The Impact of Soil Moisture Initialization On Seasonal Precipitation Forecasts

NASA Technical Reports Server (NTRS)

Koster, R. D.; Suarez, M. J.; Tyahla, L.; Houser, Paul (Technical Monitor)

2002-01-01

Some studies suggest that the proper initialization of soil moisture in a forecasting model may contribute significantly to the accurate prediction of seasonal precipitation, especially over mid-latitude continents. In order for the initialization to have any impact at all, however, two conditions must be satisfied: (1) the initial soil moisture anomaly must be "remembered" into the forecasted season, and (2) the atmosphere must respond in a predictable way to the soil moisture anomaly. In our previous studies, we identified the key land surface and atmospheric properties needed to satisfy each condition. Here, we tie these studies together with an analysis of an ensemble of seasonal forecasts. Initial soil moisture conditions for the forecasts are established by forcing the land surface model with realistic precipitation prior to the start of the forecast period. As expected, the impacts on forecasted precipitation (relative to an ensemble of runs that do not utilize soil moisture information) tend to be localized over the small fraction of the earth with all of the required land and atmosphere properties.

Gravity flow of powder in a lunar environment. Part 2: Analysis of flow initiation

NASA Technical Reports Server (NTRS)

Pariseau, W. G.

1971-01-01

A small displacement-small strain finite element technique utilizing the constant strain triangle and incremental constitutive equations for elasticplastic (media nonhardening and obeying a Coulomb yield condition) was applied to the analysis of gravity flow initiation. This was done in a V-shaped hopper containing a powder under lunar environmental conditions. Three methods of loading were examined. Of the three, the method of computing the initial state of stress in a filled hopper prior to drawdown, by adding material to the hopper layer by layer, was the best. Results of the analysis of a typical hopper problem show that the initial state of stress, the elastic moduli, and the strength parameters have an important influence on material response subsequent to the opening of the hopper outlet.

Pain intensity and duration can be enhanced by prior challenge: Initial evidence suggestive of a role of microglial priming

PubMed Central

Hains, Leah E.; Loram, Lisa C.; Weiseler, Julie L.; Frank, Matthew G.; Bloss, Erik B.; Sholar, Paige; Taylor, Frederick R; Harrison, Jacqueline A; Martin, Thomas J.; Eisenach, James C.; Maier, Steven F.; Watkins, Linda R.

2010-01-01

Activation of spinal microglia and consequent release of pro-inflammatory mediators facilitate pain. Under certain conditions, responses of activated microglia can become enhanced. Enhanced microglial production of pro-inflammatory products may result from priming (sensitization), similar to macrophage priming. We hypothesized that if spinal microglia were primed by an initial inflammatory challenge, subsequent challenges may create enhanced pain. Here, we used a "two-hit" paradigm using two successive challenges, which affect overlapping populations of spinal microglia, presented two weeks apart. Mechanical allodynia and/or activation of spinal glia were assessed. Initially, laparotomy preceded systemic lipopolysaccharide (LPS). Prior laparotomy caused prolonged microglial (not astrocyte) activation plus enhanced LPS-induced allodynia. In this “two-hit” paradigm, minocycline, a microglial activation inhibitor, significantly reduced later exaggerated pain induced by prior surgery when minocycline was administered intrathecally for 5 days starting either at the time of surgery or 5 days before LPS administration. To test generality of the priming effect, subcutaneous formalin preceded intrathecal HIV-1 gp120, which activates spinal microglia and causes robust allodynia. Prior formalin enhanced intrathecal gp120-induced allodynia, suggesting that microglial priming is not limited to laparotomy and again supporting a spinal site of action. Therefore, spinal microglial priming may increase vulnerability to pain enhancement. PMID:20434956

Conditional data watchpoint management

DOEpatents

Burdick, Dean Joseph; Vaidyanathan, Basu

2010-08-24

A method, system and computer program product for managing a conditional data watchpoint in a set of instructions being traced is shown in accordance with illustrative embodiments. In one particular embodiment, the method comprises initializing a conditional data watchpoint and determining the watchpoint has been encountered. Upon that determination, examining a current instruction context associated with the encountered watchpoint prior to completion of the current instruction execution, further determining a first action responsive to a positive context examination; otherwise, determining a second action.

Macroinvertebrate Response to Drought in Undisturbed Headwater Streams of Southwest Georgia.

NASA Astrophysics Data System (ADS)

Winn, R. T.; Griswold, M. W.; Golladay, S. W.; Crisman, T. L.

2005-05-01

Macroinvertebrates were sampled in four headwater streams for two years (2001-2003) to establish baseline conditions for a study evaluating forestry best management practices. The Palmer Drought Severity Index indicated that the study site experienced a prolonged moderate to severe drought prior to study initiation, with year one of the study characterized as a moderate drought, while year two encompassed drought and initial rainfall recovery. Benthic macroinvertebrates were collected in streams during year one (December 2001/February 2002) and year two (December 2002/February 2003) using a multi-habitat sampling procedure. Individuals were identified to the lowest practical taxonomic level (mostly genus), and metrics including abundance, total number of taxa, and Ephemeroptera, Plecoptera, and Trichoptera (EPT) taxa were calculated. Repeated measures ANOVA identified differences in macroinvertebrate assemblages due to sampling period, with lower values for December 2001 relative to February 2003. Abundance and EPT taxa showed an increasing relationship with average daily flow in successive samples of the study. Initiation of drought conditions prior to the study adversely affected species composition (low numbers of EPT taxa and long lived taxa) and trophic structure (co-dominance of shredders, collectors, and predators).

Wheel-running mitigates psychomotor sensitization initiation but not post-sensitization conditioned activity and conditioned place preference induced by cocaine in mice.

PubMed

Geuzaine, Annabelle; Tirelli, Ezio

2014-04-01

Previous literature suggests that physical exercise allowed by an unlimited access to a running wheel for several weeks can mitigate chronic neurobehavioral responsiveness to several addictive drugs in rodents. Here, the potential preventive effects of unlimited wheel-running on the initiation of psychomotor sensitization and the acquisition and extinction of conditioned place preference (CPP) induced by 10 mg/kg cocaine in C56BL/6J mice were assessed in two independent experiments. To this end, half of the mice were singly housed with a running wheel at 28 days of age for 10 weeks prior to psychopharmacological tests, during which housing conditions did not change, and the other half of mice were housed without running wheel. In Experiment 1, prior to initiating sensitization, psychomotor activity on the two first drug-free once-daily sessions was not affected by wheel-running. This was also found for the acute psychomotor-activating effect of cocaine on the first sensitization session. Psychomotor sensitization readily developed over the 9 following once-daily sessions in mice housed without wheel, whereas it was inhibited in mice housed with a wheel. However, that difference did not transfer to post-sensitization conditioned activity. In contrast with the sensitization results, mice housed with a wheel still expressed a clear-cut CPP which did not extinguish differently from that of the other group, a result in disaccord with previous studies reporting either an attenuating or an increasing effect of wheel-running on cocaine-induced conditioned reward. The available results together indicate that interactions between wheel-running and cocaine effects are far from being satisfactorily characterized. Copyright © 2014 Elsevier B.V. All rights reserved.

Modeling the roles of damage accumulation and mechanical healing on rainfall-induced landslides

NASA Astrophysics Data System (ADS)

Fan, Linfeng; Lehmann, Peter; Or, Dani

2014-05-01

The abrupt release of rainfall-induced shallow landslides is preceded by local failures that may abruptly coalesce and form a continuous failure plane within a hillslope. The mechanical status of hillslopes reflects a competition between the extent of severity of accumulated local damage during prior rainfall events and the rates of mechanically healing (i.e. regaining of strength) by closure of micro-cracks, regrowth of roots, etc. The interplay of these processes affects the initial conditions for landslide modeling and shapes potential failure patterns during future rainfall events. We incorporated these competing mechanical processes in a hydro-mechanical landslide triggering model subjected to a sequence of rainfall scenarios. The model employs the Fiber Bundle Model (FBM) with bonds (fiber bundle) with prescribed threshold linking adjacent soil columns and soil to bedrock. Prior damage was represented by a fraction of broken fibers during previous rainfall events, and the healing of broken fibers was described by strength regaining models for soil and roots at different characteristic time scales. Results show that prior damage and healing introduce highly nonlinear response to landslide triggering. For small prior damage, mechanical bonds at soil-bedrock interface may fail early in next rainfall event but lead to small perturbations onto lateral bonds without triggering a landslide. For more severe damage weakening lateral bonds, excess load due to failure at soil-bedrock interface accumulates at downslope soil columns resulting in early soil failure with patterns strongly correlated with prior damage distribution. Increasing prior damage over the hillslope decreases the volume of first landslide and prolongs the time needed to trigger the second landslide due to mechanical relaxation of the system. The mechanical healing of fibers diminishes effects of prior damage on the time of failure, and shortens waiting time between the first and second landslides. These findings highlight the need to improve definition of initial conditions and the shortcomings of assuming pristine hillslopes.

Characterizing redox conditions and monitoring attenuation of selected pharmaceuticals during artificial recharge through a reactive layer.

PubMed

Valhondo, Cristina; Carrera, Jesús; Ayora, Carlos; Tubau, Isabel; Martinez-Landa, Lurdes; Nödler, Karsten; Licha, Tobias

2015-04-15

A permeable reactive layer was installed at the floor of an infiltration basin. The reactive layer comprised 1) vegetable compost to provide a sorption surface for neutral organic compounds and to release easily degradable organic matter, thus generating a sequence of redox states, and 2) minor amounts of clay and iron oxide to increase sorption of cationic and anionic species, respectively. Field application of this design was successful in generating denitrification, and manganese-, and iron-reducing conditions beneath the basin. This, together with the increase in types of sorption sites, may explain the improved removal of three of the four selected pharmaceuticals compared with their behavior prior to installation of the layer. After installation of the reactive layer, atenolol concentrations were below the detection limits in the vadose zone. Moreover, concentrations of gemfibrozil and cetirizine were reduced to 20% and 40% of their initial concentrations, respectively, after 200 h of residence time. In contrast, prior to installation of the reactive layer, the concentrations of these three pharmaceuticals in both the vadose zone and the aquifer were more than 60% of the initial concentration. Carbamazepine exhibited recalcitrant behavior both prior to and after the reactive barrier installation. Copyright © 2015 Elsevier B.V. All rights reserved.

Fast-Curing Epoxy and Acrylate Adhesive Development for Adverse Marine Conditions

DTIC Science & Technology

2013-07-01

the bulk properties of the adhesive. Water contact can reduce the glass transition temperature, induce cracks , or initiate hydrolysis in which the...were the same as above except they were painted with gloss black enamel paint and allowed to dry 24 h prior to application of any adhesives

29 CFR 417.16 - Initiation of proceedings.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the constitution and bylaws of the labor organization pertaining to the removal of officers are... Chief, DOE in connection with a prior charge of the inadequacy of a union's constitution and bylaws to... conditions has been met: (1) The member has exhausted the remedies available to him under the constitution...

29 CFR 417.16 - Initiation of proceedings.

Code of Federal Regulations, 2014 CFR

2014-07-01

... the constitution and bylaws of the labor organization pertaining to the removal of officers are... Chief, DOE in connection with a prior charge of the inadequacy of a union's constitution and bylaws to... conditions has been met: (1) The member has exhausted the remedies available to him under the constitution...

Handbook for Nuclear Weapons Effects under Arctic Conditions. Sanitized.

DTIC Science & Technology

1980-04-30

Atmos- phere Symposium at Oslo, July 1956, Sutcliffe, R.C., Ed., Pergamon Press, Almsford, NY, 1958, UNCLASSIFIED. Nakonechny, Basil V., The Arctic...venting prior to emision of the first S bubble pulse. If the detonation occurs close enough to the surface so that ice melt is involved in the initial

Evaluating mesenchymal stem cell therapy for sepsis with preclinical meta-analyses prior to initiating a first-in-human trial

PubMed Central

Lalu, Manoj M; Sullivan, Katrina J; Mei, Shirley HJ; Moher, David; Straus, Alexander; Fergusson, Dean A; Stewart, Duncan J; Jazi, Mazen; MacLeod, Malcolm; Winston, Brent; Marshall, John; Hutton, Brian; Walley, Keith R; McIntyre, Lauralyn

2016-01-01

Evaluation of preclinical evidence prior to initiating early-phase clinical studies has typically been performed by selecting individual studies in a non-systematic process that may introduce bias. Thus, in preparation for a first-in-human trial of mesenchymal stromal cells (MSCs) for septic shock, we applied systematic review methodology to evaluate all published preclinical evidence. We identified 20 controlled comparison experiments (980 animals from 18 publications) of in vivo sepsis models. Meta-analysis demonstrated that MSC treatment of preclinical sepsis significantly reduced mortality over a range of experimental conditions (odds ratio 0.27, 95% confidence interval 0.18–0.40, latest timepoint reported for each study). Risk of bias was unclear as few studies described elements such as randomization and no studies included an appropriately calculated sample size. Moreover, the presence of publication bias resulted in a ~30% overestimate of effect and threats to validity limit the strength of our conclusions. This novel prospective application of systematic review methodology serves as a template to evaluate preclinical evidence prior to initiating first-in-human clinical studies. DOI: http://dx.doi.org/10.7554/eLife.17850.001 PMID:27870924

Implications for the Cosmological Landscape: Can Thermal Inputs from a Prior Universe Account for Relic Graviton Production?

NASA Astrophysics Data System (ADS)

Beckwith, A. W.

2008-01-01

Sean Carroll's pre-inflation state of low temperature-low entropy provides a bridge between two models with different predictions. The Wheeler-de Witt equation provides thermal input into today's universe for graviton production. Also, brane world models by Sundrum allow low entropy conditions, as given by Carroll & Chen (2005). Moreover, this paper answers the question of how to go from a brane world model to the 10 to the 32 power Kelvin conditions stated by Weinberg in 1972 as necessary for the initiation of quantum gravity processes. This is a way of getting around the fact CMBR is cut off at a red shift of z = 1100. This paper discusses the difference in values of the upper bound of the cosmological constant between a large upper bound predicated for a temperature dependent vacuum energy predicted by Park (2002), and the much lower bound predicted by Barvinsky (2006). with the difference in values in vacuum energy contributing to relic graviton production. This paper claims that this large thermal influx, with a high initial cosmological constant and a large region of space for relic gravitons interacting with space-time up to the z = 1100 CMBR observational limit are interlinked processes delineated in the Lloyd (2002) analogy of the universe as a quantum computing system. Finally, the paper claims that linking a shrinking prior universe via a worm hole solution for a pseudo time dependent Wheeler-De Witt equation permits graviton generation as thermal input from the prior universe, transferred instantaneously to relic inflationary conditions today. The existence of a wormhole is presented as a necessary condition for relic gravitons. Proving the sufficiency of the existence of a worm hole for relic gravitons is a future project.

Field evaluation of corrosion inhibitors for concrete : interim report 2, evaluation of installation and initial condition of bridge repairs done with corrosion-inhibiting admixtures and topical treatments.

DOT National Transportation Integrated Search

1999-06-01

Four bridge decks were overlayed and patched and one bridge pier was patched using concrete with and without corrosion inhibiting admixtures. Some concrete surfaces received topically applied corrosion-inhibiting treatments prior to placement of the ...

Influence of prior knowledge of exercise duration on pacing strategies during game-based activities.

PubMed

Gabbett, Tim J; Walker, Ben; Walker, Shane

2015-04-01

To investigate the influence of prior knowledge of exercise duration on the pacing strategies employed during game-based activities. Twelve semiprofessional team-sport athletes (mean ± SD age 22.8 ± 2.1 y) participated in this study. Players performed 3 small-sided games in random order. In one condition (Control), players were informed that they would play the small-sided game for 12 min and then completed the 12-min game. In a 2nd condition (Deception), players were told that they would play the small-sided game for 6 minutes, but after completing the 6-min game, they were asked to complete another 6 min. In a 3rd condition (Unknown), players were not told how long they would be required to play the small-sided game, but the activity was terminated after 12 min. Movement was recorded using a GPS unit sampling at 10 Hz. Post hoc inspection of video footage was undertaken to count the number of possessions and the number and quality of disposals. Higher initial intensities were observed in the Deception (130.6 ± 3.3 m/min) and Unknown (129.3 ± 2.4 m/min) conditions than the Control condition (123.3 ± 3.4 m/min). Greater amounts of high-speed running occurred during the initial phases of the Deception condition, and more low-speed activity occurred during the Unknown condition. A moderately greater number of total skill involvements occurred in the Unknown condition than the Control condition. These findings suggest that during game-based activities, players alter their pacing strategy based on the anticipated endpoint of the exercise bout.

40 CFR 60.2953 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2013 CFR

2013-07-01

... initial startup? 60.2953 Section 60.2953 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... and Reporting § 60.2953 What information must I submit prior to initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s...

40 CFR 60.2195 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2014 CFR

2014-07-01

... initial startup? 60.2195 Section 60.2195 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... What information must I submit prior to initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s) of waste to be burned...

40 CFR 60.2953 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2014 CFR

2014-07-01

... initial startup? 60.2953 Section 60.2953 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... and Reporting § 60.2953 What information must I submit prior to initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s...

40 CFR 60.2195 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2013 CFR

2013-07-01

... initial startup? 60.2195 Section 60.2195 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... What information must I submit prior to initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s) of waste to be burned...

Numerical simulation of a low-lying barrier island's morphological response to Hurricane Katrina

USGS Publications Warehouse

Lindemer, C.A.; Plant, N.G.; Puleo, J.A.; Thompson, D.M.; Wamsley, T.V.

2010-01-01

Tropical cyclones that enter or form in the Gulf of Mexico generate storm surge and large waves that impact low-lying coastlines along the Gulf Coast. The Chandeleur Islands, located 161. km east of New Orleans, Louisiana, have endured numerous hurricanes that have passed nearby. Hurricane Katrina (landfall near Waveland MS, 29 Aug 2005) caused dramatic changes to the island elevation and shape. In this paper the predictability of hurricane-induced barrier island erosion and accretion is evaluated using a coupled hydrodynamic and morphodynamic model known as XBeach. Pre- and post-storm island topography was surveyed with an airborne lidar system. Numerical simulations utilized realistic surge and wave conditions determined from larger-scale hydrodynamic models. Simulations included model sensitivity tests with varying grid size and temporal resolutions. Model-predicted bathymetry/topography and post-storm survey data both showed similar patterns of island erosion, such as increased dissection by channels. However, the model under predicted the magnitude of erosion. Potential causes for under prediction include (1) errors in the initial conditions (the initial bathymetry/topography was measured three years prior to Katrina), (2) errors in the forcing conditions (a result of our omission of storms prior to Katrina and/or errors in Katrina storm conditions), and/or (3) physical processes that were omitted from the model (e.g., inclusion of sediment variations and bio-physical processes). ?? 2010.

Numerical optimization using flow equations.

PubMed

Punk, Matthias

2014-12-01

We develop a method for multidimensional optimization using flow equations. This method is based on homotopy continuation in combination with a maximum entropy approach. Extrema of the optimizing functional correspond to fixed points of the flow equation. While ideas based on Bayesian inference such as the maximum entropy method always depend on a prior probability, the additional step in our approach is to perform a continuous update of the prior during the homotopy flow. The prior probability thus enters the flow equation only as an initial condition. We demonstrate the applicability of this optimization method for two paradigmatic problems in theoretical condensed matter physics: numerical analytic continuation from imaginary to real frequencies and finding (variational) ground states of frustrated (quantum) Ising models with random or long-range antiferromagnetic interactions.

Numerical optimization using flow equations

NASA Astrophysics Data System (ADS)

Punk, Matthias

2014-12-01

We develop a method for multidimensional optimization using flow equations. This method is based on homotopy continuation in combination with a maximum entropy approach. Extrema of the optimizing functional correspond to fixed points of the flow equation. While ideas based on Bayesian inference such as the maximum entropy method always depend on a prior probability, the additional step in our approach is to perform a continuous update of the prior during the homotopy flow. The prior probability thus enters the flow equation only as an initial condition. We demonstrate the applicability of this optimization method for two paradigmatic problems in theoretical condensed matter physics: numerical analytic continuation from imaginary to real frequencies and finding (variational) ground states of frustrated (quantum) Ising models with random or long-range antiferromagnetic interactions.

Differential Prescribing of Antimuscarinic Agents in Older Adults with Cognitive Impairment.

