The Changing Environment of Management Information Systems.

ERIC Educational Resources Information Center

Tagawa, Ken

1982-01-01

The promise of mainframe computers in the 1970s for management information systems (MIS) is largely unfulfilled, and newer office automation systems and data communication systems are designed to be responsive to MIS needs. The status of these innovations is briefly outlined. (MSE)

Washington Community Colleges Factbook. Addendum B: A Description of the Community College Management Information System.

ERIC Educational Resources Information Center

Meier, Terre; Bundy, Larry

The Management Information System (MIS) of the Washington State system of community colleges was designed to be responsive to legislative and district requests for information and to enhance the State Board's capabilities to manage the community college system and integrate its budgeting and planning processes. The MIS consists of seven…

Management Information Systems in the Public Sector. A Human Resources Management Course Monograph. No. 4.

ERIC Educational Resources Information Center

Cerveny, Robert P.

This curriculum guide provides an introduction to Management Information Systems (MIS) concepts and techniques for students preparing to develop MISs in professional settings, and to assist in MIS evaluation. According to the guide, students are exposed to concepts drawn from systems theory, information theory, management theory, data base…

Rationalizing Management Information System Costs.

ERIC Educational Resources Information Center

Parden, Robert J.

This paper examines the proposition that management information systems (MIS) for colleges and universities are not achieving their original objectives of supporting better management decisions by providing more and better information in a more timely manner. As a consequence, the MIS activity should be reduced in scope, and standardized to…

MIS Development in Higher Education: A Framework for Systems Planning.

ERIC Educational Resources Information Center

St. John, Edward P.

An institutional management systems development study examined the Management Information Systems (MIS) needs of 23 public institutions of higher education in Missouri. The result was a model framework for other institutions to develop MIS appropriate to their needs. One of five distinct structural development phases could be related to all…

Space Station Furnace Facility Management Information System (SSFF-MIS) Development

NASA Technical Reports Server (NTRS)

Mead, Robert M.

1996-01-01

Thios report summarizes the chronology, results, and lessons learned from the development of the SSFF-MIS. This system has been nearly two years in development and has yielded some valuable insights into specialized MIS development. Attachment A contains additions, corrections, and deletions by the COTR.

Alabama Vocational Management Information System. Final Report.

ERIC Educational Resources Information Center

Patterson, Douglas; And Others

A project was developed to design and implement a management information system (MIS) to provide decision makers with accurate, usable, and timely data and information concerning input, output, and impact of vocational education. The objectives were to (1) design an MIS embracing student accounting, fiscal accounting, manpower analysis, and…

78 FR 69753 - Exemption of Records Systems Under the Privacy Act

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-21

... Drug Enforcement Task Forces Management Information System (OCDETF MIS) (JUSTICE/OCDETF-001); and (2... to JUSTICE/OCDETF- 001 and renamed as the ``Organized Crime Drug Enforcement Task Forces Management Information System (OCDETF MIS),'' and JUSTICE/CRM-028 has been renumbered to JUSTICE/OCDETF-002 while...

Management Information System Project.

ERIC Educational Resources Information Center

Foley, Walter J.; Harr, Gordon G.

The Management Information System (MIS) described in this report represents a plan to utilize modern management techniques to facilitate the goal of a learner-responsive school system. The MIS component is being developed to meet the need for the coordination of the resources of staff, facilities, and time with the long range planning and…

Strategic Planning for Management Information Systems.

ERIC Educational Resources Information Center

Ein-Dor, Phillip; Segev, Eli

1978-01-01

Two factors predominate in determining the appropriateness of strategic plans for management information systems (MIS)--explicitness (the degree to which the process is conscious, formal, and documented) and situational fit (the degree to which the MIS is compatible with the specific organization and its members). (Author/IRT)

What Are the Relationships between Teachers' Engagement with Management Information Systems and Their Sense of Accountability?

ERIC Educational Resources Information Center

Perelman, Uri

2014-01-01

Many public and private sector organizations are supported by Management Information Systems (MIS) for collection, management, analysis, and distribution of the data needed for effective decision-making and enhanced organizational management. The existing body of research on MIS in education focuses on the systems' contribution to achieving…

49 CFR 40.26 - What form must an employer use to report Management Information System (MIS) data to a DOT agency?

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false What form must an employer use to report Management Information System (MIS) data to a DOT agency? 40.26 Section 40.26 Transportation Office of the... Employer Responsibilities § 40.26 What form must an employer use to report Management Information System...

49 CFR 40.26 - What form must an employer use to report Management Information System (MIS) data to a DOT agency?

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 1 2011-10-01 2011-10-01 false What form must an employer use to report Management Information System (MIS) data to a DOT agency? 40.26 Section 40.26 Transportation Office of the... Employer Responsibilities § 40.26 What form must an employer use to report Management Information System...

49 CFR 40.26 - What form must an employer use to report Management Information System (MIS) data to a DOT agency?

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 1 2014-10-01 2014-10-01 false What form must an employer use to report Management Information System (MIS) data to a DOT agency? 40.26 Section 40.26 Transportation Office of the... Employer Responsibilities § 40.26 What form must an employer use to report Management Information System...

49 CFR 40.26 - What form must an employer use to report Management Information System (MIS) data to a DOT agency?

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 1 2013-10-01 2013-10-01 false What form must an employer use to report Management Information System (MIS) data to a DOT agency? 40.26 Section 40.26 Transportation Office of the... Employer Responsibilities § 40.26 What form must an employer use to report Management Information System...

49 CFR 40.26 - What form must an employer use to report Management Information System (MIS) data to a DOT agency?

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 1 2012-10-01 2012-10-01 false What form must an employer use to report Management Information System (MIS) data to a DOT agency? 40.26 Section 40.26 Transportation Office of the... Employer Responsibilities § 40.26 What form must an employer use to report Management Information System...

49 CFR 219.800 - Annual reports.

Code of Federal Regulations, 2010 CFR

2010-10-01

... perform a service for the railroad. (b) As a railroad, you must use the Management Information System (MIS... submission to FRA. For information on where to submit MIS forms and for the electronic version of the form...

Some Teaching Reform Ideas on Management Information System of Master of Business Administration

ERIC Educational Resources Information Center

Fan, Chongjun

2009-01-01

Management information system (MIS) is one of the core courses of master of business administration (MBA). Based on the educational characteristics of MBA, this paper studies the teaching issues and strategies of MIS course of MBA. The discussion includes three parts: modification of educational content; improvement of educational ability; case…

A Perspective on a Management Information Systems (MIS) Program Review

ERIC Educational Resources Information Center

Yew, Bee K.

2008-01-01

This paper highlights relevant curriculum issues that were identified in a Management Information Systems (MIS) program review undertaken by a group of business faculty in a small regional university. The program review was initiated to improve job marketability of graduates and student enrollment. The review process is described as a collective…

1989-90 Implementation of the Management Information System.

ERIC Educational Resources Information Center

Hamre, William; Holsclaw, Mick

For the past three years, the Board of Governors has made the development and implementation of the California Community College Management Information System (MIS) a major priority. Following two years of pilot testing with five community college districts, statewide implementation of Phase I of MIS is slated to begin in July/August 1989. Several…

Management Information System for ESD Program Offices.

DTIC Science & Technology

1978-03-01

Management Information System (MIS) functional requirements for the ESD Program Office are defined in terms of the Computer-Aided Design and Specification Tool. The development of the computer data base and a description of the MIS structure is included in the report. This report addresses management areas such as cost/budgeting, scheduling, tracking capabilities, and ECP

MIS On-Line.

ERIC Educational Resources Information Center

Thomson, Nancy S.; Echeverria, Donna Rose; Mills, Bob

This paper describes the resources, processes and outcomes involved in the development of an introductory Management Information Systems (MIS) course designed to utilize as many of the technologies as possible to redefine the teaching/learning paradigm. The MIS-Online project at Northwest Missouri State University encompasses the available campus…

The Top Ten Critical MIS Issues in the Department of Defense

DTIC Science & Technology

1991-03-01

II. LITERATURE REVIEW A. INTRODUCTION There are five studies of Management Information Systems (MIS) critical issues similar to this one that are...detailed in Management Information Systems Quarterly and other IS publications. These studies were conducted and published between 1980 and 1990. B. BALL... Information Systems (SMIS). In 1980, they mailed questionnaires to 1400 members asking them to use a six-point Likert-type scale to rank the importance of 18

Guidelines for Management Information Systems in Canadian Health Care Facilities

PubMed Central

Thompson, Larry E.

1987-01-01

The MIS Guidelines are a comprehensive set of standards for health care facilities for the recording of staffing, financial, workload, patient care and other management information. The Guidelines enable health care facilities to develop management information systems which identify resources, costs and products to more effectively forecast and control costs and utilize resources to their maximum potential as well as provide improved comparability of operations. The MIS Guidelines were produced by the Management Information Systems (MIS) Project, a cooperative effort of the federal and provincial governments, provincial hospital/health associations, under the authority of the Canadian Federal/Provincial Advisory Committee on Institutional and Medical Services. The Guidelines are currently being implemented on a “test” basis in ten health care facilities across Canada and portions integrated in government reporting as finalized.

Developing an Introductory Level MIS Project in Accordance with AACSB Assurance of Learning Standard 15

ERIC Educational Resources Information Center

Schwieger, Dana

2012-01-01

As part of the introductory level management information systems (MIS) course, faculty are asked to introduce the students to MIS concepts as well as to help them develop technology-related skills benefitting them in their course work and beyond. However, with a vast array of MIS topics that could be covered and class time at a premium, it is…

Computer Security in the Introductory Business Information Systems Course: An Exploratory Study of Textbook Coverage

ERIC Educational Resources Information Center

Sousa, Kenneth J.; MacDonald, Laurie E.; Fougere, Kenneth T.

2005-01-01

The authors conducted an evaluation of Management Information Systems (MIS) textbooks and found that computer security receives very little in-depth coverage. The textbooks provide, at best, superficial treatment of security issues. The research results suggest that MIS faculty need to provide material to supplement the textbook to provide…

Perceived Requirements of MIS Curriculum Implementation in Bilingual Developing Countries

ERIC Educational Resources Information Center

Kabeil, Magdy M.

2005-01-01

This paper addresses additional requirements associated with implementing a standard curriculum of Management Information Systems (MIS) in bilingual developing countries where both students and workplace users speak English as a second language. In such countries, MIS graduates are required to develop bilingual computer applications and to…

[Quality of data on early neonatal deaths].

PubMed

Pedrosa, Linda Délia Carvalho de Oliveira; Sarinho, Silvia Wanick; Ximenes, Ricardo Arraes de Alencar; Ordonha, Manoelina R

2007-01-01

To investigate the quality of official neonatal death data in Maceió, Alagoas. A descriptive study was conducted on early neonatal deaths in hospitals between January 1, 2001, and December 31, 2002, to compare data entry in the Death Certificate (DC) and Mortality Information System (MIS) with a standardized form filled out with data of medical files from the mothers and newborn. The frequency with which the following variables failed to be recorded in the DC and SIM was studied: type of death, address, age of mother, gender, birth weight, and delivery type, age at death and gestational age. MIS reliability was verified using simple concordance, sensitivity and Kappa indicator. MIS recorded 451 deaths, of which 50 were excluded. Mother's age was omitted from MIS in 44.1% of cases. 85.7% to 100% of the variables not filled in for the DC were recovered from the medical files. There was good concordance between DC and medical files for type of delivery, weight and age. Birth weight and age of mother presented the least concordance between medical files and MIS. MIS presented 69.2% sensitivity for weight and 36.3% for age of mother, thus demonstrating little capability to correctly supply information to generate perinatal health indicators. Because of incomplete filling out, quality of the DC becomes precarious and makes the MIS inadequate, even though it covers 100% of neonatal deaths in Maceió. Inefficiency of the system is increased by failure of MIS technicians to correct errors found and input all the information available.

Air Force Geophysics Laboratory Management Information System Study.

DTIC Science & Technology

1985-11-01

management information system (MIS) at AFGL. The study summarizes current management and administrative practices at AFGL. Requirements have been identified for automating several currently manual functions to compile accurate and timely information to better manage and plan AFGL programs. This document describes the functions and relative priorities of five MIS subsystems and provides suggestions for implementation solutions. Creation of a detailed Development Plan is recommended as the follow-on task.

Management information systems in maternal and child health/family planning programs: a multi-country analysis.

PubMed

Keller, A

1991-01-01

A diagnosis was conducted of management information systems (MIS) for maternal and child health and family planning programs in 27 African, 5 Asian, and 8 Latin American and Caribbean countries. The diagnosis covered the collection and use of information on physical infrastructure, human resources, equipment/supplies, services provided, coverage attained, and program quality and impact. It was found that many programs do not produce certain basic input and output indicators and that even among those that do, information is too infrequently brought to bear on management decision-making. Constraints under which the MIS operate in these countries are identified, and some rudimentary calculations of what would be required to improve MIS functioning are made.

How CEOs use management information systems for strategy implementation in hospitals.

PubMed

Naranjo-Gil, David; Hartmann, Frank

2007-04-01

Institutional and market changes seem to force hospitals across the Western world to revitalize their corporate strategies towards more cost efficiency on the one hand, and more flexibility towards customer demands on the other hand. Hospitals, however, apparently differ in the extent to which they are able to implement such strategies effectively. This paper explores whether these different levels of effectiveness depend on how hospitals' top managers' use of the available management information systems (MIS). Based on data obtained from the 218 CEOs of public hospitals in Spain, we analyze how CEOs' professional and educational backgrounds affect their use of MIS, and how the use of the MIS subsequently supports or inhibits the implementation of these strategic goals. The results indicate that CEOs with a predominant clinical background focus more on non-financial information for decision-making and prefer an interactive style of using MIS, which together support flexibility strategies. CEOs with a predominant administrative background seem more effective in establishing cost-reduction strategies, through their larger inclination to emphasize financial information in combination with a diagnostic use of the MIS. Implications for the strategic management of hospitals are outlined.

An Activity Theory Approach to Analyze Barriers to a Virtual Management Information Systems (MIS) Curriculum

ERIC Educational Resources Information Center

Jaradat, Suhair; Qablan, Ahmad; Barham, Areej

2011-01-01

This paper explains how the activity theory is used as a framework to analyze the barriers to a virtual Management Information Stream (MIS) Curriculum in Jordanian schools, from both the sociocultural and pedagogical perspectives. Taking the activity system as a unit of analysis, this study documents the processes by which activities shape and are…

Clicking to Learn: A Case Study of Embedding Radio-Frequency Based Clickers in an Introductory Management Information Systems Course

ERIC Educational Resources Information Center

Nelson, Matthew L.; Hauck, Roslin V.

2008-01-01

The challenges associated with teaching a core introductory management information systems (MIS) course are well known (large class sizes serving a majority of non-MIS majors, sustaining student interests, encouraging class participation, etc.). This study offers a mechanism towards managing these challenges through the use of a simple and…

A Methodology for Successful MIS Projects

PubMed Central

Jacobs, Patt

1988-01-01

St. Vincent Hospital and Medical Center (SVHMC) was one of the Pacific Northwests' first hospitals to install a Medical Information System (MIS). In mid 1985 the hospital was confronted with the fact that vendor support of its MIS would be withdrawn in the near future. In 21 months a complete, fully operational MIS had to be selected, installed, and implemented. MIS projects are large, complicated sets of interrelated tasks organized to achieve a specific goal for an organization. Project management requires a sound methodology to deliver proper and necessary functions, on time, within budget, and that meet user expectations. This paper focuses on the process used to deliver the SIMON System on time and 15% under budget.

The Graduate MIS Security Course: Objectives and Challenges

ERIC Educational Resources Information Center

Jensen, Bradley K.; Guynes, Carl S.; Nyaboga, Andrew

2009-01-01

Given the magnitude of real and potential losses, both private and public employers increasingly expect graduates of management information systems (MIS) programs to understand information security concepts. The infrastructure requirements for the course includes setting up a secure laboratory environment to accommodate the development of viruses…

The national survey of health administration program graduates on management information systems education.

PubMed

Zalkind, D; Malec, B

1988-01-01

A national survey of alumni of AUPHA programs from the classes of 1983, 1984, and 1985 was undertaken to assess their experiences in management information systems education, both formally and on the job. The survey covered 38 AUPHA graduate member programs and resulted in 1,181 responses. Over 40 percent of the alumni indicated that they had had an introductory management information systems (MIS) course in a health administration program. Since graduation, almost 90 percent have had some significant on-the-job involvement with computers, computer-generated information, or MIS. More than one-third of the respondents felt that their MIS course work did not adequately prepare them for what was expected on the job. Alumni stressed that microcomputer software applications, such as spreadsheets and data bases, are important areas for student hands-on experiences. When asked the importance of certain areas to be included in a required introductory MIS course, the alumni also recommended spreadsheet analysis and design, report writing and data presentation, and other management areas. Additional comments suggested more access to personal computers (PCs), more relevance in the curriculum to the "real world," and the importance of MIS to the career paths of alumni. Faculty suggestions from a 1984-85 survey are compared with alumni responses in order to identify curricular changes needed. Recommendations are outlined for consideration.

NIMH Prototype Management Information System for Community Mental Health Centers

PubMed Central

Wurster, Cecil R.; Goodman, John D.

1980-01-01

Various approaches to centralized support of computer applications in health care are described. The NIMH project to develop a prototype Management Information System (MIS) for community mental health centers is presented and discussed as a centralized development of an automated data processing system for multiple user organizations. The NIMH program is summarized, the prototype MIS is characterized, and steps taken to provide for the differing needs of the mental health centers are highlighted.

An Empirical Study about the Critical Factors Affecting MIS Students' Job Opportunities

ERIC Educational Resources Information Center

Fang, Xiang; Lee, Sooun

2005-01-01

For the first time in many years, Management Information Systems (MIS) students and faculty are seeking ways to improve full-time job placement for program graduates. Due to sharp IT budget cuts, the slowing economy, and outsourcing, job opportunities for MIS graduates have become scarcer than ever before. In addition to achieving good academic…

Understanding of the management information system based on MVC pattern

NASA Astrophysics Data System (ADS)

Chen, Sida

2018-04-01

With the development of the society, people have come to realize the significance of information, not only linguistically but also in the written form. To build an effective and efficient working flow, a new subject called Management Information System (MIS) came up. MIS is an integrated discipline, which utilizes comprehensive and systematical methods to manage information, and it enhances the work efficiency through building structured information platform. This paper demonstrates the Management Information System from shallow too deep with the understanding of MVC pattern, including its basic structure and application with ASP.NET. Also some discussions about its features are made in the last section.

[Quality of information analysis on basic causes of neonatal deaths recorded in the Mortality Information System: a study in Maceió, Alagoas State, Brazil, 2001-2002].

PubMed

Pedrosa, Linda Délia C O; Sarinho, Silvia W; Ordonha, Manoelina R

2007-10-01

Analysis of the quality of information on basic causes of neonatal deaths in Brazil is crucially important, since it allows one to estimate how many deaths are avoidable and provide support for policies to decrease neonatal mortality. The current study aimed to evaluate the reliability and validity of the Mortality Information System (MIS) for discriminating between basic causes of neonatal deaths and defining percentages of reducible causes. The basic causes of early neonatal deaths in hospitals in Maceió, Alagoas State, were analyzed, and the causes recorded in medical records were compared to the MIS data in order to measure reliability and validity. The modified SEADE Foundation and Wigglesworth classifications were compared to analyze the capacity for reduction of neonatal mortality. Maternal causes predominated in the medical records, as compared to respiratory disorders on the death certificates and in the MIS. The percentage of avoidable deaths may be much higher than observed from the MIS, due to imprecision in completing death certificates. Based on the MIS, the greatest problems are in early diagnosis and treatment of neonatal causes. However, the results show that the most pressing problems relate to failures in prenatal care and lack of control of diseases.

Technical Literature Review Concerning Management Information Systems.

DTIC Science & Technology

interrelationships of the many aspects of management information systems (MIS); that is, with how analysis, design, operation, evaluation, and user considerations affect management information systems . (Author)

Client Functional Assessment Data as Management Information: Woodrow Wilson Rehabilitation Center's Management Information System

PubMed Central

Steidle, Ernest F.

1983-01-01

This paper describes the design of a functional assessment system, a component of a management information system (MIS) that supports a comprehensive rehabilitation facility. Products of the subsystem document the functional status of rehabilitation clients through process evaluation reporting and outcomes reporting. The purpose of this paper is to describe the design of this MIS component. The environment supported, the integration requirements and the needed development approach is unique, requiring significant input from health care professionals, medical informatics specialists, statisticians and program evaluators. Strategies for the implementation of the functional assessment system are the major results reported in this paper. They are most useful to the systems designer or management engineer in a human service delivery setting. MIS plan development, computer file structure and access methods, and approaches to scheduling applications is described. Finally, the development of functional status measures is discussed. Application of the methodologies described will facilitate similar efforts towards systems development in other human service delivery settings.

Data Element Dictionary: Finance. A Technical Report Concerning Finance Related Data Elements in the WICHE Management Information Systems Program. First Edition.

ERIC Educational Resources Information Center

Thomas, Charles R.

This document is one of the 5 sections of the Data Element Dictionary developed as part of the WICHE Management Information Systems (MIS) Program. The elements in this section apply to both the current and historical data concerning finance. The purpose of the WICHE MIS Program is to make it possible to derive data which will be truly comparable…

Artemisinin resistance containment project in Thailand. (I): Implementation of electronic-based malaria information system for early case detection and individual case management in provinces along the Thai-Cambodian border.

PubMed

Khamsiriwatchara, Amnat; Sudathip, Prayuth; Sawang, Surasak; Vijakadge, Saowanit; Potithavoranan, Thanapon; Sangvichean, Aumnuyphan; Satimai, Wichai; Delacollette, Charles; Singhasivanon, Pratap; Lawpoolsri, Saranath; Kaewkungwal, Jaranit

2012-07-29

The Bureau of Vector-borne Diseases, Ministry of Public Health, Thailand, has implemented an electronic Malaria Information System (eMIS) as part of a strategy to contain artemisinin resistance. The attempt corresponds to the WHO initiative, funded by the Bill & Melinda Gates Foundation, to contain anti-malarial drug resistance in Southeast Asia. The main objective of this study was to demonstrate the eMIS' functionality and outputs after implementation for use in the Thailand artemisinin-resistance containment project. The eMIS had been functioning since 2009 in seven Thai-Cambodian border provinces. The eMIS has covered 61 malaria posts/clinics, 27 Vector-borne Disease Units covering 12,508 hamlets at risk of malaria infections. The eMIS was designed as an evidence-based and near real-time system to capture data for early case detection, intensive case investigation, monitoring drug compliance and on/off-site tracking of malarial patients, as well as collecting data indicating potential drug resistance among patients. Data captured by the eMIS in 2008-2011 were extracted and presented. The core functionalities of the eMIS have been utilized by malaria staff at all levels, from local operational units to ministerial management. The eMIS case detection module suggested decreasing trends during 2009-2011; the number of malaria cases detected in the project areas over the years studied were 3818, 2695, and 2566, with sero-positive rates of 1.24, 0.98, and 1.16%, respectively. The eMIS case investigation module revealed different trends in weekly Plasmodium falciparum case numbers, when classified by responsible operational unit, local and migrant status, and case-detection type. It was shown that most Thai patients were infected within their own residential district, while migrants were infected either at their working village or from across the border. The data mapped in the system suggested that P. falciparum-infected cases and potential drug-resistant cases were scattered mostly along the border villages. The mobile technology application has detected different follow-up rates, with particularly low rates among seasonal and cross-border migrants. The eMIS demonstrated that it could capture essential data from individual malaria cases at local operational units, while effectively being used for situation and trend analysis at upper-management levels. The system provides evidence-based information that could contribute to the control and containment of resistant parasites. Currently, the eMIS is expanding beyond the Thai-Cambodian project areas to the provinces that lie along the Thai-Myanmar border.

ELPIDA: a general architecture for medical imaging systems supporting telemedicine applications

NASA Astrophysics Data System (ADS)

Lymberopoulos, Dimitris C.; Spiropoulos, Kostas V.; Anastassopoulos, George C.; Kotsopoulos, Stavros A.; Solomou, Katerina G.

1995-01-01

During the next years, profound changes are expected in computer and communication technologies that will offer the medical imaging systems (MIS) industry a challenge to develop advanced telemedicine applications of high performance. Medical industry, vendors, and specialists need to agree on a universal MIS structure that will provide a stack of functions, protocols, and interfaces suitable for coordination and management of high-level image consults, reports, and review activities. Doctors and engineers have worked together to determine the types, targets, and range of such activities within a medical group working domain and to posit their impact on MIS structure. As a result, the fundamental MIS functions have been posed and organized in the form of a general MIS architecture, denoted as ELPIDA. The structure of this architecture was kept as simple as possible to allow its extension to diverse multimode operational schemes handling medical and conversational audiovisual information of different classes. The fundamentals of ELPIDA and pulmonary image diagnostic aspects have been employed for the development of a prototype MIS.

Defense Occupational and Environmental Health Readiness System (DOEHRS) Guidance

DTIC Science & Technology

2009-07-01

TERMS Defense Occupational and Environmental Health Reporting System (DOEHRS), Industrial Hygiene, Environmental Health, Information Management System Hygiene...Information System (AF EMIS), the Air Force Enterprise Environmental, Safety, and Occupational Health Information Management System (EESOH MIS), or the

Enhancing Student Learning across Disciplines: A Case Example Using a Systems Analysis and Design Course for MIS and ACS Majors

ERIC Educational Resources Information Center

Surendran, Ken; Ehie, Ike C.; Somarajan, Chellappan

2005-01-01

This paper illustrates an approach used to enhance student learning outcomes in a combined cross-listed Systems Analysis and Design (SA&D) course and examines benefits perceived by students through analysis of assessment and students feedback. The SA&D course is a required course in both the Management Information Systems (MIS) major and the…

Effectiveness of Implementation of Electronic Malaria Information System as the National Malaria Surveillance System in Thailand

PubMed Central

2016-01-01

Background In moving toward malaria elimination, one strategy is to implement an active surveillance system for effective case management. Thailand has developed and implemented the electronic Malaria Information System (eMIS) capturing individualized electronic records of suspected or confirmed malaria cases. Objective The main purpose of this study was to determine how well the eMIS improves the quality of Thailand’s malaria surveillance system. In particular, the focus of the study was to evaluate the effectiveness of the eMIS in terms of the system users’ perception and the system outcomes (ie, quality of data) regarding the management of malaria patients. Methods A mixed-methods technique was used with the framework based on system effectiveness attributes: data quality, timeliness, simplicity, acceptability, flexibility, stability, and usefulness. Three methods were utilized: data records review, survey of system users, and in-depth interviews with key stakeholders. From the two highest endemic provinces, paper forms matching electronic records of 4455 noninfected and 784 malaria-infected cases were reviewed. Web-based anonymous questionnaires were distributed to all 129 eMIS data entry staff throughout Thailand, and semistructured interviews were conducted with 12 management-level officers. Results The eMIS is well accepted by system users at both management and operational levels. The data quality has enabled malaria personnel to perform more effective prevention and control activities. There is evidence of practices resulting in inconsistencies and logical errors in data reporting. Critical data elements were mostly completed, except for a few related to certain dates and area classifications. Timeliness in reporting a case to the system was acceptable with a delay of 3-4 days. The evaluation of quantitative and qualitative data confirmed that the eMIS has high levels of simplicity, acceptability, stability, and flexibility. Conclusions Overall, the system implemented has achieved its objective. The results of the study suggested that the eMIS helps improve the quality of Thailand’s malaria surveillance system. As the national malaria surveillance system, the eMIS’s functionalities have provided the malaria staff working at the point of care with close-to-real-time case management data quality, covering case detection, case investigation, drug compliance, and follow-up visits. Such features has led to an improvement in the quality of the malaria control program; the government officials now have quicker access to both individual and aggregated data to promptly react to possible outbreak. The eMIS thus plays one of the key roles in moving toward the national goal of malaria elimination by the next decade. PMID:27227156

Student Perceptions in Teaching Principles of Management Information Systems

ERIC Educational Resources Information Center

Rob, Mohammad A.; Etnyre, Vance

2015-01-01

Teaching concepts of information systems to general business students through a course such as management information systems (MIS) can be challenging in today's fast-changing environment of information technology (IT). Such a course must provide not only an understanding of the development, applications, and management of information systems, but…

78 FR 71036 - Pipeline Safety: Random Drug Testing Rate; Contractor Management Information System Reporting...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-27

... PHMSA-2013-0248] Pipeline Safety: Random Drug Testing Rate; Contractor Management Information System Reporting; and Obtaining Drug and Alcohol Management Information System Sign-In Information AGENCY: Pipeline... Management Information System (MIS) Data; and New Method for Operators to Obtain User Name and Password for...

Internet based ECG medical information system.

PubMed

James, D A; Rowlands, D; Mahnovetski, R; Channells, J; Cutmore, T

2003-03-01

Physiological monitoring of humans for medical applications is well established and ready to be adapted to the Internet. This paper describes the implementation of a Medical Information System (MIS-ECG system) incorporating an Internet based ECG acquisition device. Traditionally clinical monitoring of ECG is largely a labour intensive process with data being typically stored on paper. Until recently, ECG monitoring applications have also been constrained somewhat by the size of the equipment required. Today's technology enables large and fixed hospital monitoring systems to be replaced by small portable devices. With an increasing emphasis on health management a truly integrated information system for the acquisition, analysis, patient particulars and archiving is now a realistic possibility. This paper describes recent Internet and technological advances and presents the design and testing of the MIS-ECG system that utilises those advances.

Real-time geometry-aware augmented reality in minimally invasive surgery.

PubMed

Chen, Long; Tang, Wen; John, Nigel W

2017-10-01

The potential of augmented reality (AR) technology to assist minimally invasive surgery (MIS) lies in its computational performance and accuracy in dealing with challenging MIS scenes. Even with the latest hardware and software technologies, achieving both real-time and accurate augmented information overlay in MIS is still a formidable task. In this Letter, the authors present a novel real-time AR framework for MIS that achieves interactive geometric aware AR in endoscopic surgery with stereo views. The authors' framework tracks the movement of the endoscopic camera and simultaneously reconstructs a dense geometric mesh of the MIS scene. The movement of the camera is predicted by minimising the re-projection error to achieve a fast tracking performance, while the three-dimensional mesh is incrementally built by a dense zero mean normalised cross-correlation stereo-matching method to improve the accuracy of the surface reconstruction. The proposed system does not require any prior template or pre-operative scan and can infer the geometric information intra-operatively in real time. With the geometric information available, the proposed AR framework is able to interactively add annotations, localisation of tumours and vessels, and measurement labelling with greater precision and accuracy compared with the state-of-the-art approaches.

An Examination of the Introductory MIS Course

ERIC Educational Resources Information Center

Wang, Shouhong

2007-01-01

The introductory management information systems (MIS) course is a core course for all business majors at almost every business school. It is common for this course to have multiple sections taught by a mixed group of instructors each semester. Hence, consistent pedagogy and assessment are needed for multiple sections of this course. This paper…

Information Systems for University Planning.

ERIC Educational Resources Information Center

Robinson, Robert J.

This paper proposes construction of a separate data base environment for university planning information, distinct from data bases and systems supporting operational functioning and management. The data base would receive some of its input from the management information systems (MIS)/transactional data bases and systems through a process of…

Management information systems: their role in the marketing activities of HMOs.

PubMed

Aronow, D B

1988-01-01

HMOs are particularly dependent on their information resources in providing cost-effective, high quality, accessible care. Understanding the role of MIS in HMO marketing activities may guide administrators in evaluating information systems applications within their organizations.

An Auto-management Thesis Program WebMIS Based on Workflow

NASA Astrophysics Data System (ADS)

Chang, Li; Jie, Shi; Weibo, Zhong

An auto-management WebMIS based on workflow for bachelor thesis program is given in this paper. A module used for workflow dispatching is designed and realized using MySQL and J2EE according to the work principle of workflow engine. The module can automatively dispatch the workflow according to the date of system, login information and the work status of the user. The WebMIS changes the management from handwork to computer-work which not only standardizes the thesis program but also keeps the data and documents clean and consistent.

An Alumni Assessment of MIS Related Job Skill Importance and Skill Gaps

ERIC Educational Resources Information Center

Wilkerson, Jerod W.

2012-01-01

This paper presents the results of a job skill survey of Management Information Systems (MIS) alumni from a Northeastern U.S. university. The study assesses job skill importance and skill gaps associated with 104 technical and non-technical skill items. Survey items were grouped into 6 categories based on prior research. Skill importance and skill…

A Combined MIS/DS Course Uses Lecture Capture Technology to "Level the Playing Field" in Student Numeracy

ERIC Educational Resources Information Center

Popovich, Karen

2012-01-01

This paper describes the process taken to develop a quantitative-based and Excel™-driven course that combines "BOTH" Management Information Systems (MIS) and Decision Science (DS) modeling outcomes and lays the foundation for upper level quantitative courses such as operations management, finance and strategic management. In addition,…

The Use of Facebook in an Introductory MIS Course: Social Constructivist Learning Environment

ERIC Educational Resources Information Center

Ractham, Peter; Kaewkitipong, Laddawan; Firpo, Daniel

2012-01-01

The major objective of this article is to evaluate via a Design Science Research Methodology (DSRM) the implementation of a Social Constructivist learning framework for an introductory Management Information System (MIS) course. Facebook was used as a learning artifact to build and foster a learning environment, and a series of features and…

78 FR 56852 - Exemption of Records Systems Under the Privacy Act

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-16

... Crime Drug Enforcement Task Forces Management Information System (OCDETF MIS).'' JUSTICE/CRM-028 is... Management Information System'' (last published at 57 FR 8473 (March 10, 1992)). Previously, when these...), and (8); (f); and (g): (1) The Organized Crime Drug Enforcement Task Forces Management Information...

49 CFR 655.72 - Reporting of results in a management information system.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Reporting of results in a management information... management information system. (a) Each recipient shall annually prepare and maintain a summary of the... recipient's or employer's behalf. (d) As an employer, you must use the Management Information System (MIS...

49 CFR 382.403 - Reporting of results in a management information system.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 5 2010-10-01 2010-10-01 false Reporting of results in a management information... Confidentiality § 382.403 Reporting of results in a management information system. (a) An employer shall prepare... that the FMCSA specifies in its request. The employer must use the Management Information System (MIS...

49 CFR 382.403 - Reporting of results in a management information system.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 5 2011-10-01 2011-10-01 false Reporting of results in a management information... Confidentiality § 382.403 Reporting of results in a management information system. (a) An employer shall prepare... that the FMCSA specifies in its request. The employer must use the Management Information System (MIS...

49 CFR 382.403 - Reporting of results in a management information system.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 5 2012-10-01 2012-10-01 false Reporting of results in a management information... Confidentiality § 382.403 Reporting of results in a management information system. (a) An employer shall prepare... that the FMCSA specifies in its request. The employer must use the Management Information System (MIS...

49 CFR 382.403 - Reporting of results in a management information system.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 5 2013-10-01 2013-10-01 false Reporting of results in a management information... Confidentiality § 382.403 Reporting of results in a management information system. (a) An employer shall prepare... that the FMCSA specifies in its request. The employer must use the Management Information System (MIS...

49 CFR 655.72 - Reporting of results in a management information system.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 7 2011-10-01 2011-10-01 false Reporting of results in a management information... management information system. (a) Each recipient shall annually prepare and maintain a summary of the... recipient's or employer's behalf. (d) As an employer, you must use the Management Information System (MIS...

49 CFR 655.72 - Reporting of results in a management information system.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 7 2014-10-01 2014-10-01 false Reporting of results in a management information... management information system. (a) Each recipient shall annually prepare and maintain a summary of the... recipient's or employer's behalf. (d) As an employer, you must use the Management Information System (MIS...

49 CFR 382.403 - Reporting of results in a management information system.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 5 2014-10-01 2014-10-01 false Reporting of results in a management information... Confidentiality § 382.403 Reporting of results in a management information system. (a) An employer shall prepare... that the FMCSA specifies in its request. The employer must use the Management Information System (MIS...

49 CFR 655.72 - Reporting of results in a management information system.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 7 2012-10-01 2012-10-01 false Reporting of results in a management information... management information system. (a) Each recipient shall annually prepare and maintain a summary of the... recipient's or employer's behalf. (d) As an employer, you must use the Management Information System (MIS...

49 CFR 655.72 - Reporting of results in a management information system.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 7 2013-10-01 2013-10-01 false Reporting of results in a management information... management information system. (a) Each recipient shall annually prepare and maintain a summary of the... recipient's or employer's behalf. (d) As an employer, you must use the Management Information System (MIS...

Harnessing Technology for School Accountability: A Case Study of Implementing a Management Information System

ERIC Educational Resources Information Center

Enomoto, Ernestine K.; Conley, Sharon

2007-01-01

Schools employ educational technology to comply with pressures for greater accountability and efficiency in conducting operations. Specifically, schools use "management information systems" designed to automate data collection of student attendance, grades, test scores, and so on. These management information systems (MIS) employed…

A Study of MX Environmental Management Information System (MXEMIS) Needs.

DTIC Science & Technology

1983-12-01

ENVIRONMENTAL MANAGEMENT INFORMATION SYSTEM (MXEMIS) NEEDS by Ronald Webster Ralph Mitchell Valorie Young -J : 2 34 LA--. Approved for public release...System (SAIFS) The MX Management Information System (MX MIS) The Mobilization Early Warning System (MEWS) The Computer-Aided Environmental Baseline...26 REFERENCES DISTRIBUTION I5 S’ t A STUDY OF MX ENVIRONMENTAL 2 EXISTING SYSTEMS CLASSIFICATION MANAGEMENT INFORMATION SYSTEM (MXEMIS

Attitudes and Influences toward Choosing a Business Major: The Case of Information Systems

ERIC Educational Resources Information Center

Downey, James P.; McGaughey, Ronnie; Roach, David

2011-01-01

Declining enrollment in MIS Departments in Colleges of Business has been the norm for many if not most universities since the dot.com bust of 2000. This has serious repercussions for the departments involved, students, and the companies that hire MIS graduates. In order to reverse this trend, an understanding of the important factors which…

An Empirical Examination of the Composition of Vocational Interest in Business Colleges: MIS vs. Other Majors

ERIC Educational Resources Information Center

Downey, James

2011-01-01

Given the diminishing number of Management Information Systems (MIS) majors, an understanding of the factors which influence student choice of major is crucial. It has been noted in many previous studies that interest in a major and career significantly influences the student's choice of college major; indeed, in most studies, it is the strongest…

A Model-Driven Development Method for Management Information Systems

NASA Astrophysics Data System (ADS)

Mizuno, Tomoki; Matsumoto, Keinosuke; Mori, Naoki

Traditionally, a Management Information System (MIS) has been developed without using formal methods. By the informal methods, the MIS is developed on its lifecycle without having any models. It causes many problems such as lack of the reliability of system design specifications. In order to overcome these problems, a model theory approach was proposed. The approach is based on an idea that a system can be modeled by automata and set theory. However, it is very difficult to generate automata of the system to be developed right from the start. On the other hand, there is a model-driven development method that can flexibly correspond to changes of business logics or implementing technologies. In the model-driven development, a system is modeled using a modeling language such as UML. This paper proposes a new development method for management information systems applying the model-driven development method to a component of the model theory approach. The experiment has shown that a reduced amount of efforts is more than 30% of all the efforts.

Characteristics of an MIS Executive in Higher Education.

ERIC Educational Resources Information Center

Ahrens, Stephen; Bryson, Charles H.

1983-01-01

The management information systems executive-in-charge, important to a management information system's success or failure, is examined. Successful and not-so-successful executive styles in the business world and their counterparts in higher education are characterized. (Author/MLW)

A Study of the Programming Languages Used in Information Systems and in Computer Science Curricula

ERIC Educational Resources Information Center

Russell, Jack; Russell, Barbara; Pollacia, Lissa F.; Tastle, William J.

2010-01-01

This paper researches the computer languages taught in the first, second and third programming courses in Computer Information Systems (CIS), Management Information Systems (MIS or IS) curricula as well as in Computer Science (CS) and Information Technology (IT) curricula. Instructors teaching the first course in programming within a four year…

Manpower management information system /MIS/

NASA Technical Reports Server (NTRS)

Gravette, M. C.; King, W. L.

1971-01-01

System of programs capable of building and maintaining data bank provides all levels of management with regular manpower evaluation reports and data source for special management exercises on manpower.

Developing a Management Information System for the Chief of Supply.

DTIC Science & Technology

1985-09-01

This study examined the information needs of the Chief of Supply in order to facilitate the development of a Management Information System (MIS...information items found to be available within the SBSS program, it was determined feasible to continue the development of this Management Information System . The...results of this study led to two recommendations. The first was to immediately implement a Management Information System for the Chief of

Recommended Skill Requirements of Recent Management Information Systems Graduates for Employment: A Modified Delphi Study

ERIC Educational Resources Information Center

Strnad, Michael A., Sr.

2013-01-01

The purpose of this Modified Delphi study was to achieve a consensus and forecast a prediction from expert IT hiring managers on what skills are required of MIS graduates for employment. In doing so, guidance could be provided to academic leaders who design curricula for MIS students on the required skills for employment. This study was conducted…

Software Requirements Specification of A Proposed Plant Property Management Information System for the Naval Postgraduate School.

DTIC Science & Technology

1982-12-01

information system (MIS) to support Plant Account equipment related functions could eliminate data handling redundancy and improved Plant Account...system users and accountability for more than 2000 individual equipment items worth over seven million dollars. Implementation of a management

Towards the Development of a Library Management Information System.

ERIC Educational Resources Information Center

Runyon, Robert S.

1981-01-01

Identifies the lack of an effective comprehensive management information system (MIS) as one major impediment to effective library administration and outlines a proposal for the development of a system based on a total systems approach, which would be made available to subscriber libraries through a network system. Twenty-three references are…

Management Information Systems Research.

DTIC Science & Technology

Research on management information systems is illusive in many respects. Part of the basic research problem in MIS stems from the absence of standard...decision making. But the transition from these results to the realization of ’satisfactory’ management information systems remains difficult indeed. The...paper discusses several aspects of research on management information systems and reviews a selection of efforts that appear significant for future progress. (Author)

A GENERAL SIMULATION MODEL FOR INFORMATION SYSTEMS: A REPORT ON A MODELLING CONCEPT

DTIC Science & Technology

The report is concerned with the design of large-scale management information systems (MIS). A special design methodology was created, along with a design model to complement it. The purpose of the paper is to present the model.

The Design and Implementation of a Management Information System to Facilitate the Functioning of a CBTE Program.

ERIC Educational Resources Information Center

Neuhauser, Charlotte

The Vocational and Applied Arts (VAE) Management Information System (MIS) is designed to select, store, process, and transmit information needed in a competency-based teacher education (CBTE) program. The system is computerized and is composed of six subsystems which deal with admissions, class scheduling, faculty loads, instruction, field…

Designing a Decision Support System (DSS) for Academic Library Managers Using Preprogrammed Application Software on a Microcomputer.

ERIC Educational Resources Information Center

McDonald, Joseph

1986-01-01

Focusing on management decisions in academic libraries, this article compares management information systems (MIS) with decision support systems (DSS) and discusses the decision-making process, information needs of library managers, sources of data, reasons for choosing microcomputer, preprogrammed application software, prototyping a system, and…

Teach or No Teach: Is Large System Education Resurging?

ERIC Educational Resources Information Center

Sharma, Aditya; Murphy, Marianne C.

2011-01-01

Legacy or not, mainframe education is being taught at many U.S. universities. Some computer science programs have always had some large system content but there does appear to be resurgence of mainframe related content in business programs such as Management Information Systems (MIS) and Computer Information Systems (CIS). Many companies such as…

3D imaging with a single-aperture 3-mm objective lens: concept, fabrication, and test

NASA Astrophysics Data System (ADS)

Korniski, Ronald; Bae, Sam Y.; Shearn, Michael; Manohara, Harish; Shahinian, Hrayr

2011-10-01

There are many advantages to minimally invasive surgery (MIS). An endoscope is the optical system of choice by the surgeon for MIS. The smaller the incision or opening made to perform the surgery, the smaller the optical system needed. For minimally invasive neurological and skull base surgeries the openings are typically 10-mm in diameter (dime sized) or less. The largest outside diameter (OD) endoscope used is 4mm. A significant drawback to endoscopic MIS is that it only provides a monocular view of the surgical site thereby lacking depth information for the surgeon. A stereo view would provide the surgeon instantaneous depth information of the surroundings within the field of view, a significant advantage especially during brain surgery. Providing 3D imaging in an endoscopic objective lens system presents significant challenges because of the tight packaging constraints. This paper presents a promising new technique for endoscopic 3D imaging that uses a single lens system with complementary multi-bandpass filters (CMBFs), and describes the proof-of-concept demonstrations performed to date validating the technique. These demonstrations of the technique have utilized many commercial off-the- shelf (COTS) components including the ones used in the endoscope objective.

3D Imaging with a Single-Aperture 3-mm Objective Lens: Concept, Fabrication and Test

NASA Technical Reports Server (NTRS)

Korniski, Ron; Bae, Sam Y.; Shearn, Mike; Manohara, Harish; Shahinian, Hrayr

2011-01-01

There are many advantages to minimally invasive surgery (MIS). An endoscope is the optical system of choice by the surgeon for MIS. The smaller the incision or opening made to perform the surgery, the smaller the optical system needed. For minimally invasive neurological and skull base surgeries the openings are typically 10-mm in diameter (dime sized) or less. The largest outside diameter (OD) endoscope used is 4mm. A significant drawback to endoscopic MIS is that it only provides a monocular view of the surgical site thereby lacking depth information for the surgeon. A stereo view would provide the surgeon instantaneous depth information of the surroundings within the field of view, a significant advantage especially during brain surgery. Providing 3D imaging in an endoscopic objective lens system presents significant challenges because of the tight packaging constraints. This paper presents a promising new technique for endoscopic 3D imaging that uses a single lens system with complementary multi-bandpass filters (CMBFs), and describes the proof-of-concept demonstrations performed to date validating the technique. These demonstrations of the technique have utilized many commercial off-the-shelf (COTS) components including the ones used in the endoscope objective.

Comparison of Centralized-Manual, Centralized-Computerized, and Decentralized-Computerized Order and Management Information Models for the Turkish Air Force Logistics System.

DTIC Science & Technology

1986-09-01

differentiation between the systems. This study will investigate an appropriate Order Processing and Management Information System (OP&MIS) to link base-level...methodology: 1. Reviewed the current order processing and information model of the TUAF Logistics System. (centralized-manual model) 2. Described the...RDS program’s order processing and information system. (centralized-computerized model) 3. Described the order irocessing and information system of

Strict integrity control of biomedical images

NASA Astrophysics Data System (ADS)

Coatrieux, Gouenou; Maitre, Henri; Sankur, Bulent

2001-08-01

The control of the integrity and authentication of medical images is becoming ever more important within the Medical Information Systems (MIS). The intra- and interhospital exchange of images, such as in the PACS (Picture Archiving and Communication Systems), and the ease of copying, manipulation and distribution of images have brought forth the security aspects. In this paper we focus on the role of watermarking for MIS security and address the problem of integrity control of medical images. We discuss alternative schemes to extract verification signatures and compare their tamper detection performance.

78 FR 2409 - Proposed Information Collection Activity; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-01-11

... web-based Management Information System (MIS). 2. Impact Study. The goal of the impact study is to... administrative records from state and county data systems. Survey data will be collected twice from program... socio-economic characteristics. In addition, data on child support obligations and payments, Temporary...

Hospital managers need management information systems.

PubMed

Davis, S; Freeman, J R

1976-01-01

A new hospital director seeking to bring his institution to the brink of solvency found himself with ten pounds of data but no "information"--at least, not the kind of information he could use as a basis for management decisions. What he needed was a system that would not only present data, but the meaning of the data. Such a system is the integrated MIS.

Implementation of Computer Based Management Information Systems: A Behavioral Perspective.

ERIC Educational Resources Information Center

Lilly, Edward R.

In the past decade significant advances have taken place in the development of management information systems (MIS) to support managerial decision making. Recent literature has shown, however, that educators have yet to make full and efficient use of these computer-based systems. A number of authors have discussed factors that may affect…

The success of a management information system in health care - a case study from Finland.

PubMed

Kivinen, Tuula; Lammintakanen, Johanna

2013-02-01

The purpose of this article is to describe perspectives on information availability and information use among users of a management information system in one specialized health care organization. The management information system (MIS) is defined as the information system that provides management with information about financial and operational aspects of hospital management. The material for this qualitative case study was gathered by semi-structured interviews. The interviewees were purposefully selected from one specialized health care organization. The organization has developed its management information system in recent years. Altogether 13 front-line, middle and top-level managers were interviewed. The two themes discussed were information availability and information use. The data were analyzed using inductive content analysis using ATLAS.ti computer program. The main category "usage of management information system" consisted of four sub-categories: (1) system quality, (2) information quality, (3) use and user satisfaction and (4) development of information culture. There were many organizational and cultural aspects which influence the use of MIS in addition to factors concerning system usability and users. The connection between information culture and information use was recognized and the managers proposed numerous ways to increase the use of information in management work. The implementation and use of management information system did not seem to be planned as an essential tool in strategic information management in the health care organization studied. Copyright © 2012 Elsevier Ireland Ltd. All rights reserved.

The National Science Foundation’s Management Information System: A Status Report.

DTIC Science & Technology

1980-04-08

is.alsoneeded in addressing user needs. RECOMMENDATIONS We recommend that the Director of the National Science Foundation improve MIS by taking actions in the...Committee and National Science Foundation recipients. Subsequent distribution will be made to interested parties 1 week from the date of the report. y...Agency comments and our evaluation 23 Recommendations 27 ATTACHMENT I Organization of the NSF MIS 29 II National Science Foundation organization chart

Student Attitudes toward Information Systems Graduate Program Design and Delivery

ERIC Educational Resources Information Center

Thouin, Mark F.; Hefley, William E.; Raghunathan, Srinivasan

2018-01-01

This study examines student preferences regarding graduate management information systems (MIS) education. One hundred and eighty four graduate students responded to a survey exploring student attitudes towards degree program content, delivery format, and peer group interaction. Study results indicate that students prefer a program with an even…

National Comparison of Jointly Enrolled Students. Factsheet

ERIC Educational Resources Information Center

Iowa Department of Education, 2015

2015-01-01

This document contains data from the Community College Management Information System and other sources with summative data on topics of interest. Data gathered through the Division of Community College's Management Information System (MIS) indicates that in the 2013-14 academic year 42,996 students enrolled in almost 337,000 credit hours through…

Flipping Introduction to MIS for a Connected World

ERIC Educational Resources Information Center

Law, Wai K.

2014-01-01

It has been increasingly challenging to provide an introductory coverage of the rapidly expanding fields in Information Systems (IS). The task has been further complicated by the popularity of web resources and cloud services. A new generation of technically savvy learners, while recognizing the significance of information systems, expects…

Potential System Integration Issues in the Joint Multi-Role (JMR) Joint Common Architecture (JCA) Demonstration System

DTIC Science & Technology

2015-12-01

the MIS System/Subsystem Specification ( SSS ), and supplementary BAA document. On June 26, 2014, the SEI provided a draft interim report of the...findings and issues. The SEI team also received July 3, 2014, versions of the MIS Stakeholder Requirements, MIS SSS , and build plan and July 17, 2014...versions of the MIS SSS together with the MIS system model. On July 14–15, 2014, the SEI presented a summary of the issues at the two contractors

A Management Information System Design for a General Museum. Museum Data Bank Research Report No. 12.

ERIC Educational Resources Information Center

Scholtz, Sandra

A management information system (MIS) is applied to a medium sized general museum to reflect the actual curatorial/registration functions. The recordkeeping functions of loan and conservation activities are examined since they too can be effectively handled by computer and constitute a complementary data base to the accession/catalog information.…

Transmission line relay mis-operation detection based on time-synchronized field data

DOE PAGES

Esmaeilian, Ahad; Popovic, Tomo; Kezunovic, Mladen

2015-05-04

In this paper, a real-time tool to detect transmission line relay mis-operation is implemented. The tool uses time-synchronized measurements obtained from both ends of the line during disturbances. The proposed fault analysis tool comes into the picture only after the protective device has operated and tripped the line. The proposed methodology is able not only to detect, classify, and locate transmission line faults, but also to accurately confirm whether the line was tripped due to a mis-operation of protective relays. The analysis report includes either detailed description of the fault type and location or detection of relay mis-operation. As such,more » it can be a source of very useful information to support the system restoration. The focus of the paper is on the implementation requirements that allow practical application of the methodology, which is illustrated using the field data obtained the real power system. Testing and validation is done using the field data recorded by digital fault recorders and protective relays. The test data included several hundreds of event records corresponding to both relay mis-operations and actual faults. The discussion of results addresses various challenges encountered during the implementation and validation of the presented methodology.« less

Factors Associated with Incomplete Reporting of HIV and AIDS by Uganda's Surveillance System

ERIC Educational Resources Information Center

Akankunda, Denis B.

2014-01-01

Background: Over the last 20 years, Uganda has piloted and implemented various management information systems (MIS) for better surveillance of HIV/AIDS. With support from the United States Government, Uganda introduced the District Health Information Software 2 (DHIS2) in 2012. However, districts have yet to fully adapt to this system given a…

An anthropomorphic design for a minimally invasive surgical system based on a survey of surgical technologies, techniques and training.

PubMed

Tzemanaki, Antonia; Walters, Peter; Pipe, Anthony Graham; Melhuish, Chris; Dogramadzi, Sanja

2014-09-01

Over the past century, abdominal surgery has seen a rapid transition from open procedures to less invasive methods, such as robot-assisted minimally invasive surgery (MIS). This study aimed to investigate and discuss the needs of MIS in terms of instrumentation and to inform the design of a novel instrument. A survey was conducted among surgeons regarding their opinions on surgical training, surgical systems, how satisfied they were with them and how easy they were to use. A concept for MIS robotic instrumentation was then developed and a series of focus groups with surgeons were run to discuss it. The initial prototype of the robotic instruments, herein demonstrated, comprises modular rigid links with soft joints actuated by shape memory alloy helix actuators; these instruments are controlled using a sensory hand exoskeleton. The results of the survey, as well as those of the focus groups, are presented here. A first prototype of the system was built and initial laboratory tests have been conducted in order to evaluate this approach. The analysed data from both the survey and the focus groups justify the chosen concept of an anthropomorphic MIS robotic system which imitates the natural motion of the hands. Copyright © 2013 John Wiley & Sons, Ltd.

76 FR 55707 - Comment Request for Information Collection for YouthBuild (YB) Reporting System, OMB 1205-0464...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-08

... collection for program participants and quarterly progress and Management Information System (MIS) report... Report No. 18-11-001-03-001, ``Recovery Act: ETA Needs to Strengthen Management Controls to Meet Youth... by grantees using federal funds are fundamental elements of good public administration and are...

Salient Beliefs in Majoring in Management Information Systems: An Elicitation Study

ERIC Educational Resources Information Center

Chipidza, Wallace; Green, Gina; Riemenschneider, Cindy

2016-01-01

Research utilizing the Theory of Planned Behavior to understand behavior should first elicit beliefs about the phenomenon from the target population. In order to understand the reasons why students choose to major or not major in Management Information Systems (MIS), we elicited beliefs from 136 students attending university in the United States…

75 FR 2926 - Pipeline Safety: Reporting Drug and Alcohol Test Results for Contractors and Multiple Operator...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-01-19

... Management Information System (DAMIS) to allow the reporting of contractor data without duplication and will begin collecting annual drug and alcohol testing data for contractor employees with Management... regulated by 49 CFR Parts 192, 193, and 195. In a final rule titled ``Management Information System (MIS...

Report on In-Service Sessions of the Management Information Systems.

ERIC Educational Resources Information Center

Welch, James A.

As a follow-up to the 1972 Management Information Systems (MIS) Summer Training Institute held at Tennessee A & I State University, two in-service training sessions were held in Atlanta, Georgia, October 1972 and February 1973. This document highlights reports and presentations for the October and Febraury sessions. Topics cover: introduction to…

[SIM and SINASC: social representation of nurses and professional in administrative sectors who work in hospitals in the city of São Paulo].

PubMed

Schoeps, Daniela; Almeida, Marcia Furquim de; Raspantini, Priscila Ribeiro; Novaes, Hillegonda Maria Dutilh; Silva, Zilda Pereira da; Lefevre, Fernando

2013-05-01

Few studies have analyzed the SINASC (Live Birth Information System) and MIS (Mortality Information System) applying qualitative methodology seeking to understand data production processes and contexts. This article aims to study the social representation of health professionals about Live Birth Certificates (LBC) and perinatal Death Certificates (DC). A total of 24 interviews were conducted with nurses and other professionals of 16 Unified Health System (SUS) and non-SUS hospitals of the city of São Paulo in 2009. Qualitative methodology was adopted along with the Collective Subject Discourse technique. Professionals acknowledged that they are an integral part of the information production process of SINASC and their reports indicate that they incorporate it in their work routine. They also perceive that training activities are a tool to understand the information produced by them and are aware of the utility of LBC information. Although physicians are legally responsible for the DC, other professionals frequently provide some of the information to complete it. The professionals see themselves as participants of the SINASC. Despite providing information to complete the DC, they do not see themselves as participants of the MIS operation.

Overview of the Parent Child Center Management Information System. Final Report.

ERIC Educational Resources Information Center

Abt Associates, Inc., Cambridge, MA.

The Parent Child Center Management Information System, the first operational MIS for a social action program relating to child welfare, consists of three interlocking components: a standard set of recordkeeping forms for the local Parent Child Center; a set of quarterly reporting forms that interface with the recordkeeping forms; and a series of…

Teaching Management Information Systems as a General Education Requirement (GER) Capstone

ERIC Educational Resources Information Center

Hoanca, Bogdan

2012-01-01

Although many IS programs nationwide use capstone courses in the major, this paper reports on the use of an upper division Management Information Systems (MIS) class as a general education requirements (GER) capstone. The class is a core requirement for all majors in the Bachelor of Business Administration (BBA) program at the University of Alaska…

Multimedia Learning System and Its Effect on Self-Efficacy in Database Modeling and Design: An Exploratory Study

ERIC Educational Resources Information Center

Cheung, Waiman; Li, Eldon Y.; Yee, Lester W.

2003-01-01

Metadatabase modeling and design integrate process modeling and data modeling methodologies. Both are core topics in the information technology (IT) curriculum. Learning these topics has been an important pedagogical issue to the core studies for management information systems (MIS) and computer science (CSc) students. Unfortunately, the learning…

Management Information Systems for Vocational Education: A National Overview. Technical Report No. 1.

ERIC Educational Resources Information Center

Morgan, Robert L., Ed.; And Others

The document contains 12 papers. Two of the papers present opening and closing remarks to the conference. The other 10 deal with their State's management information system (MIS) in vocational education. The 10 papers are clustered according to whether they are primarily descriptive of student accounting (four papers), manpower supply and demand…

Assessment of Self-Efficacy in Systems Engineering as an Indicator of Competency Level Achievement

DTIC Science & Technology

2014-06-01

11  C.  RESEARCH ON SELF-EFFICACY IN INFORMATION TECHNOLOGY —A PARALLEL TO SYSTEMS ENGINEERING ......13  1.  Stakeholder Analysis...Expectancy value theory FA Factor analysis IT Information technology KSA Knowledge, skills, abilities MIS Management information systems NPS...item in particular reflected statistically significant pre- and post-survey results at p<.001, which was the student’s ability to pick a technology for

Magnetic induction spectroscopy: non-contact measurement of the electrical conductivity spectra of biological samples

NASA Astrophysics Data System (ADS)

Barai, A.; Watson, S.; Griffiths, H.; Patz, R.

2012-08-01

Measurement of the electrical conductivity of biological tissues as a function of frequency, often termed ‘bioelectrical impedance spectroscopy (BIS)’, provides valuable information on tissue structure and composition. In implementing BIS though, there can be significant practical difficulties arising from the electrode-sample interface which have likely limited its deployment in industrial applications. In magnetic induction spectroscopy (MIS) these difficulties are eliminated through the use of fully non-contacting inductive coupling between the sensors and sample. However, inductive coupling introduces its own set of technical difficulties, primarily related to the small magnitudes of the induced currents and their proportionality with frequency. This paper describes the design of a practical MIS system incorporating new, highly-phase-stable electronics and compares its performance with that of electrode-based BIS in measurements on biological samples including yeast suspensions in saline (concentration 50-400 g l-1) and solid samples of potato, cucumber, tomato, banana and porcine liver. The shapes of the MIS spectra were in good agreement with those for electrode-based BIS, with a residual maximum discrepancy of 28%. The measurement precision of the MIS was 0.05 S m-1 at 200 kHz, improving to 0.01 S m-1 at a frequency of 20 MHz, for a sample volume of 80 ml. The data-acquisition time for each MIS measurement was 52 s. Given the value of spectroscopic conductivity information and the many advantages of obtaining these data in a non-contacting manner, even through electrically-insulating packaging materials if necessary, it is concluded that MIS is a technique with considerable potential for monitoring bio-industrial processes and product quality.

77 FR 72905 - Pipeline Safety: Random Drug Testing Rate; Contractor MIS Reporting; and Obtaining DAMIS Sign-In...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-12-06

... Drug and Alcohol Management Information System (DAMIS) to operators, but will make the user name and... DAMIS Sign-In Information AGENCY: Pipeline and Hazardous Materials Safety Administration (PHMSA), DOT... testing information must be submitted for contractors performing or ready to perform covered functions...

MyOcean Internal Information System (Dial-P)

NASA Astrophysics Data System (ADS)

Blanc, Frederique; Jolibois, Tony; Loubrieu, Thomas; Manzella, Giuseppe; Mazzetti, Paolo; Nativi, Stefano

2010-05-01

MyOcean is a three-year project (2008-2011) which goal is the development and pre-operational validation of the GMES Marine Core Service for ocean monitoring and forecasting. It's a transition project that will conduct the European "operational oceanography" community towards the operational phase of a GMES European service, which demands more European integration, more operationality, and more service. Observations, model-based data, and added-value products will be generated - and enhanced thanks to dedicated expertise - by the following production units: • Five Thematic Assembly Centers, each of them dealing with a specific set of observation data: Sea Level, Ocean colour, Sea Surface Temperature, Sea Ice & Wind, and In Situ data, • Seven Monitoring and Forecasting Centers to serve the Global Ocean, the Arctic area, the Baltic Sea, the Atlantic North-West shelves area, the Atlantic Iberian-Biscay-Ireland area, the Mediterranean Sea and the Black sea. Intermediate and final users will discover, view and get the products by means of a central web desk, a central re-active manned service desk and thematic experts distributed across Europe. The MyOcean Information System (MIS) is considering the various aspects of an interoperable - federated information system. Data models support data and computer systems by providing the definition and format of data. The possibility of including the information in the data file is depending on data model adopted. In general there is little effort in the actual project to develop a ‘generic' data model. A strong push to develop a common model is provided by the EU Directive INSPIRE. At present, there is no single de-facto data format for storing observational data. Data formats are still evolving, with their underlying data models moving towards the concept of Feature Types based on ISO/TC211 standards. For example, Unidata are developing the Common Data Model that can represent scientific data types such as point, trajectory, station, grid, etc., which will be implemented in netCDF format. SeaDataNet is recommending ODV and NetCDF formats. Another problem related to data curation and interoperability is the possibility to use common vocabularies. Common vocabularies are developed in many international initiatives, such as GEMET (promoted by INSPIRE as a multilingual thesaurus), UNIDATA, SeaDataNet, Marine Metadata Initiative (MMI). MIS is considering the SeaDataNet vocabulary as a base for interoperability. Four layers of different abstraction levels of interoperability an be defined: - Technical/basic: this layer is implemented at each TAC or MFC through internet connection and basic services for data transfer and browsing (e.g FTP, HTTP, etc). - Syntactic: allowing the interchange of metadata and protocol elements. This layer corresponds to a definition Core Metadata Set, the format of exchange/delivery for the data and associated metadata and possible software. This layer is implemented by the DIAL-P logical interface (e.g. adoption of INSPIRE compliant metadata set and common data formats). - Functional/pragmatic: based on a common set of functional primitives or on a common set of service definitions. This layer refers to the definition of services based on Web services standards. This layer is implemented by the DIAL-P logical interface (e.g. adoption of INSPIRE compliant network services). - Semantic: allowing to access similar classes of objects and services across multiple sites, with multilinguality of content as one specific aspect. This layer corresponds to MIS interface, terminology and thesaurus. Given the above requirements, the proposed solution is a federation of systems, where the individual participants are self-contained autonomous systems, but together form a consistent wider picture. A mid-tier integration layer mediates between existing systems, adapting their data and service model schema to the MIS. The developed MIS is a read-only system, i.e. does not allow updating (or inserting) data into the participant resource systems. The main advantages of the proposed approach are: • to enable information sources to join the MIS and publish their data and metadata in a secure way, without any modification to their existing resources and procedures and without any restriction to their autonomy; • to enable users to browse and query the MIS, receiving an aggregated result incorporating relevant data and metadata from across different sources; • to accommodate the growth of such a MIS, either in terms of its clients or of its information resources, as well as the evolution of the underlying data model.

Towards School Management System (SMS) Success in Teacher's Perception

ERIC Educational Resources Information Center

Hassan, Haslina binti; Rahmatullah, Bahbibi binti; Nordin, Norhisham bin Mohamad

2014-01-01

School Management System-SMS (Sistem Pengurusan Sekolah) is a system developed by Ministry of Education Malaysia in order to reduce teachers' burden and for Educational Data Integration. SMS is a type of Management Information System (MIS) and is pivotal for efficient and effective running of schools in Malaysia. As SMS is newly introduced, no…

Experiences From Developing and Upgrading a Web-Based Surveillance System for Malaria Elimination in Cambodia

PubMed Central

Mellor, Steve; Aryal, Siddhi; Sovannaroth, Siv; Roca-Feltrer, Arantxa

2017-01-01

Strengthening the surveillance component is key toward achieving country-wide malaria elimination in Cambodia. A Web-based upgraded malaria information system (MIS) was deemed to essentially act as the central component for surveillance strengthening. New functionality (eg, data visualization) and operational (eg, data quality) attributes of the system received particular attention. However, building from the lessons learned in previous systems’ developments, other aspects unique to Cambodia were considered to be equally important; for instance, feasibility issues, particularly at the field level (eg, user acceptability at various health levels), and sustainability needs (eg, long-term system flexibility). The Cambodian process of identifying the essential changes and critical attributes for this new information system can provide a model for other countries at various stages of the disease control and elimination continuum. Sharing these experiences not only facilitates the establishment of “best practices” but also accelerates global and regional malaria elimination efforts. In this article, Cambodia’s experience in developing and upgrading its MIS to remain responsive to country-specific needs demonstrates the necessity for considering functionality, operationalization, feasibility, and sustainability of an information system in the context of malaria elimination. PMID:28615155

Pocket Guide to Transportation 2015

DOT National Transportation Integrated Search

2015-01-01

The 2015 Pocket Guide to Transportation is a compilation of statistics that provide key information and highlight major trends on the U.S. transportation system. Intended as a compact reference, it supports the Bureau of Transportation Statistics mis...

An Integrative Framework for the Teaching of Information Management in a Business Context

ERIC Educational Resources Information Center

Kesner, Richard M.; Zack, Mike; Russell, Bruce; Dias, Martin

2013-01-01

As professional, academic and accrediting bodies have periodically reviewed the need for and content of foundational college curricula in information management, a broad-based consensus has emerged as to what is to be covered in the standard management information systems (MIS) course. Within U.S. business schools today, there is little debate…

Information Technology and Value Creation in the Public Sector Organizations

ERIC Educational Resources Information Center

Pang, Min-Seok

2011-01-01

In this dissertation, I study the performance impact of information technology (IT) investments in the public sector. IT has been one of the key assets in public administration since the early MIS era. Even though the information systems (IS) discipline has witnessed a considerable amount of research efforts on the subject of IT business value for…

Rational decision making in a wide scenario of different minimally invasive lumbar interbody fusion approaches and devices.

PubMed

Pimenta, Luiz; Tohmeh, Antoine; Jones, David; Amaral, Rodrigo; Marchi, Luis; Oliveira, Leonardo; Pittman, Bruce C; Bae, Hyun

2018-03-01

With the proliferation of a variety of modern MIS spine surgery procedures, it is mandatory that the surgeon dominate all aspects involved in surgical indication. The information related to the decision making in patient selection for specific procedures is mandatory for surgical success. The objective of this study is to present decision-making criteria in minimally invasive surgery (MIS) selection for a variety of patients and pathologies. In this article, practicing surgeons who specialize in various MIS approaches for spinal fusion were engaged to provide expert opinion and literature review on decision making criteria for several MIS procedures. Pros, cons, relative limitations, and case examples are provided for patient selection in treatment with MIS posterolateral fusion (MIS-PLF), mini anterior lumbar interbody fusion (mini-ALIF), lateral interbody fusion (LLIF), MIS posterior lumbar interbody fusion (MIS-PLIF) and MIS transforaminal lumbar interbody fusion (MIS-TLIF). There is a variety of aspects to consider when deciding which modern MIS surgical approach is most appropriate to use based on patient and pathologic characteristics. The surgeon must adapt them to the characteristic of each type of patients, helping them to choose the most effective and efficient therapeutic option for each case.

Characteristics of the Navy Laboratory Warfare Center Technical Workforce

DTIC Science & Technology

2013-09-29

Mathematics and Information Science (M&IS) Actuarial Science 1510 Computer Science 1550 Gen. Math & Statistics 1501 Mathematics 1520 Operations...Admin. Network Systems & Data Communication Analysts Actuaries Mathematicians Operations Research Analyst Statisticians Social Science (SS...workforce was sub-divided into six broad occupational groups: Life Science , Physical Science , Engineering, Mathematics, Computer Science and Information

Design and Configuration of a Medical Imaging Systems Computer Laboratory Syllabus

ERIC Educational Resources Information Center

Selver, M. Alper

2016-01-01

Medical imaging systems (MIS) constitute an important emergent subdiscipline of engineering studies. In the context of electrical and electronics engineering (EEE) education, MIS courses cover physics, instrumentation, data acquisition, image formation, modeling, and quality assessment of various modalities. Many well-structured MIS courses are…

Efficacy of Lens Protection Systems: Dependency on Different Cranial CT Scans in The Acute Stroke Setting.

PubMed

Guberina, Nika; Forsting, Michael; Ringelstein, Adrian

2017-06-15

To evaluate the dose-reduction potential with different lens protectors for patients undergoing cranial computed tomography (CT) scans. Eye lens dose was assessed in vitro (α-Al2O3:C thermoluminescence dosemeters) using an Alderson-Rando phantom® in cranial CT protocols at different CT scanners (SOMATOM-Definition-AS+®(CT1) and SOMATOM-Definition-Flash® (CT2)) using two different lens-protection systems (Somatex® (SOM) and Medical Imaging Systems® (MIS)). Summarised percentage of the transmitted photons: (1) CT1 (a) unenhanced CT (nCT) with gantry angulation: SOM = 103%, MIS = 111%; (2) CT2 (a) nCT without gantry angulation: SOM = 81%, MIS = 91%; (b) CT angiography (CTA) with automatic dose-modulation technique: SOM = 39%, MIS = 74%; (c) CTA without dose-modulation technique: SOM = 22%, MIS = 48%; (d) CT perfusion: SOM = 44%, MIS = 69%. SOM showed a higher dose-reduction potential than MIS maintaining equal image quality. Lens-protection systems are most effective in CTA protocols without dose-reduction techniques. Lens-protection systems lower the average eye lens dose during CT scans up to 1/3 (MIS) and 2/3 (SOM), respectively, if the eye lens is exposed to the direct beam of radiation. Considering both the CT protocol and the material of lens protectors, they seem to be mandatory for reducing the radiation exposure of the eye lens. © The Author 2016. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

Supporting interoperability of collaborative networks through engineering of a service-based Mediation Information System (MISE 2.0)

NASA Astrophysics Data System (ADS)

Benaben, Frederick; Mu, Wenxin; Boissel-Dallier, Nicolas; Barthe-Delanoe, Anne-Marie; Zribi, Sarah; Pingaud, Herve

2015-08-01

The Mediation Information System Engineering project is currently finishing its second iteration (MISE 2.0). The main objective of this scientific project is to provide any emerging collaborative situation with methods and tools to deploy a Mediation Information System (MIS). MISE 2.0 aims at defining and designing a service-based platform, dedicated to initiating and supporting the interoperability of collaborative situations among potential partners. This MISE 2.0 platform implements a model-driven engineering approach to the design of a service-oriented MIS dedicated to supporting the collaborative situation. This approach is structured in three layers, each providing their own key innovative points: (i) the gathering of individual and collaborative knowledge to provide appropriate collaborative business behaviour (key point: knowledge management, including semantics, exploitation and capitalisation), (ii) deployment of a mediation information system able to computerise the previously deduced collaborative processes (key point: the automatic generation of collaborative workflows, including connection with existing devices or services) (iii) the management of the agility of the obtained collaborative network of organisations (key point: supervision of collaborative situations and relevant exploitation of the gathered data). MISE covers business issues (through BPM), technical issues (through an SOA) and agility issues of collaborative situations (through EDA).

