bradley P.

    2014-01-01

    Assessing between-study variability in the context of conventional random-effects meta-analysis is notoriously difficult when incorporating data from only a small number of historical studies. In order to borrow strength, historical and current data are often assumed to be fully homogeneous, but this can have drastic consequences for power and Type I error if the historical information is biased. In this paper, we propose empirical and fully Bayesian modifications of the commensurate prior model (Hobbs et al., 2011) extending Pocock (1976), and evaluate their frequentist and Bayesian properties for incorporating patient-level historical data using general and generalized linear mixed regression models. Our proposed commensurate prior models lead to preposterior admissible estimators that facilitate alternative bias-variance trade-offs than those offered by pre-existing methodologies for incorporating historical data from a small number of historical studies. We also provide a sample analysis of a colon cancer trial comparing time-to-disease progression using a Weibull regression model. PMID:24795786

  10. Aerodynamic design via control theory

    NASA Technical Reports Server (NTRS)

    Jameson, Antony

    1988-01-01

    The question of how to modify aerodynamic design in order to improve performance is addressed. Representative examples are given to demonstrate the computational feasibility of using control theory for such a purpose. An introduction and historical survey of the subject is included.

  11. Mobile phone technology identifies and recruits trained citizens to perform CPR on out-of-hospital cardiac arrest victims prior to ambulance arrival.

    PubMed

    Ringh, Mattias; Fredman, David; Nordberg, Per; Stark, Tomas; Hollenberg, Jacob

    2011-12-01

    In a two-parted study, evaluate a new concept were mobile phone technology is used to dispatch lay responders to nearby out-of-hospital cardiac arrests (OHCAs). Mobile phone positioning systems (MPS) can geographically locate selected mobile phone users at any given moment. A mobile phone service using MPS was developed and named Mobile Life Saver (MLS). Simulation study: 25 volunteers named mobile responders (MRs) were connected to MLS. Ambulance time intervals from 22 consecutive OHCAs in 2005 were used as controls. The MRs randomly moved in Stockholm city centre and were dispatched to simulated OHCAs (identical to controls) if they were within a 350 m distance. Real life study: during 25 weeks 1271-1801 MRs trained in CPR were connected to MLS. MLS was activated at the dispatch centre in parallel with ambulance dispatch when an OHCA was suspected. The MRs were dispatched if they were within 500 m from the suspected OHCA. Simulation study: mean response time for the MRs compared to historical ambulance time intervals was reduced by 2 min 20s (44%), p<0.001, (95% CI, 1 min 5s - 3 min 35s). The MRs reached the simulated OHCA prior to the historical control in 72% of cases. Real life study: the MLS was triggered 92 times. In 45% of all suspected and in 56% of all true OHCAs the MRs arrived prior to ambulance. CPR was performed by MRs in 17% of all true OHCAs and in 30% of all true OHCAs if MRs arrived prior to ambulance. Mobile phone technology can be used to identify and recruit nearby CPR-trained citizens to OHCAs for bystander CPR prior to ambulance arrival. Copyright © 2011 Elsevier Ireland Ltd. All rights reserved.

  12. Lowell National Historical Park alternative transportation system historic trolley planning study

    DOT National Transportation Integrated Search

    2002-12-01

    This report assesses opportunities for expanding Lowell National Historical Parks historic trolley line by implementing a light rail system reminiscent of late 19th/early 20th Century trolley lines. This is in line with the Park Services Transp...

  13. The Controlled Cortical Impact Model of Experimental Brain Trauma: Overview, Research Applications, and Protocol

    PubMed Central

    Osier, Nicole; Dixon, C. Edward

    2017-01-01

    Controlled cortical impact (CCI) is a commonly used and highly regarded model of brain trauma that uses a pneumatically or electromagnetically controlled piston to induce reproducible and well-controlled injury. The CCI model was originally used in ferrets and it has since been scaled for use in many other species. This chapter will describe the historical development of the CCI model, compare and contrast the pneumatic and electromagnetic models, and summarize key short- and long-term consequences of TBI that have been gleaned using this model. In accordance with the recent efforts to promote high-quality evidence through the reporting of common data elements (CDEs), relevant study details—that should be reported in CCI studies—will be noted. PMID:27604719

  14. Nursing, social contexts, and ideologies in the early United States birth control movement.

    PubMed

    Lagerwey, M D

    1999-12-01

    Using historical discourse analysis, this study provides a thematic analysis of writings of nursing and birth control as found in The Birth Control Review from 1917 to 1927. The author contrasts this publication with the official journal of the American Nurses Association, the American Journal of Nursing from the same years to explore nursing voices and silences in early birth control stories. In dialogue with social contexts, nursing endeavors and inactivity have played important yet conflicting roles in the birth control movement in the United States. Nursing writings from the early twentieth century reflect eugenic beliefs, national fears of immigrants, and ambivalence about women's roles in society and the home. Nurses simultaneously empowered women to choose when to become pregnant and reinforced nativist and paternalistic views of the poor.

  15. Chemosterilants for Control of Insects and Insect Vectors of Disease.

    PubMed

    Baxter, Richard H G

    2016-10-01

    Both historically and at present, vector control is the most generally effective means of controlling malaria transmission. Insecticides are the predominant method of vector control, but the sterile insect technique (SIT) is a complementary strategy with a successful track record in both agricultural and public health sectors. Strategies of genetic and radiation-induced sterilization of Anopheles have to date been limited by logistical and/or regulatory hurdles. A safe and effective mosquito chemosterilant would therefore be of major utility to future deployment of SIT for malaria control. Here we review the prior and current use of chemosterilants in SIT, and assess the potential for future research. Recent genomic and proteomic studies reveal opportunities for specific targeting of seminal fluid proteins, and the capacity to interfere with sperm motility and storage in the female.

  16. HISTORICAL ANALYSIS, A VALUABLE TOOL IN COMMUNITY-BASED ENVIRONMENTAL PROTECTION

    EPA Science Inventory

    A historical analysis of the ecological consequences of development can be a valuable tool in community-based environmental protection. These studies can engage the public in environmental issues and lead to informed decision making. Historical studies provide an understanding of...

  17. Teachers as Historical Participants: Queens, New York, September 11, 2001

    ERIC Educational Resources Information Center

    Bisland, Beverly Milner

    2004-01-01

    This study includes the voices of elementary teachers, primarily women, in the historical narrative of the September 11, 2001 attacks on the World Trade Center. Hopefully, this inclusion will encourage educators, and social studies educators in particular, to use personal accounts and narratives in the study of historical events. Also this study…

  18. Mission US and Historical Empathy: A Qualitative Case Study of Sixth-Grade Students' Experiences

    ERIC Educational Resources Information Center

    Maxlow, James Richard

    2015-01-01

    This study investigated the potential development and use of historical empathy in sixth-grade students while using the colonial-era historical education game "Mission US" and its associated learning activities. A collective case study was developed to describe and interpret students' experiences. The gathered data included the students'…

  19. Understanding History through the Visual Images in Historical Fiction

    ERIC Educational Resources Information Center

    Youngs, Suzette

    2012-01-01

    In the last ten years, historical fiction picturebooks have won numerous children's literature awards and have assumed a prominent role in the literacy landscape of elementary and middle school classrooms. Whether read in read-alouds, study groups, as a focus of genre study, or as a supplement to the social studies curriculum, historical fiction…

  20. Input-driven versus turnover-driven controls of simulated changes in soil carbon due to land-use change

    NASA Astrophysics Data System (ADS)

    Nyawira, S. S.; Nabel, J. E. M. S.; Brovkin, V.; Pongratz, J.

    2017-08-01

    Historical changes in soil carbon associated with land-use change (LUC) result mainly from the changes in the quantity of litter inputs to the soil and the turnover of carbon in soils. We use a factor separation technique to assess how the input-driven and turnover-driven controls, as well as their synergies, have contributed to historical changes in soil carbon associated with LUC. We apply this approach to equilibrium simulations of present-day and pre-industrial land use performed using the dynamic global vegetation model JSBACH. Our results show that both the input-driven and turnover-driven changes generally contribute to a gain in soil carbon in afforested regions and a loss in deforested regions. However, in regions where grasslands have been converted to croplands, we find an input-driven loss that is partly offset by a turnover-driven gain, which stems from a decrease in the fire-related carbon losses. Omitting land management through crop and wood harvest substantially reduces the global losses through the input-driven changes. Our study thus suggests that the dominating control of soil carbon losses is via the input-driven changes, which are more directly accessible to human management than the turnover-driven ones.

  1. Strategy And The Spreadsheet: Optimizing The Total Army To Satisfy Both

    DTIC Science & Technology

    2016-02-11

    historically reduces military end strength at the conclusion of major conflicts. The Budget Control Act of 2011 imposed sequestration spending limits on...the military that began the process of drawing down the military through fiscal year 2021. While the 2016 defense budget delays sequestration cuts... budget by a wide margin, has started repeating a historical cycle of budget driven defense cuts. The Army’s large force represents an attractive

  2. Malaria and the work of WHO.

    PubMed Central

    Najera, J. A.

    1989-01-01

    Malaria has been one of the main health problems demanding the attention of WHO from the time the Organization was created. This review of the historical record analyses the different approaches to the malaria problem in the past 40 years and shows how WHO tried to fulfil its constitutional mandate. The article exposes the historical roots of the present situation and helps towards an understanding of current problems and approaches to malaria control. PMID:2670294

  3. HISTORICAL DEVELOPMENT OF WET-WEATHER FLOW MANAGEMENT

    EPA Science Inventory

    The management of wet-weather flow (WWF) is necessary to maintain the quality of urban water resources. Throughout history strategies were implemented to control WWF for reasons, e.g., flood and water quality control, aesthetic improvement, waste removal and others. A comprehen...

  4. A study on fire spreading model for the safety distance between the neighborhood occupancies and historical buildings in Taiwan

    NASA Astrophysics Data System (ADS)

    Chen, C. H.; Chien, S. W.; Ho, M. C.

    2015-08-01

    Cultural heritages and historical buildings are vulnerable against severe threats from fire. Since the 1970s, ten fire-spread events involving historic buildings have occurred in Taiwan, affecting a total of 132 nearby buildings. Developed under the influence of traditional Taiwanese culture, historic buildings in Taiwan are often built using non-fire resistant brick-wood structure and located in proximity to residential occupancies. Fire outbreak in these types of neighborhood will lead to severe damage of antiquities, leaving only unrecoverable historical imagery. This study is aimed to investigate the minimal safety distance required between a historical building and its surroundings in order to reduce the risk of external fire. This study is based on literature analysis and the fire spread model using a Fire Dynamics Simulator. The selected target is Jingmei Temple in Taipei City. This study explored local geography to identify patterns behind historical buildings distribution. In the past, risk reduction engineering for cultural heritages and historical buildings focused mainly on fire equipment and the available personnel with emergency response ability, and little attention was given to external fire risks and the affected damage. Through discussions on the required safety distance, this research provides guidelines for the following items: management of neighborhoods with historical buildings and consultation between the protection of cultural heritages and disaster prevention, reducing the frequency and extent of fire damages, and preserving cultural resource.

  5. Selective mutism and anxiety: a review of the current conceptualization of the disorder.

    PubMed

    Sharp, William G; Sherman, Colleen; Gross, Alan M

    2007-01-01

    Selective mutism (SM) is a rare and interesting condition that has been associated with a wide variety of childhood psychiatric conditions. Historically viewed as more of an oddity than a distinct diagnostic entity, early conceptualizations of the condition were based largely on case studies that tended to link SM with oppositional behavior. More recently, controlled studies have enhanced our understanding of SM. This review summarizes the current conceptualization of SM, highlighting evidence supporting the notion that SM is an anxiety-related condition.

  6. Teaching About Theory-Laden Observation to Secondary Students Through Manipulated Lab Inquiry Experience

    NASA Astrophysics Data System (ADS)

    Lau, Kwok-chi; Chan, Shi-lun

    2013-10-01

    This study seeks to develop and evaluate a modified lab inquiry approach to teaching about nature of science (NOS) to secondary students. Different from the extended, open-ended inquiry, this approach makes use of shorter lab inquiry activities in which one or several specific NOS aspects are manipulated deliberately so that students are compelled to experience and then reflect on these NOS aspects. In this study, to let students experience theory-laden observation, they were provided with different "theories" in order to bias their observations in the lab inquiry. Then, in the post-lab discussion, the teacher guided students to reflect on their own experience and explicitly taught about theory-ladenness. This study employs a quasi-experimental pretest-posttest design using the historical approach as the control group. The results show that the manipulated lab inquiry approach was much more effective than the historical approach in fostering students' theory-laden views, and it was even more effective when the two approaches were combined. Besides, the study also sought to examine the practical epistemological beliefs of students concerning theory-ladenness, but limited evidence could be found.

  7. Primitive environment control for preservation of pit relics in archeology museums of China.

    PubMed

    Gu, Zhaolin; Luo, Xilian; Meng, Xiangzhao; Wang, Zanshe; Ma, Tao; Yu, Chuck; Rong, Bo; Li, Ku; Li, Wenwu; Tan, Ying

    2013-02-05

    Immovable historical relics in some archeology museums of China suffer deterioration due to their improper preservation environment. The existing environmental control systems used in archeology museums are often designed for the amenities of visitors, and these manipulated environments are often inappropriate for the conservation of abiotic relics. This paper points out that the large open space of the existing archeology museum could be a cause of deterioration of the relics from the point of view of indoor air convective flow. The paper illustrates the need to introduce a local pit environmental control, which could reintegrate a pit primitive environment for the preservation of the historical relics by using an air curtain system, orientated to isolate the unearthed relics, semiexposed in pits to the large gallery open space of the exhibition hall.

  8. Developing Critical and Historical Thinking Skills in Middle Grades Social Studies

    ERIC Educational Resources Information Center

    Waring, Scott M.; Robinson, Kirk S.

    2010-01-01

    The author describes a social studies unit designed to help students develop critical thinking skills. The lessons give students opportunities to analyze multiple perspectives, use multiple sources when conducting research, and construct historical narratives through the creation of a digital historical biography.

  9. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott C.; Jennings, Esther H.

    2005-01-01

    Congestion control is an important feature that directly affects network performance. Network congestion may cause loss of data or long delays. Although this problem has been studied extensively in the Internet, the solutions for Internet congestion control do not apply readily to challenged network environments such as Delay Tolerant Networks (DTN) where end-to-end connectivity may not exist continuously and latency can be high. In DTN, end-to-end rate control is not feasible. This calls for congestion control mechanisms where the decisions can be made autonomously with local information only. We use an economic pricing model and propose a rule-based congestion control mechanism where each router can autonomously decide on whether to accept a bundle (data) based on local information such as available storage and the value and risk of accepting the bundle (derived from historical statistics).

  10. Fostering Historical Thinking with Digitized Primary Sources

    ERIC Educational Resources Information Center

    Tally, Bill; Goldenberg, Lauren B.

    2005-01-01

    This pilot study examined middle school and high school student performance on an online historical thinking assessment task. After their teachers received training in the use of digital historical archives, students from all groups engaged in historical thinking behaviors (e.g., observation, sourcing, inferencing, evidence, question-posing, and…

  11. "Unnatural Fornication" Cases Under State-Socialism: A Hungarian-Slovenian Comparative Social-Historical Approach.

    PubMed

    Takács, Judit; Kuhar, Roman; Tóth, Tamás P

    2017-01-01

    This comparative social-historical study examines different versions of state-socialist body politics manifested in Hungary and Slovenia mainly during the 1950s by using archive material of "unnatural fornication" court cases. By analyzing the available Hungarian "természet elleni fajtalanság" and Slovenian "nenaravno občevanje" court cases, we can shed light on how the defendants were treated by the police and the judiciary. On the basis of these archive data that have never been examined before from these angles, we can construct an at least partial picture of the practices and consequences of state surveillance of same-sex-attracted men during state-socialism. The article explores the functioning of state-socialist social control mechanisms directed at nonnormative sexualities that had long-lasting consequences on the social representation of homosexuality in both countries.

  12. Future shift of the relative roles of precipitation and temperature in controlling annual runoff in the conterminous United States

    Treesearch

    Kai Duan; Ge Sun; Steven G. McNulty; Peter V. Caldwell; Erika C. Cohen; Shanlei Sun; Heather D. Aldridge; Decheng Zhou; Liangxia Zhang; Yang Zhang

    2017-01-01

    This study examines the relative roles of cli- matic variables in altering annual runoff in the contermi- nous United States (CONUS) in the 21st century, using a monthly ecohydrological model (the Water Supply Stress In- dex model, WaSSI) driven with historical records and future scenarios constructed from 20 Coupled Model Intercompar- ison Project Phase 5 (CMIP5)...

  13. The Glenwood Estate: our 32-year experience using Arbotect® 20-S to control Dutch elm disease

    Treesearch

    William L. MacDonald; Mark L. Double; Cameron M. Stauder; Kemp. Winfree

    2017-01-01

    We report a case study that demonstrates the successful use of the fungicide Arbotect® 20-S to protect American elms (Ulmus americana) from Dutch elm disease at a historic site in Charleston, WV. Standard injection protocols were used every 3 to 4 years to deliver the chemical into the root flares. Twelve of the original 16 trees remain 34 years...

  14. Trends in US movie tobacco portrayal since 1950: a historical analysis.

    PubMed

    Jamieson, Patrick E; Romer, Dan

    2010-06-01

    Portrayal of tobacco use in films has been causally linked to youth smoking initiation. However, findings regarding trends in portrayal in US films since 1950 are inconsistent, potentially due to differences in sampling densities, intercoder reliabilities and time periods covered. The present study was designed to overcome these inconsistencies with a common sampling frame and methodology. A half sample of the 30 top-grossing US films per year from 1950 to 2006 (N=855) was coded in 5-min segments for total tobacco-related content and main character tobacco use. Film tobacco trends were identified using linear regression and compared to national per capita cigarette consumption and historically significant tobacco control events. Tobacco content declined considerably since 1950. Total tobacco-related content peaked around 1961, while the decline in portrayal of main character use was already underway in 1950. Cigarette consumption peaked around 1966 with a trend that closely paralleled total tobacco content and that coincided with major tobacco control events. This study, which had high reliability, dense sampling and covered a long time period, indicates that tobacco content has declined in top-ranked US movies since 1950 with a trend in total tobacco content that closely paralleled the drop in per capita cigarette consumption and the increase in significant tobacco control efforts. Despite the inability to draw causal conclusions, tobacco portrayal in films may serve as barometer of societal support for the habit and thus efforts should continue to limit exposure to such content.

  15. Topical mitomycin-C application in recurrent esophageal strictures after surgical repair of esophageal atresia.

    PubMed

    Chapuy, Laurence; Pomerleau, Martine; Faure, Christophe

    2014-11-01

    The aim of the present study was to evaluate the efficacy and short-term safety of topical mitomycin-C, an antifibrotic agent, in preventing the recurrence of anastomotic strictures after surgical repair of esophageal atresia (EA). We retrospectively reviewed the medical records of patients with recurrent anastomotic strictures after EA surgery who underwent at least 3 esophageal dilations. We compared the outcome (ie, resolution of the stricture) of the group that received topical mitomycin-C treatment with endoscopic esophageal dilation with a historical cohort treated by dilations alone. A total of 11 children received mitomycin-C concurrently with endoscopic dilations. After a median follow-up of 33 months (range 18-72), and a mean number of 5.4 dilations per patient (range 3-11), 8 of 11 patients achieved a resolution of their strictures, 2 patients remained with stenosis, and 1 patient needed a surgical correction. In the control group, 10 patients required an average of 3.7 (range 3-7) total dilations. After a follow-up of 125 months (range 35-266) after the last dilation, strictures in 9 of 10 children disappeared and the remaining patient was symptom free. No dysplasia related to mitomycin-C was demonstrated. There is no benefit in the resolution of the stricture when adding mitomycin-C treatment compared with repeated esophageal dilations alone in historical controls. Further randomized controlled studies and a short- and long-term evaluation of safety are needed.

  16. Effect of recombinant human granulocyte colony-stimulating factor on combination therapy with aztreonam and clindamycin for infections in neutropenic patients with hematologic diseases.