PubMed

Vouri, Scott Martin; Schootman, Mario; Strope, Seth A; Birge, Stanley J; Olsen, Margaret A

2018-04-01

Oral oxybutynin has been associated with the development of cognitive impairment. The objective of this study was to describe the use of oral oxybutynin versus other antimuscarinics (e.g., tolterodine, darifenacin, solifenacin, trospium, fesoterodine, transdermal oxybutynin) in older adults with documented cognitive impairment. This is a population-based retrospective analysis of antimuscarinic new users aged ≥ 66 years from January 2008 to December 2011 (n = 42,886) using a 5% random sample of Medicare claims linked with Part D data. Cognitive impairment was defined as a diagnosis of mild cognitive impairment, dementia, use of antidementia medication, and memory loss/drug-induced cognitive conditions in the year prior to the initial antimuscarinic claim. We used multivariable generalized linear models to assess indicators of cognitive impairment associated with initiation of oral oxybutynin versus other antimuscarinics after adjusting for comorbid conditions. In total, 33% received oral oxybutynin as initial therapy. Cognitive impairment was documented in 10,259 (23.9%) patients prior to antimuscarinic therapy. Patients with cognitive impairment were 5% more likely to initiate another antimuscarinic versus oral oxybutynin (relative risk [RR] 1.05; 95% confidence interval [CI] 1.03-1.06). The proportion of patients with cognitive impairment initiated on oral oxybutynin increased from 24.1% in 2008 to 41.1% in 2011. The total cost of oral oxybutynin, in $US, year 2011 values, decreased by 10.5%, whereas the total cost of other antimuscarinics increased by 50.3% from 2008 to 2011. Our findings suggest opportunities for quality improvement of antimuscarinic prescribing in older adults, but this may be hampered by cost and formulary restrictions.

Chemiluminescence as a condition monitoring method for thermal aging and lifetime prediction of an HTPB elastomer.

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

Gillen, Kenneth Todd; Minier, Leanna M. G.; Celina, Mathias C.

Chemiluminescence (CL) has been applied as a condition monitoring technique to assess aging related changes in a hydroxyl-terminated-polybutadiene based polyurethane elastomer. Initial thermal aging of this polymer was conducted between 110 and 50 C. Two CL methods were applied to examine the degradative changes that had occurred in these aged samples: isothermal 'wear-out' experiments under oxygen yielding initial CL intensity and 'wear-out' time data, and temperature ramp experiments under inert conditions as a measure of previously accumulated hydroperoxides or other reactive species. The sensitivities of these CL features to prior aging exposure of the polymer were evaluated on the basismore » of qualifying this method as a quick screening technique for quantification of degradation levels. Both the techniques yielded data representing the aging trends in this material via correlation with mechanical property changes. Initial CL rates from the isothermal experiments are the most sensitive and suitable approach for documenting material changes during the early part of thermal aging.« less

Tibiofemoral Compression Force Differences Using Laxity- and Force-Based Initial Graft Tensioning Techniques in the ACL-Reconstructed Knee

PubMed Central

Fleming, Braden C.; Brady, Mark F.; Bradley, Michael P.; Banerjee, Rahul; Hulstyn, Michael J.; Fadale, Paul D.

2008-01-01

Purpose To document the tibiofemoral (TF) compression forces produced during clinical initial graft tension protocols. Methods An image analysis system was used to track the position of the tibia relative to the femur in 11 cadaver knees. TF compression forces were quantified using thin-film pressure sensors. Prior to performing ACL reconstructions with patellar tendon grafts, measurements of TF compression force were obtained from the ACL-intact knee with knee flexion. ACL reconstructions were then performed using “force-based” and “laxity-based” graft tension approaches. Within each approach, high- and low-tension conditions were compared to the ACL-intact condition over the range of knee flexion angles. Results The TF compression forces for all initial graft tension conditions were significantly greater than that of the normal knee when the knee was in full extension (0°). The TF compression forces when using the laxity-based approach were greater than those produced with the force-based approach. However the laxity-based approach was necessary to restore normal laxity at the time of surgery. Conclusions The initial graft tension conditions produce different TF compressive force profiles at the time of surgery. A compromise must be made between restoring knee laxity or TF compressive forces when reconstructing the ACL with patellar tendon graft. Clinical Relevance The TF compression forces were greater in the ACL-reconstructed knee for all the initial graft tension conditions when compared to the ACL-intact knee, and that clinically relevant initial graft tension conditions produce different TF compressive forces. PMID:18760214

Grande Ronde Basin Chinook Salmon Captive Brood and Conventional Supplementation Programs, 1998 Annual Report.

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

Carmichael, Richard W.

2003-03-01

Permit Number 1011 (formerly Permit No. 973) authorized ODFW to take listed spring chinook salmon juveniles from Catherine Creek and the Lostine and Grande Ronde rivers for scientific research and enhancement purposes. Special condition 2a specified the need for an annual report prior to initiation of next years work.

Grande Ronde Basin Chinook Salmon Captive Brood and Conventional Supplementation Programs, 1999 Annual Report.

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

Carmichael, Richard W.

2003-03-01

Permit Number 1011 (formerly Permit No. 973) authorized ODFW to take listed spring chinook salmon juveniles from Catherine Creek and the Lostine and Grande Ronde rivers for scientific research and enhancement purposes. Special condition 2a specified the need for an annual report prior to initiation of next year's work.

OVERALL CONTROL SYSTEM FOR HIGH FLUX PILE

DOEpatents

Newson, H.W.; Durham, N.C.; Wigner, E.P.; Princeton, N.J.; Epler, E.P.

1961-05-23

A control system is given for a high fiux reactor incorporating an anti- scram control feature whereby a neutron absorbing control rod acts as a fine adjustment while a neutron absorbing shim rod, actuated upon a command received from reactor period and level signals, has substantially greater effect on the neutron level and is moved prior to scram conditions to alter the reactor activity before a scram condition is created. Thus the probability that a scram will have to be initiated is substantially decreased.

Influence of a CIDR prior to bull breeding on pregnancy rates and subsequent calving distribution.

PubMed

Lamb, G C; Dahlen, C R; Vonnahme, K A; Hansen, G R; Arseneau, J D; Perry, G A; Walker, R S; Clement, J; Arthington, J D

2008-11-01

We determined whether insertion of a CIDR for 7 days prior to the breeding season enhanced pregnancy rates and altered the date of conception in suckled beef cows mated naturally. Suckled beef cows (n=2033) from 15 locations were randomly assigned to one of two treatments: (1) cows received a CIDR 7 days prior to the breeding season for 7 days (CIDR; n=999); (2) cows received no treatment (Control; n=1034). On the first day of the breeding season bulls were introduced to herds at a rate of 15-25 cows per yearling bull or 20-30 cows per mature bull. Pregnancy status and the date of conception were determined via transrectal ultrasonography at 56 and 120 days after initiation of the breeding season. Overall pregnancy rates ranged from 59.3 to 98.9% among the 15 locations. The percentage of cows becoming pregnant during the first 30 days of the breeding season was similar between CIDR (68.2%) and Control (66.7%) cows, and overall pregnancy rates were similar between CIDR (88.9%) and Control (88.6%) cows. The average day of conception after initiation of the breeding season was shorter (P<0.01) for CIDR (20.1+/-0.8 days) compared to Control cows (23.2+/-0.8 days). Of cows conceiving during the breeding season, more (P<0.05) CIDR cows (35.9%) conceived during the first 10 days of the breeding season than Control cows (30.8%). Neither body condition score and nor parity affected pregnancy rates or days to conception, whereas pregnancy rates and days to conception were affected (P<0.01) by location and days postpartum. Days to conception were greater for cows that calved within 40 days (31.6+/-1.2 days) of initiation of the breeding season compared to cows calving between 40 and 50 days (25.3+/-1.2 days) prior to initiation of the breeding season, which were greater than those cows calving between 50-60 days (20.0+/-0.8 days) and 60-70 days (21.3+/-1.0 days) prior to initiation of the breeding season. Cows calving greater than 70 days (17.3+/-1.5 days) from initiation of the breeding season had the shortest interval to conception. We concluded that insertion of a CIDR prior to the breeding season failed to increase overall pregnancy rates, but did influence the average day of conception.

fMRI evidence of equivalent neural suppression by repetition and prior knowledge.

PubMed

Poppenk, J; McIntosh, A R; Moscovitch, M

2016-09-01

Stimulus repetition speeds behavioral responding (behavioral priming) and is accompanied by suppressed neural responses (repetition suppression; RS) that have been observed up to three days after initial exposure. While some proposals have suggested the two phenomena are linked, behavioral priming has been observed many years after initial exposure, whereas RS is widely considered a transitory phenomenon. This raises the question: what is the true upper limit of RS persistence? To answer this question, we scanned healthy, English-native adults with fMRI as they viewed novel (Asian) proverbs, recently repeated (Asian) proverbs, and previously known (English) proverbs that were matched on various dimensions. We then estimated RS by comparing repeated or previously known proverbs against novel ones. Multivariate analyses linked previously known and repeated proverbs with statistically indistinguishable RS in a broad visual-linguistic network. In each suppressed region, prior knowledge and repetition also induced a common shift in functional connectivity, further underscoring the similarity of the RS phenomenon induced by these conditions. By contrast, activated regions readily distinguished prior knowledge and repetition conditions in a manner consistent with engagement of semantic and episodic memory systems, respectively. Our results illustrate that regardless of whether RS is understood in terms of its magnitude, spatial extent or functional connectivity profile, typical RS effects can be elicited even under conditions where recently triggered biological processes or episodic memory are unlikely to play a prominent role. These results provide important new evidence that RS (of the kind observed after an interval of at least several minutes) reflects the facilitation of perceptual and comprehension processes by any type of information retrieved from long-term memory. Copyright © 2016 Elsevier Ltd. All rights reserved.

Determinants of saxagliptin use among patients with type 2 diabetes mellitus treated with oral anti-diabetic drugs.

PubMed

Saine, M Elle; Carbonari, Dena M; Newcomb, Craig W; Nezamzadeh, Melissa S; Haynes, Kevin; Roy, Jason A; Cardillo, Serena; Hennessy, Sean; Holick, Crystal N; Esposito, Daina B; Gallagher, Arlene M; Bhullar, Harshvinder; Strom, Brian L; Lo Re, Vincent

2015-04-02

The patterns and determinants of saxagliptin use among patients with type 2 diabetes mellitus (T2DM) are unknown in real-world settings. We compared the characteristics of T2DM patients who were new initiators of saxagliptin to those who were new initiators of non-dipeptidyl peptidase-4 (DPP-4) inhibitor oral anti-diabetic drugs (OADs) and identified factors associated with saxagliptin use. We conducted a cross-sectional study within the Clinical Practice Research Datalink (CPRD), The Health Improvement Network (THIN), US Medicare, and the HealthCore Integrated Research Database (HIRD(SM)) across the first 36 months of saxagliptin availability (29 months for US Medicare). Patients were included if they were: 1) ≥18 years old, 2) newly prescribed saxagliptin or a non-DPP-4 inhibitor OAD, and 3) enrolled in their respective database for 180 days. For each saxagliptin initiator, we randomly selected up to ten non-DPP-4 inhibitor OAD initiators matched on age, sex, and geographic region. Conditional logistic regression was used to identify determinants of saxagliptin use. We identified 64,079 saxagliptin initiators (CPRD: 1,962; THIN: 2,084; US Medicare: 51,976; HIRD(SM): 8,057) and 610,660 non-DPP-4 inhibitor OAD initiators (CPRD: 19,484; THIN: 19,936; US Medicare: 493,432; HIRD(SM): 77,808). Across all four data sources, prior OAD use, hypertension, and hyperlipidemia were associated with saxagliptin use. Saxagliptin initiation was also associated with hemoglobin A1c results >8% within the UK data sources, and a greater number of hemoglobin A1c measurements in the US data sources. In these UK and US data sources, initiation of saxagliptin was associated with prior poor glycemic control, prior OAD use, and diagnoses of hypertension and hyperlipidemia. ClinicalTrials.gov identifiers NCT01086280 , NCT01086293 , NCT01086319 , NCT01086306 , and NCT01377935.

Can the baryon asymmetry arise from initial conditions?

DOE PAGES

Krnjaic, Gordan

2017-08-01

In this letter, we quantify the challenge of explaining the baryon asymmetry using initial conditions in a universe that undergoes inflation. Contrary to lore, we find that such an explanation is possible if netmore » $B-L$ number is stored in a light bosonic field with hyper-Planckian initial displacement and a delicately chosen field velocity prior to inflation. However, such a construction may require extremely tuned coupling constants to ensure that this asymmetry is viably communicated to the Standard Model after reheating; the large field displacement required to overcome inflationary dilution must not induce masses for Standard Model particles or generate dangerous washout processes. While these features are inelegant, this counterexample nonetheless shows that there is no theorem against such an explanation. We also comment on potential observables in the double $$\\beta$$-decay spectrum and on model variations that may allow for more natural realizations.« less

Effects of change in body composition on gene expression in the uterine endometrium of beef cattle

USDA-ARS?s Scientific Manuscript database

The objective of this study was to determine the impact of change of body composition on gene expression in the uterine endometrium of beef cows. Mature, non-lactating Angus cows (body condition score [BCS] = 5.07 ± 0.1) were fed a similar diet for 30 d prior to the initiation of the study. Follow...

Anticipatory Postural Adjustment During Self-Initiated, Cued, and Compensatory Stepping in Healthy Older Adults and Patients With Parkinson Disease.

PubMed

Schlenstedt, Christian; Mancini, Martina; Horak, Fay; Peterson, Daniel

2017-07-01

To characterize anticipatory postural adjustments (APAs) across a variety of step initiation tasks in people with Parkinson disease (PD) and healthy subjects. Cross-sectional study. Step initiation was analyzed during self-initiated gait, perceptual cued gait, and compensatory forward stepping after platform perturbation. People with PD were assessed on and off levodopa. University research laboratory. People (N=31) with PD (n=19) and healthy aged-matched subjects (n=12). Not applicable. Mediolateral (ML) size of APAs (calculated from center of pressure recordings), step kinematics, and body alignment. With respect to self-initiated gait, the ML size of APAs was significantly larger during the cued condition and significantly smaller during the compensatory condition (P<.001). Healthy subjects and patients with PD did not differ in body alignment during the stance phase prior to stepping. No significant group effect was found for ML size of APAs between healthy subjects and patients with PD. However, the reduction in APA size from cued to compensatory stepping was significantly less pronounced in PD off medication compared with healthy subjects, as indicated by a significant group by condition interaction effect (P<.01). No significant differences were found comparing patients with PD on and off medications. Specific stepping conditions had a significant effect on the preparation and execution of step initiation. Therefore, APA size should be interpreted with respect to the specific stepping condition. Across-task changes in people with PD were less pronounced compared with healthy subjects. Antiparkinsonian medication did not significantly improve step initiation in this mildly affected PD cohort. Copyright © 2016 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Methods for automatic trigger threshold adjustment

DOEpatents

Welch, Benjamin J; Partridge, Michael E

2014-03-18

Methods are presented for adjusting trigger threshold values to compensate for drift in the quiescent level of a signal monitored for initiating a data recording event, thereby avoiding false triggering conditions. Initial threshold values are periodically adjusted by re-measuring the quiescent signal level, and adjusting the threshold values by an offset computation based upon the measured quiescent signal level drift. Re-computation of the trigger threshold values can be implemented on time based or counter based criteria. Additionally, a qualification width counter can be utilized to implement a requirement that a trigger threshold criterion be met a given number of times prior to initiating a data recording event, further reducing the possibility of a false triggering situation.

The validity of contracts to dispose of frozen embryos

PubMed Central

Pennings, G

2002-01-01

The widespread abandonment of frozen embryos by the gamete providers or intentional parents urgently demands a solution. Most centres react by requiring patients to enter a prior agreement governing the future disposition of their embryos in all foreseeable circumstances. These dispositional directives are inappropriate and self defeating in the event of contingencies in which the patients remain competent to execute an updated directive. Internal and external changes may invalidate the prior directive by altering the situation as represented by the couple at the initiation of treatment to such an extent that it no longer corresponds with the actual situation at the time of the execution of the disposition. The prior agreement should only be considered binding if the agreement among the partners on a specific option was a material condition for one of the partners to start treatment. PMID:12356956

Are pre-treatment psychological characteristics influenced by pre-surgical orthodontics?

PubMed

Cunningham, S J; Gilthorpe, M S; Hunt, N P

2001-12-01

A number of investigations have looked at psychological changes occurring in association with orthognathic treatment. However, most of these studies have used a pre-surgery questionnaire as the baseline measurement. There is little data relating to the true baseline, i.e. that prior to any active treatment. Until this aspect is investigated, it is not possible to assume that pre-surgery is an acceptable baseline. This questionnaire based study aimed to assess changes in six psychological outcome measures between T1 (prior to any active treatment) and T2 (following pre-surgical orthodontics/prior to surgery). The outcome variables were: state anxiety, trait anxiety, depression, self-esteem, body image, and facial body image. Sixty-two patients (39 females and 23 males) completed both questionnaires. The results showed that intervention, in the form of orthodontic treatment, had a minimal effect on the chosen psychometric outcome variables. There was a significant reduction in satisfaction with body image amongst patients who initially reported mild to moderate dental/facial problems, whilst a moderate increase in satisfaction occurred in those patients reporting severe conditions initially. Also of note were significant increases in state anxiety amongst older patients whilst trait anxiety showed greater increases in females than males.

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

Miller, D. H.; Reigel, M. M.

A full-scale formed core sampler was designed and functionally tested for use in the Saltstone Disposal Facility (SDF). Savannah River National Laboratory (SRNL) was requested to compare properties of the formed core samples and core drilled samples taken from adjacent areas in the full-scale sampler. While several physical properties were evaluated, the primary property of interest was hydraulic conductivity. Differences in hydraulic conductivity between the samples from the formed core sampler and those representing the bulk material were noted with respect to the initial handling and storage of the samples. Due to testing conditions, the site port samples were exposedmore » to uncontrolled temperature and humidity conditions prior to testing whereas the formed core samples were kept in sealed containers with minimal exposure to an uncontrolled environment prior to testing. Based on the results of the testing, no significant differences in porosity or density were found between the formed core samples and those representing the bulk material in the test stand.« less

Preheat Measurements for Supernova Hydrodynamics Experiments

NASA Astrophysics Data System (ADS)

Krauland, Christine; Kuranz, Carolyn; Drake, Paul; Grosskopf, Mike; Campbell, Duncan

2007-11-01

The use of multi-kilojoule, ns lasers to launch shock waves has become a standard method for initiating hydrodynamic experiments in the field of Laboratory Astrophysics. However, the intense laser ablation that creates moving plasma also leads to the production of unwanted energetic x-rays and suprathermal electrons, both of which can be sources of material preheating. In principle, this preheat can alter the conditions of the experimental setup prior to the desired experiment actually taking place. At the University of Michigan, ongoing Rayleigh-Taylor instability experiments are defined by precise initial conditions, and potential deformation due to preheat could greatly affect their accuracy. An experiment devised and executed in an attempt to assess the preheat in this specific case will be presented, along with the quantitative analysis of the data obtained.

Electrokinetic remediation prefield test methods

NASA Technical Reports Server (NTRS)

Hodko, Dalibor (Inventor)

2000-01-01

Methods for determining the parameters critical in designing an electrokinetic soil remediation process including electrode well spacing, operating current/voltage, electroosmotic flow rate, electrode well wall design, and amount of buffering or neutralizing solution needed in the electrode wells at operating conditions are disclosed These methods are preferably performed prior to initiating a full scale electrokinetic remediation process in order to obtain efficient remediation of the contaminants.

Bayesian nonparametric regression with varying residual density

PubMed Central

Pati, Debdeep; Dunson, David B.