Limitations of the Current Microbial Identification System for Identification of Clinical Yeast Isolates

PubMed Central

Kellogg, James A.; Bankert, David A.; Chaturvedi, Vishnu

1998-01-01

The ability of the rapid, computerized Microbial Identification System (MIS; Microbial ID, Inc.) to identify a variety of clinical isolates of yeast species was compared to the abilities of a combination of tests including the Yeast Biochemical Card (bioMerieux Vitek), determination of microscopic morphology on cornmeal agar with Tween 80, and when necessary, conventional biochemical tests and/or the API 20C Aux system (bioMerieux Vitek) to identify the same yeast isolates. The MIS chromatographically analyzes cellular fatty acids and compares the results with the fatty acid profiles in its database. Yeast isolates were subcultured onto Sabouraud dextrose agar and were incubated at 28°C for 24 h. The resulting colonies were saponified, methylated, extracted, and chromatographically analyzed (by version 3.8 of the MIS YSTCLN database) according to the manufacturer’s instructions. Of 477 isolates of 23 species tested, 448 (94%) were given species names by the MIS and 29 (6%) were unidentified (specified as “no match” by the MIS). Of the 448 isolates given names by the MIS, only 335 (75%) of the identifications were correct to the species level. While the MIS correctly identified only 102 (82%) of 124 isolates of Candida glabrata, the predictive value of an MIS identification of unknown isolates as C. glabrata was 100% (102 of 102) because no isolates of other species were misidentified as C. glabrata. In contrast, while the MIS correctly identified 100% (15 of 15) of the isolates of Saccharomyces cerevisiae, the predictive value of an MIS identification of unknown isolates as S. cerevisiae was only 47% (15 of 32), because 17 isolates of C. glabrata were misidentified as S. cerevisiae. The low predictive values for accuracy associated with MIS identifications for most of the remaining yeast species indicate that the procedure and/or database for the system need to be improved. PMID:9574676

Design of an integrated master-slave robotic system for minimally invasive surgery.

PubMed

Li, Jianmin; Zhou, Ningxin; Wang, Shuxin; Gao, Yuanqian; Liu, Dongchun

2012-03-01

Minimally invasive surgery (MIS) robots are commonly used in hospitals and medical centres. However, currently available robotic systems are very complicated and huge, greatly raising system costs and the requirements of operating rooms. These disadvantages have become the major impediments to the expansion of MIS robots. An integrated MIS robotic system is proposed based on the analysis of advantages and disadvantages of different MIS robots. In the proposed system, the master manipulators, slave manipulators, image display device and control system have been designed as a whole. Modular design is adopted for the control system for easy maintenance and upgrade. The kinematic relations between the master and the slave are also investigated and embedded in software to realize intuitive movements of hand and instrument. Finally, animal experiments were designed to test the effectiveness of the robot. The robot realizes natural hand-eye movements between the master and the slave to facilitate MIS operations. The experimental results show that the robot can realize similar functions to those of current commercialized robots. The integrated design simplifies the robotic system and facilitates use of the robot. Compared with the commercialized robots, the proposed MIS robot achieves similar functions and features but with a smaller size and less weight. Copyright © 2011 John Wiley & Sons, Ltd.

First clinical results of minimally invasive vector lumbar interbody fusion (MIS-VLIF) in spondylodiscitis and concomitant osteoporosis: a technical note.

PubMed

Rieger, Bernhard; Jiang, Hongzhen; Ruess, Daniel; Reinshagen, Clemens; Molcanyi, Marek; Zivcak, Jozef; Tong, Huaiyu; Schackert, Gabriele

2017-12-01

First description of MIS-VLIF, a minimally invasive lumbar stabilization, to evaluate its safety and feasibility in patients suffering from weak bony conditions (lumbar spondylodiscitis and/or osteoporosis). After informed consent, 12 patients suffering from lumbar spondylodiscitis underwent single level MIS-VLIF. Eight of them had a manifest osteoporosis, either. Pre- and postoperative clinical status was documented using numeric rating scale (NRS) for leg and back pain. In all cases, the optimal height for the cage was preoperatively determined using software-based range of motion and sagittal balance analysis. CT scans were obtained to evaluate correct placement of the construct and to verify fusion after 6 months. Since 2013, 12 patients with lumbar pyogenic spondylodiscitis underwent MIS-VLIF. Mean surgery time was 169 ± 28 min and average blood loss was less than 400 ml. Postoperative CT scans showed correct placement of the implants. Eleven patients showed considerable postoperative improvement in clinical scores. In one patient, we observed screw loosening. After documented bony fusion in the CT scan, the fixation system was removed in two cases to achieve lower material load. The load-bearing trajectories (vectors) of MIS-VLIF are different from those of conventional coaxial pedicle screw implantation. The dorsally converging construct combines the heads of the dorsoventral pedicle screws with laminar pedicle screws following cortical bone structures within a small approach. In case of lumbar spondylodiscitis and/or osteoporosis, MIS-VLIF relies on cortical bony structures for all screw vectors and the construct does not depend on conventional coaxial pedicle screws in the presence of inflamed, weak, cancellous or osteoporotic bone. MIS-VLIF allows full 360° lumbar fusion including cage implantation via a small, unilateral dorsal midline approach.

Multisensor robotic system for autonomous space maintenance and repair

NASA Technical Reports Server (NTRS)

Abidi, M. A.; Green, W. L.; Chandra, T.; Spears, J.

1988-01-01

The feasibility of realistic autonomous space manipulation tasks using multisensory information is demonstrated. The system is capable of acquiring, integrating, and interpreting multisensory data to locate, mate, and demate a Fluid Interchange System (FIS) and a Module Interchange System (MIS). In both cases, autonomous location of a guiding light target, mating, and demating of the system are performed. Implemented visio-driven techniques are used to determine the arbitrary two-dimensional position and orientation of the mating elements as well as the arbitrary three-dimensional position and orientation of the light targets. A force/torque sensor continuously monitors the six components of force and torque exerted on the end-effector. Both FIS and MIS experiments were successfully accomplished on mock-ups built for this purpose. The method is immune to variations in the ambient light, in particular because of the 90-minute day-night shift in space.

Brain Iron Homeostasis: From Molecular Mechanisms To Clinical Significance and Therapeutic Opportunities

PubMed Central

Haldar, Swati; Tripathi, Ajai K.; Horback, Katharine; Wong, Joseph; Sharma, Deepak; Beserra, Amber; Suda, Srinivas; Anbalagan, Charumathi; Dev, Som; Mukhopadhyay, Chinmay K.; Singh, Ajay

2014-01-01

Abstract Iron has emerged as a significant cause of neurotoxicity in several neurodegenerative conditions, including Alzheimer's disease (AD), Parkinson's disease (PD), sporadic Creutzfeldt-Jakob disease (sCJD), and others. In some cases, the underlying cause of iron mis-metabolism is known, while in others, our understanding is, at best, incomplete. Recent evidence implicating key proteins involved in the pathogenesis of AD, PD, and sCJD in cellular iron metabolism suggests that imbalance of brain iron homeostasis associated with these disorders is a direct consequence of disease pathogenesis. A complete understanding of the molecular events leading to this phenotype is lacking partly because of the complex regulation of iron homeostasis within the brain. Since systemic organs and the brain share several iron regulatory mechanisms and iron-modulating proteins, dysfunction of a specific pathway or selective absence of iron-modulating protein(s) in systemic organs has provided important insights into the maintenance of iron homeostasis within the brain. Here, we review recent information on the regulation of iron uptake and utilization in systemic organs and within the complex environment of the brain, with particular emphasis on the underlying mechanisms leading to brain iron mis-metabolism in specific neurodegenerative conditions. Mouse models that have been instrumental in understanding systemic and brain disorders associated with iron mis-metabolism are also described, followed by current therapeutic strategies which are aimed at restoring brain iron homeostasis in different neurodegenerative conditions. We conclude by highlighting important gaps in our understanding of brain iron metabolism and mis-metabolism, particularly in the context of neurodegenerative disorders. Antioxid. Redox Signal. 20, 1324–1363. PMID:23815406

Brain iron homeostasis: from molecular mechanisms to clinical significance and therapeutic opportunities.

PubMed

Singh, Neena; Haldar, Swati; Tripathi, Ajai K; Horback, Katharine; Wong, Joseph; Sharma, Deepak; Beserra, Amber; Suda, Srinivas; Anbalagan, Charumathi; Dev, Som; Mukhopadhyay, Chinmay K; Singh, Ajay

2014-03-10

Iron has emerged as a significant cause of neurotoxicity in several neurodegenerative conditions, including Alzheimer's disease (AD), Parkinson's disease (PD), sporadic Creutzfeldt-Jakob disease (sCJD), and others. In some cases, the underlying cause of iron mis-metabolism is known, while in others, our understanding is, at best, incomplete. Recent evidence implicating key proteins involved in the pathogenesis of AD, PD, and sCJD in cellular iron metabolism suggests that imbalance of brain iron homeostasis associated with these disorders is a direct consequence of disease pathogenesis. A complete understanding of the molecular events leading to this phenotype is lacking partly because of the complex regulation of iron homeostasis within the brain. Since systemic organs and the brain share several iron regulatory mechanisms and iron-modulating proteins, dysfunction of a specific pathway or selective absence of iron-modulating protein(s) in systemic organs has provided important insights into the maintenance of iron homeostasis within the brain. Here, we review recent information on the regulation of iron uptake and utilization in systemic organs and within the complex environment of the brain, with particular emphasis on the underlying mechanisms leading to brain iron mis-metabolism in specific neurodegenerative conditions. Mouse models that have been instrumental in understanding systemic and brain disorders associated with iron mis-metabolism are also described, followed by current therapeutic strategies which are aimed at restoring brain iron homeostasis in different neurodegenerative conditions. We conclude by highlighting important gaps in our understanding of brain iron metabolism and mis-metabolism, particularly in the context of neurodegenerative disorders.

Artificial tactile sensing in minimally invasive surgery - a new technical approach.

PubMed

Schostek, Sebastian; Ho, Chi-Nghia; Kalanovic, Daniel; Schurr, Marc O

2006-01-01

The loss of tactile sensation is a commonly known drawback of minimally invasive surgery (MIS). Since the advent of MIS, research activities in providing tactile information to the surgeon are still ongoing, in order to improve patient safety and to extend the indications for MIS. We have designed a tactile sensor system comprising a tactile laparoscopic grasper for surgical palpation. For this purpose, we developed a novel tactile sensor technology which allows the manufacturing of an integrated sensor array within an acceptable price range. The array was integrated into the jaws of a 10mm laparoscopic grasper. The tactile data are transferred wirelessly via Bluetooth and are presented visually to the surgeon. The goal was to be able to obtain information about the shape and consistency of tissue structures by gently compressing the tissue between the jaws of the tactile instrument and thus to be able to recognize and assess anatomical or pathological structures, even if they are hidden in the tissue. With a prototype of the tactile sensor system we have conducted bench-tests as well as in-vitro and in-vivo experiments. The system proved feasibility in an experimental environment, it was easy to use, and the novel tactile sensor array was applicable for both palpation and grasping manoeuvres with forces of up to 60N. The tactile data turned out to be a useful supplement to the minimal amount of haptic feedback that is provided by current endoscopic instruments and the endoscopic image under certain conditions.

Success Criteria for MIS Implementation and the Use of DSS as a Management Aid in Small Colleges in the United Kingdom. AIR 1986 Annual Forum Paper. Coombe Lodge Femis Paper, Information Bank Number 2106.

ERIC Educational Resources Information Center

Gibson, Dudley; Wickham, Derek

Successful strategies for implementing and operating the Further Education Management Information System (FEMIS) at colleges of further education in the United Kingdom are discussed, along with the development of associated microcomputer-based decision support systems. FEMIS has been targeted at the smaller institutions that do not generally have…

Training for an MIS Implementation: What Does it Really Cost?

PubMed Central

Jacobs, Patt

1984-01-01

Implementation of MIS systems in a hospital environment are complex, problematic, long-term endeavors. St. Vincent Hospital and Medical Center (SVHMC) completed the implementation of its base system MIS five years after the original contract was signed. The cost of that implementation in terms of time and dollars for one aspect only, training is reported.

A Mis-recognized Medical Vocabulary Correction System for Speech-based Electronic Medical Record

PubMed Central

Seo, Hwa Jeong; Kim, Ju Han; Sakabe, Nagamasa

2002-01-01

Speech recognition as an input tool for electronic medical record (EMR) enables efficient data entry at the point of care. However, the recognition accuracy for medical vocabulary is much poorer than that for doctor-patient dialogue. We developed a mis-recognized medical vocabulary correction system based on syllable-by-syllable comparison of speech text against medical vocabulary database. Using specialty medical vocabulary, the algorithm detects and corrects mis-recognized medical vocabularies in narrative text. Our preliminary evaluation showed 94% of accuracy in mis-recognized medical vocabulary correction.

Challenges of DHS and MIS to capture the entire pattern of malaria parasite risk and intervention effects in countries with different ecological zones: the case of Cameroon.

PubMed

Massoda Tonye, Salomon G; Kouambeng, Celestin; Wounang, Romain; Vounatsou, Penelope

2018-04-06

In 2011, the demographic and health survey (DHS) in Cameroon was combined with the multiple indicator cluster survey. Malaria parasitological data were collected, but the survey period did not overlap with the high malaria transmission season. A malaria indicator survey (MIS) was also conducted during the same year, within the malaria peak transmission season. This study compares estimates of the geographical distribution of malaria parasite risk and of the effects of interventions obtained from the DHS and MIS survey data. Bayesian geostatistical models were applied on DHS and MIS data to obtain georeferenced estimates of the malaria parasite prevalence and to assess the effects of interventions. Climatic predictors were retrieved from satellite sources. Geostatistical variable selection was used to identify the most important climatic predictors and indicators of malaria interventions. The overall observed malaria parasite risk among children was 33 and 30% in the DHS and MIS data, respectively. Both datasets identified the Normalized Difference Vegetation Index and the altitude as important predictors of the geographical distribution of the disease. However, MIS selected additional climatic factors as important disease predictors. The magnitude of the estimated malaria parasite risk at national level was similar in both surveys. Nevertheless, DHS estimates lower risk in the North and Coastal areas. MIS did not find any important intervention effects, although DHS revealed that the proportion of population with an insecticide-treated nets access in their household was statistically important. An important negative relationship between malaria parasitaemia and socioeconomic factors, such as the level of mother's education, place of residence and the household welfare were captured by both surveys. Timing of the malaria survey influences estimates of the geographical distribution of disease risk, especially in settings with seasonal transmission. In countries with different ecological zones and thus different seasonal patterns, a single survey may not be able to identify all high risk areas. A continuous MIS or a combination of MIS, health information system data and data from sentinel sites may be able to capture the disease risk distribution in space across different seasons.

Experiences From Developing and Upgrading a Web-Based Surveillance System for Malaria Elimination in Cambodia.

PubMed

Fu, Clementine; Lopes, Sérgio; Mellor, Steve; Aryal, Siddhi; Sovannaroth, Siv; Roca-Feltrer, Arantxa

2017-06-14

Strengthening the surveillance component is key toward achieving country-wide malaria elimination in Cambodia. A Web-based upgraded malaria information system (MIS) was deemed to essentially act as the central component for surveillance strengthening. New functionality (eg, data visualization) and operational (eg, data quality) attributes of the system received particular attention. However, building from the lessons learned in previous systems' developments, other aspects unique to Cambodia were considered to be equally important; for instance, feasibility issues, particularly at the field level (eg, user acceptability at various health levels), and sustainability needs (eg, long-term system flexibility). The Cambodian process of identifying the essential changes and critical attributes for this new information system can provide a model for other countries at various stages of the disease control and elimination continuum. Sharing these experiences not only facilitates the establishment of "best practices" but also accelerates global and regional malaria elimination efforts. In this article, Cambodia's experience in developing and upgrading its MIS to remain responsive to country-specific needs demonstrates the necessity for considering functionality, operationalization, feasibility, and sustainability of an information system in the context of malaria elimination. ©Clementine Fu, Sérgio Lopes, Steve Mellor, Siddhi Aryal, Siv Sovannaroth, Arantxa Roca-Feltrer. Originally published in JMIR Public Health and Surveillance (http://publichealth.jmir.org), 14.06.2017.

Foundations of Constructing a Marketing Data Base; Profitable Applications of the Computer to Marketing Management.

ERIC Educational Resources Information Center

Podell, Harold J.

An introduction into the foundations of constructing a marketing data base is presented for the systems and marketing executives who are familiar with basic computer technology methods. The techniques and concepts presented are now being implemented by major organizations in the development of Management Information Systems (MIS). A marketing data…

Sensitivity of the Greenland Ice Sheet to Interglacial Climate Forcing: MIS 5e Versus MIS 11

NASA Astrophysics Data System (ADS)

Rachmayani, Rima; Prange, Matthias; Lunt, Daniel J.; Stone, Emma J.; Schulz, Michael

2017-11-01

The Greenland Ice Sheet (GrIS) is thought to have contributed substantially to high global sea levels during the interglacials of Marine Isotope Stage (MIS) 5e and 11. Geological evidence suggests that the mass loss of the GrIS was greater during the peak interglacial of MIS 11 than MIS 5e, despite a weaker boreal summer insolation. We address this conundrum by using the three-dimensional thermomechanical ice sheet model Glimmer forced by Community Climate System Model version 3 output for MIS 5e and MIS 11 interglacial time slices. Our results suggest a stronger sensitivity of the GrIS to MIS 11 climate forcing than to MIS 5e forcing. Besides stronger greenhouse gas radiative forcing, the greater MIS 11 GrIS mass loss relative to MIS 5e is attributed to a larger oceanic heat transport toward high latitudes by a stronger Atlantic meridional overturning circulation. The vigorous MIS 11 ocean overturning, in turn, is related to a stronger wind-driven salt transport from low to high latitudes promoting North Atlantic Deep Water formation. The orbital insolation forcing, which causes the ocean current anomalies, is discussed.

What approach to brain partial volume correction is best for PET/MRI?

NASA Astrophysics Data System (ADS)

Hutton, B. F.; Thomas, B. A.; Erlandsson, K.; Bousse, A.; Reilhac-Laborde, A.; Kazantsev, D.; Pedemonte, S.; Vunckx, K.; Arridge, S. R.; Ourselin, S.

2013-02-01

Many partial volume correction approaches make use of anatomical information, readily available in PET/MRI systems but it is not clear what approach is best. Seven novel approaches to partial volume correction were evaluated, including several post-reconstruction methods and several reconstruction methods that incorporate anatomical information. These were compared with an MRI-independent approach (reblurred van Cittert ) and uncorrected data. Monte Carlo PET data were generated for activity distributions representing both 18F FDG and amyloid tracer uptake. Post-reconstruction methods provided the best recovery with ideal segmentation but were particularly sensitive to mis-registration. Alternative approaches performed better in maintaining lesion contrast (unseen in MRI) with good noise control. These were also relatively insensitive to mis-registration errors. The choice of method will depend on the specific application and reliability of segmentation and registration algorithms.

Late to middle Pleistocene Arctic glacial history implied from a sedimentary record from the Northwind Ridge

NASA Astrophysics Data System (ADS)

Liu, Y.; Dong, L.; Shi, X.; Zhu, A.

2017-12-01

Abstract: Sediment core ARC6-C21 collected from the Northwind Ridge, western Arctic Ocean, covers the late to middle Quaternary (Marine Isotope Stages (MIS) 1-11), as estimated by correlation to earlier proposed Arctic Ocean stratigraphies and AMS14C dating of the youngest sediments. Detailed examination of the elemental composition of sediment along with grain size in core ARC6-C21 provides important new information about sedimentary environments and provenance. We use increased contents of coarse debris as an indicator of glacier collapse events at the margins of the western Arctic Ocean, and identify the provenance of these events from geochemical composition. Notably, peaks of MgO and CaO, including large dropstones, presumably track the Laurentide Ice Sheet (LIS) discharge events to the Arctic Ocean. Major LIS inputs occurred during the stratigraphic intervals estimated as MIS 3, intra-MIS 5 and 7 events, MIS 8, and MIS 10. Inputs from the East Siberian Ice Sheet (ESIS) and/or Eurasia Ice Sheet (EIS)are inferred from peaks of SiO2, K2O and Na2O associated with coarse sediment. Major ESIS and/or EIS sedimentary events occurred in the intervals estimated as MIS 2, MIS 4, MIS 6, MIS 8 and MIS 10. Keywords: Sediment core, Pleistocene, western Arctic Ocean, geochemistry, grain size, sediment provenance, glaciations

Comparison of traditional gas chromatography (GC), headspace GC, and the microbial identification library GC system for the identification of Clostridium difficile.

PubMed Central

Cundy, K V; Willard, K E; Valeri, L J; Shanholtzer, C J; Singh, J; Peterson, L R

1991-01-01

Three gas chromatography (GC) methods were compared for the identification of 52 clinical Clostridium difficile isolates, as well as 17 non-C. difficile Clostridium isolates. Headspace GC and Microbial Identification System (MIS) GC, an automated system which utilizes a software library developed at the Virginia Polytechnic Institute to identify organisms based on the fatty acids extracted from the bacterial cell wall, were compared against the reference method of traditional GC. Headspace GC and MIS were of approximately equivalent accuracy in identifying the 52 C. difficile isolates (52 of 52 versus 51 of 52, respectively). However, 7 of 52 organisms required repeated sample preparation before an identification was achieved by the MIS method. Both systems effectively differentiated C. difficile from non-C. difficile clostridia, although the MIS method correctly identified only 9 of 17. We conclude that the headspace GC system is an accurate method of C. difficile identification, which requires only one-fifth of the sample preparation time of MIS GC and one-half of the sample preparation time of traditional GC. PMID:2007632

Kinematic design considerations for minimally invasive surgical robots: an overview.

PubMed

Kuo, Chin-Hsing; Dai, Jian S; Dasgupta, Prokar

2012-06-01

Kinematic design is a predominant phase in the design of robotic manipulators for minimally invasive surgery (MIS). However, an extensive overview of the kinematic design issues for MIS robots is not yet available to both mechanisms and robotics communities. Hundreds of archival reports and articles on robotic systems for MIS are reviewed and studied. In particular, the kinematic design considerations and mechanism development described in the literature for existing robots are focused on. The general kinematic design goals, design requirements, and design preferences for MIS robots are defined. An MIS-specialized mechanism, namely the remote center-of-motion (RCM) mechanism, is revisited and studied. Accordingly, based on the RCM mechanism types, a classification for MIS robots is provided. A comparison between eight different RCM types is given. Finally, several open challenges for the kinematic design of MIS robotic manipulators are discussed. This work provides a detailed survey of the kinematic design of MIS robots, addresses the research opportunity in MIS robots for kinematicians, and clarifies the kinematic point of view to MIS robots as a reference for the medical community. Copyright © 2012 John Wiley & Sons, Ltd.

Climatic implications of the Quaternary fluvial tufa record in the NE Iberian Peninsula over the last 500 ka

NASA Astrophysics Data System (ADS)

Sancho, Carlos; Arenas, Concha; Vázquez-Urbez, Marta; Pardo, Gonzalo; Lozano, María Victoria; Peña-Monné, José Luis; Hellstrom, John; Ortiz, José Eugenio; Osácar, María Cinta; Auqué, Luis; Torres, Trinidad

2015-11-01

The drainage area of the Iberian Ranges (NE Spain) houses one of the most extensive Quaternary fluvial tufaceous records in Europe. In this study, tufa deposits in the Añamaza, Mesa, Piedra and Ebrón river valleys were mapped, stratigraphically described and chronologically referenced from U/Th disequilibrium series, amino acid racemization and radiocarbon methods. Tufa deposits accumulated in cascades, barrage-cascades and related damming areas developed in stepped fluvial systems. The maximum frequency of tufa deposition was identified at 120 ka (Marine Oxygen Isotope Stage [MIS] 5e), 102 ka (MIS 5c), 85 ka ( MIS 5a) and 7 ka (MIS 1), probably under warmer and wetter conditions than today. Additional phases of tufa deposition appear at 353 ka ( end of MIS 11), 258-180 ka (MIS 7) and 171-154 ka (MIS 6). Although most tufa deposition episodes are clearly correlated with interstadial periods, the occurrence of tufa deposits during the penultimate glaciation (MIS 6) is remarkable, indicating that the onset of this stage was climatically favourable in the Iberian Peninsula. Biostatic conditions and the dynamics of karstic systems regulating tufa deposition seem to be sensitive to the precipitation regime, controlled by shifts in the position of North Atlantic atmospheric belts, and summer insolation, regulated by orbital forcing.

MIS 5e sea levels and `superstorms': what the integration of field data and modelling can tell us?

NASA Astrophysics Data System (ADS)

Rovere, A.; Raymo, M. E.; O'Leary, M.; Stocchi, P.; Vacchi, M.; Lorscheid, T.; Harris, D. L.; Casella, E.; Nandasena, N. A. K.; Sandstrom, R. M.; D'Andrea, W. J.; Dyer, B.

2016-12-01

The Last Interglacial (MIS 5e, 128-116 ka) is among the most studied past periods in Earth's history. The climate at that time was warmer than today, primarily due to different orbital conditions, with smaller ice sheets and higher sea level. Understanding the climate system, and in particular sea level, during MIS 5e is essential to understand the behavior of ice sheets in a warmer world. Two questions in particular remain unsolved: was there a meltwater pulse towards the end of the interglacial? Was the same period characterized by superstorms? Thousands of studies spanning more than a century report information on MIS 5e RSL indicators. Despite the large quantity of field data available, the two questions formulated above remain unanswered. This is due to different reasons. In first instance, relative sea-level (RSL) indicators and field interpretations may carry large uncertainties. Second, processes such as tectonics are difficult to isolate and quantify independently. In this presentation, we will describe the strategies that can be adopted to minimize the uncertainties associated with paleo RSL calculations, and we show the limits of `tectonic stability' assumptions based on the position of MIS 5e shorelines. We then show that the combination of high-resolution topographic methods (e.g. GPS, photogrammetry from UAVs and detailed bathymetry) with scenarios dictated by GIA and coastal hydrodynamic models is essential to gather insights not only on the indicative meaning of RSL indicators, but also on the hypothesis that the last period of MIS 5e was characterized by `superstorms' (as defined by Hansen, J. et al. Atmos. Chem. Phys. Discuss. 15, 2015).

An MIS Framework for Analyzing the Organizational Impact of Management Information Systems Projects.

DTIC Science & Technology

1981-06-01

Egan 9. 0090004161110 ORGANIZATIO" NAME AND A00111O6 ii. PRGRAM ELEMEN19T. PROJEICT. TASK RA a WORK UNIT wumEs M Naval Postgraduate School Monterey... prevent fur- ther system use for the current task, should be avoided. Excep- tion listings/error flagging routines would increase the users’ perception of a

The Role of Gender on Student Success

ERIC Educational Resources Information Center

Bayrak, Tuncay; Gulati, Anil

2015-01-01

Numerous studies have investigated why computers are perceived as being a male domain. In this study, the authors examine intra-gender differences among undergraduate and graduate students who enrolled in Management Information Systems (MIS) courses and attempt to answer such questions as do males achieve significantly higher scores in MIS…

Mobile Phone Service Process Hiccups at Cellular Inc.

ERIC Educational Resources Information Center

Edgington, Theresa M.

2010-01-01

This teaching case documents an actual case of process execution and failure. The case is useful in MIS introductory courses seeking to demonstrate the interdependencies within a business process, and the concept of cascading failure at the process level. This case demonstrates benefits and potential problems with information technology systems,…

The Power of an MIS Degree: Inspiring Students by Connecting with Innovators

ERIC Educational Resources Information Center

Lawrence, Cameron; Clouse, Shawn; Firth, David; Evans, Gerald; Stephens, Nathan

2014-01-01

Recently the ["Information Systems Education Journal"] (ISEDJ) introduced a new area within its case study category that seeks to capture and disseminate successful classroom practices and teaching strategies. The primary motivation behind this enterprise is the construction of a repository that will help new academics draw from…

49 CFR 199.229 - Reporting of alcohol testing results.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 49 Transportation 3 2013-10-01 2013-10-01 false Reporting of alcohol testing results. 199.229... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.229 Reporting of alcohol testing results. (a) Each... alcohol testing results using the Management Information System (MIS) form and instructions as required by...

49 CFR 199.229 - Reporting of alcohol testing results.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 49 Transportation 3 2012-10-01 2012-10-01 false Reporting of alcohol testing results. 199.229... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.229 Reporting of alcohol testing results. (a) Each... alcohol testing results using the Management Information System (MIS) form and instructions as required by...

49 CFR 199.229 - Reporting of alcohol testing results.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 49 Transportation 3 2014-10-01 2014-10-01 false Reporting of alcohol testing results. 199.229... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.229 Reporting of alcohol testing results. (a) Each... alcohol testing results using the Management Information System (MIS) form and instructions as required by...

49 CFR 199.229 - Reporting of alcohol testing results.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 3 2011-10-01 2011-10-01 false Reporting of alcohol testing results. 199.229... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.229 Reporting of alcohol testing results. (a) Each... alcohol testing results using the Management Information System (MIS) form and instructions as required by...

49 CFR 199.229 - Reporting of alcohol testing results.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 3 2010-10-01 2010-10-01 false Reporting of alcohol testing results. 199.229... ALCOHOL TESTING Alcohol Misuse Prevention Program § 199.229 Reporting of alcohol testing results. (a) Each... alcohol testing results using the Management Information System (MIS) form and instructions as required by...

The ICCB MIS Facility Inventory & Utilization Users Handbook.

ERIC Educational Resources Information Center

Illinois Community Coll. Board, Springfield.

This handbook is designed to assist community college administrators in using the various reports generated by the facility inventory and utilization subsystem of the Illinois Community College Board management information system. Among the reports generated by the subsystem are: room utilization report, campus classroom usage report, room use…

Condition of Iowa Community Colleges, 2005

ERIC Educational Resources Information Center

Iowa Department of Education, 2006

2006-01-01

Iowa's 15 Community Colleges offer thousands of credit and non-credit courses. The 2005 "Condition of Iowa Community Colleges" report will review Iowa Community College programs and related services. The report is supported by Management Information System (MIS) data, as reported by Iowa Community Colleges to the Iowa Department of…

75 FR 8365 - Agency Forms Undergoing Paperwork Reduction Act Review

Federal Register 2010, 2011, 2012, 2013, 2014

2010-02-24

... respondents respondent (in hours) Diabetes Prevention and Control Programs Annual Report 53 1 51 Semi-Annual... Project Automated Management Information System (MIS) for Diabetes Prevention and Control Programs (OMB No... Description Diabetes is the seventh leading cause of death in the United States. To reduce the burden of this...

Relevance of Student Resources in a Flipped MIS Classroom

ERIC Educational Resources Information Center

Adkins, Joni K.

2014-01-01

Flipped classrooms are gaining popularity in various educational settings as proponents report several benefits. In order for flipped classrooms to be successful, students must take responsibility for certain assignments outside of class time. In this study, Management Information Systems students were to learn textbook material by reading the…

Utilizing Maximal Independent Sets as Dominating Sets in Scale-Free Networks

NASA Astrophysics Data System (ADS)

Derzsy, N.; Molnar, F., Jr.; Szymanski, B. K.; Korniss, G.

Dominating sets provide key solution to various critical problems in networked systems, such as detecting, monitoring, or controlling the behavior of nodes. Motivated by graph theory literature [Erdos, Israel J. Math. 4, 233 (1966)], we studied maximal independent sets (MIS) as dominating sets in scale-free networks. We investigated the scaling behavior of the size of MIS in artificial scale-free networks with respect to multiple topological properties (size, average degree, power-law exponent, assortativity), evaluated its resilience to network damage resulting from random failure or targeted attack [Molnar et al., Sci. Rep. 5, 8321 (2015)], and compared its efficiency to previously proposed dominating set selection strategies. We showed that, despite its small set size, MIS provides very high resilience against network damage. Using extensive numerical analysis on both synthetic and real-world (social, biological, technological) network samples, we demonstrate that our method effectively satisfies four essential requirements of dominating sets for their practical applicability on large-scale real-world systems: 1.) small set size, 2.) minimal network information required for their construction scheme, 3.) fast and easy computational implementation, and 4.) resiliency to network damage. Supported by DARPA, DTRA, and NSF.

Reviewing the technological challenges associated with the development of a laparoscopic palpation device.

PubMed

Culmer, Peter; Barrie, Jenifer; Hewson, Rob; Levesley, Martin; Mon-Williams, Mark; Jayne, David; Neville, Anne

2012-06-01

Minimally invasive surgery (MIS) has heralded a revolution in surgical practice, with numerous advantages over open surgery. Nevertheless, it prevents the surgeon from directly touching and manipulating tissue and therefore severely restricts the use of valuable techniques such as palpation. Accordingly a key challenge in MIS is to restore haptic feedback to the surgeon. This paper reviews the state-of-the-art in laparoscopic palpation devices (LPDs) with particular focus on device mechanisms, sensors and data analysis. It concludes by examining the challenges that must be overcome to create effective LPD systems that measure and display haptic information to the surgeon for improved intraoperative assessment. Copyright © 2012 John Wiley & Sons, Ltd.

Can mobile phones help control neglected tropical diseases? Experiences from Tanzania.

PubMed

Madon, Shirin; Amaguru, Jackline Olanya; Malecela, Mwele Ntuli; Michael, Edwin

2014-02-01

The increasing proliferation of mobiles offers possibilities for improving health systems in developing countries. A case in point is Tanzania which has piloted a mobile phone-based Management Information System (MIS) for the control of neglected tropical diseases (NTDs) where village health workers (VHWs) were given mobile phones with web-based software to test the feasibility of using frontline health workers to capture data at point of source. Based on qualitative case study research carried out in 2011, we found that providing mobile phones to VHWs has helped to increase the efficiency of routine work boosting the motivation and self-esteem of VHWs. However, despite these advantages, the information generated from the mobile phone-based NTD MIS has yet to be used to support decentralised decision-making. Even with improved technology and political will, the biggest hindrance to local usage of information for health planning is the lack of synthesised and analysed health information from the district and national levels to the villages. Without inculcating a culture of providing health information feedback to frontline workers and community organisations, the benefits of the intervention will be limited. If not addressed, this will mean that mobiles have maintained the one-way upward flow of information for NTD control and simply made reporting more hi-tech. Copyright © 2013 Elsevier Ltd. All rights reserved.

Minimally Invasive versus Open Spine Surgery: What Does the Best Evidence Tell Us?

PubMed

McClelland, Shearwood; Goldstein, Jeffrey A

2017-01-01

Spine surgery has been transformed significantly by the growth of minimally invasive surgery (MIS) procedures. Easily marketable to patients as less invasive with smaller incisions, MIS is often perceived as superior to traditional open spine surgery. The highest quality evidence comparing MIS with open spine surgery was examined. A systematic review of randomized controlled trials (RCTs) involving MIS versus open spine surgery was performed using the Entrez gateway of the PubMed database for articles published in English up to December 28, 2015. RCTs and systematic reviews of RCTs of MIS versus open spine surgery were evaluated for three particular entities: Cervical disc herniation, lumbar disc herniation, and posterior lumbar fusion. A total of 17 RCTs were identified, along with six systematic reviews. For cervical disc herniation, MIS provided no difference in overall function, arm pain relief, or long-term neck pain. In lumbar disc herniation, MIS was inferior in providing leg/low back pain relief, rehospitalization rates, quality of life improvement, and exposed the surgeon to >10 times more radiation in return for shorter hospital stay and less surgical site infection. In posterior lumbar fusion, MIS transforaminal lumbar interbody fusion (TLIF) had significantly reduced 2-year societal cost, fewer medical complications, reduced time to return to work, and improved short-term Oswestry Disability Index scores at the cost of higher revision rates, higher readmission rates, and more than twice the amount of intraoperative fluoroscopy. The highest levels of evidence do not support MIS over open surgery for cervical or lumbar disc herniation. However, MIS TLIF demonstrates advantages along with higher revision/readmission rates. Regardless of patient indication, MIS exposes the surgeon to significantly more radiation; it is unclear how this impacts patients. These results should optimize informed decision-making regarding MIS versus open spine surgery, particularly in the current advertising climate greatly favoring MIS.

Towards open-source, low-cost haptics for surgery simulation.

PubMed

Suwelack, Stefan; Sander, Christian; Schill, Julian; Serf, Manuel; Danz, Marcel; Asfour, Tamim; Burger, Wolfgang; Dillmann, Rüdiger; Speidel, Stefanie

2014-01-01

In minimally invasive surgery (MIS), virtual reality (VR) training systems have become a promising education tool. However, the adoption of these systems in research and clinical settings is still limited by the high costs of dedicated haptics hardware for MIS. In this paper, we present ongoing research towards an open-source, low-cost haptic interface for MIS simulation. We demonstrate the basic mechanical design of the device, the sensor setup as well as its software integration.

Taking the High Road: Privacy in the Age of Drones

ERIC Educational Resources Information Center

Hamilton, Lucas; Harrington, Michael; Lawrence, Cameron; Perrot, Remy; Studer, Severin

2017-01-01

This case examines the technological, ethical and legal issues surrounding the use of drones in business. Mary McKay, a recent Management Information Systems (MIS) graduate sets up a professional photography and videography business. She gains a leg up on the competition with drone-mounted cameras and live video streaming through the free…

The Annual Condition of Iowa's Community Colleges, 2015

ERIC Educational Resources Information Center

Bassis, Vladimir, Comp.; Burroughs, Monte, Comp.; Burrows, Barbara, Comp.; Gard, Lisa, Comp.; Harris, Alex, Comp.; Nissen, Paula, Comp.; St Clair, Eric, Comp.

2015-01-01

Data reported in the Condition Report comes primarily from each of Iowa's 15 community colleges, transmitted each fall to the division's Management Information System (MIS). Upon receipt, division staff review the data for discrepancies and return summary reports to the colleges to confirm accuracy. After confirmation, data files are aggregated…

The Annual Condition of Iowa's Community Colleges 2014

ERIC Educational Resources Information Center

Bassis, Vladimir; Burroughs, Monte; Burrows, Barbara; St Clair, Eric; Farver, Kent; Harris, Alex; Nissen, Paula

2014-01-01

Since 1998, the Management Information System (MIS) group of the Division of Community Colleges has been responsible for compiling and publishing "The Annual Condition of Iowa's Community Colleges," commonly known as the condition report. Primary data sources for the condition report are each of the 15 public community colleges in Iowa.…

Changes in Academic Dishonesty among MIS Majors between 1999 and 2004

ERIC Educational Resources Information Center

Brown, Bob S.; Weible, Rick

2006-01-01

A questionnaire on academic dishonesty was administered to management information systems majors at an eastern state university in 1999 and 2004. The often-cited proposition that the level of student academic dishonesty among college and university students is increasing was unsupported. While the level of participation in one practice increased…

Paleo-surfaces of glacio-eustatically forced aggradational successions in the coastal area of Rome: Assessing interplay between tectonics and sea-level during the last ten interglacials

NASA Astrophysics Data System (ADS)

Marra, Fabrizio; Florindo, Fabio; Anzidei, Marco; Sepe, Vincenzo

2016-09-01

Recently acquired geochronological and stratigraphic data provide new information on the sedimentary successions deposited by the Paleo-Tiber River in the coastal and near-coastal area of Rome in consequence of the glacio-eustatic changes, allowing to better define their inner geometry and palaeogeographic spatial distribution. In the present work we use this revised sedimentary dataset to provide a geochronologically constrained and tectonically adjusted record of paleo sea-level indicators. Aimed at this scope, we review literature data acquired in the last 35 years and using the new geochronological constraints we pinpoint the coastal-to-fluvial terraces of MIS 5 and MIS 7, mapping their relic surfaces in an area of 30 km along the coast north and south of the Tiber River mouth, and 20 km inland of the fluvial valleys of Tiber and Aniene rivers. The geometry of these paleo-surfaces provides constraints on the relative elevation of the sea-level during the last interglacials and on the uplift rates in this region during the last 200 ka. In particular, we recognize the previously undetected terraces of MIS 5.3 and MIS 5.1 interstadials, and we assess their spatial relationship with respect to MIS 5.5, providing important information on sea-level oscillations during this time span. Comparison with sea-level indicators provided by previous aggradational successions deposited during past interglacials spanning MIS 9 through MIS 21 in the coastal area of Rome, also allows us to reconstruct the tectonic history and investigate its relationships with the Middle-Pleistocene volcanic activity of the Roman Comagmatic Region along the Tyrrhenian Sea margin of Italy in the last 900 ka.

Evaluating technology service options.

PubMed

Blumberg, D F

1997-05-01

Four service and support options are available to healthcare organizations for maintaining their growth arsenals of medical and information technology. These options include maintaining and servicing all equipment using a facility-based biomedical engineering and MIS service department; using a combination of facility-based service and subcontracted service; expanding facility-based biomedical and MIS service departments to provide service to other healthcare organizations to achieve economies of scale; and outsourcing all maintenance, repair, and technical support services. Independent service companies and original equipment manufacturers (OEMs) are offering healthcare organizations a wider array of service and support capabilities than ever before. However, some health systems have successfully developed their own independent service organizations to take care of their own--and other healthcare organizations'--service and support needs.

Uranium uptake history, open-system behaviour and uranium-series ages of fossil Tridacna gigas from Huon Peninsula, Papua New Guinea

NASA Astrophysics Data System (ADS)

Ayling, Bridget F.; Eggins, Stephen; McCulloch, Malcolm T.; Chappell, John; Grün, Rainer; Mortimer, Graham

2017-09-01

Molluscs incorporate negligible uranium into their skeleton while they are living, with any uranium uptake occurring post-mortem. As such, closed-system U-series dating of molluscs is unlikely to provide reliable age constraints for marine deposits. Even the application of open-system U-series modelling is challenging, because uranium uptake and loss histories can affect time-integrated uranium distributions and are difficult to constrain. We investigate the chemical and isotopic distribution of uranium in fossil Tridacna gigas (giant clams) from Marine Isotope Stage (MIS) 5e (128-116 ka) and MIS 11 (424-374 ka) reefs at Huon Peninsula in Papua New Guinea. The large size of the clams enables detailed chemical and isotopic mapping of uranium using LA-ICPMS and LA-MC-ICPMS techniques. Within each fossil Tridacna specimen, marked differences in uranium concentrations are observed across the three Tridacna growth zones (outer, inner, hinge), with the outer and hinge zones being relatively enriched. In MIS 5e and MIS 11 Tridacna, the outer and hinge zones contain approximately 1 ppm and 5 ppm uranium respectively. In addition to uptake of uranium, loss of uranium appears prevalent, especially in the MIS 11 specimens. The effect of uranium loss is to elevate measured [230Th/238U] values with little effect on [234U/238U] values. Closed-system age estimates are on average 50% too young for the MIS 5e Tridacna, and 25% too young for the MIS 11 Tridacna. A complex, multi-stage uptake and loss history is interpreted for the fossil Tridacna and we demonstrate that they cannot provide independent, reliable geochronological controls on the timing of past reef growth at Huon Peninsula.

Interactive Learning System "VisMis" for Scientific Visualization Course

ERIC Educational Resources Information Center

Zhu, Xiaoming; Sun, Bo; Luo, Yanlin

2018-01-01

Now visualization courses have been taught at universities around the world. Keeping students motivated and actively engaged in this course can be a challenging task. In this paper we introduce our developed interactive learning system called VisMis (Visualization and Multi-modal Interaction System) for postgraduate scientific visualization course…

Identification of Management Information System (MIS) Strategies Barriers in Higher Education Institutions through Multi-Criteria Decision Making (MCDM) Approach: Case Study of Ferdowsi University of Mashhad

ERIC Educational Resources Information Center

Hosseini, Mirza Hasan; Karimzadegan, Davood; Sazvar, Azam

2012-01-01

Each organization or company, regardless to its restrictions, purposes, and type of the activity, in order to fulfill and manage the duties is in need of various data and pieces of information. The aforesaid cases are generated by managers and employees and used by all the staffs. The manifest issue of current days is that organizations and…

Solving nuts-and-bolts nuclear problems

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

Olmstead, A.; Schoen, J.

1979-05-01

The Operations and Maintenance Information Service (MIS), created and operated by NUS Corp., was designed to improve plant availability through the exchange of practical information between nuclear plants and a return to an emphasis on the problem-solving process. MIS meetings cover a range of plant problems and have been unique in bringing the rapid feedback of information pertinent to the day-to-day working operation of a total plant. Much of the response is by telephone contact, although the monthly newsletter, semi-annual meetings, and scheduled plant visits are also helpful.

An Introduction to the IP/PCT Model Implementation in IPME

DTIC Science & Technology

2011-03-01

perceptuel (TCP) mis en œuvre dans le logiciel Environnement intégré de modélisation des performances (EIMP) par Micro Analysis and Design. Ce...de la théorie du contrôle perceptuel (TCP) mis en œuvre dans le logiciel Environnement intégré de modélisation des performances (EIMP) par Micro...modèles de traitement de l’information (TI) et de la théorie du contrôle perceptuel (TCP) mis en œuvre dans le logiciel Environnement intégré de

Designing a Versatile Dedicated Computing Lab to Support Computer Network Courses: Insights from a Case Study

ERIC Educational Resources Information Center

Gercek, Gokhan; Saleem, Naveed

2006-01-01

Providing adequate computing lab support for Management Information Systems (MIS) and Computer Science (CS) programs is a perennial challenge for most academic institutions in the US and abroad. Factors, such as lack of physical space, budgetary constraints, conflicting needs of different courses, and rapid obsolescence of computing technology,…

Space Station Furnace Facility Management Information System (SSFF-MIS) Development

NASA Technical Reports Server (NTRS)

Meade, Robert M.

1996-01-01

This report summarizes the chronology, results, and lessons learned from the development of the SSFF-MIS. This system has been nearly two years in development and has yielded some valuable insights into specialized MIS development. General: In December of 1994, the Camber Corporation and Science Applications International Corporation (SAIC) were contracted to design, develop, and implement a MIS for Marshall Space Flight Center's Space Station Furnace Facility Project. The system was to be accessible from both EBM-Compatible PC and Macintosh platforms. The system was required to contain data manually entered into the MIS as well as data imported from other MSFC sources. Electronic interfaces were established for each data source and retrieval was to be performed at prescribed time intervals. The SOW requirement that predominantly drove the development software selection was the dual-platform (IBM-PC and Macintosh) requirement. The requirement that the system would be maintained by Government personnel influenced the selection of Commercial Off-the-shelf software because of its inherent stability and readily available documentation and support. Microsoft FoxPro Professional 2.6 for Windows and Macintosh was selected as the development tool. This is a software development tool that has been in use for many years. It is stable and powerful. Microsoft has since released the replacement for this product, Microsoft Visual FoxPro, but at the time of this development, it was only available on the Windows platform. The initial contract included included the requirement for capabilities relating to the Work- and Organizational Breakdown Structures, cost (plan and actuals), workforce (plan and actuals), critical path scheduling, trend analysis, procurements and contracts, interface to manufacturing, Safety and Mission Assurance, risk analysis, and technical performance indicators. It also required full documentation of the system and training of users. During the course of the contract, the requirements for Safety and Mission Assurance interface, risk analysis, and technical performance indicators were deleted. Additional capabilities were added as reflected in the Contract Chronology below. Modification 4 added the requirement for Support Contractor manpower data, the ability to manually input data not imported from non-nal sources, a general 'health' indicator screen, and remote usage. Mod 6 included the ability to change the level of planning of Civil Service Manpower at any time and the ability to manually enter Op Codes in the manufacturing data where such codes were not provided by the EMPACS database. Modification 9 included a number of changes to report contents and formats. Modification 11 required the preparation of a detailed System Design Document.

Eemian and post-Eemian fluvial dynamics in the Lesser Caucasus

NASA Astrophysics Data System (ADS)

von Suchodoletz, Hans; Gärtner, Andreas; Zielhofer, Christoph; Faust, Dominik

2018-07-01

Mountain regions such as the Lesser Caucasus are a focus of ongoing environmental changes. To understand their future evolution, information about their former geomorphic and environmental dynamics is required. The former fluvial dynamics derived from fluvial sediment archives can offer such insights. However, the fluvial dynamics of the Lesser Caucasus since the Eemian interglacial have not been systematically investigated so far. Thus, we have studied late Pleistocene and Holocene sediments of several rivers originating from the central Lesser Caucasus. The studied rivers show a mostly coherent record of fluvial dynamics: Minor aggradation occurred during early Marine Isotope Stage (MIS) 5, incision during late MIS 5 or early MIS 4, intensive silty aggradation at least during late MIS 3, incision during early MIS 2, coarse-grained aggradation probably during some millenia until ca. 19 ka, and aggradation ca. 14-13 ka. Following incision around the Pleistocene/Holocene transition, aggradation resumed around 6.0, 3.4 - 2.0 and 0.5 - 0.15 cal. ka BP. Generally, periods of aggradation, incision and stability could be linked with regional climatic or anthropogenic influences on regional landscape stability and water availability. The fluvial dynamics of the central Lesser Caucasus mostly differed even between neighbouring regions, and only in cases of significant hemispheric climatic fluctuations as around 20 ka, during the Pleistocene/Holocene transition or the Little Ice Age, were similar over-regional fluvial patterns observed. This demonstrates the individual character of river systems especially in mountain regions such as the southern Caucasus with strong geoecological gradients. Thus, to understand the former landscape dynamics of mountain landscapes, investigations of fluvial sediment archives on a regional to sub-regional scale are necessary.

How are patients influenced when counseled for minimally invasive lumbar spine surgeries? A stepwise model assessing pivotal information for decision-making.

PubMed

Hey, Hwee Weng Dennis; Kumar, Nishant; Teo, Alex Quok An; Tan, Kimberly-Anne; Kumar, Naresh; Liu, Ka-Po Gabriel; Wong, Hee-Kit

2017-08-01

Although minimally invasive surgery (MIS)-transforaminal lumbar interbody fusion (TLIF) has many evidence-based short-term benefits over open TLIF, both procedures have similar long-term outcomes. Patients' preference for MIS over open TLIF may be confounded by a lack of understanding of what each approach entails. The study aimed to identify the various factors influencing patients' choice between MIS and open TLIF. This is a cross-sectional study conducted at a tertiary health-care institution. Patients, for whom TLIF procedures were indicated, were recruited over a 3-month period from specialist outpatient clinics. The outcome measure was patients' choice of surgical approach (MIS or open). All patients were subjected to a stepwise interviewing process and were asked to select between open and MIS approaches at each step. Further subgroup analysis stratifying subjects based on stages of decision-making was performed to identify key predictors of selection changes. No sources of funding were required for this study and there are no conflicts of interests. Fifty-four patients with a mean age of 55.8 years participated in the study. Thirteen (24.1%) consistently selected a single approach, whereas 31 (57.4%) changed their selection more than once during the interviewing process. Overall, 12 patients (22.2%) had a final decision different from their initial choice, and 15 patients (27.8%) were unable to decide. A large proportion of patients (65.0%) initially favored the open approach's midline incision. This proportion dropped to 16.7% (p<.001) upon mention of the term MIS. The proportion of patients favoring MIS dropped significantly following discussion on the pros and cons (p=.002) of each approach, as well as conversion or revision surgery (p=.017). Radiation and cosmesis were identified as the two most important factors influencing patients' final decisions. The longer midline incision of the open approach is cosmetically more appealing to patients than the paramedian stab wounds of MIS. The advantages of the MIS approach may not be as valued by patients as they are by surgeons. Given the equivalent long-term outcomes of both approaches, it is crucial that patients are adequately informed during preoperative counseling to achieve the best consensus decision. Copyright © 2017 Elsevier Inc. All rights reserved.

Effect of minimally invasive technique on return to work and narcotic use following transforaminal lumbar inter-body fusion: a review.

PubMed

Parker, Scott L; Lerner, Jason; McGirt, Matthew J

2012-01-01

Low back pain is one of the most prevalent and disabling musculoskeletal conditions affecting the working population in the United States. Informed, shared decision making among patients, clinicians, and case managers about treatment options for chronic low back pain-including the role of spinal fusion where medically necessary-can have a meaningful impact on return to work, normal function, and economic outcomes. Minimally invasive techniques for lumbar spinal fusion, including transforaminal lumbar interbody fusion (MIS TLIF) have recently been introduced with the goal of smaller operative wounds, less tissue trauma, and faster postoperative recovery when compared with open fusion. Although similar long-term clinical outcomes have been reported for MIS TLIF and open TLIF, the relative merits with respect to workplace productivity have not been comprehensively investigated. Time to return to work and narcotic independence after MIS TLIF and open TLIF are important parameters that may affect overall workplace productivity, and as such are the focus of this study. This study was performed via a review of the literature. We performed a systematic literature review to identify all published articles that reported on the postoperative outcomes of patients, as assessed by return to work or narcotic independence status or both, following MIS TLIF or open TLIF. A cumulative comparison was made for all included MIS TLIF versus open TLIF surgeries. Seventy-four published studies reported postoperative outcomes following MIS TLIF or open TLIF; only five (6.8%) studies directly described time to return to work or duration of narcotic use postoperatively or both, and were therefore included into the analysis of this review. Four studies in the published literature describe time to return to work following MIS TLIF or open TLIF, and two studies describe time to narcotic independence. Overall, the reviewed literature suggests that MIS TLIF may be associated with an accelerated time to narcotic independence and return to work versus open TLIF. There are limited data regarding time to return to work and duration of postoperative narcotic use following TLIF for low back pain. The available data appear to suggest that MIS TLIF may be associated with accelerated return to work and narcotic independence compared with open TLIF. Further analysis will be necessary to quantify the impact of MIS TLIF on workplace productivity and the indirect costs borne by patients and employers. Such information will be of value to case managers, disability managers, employers, patients, and clinicians aligned on reducing morbidity and hastening return to normal function.

Coal-mining seismicity and ground-shaking hazard: A case study in the Trail Mountain area, Emery County, Utah

USGS Publications Warehouse

Arabasz, W.J.; Nava, S.J.; McCarter, M.K.; Pankow, K.L.; Pechmann, J.C.; Ake, J.; McGarr, A.

2005-01-01

We describe a multipart study to quantify the potential ground-shaking hazard to Joes Valley Dam, a 58-m-high earthfill dam, posed by mining-induced seismicity (MIS) from future underground coal mining, which could approach as close as ???1 km to the dam. To characterize future MIS close to the dam, we studied MIS located ???3-7 km from the dam at the Trail Mountain coal mine. A 12-station local seismic network (11 stations above ground, one below, combining eight triaxial accelerometers and varied velocity sensors) was operated in the Trail Mountain area from late 2000 through mid-2001 for the dual purpose of (1) continuously monitoring and locating MIS associated with longwall mining at a depth of 0.5-0.6 km and (2) recording high-quality data to develop ground-motion prediction equations for the shallow MIS. (Ground-motion attenuation relationships and moment-tensor results are reported in companion articles.) Utilizing a data set of 1913 earthquakes (M ??? 2.2), we describe space-time-magnitude distributions of the observed MIS and source-mechanism information. The MIS was highly correlated with mining activity both in space and time. Most of the better-located events have depths constrained within ??0.6 km of mine level. For the preponderance (98%) of the 1913 located events, only dilatational P-wave first motions were observed, consistent with other evidence for implosive or collapse-type mechanisms associated with coal mining in this region. We assess a probable maximum magnitude of M 3.9 (84th percentile of a cumulative distribution) for potential MIS close to Joes Valley Dam based on both the worldwide and regional record of coal-mining-related MIS and the local geology and future mining scenarios.

Soil and climate modelling to explain soil differences in MIS5e and MIS13 on the Chinese Loess Plateau

NASA Astrophysics Data System (ADS)

Finke, P. A.; Yu, Y.; Yin, Q.; Bernardini, N. J.

2016-12-01

Objective Proxy records indicate that MIS5 (about 120 ka ago) was warmer than MIS13 (about 500 ka ago). Nevertheless, MIS13-soils in the Chinese loess plateau (105 -115°E and 30-40°N) are stronger developed than MIS5-soils. This has been attributed to a stronger East Asian summer monsoon. Other differences are interglacial lengths and loess deposition rates. We aimed to find explanations for soil development differences by using a soil formation model (SoilGen) with climatic inputs obtained from an earth system model (LOVECLIM). Material and Methods The LOVECLIM model is driven by time-varying insolation and greenhouse gas concentrations and was run to give monthly values for temperature, precipitation and evaporation as well the dominant vegetation type. Model results for were corrected for systematic differences between present-day observation data and simulation. Reconstructions were made for both interglacials of the amount of inblown loess, and the mineralogy and grain size distribution of the initial loess as well as the dust. These data were fed into the SoilGen model, which was used to calculate various soil parameters with depth and over time. Results Simulations show a stronger developed MIS13 soil, in terms of weathering (loss of anorthite), and redistribution of calcite, gypsum and clay. This corresponds to observed paleosoils. MIS13-soils are more leached. As simulated temperatures and annual precipitation between MIS5 and MIS13 did not vary strongly, the greater length of MIS13 seemed the main explanation for the stronger leaching and weathering. Closer analysis however showed a larger number of months in MIS13 with a precipitation surplus, even when only considering the first 22 ka. Only in such months significant leaching can occur. Conclusion Using simulation models it was demonstrated that the stronger soil expression in MIS13 than in MIS5 is likely caused by more months with a precipitation surplus, in combination with a longer duration of MIS13.

SLAM-based dense surface reconstruction in monocular Minimally Invasive Surgery and its application to Augmented Reality.

PubMed

Chen, Long; Tang, Wen; John, Nigel W; Wan, Tao Ruan; Zhang, Jian Jun

2018-05-01

While Minimally Invasive Surgery (MIS) offers considerable benefits to patients, it also imposes big challenges on a surgeon's performance due to well-known issues and restrictions associated with the field of view (FOV), hand-eye misalignment and disorientation, as well as the lack of stereoscopic depth perception in monocular endoscopy. Augmented Reality (AR) technology can help to overcome these limitations by augmenting the real scene with annotations, labels, tumour measurements or even a 3D reconstruction of anatomy structures at the target surgical locations. However, previous research attempts of using AR technology in monocular MIS surgical scenes have been mainly focused on the information overlay without addressing correct spatial calibrations, which could lead to incorrect localization of annotations and labels, and inaccurate depth cues and tumour measurements. In this paper, we present a novel intra-operative dense surface reconstruction framework that is capable of providing geometry information from only monocular MIS videos for geometry-aware AR applications such as site measurements and depth cues. We address a number of compelling issues in augmenting a scene for a monocular MIS environment, such as drifting and inaccurate planar mapping. A state-of-the-art Simultaneous Localization And Mapping (SLAM) algorithm used in robotics has been extended to deal with monocular MIS surgical scenes for reliable endoscopic camera tracking and salient point mapping. A robust global 3D surface reconstruction framework has been developed for building a dense surface using only unorganized sparse point clouds extracted from the SLAM. The 3D surface reconstruction framework employs the Moving Least Squares (MLS) smoothing algorithm and the Poisson surface reconstruction framework for real time processing of the point clouds data set. Finally, the 3D geometric information of the surgical scene allows better understanding and accurate placement AR augmentations based on a robust 3D calibration. We demonstrate the clinical relevance of our proposed system through two examples: (a) measurement of the surface; (b) depth cues in monocular endoscopy. The performance and accuracy evaluations of the proposed framework consist of two steps. First, we have created a computer-generated endoscopy simulation video to quantify the accuracy of the camera tracking by comparing the results of the video camera tracking with the recorded ground-truth camera trajectories. The accuracy of the surface reconstruction is assessed by evaluating the Root Mean Square Distance (RMSD) of surface vertices of the reconstructed mesh with that of the ground truth 3D models. An error of 1.24 mm for the camera trajectories has been obtained and the RMSD for surface reconstruction is 2.54 mm, which compare favourably with previous approaches. Second, in vivo laparoscopic videos are used to examine the quality of accurate AR based annotation and measurement, and the creation of depth cues. These results show the potential promise of our geometry-aware AR technology to be used in MIS surgical scenes. The results show that the new framework is robust and accurate in dealing with challenging situations such as the rapid endoscopy camera movements in monocular MIS scenes. Both camera tracking and surface reconstruction based on a sparse point cloud are effective and operated in real-time. This demonstrates the potential of our algorithm for accurate AR localization and depth augmentation with geometric cues and correct surface measurements in MIS with monocular endoscopes. Copyright © 2018 Elsevier B.V. All rights reserved.

Additive Manufacturing Consolidation of Low-Cost Water Atomized Steel Powder Using Micro-Induction Sintering

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

Carter, William G.; Rios, Orlando; U

ORNL worked with Grid Logic Inc to demonstrate micro induction sintering (MIS) and binder decomposition of steel powders. It was shown that MIS effectively emits spatially confined electromagnetic energy that is directly coupled to metallic powders resulting in resistive heating of individual particles. The non-uniformity of particle morphology and distribution of the water atomized steel powders resulted in inefficient transfer of energy. It was shown that adhering the particles together using polymer binders resulted in more efficient coupling. Using the MIS processes, debinding and sintering could be done in a single step. When combined with another system, such as binder-jet,more » this could reduce the amount of required post-processing. An invention disclosure was filed on hybrid systems that use MIS to reduce the amount of required post-processing.« less

The use of a virtual reality simulator to explore and understand the impact of Linac mis-calibrations

NASA Astrophysics Data System (ADS)

Beavis, Andrew W.; Ward, James W.

2014-03-01

Purpose: In recent years there has been interest in using Computer Simulation within Medical training. The VERT (Virtual Environment for Radiotherapy Training) system is a Flight Simulator for Radiation Oncology professionals, wherein fundamental concepts, techniques and problematic scenarios can be safely investigated. Methods: The system provides detailed simulations of several Linacs and the ability to display DICOM treatment plans. Patients can be mis-positioned with 'set-up errors' which can be explored visually, dosimetrically and using IGRT. Similarly, a variety of Linac calibration and configuration parameters can be altered manually or randomly via controlled errors in the simulated 3D Linac and its component parts. The implication of these can be investigated by following through a treatment scenario or using QC devices available within a Physics software module. Results: One resultant exercise is a systematic mis-calibration of 'lateral laser height' by 2mm. The offset in patient alignment is easily identified using IGRT and once corrected by reference to the 'in-room monitor'. The dosimetric implication is demonstrated to be 0.4% by setting a dosimetry phantom by the lasers (and ignoring TSD information). Finally, the need for recalibration can be shown by the Laser Alignment Phantom or by reference to the front pointer. Conclusions: The VERT system provides a realistic environment for training and enhancing understanding of radiotherapy concepts and techniques. Linac error conditions can be explored in this context and valuable experience gained in a controlled manner in a compressed period of time.

An integrative health information systems approach for facilitating strategic planning in hospitals.

PubMed

Killingsworth, Brenda; Newkirk, Henry E; Seeman, Elaine

2006-01-01

This article presents a framework for developing strategic information systems (SISs) for hospitals. It proposes a SIS formulation process which incorporates complexity theory, strategic/organizational analysis theory, and conventional MIS development concepts. Within the formulation process, four dimensions of SIS are proposed as well as an implementation plan. A major contribution of this article is the development of a hospital SIS framework which permits an organization to fluidly respond to external, interorganizational, and intraorganizational influences. In addition, this article offers a checklist which managers can utilize in developing an SIS in health care.

A new approach to the film library: time-unit filing.

PubMed

Palmucci, J A

2000-01-01

The installation of a new radiology information system (RIS) at Children's Hospital Medical Center of Akron in Akron, Ohio, took the radiology department into a new world of technology, but raised issues we never anticipated. The major problem the new RIS forced the department to overcome was how to eliminate the film file's reliance on a proprietary radiology numbering system. Previously, the department had used its own numbering system--a proprietary x-ray number--to file film jackets and had used the hospital-issued medical record number to access patient and payer information from the hospital information system. It became clear that we should use a single number--the medical record number--to access all data, but we wondered how that would affect our film file room. An RIS consultant suggested that we consider filing films by last date of service, a system called "time-unit filing." Time-unit filing means keeping the most recent two-weeks worth of films in the main file room. They are organized by gender in blue or pink jackets and marked alphabetically by the patient's last name in a way that makes mis-files easy to see. If a patient's film jacket is activated again, it is refiled in the current two-week time unit. Inactive jackets remain in their two-week time unit indefinitely. Time-unit filing has had many benefits for the radiology department at Children's Hospital Medical Center of Akron: fewer mis-files, less time needed for filing and searching, and successful implementation of the new RIS.

Distributed-Memory Fast Maximal Independent Set

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

Kanewala Appuhamilage, Thejaka Amila J.; Zalewski, Marcin J.; Lumsdaine, Andrew

The Maximal Independent Set (MIS) graph problem arises in many applications such as computer vision, information theory, molecular biology, and process scheduling. The growing scale of MIS problems suggests the use of distributed-memory hardware as a cost-effective approach to providing necessary compute and memory resources. Luby proposed four randomized algorithms to solve the MIS problem. All those algorithms are designed focusing on shared-memory machines and are analyzed using the PRAM model. These algorithms do not have direct efficient distributed-memory implementations. In this paper, we extend two of Luby’s seminal MIS algorithms, “Luby(A)” and “Luby(B),” to distributed-memory execution, and we evaluatemore » their performance. We compare our results with the “Filtered MIS” implementation in the Combinatorial BLAS library for two types of synthetic graph inputs.« less

The Plumbing System of a Highly Explosive Basaltic Volcano: Sunset Crater, AZ

NASA Astrophysics Data System (ADS)

Allison, C. M.; Roggensack, K.; Clarke, A. B.

2015-12-01

We seek to better understand highly explosive basaltic eruptions with specific focus on magmatic volatile solubility in alkali basalts and the magma plumbing system. Sunset Crater, an alkali basalt (~3.7 wt.% alkalis) scoria cone volcano, erupted explosively in 1085 AD. We analyzed 125 primary melt inclusions (MIs) from Sunset Crater tephra deposited by 2 subplinian phases and 1 Strombolian explosion to compare magma volatiles and storage conditions. We picked rapidly quenched free olivine crystals and selected large volume MIs (50-180 μm) located toward crystal cores. MIs are faceted and exhibit little major element composition variability with minor post entrapment crystallization (2-10%). MIs are relatively dry but CO2-rich. Water content varies from 0.4 wt.% to 1.5 wt.% while carbon dioxide abundance ranges between 1,150 ppm and 3,250 ppm. Most MIs contain >1 wt.% H2O and >2,150 ppm CO2. All observed MIs contain a vapor bubble, so we are evaluating MI vapor bubbles with Raman spectroscopy and re-homogenization experiments to determine the full volatile budget. Because knowledge of volatile solubility is critical to accurately interpret results from MI analyses, we measured H2O-CO2 solubility in the Sunset Crater bulk composition. Fluid-saturated experiments at 4 and 6 kbar indicate shallower entrapment pressures for these MIs than values calculated for this composition using existing models. Assuming fluid saturation, MIs record depths from 6 km to 14 km, including groupings suggesting two pauses for longer-term storage at ~6 km and ~10.5 km. We do not observe any significant differences in MIs from phases exhibiting different eruptive styles, suggesting that while a high CO2 content may drive rapid magma ascent and be partly responsible for highly explosive eruptions, shallower processes may govern the final eruptive character. To track shallow processes during magma ascent from depth of MI-entrapment up to the surface, we are examining MI re-entrants.

Information Fusion from the Point of View of Communication Theory; Fusing Information to Trade-Off the Resolution of Assessments Against the Probability of Mis-Assessment

DTIC Science & Technology

2013-08-19

excellence in linear models , 2010. She successfully defended her dissertation, Linear System Design for Fusion and Compression, on Aug 13, 2013. Her work was...measurements into canonical coordinates, scaling, and rotation; there is a water-filling interpretation; (3) the optimum design of a linear secondary channel of...measurements to fuse with a primary linear channel of measurements maximizes a generalized Rayleigh quotient; (4) the asymptotically optimum

The chief information officer--capturing healthcare's rare bird.

PubMed

Krinsky, M L

1986-08-01

While we occasionally conducted MIS executive searches during the 1970s, the recent pace has quickened substantially. Healthcare corporations need the MIS executive or CIO to keep the organization technologically and managerially current. Downsizing of acute-care facilities, expansion of outpatient services and creation of new programs have put a premium on current, computer-generated data. Skilled managers must rely on an efficient, flexible data processing department to evaluate options and make decisions about corporate strategy and program development. A presentable, articulate, personable MIS executive is a key ingredient in a successful management team. The position will continue to grow in importance and prominence in the fast-changing healthcare delivery industry.

MIS - The Human Connection

PubMed Central

Bush, Ian E.

1980-01-01

The lessons of the 70's with MIS were largely painful, often the same as those of the 60's, and were found in different phases on two continents. On examination this turns out to be true for many non-medical fields, true for systems programming, and thus a very general phenomenon. It is related to the functional complexity rather than to the sheer size of the software required, and above all to the relative neglect of human factors at all levels of software and hardware design. Simple hierarchical theory is a useful tool for analyzing complex systems and restoring the necessary dominance of common sense human factors. An example shows the very large effects of neglecting these factors on costs and benefits of MIS and their sub-systems.

The Blue DRAGON--a system for monitoring the kinematics and the dynamics of endoscopic tools in minimally invasive surgery for objective laparoscopic skill assessment.

PubMed

Rosen, Jacob; Brown, Jeffrey D; Barreca, Marco; Chang, Lily; Hannaford, Blake; Sinanan, Mika

2002-01-01

Minimally invasive surgeiy (MIS) involves a multi-dimensional series of tasks requiring a synthesis between visual information and the kinematics and dynamics of the surgical tools. Analysis of these sources of information is a key step in mastering MIS surgery but may also be used to define objective criteria for characterizing surgical performance. The BIueDRAGON is a new system for acquiring the kinematics and the dynamics of two endoscopic tools along with the visual view of the surgical scene. It includes two four-bar mechanisms equipped with position and force torque sensors for measuring the positions and the orientations (P/O) of two endoscopic tools along with the forces and torques applied by the surgeons hands. The methodology of decomposing the surgical task is based on a fully connected, finite-states (28 states) Markov model where each states corresponded to a fundamental tool/tissue interaction based on the tool kinematics and associated with unique F/T signatures. The experimental protocol included seven MIS tasks performed on an animal model (pig) by 30 surgeons at different levels of their residency training. Preliminary analysis of these data showed that major differences between residents at different skill levels were: (i) the types of tool/tissue interactions being used, (ii) the transitions between tool/tissue interactions being applied by each hand, (iii) time spent while perfonning each tool/tissue interaction, (iv) the overall completion time, and (v) the variable F/T magnitudes being applied by the subjects through the endoscopic tools. Systems like surgical robots or virtual reality simulators that inherently measure the kinematics and the dynamics of the surgical tool may benefit from inclusion of the proposed methodology for analysis of efficacy and objective evaluation of surgical skills during training.

A climate model study of an intense Asian Monsoon in a La Niña-like climate of MIS-13

NASA Astrophysics Data System (ADS)

Karami, M. P.; Berger, A.; Herold, N.; Yin, Q. Z.