    PubMed

    Toyama, K; Yaguchi, M; Mizoguchi, H; Masuda, M; Urabe, A; Ikeda, Y; Aoki, I; Shinbo, T; Togawa, A; Hirashima, K; Miura, Y; Hirose, S; Tsuruoka, N; Omine, M; Kamakura, M; Saito, T; Arimori, S; Aoki, N; Kuraishi, Y; Hirai, H; Asano, S; Mori, M; Shirai, T; Muto, Y; Takaku, F

    1996-12-01

    The present multicenter study was performed to evaluate the effect of recombinant human granulocyte-colony stimulating factor (rhG-CSF) on combination therapy using aztreonam (AZT) and clindamycin (CLDM) to treat severe infection in neutropenic patients with hematologic diseases. Forty-three neutropenic patients with infections (rhG-CSF group) were treated with AZT (2 g) and CLDM (600 mg) 2-3 times daily as well as rhG-CSF (Lenograstim or Filgrastim: 2-5 mu/kg/day). The clinical efficacy of this regimen was compared to that obtained in 44 febrile neutropenic patients, with hematologic diseases, who received only AZT and CLDM in a previous study (historical control group). The overall efficacy rate was 69.8% (30/43) in the rhG-CSF group and 65.9% (29/44) in the historical control group. Although the neutrophil count was significantly increased and C-reactive protein tended to be lower in the rhG-CSF group, the daily maximum body temperature profiles of the 2 groups were nearly the same. These results suggest that rhG-CSF is of little benefit in the treatment of single infectious episodes in neutropenic patients, and that appropriate antibiotic therapy is more important.

  17. No Further Action Decision Under CERCLA Study Area 43E Historic Gas Station Sites Fort Devens, Massachusetts

    DTIC Science & Technology

    1995-01-01

    AREA 43E * HISTORIC GAS STATION SITES g FORT DEVENS , MASSACHUSETTS £ I CONTRACT DAAA15-91-D-0008I U.S. ARMY ENVIRONMENTAL CENTER3 ABERDEEN PROVING...FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43E HISTORIC GAS STATION SITES I FORT DEVENS , MASSACHUSETTS i I 1 Prepared for: U.S. Army...7053-12 JANUARY 1995 I I. NO FURTHER ACTION DECISION UNDER CERCLA STUDY AREA 43E HISTORIC GAS STATION SITES FORT DEVENS , MASSACHUSETTS TABLE OF CONTENTS

  18. Reminiscence work with older people: the development of a historical reminiscence tool.

    PubMed

    Thorgrimsdottir, Sigrun Huld; Bjornsdottir, Kristin

    2016-03-01

    (i) To explore how reminiscence workers in older people's care define their work and (ii) to describe the development of a historical reminiscence tool containing historical developments from the older person's passage through life, intended to support reminiscence work. Reminiscence work refers to the recall of past occurrences in a client's life with the intention of enhancing well-being, social skills and self-image. The design of the historical reminiscence tool was informed by the model of intervention design developed by van Meijel et al. starting with problem definition followed by the accumulation of building blocks for the intervention, the design of the intervention and, lastly, a validation of the intervention. Two studies were designed to develop the historical reminiscence tool. Study 1 was a focus group interview, conducted in 2008, aimed at generating knowledge about current practice and to develop the historical reminiscence tool. Eighteen women who identified themselves as reminiscence workers participated in three focus groups. Study 2 was a telephone survey, conducted in 2012 by the first author, serving the purpose of validation. The results provided information about the use of such a historical reminiscence tool. Participants understood reminiscence work primarily as meaningful activity, working with personal experience and honouring the individual's memories and life story. The historical reminiscence tool containing information about important historical events and everyday life in the period 1925-1955 was welcomed by the participants. They provided numerous suggestions for improvement of the draft. Reminiscence work in Iceland is of the social or meaningful activity type rather than a therapy. A historical reminiscence tool containing pertinent historical information was considered helpful in strengthening reminiscence workers' knowledge of the social and historical background of their clients and person-centred care. Reminiscence tools, such as books or electronic sources containing historical information pertaining to aging individuals, can enhance the care of older people. © 2015 John Wiley & Sons Ltd.

  19. A study to assess the long-term stability of the ionization chamber reference system in the LNMRI

    NASA Astrophysics Data System (ADS)

    Trindade Filho, O. L.; Conceição, D. A.; da Silva, C. J.; Delgado, J. U.; de Oliveira, A. E.; Iwahara, A.; Tauhata, L.

    2018-03-01

    Ionization chambers are used as secondary standard in order to maintain the calibration factors of radionuclides in the activity measurements in metrology laboratories. Used as radionuclide calibrator in nuclear medicine clinics to control dose in patients, its long-term performance is not evaluated systematically. A methodology for long-term evaluation for its stability is monitored and checked. Historical data produced monthly of 2012 until 2017, by an ionization chamber, electrometer and 226Ra, were analyzed via control chart, aiming to follow the long-term performance. Monitoring systematic errors were consistent within the limits of control, demonstrating the quality of measurements in compliance with ISO17025.

  20. Optimal dynamic pricing for deteriorating items with reference-price effects

    NASA Astrophysics Data System (ADS)

    Xue, Musen; Tang, Wansheng; Zhang, Jianxiong

    2016-07-01

    In this paper, a dynamic pricing problem for deteriorating items with the consumers' reference-price effect is studied. An optimal control model is established to maximise the total profit, where the demand not only depends on the current price, but also is sensitive to the historical price. The continuous-time dynamic optimal pricing strategy with reference-price effect is obtained through solving the optimal control model on the basis of Pontryagin's maximum principle. In addition, numerical simulations and sensitivity analysis are carried out. Finally, some managerial suggestions that firm may adopt to formulate its pricing policy are proposed.

  1. Negotiating the Process of Historical Empathy

    ERIC Educational Resources Information Center

    Endacott, Jason L.

    2014-01-01

    Historical empathy scholarship has evolved to the point where further progress necessitates empirical examinations from a variety of perspectives. Prior studies on historical empathy have largely focused on teachers' pedagogical approach and student outcomes. This qualitative study focuses on students as they engage in the process of historical…

  2. Arsenic solid-phase speciation and reversible binding in long-term contaminated soils.

    PubMed

    Rahman, M S; Clark, M W; Yee, L H; Comarmond, M J; Payne, T E; Kappen, P; Mokhber-Shahin, L

    2017-02-01

    Historic arsenic contamination of soils occurs throughout the world from mining, industrial and agricultural activities. In Australia, the control of cattle ticks using arsenicals from the late 19th to mid 20th century has led to some 1600 contaminated sites in northern New South Wales. The effect of aging in As-mobility in two dip-site soil types, ferralitic and sandy soils, are investigated utilizing isotopic exchange techniques, and synchrotron X-ray adsorption spectroscopy (XAS). Findings show that historic soil arsenic is highly bound to the soils with >90% irreversibly bound. However, freshly added As (either added to historically loaded soils or pristine soils) has a significantly higher degree of As-accessibility. XAS data indicates that historic soil arsenic is dominated as Ca- (svenekite, & weilite), Al-(mansfieldite), and Fe- (scorodite) like mineral precipitates, whereas freshly added As is dominated by mineral adsorption surfaces, particularly the iron oxy-hydroxides (goethite and hematite), but also gibbsite and kaolin surfaces. SEM data further confirmed the presence of scorodite and mansfieldite formation in the historic contaminated soils. These data suggest that aging of historic soil-As has allowed neoformational mineral recrystallisation from surface sorption processes, which greatly reduces As-mobility and accessibility. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. The association between varicella (chickenpox) and group A streptococcus infections in historical perspective

    PubMed Central

    Coleman, Stephen

    2016-01-01

    Objectives: The aim of the research is to investigate the historical relationship between varicella and Streptococcus pyogenes infections. In the past few decades, varicella has been identified as a risk factor for invasive group A streptococcus infections. The question is whether this relationship also existed between varicella and scarlet fever in the historical era. Methods: The analysis begins with a search of historical medical reports on the relationship between varicella and scarlet fever epidemics in the late 19th and early 20th century, as well as in more recent empirical studies. Correlations and cross-correlations between varicella and scarlet fever are analyzed using weekly public health case reports from 1924 to 1932 for Boston, Chicago, New York City, and Philadelphia. Regression models are used to estimate the relationship between varicella and scarlet fever after controlling for seasonal forcing. Results: Historical records give limited support for a causal relationship between varicella and scarlet fever but indicate that these diseases often occurred close in time to each other. Likewise, statistical analysis shows that varicella and scarlet fever epidemics are closely aligned with each other, and varicella has a strong relationship with scarlet fever. The relationship is stronger than reported in any previous research on the two diseases. Conclusion: The close correspondence of the two diseases likely depends on multiple factors, including seasonal forcing, a causal relationship, and co-infections. The results raise questions about whether this close relationship might have had a synergistic effect or a role in the evolution of S. pyogenes from the virulent, high incidence epidemics of the 19th century to the relatively benign scarlet fever of the 1950s. PMID:27504182

  4. Arsenic associated with historical gold mining in the Sierra Nevada foothills: Case study and field trip guide for Empire Mine State Historic Park, California

    USGS Publications Warehouse

    Alpers, Charles N.; Myers, Perry A; Millsap, Daniel; Regnier, Tamsen B; Bowell, Robert J.; Alpers, Charles N.; Jamieson, Heather E.; Nordstrom, D. Kirk; Majzlan, Juraj

    2014-01-01

    The Empire Mine, together with other mines in the Grass Valley mining district, produced at least 21.3 million troy ounces (663 tonnes) of gold (Au) during the 1850s through the 1950s, making it the most productive hardrock Au mining district in California history (Clark 1970). The Empire Mine State Historic Park (Empire Mine SHP or EMSHP), established in 1975, provides the public with an opportunity to see many well-preserved features of the historic mining and mineral processing operations (CDPR 2014a).A legacy of Au mining at Empire Mine and elsewhere is contamination of mine wastes and associated soils, surface waters, and groundwaters with arsenic (As), mercury (Hg), lead (Pb), and other metals. At EMSHP, As has been the principal contaminant of concern and the focus of extensive remediation efforts over the past several years by the State of California, Department of Parks and Recreation (DPR) and Newmont USA, Ltd. In addition, the site is the main focus of a multidisciplinary research project on As bioavailability and bioaccessibility led by the California Department of Toxic Substances Control (DTSC) and funded by the U.S. Environmental Protection Agency’s (USEPA’s) Brownfields Program.This chapter was prepared as a guide for a field trip to EMSHP held on June 14, 2014, in conjunction with a short course on “Environmental Geochemistry, Mineralogy, and Microbiology of Arsenic” held in Nevada City, California on June 15–16, 2014. This guide contains background information on geological setting, mining history, and environmental history at EMSHP and other historical Au mining districts in the Sierra Nevada, followed by descriptions of the field trip stops.

  5. Effects of Using Historical Microworlds on Conceptual Change: A P-Prim Analysis

    ERIC Educational Resources Information Center

    Masson, Steve; Legendre, Marie-Francoise

    2008-01-01

    This study examines the effects of using historical microworlds on conceptual change in mechanics. Historical microworlds combine history of science and microworld through a computer based interactive learning environment that respects and represents historic conceptions or theories. Six grade 5 elementary students participated individually to…

  6. Whither motoneurons?

    PubMed

    Brownstone, Robert M; Stuart, Douglas G

    2011-08-29

    In the preceding series of articles, the history of vertebrate motoneuron and motor unit neurobiological studies has been discussed. In this article, we select a few examples of recent advances in neuroscience and discuss their application or potential application to the study of motoneurons and the control of movement. We conclude, like Sherrington, that in order to understand normal, traumatized, and diseased human behavior, it is critical to continue to study motoneuron biology using all available and emerging tools. This article is part of a Special Issue entitled Historical Review. 2011 Elsevier B.V. All rights reserved.

  7. Epidemiologic studies of electric and magnetic fields and cancer: strategies for extending knowledge.

    PubMed Central

    Savitz, D A

    1993-01-01

    Epidemiologic research concerning electric and magnetic fields in relation to cancer has focused on the potential etiologic roles of residential exposure on childhood cancer and occupational exposure on adult leukemia and brain cancer. Future residential studies must concentrate on exposure assessment that is enhanced by developing models of historical exposure, assessment of the relation between magnetic fields and wire codes, and consideration of alternate exposure indices. Study design issues deserving attention include possible biases in random digit dialing control selection, consideration of the temporal course of exposure and disease, and acquisition of the necessary information to assess the potential value of ecologic studies. Highest priorities are comprehensive evaluation of exposure patterns and sources and examination of the sociology and geography of residential wire codes. Future occupational studies should also concentrate on improved exposure assessment with increased attention to nonutility worker populations and development of historical exposure indicators that are superior to job titles alone. Potential carcinogens in the workplace that could act as confounders need to be more carefully examined. The temporal relation between exposure and disease and possible effect modification by other workplace agents should be incorporated into future studies. The most pressing need is for measurement of exposure patterns in a variety of worker populations and performance of traditional epidemiologic evaluations of cancer occurrence. The principal source of bias toward the null is nondifferential misclassification of exposure with improvements expected to enhance any true etiologic association that is present. Biases away from the null might include biased control selection in residential studies and chemical carcinogens acting as confounders in occupational studies. PMID:8206046

  8. Randomized Phase II Trial of High-Dose Melatonin and Radiation Therapy for RPA Class 2 Patients With Brain Metastases (RTOG 0119)

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

    Berk, Lawrence; Berkey, Brian; Rich, Tyvin

    Purpose: To determine if high-dose melatonin for Radiation Therapy Oncology Group (RTOG) recursive partitioning analysis (RPA) Class 2 patients with brain metastases improved survival over historical controls, and to determine if the time of day melatonin was given affected its toxicity or efficacy. RTOG 0119 was a phase II randomized trial for this group of patients. Methods and Materials: RTOG RPA Class 2 patients with brain metastases were randomized to 20 mg of melatonin, given either in the morning (8-9 AM) or in the evening (8-9 PM). All patients received radiation therapy (30 Gy in 10 fractions) in the afternoon.more » Melatonin was continued until neurologic deterioration or death. The primary endpoint was overall survival time. Neurologic deterioration, as reflected by the Mini-Mental Status Examination, was also measured. Results: Neither of the randomized groups had survival distributions that differed significantly from the historic controls of patients treated with whole-brain radiotherapy. The median survivals of the morning and evening melatonin treatments were 3.4 and 2.8 months, while the RTOG historical control survival was 4.1 months. Conclusions: High-dose melatonin did not show any beneficial effect in this group of patients.« less

  9. Historical versus contemporary medicinal plant uses in Ghana.

    PubMed

    Soelberg, J; Asase, A; Akwetey, G; Jäger, A K

    2015-02-03

    Three extraordinary, historical documents stemming from observations made in 1697, 1803 and 1817 quote medicinal plant uses among the Fante, Ga and Ashanti people of present-day Ghana, and can be linked to original botanical specimens in European herbaria. This provides a unique opportunity to gain insight to the historical materia medica of Ghana and compare this to contemporary medicinal plant uses. By critical literary and taxonomic review, the present study (re-)establishes the earliest known history of many important Ghanaian medicinal plants, and assesses the scale of change and loss of medicinal plant knowledge in Ghana over time. The study provides the foundation to reconstruct lost or discontinued Ghanaian plant uses in local or ethnopharmacological contexts. Historical botanical specimens were located in the herbaria of University of Copenhagen Herbarium (C) and British Museum of Natural History (BM). The classification and synonymy of the specimens were updated for the study, and the historical vernacular names and medicinal uses of the plants compared with 20th/21st century literature. The plants of the historical Ga materia medica were (re-)collected to aid in semi-structured interviews. The interviews aimed to document the contemporary uses and names of the plants among the Ga, and to determine to what extent the historical medicinal uses and names are extant. The study identified 100 species in historical medicinal use in Ghana, which could be linked to 134 unique uses and 105 vernacular names in Twi (Ashanti/Fante) and Ga. Most of the plants are common in Ghana. At least 52% of the historical vernacular names appear to still be in use today. Of the specific historical uses, 41 (31%) were traced among contemporary medicinal plant uses in Ghana and represent some of the most important Ghanaian medicinal plant species. However, 93 (69%) of the historical uses could not be traced and appears to be discontinued or forgotten. Among the Ga, two medicinal plants species have become rare or locally extinct, and thus the vast majority of the loss of knowledge appears to be due to cultural extinction. The scientifically strong voucher material allowed for identification of a high number of historical medicinal plants and their roots in traditional Ghanaian medicine systems 2-300 years ago. The materia medica of the Fante, Ga and Ashanti of Ghana has changed considerably over time. The "forgotten" historical uses warrant further studies to determine the pharmacological activity of these plants. This could provide the foundation for reconstruction of historical medicinal plant uses in evidence-based modern contexts. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

  10. Conversion to eslicarbazepine acetate monotherapy: A pooled analysis of 2 phase III studies.

    PubMed

    Sperling, Michael R; French, Jacqueline; Jacobson, Mercedes P; Pazdera, Ladislav; Gough, Mallory; Cheng, Hailong; Grinnell, Todd; Blum, David

    2016-03-22

    To assess the efficacy and safety of eslicarbazepine acetate (ESL) monotherapy. This post hoc pooled analysis of 2 randomized double-blind studies (093-045 and -046) included adults with partial-onset seizures medically uncontrolled by 1 or 2 antiepileptic drugs (AEDs). Following the baseline period (8 weeks), eligible patients were randomized 2:1 to receive ESL 1,600 mg or 1,200 mg once daily for 18 weeks; the primary endpoint was study exit by meeting predefined exit criteria (signifying worsening seizure control). In each study, treatment was considered effective if the upper 95% confidence limit for exit rate was lower than the historical control threshold (65.3%). Pooled exit rates were as follows: ESL 1,600 mg = 20.6% (95% confidence interval: 15.6%-26.8%); ESL 1,200 mg = 30.8% (23.0%-40.5%). Use of 2 baseline AEDs or rescue medication, US location, epilepsy duration ≥20 years, and higher maximum baseline seizure frequency were associated with higher exit risks. Median percent reductions in standardized seizure frequency between baseline and the 18-week double-blind period were as follows: ESL 1,600 mg = 43.2%; ESL 1,200 mg = 35.7%; baseline carbamazepine use was associated with smaller reductions. Safety profiles were similar between ESL doses. Exit rates for ESL monotherapy (1,600 mg and 1,200 mg once daily) were lower than the historical control threshold, irrespective of baseline AED use and region, with no additional safety concerns identified. Clinical factors and location clearly influence treatment responses in conversion-to-monotherapy trials. This pooled analysis provides Class IV evidence that for adults with medically uncontrolled partial-onset seizures, ESL monotherapy is well tolerated and effective. © 2016 American Academy of Neurology.

  11. Continuous intercostal nerve blockade for rib fractures: ready for primetime?

    PubMed

    Truitt, Michael S; Murry, Jason; Amos, Joseph; Lorenzo, Manuel; Mangram, Alicia; Dunn, Ernest; Moore, Ernest E

    2011-12-01

    Providing analgesia for patients with rib fractures continues to be a management challenge. The objective of this study was to examine our experience with the use of a continuous intercostal nerve block (CINB). Although this technique is being used, little data have been published documenting its use and efficacy. We hypothesized that a CINB would provide excellent analgesia, improve pulmonary function, and decrease length of stay (LOS). Consecutive adult blunt trauma patients with three or more unilateral rib fractures were prospectively studied over 24 months. The catheters were placed at the bedside in the extrathoracic, paravertebral location, and 0.2% ropivacaine was infused. Respiratory rate, preplacement (PRE) numeric pain scale (NPS) scores, and sustained maximal inspiration (SMI) lung volumes were determined at rest and after coughing. Parameters were repeated 60 minutes after catheter placement (POST). Hospital LOS comparison was made with historical controls using epidural analgesia. Over the study period, 102 patients met inclusion criteria. Mean age was 69 (21-96) years, mean injury severity score was 14 (9-16), and the mean number of rib fractures was 5.8 (3-10). Mean NPS improved significantly (PRE NPS at rest = 7.5 vs. POST NPS at rest = 2.6, p < 0.05, PRE NPS after cough = 9.4, POST after cough = 3.6, p < 0.05) which was associated with an increase in the SMI (PRE SMI = 0.4 L and POST SMI = 1.3 L, p < 0.05). Respiratory rate decreased significantly (p < 0.05) and only 2 of 102 required mechanical ventilation. Average LOS for the study population was 2.9 days compared with 5.9 days in the historical control. No procedural or drug-related complications occurred. Utilization of CINB significantly improved pulmonary function, pain control, and shortens LOS in patients with rib fractures.