2013-01-01

We consider the problem of robust Bayesian inference on the mean regression function allowing the residual density to change flexibly with predictors. The proposed class of models is based on a Gaussian process prior for the mean regression function and mixtures of Gaussians for the collection of residual densities indexed by predictors. Initially considering the homoscedastic case, we propose priors for the residual density based on probit stick-breaking (PSB) scale mixtures and symmetrized PSB (sPSB) location-scale mixtures. Both priors restrict the residual density to be symmetric about zero, with the sPSB prior more flexible in allowing multimodal densities. We provide sufficient conditions to ensure strong posterior consistency in estimating the regression function under the sPSB prior, generalizing existing theory focused on parametric residual distributions. The PSB and sPSB priors are generalized to allow residual densities to change nonparametrically with predictors through incorporating Gaussian processes in the stick-breaking components. This leads to a robust Bayesian regression procedure that automatically down-weights outliers and influential observations in a locally-adaptive manner. Posterior computation relies on an efficient data augmentation exact block Gibbs sampler. The methods are illustrated using simulated and real data applications. PMID:24465053

Cognitive bias modification for interpretation with and without prior repetitive negative thinking to reduce worry and rumination in generalised anxiety disorder and depression: protocol for a multisession experimental study with an active control condition

PubMed Central

Mathews, Andrew; Whyte, Jessica; Hirsch, Colette R

2016-01-01

Introduction Worry and rumination are two forms of repetitive thinking characterised by their negative content and apparently uncontrollable nature. Although worry and rumination share common features and have been conceptualised as part of a transdiagnostic repetitive negative thinking (RNT) process, it remains unclear whether they share the same underlying cognitive mechanisms. This multisession experimental study investigates the tendency to make negative interpretations regarding ambiguous information as a cognitive mechanism underlying RNT. We compare multisession cognitive bias modification for interpretations (CBM-I) with an active control condition to examine whether repeatedly training positive interpretations reduces worry and rumination in individuals with generalised anxiety disorder or depression, respectively. Further, we examine the potential modulatory effects of engaging in RNT immediately prior to CBM-I. Design, methods and analysis A community sample of individuals meeting diagnostic criteria for either generalised anxiety disorder (n=60) or current major depressive episode (n=60) will be randomly allocated to CBM-I with prior RNT, CBM-I without prior RNT (ie, standard CBM-I), or an active control (no resolution of ambiguity) condition. All conditions receive a 3-week internet-based intervention consisting of one initial session at the first study visit and nine home-based sessions of CBM-I training (or active control). We will assess and compare the effects of CBM-I with and without prior RNT on ‘near-transfer’ measures of interpretation bias closely related to the training as well as ‘far-transfer’ outcomes related to RNT and emotional distress. Impact on questionnaire measures will additionally be assessed at 1-month follow-up. Multigroup analyses will be conducted to assess the impact of CBM-I on near-transfer and far-transfer outcome measures. PMID:27986741

VegScape: U.S. Crop Condition Monitoring Service

NASA Astrophysics Data System (ADS)

mueller, R.; Yang, Z.; Di, L.

2013-12-01

Since 1995, the US Department of Agriculture (USDA)/National Agricultural Statistics Service (NASS) has provided qualitative biweekly vegetation condition indices to USDA policymakers and the public on a weekly basis during the growing season. Vegetation indices have proven useful for assessing crop condition and identifying the areal extent of floods, drought, major weather anomalies, and vulnerabilities of early/late season crops. With growing emphasis on more extreme weather events and food security issues rising to the forefront of national interest, a new vegetation condition monitoring system was developed. The new vegetation condition portal named VegScape was initiated at the start of the 2013 growing season. VegScape delivers web mapping service based interactive vegetation indices. Users can use an interactive map to explore, query and disseminate current crop conditions. Vegetation indices like Normal Difference Vegetation Index (NDVI), Vegetation Condition Index (VCI), and mean, median, and ratio comparisons to prior years can be constructed for analytical purposes and on-demand crop statistics. The NASA MODIS satellite with 250 meter (15 acres) resolution and thirteen years of data history provides improved spatial and temporal resolutions and delivers improved detailed timely (i.e., daily) crop specific condition and dynamics. VegScape thus provides supplemental information to support NASS' weekly crop reports. VegScape delivers an agricultural cultivated crop mask and the most recent Cropland Data Layer (CDL) product to exploit the agricultural domain and visualize prior years' planted crops. Additionally, the data can be directly exported to Google Earth for web mashups or delivered via web mapping services for uses in other applications. VegScape supports the ethos of data democracy by providing free and open access to digital geospatial data layers using open geospatial standards, thereby supporting transparent and collaborative government initiatives. NASS developed VegScape in cooperation with the Center for Spatial Information Science and Systems, George Mason University, Fairfax, VA. VegScape Ratio to Median NDVI

Errors in Postural Preparation Lead to Increased Choice Reaction Times for Step Initiation in Older Adults

PubMed Central

Nutt, John G.; Horak, Fay B.

2011-01-01

Background. This study asked whether older adults were more likely than younger adults to err in the initial direction of their anticipatory postural adjustment (APA) prior to a step (indicating a motor program error), whether initial motor program errors accounted for reaction time differences for step initiation, and whether initial motor program errors were linked to inhibitory failure. Methods. In a stepping task with choice reaction time and simple reaction time conditions, we measured forces under the feet to quantify APA onset and step latency and we used body kinematics to quantify forward movement of center of mass and length of first step. Results. Trials with APA errors were almost three times as common for older adults as for younger adults, and they were nine times more likely in choice reaction time trials than in simple reaction time trials. In trials with APA errors, step latency was delayed, correlation between APA onset and step latency was diminished, and forward motion of the center of mass prior to the step was increased. Participants with more APA errors tended to have worse Stroop interference scores, regardless of age. Conclusions. The results support the hypothesis that findings of slow choice reaction time step initiation in older adults are attributable to inclusion of trials with incorrect initial motor preparation and that these errors are caused by deficits in response inhibition. By extension, the results also suggest that mixing of trials with correct and incorrect initial motor preparation might explain apparent choice reaction time slowing with age in upper limb tasks. PMID:21498431

A randomized clinical trial of buprenorphine for prisoners: Findings at 12-months post-release

PubMed Central

Gordon, Michael S.; Kinlock, Timothy W.; Schwartz, Robert P.; O’Grady, Kevin E.; Fitzgerald, Terrence T.; Vocci, Frank J.

2017-01-01

Background This study examined whether starting buprenorphine treatment prior to prison and after release from prison would be associated with better drug treatment outcomes and whether males and females responded differently to the combination of in-prison treatment and post-release service setting. Methods Study design was a 2 (In-Prison Treatment Condition: Buprenorphine Treatment Vs. Counseling Only) X 2 [Post-Release Service Setting Condition: Opioid Treatment Program (OTP) Vs. Community Health Center (CHC)] X 2 (Gender) factorial design. The trial was conducted between September 2008 and July 2012. Follow-up assessments were completed in 2014. Participants were recruited from two Baltimore prerelease prisons (one for men and one for women). Adult pre-release prisoners who were heroin-dependent during the year prior to incarceration were eligible. Post-release assessments were conducted at 1, 3, 6, and 12-month following prison release. Results Participants (N=211) in the in-prison treatment condition effect had a higher mean number of days of community buprenorphine treatment compared to the condition in which participants initiated medication after release (P=.005). However, there were no statistically significant hypothesized effects for the in-prison treatment condition in terms of: days of heroin use and crime, and opioid and cocaine positive urine screening test results (all Ps>.14) and no statistically significant hypothesized gender effects (all Ps>.18). Conclusions Although initiating buprenorphine treatment in prison compared to after-release was associated with more days receiving buprenorphine treatment in the designated community treatment program during the 12-months post-release assessment, it was not associated with superior outcomes in terms of heroin and cocaine use and criminal behavior. PMID:28107680

A randomized clinical trial of buprenorphine for prisoners: Findings at 12-months post-release.

PubMed

Gordon, Michael S; Kinlock, Timothy W; Schwartz, Robert P; O'Grady, Kevin E; Fitzgerald, Terrence T; Vocci, Frank J

2017-03-01

This study examined whether starting buprenorphine treatment prior to prison and after release from prison would be associated with better drug treatment outcomes and whether males and females responded differently to the combination of in-prison treatment and post-release service setting. Study design was a 2 (In-Prison Treatment: Condition: Buprenorphine Treatment: vs. Counseling Only)×2 [Post-Release Service Setting Condition: Opioid Treatment: Program (OTP) vs. Community Health Center (CHC)]×2 (Gender) factorial design. The trial was conducted between September 2008 and July 2012. Follow-up assessments were completed in 2014. Participants were recruited from two Baltimore pre-release prisons (one for men and one for women). Adult pre-release prisoners who were heroin-dependent during the year prior to incarceration were eligible. Post-release assessments were conducted at 1, 3, 6, and 12-month following prison release. Participants (N=211) in the in-prison treatment condition effect had a higher mean number of days of community buprenorphine treatment compared to the condition in which participants initiated medication after release (P=0.005). However, there were no statistically significant hypothesized effects for the in-prison treatment condition in terms of: days of heroin use and crime, and opioid and cocaine positive urine screening test results (all Ps>0.14) and no statistically significant hypothesized gender effects (all Ps>0.18). Although initiating buprenorphine treatment in prison compared to after-release was associated with more days receiving buprenorphine treatment in the designated community treatment program during the 12-months post-release assessment, it was not associated with superior outcomes in terms of heroin and cocaine use and criminal behavior. Copyright © 2017 Elsevier B.V. All rights reserved.

On the long-term memory of the Greenland Ice Sheet

NASA Astrophysics Data System (ADS)

Rogozhina, I.; Martinec, Z.; Hagedoorn, J. M.; Thomas, M.; Fleming, K.

2011-03-01

In this study, the memory of the Greenland Ice Sheet (GIS) with respect to its past states is analyzed. According to ice core reconstructions, the present-day GIS reflects former climatic conditions dating back to at least 250 thousand years before the present (kyr BP). This fact must be considered when initializing an ice sheet model. The common initialization techniques are paleoclimatic simulations driven by atmospheric forcing inferred from ice core records and steady state simulations driven by the present-day or past climatic conditions. When paleoclimatic simulations are used, the information about the past climatic conditions is partly reflected in the resulting present-day state of the GIS. However, there are several important questions that need to be clarified. First, for how long does the model remember its initial state? Second, it is generally acknowledged that, prior to 100 kyr BP, the longest Greenland ice core record (GRIP) is distorted by ice-flow irregularities. The question arises as to what extent do the uncertainties inherent in the GRIP-based forcing influence the resulting GIS? Finally, how is the modeled thermodynamic state affected by the choice of initialization technique (paleo or steady state)? To answer these questions, a series of paleoclimatic and steady state simulations is carried out. We conclude that (1) the choice of an ice-covered initial configuration shortens the initialization simulation time to 100 kyr, (2) the uncertainties in the GRIP-based forcing affect present-day modeled ice-surface topographies and temperatures only slightly, and (3) the GIS forced by present-day climatic conditions is overall warmer than that resulting from a paleoclimatic simulation.

The Two-Stage Examination: A Method to Assess Individual Competence and Collaborative Problem Solving in Medical Students

PubMed Central

Morton, David A.; Pippitt, Karly; Lamb, Sara; Colbert-Getz, Jorie M.

2016-01-01

Problem Effectively solving problems as a team under stressful conditions is central to medical practice; however, because summative examinations in medical education must test individual competence, they are typically solitary assessments. Approach Using two-stage examinations, in which students first answer questions individually (Stage 1) and then discuss them in teams prior to resubmitting their answers (Stage 2), is one method for rectifying this discordance. On the basis of principles of social constructivism, the authors hypothesized that two-stage examinations would lead to better retention of, specifically, items answered incorrectly at Stage 1. In fall 2014, they divided 104 first-year medical students into two groups of 52 students. Groups alternated each week between taking one- and two-stage examinations such that each student completed 6 one-stage and 6 two-stage examinations. The authors reassessed 61 concepts on a final examination and, using the Wilcoxon signed ranked tests, compared performance for all concepts and for just those students initially missed, between Stages 1 and 2. Outcomes Final examination performance on all previously assessed concepts was not significantly different between the one-and two-stage conditions (P = .77); however, performance on only concepts that students initially answered incorrectly on a prior examination improved by 12% for the two-stage condition relative to the one-stage condition (P = .02, r = 0.17). Next Steps Team assessment may be most useful for assessing concepts students find difficult, as opposed to all content. More research is needed to determine whether these results apply to all medical school topics and student cohorts. PMID:27049544

Continuity and change?: Exploring reactions to a guided self-management intervention in a randomised controlled trial for IBS with reference to prior experience of managing a long term condition

PubMed Central

Rogers, Anne; Lee, Victoria; Kennedy, Anne

2007-01-01

Self-care interventions are promoted as effective strategies for improving the quality of life and health outcomes for individuals with long-term health conditions. Outcome measures used in evaluations using Randomised Controlled Trials (RCTs) are not designed to consider patients' prior management strategies and experience of illness. Yet the experience of illness literature suggests that adjusting to living with chronic illness, together with broader contextual influences, are likely to be relevant to understanding responses to self-management initiatives. Using group and individual interview data we attempt to illuminate the transposition of IBS from a condition unsatisfactorily managed by medicine to one successfully managed within the life worlds of individuals. If routine embedding of complex interventions depends on the accomplishment of integration and workability in patients' everyday lives then the design and evaluation of such interventions should view participation as part of a process of continuity as well as change. Responses to formal self-management can be extended beyond psychological and other quantitatively measured outcomes. A useful addendum to trial outcomes for self-management education is an understanding of change as being inextricably linked to people's previous attempts to, and experience of, managing long-term conditions. We suggest that the benefits of understanding the prior experience of managing illness and contact with health services include the acceptability and workability of complex interventions in patients' everyday lives. PMID:17316438

LV software support for supersonic flow analysis

NASA Technical Reports Server (NTRS)

Bell, William A.

1991-01-01

During 1991, the software developed allowed an operator to configure and checkout the TSI, Inc. laser velocimeter (LV) system prior to a run. This setup procedure established the operating conditions for the TSI MI-990 multichannel interface and the RMR-1989 rotating machinery resolver. In addition to initializing the instruments, the software package provides a means of specifying LV calibration constants, controlling the sampling process, and identifying the test parameters.

Warming by immersion or exercise affects initial cooling rate during subsequent cold water immersion.

PubMed

Scott, Chris G; Ducharme, Michel B; Haman, François; Kenny, Glen P

2004-11-01

We examined the effect of prior heating, by exercise and warm-water immersion, on core cooling rates in individuals rendered mildly hypothermic by immersion in cold water. There were seven male subjects who were randomly assigned to one of three groups: 1) seated rest for 15 min (control); 2) cycling ergometry for 15 min at 70% Vo2 peak (active warming); or 3) immersion in a circulated bath at 40 degrees C to an esophageal temperature (Tes) similar to that at the end of exercise (passive warming). Subjects were then immersed in 7 degrees C water to a Tes of 34.5 degrees C. Initial Tes cooling rates (initial approximately 6 min cooling) differed significantly among the treatment conditions (0.074 +/- 0.045, 0.129 +/- 0.076, and 0.348 +/- 0.117 degrees C x min(-1) for control, active, and passive warming conditions, respectively); however, secondary cooling rates (rates following initial approximately 6 min cooling to the end of immersion) were not different between treatments (average of 0.102 +/- 0.085 degrees C x min(-1)). Overall Tes cooling rates during the full immersion period differed significantly and were 0.067 +/- 0.047, 0.085 +/- 0.045, and 0.209 +/- 0.131 degrees C x min(-1) for control, active, and passive warming, respectively. These results suggest that prior warming by both active and, to a greater extent, passive warming, may predispose a person to greater heat loss and to experience a larger decline in core temperature when subsequently exposed to cold water. Thus, functional time and possibly survival time could be reduced when cold water immersion is preceded by whole-body passive warming, and to a lesser degree by active warming.

40 CFR 60.2953 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2011 CFR

2011-07-01

... initial startup? 60.2953 Section 60.2953 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s) of waste to be burned. (b) The maximum design waste burning...

40 CFR 60.2953 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2012 CFR

2012-07-01

... initial startup? 60.2953 Section 60.2953 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s) of waste to be burned. (b) The maximum design waste burning...

40 CFR 60.2953 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2010 CFR

2010-07-01

... initial startup? 60.2953 Section 60.2953 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY... initial startup? You must submit the information specified in paragraphs (a) through (e) of this section prior to initial startup. (a) The type(s) of waste to be burned. (b) The maximum design waste burning...

Effects of Thermomechanical History on the Tensile Behavior of Nitinol Ribbon

NASA Technical Reports Server (NTRS)

Lach, Cynthia L.; Turner, Travis L.; Taminger, Karen M.; Shenoy, Ravi N.

2002-01-01

Shape memory alloys (SMAs) have enormous potential for a wide variety of applications. A large body of work exists on the characterization of the microstructure and stress-strain behavior of these alloys, Nitinol (NiTi) in particular. However, many attributes of these materials are yet to be fully understood. Previous work at NASA Langley Research Center (LaRC) has included fabrication of hybrid composite specimens with embedded Nitinol actuators and modeling of their thermomechanical behavior. An intensive characterization effort has been undertaken to facilitate fundamental understanding of this alloy and to promote implementation of Nitinol in aerospace applications. Previous work revealed attributes of the Nitinol ribbon that were not easily rationalized with existing data in the literature. In particular, tensile behavior at ambient temperature showed significant dependence on the thermomechanical history prior to testing. The present work is focused on characterizing differences in the microstructure of Nitinol ribbons exposed to four different thermomechanical histories and correlation of the microstructure with tensile properties. Differential scanning calorimetry (DSC) and x-ray diffraction (XRD) analysis were employed to rationalize the microstructures present after exposure to various thermomechanical histories. Three of the Nitinol ribbon conditions were reversible upon heating (in the DSC) through the reverse transformation temperature (A(sub f) to transform the microstructure to austenite. However, the prior thermomechanical conditioning for the Nitinol ribbon that reflected the entire fabrication procedure (4% thermal cycle condition) was found to have an irreversible effect on the microstructure, as it remained unchanged after repeated complete thermal cycles. Tensile tests were conducted to determine the effect of prior thermomechancal conditioning on both the tensile behavior of the Nitinol ribbons and the stress state of the microstructure. The stress-strain behavior of the Nitinol actuators appears to be governed by the interplay between two major variables: namely, microstructural constituents such as the R-phase and the martensite; and the stress state of these constituents (whether twinned with low residual stresses, or detwinned with high residual stresses). The most significant difference in the stress-strain behavior of the four conditions, the critical stress required to achieve an initial stress plateau, was found to depend on both the amount and stress state (twinned or detwinned) of R-phase present in the initial microstructure. Thus, the effect of prior thermomechanical processing is critical to the resulting tensile behavior of the Nitinol actuator. For numerical modeling inputs one must take into account the entire fabrication process on the Nitinol actuator.

Effort testing in children: can cognitive and symptom validity measures differentiate malingered performances?

PubMed

Rambo, Philip L; Callahan, Jennifer L; Hogan, Lindsey R; Hullmann, Stephanie; Wrape, Elizabeth

2015-01-01

Recent efforts have contributed to significant advances in the detection of malingered performances in adults during cognitive assessment. However, children's ability to purposefully underperform has received relatively little attention. The purpose of the present investigation was to examine children's performances on common intellectual measures, as well as two symptom validity measures: the Test of Memory Malingering and the Dot-Counting Test. This was accomplished through the administration of measures to children ages 6 to 12 years old in randomly assigned full-effort (control) and poor-effort (treatment) conditions. Prior to randomization, children's general intellectual functioning (i.e., IQ) was estimated via administration of the Kaufman Brief Intellectual Battery-Second Edition (KBIT-2). Multivariate analyses revealed that the conditions significantly differed on some but not all administered measures. Specifically, children's estimated IQ in the treatment condition significantly differed from the full-effort IQ initially obtained from the same children on the KBIT-2, as well as from the IQs obtained in the full-effort control condition. These findings suggest that children are fully capable of willfully underperforming during cognitive testing; however, consistent with prior investigations, some measures evidence greater sensitivity than others in evaluating effort.

Experiments to assess preheat in blast-wave-drive instability experiments

NASA Astrophysics Data System (ADS)

Krauland, Christine; Drake, Paul; Kuranz, Carolyn; Grosskopf, Michael; Boehly, Tom

2009-11-01

The use of multi-kilojoule, ns lasers to launch shock waves has become a standard method for initiating hydrodynamic experiments in Laboratory Astrophysics. However, the intense laser ablation that creates moving plasma also leads to the production of unwanted energetic x-rays and suprathermal electrons, both of which can be sources of material preheating. In principle, this preheat can alter the conditions of the experimental setup prior to the occurrence of the intended dynamics. At the University of Michigan, ongoing Rayleigh-Taylor instability experiments are defined by precise initial conditions, and potential deformation due to preheat could greatly affect their accuracy. An experiment devised and executed in an attempt to assess the preheat in this specific case will be presented, along with the quantitative analysis of the data obtained and comparison with 2D simulations.

Initial Identification and Characterization of an Emerging Zoonotic Influenza Prior to Pandemic Spread

DTIC Science & Technology

2010-11-01

equally closely strains of both H1N2 influenza A virus of swine origin and H3N2 influenza A virus of avian origin. The expected matches for each of...Naval Health Research Center Initial Identification and Characterization of an Emerging Zoonotic Influenza Virus Prior to Pandemic Spread...10.1128/JCM.01336-10 PMCID: PMC3020883 Initial Identification and Characterization of an Emerging Zoonotic Influenza Virus Prior to Pandemic

Reconnection and interchange instability in the near magnetotail

DOE PAGES

Birn, Joachim; Liu, Yi -Hsin; Daughton, William; ...