2012-04-01

Studying the paleo-monsoon during past interglacials is a valuable approach to improve our understanding of the monsoon system in present-day and future climates. We focus on Marine Isotopic stage 13 (MIS-13; ~0.5 Ma) which was a relatively cool interglacial, but with a paradoxically intense monsoonal precipitation over eastern and southern Asia. Our main goal is to understand the physics-based mechanism driving the intense monsoon, specifically the East Asian Summer Monsoon (EASM), during MIS-13. We applied both an intermediate complexity model (LOVECLIM) as well as fully coupled general circulation models (HadCM3 and CCSM3) to simulate pre-industrial and MIS-13 climates. The boundary conditions for MIS-13 were chosen for 506 ka with Northern-Hemisphere (NH) summer at perihelion and a CO2 concentration of 240 ppm. For pre-industrial, NH-winter occurring at perihelion and a CO2 concentration of 280 ppm were prescribed. Preliminary analysis of the model results shows different atmospheric and oceanic features in MIS-13 compared to the pre-industrial which could affect the EASM. The Northern Pacific Subtropical High (NPSH), which is an important factor in controlling the EASM, strengthened and extended to the northwest in MIS-13 partially due to cooling of the central Pacific Ocean. This in turn brought more moisture from the Central Pacific to the EASM-region and caused a northwestward shift and bending of the low-level jet along East Asia. The change in the low-level jet subsequently increased the meridional wind velocity at 850 mbar in the EASM-region providing more moisture from the tropical Pacific and Indian Oceans. In addition, higher sea-surface temperature in the Indian Ocean during MIS-13 further increased the source of moisture for the EASM. The Asian low, which is another component of the EASM-system, also shifted eastward moving the rain band northward. Moreover, it was found that MIS-13 had a dominant La Niña condition in the tropical Pacific. La Niña-type climate is normally expected to favor increases in precipitation in the EASM through the NPSH as can be seen in MIS-13. Whether there was ENSO variability around the La Niña-like background climatic state of MIS-13 or not is under further investigation. The correlation between the sea-surface temperature variability in the tropical Pacific and the EASM precipitation was found to increase in MIS-13 compared to the pre-industrial which is another factor explaining the intensified EASM in MIS13. Although our model results show high precipitation for MIS-13 qualitatively consistent with data, we are still interested in other factors that could increase the precipitation even further. *This work is supported by the European Research Council Advanced Grant EMIS (No 227348 of the Programme 'ideas')

Lake level fluctuations and catchment dynamics at Lake Ohrid (Macedonia, Albania) during MIS6 and MIS5

NASA Astrophysics Data System (ADS)

Francke, Alexander; Wagner, Bernd; Just, Janna; Sadori, Laura; Masi, Alessia; Vogel, Hendrik; Lindhorst, Katja; Krastel, Sebastian; Dosseto, Anthony; Rothacker, Leo; Leicher, Niklas; Gromig, Raphael

2016-04-01

Lake Ohrid, presumably the oldest lake of Europe located at the border of Macedonia and Albania, is about 30 km long, 15 km wide, and up to 290 m deep. In 2013, an ICDP deep drilling campaign was carried out under the umbrella of the Scientific Collaboration on Past Speciation Conditions in Lake Ohrid (SCOPSCO) project. At the main drill site (DEEP) in the central part of Lake Ohrid, the uppermost 568 m from a total sediment fill of ca. 700 m were recovered. Initial data from core catcher material indicate that the sediment sequence covers more than 1.2 million years. An age model, which is based on 11 tephrostratigragphic tie points and on tuning of biogeochemical proxy data versus orbital parameters reveals that that the upper 247 m of the DEEP site sequence cover the time period between 637 ka (MIS16) and the present. Inhere, we present sedimentological, (bio-)geochemical, environmental magnetic, and pollen data for the time period between MIS6 (191 ka) and MIS5 (71 ka). The data imply that MIS6 was one of the most severe glacial periods, while MIS5 was likely one of the more pronounced interglacial during the past 637 kyrs. The repercussions of these high amplitude climatic and environmental variations during this period are recorded in the sedimentological archive of Lake Ohrid. Previous studies based on hydro-acoustic and sediment core data from the northeastern part of the lake basin have shown that the lake level of Lake Ohrid was likely 60 m lower during MIS6. The ˜60 m lower lake level at Lake Ohrid during MIS6 can at least partly be explained by the ongoing subsidence, which persists in the basin until today. However, in the DEEP site sediments, the MIS6/MIS5 transition occurs at ca. 50 m sediment depth. This implies that climate-induced lake level fluctuation at Lake Ohrid are less severe compared for example to Lake Van (Turkey), were a 260 m lower lake level has been reported for the Younger Dryas. The imprint of the environmental variations between 191 ka and 71 ka can also be seen in the catchment dynamics around the lake. Extraordinary high sedimentation rates, high clastic and negligible authigenic matter concentrations in DEEP site sediments during MIS6 imply enhanced erosion in the catchment. Thereby, elemental ratios (Zr/K) and environmental magnetic data (S-ratio) suggest that predominantly the products of chemical weathered, K-depleted old soils were transported into the lake. In contrast, a low sedimentation rate despite high authigenic matter concentrations during MIS5 implies less erosion in the catchment. In order to obtain more information about the catchment dynamics at Lake Ohrid, future studies will encompass the analyses of uranium and lithium isotopes. U isotopes (234U and 238U) can be used to assess the balance between deep and shallow erosion, while Li isotopes (7Li and 6Li) can inform on the extent of chemical weathering in the sediment source area. The application of these tools on a Late Glacial to Holocene record from Lake Dojran (Macedonia, Greece) has recently shown that climatic perturbations (8.2 and 4.2 cooling event) and anthropogenic land use have a direct impact on the catchment dynamics.

Climate changes in south western Iberia and Mediterranean Outflow variations during two contrasting cycles of the last 1 Myrs: MIS 31-MIS 30 and MIS 12-MIS 11

NASA Astrophysics Data System (ADS)

Sánchez Goñi, M. F.; Llave, E.; Oliveira, D.; Naughton, F.; Desprat, S.; Ducassou, E.; Hodell, D. A.; Hernández-Molina, F. J.

2016-01-01

Grain size analysis and physical properties of Sites U1388, U1389 and U1390 collected in the Contourite Depositional System of the Gulf of Cádiz during the Integrated Ocean Drilling Program (IODP) Expedition 339 "Mediterranean Outflow" reveal relative changes in bottom current strength, a tracer of the dynamics of the Mediterranean Outflow Water (MOW), before and after the Middle Pleistocene Transition (MPT). The comparison of MOW behavior with climate changes identified by the pollen analysis and δ18O benthic foraminifera measurements of Site U1385, the Shackleton Site, collected in the south western Iberian margin shows that the interval MIS 31-MIS 30, ~ 1.1-1.05 million years ago (Ma), before the MPT, was marked by wetter climate and weaker bottom current than the interval MIS 12-MIS 11 (0.47-0.39 Ma), after the MPT. Similarly, the increase in fine particles from these glacials to interglacials and in coarse fraction from interglacials to glacials was coeval with forest and semi-desert expansions, respectively, indicating the lowering/enhancement of MOW strength during periods of regional increase/decrease of moisture. While these findings may not necessarily apply to all glacial/interglacial cycles, they nonetheless serve as excellent supporting examples of the hypothesis that aridification can serve as a good tracer for MOW intensity. The strongest regional aridity during MIS 12 coincides with a remarkable increase of coarse grain size deposition and distribution that we interpret as a maximum in MOW strength. This MOW intensification may have pre-conditioned the North Atlantic by increasing salinity, thereby triggering the strong resumption of the Meridional Overturning Circulation that could contribute to the great warmth that characterizes the MIS 11c super-interglacial.

Quantitative reconstruction of precipitation and runoff during MIS 5a, MIS 3a, and Holocene, arid China

NASA Astrophysics Data System (ADS)

Liu, Yuan; Li, Yu

2017-11-01

Marine oxygen isotope stage 5a (MIS 5a), MIS 3a, and Holocene were highlighted periods in paleoclimate studies. Many scientists have published a great number of studies in this regard, but they paid more attention to qualitative research, and there was often a lack of quantitative data. In this paper, based on chronological evidence from a paleolake in arid China, MIS 5a, MIS 3a, and Holocene lake area, the precipitation of the drainage area and the runoff of the inflowing rivers of the lake were reconstructed with ArcGIS spatial analysis software and the improved water and energy balance model which was calibrated by modern meteorological and hydrological data in the Shiyang River drainage basin. The results showed that the paleolake areas were 1824, 1124, and 628 km2 for MIS 5a, MIS 3a, and Holocene; meanwhile, the paleoprecipitation and runoff were 293.992-297.433, 271.105-274.294, and 249.431-252.373 mm and 29.103 × 108-29.496 × 108, 18.810 × 108-18.959 × 108, and 10.637 × 108-10.777 × 108 mm, respectively. The quantitative data can help us not only strengthen the understanding of paleoclimatic characteristics but also recognize the complexity and diversity of the climate system.

Various environments of interglacials recorded by Pleistocene paleosoils in Hungary (Central Europe)

NASA Astrophysics Data System (ADS)

Varga, György; Kis, Éva

2015-04-01

Based on stable isotope analyses of worldwide reference curves from deep sea, ice core and speleothem records, it has long been apparent that duration, intensity and climatic conditions of different interglacial periods were significantly diverse. As a consequence of negligible fresh, detrital material admixture during interglacials, the soil formation intensity and maturity of various kinds of past soils have been holding vital information on the environmental conditions at the time the soils formed. This, in turn, means that several physical and chemical properties of soils allow us to reconstruct past climatic regimes. Loess-paleosol sequences in Hungary (Central Europe) provide insight into the cyclic nature of glacial-interglacial variations of the last 1 million years. The paleosoils have been recognized as the product of warmer and moister interglacials, when the (glacial) loess material was altered by chemical weathering and pedogenic processes. 12 pedogene units from MIS-19 to MIS-5 strata were analysed in the course of this study, with a special attention to MIS-11 and MIS-19 periods, because of these can be regarded as analogues of the Holocene interglacial (due to the similarities in obliquity and eccentricity). Grain size, geochemical and (clay)mineralogical studies were elaborated and were gathered from previously published papers to quantify past weathering intensity and paleoenvironmental conditions by geochemical climofunctions. The Upper and partly, the Middle Pleistocene loess deposits are intercalated by steppe, forest-steppe and brown forest soils, while the older pedogene horizons are different kinds; these are red, Mediterranean-type soils. The MIS-5 pedocomplex consist of three parts at several Hungarian sites, however the pedogene units cannot be correlated unequivocally with the three MIS-5 warmer substages, due to the scarce absolute age data. The MIS-7 and MIS-9 stages are represented by three forest steppe soils. The MIS-11 pedocomplex and MIS-17 and MIS-19 units are thick and well-developed forest soils, formed under a more humid climate compared to the younger pedogene strata. The geochemical data and climofunctions have been supported well these findings. Contrary to the global loess-paleosoil sequences, the MIS-13 and MIS-15 soils are not so dominant in the Hungarian series. Support of the Hungarian Research Fund OTKA under contract PD108708 (for G. Varga) is gratefully acknowledged. It was additionally supported (for G. Varga) by the Bolyai János Research Scholarship of the Hungarian Academy of Sciences.

Variations of the paleo-productivity in benthic foraminifera records in MIS 3 from western South China Sea

NASA Astrophysics Data System (ADS)

Niu, Y.; Du, J.; Huang, B.; Chen, M.

2010-12-01

Understanding climate change of last glacial age as the background information of climate forecasting is particularly important in climate research. Marine Isotope Stage 3 (MIS 3, 61-24 ka B.P.) is a relative warm and unstable period in the last glacial. Millennium scale abrupt climate changes, such as Heinrich events and Dansgaard-Oeschger (D-O) cycles, are identified in this period. Research topic on the variations of monsoon during the glacial cycles, especially in MIS 3, is critical for understanding low latitude climatic change and the global paleo-environment as a whole. Fortunately, high resolution sedimentary records in western South China Sea provide us valuable materials to uncover how East Asia Summer Monsoon (EASM) system acts in a highly fluctuating climate ambient like MIS 3. Core 17954 is located in the modern summer upwelling area off the Vietnam coast in western South China Sea (SCS), its sediments record the variations of upwelling generated by EASM. In this work, we carry out paleo-ecological analyses on planktonic ( Neogloboquadrina dutertrei, Globigerina bulloides) and benthic foraminifera (Bulimina aculeate, Uvigerina peregrina, Cibicidoides wuellerstorfi, ect.) sampled from Core 17954 to investigate paleo-productivity and nutrition change of western SCS and its relation to EASM. The results show that benthic and planktonic foraminifera have similar responses to nutrition change. Various indicators of productivity on the basis of benthic foraminiferal analyses reflect an overall three stage change trend: productivity gradually increases from the beginning of MIS 3 (60-40 ka) to its maximum during 35-30 ka, and finally declines after 30 ka. There is also another important discovery, if we observe the climate change in MIS 3 as a whole, we can also find western SCS and Northern Hemisphere High latitude have strong correspondences in such changes: Heinrich events coincided with high productivity events in the western SCS. Further, the result of this study also support precious study’s conclusion of five strengthened EASM periods (referred as S1-5) because productivity inferred form benthic foraminiferal analysis during these periods are relative high.

Constraining the presence and abundance of an excess gas phase prior to the June 1991 eruption of Mt Pinatubo (Philippines) using S-isotopes

NASA Astrophysics Data System (ADS)

Bouvet de Maisonneuve, C.; Fiege, A.; Fabbro, G.; Kubo, A. I.

2016-12-01

Large explosive eruptions typically release orders of magnitude more S to the atmosphere than expected based on degassing of the erupted magma. To explain this, an excess, accumulated vapor phase is often proposed. Resolving the presence, composition, and source of such an exsolved volatile phase is essential, as it will drive eruptions towards increased explosivity. Integration of melt inclusion (MI) volatile contents (H, C, S, Cl, F) with S isotope data on melt inclusions, and sulfur-bearing minerals (anhydrite) can provide information on pre- and syn-eruptive degassing. The June 1991 eruption of Mt Pinatubo is an ideal candidate for such a study as it injected a >17 Mt of SO2 into the stratosphere, corresponding to a S excess release of a factor close to 100. The erupted magma was oxidized (QFM+3) and should therefore yield a clear isotopic trend. Volatile contents in glassy but vesicular quartz-hosted MIs were measured by SIMS and yield <3 wt% H2O and <100 ppm S but up to 1500 ppm CO2, in agreement with previous measurements. The MIs with few but large vapor bubbles (avoided during analysis) have lower H2O and CO2 contents and smaller standard deviations. The MIs with many small bubbles have higher volatile contents and standard deviations because the gas phase was not avoided during analysis. We observed scattered S contents and highly variable S isotope compositions for all MIs, which could be due to the presence of submicron S phases. Thus, we homogenized a batch of MIs under P-T-fO2 conditions that best correspond to pre-eruptive conditions. The δ34S for quartz-hosted MIs ranges from -1 to +14 ‰ and δ34S vs. S-H-C content trends are used to infer open or closed system degassing processes. In the near future, anhydrites and melt inclusions in other mineral hosts (amphibole and plagioclase) will be investigated in order to reconstruct the degassing history of the 1991 Pinatubo magma and to trace the S source.

Southern California climate, hydrology and vegetation over the past ~96 ka from Baldwin Lake, San Bernardino Mountains, California

NASA Astrophysics Data System (ADS)

Glover, K. C.; Kirby, M. E.; Rhodes, E. J.; Silveira, E.; Stevens, L. R.; Lydon, S. E.; Whitaker, A.; MacDonald, G. M.

2015-12-01

Continuous paleoclimate records are scarce from terrestrial sites in Southern California beyond the Last Glacial Period (i.e. Marine Isotope Stage 2, MIS 2). Baldwin Lake in the Big Bear Valley, San Bernardino Mountains (SBM), is a playa lake in the ecotone between desert and Mediterranean climate and vegetation. We recovered a 27 m core from the site in 2012, which spans ~96 - 10 ka, based upon radiocarbon dating, infrared stimulated luminescence dating, and orbital tuning. Total organic content, total carbonate content, density, magnetic susceptibility, x-ray fluorescence, and grain size data show a lake system that responded in tandem with Marine Isotope State transitions. After the basin closed during MIS 5b, Baldwin Lake was productive for MIS 5a, then cycled through an inorganic phase to a highly organic lowstand by the end of MIS 4. A stratified lake of rapidly-deposited organic silt prevailed throughout MIS 3, then shifted to an inorganic, slow sedimentation regime during MIS 2. Paleoecological data (charcoal and fossil pollen) suggest that the Valley was most prone to wildfire during climate transitions (e.g. the end of the Last Glacial Maximum, ~21 ka). Forest cover was dominated by pine for much of the basin's history, save for the dry period at the onset of MIS 2, and a greater presence of oak woodland at the beginning of MIS 3. The reduced pine cover and increased sagebrush steppe in early MIS 2 suggests a more arid landscape of sagebrush steppe c. 29 - 25 ka, before reverting to wet conditions by the LGM. Throughout MIS 5a - 2, lake organic content fluctuates in tandem with solar radiation values; a possible link between lake productivity and insolation is currently being explored with biogenic silica (BiSi) analysis. The lake was desiccated by ~10 ka, perhaps driven by increasing insolation rates at the onset of MIS 1.

Final validation of the ProMisE molecular classifier for endometrial carcinoma in a large population-based case series.

PubMed

Kommoss, S; McConechy, M K; Kommoss, F; Leung, S; Bunz, A; Magrill, J; Britton, H; Kommoss, F; Grevenkamp, F; Karnezis, A; Yang, W; Lum, A; Krämer, B; Taran, F; Staebler, A; Lax, S; Brucker, S Y; Huntsman, D G; Gilks, C B; McAlpine, J N; Talhouk, A

2018-05-01

We have previously developed and confirmed a pragmatic molecular classifier for endometrial cancers; ProMisE (Proactive Molecular Risk Classifier for Endometrial Cancer). Inspired by the Cancer Genome Atlas, ProMisE identifies four prognostically distinct molecular subtypes and can be applied to diagnostic specimens (biopsy/curettings) enabling earlier informed decision-making. We have strictly adhered to the Institute of Medicine (IOM) guidelines for the development of genomic biomarkers, and herein present the final validation step of a locked-down classifier before clinical application. We assessed a retrospective cohort of women from the Tübingen University Women's Hospital treated for endometrial carcinoma between 2003 and 2013. Primary outcomes of overall, disease-specific, and progression-free survival were evaluated for clinical, pathological, and molecular features. Complete clinical and molecular data were evaluable from 452 women. Patient age ranged from 29 to 93 (median 65) years, and 87.8% cases were endometrioid histotype. Grade distribution included 282 (62.4%) G1, 75 (16.6%) G2, and 95 (21.0%) G3 tumors. 276 (61.1%) patients had stage IA disease, with the remaining stage IB [89 (19.7%)], stage II [26 (5.8%)], and stage III/IV [61 (13.5%)]. ProMisE molecular classification yielded 127 (28.1%) MMR-D, 42 (9.3%) POLE, 55 (12.2%) p53abn, and 228 (50.4%) p53wt. ProMisE was a prognostic marker for progression-free (P = 0.001) and disease-specific (P = 0.03) survival even after adjusting for known risk factors. Concordance between diagnostic and surgical specimens was highly favorable; accuracy 0.91, κ 0.88. We have developed, confirmed, and now validated a pragmatic molecular classification tool (ProMisE) that provides consistent categorization of tumors and identifies four distinct prognostic molecular subtypes. ProMisE can be applied to diagnostic samples and thus could be used to inform surgical procedure(s) and/or need for adjuvant therapy. Based on the IOM guidelines this classifier is now ready for clinical evaluation through prospective clinical trials.

Ver-i-Fus: an integrated access control and information monitoring and management system

NASA Astrophysics Data System (ADS)

Thomopoulos, Stelios C.; Reisman, James G.; Papelis, Yiannis E.

1997-01-01

This paper describes the Ver-i-Fus Integrated Access Control and Information Monitoring and Management (IAC-I2M) system that INTELNET Inc. has developed. The Ver-i-Fus IAC-I2M system has been designed to meet the most stringent security and information monitoring requirements while allowing two- way communication between the user and the system. The systems offers a flexible interface that permits to integrate practically any sensing device, or combination of sensing devices, including a live-scan fingerprint reader, thus providing biometrics verification for enhanced security. Different configurations of the system provide solutions to different sets of access control problems. The re-configurable hardware interface, tied together with biometrics verification and a flexible interface that allows to integrate Ver-i-Fus with an MIS, provide an integrated solution to security, time and attendance, labor monitoring, production monitoring, and payroll applications.

Cognitive Processes and Students' Misconceptions in Science.

ERIC Educational Resources Information Center

Smith, Deborah C.

Several categories of misconceptions which appear to be emerging across studies are discussed. They include: mis-perceptions; stunted conceptions; mis-translations; confused conceptions; lost conceptions; and true misconceptions. True misconceptions are metaphors and analogies which represent truly complete systems of explanation but are…

Prehospital system delay in ST-segment elevation myocardial infarction care: a novel linkage of emergency medicine services and in hospital registry data.

PubMed

Fosbøl, Emil L; Granger, Christopher B; Peterson, Eric D; Lin, Li; Lytle, Barbara L; Shofer, Frances S; Lohmeier, Chad; Mears, Greg D; Garvey, J Lee; Corbett, Claire C; Jollis, James G; Glickman, Seth W

2013-03-01

Emergency medical services (EMS) are critical in the treatment of ST-segment elevation myocardial infarction (STEMI). Prehospital system delays are an important target for improving timely STEMI care, yet few limited data are available. Using a deterministic approach, we merged EMS data from the North Carolina Pre-hospital Medical Information System (PreMIS) with data from the Reperfusion of Acute Myocardial Infarction in Carolina Emergency Departments-Emergency Response (RACE-ER) Project. Our sample included all patients with STEMI from June 2008 to October 2010 who arrived by EMS and who had primary percutaneous coronary intervention (PCI). Prehospital system delays were compared using both RACE-ER and PreMIS to examine agreement between the 2 data sources. Overall, 8,680 patients with STEMI in RACE-ER arrived at a PCI hospital by EMS; 21 RACE-ER hospitals and 178 corresponding EMS agencies across the state were represented. Of these, 6,010 (69%) patients were successfully linked with PreMIS. Linked and notlinked patients were similar. Overall, 2,696 patients were treated with PCI only and were taken directly to a PCI-capable hospital by EMS; 1,750 were transferred from a non-PCI facility. For those being transported directly to a PCI center, 53% reached the 90-minute target guideline goal. For those transferred from a non-PCI facility, 24% reached the 120-minute target goal for primary PCI. We successfully linked prehospital EMS data with in hospital clinical data. With this linked STEMI cohort, less than half of patients reach goals set by guidelines. Such a data source could be used for future research and quality improvement interventions. Copyright © 2013 Mosby, Inc. All rights reserved.

Video stereo-laparoscopy system

NASA Astrophysics Data System (ADS)

Xiang, Yang; Hu, Jiasheng; Jiang, Huilin

2006-01-01

Minimally invasive surgery (MIS) has contributed significantly to patient care by reducing the morbidity associated with more invasive procedures. MIS procedures have become standard treatment for gallbladder disease and some abdominal malignancies. The imaging system has played a major role in the evolving field of minimally invasive surgery (MIS). The image need to have good resolution, large magnification, especially, the image need to have depth cue at the same time the image have no flicker and suit brightness. The video stereo-laparoscopy system can meet the demand of the doctors. This paper introduces the 3d video laparoscopy has those characteristic, field frequency: 100Hz, the depth space: 150mm, resolution: 10pl/mm. The work principle of the system is introduced in detail, and the optical system and time-division stereo-display system are described briefly in this paper. The system has focusing image lens, it can image on the CCD chip, the optical signal can change the video signal, and through A/D switch of the image processing system become the digital signal, then display the polarized image on the screen of the monitor through the liquid crystal shutters. The doctors with the polarized glasses can watch the 3D image without flicker of the tissue or organ. The 3D video laparoscope system has apply in the MIS field and praised by doctors. Contrast to the traditional 2D video laparoscopy system, it has some merit such as reducing the time of surgery, reducing the problem of surgery and the trained time.

About the age and habitat of the Kirgilyakh mammoth (Dima), Western Beringia

NASA Astrophysics Data System (ADS)

Lozhkin, A. V.; Anderson, P. M.

2016-08-01

The unearthing in 1977 of a complete frozen carcass of a young mammoth, known as the Kirgilyakh mammoth or Dima: 1) provided the first opportunity for detailed study of the anatomy of a mammoth calf; 2) provided a more detailed understanding of interstadial landscapes; and 3) suggested paleoclimatic variability occurred in Western Beringia during marine isotope stage (MIS) 3. Limited access to early Russian literature resulted in unfortunate misinformation in English-language publications. Since then, six other juvenile carcasses have been discovered in northern Siberia and additional Late Pleistocene paleobotanical records have increased understanding of MIS2 and MIS3 environments. Given the new data, it seems timely to re-examine information about the Kirgilyakh mammoth in the context of: 1) correcting mistakes about the age and environments of the site, including the manner of the mammoth's death; 2) comparing paleoenvironmental settings with that of other young mammoth carcasses; and 3) revisiting the concept of mammoth-steppe. This re-examination, which places the Kirgilyakh results in a broader spatial-temporal setting, reinforces the idea that climatic variability, including the Kirgilyakh cool interval, characterized MIS3. Unstable landscapes in mountains and lowlands were key factors in deaths of the Siberian mammoth calves. The prevalence of tundra in MIS2 model reconstructions and abundance of paleobotanical data indicating mesic tundra and forest during MIS3 suggest that classification of these intervals as mammoth-steppe is problematic.

A Modified Protocol with Improved Detection Rate for Mis-Matched Donor HLA from Low Quantities of DNA in Urine Samples from Kidney Graft Recipients.

PubMed

Kwok, Janette; Choi, Leo C W; Ho, Jenny C Y; Chan, Gavin S W; Mok, Maggie M Y; Lam, Man-Fei; Chak, Wai-Leung; Cheuk, Au; Chau, Ka-Foon; Tong, Matthew; Chan, Kwok-Wah; Chan, Tak-Mao

2016-01-01

Urine from kidney transplant recipient has proven to be a viable source for donor DNA. However, an optimized protocol would be required to determine mis-matched donor HLA specificities in view of the scarcity of DNA obtained in some cases. In this study, fresh early morning urine specimens were obtained from 155 kidney transplant recipients with known donor HLA phenotype. DNA was extracted and typing of HLA-A, B and DRB1 loci by polymerase chain reaction-specific sequence primers was performed using tailor-made condition according to the concentration of extracted DNA. HLA typing of DNA extracted from urine revealed both recipient and donor HLA phenotypes, allowing the deduction of the unknown donor HLA and hence the degree of HLA mis-match. By adopting the modified procedures, mis-matched donor HLA phenotypes were successfully deduced in all of 35 tested urine samples at DNA quantities spanning the range of 620-24,000 ng. This urine-based method offers a promising and reliable non-invasive means for the identification of mis-matched donor HLA antigens in kidney transplant recipients with unknown donor HLA phenotype or otherwise inadequate donor information.

ESR and 230Th/234U dating of speleothems from Aladağlar Mountain Range (AMR) in Turkey

NASA Astrophysics Data System (ADS)

Ulusoy, Ülkü; Anbar, Gül; Bayarı, Serdar; Uysal, Tonguç

2014-03-01

Electron spin resonance (ESR) and 230Th/234U ages of speleothem samples collected from karstic caves located around 3000 m elevation in the Aladağlar Mountain Range (AMR), south-central Turkey, were determined in order to provide new insight and information regarding late Pleistocene climate. ESR ages were validated with the 230Th/234U ages of test samples. The ESR ages of 21 different layers of six speleothem samples were found to range mostly between about 59 and 4 ka, which cover the Marine Oxygen Isotope Stages (MIS) MIS 3 to MIS 1. Among all, only six layers appear to have deposited during MIS 8 and 5. Most of the samples dated were deposited during the late glacial stage (MIS 2). It appears that a cooler climate with a perennial and steady recharge was more conducive to speleothem development rather than a warmer climate with seasonal recharge in the AMR during the late Quaternary. This argument supports previous findings that suggest a two -fold increase in last glacial maximum mean precipitation in Turkey with respect to the present value.

Toward optimal implementation of cancer prevention and control programs in public health: a study protocol on mis-implementation.

PubMed

Padek, Margaret; Allen, Peg; Erwin, Paul C; Franco, Melissa; Hammond, Ross A; Heuberger, Benjamin; Kasman, Matt; Luke, Doug A; Mazzucca, Stephanie; Moreland-Russell, Sarah; Brownson, Ross C

2018-03-23

Much of the cancer burden in the USA is preventable, through application of existing knowledge. State-level funders and public health practitioners are in ideal positions to affect programs and policies related to cancer control. Mis-implementation refers to ending effective programs and policies prematurely or continuing ineffective ones. Greater attention to mis-implementation should lead to use of effective interventions and more efficient expenditure of resources, which in the long term, will lead to more positive cancer outcomes. This is a three-phase study that takes a comprehensive approach, leading to the elucidation of tactics for addressing mis-implementation. Phase 1: We assess the extent to which mis-implementation is occurring among state cancer control programs in public health. This initial phase will involve a survey of 800 practitioners representing all states. The programs represented will span the full continuum of cancer control, from primary prevention to survivorship. Phase 2: Using data from phase 1 to identify organizations in which mis-implementation is particularly high or low, the team will conduct eight comparative case studies to get a richer understanding of mis-implementation and to understand contextual differences. These case studies will highlight lessons learned about mis-implementation and identify hypothesized drivers. Phase 3: Agent-based modeling will be used to identify dynamic interactions between individual capacity, organizational capacity, use of evidence, funding, and external factors driving mis-implementation. The team will then translate and disseminate findings from phases 1 to 3 to practitioners and practice-related stakeholders to support the reduction of mis-implementation. This study is innovative and significant because it will (1) be the first to refine and further develop reliable and valid measures of mis-implementation of public health programs; (2) bring together a strong, transdisciplinary team with significant expertise in practice-based research; (3) use agent-based modeling to address cancer control implementation; and (4) use a participatory, evidence-based, stakeholder-driven approach that will identify key leverage points for addressing mis-implementation among state public health programs. This research is expected to provide replicable computational simulation models that can identify leverage points and public health system dynamics to reduce mis-implementation in cancer control and may be of interest to other health areas.

A methodology proposal for collaborative business process elaboration using a model-driven approach

NASA Astrophysics Data System (ADS)

Mu, Wenxin; Bénaben, Frédérick; Pingaud, Hervé

2015-05-01

Business process management (BPM) principles are commonly used to improve processes within an organisation. But they can equally be applied to supporting the design of an Information System (IS). In a collaborative situation involving several partners, this type of BPM approach may be useful to support the design of a Mediation Information System (MIS), which would ensure interoperability between the partners' ISs (which are assumed to be service oriented). To achieve this objective, the first main task is to build a collaborative business process cartography. The aim of this article is to present a method for bringing together collaborative information and elaborating collaborative business processes from the information gathered (by using a collaborative situation framework, an organisational model, an informational model, a functional model and a metamodel and by using model transformation rules).

Substance abuse treatment management information systems: balancing federal, state, and service provider needs.

PubMed

Camp, J M; Krakow, M; McCarty, D; Argeriou, M

1992-01-01

There is increased interest in documenting the characteristics and treatment outcomes of clients served with Alcohol, Drug Abuse, and Mental Health Block Grant funds. The evolution of federal client-based management systems for substance abuse treatment services demonstrates that data collection systems are important but require continued support. A review of the Massachusetts substance abuse management information system illustrates the utility of a client-based data set. The development and implementation of a comprehensive information system require overcoming organizational barriers and project delays, fostering collaborative efforts among staff from diverse agencies, and employing considerable resources. In addition, the need to develop mechanisms for increasing the reliability of the data and ongoing training for the users is presented. Finally, three applications of the management information system's role in shaping policy are reviewed: developing services for special populations (communities of color, women, and pregnant substance abusers, and injection drug users), utilizing MIS data for evaluation purposes, and determining funding allocations.

Large shifts in vegetation and climate during the Early Weichselian (MIS 5d-c) inferred from multi-proxy evidence at Sokli (northern Finland)

NASA Astrophysics Data System (ADS)

Helmens, Karin F.; Väliranta, Minna; Engels, Stefan; Shala, Shyhrete

2012-05-01

For decades, detailed studies on Early Weichselian deposits have been made in central Europe. In contrast, these studies are rare in Fennoscandia in northern Europe. We here integrate an extensive multi-proxy data set obtained on sediments of MIS 5d-c age that form part of a long sediment record preserved at Sokli in northern Finland. We make a detailed interpretation of the vegetation and depositional history for MIS 5d-c using pollen, macrofossils, diatoms and other siliceous microfossils, insect remains, and sediment characteristics, and combine these data with recently published estimates on July temperatures based on chironomids and selected plant indicator species in order to make inferences of paleo-climate regimes. The fossil record obtained on the seven meter thick MIS 5d-c deposit at Sokli is exceptionally rich in species due to the large variety of habitats associated with an overall fluvial depositional environment. A braided river system flanked by steppe-tundra vegetation is inferred for MIS 5d. Mean July temperatures of at least 12-14 °C are indicated by chironomids and plant indicator species and are in agreement with the presence of conifers and birch trees as recorded by macrofossils. The reconstructed environmental conditions suggest strong continental climate conditions at Sokli during MIS 5d. The gradual infilling of an oxbow lake and subsequent return to stream channel deposition is traced in great detail in the overlying gyttja and gravelly sediment of MIS 5c age. The terrestrial pollen and plant macrofossil record from the gyttja shows the establishment of birch forest followed by the spread of pine and then spruce. Rich plant indicator species assemblages indicate that the boreal environment at Sokli during MIS 5c experienced July temperatures several degrees higher than the present-day value of 13 °C. The high summer temperatures and presence of larch suggest more continental conditions. More open vegetation returned at Sokli during late MIS 5c and was followed by glaciation by the Fennoscandian Ice Sheet (MIS 5b). Despite the major differences in zonal vegetation types during MIS 5d-c, differences in reconstructed July temperatures are minor and suggest that winter temperatures combined with precipitation values mostly determined the stadial-interstadial climate variability. The most compelling conclusion from our study is that forest development during MIS 5c was remarkably similar to that recorded for the Eemian (MIS 5e) and Holocene Interglacials at the high-latitude site Sokli, and also to that inferred from MIS 5c sediments on the northern European mainland. Our results question the definition of MIS 5c in the terrestrial record of Europe as an interstadial interval of the last glacial cycle and suggest inclusion of MIS 5c together with the Eemian (MIS 5e) in an interglacial complex.

Development of a medical robot system for minimally invasive surgery.

PubMed

Feng, Mei; Fu, Yili; Pan, Bo; Liu, Chang

2012-03-01

Robot-assisted systems have been widely used in minimally invasive surgery (MIS) practice, and with them the precision and accuracy of surgical procedures can be significantly improved. Promoting the development of robot technology in MIS will improve robot performance and help in tackling problems from complex surgical procedures. A medical robot system with a new mechanism for MIS was proposed to achieve a two-dimensional (2D) remote centre of motion (RCM). An improved surgical instrument was designed to enhance manipulability and eliminate the coupling motion between the wrist and the grippers. The control subsystem adopted a master-slave control mode, upon which a new method with error compensation of repetitive feedback can be based for the inverse kinematics solution. A unique solution with less computation and higher satisfactory accuracy was also obtained. Tremor filtration and trajectory planning were also addressed with regard to the smoothness of the surgical instrument movement. The robot system was tested on pigs weighing 30-45 kg. The experimental results show that the robot can successfully complete a cholecystectomy and meet the demands of MIS. The results of the animal experiments were excellent, indicating a promising clinical application of the robot with high manipulability. Copyright © 2011 John Wiley & Sons, Ltd.

European Scientific Notes. Volume 37, Number 4,

DTIC Science & Technology

1983-04-30

information through the system. Conventional screening of cytologi - V P.ftnost., P... l,,, S."". cal material is done manually using --... _ smears or other...simple single commands in the high level remotely located, cable drive units and Microvision language. Components are a vertical axis ball -screw...specially built compressed air , Jr. cannon . The cannon has a bore of 150 mm (fitted with sleeves for smaller mis- siles), and impact velocities up to

An Evaluation of Techniques for Ranking Academic Information Systems Journals

DTIC Science & Technology

1993-09-23

business schools . The instructions were to rank the top ten journals in order of decreasing importance. An importance/prestige index was 4 created...in the samples taken by each study could account for the variation in ranking. Doke and Luke (1987) surveyed deans of business schools (with...is unknown. Doke and Luke (1987) sent 45 their surveys primarily to business schools , whereas the surveys in our study went directly to MIS faculty

Phytoplankton assemblages and lipid biomarkers indicate sea-surface warming and sea-ice decline in the Ross Sea during Marine Isotope sub-Stage 5e

NASA Astrophysics Data System (ADS)

Hartman, Julian D.; Sangiorgi, Francesca; Peterse, Francien; Barcena, Maria A.; Albertazzi, Sonia; Asioli, Alessandra; Giglio, Federico; Langone, Leonardo; Tateo, Fabio; Trincardi, Fabio

2016-04-01

The Marine Isotope sub-Stage 5e (~ 125 - 119 kyrs BP), the last interglacial period before the present, is believed to have been globally warmer (~ 2°C) than today. Studying this time interval might therefore provide insights into near future climate state given the ongoing climate change and global temperature increase. Of particular interest are the expected changes in polar ice cover. One important aspect of the cryosphere is sea-ice, which influences albedo, deep and surface water currents, and phytoplankton production, and thus affects the global climate system. To investigate whether changes in sea-ice cover occurred in the Southern Ocean close to Antarctica during Marine Isotope sub-Stage 5e dinoflagellate and diatom assemblages have been analyzed in core AS05-10, drilled in the continental slope off the Drygalski basin (Ross Sea) at a water depth of 2377 m. The core was drilled within the frame of the PNRA 2009/A2.01 project, an Italian project with a multidisciplinary approach, and covers the interval from Present to Marine Isotope Stage (MIS) 7. The core stratigraphy is based on diatom bioevents and on the climate cyclicity provided by the variations of the diatom assemblages. For this study we focused on the interval from MIS7 to MIS5. A strong reduction of sea-ice-loving diatom taxa with respect to open water-loving diatom taxa is observed during MIS5. In general the production of phytoplankton increases at the base of MIS5 and then slowly decreases. Dinoflagellate cysts, particularly heterotrophic species, are abundant during MIS5e only. The sea surface temperature reconstruction based on the TEX86L, a proxy based on lipid biomarkers produced by Thaumarcheota, shows a 4°C temperature increase from MIS6 to MIS5e. A slightly smaller temperature increase is observed at the onset of MIS7, but this stage is barren of heterotrophic dinoflagellates. All proxies together seem to indicate that the retreat of the summer sea-ice in the Ross Sea during MIS5e was likely greater than that during MIS7.

Lithic technological responses to Late Pleistocene glacial cycling at Pinnacle Point Site 5-6, South Africa

PubMed Central

Brown, Kyle S.; Oestmo, Simen; Pereira, Telmo; Ranhorn, Kathryn L.; Schoville, Benjamin J.; Marean, Curtis W.

2017-01-01

There are multiple hypotheses for human responses to glacial cycling in the Late Pleistocene, including changes in population size, interconnectedness, and mobility. Lithic technological analysis informs us of human responses to environmental change because lithic assemblage characteristics are a reflection of raw material transport, reduction, and discard behaviors that depend on hunter-gatherer social and economic decisions. Pinnacle Point Site 5–6 (PP5-6), Western Cape, South Africa is an ideal locality for examining the influence of glacial cycling on early modern human behaviors because it preserves a long sequence spanning marine isotope stages (MIS) 5, 4, and 3 and is associated with robust records of paleoenvironmental change. The analysis presented here addresses the question, what, if any, lithic assemblage traits at PP5-6 represent changing behavioral responses to the MIS 5-4-3 interglacial-glacial cycle? It statistically evaluates changes in 93 traits with no a priori assumptions about which traits may significantly associate with MIS. In contrast to other studies that claim that there is little relationship between broad-scale patterns of climate change and lithic technology, we identified the following characteristics that are associated with MIS 4: increased use of quartz, increased evidence for outcrop sources of quartzite and silcrete, increased evidence for earlier stages of reduction in silcrete, evidence for increased flaking efficiency in all raw material types, and changes in tool types and function for silcrete. Based on these results, we suggest that foragers responded to MIS 4 glacial environmental conditions at PP5-6 with increased population or group sizes, ‘place provisioning’, longer and/or more intense site occupations, and decreased residential mobility. Several other traits, including silcrete frequency, do not exhibit an association with MIS. Backed pieces, once they appear in the PP5-6 record during MIS 4, persist through MIS 3. Changing paleoenvironments explain some, but not all temporal technological variability at PP5-6. PMID:28355257

Lithic technological responses to Late Pleistocene glacial cycling at Pinnacle Point Site 5-6, South Africa.

PubMed

Wilkins, Jayne; Brown, Kyle S; Oestmo, Simen; Pereira, Telmo; Ranhorn, Kathryn L; Schoville, Benjamin J; Marean, Curtis W

2017-01-01

There are multiple hypotheses for human responses to glacial cycling in the Late Pleistocene, including changes in population size, interconnectedness, and mobility. Lithic technological analysis informs us of human responses to environmental change because lithic assemblage characteristics are a reflection of raw material transport, reduction, and discard behaviors that depend on hunter-gatherer social and economic decisions. Pinnacle Point Site 5-6 (PP5-6), Western Cape, South Africa is an ideal locality for examining the influence of glacial cycling on early modern human behaviors because it preserves a long sequence spanning marine isotope stages (MIS) 5, 4, and 3 and is associated with robust records of paleoenvironmental change. The analysis presented here addresses the question, what, if any, lithic assemblage traits at PP5-6 represent changing behavioral responses to the MIS 5-4-3 interglacial-glacial cycle? It statistically evaluates changes in 93 traits with no a priori assumptions about which traits may significantly associate with MIS. In contrast to other studies that claim that there is little relationship between broad-scale patterns of climate change and lithic technology, we identified the following characteristics that are associated with MIS 4: increased use of quartz, increased evidence for outcrop sources of quartzite and silcrete, increased evidence for earlier stages of reduction in silcrete, evidence for increased flaking efficiency in all raw material types, and changes in tool types and function for silcrete. Based on these results, we suggest that foragers responded to MIS 4 glacial environmental conditions at PP5-6 with increased population or group sizes, 'place provisioning', longer and/or more intense site occupations, and decreased residential mobility. Several other traits, including silcrete frequency, do not exhibit an association with MIS. Backed pieces, once they appear in the PP5-6 record during MIS 4, persist through MIS 3. Changing paleoenvironments explain some, but not all temporal technological variability at PP5-6.

Viability after myocardial infarction: can it be assessed within five minutes by low-dose dynamic iodine-123-iodophenylpentadecanoic acid imaging with a multicrystal gamma camera?

PubMed

Murray, G L; Schad, N; Bush, A J

1997-04-01

Although positron emission tomography (PET) assesses myocardial viability (V) accurately, a rapid, inexpensive substitute is needed. Therefore, the authors developed a low-dose (1 mCi) Iodine-123-Iodophenylpentadecanoic Acid (IPPA) myocardial viability scan requiring analysis of only the first three minutes of data acquired at rest with a standard multicrystal gamma camera. Twenty-one patients > 2 weeks after myocardial infarction (MI) (24 MIs, 10 anterior, 14 inferoposterior, 21 akinetic or dyskinetic) had cardiac catheterization and resting IPPA imaging. V was determined by either transmural myocardial biopsy during coronary bypass surgery (12 patients, 14 MIs) or reinjection tomographic thallium scan (9 patients, 10 MIs), and 50% of MIs were viable. The IPPA variables analyzed were: time to initial left ventricular (LV) uptake in the region of interest (ROI), the ratio of three-minute uptake in the ROI to three-minute LV uptake, three-minute clearing (counts/pixel) in the ROI (decrease in IPPA after initial uptake), and three-minute accumulation (increase in IPPA after initial uptake) in the ROI. Rules for detecting V were generated and applied to 10 healthy volunteers to determine normalcy. While three-minute uptake in nonviable MIs was only 67% of volunteers (P < 0.0001) and 75% of viable MIs, uptake alone identified only 50% of viable MIs and 75% of nonviable MIs. IPPA clearing, however, was > or = 13.5 counts/pixel in 10/12 (83%) of viable MIs, and IPPA accumulation > or = 6.75 counts/pixel identified one more viable MI, for a sensitivity for V of 11/12 (92%), with a specificity of 11/12 (92%), and a 100% normalcy rate. The authors conclude low-dose IPPA (five-minute acquisition with analysis of the first three minutes of data) has potential for providing rapid, inexpensive V data after MI. Since newer multicrystal cameras are mobile, IPPA scans can be done in emergency rooms or coronary care units generating information that might be useful in decisions regarding thrombolysis, angioplasty, or bypass surgery.

Analytical Approaches for Identification and Representation of Critical Protection Systems in Transient Stability Studies

NASA Astrophysics Data System (ADS)

Hedman, Mojdeh Khorsand

After a major disturbance, the power system response is highly dependent on protection schemes and system dynamics. Improving power systems situational awareness requires proper and simultaneous modeling of both protection schemes and dynamic characteristics in power systems analysis tools. Historical information and ex-post analysis of blackouts reaffirm the critical role of protective devices in cascading events, thereby confirming the necessity to represent protective functions in transient stability studies. This dissertation is aimed at studying the importance of representing protective relays in power system dynamic studies. Although modeling all of the protective relays within transient stability studies may result in a better estimation of system behavior, representing, updating, and maintaining the protection system data becomes an insurmountable task. Inappropriate or outdated representation of the relays may result in incorrect assessment of the system behavior. This dissertation presents a systematic method to determine essential relays to be modeled in transient stability studies. The desired approach should identify protective relays that are critical for various operating conditions and contingencies. The results of the transient stability studies confirm that modeling only the identified critical protective relays is sufficient to capture system behavior for various operating conditions and precludes the need to model all of the protective relays. Moreover, this dissertation proposes a method that can be implemented to determine the appropriate location of out-of-step blocking relays. During unstable power swings, a generator or group of generators may accelerate or decelerate leading to voltage depression at the electrical center along with generator tripping. This voltage depression may cause protective relay mis-operation and unintentional separation of the system. In order to avoid unintentional islanding, the potentially mis-operating relays should be blocked from tripping with the use of out-of-step blocking schemes. Blocking these mis-operating relays, combined with an appropriate islanding scheme, help avoid a system wide collapse. The proposed method is tested on data from the Western Electricity Coordinating Council. A triple line outage of the California-Oregon Intertie is studied. The results show that the proposed method is able to successfully identify proper locations of out-of-step blocking scheme.

Student Usage of Instructional Technologies: Differences in Online Learning Styles

ERIC Educational Resources Information Center

Ballenger, Robert M.; Garvis, Dennis M.

2010-01-01

We contribute to the MIS education literature by empirically examining Web log server data generated by undergraduate students enrolled in multiple sections of a MIS course where an online Learning Management System (LMS) was used to complement a traditional classroom environment. We identify online learning styles by investigating differences in…

Enhancing Human Health Using Space Imagery: Summary of Research

NASA Technical Reports Server (NTRS)

Finarelli, Margaret G.

2002-01-01

The International Space University (ISU) 2002 Summer Session was conducted in Pomona, California, June 29-August 30, 2002. Ninety-nine professionals and students from thirty-one countries attended the Summer Session. More than half of these students participated in the Student Research Design Project entitled, "HI-STAR: Health Improvements through Space Technologies and Resources." ISU's interdisciplinary Student Research Design Projects are intended to have great educational value for the participants and, at the same time, to result in a product that will be useful to the field. The HI-STAR project was a success on both counts. The mission of the ISU students' effort on HI-STAR was to develop and promote a global strategy to help combat malaria using space technology. Like the tiny yet powerful mosquito, HI-STAR is a small program that aspires to make a difference. Timely detection of malaria danger zones is essential to help health authorities and policy makers make decisions about how to manage limited resources for combating malaria. In 2001, the technical support network for prevention and control of malaria epidemics published a study called "Malaria Early Warning Systems: Concepts, Indicators and Partners." This study, funded by Roll Back Malaria, a World Health Organization initiative, offered a framework for a monitoring and early warning system. HI-STAR seeks to build on this proposal and enhance the space elements of the suggested framework. Malaria disease dynamics and distributions are related to environmental variables. From space, environmental conditions that support the growth of mosquito populations can be monitored, Malaria-specific information can be gathered from satellite-borne remote sensing instruments and ground-based sensors. This information can be integrated via geographic information systems (GIS) into a Malaria Information System (MIS) that can provide assessment analyses and risk maps as output. HI-STAR defines and suggests the development of an active MIS as a low-cost tool to help organizations plan their efforts to fight malaria.

Climate at the edge of human dispersal in the European Middle Pleistocene

NASA Astrophysics Data System (ADS)

Horne, David

2014-05-01

Pleistocene palaeoclimatic reconstructions based on fossils from sites containing archaeological evidence of human occupation can answer key questions about the climatic context of early human dispersal in Europe. Biological proxies including foraminifera, ostracods, diatoms, chironomid larvae, molluscs and pollen are widely used to estimate palaeoclimatic parameters, typically palaeotemperatures, using indicator species, Mutual Climatic Range (MCR), Modern Analogue Technique (MAT) and transfer function approaches. Any single proxy method will yield plausible results, but there is a need for multi-proxy testing; matching or overlapping results inspire confidence, whereas if independent proxies yield results that do not match or even overlap, one or more must be wrong. The Multi-Proxy Consensus (MPC) approach not only compares two or more proxy results in order to check for agreement, but also offers potential for more refined results to be obtained from the range of mutual agreement between two or more overlapping palaeotemperature ranges. Studies of MIS9 (late Middle Pleistocene) deposits in the Thames-Medway river system in SE England (some of which contain stone implements representing human occupation) have yielded palaeotemperature estimates based on ostracods, beetles, fish, herpetiles, pollen and plant macrofossils. The MPC approach demonstrates the consistency of the results and defines a more continental climate than today (mean July air temperatures similar or 1 degree warmer, mean January air temperatures at least 2 degrees colder). Two River Thames MIS11 sites (Ebbsfleet and Swanscombe) have yielded MPC results indicating summers up to 1.5 degrees warmer and winters at least 5 degrees colder than today. British early Middle Pleistocene sites record the earliest human presence in Europe North of the Alps. At Boxgrove (MIS13), well-known for its rich record of human activity (stone tools and butchered bones), combined ostracod and herpetile MCR results indicate summers within 3 degrees (above or below) of present day values, but winters at least 2 degrees colder, consistent with the mutual consensus of beetle and ostracod MCR results from another MIS13 human occupation site, Waverley Wood. Comparable MPC results have been obtained from older sites including Sugworth (MIS15?), Norton Subcourse and West Runton (both MIS17-15?); although none of these has yielded evidence of human presence they are potentially informative about the climatic context of Pakefield (MIS19 or 17), one of the earliest British sites with such evidence, where palaeoclimate reconstruction (warmer summers, winters similar to or colder than today) is based solely on the beetles. Likewise only the beetle MCR method has thus far been applied to the oldest known human occupation site in Britain, Happisburgh (MIS25 or 21), where similar summers and colder winters are again indicated; as yet no opportunity has arisen to check this result against another proxy. Human colonization of these sites by dispersal from more southerly populations had to contend with colder/longer winters, requiring greater dependence on meat for food because plant resources were only available in warmer months. Adaptive strategies likely involved using shelters and animal hides to keep warm, and eventually also fire (at least by MIS11), rather than seasonal migrations or physiological adaptations.

Similar millennial climate variability on the Iberian margin during two early Pleistocene glacials and MIS 3

NASA Astrophysics Data System (ADS)

Birner, B.; Hodell, D. A.; Tzedakis, P. C.; Skinner, L. C.

2016-01-01

Although millennial-scale climate variability (<10 ka) has been well studied during the last glacial cycles, little is known about this important aspect of climate in the early Pleistocene, prior to the Middle Pleistocene Transition. Here we present an early Pleistocene climate record at centennial resolution for two representative glacials (marine isotope stages (MIS) 37-41 from approximately 1235 to 1320 ka) during the "41 ka world" at Integrated Ocean Drilling Program Site U1385 (the "Shackleton Site") on the southwest Iberian margin. Millennial-scale climate variability was suppressed during interglacial periods (MIS 37, MIS 39, and MIS 41) and activated during glacial inceptions when benthic δ18O exceeded 3.2‰. Millennial variability during glacials MIS 38 and MIS 40 closely resembled Dansgaard-Oeschger events from the last glacial (MIS 3) in amplitude, shape, and pacing. The phasing of oxygen and carbon isotope variability is consistent with an active oceanic thermal bipolar see-saw between the Northern and Southern Hemispheres during most of the prominent stadials. Surface cooling was associated with systematic decreases in benthic carbon isotopes, indicating concomitant changes in the meridional overturning circulation. A comparison to other North Atlantic records of ice rafting during the early Pleistocene suggests that freshwater forcing, as proposed for the late Pleistocene, was involved in triggering or amplifying perturbations of the North Atlantic circulation that elicited a bipolar see-saw response. Our findings support similarities in the operation of the climate system occurring on millennial time scales before and after the Middle Pleistocene Transition despite the increases in global ice volume and duration of the glacial cycles.

Virtual university applied to telesurgery: from teleeducation to telemanipulation.

PubMed

Marescaux, J; Soler, L; Mutter, D; Leroy, J; Vix, M; Koehl, C; Clément, J M

2000-01-01

PROBLEM/BACKGROUND: In order to improve patient care by minimal invasive surgery (MIS), we perfected a Virtual TeleSurgical University that allows for teleeducation, teleconcertation, surgical planning and telemanipulation, through new Virtual Reality and multimedia systems. The organization of this innovative school was federated around three major research programs. First, the TESUS program focused on the teletransmission of medical information, allowing for videoconferencing around the world and telementoring. Next, the WeBS-Surg program is a multimedia continuous surgical education system on internet, that allows for teleeducation and teleconcertation between world experts in MIS. Then, the MASTER program (Minimal Access Surgery by Telecommunications and Robotics) allowed the development of the third millenium Operating room. It included Virtual Reality systems that delineate automatically anatomical and pathological structures of a patients from him CT-scan, and that allow for an interactive surgical planning and force-feed-back simulation. It also included a telesurgical robot named Zeus controlled by surgeons through telemanipulation system. Tests and validation shows that all these systems improved all steps of the surgical procedure: preoperatively due to a better continuous education and a computer assisted surgical planning, and peroperatively due to teleconcertation, telementoring and telemanipulation systems. Revolutionary tools for minimal invasive surgery learning, planning and performing are all ready available. These tools represents the first prototype of the computer assisted tele-robotical surgery that will be the future of surgery.

Abrupt sand-dune accumulation at the northeastern margin of the Tibetan Plateau challenges the wet MIS3a inferred from numerous lake-highstands

PubMed Central

Long, Hao; Fuchs, Markus; Yang, Linhai; Cheng, Hongyi

2016-01-01

Over the Tibetan Plateau and adjacent regions, numerous 14C-based lake records revealed a ubiquitous wet climatic period during 40–25 ka (late MIS 3), which is in contradiction with the global pattern of generally cold and dry climates. This paper focuses on OSL dating results of a large set of sand dunes and alluvial sediments (50 OSL ages) from the Qinwangchuan (QWC) Basin at the northeast edge of the Tibetan Plateau, with the aim to test the validity of the anomalous wet condition for the late MIS 3 interval, evidenced by numerous lake highstands. The abrupt sand dune accumulation as indication of increased aridity in the study area was OSL dated to ~40–13 ka. This dry climatic inference of the sand dune system from QWC apparently shows no wet MIS 3a event. Thus, the anomalous wet conditions revealed by high lake levels for the late MIS 3 phase may not be a universal phenomena across entire western China. PMID:27172907

Palaeoclimatic implications of aeolian sediments on the Miaodao Islands, Bohai Sea, East China, based on OSL dating and proxies

NASA Astrophysics Data System (ADS)

Xu, Shujian; Ding, Xinchao; Yu, Lupeng; Ni, Zhichao

2015-12-01

The loess-paleosol sequences in Shandong Province, East China, is an important aeolian archive, which can provide information for aeolian activity, palaeoclimatic change and sea level change in eastern coast of China since the last interglacial period. However, for so long, most of the studies about loess have been focused on the Chinese Loess Plateau, remaining many questions and disputes about the loess in East China. The Xianjingyuan (XJY) section on the TIA, Bohai Sea, is a representative aeolian section for islands off the eastern coast of China. In this study, optically stimulated luminescence (OSL) dating, particle size and magnetic susceptibility were applied to date and analysis the loess-paleosol sequences in this section. The results show that: (1) The OSL ages at the depths of 0.8 m, 2.5 m, and 3.9 m are 12.6 ± 1.0 ka, 19.2 ± 1.1 ka and 56.9 ± 2.6 ka, respectively, and the loess started to accumulate at ca. 86.5 ka according to the depositional rates (2) The loess accumulated mainly during the Marine Isotope Stage (MIS) 2, i.e., Last glacial maximum and deglaciation, MIS4 and MIS3b with higher depositional rate, coarser grain size, and higher magnetic susceptibility; while paleosol mainly developed during MIS3a, MIS3c and MIS5 with lower depositional rate, finer grain size and lower magnetic susceptibility. (3) The palaeoclimatic changes and aeolian sediments evolution were mainly controlled by the changes of East Asian summer monsoon and sea levels.

Systems workplace for endoscopic surgery.

PubMed

Irion, K M; Novak, P

2000-01-01

With the advent of minimally invasive surgery (MIS) a decade ago, the requirements for operating rooms (OR) and their equipment have been increased. Compared with conventional open surgery, the new endoscopic techniques require additional tools. Television systems, for video-assisted image acquisition and visualisation, including cameras, monitors and light systems, as well as insufflators, pumps, high-frequency units, lasers and motorised therapy units, are nowadays usually made available on carts during endoscopic surgery. In conjunction with a set of endoscopic instruments, these high-tech units allow new operating techniques to be performed. The benefit for patients has become clear in recent years; however, the technical complexity of OR has also increased considerably. To minimise this problem for the OR personnel, the MIS concept 'OR1' (Operating Room 1) was developed and implemented. OR1 is a fully functional and integrated multi-speciality surgical suite for MIS. The centrepieces of the OR1 are the Storz Communication Bus (SCB) and the advanced image and data archiving system (Aida) from Karl Storz, Tuttlingen, Germany. Both components allow monitoring, access and networking of the MIS equipment and other OR facilities, as well as the acquisition, storage and display of image, patient and equipment data during the endoscopic procedure. A central user interface allows efficient, simplified operation and online clinical images. Due to the system integration, the handling of complex equipment is considerably simplified, logistical procedures in the OR are improved, procedure times are shorter and, particularly noteworthy, operative risk can be reduced through simplified device operation.

Refining the timing of the MIS 5e signal, West Caicos, Bristish West Indies:implications for paleoclimatic interpretation of the stratigraphic record

NASA Astrophysics Data System (ADS)

Kerans, C.; Zahm, C.; Bachtel, S.; Hearty, P.; Cheng, H.

2017-12-01

The progressive refinement of the Last Interglacial (LIG) tropical carbonate record has focused attention on the dramatically abrupt and episodic nature of this critical approximate 12 ka time window. From initial carbonate platform flooding at 133 ka to rapid sea level fall and exposure at 118 ka, the majority of present-day Bahamian and Caribbean strata were produced in a remarkably similar pattern extending from Bermuda and the Bahamas through the Cayman Islands, Yucatan, and south to the Dominican Republic. The position of coral reefs and oolitic sands of the LIG to a first order fit the global insolation-driven climate warming signal. Less well accepted/resolved is the existence of two distinct SL peaks with an intervening sea level fall implying a non-orbitally forced climate shift during this broader highstand. West Caicos, a 10 x 5 km leeward island on the Caicos Platform is an excellent example of LIG carbonate stratigraphic complexity. We collected sub-meter-resolution whole-island airborn LIDAR and decimeter-resolution UAV-constructed DEM's of the western and southern coastal outcrops to serve as a base for decimeter-scale mapping of the MIS 11, 7?, 5e, and Holocene units of the island, with particular focus on the continuous 8.4 km west coast outcrop of the MIS 5e. Seventy-five AAR relative age assignments from ooid separates, pinned by 16 U/Th dates from corals coming from MIS stage 11, lower MIS 5e, and upper MIS 5e reefs helped establish the age model for the Pleistocene-Holocene stratigraphy. The lower MIS 5e reef system averages 128 ka with an onset age of 133 ka. Upper MIS 5e corals ranges from 123 ka to 116 ka, bracketing the intra-MIS 5e sea-level fall between to approximately 125 ka. The intra-MIS 5e fall is a distinct erosional unconformity across 5 km of continuous outcrop, truncating the upper 2.5 m of lower 5e reef. The complexity of MIS 5e record on West Caicos and in the Northern Atlantic and Caribbean platforms regionally provides important insights for those using the Pleistocene as a model for older stratigraphic successions and their linked paleoclimatic records.

Surgical video systems.

PubMed

1995-11-01

Surgical video systems (SVSs), which typically consist of a video camera attached to an optical endoscope, a video processor, a light source, and a video monitor, are now being used to perform a significant number of minimally invasive surgical procedures. SVSs offer several advantages (e.g., multiple viewer visualization of the surgical site, increased clinician comfort) over nonvideo systems and have increased the practicality and convenience of minimally invasive surgery (MIS). Currently, SVSs are used by hospitals in their general, obstetric/gynecologic, orthopedic, thoracic, and urologic procedures, as well as in other specialties for which MIS is feasible. In this study, we evaluated 19 SVSs from 10 manufacturers, focusing on their use in laparoscopic applications in general surgery. We based our ratings on the usefulness of each system's video performance and features in helping clinicians provide safe and efficacious laparoscopic surgery. We rated 18 of the systems Acceptable because of their overall good performance and features. We rated 1 system Conditionally Acceptable because, compared with the other evaluated systems, this SVS presents a greater risk of thermal injury resulting from excessive heating at the distal tip of the laparoscope. Readers should be aware that our test results, conclusions, and ratings apply only to the specific systems and components tested in this Evaluation. In addition, although our discussion focuses on the laparoscopic application of SVSs, much of the information in this study also applies to other MIS applications, and the evaluated devices can be used in a variety of surgical procedures. To help hospitals gain the perspectives necessary to assess the appropriateness of specific SVSs to ensure that the needs of their patients, as well as the expectations of their clinicians, will be satisfied, we have included a Selection and Purchasing Guide that can be used as a supplement to our Evaluation findings. We have also included a Glossary of relevant terminology and the supplementary article, "Fiberoptic Illumination Systems and the Risk of Burns or Fire during Endoscopic Procedures," which addresses a safety concern with the use of these devices. While we made every effort to present the most current information, readers should recognize that this is a rapidly evolving technology, and developments occurring after our study was complete may not be reflected in the text. For additional information on topics related to this study, refer to the following Health Devices articles: (1) our Guidance Article, "Surgical Video Systems Used in Laparoscopy," 24(1), January 1995, which serves as an introduction to SVS terminology and includes a discussion of the significance of many SVS specifications; (2) our Evaluation, "Video Colonoscope Systems," 23(5), May 1994, which includes a detailed overview of video endoscopic applications and technology; and (3) our Evaluations of laparoscopic insufflators (21[5], May 1992, and 24[7], July 1995), which address issues related to the creation of a viewing and working space inside the peritoneal cavity to facilitate visualization in laparoscopic procedures.

Piezoelectric ultrasonic micro-motor system for minimally invasive surgery - the Intellimotor

NASA Astrophysics Data System (ADS)

Rogers, Geoffrey W.

2012-05-01

True micro-motor systems capable of direct and immediate integration are needed in order to advance the technological state and effectiveness of existing minimally invasive surgery (MIS) equipment. In this study, a three degree-of-freedom (DOF) piezoelectric ultrasonic micro-motor is reported, with a major diameter of only 350 μm; the Intellimotor. Upon integrating the micro-motor with a MIS micro-guidewire, a severe loss of actuation performance to the point of inoperability was observed, due to a detrimental loss of acoustic energy from the micro-motor. To combat this, two diameter 300 μm waveguide micro-Bragg reflectors (micro-BRs) were developed. A prototype micro-BR was constructed and tested to verify the ability to reflect otherwise lost acoustic energy, thereby enabling the integration of a resonant micro-actuator, such as the Intellimotor, with standard MIS equipment.

Soil carbon unlocked from MIS 5 to MIS 1 aged North Siberian permafrost: state and fate of decomposition

NASA Astrophysics Data System (ADS)

Schwamborn, Georg; Stapel, Janina G.; Mangelsdorff, Kai; Walz, Josefine; Knoblauch, Christian; Wetterich, Sebastian; Schirrmeister, Lutz

2017-04-01

At Bol'shoy Lyakhovsky, New Siberian Archipelago, multiple permafrost cores were obtained providing a Late Quaternary environmental record with deposits from marine isotope stages MIS 5 to MIS 1. This exceptionally long record is used to evaluate the stored potential of the freeze-locked organic matter (OM) to serve as substrate provider for greenhouse gas producing microorganisms. We relate modern signals of OM degradation from MIS 1 deposits to previous glacial-time deposits (MIS 4 and MIS 3) and to interglacial deposits (MIS 5), which may serve as an analogue for a future Arctic warmer than modern. From the oldest to the youngest, the composite record includes re-frozen MIS 5 lake deposits (sandy silt), floodplain deposits (sandy silt) from MIS 4, Ice Complex (i.e. Yedoma) deposits from MIS 4 to 3 (sandy silt), and alas deposits (sandy silt) from a drained and re-frozen thermokarst basin with MIS 1 ages. Whereas glacial-time deposits (MIS 4 and MIS 3) are fairly ice-rich with a median at 43 wt% ice content, interglacial deposits (MIS 5 and MIS 1) are moderately ice-rich with a median at 31 wt% ice content. In terms of total organic carbon content glacial-time deposits have moderate values with a median at 2.4 wt% and interglacial deposits have low values with a median at 0.4 wt%. Deposits from MIS 4 and MIS 3 possess an increased aliphatic character and therefore higher OM quality in terms of biodegradation compared to deposits from MIS 5 and MIS 1. The strongest primal and future substrate potential is stored within the glacial-time deposits, especially in those layers deposited during environmental conditions with increased moisture. The interstadial MIS 3 deposits hold the highest concentrations of pore-water acetate, which serve as optimal substrate for greenhouse gas generating microorganisms once it is unlocked from the perennially frozen ground. MIS 3 deposits also contain the highest concentrations of organic acids ester-bound to the organic matrix, implying an increased and still stored future substrate pool. In contrast, interglacial MIS 5 deposits are distinctly depleted in both primal and future substrate pools, whereas MIS 1 substrates are partly depleted in that sense. Incubation experiments reveal that moderate CO2 and low CH4 concentrations can be generated from the deposits (after 285 days at 4°C). MIS 4 and MIS 3 deposits produce markedly higher amounts of aerobic and anaerobic CO2 than MIS 5 deposits. CH4 production was only observed in MIS 5 and in a few MIS 1 samples. This points to the fact that greenhouse gas production potentials depend on particular soil properties and environmental conditions during OM deposition and the degree of degradation prior to incorporation into permafrost.

Terrestrial biomarkers in the sediment of the East Sea (Japan Sea) since the MIS 11: implications for paleoproductivity and paleoclimatic changes

NASA Astrophysics Data System (ADS)

Hyun, S.; Suh, Y. J.; Woo, K. S.; Ikehara, M.

2014-12-01

Terrestrial biomarkers such as n-alkanes and cholesterol were analyzed to infer the variations of paleoproductivity and the corresponding paleoclimatologic information from the sediment of the Korean Plateau, East Sea (Japan Sea) since the Marine Isotope Stage (MIS) 11 (ca. 400 ka). Previous studies of SST variation have shown that glacial-interglacial scale changes were quite variable with the maximum range of 26oC in MIS 7, and the minimum range of 12oC during MIS 2 and 6. The distribution of terrestrial n-alkanes signatures is characterized by the occurrence of high odd number frequency with a minor contribution of specific compound (nC27 only). Average Chain Length (ACL) and Carbon Preferences Index (CPI), both of which are derived from n-alkane combination, show similar shifting between glacial and interglacial periods. This suggests that paleovegetation communities had been changed in responding to paleoclimatological variations, and the input amount of terrestrial compound was strongly linked with paleoclimatologic changes. In particular, depleted values of δ13Corg during MIS 2, 8 and 10 were coincident with lower nitrogen isotope values indicating local paleoceanographic effects such as paleoproductivity changes. Decoupling between δ13Corg and δ15Norg during MIS 1, 3, 5, 7 and coupling of the two during MIS 8 and 11 can be observed, which appear to be interpreted as local productivity changes. In particular, high abundance of cholesterol and C21 n-alkanes, which were derived from diatom, increased during interglacial periods. Therefore, alkenones, SST and n-alkanes signatures coincide with δ13Corg and δ15Norg variations during glacial-interglacial cycles and further strongly associated with cholesterol abundance suggesting that the paleoenvironmental conditions in East Sea during glacial-interglacial periods were sensitive not only to global climate changes but also to local paleceanographic variations. Surface water circulation around the Korea Plateau associated with eustatic sea-level changes may have been linked with paleoproductivity changes, at least on the Korea Plateau of the East Sea (Japan Sea) since the last MIS 11.

Post-upgrade testing on a radiotherapy oncology information system with an embedded record and verify system following the IAEA Human Health Report No. 7 recommendations.

PubMed

Nyathi, Thulani; Colyer, Christopher; Bhardwaj, Anup Kumar; Rijken, James; Morton, Jason

2016-06-01

Record and verify (R&V) systems have proven that their application in radiotherapy clinics leads to a significant reduction in mis-treatments of patients. The purpose of this technical note is to share our experience of acceptance testing, commissioning and setting up a quality assurance programme for the MOSAIQ® oncology information system and R&V system after upgrading from software version 2.41 to 2.6 in a multi-vendor, multi-site environment. Testing was guided primarily by the IAEA Human Report No. 7 recommendations, but complemented by other departmental workflow specific tests. To the best of our knowledge, this is the first time successful implementation of the IAEA Human Health Report Series No. 7 recommendations have been reported in the literature. Copyright © 2016 Associazione Italiana di Fisica Medica. Published by Elsevier Ltd. All rights reserved.

Marine Isotope Stage 11 : The Role of Co2, Insolation and Antarctica Ice Sheet On This Interglacial

NASA Astrophysics Data System (ADS)

Raynaud, D.; Loutre, M. F.; Ritz, C.; Barnola, J.-M.; Berger, A.; Chappellaz, J.; Jouzel, J.; Lipenkov, V.; Petit, J.-R.; Vimeux, F.

The Marine Isotopic Stage 11 (MIS 11), around 400kyr BP ago, has been suggested as an analogue for a future climate under natural forcing because of the similar condi- tions of orbitally driven insolation during this interglacial period and the one covering the Holocene and the near future. There are many open questions about unusual MIS 11 climatic conditions (length of the interglacial, temperature, sea level, marine car- bonate system), as recorded in different marine and continental records. The Antarctic Vostok ice core provides the only atmospheric record extending back to MIS 11 and we use it to discuss the Antarctic temperature, the atmospheric CO2 concentration and the ice sheet stability in the central part of East Antarctica during this interglacial. The unique nature of the Vostok atmospheric record leads us to use the available Vos- tok data to drive climate and ice sheet models for MIS 11. A model of intermediate complexity (LLN-2D model) is used to investigate the sensitivity of the simulated MIS 11 deglaciation to the interplay between insolation and CO2. It is shown that the length of the simulated interglacial depends strongly on the phasing between these two climate forcings. We also investigate the response of the Antarctic Ice Sheet to changing climate through simulations performed with the LGGE 3-D ice sheet model. The results indicate that sea level stands during MIS 11 as high as 20 m. above present level, as suggested by different elevated marine terraces, cannot be explained, except by assuming that MIS 11 was very dry over Antarctica.