  12. Autonomous Congestion Control in Delay-Tolerant Networks

    NASA Technical Reports Server (NTRS)

    Burleigh, Scott; Jennings, Esther; Schoolcraft, Joshua

    2006-01-01

    Congestion control is an important feature that directly affects network performance. Network congestion may cause loss of data or long delays. Although this problem has been studied extensively in the Internet, the solutions for Internet congestion control do not apply readily to challenged network environments such as Delay Tolerant Networks (DTN) where end-to-end connectivity may not exist continuously and latency can be high. In DTN, end-to-end rate control is not feasible. This calls for congestion control mechanisms where the decisions can be made autonomously with local information only. We use an economic pricing model and propose a rule-based congestion control mechanism where each router can autonomously decide on whether to accept a bundle (data) based on local information such as available storage and the value and risk of accepting the bundle (derived from historical statistics). Preliminary experimental results show that this congestion control mechanism can protect routers from resource depletion without loss of data.

  13. More money more motivation? Master Settlement Agreement and tobacco control funding in communities of color.

    PubMed

    Themba-Nixon, Makani; Sutton, Charyn D; Shorty, Lawrence; Lew, Rod; Baezconde-Garbanati, Lourdes

    2004-07-01

    This article examines state Master Settlement Agreement (MSA) funding of tobacco control in communities of color. The primary research question was whether MSA monies resulted in dedicated funding for communities of color at the state level. This article also explores some of the historical factors that shape the relationship of communities of color to MSA funding as well as some of the institutional barriers to implementing comprehensive tobacco control programs in these communities. Three model approaches to funding parity in tobacco control programs were examined as case studies. Because of the limited amount of research available in this area, the data on tobacco control funding for communities of color was collected in interviews with state tobacco control agencies during October 2003. Findings supported our hypothesis that there were few dedicated resources at the state level for tobacco control and prevention in communities of color.

  14. Possible Applications of Soil Remediation Technologies in Latvia

    NASA Astrophysics Data System (ADS)

    Burlakovs, Juris; Vircavs, Magnuss

    2011-01-01

    Increasing public concern about deleterious effects of contamination on the environment and human health has led to legislative actions aimed at controlling and regulating the emission of potential contaminants into the environment, but there is still a plethora of territories historically contaminated with different contaminants within the territory of Latvia. The purpose of the present study is to give an overview of the formerly and presently contaminated areas and give some recommendations for remediation. 242 first category contaminated territories (the contamination exceeds the acceptable normative 10 times or more) are mentioned in the National Register of Contaminated Territories, a lot of them are known as contaminated with hazardous contaminants such as heavy metals, oil products, organic compounds and other contaminants in different amounts and concentrations. An overview of soil contamination in Latvia is provided, the planned and recommended research, as well as the planned remediation in pilot case studies, are described, giving a review of the historical contamination situation and of applications of the planned remediation technologies.

  15. Development of the X-33 Aerodynamic Uncertainty Model

    NASA Technical Reports Server (NTRS)

    Cobleigh, Brent R.

    1998-01-01

    An aerodynamic uncertainty model for the X-33 single-stage-to-orbit demonstrator aircraft has been developed at NASA Dryden Flight Research Center. The model is based on comparisons of historical flight test estimates to preflight wind-tunnel and analysis code predictions of vehicle aerodynamics documented during six lifting-body aircraft and the Space Shuttle Orbiter flight programs. The lifting-body and Orbiter data were used to define an appropriate uncertainty magnitude in the subsonic and supersonic flight regions, and the Orbiter data were used to extend the database to hypersonic Mach numbers. The uncertainty data consist of increments or percentage variations in the important aerodynamic coefficients and derivatives as a function of Mach number along a nominal trajectory. The uncertainty models will be used to perform linear analysis of the X-33 flight control system and Monte Carlo mission simulation studies. Because the X-33 aerodynamic uncertainty model was developed exclusively using historical data rather than X-33 specific characteristics, the model may be useful for other lifting-body studies.

  16. Thiopurines and inflammatory bowel disease: Current evidence and a historical perspective.

    PubMed

    Axelrad, Jordan E; Roy, Abhik; Lawlor, Garrett; Korelitz, Burton; Lichtiger, Simon

    2016-12-14

    The use of thiopurines in inflammatory bowel disease (IBD) has been examined in numerous prospective, controlled trials, with a majority demonstrating a clinical benefit. We conducted this review to describe the historical and current evidence in the use of thiopurines in IBD. A systematic search was performed on MEDLINE between 1965 and 2016 to identify studies on thiopurines in IBD. The most robust evidence for thiopurines in IBD includes induction of remission in combination with anti-tumor necrosis factor (anti-TNF) agents, and maintenance of remission and post-operative maintenance in Crohn's disease. Less evidence exists for thiopurine monotherapy in induction of remission, maintenance of ulcerative colitis, chemoprevention of colorectal cancer, and in preventing immunogenicity to anti-TNF. Evidence was often limited by trial design. Overall, thiopurines have demonstrated efficacy in a broad range of presentations of IBD. With more efficacious novel therapeutic agents, the positioning of thiopurines in the management of IBD will change and future studies will analyze the benefit of thiopurines alone and in conjunction with these new medications.

  17. Interpretive Excursions in Educational Administration: Reconstructing Weberian Theory as a Comparative Historical Sociology.

    ERIC Educational Resources Information Center

    Samier, Eugenie A.

    1996-01-01

    Examines the presentation of Max Weber's work in educational administration. Shows how the nature and scope of Weber's methodological writings and studies have been misrepresented and how the potential value of Weber's comparative historical sociology has been reduced to administrative studies. Considers Weber's historical principles of…

  18. Establishing a Traumatic Brain Injury Program of Care: Benchmarking Outcomes after Institutional Adoption of Evidence-Based Guidelines.

    PubMed

    Tarapore, Phiroz E; Vassar, Mary J; Cooper, Shelly; Lay, Twyila; Galletly, Julia; Manley, Geoffrey T; Huang, Michael C

    2016-11-15

    Traumatic brain injury (TBI) is a widespread global disease, often with widely varying outcomes. Standardization of care and adherence to established guidelines are central to the effort to improve outcomes. At our level I urban trauma center, we developed and implemented a Joint Commission-certified TBI Program of Care in 2011 and compared our post-implementation patient data set with historical controls, using the International Mission for Prognosis and Analysis of Clinical Trials (IMPACT) prognostic model. Historical controls were drawn from the San Francisco General Hospital Traumatic Coma Data Bank (SFGH/TCDB) from 1987 to 1996. Recent era patients were drawn from the NeuroTracker database, a customized electronic medical record used in our clinical practice. Descriptive statistics were calculated. Adherence to four quality-of-care metrics on the clinical service was tracked for 2011-2013. The IMPACT prognostic model was used to calculate expected versus observed mortality for current and historical patient groups. In the historical control group, 832 patients were identified and 6-month mortality was available for 592. Observed 6-month mortality was 49%. In the recent era patient group, 211 patients were identified and 6-month mortality was 38%. The IMPACT prognostic model was applied to each patient group. Areas under the curve for each analysis were >0.85 and goodness of fit was satisfactory, indicating good performance of the IMPACT model. Comparison of observed versus expected deaths in the recent versus the control patient sets revealed a drop of 59% in early mortality. The greatest reductions in mortality were observed in the group of patients with IMPACT-predicted mortality ≤50%. Significant progress has been made in reducing the percentage of unexpected deaths in TBI patients. It is likely that major factors include more aggressive management and tracking of compliance with the implementation of guidelines for the management of TBI patients.

  19. Historical Footage of John Glenn Friendship 7

    NASA Technical Reports Server (NTRS)

    1962-01-01

    The Friendship mission launch on the 20th day of February marked the first time that an American attempts to orbit the Earth. Historical footage of John Glenn's suit up, ride out to the launch pad, countdown, liftoff, booster engine cutoff, and separation of the booster engine escape tower is shown. Views of the Earth, Glenn's manual control of the electrical fly-by wire system, and the recovery of the landing vehicle from the ocean are presented.

  20. Analysis of Gridded SPI in Hawai`i from 1920 to 2012 and Management Responses to Drought

    NASA Astrophysics Data System (ADS)

    Frazier, A. G.; Lucas, M.; Giardina, C. P.; Giambelluca, T. W.; Trauernicht, C.; Miura, T.

    2017-12-01

    Drought is a prominent feature of Hawai`i's climate with severe impacts in multiple sectors. Over the last century, Hawai`i has experienced downward trends in rainfall and stream baseflow, upward trends in the number of consecutive dry days and wildfire incidents, and regional projections show that unusually severe dry seasons will become increasingly common on the leeward side of all Hawaiian Islands. Many recent studies have examined different aspects of drought in Hawai`i, however, there has not been a complete synthesis of historical drought since 1991. To assess historical drought regimes in Hawai`i, a gridded Standardized Precipitation Index (SPI) product was developed and analyzed for the period 1920 to 2012 at 250 m resolution. Results show that the last decade has been the driest on record, with statewide drought conditions present 90% of the time between December 2006 and December 2012. Strong spatial variations were found between islands, with higher peak intensities found on Maui and Hawai`i Island, and shorter duration droughts on Kaua`i. The most severe droughts are typically associated with El Niño events, and in recent decades, the leeward coast of Hawai`i Island has been the most drought-prone area in the state. This study also assessed historical drought specifically for federal and state conservation lands, and examined management actions during recent events. Severe droughts have shaped management plans, affecting responses including ungulate control, fuel reductions, native plant restoration, and protection of endangered species. This spatially explicit retrospective analysis provides the historical context needed to understand future projections, and contributes to more effective policy and management of natural, cultural, hydrological and agricultural resources.

  1. Contamination from historic metal mines and the need for non-invasive remediation techniques: a case study from Southwest England.

    PubMed

    Rieuwerts, J S; Austin, S; Harris, E A

    2009-01-01

    The UK is legally required by the EU Water Framework Directive (WFD) to improve the environmental quality of inland and coastal waters in the coming years. Historic metal mine sites are recognised as an important source of some of the elements on the WFD priority chemicals list. Despite their contamination potential, such sites are valued for their heritage and for other cultural and scientific reasons. Remediating historic mining areas to control the contamination of stream waters, whilst also preserving the integrity of the mine site, is a challenge but might be achieved by novel forms of remediation. In this study, we have carried out environmental monitoring at a historic, and culturally-sensitive, lead-silver mine site in southwest England and have undertaken a pilot experiment to investigate the potential for a novel, non-invasive remediation method at the site. Concentrations of Pb and Zn in mine spoil were clearly elevated with geometric mean concentrations of 6,888 and 710 microg g(-1), respectively. Mean concentrations of Pb in stream waters were between 21 and 54 microg l(-1), in exceedance of the WFD environmental quality standard (EQS) of 7.2 microg l(-1) (annual average). Mean Zn concentrations in water were between 30 and 97 microg l(-1), compared to the UK EQS of 66.5 microg l(-1) (average). Stream sediments within, and downstream from, the mining site were similarly elevated, indicating transport of mine waste particles into and within the stream. We undertook a simple trial to investigate the potential of hydroxyapatite, in the form of bonemeal, to passively remove the Pb and Zn, from the stream waters. After percolating through bonemeal in a leaching column, 96-99% of the dissolved Pb and Zn in stream water samples was removed.

  2. Historical Trauma among Urban American Indians: Impact on Substance Abuse and Family Cohesion

    ERIC Educational Resources Information Center

    Wiechelt, Shelly A.; Gryczynski, Jan; Johnson, Jeannette L.; Caldwell, Diana

    2012-01-01

    Historical trauma theory suggests that many American Indians are still affected by the cultural losses and injustices endured by previous generations. The current study examines historical trauma in an urban American Indian sample using validated measures of historical loss and associated symptoms (N = 120). Urban American Indians reported high…

  3. Using the Aesthetic Stance to Achieve Historical Thinking

    ERIC Educational Resources Information Center

    Bassett Dahl, Heather Jane

    2017-01-01

    This research study focuses on how an aesthetic reading stance with dystopian literature can aid teens in the development of historical thinking skills. My research is based on ideas from Louise Rosenblatt's transactional theory and Sam Wineburg's concept and definition for historical thinking along with the UCLA Standards for Historical Thinking.…

  4. Including Historic Places in the Social Studies Curriculum. ERIC Digest.

    ERIC Educational Resources Information Center

    Harper, Marilyn

    "Teaching with Historic Places" is a program administered by the National Park Service's National Register of Historic Places that identifies ways teachers can share the stories that historic places have to tell. The program creates classroom-ready educational materials based on properties that are listed in the National Register of…

  5. Region-Urbanicity Differences in Locus of Control: Social Disadvantage, Structure, or Cultural Exceptionalism?

    PubMed

    Shifrer, Dara; Sutton, April

    2014-11-01

    People with internal rather than external locus of control experience better outcomes in multiple domains. Previous studies on spatial differences in control within America only focused on the South, relied on aggregate level data or historical evidence, or did not account for other confounding regional distinctions (such as variation in urbanicity). Using data from the National Education Longitudinal Study, we find differences in adolescents' loci of control depending on their region and urbanicity are largely attributable to differences in their social background, and only minimally to structural differences (i.e., differences in the qualities of adolescents' schools). Differences that persist net of differences across adolescents and their schools suggest the less internal control of rural Southern adolescents, and the more internal control of rural and urban Northeastern adolescents, may be due to cultural distinctions in those areas. Results indicate region is more closely associated than urbanicity with differences in locus of control, with Western and Northeastern cultures seemingly fostering more internal control than Midwestern and Southern cultures. These findings contribute to research on spatial variation in a variety of psychological traits.

  6. Region-Urbanicity Differences in Locus of Control: Social Disadvantage, Structure, or Cultural Exceptionalism?

    PubMed Central

    Shifrer, Dara; Sutton, April

    2014-01-01

    People with internal rather than external locus of control experience better outcomes in multiple domains. Previous studies on spatial differences in control within America only focused on the South, relied on aggregate level data or historical evidence, or did not account for other confounding regional distinctions (such as variation in urbanicity). Using data from the National Education Longitudinal Study, we find differences in adolescents' loci of control depending on their region and urbanicity are largely attributable to differences in their social background, and only minimally to structural differences (i.e., differences in the qualities of adolescents' schools). Differences that persist net of differences across adolescents and their schools suggest the less internal control of rural Southern adolescents, and the more internal control of rural and urban Northeastern adolescents, may be due to cultural distinctions in those areas. Results indicate region is more closely associated than urbanicity with differences in locus of control, with Western and Northeastern cultures seemingly fostering more internal control than Midwestern and Southern cultures. These findings contribute to research on spatial variation in a variety of psychological traits. PMID:25382875

  7. The accumulation of elements in plants growing spontaneously on small heaps left by the historical Zn-Pb ore mining.

    PubMed

    Stefanowicz, Anna M; Stanek, Małgorzata; Woch, Marcin W; Kapusta, Paweł

    2016-04-01

    The study evaluated the levels of nine metals, namely Ca, Cd, Fe, K, Mg, Mn, Pb, Tl, and Zn, in soils and tissues of ten plant species growing spontaneously on heaps left by historical mining for Zn-Pb ores. The concentrations of Cd, Pb, Tl, and Zn in heap soils were much higher than in control soils. Plants growing on heaps accumulated excessive amounts of these elements in tissues, on average 1.3-52 mg Cd kg(-1), 9.4-254 mg Pb kg(-1), 0.06-23 mg Tl kg(-1) and 134-1479 mg Zn kg(-1) in comparison to 0.5-1.1 mg Cd kg(-1), 2.1-11 mg Pb kg(-1), 0.02-0.06 mg Tl kg(-1), and 23-124 mg Zn kg(-1) in control plants. The highest concentrations of Cd, Pb, and Zn were found in the roots of Euphorbia cyparissias, Fragaria vesca, and Potentilla arenaria, and Tl in Plantago lanceolata. Many species growing on heaps were enriched in K and Mg, and depleted in Ca, Fe, and Mn. The concentrations of all elements in plant tissues were dependent on species, organ (root vs. shoot), and species-organ interactions. Average concentrations of Ca, K, and Mg were generally higher in shoots than in roots or similar in the two organs, whereas Cd, Fe, Pb, Tl, and Zn were accumulated predominantly in the roots. Our results imply that heaps left by historical mining for Zn-Pb ores may pose a potential threat to the environment and human health.

  8. Evaluation of the effects of sea-level change and coastal canal management on saltwater intrusion in the Biscayne aquifer of south Florida, USA

    NASA Astrophysics Data System (ADS)

    Hughes, J. D.; Sifuentes, D. F.; White, J.

    2015-12-01

    Sea-level increases are expected to have an effect on the position of the freshwater-saltwater interface in the Biscayne aquifer in south Florida as a result of the low topographic relief of the area and high rates of groundwater withdrawal from the aquifer. To study the effects that future sea-level increases will have on saltwater intrusion in the Biscayne aquifer in Broward County, Florida, a three-dimensional, variable-density, groundwater-flow and transport model was developed. The model was calibrated to observed groundwater heads and chloride concentrations for a 62-year period that includes historic increases in sea level, development of a surface-water management system to control flooding, and increases in groundwater withdrawals as the area transitioned from agricultural to urban land uses. Sensitivity analyses indicate that downward leakage of saltwater from coastal canals and creeks was the primary source of saltwater to the Biscayne aquifer during the last 62-years in areas where the surface-water system is not actively managed and is tidally influenced. In areas removed from the coastal canals and creeks or under active surface-water management, historic groundwater withdrawals were the primary cause of saltwater intrusion into the aquifer. Simulation of future conditions suggests that possible increases in sea level will result in additional saltwater intrusion. Model scenarios suggest that additional saltwater intrusion will be greatest in areas where coastal canals and creeks were historically the primary source of seawater. Future saltwater intrusion in those areas, however, may be reduced by relocation of salinity-control structures.

  9. Evaluating the Sensitivity of Agricultural Model Performance to Different Climate Inputs: Supplemental Material

    NASA Technical Reports Server (NTRS)

    Glotter, Michael J.; Ruane, Alex C.; Moyer, Elisabeth J.; Elliott, Joshua W.

    2015-01-01

    Projections of future food production necessarily rely on models, which must themselves be validated through historical assessments comparing modeled and observed yields. Reliable historical validation requires both accurate agricultural models and accurate climate inputs. Problems with either may compromise the validation exercise. Previous studies have compared the effects of different climate inputs on agricultural projections but either incompletely or without a ground truth of observed yields that would allow distinguishing errors due to climate inputs from those intrinsic to the crop model. This study is a systematic evaluation of the reliability of a widely used crop model for simulating U.S. maize yields when driven by multiple observational data products. The parallelized Decision Support System for Agrotechnology Transfer (pDSSAT) is driven with climate inputs from multiple sources reanalysis, reanalysis that is bias corrected with observed climate, and a control dataset and compared with observed historical yields. The simulations show that model output is more accurate when driven by any observation-based precipitation product than when driven by non-bias-corrected reanalysis. The simulations also suggest, in contrast to previous studies, that biased precipitation distribution is significant for yields only in arid regions. Some issues persist for all choices of climate inputs: crop yields appear to be oversensitive to precipitation fluctuations but under sensitive to floods and heat waves. These results suggest that the most important issue for agricultural projections may be not climate inputs but structural limitations in the crop models themselves.

  10. Evaluating the sensitivity of agricultural model performance to different climate inputs

    PubMed Central

    Glotter, Michael J.; Moyer, Elisabeth J.; Ruane, Alex C.; Elliott, Joshua W.