2015-07-16

This paper provides insights into the possible coupling between reconnection and interchange/ballooning in the magnetotail related to substorms and flow bursts. The results presented are largely based on recent simulations of magnetotail dynamics, exploring onset and progression of reconnection. 2.5-dimensional particle-in-cell (PIC) simulations with different tail deformation demonstrate a clear boundary between stable and unstable cases depending on the amount of deformation, explored up to the real proton/electron mass ratio. The evolution prior to onset, as well as the evolution of stable cases, are governed by the conservation of integral flux tube entropy S as imposed in ideal MHD, maintainingmore » a monotonic increase with distance downtail. This suggests that ballooning instability in the tail should not be expected prior to the onset of tearing and reconnection. 3-D MHD simulations confirm this conclusion, showing no indication of ballooning prior to reconnection, if the initial state is ballooning stable. The simulation also shows that, after imposing resistivity necessary to initiate reconnection, the reconnection rate and energy release initially remain slow. However, when S becomes reduced from plasmoid ejection and lobe reconnection, forming a negative slope in S as a function of distance from Earth, the reconnection rate and energy release increase drastically. The latter condition has been shown to be necessary for ballooning/interchange instability, and the cross-tail structures that develop subsequently in the MHD simulation are consistent with such modes. The simulations support a concept in which tail activity is initiated by tearing instability but significantly enhanced by the interaction with ballooning/interchange enabled by plasmoid loss and lobe reconnection.« less

Initial conditions and ENSO prediction using a coupled ocean-atmosphere model

NASA Astrophysics Data System (ADS)

Larow, T. E.; Krishnamurti, T. N.

1998-01-01

A coupled ocean-atmosphere initialization scheme using Newtonian relaxation has been developed for the Florida State University coupled ocean-atmosphere global general circulation model. The initialization scheme is used to initialize the coupled model for seasonal forecasting the boreal summers of 1987 and 1988. The atmosphere model is a modified version of the Florida State University global spectral model, resolution T-42. The ocean general circulation model consists of a slightly modified version of the Hamburg's climate group model described in Latif (1987) and Latif et al. (1993). The coupling is synchronous with information exchanged every two model hours. Using ECMWF atmospheric daily analysis and observed monthly mean SSTs, two, 1-year, time-dependent, Newtonian relaxation were performed using the coupled model prior to conducting the seasonal forecasts. The coupled initializations were conducted from 1 June 1986 to 1 June 1987 and from 1 June 1987 to 1 June 1988. Newtonian relaxation was applied to the prognostic atmospheric vorticity, divergence, temperature and dew point depression equations. In the ocean model the relaxation was applied to the surface temperature. Two, 10-member ensemble integrations were conducted to examine the impact of the coupled initialization on the seasonal forecasts. The initial conditions used for the ensembles are the ocean's final state after the initialization and the atmospheric initial conditions are ECMWF analysis. Examination of the SST root mean square error and anomaly correlations between observed and forecasted SSTs in the Niño-3 and Niño-4 regions for the 2 seasonal forecasts, show closer agreement between the initialized forecast than two, 10-member non-initialized ensemble forecasts. The main conclusion here is that a single forecast with the coupled initialization outperforms, in SST anomaly prediction, against each of the control forecasts (members of the ensemble) which do not include such an initialization, indicating possible importance for the inclusion of the atmosphere during the coupled initialization.

Very High Cycle Fatigue of Ni-Based Single-Crystal Superalloys at High Temperature

NASA Astrophysics Data System (ADS)

Cervellon, A.; Cormier, J.; Mauget, F.; Hervier, Z.; Nadot, Y.

2018-05-01

Very high cycle fatigue (VHCF) properties at high temperature of Ni-based single-crystal (SX) superalloys and of a directionally solidified (DS) superalloy have been investigated at 20 kHz and a temperature of 1000 °C. Under fully reversed conditions (R = - 1), no noticeable difference in VHCF lifetimes between all investigated alloys has been observed. Internal casting pores size is the main VHCF lifetime-controlling factor whatever the chemical composition of the alloys. Other types of microstructural defects (eutectics, carbides), if present, may act as stress concentration sites when the number of cycles exceed 109 cycles or when porosity is absent by applying a prior hot isostatic pressing treatment. For longer tests (> 30 hours), oxidation also controls the main crack initiation sites leading to a mode I crack initiation from oxidized layer. Under such conditions, alloy's resistance to oxidation has a prominent role in controlling the VHCF. When creep damage is present at high ratios (R ≥ 0.8), creep resistance of SX/DS alloys governs VHCF lifetime. Under such high mean stress conditions, SX alloys developed to retard the initiation and creep propagation of mode I micro-cracks from pores have better VHCF lifetimes.

DNA Damage and Genomic Instability Induced by Inappropriate DNA Re-replication

DTIC Science & Technology

2006-04-01

replication in yeast cells. In the prior reporting period we demonstrated that re-replication induces a rapid and significant decrease in cell viability...repair, DNA replication, checkpoint, cell cycle, yeast , RAD9 16. SECURITY CLASSIFICATION OF: 18. NUMBER OF PAGES 19a. NAME OF RESPONSIBLE PERSON...initiation, our laboratory has been able to conditionally induce varying amounts of re- replication in yeast cells. Effectively, cells enter, but do not

The Effects of Prior Beliefs on Student Interactions in Online Debates

ERIC Educational Resources Information Center

Jeong, Allan; Liu, Zhichun

2017-01-01

Because prior beliefs can affect how people argue and respond to controversial claims, in this study we examined how patterns in students' responses posted in online debates were associated with students' initial positions on given claims prior to debate. Students that held initial opposing positions to the claim exhibited the tendency to respond…

Predicting Ice Sheet and Climate Evolution at Extreme Scales

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

Heimbach, Patrick

2016-02-06

A main research objectives of PISCEES is the development of formal methods for quantifying uncertainties in ice sheet modeling. Uncertainties in simulating and projecting mass loss from the polar ice sheets arise primarily from initial conditions, surface and basal boundary conditions, and model parameters. In general terms, two main chains of uncertainty propagation may be identified: 1. inverse propagation of observation and/or prior onto posterior control variable uncertainties; 2. forward propagation of prior or posterior control variable uncertainties onto those of target output quantities of interest (e.g., climate indices or ice sheet mass loss). A related goal is the developmentmore » of computationally efficient methods for producing initial conditions for an ice sheet that are close to available present-day observations and essentially free of artificial model drift, which is required in order to be useful for model projections (“initialization problem”). To be of maximum value, such optimal initial states should be accompanied by “useful” uncertainty estimates that account for the different sources of uncerainties, as well as the degree to which the optimum state is constrained by available observations. The PISCEES proposal outlined two approaches for quantifying uncertainties. The first targets the full exploration of the uncertainty in model projections with sampling-based methods and a workflow managed by DAKOTA (the main delivery vehicle for software developed under QUEST). This is feasible for low-dimensional problems, e.g., those with a handful of global parameters to be inferred. This approach can benefit from derivative/adjoint information, but it is not necessary, which is why it often referred to as “non-intrusive”. The second approach makes heavy use of derivative information from model adjoints to address quantifying uncertainty in high-dimensions (e.g., basal boundary conditions in ice sheet models). The use of local gradient, or Hessian information (i.e., second derivatives of the cost function), requires additional code development and implementation, and is thus often referred to as an “intrusive” approach. Within PISCEES, MIT has been tasked to develop methods for derivative-based UQ, the ”intrusive” approach discussed above. These methods rely on the availability of first (adjoint) and second (Hessian) derivative code, developed through intrusive methods such as algorithmic differentiation (AD). While representing a significant burden in terms of code development, derivative-baesd UQ is able to cope with very high-dimensional uncertainty spaces. That is, unlike sampling methods (all variations of Monte Carlo), calculational burden is independent of the dimension of the uncertainty space. This is a significant advantage for spatially distributed uncertainty fields, such as threedimensional initial conditions, three-dimensional parameter fields, or two-dimensional surface and basal boundary conditions. Importantly, uncertainty fields for ice sheet models generally fall into this category.« less

The Long-Term Conditions Questionnaire: conceptual framework and item development.

PubMed

Peters, Michele; Potter, Caroline M; Kelly, Laura; Hunter, Cheryl; Gibbons, Elizabeth; Jenkinson, Crispin; Coulter, Angela; Forder, Julien; Towers, Ann-Marie; A'Court, Christine; Fitzpatrick, Ray

2016-01-01

To identify the main issues of importance when living with long-term conditions to refine a conceptual framework for informing the item development of a patient-reported outcome measure for long-term conditions. Semi-structured qualitative interviews (n=48) were conducted with people living with at least one long-term condition. Participants were recruited through primary care. The interviews were transcribed verbatim and analyzed by thematic analysis. The analysis served to refine the conceptual framework, based on reviews of the literature and stakeholder consultations, for developing candidate items for a new measure for long-term conditions. Three main organizing concepts were identified: impact of long-term conditions, experience of services and support, and self-care. The findings helped to refine a conceptual framework, leading to the development of 23 items that represent issues of importance in long-term conditions. The 23 candidate items formed the first draft of the measure, currently named the Long-Term Conditions Questionnaire. The aim of this study was to refine the conceptual framework and develop items for a patient-reported outcome measure for long-term conditions, including single and multiple morbidities and physical and mental health conditions. Qualitative interviews identified the key themes for assessing outcomes in long-term conditions, and these underpinned the development of the initial draft of the measure. These initial items will undergo cognitive testing to refine the items prior to further validation in a survey.

Identifying Ranges of Stellar Ages and Metallicities for Blue Supergiants in the Starburst Galaxy IC 10

NASA Astrophysics Data System (ADS)

Bordwell, Baylee; Ho, N.; Geha, M. C.; West, M.

2014-01-01

Dwarf galaxies transition from active star formation to relative quiescence after entering a dense environment such as a galaxy cluster. However, the mechanism behind this change is not fully understood. The problem is complicated by its heavy dependence on the initial conditions of the galaxy in question. To investigate the conditions of a galaxy prior to transition, we chose one of the best and nearest examples of a dwarf with active star formation, the Local Group member IC 10. We have obtained DEIMOS spectra of blue supergiants in this galaxy and determined the range of metallicities and ages for these stars using the equivalent width of the calcium triplet feature and isochrone fitting to photometry. By looking at the distribution of these metallicities in space and time we are able to gain insight into IC 10's recent evolutionary history and to get a clearer picture of the physical state of a dwarf galaxy prior to transition.

18 CFR 806.6 - Transfer of approvals.

Code of Federal Regulations, 2013 CFR

2013-04-01

... initiated prior to January 23, 1971. (iv) The project has no associated groundwater withdrawal that was... associated groundwater withdrawal that was initiated prior to July 13, 1978 and that has not been approved by...

18 CFR 806.6 - Transfer of approvals.

Code of Federal Regulations, 2012 CFR

2012-04-01

... initiated prior to January 23, 1971. (iv) The project has no associated groundwater withdrawal that was... associated groundwater withdrawal that was initiated prior to July 13, 1978 and that has not been approved by...

18 CFR 806.6 - Transfer of approvals.

Code of Federal Regulations, 2014 CFR

2014-04-01

... initiated prior to January 23, 1971. (iv) The project has no associated groundwater withdrawal that was... associated groundwater withdrawal that was initiated prior to July 13, 1978 and that has not been approved by...

Solidification Dynamics of Silver Drops in a Free Fall Environment

NASA Technical Reports Server (NTRS)

Grugel, Richard N.; Brush, Lucien N.

1999-01-01

Silver drops (99.9%, 4, 5, 7, and 9 mm diameter) were levitated, melted, and released to fall through Marshall Space Flight Center's 105m drop tube in helium - 6% hydrogen and pure argon atmospheres. By systematically varying the initial superheat condition of the drop the extent of solidification prior to impact ranged from complete to none during the approximately 4.6s of free fall time. Comparison of the experimental observations is made with numerical solutions to a model of the heat transfer and solidification kinetics associated with cooling of the drop during free fall, particularly with regard to the fraction of liquid transformed. Analysis reveals the relative importance of the initial parameters affecting the cooling and solidification rates within the drop. A discussion of the conditions under which the actual observations deviate from the assumptions used in the model is presented.

40 CFR 60.2195 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2011 CFR

2011-07-01

... initial startup? 60.2195 Section 60.2195 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY..., 2001 Recordkeeping and Reporting § 60.2195 What information must I submit prior to initial startup? You... startup. (a) The type(s) of waste to be burned. (b) The maximum design waste burning capacity. (c) The...

40 CFR 60.2195 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2012 CFR

2012-07-01

... initial startup? 60.2195 Section 60.2195 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY..., 2001 Recordkeeping and Reporting § 60.2195 What information must I submit prior to initial startup? You... startup. (a) The type(s) of waste to be burned. (b) The maximum design waste burning capacity. (c) The...

40 CFR 60.2195 - What information must I submit prior to initial startup?

Code of Federal Regulations, 2010 CFR

2010-07-01

... initial startup? 60.2195 Section 60.2195 Protection of Environment ENVIRONMENTAL PROTECTION AGENCY..., 2001 Recordkeeping and Reporting § 60.2195 What information must I submit prior to initial startup? You... startup. (a) The type(s) of waste to be burned. (b) The maximum design waste burning capacity. (c) The...

Qualification of Daiichi Units 1, 2, and 3 Data for Severe Accident Evaluations - Process and Illustrative Examples from Prior TMI-2 Evaluations

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

Rempe, Joy Lynn; Knudson, Darrell Lee

2014-09-01

The accidents at the Three Mile Island Unit 2 (TMI-2) Pressurized Water Reactor (PWR) and the Daiichi Units 1, 2, and 3 Boiling Water Reactors (BWRs) provide unique opportunities to evaluate instrumentation exposed to severe accident conditions. Conditions associated with the release of coolant and the hydrogen burn that occurred during the TMI-2 accident exposed instrumentation to harsh conditions, including direct radiation, radioactive contamination, and high humidity with elevated temperatures and pressures. As part of a program initiated in 2012 by the Department of Energy Office of Nuclear Energy (DOE-NE), a review was completed to gain insights from prior TMI-2more » sensor survivability and data qualification efforts. This initial review focused on the set of sensors deemed most important by post-TMI-2 instrumentation evaluation programs. Instrumentation evaluation programs focused on data required by TMI-2 operators to assess the condition of the reactor and containment and the effect of mitigating actions taken by these operators. In addition, prior efforts focused on sensors providing data required for subsequent forensic evaluations and accident simulations. To encourage the potential for similar activities to be completed for qualifying data from Daiichi Units 1, 2, and 3, this report provides additional details related to the formal process used to develop a qualified TMI-2 data base and presents data qualification details for three parameters: primary system pressure; containment building temperature; and containment pressure. As described within this report, sensor evaluations and data qualification required implementation of various processes, including comparisons with data from other sensors, analytical calculations, laboratory testing, and comparisons with sensors subjected to similar conditions in large-scale integral tests and with sensors that were similar in design to instruments easily removed from the TMI-2 plant for evaluations. As documented in this report, results from qualifying data for these parameters led to key insights related to TMI-2 accident progression. Hence, these selected examples illustrate the types of activities completed in the TMI-2 data qualification process and the importance of such a qualification effort. These details are documented in this report to facilitate implementation of similar process using data and examinations at the Daiichi Units 1, 2, and 3 reactors so that BWR-specific benefits can be obtained.« less

Enhancing second-order conditioning with lesions of the basolateral amygdala.

PubMed

Holland, Peter C

2016-04-01

Because the occurrence of primary reinforcers in natural environments is relatively rare, conditioned reinforcement plays an important role in many accounts of behavior, including pathological behaviors such as the abuse of alcohol or drugs. As a result of pairing with natural or drug reinforcers, initially neutral cues acquire the ability to serve as reinforcers for subsequent learning. Accepting a major role for conditioned reinforcement in everyday learning is complicated by the often-evanescent nature of this phenomenon in the laboratory, especially when primary reinforcers are entirely absent from the test situation. Here, I found that under certain conditions, the impact of conditioned reinforcement could be extended by lesions of the basolateral amygdala (BLA). Rats received first-order Pavlovian conditioning pairings of 1 visual conditioned stimulus (CS) with food prior to receiving excitotoxic or sham lesions of the BLA, and first-order pairings of another visual CS with food after that surgery. Finally, each rat received second-order pairings of a different auditory cue with each visual first-order CS. As in prior studies, relative to sham-lesioned control rats, lesioned rats were impaired in their acquisition of second-order conditioning to the auditory cue paired with the first-order CS that was trained after surgery. However, lesioned rats showed enhanced and prolonged second-order conditioning to the auditory cue paired with the first-order CS that was trained before amygdala damage was made. Implications for an enhanced role for conditioned reinforcement by drug-related cues after drug-induced alterations in neural plasticity are discussed. (PsycINFO Database Record (c) 2016 APA, all rights reserved).

Factors associated with pathways toward concurrent sex work and injection drug use among female sex workers who inject drugs in northern Mexico.

PubMed

Morris, Meghan D; Lemus, Hector; Wagner, Karla D; Martinez, Gustavo; Lozada, Remedios; Gómez, Rangel María Gudelia; Strathdee, Steffanie A

2013-01-01

To identify factors associated with time to initiation of (i) sex work prior to injecting drugs initiation; (ii) injection drug use prior to sex work initiation; and (iii) concurrent sex work and injection drug use (i.e. initiated at the same age) among female sex workers who currently inject drugs (FSW-IDU). Parametric survival analysis of baseline data for time to initiation event. Tijuana and Ciudad Juarez situated on the Mexico-US border. A total of 557 FSW-IDUs aged ≥18 years. Interview-administered surveys assessing context of sex work and injection drug use initiation. Nearly half (n = 258) initiated sex work prior to beginning to inject, a third (n = 163) initiated injection first and a quarter (n = 136) initiated both sex work and injection drug use concurrently. Low education and living in Ciudad Juarez accelerated time to sex work initiation. Being from a southern Mexican state and initiating drug use with inhalants delayed the time to first injection drug use. Having an intimate partner encourage entry into sex work and first injecting drugs to deal with depression accelerated time to initiating sex work and injection concurrently. Early physical abuse accelerated time to initiating sex work and injection, and substantially accelerated time to initiation of both behaviors concurrently. Among female sex workers who currently inject drugs in two Mexican-US border cities, nearly half appear to initiate sex work prior to beginning to inject, nearly one-third initiate injection drug use before beginning sex work and one-quarter initiate both behaviors concurrently. Predictors of these three trajectories differ, and this provides possible modifiable targets for prevention. © 2012 The Authors, Addiction © 2012 Society for the Study of Addiction.

A STUDY OF THE MECHANISM OF RADIATION-INDUCED GELATION IN MONOMER-POLYMER MIXTURES. Quarterly Summary Report, August 1, 1961-October 31, 1961

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

Odian, G.; Bernstein, B.S.; Kelly, J.J.

1961-11-01

Gel contents can be obtained with polyethylene swollen with inhibitor- free allyl acrylate or inhibitor-free allyl methacrylate at a dose of only 0.05 Mrads Using Co/sup 60/ as the radiation source, allyl methacrylate gives higher gel content than allyl acrylate under similar conditions. icant and continues after Co/sup 60/ irradiation has been completed. Monomer desorption after a dose of 1.2 Mrads is less than after 0.05 Mrads, and does not continue after irradiation is stopped. Gel contents can be obtained without prior equilibrium swelling of polymer--monomer mixtures by irradiating the polymer in the presence of the monomer in a nitrogenmore » atmosphere. By irradiating under these conditions with prior equilibrium swelling, gel fractions appear to be higher than those normally obtained. Gel contents of irradiated equilibrium-swollen polyethylene/ allyl acrylate and polyethylene/allyl methacrylate increase with increasing radiation dose from 0.05 to 1.2 Mrads. Gel contents of 1.2 Mrad irradiated polyethyleneallyl methacrylate systems containing various initial amounts of monomer, increase with increasing monomer content. Polypropylene can be radiation crosslinked to give over 40% gel by prior equilibrium swelling with allyl acrylate or allyl methacrylate. (auth)« less

Large-Scale Laboratory Experiments of Initiation of Motion and Burial of Objects under Currents and Waves

NASA Astrophysics Data System (ADS)

Landry, B. J.; Wu, H.; Wenzel, S. P.; Gates, S. J.; Fytanidis, D. K.; Garcia, M. H.