Comparison of Accuracy between Side-Cutting Instruments and Front-Cutting Instruments in Minimally Invasive Total Knee Arthroplasty.

PubMed

Pinsornsak, Piya; Harnroongroj, Thos

2016-11-01

The specialized instrument system used in minimally invasive surgery (MIS) has been developed for reducing soft tissue trauma in total knee arthroplasty (TKA). Compared with front-cutting MIS instruments, side-cutting quadriceps sparing MIS instruments have the advantage of creating a smaller incision and causing fewer traumas to the quadriceps tendon. However, the accuracy of side-cutting instruments concerns surgeons in prosthesis malalignment. To compare the accuracy of side-cutting quadriceps sparing instruments versus front-cutting instruments in MIS-TKA. In this prospective randomized controlled study, we compared the accuracy of side-cutting quadriceps sparing instruments versus the front-cutting instruments used in MIS-TKA. Sixty knees were included in the study, with 30 knees in each group. All the operations were performed by single surgeon. Coronal alignment (tibiofemoral angle, lateral distal femoral angle, and medial proximal tibial angle), and sagittal alignment (femoral component flexion and tibial posterior slope) were measured and compared. Tibiofemoral angle, lateral distal femoral angle, and medial proximal tibial angle, all of which are considered in the assessment of acceptable coronal radiographic alignment, were not different between groups (p = 0.353, 0.500, and 0.177, respectively). However, side-cutting quadriceps sparing instruments produced less acceptable sagittal radiographic alignment, femoral component flexion (63% vs. 93%, p = 0.005), and tibial posterior slope (73% vs. 93%, p = 0.04). Side-cutting quadriceps sparing MIS-TKA instruments had similar accuracy to front-cutting MIS-TKA instruments for coronal alignment but is less accurate for sagittal alignment.

Northern Hemisphere Glaciation during the Globally Warm Early Late Pliocene

PubMed Central

De Schepper, Stijn; Groeneveld, Jeroen; Naafs, B. David A; Van Renterghem, Cédéric; Hennissen, Jan; Head, Martin J.; Louwye, Stephen; Fabian, Karl

2013-01-01

The early Late Pliocene (3.6 to ∼3.0 million years ago) is the last extended interval in Earth's history when atmospheric CO2 concentrations were comparable to today's and global climate was warmer. Yet a severe global glaciation during marine isotope stage (MIS) M2 interrupted this phase of global warmth ∼3.30 million years ago, and is seen as a premature attempt of the climate system to establish an ice-age world. Here we propose a conceptual model for the glaciation and deglaciation of MIS M2 based on geochemical and palynological records from five marine sediment cores along a Caribbean to eastern North Atlantic transect. Our records show that increased Pacific-to-Atlantic flow via the Central American Seaway weakened the North Atlantic Current and attendant northward heat transport prior to MIS M2. The consequent cooling of the northern high latitude oceans permitted expansion of the continental ice sheets during MIS M2, despite near-modern atmospheric CO2 concentrations. Sea level drop during this glaciation halted the inflow of Pacific water to the Atlantic via the Central American Seaway, allowing the build-up of a Caribbean Warm Pool. Once this warm pool was large enough, the Gulf Stream–North Atlantic Current system was reinvigorated, leading to significant northward heat transport that terminated the glaciation. Before and after MIS M2, heat transport via the North Atlantic Current was crucial in maintaining warm climates comparable to those predicted for the end of this century. PMID:24349081

Perception versus reality: elucidating motivation and expectations of current fellowship council minimally invasive surgery fellows.

PubMed

Watkins, Jeffrey R; Pryor, Aurora D; Truitt, Michael S; Jeyarajah, D Rohan

2018-04-17

The aim of our study is to determine minimally invasive trainee motivation and expectations for their respective fellowship. Minimally Invasive Surgery (MIS) is one of the largest non-ACGME post-residency training pathways though little is known concerning the process of residents choosing MIS as a fellowship focus. As general surgery evolves, it is important to understand resident motivation in order to better prepare them for a surgical career. A survey invitation was sent to current trainees in the Minimally Invasive and related pathways through the Fellowship Council. The participants were asked to complete a web-based questionnaire detailing demographics, experiences preparing for fellowship, motivation in choosing an MIS fellowship, and expectations for surgical practice after fellowship. Sixty-seven MIS trainees responded to the survey out of 151 invitations (44%). The Fellowship Council website, mentors, and other fellows were cited as the most helpful source of information when applying for fellowship. Trainees were active in surgical societies as residents, with 78% having membership in the ACS and 60% in SAGES. When deciding to pursue MIS as a fellowship, the desire to increase laparoscopic training was the most important factor. The least important reasons cited were lack of laparoendoscopic training in residency and desire to learn robotic surgery. The majority of trainees believed their laparoscopic skill set was above that of their residency cohort (81%). The most desired post-fellowship employment model is hospital employee (46%) followed by private practice (27%). Most fellows plan on marketing themselves as MIS surgeons (90%) or General Surgeons (78%) when in practice. Residents who choose MIS as a fellowship have a strong exposure to laparoscopy and want to become specialists in their field. Mentors and surgical societies including ACS and SAGES play a vital role in preparing residents for fellowship and practice.

Development of optical FBG force measurement system for the medical application

NASA Astrophysics Data System (ADS)

Song, Hoseok; Kim, Kiyoung; Suh, Jungwook; Lee, Jungju

2010-03-01

Haptic feedback plays a very important role in medical surgery. In minimally invasive surgery (MIS), however, very long and stiff bar of instruments take haptic feeling away from the surgeon. In minimally invasive robotic surgery (MIRS), moreover, haptic feelings are totally eliminated. Previous researchers have reported that the absence of force feedback increased the average force magnitude applied to the tissue by at least 50%, and increased the peakforce magnitude by at least a factor of two. Therefore, it is very important to provide haptic information in MIRS. Recently, many sensors are being developed for MIS or MIRS, but they have some obstacles in their application to real situations of medical surgery. The most critical problems are size limit and sterilizability. Optical fiber sensors are one of the most suitable sensors for this environment. Especially, optical fiber Bragg grating (FBG) sensor has one additional advantage than the other optical fiber sensors. FBG sensor is not influenced by intensity of light source. In this paper, we would like to present the initial results of study on the application of the FBG sensor to measure reflected forces in MIRS environments and then suggest the possibility of successful application to the MIRS systems.

Development of optical FBG force measurement system for the medical application

NASA Astrophysics Data System (ADS)

Song, Hoseok; Kim, Kiyoung; Suh, Jungwook; Lee, Jungju

2009-12-01

Haptic feedback plays a very important role in medical surgery. In minimally invasive surgery (MIS), however, very long and stiff bar of instruments take haptic feeling away from the surgeon. In minimally invasive robotic surgery (MIRS), moreover, haptic feelings are totally eliminated. Previous researchers have reported that the absence of force feedback increased the average force magnitude applied to the tissue by at least 50%, and increased the peakforce magnitude by at least a factor of two. Therefore, it is very important to provide haptic information in MIRS. Recently, many sensors are being developed for MIS or MIRS, but they have some obstacles in their application to real situations of medical surgery. The most critical problems are size limit and sterilizability. Optical fiber sensors are one of the most suitable sensors for this environment. Especially, optical fiber Bragg grating (FBG) sensor has one additional advantage than the other optical fiber sensors. FBG sensor is not influenced by intensity of light source. In this paper, we would like to present the initial results of study on the application of the FBG sensor to measure reflected forces in MIRS environments and then suggest the possibility of successful application to the MIRS systems.

A national review of the frequency of minimally invasive surgery among general surgery residents: assessment of ACGME case logs during 2 decades of general surgery resident training.

PubMed

Richards, Morgan K; McAteer, Jarod P; Drake, F Thurston; Goldin, Adam B; Khandelwal, Saurabh; Gow, Kenneth W

2015-02-01

Minimally invasive surgery (MIS) has created a shift in how many surgical diseases are treated. Examining the effect on resident operative experience provides valuable insight into trends that may be useful for restructuring the requirements of resident training. To evaluate changes in general surgery resident operative experience regarding MIS. Retrospective review of the frequency of MIS relative to open operations among general surgery residents using the Accreditation Council for Graduate Medical Education case logs for academic years 1993-1994 through 2011-2012. General surgery residency training among accredited programs in the United States. We analyzed the difference in the mean number of MIS techniques and corresponding open procedures across training periods using 2-tailed t tests with statistical significance set at P < .05. Of 6,467,708 operations with the option of MIS, 2,393,030 (37.0%) were performed with the MIS approach. Of all MIS operations performed, the 5 most common were cholecystectomy (48.5%), appendectomy (16.2%), groin hernia repair (10.0%), abdominal exploration (nontrauma) (4.4%), and antireflux procedures (3.6%). During the study period, there was a transition from a predominantly open to MIS approach for appendectomy, antireflux procedures, thoracic wedge resection, and partial gastric resection. Cholecystectomy is the only procedure for which MIS was more common than the open technique throughout the study period (P < .001). The open approach is more common for all other procedures, including splenectomy (0.7% MIS), common bile duct exploration (24.9% MIS), gastrostomy (25.9% MIS), abdominal exploration (33.1% MIS), hernia (20.3% MIS), lung resection (22.3% MIS), partial or total colectomy (39.1%), enterolysis (19.0% MIS), ileostomy (9.0% MIS), enterectomy (5.2% MIS), vagotomy (1.8% MIS), and pediatric antireflux procedures (35.9% MIS); P < .001. Minimally invasive surgery has an increasingly prominent role in contemporary surgical therapy for many common diseases. The open approach, however, still predominates in all but 5 procedures. Residents today must become efficient at performing multiple techniques for a single procedure, which demands a broader skill set than in the past.

Modeling and optimal design of an optical MEMS tactile sensor for use in robotically assisted surgery

NASA Astrophysics Data System (ADS)

Ahmadi, Roozbeh; Kalantari, Masoud; Packirisamy, Muthukumaran; Dargahi, Javad

2010-06-01

Currently, Minimally Invasive Surgery (MIS) performs through keyhole incisions using commercially available robotic surgery systems. One of the most famous examples of these robotic surgery systems is the da Vinci surgical system. In the current robotic surgery systems like the da Vinci, surgeons are faced with problems such as lack of tactile feedback during the surgery. Therefore, providing a real-time tactile feedback from interaction between surgical instruments and tissue can help the surgeons to perform MIS more reliably. The present paper proposes an optical tactile sensor to measure the contact force between the bio-tissue and the surgical instrument. A model is proposed for simulating the interaction between a flexible membrane and bio-tissue based on the finite element methods. The tissue is considered as a hyperelastic material with the material properties similar to the heart tissue. The flexible membrane is assumed as a thin layer of silicon which can be microfabricated using the technology of Micro Electro Mechanical Systems (MEMS). The simulation results are used to optimize the geometric design parameters of a proposed MEMS tactile sensor for use in robotic surgical systems to perform MIS.

Intestinal microflora as potential modifiers of sensitizer activity in vivo

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

Sheldon, P.W.; Clarke, C.; Dawson, K.B.

1984-08-01

Treatment of mice (some bearing Lewis lung tumors), with penicillin (PEN) at 500 mg/l drinking water for one week prior to treatment with misonidazole (MIS), resulted in: the elimination of their anaerobic cecal flora; a decrease in MIS-induced neurotoxicity; an increase in pharmacological exposure to MIS; a decrease in MIS chemopotentiation; a probable increase in MIS radiosensitization; an increase in MIS induced hypothermia. Assuming no chemical interaction between PEN and MIS, these observations indicate that the intestinal microflora can influence the activity of MIS in vivo. The observed reduction in the neurotoxic but not the radiosensitizing potential of MIS followingmore » PEN treatment indicates a therapeutic benefit.« less

Sedimentary architecture and chronostratigraphy of a late Quaternary incised-valley fill: A case study of the late Middle and Late Pleistocene Rhine system in the Netherlands

NASA Astrophysics Data System (ADS)

Peeters, J.; Busschers, F. S.; Stouthamer, E.; Bosch, J. H. A.; Van den Berg, M. W.; Wallinga, J.; Versendaal, A. J.; Bunnik, F. P. M.; Middelkoop, H.

2016-01-01

This paper describes the sedimentary architecture, chronostratigraphy and palaeogeography of the late Middle and Late Pleistocene (Marine Isotope Stage/MIS 6-2) incised Rhine-valley fill in the central Netherlands based on six geological transects, luminescence dating, biostratigraphical data and a 3D geological model. The incised-valley fill consists of a ca. 50 m thick and 10-20 km wide sand-dominated succession and includes a well-developed sequence dating from the Last Interglacial: known as the Eemian in northwest Europe. The lower part of the valley fill contains coarse-grained fluvio-glacial and fluvial Rhine sediments that were deposited under Late Saalian (MIS 6) cold-climatic periglacial conditions and during the transition into the warm Eemian interglacial (MIS 5e-d). This unit is overlain by fine-grained fresh-water flood-basin deposits, which are transgressed by a fine-grained estuarine unit that formed during marine high-stand. This ca. 10 m thick sequence reflects gradual drowning of the Eemian interglacial fluvial Rhine system and transformation into an estuary due to relative sea-level rise. The chronological data suggests a delay in timing of regional Eemian interglacial transgression and sea-level high-stand of several thousand years, when compared to eustatic sea-level. As a result of this glacio-isostatic controlled delay, formation of the interglacial lower deltaic system took only place for a relative short period of time: progradation was therefore limited. During the cooler Weichselian Early Glacial period (MIS 5d-a) deposition of deltaic sediments continued and extensive westward progradation of the Rhine system occurred. Major parts of the Eemian and Weichselian Early Glacial deposits were eroded and buried as a result of sea-level lowering and climate cooling during the early Middle Weichselian (MIS 4-3). Near complete sedimentary preservation occurred along the margins of the incised valley allowing the detailed reconstruction presented here.

Effect of minimally invasive surgery fellowship on residents' operative experience.

PubMed

Altieri, Maria S; Frenkel, Catherine; Scriven, Richard; Thornton, Deborah; Halbert, Caitlin; Talamini, Mark; Telem, Dana A; Pryor, Aurora D

2017-01-01

There is an increased need for surgical trainees to acquire advanced laparoscopic skills as laparoscopy becomes the standard of care in many areas of general surgery. Since the introduction of minimally invasive surgery (MIS) fellowships, there has been a continuing debate as to whether these fellowships adversely affect general surgery resident exposure to laparoscopic cases. The aim of our study was to examine whether the introduction of an MIS fellowship negatively impacts general surgery residents' experience at a single academic center. We describe the changes following establishment of MIS fellowship at an academic center. Resident case log system from the Accreditation Council for Graduate Medical Education was queried to obtain all PGY 1-5 resident operative case logs. Two-year time period preceding and following the institution of an MIS fellowship at our institution in 2012 was compared. P values less than 0.05 were considered statistically significant. Following initiation of the MIS fellowship, an MIS service was established. The service comprised of a fellow, midlevel resident, and intern. Operative experience was examined. From 2010-2012 to 2012-2014, residents logged a total of 272 and 585 complex laparoscopic cases, respectively. There were 43 residents from 2010 to 2013 and 44 residents from 2013 to 2014. When the two time periods were compared, a trend of increased numbers for all procedures was noted, except laparoscopic GYN/genito-urinary procedures. Average percent increase in complex general surgery procedures was 249 ± 179.8 %. Following establishment of a MIS fellowship, reported cases by residents were higher or similar to those reported nationally for laparoscopic procedures. Institution of an MIS fellowship had a favorable effect on general surgery resident operative education at a single academic training center. Residents may benefit from the presence of a fellowship at an academic center because they are able to participate in an increased number of complex laparoscopic cases.

Studies of short and long memory in mining-induced seismic processes

NASA Astrophysics Data System (ADS)

Węglarczyk, Stanisław; Lasocki, Stanisław

2009-09-01

Memory of a stochastic process implies its predictability, understood as a possibility to gain information on the future above the random guess level. Here we search for memory in the mining-induced seismic process (MIS), that is, a process induced or triggered by mining operations. Long memory is investigated by means of the Hurst rescaled range analysis, and the autocorrelation function estimate is used to test for short memory. Both methods are complemented with result uncertainty analyses based on different resampling techniques. The analyzed data comprise event series from Rudna copper mine in Poland. The studies show that the interevent time and interevent distance processes have both long and short memory. MIS occurrences and locations are internally interrelated. Internal relations among the sizes of MIS events are apparently weaker than those of other two studied parameterizations and are limited to long term interactions.

Neural circuitry governing anxious individuals' mis-allocation of working memory to threat.

PubMed

Stout, Daniel M; Shackman, Alexander J; Pedersen, Walker S; Miskovich, Tara A; Larson, Christine L

2017-08-18

Dispositional anxiety is a trait-like phenotype that confers increased risk for a range of debilitating neuropsychiatric disorders. Like many patients with anxiety disorders, individuals with elevated levels of dispositional anxiety are prone to intrusive and distressing thoughts in the absence of immediate threat. Recent electrophysiological research suggests that these symptoms are rooted in the mis-allocation of working memory (WM) resources to threat-related information. Here, functional MRI was used to identify the network of brain regions that support WM for faces and to quantify the allocation of neural resources to threat-related distracters in 81 young adults. Results revealed widespread evidence of mis-allocation. This was evident in both face-selective regions of the fusiform cortex and domain-general regions of the prefrontal and parietal cortices. This bias was exaggerated among individuals with a more anxious disposition. Mediation analyses provided compelling evidence that anxious individuals' tendency to mis-allocate WM resources to threat-related distracters is statistically explained by heightened amygdala reactivity. Collectively, these results provide a neurocognitive framework for understanding the pathways linking anxious phenotypes to the development of internalizing psychopathology and set the stage for developing improved intervention strategies.

Dead Sea drawdown and monsoonal impacts in the Levant during the last interglacial

NASA Astrophysics Data System (ADS)

Torfstein, Adi; Goldstein, Steven L.; Kushnir, Yochanan; Enzel, Yehouda; Haug, Gerald; Stein, Mordechai

2015-02-01

Sediment cores recovered by the Dead Sea Deep Drilling Project (DSDDP) from the deepest basin of the hypersaline, terminal Dead Sea (lake floor at ∼725 m below mean sea level) reveal the detailed climate history of the lake's watershed during the last interglacial period (Marine Isotope Stage 5; MIS5). The results document both a more intense aridity during MIS5 than during the Holocene, and the moderating impacts derived from the intense MIS5e African Monsoon. Early MIS5e (∼133-128 ka) was dominated by hyperarid conditions in the Eastern Mediterranean-Levant, indicated by thick halite deposition triggered by a lake-level drop. Halite deposition was interrupted however, during the MIS5e peak (∼128-122 ka) by sequences of flood deposits, which are coeval with the timing of the intense precession-forced African monsoon that generated Mediterranean sapropel S5. A subsequent weakening of this humidity source triggered extreme aridity in the Dead Sea watershed and resulting in the biggest known lake level drawdown in its history, reflected by the deposition of thick salt layers, and a capping pebble layer corresponding to a hiatus at ∼116-110 ka. The DSDDP core provides the first evidence for a direct association of the African monsoon with mid subtropical latitude climate systems effecting the Dead Sea watershed. Combined with coeval deposition of Arabia and southern Negev speleothems, Arava travertines, and calcification of Red Sea corals, the evidence points to a climatically wet corridor that could have facilitated homo sapiens migration "out of Africa" during the MIS5e peak. The hyperaridity documented during MIS5e may provide an important analogue for future warming of arid regions of the Eastern Mediterranean-Levant.

Variation in Microbial Identification System Accuracy for Yeast Identification Depending on Commercial Source of Sabouraud Dextrose Agar

PubMed Central

Kellogg, James A.; Bankert, David A.; Chaturvedi, Vishnu

1999-01-01

The accuracy of the Microbial Identification System (MIS; MIDI, Inc.) for identification of yeasts to the species level was compared by using 438 isolates grown on prepoured BBL Sabouraud dextrose agar (SDA) and prepoured Remel SDA. Correct identification was observed for 326 (74%) of the yeasts cultured on BBL SDA versus only 214 (49%) of yeasts grown on Remel SDA (P < 0.001). The commercial source of the SDA used in the MIS procedure significantly influences the system’s accuracy. PMID:10325387

Computerizing an integrated clinical and financial record system in a CMHC: a pilot project.

PubMed

Newkham, J; Bawcom, L

1981-01-01

The authors describe the three-year experience of a mid-sized community mental health center in designing and installing an automated Staff/Management Information System (S/MIS). The purpose of the project, piloted at the heart od Texas Region Mental Health Mental Retardation Center (HOTRMHMR) in Waco, Texas, was to examine the feasibility of a comprehensive data system operating at a local level which would create an effective audit trail for services and reimbursement and serve as a viable mechanism for the transmission of center data to a state system via computer tapes. Included in the discussion are agency philosophy, costs, management attitudes, the design and implementation process, and special features which evolved from the fully integrated system.

A model of evaluation planning, implementation and management: Toward a ?culture of information? within organizations

NASA Astrophysics Data System (ADS)

Bhola, H. S.

1992-03-01

The argument underlying the ongoing "paradigm shift" from logical positivism to constructionism is briefly laid out. A model of evaluation planning, implementation and management (called the P-I-M Model, for short) is then presented that assumes a complementarity between the two paradigms. The model further implies that for effective decision-making within human organizations, both "evaluative data" and "descriptive data" are needed. "Evaluative data" generated by evaluation studies must, therefore, be undergirded by an appropriate management information system (MIS) that can generate "descriptive data", concurrently with the process of program implementation. The P-I-M Model, if fully actualized, will enable human organizations to become vibrant "cultures of information" where "informed" decision-making becomes a shared norm among all stakeholders.

Decoding noises in HIV computational genotyping.

PubMed

Jia, MingRui; Shaw, Timothy; Zhang, Xing; Liu, Dong; Shen, Ye; Ezeamama, Amara E; Yang, Chunfu; Zhang, Ming

2017-11-01

Lack of a consistent and reliable genotyping system can critically impede HIV genomic research on pathogenesis, fitness, virulence, drug resistance, and genomic-based healthcare and treatment. At present, mis-genotyping, i.e., background noises in molecular genotyping, and its impact on epidemic surveillance is unknown. For the first time, we present a comprehensive assessment of HIV genotyping quality. HIV sequence data were retrieved from worldwide published records, and subjected to a systematic genotyping assessment pipeline. Results showed that mis-genotyped cases occurred at 4.6% globally, with some regional and high-risk population heterogeneities. Results also revealed a consistent mis-genotyping pattern in gp120 in all studied populations except the group of men who have sex with men. Our study also suggests novel virus diversities in the mis-genotyped cases. Finally, this study reemphasizes the importance of implementing a standardized genotyping pipeline to avoid genotyping disparity and to advance our understanding of virus evolution in various epidemiological settings. Copyright © 2017 Elsevier Inc. All rights reserved.

A MIS 9/MIS 8 speleothem record of hydrological variability from Macedonia (F.Y.R.O.M.)

NASA Astrophysics Data System (ADS)

Regattieri, Eleonora; Zanchetta, Giovanni; Isola, Ilaria; Bajo, Petra; Perchiazzi, Natale; Drysdale, Russell N.; Boschi, Chiara; Hellstrom, John C.; Francke, Alexander; Wagner, Bernd

2018-03-01

The period corresponding to Marine Isotope Stages 9 (MIS 9) offers the opportunity to study orbital and sub-orbital scale climate variability under boundary conditions different from those of better studied intervals such as the Holocene and the Last Interglacial. Yet, it is poorly represented in independently-dated continental archives around the Mediterranean Region. Here, we present a speleothem stable isotope record (δ18O and δ13C) from the Former Yugoslavian Republic of Macedonia (F.Y.R.O.M., southern Balkans), which consists of two periods of growth broadly covering the ca. 332 to 292 ka and the ca. 264 to 248 ka intervals (MIS 9e-b and late MIS 8). We interpret the speleothem δ18O as mostly related to regional hydrology, with variations that can be interpreted as due to changes in rainfall amount, with higher/lower values associated to drier/wetter condition. This interpretation is corroborated by a change in mineralogical composition between aragonite and calcite at ca. 328 ka, which marks increasing precipitation at the onset of MIS 9 and occurs within a trend of decreasing δ18O values. Also the comparison with the multiproxy climate record available from the nearby Lake Ohrid seems to support the proposed interpretation. The MIS 9e interglacial appears to be characterized by wettest conditions between ca. 326 and 321 ka, i.e. lasting ca. 5 kyr. Decreasing precipitation and enhanced millennial scale variability matches the glacial inception (MIS9 d to b), with drier events at ca. 319 ka (ca. 2 kyr long) and 310 ka (ca. 1 kyr long), and a major rainfall reduction between 306 and 298 ka. The latter is followed by a prominent wetter period between 298 and 295 ka, for which carbon data values suggest high infiltration rate. Rainfall decreases again after 295 ka, and remain low until the growth interruption at ca. 292 ka. Resumption of the growth and progressive soil development, expressed by the carbon isotope record, occurred during the late part of MIS 8. Despite the rather high temporal uncertainty (average 6 ka), the speleothem hydrological record complements the environmental information provided by the Lake Ohrid record and also fits well to the framework of regional and extra-regional variability, showing similarities with pollen records from southern and western Europe, both at orbital and at sub-orbital time scale.

Response of the North Atlantic surface and intermediate ocean structure to climate warming of MIS 11.

PubMed

Kandiano, Evgenia S; van der Meer, Marcel T J; Schouten, Stefan; Fahl, Kirsten; Sinninghe Damsté, Jaap S; Bauch, Henning A

2017-04-10

Investigating past interglacial climates not only help to understand how the climate system operates in general, it also forms a vital basis for climate predictions. We reconstructed vertical stratification changes in temperature and salinity in the North Atlantic for a period some 400 ka ago (MIS11), an interglacial time analogue of a future climate. As inferred from a unique set of biogeochemical, geochemical, and faunal data, the internal upper ocean stratification across MIS 11 shows distinct depth-dependent dynamical changes related to vertical as well as lateral shifts in the upper Atlantic meridional circulation system. Importantly, transient cold events are recognized near the end of the long phase of postglacial warming at surface, subsurface, mid, and deeper water layers. These data demonstrate that MIS 11 coolings over the North Atlantic were initially triggered by freshwater input at the surface and expansion of cold polar waters into the Subpolar Gyre. The cooling signal was then transmitted downwards into mid-water depths. Since the cold events occurred after the main deglacial phase we suggest that their cause might be related to continuous melting of the Greenland ice sheet, a mechanism that might also be relevant for the present and upcoming climate.

Myrosin Idioblast Cell Fate and Development Are Regulated by the Arabidopsis Transcription Factor FAMA, the Auxin Pathway, and Vesicular Trafficking[W

PubMed Central

Li, Meng; Sack, Fred D.

2014-01-01

Crucifer shoots harbor a glucosinolate-myrosinase system that defends against insect predation. Arabidopsis thaliana myrosinase (thioglucoside glucohydrolase [TGG]) accumulates in stomata and in myrosin idioblasts (MIs). This work reports that the basic helix-loop-helix transcription factor FAMA that is key to stomatal development is also expressed in MIs. The loss of FAMA function abolishes MI fate as well as the expression of the myrosinase genes TGG1 and TGG2. MI cells have previously been reported to be located in the phloem. Instead, we found that MIs arise from the ground meristem rather than provascular tissues and thus are not homologous with phloem. Moreover, MI patterning and morphogenesis are abnormal when the function of the ARF-GEF gene GNOM is lost as well as when auxin efflux and vesicular trafficking are chemically disrupted. Stomata and MI cells constitute part of a wider system that reduces plant predation, the so-called “mustard oil bomb,” in which vacuole breakage in cells harboring myrosinase and glucosinolate yields a brew toxic to many animals, especially insects. This identification of the gene that confers the fate of MIs, as well as stomata, might facilitate the development of strategies for engineering crops to mitigate predation. PMID:25304201

Variable scale channel avulsion history using fan architecture and stratigraphy, and sediment provenance of Sutlej-Yamuna fans in northwest Gangetic plains during Late Quaternary

NASA Astrophysics Data System (ADS)

Singh, Ajit; Gupta, Sanjeev; Sinha, Rajiv; Densmore, Alexander; Buylaert, Jan-Pieter; Carter, Andrew; Van-Dijk, Wout M.; Joshi, Suneel; Nayak, Nibedita; Mason, Philippa J.; Kumar, Dewashish; Mondal, Setbandhu; Murray, Andrew; Rai, Shiv P.; Shekhar, Shashank

2016-04-01

Channel avulsion during fan development controls distribution and deposition of channel sandbodies and hence alluvial architecture of a fan system. Variable scale spatio-temporal information of fluvial responses to past climate changes is stored in these channel sandbodies. Further these channel sandbodies form fluvial aquifers in alluvial fans and therefore understanding of alluvial architecture and stratigraphy of a fan is crucial for development of groundwater management strategies. In this study we used multiple approaches to map subsurface fluvial aquifer architecture and alluvial stratigraphy, and to estimate sediment provenance using U-Pb dating of detrital zircon grains of Sutlej-Yamuna fan system in northwest India. Satellite imagery based geomorphic mapping shows two large fan system with interfan area. The fan surfaces show presence of major and minor paleochannels. 2D resistivity tomography along several transects across fan surfaces shows distinct layers with contrasting resistivity values. These geo-electric facies corresponds to presence of channel sandbodies beneath surface signature of paleochannels and finer floodplain deposits useful to demarcate lateral extent of subsurface channel sandbodies. A more detailed subsurface stratigraphy using ~50m deep sediment cores and their luminescence ages from across fan surface shows presence of multi-storey sandbodies (MSB) separated by floodplain fines. Within the MSB, individual channel deposits are identified by presence of channel scour surfaces located at coarse sand overlying fine sand layer. Depositional ages of MSB's ranges from ~81 ka (late MIS5) to ~15 ka (MIS2) with major depositional break during MIS3 in parts of the fans. Sediment aggradation rate varies laterally across fan surface as well as vertically down the depth with an average rate of 0.54 mm/year. Fluvial channel persistence for studied time interval (about last 81 ka BP) shows major depositional breaks (and possible incision) at ~41 ka (mid MIS3) and ~31 ka (late MIS3). U-Pb age patterns of detrital zircon grains from cores located at paleochannels on the fan system show prominent age peaks at ~480 Ma and ~1800 Ma that respectively corresponds to modern Sutlej and Yamuna rivers. Luminescence ages of these samples suggest that major channel activity of Sutlej river at its fan system ceased around ~15 ka (post last-glacial maxima) and thereafter it avulsed to its modern course. Our surface study results clearly show that alluvial fan system have well developed longitudinal channel sandbodies that may or may not have surface expression in the form of paleochannel and/or longitudinal ridges. However our geophysical studies show that such channel sandbodies can be delineated in shallow surface on the basis of characteristic resistivity values. The subsurface stratigraphy results show development of MSB possibly due to series of small scale (intravalley) avulsion punctuated by large scale (intervalley) avulsion across the fan surface. Our provenance studies clearly identifies two major large scale channel avulsions of Sutlej and Yamuna rivers. Our study has importance for groundwater management policies in this water-stressed agricultural hotspot of India. Thus, understanding the variability in sand body stratigraphy, channel avulsion history, and aggradation rates is important for understanding aquifer geometry of alluvial fan system.

The timing and cause of glacial activity during the last glacial in central Tibet based on 10Be surface exposure dating east of Mount Jaggang, the Xainza range

NASA Astrophysics Data System (ADS)

Dong, Guocheng; Zhou, Weijian; Yi, Chaolu; Fu, Yunchong; Zhang, Li; Li, Ming

2018-04-01

Mountain glaciers are sensitive to climate change, and can provide valuable information for inferring former climates on the Tibetan Plateau (TP). The increasing glacial chronologies indicate that the timing of the local Last Glacial Maximum (LGM) recorded across the TP is asynchronous, implying different local influences of the mid-latitude westerlies and Asian Summer Monsoon in triggering glacier advances. However, the well-dated sites are still too few, especially in the transition zone between regions controlled by the two climate systems. Here we present detailed last glacial chronologies for the Mount Jaggang area, in the Xainza range, central Tibet, with forty-three apparent 10Be exposure-ages ranging from 12.4 ± 0.8 ka to 61.9 ± 3.8 ka. These exposure-ages indicate that at least seven glacial episodes occurred during the last glacial cycle east of Mount Jaggang. These include: a local LGM that occurred at ∼61.9 ± 3.8 ka, possibly corresponding to Marine Isotope Stage 4 (MIS 4); subsequent glacial advances at ∼43.2 ± 2.6 ka and ∼35.1 ± 2.1 ka during MIS 3; one glacial re-advance/standstill at MIS3/2 transition (∼29.8 ± 1.8 ka); and three glacial re-advances/standstills that occurred following MIS 3 at ∼27.9 ± 1.7 ka, ∼21.8 ± 1.3 ka, and ∼15.1 ± 0.9 ka. The timing of these glacial activities is roughly in agreement with North Atlantic millennial-scale climate oscillations (Heinrich events), suggesting the potential correlations between these abrupt climate changes and glacial fluctuations in the Mount Jaggang area. The successively reduced glacial extent might have resulted from an overall decrease in Asian Summer Monsoon intensity over this timeframe.

Canadian consensus conference on the development of training and practice standards in advanced minimally invasive surgery

PubMed Central

Birch, Daniel W.; Bonjer, H. Jaap; Crossley, Claire; Burnett, Gayle; de Gara, Chris; Gomes, Anthony; Hagen, John; Maciver, Angus G.; Mercer, C. Dale; Panton, O. Neely; Schlachta, Chris M.; Smith, Andy J.; Warnock, Garth L.

2009-01-01

Despite the complexities of minimally invasive surgery (MIS), a Canadian approach to training surgeons in this field does not exist. Whereas a limited number of surgeons are fellowship-trained in the specialty, guidelines are still clearly needed to implement advanced MIS. Leaders in the field of gastrointestinal surgery and MIS attended a consensus conference where they proposed a comprehensive mentoring program that may evolve into a framework for a national mentoring and training system. Leadership and commitment from national experts to define the most appropriate template for introducing new surgical techniques into practice is required. This national framework should also provide flexibility for truly novel procedures such as natural orifice translumenal endoscopic surgery. PMID:19680520

A high-resolution mid-Pleistocene temperature record from Arctic Lake El'gygytgyn: a 50 kyr super interglacial from MIS 33 to MIS 31?

NASA Astrophysics Data System (ADS)

de Wet, Gregory A.; Castañeda, Isla S.; DeConto, Robert M.; Brigham-Grette, Julie

2016-02-01

Previous periods of extreme warmth in Earth's history are of great interest in light of current and predicted anthropogenic warming. Numerous so called "super interglacial" intervals, with summer temperatures significantly warmer than today, have been identified in the 3.6 million year (Ma) sediment record from Lake El'gygytgyn, northeast Russia. To date, however, a high-resolution paleotemperature reconstruction from any of these super interglacials is lacking. Here we present a paleotemperature reconstruction based on branched glycerol dialkyl glycerol tetraethers (brGDGTs) from Marine Isotope Stages (MIS) 35 to MIS 29, including super interglacial MIS 31. To investigate this period in detail, samples were analyzed with an unprecedented average sample resolution of 500 yrs from MIS 33 to MIS 30. Our results suggest the entire period currently defined as MIS 33-31 (∼1114-1062 kyr BP) was characterized by generally warm and highly variable conditions at the lake, at times out of phase with Northern Hemisphere summer insolation, and that cold "glacial" conditions during MIS 32 lasted only a few thousand years. Close similarities are seen with coeval records from high southern latitudes, supporting the suggestion that the interval from MIS 33 to MIS 31 was an exceptionally long interglacial (Teitler et al., 2015). Based on brGDGT temperatures from Lake El'gygytgyn (this study and unpublished results), warming in the western Arctic during MIS 31 was matched only by MIS 11 during the Pleistocene.

Ergonomic assessment of neck posture in the minimally invasive surgery suite during laparoscopic cholecystectomy.

PubMed

van Det, M J; Meijerink, W J H J; Hoff, C; van Veelen, M A; Pierie, J P E N

2008-11-01

With the expanding implementation of minimally invasive surgery, the operating team is confronted with challenges in the field of ergonomics. Visual feedback is derived from a monitor placed outside the operating field. This crossover trial was conducted to evaluate and compare neck posture in relation to monitor position in a dedicated minimally invasive surgery (MIS) suite and a conventional operating room. Assessment of the neck was conducted for 16 surgeons, assisting surgeons, and scrub nurses performing a laparoscopic cholecystectomy in both types of operating room. Flexion and rotation of the cervical spine were measured intraoperatively using a video analysis system. A two-question visual analog scale (VAS) questionnaire was used to evaluate posture in relation to the monitor position. Neck rotation was significantly reduced in the MIS suite for the surgeon (p = 0.018) and the assisting surgeon (p < 0.001). Neck flexion was significantly improved in the MIS suite for the surgeon (p < 0.001) and the scrub nurse (p = 0.018). On the questionnaire, the operating room team scored their posture significantly higher in the MIS suite and also indicated fewer musculoskeletal complaints. The ergonomic quality of the neck posture is significantly improved in the MIS suite for the entire operating room team.

An Investigation of Partizan Misere Games

NASA Astrophysics Data System (ADS)

Allen, Meghan Rose

2010-08-01

Combinatorial games are played under two different play conventions: normal play, where the last player to move wins, and mis play, where the last player to move loses. Combinatorial games are also classified into impartial positions and partizan positions, where a position is impartial if both players have the same available moves and partizan otherwise. Mis play games lack many of the useful calculational and theoretical properties of normal play games. Until Plambeck's indistinguishability quotient and mis monoid theory were developed in 2004, research on mis play games had stalled. This thesis investigates partizan combinatorial mis play games, by taking Plambeck's indistinguishability and mis monoid theory for impartial positions and extending it to partizan ones, as well as examining the difficulties in constructing a category of mis play games in a similar manner to Joyal's category of normal play games. This thesis succeeds in finding an infinite set of positions which each have finite mis monoid, examining conditions on positions for when * + * is equivalent to 0, finding a set of positions which have Tweedledum-Tweedledee type strategy, and the two most important results of this thesis: giving necessary and sufficient conditions on a set of positions Upsilon such that the mis monoid of Upsilon is the same as the mis monoid of * and giving a construction theorem which builds all positions ξ such that the mis monoid of ξ is the same as the mis monoid of *.

Existing con el Lobo, Traversing la Frontera con Mis Nepantla Coyotes, y Buscando la Vida del Zorro: An Autoethnographic Exploration of a Chicano in Academia

ERIC Educational Resources Information Center

Ramirez, Ernesto Fidel

2017-01-01

This dissertation is the experience of my life, an evolution of platicas I have had con mis coyotes, my Nepantlero guides. I am one Chicano navigating through the mechanisms of a coercive and hegemonic system which limits our advancement in the academy. My ontology, epistemology, and axiology stem from my cultural and family foundations which I…

Basic mechanisms study for MIS solar cell structures on GaAs

NASA Technical Reports Server (NTRS)

Fonash, S. J.

1978-01-01

The solar cell structure examined is the MIS configuration on (n) GaAs. The metal room temperature oxide/(n) GaAs materials system was studied. Metals with electronegativities varying from 2.4 (Au) to 1.5 (Al) were used as the upper electrode. The thinnest metallization that did not interfere with the measurement techniques (by introducing essentially transmission line series resistance problems across a device) was used. Photovoltaic response was not optimized.

Expectations and outcome skills of a generalist health care administrator.

PubMed

Jones, V B; Taylor, L C

1990-01-01

The question of the degree of technical versus managerial competence to be found in future graduates from health administration programs is not easily resolved. In the HIMSS 1988 survey of CIOs the attributes needed for success are listed in descending rank order as follows: leadership ability, vision/imagination, knowledge of hospital systems, business acumen, decisiveness, and technical competence. CIOs ranked technical competence as less important than other attributes associated with general management success. The expectations for attitudes, knowledge, and skills presented in this article support the greater importance of management abilities relative to pure technical competence. However, it is vital that an appropriate level of technical knowledge and skill be maintained to enable future alumni of health administration programs to function effectively as administrators. Depending on their role in a health care organization, greater or lesser technical knowledge may be needed. Those pursuing a career path toward CIO must, of necessity, have greater technical knowledge and skill. We have discussed necessary and expected attitudes, knowledge, and skills that will be needed by the generalist health administration graduate in the future. It will be important to develop and maintain an attitude that MIS is a strategic tool, that health care technology is a corporate asset, and that information is power. Graduates must recognize the necessity of maintaining and enhancing their knowledge and skills through continuing education. The knowledge base of MIS education should focus on determining information needs to support strategic goals, understanding of general systems theory, principles of systems analysis, design, implementation and maintenance, awareness and exposure to standard application software, and an awareness of external sources of data.(ABSTRACT TRUNCATED AT 250 WORDS)

Declining MIS Enrollment: The Death of the MIS Degree?

ERIC Educational Resources Information Center

Saunders, Gary; Lockridge, T. Maurice

2011-01-01

There is little doubt that enrollments in MIS degree programs have been declining since the recession in the technical industry in 2001. Reagan's research (2008) indicates that enrollments in MIS degree programs is only about 25% of the 2001 level. Many MIS (IS) programs have been abandoned or combined with other related programs. While many…

Development of optical fiber Bragg grating force-reflection sensor system of medical application for safe minimally invasive robotic surgery

NASA Astrophysics Data System (ADS)

Song, Hoseok; Kim, Kiyoung; Lee, Jungju

2011-07-01

Force feedback plays a very important role in medical surgery. In minimally invasive surgery (MIS), however, the very long and stiff bars of surgical instruments greatly diminish force feedback for the surgeon. In the case of minimally invasive robotic surgery (MIRS), force feedback is totally eliminated. Previous researchers have reported that the absence of force feedback increased the average force magnitude applied to the tissue by at least 50%, and increased the peak force magnitude by at least a factor of two. Therefore, it is very important to provide force information in MIRS. Recently, many sensors are being developed for MIS and MIRS, but some obstacles to their application in actual medical surgery must be surmounted. The most critical problems are size limit and sterilizability. Optical fiber sensors are among the most suitable sensors for the surgical environment. The optical fiber Bragg grating (FBG) sensor, in particular, offers an important additional advantage over other optical fiber sensors in that it is not influenced by the intensity of the light source. In this paper, we present the initial results of a study on the application of a FBG sensor to measure reflected forces in MIRS environments and suggest the possibility of successful application to MIRS systems.

A multi-proxy record of MIS 11-12 deglaciation and glacial MIS 12 instability from the Sulmona basin (central Italy)

NASA Astrophysics Data System (ADS)

Regattieri, Eleonora; Giaccio, Biagio; Galli, Paolo; Nomade, Sebastien; Peronace, Edoardo; Messina, Paolo; Sposato, Andrea; Boschi, Chiara; Gemelli, Maurizio

2016-01-01

A multi-proxy record (lithology, XRF, CaCO3 content, carbonate δ18O and δ13C) was acquired from a sediment core drilled in the intermountain Sulmona basin (central Italy). Tephrostratigraphic analyses of three volcanic ash layers ascribe the investigated succession to the MIS 12-MIS 11 period, spanning the interval ca. 500-410 ka. Litho-pedo facies assemblage indicates predominant lacustrine deposition, interrupted by a minor sub-aerial and lake low stand episode. Variations in major and minor elements concentrations are related to changes in the clastic input to the lake. The oxygen isotopic composition of carbonate (δ18Oc) intervals is interpreted mainly as a proxy for the amount of precipitation in the high-altitude catchment of the karst recharge system. The record shows pronounced hydrological variability at orbital and millennial time-scales, which appears closely related to the Northern Hemisphere summer insolation pattern and replicates North Atlantic and west Mediterranean Sea Surface Temperature (SST) fluctuations. The MIS 12 glacial inception is marked by an abrupt reduction of precipitation, lowering of the lake level and enhanced catchment erosion. A well-defined and isotopically prominent interstadial with increased precipitation maybe related to insolation maxima-precession minima at ca. 465 ka. This interstadial ends abruptly at ca. 457 ka and it is followed by a phase of strong short-term instability. Drastic lake-level lowering and enhanced clastic flux characterized the MIS 12 glacial maximum. Lacustrine deposition restarted about 440 ka ago. The MIS 12-MIS 11 transition is characterized by a rapid increase in the precipitation, lake-level rise and reduction in the clastic input, interrupted by a short and abrupt return to drier conditions. Comparison with marine records from the Iberian margin and western Mediterranean suggests that major events of ice rafted debris deposition, related to southward migrations of the polar front, match the harshest periods in central Italy. This indicates strong teleconnections between Northern hemisphere ice sheet dynamics, North Atlantic oceanic conditions and Mediterranean continental hydrology.

The Agh Band loess-palaeosol sequence in Northern Iran - a detailed archive for climate and environmental change during the last and penultimate glacial - interglacial cycles

NASA Astrophysics Data System (ADS)

Lauer, Tobias; Frechen, Manfred; Vlaminck, Stefan; Kehl, Martin; Sharifi, Jafar; Rolf, Christian; Khormali, Farhad

2016-04-01

The northern Iranian loess profiles host important information on quaternary climate and palaeoenvironmental changes in the region. Furthermore, they build an important link to correlate European and Central Asian archives. Due to a significant climatic gradient with decreasing precipitation from the west to the east and from the south to the north, loess-palaeosol sequences which were formed synchronously under different climatic conditions can be studied. The Agh Band profile is located in the so called Iranian "Loess Plateau", a semi-arid region with about 300 mm annual precipitation. The loess deposits reach a thickness of > 60 meters and are subdivided by several weak soil horizons in the more upper part and by a pedo-complex of 3 Bw(y) horizons in the lower part of the loess. The Agh Band profile was sampled in 2 cm intervals for multi-proxy analyses (e.g. magnetic susceptibility and grain size measurements). Furthermore, samples for palaeomangentic studies and luminescence dating were collected and a pIRIR290 approach was applied to fine-grain polyminerals. The results show that the Agh Band profile yields a climate archive reaching from MIS 7 to MIS 2. Several chronological hiatuses of some 10 ka show that periods of intense loess accumulation were interrupted by phases of only minor loess sedimentation and/or erosion. The Agh Band profile hosts an extraordinary good temporal resolution for MIS 4 and MIS 5. The pedocomplex at the bottom part of the profile indicates a period of increased humidity and landscape stability during late MIS 7 and MIS 6 following the luminescence ages. The loess-profile is also subdivided by several shifts in grain-size distribution. The coarsening- and fining up trends correlate with increasing and decreasing wind- velocity, respectively.

A systematic review of interactive multimedia interventions to promote children’s communication with health professionals: implications for communicating with overweight children

PubMed Central

2014-01-01

Background Interactive multimedia is an emerging technology that is being used to facilitate interactions between patients and health professionals. The purpose of this review was to identify and evaluate the impact of multimedia interventions (MIs), delivered in the context of paediatric healthcare, in order to inform the development of a MI to promote the communication of dietetic messages with overweight preadolescent children. Of particular interest were the effects of these MIs on child engagement and participation in treatment, and the subsequent effect on health-related treatment outcomes. Methods An extensive search of 12 bibliographic databases was conducted in April 2012. Studies were included if: one or more child-participant was 7 to 11-years-of-age; a MI was used to improve health-related behaviour; child-participants were diagnosed with a health condition and were receiving treatment for that condition at the time of the study. Data describing study characteristics and intervention effects on communication, satisfaction, knowledge acquisition, changes in self-efficacy, healthcare utilisation, and health outcomes were extracted and summarised using qualitative and quantitative methods. Results A total of 14 controlled trials, published between 1997 and 2006 met the selection criteria. Several MIs had the capacity to facilitate engagement between the child and a clinician, but only one sought to utilise the MI to improve communication between the child and health professional. In spite of concerns over the quality of some studies and small study populations, MIs were found useful in educating children about their health, and they demonstrated potential to improve children’s health-related self-efficacy, which could make them more able partners in face-to-face communications with health professionals. Conclusions The findings of this review suggest that MIs have the capacity to support preadolescent child-clinician communication, but further research in this field is needed. Particular attention should be given to designing appropriate MIs that are clinically relevant. PMID:24447844

Procedural volume, cost, and reimbursement of outpatient incisional hernia repair: implications for payers and providers.

PubMed

Song, Chao; Liu, Emelline; Tackett, Scott; Shi, Lizheng; Marcus, Daniel

2017-06-01

This analysis aimed to evaluate trends in volumes and costs of primary elective incisional ventral hernia repairs (IVHRs) and investigated potential cost implications of moving procedures from inpatient to outpatient settings. A time series study was conducted using the Premier Hospital Perspective ® Database (Premier database) for elective IVHR identified by International Classification of Diseases, Ninth revision, Clinical Modification codes. IVHR procedure volumes and costs were determined for inpatient, outpatient, minimally invasive surgery (MIS), and open procedures from January 2008-June 2015. Initial visit costs were inflation-adjusted to 2015 US dollars. Median costs were used to analyze variation by site of care and payer. Quantile regression on median costs was conducted in covariate-adjusted models. Cost impact of potential outpatient migration was estimated from a Medicare perspective. During the study period, the trend for outpatient procedures in obese and non-obese populations increased. Inpatient and outpatient MIS procedures experienced a steady growth in adoption over their open counterparts. Overall median costs increased over time, and inpatient costs were often double outpatient costs. An economic model demonstrated that a 5% shift of inpatient procedures to outpatient MIS procedures can have a cost surplus of ∼ US $1.8 million for provider or a cost-saving impact of US $1.7 million from the Centers for Medicare & Medicaid Services perspective. The study was limited by information in the Premier database. No data were available for IVHR cases performed in free-standing ambulatory surgery centers or federal healthcare facilities. Volumes and costs of outpatient IVHRs and MIS procedures increased from January 2008-June 2015. Median costs were significantly higher for inpatients than outpatients, and the difference was particularly evident for obese patients. A substantial cost difference between inpatient and outpatient MIS cases indicated a financial benefit for shifting from inpatient to outpatient MIS.

Reconstruction of Paleoceanographic Conditions in the Rio Grande Rise Area, western South Atlantic: Evidence from Benthic Foraminiferal Data

NASA Astrophysics Data System (ADS)

Kuleshova, Liubov; Ovsepyan, Ekaterina

2017-04-01

Sediment core AI-3321 (30°56.85' S, 38°02.45' W, 2969 m water depth, 293 m length) collected from the western slope of the Rio Grande Rise was studied to count and identify benthic foraminifers in the >100 μm size fraction. Available information of the ecological preferences of benthic foraminiferal assemblages was used to reconstruct sea-surface bioproductivity and oxygenation conditions near the bottom during warm periods: Holocene, MIS 5e and MIS 7. A total of more than 100 species have been identified. They were classified according to their microhabitat preferences. All studied samples are characterized by a high abundance of calcareous epifaunal - shallow infaunal species together with low percentages of agglutinated taxa. Species diversity was described using several diversity indices that demonstrate similar variability during MIS 5 and 7 and an opposite changes during MIS 1. Cluster and Q-mode factor analysis were applied to establish dominant assemblages and major trends of foraminiferal variability. The assemblages (Factors I, II and III) are characterized by maximal scores of Epistominella exigua, Alabaminella weddellensis and Globocassidulina subglobosa, respectively. These opportunistic species are associated with seasonal supply of fresh, labile organic matter to the sea floor, and also prefer high oxygen concentrations in the bottom waters. In contrast to diversity indices, factor I, II and III do not demonstrate similar distribution throughout the studied intervals. This might be related to different combinations of amount and quality of organic matter supplied to the sea floor and corresponding oxygen content near the seafloor on the Rio Grande Rise during Holocene, MIS 5e and MIS 7. Accessory foraminiferal taxa thriving in well-oxygenated conditions and being capable to adapt to pulsed food supply (Oridorsalis umbonatus, Pullenia bulloides, Ioanella tumidula, Cibicidoides wuellerstorfi, Quinquelocilina spp., Pyrgo spp.) also occur throughout the studied intervals. This work is supported by RFBR (grant No.16-35-50080-mol_nr).

Studies of Large-Area Inversion-Layer Metal-Insulator-Semiconductor (IL/MIS) Solar Cells and Arrays

NASA Technical Reports Server (NTRS)

Ho, Fat Duen

1996-01-01

Many inversion-layer metal-insulator-semiconductor (IL/MIS) solar cells have been fabricated. There are around eighteen 1 cm(exp 2) IL/MIS solar cells which have efficiencies greater than 7%. There are only about three 19 cm(exp 2) IL/MIS cells which have efficiencies greater than 4%. The more accurate control of the thickness of the thin layer of oxide between aluminum and silicon of the MIS contacts has been achieved. A lot of effort and progress have been made in this area. A comprehensive model for MIS contacts under dark conditions has been developed that covers a wide range of parameters. It has been applied to MIS solar cells. One of the main advantages of these models is the prediction of the range of the thin oxide thickness versus the maximum efficiencies of the MIS solar cells. This is particularly important when the thickness is increased to 25 A. This study is very useful for our investigation of the IL/MIS solar cells. The two-dimensional numerical model for the IL/MIS solar cells has been tried to develop and the results are presented in this report.

Perioperative Cost Analysis of Minimally Invasive vs Open Resection of Intradural Extramedullary Spinal Cord Tumors.

PubMed

Fontes, Ricardo B V; Wewel, Joshua T; OʼToole, John E

2016-04-01

Minimally invasive spinal surgery (MIS) has emerged as a clinically effective tool but its cost-effectiveness remains unclear. No studies have compared MIS vs open surgical techniques for the treatment of intradural extramedullary (IDEM) tumors. To analyze and compare open and MIS techniques for resection of IDEM tumors, with focus on perioperative costs. Retrospective analysis of a prospectively collected database including 35 IDEM patients (18 open, 17 MIS). Perioperative data, hospital costs, and hospital and physician charges for in-hospital services associated with the index surgical procedure and readmissions within 90 days were compared. Mean estimated blood loss, operative time, preoperative hospital charges, and physician fees were similar between open and MIS techniques. Patient and tumor characteristics were similar between groups. MIS cases were associated with shorter intensive care unit and floor stay. There were 3 complications in the open group, requiring 2 readmissions and 1 reoperation. Hospital costs ($21 307.80 open, $15 015.20 MIS, P < .01), and postoperative ($75 383.48 open, $56 006.88 MIS, P < .01) and total charges ($100 779.38 open, $76 100.92 MIS, P < .01) were significantly lower in the MIS group. There were no tumor recurrences in either group. All patients except for one in the open group maintained or improved their Nurick score. Both MIS and open techniques were able to adequately treat IDEM tumors. Reductions in complication rate and intensive care unit and hospital stay led to a decrease in hospital costs of almost 30% in the MIS group. MIS resection of IDEM tumors is not only an effective and safe option, but allows faster hospital discharge and significant cost savings.

Tensor-product kernel-based representation encoding joint MRI view similarity.

PubMed

Alvarez-Meza, A; Cardenas-Pena, D; Castro-Ospina, A E; Alvarez, M; Castellanos-Dominguez, G

2014-01-01

To support 3D magnetic resonance image (MRI) analysis, a marginal image similarity (MIS) matrix holding MR inter-slice relationship along every axis view (Axial, Coronal, and Sagittal) can be estimated. However, mutual inference from MIS view information poses a difficult task since relationships between axes are nonlinear. To overcome this issue, we introduce a Tensor-Product Kernel-based Representation (TKR) that allows encoding brain structure patterns due to patient differences, gathering all MIS matrices into a single joint image similarity framework. The TKR training strategy is carried out into a low dimensional projected space to get less influence of voxel-derived noise. Obtained results for classifying the considered patient categories (gender and age) on real MRI database shows that the proposed TKR training approach outperforms the conventional voxel-wise sum of squared differences. The proposed approach may be useful to support MRI clustering and similarity inference tasks, which are required on template-based image segmentation and atlas construction.

Vegetation responses to interglacial warming in the Arctic: examples from Lake El'gygytgyn, Far East Russian Arctic

NASA Astrophysics Data System (ADS)

Lozhkin, A. V.; Anderson, P. M.

2013-06-01

Preliminary analyses of Lake El'gygytgyn sediment indicate a wide range of ecosystem responses to warmer than present climates. While palynological work describing all interglacial vegetation is ongoing, sufficient data exist to compare recent warm events (the postglacial thermal maximum, PGTM, and marine isotope stage, MIS5) with "super" interglaciations (MIS11, MIS31). Palynological assemblages associated with these climatic optima suggest two types of vegetation responses: one dominated by deciduous taxa (PGTM, MIS5) and the second by evergreen conifers (MIS11, MIS31). MIS11 forests show a similarity to modern Picea-Larix-Betula-Alnus forests of Siberia. While dark coniferous forest also characterizes MIS31, the pollen taxa show an affinity to the boreal forest of the lower Amur valley (southern Russian Far East). Despite vegetation differences during these thermal maxima, all glacial-interglacial transitions are alike, being dominated by deciduous woody taxa. Initially Betula shrub tundra established and was replaced by tundra with tree-sized shrubs (PGTM), Betula woodland (MIS5), or Betula-Larix (MIS11, MIS31) forest. The consistent occurrence of deciduous forest and/or high shrub tundra before the incidence of maximum warmth underscores the importance of this biome for modeling efforts. The El'gygytgyn data also suggest a possible elimination or massive reduction of Arctic plant communities under extreme warm-earth scenarios.

Critical issues in an electronic documentation system.

PubMed

Weir, Charlene R; Nebeker, Jonathan R

2007-10-11

The Veterans Health Administration (VHA), of the U.S. Department of Veteran Affairs has instituted a medical record (EMR) that includes electronic documentation of all narrative components of the medical record. To support clinicians using the system, multiple efforts have been instituted to ease the creation of narrative reports. Although electronic documentation is easier to read and improves access to information, it also may create new and additional hazards for users. This study is the first step in a series of studies to evaluate the issues surrounding the creation and use of electronic documentation. Eighty-eight providers across multiple clinical roles were interviewed in 10 primary care sites in the VA system. Interviews were tape-recorded, transcribed and qualitatively analyzed for themes. In addition, specific questions were asked about perceived harm due to electronic documentation practices. Five themes relating to difficulties with electronic documentation were identified: 1) information overload; 2) hidden information; 3) lack of trust; 4) communication; 5) decision-making. Three providers reported that they knew of an incident where current documentation practices had caused patient harm and over 75% of respondents reported significant mis-trust of the system.

Do interoperable national information systems enhance availability of data to assess the effect of scale-up of HIV services on health workforce deployment in resource-limited countries?

PubMed

Oluoch, Tom; Muturi, David; Kiriinya, Rose; Waruru, Anthony; Lanyo, Kevin; Nguni, Robert; Ojwang, James; Waters, Keith P; Richards, Janise

2015-01-01

Sub-Saharan Africa (SSA) bears the heaviest burden of the HIV epidemic. Health workers play a critical role in the scale-up of HIV programs. SSA also has the weakest information and communication technology (ICT) infrastructure globally. Implementing interoperable national health information systems (HIS) is a challenge, even in developed countries. Countries in resource-limited settings have yet to demonstrate that interoperable systems can be achieved, and can improve quality of healthcare through enhanced data availability and use in the deployment of the health workforce. We established interoperable HIS integrating a Master Facility List (MFL), District Health Information Software (DHIS2), and Human Resources Information Systems (HRIS) through application programmers interfaces (API). We abstracted data on HIV care, health workers deployment, and health facilities geo-coordinates. Over 95% of data elements were exchanged between the MFL-DHIS and HRIS-DHIS. The correlation between the number of HIV-positive clients and nurses and clinical officers in 2013 was R2=0.251 and R2=0.261 respectively. Wrong MFL codes, data type mis-match and hyphens in legacy data were key causes of data transmission errors. Lack of information exchange standards for aggregate data made programming time-consuming.

Complying with Executive Order 13148 using the Enterprise Environmental Safety And Occupational Health Management Information System.

PubMed

McFarland, Michael J; Nelson, Tim M; Rasmussen, Steve L; Palmer, Glenn R; Olivas, Arthur C

2005-03-01

All U.S. Department of Defense (DoD) facilities are required under Executive Order (EO) 13148, "Greening the Government through Leadership in Environmental Management," to establish quality-based environmental management systems (EMSs) that support environmental decision-making and verification of continuous environmental improvement by December 31, 2005. Compliance with EO 13148 as well as other federal, state, and local environmental regulations places a significant information management burden on DoD facilities. Cost-effective management of environmental data compels DoD facilities to establish robust database systems that not only address the complex and multifaceted environmental monitoring, record-keeping, and reporting requirements demanded by these rules but enable environmental management decision-makers to gauge improvements in environmental performance. The Enterprise Environmental Safety and Occupational Health Management Information System (EESOH-MIS) is a new electronic database developed by the U.S. Air Force to manage both the data needs associated with regulatory compliance programs across its facilities as well as the non-regulatory environmental information that supports installation business practices. The U.S. Air Force, which has adopted the Plan-Do-Check-Act methodology as the EMS standard that it will employ to address EO 13148 requirements.

SAGES's advanced GI/MIS fellowship curriculum pilot project.

PubMed

Weis, Joshua J; Goldblatt, Matthew; Pryor, Aurora; Dunkin, Brian J; Brunt, L Michael; Jones, Daniel B; Scott, Daniel J

2018-06-01

The American health care system faces deficits in quality and quantity of surgeons. SAGES is a major stakeholder in surgical fellowship training and is responsible for defining the curriculum for the Advanced GI/MIS fellowship. SAGES leadership is actively adapting this curriculum. The process of reform began in 2014 through a series of iterative meetings and discussions. A working group within the Resident and Fellow Training Committee reviewed case log data from 2012 to 2015. These data were used to propose new criteria designed to provide adequate exposure to core content. The working group also proposed using video assessment of an MIS case to provide objective assessment of competency. Case log data were available for 326 fellows with a total of 85,154 cases logged (median 227 per fellow). The working group proposed new criteria starting with minimum case volumes for five defined categories including foregut (20), bariatrics (25), inguinal hernia (10), ventral hernia (10), and solid organ/colon/thoracic (10). Fellows are expected to perform an additional 75 complex MIS cases of any category for a total of 150 required cases overall. The proposal also included a minimum volume of flexible endoscopy (50) and submission of an MIS foregut case for video assessment. The new criteria more clearly defined which surgeon roles count for major credit within individual categories. Fourteen fellowships volunteered to pilot these new criteria for the 2017-2018 academic year. The new SAGES Advanced GI/MIS fellowship has been crafted to better define the core content that should be contained in these fellowships, while still allowing sufficient heterogeneity so that individual learners can tailor their training to specific areas of interest. The criteria also introduce innovative, evidence-based methods for assessing competency. Pending the results of the pilot program, SAGES will consider broad implementation of the new fellowship criteria.

Knee Extensor Strength and Gait Characteristics After Minimally Invasive Unicondylar Knee Arthroplasty vs Minimally Invasive Total Knee Arthroplasty: A Nonrandomized Controlled Trial.

PubMed

Braito, Matthias; Giesinger, Johannes M; Fischler, Stefan; Koller, Arnold; Niederseer, David; Liebensteiner, Michael C

2016-08-01

In light of the existing lack of evidence, it was the aim of this study to compare gait characteristics and knee extensor strength after medial unicondylar knee arthroplasty (MUKA) with those after total knee arthroplasty (TKA), given the same standardized minimally invasive surgery (MIS) approach in both groups. Patients scheduled for MIS-MUKA or MIS-TKA as part of clinical routine were invited to participate. A posterior cruciate ligament-retaining total knee design was used for all MIS-TKA. A 3-dimensional gait analysis was performed preoperatively with a VICON system and at 8 weeks postoperative to determine temporospatial parameters, ground reaction forces, joint angles, and joint moments. At the same 2 times, isokinetic tests were performed to obtain peak values of knee extensor torque. A multivariate analysis of variance was conducted and included the main effects time (before and after surgery) and surgical group and the group-by-time interaction effect. Fifteen MIS-MUKA patients and 17 MIS-TKA patients were eligible for the final analysis. The groups showed no differences regarding age, body mass index, sex, side treated, or stage of osteoarthritis. We determined neither intergroup differences nor time × group interactions for peak knee extensor torque or any gait parameters (temporospatial, ground reaction forces, joint angles, and joint moments). It is concluded that MUKA is not superior to TKA with regard to knee extensor strength or 3-dimensional gait characteristics at 8 weeks after operation. As gait characteristics and knee extensor strength are only 2 of the various potential outcome parameters (knee scores, activity scores…) and quadriceps strength might take a longer time to recover, our findings should be interpreted with caution. Copyright © 2016 The Authors. Published by Elsevier Inc. All rights reserved.

The ESA Mice in Space (MIS) habitat: effects of cage confinement on neuromusculoskeletal structure and function and stress/behavior using wild-type C57Bl/6JRj mice in a modular science reference model (MSRM) test on ground

NASA Astrophysics Data System (ADS)

Blottner, Dieter; Vico, Laurence; Jamon, D. Berckmansp L. Vicop Y. Liup R. Canceddap M.

Background: Environmental conditions likely affect physiology and behaviour of mice used for Life Sciences Research on Earth and in Space. Thus, mice habitats with sufficient statistical numbers should be developed for adequate life support and care and that should meet all nesces-sary ethical and scientific requirements needed to successfully perform animal experimentation in Space. Aim of study: We here analysed the effects of cage confinement on the weightbear-ing musculoskeletal system, behaviour and stress of wild-type mice (C57BL/6JRj, 30 g b.wt., total n = 24) housed for 25 days in a prototypical ground-based MSRM (modular science ref-erence module) in the frame of breadboard activities for a fully automated life support habitat called "Mice in Space" (MIS) at the Leuven University, Belgium. Results: Compared with control housing (individually ventilated cages, IVC-mice) the MIS mice revealed no significant changes in soleus muscle size and myofiber distribution (type I vs. II) and quality of bone (3-D microarchitecture and mineralisation of calvaria, spine and femur) determined by confocal and micro-computed tomography. Corticosterone metabolism measured non-invasively (faeces) monitored elevated adrenocortical activity at only start of the MIS cage confinement (day 1). Behavioural tests (i.e., grip strength, rotarod, L/D box, elevated plus-maze, open field, ag-gressiveness) performed subsequently revealed only minor changes in motor performance (MIS vs. controls). Conclusions: The MIS habitat will not, on its own, produce major effects that could confound interpretation of data induced by microgravity exposure on orbit as planned for future biosatellite programmes. Sponsors: ESA-ESTEC, Noordwijk, NL

WWW mesothelioma information: Surfing on unreliable waters. A cross-sectional study into the content and quality of online informational resources for mesothelioma patients.

PubMed

Soloukey Tbalvandany, S Sadaf; Maat, A Alexander P W M; Cornelissen, R Robin; Nuyttens, J Joost J M E; Takkenberg, J Johanna J M

2018-06-01

Malignant Mesothelioma (MM) is a rare asbestos related disease mostly diagnosed in low-skilled patients. The decision-making process for MM treatment is complicated, making an adequate provision of information necessary. The objective of this study is to assess the content and quality of online informational resources available for Dutch MM patients. The first 100 hits of a Google search were studied using the JAMA benchmarks, the Modified Information Score (MIS) and the International Patient Decision Aid Standard Scoring (IPDAS). A total of 37 sources were included. Six of the 37 resources were published by hospitals. On average, the informational resources scored 37 points on the MIS (scale 0-100). The resources from a (bio)medical sources scored the best on this scale. However, on the domain of use of language, these resources scored the worst. The current level of medical content and quality of online informational resources for patient with MM is below average and cannot be used as decision-aids for patients. The criteria used in this article could be used for future improvements of online informational resources for patients, both online, offline and through health education in the care path. Copyright © 2018 Elsevier B.V. All rights reserved.

The feasibility of introducing advanced minimally invasive surgery into surgical practice

PubMed Central

Birch, Daniel W.; Misra, Monali; Farrokhyar, Forough

2007-01-01

Background This study investigates the feasibility of performing advanced minimally invasive surgery (MIS) in a nonspecialized practice environment. Methods We conducted a cross-sectional survey of all community general surgeons currently practising in Ontario. Results Few community surgeons perform a high volume (> 10 procedures per yr) of advanced MIS. Most (70%) believe it is important to acquire additional skills in advanced MIS. The most appropriate methods for learning advanced MIS are believed to be expert mentoring (79.7%), courses (77.2%) and a colleague mentor (63.9%). A total of 57.6% of respondents have attended a course in MIS while in practice, and most have access to a reasonable variety of instrumentation. Respondents believe that 57.6% of assistants, 54.8% of nurses and 43.4% of anaesthetists are relatively inexperienced with advanced MIS. Barriers to establishing advanced MIS include limited operating room access (50%), resources or equipment (45.2%) and limited expert mentoring (43.6%). Surgeons with less than 10 years of practice found lack of trained nursing staff (7.9% v. 4.2%, p = 0.01) and experienced assistants (12% v. 6.2%, p = 0.008) to be more important barriers than did those with over 10 years of practice, respectively. Conclusion Most general surgeons working in Ontario are self-taught with respect to MIS skills, and few perform a high volume of advanced MIS. Only one-half of all respondents have access to skilled MIS operating room nurses, surgical assistants or anesthesiology. Despite this, general surgeons perceive the greatest barriers to introducing advanced MIS procedures to be limited access to operating rooms, resources or equipment and limited mentoring. This study has shown that the role of the surgical team in advanced MIS may be underestimated by many general surgeons. These data have important implications in training general surgeons and in incorporating additional advanced MIS procedures into the armamentarium of general surgeons. PMID:17897513

Electrical characteristics of TMAH-surface treated Ni/Au/Al2O3/GaN MIS Schottky structures

NASA Astrophysics Data System (ADS)

Reddy, M. Siva Pratap; Lee, Jung-Hee; Jang, Ja-Soon

2014-03-01

The electrical characteristics and reverse leakage mechanisms of tetramethylammonium hydroxide (TMAH) surface-treated Ni/Au/Al2O3/GaN metal-insulator-semiconductor (MIS) diodes were investigated by using the current-voltage ( I-V) and capacitance-voltage ( C-V) characteristics. The MIS diode was formed on n-GaN after etching the AlGaN in the AlGaN/GaN heterostructures. The TMAH-treated MIS diode showed better Schottky characteristics with a lower ideality factor, higher barrier height and lower reverse leakage current compared to the TMAH-free MIS diode. In addition, the TMAH-free MIS diodes exhibited a transition from Poole-Frenkel emission at low voltages to Schottky emission at high voltages, whereas the TMAH-treated MIS diodes showed Schottky emission over the entire voltage range. Reasonable mechanisms for the improved device-performance characteristics in the TMAH-treated MIS diode are discussed in terms of the decreased interface state density or traps associated with an oxide material and the reduced tunneling probability.

Submarine landslide identified in DLW3102 core of the northern continental slope, South China Sea

NASA Astrophysics Data System (ADS)

Xu, Yuanqin; Liu, Lejun; Zhou, Hang; Huang, Baoqi; Li, Ping; Ma, Xiudong; Dong, Feiyin

2018-02-01

In this paper, we take DLW3101 core obtained at the top of the canyon (no landslide area) and DLW3102 core obtained at the bottom of the canyon (landslide area) on the northern continental slope of the South China Sea as research objects. The chronostratigraphic framework of the DLW3101 core and elemental strata of the DLW3101 core and the DLW3102 core since MIS5 are established by analyzing oxygen isotope, calcium carbonate content, and X-Ray Fluorescence (XRF) scanning elements. On the basis of the information obtained by analyzing the sedimentary structure and chemical elements in the landslide deposition, we found that the DLW3102 core shows four layers of submarine landslides, and each landslide layer is characterized by high Si, K, Ti, and Fe contents, thereby indicating terrigenous clastic sources. L1 (2.15-2.44 m) occurred in MIS2, which is a slump sedimentary layer with a small sliding distance and scale. L2 (15.48-16.00 m) occurred in MIS5 and is a debris flow-deposited layer with a scale and sliding distance that are greater than those of L1. L3 (19.00-20.90 m) occurred in MIS5; its upper part (19.00-20.00 m) is a debris flow-deposited layer, and its lower part (20.00-20.90 m) is a sliding deposition layer. The landslide scale of L3 is large. L4 (22.93-24.27 m) occurred in MIS5; its upper part (22.93-23.50 m) is a turbid sedimentary layer, and its lower part (23.50-24.27 m) is a slump sedimentary layer. The landslide scale of L4 is large.