    2017-01-01

    Projections of future food production necessarily rely on models, which must themselves be validated through historical assessments comparing modeled to observed yields. Reliable historical validation requires both accurate agricultural models and accurate climate inputs. Problems with either may compromise the validation exercise. Previous studies have compared the effects of different climate inputs on agricultural projections, but either incompletely or without a ground truth of observed yields that would allow distinguishing errors due to climate inputs from those intrinsic to the crop model. This study is a systematic evaluation of the reliability of a widely-used crop model for simulating U.S. maize yields when driven by multiple observational data products. The parallelized Decision Support System for Agrotechnology Transfer (pDSSAT) is driven with climate inputs from multiple sources – reanalysis, reanalysis bias-corrected with observed climate, and a control dataset – and compared to observed historical yields. The simulations show that model output is more accurate when driven by any observation-based precipitation product than when driven by un-bias-corrected reanalysis. The simulations also suggest, in contrast to previous studies, that biased precipitation distribution is significant for yields only in arid regions. However, some issues persist for all choices of climate inputs: crop yields appear oversensitive to precipitation fluctuations but undersensitive to floods and heat waves. These results suggest that the most important issue for agricultural projections may be not climate inputs but structural limitations in the crop models themselves. PMID:29097985

  11. Power laws reveal phase transitions in landscape controls of fire regimes

    Treesearch

    Donald McKenzie; Maureen C. Kennedy

    2012-01-01

    Understanding the environmental controls on historical wildfires, and how they changed across spatial scales, is difficult because there are no surviving explicit records of either weather or vegetation (fuels). Here we show how power laws associated with fire-event time series arise in limited domains of parameters that represent critical transitions in the controls...

  12. The Control of Food among Schoolchildren Who Have Been Racially and Economically Marginalized across the Cityscape

    ERIC Educational Resources Information Center

    Hall, Julia

    2014-01-01

    This analysis involves an investigation of the corporate control of food in relation to low income and culturally dominated schoolchildren in cities. This includes an exploration of the problem as expressed globally and historically in relation to transnational policy networks. Since corporate growth always necessitates controlling the direction…

  13. Multiple year effects of a biological control agent (Diorhabda carinulata) on Tamarix (saltcedar) ecosystem exchanges of carbon dioxide and water

    USDA-ARS?s Scientific Manuscript database

    Biological control of Tamarix spp. (saltcedar) with Diorhabda carinulata (the northern tamarisk beetle) is currently underway in several western states U.S.A. through historical releases and the natural migration of this insect. Given the widespread dispersal of this biological control agent and its...

  14. Hypnosis as sole anesthesia for major surgeries: historical & contemporary perspectives.

    PubMed

    Hammond, D Corydon

    2008-10-01

    Hypnosis is a well validated treatment for acute and chronic pain (Montgomery, DuHamel, & Redd, 2000). It has been found capable of reducing inflammation, altering blood flow, and producing beneficial effects when hypnotic suggestions are provided during and prior to surgery (Frederick, 2001) and other painful medical procedures. This paper quotes extensively from historical examples of the use of hypnosis (mesmerism) as the sole anesthesia for major surgeries in the 1800's. These historic examples by themselves provide powerful documentation of the ability of the mind to influence the body, but they are then followed by a review of contemporary literature and controlled research on the use in hypnosis in relation to surgery and prior to medical procedures.

  15. Life-cycle-assessment of the historical development of air pollution control and energy recovery in waste incineration.

    PubMed

    Damgaard, Anders; Riber, Christian; Fruergaard, Thilde; Hulgaard, Tore; Christensen, Thomas H

    2010-07-01

    Incineration of municipal solid waste is a debated waste management technology. In some countries it is the main waste management option whereas in other countries it has been disregarded. The main discussion point on waste incineration is the release of air emissions from the combustion of the waste, but also the energy recovery efficiency has a large importance. The historical development of air pollution control in waste incineration was studied through life-cycle-assessment modelling of eight different air pollution control technologies. The results showed a drastic reduction in the release of air emissions and consequently a significant reduction in the potential environmental impacts of waste incineration. Improvements of a factor 0.85-174 were obtained in the different impact potentials as technology developed from no emission control at all, to the best available emission control technologies of today (2010). The importance of efficient energy recovery was studied through seven different combinations of heat and electricity recovery, which were modelled to substitute energy produced from either coal or natural gas. The best air pollution control technology was used at the incinerator. It was found that when substituting coal based energy production total net savings were obtained in both the standard and toxic impact categories. However, if the substituted energy production was based on natural gas, only the most efficient recovery options yielded net savings with respect to the standard impacts. With regards to the toxic impact categories, emissions from the waste incineration process were always larger than those from the avoided energy production based on natural gas. The results shows that the potential environmental impacts from air emissions have decreased drastically during the last 35 years and that these impacts can be partly or fully offset by recovering energy which otherwise should have been produced from fossil fuels like coal or natural gas. Copyright (c) 2010 Elsevier Ltd. All rights reserved.

  16. Autologous hematopoietic stem cell transplantation in extranodal natural killer/T cell lymphoma: a multinational, multicenter, matched controlled study.

    PubMed

    Lee, Jeeyun; Au, Wing-Yan; Park, Min Jae; Suzumiya, Junji; Nakamura, Shigeo; Kameoka, Jun-Ichi; Sakai, Chikara; Oshimi, Kazuo; Kwong, Yok-Lam; Liang, Raymond; Yiu, Harry; Wong, Kam-Hung; Cheng, Hoi-Ching; Ryoo, Baek-Yeol; Suh, Cheolwon; Ko, Young Hyeh; Kim, Kihyun; Lee, Jae-Won; Kim, Won Seog; Suzuki, Ritsuro

    2008-12-01

    Extranodal natural killer (NK)/T cell lymphoma, nasal type, is a recently recognized distinct entity and the most common type of non-B cell extranodal lymphoma in Asia. This retrospective analysis studied the potential survival benefits of hematopoeitic stem cell transplantation (HSCT) compared with a historical control group. A total of 47 patients from 3 previously published series of HSCT were matched according to NK/T cell lymphoma International Prognostic Index (NKIPI) risk groups and disease status at transplantation with 107 patients from a historical control group for analysis. After a median follow-up of 116.5 months, the median survival time was not determined for the HSCT group, but it was 43.5 months for the control group (95% confidence interval [CI] = 6.7 to 80.3 months; P = .127, log-rank test). In patients who were in complete remission (CR) at the time of HSCT or at surveillance after remission, disease-specific survival rates were significantly higher in the HSCT group compared with the control group (disease-specific 5-year survival rate, 87.3% for HSCT vs 67.8% for non-HSCT; P = .027). In contrast, in subgroup analysis on non-CR patients at the time of HSCT or non-HSCT treatment, disease-specific survival rates were not significantly prolonged in the HSCT group compared with the control group (1-year survival rate, 66.7% for HSCT vs 28.6% for non-HSCT; P = .141). The impact of HSCT on the survival of all patients was significantly retained at the multivariate level with a 2.1-fold (95% CI =1.2- to 3.7-fold) reduced risk of death (P = .006). HSCT seems to confer a survival benefit in patients who attained CR on postremission consolidation therapy. These findings suggest that, in particular, patients in CR with high NKIPI risk scores at diagnosis should receive full consideration for HSCT.

  17. Improved statistical method for temperature and salinity quality control

    NASA Astrophysics Data System (ADS)

    Gourrion, Jérôme; Szekely, Tanguy

    2017-04-01

    Climate research and Ocean monitoring benefit from the continuous development of global in-situ hydrographic networks in the last decades. Apart from the increasing volume of observations available on a large range of temporal and spatial scales, a critical aspect concerns the ability to constantly improve the quality of the datasets. In the context of the Coriolis Dataset for ReAnalysis (CORA) version 4.2, a new quality control method based on a local comparison to historical extreme values ever observed is developed, implemented and validated. Temperature, salinity and potential density validity intervals are directly estimated from minimum and maximum values from an historical reference dataset, rather than from traditional mean and standard deviation estimates. Such an approach avoids strong statistical assumptions on the data distributions such as unimodality, absence of skewness and spatially homogeneous kurtosis. As a new feature, it also allows addressing simultaneously the two main objectives of an automatic quality control strategy, i.e. maximizing the number of good detections while minimizing the number of false alarms. The reference dataset is presently built from the fusion of 1) all ARGO profiles up to late 2015, 2) 3 historical CTD datasets and 3) the Sea Mammals CTD profiles from the MEOP database. All datasets are extensively and manually quality controlled. In this communication, the latest method validation results are also presented. The method has already been implemented in the latest version of the delayed-time CMEMS in-situ dataset and will be deployed soon in the equivalent near-real time products.

  18. Improved Statistical Method For Hydrographic Climatic Records Quality Control

    NASA Astrophysics Data System (ADS)

    Gourrion, J.; Szekely, T.

    2016-02-01

    Climate research benefits from the continuous development of global in-situ hydrographic networks in the last decades. Apart from the increasing volume of observations available on a large range of temporal and spatial scales, a critical aspect concerns the ability to constantly improve the quality of the datasets. In the context of the Coriolis Dataset for ReAnalysis (CORA) version 4.2, a new quality control method based on a local comparison to historical extreme values ever observed is developed, implemented and validated. Temperature, salinity and potential density validity intervals are directly estimated from minimum and maximum values from an historical reference dataset, rather than from traditional mean and standard deviation estimates. Such an approach avoids strong statistical assumptions on the data distributions such as unimodality, absence of skewness and spatially homogeneous kurtosis. As a new feature, it also allows addressing simultaneously the two main objectives of a quality control strategy, i.e. maximizing the number of good detections while minimizing the number of false alarms. The reference dataset is presently built from the fusion of 1) all ARGO profiles up to early 2014, 2) 3 historical CTD datasets and 3) the Sea Mammals CTD profiles from the MEOP database. All datasets are extensively and manually quality controlled. In this communication, the latest method validation results are also presented. The method has been implemented in the latest version of the CORA dataset and will benefit to the next version of the Copernicus CMEMS dataset.

  19. Historical fire regimes, reconstructed from land-survey data, led to complexity and fluctuation in sagebrush landscapes.

    PubMed

    Bukowski, Beth E; Baker, William L

    2013-04-01

    Sagebrush landscapes provide habitat for Sage-Grouse and other sagebrush obligates, yet historical fire regimes and the structure of historical sagebrush landscapes are poorly known, hampering ecological restoration and management. To remedy this, General Land Office Survey (GLO) survey notes were used to reconstruct over two million hectares of historical vegetation for four sagebrush-dominated (Artemisia spp.) study areas in the western United States. Reconstructed vegetation was analyzed for fire indicators used to identify historical fires and reconstruct historical fire regimes. Historical fire-size distributions were inverse-J shaped, and one fire > 100 000 ha was identified. Historical fire rotations were estimated at 171-342 years for Wyoming big sagebrush (A. tridentata ssp. wyomingensis) and 137-217 years for mountain big sagebrush (A. tridentata ssp. vaseyana). Historical fire and patch sizes were significantly larger in Wyoming big sagebrush than mountain big sagebrush, and historical fire rotations were significantly longer in Wyoming big sagebrush than mountain big sagebrush. Historical fire rotations in Wyoming were longer than those in other study areas. Fine-scale mosaics of burned and unburned area and larger unburned inclusions within fire perimeters were less common than in modern fires. Historical sagebrush landscapes were dominated by large, contiguous areas of sagebrush, though large grass-dominated areas and finer-scale mosaics of grass and sagebrush were also present in smaller amounts. Variation in sagebrush density was a common source of patchiness, and areas classified as "dense" made up 24.5% of total sagebrush area, compared to 16.3% for "scattered" sagebrush. Results suggest significant differences in historical and modern fire regimes. Modern fire rotations in Wyoming big sagebrush are shorter than historical fire rotations. Results also suggest that historical sagebrush landscapes would have fluctuated, because of infrequent episodes of large fires and long periods of recovery and maturity. Due to fragmentation of sagebrush landscapes, the large, contiguous expanses of sagebrush that dominated historically are most at risk and in need of conservation, including both dense and scattered sagebrush. Fire suppression in Wyoming big sagebrush may also be advisable, as modern fire rotations are shorter than their historical counterparts.

  20. Chromosome aberrations in workers occupationally exposed to tritium.

    PubMed

    Tawn, E Janet; Curwen, Gillian B; Riddell, Anthony E

    2018-06-01

    This paper reports the findings of an historical chromosome analysis for unstable aberrations, undertaken on 34 nuclear workers with monitored exposure to tritium. The mean recorded β-particle dose from tritium was 9.33 mGy (range 0.25-79.71 mGy) and the mean occupational dose from external, mainly γ-ray, irradiation was 1.94 mGy (range 0.00-7.71 mGy). The dicentric frequency of 1.91 ± 0.53 × 10 -3 per cell was significantly raised, in comparison with that of 0.61 ± 0.30 × 10 -3 per cell for a group of 66 comparable worker controls unexposed to occupational radiation. The frequency of total aberrations was also significantly higher in the tritium workers. Comparisons with in vitro studies indicate that at these dose levels an increase in aberration frequency is not expected. However, the available historical tritium dose records were produced for the purposes of radiological protection and based on a methodology that has since been updated, so tritium doses are subject to considerable uncertainty. It is therefore recommended that, if possible, tritium doses are reassessed using information on historical recording practices in combination with current dosimetry methodology, and that further chromosome studies are undertaken using modern FISH techniques to establish stable aberration frequencies, as these will provide information on a cumulative biological effect.

  1. Historic Neighborhood Schools: Success Stories. Issues and Initiatives.

    ERIC Educational Resources Information Center

    National Trust for Historic Preservation, Washington, DC.

    This document offers 19 case studies that show how people across the United States have kept historic schools as vital parts of their communities. The case studies address the most important challenges to the continued use of historic schools as educational facilities. They offer concise summaries of information that architects, contractors, and…

  2. Common Belief and the Cultural Curriculum: An Intergenerational Study of Historical Consciousness

    ERIC Educational Resources Information Center

    Wineburg, Sam; Mosborg, Susan; Porat, Dan; Duncan, Ariel

    2007-01-01

    How is historical knowledge transmitted across generations? What is the role of schooling in that transmission? The authors address these questions by reporting on a thirty-month longitudinal study into how home, school, and larger society served as contexts for the development of historical consciousness among adolescents. Fifteen families drawn…

  3. Constructing Historical Profiles with Digital Natives

    ERIC Educational Resources Information Center

    Waring, Scott M.; Bentley, Courtney C.

    2012-01-01

    The purpose of this study was to examine a group of fifth graders experiences, beliefs, and opinions during the construction of digital historical agent profiles. This research study examined a project in which students were engaged in the learning of historical content and were asked to convey information about the life of someone from the past…

  4. Haloperidol prophylaxis in critically ill patients with a high risk for delirium

    PubMed Central

    2013-01-01

    Introduction Delirium is associated with increased morbidity and mortality. We implemented a delirium prevention policy in intensive care unit (ICU) patients with a high risk of developing delirium, and evaluated if our policy resulted in quality improvement of relevant delirium outcome measures. Methods This study was a before/after evaluation of a delirium prevention project using prophylactic treatment with haloperidol. Patients with a predicted risk for delirium of ≥ 50%, or with a history of alcohol abuse or dementia, were identified. According to the prevention protocol these patients received haloperidol 1 mg/8 h. Evaluation was primarily focused on delirium incidence, delirium free days without coma and 28-day mortality. Results of prophylactic treatment were compared with a historical control group and a contemporary group that did not receive haloperidol prophylaxis mainly due to non-compliance to the protocol mostly during the implementation phase. Results In 12 months, 177 patients received haloperidol prophylaxis. Except for sepsis, patient characteristics were comparable between the prevention and the historical (n = 299) groups. Predicted chance to develop delirium was 75 ± 19% and 73 ± 22%, respectively. Haloperidol prophylaxis resulted in a lower delirium incidence (65% vs. 75%, P = 0.01), and more delirium-free-days (median 20 days (IQR 8 to 27) vs. median 13 days (3 to 27), P = 0.003) in the intervention group compared to the control group. Cox-regression analysis adjusted for sepsis showed a hazard rate of 0.80 (95% confidence interval 0.66 to 0.98) for 28-day mortality. Beneficial effects of haloperidol appeared most pronounced in the patients with the highest risk for delirium. Furthermore, haloperidol prophylaxis resulted in less ICU re-admissions (11% vs. 18%, P = 0.03) and unplanned removal of tubes/lines (12% vs. 19%, P = 0.02). Haloperidol was stopped in 12 patients because of QTc-time prolongation (n = 9), renal failure (n = 1) or suspected neurological side-effects (n = 2). No other side-effects were reported. Patients who were not treated during the intervention period (n = 59) showed similar results compared to the untreated historical control group. Conclusions Our evaluation study suggests that prophylactic treatment with low dose haloperidol in critically ill patients with a high risk for delirium probably has beneficial effects. These results warrant confirmation in a randomized controlled trial. Trial registration clinicaltrial.gov Identifier: NCT01187667. PMID:23327295

  5. Controlling nuclear RNA levels.

    PubMed

    Schmid, Manfred; Jensen, Torben Heick

    2018-05-10

    RNA turnover is an integral part of cellular RNA homeostasis and gene expression regulation. Whereas the cytoplasmic control of protein-coding mRNA is often the focus of study, we discuss here the less appreciated role of nuclear RNA decay systems in controlling RNA polymerase II (RNAPII)-derived transcripts. Historically, nuclear RNA degradation was found to be essential for the functionalization of transcripts through their proper maturation. Later, it was discovered to also be an important caretaker of nuclear hygiene by removing aberrant and unwanted transcripts. Recent years have now seen a set of new protein complexes handling a variety of new substrates, revealing functions beyond RNA processing and the decay of non-functional transcripts. This includes an active contribution of nuclear RNA metabolism to the overall cellular control of RNA levels, with mechanistic implications during cellular transitions.

  6. Characterization of methicillin-resistant Staphylococcus aureus isolated at Tripoli Medical Center, Libya, between 2008 and 2014.

    PubMed

    BenDarif, Elloulu; Khalil, Asma; Rayes, Abdunnabi; Bennour, Emad; Dhawi, Abdulgader; Lowe, John J; Gibbs, Shawn; Goering, Richard V

    2016-12-01

    Bacterial pathogens such as methicillin-resistant Staphylococcus aureus (MRSA) represent a well-known public health problem affecting both healthcare-associated and community populations. Past studies have clearly shown the value of characterizing problem organisms including MRSA through the use of molecular techniques (i.e. strain typing), with the aim of informing local, regional and national efforts in epidemiological analysis and infection control. The country of Libya represents a challenge for such analysis due to limited historical infectious disease information and major political unrest culminating in the Libyan Civil War (Libyan Revolution) in 2011. A MRSA study population of 202 isolates, cultured from patients in Tripoli Medical Center through this historical period (2008-2014), was characterized by both phenotypic and molecular methods. The results revealed a diversification of epidemic MRSA strains over time with generally increasing resistance to fluoroquinolone antibiotics. The study identified prevalent MRSA in comparison to known global epidemic types, providing unique insight into the change of strains and/or characteristics over time especially with reference to the potential influence of the political revolution (i.e. pre- and post-2011).

  7. Controls on the distribution of arsenic in lake sediments impacted by 65 years of gold ore processing in subarctic Canada: the role of organic matter

    NASA Astrophysics Data System (ADS)

    Galloway, Jennifer; Palmer, Michael; Swindles, Graeme T.; Sanei, Hamed; Jamieson, Heather E.; Parsons, Michael; Macumber, Andrew L.; Patterson, Tim; Falck, Hendrik

    2017-04-01

    Gold mines in the Yellowknife region of the Northwest Territories, Canada, operated from 1938 to 2003 and released approximately 20,000 tonnes of arsenic trioxide to the environment through stack emissions. This release resulted in highly elevated arsenic concentrations in lake surface waters and sediments relative to Canadian drinking water standards and guidelines for the protection of aquatic life. High northern latitudes are experiencing substantial impacts, including changes in bio-physico-chemical processes, due to climate change. Determining the affect of warming climate on contamination is complicated by the fact that little is known of climate change controls on As mobility and bioavailability. Further, while the role of dissolved organic matter in As cycling is relatively well characterized in soils and wetland sediments, few studies have investigated the role of solid organic matter in lacustrine systems. We use a meta-analytical approach to better understand controls on sedimentary arsenic distribution in lakes within a 50 km2 area of historic mineral processing activities. Arsenic concentrations in near surface sediments of the 100 lakes studied range from 5 mg/kg to over 10,000 mg/kg (median 81 mg/kg). Distance from the historical Giant Mine roaster stack and the amount of labile organic matter (S1 carbon as determined by Rock Eval pyrolysis) in lake sediments are the variables most strongly correlated with sedimentary As concentrations (Spearman's rank correlation As:distance from historic roaster rs=-0.57, p<0.05; As:S1 rs=0.55, p<0.05). The S1 fraction, volatile hydrocarbons derived from readily degradable geolipids and pigments predominantly originating from authochthonous organic matter, represents a small portion of the overall total organic carbon in the sedimentary material analyzed (median 2.33 wt.%). However, this fraction of organic matter has large potential to influence element concentrations in lake sediments through coating of pre-existing solid-phase As-mineral complexes, direct As-organic matter interactions, and promotion of microbial-mediated reduction and precipitation of As-bearing minerals.