2017-12-01

Unexploded ordnances (UXOs) can be found at the bottom of coastal areas as the residue of military wartime activities, training or accidents. These underwater objects are hazards for humans and the coastal environment increasing the need for addressing the knowledge gaps regarding the initiation of motion, fate and transport of UXOs under currents and wave conditions. Extensive experimental analysis was conducted for the initiation of motion of UXOs under various rigid bed roughness conditions (smooth PVC, pitted steel, marbles, gravels and bed of spherical particles) for both unidirectional and oscillatory flows. Particle image velocimetry measurements were conducted under both flow conditions to resolve the flow structure estimate the critical flow conditions for initiation of motion of UXOs. Analysis of the experimental observations shows that the geometrical characteristics of the UXOs, their properties (i.e. volume, mass) and their orientation with respect to the mean flow play an important role on the reorientation and mobility of the examined objects. A novel unified initiation of motion diagram is proposed using an effective/unified hydrodynamic roughness and a new length scale which includes the effect of the projected area and the bed-UXO contact area. Both unidirectional and oscillatory critical flow conditions collapsed into a single dimensionless diagram highlighting the importance and practical applicability of the proposed work. In addition to the rigid bed experiments, the burial dynamics of proud UXOs on a mobile sand bed were also examined. The complex flow-bedform-UXOs interactions were evaluated which highlighted the effect of munition density on burial rate and final burial depth. Burial dynamics and mechanisms for motion were examined for various UXOs types, and results show that, for the case of the low density UXOs under energetic conditions, lateral transport coexists with burial. Prior to burial, UXO re-orientation was also observed depending on the geometric characteristics of the objects.

The utilization of a non-invasive fluorescence imaging system to follow clinical dermatological MAL-PDT

NASA Astrophysics Data System (ADS)

Tyrrell, Jessica; Campbell, Sandra; Curnow, Alison

2009-06-01

This study employed a commercially available, non-invasive, fluorescence imaging system (Dyaderm, Biocam, Germany), to measure protoporphyrin IX (PpIX) concentration at several different stages during clinical dermatological methyl aminolevulinate photodynamic therapy (MAL-PDT). We validated the system prior to use to ensure that the PpIX changes witnessed were accurate and not due to environmental or user induced artifacts. The system was then employed to acquire color (morphological) and fluorescent (physiological) images simultaneously during dermatological PDT. Clinical data was collected from a range of licensed dermatological conditions (actinic keratosis, Bowen's disease and superficial basal cell carcinoma) during initial and subsequent PDT treatment cycles. The initial clinical data indicated that each type of licensed lesion considered responded in a similar manner following the application of Metvix (Galderma, U.K.) and the subsequent light irradiation (Aktilite, Galderma, U.K.). Images acquired three hours after Metvix application showed a significant increase in PpIX concentration within the lesion (P < 0.05), whilst PpIX levels in the surrounding normal tissue remained unaltered. After irradiation, the PpIX concentration was significantly decreased and returned to a level similar to the initial concentration originally observed. Lesions that received subsequent treatment cycles accumulated significantly less PpIX (P < 0.05) prior to irradiation.

Impact of Annealing Prior to Solution Treatment on Aging Precipitates and Intergranular Corrosion Behavior of Al-Cu-Li Alloy 2050

NASA Astrophysics Data System (ADS)

Ye, Zhi-hao; Cai, Wen-xin; Li, Jin-feng; Chen, Xiang-rong; Zhang, Rui-feng; Birbilis, Nick; Chen, Yong-lai; Zhang, Xu-hu; Ma, Peng-cheng; Zheng, Zi-qiao

2018-06-01

The influences of annealing prior to solution treatment on the grain structure, subsequent aging precipitates, and intergranular corrosion (IGC) of Al-Cu-Li alloy (AA2050) sheet with T6 aging at 448 K (175 °C) were investigated. Annealing impedes the full recrystallization during solution treatment, increasing the population density of T1 (Al2CuLi) precipitates, but decreasing that of θ' (Al2Cu) precipitates, of the aged alloy. Meanwhile, annealing leads to the heterogeneous distribution of T1 precipitates, increasing the alloy hardness, and decreasing the open-circuit potential of the aged alloy. With prolonged aging time, the corrosion mode of the aged AA2050 samples with and without annealing evolved in a similar manner. The corrosion mode as a function of aging may be summarized as local IGC with pitting and general IGC with pitting (following initial aging and under the underaged condition), pitting corrosion (later in the under-aging stage), pitting with slight IGC (near the peak-aged condition), and pitting with local IGC (under the overaging condition). The annealing treatment hinders IGC propagation on the rolling surface while accelerating the IGC on transverse surfaces.

Impact of Annealing Prior to Solution Treatment on Aging Precipitates and Intergranular Corrosion Behavior of Al-Cu-Li Alloy 2050

NASA Astrophysics Data System (ADS)

Ye, Zhi-hao; Cai, Wen-xin; Li, Jin-feng; Chen, Xiang-rong; Zhang, Rui-feng; Birbilis, Nick; Chen, Yong-lai; Zhang, Xu-hu; Ma, Peng-cheng; Zheng, Zi-qiao

2018-04-01

The influences of annealing prior to solution treatment on the grain structure, subsequent aging precipitates, and intergranular corrosion (IGC) of Al-Cu-Li alloy (AA2050) sheet with T6 aging at 448 K (175 °C) were investigated. Annealing impedes the full recrystallization during solution treatment, increasing the population density of T1 (Al2CuLi) precipitates, but decreasing that of θ' (Al2Cu) precipitates, of the aged alloy. Meanwhile, annealing leads to the heterogeneous distribution of T1 precipitates, increasing the alloy hardness, and decreasing the open-circuit potential of the aged alloy. With prolonged aging time, the corrosion mode of the aged AA2050 samples with and without annealing evolved in a similar manner. The corrosion mode as a function of aging may be summarized as local IGC with pitting and general IGC with pitting (following initial aging and under the underaged condition), pitting corrosion (later in the under-aging stage), pitting with slight IGC (near the peak-aged condition), and pitting with local IGC (under the overaging condition). The annealing treatment hinders IGC propagation on the rolling surface while accelerating the IGC on transverse surfaces.

Fatigue Behavior and Deformation Mechanisms in Inconel 718 Superalloy Investigated

NASA Technical Reports Server (NTRS)

2005-01-01

The nickel-base superalloy Inconel 718 (IN 718) is used as a structural material for a variety of components in the space shuttle main engine (SSME) and accounts for more than half of the total weight of this engine. IN 718 is the bill-of-material for the pressure vessels of nickel-hydrogen batteries for the space station. In the case of the space shuttle main engine, structural components are typically subjected to startup and shutdown load transients and occasional overloads in addition to high-frequency vibratory loads from routine operation. The nickel-hydrogen battery cells are prooftested before service and are subjected to fluctuating pressure loads during operation. In both of these applications, the structural material is subjected to a monotonic load initially, which is subsequently followed by fatigue. To assess the life of these structural components, it is necessary to determine the influence of a prior monotonic load on the subsequent fatigue life of the superalloy. An insight into the underlying deformation and damage mechanisms is also required to properly account for the interaction between the prior monotonic load and the subsequent fatigue loading. An experimental investigation was conducted to establish the effect of prior monotonic straining on the subsequent fatigue behavior of wrought, double-aged, IN 718 at room temperature. First, monotonic strain tests and fully-reversed, strain-controlled fatigue tests were conducted on uniform-gage-section IN 718 specimens. Next, fully reversed fatigue tests were conducted under strain control on specimens that were monotonically strained in tension. Results from this investigation indicated that prior monotonic straining reduced the fatigue resistance of the superalloy particularly at the lowest strain range. Some of the tested specimens were sectioned and examined by transmission electron microscopy to reveal typical microstructures as well as the active deformation and damage mechanisms under each of the loading conditions. In monotonically strained specimens, deformation during the subsequent fatigue loading was mainly confined to the deformation bands initiated during the prior monotonic straining. This can cause dislocations to move more readily along the previously activated deformation bands and to pile up near grain boundaries, eventually making the grain boundaries susceptible to fatigue crack initiation. The mechanisms inferred from the microstructural investigation were extremely valuable in interpreting the influence of prior monotonic straining on the subsequent fatigue life of Inconel 718 superalloy.

Necrobiotic xanthogranuloma without a monoclonal gammopathy.

PubMed

Seastrom, Stacey; Bookout, Angela; Hogan, Daniel J

2014-12-01

Necrobiotic xanthogranuloma (NXG) is an indolent non-Langerhans cell histiocytosis characterized by yellow xanthomatous plaques that tend to ulcerate. Necrobiotic xanthogranulomas have a predilection for the bilateral periorbital region and often present with consequential ophthalmic findings. Histopathology usually reveals a distinctive pattern of histiocytic xanthogranuloma with hyaline necrobiosis. Necrobiotic xanthogranuloma has been documented to have a close association with paraproteinemia. We report the case of a 76-year-old man with periorbital NXG without development of a monoclonal gammopathy. Clinically, the patient presented with dry eyes and substantial periorbital edema with multiple yellow indurated plaques. He developed the condition 30 years prior to presentation at which time it was initially diagnosed as xanthelasma. He underwent surgical excision of the lesions 10 years prior to the current presentation and biopsy results revealed a diagnosis of NXG. The periorbital lesions recurred several years prior to presentation, prompting annual computed tomography scans to rule out ocular invasion. Periorbital edema and plaques improved during a 6-month regimen of acitretin but returned to baseline just months after discontinuation.

Hepatitis disease detection using Bayesian theory

NASA Astrophysics Data System (ADS)

Maseleno, Andino; Hidayati, Rohmah Zahroh

2017-02-01

This paper presents hepatitis disease diagnosis using a Bayesian theory for better understanding of the theory. In this research, we used a Bayesian theory for detecting hepatitis disease and displaying the result of diagnosis process. Bayesian algorithm theory is rediscovered and perfected by Laplace, the basic idea is using of the known prior probability and conditional probability density parameter, based on Bayes theorem to calculate the corresponding posterior probability, and then obtained the posterior probability to infer and make decisions. Bayesian methods combine existing knowledge, prior probabilities, with additional knowledge derived from new data, the likelihood function. The initial symptoms of hepatitis which include malaise, fever and headache. The probability of hepatitis given the presence of malaise, fever, and headache. The result revealed that a Bayesian theory has successfully identified the existence of hepatitis disease.

Student Teachers' Prior Experiences of History, Geography and Science: Initial Findings of an All-Ireland Survey

ERIC Educational Resources Information Center

Waldron, Fionnuala; Pike, Susan; Varley, Janet; Murphy, Colette; Greenwood, Richard

2007-01-01

Research into student teachers' perceptions, attitudes and prior experiences of learning suggests that these experiences can exert an influence on practice which can be relatively undisturbed by their initial teacher education. This article is based on the initial findings of an all-Ireland survey of all first-year students on B.Ed. courses in…

The Long-Term Conditions Questionnaire: conceptual framework and item development

PubMed Central

Peters, Michele; Potter, Caroline M; Kelly, Laura; Hunter, Cheryl; Gibbons, Elizabeth; Jenkinson, Crispin; Coulter, Angela; Forder, Julien; Towers, Ann-Marie; A’Court, Christine; Fitzpatrick, Ray

2016-01-01

Purpose To identify the main issues of importance when living with long-term conditions to refine a conceptual framework for informing the item development of a patient-reported outcome measure for long-term conditions. Materials and methods Semi-structured qualitative interviews (n=48) were conducted with people living with at least one long-term condition. Participants were recruited through primary care. The interviews were transcribed verbatim and analyzed by thematic analysis. The analysis served to refine the conceptual framework, based on reviews of the literature and stakeholder consultations, for developing candidate items for a new measure for long-term conditions. Results Three main organizing concepts were identified: impact of long-term conditions, experience of services and support, and self-care. The findings helped to refine a conceptual framework, leading to the development of 23 items that represent issues of importance in long-term conditions. The 23 candidate items formed the first draft of the measure, currently named the Long-Term Conditions Questionnaire. Conclusion The aim of this study was to refine the conceptual framework and develop items for a patient-reported outcome measure for long-term conditions, including single and multiple morbidities and physical and mental health conditions. Qualitative interviews identified the key themes for assessing outcomes in long-term conditions, and these underpinned the development of the initial draft of the measure. These initial items will undergo cognitive testing to refine the items prior to further validation in a survey. PMID:27621678

Rf-assisted current startup in FED

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

Borowski, S.K.; Peng, Y.K.M.; Kammash, T.

1981-01-01

Auxiliary rf heating of electrons before and during the current rise phase in FED is examined as a means of reducing both the initiation loop voltage and resistive flux expenditure during startup. Prior to current initiation, 1 to 2 MW of electron cyclotron resonance heating (ECRH) power at approximately 90 GHz is used to create a small volume of high conductivity plasma near the upper hybrid resonance (UHR) region. This plasma conditioning permits a small radius (a/sub o/ approximately 0.2-0.4 m) current channel to be established with a relatively low initial loop voltage (<25 V). During the subsequent plasma expansionmore » and current ramp phase, additional rf power is introduced to reduce volt-second consumption due to plasma resistance. The physics models used for analyzing the UHR heating and current rise phases are also discussed.« less

Assessment of initial soil moisture conditions for event-based rainfall-runoff modelling

NASA Astrophysics Data System (ADS)

Tramblay, Yves; Bouvier, Christophe; Martin, Claude; Didon-Lescot, Jean-François; Todorovik, Dragana; Domergue, Jean-Marc

2010-06-01

Flash floods are the most destructive natural hazards that occur in the Mediterranean region. Rainfall-runoff models can be very useful for flash flood forecasting and prediction. Event-based models are very popular for operational purposes, but there is a need to reduce the uncertainties related to the initial moisture conditions estimation prior to a flood event. This paper aims to compare several soil moisture indicators: local Time Domain Reflectometry (TDR) measurements of soil moisture, modelled soil moisture through the Interaction-Sol-Biosphère-Atmosphère (ISBA) component of the SIM model (Météo-France), antecedent precipitation and base flow. A modelling approach based on the Soil Conservation Service-Curve Number method (SCS-CN) is used to simulate the flood events in a small headwater catchment in the Cevennes region (France). The model involves two parameters: one for the runoff production, S, and one for the routing component, K. The S parameter can be interpreted as the maximal water retention capacity, and acts as the initial condition of the model, depending on the antecedent moisture conditions. The model was calibrated from a 20-flood sample, and led to a median Nash value of 0.9. The local TDR measurements in the deepest layers of soil (80-140 cm) were found to be the best predictors for the S parameter. TDR measurements averaged over the whole soil profile, outputs of the SIM model, and the logarithm of base flow also proved to be good predictors, whereas antecedent precipitations were found to be less efficient. The good correlations observed between the TDR predictors and the S calibrated values indicate that monitoring soil moisture could help setting the initial conditions for simplified event-based models in small basins.

Conditional Release Placements of Insanity Acquittees in Oregon: 2012-2014.

PubMed

Novosad, David; Banfe, Shelley; Britton, Juliet; Bloom, Joseph D

2016-03-01

Between January 1, 2012 and December 31, 2014, there was a large population (N = 200) of insanity acquittees placed on conditional release (CR) in the state of Oregon. This article looks at the demographic and system characteristics of this large group of individuals. The authors then focus on the initial housing placement and what happens to individuals after their release in relation to their housing placement. In Oregon, insanity acquittees are either conditionally released directly by the court or placed in the hospital prior to potential CR by a supervising board. In general, once CR occurs, individuals tend to stay in their initial placement without moving to less structured levels of care, raising concerns about transinstitutionalization. This is especially true for individuals released to the most structured living arrangement (secure residential treatment facility). Those individuals who are conditionally released to less structured settings have a higher rate of revocation back to the hospital. Those individuals who do move to less structured levels of care usually have longer hospital stays and start off in more structured levels of care to start their CR. Copyright © 2016 John Wiley & Sons, Ltd. Copyright © 2016 John Wiley & Sons, Ltd.

Global analysis of seasonal streamflow predictability using an ensemble prediction system and observations from 6192 small catchments worldwide

NASA Astrophysics Data System (ADS)

van Dijk, Albert I. J. M.; Peña-Arancibia, Jorge L.; Wood, Eric F.; Sheffield, Justin; Beck, Hylke E.

2013-05-01

Ideally, a seasonal streamflow forecasting system would ingest skilful climate forecasts and propagate these through calibrated hydrological models initialized with observed catchment conditions. At global scale, practical problems exist in each of these aspects. For the first time, we analyzed theoretical and actual skill in bimonthly streamflow forecasts from a global ensemble streamflow prediction (ESP) system. Forecasts were generated six times per year for 1979-2008 by an initialized hydrological model and an ensemble of 1° resolution daily climate estimates for the preceding 30 years. A post-ESP conditional sampling method was applied to 2.6% of forecasts, based on predictive relationships between precipitation and 1 of 21 climate indices prior to the forecast date. Theoretical skill was assessed against a reference run with historic forcing. Actual skill was assessed against streamflow records for 6192 small (<10,000 km2) catchments worldwide. The results show that initial catchment conditions provide the main source of skill. Post-ESP sampling enhanced skill in equatorial South America and Southeast Asia, particularly in terms of tercile probability skill, due to the persistence and influence of the El Niño Southern Oscillation. Actual skill was on average 54% of theoretical skill but considerably more for selected regions and times of year. The realized fraction of the theoretical skill probably depended primarily on the quality of precipitation estimates. Forecast skill could be predicted as the product of theoretical skill and historic model performance. Increases in seasonal forecast skill are likely to require improvement in the observation of precipitation and initial hydrological conditions.

Precooling With Crushed Ice: As Effective as Heat Acclimation at Improving Cycling Time-Trial Performance in the Heat.

PubMed

Zimmermann, Matthew; Landers, Grant; Wallman, Karen; Kent, Georgina

2018-02-01

This study compared the effects of precooling (ice ingestion) and heat-acclimation training on cycling time-trial (CTT) performance in the heat. Fifteen male cyclists/triathletes completed two 800-kJ CTTs in the heat, with a 12-d training program in between. Initially, all participants consumed 7 g/kg of water (22°C) in 30 min before completing an 800-kJ CTT in hot, humid conditions (pre-CTT) (35°C, 50% relative humidity [RH]). Participants were then split into 2 groups, with the precooling group (n = 7) training in thermoneutral conditions and then undergoing precooling with ice ingestion (7 g/kg, 1°C) prior to the final CTT (post-CTT) and the heat-acclimation group (n = 8) training in hot conditions (35°C, 50% RH) and consuming water (7 g/kg) prior to post-CTT. After training in both conditions, improvement in CTT time was deemed a likely positive benefit (precooling -166 ± 133 s, heat acclimation -105 ± 62 s), with this result being similar between conditions (d = 0.22, -0.68-1.08 90% confidence interval [CI]). Core temperature for post-CTT was lower in precooling than in heat acclimation from 20 min into the precooling period until the 100-kJ mark of the CTT (d > 0.98). Sweat onset occurred later in precooling (250 ± 100 s) than in heat acclimation (180 ± 80 s) for post-CTT (d = 0.65, -0.30-1.50 90% CI). Thermal sensation was lower at the end of the precooling period prior to post-CTT for the precooling trial than with heat acclimation (d = 1.24, 0.90-1.58 90% CI). Precooling with ice ingestion offers an alternative method of improving endurance-cycling performance in hot conditions if heat acclimation cannot be attained.

Safety of fentanyl initiation according to past opioid exposure among patients newly prescribed fentanyl patches

PubMed Central

Friesen, Kevin J.; Woelk, Cornelius; Bugden, Shawn

2016-01-01

Background: Although a convenient opioid delivery system, transdermal fentanyl patches have caused several deaths and resulted in safety warnings reminding prescribers that fentanyl patches should be prescribed only for patients who have adequate prior exposure to opioids. We conducted a longitudinal analysis of the safety of fentanyl initiation by examining past opioid exposure among patients newly prescribed fentanyl patches. Methods: We identified all patients in the province of Manitoba who were newly prescribed fentanyl patches between Apr. 1, 2001, and Mar. 31, 2013. We converted all prior opioid use to oral morphine equivalents and determined the average daily dose in the 7–30 days before initial fentanyl patch use. Fentanyl initiation was considered unsafe if the patient’s pre-fentanyl opioid exposure was below the recommended level. Results: We identified 11 063 patients who began using fentanyl patches during the study period. Overall, fentanyl initiation was deemed unsafe in 74.1% of cases because the patient’s prior opioid exposure was inadequate. Women and patients 65 years of age and older were more likely than men and younger patients, respectively, to have inadequate prior opioid exposure (p < 0.001 for each comparison). The proportion of patients who had unsafe prescriptions for fentanyl patches decreased significantly over the study period, from 87.0% in 2001 to 50.0% in 2012 (p < 0.001). Interpretation: The safety of fentanyl initiation improved over the study period, but still half of fentanyl patch prescriptions were written for patients with inadequate prior opioid exposure. Review of prior opioid exposure may be a simple but important way to improve the safe use of fentanyl patches. PMID:27044480

Abdominal multi-organ segmentation from CT images using conditional shape–location and unsupervised intensity priors

PubMed Central

Linguraru, Marius George; Hori, Masatoshi; Summers, Ronald M; Tomiyama, Noriyuki

2015-01-01

This paper addresses the automated segmentation of multiple organs in upper abdominal computed tomography (CT) data. The aim of our study is to develop methods to effectively construct the conditional priors and use their prediction power for more accurate segmentation as well as easy adaptation to various imaging conditions in CT images, as observed in clinical practice. We propose a general framework of multi-organ segmentation which effectively incorporates interrelations among multiple organs and easily adapts to various imaging conditions without the need for supervised intensity information. The features of the framework are as follows: (1) A method for modeling conditional shape and location (shape–location) priors, which we call prediction-based priors, is developed to derive accurate priors specific to each subject, which enables the estimation of intensity priors without the need for supervised intensity information. (2) Organ correlation graph is introduced, which defines how the conditional priors are constructed and segmentation processes of multiple organs are executed. In our framework, predictor organs, whose segmentation is sufficiently accurate by using conventional single-organ segmentation methods, are pre-segmented, and the remaining organs are hierarchically segmented using conditional shape–location priors. The proposed framework was evaluated through the segmentation of eight abdominal organs (liver, spleen, left and right kidneys, pancreas, gallbladder, aorta, and inferior vena cava) from 134 CT data from 86 patients obtained under six imaging conditions at two hospitals. The experimental results show the effectiveness of the proposed prediction-based priors and the applicability to various imaging conditions without the need for supervised intensity information. Average Dice coefficients for the liver, spleen, and kidneys were more than 92%, and were around 73% and 67% for the pancreas and gallbladder, respectively. PMID:26277022

Abdominal multi-organ segmentation from CT images using conditional shape-location and unsupervised intensity priors.