Cost-utility analysis of minimally invasive versus open multilevel hemilaminectomy for lumbar stenosis.

PubMed

Parker, Scott L; Adogwa, Owoicho; Davis, Brandon J; Fulchiero, Erin; Aaronson, Oran; Cheng, Joseph; Devin, Clinton J; McGirt, Matthew J

2013-02-01

Two-year cost-utility study comparing minimally invasive (MIS) versus open multilevel hemilaminectomy in patients with degenerative lumbar spinal stenosis. The objective of the study was to determine whether MIS versus open multilevel hemilaminectomy for degenerative lumbar spinal stenosis is a cost-effective advancement in lumbar decompression surgery. MIS-multilevel hemilaminectomy for degenerative lumbar spinal stenosis allows for effective treatment of back and leg pain while theoretically minimizing blood loss, tissue injury, and postoperative recovery. No studies have evaluated comprehensive healthcare costs associated with multilevel hemilaminectomy procedures, nor assessed cost-effectiveness of MIS versus open multilevel hemilaminectomy. Fifty-four consecutive patients with lumbar stenosis undergoing multilevel hemilaminectomy through an MIS paramedian tubular approach (n=27) versus midline open approach (n=27) were included. Total back-related medical resource utilization, missed work, and health state values [quality adjusted life years (QALYs), calculated from EuroQuol-5D with US valuation] were assessed after 2-year follow-up. Two-year resource use was multiplied by unit costs based on Medicare national allowable payment amounts (direct cost) and work-day losses were multiplied by the self-reported gross-of-tax wage rate (indirect cost). Difference in mean total cost per QALY gained for MIS versus open hemilaminectomy was assessed as incremental cost-effectiveness ratio (ICER: COST(MIS)-COST(OPEN)/QALY(MIS)-QALY(OPEN)). MIS versus open cohorts were similar at baseline. MIS and open hemilaminectomy were associated with an equivalent cumulative gain of 0.72 QALYs 2 years after surgery. Mean direct medical costs, indirect societal costs, and total 2-year cost ($23,109 vs. $25,420; P=0.21) were similar between MIS and open hemilaminectomy. MIS versus open approach was associated with similar total costs and utility, making it a cost equivalent technology compared with the traditional open approach. MIS versus open multilevel hemilaminectomy was associated with similar cost over 2 years while providing equivalent improvement in QALYs. In our experience, MIS versus open multilevel hemilaminectomy is a cost equivalent technology for patients with lumbar stenosis-associated radicular pain.

Physiological IgM Class Catalytic Antibodies Selective for Transthyretin Amyloid*

PubMed Central

Planque, Stephanie A.; Nishiyama, Yasuhiro; Hara, Mariko; Sonoda, Sari; Murphy, Sarah K.; Watanabe, Kenji; Mitsuda, Yukie; Brown, Eric L.; Massey, Richard J.; Primmer, Stanley R.; O'Nuallain, Brian; Paul, Sudhir

2014-01-01

Peptide bond-hydrolyzing catalytic antibodies (catabodies) could degrade toxic proteins, but acquired immunity principles have not provided evidence for beneficial catabodies. Transthyretin (TTR) forms misfolded β-sheet aggregates responsible for age-associated amyloidosis. We describe nucleophilic catabodies from healthy humans without amyloidosis that degraded misfolded TTR (misTTR) without reactivity to the physiological tetrameric TTR (phyTTR). IgM class B cell receptors specifically recognized the electrophilic analog of misTTR but not phyTTR. IgM but not IgG class antibodies hydrolyzed the particulate and soluble misTTR species. No misTTR-IgM binding was detected. The IgMs accounted for essentially all of the misTTR hydrolytic activity of unfractionated human serum. The IgMs did not degrade non-amyloidogenic, non-superantigenic proteins. Individual monoclonal IgMs (mIgMs) expressed variable misTTR hydrolytic rates and differing oligoreactivity directed to amyloid β peptide and microbial superantigen proteins. A subset of the mIgMs was monoreactive for misTTR. Excess misTTR was dissolved by a hydrolytic mIgM. The studies reveal a novel antibody property, the innate ability of IgMs to selectively degrade and dissolve toxic misTTR species as a first line immune function. PMID:24648510

MRI-guided robotics at the U of Houston: evolving methodologies for interventions and surgeries.

PubMed

Tsekos, Nikolaos V

2009-01-01

Currently, we witness the rapid evolution of minimally invasive surgeries (MIS) and image guided interventions (IGI) for offering improved patient management and cost effectiveness. It is well recognized that sustaining and expand this paradigm shift would require new computational methodology that integrates sensing with multimodal imaging, actively controlled robotic manipulators, the patient and the operator. Such approach would include (1) assessing in real-time tissue deformation secondary to the procedure and physiologic motion, (2) monitoring the tool(s) in 3D, and (3) on-the-fly update information about the pathophysiology of the targeted tissue. With those capabilities, real time image guidance may facilitate a paradigm shift and methodological leap from "keyhole" visualization (i.e. endoscopy or laparoscopy) to one that uses a volumetric and informational rich perception of the Area of Operation (AoO). This capability may eventually enable a wider range and level of complexity IGI and MIS.

Journal selection decisions: a biomedical library operations research model. I. The framework.

PubMed Central

Kraft, D H; Polacsek, R A; Soergel, L; Burns, K; Klair, A

1976-01-01

The problem of deciding which journal titles to select for acquisition in a biomedical library is modeled. The approach taken is based on cost/benefit ratios. Measures of journal worth, methods of data collection, and journal cost data are considered. The emphasis is on the development of a practical process for selecting journal titles, based on the objectivity and rationality of the model; and on the collection of the approprate data and library statistics in a reasonable manner. The implications of this process towards an overall management information system (MIS) for biomedical serials handling are discussed. PMID:820391

Constraining magma ascent and degassing paths with olivine- and clinopyroxene-hosted melt inclusions: Evidence for multiple depths of crystallization and boundary-layer entrapment

NASA Astrophysics Data System (ADS)

Lloyd, A. S.; Newcombe, M. E.; Plank, T. A.

2016-12-01

Although olivine-hosted melt inclusions (MIs) remain the gold standard for recovering volatile concentrations of primitive magmas, later-fractionating minerals may be more appropriate for assessing magma storage conditions immediately prior to eruption. We present volatile analyses of MIs entrapped in early (Mg# 81-83) olivine and later (Mg# 70-80) clinopyroxene (Cpx) from the 1977 eruption of Seguam volcano, to assess the ascent history prior to this violent strombolian eruption. The olivine-hosted MIs contain average volatile concentrations (n=16) of 3.79 wt% H2O, 167 ppm CO2, 592 ppm Cl, and 133 ppm F, consistent with an entrapment pressure of 200 to 300 MPa ( 10-13 km depth) if the CO2 contained in the bubble is taken into account (Moore et al., 2015). Cpx phenocrysts contain two distinct MI assemblages; the inner assemblage consists of randomly distributed, rounded MIs which never contain a vapor bubble. Average volatile concentrations of the inner assemblage MIs (n=11) are 0.96 wt% H2O, 98 ppm CO2, 798 ppm Cl, and 280 ppm F, consistent with an entrapment at much shallower depth, 2 km. The outer assemblage contains inclusions too small for routine volatile analysis. Inner assemblage Cpx-hosted MIs preserve average enrichments of 1.3x and 2x for Cl and F respectively, and are similarly enriched in incompatible minor and trace elements (up to a factor of 5x). Two potential scenarios can explain these observations. The enrichments may represent the entrapment of an unrelated highly-fractionated, shallow magma (which is unsupported by the whole rock record at Seguam). A second possibility is enrichment through boundary layer entrapment during a period of rapid crystal growth during ascent through the upper crust. Boundary layer entrapment during MI formation is further supported by a negative correlation between the degree of enrichment and the diffusivity of individual elements, which is consistent with growth rates 10-8 m/s. Although the olivine-hosted MIs record a volatile-rich storage region, the later-fractionating Cpx indicate a phase of rapid crystallization, likely driven by water loss from the melt at shallow depths. This work highlights the information added by analyzing multiple phases in order to reconstruct the degassing path of magma prior to eruption.

Effectiveness of e-learning in hospitals.

PubMed

Chuo, Yinghsiang; Liu, Chuangchun; Tsai, Chunghung

2015-01-01

Because medical personnel share different work shifts (i.e., three work shifts) and do not have a fixed work schedule, implementing timely, flexible, and quick e-learning methods for their continued education is imperative. Hospitals are currently focusing on developing e-learning. This study aims to explore the key factors that influence the effectiveness of e-learning in medical personnel. This study recruited medical personnel as the study participants and collected sample data by using the questionnaire survey method. This study is based on the information systems success model (IS success model), a significant model in MIS research. This study found that the factors (i.e., information quality, service quality, convenience, and learning climate) influence the e-learning satisfaction and in turn influence effectiveness in medical personnel. This study provided recommendations to medical institutions according to the derived findings, which can be used as a reference when establishing e-learning systems in the future.

Variability of terrigenous input to the Bay of Bengal for the last 80 kyr: Implications on the Indian monsoon variability

NASA Astrophysics Data System (ADS)

Panmei, Champoungam; Naidu, Pothuri Divakar; Naik, Sushant Suresh

2018-06-01

Oceanographic processes in the Bay of Bengal (BoB) are strongly impacted by south-westerly and north-easterly winds of the Indian monsoon system during the summer and winter respectively. Variations in calcium carbonate (CaCO3) content and magnetic susceptibility (MS), along with Ba, Ti, and Al, were reconstructed for the past 80 kyr using a sediment core (MD 161/28) from the northern BoB in order to understand the changes in calcium carbonate deposition and MS signals associated with the Indian monsoon system. Our records infer monsoon-induced dilution through river discharges from different sediment provenance to be the main controlling factor of the CaCO3 variations at the core location. Generally lower CaCO3 content during stronger-southwest monsoon (SWM) interglacial periods (Marine Isotope Stage (MIS) 5a & 1, except 3) and higher CaCO3 content during weaker-SWM glacial periods (MIS 4 & 2) were documented. High MS correspond to MIS 4 & 2 of weakened SWM and strengthened northeast monsoon (NEM) periods caused due to enhanced sediment supply from the Peninsular Indian regions, whereas lower MS values correspond to MIS 5, 3 & 1 of strengthened SWM and weakened NEM derived through Ganges-Brahmaputra from the Himalaya Region. Thus, our records infer coupling of major rivers' discharges to the BoB with the SWM and NEM strengths, which has implications on the linkage with other climatic variations such as East Asian monsoon and Northern Hemisphere climate.

Phylogeography of a Marine Insular Endemic in the Atlantic Macaronesia: The Azorean Barnacle, Megabalanus azoricus (Pilsbry, 1916)

PubMed Central

González, José A.; Almeida, Corrine; Lopes, Evandro; Araújo, Ricardo; Carreira, Gilberto P.

2015-01-01

The Azorean barnacle, Megabalanus azoricus (Pilsbry, 1916), is a Macaronesian endemic whose obscure taxonomy and the unknown relationships among forms inhabiting isolated Northern Atlantic oceanic islands is investigated by means of molecular analysis herein. Mitochondrial data from the 16S rRNA and COX1 genes support its current species status, tropical ancestry, and the taxonomic homogeneity throughout its distribution range. In contrast, at the intraspecific level and based on control region sequences, we detected an overall low level of genetic diversity and three divergent lineages. The haplogroups α and γ were sampled in the Azores, Madeira, Canary, and Cabo Verde archipelagos; whereas haplogroup β was absent from Cabo Verde. Consequently, population analysis suggested a differentiation of the Cabo Verde population with respect to the genetically homogenous northern archipelagos generated by current oceanographic barriers. Furthermore, haplogroup α, β, and γ demographic expansions occurred during the interglacial periods MIS5 (130 Kya - thousands years ago -), MIS3 (60 Kya), and MIS7 (240 Kya), respectively. The evolutionary origin of these lineages is related to its survival in the stable southern refugia and its demographic expansion dynamics are associated with the glacial-interglacial cycles. This phylogeographic pattern suggests the occurrence of genetic discontinuity informative to the delimitation of an informally defined biogeographic entity, Macaronesia, and its generation by processes that delineate genetic diversity of marine taxa in this area. PMID:25919141

A Predictive Safety Management System Software Package Based on the Continuous Hazard Tracking and Failure Prediction Methodology

NASA Technical Reports Server (NTRS)

Quintana, Rolando

2003-01-01

The goal of this research was to integrate a previously validated and reliable safety model, called Continuous Hazard Tracking and Failure Prediction Methodology (CHTFPM), into a software application. This led to the development of a safety management information system (PSMIS). This means that the theory or principles of the CHTFPM were incorporated in a software package; hence, the PSMIS is referred to as CHTFPM management information system (CHTFPM MIS). The purpose of the PSMIS is to reduce the time and manpower required to perform predictive studies as well as to facilitate the handling of enormous quantities of information in this type of studies. The CHTFPM theory encompasses the philosophy of looking at the concept of safety engineering from a new perspective: from a proactive, than a reactive, viewpoint. That is, corrective measures are taken before a problem instead of after it happened. That is why the CHTFPM is a predictive safety because it foresees or anticipates accidents, system failures and unacceptable risks; therefore, corrective action can be taken in order to prevent all these unwanted issues. Consequently, safety and reliability of systems or processes can be further improved by taking proactive and timely corrective actions.

Ice Age Reboot: Thermohaline Circulation Crisis during the Mid-Pleistocene Transition

NASA Astrophysics Data System (ADS)

Pena, L.; Goldstein, S. L.

2014-12-01

The mid-Pleistocene transition (MPT) marked a fundamental change in glacial-interglacial periodicity, when it increased from ~41- to 100-kyr cycles and developed higher amplitude climate variability. Because it took place without significant changes in the Milankovitch forcing, this fundamental change must reflect either non-linear responses of the climate system to these external forcings, or internal changes in the ocean-atmosphere-cryosphere system that led to longer periodicities and more intense glacial periods. We document using Nd isotopes a major disruption of the ocean thermohaline circulation (THC) system during the MPT between MIS 25-21 at ~950-860 ka, which effectively marks the first 100-kyr cycle, including an exceptional weakening through critical interglacial MIS 23 at ~900 ka. The data are from ODP Sites 1088 (41°8.163'S, 13°33.77'E, 2082m) and 1090 (42°54.82'S, 8°53.98E', 3702m) in the SE Atlantic Subantarctic Zone, near the upper and lower boundaries of NADW and Circumpolar Deep Water (CDW). Given evidence for nearly stable NADW and North Pacific Water (NPW) ɛNd-values over the last 2 Ma, we interpret the ɛNd variations to reflect changes in the NADW:NPW mixing fractions. During the studied pre-MPT 41-kyr world (MIS 31-25, 1,100-950 ka), at both sites the differences in glacial and interglacial ɛNd-values are small, indicating strong glacial as well as interglacial export of NADW. A major weakening of NADW export occurred during MIS 24-22, including MIS 23, which is unique as the only known interglacial in which the THC did not strengthen, and thus can be considered as a 'trans-glacial' period. The recovery into the post-MPT 100-kyr world is characterized by continued weak glacial THC. We conclude that the MPT ocean circulation crisis 'rebooted' the pacing and intensity of ice ages and facilitated the coeval drawdown of atmospheric CO2 and high latitude ice sheet growth, generating the conditions that stabilized 100-kyr cycles.

Flexible exportation mechanisms of arthrofactin in Pseudomonas sp. MIS38.

PubMed

Lim, S P; Roongsawang, N; Washio, K; Morikawa, M

2009-07-01

To obtain further insights into transportation mechanisms of a most effective biosurfactant, arthrofactin in Pseudomonas sp. MIS38. A cluster genes arfA/B/C encodes an arthrofactin synthetase complex (ArfA/B/C). Downstream of the arfA/B/C lie genes encoding a putative periplasmic protein (ArfD, 362 aa) and a putative ATP-binding cassette transporter (ArfE, 651 aa), namely arfD and arfE, respectively. The arfA/B/C, arfD, and arfE form an operon suggesting their functional connection. Gene knockout mutants ArfD:Km, ArfE:Km, ArfD:Tc/ArfE:Km, and gene overexpression strains MIS38(pME6032_arfD/E) and ArfE:Km(pME6032_arfD/E) were prepared and analysed for arthrofactin production profiles. It was found that the production levels of arthrofactin were temporally reduced in the mutants or increased in the gene overexpression strains, but they eventually became similar level to that of MIS38. Addition of ABC transporter inhibitors, glibenclamide and sodium ortho-vanadate dramatically reduced the production levels of arthrofactin. This excludes a possibility that arthrofactin is exported by diffusion with the aid of its own high surfactant activity. ArfD/E is not an exclusive but a primary exporter of arthrofactin during early growth stage. Reduction in the arthrofactin productivity of arfD and arfE knockout mutants was eventually rescued by another ABC transporter system. Effects of arfD and arfE overexpression were evident only for 1-day cultivation. Multiple ATP dependent active transporter systems are responsible for the production of arthrofactin. Pseudomonas bacteria are characterized to be endued with multiple exporter and efflux systems for secondary metabolites including antibiotics, plant toxins, and biosurfactants. The present work demonstrates exceptionally flexible and highly controlled transportation mechanisms of a most effective lipopeptide biosurfactant, arthrofactin in Pseudomonas sp. MIS38. Because lipopeptide biosurfactants are known to enhance efficacy of bioactive compounds and arfA/B/C/D/E orthologous genes are also found in plant pathogenic P. fluorescens and P. syringae strains, the knowledge would also contribute to develop a technology controlling plant diseases.

Millennial-scale variations in western Sierra Nevada precipitation during the last glacial cycle MIS 4/3 transition

NASA Astrophysics Data System (ADS)

Oster, Jessica L.; Montañez, Isabel P.; Mertz-Kraus, Regina; Sharp, Warren D.; Stock, Greg M.; Spero, Howard J.; Tinsley, John; Zachos, James C.

2014-07-01

Dansgaard-Oeschger (D-O) cycles had far-reaching effects on Northern Hemisphere and tropical climate systems during the last glacial period, yet the climatic response to D-O cycles in western North America is controversial, especially prior to 55 ka. We document changes in precipitation along the western slope of the central Sierra Nevada during early Marine Oxygen Isotope Stages (MIS) 3 and 4 (55-67 ka) from a U-series dated speleothem record from McLean's Cave. The timing of our multi-proxy geochemical dataset is coeval with D-O interstadials (15-18) and stadials, including Heinrich Event 6. The McLean's Cave stalagmite indicates warmer and drier conditions during Greenland interstadials (GISs 15-18), signified by elevated δ18O, δ13C, reflectance, and trace element concentrations, and less radiogenic 87Sr/86Sr. Our record extends evidence of a strong linkage between high-latitude warming and reduced precipitation in western North America to early MIS 3 and MIS 4. This record shows that the linkage persists in diverse global climate states, and documents the nature of the climatic response in central California to Heinrich Event 6.

Characterization of charge trapping phenomena at III-N/dielectric interfaces

NASA Astrophysics Data System (ADS)

Stradiotto, Roberta; Pobegen, Gregor; Ostermaier, Clemens; Grasser, Tibor

2016-11-01

Charge trapping related phenomena are among the most serious reliability issues in GaN/AlGaN MIS-HEMTs technology. Today, many research efforts are undertaken to investigate and identify the defects responsible for device degradation. This work focuses on the trap sites located close to the interface with the dielectric, which are responsible for large voltage drifts in on-state conditions. We study the response of GaN/AlGaN/SiN systems to small and large signal excitation. Measurements performed with a lock-in amplifier enable us to deeply understand the dynamic behavior because of the improved time resolution and the versatility of the instrument. We investigate the frequency dispersion and the hysteresis of these devices and conclude that direct analysis of impedance characteristics is not sufficient to extract information about the interface trap response. We propose a methodology to study trapping phenomena based on transient measurement analysis, describing the approximations made and their effect on the accuracy of the result. Results on MIS test structures confirm the existence of a broad distribution of trap states. Capture time constants are found to be uniformly distributed in the experimental time window between 50 μs and 100 s.

AMH/MIS as a contraceptive that protects the ovarian reserve during chemotherapy.

PubMed

Kano, Motohiro; Sosulski, Amanda E; Zhang, LiHua; Saatcioglu, Hatice D; Wang, Dan; Nagykery, Nicholas; Sabatini, Mary E; Gao, Guangping; Donahoe, Patricia K; Pépin, David

2017-02-28

The ovarian reserve represents the stock of quiescent primordial follicles in the ovary which is gradually depleted during a woman's reproductive lifespan, resulting in menopause. Müllerian inhibiting substance (MIS) (or anti-Müllerian hormone/AMH), which is produced by granulosa cells of growing follicles, has been proposed as a negative regulator of primordial follicle activation. Here we show that long-term parenteral administration of superphysiological doses of MIS, using either an adeno-associated virus serotype 9 (AAV9) gene therapy vector or recombinant protein, resulted in a complete arrest of folliculogenesis in mice. The ovaries of MIS-treated mice were smaller than those in controls and did not contain growing follicles but retained a normal ovarian reserve. When mice treated with AAV9/MIS were paired with male breeders, they exhibited complete and permanent contraception for their entire reproductive lifespan, disrupted vaginal cycling, and hypergonadotropic hypogonadism. However, when ovaries from AAV9-MIS-treated mice were transplanted orthotopically into normal recipient mice, or when treatment with the protein was discontinued, folliculogenesis resumed, suggesting reversibility. One of the important causes of primary ovarian insufficiency is chemotherapy-induced primordial follicle depletion, which has been proposed to be mediated in part by increased activation. To test the hypothesis that MIS could prevent chemotherapy-induced overactivation, mice were given carboplatin, doxorubicin, or cyclophosphamide and were cotreated with AAV9-MIS, recombinant MIS protein, or vehicle controls. We found significantly more primordial follicles in MIS-treated animals than in controls. Thus treatment with MIS may provide a method of contraception with the unique characteristic of blocking primordial follicle activation that could be exploited to prevent the primary ovarian insufficiency often associated with chemotherapy.

The integration of minimally invasive surgery in surgical practice in a Canadian setting: results from 2 consecutive province-wide practice surveys of general surgeons over a 5-year period

PubMed Central

Hallet, Julie; Mailloux, Olivier; Chhiv, Mony; Grégoire, Roger C.; Gagné, Jean-Pierre

2015-01-01

Background Although minimally invasive surgery (MIS) has been quickly embraced, the introduction of advanced procedures appears more complex. We assessed the evolution of MIS in the province of Quebec over a 5-year period to identify areas for improvement in the modern surgical era. Methods We developed, test-piloted and conducted a self-administered questionnaire among Quebec general surgeons in 2007 and 2012 to examine stated MIS practice, MIS training and barriers and facilitators to the use of MIS. Results Response rates were 51.3% (251 of 489) in 2007 and 31.3% (153 of 491) in 2012. A significant increase was observed for performance of most advanced MIS procedures, especially for colectomy for benign (66.0% v. 84.3%, p < 0,001) and malignant diseases (43.3% v. 77.8%, p < 0,001) and for rectal surgery for malignancy (21.0% v. 54.6%, p < 0.001). More surgeons practised 3 or more advanced MIS procedures in 2012 than in 2007 (82.3% v. 64.3%, p < 0,001). At multivariate analysis, the 2007 survey administration was associated with fewer surgeons practising advanced MIS (odds ratio 0.13, 95% confidence interval 0.06–0.29). In 2012, more respondents stated they gained their skills during residency (p = 0.028). Conclusion From 2007 to 2012 there was a significant increase in advanced MIS procedures practised by general surgeons in Québec. This technique appears well established in current surgical practice. The growing place of MIS in residency training seems to be a paramount part of this development. Results from this study could be used as a baseline for studies focusing on ways to further improve the MIS practice. PMID:25598180

A comparison of open and minimally invasive surgery for hepatic and pancreatic resections using the nationwide inpatient sample

PubMed Central

Ejaz, Aslam; Sachs, Teviah; He, Jin; Spolverato, Gaya; Hirose, Kenzo; Ahuja, Nita; Wolfgang, Christopher L.; Makary, Martin A.; Weiss, Matthew; Pawlik, Timothy M.

2015-01-01

Background The use of minimally invasive surgery (MIS) techniques for pancreatic and liver operations remains ill defined. We sought to compare inpatient outcomes among patients undergoing open versus MIS pancreas and liver operations using a nationally representative cohort. Methods We queried the Nationwide Inpatient Sample database for all major pancreatic and hepatic resections performed between 2000 and 2011. Appropriate International Classification of Diseases, 9th Revision (ICD-9) coding modifiers for laparoscopy and robotic assist were used to categorize procedures as MIS. Demographics, comorbidities, and inpatient outcomes were compared between the open and MIS groups. Results A total of 65,033 resections were identified (pancreas, n = 36,195 [55.7%]; liver, n = 28,035 [43.1%]; combined pancreas and liver, n = 803 [1.2%]). The overwhelming majority of operations were performed open (n = 62,192, 95.6%), whereas 4.4% (n = 2,841) were MIS. The overall use of MIS increased from 2.3% in 2000 to 7.5% in 2011. Compared with patients undergoing an open operation, MIS patients were older and had a greater incidence of multiple comorbid conditions. After operation, the incidence of complications for MIS (pancreas, 35.4%; liver, 29.5%) was lower than for open (pancreas, 41.6%; liver, 33%) procedures (all P < .05) resulting in a shorter median length of stay (8 vs 7 days; P = .001) as well as a lower in-hospital mortality (5.1% vs 2.8%; P = .001). Conclusion During the last decade, the number of MIS pancreatic and hepatic operations has increased, with nearly 1 in 13 HPB cases now being performed via an MIS approach. Despite MIS patients tending to have more preoperative medical comorbidities, postoperative morbidity, mortality, and duration of stay compared favorably with open surgery. PMID:25017135

Uracil misincorporation into DNA and folic acid supplementation123

PubMed Central

Selhub, Jacob; Chao, Wei-Hsun; Ueland, Per Magne; Hunter, David J; Baron, John A

2010-01-01

Background: Folate deficiency decreases thymidylate synthesis from deoxyuridylate, which results in an imbalance of deoxyribonucleotide that may lead to excessive uracil misincorporation (UrMis) into DNA during replication and repair. Objective: We evaluated the relation between UrMis in different tissues and the effect of folate supplementation on UrMis. Design: We analyzed UrMis concentrations in rectal mucosa (n = 92) and white blood cells (WBCs; n = 60) among individuals randomly assigned to receive supplementation with 1 mg folate/d or placebo, who were then evaluated for colorectal adenoma recurrence. Results: As expected, total homocysteine was significantly lower among the study participants who received active folate treatment (Wilcoxon's P = 0.003) than among those in the placebo group. The median UrMis concentration in rectal mucosa and WBCs among individuals treated with folate was not significantly lower than that in those who received placebo (Wilcoxon's P = 0.17). UrMis concentrations in both rectal mucosa and WBCs did not correlate significantly with folate measured in plasma and red blood cells. UrMis in rectal mucosa was marginally associated with an increased risk of adenoma recurrence (odds ratio per SD: 1.43; 95% CI: 0.91, 2.25). Conclusions: UrMis measurements in WBCs are not a robust surrogate for UrMis measurements in the rectal mucosa (Spearman correlation coefficient = 0.23, P = 0.08). Furthermore, folate supplementation in an already replete population (half treated with folic acid supplements and all exposed to folic acid fortification of the food supply) was not significantly associated with reduced UrMis in rectal mucosa cells or WBCs. Large-scale studies are needed to evaluate whether excessive UrMis concentrations are an important risk factor for colorectal neoplasia. This trial was registered at clinicaltrials.gov as NCT00272324. PMID:19923375

Minimally invasive surgery in veterinary practice: a 2010 survey of diplomates and residents of the American College of Veterinary Surgeons.

PubMed

Bleedorn, Jason A; Dykema, Jennifer L; Hardie, Robert J

2013-08-01

To report the current state of minimally invasive surgery (MIS) in veterinary surgical practice in 2010. Electronic questionnaire. Diplomates and residents of the American College of Veterinary Surgeons (ACVS). A survey (38 questions for Diplomates, 23 questions for residents) was sent electronically to 1216 Diplomates and 300 residents. Questions were organized into 5 categories to investigate: (1) caseload and distribution of MIS cases; (2) MIS training; (3) MIS benefits, morbidity, limitations and motivating factors; (4) ACVS role; and (5) demographics of the study population. Eighty-six percent of small animal (SA) Diplomates, 99% of large animal (LA) Diplomates, and 98% of residents had performed MIS. Median LA caseload (30 cases/year; range, 1-600) was significantly higher than SA caseload (20 cases/year; range, 1-350). Descending order of case distribution was: arthroscopy > laparoscopy > endoscopic upper airway > thoracoscopy. Sixty percent of Diplomates and 98% of residents received MIS training during their residency. Residents' perspective of MIS training proficiency was positively correlated to caseload. Ninety-five percent of all respondents felt postoperative morbidity was less with MIS, and were motivated by patient benefits, maintaining a high standard of care, and personal interests. Fifty-eight percent of Diplomates and 89% of residents felt ACVS should be involved in developing MIS training. MIS is widely used by ACVS Diplomates and residents in clinical practice; however, important differences exist between SA and LA surgeons and practice types. MIS training in partnership with the ACVS is needed for continued development in veterinary surgery. © Copyright 2013 by The American College of Veterinary Surgeons.

Ice Complex permafrost of MIS5 age in the Dmitry Laptev Strait coastal region (East Siberian Arctic)

NASA Astrophysics Data System (ADS)

Wetterich, Sebastian; Tumskoy, Vladimir; Rudaya, Natalia; Kuznetsov, Vladislav; Maksimov, Fedor; Opel, Thomas; Meyer, Hanno; Andreev, Andrei A.; Schirrmeister, Lutz

2016-09-01

Ice Complex deposits (locally known as the Buchchagy Ice Complex) are exposed at both coasts of the East Siberian Dmitry Laptev Strait and preserved below the Yedoma Ice Complex that formed during MIS3 and MIS2 (Marine Isotope Stage) and lateglacial-Holocene thermokarst deposits (MIS1). Radioisotope disequilibria (230Th/U) of peaty horizons date the Buchchagy Ice Complex deposition to 126 + 16/-13 kyr and 117 + 19/-14 kyr until 98 ± 5 kyr and 89 ± 5 kyr. The deposit is characterised by poorly-sorted medium-to-coarse silts with cryogenic structures of horizontal ice bands, lens-like, and lens-like reticulated segregation ice. Two peaty horizons within the Buchchagy Ice Complex and syngenetic ice wedges (2-4 m wide, up to 10 m high) are striking. The isotopic composition (δ18O, δD) of Buchchagy ice-wedge ice indicates winter conditions colder than during the MIS3 interstadial and warmer than during MIS2 stadial, and similar atmospheric winter moisture sources as during the MIS2 stadial. Buchchagy Ice Complex pollen spectra reveal tundra-steppe vegetation and harsher summer conditions than during the MIS3 interstadial and rather similar vegetation as during the MIS2 stadial. Short-term climatic variability during MIS5 is reflected in the record. Even though the regional chronostratigraphic relationship of the Buchchagy Ice Complex to the Last Interglacial remains unclear because numerical dating is widely lacking, the present study indicates permafrost (Ice Complex) formation during MIS5 sensu lato, and its preservation afterwards. Palaeoenvironmental insights into past climate and the periglacial landscape dynamics of arctic lowlands in eastern Siberia are deduced from the record.

Does MIS Surgery Allow for Shorter Constructs in the Surgical Treatment of Adult Spinal Deformity?

PubMed

Uribe, Juan S; Beckman, Joshua; Mummaneni, Praveen V; Okonkwo, David; Nunley, Pierce; Wang, Michael Y; Mundis, Gregory M; Park, Paul; Eastlack, Robert; Anand, Neel; Kanter, Adam; Lamarca, Frank; Fessler, Richard; Shaffrey, Chris I; Lafage, Virginie; Chou, Dean; Deviren, Vedat

2017-03-01

The length of construct can potentially influence perioperative risks in adult spinal deformity (ASD) surgery. A head-to-head comparison between open and minimally invasive surgery (MIS) techniques for treatment of ASD has yet to be performed. To examine the impact of MIS approaches on construct length and clinical outcomes in comparison to traditional open approaches when treating similar ASD profiles. Two multicenter databases for ASD, 1 involving MIS procedures and the other open procedures, were propensity matched for clinical and radiographic parameters in this observational study. Inclusion criteria were ASD and minimum 2-year follow-up. Independent t -test and chi-square test were used to evaluate and compare outcomes. A total of 1215 patients were identified, with 84 patients matched in each group. Statistical significance was found for mean levels fused (4.8 for circumferential MIS [cMIS] and 10.1 for open), mean interbody fusion levels (3.6 cMIS and 2.4 open), blood loss (estimated blood loss 488 mL cMIS and 1762 mL open), and hospital length of stay (6.7 days cMIS and 9.7 days open). There was no significant difference in preoperative radiographic parameters or postoperative clinical outcomes (Owestry Disability Index and visual analog scale) between groups. There was a significant difference in postoperative lumbar lordosis (43.3° cMIS and 49.8° open) and pelvic incidence-lumbar lordosis correction (10.6° cMIS and 5.2° open) in the open group. There was no significant difference in reoperation rate between the 2 groups. MIS techniques for ASD may reduce construct length, reoperation rates, blood loss, and length of stay without affecting clinical and radiographic outcomes when compared to a similar group of patients treated with open techniques. Copyright © 2017 by the Congress of Neurological Surgeons

Evolution of open radical retropubic prostatectomy--how have open surgeons responded to the challenge of minimally invasive surgery?

PubMed

Acharya, Sujeet S; Zorn, Kevin C; Shikanov, Sergey; Thong, Alan; Zagaja, Gregory P; Shalhav, Arieh L; Steinberg, Gary D

2009-11-01

With the advent of minimally invasive surgery (MIS) for treating urologic malignancies, emphasis has been placed on reducing patient morbidity and resuming normal activity. We sought to clarify whether open surgeons (OS) have modified their techniques, surgical equipment, and perioperative management in response to this trend. A survey sent to all members of the Society of Urologic Oncology assessed changes that OS performing radical retropubic prostatectomy have made in analgesia, operative technique, perioperative management, and follow-up patterns. We also assessed OS sense of competition from MIS. Surgeon perception of the influence MIS had on these changes was scored from 0 to 4 (0 = not at all, 1 = slightly, 2 = moderately, 3 = greatly, 4 =completely). Overall and major influence by MIS included scores 1-4 and 3-4, respectively. Reduced radical retropubic prostatectomy (RRP) case volume because of MIS competition was reported by 20 OS (24%), with 27 OS (32%) starting to perform MIS, and 20 (24%) doing mostly/exclusively MIS. MIS has influenced OS to reduce incision length (overall influence 56%/major influence 33%), operative time (40%/12%), blood loss (31%/17%), and transfusion rate (33%/14%). MIS has influenced OS to use new instruments (48%/44%) or loupes (20%/9%), modify dissection (45%/31%) or anastomotic technique (14%/12%), and increase the use of hemostatic agents (48%/19%). MIS has reduced convalescence in OS patients by reducing length of stay (52%/28%), time to a regular diet (40%/18%), duration of drain (21%/16%) and Foley (32%/15%), time to return to work (49%/25%), and exercise (44%/21%). MIS has changed follow-up of OS patients by increasing the use of clinical pathways (14%/9%) and validated questionnaires (22%/13%). To date, the influence of MIS on the OS has not been comprehensively assessed. This survey finds that OS report that MIS serves as major competition to the open technique and that it has influenced them to modify their surgical technique, reduce convalescence, and alter follow-up recommendations.

Volcanic synchronization of Dome Fuji and Dome C Antarctic deep ice cores over the past 216 kyr

NASA Astrophysics Data System (ADS)

Fujita, S.; Parrenin, F.; Severi, M.; Motoyama, H.; Wolff, E. W.

2015-10-01

Two deep ice cores, Dome Fuji (DF) and EPICA Dome C (EDC), drilled at remote dome summits in Antarctica, were volcanically synchronized to improve our understanding of their chronologies. Within the past 216 kyr, 1401 volcanic tie points have been identified. DFO2006 is the chronology for the DF core that strictly follows O2 / N2 age constraints with interpolation using an ice flow model. AICC2012 is the chronology for five cores, including the EDC core, and is characterized by glaciological approaches combining ice flow modelling with various age markers. A precise comparison between the two chronologies was performed. The age differences between them are within 2 kyr, except at Marine Isotope Stage (MIS) 5. DFO2006 gives ages older than AICC2012, with peak values of 4.5 and 3.1 kyr at MIS 5d and MIS 5b, respectively. Accordingly, the ratios of duration (AICC2012 / DFO2006) range between 1.4 at MIS 5e and 0.7 at MIS 5a. When making a comparison with accurately dated speleothem records, the age of DFO2006 agrees well at MIS 5d, while the age of AICC2012 agrees well at MIS 5b, supporting their accuracy at these stages. In addition, we found that glaciological approaches tend to give chronologies with younger ages and with longer durations than age markers suggest at MIS 5d-6. Therefore, we hypothesize that the causes of the DFO2006-AICC2012 age differences at MIS 5 are (i) overestimation in surface mass balance at around MIS 5d-6 in the glaciological approach and (ii) an error in one of the O2 / N2 age constraints by ~ 3 kyr at MIS 5b. Overall, we improved our knowledge of the timing and duration of climatic stages at MIS 5. This new understanding will be incorporated into the production of the next common age scale. Additionally, we found that the deuterium signals of ice, δDice, at DF tends to lead the one at EDC, with the DF lead being more pronounced during cold periods. The lead of DF is by +710 years (maximum) at MIS 5d, -230 years (minimum) at MIS 7a and +60 to +126 years on average.

Late Quaternary environmental changes inferred from n-alkane evidence in coastal area of southern Hainan Island, China

NASA Astrophysics Data System (ADS)

Wang, Mengyuan; Zheng, Zhuo

2016-04-01

The studied core was a coastal core in Hainan Island, China. It is in length of 49.01m and divided into four Units (MIS 1~MIS 6) according to lithology description. The Optically Stimulated Luminescence (OSL) attributes the sediments from Unit 3 to the Oxygen Isotope Stage of MIS 5e (Unit 3b and 3c) and 5d (Unit 3a). To interpret the origination of organic carbons and to reconstruct paleovegetation changes, n-alkane, δ13C and TOC have been used in the present research. The result of n-alkanes distribution indicates a series of changes of sedimentary environment and terrestrial input. The shallow water facies at Unit 2, 3a and 4 is mainly characterized by short carbon chain n-alkanes and relatively low concentration. Contrasting with that of deep-water marine facies of MIS 5e (Unit 3b), the n-alkane pattern is typical bimodal and the main peaks are both in short and long carbon chains. During Unit 3b-1 (MIS 5e), more terrestrial original n-alkanes contribute to the concentration of TOC than oceanic. Organic matter source is mainly terrestrial origination. Total organic matter input mechanism of TLG-01 correlates with sediment grain size (average grain size). Total organic carbon input is enhanced with the increasing of fine grain size component. The variation of CPI (25-33) value in this study correlates with hydrological energy. The highest CPI (25-33) value is shown in the high sea level period of MIS 5e, comparing with that in MIS 5d and MIS 1. High CPI value corresponds to high TOC and average grain size (Φ) value. In the weak hydrological energy sedimentary environment, more terrestrial organic matter, together with TOC, deposit in the study area. ACL (25-33) index display higher values in the interglacial period (MIS 5 and MIS 1) than MIS 3 (sediments weathered during MIS 2) and MIS 6. Paq proxy, together with δ13C, estimates the mangrove growing depth in MIS 5e. The correlation between δ13C and each carbon chain alkane state stabilize and turbulence of sedimentary environment in MIS 5e. Sediments deposit in stable weak hydrological energy environment show order and grouped alkanes distribution (Unit 3b-2). High and positive correlation coefficients of δ13C and each carbon chain alkane show the dominant alkanes contributed to organic carbon (δ13C).

A decision support tool for synchronizing technology advances with strategic mission objectives

NASA Technical Reports Server (NTRS)

Hornstein, Rhoda S.; Willoughby, John K.

1992-01-01

Successful accomplishment of the objectives of many long-range future missions in areas such as space systems, land-use planning, and natural resource management requires significant technology developments. This paper describes the development of a decision-support data-derived tool called MisTec for helping strategic planners to determine technology development alternatives and to synchronize the technology development schedules with the performance schedules of future long-term missions. Special attention is given to the operations, concept, design, and functional capabilities of the MisTec. The MisTec was initially designed for manned Mars mission, but can be adapted to support other high-technology long-range strategic planning situations, making it possible for a mission analyst, planner, or manager to describe a mission scenario, determine the technology alternatives for making the mission achievable, and to plan the R&D activity necessary to achieve the required technology advances.

The comprehensive study and the reduction of contact resistivity on the n-InGaAs M-I-S contact system with different inserted insulators

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

Liao, M.-H., E-mail: mhliaoa@ntu.edu.tw; Lien, C.

2015-05-15

Five different kinds of insulators including BaTiO{sub 3}, TiO{sub 2}, Al{sub 2}O{sub 3}, CdO and ZnO on the n-type InGaAs metal-insulator-semiconductor (M-I-S) ohmic contact structure are studied. The effect for the dielectric constant (ε) of inserted insulator and the conduction band offset (CBO) between an insulator and semiconductor substrate is analyzed by a unified M-I-S contact model. Based on the theoretical model and experimental data, we demonstrates that the inserted ZnO insulator with the high electron affinity and the low CBO (∼0.1 eV) to the InGaAs substrate results in ∼10 times contact resistivity reduction, even the ε of ZnO ismore » not pretty high (∼10)« less

Speleothem records of changes in the South American Summer Monsoon during MIS stages 5 and 6

NASA Astrophysics Data System (ADS)

Burns, S. J.; Kanner, L.; Cheng, H.; Edwards, R.

2011-12-01

Little information exists about the behavior of the South American Summer Monsoon prior to the Last Glacial Period. Speleothems from the Peruvian Altiplano are one possible archive of SASM intensity because oxygen isotopes of rainfall on the Altiplano are primarily controlled by the intensity of rainfall in upstream moisture source region, the Amazon Basin. Here, we present results from a two speleothems collected from Gruta de Huagapo, a cave in the central Peruvian Altiplano (12°S, 76°W, ~3800m elevation). The samples grew from approximately 115-125 ky BP and from 136-168 ky BP, spanning time periods equivalent to much of MIS stage 5e and the transition into MIS 5d and MIS 6. Chronologies were determined by U-Th dating techniques and the dates are in stratigraphic with analytical errors < 0.4%. 100 preliminary δ18O values were micromilled from each sample along the growth axis. Oxygen isotopic values of the younger sample, stalagmite P10-H1, range from -12.5% to -16.5%. The overall trend in isotopic values generally parallels summer insolation, with more depleted values associated with greater insolation. The most enriched values, between -12.5% and -13.5% occur from 121-125 ky BP, with an abrupt transition to more depleted values at 121 ky BP. The values plateau at about -15% until 117 ky BP, then abruptly decrease again to around -16 % for the rest of the record. The enriched values during the middle and latter parts of MIS 5e suggest a weakened monsoon during that time and coincide with observed low lake levels at Lake Titicaca (Fritz et al, 2007). At present we have isotopic data from only the youngest 10 ky of the older sample. The values are generally more depleted, with most between -16% and -17%, suggesting an intensified SASM during MIS 6 as compared to 5e. A rapid increase in δ18O occurs at ~136 ky BP. Overall the trends in the data parallel major changes in δD from EPICA, but appear to lead the Antarctic time series by ~2 ky.

Material-induced Senescence (MIS): Fluidity Induces Senescent Type Cell Death of Lung Cancer Cells via Insulin-Like Growth Factor Binding Protein 5.

PubMed

Mano, Sharmy Saimon; Uto, Koichiro; Ebara, Mitsuhiro

2017-01-01

Objective: We propose here material-induced senescence (MIS) as a new therapeutic concept that limits cancer progression by stable cell cycle arrest. This study examined for the first time the effect of material fluidity on cellular senescence in lung carcinoma using poly(ε-caprolactone- co -D, L-lactide) (P(CL- co -DLLA)) with tunable elasticity and fluidity. Methods: The fluidity was varied by chemically crosslinking the polymer networks: the crosslinked P(CL- co -DLLA) shows solid-like properties with a stiffness of 260 kPa, while the non-crosslinked polymer exists in a quasi-liquid state with loss and storage moduli of 33 kPa and 11 kPa, respectively. Results: We found that cancer cells growing on the non-crosslinked, fluidic substrate undergo a non-apoptotic form of cell death and the cell cycle was accumulated in a G0/G1 phase. Next, we investigated the expression of biomarkers that are associated with cancer pathways. The cancer cells on the fluidic substrate expressed several biomarkers associated with senescence such as insulin-like growth factor binding protein 5 (IGFBP5). This result indicates that when cancer cells sense fluidity in their surroundings, the cells express IGFBP5, which in turn triggers the expression of tumor suppressor protein 53 and initiates cell cycle arrest at the G1 phase followed by cellular senescence. Furthermore, the cancer cells on the fluidic substrate maintained their epithelial phenotype, suggesting that the cancer cells do not undergo epithelial to mesenchymal transition. Conclusion: By considering these results as the fundamental information for MIS, our system could be applied to induce senescence in treatment-resistant cancers such as metastatic cancer or cancer stem cells.

Toward information management in corporations (11)

NASA Astrophysics Data System (ADS)

Yamanaka, Yoshiaki

PC/WS's proleferation on to the despk top of endusers result in high level of computer literacies to them, networking between host/departmental/personal equipments also prevails entire organizations. In these circumstance, information architecture and environments will rapidly change in 1990's. Information manager's roles would change in these informated organization. Their roles and responsibilities will shifts to similer ones as other managers roles like human/asset/purchase/financial resources management. Sprit responsibilities between Cief Information Officer and MIS manager also will be seen in 1990's.

The role of ultra-thin SiO2 layers in metal-insulator-semiconductor (MIS) photoelectrochemical devices (Presentation Recording)

NASA Astrophysics Data System (ADS)

Esposito, Daniel V.

2015-08-01

Solid-state junctions based on a metal-insulator-semiconductor (MIS) architecture are of great interest for a number of optoelectronic applications such as photovoltaics, photoelectrochemical cells, and photodetection. One major advantage of the MIS junction compared to the closely related metal-semiconductor junction, or Schottky junction, is that the thin insulating layer (1-3 nm thick) that separates the metal and semiconductor can significantly reduce the density of undesirable interfacial mid-gap states. The reduction in mid-gap states helps "un-pin" the junction, allowing for significantly higher built-in-voltages to be achieved. A second major advantage of the MIS junction is that the thin insulating layer can also protect the underlying semiconductor from corrosion in an electrochemical environment, making the MIS architecture well-suited for application in (photo)electrochemical applications. In this presentation, discontinuous Si-based MIS junctions immersed in electrolyte are explored for use as i.) photoelectrodes for solar-water splitting in photoelectrochemical cells (PECs) and ii.) position-sensitive photodetectors. The development and optimization of MIS photoelectrodes for both of these applications relies heavily on understanding how processing of the thin SiO2 layer impacts the properties of nano- and micro-scale MIS junctions, as well as the interactions of the insulating layer with the electrolyte. In this work, we systematically explore the effects of insulator thickness, synthesis method, and chemical treatment on the photoelectrochemical and electrochemical properties of these MIS devices. It is shown that electrolyte-induced inversion plays a critical role in determining the charge carrier dynamics within the MIS photoelectrodes for both applications.

The MIS 5 palaeoenvironmental record in the SE Mediterranean coast of the Iberian Peninsula (Río Antas, Almería, Spain)

NASA Astrophysics Data System (ADS)

Torres, T.; Ortiz, J. E.; Blázquez, A. M.; Ruiz Zapata, B.; Gil, M. J.; Martín, T.; Sánchez-Palencia, Y.

2015-08-01

Landwards of a MIS5 bar, a borehole core (SRA) was analyzed to establish the relationship between the lagoonal record and the raised beach deposits in the surroundings of the Antas river mouth and to reconstruct the Pleistocene palaeoenvironmental evolution of the southern Mediterranean coast of the Iberian Peninsula. 63 samples were recovered for amino acid racemization dating, 86 samples for sedimentological and paleontological determination, 37 samples for pollen identification and 54 for biomarker analysis. AAR revealed that the borehole record contains MIS11, MIS6 and MIS5 deposits, the latter extensively represented. During the end of MIS6 and MIS5, a sand barrier developed and created a shallow lagoon with alternating terrestrial inputs this process being common in other Mediterranean realms. Litho- and biofacies allowed the identification of distinct paleoenvironments through time, with the presence of a lagoonal environment alternating with alluvial fan progradation. Biomarkers indicated constant input from terrestrial plants, together with variable development of aquatic macrophytes. The palynological content allowed the reconstruction of the paleoclimatological conditions during MIS6 and 5, with evidence of seven scenarios characterized by alternating arid and relatively humid conditions.

Accommodating Uncertainty in Prior Distributions

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

Picard, Richard Roy; Vander Wiel, Scott Alan

2017-01-19

A fundamental premise of Bayesian methodology is that a priori information is accurately summarized by a single, precisely de ned prior distribution. In many cases, especially involving informative priors, this premise is false, and the (mis)application of Bayes methods produces posterior quantities whose apparent precisions are highly misleading. We examine the implications of uncertainty in prior distributions, and present graphical methods for dealing with them.

Different nature of glacial CaCO3 constituents between MIS 2 and MIS 12 in the East Sea/Japan Sea and its paleoceanographic implication

NASA Astrophysics Data System (ADS)

Khim, Boo-Keun; Tada, Ryuji; Itaki, Takuya

2014-05-01

Two piston cores (PC-05 and PC-08) were collected on the Yamato Rise in the East Sea/Japan Sea during the KR07-12 cruise. A composite core was achieved with the successful replacement of almost half of the upper part of core PC-05 by the entirety of core PC-08 based on the co-equivalence of L* values and the dark layers, because an interval (170 cm to 410 cm) of core PC-05 was considerably disturbed due to fluidization during the core execution. Chronostratigraphy of the composite core was constructed by the direct comparison of L* values to the well-dated core MD01-2407 that was obtained in the Oki Ridge. The lower-bottom of the composite core reached back to Marine Isotope Stage (MIS) 14, based on the age estimate by LR04 stacks. Downcore opal variation of the composite core exhibited the distinct orbital-scale cyclic changes; high during the interglacial and low during the glacial periods. However, downcore CaCO3 variation showed no corresponding orbital-scale cyclic change between glacial and interglacial periods. Some intervals of both periods were high in CaCO3 content. Frequent and large fluctuations in CaCO3 content seemed to be more related to the presence of dark layers containing thin lamination (TL) within the glacial and interglacial intervals. It is worthy to note that MIS 2 and MIS 12 are characterized by distinctly high CaCO3 content, showing up to 18% and 73%, respectively, among the glacial periods. Furthermore, in terms of lithology, MIS 2 was characterized by a thick dark layer (low L* values) with TL, whereas MIS 12 preserved the distinctly light layer (high L* values) with parallel laminations. Another remarkable dissimilarity between MIS 2 and MIS 12 was the nature of their CaCO3 constituent; the CaCO3 constituent of MIS 2 consisted of mostly planktonic foraminifera, whereas that of MIS 12 was mostly dump of coccolithophorids, regardless the presence of planktonic foraminifera. The distinctness of the CaCO3 constituents between MIS 2 and MIS 12 indicates that the preservation of CaCO3 contents was different temporarily during the glacial periods in the East Sea/Japan Sea. Enhanced CaCO3 preservation in MIS 2 is attributed primarily to less dissolution during the sinking through the water column or at the seafloor, but increased CaCO3 preservation in MIS 12 is mainly due to the high primary production in the surface water. With respect to the different function of the biological pump which controls CO2 cycles, the East Sea/Japan Sea clearly experienced carbonate-ocean-like state during MIS 12, despite normally silica-ocean-like state.

Atmospheric CO2 variations on millennial-scale during MIS 6

NASA Astrophysics Data System (ADS)

Shin, Jinhwa; Grilli, Roberto; Chappellaz, Jérôme; Teste, Grégory; Nehrbass-Ahles, Christoph; Schmidely, Loïc; Schmitt, Jochen; Stocker, Thomas; Fischer, Hubertus

2017-04-01

Understanding natural carbon cycle / climate feedbacks on various time scales is highly important for predicting future climate changes. Paleoclimate records of Antarctic temperatures, relative sea level and foraminiferal isotope and pollen records in sediment cores from the Portuguese margin have shown climate variations on millennial time scale over the Marine Isotope Stage 6 (MIS 6; from approximately 135 to 190 kyr BP). These proxy data suggested iceberg calving in the North Atlantic result in cooling in the Northern hemisphere and warming in Antarctica by changes in the Atlantic Meridional Overturning Circulation, which is explained by a bipolar see-saw trend in the ocean (Margari et al., 2010). Atmospheric CO2 reconstruction from Antarctic ice cores can provide key information on how atmospheric CO2 concentrations are linked to millennial-scale climate changes. However, existing CO2 records cannot be used to address this relationship because of the lack of suitable temporal resolution. In this work, we will present a new CO2 record with an improved time resolution, obtained from the Dome C ice core (75˚ 06'S, 123˚ 24'E) spanning the MIS 6 period, using dry extraction methods. We will examine millennial-scale features in atmospheric CO2, and their possible links with other proxies covering MIS 6. Margari, V., Skinner, L. C., Tzedakis, P. C., Ganopolski, A., Vautravers, M., and Shackleton, N. J.: The nature of millennial scale climate variability during the past two glacial periods, Nat.Geosci., 3, 127-131, 2010.

Deepwater carbonate ion concentrations in the western tropical Pacific since 250 ka: Evidence for oceanic carbon storage and global climate influence

NASA Astrophysics Data System (ADS)

Qin, Bingbin; Li, Tiegang; Xiong, Zhifang; Algeo, Thomas J.; Chang, Fengming

2017-04-01

We present new "size-normalized weight" (SNW)-Δ[CO32-] core-top calibrations for three planktonic foraminiferal species and assess their reliability as a paleo-alkalinity proxy. SNWs of Globigerina sacculifer and Neogloboquadrina dutertrei can be used to reconstruct past deep Pacific [CO32-], whereas SNWs of Pulleniatina obliquiloculata are controlled by additional environmental factors. Based on this methodological advance, we reconstruct SNW-based deepwater [CO32-] for core WP7 from the western tropical Pacific since 250 ka. Secular variation in the SNW proxy documents little change in deep Pacific [CO32-] between the Last Glacial Maximum and the Holocene. Further back in time, deepwater [CO32-] shows long-term increases from marine isotope stage (MIS) 5e to MIS 3 and from early MIS 7 to late MIS 6, consistent with the "coral reef hypothesis" that the deep Pacific Ocean carbonate system responded to declining shelf carbonate production during these two intervals. During deglaciations, we have evidence of [CO32-] peaks coincident with Terminations 2 and 3, which suggests that a breakdown of oceanic vertical stratification drove a net transfer of CO2 from the ocean to the atmosphere, causing spikes in carbonate preservation (i.e., the "deglacial ventilation hypothesis"). During MIS 4, a transient decline in SNW-based [CO32-], along with other reported [CO32-] and/or dissolution records, implies that increased deep-ocean carbon storage resulted in a global carbonate dissolution event. These findings provide new insights into the role of the deep Pacific in the global carbon cycle during the late Quaternary.

Centennial-scale vegetation dynamics and climate variability in SE Europe during Marine Isotope Stage 11 based on a pollen record from Lake Ohrid

NASA Astrophysics Data System (ADS)

Kousis, Ilias; Koutsodendris, Andreas; Peyron, Odile; Leicher, Niklas; Francke, Alexander; Wagner, Bernd; Giaccio, Biagio; Knipping, Maria; Pross, Jörg

2018-06-01

To better understand climate variability during Marine Isotope Stage (MIS) 11, we here present a new, centennial-scale-resolution pollen record from Lake Ohrid (Balkan Peninsula) derived from sediment cores retrieved during an International Continental Scientific Drilling Program (ICDP) campaign. Our palynological data, augmented by quantitative pollen-based climate reconstructions, provide insight into the vegetation dynamics and thus also climate variability in SE Europe during one of the best orbital analogues for the Holocene. Comparison of our palynological results with other proxy data from Lake Ohrid as well as with regional and global climate records shows that the vegetation in SE Europe responded sensitively both to long- and short-term climate change during MIS 11. The chronology of our palynological record is based on orbital tuning, and is further supported by the detection of a new tephra from the Vico volcano, central Italy, dated to 410 ± 2 ka. Our study indicates that MIS 11c (∼424-398 ka) was the warmest interval of MIS 11. The younger part of the interglacial (i.e., MIS 11b-11a; ∼398-367 ka) exhibits a gradual cooling trend passing over into MIS 10. It is characterized by considerable millennial-scale variability as inferred by six abrupt forest-contraction events. Interestingly, the first forest contraction occurred during full interglacial conditions of MIS 11c; this event lasted for ∼1.7 kyrs (406.2-404.5 ka) and was characterized by substantial reductions in winter temperature and annual precipitation. Most notably, it occurred ∼7 ka before the end of MIS 11c and ∼15 ka before the first strong ice-rafted debris event in the North Atlantic. Our findings suggest that millennial-scale climate variability during MIS 11 was established in Southern Europe already during MIS 11c, which is earlier than in the North Atlantic where it is registered only from MIS 11b onwards.

AMH/MIS as a contraceptive that protects the ovarian reserve during chemotherapy

PubMed Central

Kano, Motohiro; Sosulski, Amanda E.; Zhang, LiHua; Saatcioglu, Hatice D.; Wang, Dan; Nagykery, Nicholas; Sabatini, Mary E.; Gao, Guangping; Donahoe, Patricia K.; Pépin, David

2017-01-01

The ovarian reserve represents the stock of quiescent primordial follicles in the ovary which is gradually depleted during a woman’s reproductive lifespan, resulting in menopause. Müllerian inhibiting substance (MIS) (or anti-Müllerian hormone/AMH), which is produced by granulosa cells of growing follicles, has been proposed as a negative regulator of primordial follicle activation. Here we show that long-term parenteral administration of superphysiological doses of MIS, using either an adeno-associated virus serotype 9 (AAV9) gene therapy vector or recombinant protein, resulted in a complete arrest of folliculogenesis in mice. The ovaries of MIS-treated mice were smaller than those in controls and did not contain growing follicles but retained a normal ovarian reserve. When mice treated with AAV9/MIS were paired with male breeders, they exhibited complete and permanent contraception for their entire reproductive lifespan, disrupted vaginal cycling, and hypergonadotropic hypogonadism. However, when ovaries from AAV9-MIS–treated mice were transplanted orthotopically into normal recipient mice, or when treatment with the protein was discontinued, folliculogenesis resumed, suggesting reversibility. One of the important causes of primary ovarian insufficiency is chemotherapy-induced primordial follicle depletion, which has been proposed to be mediated in part by increased activation. To test the hypothesis that MIS could prevent chemotherapy-induced overactivation, mice were given carboplatin, doxorubicin, or cyclophosphamide and were cotreated with AAV9-MIS, recombinant MIS protein, or vehicle controls. We found significantly more primordial follicles in MIS-treated animals than in controls. Thus treatment with MIS may provide a method of contraception with the unique characteristic of blocking primordial follicle activation that could be exploited to prevent the primary ovarian insufficiency often associated with chemotherapy. PMID:28137855

Glacial-interglacial variations in sediment organic carbon accumulation and benthic foraminiferal assemblages on the Bermuda Rise (ODP Site 1063) during MIS 13 to 10

NASA Astrophysics Data System (ADS)

Poli, Maria Serena; Meyers, Philip A.; Thunell, Robert C.; Capodivacca, Marco

2012-09-01

We have determined organic carbon concentrations and isotopic compositions and benthic foraminiferal assemblages in sediments deposited between ˜500 and 340 ka at ODP Site 1063 on the northeastern flank of the Bermuda Rise. This time interval includes Marine Isotope Stage (MIS) 11, a particularly warm and long interglacial that was similar to today, and MIS 12, one of the most severe glacials of the last 600 kyr. During MIS 11.3, the peak of interglacial warming, organic carbon accumulation rates are low and benthic foraminiferal assemblages are dominated by Nuttallides umbonifera, a species indicative of oligotrophic environments. Higher accumulation rates during MIS 12 and 10 correspond with elevated sedimentation rates (33-36 cm/kyr). This pattern implies a combination of enhanced delivery and improved preservation of sediment organic matter during these glacial times. Organic δ13C values are less negative during MIS 12 and MIS 10 than during MIS 11, which is consistent with greater glacial-stage marine productivity. High relative abundances ofOridorsalis umbonatus during glacial intervals probably records a low but sustained flux of highly degraded organic material. Large, recurrent fluctuations in the abundance of Epistominella exiguaat the beginnings of the MIS 12 and MIS 10 glaciations suggest a marked increase in local phytoplankton blooms at these times and consequent delivery of phytodetritus to the seafloor. The most likely causes of these variations are changes in the position and strength of the Gulf Stream and its associated cold-ring eddies, combined with increased advection of terrigenous sediments from northerly locations during glacial lowstands.

Control of an ER haptic master in a virtual slave environment for minimally invasive surgery applications

NASA Astrophysics Data System (ADS)

Han, Young-Min; Choi, Seung-Bok

2008-12-01

This paper presents the control performance of an electrorheological (ER) fluid-based haptic master device connected to a virtual slave environment that can be used for minimally invasive surgery (MIS). An already developed haptic joint featuring controllable ER fluid and a spherical joint mechanism is adopted for the master system. Medical forceps and an angular position measuring device are devised and integrated with the joint to establish the MIS master system. In order to embody a human organ in virtual space, a volumetric deformable object is used. The virtual object is then mathematically formulated by a shape-retaining chain-linked (S-chain) model. After evaluating the reflection force, computation time and compatibility with real-time control, the haptic architecture for MIS is established by incorporating the virtual slave with the master device so that the reflection force for the object of the virtual slave and the desired position for the master operator are transferred to each other. In order to achieve the desired force trajectories, a sliding mode controller is formulated and then experimentally realized. Tracking control performances for various force trajectories are evaluated and presented in the time domain.

A high-elevation, multi-proxy biotic and environmental record of MIS 6-4 from the Ziegler Reservoir fossil site, Snowmass Village, Colorado, USA

USGS Publications Warehouse

Miller, Ian M.; Pigati, Jeffrey S.; Anderson, R. Scott; Johnson, Kirk R.; Mahan, Shannon; Ager, Thomas A.; Baker, Richard G.; Blaauw, Maarten; Bright, Jordon; Brown, Peter M.; Bryant, Bruce; Calamari, Zachary T.; Carrara, Paul E.; Michael D., Cherney; Demboski, John R.; Elias, Scott A.; Fisher, Daniel C.; Gray, Harrison J.; Haskett, Danielle R.; Honke, Jeffrey S.; Jackson, Stephen T.; Jiménez-Moreno, Gonzalo; Kline, Douglas; Leonard, Eric M.; Lifton, Nathaniel A.; Lucking, Carol; McDonald, H. Gregory; Miller, Dane M.; Muhs, Daniel R.; Nash, Stephen E.; Newton, Cody; Paces, James B.; Petrie, Lesley; Plummer, Mitchell A.; Porinchu, David F.; Rountrey, Adam N.; Scott, Eric; Sertich, Joseph J. W.; Sharpe, Saxon E.; Skipp, Gary L.; Strickland, Laura E.; Stucky, Richard K.; Thompson, Robert S.; Wilson, Jim

2014-01-01

In North America, terrestrial records of biodiversity and climate change that span Marine Oxygen Isotope Stage (MIS) 5 are rare. Where found, they provide insight into how the coupling of the ocean–atmosphere system is manifested in biotic and environmental records and how the biosphere responds to climate change. In 2010–2011, construction at Ziegler Reservoir near Snowmass Village, Colorado (USA) revealed a nearly continuous, lacustrine/wetland sedimentary sequence that preserved evidence of past plant communities between ~ 140 and 55 ka, including all of MIS 5. At an elevation of 2705 m, the Ziegler Reservoir fossil site also contained thousands of well-preserved bones of late Pleistocene megafauna, including mastodons, mammoths, ground sloths, horses, camels, deer, bison, black bear, coyotes, and bighorn sheep. In addition, the site contained more than 26,000 bones from at least 30 species of small animals including salamanders, otters, muskrats, minks, rabbits, beavers, frogs, lizards, snakes, fish, and birds. The combination of macro- and micro-vertebrates, invertebrates, terrestrial and aquatic plant macrofossils, a detailed pollen record, and a robust, directly dated stratigraphic framework shows that high-elevation ecosystems in the Rocky Mountains of Colorado are climatically sensitive and varied dramatically throughout MIS 5.

A geochronologic framework for the Ziegler Reservoir fossil site, Snowmass Village, Colorado

USGS Publications Warehouse

Mahan, Shannon; Gray, Harrison J.; Pigati, Jeffrey S.; Wilson, Jim; Lifton, Nathaniel A.; Paces, James B.; Blaauw, Maarten

2014-01-01

The Ziegler Reservoir fossil site near Snowmass Village, Colorado, provides a unique opportunity to reconstruct high-altitude paleoenvironmental conditions in the Rocky Mountains during the last interglacial period. We used four different techniques to establish a chronological framework for the site. Radiocarbon dating of lake organics, bone collagen, and shell carbonate, and in situ cosmogenic 10Be and 26Al ages on a boulder on the crest of a moraine that impounded the lake suggest that the ages of the sediments that hosted the fossils are between ~ 140 ka and > 45 ka. Uranium-series ages of vertebrate remains generally fall within these bounds, but extremely low uranium concentrations and evidence of open-system behavior limit their utility. Optically stimulated luminescence (OSL) ages (n = 18) obtained from fine-grained quartz maintain stratigraphic order, were replicable, and provide reliable ages for the lake sediments. Analysis of the equivalent dose (DE) dispersion of the OSL samples showed that the sediments were fully bleached prior to deposition and low scatter suggests that eolian processes were likely the dominant transport mechanism for fine-grained sediments into the lake. The resulting ages show that the fossil-bearing sediments span the latest part of marine isotope stage (MIS) 6, all of MIS 5 and MIS 4, and the earliest part of MIS 3.

The sea-level highstand correlated to marine isotope stage (MIS) 7 in the coastal plain of the state of Rio Grande do Sul, Brazil.

PubMed

Lopes, Renato P; Dillenburg, Sergio R; Schultz, Cesar L; Ferigolo, Jorge; Ribeiro, Ana Maria; Pereira, Jamil C; Holanda, Elizete C; Pitana, Vanessa G; Kerber, Leonardo

2014-12-01

The coastal plain of the state of Rio Grande do Sul, in southern Brazil, includes four barrier-lagoon depositional systems formed by successive Quaternary sea-level highstands that were correlated to marine isotope stages (MIS) 11, 9, 5 and 1, despite the scarcity of absolute ages. This study describes a sea-level highstand older than MIS 5, based on the stratigraphy, ages and fossils of the shallow marine facies found in coastal barrier (Barrier II). This facies outcrops along the banks of Chuí Creek, it is composed of fine, well-sorted quartz sand and contains ichnofossils Ophiomorpha nodosa and Rosselia sp., and molluscan shells. The sedimentary record indicates coastal aggradation followed by sea-level fall and progradation of the coastline. Thermoluminescence (TL) and electron spin resonance (ESR) ages from sediments and fossil shells point to an age of ∼220 ka for the end of this marine transgression, thus correlating it to MIS 7 (substage 7e). Altimetric data point to a maximum amplitude of about 10 meters above present-day mean sea-level, but tectonic processes may be involved. Paleoceanographic conditions at the time of the highstand and correlations with other deposits in the Brazilian coasts are also discussed.

A high-elevation, multi-proxy biotic and environmental record of MIS 6–4 from the Ziegler Reservoir fossil site, Snowmass Village, Colorado, USA

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

Ian M. Miller; Mitchell A. Plummer; Various Others

In North America, terrestrial records of biodiversity and climate change that span Marine Oxygen Isotope Stage (MIS) 5 are rare. Where found, they provide insight into how the coupling of the ocean–atmosphere system is manifested in biotic and environmental records and how the biosphere responds to climate change. In 2010–2011, construction at Ziegler Reservoir near Snowmass Village, Colorado (USA) revealed a nearly continuous, lacustrine/wetland sedimentary sequence that preserved evidence of past plant communities between ~140 and 55 ka, including all of MIS 5. At an elevation of 2705 m, the Ziegler Reservoir fossil site also contained thousands of well-preserved bonesmore » of late Pleistocene megafauna, including mastodons, mammoths, ground sloths, horses, camels, deer, bison, black bear, coyotes, and bighorn sheep. In addition, the site contained more than 26,000 bones from at least 30 species of small animals including salamanders, otters, muskrats, minks, rabbits, beavers, frogs, lizards, snakes, fish, and birds. The combination of macro- and micro-vertebrates, invertebrates, terrestrial and aquatic plant macrofossils, a detailed pollen record, and a robust, directly dated stratigraphic framework shows that high-elevation ecosystems in the Rocky Mountains of Colorado are climatically sensitive and varied dramatically throughout MIS 5« less

The sea-level highstand correlated to marine isotope stage (MIS) 7 in the coastal plain of the state of Rio Grande do Sul, Brazil.

PubMed

Lopes, Renato P; Dillenburg, Sergio R; Schultz, Cesar L; Ferigolo, Jorge; Ribeiro, Ana Maria; Pereira, Jamil C; Holanda, Elizete C; Pitana, Vanessa G; Kerber, Leonardo

2014-12-09

The coastal plain of the state of Rio Grande do Sul, in southern Brazil, includes four barrier-lagoon depositional systems formed by successive Quaternary sea-level highstands that were correlated to marine isotope stages (MIS) 11, 9, 5 and 1, despite the scarcity of absolute ages. This study describes a sea-level highstand older than MIS 5, based on the stratigraphy, ages and fossils of the shallow marine facies found in coastal barrier (Barrier II). This facies outcrops along the banks of Chuí Creek, it is composed of fine, well-sorted quartz sand and contains ichnofossils Ophiomorpha nodosa and Rosselia sp., and molluscan shells. The sedimentary record indicates coastal aggradation followed by sea-level fall and progradation of the coastline. Thermoluminescence (TL) and electron spin resonance (ESR) ages from sediments and fossil shells point to an age of ∼220 ka for the end of this marine transgression, thus correlating it to MIS 7 (substage 7e). Altimetric data point to a maximum amplitude of about 10 meters above present-day mean sea-level, but tectonic processes may be involved. Paleoceanographic conditions at the time of the highstand and correlations with other deposits in the Brazilian coasts are also discussed.