  8. Assessment of a new undergraduate module in musculoskeletal medicine.

    PubMed

    Queally, Joseph M; Cummins, Fionnan; Brennan, Stephen A; Shelly, Martin J; O'Byrne, John M

    2011-02-02

    Despite the high prevalence of musculoskeletal disorders seen by primary care physicians, numerous studies have demonstrated deficiencies in the adequacy of musculoskeletal education at multiple stages of medical education. The aim of this study was to assess a newly developed module in musculoskeletal medicine for use at European undergraduate level (i.e., the medical-school level). A two-week module in musculoskeletal medicine was designed to cover common musculoskeletal disorders that are typically seen in primary care. The module incorporated an integrated approach, including core lectures, bedside clinical examination, and demonstration of basic practical procedures. A previously validated examination in musculoskeletal medicine was used to assess the cognitive knowledge of ninety-two students on completion of the module. A historical control group (seventy-two students) from a prior course was used for comparison. The new module group (2009) performed significantly better than the historical (2006) control group in terms of score (62.3% versus 54.3%, respectively; p < 0.001) and pass rate (38.4% versus 12.5%, respectively; p = 0.0002). In a subgroup analysis of the new module group, students who enrolled in the graduate entry program (an accelerated four-year curriculum consisting of students who have already completed an undergraduate university degree) were more likely to perform better in terms of average score (72.2% versus 57%, respectively; p < 0.001) and pass rates (70.9% versus 21.4%, respectively; p < 0.001) compared with students who had enrolled via the traditional undergraduate route. In terms of satisfaction rates, the new module group reported a significantly higher satisfaction rate than that reported by the historical control group (63% versus 15%, respectively; p < 0.001). In conclusion, the musculoskeletal module described in this paper represents an educational advance at undergraduate (i.e., medical-school) level as demonstrated by the improvement in scores in a validated examination. As pressure on medical curricula grows to accommodate advancing medical knowledge, it is important to continue to improve, assess, and consolidate the position of musculoskeletal medicine in contemporary medical education.

  9. ACHP | Historic Preservation in Technical or Scientific Facilities

    Science.gov Websites

    of Historic Preservation: Methods and Examples Assessing the Energy Conservation Benefits of Historic Preservation: Methods and Examples 1979; 91 pages; available as PDF To order copies This study contains

  10. The Soviet Theory of Reflexive Control in Historical and Psychocultural Perspective: A Preliminary Study

    DTIC Science & Technology

    1986-07-01

    broad spectrum of military and political affairs. After all, historian Hannah Arendt ,153 economist John Kenneth Galbraith,154 and sociologists Raven and...Military Systems Engineering (op. cit.), pp. 334-348. 153 Arendt , Hannah , The Origins of Totalitarianism, Harcourt Brace and Company, New York, 1951...and Crisis Behavior, George Allen and Unwin, London, 198Z. Arendt , Hannah , The Origins of Totalitarianism, Harcourt Brace and Company, New York, 1951

  11. Continuous Venovenous Hemofiltration in Severely Burned Patients with Acute Kidney Injury: A Cohort Study

    DTIC Science & Technology

    2009-05-01

    to result in any extra- renal effects. In the CVVH group the initial prescribed dose was variable based on hemo- dynamic compromise and perceived...associated with a decrease in 28-day and hospital mortality when compared with a historical control group, which largely did not receive any form of renal ...BUN: blood urea nitrogen; CVVH: continuous venovenous hemofiltration; CVVHDF: continuous venovenous hemodiafiltration; ESRD: end-stage renal disease

  12. Review of Literature on Health Effects of Corn Oil and Its Oxidation Products

    DTIC Science & Technology

    2011-04-01

    the number of dead fetuses.20 In a retrospective comparison of historical teratology study data for vehicle control animals (Sprague-Dawley...Morrissey, R.E.; Richard, E. Teratologic evaluation of corn oil or distilled water administered to CD rats on gestational days 6 through 15...exposure to corn oil. Teratology , The International Journal of Abnormal Development 1983, 27, 411—416. 17. Shipman, P.M.; Schmidt, R.R. Corn oil

  13. Gaining perspective on what we've lost: the reliability of encoded anecdotes in historical ecology.

    PubMed

    Al-Abdulrazzak, Dalal; Naidoo, Robin; Palomares, Maria Lourdes D; Pauly, Daniel

    2012-01-01

    Historical data are essential in fisheries management and conservation, especially for species that suffered significant population declines prior to ecological data collection. Within the field of historical marine ecology, studies have relied on anecdotal evidence, such as written accounts by explorers and interviews of different generations of resource users, to demonstrate the former abundance of certain species and the extent of their ranges. Yet, do we all agree on how these anecdotes are interpreted? This study examines the way that different people interpret anecdotes extracted from historical narratives. We outsource a survey to 50 randomly selected people using Amazon Mechanical Turk (www.mturk.com) and ask them to 'code' historical anecdotes based on their perceived abundance of species. We perform intercoder reliability tests to show that people's perceptions of historical anecdotes are generally consistent. The results speak to the reliability of using people's perceptions to acquire quantitative data, and provide novel insights into the use of anecdotal evidence to inform historical ecology.

  14. A multidisciplinary, integrated approach for the elimination of schistosomiasis: a longitudinal study in a historically hyper-endemic region in the lower reaches of the Yangtze River, China from 2005 to 2014.

    PubMed

    Sun, Le-Ping; Wang, Wei; Zuo, Yin-Ping; Hong, Qing-Biao; Du, Guang-Lin; Ma, Yu-Cai; Wang, Jian; Yang, Guo-Jing; Zhu, Dao-Jian; Liang, You-Sheng

    2017-03-14

    Although great success has been achieved, schistosomiasis remains a major public health concern in China, and the remaining core endemic regions are concentrated along the middle and lower reaches of the Yangtze River. In this longitudinal study, we evaluated the effectiveness of a multidisciplinary, integrated approach for schistosomiasis elimination in a historically hyper-endemic region in the lower reaches of the Yangtze River, China over the 10-year period from 2005 through 2014. A three-step roadmap for schistosomiasis elimination was designed in the study site, and multidisciplinary, integrated interventions were implemented by the health, agriculture, water resources development, land and resources, and forestry sectors from 2005 to 2014, including chemotherapy for infected individuals, health education, management of the source of Schistosoma japonicum infection, and intermediate host snail control. The annual number of schistosomiasis patients, S. japonicum infection in humans, bovines and Oncomelania hupensis snails, and water infectivity were observed to assess the effectiveness of the multidisciplinary, integrated approach for the elimination of schistosomiasis. There was a tendency towards a gradual decline in both the number of schistosomiasis cases and the prevalence of S. japonicum human infection across the study period from 2005 through 2014. No S. japonicum human infection was detected since 2012, and no acute infection was seen since 2006. During the study period, no infection was found in bovines, and a 0.03% overall infection rate was observed in O. hupensis snails. Since 2009, no infected snails were identified, and the area of both snail habitats and infected snail habitats appeared a reduction over the study period. Following the 3-year multidisciplinary, integrated control, infection control was achieved, and transmission control was achieved after 6-year implementation, with all infected snails and water infectivity eliminated; in addition, the 10-year implementation resulted in interruption of schistosomiasis transmission in the study site in 2014. The results of the present 10-year longitudinal study demonstrate that the multidisciplinary, integrated approach is effective for the elimination of schistosomiasis as a public health problem in the lower reaches of the Yangtze River, China.

  15. Decline in placebo-controlled trial results suggests new directions for comparative effectiveness research.

    PubMed

    Olfson, Mark; Marcus, Steven C

    2013-06-01

    The Affordable Care Act offers strong support for comparative effectiveness research, which entails comparisons among active treatments, to provide the foundation for evidence-based practice. Traditionally, a key form of research into the effectiveness of therapeutic treatments has been placebo-controlled trials, in which a specified treatment is compared to placebo. These trials feature high-contrast comparisons between treatments. Historical trends in placebo-controlled trials have been evaluated to help guide the comparative effectiveness research agenda. We investigated placebo-controlled trials reported in four leading medical journals between 1966 and 2010. We found that there was a significant decline in average effect size or average difference in efficacy (the ability to produce a desired effect) between the active treatment and placebo. On average, recently studied treatments offered only small benefits in efficacy over placebo. A decline in effect sizes in conventional placebo-controlled trials supports an increased emphasis on other avenues of research, including comparative studies on the safety, tolerability, and cost of treatments with established efficacy.

  16. Problems of Mathematical Finance by Stochastic Control Methods

    NASA Astrophysics Data System (ADS)

    Stettner, Łukasz

    The purpose of this paper is to present main ideas of mathematics of finance using the stochastic control methods. There is an interplay between stochastic control and mathematics of finance. On the one hand stochastic control is a powerful tool to study financial problems. On the other hand financial applications have stimulated development in several research subareas of stochastic control in the last two decades. We start with pricing of financial derivatives and modeling of asset prices, studying the conditions for the absence of arbitrage. Then we consider pricing of defaultable contingent claims. Investments in bonds lead us to the term structure modeling problems. Special attention is devoted to historical static portfolio analysis called Markowitz theory. We also briefly sketch dynamic portfolio problems using viscosity solutions to Hamilton-Jacobi-Bellman equation, martingale-convex analysis method or stochastic maximum principle together with backward stochastic differential equation. Finally, long time portfolio analysis for both risk neutral and risk sensitive functionals is introduced.

  17. From Freedom Riders to the Children's March: Civil Rights Documentaries as Catalysts for Historical Empathy

    ERIC Educational Resources Information Center

    Buchanan, Lisa Brown

    2014-01-01

    Historical documentary film usually offers content in a format that students find more engaging than traditional historical texts. In the classroom, documentary film can be positioned within a historical thinking framework to study a broad concept like civil rights while facilitating students' source work and skill development. While social…

  18. An Inquiry-Based Augmented Reality Mobile Learning Approach to Fostering Primary School Students' Historical Reasoning in Non-Formal Settings

    ERIC Educational Resources Information Center

    Efstathiou, Irene; Kyza, Eleni A.; Georgiou, Yiannis

    2018-01-01

    This study investigated the contribution of a location-based augmented reality (AR) inquiry-learning environment in developing 3rd grade students' historical empathy and conceptual understanding. Historical empathy is an important element of historical thinking, which is considered to improve conceptual understanding and support the development of…

  19. Dean of Women at Historically Black Colleges and Universities: A Story Left Untold

    ERIC Educational Resources Information Center

    Herdlein, Richard; Cali, Christine Frezza; Dina, Joanne

    2008-01-01

    There is a paucity of historical discourse on the distinct contributions of African American women serving as deans of women at historically Black colleges and universities. Using historical research and the case study approach, the analysis focused on three deans of women: Lucy Diggs Slowe--Howard University, Owena Hunter Davis--Johnson C. Smith…

  20. 36 CFR 1256.70 - What controls access to national security-classified information?

    Code of Federal Regulations, 2010 CFR

    2010-07-01

    ... national security-classified information? 1256.70 Section 1256.70 Parks, Forests, and Public Property... HISTORICAL MATERIALS Access to Materials Containing National Security-Classified Information § 1256.70 What controls access to national security-classified information? (a) The declassification of and public access...

  1. A Journey from Coercion to Building Courage

    ERIC Educational Resources Information Center

    DeSalvatore, Gino; Millspaugh, Carla; Long, Cindy

    2009-01-01

    Historically, behavior management in treatment settings has focused on external controls such as points, tokens, and level systems. This article describes one program's transformation where troubled youth develop internal controls and become active participants in their own change. The authors describe their program's journey to help troubled and…

  2. Archeological and Literature Search, Pedestrian Reconnaissance, and Limited Shovel Testing for the Ecorse Creek Flood Protection Project, Wayne County, Michigan.

    DTIC Science & Technology

    1985-05-01

    Springtime activities followed by the Indians and their early Euro- American successors in the area included pickerel or pike fishing during the two...SOCIETIES: Society for American Archaeology .4" Society for Historical Archeology National Trust for Historic Preservation Plains Conference for... NATIONAL BUREAU OF STANDARDS-1963-A LID In AM -~E -HMIE N ECORSE CREEK f FLOOD CONTROL POJECT WAYNE-COUNTY, MICHIGAN UJU U.- I lCUTO U.S. ARMY H1011100

  3. An algorithm for utilizing peripheral blood CD34 count as a predictor of the need for plerixafor in autologous stem cell mobilization--cost-effectiveness analysis.

    PubMed

    Abusin, Ghada A; Abu-Arja, Rolla F; Gingrich, Roger D; Silverman, Margarida D; Zamba, Gideon K D; Schlueter, Annette J

    2013-08-01

    Certain patients who receive granulocyte colony-stimulating factor (GCSF) for autologous hematopoietic stem cell (AHSC) collection fail to mobilize well enough to proceed with transplant. When plerixafor is used with GCSF, the likelihood of achieving the CD34⁺ stem cell target in fewer collections is higher; plerixafor use in all patients is unlikely to be cost-effective. This study retrospectively evaluated the effectiveness of utilizing a peripheral blood CD34⁺ stem cell count (PBCD34) ≤8/µL on day 4 of GCSF-based AHSC mobilization as a threshold for plerixafor administration, and compared the efficacy of collection and cost analysis using historical controls. All patients in the study cohort reached their CD34⁺ targets in ≤3 collections. Significantly more patients who received plerixafor + GCSF versus GCSF alone reached their CD34⁺ target in one collection (P = 0.045); however, there were no significant differences in the number of collections or in cumulative product yields. The historical cohort had 10.3% mobilization failures; the number of collections per patient needed to reach the target was significantly higher in the historical cohort versus study cohort (P = 0.001) as was the number of patients requiring more than one collection to reach their target (P = 0.023). However, the average cost per patient was also significantly higher in the study cohort (P = 0.025). Further refinement of the algorithm may reduce the difference in cost between the two mobilization strategies. Copyright © 2013 Wiley Periodicals, Inc.

  4. Reconstruction and restoration of historical buildings of transport infrastructure

    NASA Astrophysics Data System (ADS)

    Kareeva, Daria; Glazkova, Valeriya

    2017-10-01

    The aim of this article is to identify the main problems in the restoration of the historical objects. For this reason, it is rationally to collect and analyze the existing world experience of restoration. The information which was put together showed that there are some problems which are common and can be solved. In addition, the protection of the Monuments of Culture and Architecture Comittees always makes the restoration and reconstruction of the historical buildings complicated. By the examples of Germany, Italy and Russia it is shown that there are problems in organization, economy, planning and control. Engineers should think of and justify the methodology of organizing and monitoring of the restoration of the historical buildings. As a second solution, it will be possible to minimize time and financial costs through a favorable financial and legal background for investors and through the creation of a system of restoration work organizing. And for a faster process of restoration the imitation programs should be optimized for research and selection of the reconstruction technological and economic methods.

  5. The contaminant legacy from historic coastal landfills and their potential as sources of diffuse pollution.

    PubMed

    O'Shea, Francis T; Cundy, Andrew B; Spencer, Kate L

    2018-03-01

    Prior to modern environmental regulation landfills in low-lying coastal environments were frequently constructed without leachate control, relying on natural attenuation within inter-tidal sediments to dilute and disperse contaminants reducing environmental impact. With sea level rise and coastal erosion these sites may now pose a pollution risk, yet have received little investigation. This work examines the extent of metal contamination in saltmarsh sediments surrounding a historic landfill in the UK. Patterns of sediment metal data suggest typical anthropogenic pollution chronologies for saltmarsh sediments in industrialised nations. However, many metals were also enriched at depth in close proximity to the landfill boundary and are indicative of a historical leachate plume. Though this total metal load is low, e.g., c. 1200 and 1650kg Pb and Zn respectively, with >1000 historic landfills on flood risk or eroding coastlines in the UK this could represent a significant, yet under-investigated, source of diffuse pollution. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  6. Effect of historical land-use and climate change on tree-climate relationships in the upper Midwestern United States.

    PubMed

    Goring, Simon J; Williams, John W

    2017-04-01

    Contemporary forest inventory data are widely used to understand environmental controls on tree species distributions and to construct models to project forest responses to climate change, but the stability and representativeness of contemporary tree-climate relationships are poorly understood. We show that tree-climate relationships for 15 tree genera in the upper Midwestern US have significantly altered over the last two centuries due to historical land-use and climate change. Realised niches have shifted towards higher minimum temperatures and higher rainfall. A new attribution method implicates both historical climate change and land-use in these shifts, with the relative importance varying among genera and climate variables. Most climate/land-use interactions are compounding, in which historical land-use reinforces shifts in species-climate relationships toward wetter distributions, or confounding, in which land-use complicates shifts towards warmer distributions. Compounding interactions imply that contemporary-based models of species distributions may underestimate species resilience to climate change. © 2017 John Wiley & Sons Ltd/CNRS.

  7. Team history and choking under pressure in major soccer penalty shootouts.

    PubMed

    Jordet, Geir; Hartman, Esther; Vuijk, Pieter Jelle

    2012-05-01

    This study examined the links between historical team results and individual players' subsequent performances in a high-pressure real-world sport situation. Videos were obtained from all soccer penalty shootouts held in two major international tournaments (World Cup and European Championships) between 1976 and 2006 (n=260 players/309 kicks), and we controlled for team ability and country. The results showed that players on teams with preceding losses performed worse and generally took their shots more quickly than players on teams with preceding wins. These differences were also found with players who took no personal part in the preceding games. In conclusion, the results support the existence of historical dependency effects for performance on important and dramatic high-pressure tasks and they are in part consistent with a view of choking under pressure as a function of threatened egotism and self-regulation failure. ©2011 The British Psychological Society.

  8. Changes in Salmon Spawning Habitat Distributions Following Rapid and Gradual Channel Adjustments in the Cedar River, Washington

    NASA Astrophysics Data System (ADS)

    Timm, R. K.; Wissmar, R. C.; Berge, H.; Foley, S.

    2005-05-01

    Anthropogenic controls on rivers such as dams, hardened banks, and land uses limit the interactions between main river channel and floodplain ecosystems and contribute to decreased habitat diversity. These system controls dampen the frequency and magnitude of natural disturbances that contibute to physical habitat structure and variability. Under natural and altered disturbance regimes river systems are expected to exhibit resiliency. However, in some cases, disturbances cause fluctuations in the trajectory of the mean system state that can have implications for river recovery in the short- and long-term by changing the spatial and temporal dimensions of available habitat relative to specific biological requirements. Historic and contemporary salmon spawning data are analyzed in the context of changing disturbance regimes in the Cedar River, Washington. Historic data are presented for active channel conditions and spawning fish distributions. Contemporary data are presented for an intensively studied reach that received a landslide that deposited approximately 50,000 m3 of sediment in the main channel, temporarily damming the river. Biologically, the spatio-temporal spawning distributions of Chinook (Oncorhynchus tshawytcha) and sockeye (O. nerka) salmon responded to modifications of physical habitat.