PubMed

Okada, Toshiyuki; Linguraru, Marius George; Hori, Masatoshi; Summers, Ronald M; Tomiyama, Noriyuki; Sato, Yoshinobu

2015-12-01

This paper addresses the automated segmentation of multiple organs in upper abdominal computed tomography (CT) data. The aim of our study is to develop methods to effectively construct the conditional priors and use their prediction power for more accurate segmentation as well as easy adaptation to various imaging conditions in CT images, as observed in clinical practice. We propose a general framework of multi-organ segmentation which effectively incorporates interrelations among multiple organs and easily adapts to various imaging conditions without the need for supervised intensity information. The features of the framework are as follows: (1) A method for modeling conditional shape and location (shape-location) priors, which we call prediction-based priors, is developed to derive accurate priors specific to each subject, which enables the estimation of intensity priors without the need for supervised intensity information. (2) Organ correlation graph is introduced, which defines how the conditional priors are constructed and segmentation processes of multiple organs are executed. In our framework, predictor organs, whose segmentation is sufficiently accurate by using conventional single-organ segmentation methods, are pre-segmented, and the remaining organs are hierarchically segmented using conditional shape-location priors. The proposed framework was evaluated through the segmentation of eight abdominal organs (liver, spleen, left and right kidneys, pancreas, gallbladder, aorta, and inferior vena cava) from 134 CT data from 86 patients obtained under six imaging conditions at two hospitals. The experimental results show the effectiveness of the proposed prediction-based priors and the applicability to various imaging conditions without the need for supervised intensity information. Average Dice coefficients for the liver, spleen, and kidneys were more than 92%, and were around 73% and 67% for the pancreas and gallbladder, respectively. Copyright © 2015 Elsevier B.V. All rights reserved.

Prior Knowledge Facilitates Mutual Gaze Convergence and Head Nodding Synchrony in Face-to-face Communication

PubMed Central

Thepsoonthorn, C.; Yokozuka, T.; Miura, S.; Ogawa, K.; Miyake, Y.

2016-01-01

As prior knowledge is claimed to be an essential key to achieve effective education, we are interested in exploring whether prior knowledge enhances communication effectiveness. To demonstrate the effects of prior knowledge, mutual gaze convergence and head nodding synchrony are observed as indicators of communication effectiveness. We conducted an experiment on lecture task between lecturer and student under 2 conditions: prior knowledge and non-prior knowledge. The students in prior knowledge condition were provided the basic information about the lecture content and were assessed their understanding by the experimenter before starting the lecture while the students in non-prior knowledge had none. The result shows that the interaction in prior knowledge condition establishes significantly higher mutual gaze convergence (t(15.03) = 6.72, p < 0.0001; α = 0.05, n = 20) and head nodding synchrony (t(16.67) = 1.83, p = 0.04; α = 0.05, n = 19) compared to non-prior knowledge condition. This study reveals that prior knowledge facilitates mutual gaze convergence and head nodding synchrony. Furthermore, the interaction with and without prior knowledge can be evaluated by measuring or observing mutual gaze convergence and head nodding synchrony. PMID:27910902

Prior Knowledge Facilitates Mutual Gaze Convergence and Head Nodding Synchrony in Face-to-face Communication.

PubMed

Thepsoonthorn, C; Yokozuka, T; Miura, S; Ogawa, K; Miyake, Y

2016-12-02

As prior knowledge is claimed to be an essential key to achieve effective education, we are interested in exploring whether prior knowledge enhances communication effectiveness. To demonstrate the effects of prior knowledge, mutual gaze convergence and head nodding synchrony are observed as indicators of communication effectiveness. We conducted an experiment on lecture task between lecturer and student under 2 conditions: prior knowledge and non-prior knowledge. The students in prior knowledge condition were provided the basic information about the lecture content and were assessed their understanding by the experimenter before starting the lecture while the students in non-prior knowledge had none. The result shows that the interaction in prior knowledge condition establishes significantly higher mutual gaze convergence (t(15.03) = 6.72, p < 0.0001; α = 0.05, n = 20) and head nodding synchrony (t(16.67) = 1.83, p = 0.04; α = 0.05, n = 19) compared to non-prior knowledge condition. This study reveals that prior knowledge facilitates mutual gaze convergence and head nodding synchrony. Furthermore, the interaction with and without prior knowledge can be evaluated by measuring or observing mutual gaze convergence and head nodding synchrony.

40 CFR 90.318 - Oxides of nitrogen analyzer calibration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... chemiluminescent oxides of nitrogen analyzer as described in this section. (b) Initial and Periodic Interference... and periodic calibration. Prior to its initial use and monthly thereafter, or within one month prior... following table). Example calibration points (%) Acceptable for calibration? 20, 30, 40, 50, 60, 70 No...

40 CFR 91.318 - Oxides of nitrogen analyzer calibration.

Code of Federal Regulations, 2011 CFR

2011-07-01

... nitrogen analyzer as described in this section. (b) Initial and periodic interference. Prior to its... is required. (c) Initial and periodic calibration. Prior to its introduction into service, and... 80 percent of the 10 to 90 percent range (64 percent) is required (see following table). Example...

40 CFR 91.318 - Oxides of nitrogen analyzer calibration.

Code of Federal Regulations, 2013 CFR

2013-07-01

... nitrogen analyzer as described in this section. (b) Initial and periodic interference. Prior to its... is required. (c) Initial and periodic calibration. Prior to its introduction into service, and... 80 percent of the 10 to 90 percent range (64 percent) is required (see following table). Example...

40 CFR 90.318 - Oxides of nitrogen analyzer calibration.

Code of Federal Regulations, 2011 CFR

2011-07-01

... chemiluminescent oxides of nitrogen analyzer as described in this section. (b) Initial and Periodic Interference... and periodic calibration. Prior to its initial use and monthly thereafter, or within one month prior... following table). Example calibration points (%) Acceptable for calibration? 20, 30, 40, 50, 60, 70 No...

40 CFR 91.318 - Oxides of nitrogen analyzer calibration.

Code of Federal Regulations, 2010 CFR

2010-07-01

... nitrogen analyzer as described in this section. (b) Initial and periodic interference. Prior to its... is required. (c) Initial and periodic calibration. Prior to its introduction into service, and... 80 percent of the 10 to 90 percent range (64 percent) is required (see following table). Example...

40 CFR 90.318 - Oxides of nitrogen analyzer calibration.

Code of Federal Regulations, 2013 CFR

2013-07-01

... chemiluminescent oxides of nitrogen analyzer as described in this section. (b) Initial and Periodic Interference... and periodic calibration. Prior to its initial use and monthly thereafter, or within one month prior... following table). Example calibration points (%) Acceptable for calibration? 20, 30, 40, 50, 60, 70 No...

5-HT2C receptors in the BNST are necessary for the enhancement of fear learning by selective serotonin reuptake inhibitors.

PubMed

Pelrine, Eliza; Pasik, Sara Diana; Bayat, Leyla; Goldschmiedt, Debora; Bauer, Elizabeth P

2016-12-01

Selective serotonin reuptake inhibitors (SSRIs) are widely prescribed to treat anxiety and depression, yet they paradoxically increase anxiety during initial treatment. Acute administration of these drugs prior to learning can also enhance Pavlovian cued fear conditioning. This potentiation has been previously reported to depend upon the bed nucleus of the stria terminalis (BNST). Here, using temporary inactivation, we confirmed that the BNST is not necessary for the acquisition of cued or contextual fear memory. Systemic administration of the SSRI citalopram prior to fear conditioning led to an upregulation of the immediate early gene Arc (activity-regulated cytoskeleton-associated protein) in the oval nucleus of the BNST, and a majority of these neurons expressed the 5-HT2C receptor. Finally, local infusions of a 5-HT2C receptor antagonist directly into the oval nucleus of the BNST prevented the fear memory-enhancing effects of citalopram. These findings highlight the ability of the BNST circuitry to be recruited into gating fear and anxiety-like behaviors. Copyright © 2016 Elsevier Inc. All rights reserved.

The Defense Acquisition Workforce Growth Initiative: Changing Workforce Characteristics and the Implications for Workforce Retention

DTIC Science & Technology

2017-01-01

entrants’ prior work experience . This dissertation utilizes DoD personnel data to (1) describe civilian DAW cohorts in terms of past work experience and...illustrate how the hiring surge has changed cohort past-work- experience characteristics; (2) evaluate how prior work experience relates to retention...growth initiative was fueled mainly by outside hires with no prior DoD experience , and some evidence suggests that these DoD newcomers—in general

The Photoconversion of Phytochrome Includes an Unproductive Shunt Reaction Pathway.

PubMed

Buhrke, David; Kuhlmann, Uwe; Michael, Norbert; Hildebrandt, Peter

2018-03-05

Phytochromes are modular bimodal photoswitches that control gene expression for morphogenetic processes in plants. These functions are triggered by photoinduced conversions between the inactive and active states of the photosensory module, denoted as Pr and Pfr, respectively. In the present time-resolved resonance Raman spectroscopic study of bacterial representatives of this photoreceptor family, we demonstrate that these phototransformations do not represent linear processes but include a branching reaction back to the initial state, prior to (de)activation of the output module. Thus, only a fraction of the photoreceptors undergoing the phototransformations can initiate the downstream signaling process, consistent with phytochrome's function as a sensor for more durable changes of light conditions. © 2018 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

76 FR 19121 - Notice of Submission of Proposed Information Collection to OMB Multifamily Project Applications...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-04-06

... Proposed Information Collection to OMB Multifamily Project Applications and Construction Prior to Initial... facilities is also required as part of the application for firm commitment for mortgage insurance. Project owners/sponsors may apply for permission to commence construction prior to initial endorsement. DATES...

Racial bias in sport medical staff's perceptions of others' pain.

PubMed

Druckman, James N; Trawalter, Sophie; Montes, Ivonne; Fredendall, Alexandria; Kanter, Noah; Rubenstein, Allison Paige

2017-11-27

Unequal treatment based on race is well documented in higher education and healthcare settings. In the present work, we examine racial bias at the intersection of these domains: racial bias in pain-related perceptions among National Collegiate Athletic Association (NCAA) Division 1 sport medical staff. Using experimental vignettes about a student-athlete who injured his/her anterior cruciate ligament (ACL), we find, like prior work, that respondents perceived Black (vs. White) targets as having higher initial pain tolerance. Moreover, this bias was mediated by perceptions of social class. We extend prior work by showing racial bias was not evident on other outcome measures, including perception of recovery process pain, likelihood of over-reporting pain, and over-use of drugs to combat pain. This suggests stricter boundary conditions on bias in pain perceptions than had been previously recognized.

The interaction of Bayesian priors and sensory data and its neural circuit implementation in visually-guided movement

PubMed Central

Yang, Jin; Lee, Joonyeol; Lisberger, Stephen G.

2012-01-01

Sensory-motor behavior results from a complex interaction of noisy sensory data with priors based on recent experience. By varying the stimulus form and contrast for the initiation of smooth pursuit eye movements in monkeys, we show that visual motion inputs compete with two independent priors: one prior biases eye speed toward zero; the other prior attracts eye direction according to the past several days’ history of target directions. The priors bias the speed and direction of the initiation of pursuit for the weak sensory data provided by the motion of a low-contrast sine wave grating. However, the priors have relatively little effect on pursuit speed and direction when the visual stimulus arises from the coherent motion of a high-contrast patch of dots. For any given stimulus form, the mean and variance of eye speed co-vary in the initiation of pursuit, as expected for signal-dependent noise. This relationship suggests that pursuit implements a trade-off between movement accuracy and variation, reducing both when the sensory signals are noisy. The tradeoff is implemented as a competition of sensory data and priors that follows the rules of Bayesian estimation. Computer simulations show that the priors can be understood as direction specific control of the strength of visual-motor transmission, and can be implemented in a neural-network model that makes testable predictions about the population response in the smooth eye movement region of the frontal eye fields. PMID:23223286

Applying Sequential Analytic Methods to Self-Reported Information to Anticipate Care Needs.

PubMed

Bayliss, Elizabeth A; Powers, J David; Ellis, Jennifer L; Barrow, Jennifer C; Strobel, MaryJo; Beck, Arne

2016-01-01

Identifying care needs for newly enrolled or newly insured individuals is important under the Affordable Care Act. Systematically collected patient-reported information can potentially identify subgroups with specific care needs prior to service use. We conducted a retrospective cohort investigation of 6,047 individuals who completed a 10-question needs assessment upon initial enrollment in Kaiser Permanente Colorado (KPCO), a not-for-profit integrated delivery system, through the Colorado State Individual Exchange. We used responses from the Brief Health Questionnaire (BHQ), to develop a predictive model for cost for receiving care in the top 25 percent, then applied cluster analytic techniques to identify different high-cost subpopulations. Per-member, per-month cost was measured from 6 to 12 months following BHQ response. BHQ responses significantly predictive of high-cost care included self-reported health status, functional limitations, medication use, presence of 0-4 chronic conditions, self-reported emergency department (ED) use during the prior year, and lack of prior insurance. Age, gender, and deductible-based insurance product were also predictive. The largest possible range of predicted probabilities of being in the top 25 percent of cost was 3.5 percent to 96.4 percent. Within the top cost quartile, examples of potentially actionable clusters of patients included those with high morbidity, prior utilization, depression risk and financial constraints; those with high morbidity, previously uninsured individuals with few financial constraints; and relatively healthy, previously insured individuals with medication needs. Applying sequential predictive modeling and cluster analytic techniques to patient-reported information can identify subgroups of individuals within heterogeneous populations who may benefit from specific interventions to optimize initial care delivery.

Spontaneous creation of the Universe Ex Nihilo

NASA Astrophysics Data System (ADS)

Lincoln, Maya; Wasser, Avi

2013-12-01

Questions regarding the formation of the Universe and ‘what was there’ before it came to existence have been of great interest to mankind at all times. Several suggestions have been presented during the ages - mostly assuming a preliminary state prior to creation. Nevertheless, theories that require initial conditions are not considered complete, since they lack an explanation of what created such conditions. We therefore propose the ‘Creatio Ex Nihilo’ (CEN) theory, aimed at describing the origin of the Universe from ‘nothing’ in information terms. The suggested framework does not require amendments to the laws of physics: but rather provides a new scenario to the Universe initiation process, and from that point merges with state-of-the-art cosmological models. The paper is aimed at providing a first step towards a more complete model of the Universe creation - proving that creation Ex Nihilo is feasible. Further adjustments, elaborations, formalisms and experiments are required to formulate and support the theory.

Restorative justice innovations in Canada.

PubMed

Wilson, Robin J; Huculak, Bria; McWhinnie, Andrew

2002-01-01

As many jurisdictions move towards more retributive measures as a means to address public discontent with crime, a parallel movement has developed in regard to restorative justice. This article presents three restorative initiatives currently in use in Canada. Each initiative addresses offender behavior and community engagement at a different point in the justice continuum. The use of Sentencing Circles is an example of how restorative justice principles can be instituted at the front end, prior to an offender becoming lodged in the system. The Restorative Justice Options to Parole Suspension project demonstrates how community engagement can assist in preventing offenders from being returned to the system once they have achieved conditional release. The Circles of Support and Accountability project has enlisted the support of professionally supported volunteers in the community reintegration of high-risk sexual offenders. These initiatives are presented within a framework of effective correctional interventions and increased empowerment for a variety of stakeholders. Copyright 2002 John Wiley & Sons, Ltd.

On the Principles of Building a Layered Intrusion

NASA Astrophysics Data System (ADS)

Marsh, B. D.

2009-12-01

An accurate and realistic understanding of all magmatic processes involves knowing the combined physical and chemical fundamentals governing the overall process. Magmatic processes involve such a vast array of sub-processes (e.g., heat and mass transfer, crystal growth, slurry transport and sorting, annealing, resorbtion, etc.) that rarely is there any single feature or measurement that can be safely inverted to solve the problem. And each event as in the formation of an intrusion must at some level for heuristic purposes be defined as an isolated event. This is commonly done without much forethought, as is the absolutely critical assumption of the initial conditions defining the beginning of the event. Almost without exception, it is the initial conditions that determine the outcome of the entire process in all physical and biological systems. Automobile factories produce motorized vehicles not water melons or chimpanzees. Nucleosynthesis of H and He always gives the same set of elements. The initial conditions of the magma giving rise to the end product for mafic layered systems are especially difficult to discern and must be bounded by observing simpler, real time magmatic and volcanic processes. Initial conditions come from posing a series of questions: What was the style and duration of filling? What was the rate of influx and final volume of each delivery of magma? What was the compositional variation and phenocryst content of the individual magmatic deliveries? If phenocrysts are present, were they sorted prior to injection during ascension? What was the original and ongoing shape of the magmatic reservoir? A failure to appreciate or answer such basic questions leads to vastly untenable evolutionary scenarios. Unrealistic initial conditions necessarily lead to unrealistic magmatic scenarios. There are certain safe starting points. Eruptive and emplacement fluxes are limited. The larger an intrusion is the longer it took to build and the longer to build the more varied are the deliveries in time, volume, and constitution. Instantaneous emplacement of crystal free magma are unlikely initial conditions for a large intrusion. The most realistic initial conditions are that intrusions are made of a combination of crystal poor and crystal-rich inputs. Examples abound of the outcomes of systems with clearly known initial conditions. The huge Sudbury magma was produced in 5 minutes at a temperature of 1700C. Clearly crystal free, it produced no layering whatsoever. Sills worldwide, regardless of size, approaching these initial conditions are similarly featureless. At the other extreme are the lava outputs of large volcanic systems like Kilauea. The ensuing lava lakes produced over months are filled with magma containing varied amounts of phenocrysts/xenocrysts and ultramafic layers are produced. Intrusions abound of all sizes that show the same characteristics. Ponding in crystal-laden sills forms layered systems with many of the features of large bodies. Rapid cooling preserves diagnostic textural relations lost to annealing in large bodies. Slow cooling promotes annealing to sharpen and accentuate the initial modal and cryptic layering. Initial conditions are fundamental to understanding the final product. Physical processes buttressed by chemistry mainly dominate magmatic systems.

Influence of Thermal Aging on Tensile and Low Cycle Fatigue Behavior of Type 316LN Austenitic Stainless Steel Weld Joint

NASA Astrophysics Data System (ADS)

Suresh Kumar, T.; Nagesha, A.; Ganesh Kumar, J.; Parameswaran, P.; Sandhya, R.

2018-05-01

Influence of short-term thermal aging on the low-cycle fatigue (LCF) behavior of 316LN austenitic stainless steel weld joint with 0.07 wt pct N has been investigated. Prior thermal exposure was found to improve the fatigue life compared with the as-welded condition. Besides, the treatment also imparted a softening effect on the weld metal, leading to an increase in the ductility of the weld joint which had a bearing on the cyclic stress response. The degree of cyclic hardening was seen to increase after aging. Automated ball-indentation (ABI) technique was employed toward understanding the mechanical properties of individual zones across the weld joint. It was observed that the base metal takes most of the applied cyclic strain during LCF deformation in the as-welded condition. In the aged condition, however, the weld also participates in the cyclic deformation. The beneficial effect of thermal aging on cyclic life is attributed to a reduction in the severity of the metallurgical notch leading to a restoration of ductility of the weld region. The transformation of δ-ferrite to σ-phase during the aging treatment was found to influence the location of crack initiation. Fatigue cracks were found to initiate in the base metal region of the joint in most of the testing conditions. However, embrittlement in the weld metal caused a shift in the point of crack initiation with increasing strain amplitude under LCF.