Summary of the Snowmastodon Project Special Volume. A high-elevation, multi-proxy biotic and environmental record of MIS 6-4 from the Ziegler Reservoir fossil site, Snowmass Village, Colorado, USA

NASA Astrophysics Data System (ADS)

Miller, Ian M.; Pigati, Jeffrey S.; Scott Anderson, R.; Johnson, Kirk R.; Mahan, Shannon A.; Ager, Thomas A.; Baker, Richard G.; Blaauw, Maarten; Bright, Jordon; Brown, Peter M.; Bryant, Bruce; Calamari, Zachary T.; Carrara, Paul E.; Cherney, Michael D.; Demboski, John R.; Elias, Scott A.; Fisher, Daniel C.; Gray, Harrison J.; Haskett, Danielle R.; Honke, Jeffrey S.; Jackson, Stephen T.; Jiménez-Moreno, Gonzalo; Kline, Douglas; Leonard, Eric M.; Lifton, Nathaniel A.; Lucking, Carol; Gregory McDonald, H.; Miller, Dane M.; Muhs, Daniel R.; Nash, Stephen E.; Newton, Cody; Paces, James B.; Petrie, Lesley; Plummer, Mitchell A.; Porinchu, David F.; Rountrey, Adam N.; Scott, Eric; Sertich, Joseph J. W.; Sharpe, Saxon E.; Skipp, Gary L.; Strickland, Laura E.; Stucky, Richard K.; Thompson, Robert S.; Wilson, Jim

2014-11-01

In North America, terrestrial records of biodiversity and climate change that span Marine Oxygen Isotope Stage (MIS) 5 are rare. Where found, they provide insight into how the coupling of the ocean-atmosphere system is manifested in biotic and environmental records and how the biosphere responds to climate change. In 2010-2011, construction at Ziegler Reservoir near Snowmass Village, Colorado (USA) revealed a nearly continuous, lacustrine/wetland sedimentary sequence that preserved evidence of past plant communities between ~ 140 and 55 ka, including all of MIS 5. At an elevation of 2705 m, the Ziegler Reservoir fossil site also contained thousands of well-preserved bones of late Pleistocene megafauna, including mastodons, mammoths, ground sloths, horses, camels, deer, bison, black bear, coyotes, and bighorn sheep. In addition, the site contained more than 26,000 bones from at least 30 species of small animals including salamanders, otters, muskrats, minks, rabbits, beavers, frogs, lizards, snakes, fish, and birds. The combination of macro- and micro-vertebrates, invertebrates, terrestrial and aquatic plant macrofossils, a detailed pollen record, and a robust, directly dated stratigraphic framework shows that high-elevation ecosystems in the Rocky Mountains of Colorado are climatically sensitive and varied dramatically throughout MIS 5.

The Last Interglacial-Glacial cycle (MIS 5-2) re-examined based on long proxy records from central and northern Europe

NASA Astrophysics Data System (ADS)

Helmens, Karin F.

2014-02-01

Current multi-proxy studies on a long sediment sequence preserved at Sokli (N Finland), i.e. in the central area of Fennoscandian glaciations, are drastically changing classic ideas of glaciations, vegetation and climate in northern Europe during the Late Pleistocene. The sediments in the Sokli basin have escaped major glacial erosion due to non-typical bedrock conditions. In this review, the Sokli record is compared in great detail with other long proxy records from central, temperate and northern, boreal Europe. These comprise the classic records of La Grande Pile (E France) and Oerel (N Germany) and more recently obtained records from Horoszki Duże (E Poland) and Lake Yamozero (NW Russia). The focus of the review is on pollen, lithology and macrofossil- and insect-based temperature inferences. The long records are further compared with recent proxy data from nearby terrestrial sites as well as with the rapidly accumulating high-resolution proxy data from the ocean realm. The comparison allows a re-examination of the environmental history and climate evolution of the Last Interglacial-Glacial (LI-G) cycle (MIS 5-2). It shows that environmental and climate conditions during MIS 5 (ca 130-70 ka BP) were distinctly different from those during MIS 4-2 (ca 70-15 ka BP). MIS 5 is characterized by three long forested intervals (broadly corresponding to MIS 5e, 5c, 5a), both in temperate and northern boreal Europe. These mild periods were interrupted by two short, relatively cold and dry intervals (MIS 5d and 5b) with mountain-centered glaciation in Fennoscandia. Millennial scale climate events were superimposed upon these longer lasting climate fluctuations. The time interval encompassing MIS 4-2 shows open vegetation. It is characterized by two glacial maxima (MIS 4 and 2) with sub-continental scale glaciation over northern Europe and dry conditions in strongly continental eastern European settings. High amplitude climate oscillations of millennial duration characterized the climate variability of MIS 3. Mild climate conditions in early MIS 3 caused large-scale deglaciation of the Fennoscandian Ice Sheet, and ice-free conditions with Betula-dominated vegetation (including tree birch) persisted over large parts of Fennoscandia, possibly interrupted by glaciation, during major part of MIS 3 till ca 35 ka BP. Overall, MIS 5 was mostly mild with warmest or peak interglacial conditions at the very start during MIS 5e. MIS 4-2 was mostly cold with most extreme or peak glacial conditions in the closing phase during MIS 2. This points to a subdivision of the last climate cycle into an early, overall mild interglacial half and a late, overall cold glacial half, each with duration of ca 50 ka. This review also shows that the climate variability in central and northern Europe during the LI-G cycle was mostly in degrees of continentality with major shifts in winter temperature and precipitation values; summer temperatures, on the other hand, remained largely unchanged. It points to the waxing and waning of sea-ice over the North Atlantic Ocean as a possible characteristic feature of the Late Pleistocene. The present compilation, based on long terrestrial sequences, high-resolution multi-proxy data from the oceans, and quantified paleo-climate data, strongly favors a definition of entire Marine Oxygen Isotope Stage 5 as the Last Interglacial similar as in the original marine stratigraphy and the stratigraphy at La Grande Pile in France. The proxy-based climate data places the start of the Last Glacial at the base of MIS 4 and the northwest European Pleniglacial. It shows that the division between the Eemian (MIS 5e) and the Early Weichselian (MIS 5d-a) is not useful, as not relevant from a climate point of view.

Comparison of serum and plasma measurements of Müllerian inhibiting substance.

PubMed

Merhi, Zaher O; Messerlian, Geralyn M; Minkoff, Howard; Eklund, Elizabeth E; Macura, Jerzy; Feldman, Joseph; Rodriguez, Carlos; Seifer, David B

2008-06-01

The authors sought to determine whether measurement of plasma Müllerian inhibiting substance (MIS) is a suitable substitute for measurement of serum MIS. Eighteen samples of serum and plasma were examined that were drawn simultaneously. Levels of MIS were measured with an ELISA kit, and plasma levels were studied in parallel to serum samples. A 98.5% correlation was found between serum and plasma MIS values.

Three-year postoperative outcomes between MIS and conventional TLIF in1-segment lumbar disc herniation.

PubMed

Lv, You; Chen, Jingyang; Chen, Jinchuan; Wu, Yuling; Chen, Xiangyang; Liu, Yi; Chu, Zhaoming; Sheng, Luxin; Qin, Rujie; Chen, Ming

2017-06-01

The aim of this study is to assess the long-term clinical and radiological outcomes between minimally invasive (MIS) and conventional transforaminal lumbar interbody fusion (TLIF) in treating one-segment lumbar disc herniation (LDH). One-hundred and six patients treated by MIS-TLIF (50 cases) or conventional TLIF (56 cases) were included. Perioperative results were evaluated. Clinical outcomes were compared preoperatively and postoperatively. Radiologic parameters were based on a comparison of preoperative and three-year postoperative lumbar lordosis, segmental lordosis, sacral slope, the cross-sectional area of the paraspinal muscle and fusion rates. MIS TILF had significantly less blood, shorter operation time, mean return to work time and lower intramuscular pressure compared with the conventional group during the operation. VAS scores for lower back pain and ODI in MIS-TLIF were significantly decreased. The mean cross-sectional area of the paraspinal muscle was significantly decreased after surgery in the conventional TLIF group and no significant intragroup differences were established in the MIS-TLIF group. No significant differences were found in fusion rate, lumbar lordosis, segmental lordosis and sacral slope. Both MIS and conventional TLIF were beneficial for patients with LDH. However, MIS-TLIF manifests a great improvement in perioperative outcomes, low back pain, disability and preventing paraspinal muscle atrophy during the follow-up period observation.

Comparing oncologic outcomes after minimally invasive and open surgery for pediatric neuroblastoma and Wilms tumor.

PubMed

Ezekian, Brian; Englum, Brian R; Gulack, Brian C; Rialon, Kristy L; Kim, Jina; Talbot, Lindsay J; Adibe, Obinna O; Routh, Jonathan C; Tracy, Elisabeth T; Rice, Henry E

2018-01-01

Minimally invasive surgery (MIS) has been widely adopted for common operations in pediatric surgery; however, its role in childhood tumors is limited by concerns about oncologic outcomes. We compared open and MIS approaches for pediatric neuroblastoma and Wilms tumor (WT) using a national database. The National Cancer Data Base from 2010 to 2012 was queried for cases of neuroblastoma and WT in children ≤21 years old. Children were classified as receiving open or MIS surgery for definitive resection, with clinical outcomes compared using a propensity matching methodology (two open:one MIS). For children with neuroblastoma, 17% (98 of 579) underwent MIS, while only 5% of children with WT (35 of 695) had an MIS approach for tumor resection. After propensity matching, there was no difference between open and MIS surgery for either tumor for 30-day mortality, readmissions, surgical margin status, and 1- and 3-year survival. However, in both tumors, open surgery more often evaluated lymph nodes and had larger lymph node harvest. Our retrospective review suggests that the use of MIS appears to be a safe method of oncologic resection for select children with neuroblastoma and WT. Further research should clarify which children are the optimal candidates for this approach. © 2017 Wiley Periodicals, Inc.

Vegetation responses to interglacial warming in the Arctic, examples from Lake El'gygytgyn, northeast Siberia

NASA Astrophysics Data System (ADS)

Lozhkin, A. V.; Anderson, P. M.

2013-01-01

Palynological data from Lake El'gygytgyn reveal responses of plant communities to a range of climatic conditions that can help assess the possible impact of global warming on arctoboreal ecosystems. Vegetation associated with climatic optima suggests two types of interglacial responses: one is dominated by deciduous taxa (the postglacial thermal maximum (PGTM) and marine isotope stage (MIS5)) and the second by evergreen conifers (MIS11, MIS31). The MIS11 forests show a similarity to Picea-Larix-Betula-Alnus forests of Siberia. While dark coniferous forest also characterizes MIS31, the pollen taxa show an affinity to the modern boreal forest of the lower Amur valley in the Russian Far East. Despite vegetation differences during the thermal maxima, all four glacial-interglacial transitions are alike, being dominated by deciduous woody taxa. Initially Betula shrub tundra established and was replaced by tundra with tree-sized shrubs (PGTM), Betula woodland (MIS5), or Betula-Larix (MIS11, MIS31) forest. The consistent occurrence of deciduous forest and/or high shrub tundra in all interglaciations as they approach or achieve maximum warmth underscores the significance of this biome for modeling efforts. The El'gygytgyn data also suggest the possible elimination or massive reduction of arctic plant communities under extreme warm-earth scenarios.

Changes in detrital input, ventilation and productivity in the central Okhotsk Sea during the marine isotope stage 5e, penultimate interglacial period

NASA Astrophysics Data System (ADS)

Jimenez-Espejo, Francisco J.; García-Alix, Antonio; Harada, Naomi; Bahr, André; Sakai, Saburo; Iijima, Koichi; Chang, Qing; Sato, Keiko; Suzuki, Katsuhiko; Ohkouchi, Naohiko

2018-05-01

By presenting benthic foraminifera isotope profiles and bulk geochemical composition of core sediments, we offer a mutiproxy reconstruction of the central Okhotsk Sea oceanography between ∼130 to and ∼115 kyr, related to the marine isotopic stage 5e (MIS 5e). Sediments from the site MR0604-PC7A have been compared with paleo- sea surface temperatures and other records. This multiparameter approach allowed to recognize three periods for MIS 5e evolution, characterized by variations in marine productivity and bottom oxygenation. These variations have been ultimately associated with the production of Okhotsk Sea Intermediate Water and the presence or absence of nutrient contribution from the Pacific Deep Water into central Okhotsk Sea. Aeolian input reconstructed by Th/Sc ratio indicates higher values during the MIS 6 and MIS 5d compared with the MIS 5e. Eu∗ values indicate an input of detrital material from Kurile Islands and East-Kamchatka during the late MIS 5e, absent during the early MIS 5e and glacial periods.

Gender Differences in Burnout: A Meta-Analysis

ERIC Educational Resources Information Center

Purvanova, Radostina K.; Muros, John P.

2010-01-01

The literature on male-female differences in burnout has produced inconsistent results regarding the strength and direction of this relationship. Lack of clarity on gender differences in organizationally relevant phenomena, such as work burnout, frequently generates ungrounded speculations that may (mis)inform organizational decisions. To address…

A perioperative cost analysis comparing single-level minimally invasive and open transforaminal lumbar interbody fusion.

PubMed

Singh, Kern; Nandyala, Sreeharsha V; Marquez-Lara, Alejandro; Fineberg, Steven J; Oglesby, Mathew; Pelton, Miguel A; Andersson, Gunnar B; Isayeva, Darya; Jegier, Briana J; Phillips, Frank M

2014-08-01

Emerging literature suggests superior clinical short- and long-term outcomes of MIS (minimally invasive surgery) TLIFs (transforaminal lumbar interbody fusion) versus open fusions. Few studies to date have analyzed the cost differences between the two techniques and their relationship to acute clinical outcomes. The purpose of the study was to determine the differences in hospitalization costs and payments for patients treated with primary single-level MIS versus open TLIF. The impact of clinical outcomes and their contribution to financial differences was explored as well. This study was a nonrandomized, nonblinded prospective review. Sixty-six consecutive patients undergoing a single-level TLIF (open/MIS) were analyzed (33 open, 33 MIS). Patients in either cohort (MIS/open) were matched based on race, sex, age, smoking status, medical comorbidities (Charlson Comorbidity index), payer, and diagnosis. Every patient in the study had a diagnosis of either degenerative disc disease or spondylolisthesis and stenosis. Operative time (minutes), length of stay (LOS, days), estimated blood loss (EBL, mL), anesthesia time (minutes), Visual Analog Scale (VAS) scores, and hospital cost/payment amount were assessed. The MIS and open TLIF groups were compared based on clinical outcomes measures and hospital cost/payment data using SPSS version 20.0 for statistical analysis. The two groups were compared using bivariate chi-squared analysis. Mann-Whitney tests were used for non-normal distributed data. Effect size estimate was calculated with the Cohen d statistic and the r statistic with a 95% confidence interval. Average surgical time was shorter for the MIS than the open TLIF group (115.8 minutes vs. 186.0 minutes respectively; p=.001). Length of stay was also reduced for the MIS versus the open group (2.3 days vs. 2.9 days, respectively; p=.018). Average anesthesia time and EBL were also lower in the MIS group (p<.001). VAS scores decreased for both groups, although these scores were significantly lower for the MIS group (p<.001). Financial analysis demonstrated lower total hospital direct costs (blood, imaging, implant, laboratory, pharmacy, physical therapy/occupational therapy/speech, room and board) in the MIS versus the open group ($19,512 vs. $23,550, p<.001). Implant costs were similar (p=.686) in both groups, although these accounted for about two-thirds of the hospital direct costs in the MIS cohort ($13,764) and half of these costs ($13,778) in the open group. Hospital payments were $6,248 higher for open TLIF patients compared with the MIS group (p=.267). MIS TLIF technique demonstrated significant reductions of operative time, LOS, anesthesia time, VAS scores, and EBL compared with the open technique. This reduction in perioperative parameters translated into lower total hospital costs over a 60-day perioperative period. Although hospital reimbursements appear higher in the open group over the MIS group, shorter surgical times and LOS days in the MIS technique provide opportunities for hospitals to reduce utilization of resources and to increase surgical case volume. Copyright © 2014 Elsevier Inc. All rights reserved.

FIELD DEMONSTRATION OF THE LINDE OXYGEN COMBUSTION SYSTEM ON THE EPA MOBILE INCINERATOR

EPA Science Inventory

This paper summarizes the various system performance tests and the long-term operating experience of the LINDE Oxygen Combustion System installed on the U.S. Environmental Protection Agency's Mobile Incineration System (MIS) when it was in operation at the Denney Farm site in sou...

Cost-effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion for degenerative spondylolisthesis associated low-back and leg pain over two years.

PubMed

Parker, Scott L; Adogwa, Owoicho; Bydon, Ali; Cheng, Joseph; McGirt, Matthew J

2012-07-01

Minimally invasive transforaminal lumbar interbody fusion (MIS-TLIF) for lumbar spondylolisthesis allows for surgical treatment of back and leg pain while theoretically minimizing tissue injury and accelerating overall recovery. Although the authors of previous studies have demonstrated shorter length of hospital stay and reduced blood loss with MIS versus open-TLIF, short- and long-term outcomes have been similar. No studies to date have evaluated the comprehensive health care costs associated with TLIF procedures or assessed the cost-utility of MIS- versus open-TLIF. As such, we set out to assess previously unstudied end points of health care cost and cost-utility associated with MIS- versus open-TLIF. Thirty patients undergoing MIS-TLIF (n=15) or open-TLIF (n=15) for grade I degenerative spondylolisthesis associated back and leg pain were prospectively studied. Total back-related medical resource use, missed work, and health-state values (quality-adjusted life years [QALYs], calculated from EQ-5D with U.S. valuation) were assessed after two-year follow-up. Two-year resource use was multiplied by unit costs on the basis of Medicare national allowable payment amounts (direct cost) and work-day losses were multiplied by the self-reported gross-of-tax wage rate (indirect cost). Difference in mean total cost per QALY gained for MIS- versus open-TLIF was assessed as incremental cost-effectiveness ratio (ICER: COSTmis-COSTopen/QALYmis-QALYopen). MIS versus open-TLIF cohorts were similar at baseline. By two years postoperatively, patients undergoing MIS- versus open-TLIF reported similar mean QALYs gained (0.50 vs. 0.41, P=0.17). Mean total two-year cost of MIS- and open-TLIF was $35,996 and $44,727, respectively. The $8,731 two-year cost savings of MIS- versus open-TLIF did not reach statistical significance (P=0.18) for this sample size. Although our limited sample size prevented statistical significance, MIS- versus open-TLIF was associated with reduced costs over two years while providing equivalent improvement in QALYs. MIS-TLIF allows patients to leave the hospital sooner, achieve narcotic independence sooner, and return to work sooner than open-TLIF. In our experience, MIS- versus open-TLIF is a cost reducing technology in the surgical treatment of medically refractory low-back and leg pain from grade I lumbar spondylolisthesis. Copyright © 2012 Elsevier Inc. All rights reserved.

Uranium-series ages of corals, sea level history, and palaeozoogeography, Canary Islands, Spain: an exploratory study for two Quaternary interglacial periods

USGS Publications Warehouse

Muhs, Daniel R.; Meco, Joaquín; Simmons, Kathleen R.

2014-01-01

We present the first U-series ages of corals from emergent marine deposits on the Canary Islands. Deposits at + 20 m are 481 ± 39 ka, possibly correlative to marine isotope stage (or MIS) 11, while those at + 12 and + 8 m are 120.5 ± 0.8 ka and 130.2 ± 0.8 ka, respectively, correlative to MIS 5.5. The age, elevations, and uplift rates derived from MIS 5.5 deposits on the Canary Islands allow calculations of hypothetical palaeo-sea levels during the MIS 11 high sea stand. Estimates indicate that the MIS 11 high sea stand likely was at least + 9 m (relative to present sea level) and could have been as high as + 24 m. The most conservative estimates of palaeo-sea level during MIS 11 would require an ice mass loss equivalent to all of the modern Greenland and West Antarctic ice sheets; the more extreme estimates would require additional ice mass loss from the East Antarctic ice sheet. Extralimital southern species of mollusks, found in both MIS 11 and MIS 5.5 deposits on the Canary Islands, imply warmer-than-modern sea surface temperatures during at least a part of MIS 11 and much warmer sea surface temperatures during at least a part of MIS 5.5. Both MIS 11 and MIS 5.5 marine deposits on the Canary Islands contain extralimital northern species of mollusks as well, indicating cooler-than-present waters at times during these interglacial periods. We hypothesize that the co-occurrence of extralimital southern and northern species of marine invertebrates in the fossil record of the Canary Islands reflects its geographic location with respect to major synoptic-scale controls on climate and ocean currents. Previous interglacials may have been characterized by early, insolation-forced warming, along with northward migration of the intertropical convergence zone (ITCZ), accompanied by weakened trade winds and diminished upwelling. This allowed the arrival of extralimital southern taxa from the tropical Senegalese faunal province. During later parts of the MIS 11 and 5.5 interglacials, decreased insolation may have resulted in southward migration of the ITCZ, strengthened trade winds, and re-establishment of upwelling. Such conditions may have brought about not only local extinction of the Senegalese fauna, but allowed southward migration of the cooler-water Mediterranean fauna to the Canary Islands in the later parts of interglacials, a complex palaeoclimate record that is mirrored in the deep-sea core record.

Comparative effectiveness of minimally invasive versus open transforaminal lumbar interbody fusion: 2-year assessment of narcotic use, return to work, disability, and quality of life.

PubMed

Adogwa, Owoicho; Parker, Scott L; Bydon, Ali; Cheng, Joseph; McGirt, Matthew J

2011-12-01

Retrospective cohort comparison between minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). To assess 2 earlier unstudied endpoints (duration of narcotic use and return to work) and long-term pain, disability, and quality of life (QOL) for MIS-TLIF versus open-TLIF. MIS-TLIF for lumbar spondylolithesis theoretically allows for surgical treatment of back and leg pain while minimizing blood loss and tissue injury. Although earlier studies have shown shorter hospital stay and equivocal 6 and 24 month outcomes with MIS-TLIF versus open-TLIF, the effect of MIS techniques on postoperative narcotic use and return to work are poorly understood. Thirty patients undergoing MIS-TLIF (n = 15) or open-TLIF (n = 15) for grade I degenerative spondylolithesis-associated back and leg pain were enrolled. Two-year outcomes were assessed through phone interview and it included pain [visual analog scale (VAS)], low-back disability (Oswestry disability index), EuroQol-5D, occupational disability, and narcotic use. MIS-TLIF versus open-TLIF cohorts were similar at baseline. Median [interquartile range (IQR)] length of hospitalization after surgery was significantly less for MIS-TLIF versus open-TLIF [3 (3 to 3) vs 5.5 (4 to 6) d], P = 0.001. MIS-TLIF versus open-TLIF patients showed similar 2-year improvement in VAS for back pain, VAS for leg pain, Oswestry disability index, and EuroQol-5D scores. Overall, median (IQR) length of postoperative narcotic use was 3.0 (1.4 to 4.6) weeks and significantly shorter for MIS-TLIF versus open-TLIF patients [2.0 (1.0 to 3.0) vs 4.0 (1.4 to 4.6) wk, P = 0.008]. Overall, median (IQR) time to return to work was 13.9 (2.2 to 25.5) weeks and significantly shorter for MIS-TLIF versus open-TLIF patients [8.5 (4.4 to 21.4) vs 17.1 (1.8 to 35.9) wk, P = 0.02]. Both MIS-TLIF and open-TLIF provide long-term improvement in pain, disability, and EuroQol-5D in patients with back and leg pain from grade I degenerative spondylolithesis. However, MIS-TLIF may allow for shortened hospital stays, reduced postoperative narcotic use, and accelerated return to work, reducing both direct medical costs and indirect costs of lost work productivity associated with TLIF procedures.

Identifying micro-inversions using high-throughput sequencing reads.

PubMed

He, Feifei; Li, Yang; Tang, Yu-Hang; Ma, Jian; Zhu, Huaiqiu

2016-01-11

The identification of inversions of DNA segments shorter than read length (e.g., 100 bp), defined as micro-inversions (MIs), remains challenging for next-generation sequencing reads. It is acknowledged that MIs are important genomic variation and may play roles in causing genetic disease. However, current alignment methods are generally insensitive to detect MIs. Here we develop a novel tool, MID (Micro-Inversion Detector), to identify MIs in human genomes using next-generation sequencing reads. The algorithm of MID is designed based on a dynamic programming path-finding approach. What makes MID different from other variant detection tools is that MID can handle small MIs and multiple breakpoints within an unmapped read. Moreover, MID improves reliability in low coverage data by integrating multiple samples. Our evaluation demonstrated that MID outperforms Gustaf, which can currently detect inversions from 30 bp to 500 bp. To our knowledge, MID is the first method that can efficiently and reliably identify MIs from unmapped short next-generation sequencing reads. MID is reliable on low coverage data, which is suitable for large-scale projects such as the 1000 Genomes Project (1KGP). MID identified previously unknown MIs from the 1KGP that overlap with genes and regulatory elements in the human genome. We also identified MIs in cancer cell lines from Cancer Cell Line Encyclopedia (CCLE). Therefore our tool is expected to be useful to improve the study of MIs as a type of genetic variant in the human genome. The source code can be downloaded from: http://cqb.pku.edu.cn/ZhuLab/MID .

When Less Is More: The indications for MIS Techniques and Separation Surgery in Metastatic Spine Disease.

PubMed

Zuckerman, Scott L; Laufer, Ilya; Sahgal, Arjun; Yamada, Yoshiya J; Schmidt, Meic H; Chou, Dean; Shin, John H; Kumar, Naresh; Sciubba, Daniel M

2016-10-15

Systematic review. The aim of this study was to review the techniques, indications, and outcomes of minimally invasive surgery (MIS) and separation surgery with subsequent radiosurgery in the treatment of patients with metastatic spine disease. The utilization of MIS techniques in patients with spine metastases is a growing area within spinal oncology. Separation surgery represents a novel paradigm where radiosurgery provides long-term control after tumor is surgically separated from the neural elements. PubMed, Embase, and CINAHL databases were systematically queried for literature reporting MIS techniques or separation surgery in patients with metastatic spine disease. PRISMA guidelines were followed. Of the initial 983 articles found, 29 met inclusion criteria. Twenty-five articles discussed MIS techniques and were grouped according to the primary objective: percutaneous stabilization (8), tubular retractors (4), mini-open approach (8), and thoracoscopy/endoscopy (5). The remaining 4 studies reported separation surgery. Indications were similar across all studies and included patients with instability, refractory pain, or neurologic compromise. Intraoperative variables, outcomes, and complications were similar in MIS studies compared to traditional approaches, and some MIS studies showed a statistically significant improvement in outcomes. Studies of mini-open techniques had the strongest evidence for superiority. Low-quality evidence currently exists for MIS techniques and separation surgery in the treatment of metastatic spine disease. Given the early promising results, the next iteration of research should include higher-quality studies with sufficient power, and will be able to provide higher-level evidence on the outcomes of MIS approaches and separation surgery. N/A.

Cost-utility analysis of posterior minimally invasive fusion compared with conventional open fusion for lumbar spondylolisthesis

PubMed Central

Rampersaud, Y. Raja; Gray, Randolph; Lewis, Steven J.; Massicotte, Eric M.; Fehlings, Michael G.

2011-01-01

Background The utility and cost of minimally invasive surgical (MIS) fusion remain controversial. The primary objective of this study was to compare the direct economic impact of 1- and 2-level fusion for grade I or II degenerative or isthmic spondylolisthesis via an MIS technique compared with conventional open posterior decompression and fusion. Methods A retrospective cohort study was performed by use of prospective data from 78 consecutive patients (37 with MIS technique by 1 surgeon and 41 with open technique by 3 surgeons). Independent review of demographic, intraoperative, and acute postoperative data was performed. Oswestry disability index (ODI) and Short Form 36 (SF-36) values were prospectively collected preoperatively and at 1 year postoperatively. Cost-utility analysis was performed by use of in-hospital micro-costing data (operating room, nursing, imaging, laboratories, pharmacy, and allied health cost) and change in health utility index (SF-6D) at 1 year. Results The groups were comparable in terms of age, sex, preoperative hemoglobin, comorbidities, and body mass index. Groups significantly differed (P < .01) regarding baseline ODI and SF-6D scores, as well as number of 2-level fusions (MIS, 12; open, 20) and number of interbody cages (MIS, 45; open, 14). Blood loss (200 mL vs 798 mL), transfusions (0% vs 17%), and length of stay (LOS) (6.1 days vs 8.4 days) were significantly (P < .01) lower in the MIS group. Complications were also fewer in the MIS group (4 vs 12, P < .02). The mean cost of an open fusion was 1.28 times greater than that of an MIS fusion (P = .001). Both groups had significant improvement in 1-year outcome. The changes in ODI and SF-6D scores were not statistically different between groups. Multivariate regression analysis showed that LOS and number of levels fused were independent predictors of cost. Age and MIS were the only predictors of LOS. Baseline outcomes and MIS were predictors of 1-year outcome. Conclusion MIS posterior fusion for spondylolisthesis does reduce blood loss, transfusion requirements, and LOS. Both techniques provided substantial clinical improvements at 1 year. The cost utility of the MIS technique was considered comparable to that of the open technique. Level of Evidence Level III. PMID:25802665

How Are MIS-5e And MIS-11 Different From Other Interglacials And the Future?

NASA Astrophysics Data System (ADS)

Yin, Q.; Berger, A.

2017-12-01

MIS-5e and MIS-11 appear in many proxy records as the warmest interglacials of the last million years although their astronomical configurations are very different. To investigate how they are different from other interglacials and between themselves, the climate of nine interglacials of the past 800,000 years has been simulated using both snapshot and transient experiments. These simulations allow to investigate the relative contributions of insolation and CO2 to the intensity and duration of each interglacial as well as the differences and similarities between the interglacials. The transient simulations which cover a large range of precession, obliquity and eccentricity allow to investigate the response of different climate variables and different regions to the three astronomical parameters. My presentation will focus on the characteristics of the climate forcing and response of MIS-5e and MIS-11 in comparison with the other intergalcials. Their duration and intensity at global and regional scales will be shown and the causes will be discussed. Unique features in astronomical forcing as well as in regional climate response are found in MIS-5e and MIS-11, which might help to understand why they appear to be among the warmest interglacials. The model results also show that the warm interval of MIS-11 is the longest, confirming its long duration as found in many proxy records. The long duration of MIS-11 is related to a particular combination of eccentricity, obliquity and precession as well as to its long-lasting high CO2 concentration. The differences between the seasonal behaviour of the past interglacials highlight the importance of seasonal climate reconstruction and therefore the necessity to obtain seasonal proxies. The simulated climate of MIS-5e and MIS-11 will also be compared with the climate of today and of the future to investigate the differences and similarities between the past warm conditions and the projected future warming. Part of the results are published in: Yin Q.Z. and Berger A., 2015. Interglacial analogues of the Holocene and its natural near future. Quaternary Science Reviews, 120, 28-46. Yin Q.Z. and Berger A., 2012. Individual contribution of insolation and CO2 to the interglacial climates of the past 800,000 years. Climate Dynamics 38:709-724.

Training potential in minimally invasive surgery in a tertiary care, paediatric urology centre.

PubMed

Schroeder, R P J; Chrzan, R J; Klijn, A J; Kuijper, C F; Dik, P; de Jong, T P V M

2015-10-01

Minimally invasive surgery (MIS) is being utilized more frequently as a surgical technique in general surgery and in paediatric urology. It is associated with a steep learning curve. Currently, the centre does not offer a MIS training programme. It is hypothesized that the number of MIS procedures performed in the low-volume specialty of paediatric urology will offer insufficient training potential for surgeons. To assess the MIS training potential of a highly specialized, tertiary care, paediatric urology training centre that has been accredited by the Joint Committee of Paediatric Urology (JCPU). The clinical activity of the department was retrospectively reviewed by extracting the annual number of admissions, outpatient consultations and operative procedures. The operations were divided into open procedures and MIS. Major ablative procedures (nephrectomy) and reconstructive procedures (pyeloplasty) were analysed with reference to the patients' ages. The centre policy is not to perform major MIS in children who are under 2 years old or who weigh less than 12 kg. Every year, this institution provides approximately 4300 out-patient consultations, 600 admissions, and 1300 procedures under general anaesthesia for children with urological problems. In 2012, 35 patients underwent major intricate MIS: 16 pyeloplasties, eight nephrectomies and 11 operations for incontinence (seven Burch, and four bladder neck procedures). In children ≥2 years of age, 16/21 of the pyeloplasties and 8/12 of the nephrectomies were performed laparoscopically. The remaining MIS procedures included 25 orchidopexies and one intravesical ureteral reimplantation. There is no consensus on how to assess laparoscopic training. It would be valuable to reach a consensus on a standardized laparoscopic training programme in paediatric urology. Often training potential is based on operation numbers only. In paediatric urology no minimum requirement has been specified. The number of procedures quoted for proficiency in MIS remains controversial. The MIS numbers for this centre correspond to, or exceed, numbers mentioned in other literature. To provide high-quality MIS training, exposure to laparoscopic procedures should be expanded. This may be achieved by centralizing patients into a common centre, collaborating with other specialities, modular training and training outside the operating theatre. Even in a high-volume, paediatric urology educational centre, the number of major MIS procedures performed remains relatively low, leading to limited training potential. Copyright © 2015. Published by Elsevier Ltd.

Minimally invasive and computer-navigated total hip arthroplasty: a qualitative and systematic review of the literature

PubMed Central

2010-01-01

Background Both minimally invasive surgery (MIS) and computer-assisted surgery (CAS) for total hip arthroplasty (THA) have gained popularity in recent years. We conducted a qualitative and systematic review to assess the effectiveness of MIS, CAS and computer-assisted MIS for THA. Methods An extensive computerised literature search of PubMed, Medline, Embase and OVIDSP was conducted. Both randomised clinical trials and controlled clinical trials on the effectiveness of MIS, CAS and computer-assisted MIS for THA were included. Methodological quality was independently assessed by two reviewers. Effect estimates were calculated and a best-evidence synthesis was performed. Results Four high-quality and 14 medium-quality studies with MIS THA as study contrast, and three high-quality and four medium-quality studies with CAS THA as study contrast were included. No studies with computer-assisted MIS for THA as study contrast were identified. Strong evidence was found for a decrease in operative time and intraoperative blood loss for MIS THA, with no difference in complication rates and risk for acetabular outliers. Strong evidence exists that there is no difference in physical functioning, measured either by questionnaires or by gait analysis. Moderate evidence was found for a shorter length of hospital stay after MIS THA. Conflicting evidence was found for a positive effect of MIS THA on pain in the early postoperative period, but that effect diminished after three months postoperatively. Strong evidence was found for an increase in operative time for CAS THA, and limited evidence was found for a decrease in intraoperative blood loss. Furthermore, strong evidence was found for no difference in complication rates, as well as for a significantly lower risk for acetabular outliers. Conclusions The results indicate that MIS THA is a safe surgical procedure, without increases in operative time, blood loss, operative complication rates and component malposition rates. However, the beneficial effect of MIS THA on functional recovery has to be proven. The results also indicate that CAS THA, though resulting in an increase in operative time, may have a positive effect on operative blood loss and operative complication rates. More importantly, the use of CAS results in better positioning of acetabular component of the prosthesis. PMID:20470443

Did the Laurentide ice sheet survive through Marine Isotope Stage 9?

NASA Astrophysics Data System (ADS)

Carlson, A. E.; Tarasov, L.; Ullman, D. J.

2016-12-01

Looking at the global benthic oxygen isotope stack, only marine oxygen isotope stage (MIS) 7 stands out as an anomalous interglaciation with a higher oxygen isotope value than other interglaciations of the last half million years. However, benthic oxygen isotopes are an integrator of global ice volume plus temperature, and records of local ice-sheet change are needed to partition the sources of the global signal. Here we use the Laurentide ice-sheet (LIS) proximal record of IODP Site U1302/1303 off of Orphan Knoll to test LIS presence/absence on the eastern Canadian shield. Ice-sheet model calibrated Si relative to Sr is low in most interglaciations of the last 500 ka reflecting the removal of the LIS and its erosive power from the Canadian Shield. However, like MIS 7, MIS 9 has continued elevated inputs of Si. Furthermore, planktic oxygen isotopes do not decrease to full interglacial levels like in MIS 1, 5e and 11. MIS 9 had a similar orbital forcing as MIS 5e, but a much shorter period of elevated interglacial carbon dioxide concentration. Based on climate model simulations of LIS stability, we suggest that the reduced period of elevated atmospheric carbon dioxide allowed the LIS to survive through MIS 9 (like MIS 7), providing important constraints for the climatic thresholds necessary for a full interglaciation.

The use of Mohs micrographic surgery (MMS) for melanoma in situ (MIS) of the trunk and proximal extremities.

PubMed

Stigall, Landon E; Brodland, David G; Zitelli, John A

2016-11-01

Evaluation of the entire surgical margin results in high rates of complete excision, low local recurrence rates, and maximal tissue conservation. Although well recognized for melanoma of the head and neck, few studies have focused exclusively on the trunk and proximal extremities. We sought to evaluate the efficacy of Mohs micrographic surgery for melanoma in situ (MIS) of the trunk and proximal extremities, and determine adequate excision margins for MIS when total margin evaluation is not used. Long-term outcomes in 882 cases of MIS treated with Mohs micrographic surgery were analyzed and compared with historical controls. Rates of complete excision were determined for increasing surgical margin intervals. One local recurrence occurred in our cohort (0.1%). Only 83% of MIS were excised with a 6-mm margin. Margins of 9 mm were needed to excise 97% of MIS, statistically equivalent to thin melanomas. We used a nonrandomized, single-institution, retrospective design. Mohs micrographic surgery may cure the 17% of MIS that exceed traditional excision margins of 5 mm and is a valuable option for these patients. Surgical margins of at least 0.9 cm should be considered for MIS of the trunk and extremities when total margin evaluation is not used. Copyright © 2016 American Academy of Dermatology, Inc. Published by Elsevier Inc. All rights reserved.

Mis-specified cells die by an active gene-directed process, and inhibition of this death results in cell fate transformation in Drosophila

PubMed Central

Werz, Christian; Lee, Tom V.; Lee, Peter L.; Lackey, Melinda; Bolduc, Clare; Stein, David S.; Bergmann, Andreas

2009-01-01

Summary Incorrectly specified or mis-specified cells often undergo cell death or are transformed to adopt a different cell fate during development. The underlying cause for this distinction is largely unknown. In many developmental mutants in Drosophila, large numbers of mis-specified cells die synchronously, providing a convenient model for analysis of this phenomenon. The maternal mutant bicoid is particularly useful model with which to address this issue because its mutant phenotype is a combination of both transformation of tissue (acron to telson) and cell death in the presumptive head and thorax regions. We show that a subset of these mis-specified cells die through an active gene-directed process involving transcriptional upregulation of the cell death inducer hid. Upregulation of hid also occurs in oskar mutants and other segmentation mutants. In hid bicoid double mutants, mis-specified cells in the presumptive head and thorax survive and continue to develop, but they are transformed to adopt a different cell fate. We provide evidence that the terminal torso signaling pathway protects the mis-specified telson tissue in bicoid mutants from hid-induced cell death, whereas mis-specified cells in the head and thorax die, presumably because equivalent survival signals are lacking. These data support a model whereby mis-specification can be tolerated if a survival pathway is provided, resulting in cellular transformation. PMID:16280349

A comparison of registration errors with imageless computer navigation during MIS total knee arthroplasty versus standard incision total knee arthroplasty: a cadaveric study.

PubMed

Davis, Edward T; Pagkalos, Joseph; Gallie, Price A M; Macgroarty, Kelly; Waddell, James P; Schemitsch, Emil H

2015-01-01

Optimal component alignment in total knee arthroplasty has been associated with better functional outcome as well as improved implant longevity. The ability to align components optimally during minimally invasive (MIS) total knee replacement (TKR) has been a cause of concern. Computer navigation is a useful aid in achieving the desired alignment although it is limited by the error during the manual registration of landmarks. Our study aims to compare the registration process error between a standard and a MIS surgical approach. We hypothesized that performing the registration error via an MIS approach would increase the registration process error. Five fresh frozen lower limbs were routinely prepared and draped. The registration process was performed through an MIS approach. This was then extended to the standard approach and the registration was performed again. Two surgeons performed the registration process five times with each approach. Performing the registration process through the MIS approach was not associated with higher error compared to the standard approach in the alignment parameters of interest. This rejects our hypothesis. Image-free navigated MIS TKR does not appear to carry higher risk of component malalignment due to the registration process error. Navigation can be used during MIS TKR to improve alignment without reduced accuracy due to the approach.

Mis16 Independently Recognizes Histone H4 and the CENP-ACnp1-Specific Chaperone Scm3sp

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

An, Sojin; Kim, Hanseong; Cho, Uhn-Soo

2015-09-04

CENP-A is a centromere-specific histone H3 variant that is required for kinetochore assembly and accurate chromosome segregation. For it to function properly, CENP-A must be specifically localized to centromeres. In fission yeast, Scm3sp and the Mis18 complex, composed of Mis16, Eic1, and Mis18, function as a CENP-ACnp1-specific chaperone and a recruiting factor, respectively, and together ensure accurate delivery of CENP-ACnp1 to centromeres. Although how Scm3sp specifically recognizes CENP-ACnp1 has been revealed recently, the recruiting mechanism of CENP-ACnp1 via the Mis18 complex remains unknown. In this study, we have determined crystal structures of Schizosaccharomyces japonicus Mis16 alone and in complex withmore » the helix 1 of histone H4 (H4α1). Crystal structures followed by mutant analysis and affinity pull-downs have revealed that Mis16 recognizes both H4α1 and Scm3sp independently within the CENP-ACnp1/H4:Scm3sp complex. This observation suggests that Mis16 gains CENP-ACnp1 specificity by recognizing both Scm3sp and histone H4. Our studies provide insights into the molecular mechanisms underlying specific recruitment of CENP-ACnp1/H4:Scm3sp into centromeres.« less

"Generality of mis-fit"? The real-life difficulty of matching scales in an interconnected world.

PubMed

Keskitalo, E Carina H; Horstkotte, Tim; Kivinen, Sonja; Forbes, Bruce; Käyhkö, Jukka

2016-10-01

A clear understanding of processes at multiple scales and levels is of special significance when conceiving strategies for human-environment interactions. However, understanding and application of the scale concept often differ between administrative-political and ecological disciplines. These mirror major differences in potential solutions whether and how scales can, at all, be made congruent. As a result, opportunities of seeking "goodness-of-fit" between different concepts of governance should perhaps be reconsidered in the light of a potential "generality of mis-fit." This article reviews the interdisciplinary considerations inherent in the concept of scale in its ecological, as well as administrative-political, significance and argues that issues of how to manage "mis-fit" should be awarded more emphasis in social-ecological research and management practices. These considerations are exemplified by the case of reindeer husbandry in Fennoscandia. Whilst an indigenous small-scale practice, reindeer husbandry involves multi-level ecological and administrative-political complexities-complexities that we argue may arise in any multi-level system.

Evaluation of Intrinsic Charge Carrier Transport at Insulator-Semiconductor Interfaces Probed by a Non-Contact Microwave-Based Technique

PubMed Central

Honsho, Yoshihito; Miyakai, Tomoyo; Sakurai, Tsuneaki; Saeki, Akinori; Seki, Shu

2013-01-01

We have successfully designed the geometry of the microwave cavity and the thin metal electrode, achieving resonance of the microwave cavity with the metal-insulator-semiconductor (MIS) device structure. This very simple MIS device operates in the cavity, where charge carriers are injected quantitatively by an applied bias at the insulator-semiconductor interface. The local motion of the charge carriers was clearly probed through the applied external microwave field, also giving the quantitative responses to the injected charge carrier density and charge/discharge characteristics. By means of the present measurement system named field-induced time-resolved microwave conductivity (FI-TRMC), the pentacene thin film in the MIS device allowed the evaluation of the hole and electron mobility at the insulator-semiconductor interface of 6.3 and 0.34 cm2 V−1 s−1, respectively. This is the first report on the direct, intrinsic, non-contact measurement of charge carrier mobility at interfaces that has been fully experimentally verified. PMID:24212382

Insights into Penultimate Interglacial-Glacial Climate Change on Vegetation History at Lake Van, Turkey

NASA Astrophysics Data System (ADS)

Pickarski, N.; Litt, T.

2017-12-01

A new detailed pollen and oxygen isotope record of the penultimate interglacial-glacial cycle (ca. 250-129 ka; MIS 7-6), has been generated from the sediment core at Lake Van, Turkey. The integration of all available proxies (pollen, microscopic charcoal, δ18Obulk, and XRF) shows three temperate intervals of high effective soil moisture availability. This is evidenced by the predominance of oak steppe-forested landscapes similar to the present interglacial vegetation in this sensitive semiarid region. The wettest/warmest stage, as indicated by highest temperate tree percentages, can be broadly correlated with MIS 7c, while the amplitude of the tree population maximum during the oldest penultimate interglacial (MIS 7e) appears to be reduced due to warm but drier climatic conditions. A detailed comparison of the penultimate interglacial complex (MIS 7) to the last interglacial (MIS 5e) and the current interglacial (MIS 1) provides a vivid illustration of possible differences in the successive climatic cycles. Intervening periods of treeless vegetation (MIS 7d, 7a) were predominated by steppe elements. The occurrence of Artemisia and Chenopodiaceae during MIS 7d indicates very dry and cold climatic conditions, while higher temperate tree percentages (mainly deciduous Quercus) points to relatively humid and mild conditions throughout MIS 7b. Despite the general dominance of dry and cold desert-steppe vegetation during the penultimate glacial (MIS 6), this period can be divided into two parts: an early stage (ca. 193-157 ka) with higher oscillations in tree percentages and a later stage (ca. 157-131 ka) with lower tree percentages and subdued oscillations. Furthermore, we are able to identify the MIS 6e event (ca. 179-159 ka), which reveals clear climate variability due to rapid alternation in the vegetation cover. In comparison with long European pollen archives, speleothem isotope records from the Near East, and global climate parameters, the new high-resolution record presents an improved insight into regional vegetation dynamics and climate variability in the eastern Mediterranean region.

Additional Contribution of the Malnutrition-Inflammation Score to Predict Mortality and Patient-Reported Outcomes as Compared With Its Components in a Cohort of African Descent Hemodialysis Patients.

PubMed

Lopes, Marcelo Barreto; Silva, Luciana Ferreira; Lopes, Gildete Barreto; Penalva, Maria Auxiliadora; Matos, Cacia Mendes; Robinson, Bruce M; Lopes, Antonio Alberto

2017-01-01

The malnutrition-inflammation score (MIS) combines ten components to assess nutritional status. Higher MIS has been associated with higher mortality and poorer health-related quality of life (HRQOL) in maintenance hemodialysis (MHD) patients. It is interesting to investigate associations of each component with mortality and patient-reported outcomes (PROs), that is, HRQOL and depression symptoms, and if MIS associations are generalizable for diverse populations. This study assessed associations of MIS and its components with mortality and PROs in an African descent MHD population. Prospective cohort for mortality and cross-sectional design for PROs using data of the Prospective Study of the Prognosis of Chronic Hemodialysis Patients (PROHEMO). A total of 632 MHD patients (92% black or mixed race) treated in Salvador, Brazil. MIS (range: 0-30, higher worse) and each of its ten components (range: 0-4, higher worse). Mortality, HRQOL using the KDQOL-SF, and depression symptoms using the 20-item Center for Epidemiological Studies Depression Scale. Linear regression for comparing scores and Cox regression for mortality. After extensive adjustments, MIS ≥6 was associated with 52% higher mortality (hazard ratio = 1.52; 95% confidence interval = 1.13-2.05), higher depression symptoms, and poorer HRQOL, including physical, mental, and kidney disease-targeted HRQOL measures. Weight change, comorbidity, muscle wasting, and albumin were the MIS components indicating associations between poor nutrition and higher mortality. By contrast, gastrointestinal symptoms and functional capacity were the MIS components denoting detrimental associations of poorer nutritional status with PROs. Causal conclusions are not possible. The PROHEMO results indicate that MIS components associated with mortality are not the same associated with PROs. However, the MIS showed consistent associations with mortality and PROs. These results in a population that were not the target of previous investigations, add support for using tools combining nutritional components, such as MIS, to predict outcomes in MHD populations. Copyright © 2016 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.

Strong fiber Bragg grating based asymmetric Fabry-Perot sensor system with multiple reflections for high sensitivity enhancement

NASA Astrophysics Data System (ADS)

Wang, Wei; Hu, Zhengliang; Ma, Mingxiang; Lin, Huizu; Hu, Yongming

2014-03-01

A fiber Bragg grating based (FBG-based) Fabry-Perot (FP) sensor system utilizing multiple reflections between two strong FBGs with different reflectiveties to enhance the sensitivity is proposed. The different interference signals are obtained by using different multiple-path-matched Michelson interferometers (MIs). The system is lighted by the ultra-narrow line width erbium-doped fiber ring laser and the signal is demodulated by phase-generated carrier (PGC) scheme. The method to choose the optimal parameters of the FBG-based asymmetric FP sensor and the different matching MIs is analyzed. The experimental results show that each matching MI can steadily enhance the sensitivity of the demodulated signal in the bandwidth of 80-8000 Hz. The sensitivity of the system can be enhanced about 19.1 dB when the light reflects nine times between the two FBGs. Further more, this system can be used to extend the dynamic range and the effective working bandwidth and so on.

Changes in opal flux and the rain ratio during the last 50,000 years in the equatorial Pacific

NASA Astrophysics Data System (ADS)

Richaud, Mathieu; Loubere, Paul; Pichat, Sylvain; Francois, Roger

2007-03-01

Changes in the orgC/CaCO 3 ratio in particles sinking from the surface to the deep ocean have the potential to alter the atmospheric pCO 2 over the span of a glacial/interglacial cycle. Recent paleoceanographic and modern observational studies suggest that silica is a key factor in the global carbon biogeochemical cycle that can influence the flux ratio, especially at low latitudes, through "silicic acid leakage" [Brzezinski, M., Pride, C., Franck, M., Sigman, D., Sarmiento, J., Matsumoto, K., Gruber, N., Rau, R., Coale, K., 2002. A switch from Si(OH) 4 to NO3- depletion in the glacial Southern Ocean. Geophysical Research Letters 29, 5]. To test this hypothesis, we reconstruct biogenic fluxes of CaCO 3, orgC and Si for three equatorial Pacific cores. We find evidence that a floral shift from a SiO 2-based community to a CaCO 3-based occurred, starting in mid-marine isotope stage (MIS) 3 (24-59 cal. ka) and declining toward MIS 2 (19-24 cal. ka). This could reflect the connection of the Peru upwelling system to the subantarctic region, and we postulate that excess silica was transported from the subantarctic via the deep Equatorial Undercurrent to the eastern equatorial Pacific. In the eastern equatorial Pacific only, we document a significant decrease in rain ratio starting mid-MIS 3 toward MIS 2. This decrease is concomitant with a significant decrease in silica accumulation rates at the seabed. This pattern is not observed in the Pacific influenced by equatorial divergence and shallow upwelling, where all reconstructed fluxes (CaCO 3, orgC, and opal) increase during MIS 2. We conclude that the overall calcium carbonate pump weakened in the EEP under Peru upwelling influence.

In Vivo Anti-Herpes Simplex Virus Activity of a Sulfated Derivative of Agaricus brasiliensis Mycelial Polysaccharide

PubMed Central

Cardozo, F. T. G. S.; Larsen, I. V.; Carballo, E. V.; Jose, G.; Stern, R. A.; Brummel, R. C.; Camelini, C. M.; Rossi, M. J.; Simões, C. M. O.

2013-01-01

Agaricus brasiliensis (syn. A. subrufescens), a basidiomycete fungus native to the Atlantic forest in Brazil, contains cell walls rich in glucomannan polysaccharides. The β-(1→2)-gluco-β-(1→3)-mannan was isolated from A. brasiliensis mycelium, chemically modified by sulfation, and named MI-S. MI-S has multiple mechanisms of action, including inhibition of herpes simplex virus (HSV) attachment, entry, and cell-to-cell spread (F. T. G. S. Cardozo, C. M. Camelini, A. Mascarello, M. J. Rossi, R. J. Nunes, C. R. Barardi, M. M. de Mendonça, and C. M. O. Simões, Antiviral Res. 92:108–114, 2011). The antiherpetic efficacy of MI-S was assessed in murine ocular, cutaneous, and genital infection models of HSV. Groups of 10 mice were infected with HSV-1 (strain KOS) or HSV-2 (strain 333). MI-S was given either topically or by oral gavage under various pre- and posttreatment regimens, and the severity of disease and viral titers in ocular and vaginal samples were determined. No toxicity was observed in the uninfected groups treated with MI-S. The topical and oral treatments with MI-S were not effective in reducing ocular disease. Topical application of MI-S on skin lesions was also not effective, but cutaneously infected mice treated orally with MI-S had significantly reduced disease scores (P < 0.05) after day 9, suggesting that healing was accelerated. Vaginal administration of MI-S 20 min before viral challenge reduced the mean disease scores on days 5 to 9 (P < 0.05), viral titers on day 1 (P < 0.05), and mortality (P < 0.0001) in comparison to the control groups (untreated and vehicle treated). These results show that MI-S may be useful as an oral agent to reduce the severity of HSV cutaneous and mucosal lesions and, more importantly, as a microbicide to block sexual transmission of HSV-2 genital infections. PMID:23507287

Revisiting Tectonic Corrections Applied to Pleistocene Sea-Level Highstands

NASA Astrophysics Data System (ADS)

Creveling, J. R.; Mitrovica, J. X.; Hay, C.; Austermann, J.; Kopp, R. E.

2015-12-01

The robustness of stratigraphic- and geomorphic-based inferences of Quaternary peak interglacial sea levels — and equivalent minimum continental ice volumes — depends on the accuracy with which highstand markers can be corrected for vertical tectonic displacement. For sites that preserve a Marine Isotope Stage (MIS) 5e sea-level highstand marker, the customary method for estimating tectonic uplift/subsidence rate computes the difference between the local elevation of the highstand marker and a reference eustatic (i.e., global mean) MIS 5e sea-level height, typically assumed to be +6 m, and then divides this height difference by the age of the highstand marker. This rate is then applied to correct the elevation of other observed sea-level markers at that site for tectonic displacement. Subtracting a reference eustatic value from a local MIS 5e highstand marker elevation introduces two potentially significant errors. First, the commonly adopted peak eustatic MIS 5e sea-level value (i.e., +6 m) is likely too low; recent studies concluded that MIS 5e peak eustatic sea level was ~6-9 m. Second, local peak MIS 5e sea level was not globally uniform, but instead characterized by significant departures from eustasy due to glacial isostatic adjustment (GIA) in response to successive glacial-interglacial cycles and excess polar ice-sheet melt relative to present day. We present numerical models of GIA that incorporate both of these effects in order to quantify the plausible range in error of previous tectonic corrections. We demonstrate that, even far from melting ice sheets, local peak MIS 5e sea level may have departed from eustasy by 2-4 m, or more. Thus, adopting an assumed reference eustatic value to estimate tectonic displacement, rather than a site-specific GIA signal, can introduce significant error in estimates of peak eustatic sea level (and minimum ice volumes) during Quaternary highstands (e.g., MIS 11, MIS 5c and MIS 5a).

Undrowning a lost world — The Marine Isotope Stage 3 landscape of Gibraltar

NASA Astrophysics Data System (ADS)

Rodríguez-Vidal, Joaquín; Finlayson, Geraldine; Finlayson, Clive; Negro, Juan J.; Cáceres, Luis M.; Fa, Darren A.; Carrión, José S.

2013-12-01

The Rock of Gibraltar, at the south-western extreme of the Iberian Peninsula and 21 km from the North African coast, is a 6-km long limestone peninsula which was inhabited by Neanderthals from MIS 5e until the end of MIS 3. A total of 8 sites, either with Neanderthal fossils or their Mousterian lithic technology, have been discovered on the Rock. Two, Gorham's and Vanguard Caves, are the subject of ongoing research. These caves are currently at sea level, but during MIS 3 faced an emerged coastal shelf with the shoreline as far as 5 km away at times. They hold a unique archive of fauna and flora, in the form of fossils, charcoal and pollen, helping environmental reconstruction of now-submerged shelf landscapes. In addition, geological and geomorphological features - a 300-metre dune complex, elevated aeolian deposits, raised beaches, scree, speleothems - complement the biotic picture. The work is further complemented by a study of the ecology of the species recorded at the site, using present-day observations. The species composition in this fossil record closely matches the present day fauna and vegetation of the Doñana National Park, SW Spain: a mosaic of pine groves, coastal dunes, shrubland and seasonal wetlands and currently the richest reserve in terms of biodiversity in the Iberian Peninsula, located only 100 km to the northwest from Gibraltar. All this information permits, for the first time, the quantification of the vegetation structure of the ancient coastal plain and the modelling of the spatio-temporal dynamics of the MIS 3 coastal shelf off Gibraltar.

Cueva Antón: A multi-proxy MIS 3 to MIS 5a paleoenvironmental record for SE Iberia

NASA Astrophysics Data System (ADS)

Zilhão, João; Ajas, Aurélie; Badal, Ernestina; Burow, Christoph; Kehl, Martin; López-Sáez, José Antonio; Pimenta, Carlos; Preece, Richard C.; Sanchis, Alfred; Sanz, Montserrat; Weniger, Gerd-Christian; White, Dustin; Wood, Rachel; Angelucci, Diego E.; Villaverde, Valentín; Zapata, Josefina

2016-08-01

Overlying a palustrine deposit of unknown age (complex FP), and protected from weathering and erosion inside a large cave/rock-shelter cavity, the sedimentary fill of Cueva Antón, a Middle Paleolithic site in SE Spain, corresponds in most part (sub-complexes AS2-to-AS5) to a ca.3 m-thick Upper Pleistocene terrace of the River Mula. Coupled with the constraints derived from the deposit's paleoclimatic proxies, OSL dating places the accumulation of this terrace in MIS 5a, and radiocarbon dates from the overlying breccia cum alluvium (sub-complex AS1) fall in the middle part of MIS 3; the intervening hiatus relates to valley incision and attendant erosion. The two intervals represented remain largely unknown in Iberia, where the archeology of the early-to-middle Upper Pleistocene is almost entirely derived from karst sites; Cueva Antón shows that this dearth of data, often interpreted in demographic terms, has depositional underpinnings ultimately determined by past climate variation. In early MIS 5a, the paleobotanical evidence indicates climate conditions similar to present, albeit wetter, followed by progressive cooling, reflected in the replacement of Aleppo pine by black pine and, at the very end, juniper-dominated landscapes - the latter characterizing also mid-MIS 3 times. The variation in sedimentary facies and composition of the mollusk assemblages reflects the changing position of the river channel relative to the back wall of the cave. Such changes represented the major constraint for the occupation of the site - most of the time inaccessible to terrestrial mammals, it was used throughout by the eagle-owl, explaining the abundance of rabbit bones. Human occupation occurred during a few, short windows of availability, and is reflected in well-preserved living floors defined by hearths, artefact scatters, and the remains of hunted herbivores. The stone tool assemblages are Middle Paleolithic, which, in Europe, implies a Neandertal identity for their makers and, hence, that Neandertals persisted in the region until GI 8. Cueva Antón's high-resolution record provides unique, critical information on the paleoenvironments and adaptations of humans in two short windows of time during which wetter conditions existed in SE Iberia, where arid or semi-arid climates prevailed through most of the Upper Pleistocene and the Holocene.

Realization of synaptic learning and memory functions in Y2O3 based memristive device fabricated by dual ion beam sputtering

NASA Astrophysics Data System (ADS)

Das, Mangal; Kumar, Amitesh; Singh, Rohit; Than Htay, Myo; Mukherjee, Shaibal

2018-02-01

Single synaptic device with inherent learning and memory functions is demonstrated based on a forming-free amorphous Y2O3 (yttria) memristor fabricated by dual ion beam sputtering system. Synaptic functions such as nonlinear transmission characteristics, long-term plasticity, short-term plasticity and ‘learning behavior (LB)’ are achieved using a single synaptic device based on cost-effective metal-insulator-semiconductor (MIS) structure. An ‘LB’ function is demonstrated, for the first time in the literature, for a yttria based memristor, which bears a resemblance to certain memory functions of biological systems. The realization of key synaptic functions in a cost-effective MIS structure would promote much cheaper synapse for artificial neural network.

The role of gender on academic performance in STEM-related disciplines: Data from a tertiary institution.

PubMed

John, Temitope M; Badejo, Joke A; Popoola, Segun I; Omole, David O; Odukoya, Jonathan A; Ajayi, Priscilla O; Aboyade, Mary; Atayero, Aderemi A

2018-06-01

This data article presents data of academic performances of undergraduate students in Science, Technology, Engineering and Mathematics (STEM) disciplines in Covenant University, Nigeria. The data shows academic performances of Male and Female students who graduated from 2010 to 2014. The total population of samples in the observation is 3046 undergraduates mined from Biochemistry (BCH), Building technology (BLD), Computer Engineering (CEN), Chemical Engineering (CHE), Industrial Chemistry (CHM), Computer Science (CIS), Civil Engineering (CVE), Electrical and Electronics Engineering (EEE), Information and Communication Engineering (ICE), Mathematics (MAT), Microbiology (MCB), Mechanical Engineering (MCE), Management and Information System (MIS), Petroleum Engineering (PET), Industrial Physics-Electronics and IT Applications (PHYE), Industrial Physics-Applied Geophysics (PHYG) and Industrial Physics-Renewable Energy (PHYR). The detailed dataset is made available in form of a Microsoft Excel spreadsheet in the supplementary material of this article.

Modeling the convergence accommodation of stereo vision for binocular endoscopy.

PubMed

Gao, Yuanqian; Li, Jinhua; Li, Jianmin; Wang, Shuxin

2018-02-01

The stereo laparoscope is an important tool for achieving depth perception in robot-assisted minimally invasive surgery (MIS). A dynamic convergence accommodation algorithm is proposed to improve the viewing experience and achieve accurate depth perception. Based on the principle of the human vision system, a positional kinematic model of the binocular view system is established. The imaging plane pair is rectified to ensure that the two rectified virtual optical axes intersect at the fixation target to provide immersive depth perception. Stereo disparity was simulated with the roll and pitch movements of the binocular system. The chessboard test and the endoscopic peg transfer task were performed, and the results demonstrated the improved disparity distribution and robustness of the proposed convergence accommodation method with respect to the position of the fixation target. This method offers a new solution for effective depth perception with the stereo laparoscopes used in robot-assisted MIS. Copyright © 2017 John Wiley & Sons, Ltd.

Transition Plan For the Technology Demonstration of the Joint Network Defence and Management System (JNDMS)

DTIC Science & Technology

2009-11-01

Technology Demonstration of the Joint Network Defence and Management System (JNDMS) Brett Trask; Novembre 2009. Dès le départ, nous avons mis au point le... 13 5.1 System Specification... 13 5.1.1 Scope ............................................................................................................. 13 5.2 Security

Convention Center Management: A Systems Analysis & Design Course Project

ERIC Educational Resources Information Center

Guidry, Brandi N.; Totaro, Michael W.

2011-01-01

A challenge faced by many instructors of systems analysis and design courses is the selection or development of projects that provide challenging, yet suitable, learning experiences for the students. Employing a system development project case in undergraduate MIS courses offers students a multitude of opportunities to experientially examine…

Analysis of Access Control Policies in Operating Systems

ERIC Educational Resources Information Center

Chen, Hong

2009-01-01

Operating systems rely heavily on access control mechanisms to achieve security goals and defend against remote and local attacks. The complexities of modern access control mechanisms and the scale of policy configurations are often overwhelming to system administrators and software developers. Therefore, mis-configurations are common, and the…

Interoperative efficiency in minimally invasive surgery suites.

PubMed

van Det, M J; Meijerink, W J H J; Hoff, C; Pierie, J P E N

2009-10-01

Performing minimally invasive surgery (MIS) in a conventional operating room (OR) requires additional specialized equipment otherwise stored outside the OR. Before the procedure, the OR team must collect, prepare, and connect the equipment, then take it away afterward. These extra tasks pose a thread to OR efficiency and may lengthen turnover times. The dedicated MIS suite has permanently installed laparoscopic equipment that is operational on demand. This study presents two experiments that quantify the superior efficiency of the MIS suite in the interoperative period. Preoperative setup and postoperative breakdown times in the conventional OR and the MIS suite in an experimental setting and in daily practice were analyzed. In the experimental setting, randomly chosen OR teams simulated the setup and breakdown for a standard laparoscopic cholecystectomy (LC) and a complex laparoscopic sigmoid resection (LS). In the clinical setting, the interoperative period for 66 LCs randomly assigned to the conventional OR or the MIS suite were analyzed. In the experimental setting, the setup and breakdown times were significantly shorter in the MIS suite. The difference between the two types of OR increased for the complex procedure: 2:41 min for the LC (p < 0.001) and 10:47 min for the LS (p < 0.001). In the clinical setting, the setup and breakdown times as a whole were not reduced in the MIS suite. Laparoscopic setup and breakdown times were significantly shorter in the MIS suite (mean difference, 5:39 min; p < 0.001). Efficiency during the interoperative period is significantly improved in the MIS suite. The OR nurses' tasks are relieved, which may reduce mental and physical workload and improve job satisfaction and patient safety. Due to simultaneous tasks of other disciplines, an overall turnover time reduction could not be achieved.

Mouse chromosomal mapping of a murine leukemia virus integration region (Mis-1) first identified in rat thymic leukemia.

PubMed Central

Jolicoeur, P; Villeneuve, L; Rassart, E; Kozak, C

1985-01-01

We have previously identified a region of genomic DNA which constitutes the site of frequent provirus integration in rat thymomas induced by Moloney murine leukemia virus (Lemay and Jolicoeur, Proc. Natl. Acad. Sci. USA 81:38-42, 1984). This genetic locus is now designated Mis-1 (Moloney integration site). Cellular sequences homologous to Mis-1 are present in mouse DNA. Using a series of hamster-mouse somatic cell hybrids, we mapped the Mis-1 locus to mouse chromosome 15. Frequent chromosome 15 aberrations have been described in mouse thymomas. Mis-1 represents a putative new oncogene which might be involved in the initiation or maintenance or both of these neoplasms. Images PMID:4068142

Reassessing the penultimate interglacial analog for current climate change, evidence from Antarctic dust

NASA Astrophysics Data System (ADS)

Aarons, S. M.; Aciego, S.; McConnell, J.

2017-12-01

Dust emissions and transport are linked to spatial and temporal climate variability, with dust provenance providing clues to past climate and climate impacts. The penultimate interglacial period (MIS 5e) has been suggested as an analog to Holocene climate change. We present the first evaluation of the MIS 5e ice archive developed at Taylor Glacier, East Antarctica and provide a record of dust transported to Taylor Glacier during MIS 5e. Our record shows significant differences between MIS 5e, Holocene, and pre-industrial dust transported to East Antarctica. The MIS 5e dust is sourced from New Zealand and southern South America (SSA), while the Holocene dust is sourced from local Antarctic, SSA, and potentially Australian sources. This profound change in composition suggests a variation in atmospheric transport pathways and/or paleo-environmental conditions between the interglacial periods, and indicates that MIS 5e should be reassessed as an analog for climate change and associated impacts.

Non-random Mis-segregation of Human Chromosomes.

PubMed

Worrall, Joseph Thomas; Tamura, Naoka; Mazzagatti, Alice; Shaikh, Nadeem; van Lingen, Tineke; Bakker, Bjorn; Spierings, Diana Carolina Johanna; Vladimirou, Elina; Foijer, Floris; McClelland, Sarah Elizabeth

2018-06-12

A common assumption is that human chromosomes carry equal chances of mis-segregation during compromised cell division. Human chromosomes vary in multiple parameters that might generate bias, but technological limitations have precluded a comprehensive analysis of chromosome-specific aneuploidy. Here, by imaging specific centromeres coupled with high-throughput single-cell analysis as well as single-cell sequencing, we show that aneuploidy occurs non-randomly following common treatments to elevate chromosome mis-segregation. Temporary spindle disruption leads to elevated mis-segregation and aneuploidy of a subset of chromosomes, particularly affecting chromosomes 1 and 2. Unexpectedly, we find that a period of mitotic delay weakens centromeric cohesion and promotes chromosome mis-segregation and that chromosomes 1 and 2 are particularly prone to suffer cohesion fatigue. Our findings demonstrate that inherent properties of individual chromosomes can bias chromosome mis-segregation and aneuploidy rates, with implications for studies on aneuploidy in human disease. Copyright © 2018 The Author(s). Published by Elsevier Inc. All rights reserved.

Systematic Review of Plant-Based Homeopathic Basic Research: An Update.

PubMed

Ücker, Annekathrin; Baumgartner, Stephan; Sokol, Anezka; Huber, Roman; Doesburg, Paul; Jäger, Tim

2018-05-01

 Plant-based test systems have been described as a useful tool for investigating possible effects of homeopathic preparations. The last reviews of this research field were published in 2009/2011. Due to recent developments in the field, an update is warranted. Publications on plant-based test systems were analysed with regard to publication quality, reproducibility and potential for further research.  A literature search was conducted in online databases and specific journals, including publications from 2008 to 2017 dealing with plant-based test systems in homeopathic basic research. To be included, they had to contain statistical analysis and fulfil quality criteria according to a pre-defined manuscript information score (MIS). Publications scoring at least 5 points (maximum 10 points) were assumed to be adequate. They were analysed for the use of adequate controls, outcome and reproducibility.  Seventy-four publications on plant-based test systems were found. Thirty-nine publications were either abstracts or proceedings of conferences and were excluded. From the remaining 35 publications, 26 reached a score of 5 or higher in the MIS. Adequate controls were used in 13 of these publications. All of them described specific effects of homeopathic preparations. The publication quality still varied: a substantial number of publications (23%) did not adequately document the methods used. Four reported on replication trials. One replication trial found effects of homeopathic preparations comparable to the original study. Three replication trials failed to confirm the original study but identified possible external influencing factors. Five publications described novel plant-based test systems. Eight trials used systematic negative control experiments to document test system stability.  Regarding research design, future trials should implement adequate controls to identify specific effects of homeopathic preparations and include systematic negative control experiments. Further external and internal replication trials, and control of influencing factors, are needed to verify results. Standardised test systems should be developed. The Faculty of Homeopathy.

Emergence of increased frequency and severity of multiple infections by viruses due to spatial clustering of hosts

NASA Astrophysics Data System (ADS)

Taylor, Bradford P.; Penington, Catherine J.; Weitz, Joshua S.

2016-12-01

Multiple virus particles can infect a target host cell. Such multiple infections (MIs) have significant and varied ecological and evolutionary consequences for both virus and host populations. Yet, the in situ rates and drivers of MIs in virus-microbe systems remain largely unknown. Here, we develop an individual-based model (IBM) of virus-microbe dynamics to probe how spatial interactions drive the frequency and nature of MIs. In our IBMs, we identify increasingly spatially correlated clusters of viruses given sufficient decreases in viral movement. We also identify increasingly spatially correlated clusters of viruses and clusters of hosts given sufficient increases in viral infectivity. The emergence of clusters is associated with an increase in multiply infected hosts as compared to expectations from an analogous mean field model. We also observe long-tails in the distribution of the multiplicity of infection in contrast to mean field expectations that such events are exponentially rare. We show that increases in both the frequency and severity of MIs occur when viruses invade a cluster of uninfected microbes. We contend that population-scale enhancement of MI arises from an aggregate of invasion dynamics over a distribution of microbe cluster sizes. Our work highlights the need to consider spatially explicit interactions as a potentially key driver underlying the ecology and evolution of virus-microbe communities.

Immersive training and mentoring for laparoscopic surgery

NASA Astrophysics Data System (ADS)

Nistor, Vasile; Allen, Brian; Dutson, E.; Faloutsos, P.; Carman, G. P.

2007-04-01

We describe in this paper a training system for minimally invasive surgery (MIS) that creates an immersive training simulation by recording the pathways of the instruments from an expert surgeon while performing an actual training task. Instrument spatial pathway data is stored and later accessed at the training station in order to visualize the ergonomic experience of the expert surgeon and trainees. Our system is based on tracking the spatial position and orientation of the instruments on the console for both the expert surgeon and the trainee. The technology is the result of recent developments in miniaturized position sensors that can be integrated seamlessly into the MIS instruments without compromising functionality. In order to continuously monitor the positions of laparoscopic tool tips, DC magnetic tracking sensors are used. A hardware-software interface transforms the coordinate data points into instrument pathways, while an intuitive graphic user interface displays the instruments spatial position and orientation for the mentor/trainee, and endoscopic video information. These data are recorded and saved in a database for subsequent immersive training and training performance analysis. We use two 6 DOF DC magnetic trackers with a sensor diameter of just 1.3 mm - small enough for insertion into 4 French catheters, embedded in the shaft of a endoscopic grasper and a needle driver. One sensor is located at the distal end of the shaft while the second sensor is located at the proximal end of the shaft. The placement of these sensors does not impede the functionally of the instrument. Since the sensors are located inside the shaft there are no sealing issues between the valve of the trocar and the instrument. We devised a peg transfer training task in accordance to validated training procedures, and tested our system on its ability to differentiate between the expert surgeon and the novices, based on a set of performance metrics. These performance metrics: motion smoothness, total path length, and time to completion, are derived from the kinematics of the instrument. An affine combination of the above mentioned metrics is provided to give a general score for the training performance. Clear differentiation between the expert surgeons and the novice trainees is visible in the test results. Strictly kinematics based performance metrics can be used to evaluate the training progress of MIS trainees in the context of UCLA - LTS.