  9. Why was resistance to shorter-acting pre-emergence herbicides slower to evolve?

    PubMed

    Somerville, Gayle J; Powles, Stephen B; Walsh, Michael J; Renton, Michael

    2017-05-01

    Across several agricultural systems the evolution of herbicide resistance has occurred more rapidly to post-emergence than pre-emergence herbicides; however, the reasons for this are not clear. We used a new simulation model to investigate whether interactions between differences in order of application and weed cohorts affected could explain this historically observed difference between the herbicide groups. A 10 year delay in resistance evolution was predicted for a shorter-acting residual pre-emergence (cf. post-emergence), when all other parameters were identical. Differences in order of application between pre- and post-emergence herbicides had minimal effect on rates of resistance evolution when similar weed cohorts were affected. This modelling suggested that the historically observed lower levels of resistance to pre-emergence herbicides are most likely to be due to the smaller number of weed cohorts affected by many pre-emergence herbicides. The lower number of weed cohorts affected by pre-emergence herbicides necessitated the use of additional, effective control measures, thereby reducing resistance evolution. This study highlights the advantages of applying multiple control measures to each weed cohort. © 2016 Society of Chemical Industry. © 2016 Society of Chemical Industry.

  10. Single subject controlled experiments in aphasia: The science and the state of the science

    PubMed Central

    Thompson, Cynthia K.

    2007-01-01

    This paper discusses the use of single subject controlled experimental designs for investigating the effect of treatment for aphasia. A brief historical perspective is presented, followed by discussions of the advantages and disadvantages of single subject and group approaches, the basic requirements of single subject experimental research, and crucial considerations in design selection. In the final sections, results of reviews of published single subject controlled experiments are discussed, with emphasis on internal validity issues, the number of participants enrolled in published studies, operational specification of the dependent and independent variables, and reliability of measurement. Learning outcomes As a result of reading this paper, the participant will: (1) understand the mechanisms required for demonstration of internal and external validity using single subject controlled experimental designs, (2) become familiar with the basic requirements of single subject controlled experimental research, (3) understand the types of single subject controlled experimental designs that are the most appropriate for studying the effects of treatment for aphasia, and (4) become familiar with trends in the published aphasia treatment literature in which single subject controlled experimental designs have been used. PMID:16635494

  11. Historical Significance from Turkish Students' Perspective

    ERIC Educational Resources Information Center

    Avarogullari, Muhammet; Kolcu, Nurten

    2016-01-01

    The purpose of this study is to determine how students in a south-western province of Turkey employ historical significance which is one of the second order concepts of historical thinking. 44 11th and 12th grade students participated in the study. They were asked to identify the most significant 10 persons in the history and provide their reasons…

  12. A Historical Case Study of Dropout Recovery Programs in the State of Oklahoma

    ERIC Educational Resources Information Center

    Portis, Dennis L., III

    2013-01-01

    The purpose of this historical case study was to gain an understanding of dropout recovery programs from an interpretive historical perspective. Dropout Recovery is an Oklahoma Department of Career and Technology Education initiative that provides high school dropouts an opportunity to re-enroll in school, gain academic credit, and participate in…

  13. Impact of digital systems technology on man-vehicle systems research

    NASA Technical Reports Server (NTRS)

    Bretoi, R. N.

    1983-01-01

    The present study, based on a NASA technology assessment, examines the effect of new technologies on trends in crew-systems design and their implications from the vantage point of man-vehicle systems research. Those technologies that are most relevant to future trends in crew-systems design are considered along with problems associated with the introduction of rapidly changing technologies and systems concepts from a human-factors point of view. The technologies discussed include information processing, displays and controls, flight and propulsion control, flight and systems management, air traffic control, training and simulation, and flight and resource management. The historical evolution of cockpit systems design is used to illustrate past and possible future trends in man-vehicle systems research.

  14. Design and study of water supply system for supercritical unit boiler in thermal power station

    NASA Astrophysics Data System (ADS)

    Du, Zenghui

    2018-04-01

    In order to design and optimize the boiler feed water system of supercritical unit, the establishment of a highly accurate controlled object model and its dynamic characteristics are prerequisites for developing a perfect thermal control system. In this paper, the method of mechanism modeling often leads to large systematic errors. Aiming at the information contained in the historical operation data of the boiler typical thermal system, the modern intelligent identification method to establish a high-precision quantitative model is used. This method avoids the difficulties caused by the disturbance experiment modeling for the actual system in the field, and provides a strong reference for the design and optimization of the thermal automation control system in the thermal power plant.

  15. Conversion to eslicarbazepine acetate monotherapy

    PubMed Central

    French, Jacqueline; Jacobson, Mercedes P.; Pazdera, Ladislav; Gough, Mallory; Cheng, Hailong; Grinnell, Todd; Blum, David

    2016-01-01

    Objective: To assess the efficacy and safety of eslicarbazepine acetate (ESL) monotherapy. Methods: This post hoc pooled analysis of 2 randomized double-blind studies (093-045 and -046) included adults with partial-onset seizures medically uncontrolled by 1 or 2 antiepileptic drugs (AEDs). Following the baseline period (8 weeks), eligible patients were randomized 2:1 to receive ESL 1,600 mg or 1,200 mg once daily for 18 weeks; the primary endpoint was study exit by meeting predefined exit criteria (signifying worsening seizure control). In each study, treatment was considered effective if the upper 95% confidence limit for exit rate was lower than the historical control threshold (65.3%). Results: Pooled exit rates were as follows: ESL 1,600 mg = 20.6% (95% confidence interval: 15.6%–26.8%); ESL 1,200 mg = 30.8% (23.0%–40.5%). Use of 2 baseline AEDs or rescue medication, US location, epilepsy duration ≥20 years, and higher maximum baseline seizure frequency were associated with higher exit risks. Median percent reductions in standardized seizure frequency between baseline and the 18-week double-blind period were as follows: ESL 1,600 mg = 43.2%; ESL 1,200 mg = 35.7%; baseline carbamazepine use was associated with smaller reductions. Safety profiles were similar between ESL doses. Conclusions: Exit rates for ESL monotherapy (1,600 mg and 1,200 mg once daily) were lower than the historical control threshold, irrespective of baseline AED use and region, with no additional safety concerns identified. Clinical factors and location clearly influence treatment responses in conversion-to-monotherapy trials. Classification of evidence: This pooled analysis provides Class IV evidence that for adults with medically uncontrolled partial-onset seizures, ESL monotherapy is well tolerated and effective. PMID:26911639

  16. Suspected pulmonary embolism and lung scan interpretation: Trial of a Bayesian reporting method

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

    Becker, D.M.; Philbrick, J.T.; Schoonover, F.W.

    The objective of this research is to determine whether a Bayesian method of lung scan (LS) reporting could influence the management of patients with suspected pulmonary embolism (PE). The study is performed by the following: (1) A descriptive study of the diagnostic process for suspected PE using the new reporting method; (2) a non-experimental evaluation of the reporting method comparing prospective patients and historical controls; and (3) a survey of physicians' reactions to the reporting innovation. Of 148 consecutive patients enrolled at the time of LS, 129 were completely evaluated; 75 patients scanned the previous year served as controls. Themore » LS results of patients with suspected PE were reported as posttest probabilities of PE calculated from physician-provided pretest probabilities and the likelihood ratios for PE of LS interpretations. Despite the Bayesian intervention, the confirmation or exclusion of PE was often based on inconclusive evidence. PE was considered by the clinician to be ruled out in 98% of patients with posttest probabilities less than 25% and ruled in for 95% of patients with posttest probabilities greater than 75%. Prospective patients and historical controls were similar in terms of tests ordered after the LS (e.g., pulmonary angiography). Patients with intermediate or indeterminate lung scan results had the highest proportion of subsequent testing. Most physicians (80%) found the reporting innovation to be helpful, either because it confirmed clinical judgement (94 cases) or because it led to additional testing (7 cases). Despite the probabilistic guidance provided by the study, the diagnosis of PE was often neither clearly established nor excluded. While physicians appreciated the innovation and were not confused by the terminology, their clinical decision making was not clearly enhanced.« less

  17. Effectiveness of outpatient cognitive-behavioral therapy for adolescents under routine care conditions on behavioral and emotional problems rated by parents and patients: an observational study.

    PubMed

    Walter, Daniel; Dachs, Lydia; Faber, Martin; Goletz, Hildegard; Goertz-Dorten, Anja; Hautmann, Christopher; Kinnen, Claudia; Rademacher, Christiane; Schuermann, Stephanie; Metternich-Kaizman, Tanja Wolff; Doepfner, Manfred

    2018-01-01

    Few studies have examined the effectiveness of outpatient cognitive-behavioral therapy (CBT) delivered in routine care settings for children and adolescents with mental disorders. This observational study examined changes in behavioral and emotional problems of adolescents with mental disorders during routine outpatient CBT delivered at a university outpatient clinic and compared them with a historical control group of youths who received academic tutoring of comparable length and intensity. Assessments were made at the start and end of treatment (pre- and post-assessment) using parent ratings of the German versions of the Child Behavior Checklist (CBCL) and self-ratings of the Youth Self-Report (YSR) scale. For the main analysis, 677 adolescents aged 11‒21 years had complete data. Changes from pre- to post-assessment showed significant reductions in mental health problems on both parent- and self-ratings. Pre- to post-effect sizes (Cohen's d) were small-to-medium for the total sample (d = 0.23 to d = 0.62) and medium-to-large for those adolescents rated in the clinical range on each (sub)scale at the start of treatment (d = 0.65 to d = 1.48). We obtained medium net effect sizes (d = 0.69) for the CBCL and YSR total scores when patients in the clinical range were compared to historical controls. However, a substantial part of the sample remained in the clinical range at treatment end. The results suggest that CBT is effective for adolescents with mental disorders when administered under routine care conditions but must be interpreted conservatively due to the lack of a direct control condition.

  18. A case study of enterprise historic resources information management in large transportation agencies.

    DOT National Transportation Integrated Search

    2010-01-01

    Historic resources are in some way managed by every transportation agency in the nation. Transportation agencies manage historic and prehistoric archaeological sites, buildings, structures, objects, routes, landscapes, and districts to prevent damage...

  19. Weir Farm National Historic Site : alternative transportation feasibility study

    DOT National Transportation Integrated Search

    2012-07-31

    This report provides an assessment of the feasibility of alternative transportation options to accommodate visitation at Weir Farm National Historic Site in Ridgefield, Connecticut. Weir Farm, the historic home of artist J. Alden Weir, faces numerous...

  20. The Asymmetrical Influence of Identity: A Triadic Interaction among Israeli Jews, Israeli Arabs, and Historical Texts

    ERIC Educational Resources Information Center

    Kolikant, Yifat Ben-David; Pollack, Sarah

    2009-01-01

    This study engaged Israeli-Jewish and Israeli-Arab students in a joint investigation of their common past by means of secondary historical sources. The hypothesis was that a triadic interaction among agents of groups with opposing views and historical texts can foster historical thinking. It was expected that while ethnic identity would drive both…

  1. Inferring Invasion History of Red Swamp Crayfish (Procambarus clarkii) in China from Mitochondrial Control Region and Nuclear Intron Sequences

    PubMed Central

    Li, Yanhe; Guo, Xianwu; Chen, Liping; Bai, Xiaohui; Wei, Xinlan; Zhou, Xiaoyun; Huang, Songqian; Wang, Weimin

    2015-01-01

    Identifying the dispersal pathways of an invasive species is useful for adopting the appropriate strategies to prevent and control its spread. However, these processes are exceedingly complex. So, it is necessary to apply new technology and collect representative samples for analysis. This study used Approximate Bayesian Computation (ABC) in combination with traditional genetic tools to examine extensive sample data and historical records to infer the invasion history of the red swamp crayfish, Procambarus clarkii, in China. The sequences of the mitochondrial control region and the proPOx intron in the nuclear genome of samples from 37 sites (35 in China and one each in Japan and the USA) were analyzed. The results of combined scenarios testing and historical records revealed a much more complex invasion history in China than previously believed. P. clarkii was most likely originally introduced into China from Japan from an unsampled source, and the species then expanded its range primarily into the middle and lower reaches and, to a lesser extent, into the upper reaches of the Changjiang River in China. No transfer was observed from the upper reaches to the middle and lower reaches of the Changjiang River. Human-mediated jump dispersal was an important dispersal pathway for P. clarkii. The results provide a better understanding of the evolutionary scenarios involved in the rapid invasion of P. clarkii in China. PMID:26132567

  2. [Clostridium difficile epidemic, Chile 2012: report of the Chilean Society for Infectious Diseases. A scientific historical analysis].

    PubMed

    Cabello, Felipe

    2012-08-01

    A Summary Report from the Chilean Society for Infectious Diseases regarding the presence of a Clostridium difficile epidemic with several fatalities in Chile's premier emergency public hospital in Santiago is used to make a scientific historical analysis of the situation. This Summary Report identifies several hygienic and sanitary shortcomings that may have played a role in triggering this major epidemic. These include deficiencies in hand washing policies, overcrowding of beds in wards, relaxation of infection control policies, antimicrobial therapy mismanagement and lack of laboratory support. The relevance of these shortcomings to the epidemic is further supported by the lack of any laboratory evidence for the presence of hypertoxigenic strains of C. difficile. In an era of whole genome sequencing of pathogens to guide therapy, prevention, and epidemiological studies of infectious diseases, it is illuminating and sobering, as this report so clearly demonstrates, to realize that many epidemics of hospital infections still result from breakdowns in classical and ancillary asepsis and infection control measures developed in the nineteenth century by Semmelweis, Nightingale and Lister. As the Summary Report suggests, such hygienic breakdowns in countries like Chile are usually brought about by lack of implementation and regulation of national hospital infection control policies resulting from the shift of economic resources from the public to the private sector, despite the former being responsible for health care of 80% of the population.

  3. How Do We Advise the Pest Control Industry in the Post-Organochlorine Era?

    Treesearch

    J.R.J. French

    1991-01-01

    Given the banning of organochlorines for use as termiticides in North America, and with the possibility of such bans occurring in future in Australia and elsewhere, how do we as entomologists advise the pest control industry in termite control? A brief historical review of pesticide bans and the relevance of these bans to the present situation are discussed....

  4. An Historical Approach to the Relationship between Adult Education and the Workplace: Path to Empowerment in the 80s.

    ERIC Educational Resources Information Center

    Anderson, Carmell F.

    From its beginnings the history of adult education has been entwined with the evolutionary struggle between labor and management for workplace control. The history of worker's education is, in reality, the history of two types of education--worker's education under worker's control and labor-management adult education under company control. Each…

  5. Use of cartography in historical seismicity analysis: a reliable tool to better apprehend the contextualization of the historical documents

    NASA Astrophysics Data System (ADS)

    Thibault, Fradet; Grégory, Quenet; Kevin, Manchuel

    2014-05-01

    Historical studies, including historical seismicity analysis, deal with historical documents. Numerous factors, such as culture, social condition, demography, political situations and opinions or religious ones influence the way the events are transcribed in the archives. As a consequence, it is crucial to contextualize and compare the historical documents reporting on a given event in order to reduce the uncertainties affecting their analysis and interpretation. When studying historical seismic events it is often tricky to have a global view of all the information provided by the historical documents. It is also difficult to extract cross-correlated information from the documents and draw a precise historical context. Use of cartographic and geographic tools in GIS software is the best tool for the synthesis, interpretation and contextualization of the historical material. The main goal is to produce the most complete dataset of available information, in order to take into account all the components of the historical context and consequently improve the macroseismic analysis. The Entre-Deux-Mers earthquake (1759, Iepc= VII-VIII) [SISFRANCE 2013 - EDF-IRSN-BRGM] is well documented but has never benefited from a cross-analysis of historical documents and historical context elements. The map of available intensity data from SISFRANCE highlights a gap in macroseismic information within the estimated epicentral area. The aim of this study is to understand the origin of this gap by making a cartographic compilation of both, archive information and historical context elements. The results support the hypothesis that the lack of documents and macroseismic data in the epicentral area is related to a low human activity rather than low seismic effects in this zone. Topographic features, geographical position, flood hazard, roads and pathways locations, vineyards distribution and the forester coverage, mentioned in the archives and reported on the Cassini's map confirm this hypothesis. The location of the recently explored documentary sources evidence that there was no notarial activity in this particular area at that time. The importance of the economic and political dominance of Bordeaux during the XVIIth-XVIIIth centuries has to be taken into account in order to apprehend the way the earthquake was reported by the population at the regional scale. Elements related to chimneys forms or construction techniques could in turn help in identifying regional peculiarities allowing better quantifying the vulnerability aspects of the region.

  6. Real-time management of an urban groundwater well field threatened by pollution.

    PubMed

    Bauser, Gero; Franssen, Harrie-Jan Hendricks; Kaiser, Hans-Peter; Kuhlmann, Ulrich; Stauffer, Fritz; Kinzelbach, Wolfgang

    2010-09-01

    We present an optimal real-time control approach for the management of drinking water well fields. The methodology is applied to the Hardhof field in the city of Zurich, Switzerland, which is threatened by diffuse pollution. The risk of attracting pollutants is higher if the pumping rate is increased and can be reduced by increasing artificial recharge (AR) or by adaptive allocation of the AR. The method was first tested in offline simulations with a three-dimensional finite element variably saturated subsurface flow model for the period January 2004-August 2005. The simulations revealed that (1) optimal control results were more effective than the historical control results and (2) the spatial distribution of AR should be different from the historical one. Next, the methodology was extended to a real-time control method based on the Ensemble Kalman Filter method, using 87 online groundwater head measurements, and tested at the site. The real-time control of the well field resulted in a decrease of the electrical conductivity of the water at critical measurement points which indicates a reduced inflow of water originating from contaminated sites. It can be concluded that the simulation and the application confirm the feasibility of the real-time control concept.

  7. NCLB and Its Wake: Bad News for Democracy

    ERIC Educational Resources Information Center

    Meens, David E.; Howe, Kenneth R.

    2015-01-01

    Background: Local control has historically been a prominent principle in education policymaking and governance. Culminating with the passage of No Child Left Behind (NCLB), however, the politics of education have been nationalized to an unprecedented degree, and local control has all but disappeared as a principle framing education policymaking.…

  8. Standardizing power monitoring and control at exascale

    DOE PAGES

    Grant, Ryan E.; Levenhagen, Michael; Olivier, Stephen L.; ...

    2016-10-20

    Power API-the result of collaboration among national laboratories, universities, and major vendors-provides a range of standardized power management functions, from application-level control and measurement to facility-level accounting, including real-time and historical statistics gathering. Here, support is already available for Intel and AMD CPUs and standalone measurement devices.

  9. U. S. Naval Forces, Vietnam Monthly Historical Summary for February 1970

    DTIC Science & Technology

    1970-04-09

    Search Turn Campaign .................... 28 Riverine Strike Grouo ..... .............. . . . . . . 33 Breezy Cove. ......... . . . . . . . . . 34...116 MVAYAL ADIVYSORY GROUP SUMRY . .. .. .. .. .. .. . .. 119 Vietnamese Mdarine Corps .. .. .. .. .. .. .. ... . 137 VNMC Operations Control ...helicopter (Dustoff) and artillery assistance wias requested. At 1 9377, -an Air Force rors-ard Air Controller arrived on station and air elements

  10. Women: A Feminist Perspective. Third Edition.

    ERIC Educational Resources Information Center

    Freeman, Jo, Ed.

    Feminist issues are discussed in 33 scholarly articles that cover the following areas: the body and its control, the family, growing up female, the working woman, institutions of social control, and historical and contemporary developments in feminism. Titles and authors include: "Sexual Terrorism" (Carole J. Sheffield); "The Rape Culture" (Dianne…

  11. The geomorphic legacy of water and sediment control structures in a semiarid rangeland watershed

    USDA-ARS?s Scientific Manuscript database

    An inventory of water and sediment control structures remnant of historic cattle ranching was assembled for the Buenos Aires National Wildlife Refuge (BANWR) in southern Arizona, USA. An assessment of structural condition based on aerial imagery identified headcut initiation and channel incision as...

  12. Hydrogeologic controls on streamflow sensitivity to climate variation

    Treesearch

    Anne Jefferson; Anne Nolin; Sarah Lewis; Christina Tague

    2008-01-01

    Climate models project warmer temperatures for the north-west USA, which will result in reduced snowpacks and decreased summer streamflow. This paper examines how groundwater, snowmelt, and regional climate patterns control discharge at multiple time scales, using historical records from two watersheds with contrasting geological properties and drainage efficiencies....

  13. Ste. Genevieve, Missouri Feasibility Report (Flood Control Study for Historic Ste. Genevieve - 80061). Volume 2. Appendices.