Infrared traffic image enhancement algorithm based on dark channel prior and gamma correction

NASA Astrophysics Data System (ADS)

Zheng, Lintao; Shi, Hengliang; Gu, Ming

2017-07-01

The infrared traffic image acquired by the intelligent traffic surveillance equipment has low contrast, little hierarchical differences in perceptions of image and the blurred vision effect. Therefore, infrared traffic image enhancement, being an indispensable key step, is applied to nearly all infrared imaging based traffic engineering applications. In this paper, we propose an infrared traffic image enhancement algorithm that is based on dark channel prior and gamma correction. In existing research dark channel prior, known as a famous image dehazing method, here is used to do infrared image enhancement for the first time. Initially, in the proposed algorithm, the original degraded infrared traffic image is transformed with dark channel prior as the initial enhanced result. A further adjustment based on the gamma curve is needed because initial enhanced result has lower brightness. Comprehensive validation experiments reveal that the proposed algorithm outperforms the current state-of-the-art algorithms.

Common clinical conditions - age, low BMI, ritonavir use, mild renal impairment - affect tenofovir pharmacokinetics in a large cohort of HIV-infected women.

PubMed

Baxi, Sanjiv M; Greenblatt, Ruth M; Bacchetti, Peter; Scherzer, Rebecca; Minkoff, Howard; Huang, Yong; Anastos, Kathryn; Cohen, Mardge; Gange, Stephen J; Young, Mary; Shlipak, Michael G; Gandhi, Monica

2014-01-02

Tenofovir is used commonly in HIV treatment and prevention settings, but factors that correlate with tenofovir exposure in real-world settings are unknown. Intensive pharmacokinetic studies of tenofovir in a large, diverse cohort of HIV-infected women over 24 h at steady state were performed and factors that influenced exposure [assessed by areas under the concentration-time curves (AUCs)] identified. HIV-infected women (n = 101) on tenofovir-based therapy underwent intensive 24-h pharmacokinetic sampling. Data on race/ethnicity, age, exogenous steroid use, menstrual cycle phase, concomitant medications, recreational drugs and/or tobacco, hepatic and renal function, weight, and BMI were collected. Multivariable models using forward stepwise selection identified factors associated with effects on AUC. Glomerular filtration rates (GFRs) prior to starting tenofovir were estimated by the Chronic Kidney Disease Epidemiology Collaboration (CKD-EPI) equation using both creatinine and cystatin-C measures. The median (range) of tenofovir AUCs was 3350 (1031-13 911) ng × h/ml. Higher AUCs were associated with concomitant ritonavir use (1.33-fold increase, P = 0.002), increasing age (1.21-fold increase per decade, P = 0.0007), and decreasing BMI (1.04-fold increase per 10% decrease in BMI). When GFR was calculated using cystatin-C measures, mild renal insufficiency prior to tenofovir initiation was associated with higher subsequent exposure (1.35-fold increase when pre-tenofovir GFR <70 ml/min, P = 0.0075). Concomitant ritonavir use, increasing age, decreasing BMI, and lower GFR prior to tenofovir initiation as estimated by cystatin C were all associated with elevated tenofovir exposure in a diverse cohort of HIV-infected women. Clinicians treating HIV-infected women should be aware of common clinical conditions that affect tenofovir exposure when prescribing this medication.

Treatment of painful diabetic peripheral neuropathy.

PubMed

Rosenberg, Casandra J; Watson, James C

2015-02-01

Painful diabetic peripheral neuropathy impairs quality of life and can be difficult to treat. To discuss current treatment recommendations for painful diabetic peripheral neuropathy. Literature review. Systematic review of the literature discussing treatment of painful diabetic peripheral neuropathy. Existing treatment guidelines were studied and compared. Painful diabetic peripheral neuropathy occurs in about one in six people with diabetes. This condition impairs quality of life and increases healthcare costs. Treatment recommendations exist, but individual patient therapy can require a trial-and-error approach. Many treatment options have adjuvant benefits or side effects which should be considered prior to initiating therapy. Often, a combination of treatment modalities with various mechanisms of action is required for adequate pain control. Adequate medication titration and a reasonable trial period should be allowed. The treatment of painful diabetic peripheral neuropathy can be challenging, but effective management can improve patient's quality of life. Painful diabetic peripheral neuropathy impairs quality of life and can be difficult to treat. Many treatment options have adjuvant benefits or side effects which should be considered prior to initiating therapy. Often, a combination of treatment modalities with various mechanisms of action is required for adequate pain control. © The International Society for Prosthetics and Orthotics 2014.

How likely are constituent quanta to initiate inflation?

DOE PAGES

Berezhiani, Lasha; Trodden, Mark

2015-08-06

In this study, we propose an intuitive framework for studying the problem of initial conditions in slow-roll inflation. In particular, we consider a universe at high, but sub-Planckian energy density and analyze the circumstances under which it is plausible for it to become dominated by inflated patches at late times, without appealing to the idea of self-reproduction. Our approach is based on defining a prior probability distribution for the constituent quanta of the pre-inflationary universe. To test the idea that inflation can begin under very generic circumstances, we make specific – yet quite general and well grounded – assumptions onmore » the prior distribution. As a result, we are led to the conclusion that the probability for a given region to ignite inflation at sub-Planckian densities is extremely small. Furthermore, if one chooses to use the enormous volume factor that inflation yields as an appropriate measure, we find that the regions of the universe which started inflating at densities below the self-reproductive threshold nevertheless occupy a negligible physical volume in the present universe as compared to those domains that have never inflated.« less

Repeated Exposure to Conditioned Fear Stress Increases Anxiety and Delays Sleep Recovery Following Exposure to an Acute Traumatic Stressor

PubMed Central

Greenwood, Benjamin N.; Thompson, Robert S.; Opp, Mark R.; Fleshner, Monika

2014-01-01

Repeated stressor exposure can sensitize physiological responses to novel stressors and facilitate the development of stress-related psychiatric disorders including anxiety. Disruptions in diurnal rhythms of sleep–wake behavior accompany stress-related psychiatric disorders and could contribute to their development. Complex stressors that include fear-eliciting stimuli can be a component of repeated stress experienced by human beings, but whether exposure to repeated fear can prime the development of anxiety and sleep disturbances is unknown. In the current study, adult male F344 rats were exposed to either control conditions or repeated contextual fear conditioning for 22 days followed by exposure to no, mild (10), or severe (100) acute uncontrollable tail shock stress. Exposure to acute stress produced anxiety-like behavior as measured by a reduction in juvenile social exploration and exaggerated shock-elicited freezing in a novel context. Prior exposure to repeated fear enhanced anxiety-like behavior as measured by shock-elicited freezing, but did not alter social exploratory behavior. The potentiation of anxiety produced by prior repeated fear was temporary; exaggerated fear was present 1 day but not 4 days following acute stress. Interestingly, exposure to acute stress reduced rapid eye movement (REM) and non-REM (NREM) sleep during the hours immediately following acute stress. This initial reduction in sleep was followed by robust REM rebound and diurnal rhythm flattening of sleep/wake behavior. Prior repeated fear extended the acute stress-induced REM and NREM sleep loss, impaired REM rebound, and prolonged the flattening of the diurnal rhythm of NREM sleep following acute stressor exposure. These data suggest that impaired recovery of sleep/wake behavior following acute stress could contribute to the mechanisms by which a history of prior repeated stress increases vulnerability to subsequent novel stressors and stress-related disorders. PMID:25368585

Initial stability of cementless acetabular cups: press-fit and screw fixation interaction--an in vitro biomechanical study.

PubMed

Tabata, Tomonori; Kaku, Nobuhiro; Hara, Katsutoshi; Tsumura, Hiroshi

2015-04-01

Press-fit and screw fixation are important technical factors to achieve initial stability of a cementless acetabular cup for good clinical results of total hip arthroplasty. However, how these factors affect one another in initial cup fixation remains unclear. Therefore, this study aimed to evaluate the mutual influence between press-fit and screw fixation on initial cup stability. Foam bone was subjected to exact hemispherical-shape machining to diameters of 48, 48.5 and 49 mm. A compressive force was applied to ensure seating of a 48-mm-diameter acetabular cup in the foam bone prior to testing. Screws were inserted in six different conditions and tightened in a radial direction at the same torque strength. Then, the socket was rotated with a twist-testing machine, and the torque value at the start of axial rotation between the socket and the foam bone was measured under each screw condition. The torque values for the 48-mm-diameter reaming were >20 N m higher than those for the 48.5- and 49-mm-diameter reaming in each screw condition, indicating that press-fit fixation is stronger than screw fixation. Meanwhile, torque values for the 48.5- and 49-mm-diameter reaming tended to increase with increasing the number of screws. According to our experiment, press-fit fixation of a cementless acetabular cup achieved rigid stability. Although the supplemental screws increased stability of the implant under good press-fit conditions, they showed little impact on whole-cup stability. In the case of insufficient press-fit fixation, cup stability depends on screw stability and increasing the number of additional screws increases cup stability.

Drought stress leads to systemic induced susceptibility to a nectrotrophic fungus associated with mountain pine beetle in Pinus banksiana seedlings.

PubMed

Klutsch, Jennifer G; Shamoun, Simon Francis; Erbilgin, Nadir

2017-01-01

Conifers have complex defense responses to initial attacks by insects and pathogens that can have cascading effects on success of subsequent colonizers. However, drought can affect a plant's ability to respond to biotic agents by potentially altering the resources needed for the energetically costly production of induced defense chemicals. We investigated the impact of reduced water on induced chemical defenses of jack pine (Pinus banksiana) seedlings from initial attack by biotic agents and resistance to subsequent challenge inoculation with a pathogenic fungal associate of mountain pine beetle (Dendroctonus ponderosae), Grosmannia clavigera. Applications of phytohormones (methyl salicylate and methyl jasmonate) and G. clavigera were used for initial induction of defenses. Monoterpene concentrations varied with initial induction from fungal and phytohormone application while watering treatment had no effect. Seedlings treated with G. clavigera and methyl jasmonate had the greatest monoterpene concentrations compared to the control and methyl salicylate-treated seedlings. However, the monoterpene response to the challenge inoculation varied with watering treatments, not with prior induction treatments, with lower monoterpene concentrations in fungal lesions on seedlings in the low to moderate watering treatments compared to normal watering treatment. Furthermore, prior induction from phytohormones resulted in systemic cross-induction of resistance to G. clavigera under normal watering treatment but susceptibility under low watering treatment. Seedlings stressed by low water conditions, which also had lower stomatal conductance than seedlings in the normal watering treatment, likely allocated resources to initial defense response but were left unable to acquire further resources for subsequent responses. Our results demonstrate that drought can affect interactions among tree-infesting organisms through systemic cross-induction of susceptibility.

Drought stress leads to systemic induced susceptibility to a nectrotrophic fungus associated with mountain pine beetle in Pinus banksiana seedlings

PubMed Central

Shamoun, Simon Francis; Erbilgin, Nadir

2017-01-01

Conifers have complex defense responses to initial attacks by insects and pathogens that can have cascading effects on success of subsequent colonizers. However, drought can affect a plant’s ability to respond to biotic agents by potentially altering the resources needed for the energetically costly production of induced defense chemicals. We investigated the impact of reduced water on induced chemical defenses of jack pine (Pinus banksiana) seedlings from initial attack by biotic agents and resistance to subsequent challenge inoculation with a pathogenic fungal associate of mountain pine beetle (Dendroctonus ponderosae), Grosmannia clavigera. Applications of phytohormones (methyl salicylate and methyl jasmonate) and G. clavigera were used for initial induction of defenses. Monoterpene concentrations varied with initial induction from fungal and phytohormone application while watering treatment had no effect. Seedlings treated with G. clavigera and methyl jasmonate had the greatest monoterpene concentrations compared to the control and methyl salicylate-treated seedlings. However, the monoterpene response to the challenge inoculation varied with watering treatments, not with prior induction treatments, with lower monoterpene concentrations in fungal lesions on seedlings in the low to moderate watering treatments compared to normal watering treatment. Furthermore, prior induction from phytohormones resulted in systemic cross-induction of resistance to G. clavigera under normal watering treatment but susceptibility under low watering treatment. Seedlings stressed by low water conditions, which also had lower stomatal conductance than seedlings in the normal watering treatment, likely allocated resources to initial defense response but were left unable to acquire further resources for subsequent responses. Our results demonstrate that drought can affect interactions among tree-infesting organisms through systemic cross-induction of susceptibility. PMID:29216258

28 CFR 79.14 - Proof of initial exposure prior to age 21.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Proof of initial exposure prior to age 21. 79.14 Section 79.14 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS UNDER THE RADIATION EXPOSURE COMPENSATION ACT Eligibility Criteria for Claims Relating to Leukemia § 79.14 Proof of...

28 CFR 79.14 - Proof of initial exposure prior to age 21.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Proof of initial exposure prior to age 21. 79.14 Section 79.14 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS UNDER THE RADIATION EXPOSURE COMPENSATION ACT Eligibility Criteria for Claims Relating to Leukemia § 79.14 Proof of...

28 CFR 79.14 - Proof of initial exposure prior to age 21.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 28 Judicial Administration 2 2013-07-01 2013-07-01 false Proof of initial exposure prior to age 21. 79.14 Section 79.14 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS UNDER THE RADIATION EXPOSURE COMPENSATION ACT Eligibility Criteria for Claims Relating to Leukemia § 79.14 Proof of...

28 CFR 79.14 - Proof of initial exposure prior to age 21.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 28 Judicial Administration 2 2014-07-01 2014-07-01 false Proof of initial exposure prior to age 21. 79.14 Section 79.14 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS UNDER THE RADIATION EXPOSURE COMPENSATION ACT Eligibility Criteria for Claims Relating to Leukemia § 79.14 Proof of...

28 CFR 79.14 - Proof of initial exposure prior to age 21.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 28 Judicial Administration 2 2012-07-01 2012-07-01 false Proof of initial exposure prior to age 21. 79.14 Section 79.14 Judicial Administration DEPARTMENT OF JUSTICE (CONTINUED) CLAIMS UNDER THE RADIATION EXPOSURE COMPENSATION ACT Eligibility Criteria for Claims Relating to Leukemia § 79.14 Proof of...

40 CFR 86.327-79 - Quench checks; NOX analyzer.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Quench checks; NOX analyzer. (a) Perform the reaction chamber quench check for each model of high vacuum reaction chamber analyzer prior to initial use. (b) Perform the reaction chamber quench check for each new analyzer that has an ambient pressure or “soft vacuum” reaction chamber prior to initial use. Additionally...

40 CFR 86.327-79 - Quench checks; NOX analyzer.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Quench checks; NOX analyzer. (a) Perform the reaction chamber quench check for each model of high vacuum reaction chamber analyzer prior to initial use. (b) Perform the reaction chamber quench check for each new analyzer that has an ambient pressure or “soft vacuum” reaction chamber prior to initial use. Additionally...

Predictors of Post-concussion Rehabilitation Outcomes at Three-month Follow-up.

PubMed

Scott, Katie L; Strong, Carrie-Ann H; Gorter, Bethany; Donders, Jacobus

2016-01-01

To determine factors related to three-month follow-up outcomes for individuals participating in an outpatient rehabilitative treatment program for mild traumatic brain injury (TBI). Fifty participants underwent neuropsychological screening prior to treatment initiation and completed the Mayo-Portland Adaptability Inventory-4 (MPAI-4) at treatment initiation, discharge from treatment, and three months following discharge. Regression models indicated that information garnered from the neuropsychological screening prior to treatment initiation (e.g., mood symptoms and prior psychiatric history) accounted for unique variance in three-month post-discharge outcomes on several MPAI-4 subscales. Specifically, after controlling for baseline MPAI-4 ratings, higher Beck Depression Inventory-second edition (BDI-II) scores were associated with worse MPAI-4 Ability scores at three-month follow-up, and the presence of a psychiatric history was associated with worse MPAI-4 Adjustment scores at three-month follow-up. Neuropsychological screening prior to the initiation of treatment for mild TBI can help to identify patients who may be at greater risk for poorer rehabilitation outcomes, thus allowing for the implementation of specific interventions to address these risk factors.

15 CFR Supplement No. 1 to Part 716 - Notification, Duration and Frequency of Inspections

Code of Federal Regulations, 2010 CFR

2010-01-01

... prior to arrival of Inspection Team at the point of entry (initial); 24 hours prior to arrival of Inspection Team at the point of entry (routine) 48 hours prior to arrival of Inspection Team at the plant site 120 hours prior to arrival of Inspection Team at the plant site 120 hours prior to arrival of...

15 CFR Supplement No. 1 to Part 716 - Notification, Duration and Frequency of Inspections

Code of Federal Regulations, 2011 CFR

2011-01-01

... prior to arrival of Inspection Team at the point of entry (initial); 24 hours prior to arrival of Inspection Team at the point of entry (routine) 48 hours prior to arrival of Inspection Team at the plant site 120 hours prior to arrival of Inspection Team at the plant site 120 hours prior to arrival of...

15 CFR Supplement No. 1 to Part 716 - Notification, Duration and Frequency of Inspections

Code of Federal Regulations, 2013 CFR

2013-01-01

... prior to arrival of Inspection Team at the point of entry (initial); 24 hours prior to arrival of Inspection Team at the point of entry (routine) 48 hours prior to arrival of Inspection Team at the plant site 120 hours prior to arrival of Inspection Team at the plant site 120 hours prior to arrival of...

HIV/AIDS and Associated Conditions among HIV-Infected Refugees in Minnesota, 2000–2007

PubMed Central

Lowther, Sara A.; Johnson, Glenise; Hendel-Paterson, Brett; Nelson, Kailey; Mamo, Blain; Krohn, Kristina; Pessoa-Brandão, Luisa; O’Fallon, Ann; Stauffer, William

2012-01-01

In 2010, the requirement for human immunodeficiency virus (HIV) testing of adult refugees prior to US resettlement was removed, thus leading to a potential for missed diagnosis. We reviewed refugee health assessment data and medical charts to evaluate the health status of HIV-infected refugees who arrived in Minnesota during 2000–2007, prior to this 2010 policy change. Among 19,292 resettled adults, 174 were HIV-infected; 169 (97%) were African (median age 26.4 (range: 17–76) years). Charts were abstracted for 157 (124 (79%) with ≥1 year of follow-up). At initial presentation, two of 74 (3%) women were pregnant; 27% became pregnant during follow-up. HIV clinical stage varied (59%, asymptomatic; 11%, mild symptoms; 10%, advanced symptoms; 3%, severe symptoms; 17%, unknown); coinfections were common (51 tuberculosis, 13 hepatitis B, 13 parasites, four syphilis). Prior to arrival 4% had received antiretrovirals. Opportunistic infections were diagnosed among 13%; 2% died from AIDS-related causes. Arrival screening may be needed to identify these HIV-infected refugees and prevent HIV-related morbidity and mortality. PMID:23202841

Effects of scopolamine on autonomic profiles underlying motion sickness susceptibility

NASA Technical Reports Server (NTRS)

Uijtdehaage, Sebastian H. J.; Stern, Robert M.; Koch, Kenneth L.

1993-01-01

The purpose of this study was to examine the effects of scopolamine on the physiological patterns occurring prior to and during motion sickness stimulation. In addition, the use of physiological profiles in the prediction of motion sickness was evaluated. Sixty subjects ingested either 0.6 mg scopolamine, 2.5 mg methoscopolamine, or a placebo. Heart rate (HR), respiratory sinus arrhythmia (an index of vagal tone), and electrogastrograms were measured prior to and during the exposure to a rotating optokinetic drum. Compared to the other groups, the scopolamine group reported fewer motion sickness symptoms, and displayed lower HR, higher vagal tone, enhanced normal gastric myoelectric activity, and depressed gastric dysrhythmias before and during motion sickness induction. Distinct physiological profiles prior to drum rotation could reliably differentiate individuals who would develop gastric discomfort from those who would not. Symptom-free subjects were characterized by high levels of vagal tone and low HR across conditions, and by maintaining normal (3 cpm) electrogastrographic activity during drum rotation. It was concluded that scopolamine offered motion sickness protection by initiating a pattern of increased vagal tone and gastric myoelectric stability.

Correlates and predictors of colorectal cancer screening among male automotive workers.