Last 900 ka river longprofile changes controlled by Yoro fault activity and glacial sea-level changes, Nobi plain, central Japan

NASA Astrophysics Data System (ADS)

Sugai, T.; Sato, T.

2015-12-01

This paper compared grain size, thickness, and lithological character of ten fluvial gravel layers formed during the glacial sea-level lowstands intervening inner bay mud layers deposited during the interglacial marine transgressional periods since the last 900 ka by integrated analyses of sediment cores including 600 m deep onein the Nobi plain, central Japan. Linkages between river long profile changes and sea-level and climate changes will be discussed. The Nobi basin is one of the representative delta type alluvial lowlands in Japan dominated by longitudinal drainage system named Kiso river system flowing southward from central Japan Alps with abundant water and sediment discharges. The basin bounded by the Yoro fault on the west has been tilted westward by the repetitive faulting activity. The basin stratigraphy and its stacking patterns suggest uniform and rapid subsidence and tilting rates of the basin with the maximum value of 1 mm yr-1 and 10-4 kyr-1 respectively produced by the Yoro fault activity under the W-E compressional regional stress field during the middle and late Quaternary periods. Tephrochronological, paleomagnetic, geochemical, and diatom analyses enabled to identify ten times repeated marine transgression-regression sequences correlated with full glacial-interglacial sea-level changes during the last 900 ka. All of the ten sequence boundaries were characterized by fluvial gravel layers were formed by the Kiso river system. The mean maximum gravel size is proportional to the magnitude of sea level lowering inferred from MIS curve, i.e. gravels deposited in MIS 12 and 16 are the largest, and those in MIS 14 and 8 are the smallest since MIS 16. This suggests that the longitudinal profile of the Kiso river system has been adjusting to the sea level changes and that the steeper longitudinal profile formed in the lower sea level periods can transport larger gravels to the drilling sites. In fact the present river bed gravel size is in proportion with the tractive force and mainly controlled by slope of the rive long-profile.

Quaternary fluvial history of the Delaware River, New Jersey and Pennsylvania, USA: The effects of glaciation, glacioisostasy, and eustasy on a proglacial river system

NASA Astrophysics Data System (ADS)

Stanford, Scott D.; Witte, Ron W.; Braun, Duane D.; Ridge, John C.

2016-07-01

Fluvial, glacial, and estuarine deposits in the Delaware Valley record the response of the Delaware River to glaciation, sea-level change, and glacioisostasy during the Quaternary. Incision following an early Pleistocene glaciation created the present valley, which is inset into a Pliocene strath and fluvial plain. Middle and upper Pleistocene and Holocene deposits were laid down in this inset valley. Estuarine terraces in the lower valley and bayshore at + 20 m (probably Marine Isotope Stage [MIS] 11), + 8 m (MIS 5e), and + 3 m (MIS 5a or c), and a fluvial deposit that correlates to offshore MIS 3 marine deposits at - 20 m are at elevations consistent with glacioisostatic models. Successive incisions during lowstands in the middle and late Pleistocene lengthened, deepened, and narrowed the channel in the lower valley and shifted the channel westward in Delaware Bay. During MIS 2 glaciation, from 25 to 18 ka, the Delaware was diverted to the Hudson Shelf Valley by glacioisostatic tilting. Most glacial sediment was trapped in fluvial-lacustrine valley fills north of the terminal moraine. Incision of the valley fill was accomplished during the early stage of rebound, between 17 and 12 ka. Drainage to the Delaware shelf was restored between 15 and 13 ka as the forebulge collapsed. During incision, multiple postglacial terraces formed where the valley was perpendicular to rebound contours and so was steepened and elevated northward; and a single terrace formed where the valley paralleled the contours, and there was no differential elevation or steepening. About 65% of the original volume of MIS 2 glacial sediment remains in the main valley, and most of the eroded volume is in the channel in the lower valley beneath Holocene estuarine fill. Little glacial sediment reached the Delaware or Hudson shelf. Overbank deposition on the lower postglacial terrace and modern floodplain spans the Holocene. The volume of Holocene sediment in the estuary and bay yields a basinwide denudation rate of about 20 m/my.

Pre-eruptive volatile and erupted gas phase characterization of the 2014 basalt of Bárðarbunga volcanic system, Iceland.

NASA Astrophysics Data System (ADS)

Haddadi, Baptiste; Moune, Séverine; Sigmarsson, Olgeir; Gauthier, Pierre-Jean; Gouhier, Mathieu

2015-04-01

The 2014 Holuhraun eruption on the Bárðarbunga Volcanic System is the largest fissure eruption in Iceland since the 1783 Laki eruption. The eruption started end of August 2014 and has been characterized by large emission of SO2 into the atmosphere. It provides a rare opportunity to study in details magmatic and degassing processes during a large-volume fissure eruption. In order to characterize the pre-eruptive magmatic composition and to assess the plume chemistry at the eruption site, lava and tephra were sampled together with the eruption plume. The basalt composition is olivine tholeiite with MgO close to 7 wt%. It is phenocryst-poor with plagioclase as the dominant mineral phase but olivine and clinopyroxene are also present together with sulphide globules composed principally of pyrite and chalcopyrite. The volatile (S, Cl and F) and major element concentrations were measured by the electron microprobe in melt inclusions (MIs) trapped in plagioclase and clinopyroxene and groundmass glass. The MIs composition ranges from fairly primitive basaltic compositions (MgO: 9.03 wt%) down to evolved qz-tholeiites (MgO: 5.57 wt%), with estimated pre-eruptive S concentrations of 1500 ppm. Tephra groundmass glass contains 400 ppm S, whereas Cl and F concentrations are respectively slightly lower and indistinguishable from those in the MIs. This implies limited exsolution of halogens but 75% of the initial sulphur content. Relatively to their total iron content, MIs are sulphur saturated, and their oxygen fugacity close to the FMQ buffer. The difference between the estimated initial volatile concentrations measured in the MIs and in the tephra groundmass (i.e. the so-called petrological method) yields 7.2 Mt SO2, limited HCl and no HF atmospheric mass loading from the Holuhraun 2014 eruption. The SO2/HCl molar ratio of the gas phase, calculated from the MIs, is 13 and 14, respectively, using average and estimated pre-eruptive S and Cl concentrations in the MIs. Filter-pack sampling of the gas plume was performed 2 October 2014 few hundred meters to the W of the active crater row. Filter packs were composed of three filters in series: one PTFE filter to collect particulate phases, followed by two impregnated filters to trap major gaseous species (SO2, HF and HCl). Sulphate (SO4) and halide (Cl- and F-) ion concentrations were determined by ion chromatography. The SO2/HCl molar ratio in the erupted gas phase at the eruption site is 29-46, only slightly higher than that estimated from the MIs. Trace element volatility and fluxes are discussed elsewhere (Gauthier et al., 2015) but the average SO2 flux calculated from lava volume estimate end of November as 1.2 km3 (Gouhier et al., 2015) is close to 1100 kg/sec. This is the highest SO2 flux ever estimated from gas plume measurements. References: Gauthier et al. (2015) Trace element degassing patterns and volcanic fluxes to the atmosphere during the 2014 Holuhraun eruption, Iceland. EGU General Assembly 2015. Gouhier et al. (2015) Retrieval of lava and SO2 long-lived emissions using MSG-SEVIRI data during the 2014 Holuhraun eruption. EGU General Assembly 2015.

Mis-Education: A Recurring Theme? Transforming Black Religious and Theological Education

ERIC Educational Resources Information Center

Wright, Almeda M.

2017-01-01

Educating ministers and religious educators with the skills to connect with a variety of congregations and communities is a difficult task. Looking specifically at theological and religious education with African Americans, there are historical criticisms of "mis-education." "Mis-education" defined by Carter G. Woodson…

Mental Space Theory and Misunderstanding

ERIC Educational Resources Information Center

Liu, Hui; Gao, Yueqin

2010-01-01

This essay attempts to conduct an explanatory research on MIS within the framework of mental space theory to demonstrate the cognitive operating process of MIS in people's social interaction and explore the deep causes lying behind the phenomenon. By text analysis, the author elaborates on the generating process of MIS, thus tracing cognitive…

Investigation of MIS-sensor sensitivity to vapor of unsymmetrical dimethylgydrazine in air

NASA Astrophysics Data System (ADS)

Filipchuk, D. V.; Litvinov, A. V.; Etrekova, M. O.; Nozdrya, D. A.

2018-01-01

The sensitivity of MIS-sensor to the products of thermal decomposition of unsymmetrical dimethylhydrazine was investigated. It is shown that MIS sensor is able to detect the concentrations of the test substance by the means of the certain products of its thermal decomposition (ammonia and nitric dioxide).

Implementing AORN recommended practices for minimally invasive surgery: part I.

PubMed

Morton, Paula J

2012-09-01

This article focuses on the patient safety aspects of the revised AORN "Recommended practices for minimally invasive surgery" (MIS). Key considerations include ensuring proper fluid management practices, assessing patients for risk factors related to MIS, implementing precautions for electrosurgery, planning for risks related to MIS, and assessing patients postoperatively for potential complications related to MIS. Collaboration and collegiality among members of the surgical team are essential for ensuring all pertinent aspects of care are recognized and considered. Copyright © 2012 AORN, Inc. Published by Elsevier Inc. All rights reserved.

Metal-Insulator-Semiconductor Diode Consisting of Two-Dimensional Nanomaterials.

PubMed

Jeong, Hyun; Oh, Hye Min; Bang, Seungho; Jeong, Hyeon Jun; An, Sung-Jin; Han, Gang Hee; Kim, Hyun; Yun, Seok Joon; Kim, Ki Kang; Park, Jin Cheol; Lee, Young Hee; Lerondel, Gilles; Jeong, Mun Seok

2016-03-09

We present a novel metal-insulator-semiconductor (MIS) diode consisting of graphene, hexagonal BN, and monolayer MoS2 for application in ultrathin nanoelectronics. The MIS heterojunction structure was fabricated by vertically stacking layered materials using a simple wet chemical transfer method. The stacking of each layer was confirmed by confocal scanning Raman spectroscopy and device performance was evaluated using current versus voltage (I-V) and photocurrent measurements. We clearly observed better current rectification and much higher current flow in the MIS diode than in the p-n junction and the metal-semiconductor diodes made of layered materials. The I-V characteristic curve of the MIS diode indicates that current flows mainly across interfaces as a result of carrier tunneling. Moreover, we observed considerably high photocurrent from the MIS diode under visible light illumination.

The effect of sociodemographic (mis)match between interviewers and respondents on unit and item nonresponse in Belgium.

PubMed

Vercruyssen, Anina; Wuyts, Celine; Loosveldt, Geert

2017-09-01

Interviewer characteristics affect nonresponse and measurement errors in face-to-face surveys. Some studies have shown that mismatched sociodemographic characteristics - for example gender - affect people's behavior when interacting with an interviewer at the door and during the survey interview, resulting in more nonresponse. We investigate the effect of sociodemographic (mis)matching on nonresponse in two successive rounds of the European Social Survey in Belgium. As such, we replicate the analyses of the effect of (mis)matching gender and age on unit nonresponse on the one hand, and of gender, age and education level (mis)matching on item nonresponse on the other hand. Recurring effects of sociodemographic (mis)match are found for both unit and item nonresponse. Copyright © 2017 Elsevier Inc. All rights reserved.

Mis-Spliced Lr34 Transcript Events in Winter Wheat.

PubMed

Fang, Tilin; Carver, Brett F; Hunger, Robert M; Yan, Liuling

2017-01-01

Lr34 in wheat is a non-race-specific gene that confers resistance against multiple fungal pathogens. The resistant allele Lr34 and the susceptible allele Lr34s can be distinguished by three polymorphisms that cause alternation of deduced amino acid sequences of Lr34 at the protein level. In seedlings of a cultivar carrying the resistant Lr34r allele, only a portion (35%) of its transcripts was correctly spliced and the majority (65%) of its transcripts were incorrectly spliced due to multiple mis-splicing events. Lr34 mis-splicing events were also observed at adult plant age when this gene exerts its function. All of the mis-spliced Lr34r cDNA transcripts observed in this study resulted in a premature stop codon due to a shift of the open reading frame; hence, the mis-spliced Lr34r cDNAs were deduced to encode incomplete proteins. Even if a cultivar has a functional Lr34 gene, its transcripts might not completely splice in a correct pattern. These findings suggested that the partial resistance conferred by a quantitative gene might be due to mis-splicing events in its transcripts; hence, the resistance of the gene could be increased by eliminating or mutating regulators that cause mis-splicing events in wheat.

Middle to Late Pleistocene environmental and climatic reconstruction of the human occurrence at Grotta Maggiore di San Bernardino (Vicenza, Italy) through the small-mammal assemblage

NASA Astrophysics Data System (ADS)

López-García, Juan Manuel; Luzi, Elisa; Peresani, Marco

2017-07-01

Grotta Maggiore di San Bernardino, located at an altitude of 135 m a.s.l. in the Berici Hills in northeastern Italy, is an archaeological site with a discontinuous sedimentary sequence dating from Marine Isotope Stage 7 (MIS 7) to MIS 3. In this paper we present for the first time a palaeoenvironmental and palaeoclimatic reconstruction of the sequence based on small-mammal (insectivore, bat and rodent) assemblages. Coupled with biochronological data and absolute dating together with previous studies on large mammals, birds and other studies on small mammals and pollen from comparable time-spans in Italy, the results enable us clearly to identify distinct climatic periods: the end of MIS 7 (7c to 7a) in units VIII-VII, MIS 5d in unit V, and probably MIS 5b in unit IV and an indeterminate MIS 3 interstadial in units III-II. Finally, the study shows that the early Middle Palaeolithic human occupation in Italy occurs during mild and temperate sub-stages of MIS 7 and that human groups with the same techno-cultural background (Mousterian) were well adapted to the changing environmental and climatic conditions of the Middle to Late Pleistocene in this part of southern Europe.

Electrical properties of GaN-based metal-insulator-semiconductor structures with Al2O3 deposited by atomic layer deposition using water and ozone as the oxygen precursors

NASA Astrophysics Data System (ADS)

Kubo, Toshiharu; Freedsman, Joseph J.; Iwata, Yasuhiro; Egawa, Takashi

2014-04-01

Al2O3 deposited by atomic layer deposition (ALD) was used as an insulator in metal-insulator-semiconductor (MIS) structures for GaN-based MIS-devices. As the oxygen precursors for the ALD process, water (H2O), ozone (O3), and both H2O and O3 were used. The chemical characteristics of the ALD-Al2O3 surfaces were investigated by x-ray photoelectron spectroscopy. After fabrication of MIS-diodes and MIS-high-electron-mobility transistors (MIS-HEMTs) with the ALD-Al2O3, their electrical properties were evaluated by current-voltage (I-V) and capacitance-voltage (C-V) measurements. The threshold voltage of the C-V curves for MIS-diodes indicated that the fixed charge in the Al2O3 layer is decreased when using both H2O and O3 as the oxygen precursors. Furthermore, MIS-HEMTs with the H2O + O3-based Al2O3 showed good dc I-V characteristics without post-deposition annealing of the ALD-Al2O3, and the drain leakage current in the off-state region was suppressed by seven orders of magnitude.

Are minimally invasive procedures harder to acquire than conventional surgical procedures?

PubMed

Hiemstra, Ellen; Kolkman, Wendela; le Cessie, Saskia; Jansen, Frank Willem

2011-01-01

It is frequently suggested that minimally invasive surgery (MIS) is harder to acquire than conventional surgery. To test this hypothesis, residents' learning curves of both surgical skills are compared. Residents had to be assessed using a general global rating scale of the OSATS (Objective Structured Assessment of Technical Skills) for every procedure they performed as primary surgeon during a 3-month clinical rotation in gynecological surgery. Nine postgraduate-year-4 residents collected a total of 319 OSATS during the 2 years and 3 months investigation period. These assessments concerned 129 MIS (laparoscopic and hysteroscopic) and 190 conventional (open abdominal and vaginal) procedures. Learning curves (in this study defined as OSATS score plotted against procedure-specific caseload) for MIS and conventional surgery were compared using a linear mixed model. The MIS curve revealed to be steeper than the conventional curve (1.77 vs. 0.75 OSATS points per assessed procedure; 95% CI 1.19-2.35 vs. 0.15-1.35, p < 0.01). Basic MIS procedures do not seem harder to acquire during residency than conventional surgical procedures. This may have resulted from the incorporation of structured MIS training programs in residency. Hopefully, this will lead to a more successful implementation of the advanced MIS procedures. Copyright © 2010 S. Karger AG, Basel.

Acute hospital costs after minimally invasive versus open lumbar interbody fusion: data from a US national database with 6106 patients.

PubMed

Wang, Michael Y; Lerner, Jason; Lesko, James; McGirt, Matthew J

2012-08-01

Retrospective multi-institutional database review. To determine if minimally invasive interbody fusion is associated with cost savings when compared with open surgery. Minimally invasive spine (MIS) surgeries are increasingly recognized as equivalent to open procedures. Although these techniques have been advocated for reducing pain, disability, and length of hospitalization, to date there has been little data demonstrating these benefits. This study analyzed inpatient hospital records from the Premier Perspective database (2002 to 2009), including patients who underwent a posterior lumbar fusion with interbody cage placement by ICD-9 code, and had implant charge codes that allowed determination if MIS pedicle screws were utilized. Exclusion criteria included a refusion surgery, deformity, >2 levels, and anterior fusion. Total costs were adjusted for covariates (age, sex, race, hospital geography and setting, payor, and comorbidities) using an analysis of covariance model. A total of 6106 patients were identified (1667 MIS and 4439 open). Length of stay (LOS) for 1-level MIS surgery averaged of 3.35 days versus 3.6 days for open surgery (P≤0.006). For 2-level MIS surgery LOS averaged of 3.4 days versus 4.03 days for open surgery (P≤0.001). Total inflation-adjusted acute hospitalization cost averaged $29,187 for 1-level MIS procedures versus $29,947 for open surgery, a nonsignificant difference (P=0.55). Total inflation-adjusted acute hospitalization cost averaged $2106 lower for 2-level MIS surgery (total costs of $33,879 for MIS vs. $35,984 for open surgery, P=0.0023). Cost savings were attributable primarily to lower room and board ($857), operating room ($359), pharmacy ($304), and laboratory ($166) costs in the MIS group. High variances in the 2-level open surgery with prolonged hospital stay also accounted for overall cost differences. This data from a large nationwide sample of hospitalizations demonstrates that MIS lumbar interbody fusion results in a statistically significant reduction in hospital LOS and a reduction in total hospital costs with 2-level surgery after adjusting for significant covariates. The majority of cost savings from MIS surgery were due to more rapid mobilization and discharge, as well as a reduction in outliers with extended hospitalizations.

A Detailed Record of Changing Surface Water Conditions From Sediments Deposited During Marine Isotope Stage 11, ODP Site 980, Northeast Atlantic Ocean

NASA Astrophysics Data System (ADS)

Arvin, T. A.; Cullen, J. L.; Oppo, D. W.; McManus, J. F.

2004-05-01

Many recent paleoceanographic studies have focused on using high sedimentation rate deep-sea sediment sections that have produced records of abrupt climate variability operating at sub-orbital time scales. This is particularly true in the North Atlantic where proxies of changing surface water conditions from high quality sediment records have repeatedly demonstrated that millennial-scale climate change has been the rule rather than the exception over the past 500 kyr, during both glacial and interglacial intervals. Abrupt climate change during warm interglacials is an area of special interest as it may relate more directly to an understanding of recent and future climate change. With this in mind we have focused our efforts on documenting millennial-scale climate change from sediments deposited at ODP Site 980, northeast Atlantic Ocean during Marine Isotope Stage (MIS) 11. We have used unsplit, whole sample >150 micron size fractions from over 200 sediment samples to record changes in the number lithic grains per gram sediment to measure changes in the input of Ice-Rafted Debris (IRD). We then compare our new IRD record to previously generated records of changing surface water conditions during MIS11: variations in oxygen isotopic composition of the surface dwelling planktic foraminifer species N. pachyderma, right coiling and changes in the relative abundance of the polar species N. pachyderma, left coiling. Our MIS11 results are then compared to compatible records from MIS5e and the Holocene. Our detailed IRD record from around 418 kya to 382 kya reveals a remarkable lack of even trace amounts IRD input into sediments at ODP Site 980. IRD concentration abruptly drops and remains 0 to trace amounts per gram as soon as benthic delta O-18 values fall to and remain at < 3.5 per mil at the onset of MIS11. Only three very small amplitude IRD events are observed over the entire 35 kyr interval. The earliest 8 kyr of MIS11 is completely devoid of any IRD, despite the fact that the relative abundance of the polar species N. pachyderma, left coiling, after dropping from near 90% to below 10% at 418 kya, rises to as high as 30% during this early MIS11 time interval. This seems to indicate the influx of non-ice bearing colder polar waters to the region above Site 980 that don't seem to be influencing he N. pachyderma, right coiling isotope record in a simple way. The MIS11 IRD record significantly differs from our records from MIS5e and the Holocene, particularly when we focus on the earliest 12 kyr of MIS11. Both the approximately 10 kyr long MIS5e interval and the last 11 kyr of the Holocene exhibit a series of between 6 and 9 discrete small amplitude increases in IRD against a background of little or no IRD. At the same time relative abundances of N. pachyderma, left coiling are considerably less during both MIS5e and the Holocene when compared to the first 10 kyr of MIS11. The evidence presented here suggests that MIS11 surface water conditions above Site 980 were somewhat different from conditions recorded in sediments from two other warm interglacial intervals, MIS5e and the Holocene and that its use as an ancient analog to modern and future climate may be less straightforward than previously thought.

76 FR 11465 - Privacy Act of 1974; System of Records

Federal Register 2010, 2011, 2012, 2013, 2014

2011-03-02

... separate systems of records: ``FHFA-OIG Audit Files Database,'' ``FHFA-OIG Investigative & Evaluative Files Database,'' ``FHFA-OIG Investigative & Evaluative MIS Database,'' and ``FHFA-OIG Hotline Database.'' These... Audit Files Database. FHFA-OIG-2: FHFA-OIG Investigative & Evaluative Files Database. FHFA-OIG-3: FHFA...

Study on the potential for delay tolerant networks by health workers in low resource settings.

PubMed

Syed-Abdul, Shabbir; Scholl, Jeremiah; Lee, Peisan; Jian, Wen-Shan; Liou, Der-Ming; Li, Yu-Chuan

2012-09-01

Medical Informatics Systems (MIS) have been suggested as having great potential to improve health care delivery in low resource settings. One of the major barriers for adopting MIS in this context is a lack of adequate network/communication infrastructure. Delay Tolerant Networking (DTN) is an approach for establishing network connectivity in situations where it is possible to support physical transport of the digital information. To date most DTN research has been technically oriented, and very few services have been implemented to support healthcare systems using the technology. It is thus unclear about the potential that DTN may have for supporting MIS systems in low resource settings. The goals of the paper are twofold, first, to gain an initial estimate of interest in different services that can be supported by DTN. Second, to find out the necessary frequency associated with each service for supporting health work in low resource settings. Fifty questionnaires were distributed to attendants at the International Conference on Global Health that had acknowledged having health work experience in a poor connectivity context. The respondents were using a 5-point Likert scale regarding if 9 different potential DTN services "would be useful". They also were asked how often data delivery would be necessary for these services to be useful. The Chi square was calculated to measure acceptance. 37 responses were received, aggregating the response rate of 74%. The respondents represented having work experience from 8 months to 15 years from 35 resource poor countries. The Chi square test showed very high statistical significance for "strongly agree and agree" for the potential usefulness of the proposed DTN services, with a p-value less than 0.001. The frequency of data delivery that would be necessary for services to be useful varied considerably. This study provides evidence of potential for DTN to support useful services that support health work in low resource settings, and that services like access to email, notification of lab results, backup of EHR and teleconsultation are seem to be most important services that can be supported by DTN. The necessary frequency of data delivery for each service, will be highly dependent on context. In a low resource setting with limited mobility, the physical transport of digital data at a frequency of less than once per week should still be sufficient for useful services like notification of lab results and ordering of medical supplies. Research comparing different methods for delivery of DTN data should thus be useful. Further research and collaboration between MIS and Computer Science research communities is recommended in order to help develop DTN services that can be evaluated. Efforts to enhance awareness among stakeholders about how DTN can be used to support health services should be worthwhile. Copyright © 2011. Published by Elsevier Ireland Ltd.

Demonstrating Operating System Principles via Computer Forensics Exercises

ERIC Educational Resources Information Center

Duffy, Kevin P.; Davis, Martin H., Jr.; Sethi, Vikram

2010-01-01

We explore the feasibility of sparking student curiosity and interest in the core required MIS operating systems course through inclusion of computer forensics exercises into the course. Students were presented with two in-class exercises. Each exercise demonstrated an aspect of the operating system, and each exercise was written as a computer…

Comprehensive malnutrition inflammation score as a marker of nutritional status in Chinese peritoneal dialysis patients.

PubMed

Chan, Jessie Ying Wing; Che, Kit I; Lam, Karry Mau Chu; Chow, Kai-Ming; Chung, Kwok-Yi; Li, Philip Kam-Tao; Szeto, Cheuk-Chun

2007-04-01

Malnutrition is common among peritoneal dialysis (PD) patients. However, the ideal marker of nutritional status in PD patients remained controversial. We studied 165 unselected adult PD patients. We compared the comprehensive Malnutrition-Inflammation Score (MIS) and the 7-point Subjective Global Assessment (SGA) score. The mean age was 59.2 +/- 11.5 years. Seventy patients were male. MIS significantly correlated with the SGA score (r =-0.667, P < 0.001). Of the 165 patients, 132 (80.0%) had similar classification of nutritional status by SGA and MIS (Group I); 17 (10.3%) were classified as normal by SGA but moderately malnourished by MIS (Group II), while 16 (9.7%) were classified as normal by MIS but moderately malnourished by SGA (Group III). Group II had been dialysed longer than Group I (71.7 +/- 50.3 vs 40.7 +/- 37.5 months, P = 0.011). As compared with Group I, Group III was more likely to require helper for PD exchange (37.5%vs 9.7%, P = 0.004), marginally more likely to be diabetic (62.5%vs 35.6%, P = 0.085) and had a slightly higher Charlson's comorbidity score (6.13 +/- 1.78 vs 4.98 +/- 2.1, P = 0.085), although the latter two were not statistically significant. MIS has a reasonable correlation with the conventional SGA score in PD patients. Patients with limited self-care capability, diabetes and multiple comorbidities probably had worse score (i.e. worse nutrition) revealed by SGA than by MIS, while patients who had been dialysed longer had worse score revealed by MIS than by SGA.

A Last Interglacial pollen-temperature reconstruction, central North Island, New Zealand

NASA Astrophysics Data System (ADS)

Newnham, Rewi; Alloway, Brent; McGlone, Matt; Juchnowicz, Hannah; Rees, Andrew; Wilmshurst, Janet

2017-08-01

We present new pollen-temperature reconstructions for the Last Interglacial from central North Island, New Zealand using partial least squares regression (PLS) and modern analogue technique applied with the New Zealand pre-deforestation calibration pollen dataset. The pollen-bearing organic sequence includes numerous millimetre- to decimetre- thick tephra mostly from the adjacent Tongariro Volcanic Centre and is overlain by tephric cover-beds including the c. 25.4 ka cal BP Kawakawa/Oruanui Tephra. Fine-resolution pollen and preliminary diatom analyses above and below prominent tephra layers showed that significant vegetation impact followed only the thickest ashfall event (22 cm thickness), with vegetation recovery taking several hundred years. Apart from this, changes in the longer-term pollen record are likely to be related to climate oscillations that resemble the classic five-fold subdivision of MIS 5. The warmest interval, ascribed to MIS 5e, was characterised by tall, temperate rainforest, and occurs at the base of the sequence, with mean annual temperatures reaching around 1.1 °C higher than present. Mean annual temperatures declined to ∼4 °C below present during MIS 5d and MIS 5b and were within 1-2 °C of present during MIS 5c. The PLS temperature reconstructions are corroborated by estimates derived independently from elevational changes to vegetation communities, corresponding to modern temperature controls, inferred from the Karioi pollen spectra. Temperatures reconstructed quantitatively by the modern analogue technique were up to 1.3 °C higher for MIS 5e, MIS 5d and MIS 5b, possibly reflecting weaker modern vegetation analogues for these intervals.

Dialysis Malnutrition and Malnutrition Inflammation Scores: screening tools for prediction of dialysis-related protein-energy wasting in Malaysia.

PubMed

Harvinder, Gilcharan Singh; Swee, Winnie Chee Siew; Karupaiah, Tilakavati; Sahathevan, Sharmela; Chinna, Karuthan; Ahmad, Ghazali; Bavanandan, Sunita; Goh, Bak Leong

2016-01-01

Malnutrition is highly prevalent in Malaysian dialysis patients and there is a need for a valid screening tool for early identification and management. This cross-sectional study aims to examine the sensitivity of the Dialysis Malnutrition Score (DMS) and Malnutrition Inflammation Score (MIS) tools in predicting protein-energy wasting (PEW) among Malaysian dialysis patients. A total of 155 haemodialysis (HD) and 90 peritoneal dialysis (PD) patients were screened for risk of malnutrition using DMS and MIS and comparisons were made with established guidelines by International Society of Renal Nutrition and Metabolism (ISRNM) for PEW. MIS cut-off score of >=5 indicated presence of malnutrition in all patients. A total of 59% of HD and 83% of PD patients had PEW by ISRNM criteria. Based on DMS, 73% of HD and 71% of PD patients exhibited moderate malnutrition, whilst using MIS, 88% and 90%, respectively were malnourished. DMS and MIS correlated significantly in HD (r2=0.552, p<0.001) and PD (r2=0.466, p<0.001) patients. DMS and MIS had higher sensitivity values in PD (81% and 82%, respectively) compared to HD (59% and 60%, respectively) patients. The MIS cut-off scores for malnutrition classification were established (score >=5) for use amongst Malaysian dialysis patients. Both DMS and MIS are valid tools to be used for nutrition screening of dialysis patients especially those undergoing peritoneal dialysis. The DMS may be a more practical and simpler tool to be utilized in the Malaysian dialysis settings as it does not require laboratory markers.

The Gediz River fluvial archive: A benchmark for Quaternary research in Western Anatolia

NASA Astrophysics Data System (ADS)

Maddy, D.; Veldkamp, A.; Demir, T.; van Gorp, W.; Wijbrans, J. R.; van Hinsbergen, D. J. J.; Dekkers, M. J.; Schreve, D.; Schoorl, J. M.; Scaife, R.; Stemerdink, C.; van der Schriek, T.; Bridgland, D. R.; Aytaç, A. S.

2017-06-01

The Gediz River, one of the principal rivers of Western Anatolia, has an extensive Pleistocene fluvial archive that potentially offers a unique window into fluvial system behaviour on the western margins of Asia during the Quaternary. In this paper we review our work on the Quaternary Gediz River Project (2001-2010) and present new data which leads to a revised stratigraphical model for the Early Pleistocene development of this fluvial system. In previous work we confirmed the preservation of eleven buried Early Pleistocene fluvial terraces of the Gediz River (designated GT11, the oldest and highest, to GT1, the youngest and lowest) which lie beneath the basalt-covered plateaux of the Kula Volcanic Province. Deciphering the information locked in this fluvial archive requires the construction of a robust geochronology. Fortunately, the Gediz archive provides ample opportunity for age-constraint based upon age estimates derived from basaltic lava flows that repeatedly entered the palaeo-Gediz valley floors. In this paper we present, for the first time, our complete dataset of 40Ar/39Ar age estimates and associated palaeomagnetic measurements. These data, which can be directly related to the underlying fluvial deposits, provide age constraints critical to our understanding of this sequence. The new chronology establishes the onset of Quaternary volcanism at ∼1320ka (MIS42). This volcanism, which is associated with GT6, confirms a pre-MIS42 age for terraces GT11-GT7. Evidence from the colluvial sequences directly overlying these early terraces suggests that they formed in response to hydrological and sediment budget changes forced by climate-driven vegetation change. The cyclic formation of terraces and their timing suggests they represent the obliquity-driven climate changes of the Early Pleistocene. By way of contrast the GT5-GT1 terrace sequence, constrained by a lava flow with an age estimate of ∼1247ka, span the time-interval MIS42 - MIS38 and therefore do not match the frequency of climate change as previously suggested. The onset of volcanism breaks the simple linkage of terracing to climate-driven change. These younger terraces more likely reflect a localized terracing process triggered by base level changes forced by volcanic eruptions and associated reactivation of pre-existing faults, lava dam construction, landsliding and subsequent lava-dammed lake drainage. Establishing a firm stratigraphy and geochronology for the Early Pleistocene archive provides a secure framework for future exploitation of this part of the archive and sets the standard as we begin our work on the Middle-Late Pleistocene sequence. We believe this work forms a benchmark study for detailed Quaternary research in Turkey.

The Role of Cognitive Abilities in Laparoscopic Simulator Training

ERIC Educational Resources Information Center

Groenier, M.; Schraagen, J. M. C.; Miedema, H. A. T.; Broeders, I. A. J. M.

2014-01-01

Learning minimally invasive surgery (MIS) differs substantially from learning open surgery and trainees differ in their ability to learn MIS. Previous studies mainly focused on the role of visuo-spatial ability (VSA) on the learning curve for MIS. In the current study, the relationship between spatial memory, perceptual speed, and general…

Effects of Camera Arrangement on Perceptual-Motor Performance in Minimally Invasive Surgery

ERIC Educational Resources Information Center

Delucia, Patricia R.; Griswold, John A.

2011-01-01

Minimally invasive surgery (MIS) is performed for a growing number of treatments. Whereas open surgery requires large incisions, MIS relies on small incisions through which instruments are inserted and tissues are visualized with a camera. MIS results in benefits for patients compared with open surgery, but degrades the surgeon's perceptual-motor…

Pharmacological intervention of HIV-1 maturation.

PubMed

Wang, Dan; Lu, Wuxun; Li, Feng

2015-11-01

Despite significant advances in antiretroviral therapy, increasing drug resistance and toxicities observed among many of the current approved human immunodeficiency virus (HIV) drugs indicate a need for discovery and development of potent and safe antivirals with a novel mechanism of action. Maturation inhibitors (MIs) represent one such new class of HIV therapies. MIs inhibit a late step in the HIV-1 Gag processing cascade, causing defective core condensation and the release of non-infectious virus particles from infected cells, thus blocking the spread of the infection to new cells. Clinical proof-of-concept for the MIs was established with betulinic acid derived bevirimat, the prototype HIV-1 MI. Despite the discontinuation of its further clinical development in 2010 due to a lack of uniform patient response caused by naturally occurring drug resistance Gag polymorphisms, several second-generation MIs with improved activity against viruses exhibiting Gag polymorphism mediated resistance have been recently discovered and are under clinical evaluation in HIV/AID patients. In this review, current understanding of HIV-1 MIs is described and recent progress made toward elucidating the mechanism of action, target identification and development of second-generation MIs is reviewed.

BatMis: a fast algorithm for k-mismatch mapping.

PubMed

Tennakoon, Chandana; Purbojati, Rikky W; Sung, Wing-Kin

2012-08-15

Second-generation sequencing (SGS) generates millions of reads that need to be aligned to a reference genome allowing errors. Although current aligners can efficiently map reads allowing a small number of mismatches, they are not well suited for handling a large number of mismatches. The efficiency of aligners can be improved using various heuristics, but the sensitivity and accuracy of the alignments are sacrificed. In this article, we introduce Basic Alignment tool for Mismatches (BatMis)--an efficient method to align short reads to a reference allowing k mismatches. BatMis is a Burrows-Wheeler transformation based aligner that uses a seed and extend approach, and it is an exact method. Benchmark tests show that BatMis performs better than competing aligners in solving the k-mismatch problem. Furthermore, it can compete favorably even when compared with the heuristic modes of the other aligners. BatMis is a useful alternative for applications where fast k-mismatch mappings, unique mappings or multiple mappings of SGS data are required. BatMis is written in C/C++ and is freely available from http://code.google.com/p/batmis/

EPA MOBILE INCINERATION SYSTEM MODIFICATIONS, TESTING AND OPERATIONS - FEBRUARY 1986 TO JUNE 1989

EPA Science Inventory

The report covers the field demonstration activities of the U.S. Environmental Protection Agency's Mobile Incineration System (MIS) from February 1986 to June 1989 at the Denney Farm Site, Missouri. The activities discussed in the current report include: modifications made to the...

Exploring the Human Element of Computer-Assisted Language Learning: An Iranian Context

ERIC Educational Resources Information Center

Fatemi Jahromi, Seyed Abolghasseminits; Salimi, Farimah

2013-01-01

Based on various theories of human agency (Ajzen, I. (2005). "Attitudes, personality and behavior" (2nd ed.). London: Open University Press; Davis, F.D. (1989). Perceived usefulness, perceived ease of use, and user acceptance of information technology. "MIS Quarterly", 13, 319-340; Rogers, E.M. (1983). "Diffusion of…

Preservice Teachers' Acceptance of ICT Integration in the Classroom: Applying the UTAUT Model

ERIC Educational Resources Information Center

Birch, A.; Irvine, V.

2009-01-01

In this study, the researchers explore the factors that influence preservice teachers' acceptance of information and communication technology (ICT) integration in the classroom. The Unified Theory of Acceptance and Use of Technology (UTAUT) was developed by Venkatesh et al. ["MIS Quarterly, 27"(3), 425-478] in 2003 and shown to…

Language and Nutrition (Mis)Information: Food Labels, FDA Policies and Meaning

ERIC Educational Resources Information Center

Taylor, Christy Marie

2013-01-01

In this dissertation, I address the ways in which food manufacturers can exploit the often vague and ambiguous nature of FDA policies concerning language and images used on food labels. Employing qualitative analysis methods (Strauss, 1987; Denzin and Lincoln, 2003; Mackey and Gass, 2005) that drew upon critical discourse analysis (Fairclough,…

Teaching IS Ethics: Applying a Research Technique for Classroom Use

ERIC Educational Resources Information Center

Niederman, Fred; Taylor, Sallie; Dick, Geoffrey N.; Land, Lesley Pek Wee

2011-01-01

The nature of IS technologies and the range of their appropriate and inappropriate uses continue to evolve and expand. MIS educational programs have a challenge to provide both the appropriate content to introduce students to classic information ethics problems, as well as the methods for analyzing possible actions within a complex realistic…

78 FR 30795 - Airworthiness Directives; Hamilton Standard Division and Hamilton Sundstrand Corporation Propellers

Federal Register 2010, 2011, 2012, 2013, 2014

2013-05-23

... Airworthiness Limitations Sections (ALSs) of the applicable maintenance manuals to date. Each ALS establishes.... Relevant Service Information We reviewed the Hamilton Sundstrand ALS in Maintenance Manual P5185, Revision... P5189, Revision 8, dated March 26, 2013. The ALS in these maintenance manuals lists the MIs for the...

Speculations on the spatial setting and temporal evolution of a fjord-style lake

NASA Astrophysics Data System (ADS)

Sarnthein, M.; Spötl, C.

2012-04-01

The Inn Valley, a classical region of Quaternary research in the Alps, is bordered by terraces that extend over almost 70 km and record an ancient lake with a lake level near 750-830 m above sea level (a.s.l.), about 250-300 m above the modern valley floor. Over large distances, the terrace sediments consist mainly of laminated "Banded Clays", above ~750 m a.s.l. overlain by glaciofluvial gravel and finally, by tills that record the Upper Würmian ice advance of Marine Isotope Stage (MIS) 2. In the (former) clay pit of Baumkirchen this boundary forms the Alpine type locality for the onset of the Upper Würmian, well supported by 14C-based age control first established by Fliri (1971). On the basis of a recently cored sediment section at Baumkirchen, the >200 m thick "Banded Clays" store a continuous, largely undisturbed, highly resolved, and widely varved climatic archive of MIS 3. Major unknowns concern the location and origin of dams that may have barred the vast and deep Inn Valley lake. We discuss potential linkages to the pattern of moraines and ice advance of MIS 4 glaciers, which was less prominent than during MIS 2, thus leading to a distinct east-west segment¬ation of the run-off systems in Tyrol. East of Imst, for example, the lake was possibly barred by both a rock sill reaching up to 830 m a.s.l. and a lateral moraine deposited by an Ötz Valley glacier. 80 km further east, a lateral moraine of a glacier advancing from the Ziller Valley may have barred the ancient Inn Valley lake to the east. The final rapid coarsening of clastic lake sediments at the end of MIS 3 is widely ascribed to major climatic deter¬ioration. However, the MIS 3-2 boundary was linked to an only modest change of global climates and accordingly, different forcings may be considered. In turn, the rapid coarsening may document a date, when the Central Alpine glaciers had already filled the basin of Imst to the west of the Inn Valley lake. This ice mass may have forced the melt waters to flow across the rock sill toward east into the lake basin, with a sediment load that already records an advanced state of Alpine glaciation during the onset of MIS 2. Fliri, F. (1971): Veröff. Museum Ferdinandeum Innsbruck, 51, 5-21.

Radiocarbon dating Arctic deep marine sediment to refine the usage of Mn pattern as a stratigraphic tool

NASA Astrophysics Data System (ADS)

Chiu, Pin-Yao Bernie; Löwemark, Ludvig

2016-04-01

The distinctive pattern of Mn content in Arctic deep marine sediment has been used as a proxy to indicate glacial-interglacial cyclicity (Löwemark et al., 2014). As has been observed in many sediment cores, Mn peaks correspond to warm interglacial periods. In order to improve the preciseness of Mn pattern as a proxy, we collected the foraminifera Neogloboquadrina pachyderma (sinistral) from brownish, Mn-rich layers, and performed radiocarbon dating on selected cores collected during the LOMROG07, LOMROG09 and LOMROG12 expeditions. Additional cores form the YMER and AO96 expeditions are also included. Based on our general understanding of the Mn system in the Arctic Ocean, we predicted a Mn pattern with a high peak in the uppermost core top, representing the Holocene. This Holocene peak in Mn is separated from the underlying warm period MIS 3 by a Mn-poor interval also characterized by a drop in Ca. This Mn and Ca poor interval reperesents MIS 2 and the LGM. Older warm periods, such as MIS 3, 5, 7 etc will display a similar pattern with distinct Mn peaks, separated by Mn minima representing cold iperiods For example, the MIS 5 sometimes shown a distinct pattern with three Mn peaks representing MIS 5a, 5c and 5e. However, there are still some limitations in the applicability of Mn stratigraphy, such as the remobilization of the Mn layer and the core-top loss during coring. We performed AMS carbon 14 dating on more than 10 cores, and the result revealed several cases of lost core tops, leading to depletion or complete loss of the Holocene interval. In several cores, our AMS dating revealed a hiatus in the MIS2 interval. The complete lack of MIS2 sediment likely is the result of extremely slow sedimentation rate due to severe sea ice conditions, while places with records of LGM may be the result of polynyas within the sea ice, or certain circulation pattern. Consequently, although Mn pattern can be used as a preliminary tool to identify glacial-interglacial cycles, the loss core tops and glacial hiatuses limits the usage and accuracy of the correlation of Mn stratigraphies. Therefore, additional radiocarbon dating can refine our understanding of the Mn patterns in Arctic marine sediment and help to make it a better proxy for both paleoenvironmental reconstructions and for the age models. Further study on the cause of hiatus often encountered in the LGM interval is necessary to ensure the usefulness of Mn stratigraphy.

Marine Isotope Stage (MIS) M2 ( 3.3 Ma) in the southern hemisphere: constraining the climatic drivers of a short-term glaciation event during the Pliocene warm Period.

NASA Astrophysics Data System (ADS)

De Vleeschouwer, D.; Auer, G.; Bogus, K.; Groeneveld, J.; Henderiks, J.; Jatiningrum, R. S.; Christensen, B. A.

2017-12-01

Global climate was characterized by intriguing climate variability during the Late Pliocene (3.6 to 2.59 Ma): a brief (<100 kyr) but intense glaciation (MIS M2) interrupted the relatively warm climate state around 3.3 Ma. Until today, different hypotheses exist to explain why this glaciation event was so intense, and why the global climate system returned to warm Pliocene conditions relatively quickly. One of these proposed mechanisms is a reduced equator-to-pole heat transfer, in response to a tectonically reduced Indonesian Throughflow (ITF; De Schepper et al., 2014; Karas et al., 2011a, b). However, the scarcity of orbital-scale continuous climate archives in the outflow of the Indonesian Seaway hampers testing this hypothesis. To assess the supposed relationship between mid-Pliocene glaciations and latitudinal heat transport through the Indonesian Throughflow, we constructed a 3-kyr resolution planktonic δ18OG.sacculiferrecord for the 3.9 - 2.7 Ma interval from Site U1463 (18°59'S, 117°37'E; Northwestern Australian Shelf; IODP Expedition 356 "Indonesian Throughflow"). The U1463 oxygen isotope record concurs exceptionally well with the sea surface temperature (SST) record from Site 806 (0°19'N, 159°22'E) in the West Pacific Warm Pool (Wara et al., 2005), even during MIS M2. Hence, Site U1463 suggests an uninterrupted ITF signal during Pliocene glaciations. Surprisingly though, the U1463 δ18OG.sacculifer record exhibits a 0.5‰ offset with the nearby Site 763 record (20°35'S, 112°12'E) around MIS M2. This implies that Site 763, which lies a bit further offshore than U1463, fits better with Indian Ocean SST records (e.g. Site 214; Karas et al., 2009) across MIS M2. In conclusion, the U1463 data reveal that heat-transport through the Indonesian Throughflow did not shut down completely during MIS M2. However, its intensity decreased during MIS M2, causing Site 763 to temporarily reflect an Indian Ocean, rather than an ITF signal. References De Schepper, S. et al. 2014, Earth-Science Reviews, v. 135, p. 83-102. Karas, C. et al. 2009, Nature Geosci, v. 2, no. 6, p. 434-438. Karas, C. et al. 2011a, Earth and Planetary Science Letters, v. 301, no. 1-2, p. 117-124. -, 2011b, Paleoceanography, v. 26. Wara, M. W. et al., 2005, Science, v. 309, no. 5735, p. 758-761.

Glaciomarine sedimentation and bottom current activity on the north-western and northern continental margins of Svalbard during the late Quaternary

NASA Astrophysics Data System (ADS)

Chauhan, Teena; Noormets, Riko; Rasmussen, Tine L.

2016-04-01

Palaeo-bottom current strength of the West Spitsbergen Current (WSC) and the influence of the Svalbard-Barents Sea Ice Sheet (SBIS) on the depositional environment along the northern Svalbard margins are poorly known. Two gravity cores from the southern Yermak Plateau and the upper slope north of Nordaustlandet, covering marine isotope stage (MIS) 1 to MIS 5, are investigated. Five lithofacies, based on grain size distribution, silt/clay ratio, content and mean of sortable silt (SS), are distinguished to characterise the contourite-dominated sedimentary environments. In addition, depositional environments are described using total organic carbon (TOC), total sulphur (TS) and calcium carbonate (CaCO3) contents of sediments. Facies A, containing coarse SS, suggests strong bottom current activity and good bottom water ventilation conditions as inferred from low TOC content. This facies was deposited during the glacial periods MIS 4, MIS 2 and during the late Holocene. Facies B is dominated by fine SS indicating weak bottom current and poor ventilation (cf. high TOC content of 1.2-1.6%), and correlates with the MIS 4/3 and MIS 2/1 transition periods. With an equal amount of clay and sand, fine SS and high content of TOC, facies C indicates reduced bottom current strength for intervals with sediment supply from proximal sources such as icebergs, sea ice or meltwater discharge. This facies was deposited during the last glacial maximum. Facies D represents mass-flow deposits on the northern Svalbard margin attributed to the SBIS advance at or near the shelf edge. Facies E sediments indicating moderate bottom current strength were deposited during MIS 5 and MIS 3, and during parts of MIS 2. This first late Quaternary proxy record of the WSC flow and sedimentation history from the northern Svalbard margin suggests that the oceanographic conditions and ice sheet processes have exerted first-order control on sediment properties.

Relative sea-level changes and glacio-isostatic adjustment on the Magdalen Islands archipelago (Atlantic Canada) from MIS 5 to the late Holocene

NASA Astrophysics Data System (ADS)

Rémillard, Audrey M.; St-Onge, Guillaume; Bernatchez, Pascal; Hétu, Bernard; Buylaert, Jan-Pieter; Murray, Andrew S.; Lajeunesse, Patrick

2017-09-01

The Magdalen Islands (Québec, Canada) in the centre of the Gulf of St. Lawrence are located in a strategic position for providing an overview of the relative sea-level (RSL) history of the Maritime Provinces of eastern Canada. Although data are available for the coastal terrestrial areas of the Maritimes, data from the Gulf are very scarce and both the RSL and glacio-isostatic adjustment (GIA) models extrapolate for this central region. This study provides new stratigraphic and chronological data from four outcrops and two coring sites on the Magdalen Islands. In addition to the five samples used mainly for age control purposes, nine new luminescence ages are presented. With these new data added to the available literature, a new RSL curve is reconstructed for the LGM to the late Holocene period and a partial curve is proposed for the interval between the late MIS 4 to the MIS 3. Data also indicate a few insights for the MIS 5 period. Results reveal that for the LGM to the late Holocene, the curve corresponds to the J-shaped curve scenario recognized in the literature. The RSL changes during this period are the result of glacio-isostatic rebound, migration and collapse of the peripheral forebulge, and eustatic sea-level changes. For the LGM to the early Holocene, glacio-isostatic depression curves displaying a few local differences are also proposed. For the late Holocene, the data constrain the curve between two types of indicators, i.e. marine and terrestrial, and indicate that the RSL has risen at least 3 m during the last two millennia. Sediments dated to the MIS 5 and the interval between the late MIS 4 and the MIS 3 illustrate that the GIA following the LGM also occurred for the MIS 5 interglacial and the MIS 3 interstadial. Finally, recent GIA models are discussed in light of the results of this paper.

Comparative Effectiveness of Minimally Invasive Surgery and Conventional Approaches to Major or Challenging Hepatectomy

PubMed Central

Thornblade, Lucas W; Shi, Xu; Ruiz, Alex; Flum, David R; Park, James O

2017-01-01

Background The benefits of minimally invasive surgery (MIS) for low-risk or minor liver resection are well established. There is growing interest in MIS for major hepatectomy (MH) and other challenging resections, but there remain unanswered questions of safety that prevent broad adoption of this technique. Study Design Retrospective cohort study of patients undergoing hepatectomy at 65 hospitals participating in the NSQIP Hepatopancreatobiliary Collaborative in 2014. We assessed serious morbidity or mortality (SMM, including organ-space infection and organ failure). Secondary outcomes included transfusion, bile leak, liver failure, reoperation or intervention, and 30-day readmission. We also measured factors considered to make resection more challenging (large tumors, cirrhosis, ≥3 concurrent resections, prior neoadjuvant chemotherapy, or morbid obesity). Results 2819 patients underwent hepatectomy (age 58±14 years, 53% female; 25% MIS). After adjusting for clinical and operative factors, the odds of SMM (OR=0.57, 95%CI: 0.34–0.96, p=0.03) and reoperation or intervention (OR=0.52 (0.29–0.93), p=0.03) were significantly lower for patients undergoing MIS compared with open. In the MH group (n=1,015; 13% MIS), there was no difference in the odds of SMM after MIS (OR=0.37, (0.13–1.11), p=0.08) however MIS MH met criteria for non-inferiority. There were no differences in liver-specific complications or readmission between the groups. Odds of SMM were significantly lower following MIS among patients who had received neoadjuvant chemotherapy (OR 0.33 (0.15–0.70), p=0.004). Conclusion In this large study of minimally invasive major hepatectomy, we demonstrate safety outcomes that are equivalent or superior to conventional open surgery. While the decision to offer MIS may be influenced by factors not included in this evaluation, (e.g. surgeon experience and other patient factors), these findings support its current use in major hepatectomies. PMID:28163089

Thermohaline Circulation Crisis and Changes Through the Mid-Pleistocene Transition

NASA Astrophysics Data System (ADS)

Goldstein, S. L.; Pena, L.

2013-12-01

The Mid-Pleistocene Transition (MPT) marked a fundamental change in glacial-interglacial periodicity, transitioning from ~41,000 to 100,000 year cycles, accompanied by higher amplitude climate variability. It occurred without a significant change in orbital forcing, and thus its causes are poorly understood. We report major changes in the pre- and post-MPT mode of the ocean thermohaline circulation (THC), and a THC crisis during the MPT, from Nd isotopes in ODP Sites 1088 (~42S, 2082m) and 1090 (~43S, 3702m). The core locations are at the transition between the South Atlantic and the Southern oceans, a major gateway for the exchange of northern- and southern-sourced water masses. The new data show that in the ';40-kyr world' prior to the MPT, NADW export was strong during both interglacials and glacials. At ~900 ka the THC system underwent a major crisis, with an unprecedented weakening in NADW export during Marine Isotope Stages (MIS) 22-24. The recovery of the THC system in the post-MPT ';100-kyr world' is characterized by strong THC during interglacials, similar to pre-MPT interglacials, but much weaker THC during glacials. The ';THC crisis' interval includes MIS 23, which is unique as an interglacial where the THC operated in the same weak mode as post-MPT glacials. The MIS 22-24 interval has been recognized as a time of abrupt atmospheric pCO2 drawdown (Hoenisch et al. 2009) and significant cooling of ocean deep water, and Antarctic ice sheet expansion (Elderfield et al. Science 2012). Our data indicate that THC changes played an important role as a primary driving force, and helped to generate a series of positive feedbacks. This drastic change in deep-ocean circulation had important implications for the coeval drawdown of atmospheric pCO2, and the absence of a strong THC system through a glacial-to-interglacial-to-glacial cycle had a major impact on high latitude ice sheet growth. We suggest that the weak NADW export during MIS 24-22 resulted in reduced vertical exchange between Antarctic surface and deep waters, which helped to induce the drop in atmospheric pCO2, and in turn generated significant cooling which facilitated ice sheet expansion. These impacts were amplified by anomalously low Southern Hemisphere summer insolation during MIS 23, which resulted in suppressed ice sheet melting. Increased sea-ice coverage around the Antarctic continent during this time period may have generated increased AABW formation, which would have further drawn down CO2 from the atmosphere.

An emerging c. 100 ka record of climate change from Baldwin Lake, San Bernardino Mountains, CA, U.S

NASA Astrophysics Data System (ADS)

Glover, K. C.; MacDonald, G. M.; Kirby, M. E.; Rhodes, E. J.

2013-12-01

Big Bear Valley (elevation ~2060 m) is situated in the east-west trending San Bernardino Mountains of California, close to the transition between Mediterranean and Mojave Desert ecoregions. Baldwin Lake is the older of two basins occupying the valley, with a sediment sequence that demonstrates a high rate of deposition and an apparent synchronicity with marine isotope and global paleoclimate records. Chronology has been established with both AMS radiocarbon and infra-red stimulated luminescence (IRSL) dates. This offers the potential to further investigate paleoclimate change over the past c. 100 ka for Southern California at a high temporal resolution. Baldwin Lake's basal date of 95.9 +/- 6.7 ka is derived from IRSL on feldspar grains, placing the onset of sedimentation into the modern basin during cool MIS 5(b). Phases of high productivity in the lake, including values of up to 35% total organic matter and marl facies, correlate with warm events MIS 5(a) and MIS 3. Glacial stages are largely defined by inorganic sedimentation, though depositional regime varies between high-energy MIS 5(b) and MIS 4, and a relatively quiescent MIS 2. Future work will reconstruct vegetation change prior to MIS 1, in order to elucidate millennial-scale changes in alpine groundcover and forests in Southern California during these globally pervasive Stages.

Late Quaternary sea-level history and the antiquity of mammoths (Mammuthus exilis and Mammuthus columbi), Channel Islands NationalPark, California, USA

USGS Publications Warehouse

Muhs, Daniel R.; Simmons, Kathleen R.; Groves, Lindsey T.; McGeehin, John P.; Schumann, R. Randall; Agenbroad, Larry D.

2015-01-01

Fossils of Columbian mammoths (Mammuthus columbi) and pygmy mammoths (Mammuthus exilis) have been reported from Channel Islands National Park, California. Most date to the last glacial period (Marine Isotope Stage [MIS] 2), but a tusk of M. exilis (or immature M. columbi) was found in the lowest marine terrace of Santa Rosa Island. Uranium-series dating of corals yielded ages from 83.8 ± 0.6 ka to 78.6 ± 0.5 ka, correlating the terrace with MIS 5.1, a time of relatively high sea level. Mammoths likely immigrated to the islands by swimming during the glacial periods MIS 6 (~ 150 ka) or MIS 8 (~ 250 ka), when sea level was low and the island–mainland distance was minimal, as during MIS 2. Earliest mammoth immigration to the islands likely occurred late enough in the Quaternary that uplift of the islands and the mainland decreased the swimming distance to a range that could be accomplished by mammoths. Results challenge the hypothesis that climate change, vegetation change, and decreased land area from sea-level rise were the causes of mammoth extinction at the Pleistocene/Holocene boundary on the Channel Islands. Pre-MIS 2 mammoth populations would have experienced similar or even more dramatic changes at the MIS 6/5.5 transition.

Preparation a new sorbent based on polymeric ionic liquid for stir cake sorptive extraction of organic compounds and inorganic anions.

PubMed

Huang, Xiaojia; Wang, Yulei; Hong, Qiuyun; Liu, Yi; Yuan, Dongxing

2013-11-01

A new multi-interaction sorbent (MIS) based on polymeric ionic liquid was prepared and used as extractive medium of stir cake sorptive extraction (SCSE). In the presence of dimethyl sulfoxide, an ionic liquid, 1-vinylbenzyl-3-methylimidazolium chloride was used as monomer to copolymerize in situ with divinylbenzene to form the MIS. The influences of the content of monomer and the porogen solvent in the polymerization mixture on the extraction performance were investigated thoroughly. The MIS was characterized by infrared spectroscopy, elemental analysis, scanning electron microscopy and mercury intrusion porosimetry. Parabens and aromatic amines were used to investigate the extraction performance of MIS-SCSE for apolar and strongly polar analytes, respectively. The extraction parameters for parabens and aromatic amines were optimized. At the same time, simple and sensitive analytical methods for parabens and aromatic amines in real samples were developed by the combination of MIS-SCSE and HPLC/DAD. Some inorganic anions, such as F(-), Br(-), NO3(-), PO4(3-) and SO4(2-), were used to test the extraction performance of MIS-SCSE for anions. Results indicated that mechanism involved in the extraction of MIS is the multi-interaction modes including π-π, hydrophobic, hydrogen-bonding, dipole-dipole and anion-exchange interactions. Copyright © 2013 Elsevier B.V. All rights reserved.

A loess-paleosol record of climate and glacial history over the past two glacial-interglacial cycles (~140 ka), southern Jackson Hole, Wyoming

USGS Publications Warehouse

Pierce, Kenneth L.; Muhs, Daniel R.; Fosberg, Maynard A.; Mahan, Shannon; Rosenbaum, Joseph G.; Licciardi, Joseph M.; Pavich, Milan J.

2011-01-01

Loess accumulated on a Bull Lake outwash terrace of Marine Oxygen Isotope Stage 6 (MIS 6) age in southern Jackson Hole, Wyoming. The 9 m section displays eight intervals of loess deposition (Loess 1 to Loess 8, oldest), each followed by soil development. Our age-depth model is constrained by thermoluminescence, meteoric Be-10 accumulation in soils, and cosmogenic Be-10 surface exposure ages. We use particle size, geochemical, mineral-magnetic, and clay mineralogical data to interpret loess sources and pedogenesis. Deposition of MIS 6 loess was followed by a tripartite soil/thin loess complex (Soils 8,7, and 6) apparently reflecting the large climatic oscillations of MIS 5. Soil 8 (MIS 5e) shows the strongest development. Loess 5 accumulated during a glacial interval (similar to 76-69 ka; MIS 4) followed by soil development under conditions wetter and probably colder than present. Deposition of thick Loess 3 (similar to 43-51 ka, MIS 3) was followed by soil development comparable with that observed in Soil 1. Loess 1 (MIS 2) accumulated during the Pinedale glaciation and was followed by development of Soil 1 under a semiarid climate. This record of alternating loess deposition and soil development is compatible with the history of Yellowstone vegetation and the glacial flour record from the Sierra Nevada. Published by Elsevier Inc. on behalf of University of Washington.

A management information system to study space diets

NASA Technical Reports Server (NTRS)

Kang, Sukwon; Both, A. J.; Janes, H. W. (Principal Investigator)

2002-01-01

A management information system (MIS), including a database management system (DBMS) and a decision support system (DSS), was developed to dynamically analyze the variable nutritional content of foods grown and prepared in an Advanced Life Support System (ALSS) such as required for long-duration space missions. The DBMS was designed around the known nutritional content of a list of candidate crops and their prepared foods. The DSS was designed to determine the composition of the daily crew diet based on crop and nutritional information stored in the DBMS. Each of the selected food items was assumed to be harvested from a yet-to-be designed ALSS biomass production subsystem and further prepared in accompanying food preparation subsystems. The developed DBMS allows for the analysis of the nutrient composition of a sample 20-day diet for future Advanced Life Support missions and is able to determine the required quantities of food needed to satisfy the crew's daily consumption. In addition, based on published crop growth rates, the DBMS was able to calculate the required size of the biomass production area needed to satisfy the daily food requirements for the crew. Results from this study can be used to help design future ALSS for which the integration of various subsystems (e.g., biomass production, food preparation and consumption, and waste processing) is paramount for the success of the mission.

A management information system to study space diets.

PubMed

Kang, Sukwon; Both, A J

2002-01-01

A management information system (MIS), including a database management system (DBMS) and a decision support system (DSS), was developed to dynamically analyze the variable nutritional content of foods grown and prepared in an Advanced Life Support System (ALSS) such as required for long-duration space missions. The DBMS was designed around the known nutritional content of a list of candidate crops and their prepared foods. The DSS was designed to determine the composition of the daily crew diet based on crop and nutritional information stored in the DBMS. Each of the selected food items was assumed to be harvested from a yet-to-be designed ALSS biomass production subsystem and further prepared in accompanying food preparation subsystems. The developed DBMS allows for the analysis of the nutrient composition of a sample 20-day diet for future Advanced Life Support missions and is able to determine the required quantities of food needed to satisfy the crew's daily consumption. In addition, based on published crop growth rates, the DBMS was able to calculate the required size of the biomass production area needed to satisfy the daily food requirements for the crew. Results from this study can be used to help design future ALSS for which the integration of various subsystems (e.g., biomass production, food preparation and consumption, and waste processing) is paramount for the success of the mission.

Integrating IS Curriculum Knowledge through a Cluster-Computing Project--A Successful Experiment

ERIC Educational Resources Information Center

Kitchens, Fred L.; Sharma, Sushil K.; Harris, Thomas

2004-01-01

MIS curricula in business schools are challenged to provide MIS courses that give students a strong practical understanding of the basic technologies, while also providing enough hands-on experience to solve real life problems. As an experimental capstone MIS course, the authors developed a cluster-computing project to expose business students to…

Data and Characteristics of the Illinois Public Community College System.

ERIC Educational Resources Information Center

Illinois Community Coll. Board, Springfield.

This publication, the eighteenth comprehensive data book published by the Illinois Community College Board (ICCB), contains data and characteristics of the Illinois public community college system. Data are obtained from various surveys and studies conducted by ICCB staff and from the college's annual MIS submissions. Several tables summarize data…

GASB Statement 34 compliance : development of a fixed asset (infrastructure) MIS, Phase 1 for the Alabama Department of Transportation

DOT National Transportation Integrated Search

2002-01-02

This project defined the scope, goals, and high-level requirements for the Alabama Department of Transportation's Asset Management System, so that it will comply with the General Accounting Standards Board policy 34. The system will provide a network...

A Systems Approach to Expanding the Technology Readiness Level within Defense Acquisition

DTIC Science & Technology

2008-01-01

Administration’s (NASA) post-Apollo era as ontology for contracting support (Sadin, Povinelli & Rosen, 1989). In the last nine years, other...1008-1023. Sadin, S. R., Povinelli , F. P., & Rosen, R. (1989). The NASA technology push towards future space mis- sion systems. Acta Astronautica

Late Pleistocene Age Model for Site U1460, Perth Basin, SW Australian Shelf: Implications for Leeuwin Current History

NASA Astrophysics Data System (ADS)

Christensen, B. A.; Takayanagi, H.; Petrick, B.; Ishiwa, T.; Henderiks, J.; Groeneveld, J.; Mamo, B. L.; De Vleeschouwer, D.; Auer, G.; Deik, H.; Fulthorpe, C.; Gallagher, S. J.; McHugh, C.; Reuning, L.; Yokoyama, Y.

2017-12-01

The Leeuwin Current (LC) exerts an important control on modern Australian climate, but its onset is not well defined. The LC is the only southward flowing eastern boundary current. Driven by a pressure gradient set up in the Indonesian Throughflow, its warm waters support reefs to 29°S. It is seasonally controlled south of the Western Cape. Determination of the onset of the LC was a major objective of IODP Expedition 356. Expedition 356 drilling on the western Australian margin provides an opportunity to explore depositional patterns and timing in the region influenced by the current. Site U1460 was drilled in 214.5 m w.d. (Gallagher et al., 2017). Integrated calcareous nannofossil and planktonic foraminiferal biostratigraphy places the upper 86.5 m firmly within the late Pleistocene. However, the glacial- interglacial stratigraphy is uncertain because of the complexity of this shelfal depositional environment. Here we present a likely late Pleistocene stratigraphy based on integrated geochemical and paleontological datasets. A benthic foraminifer (Uvigerina peregrina) stable isotope record provides the foundation for the age model and the data are supported by SST estimates based on Tex86 and alkenones. Our age model places MIS 16 between 104 and 99 m-CSF-A, followed by an expanded MIS 15 section (99 - 50 m-CSF-A). We correlate the interval from 50 - 5 m-CSF-A with MIS 14 to MIS 8, with the largest magnitude glacial events (MIS 12, MIS 6) either condensed or represented as depositional hiatuses. A Recent 14C date at 0.34 mbsf constrains the interval from 2 - 0.5 m-CSF-A to MIS 4-3, which is in good agreement with the base of common Emiliania huxleyi (0.09 Ma) at 2.13 m-CSF-A. Thus MIS 5 is equivalent to the interval from 5 to 2 m-CSF-A. The expanded MIS 15 section follows a geometric change from slope to prograding shelf. It is associated with a shift to infaunal benthic foraminiferal assemblages, abundant sponge spicules, and a reduction in CaCO3%, suggesting that the high MIS 15 sedimentation rate results from increased productivity and/or upwelling. Our stable-isotope-based correlation, combined with paleotemperature reconstructions, points to a modern-like LC in operation at 0.6 Ma (MIS 16 onward), following a change in continental margin geometry. Alternative age-depth models are possible, and are also presented.

Relative to open surgery, minimally-invasive renal and ureteral pediatric surgery offers no improvement in 30-day complications, yet requires longer operative time: Data from the National Surgical Quality Improvement Program Pediatrics.

PubMed

Colaco, Marc; Hester, Austin; Visser, William; Rasper, Alison; Terlecki, Ryan

2018-05-01

Performance of minimally-invasive surgery (MIS) is increasing relative to open surgery. We sought to compare the contemporary rates of short-term complications of open versus laparoscopic renal and ureteral surgery in pediatric patients. A retrospective cross-sectional analysis of the National Surgical Quality Improvement Program Pediatrics database was performed of all cases in 2014 identified using CPT procedure codes for nephrectomy, partial nephrectomy (PN), ureteroneocystostomy (UNC), and pyeloplasty, and reviewed for postoperative complications. Univariate analysis was performed to determine 30-day complications, with comparison between open and MIS approaches. Receiver operator curve (ROC) analysis was performed to determine differences in body surface area (BSA) and age for open versus MIS. Review identified 207 nephrectomies, 72 PN, 920 UNC, and 625 pyeloplasties. MIS was associated with older age and larger BSA except for cases of UNC. Apart from PN, operative durations were longer with MIS. However, only PN was associated with significantly longer length of hospital stay (LOS). There was no difference in incidence of all other 30-day complications. When evaluating BSA via ROC, the area under the curve (AUC) was found to be 0.730 and was significant. Children with a BSA greater than 0.408 m 2 were more likely to have MIS (sensitivity, 66.9%; specificity, 69.3%). Regarding age, the AUC was 0.732. Children older than 637.5 days were more likely to have MIS (sensitivity, 72.8%; specificity, 63.3%). Pediatric MIS is associated with longer operative time for nephrectomy, but shorter LOS following PN. Surgical approach was not associated with difference in short-term complications.

Accuracy of percutaneous pedicle screws for thoracic and lumbar spine fractures compared with open technique.

PubMed

Paredes, Igor; Panero, Irene; Cepeda, Santiago; Castaño-Leon, Ana M; Jimenez-Roldan, Luis; Perez-Nuñez, Ángel; Alén, Jose A; Lagares, Alfonso

2018-06-14

This study aimed to compare the accuracy of screw placement between open pedicle screw fixation and percutaneous pedicle screw fixation (MIS) for the treatment of thoracolumbar spine fractures (TSF). Forty-nine patients with acute TSF who were treated with transpedicular screw fixation from January 2013 to December 2016 were retrospectively reviewed. The patients were divided into Open and MIS groups. Laminectomy was performed in either group if needed. The accuracy of the screw placement, the evolution of the Cobb sagital angle postoperatively and at 12-month follow up and the neurological status were recorded. AO type of fracture and TLICS score were also recorded. Mean age was 42 years old. Mean TLICS score was 6,29 and 5,96 for open and MIS groups respectively. Twenty five MIS and 24 open surgeries were performed, and 350 (175 in each group) screws were inserted (7,14 per patient). Twenty-four and 13 screws were considered ̈out ̈ in the open and MIS groups respectively (Odds ratio 1,98. 0,97-4,03 p=0,056). The Cobb sagittal angle went from 13,3o to 4,5o and from 14,9o to 8,2o in the Open and MIS groups respectively (both p<0,0001). Loss of correction at 12-month follow up was 3,2o and 4,2o for the open and MIS groups respectively. No neurological worsening was observed. For the treatment of acute thoracolumbar fractures, the MIS technique seems to achieve similar results to the open technique in relation to neurological improvement and deformity correction, while placing the screws more accurately.

Insights into North Atlantic deep water formation during the peak interglacial interval of Marine Isotope Stage 9 (MIS 9)

NASA Astrophysics Data System (ADS)

Mokeddem, Zohra; McManus, Jerry F.

2017-11-01

Foraminifera abundance and stable isotope records from ODP Site 984 (61.25°N, 24.04°W, 1648 m) in the North Atlantic are used to reconstruct surface circulation variations and the relative strength of the North Atlantic Deep Water (NADW) formation over the period spanning the peak warmth of Marine Interglacial Stage (MIS) 9e ( 324-336 ka). This interval includes the preceding deglaciation, Termination 4 (T4), and the subsequent glacial inception of MIS 9d. The records indicate a greatly reduced contribution of NADW during T4, as observed in more recent deglaciations. In contrast with the most recent deglaciation, the lack of a significant NADW signal extended from T4 well into the peak interglacial MIS 9e and persisted nearly until the transition to the subsequent glacial stage MIS 9d. Although NADW formation resumed during MIS 9e, only depths greater than 2000 m appear to have been ventilated. The poorly ventilated intermediate depth of Site 984 (<2000 m) may have resulted on one hand from a general reduction of deep water ventilation by NADW during the study interval or, on the other hand, from different pathways of the spread of newly formed NADW that bypassed the study location. The intermediate depths may have also been invaded by southern-sourced waters as the formation of intermediate depth NADW weakened. The absence of any significant NADW signal at the water depth of Site 984 during the climatic optimum contrasts sharply with subsequent interglacial peaks (MIS 5e and the Holocene). Despite the perturbed intermediate depth circulation, oceanic heat transport northeastward was not interrupted and may have contributed to the relatively mild interglacial conditions of MIS 9e.