    DTIC Science & Technology

    1984-06-01

    A greater seismic risk may be posed by two other zones: the *-."Southern Illinois - Wabash Zone and the New Madrid Zone. Earthquake ground motions...A-3 S 0I The study area is located in the Ozark Random Source Zone. This *seismotectonic zone is a region of moderate seismicity ( earthquake activity...40 inches, so that the tops of the casings are now 57 inches above the 1973 flood height. The new well casings’ elevations are approximately 395 feet

  14. High dose lansoprazole combined with metronomic chemotherapy: a phase I/II study in companion animals with spontaneously occurring tumors.

    PubMed

    Spugnini, Enrico P; Buglioni, Sabrina; Carocci, Francesca; Francesco, Menicagli; Vincenzi, Bruno; Fanciulli, Maurizio; Fais, Stefano

    2014-08-21

    The treatment of human cancer has been seriously hampered for decades by resistance to chemotherapeutic drugs. A very efficient mechanism of tumor resistance to drugs is the proton pumps-mediated acidification of tumor microenvironment. Metronomic chemotherapy has shown efficacy in adjuvant fashion as well as in the treatment of pets with advanced disease. Moreover, we have shown in veterinary clinical settings that pre-treatment with proton-pumps inhibitors (PPI) increases tumor responsiveness to chemotherapeutics. In this study pet with spontaneously occurring cancer have been recruited to be treated by a combination of metronomic chemotherapy and high dose PPIs and their responses have been matched to those of a historical control of ten patients treated with metronomic chemotherapy alone. Single arm, non randomized phase II open study, with historical control group, evaluating safety and efficacy of the combination of metronomic chemotherapy and alkalization. Twenty-four companion animals (22 dogs and 2 cats) were treated adding to their metronomic chemotherapy protocol the pump inhibitor lansoprazole at high dose, and a water alkalizer. Their responses have been evaluated by clinical and instrumental evaluation and matched to those of the control group. The protocol was overall well tolerated, with only two dogs experiencing side effects due to gastric hypochlorhydria consisting with vomiting and or diarrhea. In terms of overall response, in the alkalized cohort, 18 out of 24 had partial or complete responses (75%), two patients had a stable disease and the remaining patients experienced no response or progressive disease. On the other hand, only one patient in the control group experienced a complete response (10%) and three other experienced short lived responses. Median time to terminal event was 34 weeks for the experimental group versus 2 weeks in the controls (p= 0.042). Patient alkalization has shown to be well tolerated and to increase tumor response to metronomic chemotherapy as well the quality of life in pets with advanced cancer. Further studies are warranted to assess the efficacy of this strategy in patients with advanced cancers in companion animals as well as in humans.

  15. Estimation of the probability of success in petroleum exploration

    USGS Publications Warehouse

    Davis, J.C.

    1977-01-01

    A probabilistic model for oil exploration can be developed by assessing the conditional relationship between perceived geologic variables and the subsequent discovery of petroleum. Such a model includes two probabilistic components, the first reflecting the association between a geologic condition (structural closure, for example) and the occurrence of oil, and the second reflecting the uncertainty associated with the estimation of geologic variables in areas of limited control. Estimates of the conditional relationship between geologic variables and subsequent production can be found by analyzing the exploration history of a "training area" judged to be geologically similar to the exploration area. The geologic variables are assessed over the training area using an historical subset of the available data, whose density corresponds to the present control density in the exploration area. The success or failure of wells drilled in the training area subsequent to the time corresponding to the historical subset provides empirical estimates of the probability of success conditional upon geology. Uncertainty in perception of geological conditions may be estimated from the distribution of errors made in geologic assessment using the historical subset of control wells. These errors may be expressed as a linear function of distance from available control. Alternatively, the uncertainty may be found by calculating the semivariogram of the geologic variables used in the analysis: the two procedures will yield approximately equivalent results. The empirical probability functions may then be transferred to the exploration area and used to estimate the likelihood of success of specific exploration plays. These estimates will reflect both the conditional relationship between the geological variables used to guide exploration and the uncertainty resulting from lack of control. The technique is illustrated with case histories from the mid-Continent area of the U.S.A. ?? 1977 Plenum Publishing Corp.

  16. Historical loss thinking and symptoms of depression are influenced by ethnic experience in American Indian college students.

    PubMed

    Tucker, Raymond P; Wingate, LaRicka R; O'Keefe, Victoria M

    2016-07-01

    Recent research has indicated that historical loss may play an important role in the experience of depression symptoms in American Indian/Alaska Native people. Increased frequency of historical loss thinking has been related to symptoms of depression and other pervasive psychological outcomes (i.e., substance abuse) in American Indian and Canadian First Nations communities. The current study investigated how aspects of ethnic minority experience relate to the incidence of historical loss thinking and symptoms of depression in American Indian adults. Data are presented from 123 self-identified American Indian college students (ages 18-25, 67.50% female) who participated in the study in return for course credit and/or entrance into a raffle for gift cards. Participants completed the Adolescent Historical Loss Scale (AHLS), Scale of Ethnic Experiences (SEE), and the Center for Epidemiologic Studies-Depression Scale (CES-D). Indirect effects of ethnic experience on symptoms of depression through historical loss thinking were calculated with nonparametric bootstrapping procedures. Results indicated that a strong ethnic identification, desire to predominantly socialize with other American Indians, and perceptions of discrimination were associated with increased historical loss thinking. Feelings of comfort and assimilation with the mainstream American culture were negatively related to historical loss thinking. Only perception of discrimination was directly related to symptoms of depression; however, ethnic identification and the preference to predominantly socialize with other American Indians were both indirectly related to elevated depressive symptoms through increased historical loss thinking. The clinical implications for these results are discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

  17. Effects of rhG-CSF (filgrastim) on the recovery of hematopoiesis after high-dose chemotherapy and autologous peripheral blood stem cell transplantation in children: a report from the Children's Cancer and Leukemia Study Group of Japan.

    PubMed

    Suzue, T; Takaue, Y; Watanabe, A; Kawano, Y; Watanabe, T; Abe, T; Kuroda, Y; Matsushita, T; Kikuta, A; Iwai, A

    1994-11-01

    In a nonrandomized study, hematopoietic recovery kinetics were evaluated in 98 consecutive patients who underwent high-dose chemotherapy without total body irradiation (TBI) and autologous peripheral blood stem cell transplantation (PBSCT). Fifty-three patients received recombinant human granulocyte colony-stimulating factor (rhG-CSF) (filgrastim) therapy after PBSCT, and the data were compared by actuarial analysis to those of 45 historic controls. The number of days required to achieve a white blood cell count (WBC) of 1 x 10(9)/L, an absolute granulocyte count (AGC) of 5 x 10(8)/L, and a platelet count (PLT) of 5 x 10(10)/L were, respectively, 12.8 +/- 6.4 (mean +/- standard deviation [SD]), 13.4 +/- 6.4, and 49.2 +/- 78.2 in treated patients vs. 12.8 +/- 4.6, 14.4 +/- 10.3, and 31.4 +/- 38.8 days in historic controls, with no significant differences. There was no significant difference between the average number of days with fever in the treated group (6.0 +/- 6.6) and that in the control group (4.0 +/- 2.8). All febrile episodes responded promptly and successfully to parenteral antibiotic therapy. Thus, the data may suggest the possibility that therapy with filgrastim has only a limited ability to enhance hematopoietic recovery after PBSCT. To confirm this notion, we initiated a prospective randomized trial by recruiting a larger number of patients.

  18. A modern review of the operative management of chronic pancreatitis.

    PubMed

    King, Jonathan C; Abeywardina, Shannon; Farrell, James J; Reber, Howard A; Hines, O Joe

    2010-10-01

    Chronic pancreatitis is a debilitating disease resulting in pain, intestinal malabsorption, endocrine dysfunction, and poor quality of life (QoL). Our aim was to analyze surgical outcomes for patients with chronic pancreatitis. Data for patients undergoing operations for chronic pancreatitis between 1990 and 2009 were reviewed. Demographics, operative and perioperative data, and survival were catalogued. QoL was determined (Short Form 36 and European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire + PAN-26) and compared with historical controls. The mean age was 51 +/- 2 years, 38 patients were male (53%), the most common indication was pain (71%), the etiology of pancreatitis often was alcohol, and most patients underwent a Whipple procedure (56%). Operative time was 316 +/- 17 minutes and blood loss was 363 +/- 75 mL. There were 34 complications in 30 patients (42%) and one death. QoL surveys were administered for 25 of 55 (45%) surviving patients at a mean follow-up of 72 +/- 16 months. Mean survival was 99 +/- 9 months, whereas 5- and 10-year survival were 86 and 75 per cent. QoL scores were uniformly better than historical controls. Our data demonstrate that operations for chronic pancreatitis can be performed with acceptable morbidity and mortality. Patients have excellent survival and improved QoL compared with historical controls. Surgery is an effective and durable treatment option for patients with chronic pancreatitis.

  19. Evaluating the use of plerixafor in stem cell mobilisation - an economic analysis of the PHANTASTIC trial.

    PubMed

    Martin, Antony P; Richards, Sarah; Haycox, Alan; Houten, Rachel; McLeod, Claire; Braithwaite, Barbara; Clark, Jack O; Bell, Joanne; Clark, Richard E

    2016-10-01

    Plerixafor is an effective haematopoietic stem cell mobilising agent in candidates for autologous transplantation, including patients with myeloma and lymphoma. Here we compare 98 plerixafor recipients in the PHANTASTIC trial with 151 historic controls mobilised by conventional chemotherapy (each with granulocyte colony-stimulating factor, G-CSF). Seventy (71.4%) plerixafor-mobilised patients achieved the composite primary endpoint of ≥4 × 10(6) CD34+ cells kg(-1) in ≤2 aphereses and no clinically significant neutropenia, compared to 48 (31.8%) historic controls (P < 0.001), and this significant advantage was maintained in scenario analyses testing components of this composite endpoint. A patient-level cost analysis was undertaken for 249 patients, which included the cost of remobilising patients where initial mobilisation had failed. Combined mean treatment cost for plerixafor mobilised patients was £12,679 compared with £11,694 for historical controls. However, plerixafor produces an average saving of £3,828 per lymphoma patient but average cost increase by £5,245 per myeloma patient. The present data demonstrate cost-effectiveness for plerixafor as a first line mobilisation agent, certainly for lymphoma patients, where substantial resource savings and achievement of the primary endpoint are likely. J. Clin. Apheresis 31:434-442, 2016. © 2015 Wiley Periodicals, Inc. © 2015 Wiley Periodicals, Inc.

  20. The Tongue and Quill

    DTIC Science & Technology

    2004-08-01

    ethnography , phenomenological study , grounded theory study and content analysis. THE HISTORICAL METHOD Methods I. Qualitative Research Methods ... Phenomenological Study 4. Grounded Theory Study 5. Content Analysis II. Quantitative Research Methods A...A. The Historical Method B. General Qualitative

  1. A case study of secondary teachers facilitating a historical problem-based learning instructional unit

    NASA Astrophysics Data System (ADS)

    Pecore, John L.

    Current curriculum trends promote inquiry-based student-centered strategies as a way to foster critical thinking and learning. Problem-based learning (PBL), a type of inquiry focusing on an issue or "problem," is an instructional approach taught on the basis that science reform efforts increase scientific literacy. PBL is a constructivist approach to learning real life problems where understanding is a function of content, context, experiences, and learner goals; historical PBL situates the lesson in a historical context and provides opportunities for teaching NOS concepts. While much research exists on the benefits of historical PBL to student learning in general, more research is warranted on how teachers implement PBL in the secondary science curriculum. The purpose of this study was to examine the classroom-learning environment of four science teachers implementing a historical PBL instructional unit to identify the teachers' understandings, successes and obstacles. By identifying teachers' possible achievements and barriers with implementing a constructivist philosophy when executing historical PBL, educators and curriculum designers may improve alignment of the learning environment to constructivist principles. A qualitative interpretive case study guided this research study. The four participants of this study were purposefully and conveniently selected from biology teachers with at least three years of teaching experience, degrees in education, State Licensure, and completion of a PBL workshop. Data collection consisted of pre and post questionnaires, structured interviews, a card sort activity in which participants categorized instructional outcomes, and participant observations. Results indicated that the four teachers assimilated reform-based constructivist practices to fit within their preexisting routines and highlighted the importance of incorporating teachers' current systems into reform-based teacher instruction. While participating teachers addressed a few NOS tenets, emphasizing the full range of possible NOS objectives included in historical PBL is warranted. This study also revealed the importance of creating a collaborative classroom culture and building positive student-teacher relationships when implementing PBL instruction. The four teachers agreed that the historical PBL instructional unit provided a context for learning state standards, and they positively viewed their experiences teaching the lesson. Thus findings from this study suggest that teaching science in a historical context using PBL can be effective.

  2. Typology of historical sources and the reconstruction of long-term historical changes of riverine fish: a case study of the Austrian Danube and northern Russian rivers

    PubMed Central

    Haidvogl, Gertrud; Lajus, Dmitry; Pont, Didier; Schmid, Martin; Jungwirth, Mathias; Lajus, Julia

    2014-01-01

    Historical data are widely used in river ecology to define reference conditions or to investigate the evolution of aquatic systems. Most studies rely on printed documents from the 19th century, thus missing pre-industrial states and human impacts. This article discusses historical sources that can be used to reconstruct the development of riverine fish communities from the Late Middle Ages until the mid-20th century. Based on the studies of the Austrian Danube and northern Russian rivers, we propose a classification scheme of printed and archival sources and describe their fish ecological contents. Five types of sources were identified using the origin of sources as the first criterion: (i) early scientific surveys, (ii) fishery sources, (iii) fish trading sources, (iv) fish consumption sources and (v) cultural representations of fish. Except for early scientific surveys, all these sources were produced within economic and administrative contexts. They did not aim to report about historical fish communities, but do contain information about commercial fish and their exploitation. All historical data need further analysis for a fish ecological interpretation. Three case studies from the investigated Austrian and Russian rivers demonstrate the use of different source types and underline the necessity for a combination of different sources and a methodology combining different disciplinary approaches. Using a large variety of historical sources to reconstruct the development of past fish ecological conditions can support future river management by going beyond the usual approach of static historical reference conditions. PMID:25284959

  3. Epidemiologic studies of electric and magnetic fields and cancer: Strategies for extending knowledge

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

    Savitz, D.A.

    1993-12-01

    Epidemiologic research concerning electric and magnetic fields in relation to cancer has focused on the potential etiologic roles of residential exposure on childhood cancer and occupational exposure on adult leukemia and brain cancer. Future residential studies must concentrate on exposure assessment that is enhanced by developing models of historical exposure, assessment of the relation between magnetic fields and wire codes, and consideration of alternate exposure indices. Study design issues deserving attention include possible biases in random digit dialing control selection, consideration of the temporal course of exposure and disease, and acquisition of the necessary information to assess the potential valuemore » of ecologic studies. Highest priorities are comprehensive evaluation of exposure patterns and sources and examination of the sociology and geography of residential wire codes. Future occupational studies should also concentrate on improved exposure assessment with increased attention to nonutility worker populations and development of historical exposure indicators that are superior to job titles alone. Potential carcinogens in the workplace that could act as confounders need to be more carefully examined. The temporal relation between exposure and disease and possible effect modification by other workplace agents should be incorporated into future studies. The most pressing need is for measurement of exposure patterns in a variety of worker populations and performance of traditional epidemiologic evaluations of cancer occurrence. The principal source of bias toward the null is nondifferential misclassification of exposure with improvements expected to enhance any true etiologic association that is present. Biases away from the null might include biased control selection in residential studies and chemical carcinogens acting as confounders in occupational studies. 51 refs., 1 tab.« less

  4. Negotiating Access and Tier One Aspirations: The Historical Evolution of a Striving Hispanic-Serving Institution

    ERIC Educational Resources Information Center

    Doran, Erin E.

    2015-01-01

    This study evaluates the recent move toward Tier One by the University of Texas at San Antonio (UTSA) in light of its historical commitment to serve the largely Hispanic population of South Texas. Among the largest Hispanic-serving universities, UTSA provides a useful case study of this type of institution both historically and at the…

  5. Disturbance legacies of historic tie-drives persistently alter geomorphology and large wood characteristics in headwater streams, southeast Wyoming

    Treesearch

    Claire M. Ruffing; Melinda D. Daniels; Kathleen A. Dwire

    2015-01-01

    Instream wood is recognized as an integral component of stream morphology in forested areas. However, few studies have evaluated the legacy effects of historic wood removal activities and associated impacts on channel morphology, contemporary wood loading, and recruitment. This study investigates the role of historic tie-driving, a widespread channel disturbance legacy...

  6. History as a "GPS": On the Uses of Historical Narrative for French Canadian Students' Life Orientation and Identity

    ERIC Educational Resources Information Center

    Lévesque, Stéphane

    2017-01-01

    This article presents the results of a study that analyses students' historical narratives of the nation in relation to historical consciousness and how their sense of self-identification with groups affects their narrative structure and orientation. This study was conducted with French Canadian students registered in two high schools (n = 58) and…

  7. Modeled and observed ozone sensitivity to mobile-source emissions in Mexico City

    NASA Astrophysics Data System (ADS)

    Zavala, M.; Lei, W.; Molina, M. J.; Molina, L. T.

    2009-01-01

    The emission characteristics of mobile sources in the Mexico City Metropolitan Area (MCMA) have changed significantly over the past few decades in response to emission control policies, advancements in vehicle technologies and improvements in fuel quality, among others. Along with these changes, concurrent non-linear changes in photochemical levels and criteria pollutants have been observed, providing a unique opportunity to understand the effects of perturbations of mobile emission levels on the photochemistry in the region using observational and modeling approaches. The observed historical trends of ozone (O3), carbon monoxide (CO) and nitrogen oxides (NOx) suggest that ozone production in the MCMA has changed from a low to a high VOC-sensitive regime over a period of 20 years. Comparison of the historical emission trends of CO, NOx and hydrocarbons derived from mobile-source emission studies in the MCMA from 1991 to 2006 with the trends of the concentrations of CO, NOx, and the CO/NOx ratio during peak traffic hours also indicates that fuel-based fleet average emission factors have significantly decreased for CO and VOCs during this period whereas NOx emission factors do not show any strong trend, effectively reducing the ambient VOC/NOx ratio. This study presents the results of model analyses on the sensitivity of the observed ozone levels to the estimated historical changes in its precursors. The model sensitivity analyses used a well-validated base case simulation of a high pollution episode in the MCMA with the mathematical Decoupled Direct Method (DDM) and the standard Brute Force Method (BFM) in the 3-D CAMx chemical transport model. The model reproduces adequately the observed historical trends and current photochemical levels. Comparison of the BFM and the DDM sensitivity techniques indicates that the model yields ozone values that increase linearly with NOx emission reductions and decrease linearly with VOC emission reductions only up to 30% from the base case. We further performed emissions perturbations from the gasoline fleet, diesel fleet, all mobile (gasoline plus diesel) and all emission sources (anthropogenic plus biogenic). The results suggest that although large ozone reductions obtained in the past were from changes in emissions from gasoline vehicles, currently significant benefits could be achieved with additional emission control policies directed to regulation of VOC emissions from diesel and area sources that are high emitters of alkenes, aromatics and aldehydes.

  8. Modeled and observed ozone sensitivity to mobile-source emissions in Mexico City

    NASA Astrophysics Data System (ADS)

    Zavala, M.; Lei, W. F.; Molina, M. J.; Molina, L. T.