Measuring the Performance and Intelligence of Systems: Proceedings of the 2002 PerMIS Workshop

NASA Technical Reports Server (NTRS)

Messina, E. R.; Meystel, A. M.

2002-01-01

Contents include the following: Performance Metrics; Performance of Multiple Agents; Performance of Mobility Systems; Performance of Planning Systems; General Discussion Panel 1; Uncertainty of Representation I; Performance of Robots in Hazardous Domains; Modeling Intelligence; Modeling of Mind; Measuring Intelligence; Grouping: A Core Procedure of Intelligence; Uncertainty in Representation II; Towards Universal Planning/Control Systems.

Si and GaAs photocapacitive MIS infrared detectors

NASA Technical Reports Server (NTRS)

Sher, A.; Tsuo, Y. H.; Moriarty, J. A.; Miller, W. E.; Crouch, R. K.

1980-01-01

Improvement of the previously reported photocapacitive MIS infrared detectors has led to the development of exceptional room-temperature devices. Unoptimized peak detectivities on the order of 10 to the 13th cm sq rt Hz/W, a value which exceeds the best obtainable from existing solid-state detectors, have now been consistently obtained in Si and GaAs devices using high-capacitance LaF3 or composite LaF3/native-oxide insulating layers. The measured spectral response of representative samples is presented and discussed in detail together with a simple theory which accounts for the observed behavior. The response of an ideal MIS photocapacitor is also contrasted with that of both a conventional photoconductor and a p-i-n photodiode, and reasons for the superior performance of the MIS detectors are given. Finally, fundamental studies on the electrical, optical, and noise characteristics of the MIS structures are analyzed and discussed in the context of infrared-detector applications.

An imaging spectrometer for microgravity application

NASA Technical Reports Server (NTRS)

Wong, Wallace K.

1995-01-01

Flame structure is the result of complex interaction of mechanisms operating in both unwanted fires and controlled combustion systems. The scientific study of gas-jet diffusion flames in reduced-gravity environment is of interest because the effects of buoyancy on flow entrainment and acceleration are lessened. Measurements of flames have been restricted to cinematography, thermocouples, and radiometers. SSG, Inc. is developing an MWIR imaging spectrometer (MIS) for microgravity flame measurements. The device will be delivered to NASA Lewis at the end of this project to demonstrate flame measurements in the laboratory. With proper modifications, the MIS can be used to monitor a gas-jet flame under microgravity on a NASA Learjet or DC-9.

Late Quaternary chronostratigraphic framework of terraces and alluvium along the lower Ohio River, southwestern Indiana and western Kentucky, USA

USGS Publications Warehouse

Counts, Ronald C.; Murari, Madhav K.; Owen, Lewis A.; Mahan, Shannon; Greenan, Michele

2015-01-01

The lower Ohio River valley is a terraced fluvial landscape that has been profoundly influenced by Quaternary climate change and glaciation. A modern Quaternary chronostratigraphic framework was developed for the lower Ohio River valley using optically stimulated luminescence (OSL) dating and allostratigraphic mapping to gain insights into the nature of fluvial responses to glacial–interglacial/stadial–interstadial transitions and Holocene climate change. River deposits, T0 (youngest) to T7 (oldest), were mapped along a 75 km reach of the lower Ohio River and were dated using 46 OSL and 5 radiocarbon samples. The examination of cores combined with OSL and radiocarbon dating shows that fluvial sediments older than marine oxygen isotope stage (MIS) 2 are present only in the subsurface. Aggradation during MIS 6 (Illinoian glaciation) filled the valley to within ∼7 m of the modern floodplain, and by ∼114 ka (MIS 5e/Sangamon interglacial) the Ohio River had scoured the MIS 6 sediments to ∼22 m below the modern floodplain surface. There were no fluvial sediments in the valley with ages between MIS 5e and the middle of MIS 3. The MIS 3 ages (∼39 ka) and stratigraphic position of T5 deposits suggest the Ohio River aggraded 8–14 m during MIS 4 or MIS 3. Near the end of MIS 3, the Ohio River incised the mid Last Glacial (mid-Wisconsinan) deposits ∼10 m and began aggrading again by ∼30 ka. Aggradation continued into MIS 2, with maximum MIS 2 aggradation occurring before ∼21 ka, which is coincident with the global Last Glacial Maximum (LGM). As the Ohio River adjusted to changing fluxes in sediment load and discharge following the LGM, it formed a sequence of fill-cut terraces in the MIS 2 outwash that get progressively younger with decreasing elevation, ranging in age from ∼21 ka to ∼13 ka. From ∼14 ka to ∼13 ka the Ohio River rapidly incised ∼3 m to form a new terrace, and by ∼12 ka at the onset of the Holocene, the Ohio River established a meandering channel pattern. The river formed a broad floodplain surface from ∼12 ka to ∼6 ka, and then incised ∼1 m and formed a fill-cut terrace from ∼6 ka to ∼5 ka. After ∼5 ka, likely in response to mid-Holocene drought in North America, the Ohio River incised ∼5 m, and by ∼4 ka the river began aggrading again. The Ohio River has aggraded ∼4 m since aggradation began at ∼4 ka. The chronostratigraphic framework and reconstructed history developed here suggest that the lower Ohio River is highly sensitive to glacial–interglacial transitions and abrupt Holocene climate change and responds rapidly to these allogenic forcings.

Soft Robotic Manipulator for Improving Dexterity in Minimally Invasive Surgery.

PubMed

Diodato, Alessandro; Brancadoro, Margherita; De Rossi, Giacomo; Abidi, Haider; Dall'Alba, Diego; Muradore, Riccardo; Ciuti, Gastone; Fiorini, Paolo; Menciassi, Arianna; Cianchetti, Matteo

2018-02-01

Combining the strengths of surgical robotics and minimally invasive surgery (MIS) holds the potential to revolutionize surgical interventions. The MIS advantages for the patients are obvious, but the use of instrumentation suitable for MIS often translates in limiting the surgeon capabilities (eg, reduction of dexterity and maneuverability and demanding navigation around organs). To overcome these shortcomings, the application of soft robotics technologies and approaches can be beneficial. The use of devices based on soft materials is already demonstrating several advantages in all the exploitation areas where dexterity and safe interaction are needed. In this article, the authors demonstrate that soft robotics can be synergistically used with traditional rigid tools to improve the robotic system capabilities and without affecting the usability of the robotic platform. A bioinspired soft manipulator equipped with a miniaturized camera has been integrated with the Endoscopic Camera Manipulator arm of the da Vinci Research Kit both from hardware and software viewpoints. Usability of the integrated system has been evaluated with nonexpert users through a standard protocol to highlight difficulties in controlling the soft manipulator. This is the first time that an endoscopic tool based on soft materials has been integrated into a surgical robot. The soft endoscopic camera can be easily operated through the da Vinci Research Kit master console, thus increasing the workspace and the dexterity, and without limiting intuitive and friendly use.

Evaluation of the Microbial Identification System for identification of clinically isolated yeasts.

PubMed Central

Crist, A E; Johnson, L M; Burke, P J

1996-01-01

The Microbial Identification System (MIS; Microbial ID, Inc., Newark, Del.) was evaluated for the identification of 550 clinically isolated yeasts. The organisms evaluated were fresh clinical isolates identified by methods routinely used in our laboratory (API 20C and conventional methods) and included Candida albicans (n = 294), C. glabrata (n = 145), C. tropicalis (n = 58), C. parapsilosis (n = 33), and other yeasts (n = 20). In preparation for fatty acid analysis, yeasts were inoculated onto Sabouraud dextrose agar and incubated at 28 degrees C for 24 h. Yeasts were harvested, saponified, derivatized, and extracted, and fatty acid analysis was performed according to the manufacturer's instructions. Fatty acid profiles were analyzed, and computer identifications were made with the Yeast Clinical Library (database version 3.8). Of the 550 isolates tested, 374 (68.0%) were correctly identified to the species level, with 87 (15.8%) being incorrectly identified and 89 (16.2%) giving no identification. Repeat testing of isolates giving no identification resulted in an additional 18 isolates being correctly identified. This gave the MIS an overall identification rate of 71.3%. The most frequently misidentified yeast was C. glabrata, which was identified as Saccharomyces cerevisiae 32.4% of the time. On the basis of these results, the MIS, with its current database, does not appear suitable for the routine identification of clinically important yeasts. PMID:8880489

Mapping the MIS Curriculum Based on Critical Skills of New Graduates: An Empirical Examination of IT Professionals

ERIC Educational Resources Information Center

Downey, James P.; McMurtrey, Mark E.; Zeltmann, Steven M.

2008-01-01

MIS curricula research almost always focuses on either curriculum issues or the critical skills required of new MIS graduates, rarely both. This study examines both by determining the critical skills required of new graduates, from the perspective of IT professionals in the field, then uniquely mapping those skills into a comprehensive yet…

Anchorage loss due to Herbst mechanics-preventable through miniscrews?

PubMed

Bremen, Julia von; Ludwig, Björn; Ruf, Sabine

2015-10-01

To assess if mandibular incisor proclination and protrusion during treatment with the Herbst/multibracket appliance can be prevented through simple screws (MIs) anchorage. After a statistical power analysis, 12 Herbst patients with MIs (100% MIs survival) ligated to the Herbst/multibracket appliance to reinforce anchorage were investigated. A control group matched for gender and skeletal maturity treated without MIs anchorage was selected. Pre- and posttreatment cephalograms were analysed for overjet reduction, mandibular incisor proclination (IL/ML), protrusion (Ii-MLp) and intrusion (Ii-ML), as well as occlusal plane inclination (OP/ML) by a single-blinded examiner. No statistically significant differences between the two groups were found concerning overjet reduction, incisor protrusion- and intrusion or occlusal plane tilt. Although the MIs group generally showed less lower incisor proclination (4.8°) than the group without skeletal anchorage (6.5°), a large interindividual variation was observed. Interradicular MIs anchorage cannot prevent anchorage loss during Herbst treatment. For the individual patient, the amount of incisor proclination and protrusion remains unpredictable. © The Author 2014. Published by Oxford University Press on behalf of the European Orthodontic Society. All rights reserved. For permissions, please email: journals.permissions@oup.com.

A 600-ka Arctic sea-ice record from Mendeleev Ridge based on ostracodes

USGS Publications Warehouse

Cronin, Thomas M.; Polyak, L.V.; Reed, D.; Kandiano, E. S.; Marzen, R. E.; Council, E. A.

2013-01-01

Arctic paleoceanography and sea-ice history were reconstructed from epipelagic and benthic ostracodes from a sediment core (HLY0503-06JPC, 800 m water depth) located on the Mendeleev Ridge, Western Arctic Ocean. The calcareous microfaunal record (ostracodes and foraminifers) covers several glacial/interglacial cycles back to estimated Marine Isotope Stage 13 (MIS 13, ∼500 ka) with an average sedimentation rate of ∼0.5 cm/ka for most of the stratigraphy (MIS 5–13). Results based on ostracode assemblages and an unusual planktic foraminiferal assemblage in MIS 11 dominated by a temperate-water species Turborotalita egelida show that extreme interglacial warmth, high surface ocean productivity, and possibly open ocean convection characterized MIS 11 and MIS 13 (∼400 and 500 ka, respectively). A major shift in western Arctic Ocean environments toward perennial sea ice occurred after MIS 11 based on the distribution of an ice-dwelling ostracode Acetabulastoma arcticum. Spectral analyses of the ostracode assemblages indicate sea ice and mid-depth ocean circulation in western Arctic Ocean varied primarily at precessional (∼22 ka) and obliquity (∼40 ka) frequencies.

[Validation of French versions of magical ideation and perceptual aberrations questionnaires].

PubMed

Dumas, P; Bouafia, S; Gutknecht, C; Saoud, M; Daléry, J; d'Amato, T

2000-01-01

Chapman and colleagues have developed symptom-oriented scales based on Meehl's manual of schizotypy, such as the Social Anhedonia (SA) and Physical Anhedonia (PhA) Scales, the Magical Ideation Scale (MIS), and the Perceptual Aberration Scale (PAS). Whereas Chapman's scales of psychosis proneness are the most internationally used instruments for the assessment of schizotypy, some of them, such as MIS and PAS, were still not available in French. We reported here the validation study of the MIS and the PAS French versions that we had published previously. This study was conducted in a sample of 233 students (males: n = 108; females: n = 125; mean age: 21.17 +/- 1.47; mean educational level: 13.36 +/- 1.06). The French versions of the MIS and the PAS have high internal reliability (MIS: Cronbach's alpha = 0.85; PAS: Cronbach's alpha = 0.88). French norms are given for each of these scales. They are respectively 19/30 for the MIS and 17/35 for the PAS high cutoff scores without any difference when gender was considered. These results are very closed to those found by Chapman and colleagues for University of Wisconsin undergraduate students.

A new ELSA time series of tephra layers and paleobotanical evidence from laminated Eifel maar sediments covering the entire last 120,000 years

NASA Astrophysics Data System (ADS)

Sirocko, Frank; Knapp, Hannes; Klee, Marlies; Rothacker, Leo; Kromer, Bernd

2014-05-01

The ELSA Project has drilled a total of 50 sediment cores (2000 m of laminated lake sediment) from Eifel maar lakes and dry maar structures during the last 15 years. These records have been dated using 7 different methods, including 370 14C dates. Ten records reveal the established palynological succession of trees during the Holocene down to the Laacher See Tephra, which is used for synchronization with seven more recently drilled laminated sediment cores, which all are 14C-dated too and analyzed for tephra, pollen and paleobotanical macroremains. The seven newly established records reveal a continuous MIS2 section with mosses, ostracods and characea oogonia. They show that the 28.000 - 40.000 BP has witnessed an open landscape dominated by grass, but with rhythmic spread of conifer trees following the Greenland interstadial/succession. Seeds of Ranunculae provide excellent material for 14C dating. Even deciduous trees are present in small amounts until 28.000 BP. The time from 48.000 to 40.000 BP is characterized by a pronounced transition from the open landscape to an early MIS3 spruce (Picea) dominated forest during Greenland Interstadial GI17-14. Modern man apparently arrived at the end of this principal vegetation change near 40,000 BP. Volcanic activity in the Eifel had a stable and pronounced recurrence from 55,000 - 30,000 BP every 4000 years, but commenced with the beginning of MIS2. This landscape evolution with a forested early MIS3 is quite different to peat and sediment records from Netherlands/ Northern Germany/Scandinavia/ Poland, but is similar to conditions in parts of Switzerland. We address the early MIS3 forest to the nearby continuously moist soils and warm conditions in the nearby Mosel valley, i.e. on those stands where wine is growing today, and which most likely had served as a local refugia even for deciduous trees during MIS4 and MIS3. The MIS5 sections of the presented ELSA records reach down at least to the beginning of MIS5d near 118,000 BP, probably even back into MIS5e. The oldest Ar/Ar dated ELSA records reach down to 480,000 BP.

Insights into MIS 3 and 4 climate in the Alps from the Baumkirchen paleo-lake site: Results of pollen analysis

NASA Astrophysics Data System (ADS)

Barrett, Samuel; Drescher-Schneider, Ruth; Starnberger, Reinhard; Spötl, Christoph

2016-04-01

The well-known Baumkirchen site of western Austria has recently been the focus of a renewed research effort. New drilling has greatly extended the length of the known lacustrine sequence to over 250 m. Luminescence dating has corroborated the late MIS 3 radiocarbon dates for the upper part of the sequence and revealed two lake phases: the upper extending from late MIS 3 back to mid MIS 3, and the lower covering late MIS 4 or early MIS 3 back possibly as far as MIS 5a. X-ray fluorescence core scanning analysis confirmed the presence of two phases which have different geochemical signals, and provided a chemistry-based stratigraphy in the visually monotonous sediments. In these uniform sediments, the only clear indication of climatic conditions from the sediments themselves is a short sequence of ice-rafted debris corresponding to the end of MIS 4. However, given their age and location within the Alps, these sediments provide an important archive of Alpine climate in the last glacial cycle. We present new results from pollen analysis and discuss them in the context of previously reported findings. Due to high sedimentation rates, pollen counts were very low. However, two stadials and two interstadials were identified. The entire lower lake phase corresponding to MIS 4 was identified as a stadial, being characterised by a very low total pollen concentrations, a dominance of herb over tree pollen and significant reworking of pre-Quaternary forms and wood fragments. The upper lake phase contains two interstadials split by an intervening stadial. The interstadials are characterised by higher total pollen concentrations and proportion of woody species including the sporadic presence of relatively warm climate species with the upper of the two appearing better developed with these indicators more strongly expressed. This upper interstadial corresponds to the location of well dated plant remains putting its age around 35 ka cal BP, strongly suggesting a correlation to Greenland interstadial 7, while the correspondence of the lower interstadial is uncertain. Overall, the vegetation of the central Inn Valley during MIS 3 and 4 was dominated by steppe-like open-vegetation (consistent with earlier work from the upper part of the sequence) with tree stands (but not forests) establishing themselves during the interstadials.

Foraminifera eco-biostratigraphy of the southern Evoikos outer shelf, central Aegean Sea, during MIS 5 to present

NASA Astrophysics Data System (ADS)

Drinia, Hara; Antonarakou, Assimina; Tsourou, Theodora; Kontakiotis, George; Psychogiou, Maria; Anastasakis, George

2016-09-01

The South Evoikos Basin is a marginal basin in the Aegean Sea which receives little terrigenous supply and its sedimentation is dominated by hemipelagic processes. Late Quaternary benthic and planktonic foraminifera from core PAG-155 are investigated in order to understand their response to the glacial-interglacial cycles in this region. The quantitative analysis of planktonic foraminifera, coupled with accelerator mass spectrometry (14C-AMS) radiocarbon date measurements, provide an integrated chrono-stratigraphic time framework over the last 90 ka (time interval between late Marine Isotopic Stages 5 and 1; MIS5-MIS1). The temporary appearance and disappearance as well as several abundance peaks in the quantitative distribution of selected climate-sensitive planktonic species allowed the identification of several eco-bioevents, useful to accurately mark the boundaries of the eco-biozones widely recognized in the Mediterranean records and used for large-scale correlations. The established bio-ecozonation scheme allows a detailed palaecological reconstruction for the late Pleistocene archive in the central Aegean, and furthermore provides a notable contribution for palaeoclimatic studies, facilitating intercorrelations between various oceanographic basins. The quantitative analyses of benthic foraminifera identify four distinct assemblages, namely Biofacies: Elphidium spp., Haynesina spp. Biofacies, characterized by neritic species, dominated during the transition from MIS 5 to MIS 4; Cassidulina laevigata/carinata Biofacies dominated till 42 ka (transgressive trend from MIS 4 to MIS 3); Bulimina gibba Biofacies dominated from 42 ka to 9.5 ka (extensive regression MIS 3,2 through lowstand and early transgression; beginning of MIS 1); Bulimina marginata, Uvigerina spp. Biofacies dominated from 9.5 ka to the present (late transgression through early highstand; MIS 1)., This study showed that the South Evoikos Basin which is characterized by its critical depths and connections to the open sea, and its small volume water masses that nourished foraminiferal assemblages, accurately records 5th-4th order sea level and climatic fluctuations. Especially, the basin's limited communication with the open ocean implies that any climatic signals will be recorded in an amplified fashion, and therefore this heightened sensitivity to the effects of climate variability further underlies the prominent role of such marginal basins in the understanding of the global climatic evolution.

Glacial cycles and the growth and destruction of Alaska volcanoes

NASA Astrophysics Data System (ADS)

Coombs, M. L.; Calvert, A. T.; Bacon, C. R.

2014-12-01

Glaciers have affected profoundly the growth, collapse, preservation, and possibly, eruptive behavior of Quaternary stratovolcanoes in Alaska. Holocene alpine glaciers have acted as effective agents of erosion on volcanoes north of ~55 °N and especially north of 60 °N. Cook Inlet volcanoes are particularly vulnerable as they sit atop rugged intrusive basement as high as 3000 m asl. Holocene glaciers have swept away or covered most of the deposits and dome lavas of frequently active Redoubt (60.5 °N); carved through the flanks of Spurr's active vent, Crater Peak (61.3 °N); and all but obscured the edifice of Hayes (61.6 °N), whose Holocene eruptive history is known almost exclusively though far-traveled tephra and flowage deposits. Relationships between Pleistocene eruptive histories, determined by high-precision Ar-Ar dating of lava flows, and marine oxygen isotope stages (MIS) 2-8 (Bassinot et al., 1994, EPSL, v. 126, p. 91­-108) vary with a volcano's latitude, size, and elevation. At Spurr, 26 ages cluster in interglacial periods. At Redoubt, 28 ages show a more continual eruptive pattern from the end of MIS 8 to the present, with a slight apparent increase in output following MIS 6, and almost no preservation before 220 ka. Veniaminof (56.2 °N) and Emmons (55.5°N), large, broad volcanoes with bases near sea level, had voluminous eruptive episodes during the profound deglaciations after MIS 8 and MIS 6. At Akutan (54.1 °N), many late Pleistocene lavas show evidence for ice contact; ongoing dating will be able to pinpoint ice thicknesses. Furthest south and west, away from thick Pleistocene ice on the Alaska Peninsula and mainland, the Tanaga volcanic cluster (51.9 °N) has a relatively continuous eruptive record for the last 200 k.y. that shows no clear-cut correlation with glacial cycles, except a possible hiatus during MIS 6. Finally, significant edifice collapse features have been temporally linked with deglaciations. A ~10-km3 debris-avalanche deposit from Spurr directly overlies bedrock, suggesting that edifice collapse closely followed MIS 2. The geologic history of Veniaminof suggests possible massive edifice collapse following MIS 6. A stack of westward-dipping lavas and breccias on the east flank of Redoubt Volcano erupted during MIS 6, and may have also failed during the major deglaciation of MIS 5.5.

Interpretations of evidence for large Pleistocene paleolakes in the Bonneville basin, western North America: COMMENT on: Bonneville basin shoreline records of large lake intervals during marine isotope stage 3 and the last glacial maximum, by Nishizawa et al. (2013)

USGS Publications Warehouse

Oviatt, Charles G.; Chan, Margorie A.; Jewell, Paul W.; Bills, Bruce G.; Madsen, David B.; Miller, David

2014-01-01

Nishizawa et al. (2013) argue in support of three large paleolakes in the Bonneville basin during Marine Oxygen Isotope Stage 3 (MIS 3). If true, that would be an important contribution to paleoclimate investigations. However, the key evidence in support of their argument consists of four radiocarbon ages that are out of stratigraphic order and near the practical and theoretical limit of the dating method. The interpretation of three large MIS 3 lakes conflicts with some of their own data, as well as with independently derived stratigraphic information from the basin. Nishizawa et al. (2013) also interpret a series of radiocarbon ages of mollusk samples as indicating previously undocumented lake transgressions a few thousand years older than basal radiocarbon ages of wood samples. We believe that these interpretations are in error, and arise largely from reliance on radiocarbon ages from carbonate material. Lake records constrained by ages of non-carbonate organic materials, along with compelling stratigraphic information from unconformities and buried soils, argue for not changing interpretations of Lake Bonneville history until more supporting information for older lakes at relatively high altitudes is found.

Reconstruction of the extent and variability of late Quaternary ice sheets and Arctic sea ice: Insights from new mineralogical and geochemical proxy records

NASA Astrophysics Data System (ADS)

Stein, R. H.; Niessen, F.; Fahl, K.; Forwick, M.; Kudriavtseva, A.; Ponomarenko, E.; Prim, A. K.; Quatmann-Hense, A.; Spielhagen, R. F.; Zou, H.

2016-12-01

The Arctic Ocean and surrounding continents are key areas within the Earth system and very sensitive to present and past climate change. In this context, the timing and extent of circum-Arctic ice sheets and its interaction with oceanic and sea-ice dynamics are major interest and focus of international research. New sediment cores recovered during the Polarstern Expeditions PS87 (Lomonosov Ridge/2014) and PS93.1 (Fram Strait/2015) together with several sediment cores available from previous Polarstern expeditions allow to carry out a detailed sedimentological and geochemical study that may help to unravel the changes in Arctic sea ice and circum-Arctic ice sheets during late Quaternary times. Our new data include biomarkers indicative for past sea-ice extent, phytoplankton productivity and terrigenous input as well as grain size, physical property, XRD and XRF data indicative for sources and pathways of terrigenous sediments (ice-rafted debris/IRD) related to glaciations in Eurasia, East Siberia, Canada and Greenland. Here, we present examples from selected sediment cores that give new insights into the timing and extent of sea ice and glaciations during MIS 6 to MIS 2. To highlight one example: SE-NW oriented, streamlined landforms have been mapped on top of the southern Lomonosov Ridge (LR) at water depths between 800 and 1000 m over long distances during Polarstern Expedition PS87, interpreted to be glacial lineations that formed beneath grounded ice sheets and ice streams. The orientations of the lineations identified are similar to those on the East Siberian continental margin, suggesting an East Siberian Chukchi Ice Sheet extended far to the north on LR during times of extreme Quaternary glaciations. Based on our new biomarker records from Core PS2757 (located on LR near 81°N) indicating a MIS 6 ice-edge situation with some open-water phytoplankton productivity, the glacial erosional event should have been older than MIS 6 (e.g., MIS 12?).

Chromosome Mis-segregation Generates Cell-Cycle-Arrested Cells with Complex Karyotypes that Are Eliminated by the Immune System.

PubMed

Santaguida, Stefano; Richardson, Amelia; Iyer, Divya Ramalingam; M'Saad, Ons; Zasadil, Lauren; Knouse, Kristin A; Wong, Yao Liang; Rhind, Nicholas; Desai, Arshad; Amon, Angelika

2017-06-19

Aneuploidy, a state of karyotype imbalance, is a hallmark of cancer. Changes in chromosome copy number have been proposed to drive disease by modulating the dosage of cancer driver genes and by promoting cancer genome evolution. Given the potential of cells with abnormal karyotypes to become cancerous, do pathways that limit the prevalence of such cells exist? By investigating the immediate consequences of aneuploidy on cell physiology, we identified mechanisms that eliminate aneuploid cells. We find that chromosome mis-segregation leads to further genomic instability that ultimately causes cell-cycle arrest. We further show that cells with complex karyotypes exhibit features of senescence and produce pro-inflammatory signals that promote their clearance by the immune system. We propose that cells with abnormal karyotypes generate a signal for their own elimination that may serve as a means for cancer cell immunosurveillance. Copyright © 2017 Elsevier Inc. All rights reserved.

How Do Children with ADHD (Mis)Manage Their Real-Life Dyadic Friendships? A Multi-Method Investigation

ERIC Educational Resources Information Center

Normand, Sebastien; Schneider, Barry H.; Lee, Matthew D.; Maisonneuve, Marie-France; Kuehn, Sally M.; Robaey, Philippe

2011-01-01

This multimethod study provides detailed information about the friendships of 87 children (76% boys) with ADHD and 46 comparison children aged 7-13 years. The methods included parent and teacher ratings, self-report measures and direct observation of friends' dyadic behaviors in three structured analogue tasks. Results indicated that, in contrast…

Adding XML to the MIS Curriculum: Lessons from the Classroom

ERIC Educational Resources Information Center

Wagner, William P.; Pant, Vik; Hilken, Ralph

2008-01-01

eXtensible Markup Language (XML) is a new technology that is currently being extolled by many industry experts and software vendors. Potentially it represents a platform independent language for sharing information over networks in a way that is much more seamless than with previous technologies. It is extensible in that XML serves as a "meta"…

Research into Practice: How Research Appears in Pronunciation Teaching Materials

ERIC Educational Resources Information Center

Levis, John M.

2016-01-01

Research into pronunciation has often disregarded its potential to inform pedagogy. This is due partly to the historical development of pronunciation teaching and research, but its effect is that there is often a mismatch between research and teaching. This paper looks at four areas in which the (mis)match is imperfect but in which a greater…

Astronomical forcing, insolation and millennial-scale climate variability: evidence from the North Atlantic Ocean (IODP Expedition 306, Site U1313) during the Early-Middle Pleistocene

NASA Astrophysics Data System (ADS)

Ferretti, Patrizia; Crowhurst, Simon; Naafs, David; Barbante, Carlo

2015-04-01

Since the seminal work by Hays, Imbrie and Shackleton (1976), a plethora of studies mostly based on marine sediments collected during DSDP-ODP-IODP Expeditions has demonstrated a correlation between orbital variations and climatic change. However, information on how changes in orbital boundary conditions affected the frequency and amplitude of millennial-scale climate variability is still fragmentary. Here we examine the record of climatic conditions from MIS 23 to 17 (c. 920-670 ka) using high-resolution stable isotope records from benthic and planktonic foraminifera from a sedimentary sequence in the North Atlantic (Integrated Ocean Drilling Program Expedition 306, Site U1313) in order to evaluate the climate system's response in the millennial band to known orbitally induced insolation changes. Special emphasis is placed on Marine Isotope Stage (MIS) 19, an interglacial centred at around 785 ka during which the insolation appears comparable to the current orbital geometry: MIS 19 is characterised by a minimum of the 400-kyr eccentricity cycle, subdued amplitude of precessional changes, and small amplitude variations in insolation making this marine isotopic stage a potential astronomical analogue for the Holocene and its future evolution, if this remains governed by natural forcing (Loutre and Berger 2000). Benthic and planktonic foraminiferal oxygen isotope values indicate relatively stable conditions during the peak warmth of MIS 19, but sea-surface and deep-water reconstructions start diverging during the transition towards the glacial MIS 18, when large, cold excursions disrupt the surface waters whereas low amplitude millennial scale fluctuations persist in the deep waters as recorded by the oxygen isotope signal (Ferretti et al., 2015). The glacial inception occurred at ˜779 ka, in agreement with an increased abundance of tetra-unsaturated alkenones, reflecting the influence of icebergs and associated meltwater pulses and high-latitude waters at the study site. Using a variety of time series analysis techniques, we evaluate the evolution of millennial climate variability in response to changing orbital boundary conditions during the early-middle Pleistocene. Suborbital variability in both surface- and deep-water records is mainly concentrated at a period of ˜11 kyr and, additionally, at ˜5.8 and ˜3.9 kyr in the deep ocean; these periods are equal to harmonics of precession band oscillations. The fact that the response at the 11 kyr period increased over the same interval during which the amplitude of the response to the precessional cycle increased supports the notion that most of the variance in the 11 kyr band in the sedimentary record is nonlinearly transferred from precession band oscillations. Considering that these periodicities are important features in the equatorial and intertropical insolation, these observations are in line with the view that the low-latitude regions play an important role in the response of the climate system to the astronomical forcing. We conclude that the effect of the orbitally induced insolation is of fundamental importance in regulating the timing and amplitude of millennial scale climate variability. Ferretti P., Crowhurst S.J., Naafs B.D.A., Barbante C., 2015. Quaternary Science Reviews 108, 95-110. Hays J.D., Imbrie J., Shackleton N.J., 1976. Science 194, 1121-1132. Loutre M.F., Berger A., 2000. Climatic Change 46, 61-90.

Speleothem evidence for MIS 5c and 5a sea level above modern level at Bermuda

NASA Astrophysics Data System (ADS)

Wainer, Karine A. I.; Rowe, Mark P.; Thomas, Alexander L.; Mason, Andrew J.; Williams, Bruce; Tamisiea, Mark E.; Williams, Felicity H.; Düsterhus, André; Henderson, Gideon M.

2017-01-01

The history of sea level in regions impacted by glacio-isostasy provides constraints on past ice-sheet distribution and on the characteristics of deformation of the planet in response to loading. The Western North Atlantic-Caribbean region, and Bermuda in particular, is strongly affected by the glacial forebulge that forms as a result of the Laurentide ice-sheet present during glacial periods. The timing of growth of speleothems, at elevations close to sea level can provide records of minimum relative sea level (RSL). In this study we used U-Th dating to precisely date growth periods of speleothems from Bermuda which were found close to modern-day sea level. Results suggest that RSL at this location was above modern during MIS5e, MIS5c and MIS5a. These data support controversial previous indications that Bermudian RSL was significantly higher than RSL at other locations during MIS 5c and MIS 5a. We confirm that it is possible to explain a wide range of MIS5c-a relative sea levels observed across the Western North Atlantic-Caribbean in glacial isostatic adjustment models, but only with a limited range of mantle deformation constants. This study demonstrates the particular power of Bermuda as a gauge for response of the forebulge to glacial loading, and demonstrates the potential for highstands at this location to be significantly higher than in other regions, helping to explain the high sea levels observed for Bermuda from earlier highstands.

Inflammation and nutritional status assessment by malnutrition inflammation score and its outcome in pre-dialysis chronic kidney disease patients.

PubMed

Jagadeswaran, D; Indhumathi, E; Hemamalini, A J; Sivakumar, V; Soundararajan, P; Jayakumar, M

2018-01-09

Malnutrition-inflammation complex syndrome (MICS), hyperhomocysteinemia, calcium and phosphate levels derangement have been predicted as important contributing factors for the progression of cardiovascular burden. Among patients with earlier stage of CKD, hypoalbuminaemia and inflammation deliberated as non-traditional cardiovascular risk factors, which add more burden to circulatory disease, mortality and rapid advancement to CKD stage 5. The aim of the study is to evaluate inflammation and nutritional status of CKD patients not on dialysis using Malnutrition inflammation score (MIS) and to verify the association with mortality in the follow-up period. In this prospective cohort study 129 (66 males, 63 females) pre-dialysis CKD patients enrolled between June 2013 to August 2014 and censored until March 2017. Malnutrition and Inflammation assessed using Malnutrition inflammation score. Blood urea nitrogen, serum creatinine, albumin, Interleukin - 6, highly sensitive C reactive protein (hsCRP), total cholesterol and anthropometric data were analyzed. The Malnutrition inflammation score in pre-dialysis CKD patients ranged from 0 to 18 with the median score of two. During 36 or more months of follow-up, there were 30 (23.2%) deaths, 35 (27%) patients initiated on hemodialysis, one (0.7%) patient was initiated on peritoneal dialysis, two (1.4%) patients underwent renal transplantation and two (1.4%) patients were lost for follow-up. In this study, 33% had varying degree of malnutrition and inflammation. Patients who had MIS ≥7 had significant increase in IL-6 (p = 0.003) and HsCRP levels (p < 0.001) when compared with other tertiles of MIS. ROC curve analysis of MIS showed 56.5% sensitivity and 81% specificity in predicting death rate (AUC 0.709; 95% CI 0.604-0.815, p < 0.001). Kaplan-Meier survival analysis showed MIS ≥7 had a strong association (log rank test, p < 0.001) with mortality during 36 and more months of follow-up time. In unadjusted analyses, MIS (HR 1.140; 95% CI 1.054-1.233; p < 0.05) and HsCRP (HR 2.369; 95% CI 1.779-3.154; p < 0.001) found to be predictors of mortality. MIS and HsCRP remained predictors of mortality even after adjustments. This study shows MIS is an important factor that determines mortality in pre-dialysis CKD patients during 36 and more months of follow-up time. Patients with MIS ≥7 have high risk for mortality and needs close monitoring. In clinical setting application of MIS has a greater utilization in pre-dialysis CKD patients. Further research with longitudinal assessment of MIS and its association with outcomes are warranted. Pre-dialysis CKD patients should be assessed for their nutritional status and inflammation using MIS regularly to prevent malnutrition and its associated complications through appropriate medical and nutritional intervention. Copyright © 2018 Elsevier Ltd and European Society for Clinical Nutrition and Metabolism. All rights reserved.

ISAAC: A REXUS Student Experiment to Demonstrate an Ejection System with Predefined Direction

NASA Astrophysics Data System (ADS)

Balmer, G.; Berquand, A.; Company-Vallet, E.; Granberg, V.; Grigore, V.; Ivchenko, N.; Kevorkov, R.; Lundkvist, E.; Olentsenko, G.; Pacheco-Labrador, J.; Tibert, G.; Yuan, Y.

2015-09-01

ISAAC Infrared Spectroscopy to Analyse the middle Atmosphere Composition — was a student experiment launched from SSC's Esrange Space Centre, Sweden, on 29th May 2014, on board the sounding rocket REXUS 15 in the frame of the REXUS/BEXUS programme. The main focus of the experiment was to implement an ejection system for two large Free Falling Units (FFUs) (240 mm x 80 mm) to be ejected from a spinning rocket into a predefined direction. The system design relied on a spring-based ejection system. Sun and angular rate sensors were used to control and time the ejection. The flight data includes telemetry from the Rocket Mounted Unit (RMU), received and saved during flight, as well as video footage from the GoPro camera mounted inside the RMU and recovered after the flight. The FFUs' direction, speed and spin frequency as well as the rocket spin frequency were determined by analyzing the video footage. The FFU-Rocket-Sun angles were 64.3° and 104.3°, within the required margins of 90°+45°. The FFU speeds were 3.98 mIs and 3.74 mIs, lower than the expected 5± 1 mIs. The FFUs' spin frequencies were 1 .38 Hz and 1 .60 Hz, approximately half the rocket's spin frequency. The rocket spin rate slightly changed from 3. 163 Hz before the ejection to 3.1 17 Hz after the ejection of the two FFUs. The angular rate, sun sensor data and temperature on the inside of the rocket module skin were also recorded. The experiment design and results of the data analysis are presented in this paper.

Stratigraphic Evolution of Brazos-Trinity Basin IV, Western Gulf of Mexico: Preliminary Results of IODP Expedition 308

NASA Astrophysics Data System (ADS)

Pirmez, C.; Behrmann, J.; Flemings, P. B.; John, C.

2005-12-01

IODP Expedition 308 drilled three sites across Brazos-Trinity Basin IV, at the terminal end of a system of four salt-withdrawal intra-slope basins offshore Texas. A 175 m thick succession of sand-rich turbidite fans, mass-transport deposits and hemipelagic sediments was deposited within the last ~120 ka in Basin IV, as recorded at Site U1320. Pre-fan deposits dating back to MIS 6 form a conformable succession of laminated and bioturbated clays, deposited from distal turbidity currents and/or river plumes. The pre-fan succession is capped by a hemipelagic clay interpreted to represent the high stand of sea level during MIS 5e. The basal turbidite deposits in the basin are mud-rich, with the exception of the very first turbidity currents to enter the basin. This initial pulse, possibly derived from failure of older shelf edge deposits, accumulated an ~8 m thick sand-rich interval. A pause in turbidity current influx lasted 30 to 40 kyrs, beginning a few thousand years before ash layer Y8 dated at 84 ka and the Emiliana huxleyi acme. During MIS 3 to MIS 2 sand-rich fans containing 5-25 m thick packets of very fine to lower medium sand beds accumulated up to 130 m of sediments. A 2-3 m thick microfossil-rich clay marks the end of turbidity current influx into the basin during the Holocene. The sedimentary record of Brazos-Trinity Basin IV shows that the accumulation of turbidites in the terminal end of this source to sink depositional system reflects a complex interaction between the availability of material and the initiation of flows at the source near the shelf edge, the interaction of turbidity currents with complex slope topography, and the effects of salt tectonics and flow processes on modifying this topography. The initial results indicate that sealevel changes alone cannot explain the sedimentation patterns observed in the basin.

Discriminative power of fatty acid methyl ester (FAME) analysis using the microbial identification system (MIS) for Candida (Torulopsis) glabrata and Saccharomyces cerevisiae.

PubMed

Peltroche-Llacsahuanga, H; Schmidt, S; Lütticken, R; Haase, G

2000-12-01

Candida (Torulopsis) glabrata is frequently isolated in cases of fungal infection and commonly shows acquired or innate fluconazole resistance. Saccharomyces cerevisiae, an emerging opportunistic yeast pathogen, causes serious systemic infections in immunocompromised, and vaginitis and superficial infections in immunocompetent patients. For both species reliable identification in the routine laboratory is mandatory, but species identification of strains, e.g. trehalose-negative C. glabrata, may be difficult. Therefore, gas-liquid chromatography (GLC) of whole cell fatty acid methyl ester (FAME) profiles, that is independent of assimilation profiles of strains and suitable for reliable and rapid identification of clinically important yeasts, was applied. However, frequent misidentification of C. glabrata as S. cerevisiae has been reported when using the Yeast Clinical Database of MIS. Accuracy of MIS identification may be strongly influenced by the amounts of cell mass analyzed. Therefore, the present study compared the MIS results of these two yeasts achieved with different cell masses. Primarily we optimized, especially with respect to cost-effectiveness, the recommended streaking technique yielding a maximal recovery of 90-130 mg of cell mass from one plate, enabling testing of poor growing strains of C. glabrata. For all C. glabrata strains tested (n = 10) the highest identification scores (SI [Similarity Index] range 0.525-0.963, median 0.832) were achieved with 30 to 45 mg of cell mass. Only 5 of 10 S. cerevisiae strains revealed good library comparisons (SI > or = 0.5) when using 30 mg of cell mass, whereas with 45 mg all strains but two revealed this SI-level. For S. cerevisiae a higher amount of cell mass processed (up to 90 mg) was correlated with better identification scores (SI range using 90 mg: 0.464-0.870, median, 0.737). Several passages prior to FAME analysis of C. glabrata strains on recommended media revealed narrowing of SI ranges, but differences in SI values were not statistically significant.

Investigation of the sensitivity of MIS-sensor to thermal decomposition products of cables insulation

NASA Astrophysics Data System (ADS)

Filipchuk, D. V.; Litvinov, A. V.; Etrekova, M. O.; Nozdrya, D. A.

2017-12-01

Sensitivity of the MIS-sensor to products of thermal decomposition of insulation and jacket of the most common types of cables is investigated. It is shown that hydrogen is evolved under heating the insulation to temperatures not exceeding 250 °C. Registration of the evolved hydrogen by the MIS-sensor can be used for detection of fires at an early stage.

Mediterranean Outflow and surface water variability off southern Portugal during the early Pleistocene: A snapshot at Marine Isotope Stages 29 to 34 (1020-1135 ka)

NASA Astrophysics Data System (ADS)

Voelker, Antje H. L.; Salgueiro, Emilia; Rodrigues, Teresa; Jimenez-Espejo, Francisco J.; Bahr, André; Alberto, Ana; Loureiro, Isabel; Padilha, Maria; Rebotim, Andreia; Röhl, Ursula

2015-10-01

Centennial-to-millennial scale records from IODP Site U1387, drilled during IODP Expedition 339 into the Faro Drift at 558 m water depth, now allow evaluating the climatic history of the upper core of the Mediterranean Outflow (MOW) and of the surface waters in the northern Gulf of Cadiz during the early Pleistocene. This study focuses on the period from Marine Isotope Stages (MIS) 29 to 34, i.e. the interval surrounding extreme interglacial MIS 31. Conditions in the upper MOW reflect obliquity, precession and millennial-scale variations. The benthic δ18O signal follows obliquity with the exception of an additional, smaller δ18O peak that marks the MIS 32/31 transition. Insolation maxima (precession minima) led to poor ventilation and a sluggish upper MOW core, whereas insolation minima were associated with enhanced ventilation and often also increased bottom current velocity. Millennial-scale periods of colder sea-surface temperatures (SST) were associated with short-term maxima in flow velocity and better ventilation, reminiscent of conditions known from MIS 3. A prominent contourite layer, coinciding with insolation cycle 100, was formed during MIS 31 and represents one of the few contourites developing within an interglacial period. MIS 31 surface water conditions were characterized by an extended period (1065-1091 ka) of warm SST, but SST were not much warmer than during MIS 33. Interglacial to glacial transitions experienced 2 to 3 stadial/interstadial cycles, just like their mid-to-late Pleistocene counterparts. Glacial MIS 30 and 32 recorded periods of extremely cold (< 12 °C) SST that in their climatic impact were comparable with the Heinrich events of the mid and late Pleistocene. Glacial MIS 34, on the other hand, was a relative warm glacial period off southern Portugal. Overall, surface water and MOW conditions at Site U1387 show a strong congruence with Mediterranean climate, whereas millennial-scale variations are closely linked to North Atlantic circulation changes.

Stratigraphy and evolution of emerged Pleistocene reefs at the Red Sea coast of Sudan

NASA Astrophysics Data System (ADS)

Hamed, Basher; Bussert, Robert; Dominik, Wilhelm

2016-02-01

Emerged Pleistocene coral reefs constitute a prominent landform along the Red Sea coast of Sudan. They are well exposed with a thickness of up to 12 m and extend over a width of about 3 km parallel to the coastline. Four major reef units that represent different reef zones are distinguished. Unit 1 is located directly at the coastline and is assigned to the rock-reef rim, while unit 2 represents the reef-front zone. Unit 3 is attributed to the reef-flat zone and unit 4 to the back-reef zone. The stratigraphic position and age of the four units respectively the facies zones are based on field relationships and δ18O analysis. Results of δ18O analysis of coral, gastropod and bivalve samples were correlated to previous age dating of correlative reefs in Sudan and other parts of the Red Sea region. Estimation of reef ages was mainly based on δ18O values of the reef-front zone (unit 2) and the observed sedimentary succession of the reefs. δ18O values of two Porites coral samples from the reef-front zone strongly suggest equivalent ages of 120 and 122 ka that correspond to marine isotope stage MIS 5.5. Based on δ18O values and the field relationship to the reef-front zone, ages of reef-flat zone (unit 3) and back-reef zone (unit 4) could be assigned to MIS 9 and MIS 7 respectively. MIS 5.1 is suggested for the reef-rock rim (unit 1). The relationship of the reef zones to individual MIS might be explained by the predominance of a specific zone during a certain stage, while other facies were less well developed and/or later eroded by wave action. The reef unit most distal from the recent coastline formed during interglacial stage MIS 7, while former studies assign this unit to interglacial stage MIS 9. Unique flourishing, high diversity and excellent preservation of corals in the back-reef unit of MIS 7 reflect growth in troughs landward of the oldest reef-flat formed during previous interglacial stage MIS 9.

Comparison of the costs of nonoperative care to minimally invasive surgery for sacroiliac joint disruption and degenerative sacroiliitis in a United States commercial payer population: potential economic implications of a new minimally invasive technology

PubMed Central

Ackerman, Stacey J; Polly, David W; Knight, Tyler; Schneider, Karen; Holt, Tim; Cummings, John

2014-01-01

Introduction Low back pain is common and treatment costly with substantial lost productivity and lost wages in the working-age population. Chronic low back pain originating in the sacroiliac (SI) joint (15%–30% of cases) is commonly treated with nonoperative care, but new minimally invasive surgery (MIS) options are also effective in treating SI joint disruption. We assessed whether the higher initial MIS SI joint fusion procedure costs were offset by decreased nonoperative care costs from a US commercial payer perspective. Methods An economic model compared the costs of treating SI joint disruption with either MIS SI joint fusion or continued nonoperative care. Nonoperative care costs (diagnostic testing, treatment, follow-up, and retail pharmacy pain medication) were from a retrospective study of Truven Health MarketScan® data. MIS fusion costs were based on the Premier’s Perspective™ Comparative Database and professional fees on 2012 Medicare payment for Current Procedural Terminology code 27280. Results The cumulative 3-year (base-case analysis) and 5-year (sensitivity analysis) differentials in commercial insurance payments (cost of nonoperative care minus cost of MIS) were $14,545 and $6,137 per patient, respectively (2012 US dollars). Cost neutrality was achieved at 6 years; MIS costs accrued largely in year 1 whereas nonoperative care costs accrued over time with 92% of up front MIS procedure costs offset by year 5. For patients with lumbar spinal fusion, cost neutrality was achieved in year 1. Conclusion Cost offsets from new interventions for chronic conditions such as MIS SI joint fusion accrue over time. Higher initial procedure costs for MIS were largely offset by decreased nonoperative care costs over a 5-year time horizon. Optimizing effective resource use in both nonoperative and operative patients will facilitate cost-effective health care delivery. The impact of SI joint disruption on direct and indirect costs to commercial insurers, health plan beneficiaries, and employers warrants further consideration. PMID:24904218

Statistical basis and outputs of stable isotope mixing models: Comment on Fry (2013)

EPA Science Inventory

A recent article by Fry (2013; Mar Ecol Prog Ser 472:1−13) reviewed approaches to solving underdetermined stable isotope mixing systems, and presented a new graphical approach and set of summary statistics for the analysis of such systems. In his review, Fry (2013) mis-characteri...

Drivers license display system

NASA Astrophysics Data System (ADS)

Prokoski, Francine J.

1997-01-01

Carjackings are only one of a growing class of law enforcement problems associated with increasingly violent crimes and accidents involving automobiles plays weapons, drugs and alcohol. Police traffic stops have become increasingly dangerous, with an officer having no information about a vehicle's potentially armed driver until approaching him. There are 15 million alcoholics in the US and 90 percent of them have drivers licenses. Many of them continue driving even after their licenses have ben revoked or suspended. There are thousands of unlicensed truck drivers in the country, and also thousands who routinely exceed safe operating periods without rest; often using drugs in an attempt to stay alert. MIKOS has developed the Drivers License Display Systems to reduce these and other related risks. Although every state requires the continuous display of vehicle registration information on every vehicle using public roads, no state yet requires the display of driver license information. The technology exists to provide that feature as an add-on to current vehicles for nominal cost. An initial voluntary market is expected to include: municipal, rental, and high value vehicles which are most likely to be mis-appropriated. It is anticipated that state regulations will eventually require such systems in the future, beginning with commercial vehicles, and then extending to high risk drivers and eventually all vehicles. The MIKOS system offers a dual-display approach which can be deployed now, and which will utilize all existing state licenses without requiring standardization.

Evidence for the timing of sea-level events during MIS 3

NASA Astrophysics Data System (ADS)

Siddall, M.

2005-12-01

Four large sea-level peaks of millennial-scale duration occur during MIS 3. In addition smaller peaks may exist close to the sensitivity of existing methods to derive sea level during these periods. Millennial-scale changes in temperature during MIS 3 are well documented across much of the planet and are linked in some unknown, yet fundamental way to changes in ice volume / sea level. It is therefore highly likely that the timing of the sea level events during MIS 3 will prove to be a `Rosetta Stone' for understanding millennial scale climate variability. I will review observational and mechanistic arguments for the variation of sea level on Antarctic, Greenland and absolute time scales.

Hand preference, magical thinking and left-right confusion.

PubMed

Jaspers-Fayer, Fern; Peters, Michael

2005-03-01

Several reports suggest a significant correlation between hand preference quotients and Magical Ideation Scale (MIS) scores, such that individuals with mixed preferences have higher MIS scores. In a sample of 156 male and 257 female undergraduate university students no significant correlation was found between MIS scores and hand preference; hand preference being defined in numerous ways, and using short and long hand preference questionnaires to assess handedness. An index of left-right confusion was significantly related to MIS score, but only in females. We suggest that the role of subjects' response style and general approach to filling out questionnaires should be fully explored before "neurological" causes of links between hand preference and other questionnaire-assessed behavioural variables are invoked.

MIS capacitor studies on silicon carbide single crystals

NASA Technical Reports Server (NTRS)

Kopanski, J. J.

1990-01-01

Cubic SIC metal-insulator-semiconductor (MIS) capacitors with thermally grown or chemical-vapor-deposited (CVD) insulators were characterized by capacitance-voltage (C-V), conductance-voltage (G-V), and current-voltage (I-V) measurements. The purpose of these measurements was to determine the four charge densities commonly present in an MIS capacitor (oxide fixed charge, N(f); interface trap level density, D(it); oxide trapped charge, N(ot); and mobile ionic charge, N(m)) and to determine the stability of the device properties with electric-field stress and temperature. The section headings in the report include the following: Capacitance-voltage and conductance-voltage measurements; Current-voltage measurements; Deep-level transient spectroscopy; and Conclusions (Electrical characteristics of SiC MIS capacitors).

An Update on Analyzing Differences Between Public and Private Sector Information Resource Management: Strategic Information Challenges and Critical Technologies

DTIC Science & Technology

2004-06-01

ecommerce architecture is the business—it is the company’s competitive advantage. (Morgan, 1998:40) Morgan goes on to illustrate this point by...396 JONES APPAREL GROUP INC 896 NATIONAL RURAL UTILITIES COOPERATIVE 397 COX COMMUNICATIONS INC 897 TRANS WORLD ENTERTAINMENT 398 MELLON FINANCIAL...It Can Work in the Public Sector,” MIS Quarterly, Dec:435-448, 1990. Morgan, T.P. “ Ecommerce Options,” Global Technology Business, Sept:40-42

National Dam Safety Program. Main Tailings Dam (MO 31082), Mississippi - St. Francis Basin, Madison County, Missouri. Phase I Inspection Report.

DTIC Science & Technology

1979-06-01

failure and other information. These reports were prepared by personnel from the Mis- souri Geology and Land Survey, Applied Engineering and Urban...34Report of the National Lead Stifling Basin Washout, Madison County, Missouri", Applied Engineering and Urban Geology, Geo- logy and Land Survey, 30...failure and other information are contained in reports by personnel from the Missouri Geology and Land Survey, Applied Engineering and Urban Geology

Volatile-rich komatiitic and picritic melt inclusions in Cr-spinel beach sand from Gorgona Island, Colombia

NASA Astrophysics Data System (ADS)

Shimizu, K.; Shimizu, N.; Suzuki, K.; Tatsumi, Y.; Komiya, T.; Maruyama, S.

2007-12-01

Volatile content of komatiite is a key to constrain thermal evolution of the deep Earth. We report volatile contents with major and trace element compositions of melt inclusions (MIs) in chromian spinel (Cr-spinel) from beach sands of Gorgona Island, Colombia. Gorgona Island is ~90 Ma volcanic island, where picrites and the world-youngest komatiites occur. As Cr-spinel is dense and rigid oxide mineral that crystallizes only at early stages of crystallization, it is considered to be a superior container for retaining primitive melt, even including volatiles. Volatile (H2O, CO2, S, F and Cl) and trace element (K2O, Sr, Y, Zr, Nb, Ba, La, Ce, Sm, Dy, Yb) compositions of ~80 MIs were analyzed by SIMS (Cameca-1280 and 3f, respectively) at WHOI. MIs in the Cr-spinel from Gorgona Is. are classified into three types by their host Cr-spinel compositions such as low-Ti (P-type), high-Ti with high-Cr# (BK-type) and high-Ti with low-Cr# (K-type). MIs of P-type, BK-type and K-type are mostly in compositional ranges of picrite, high TiO2 komatiite (some basalt) and low TiO2 komatiite in Gorgona Island, respectively. Water content of P-type MIs is variable, ranging from 0.05 to 0.9 wt%, whereas those of BK and K-type MIs are limited (< 0.1 wt%). On the other hand, CO2 contents of BK-type and K- type MIs are highly scattered (40 to 4200 ppm), whereas that of P-type is relatively constant at ~200 ppm. All MIs with high CO2 content (>500 ppm) do not contain (shrinkage) bubbles and many of them are low in K2O. H2O/K2O, CO2/K2O, S/K2O and F/K2O ratios are positively correlated with Y/Sr ratios, indicating degassing trends of melt at crystallization, magma mixing and/or assimilation. Undegassed H2O/K2O, CO2/K2O, S/K2O and F/K2O ratios of komatiitic (picritic) melt are estimated to be ~10 (~40), ~80 (n.d.), ~7(~3) and ~1(~0.5), respectively, which are much higher than those estimated for the depleted source mantle of the MORB [1.6, 0.7, 1.6 and 0.2, respectively; Salters, V. & Stracke, A. (2004), Composition of the depleted mantle. Geochem. Geophys. Geosys. 5 (2003GC000597)]. The results suggest that Gorgona komatiite and picrite magmas were derived from volatile-rich sources. CO2 degassing might also have contributed to eruption of high-density magmas to the surface. In addition, H2O, S, F and Cl contents in MIs in olivine from a picrite were identical to those of P-type MIs in Cr-spinel, but CO2 in olivine-hosted MIs were considerably lower (~50 ppm) than those in Cr-spinel. This indicates that entrapment pressure for MIs in Cr-spinel is likely to be greater than that for MIs in olivine. Therefore, in order to evaluate the volatile contents of undegassed magmas from oceanic islands, melt inclusions in Cr-spinel beach sand could be very useful.

Exposure dating and glacial reconstruction at Mt. Field, Tasmania, Australia, identifies MIS 3 and MIS 2 glacial advances and climatic variability

NASA Astrophysics Data System (ADS)

Mackintosh, A. N.; Barrows, T. T.; Colhoun, E. A.; Fifield, L. K.

2006-05-01

Tasmania is important for understanding Quaternary climatic change because it is one of only three areas that experienced extensive mid-latitude Southern Hemisphere glaciation and it lies in a dominantly oceanic environment at a great distance from Northern Hemisphere ice sheet feedbacks. We applied exposure dating using 36Cl to an extensive sequence of moraines from the last glacial at Mt. Field, Tasmania. Glaciers advanced at 41-44 ka during Marine oxygen Isotope Stage (MIS) 3 and at 18 ka during MIS 2. Both advances occurred in response to an ELA lowering greater than 1100 m below the present-day mean summer freezing level, and a possible temperature reduction of 7-8°C. Deglaciation was rapid and complete by ca. 16 ka. The overall story emerging from studies of former Tasmanian glaciers is that the MIS 2 glaciation was of limited extent and that some glaciers were more extensive during earlier parts of the last glacial cycle. Copyright

MIS-11 duration key to disappearance of the Greenland ice sheet

NASA Astrophysics Data System (ADS)

Robinson, Alexander; Alvarez-Solas, Jorge; Calov, Reinhard; Ganopolski, Andrey; Montoya, Marisa

2017-07-01

Palaeo data suggest that Greenland must have been largely ice free during Marine Isotope Stage 11 (MIS-11). However, regional summer insolation anomalies were modest during this time compared to MIS-5e, when the Greenland ice sheet likely lost less volume. Thus it remains unclear how such conditions led to an almost complete disappearance of the ice sheet. Here we use transient climate-ice sheet simulations to simultaneously constrain estimates of regional temperature anomalies and Greenland's contribution to the MIS-11 sea-level highstand. We find that Greenland contributed 6.1 m (3.9-7.0 m, 95% credible interval) to sea level, ~7 kyr after the peak in regional summer temperature anomalies of 2.8 °C (2.1-3.4 °C). The moderate warming produced a mean rate of mass loss in sea-level equivalent of only around 0.4 m per kyr, which means the long duration of MIS-11 interglacial conditions around Greenland was a necessary condition for the ice sheet to disappear almost completely.

Screening-Engineered Field-Effect Solar Cells

DTIC Science & Technology

2012-01-01

virtually any semiconductor, including the promising but hard-to- dope metal oxides, sulfides, and phosphides.3 Prototype SFPV devices have been...MIS interface. Unfortu- nately, MIS cells, though sporting impressive efficiencies,4−6 typically have short operating lifetimes due to surface state...instability at the MIS interface.7 Methods aimed at direct field- effect “ doping ” of semiconductors, in which the voltage is externally applied to a gate

Modification of electrical properties of Au/n-type InP Schottky diode with a high-k Ba0.6Sr0.4TiO3 interlayer

NASA Astrophysics Data System (ADS)

Thapaswini, P. Prabhu; Padma, R.; Balaram, N.; Bindu, B.; Rajagopal Reddy, V.

2016-05-01

Au/Ba0.6Sr0.4TiO3 (BST)/n-InP metal/insulator/semiconductor (MIS) Schottky diodes have been analyzed by current-voltage (I-V) and capacitance-voltage (C-V) measurements. The surface morphology of the BST films on InP is fairly smooth. The Au/BST/n-InP MIS Schottky diode shows better rectification ratio and low leakage current compared to the conventional Au/n-InP metal-semiconductor (MS) Schottky diode. Higher barrier height is achieved for the MIS Schottky diode compared to the MS Schottky diode. The Norde and Cheung's methods are employed to determine the barrier height, ideality factor and series resistance. The interface state density (NSS) is determined from the forward bias I-V data for both the MS and MIS Schottky diodes. Results reveal that the NSS of the MIS Schottky diode is lower than that of the MS Schottky diode. The Poole-Frenkel emission is found dominating the reverse current in both Au/n-InP MS and Au/BST/n-InP MIS Schottky diodes, indicating the presence of structural defects and trap levels in the dielectric film.

Taphonomic problems in reconstructing sea-level history from the late Quaternary marine terraces of Barbados

USGS Publications Warehouse

Muhs, Daniel; Simmons, Kathleen R.

2017-01-01

Although uranium series (U-series) ages of growth-position fossil corals are important to Quaternary sea-level history, coral clast reworking from storms can yield ages on a terrace dating to more than one high-sea stand, confounding interpretations of sea-level history. On northern Barbados, U-series ages corals from a thick storm deposit are not always younger with successively higher stratigraphic positions, but all date to the last interglacial period (~127 ka to ~112 ka), Marine Isotope Substage (MIS) 5.5. The storm deposit ages are consistent with the ages of growth-position corals found at the base of the section and at landward localities on this terrace. Thus, in this case, analysis of only a few corals would not have led to an error in interpreting sea-level history. In contrast, a notch cut into older Pleistocene limestone below the MIS 5.5 terrace contains corals that date to both MIS 5.5 (~125 ka) and MIS 5.3 (~108 ka). We infer that the notch formed during MIS 5.3 and the MIS 5.5 corals are reworked. Similar multiple ages of corals on terraces have been reported elsewhere on Barbados. Thus, care must be taken in interpreting U-series ages of corals that are reported without consideration of taphonomy.

Comparison of the surgical outcomes of minimally invasive and open surgery for octogenarian and older compared to younger gastric cancer patients: a retrospective cohort study.

PubMed

Liu, Chien-An; Huang, Kuo-Hung; Chen, Ming-Huang; Lo, Su-Shun; Li, Anna Fen-Yau; Wu, Chew-Wun; Shyr, Yi-Ming; Fang, Wen-Liang

2017-06-12

As life expectancy continues to increase around the world, the use of minimally invasive surgery (MIS) could be beneficial for octogenarian and older gastric cancer patients. A total of 359 gastric cancer patients who underwent curative surgery between March 2011 and March 2015 were enrolled; 80 of these patients (22.2%) were octogenarians and older. Surgical approaches included MIS (50 laparoscopic and 65 robotic) and open surgery (n = 244). Surgical outcomes of MIS and open surgery in octogenarian and older patients were compared with younger patients. Among octogenarian and older patients, relative to open surgery (n = 53), MIS (n = 27) was associated with less operative blood loss, a shorter postoperative hospital stay and similar rates of surgical complications and mortality. For MIS (n = 115), octogenarian and older patients exhibited similar postoperative outcomes to those of younger patients. For open surgery (n = 244), relative to younger patients, octogenarian and older patients experienced longer postoperative hospital stays, a higher rate of wound infection and a higher incidence of pneumonia. MIS for gastric cancer is beneficial and can be performed safely in octogenarian and older patients.

Climate and hydrology of the last interglaciation (MIS 5) in Owens Basin, California: Isotopic and geochemical evidence from core OL-92

USGS Publications Warehouse

Li, H.-C.; Bischoff, J.L.; Ku, T.-L.; Zhu, Z.-Y.

2004-01-01

??18O, ??13C, total organic carbon, total inorganic carbon, and acid-leachable Li, Mg and Sr concentrations on 443 samples from 32 to 83 m depth in Owens Lake core OL-92 were analyzed to study the climatic and hydrological conditions between 60 and 155 ka with a resolution of ???200 a. The multi-proxy data show that Owens Lake overflowed during wet/cold conditions of marine isotope stages (MIS) 4, 5b and 6, and was closed during the dry/warm conditions of MIS 5a, c and e. The lake partially overflowed during MIS 5d. Our age model places the MIS 4/5 boundary at ca 72.5 ka and the MIS 5/6 boundary (Termination II) at ca 140 ka, agreeing with the Devils Hole chronology. The diametrical precipitation intensities between the Great Basin (cold/wet) and eastern China (cold/dry) on Milankovitch time scales imply a climatic teleconnection across the Pacific. It also probably reflects the effect of high-latitude ice sheets on the southward shifts of both the summer monsoon frontal zone in eastern Asia and the polar jet stream in western North America during glacial periods. ?? 2003 Elsevier Ltd. All rights reserved.

ProMIS augmented reality training of laparoscopic procedures face validity.

PubMed

Botden, Sanne M B I; Buzink, Sonja N; Schijven, Marlies P; Jakimowicz, Jack J

2008-01-01

Conventional video trainers lack the ability to assess the trainee objectively, but offer modalities that are often missing in virtual reality simulation, such as realistic haptic feedback. The ProMIS augmented reality laparoscopic simulator retains the benefit of a traditional box trainer, by using original laparoscopic instruments and tactile tasks, but additionally generates objective measures of performance. Fifty-five participants performed a "basic skills" and "suturing and knot-tying" task on ProMIS, after which they filled out a questionnaire regarding realism, haptics, and didactic value of the simulator, on a 5-point-Likert scale. The participants were allotted to 2 experience groups: "experienced" (>50 procedures and >5 sutures; N = 27), and "moderately experienced" (<50 procedures and <5 sutures; N = 28). General consensus among all participants, particularly the experienced, was that ProMIS is a useful tool for training (mean: 4.67, SD: 0.48). It was considered very realistic (mean: 4.44, SD: 0.66), with good haptics (mean: 4.10, SD: 0.97) and didactic value (mean 4.10, SD: 0.65). This study established the face validity of the ProMIS augmented reality simulator for "basic skills" and "suturing and knot-tying" tasks. ProMIS was considered a good tool for training in laparoscopic skills for surgical residents and surgeons.

MIS Score: Prediction Model for Minimally Invasive Surgery.

PubMed

Hu, Yuanyuan; Cao, Jingwei; Hou, Xianzeng; Liu, Guangcun

2017-03-01

Reports suggest that patients with spontaneous intracerebral hemorrhage (ICH) can benefit from minimally invasive surgery, but the inclusion criterion for operation is controversial. This article analyzes factors affecting the 30-day prognoses of patients who have received minimally invasive surgery and proposes a simple grading scale that represents clinical operation effectiveness. The records of 101 patients with spontaneous ICH presenting to Qianfoshan Hospital were reviewed. Factors affecting their 30-day prognosis were identified by logistic regression. A clinical grading scale, the MIS score, was developed by weighting the independent predictors based on these factors. Univariate analysis revealed that the factors that affect 30-day prognosis include Glasgow coma scale score (P < 0.01), age ≥80 years (P < 0.05), blood glucose (P < 0.01), ICH volume (P < 0.01), operation time (P < 0.05), and presence of intraventricular hemorrhage (P < 0.001). Logistic regression revealed that the factors that affect 30-day prognosis include Glasgow coma scale score (P < 0.05), age (P < 0.05), ICH volume (P < 0.01), and presence of intraventricular hemorrhage (P < 0.05). The MIS score was developed accordingly; 39 patients with 0-1 MIS scores had favorable prognoses, whereas only 9 patients with 2-5 MIS scores had poor prognoses. The MIS score is a simple grading scale that can be used to select patients who are suited for minimal invasive drainage surgery. When MIS score is 0-1, minimal invasive surgery is strongly recommended for patients with spontaneous cerebral hemorrhage. The scale merits further prospective studies to fully determine its efficacy. Copyright © 2016 Elsevier Inc. All rights reserved.

Prognostic factors associated with the success rates of posterior orthodontic miniscrew implants: A subgroup meta-analysis.

PubMed

Hong, Sung-Bin; Kusnoto, Budi; Kim, Eun-Jeong; BeGole, Ellen A; Hwang, Hyeon-Shik; Lim, Hoi-Jeong

2016-03-01

To systematically review previous studies and to assess, via a subgroup meta-analysis, the combined odds ratio (OR) of prognostic factors affecting the success of miniscrew implants (MIs) inserted into the buccal posterior region. Three electronic searches that were limited to articles on clinical human studies using MIs that were published in English prior to March 2015 were conducted. The outcome measure was the success of MIs. Patient factors included age, sex, and jaw of insertion (maxilla vs. mandible), while the MI factors included length and diameter. A meta-analysis was performed on 17 individual studies. The quality of each study was assessed for non-randomized studies and quantified using the Newcastle-Ottawa Scale. The meta-analysis outcome was a combined OR. Subgroup and sensitivity analyses based on the study design, study quality, and sample size of miniscrews implanted were performed. Significantly higher success rates were revealed for MIs inserted in the maxilla, for patients ≥ 20 years of age, and for long MIs (≥ 8 mm) and MIs with a large diameter (> 1.4 mm). All subgroups acquired homogeneity, and the combined OR of the prospective studies (OR, 3.67; 95% confidence interval [CI], 2.10-6.44) was significantly higher in the maxilla than that in the retrospective studies (OR, 2.10; 95% CI, 1.60-2.74). When a treatment plan is made, these risk factors, i.e. jaw of insertion, age, MI length, and MI diameter, should be taken into account, while sex is not critical to the success of MIs.

Electrical and carrier transport properties of the Au/Y2O3/n-GaN metal-insulator-semiconductor (MIS) diode with rare-earth oxide interlayer

NASA Astrophysics Data System (ADS)

Venkata Prasad, C.; Rajagopal Reddy, V.; Choi, Chel-Jong

2017-04-01

The electrical and transport properties of rare-earth Y2O3 on n-type GaN with Au electrode have been investigated by current-voltage and capacitance-voltage techniques at room temperature. The Au/Y2O3/n-GaN metal-insulator-semiconductor (MIS) diode shows a good rectification behavior compared to the Au/n-GaN metal-semiconductor (MS) diode. Statistical analysis showed that a mean barrier height (BH) and ideality factor are 0.78 eV and 1.93, and 0.96 eV and 2.09 for the Au/n-GaN MS and Au/Y2O3/n-GaN MIS diodes, respectively. Results indicate that the high BH is obtained for the MIS diode compared to the MS diode. The BH, ideality factor and series resistance are also estimated by Cheung's function and Norde method. From the forward current-voltage data, the interface state density ( N SS) is estimated for both the MS and MIS Schottky diodes, and found that the estimated N SS is lower for the MIS diode compared to the MS diode. The results reveal that the introduction of Y2O3 interlayer facilitated the reduction of N SS of the Au/n-GaN interface. Experimental results suggest that the Poole-Frenkel emission is a dominant conduction mechanism in the reverse bias region of both Au/n-GaN MS and Au/Y2O3/n-GaN MIS diodes.

The role of minimally invasive spine surgery in the management of pyogenic spinal discitis

PubMed Central

Turel, Mazda K; Kerolus, Mena; Deutsch, Harel

2017-01-01

Background: Diagnostic yields for spondylodiscitis from CT guided biopsy is low. In the recent years, minimally invasive surgery (MIS) has shown to have a low morbidity and faster recovery. For spinal infections, MIS surgery may offer an opportunity for early pain control while obtaining a higher diagnostic yield than CT-guided biopsies. The aim of this study was to review our patients who underwent MIS surgery for spinal infection and report outcomes. Methods: A retrospective review of seven patients who underwent MIS decompression and/or discectomy in the setting of discitis, osteomyelitis, spondylodiscitis, and/or an epidural abscess was identified. Patient data including symptoms, visual analog score (VAS), surgical approach, antibiotic regimen, and postoperative outcomes were obtained. Results: Of the 7 patients, 5 patients had lumbar infections and two had thoracic infections. All seven patients improved in VAS immediately after surgery and at discharge. The average VAS improved by 4.4 ± 1.9 points. An organism was obtained in 6 of the 7 (85%) patients by the operative cultures. All patients made an excellent clinical recovery without the need for further spine surgery. All patients who received postoperative imaging on follow-up showed complete resolution or dramatically improved magnetic resonance imaging changes. The follow-up ranged from 2 to 9 months. Conclusions: MIS surgery provides an opportunity for early pain relief in patients with discitis, osteomyelitis, spondylodiscitis, and/or epidural abscess by directly addressing the primary cause of pain. MIS surgery for discitis provides a higher diagnostic yield to direct antibiotic treatment. MIS surgery results in good long-term recovery. PMID:28250635