    2008-08-01

    The emission characteristics of mobile sources in the Mexico City Metropolitan Area (MCMA) have changed significantly over the past few decades in response to emission control policies, advancements in vehicle technologies and improvements in fuel quality, among others. Along with these changes, concurrent non-linear changes in photochemical levels and criteria pollutants have been observed, providing a unique opportunity to understand the effects of perturbations of mobile emission levels on the photochemistry in the region using observational and modeling approaches. The observed historical trends of ozone (O3), carbon monoxide (CO) and nitrogen oxides (NOx) suggest that ozone production in the MCMA has changed from a low to a high VOC-sensitive regime over a period of 20 years. Comparison of the historical emission trends of CO, NOx and hydrocarbons derived from mobile-source emission studies in the MCMA from 1991 to 2006 with the trends of the concentrations of CO, NOx, and the CO/NOx ratio during peak traffic hours also indicates that fuel-based fleet average emission factors have significantly decreased for CO and VOCs during this period whereas NOx emission factors do not show any strong trend, effectively reducing the ambient VOC/NOx ratio. This study presents the results of model analyses on the sensitivity of the observed ozone levels to the estimated historical changes in its precursors. The model sensitivity analyses used a well-validated base case simulation of a high pollution episode in the MCMA with the mathematical Decoupled Direct Method (DDM) and the standard Brute Force Method (BFM) in the 3-D CAMx chemical transport model. The model reproduces adequately the observed historical trends and current photochemical levels. Comparison of the BFM and the DDM sensitivity techniques indicates that the model yields ozone values that increase linearly with NOx emission reductions and decrease linearly with VOC emission reductions only up to 30% from the base case. We further performed emissions perturbations from the gasoline fleet, diesel fleet, all mobile (gasoline plus diesel) and all emission sources (anthropogenic plus biogenic). The results suggest that although large ozone reductions obtained in the past were from changes in emissions from gasoline vehicles, currently significant benefits could be achieved with additional emission control policies directed to regulation of VOC emissions from diesel and area sources that are high emitters of alkenes, aromatics and aldehydes.

  9. New seismic sources parameterization in El Salvador. Implications to seismic hazard.

    NASA Astrophysics Data System (ADS)

    Alonso-Henar, Jorge; Staller, Alejandra; Jesús Martínez-Díaz, José; Benito, Belén; Álvarez-Gómez, José Antonio; Canora, Carolina

    2014-05-01

    El Salvador is located at the pacific active margin of Central America, here, the subduction of the Cocos Plate under the Caribbean Plate at a rate of ~80 mm/yr is the main seismic source. Although the seismic sources located in the Central American Volcanic Arc have been responsible for some of the most damaging earthquakes in El Salvador. The El Salvador Fault Zone is the main geological structure in El Salvador and accommodates 14 mm/yr of horizontal displacement between the Caribbean Plate and the forearc sliver. The ESFZ is a right lateral strike-slip fault zone c. 150 km long and 20 km wide .This shear band distributes the deformation among strike-slip faults trending N90º-100ºE and secondary normal faults trending N120º- N170º. The ESFZ is relieved westward by the Jalpatagua Fault and becomes less clear eastward disappearing at Golfo de Fonseca. Five sections have been proposed for the whole fault zone. These fault sections are (from west to east): ESFZ Western Section, San Vicente Section, Lempa Section, Berlin Section and San Miguel Section. Paleoseismic studies carried out in the Berlin and San Vicente Segments reveal an important amount of quaternary deformation and paleoearthquakes up to Mw 7.6. In this study we present 45 capable seismic sources in El Salvador and their preliminary slip-rate from geological and GPS data. The GPS data detailled results are presented by Staller et al., 2014 in a complimentary communication. The calculated preliminary slip-rates range from 0.5 to 8 mm/yr for individualized faults within the ESFZ. We calculated maximum magnitudes from the mapped lengths and paleoseismic observations.We propose different earthquakes scenario including the potential combined rupture of different fault sections of the ESFZ, resulting in maximum earthquake magnitudes of Mw 7.6. We used deterministic models to calculate acceleration distribution related with maximum earthquakes of the different proposed scenario. The spatial distribution of seismic accelerations are compared and calibrated using the February 13, 2001 earthquake, as control earthquake. To explore the sources of historical earthquakes we compare synthetic acceleration maps with the historical earthquakes of March 6, 1719 and June 8, 1917. control earthquake. To explore the sources of historical earthquakes we compare synthetic acceleration maps with the historical earthquakes of March 6, 1719 and June 8, 1917.

  10. Analysis of historic agricultural irrigation data from the Natural Resources Conservation Service monitoring and evaluation for Grand Valley, Lower Gunnison Basin, and McElmo Creek Basin, western Colorado, 1985 to 2003

    USGS Publications Warehouse

    Mayo, John W.

    2015-01-01

    In 2011, the U.S. Geological Survey, in cooperation with the Bureau of Reclamation and the Colorado River Basin Salinity Control Forum, began a study to evaluate the Natural Resources Conservation Service evaluation data to (1) document the methods of the evaluation, and (2) analyze and summarize the data collected during the evaluation.

  11. Arsenic and lead contamination in urban soils of Villa de la Paz (Mexico) affected by historical mine wastes and its effect on children's health studied by micronucleated exfoliated cells assay.

    PubMed

    Gamiño-Gutiérrez, Sandra P; González-Pérez, C Ivonne; Gonsebatt, María E; Monroy-Fernández, Marcos G

    2013-02-01

    Environmental geochemical and health studies were carried out in urban areas of Villa de la Paz, S.L.P. (Mexico), where mining activities have been developed for more of 200 years, leading to the pollution of surface soil by arsenic and heavy metals (Pb, Cd, Cu, Zn). The analysis of urban soils to determine total and bioaccessibility concentrations of As and Pb, demonstrated a combined contribution of the natural and anthropogenic concentrations in the site, at levels higher than the environmental guideline values that provoke a human health risk. Contour soil mapping confirmed that historical mine waste deposits without environmental control measures, are the main source of pollution soil by As and Pb in the site. Exposure (Pb in blood and As in urine) and effect (micronucleated exfoliated cells assay) biological monitoring were then carried out in the childhood population of the site and in a control site. The exposure biological monitoring demonstrated that at least 20-30 % of children presented Pb and As exposure values higher than the national and international maximum intervention values. The effect biomonitoring by MEC assay confirmed that there is a genotoxic damage in local childhood population that could be associated with the arsenic exposure in the site.

  12. The impact of an early-morning radiologist work shift on the timeliness of communicating urgent imaging findings on portable chest radiography.

    PubMed

    Kaewlai, Rathachai; Greene, Reginald E; Asrani, Ashwin V; Abujudeh, Hani H

    2010-09-01

    The aim of this study was to assess the potential impact of staggered radiologist work shifts on the timeliness of communicating urgent imaging findings that are detected on portable overnight chest radiography of hospitalized patients. The authors conducted a retrospective study that compared the interval between the acquisition and communication of urgent findings on portable overnight critical care chest radiography detected by an early-morning shift for radiologists (3 am to 11 am) with historical experience with a standard daytime shift (8 am to 5 pm) in the detection and communication of urgent findings in a similar patient population a year earlier. During a 4-month period, 6,448 portable chest radiographic studies were interpreted on the early-morning radiologist shift. Urgent findings requiring immediate communication were detected in 308 (4.8%) studies. The early-morning shift of radiologists, on average, communicated these findings 2 hours earlier compared with the historical control group (P < .001). Staggered radiologist work shifts that include an early-morning shift can improve the timeliness of reporting urgent findings on overnight portable chest radiography of hospitalized patients. Published by Elsevier Inc.

  13. Controls on anastomosis in lowland river systems: Towards process-based solutions to habitat conservation.

    PubMed

    Marcinkowski, Paweł; Grabowski, Robert C; Okruszko, Tomasz

    2017-12-31

    Anastomosing rivers were historically common around the world before extensive agricultural and industrial development in river valleys. Few lowland anastomosing rivers remain in temperate zones, and the protection of these river-floodplain systems is an international conservation priority. However, the mechanisms that drive the creation and maintenance of multiple channels, i.e. anabranches, are not well understood, particularly for lowland rivers, making it challenging to identify effective management strategies. This study uses a novel multi-scale, process-based hydro-geomorphological approach to investigate the natural and anthropogenic controls on anastomosis in lowland river reaches. Using a wide range of data (hydrologic, cartographic, remote-sensing, historical), the study (i) quantifies changes in the planform of the River Narew, Poland over the last 100years, (ii) documents changes in the natural and anthropogenic factors that could be driving the geomorphic change, and (iii) develops a conceptual model of the controls of anastomosis. The results show that 110km of anabranches have been lost from the Narew National Park (6810ha), a 42% reduction in total anabranch length since 1900. The rates of anabranch loss have increased as the number of pressures inhibiting anabranch creation and maintenance has multiplied. The cessation of localized water level and channel management (fishing dams, water mills and timber rafting), the loss of traditional floodplain activities (seasonal mowing) and infrastructure construction (embanked roads and an upstream dam) are contributing to low water levels and flows, the deposition of sediment at anabranch inlets, the encroachment of common reed (Phragmites australis), and the eventual loss of anabranches. By identifying the processes driving the loss of anabranches, this study provides transferable insights into the controls of anastomosis in lowland rivers and the management solutions needed to preserve the unique anastomosing river pattern and diverse wet grasslands that are central to the conservation value of lowland floodplains. Copyright © 2017 Elsevier B.V. All rights reserved.

  14. The health of hospitals and lessons from history: public health and sanitary reform in the Dublin hospitals, 1858-1898.

    PubMed

    Fealy, Gerard M; McNamara, Martin S; Geraghty, Ruth

    2010-12-01

    The aim was to examine, critically, 19th century hospital sanitary reform with reference to theories about infection and contagion. In the nineteenth century, measures to control epidemic diseases focused on providing clean water, removing waste and isolating infected cases. These measures were informed by the ideas of sanitary reformers like Chadwick and Nightingale, and hospitals were an important element of sanitary reform. Informed by the paradigmatic tradition of social history, the study design was a historical analysis of public health policy. Using the methods of historical research, documentary primary sources, including official reports and selected hospital archives and related secondary sources, were consulted. Emerging theories about infection were informing official bodies like the Board of Superintendence of Dublin Hospitals in their efforts to improve hospital sanitation. The Board secured important reforms in hospital sanitation, including the provision of technically efficient sanitary infrastructure. Public health measures to control epidemic infections are only as effective as the state of knowledge of infection and contagion and the infrastructure to support sanitary measures. Today, public mistrust about the safety of hospitals is reminiscent of that of 150 years ago, although the reasons are different and relate to a fear of contracting antimicrobial-resistant infections. A powerful historical lesson from this study is that resistance to new ideas can delay progress and improved sanitary standards can allay public mistrust. In reforming hospital sanitation, policies and regulations were established--including an inspection body to monitor and enforce standards--the benefits of which provide lessons that resonate today. Such practices, especially effective independent inspection, could be adapted for present-day contexts and re-instigated where they do not exist. History has much to offer contemporary policy development and practice reform and is a relevant method for health professionals. © 2010 Blackwell Publishing Ltd.

  15. Active case finding of tuberculosis: historical perspective and future prospects

    PubMed Central

    Golub, J. E.; Mohan, C. I.; Comstock, G. W.; Chaisson, R. E.

    2015-01-01

    SUMMARY Despite a history of remarkable scientific achievements in microbiology and therapeutics, tuberculosis (TB) continues to pose an extraordinary threat to human health. Case finding and treatment of TB disease are the principal means of controlling transmission and reducing incidence. This review presents a historical perspective of active case finding (ACF) of TB, detailing case detection strategies that have been used over the last century. This review is divided into the following sections: mass radiography, house-to-house surveys, out-patient case detection, enhanced case finding, high-risk populations and cost-effectiveness. The report concludes with a discussion and recommendations for future case finding strategies. Understanding the strengths and weaknesses of these methods will help inform and shape ACF as a TB control policy in the twenty-first century. PMID:16333924

  16. ChiLin: a comprehensive ChIP-seq and DNase-seq quality control and analysis pipeline.

    PubMed

    Qin, Qian; Mei, Shenglin; Wu, Qiu; Sun, Hanfei; Li, Lewyn; Taing, Len; Chen, Sujun; Li, Fugen; Liu, Tao; Zang, Chongzhi; Xu, Han; Chen, Yiwen; Meyer, Clifford A; Zhang, Yong; Brown, Myles; Long, Henry W; Liu, X Shirley

    2016-10-03

    Transcription factor binding, histone modification, and chromatin accessibility studies are important approaches to understanding the biology of gene regulation. ChIP-seq and DNase-seq have become the standard techniques for studying protein-DNA interactions and chromatin accessibility respectively, and comprehensive quality control (QC) and analysis tools are critical to extracting the most value from these assay types. Although many analysis and QC tools have been reported, few combine ChIP-seq and DNase-seq data analysis and quality control in a unified framework with a comprehensive and unbiased reference of data quality metrics. ChiLin is a computational pipeline that automates the quality control and data analyses of ChIP-seq and DNase-seq data. It is developed using a flexible and modular software framework that can be easily extended and modified. ChiLin is ideal for batch processing of many datasets and is well suited for large collaborative projects involving ChIP-seq and DNase-seq from different designs. ChiLin generates comprehensive quality control reports that include comparisons with historical data derived from over 23,677 public ChIP-seq and DNase-seq samples (11,265 datasets) from eight literature-based classified categories. To the best of our knowledge, this atlas represents the most comprehensive ChIP-seq and DNase-seq related quality metric resource currently available. These historical metrics provide useful heuristic quality references for experiment across all commonly used assay types. Using representative datasets, we demonstrate the versatility of the pipeline by applying it to different assay types of ChIP-seq data. The pipeline software is available open source at https://github.com/cfce/chilin . ChiLin is a scalable and powerful tool to process large batches of ChIP-seq and DNase-seq datasets. The analysis output and quality metrics have been structured into user-friendly directories and reports. We have successfully compiled 23,677 profiles into a comprehensive quality atlas with fine classification for users.

  17. Prolonged elevated body mass index in preschool children after the Great East Japan Earthquake.

    PubMed

    Isojima, Tsuyoshi; Yokoya, Susumu; Ono, Atsushi; Kato, Noriko; Tanaka, Toshiaki; Yokomichi, Hiroshi; Yamagata, Zentaro; Tanaka, Soichiro; Matsubara, Hiroko; Ishikuro, Mami; Kikuya, Masahiro; Chida, Shoichi; Hosoya, Mitsuaki; Kuriyama, Shinichi; Kure, Shigeo

    2017-09-01

    The Great East Japan Earthquake followed by tsunamis and the Fukushima Daiichi Nuclear Power Plant (NPP) accident caused catastrophic damage. The effects of the disaster on the growth of affected children are of great concern but remain unknown. The subject group was derived from two Japanese nationwide retrospective cohorts (historical control and exposure groups, respectively). The exposure group experienced the disaster at 47-59 months of age. We analyzed longitudinal changes in standard deviation score (SDS) for height and body mass index (BMI) using normal Japanese children's standards. Moreover, we analyzed the details of the affected children in Fukushima using Fukushima-specific growth charts established with the historical control data to clarify any indirect effect of the disaster on growth. Affected children in Fukushima had significantly higher BMI SDS than the historical control group (difference, 0.13; 95% CI: 0.044-0.21, P = 0.0029) and the regional controls (difference, 0.14; 95% CI: 0.074-0.20, P < 0.0001) 1.5 years after the disaster. Similar sustained increases in BMI SDS were also found with Fukushima-specific growth charts, but the phenomenon was detected only in boys. Notably, the BMI SDS of affected children who lived near the NPP had been increasing after the disaster, whereas those in distant areas had not changed. In contrast, height SDS had not changed throughout the analysis. Prolonged elevated BMI SDS was detected only in affected children in Fukushima. This phenomenon may be explained by an indirect effect of the NPP accident. © 2017 Japan Pediatric Society.

  18. Integrating historical clinical and financial data for pharmacological research.

    PubMed

    Deshmukh, Vikrant G; Sower, N Brett; Hunter, Cheri Y; Mitchell, Joyce A

    2011-11-18

    Retrospective research requires longitudinal data, and repositories derived from electronic health records (EHR) can be sources of such data. With Health Information Technology for Economic and Clinical Health (HITECH) Act meaningful use provisions, many institutions are expected to adopt EHRs, but may be left with large amounts of financial and historical clinical data, which can differ significantly from data obtained from newer systems, due to lack or inconsistent use of controlled medical terminologies (CMT) in older systems. We examined different approaches for semantic enrichment of financial data with CMT, and integration of clinical data from disparate historical and current sources for research. Snapshots of financial data from 1999, 2004 and 2009 were mapped automatically to the current inpatient pharmacy catalog, and enriched with RxNorm. Administrative metadata from financial and dispensing systems, RxNorm and two commercial pharmacy vocabularies were used to integrate data from current and historical inpatient pharmacy modules, and the outpatient EHR. Data integration approaches were compared using percentages of automated matches, and effects on cohort size of a retrospective study. During 1999-2009, 71.52%-90.08% of items in use from the financial catalog were enriched using RxNorm; 64.95%-70.37% of items in use from the historical inpatient system were integrated using RxNorm, 85.96%-91.67% using a commercial vocabulary, 87.19%-94.23% using financial metadata, and 77.20%-94.68% using dispensing metadata. During 1999-2009, 48.01%-30.72% of items in use from the outpatient catalog were integrated using RxNorm, and 79.27%-48.60% using a commercial vocabulary. In a cohort of 16304 inpatients obtained from clinical systems, 4172 (25.58%) were found exclusively through integration of historical clinical data, while 15978 (98%) could be identified using semantically enriched financial data. Data integration using metadata from financial/dispensing systems and pharmacy vocabularies were comparable. Given the current state of EHR adoption, semantic enrichment of financial data and integration of historical clinical data would allow the repurposing of these data for research. With the push for HITECH meaningful use, institutions that are transitioning to newer EHRs will be able to use their older financial and clinical data for research using these methods.

  19. Integrating historical clinical and financial data for pharmacological research

    PubMed Central

    2011-01-01

    Background Retrospective research requires longitudinal data, and repositories derived from electronic health records (EHR) can be sources of such data. With Health Information Technology for Economic and Clinical Health (HITECH) Act meaningful use provisions, many institutions are expected to adopt EHRs, but may be left with large amounts of financial and historical clinical data, which can differ significantly from data obtained from newer systems, due to lack or inconsistent use of controlled medical terminologies (CMT) in older systems. We examined different approaches for semantic enrichment of financial data with CMT, and integration of clinical data from disparate historical and current sources for research. Methods Snapshots of financial data from 1999, 2004 and 2009 were mapped automatically to the current inpatient pharmacy catalog, and enriched with RxNorm. Administrative metadata from financial and dispensing systems, RxNorm and two commercial pharmacy vocabularies were used to integrate data from current and historical inpatient pharmacy modules, and the outpatient EHR. Data integration approaches were compared using percentages of automated matches, and effects on cohort size of a retrospective study. Results During 1999-2009, 71.52%-90.08% of items in use from the financial catalog were enriched using RxNorm; 64.95%-70.37% of items in use from the historical inpatient system were integrated using RxNorm, 85.96%-91.67% using a commercial vocabulary, 87.19%-94.23% using financial metadata, and 77.20%-94.68% using dispensing metadata. During 1999-2009, 48.01%-30.72% of items in use from the outpatient catalog were integrated using RxNorm, and 79.27%-48.60% using a commercial vocabulary. In a cohort of 16304 inpatients obtained from clinical systems, 4172 (25.58%) were found exclusively through integration of historical clinical data, while 15978 (98%) could be identified using semantically enriched financial data. Conclusions Data integration using metadata from financial/dispensing systems and pharmacy vocabularies were comparable. Given the current state of EHR adoption, semantic enrichment of financial data and integration of historical clinical data would allow the repurposing of these data for research. With the push for HITECH meaningful use, institutions that are transitioning to newer EHRs will be able to use their older financial and clinical data for research using these methods. PMID:22099213

  20. The Development of Dispatcher Training Simulator in a Thermal Energy Generation System

    NASA Astrophysics Data System (ADS)

    Hakim, D. L.; Abdullah, A. G.; Mulyadi, Y.; Hasan, B.

    2018-01-01

    A dispatcher training simulator (DTS) is a real-time Human Machine Interface (HMI)-based control tool that is able to visualize industrial control system processes. The present study was aimed at developing a simulator tool for boilers in a thermal power station. The DTS prototype was designed using technical data of thermal power station boilers in Indonesia. It was then designed and implemented in Wonderware Intouch 10. The resulting simulator came with component drawing, animation, control display, alarm system, real-time trend, historical trend. This application used 26 tagnames and was equipped with a security system. The test showed that the principles of real-time control worked well. It is expected that this research could significantly contribute to the development of thermal power station, particularly in terms of its application as a training simulator for beginning dispatchers.

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