PubMed

McQueen, Amy; Vernon, Sally W; Myers, Ronald E; Watts, Beatty G; Lee, Eun Sul; Tilley, Barbara C

2007-03-01

Most studies examining factors associated with colorectal cancer (CRC) screening (CRCS) are cross-sectional and thus temporal relationships cannot be determined. Furthermore, less attention has been paid to psychosocial predictors of CRCS. We examined both cross-sectional correlates of prior CRCS and predictors of prospective CRCS initiation and maintenance during The Next Step Trial, a 2-year worksite behavioral intervention to promote regular CRCS and dietary change. The sample included 2,693 White male automotive workers at increased occupational risk for, but no history of, CRC who completed a baseline survey. Stratified analyses were conducted for three dependent variables (prior CRCS, CRCS initiation, and CRCS maintenance). We also assessed prior CRCS as a moderator in prospective analyses. Multivariable logistic regression analyses with generalized linear mixed models were used to adjust for cluster sampling. Except for education, cross-sectional correlates of prior CRCS including older age, family history of CRC or polyps, personal history of polyps, self-efficacy, family support, and intention were also significant prospective predictors of increased CRCS during the trial. Despite differences in the patterns of association for CRCS initiation and maintenance in stratified analyses, the only associations with prospective CRCS that were significantly moderated by prior CRCS were family history and CRCS availability. Correlates of prior CRCS that also were prospective predictors of CRCS may be suitable targets for intervention. Additionally, intervention messages addressing psychosocial constructs may be relevant for both CRCS initiation and maintenance. However, studies with more diverse samples are needed to replicate the results reported here.

A case of imported Middle East Respiratory Syndrome coronavirus infection and public health response, Greece, April 2014.

PubMed

Tsiodras, S; Baka, A; Mentis, A; Iliopoulos, D; Dedoukou, X; Papamavrou, G; Karadima, S; Emmanouil, M; Kossyvakis, A; Spanakis, N; Pavli, A; Maltezou, H; Karageorgou, A; Spala, G; Pitiriga, V; Kosmas, E; Tsiagklis, S; Gkatzias, S; Koulouris, Ng; Koutsoukou, A; Bakakos, P; Markozanhs, E; Dionellis, G; Pontikis, K; Rovina, N; Kyriakopoulou, M; Efstathiou, P; Papadimitriou, T; Kremastinou, J; Tsakris, A; Saroglou, G

2014-04-24

On 18 April 2014, a case of Middle East Respiratory Syndrome coronavirus (MERS-CoV) infection was laboratory confirmed in Athens, Greece in a patient returning from Jeddah, Saudi Arabia. Main symptoms upon initial presentation were protracted fever and diarrhoea, during hospitalisation he developed bilateral pneumonia and his condition worsened. During 14 days prior to onset of illness, he had extensive contact with the healthcare environment in Jeddah. Contact tracing revealed 73 contacts, no secondary cases had occurred by 22 April.

Torquing preload in a lubricated bolt

NASA Technical Reports Server (NTRS)

Seegmiller, H. L.

1978-01-01

The tension preload obtained by torquing a 7/8 in. diam UNC high strength bolt was determined for lubricated and dry conditions. Consistent preload with a variation of + or - 3% was obtained when the bolt head area was lubricated prior to each torque application. Preload tensions nearly 70% greater than the value predicted with the commonly used formula occurred with the lubricated bolt. A reduction to 39% of the initial preload was observed during 50 torque applications without relubrication. Little evidence of wear was noted after 203 cycles of tightening.

Power and Thermal Technologies for Air and Space-Scientific Research Program. Delivery Order 0012: High-Temperature Superconductor Performance Enhancement

DTIC Science & Technology

2010-06-01

house to grow CNTs. Initially the CNTs were grown at atmospheric pressure using C2H2/Ar mixtures. Prior to deposition, the quartz tube of the reactor...imaged clearly. It appears that there could be some amorphous carbon present on the surface of the tubes with the present set of conditions used and...chip cooling with CNT microfin architectures have been recently proposed by Kordas et al. [5]. CNT films as thermal interface materials were also

34 CFR 99.30 - Under what conditions is prior consent required to disclose information?

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Under what conditions is prior consent required to disclose information? 99.30 Section 99.30 Education Office of the Secretary, Department of Education FAMILY... Information From Education Records? § 99.30 Under what conditions is prior consent required to disclose...

The role of cleaning conditions and epitaxial layer structure on reliability of Sc 2O 3 and MgO passivation on AlGaN/GaN HEMTS

NASA Astrophysics Data System (ADS)

Luo, B.; Mehandru, R. M.; Kim, Jihyun; Ren, F.; Gila, B. P.; Onstine, A. H.; Abernathy, C. R.; Pearton, S. J.; Fitch, R. C.; Gillespie, J.; Dellmer, R.; Jenkins, T.; Sewell, J.; Via, D.; Crespo, A.

2002-12-01

The effect of layer structure (GaN versus AlGaN cap) and cleaning procedure prior to Sc 2O 3 or MgO deposition at 100 °C were examined for their effects on the long-term bias-stress stability of AlGaN/GaN high electron mobility transistors (HEMTs). Surface cleaning by itself was not sufficient to prevent current collapse in the devices. The forward and reverse gate leakage currents were decreased under most conditions upon deposition of the oxide passivation layers. After ≈13 h of bias-stressing, the MgO-passivated HEMTs retain ⩾90% their initial drain-source current. The Sc 2O 3-passivated devices retained ˜80% recovery of the current under the same conditions.

Effects of alcohol, initial gambling outcomes, impulsivity, and gambling cognitions on gambling behavior using a video poker task.

PubMed

Corbin, William R; Cronce, Jessica M

2017-06-01

Drinking and gambling frequently co-occur, and concurrent gambling and drinking may lead to greater negative consequences than either behavior alone. Building on prior research on the effects of alcohol, initial gambling outcomes, impulsivity, and gambling cognitions on gambling behaviors using a chance-based (nonstrategic) slot-machine task, the current study explored the impact of these factors on a skill-based (strategic) video poker task. We anticipated larger average bets and greater gambling persistence under alcohol relative to placebo, and expected alcohol effects to be moderated by initial gambling outcomes, impulsivity, and gambling cognitions. Participants (N = 162; 25.9% female) were randomly assigned to alcohol (target BrAC = .08g%) or placebo and were given $10 to wager on a simulated video poker task, which was programmed to produce 1 of 3 initial outcomes (win, breakeven, or lose) before beginning a progressive loss schedule. Despite evidence for validity of the video poker task and alcohol administration paradigm, primary hypotheses were not supported. Individuals who received alcohol placed smaller wagers than participants in the placebo condition, though this effect was not statistically significant, and the direction of effects was reversed in at-risk gamblers (n = 41). These findings contradict prior research and suggest that alcohol effects on gambling behavior may differ by gambling type (nonstrategic vs. strategic games). Interventions that suggest alcohol is universally disinhibiting may be at odds with young adults' lived experience and thus be less effective than those that recognize the greater complexity of alcohol effects. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Effects of alcohol, initial gambling outcomes, impulsivity and gambling cognitions on gambling behavior using a video poker task

PubMed Central

Corbin, William R.; Cronce, Jessica M.

2017-01-01

Drinking and gambling frequently co-occur, and concurrent gambling and drinking may lead to greater negative consequences than either behavior alone. Building on prior research on the effects of alcohol, initial gambling outcomes, impulsivity, and gambling cognitions on gambling behaviors using a chance-based (non-strategic) slot-machine task, the current study explored the impact of these factors on a skill-based (strategic) video poker task. We anticipated larger average bets and greater gambling persistence under alcohol relative to placebo, and expected alcohol effects to be moderated by initial gambling outcomes, impulsivity, and gambling cognitions. Participants (N=162; 25.9% female) were randomly assigned to alcohol (target BrAC = .08 g%) or placebo and were given $10 to wager on a simulated video poker task, which was programmed to produce 1 of 3 initial outcomes (win, breakeven, or lose) before beginning a progressive loss schedule. Despite evidence for validity of the video poker task and alcohol administration paradigm, primary hypotheses were not supported. Individuals who received alcohol placed smaller wagers than participants in the placebo condition, though this effect was not statistically significant, and the direction of effects was reversed in at-risk gamblers (n=41). These findings contradict prior research and suggest that alcohol effects on gambling behavior may differ by gambling type (non-strategic vs. strategic games). Interventions that suggest alcohol is universally disinhibiting may be at odds with young adults’ lived experience and thus be less effective than those that recognize the greater complexity of alcohol effects. PMID:28493742

Improving the hardness of dry granulated tablets containing sodium lauryl sulfate.

PubMed

Moore, Francis; Okelo, Geoffrey; Colón, Ivelisse; Kushner, Joseph

2010-11-15

The impact of the addition of a wetting agent, the surfactant sodium lauryl sulfate (SLS), on the tablet hardness of a dry granulated, solid oral dosage form was investigated. In three batches, SLS was added concurrently with: (1) a poorly soluble, highly hydrophobic active pharmaceutical ingredient (API) and the other excipients prior to the initial blending step, (2) magnesium stearate prior to roller compaction, or (3) magnesium stearate prior to tableting. A fourth batch, which did not contain SLS, served as a control. The maximum hardness of 100 mg, 1/4″-SRC tablets for the four batches--SLS added initially, prior to roller compaction, prior to tableting, and no SLS--were 61±3, 71±3, 89±5, and 86±3N, respectively, suggesting reduced processing of SLS improves tablet hardness by ∼50%. Dissolution of the tablets in 900 ml of simulated gastric fluid with paddles at 75 rpm showed that: (1) there was no impact on the insertion point of SLS into the process on API dissolution, and (2) that the presence of SLS improved dissolution by 5% compared to the control tablets. Adding SLS just prior to tableting can improve tablet hardness and yield similar dissolution performance relative to SLS addition prior to the initial blending step. Copyright © 2010 Elsevier B.V. All rights reserved.

Rogue waves and large deviations in deep sea.

PubMed

Dematteis, Giovanni; Grafke, Tobias; Vanden-Eijnden, Eric

2018-01-30

The appearance of rogue waves in deep sea is investigated by using the modified nonlinear Schrödinger (MNLS) equation in one spatial dimension with random initial conditions that are assumed to be normally distributed, with a spectrum approximating realistic conditions of a unidirectional sea state. It is shown that one can use the incomplete information contained in this spectrum as prior and supplement this information with the MNLS dynamics to reliably estimate the probability distribution of the sea surface elevation far in the tail at later times. Our results indicate that rogue waves occur when the system hits unlikely pockets of wave configurations that trigger large disturbances of the surface height. The rogue wave precursors in these pockets are wave patterns of regular height, but with a very specific shape that is identified explicitly, thereby allowing for early detection. The method proposed here combines Monte Carlo sampling with tools from large deviations theory that reduce the calculation of the most likely rogue wave precursors to an optimization problem that can be solved efficiently. This approach is transferable to other problems in which the system's governing equations contain random initial conditions and/or parameters.

Bronchoscopic drainage of a malignant lung abscess.

PubMed

Katsenos, Stamatis; Psathakis, Konstantinos; Chatzivasiloglou, Fotini; Antonogiannaki, Elvira-Markela; Psara, Anthoula; Tsintiris, Konstantinos

2015-04-01

Bronchoscopic drainage of a pyogenic lung abscess is an established therapeutic approach in selected patients in whom conventional antibiotic therapy fails. This intervention has also been undertaken in patients with abscess owing to underlying lung cancer and prior combined radiochemotherapy. However, this procedure has rarely been performed in cavitary lesions of advanced tumor origin before initiating any chemotherapy/radiotherapy scheme. Herein, we describe a case of a 68-year-old woman with lung adenocarcinoma stage IIIB, who underwent bronchoscopic drainage of necrotizing tumor lesion, thus improving her initial poor clinical condition and rendering other treatment modalities, such as radiotherapy, more effective and beneficial. Bronchoscopic drainage of a symptomatic cancerous lung abscess should be considered as an alternative and palliative treatment approach in patients with advanced inoperable non-small cell lung cancer.

Cross-modal Savings in the Contralateral Eyelid Conditioned Response

PubMed Central

Campolattaro, Matthew M.; Buss, Eric W.; Freeman, John H.

2015-01-01

The present experiment monitored bilateral eyelid responses during eyeblink conditioning in rats trained with a unilateral unconditioned stimulus (US). Three groups of rats were used to determine if cross-modal savings occurs when the location of the US is switched from one eye to the other. Rats in each group first received paired or unpaired eyeblink conditioning with a conditioned stimulus (tone or light; CS) and a unilateral periorbital electrical stimulation US. All rats were subsequently given paired training, but with the US location (Group 1), CS modality (Group 2), or US location and CS modality (Group 3) changed. Changing the location of the US alone resulted in an immediate transfer of responding in both eyelids (Group 1) in rats that received paired training prior to the transfer session. Rats in groups 2 and 3 that initially received paired training showed facilitated learning to the new CS modality during the transfer sessions, indicating that cross-modal savings occurs whether or not the location of the US is changed. All rats that were initially given unpaired training acquired conditioned eyeblink responses similar to de novo acquisition rate during the transfer sessions. Savings of CR incidence was more robust than savings of CR amplitude when the US switched sides, a finding that has implications for elucidating the neural mechanisms of cross-modal savings. PMID:26501170

Sleep Hygiene and Recovery Strategies in Elite Soccer Players.

PubMed

Nédélec, Mathieu; Halson, Shona; Delecroix, Barthélémy; Abaidia, Abd-Elbasset; Ahmaidi, Said; Dupont, Gregory

2015-11-01

In elite soccer, players are frequently exposed to various situations and conditions that can interfere with sleep (e.g., playing night matches interspersed with 3 days; performing activities demanding high levels of concentration close to bedtime; use of products containing caffeine or alcohol in the period preceding bedtime; regular daytime napping throughout the week; variable wake-up times or bedtime), potentially leading to sleep deprivation. We outline simple, practical, and pharmaceutical-free sleep strategies that are coordinated to the constraints of elite soccer in order to promote sleep. Sleep deprivation is best alleviated by sleep extension; however, sleep hygiene strategies (i.e., consistent sleep pattern, appropriate napping, and active daytime behaviors) can be utilized to promote restorative sleep. Light has a profound impact on sleep, and sleep hygiene strategies that support the natural environmental light-dark cycle (i.e., red-light treatment prior to sleep, dawn-simulation therapy prior to waking) and prevent cycle disruption (i.e., filtering short wavelengths prior to sleep) may be beneficial to elite soccer players. Under conditions of inordinate stress, techniques such as brainwave entrainment and meditation are promising sleep-promoting strategies, but future studies are required to ascertain the applicability of these techniques to elite soccer players. Consuming high-electrolyte fluids such as milk, high-glycemic index carbohydrates, some forms of protein immediately prior to sleep, as well as tart cherry juice concentrate and tryptophan may promote rehydration, substrate stores replenishment, muscle-damage repair and/or restorative sleep. The influence of cold water immersion performed close to bedtime on subsequent sleep is still debated. Conversely, the potential detrimental effects of sleeping medication must be recognized. Sleep initiation is influenced by numerous factors, reinforcing the need for future research to identify such factors. Efficient and individualized sleep hygiene strategies may consequently be proposed.

Influence of Algae Age and Population on the Response to TiO₂ Nanoparticles.

PubMed

Metzler, David M; Erdem, Ayca; Huang, Chin Pao

2018-03-25

This work shows the influence of algae age (at the time of the exposure) and the initial algae population on the response of green algae Raphidocelis subcapitata to titanium dioxide nanoparticles (TiO₂ NPs). The different algae age was obtained by changes in flow rate of continually stirred tank reactors prior to NP exposure. Increased algae age led to a decreased growth, variations in chlorophyll content, and an increased lipid peroxidation. Increased initial algae population (0.3-4.2 × 10⁶ cells/mL) at a constant NP concentration (100 mg/L) caused a decline in the growth of algae. With increased initial algae population, the lipid peroxidation and chlorophyll both initially decreased and then increased. Lipid peroxidation had 4× the amount of the control at high and low initial population but, at mid-ranged initial population, had approximately half the control value. Chlorophyll a results also showed a similar trend. These results indicate that the physiological state of the algae is important for the toxicological effect of TiO₂ NPs. The condition of algae and exposure regime must be considered in detail when assessing the toxicological response of NPs to algae.

Influence of Algae Age and Population on the Response to TiO2 Nanoparticles

PubMed Central

Metzler, David M.; Erdem, Ayca; Huang, Chin Pao

2018-01-01

This work shows the influence of algae age (at the time of the exposure) and the initial algae population on the response of green algae Raphidocelis subcapitata to titanium dioxide nanoparticles (TiO2 NPs). The different algae age was obtained by changes in flow rate of continually stirred tank reactors prior to NP exposure. Increased algae age led to a decreased growth, variations in chlorophyll content, and an increased lipid peroxidation. Increased initial algae population (0.3−4.2 × 106 cells/mL) at a constant NP concentration (100 mg/L) caused a decline in the growth of algae. With increased initial algae population, the lipid peroxidation and chlorophyll both initially decreased and then increased. Lipid peroxidation had 4× the amount of the control at high and low initial population but, at mid-ranged initial population, had approximately half the control value. Chlorophyll a results also showed a similar trend. These results indicate that the physiological state of the algae is important for the toxicological effect of TiO2 NPs. The condition of algae and exposure regime must be considered in detail when assessing the toxicological response of NPs to algae. PMID:29587381

Initiation Processes of the Tropical Intraseasonal Variability Simulated in an Aqua-Planet Experiment: What is the Intrinsic Mechanism for MJO Onset?

NASA Astrophysics Data System (ADS)

Takasuka, Daisuke; Satoh, Masaki; Miyakawa, Tomoki; Miura, Hiroaki

2018-04-01

To understand the intrinsic onset mechanism of the Madden-Julian Oscillation (MJO), we simulated a set of initiation processes of MJO-like disturbances in 10 year aqua-planet experiments using a global atmospheric model with a 56 km horizontal mesh and an explicit cloud scheme. Under a condition with a zonally nonuniform sea surface temperature (SST) in the tropics, we reproduced MJO-like disturbances over the western warm pool region. The lagged-composite analysis of detected MJO-like disturbances clarifies the time sequence of three-dimensional dynamic and moisture fields prior to the onset. We found that midtropospheric moistening, a condition that is favorable for deep convection, is particularly obvious in the initiation region 5-9 days before onset. The moistening is caused by two-dimensional horizontal advection due to cross-equatorial shallow circulations associated with mixed Rossby-gravity waves, as well as anomalous poleward flows of a negative Rossby response to suppressed convection. When the midtroposphere is sufficiently moistened, lower tropospheric signals of circumnavigating Kelvin waves trigger active convection. The surface latent heat flux (LHF) feedback contributes to the initial stages of convective organization, while the cloud-radiation feedback contributes to later stages. Sensitivity experiments suggest that circumnavigating Kelvin waves regulate the period of MJO-like disturbances because of efficient convective triggering and that the LHF feedback contributes to rapid convective organization. However, the experiments also reveal that both conditions are not necessary for the existence of MJO-like disturbances. Implications for the relevance of these mechanisms for MJO onset are also discussed.

Aging effect on step adjustments and stability control in visually perturbed gait initiation.

PubMed

Sun, Ruopeng; Cui, Chuyi; Shea, John B

2017-10-01

Gait adaptability is essential for fall avoidance during locomotion. It requires the ability to rapidly inhibit original motor planning, select and execute alternative motor commands, while also maintaining the stability of locomotion. This study investigated the aging effect on gait adaptability and dynamic stability control during a visually perturbed gait initiation task. A novel approach was used such that the anticipatory postural adjustment (APA) during gait initiation were used to trigger the unpredictable relocation of a foot-size stepping target. Participants (10 young adults and 10 older adults) completed visually perturbed gait initiation in three adjustment timing conditions (early, intermediate, late; all extracted from the stereotypical APA pattern) and two adjustment direction conditions (medial, lateral). Stepping accuracy, foot rotation at landing, and Margin of Dynamic Stability (MDS) were analyzed and compared across test conditions and groups using a linear mixed model. Stepping accuracy decreased as a function of adjustment timing as well as stepping direction, with older subjects exhibited a significantly greater undershoot in foot placement to late lateral stepping. Late adjustment also elicited a reaching-like movement (i.e. foot rotation prior to landing in order to step on the target), regardless of stepping direction. MDS measures in the medial-lateral and anterior-posterior direction revealed both young and older adults exhibited reduced stability in the adjustment step and subsequent steps. However, young adults returned to stable gait faster than older adults. These findings could be useful for future study of screening deficits in gait adaptability and preventing falls. Copyright © 2017 Elsevier B.V. All rights reserved.

Seasonal simulations using a coupled ocean-atmosphere model with data assimilation

NASA Astrophysics Data System (ADS)

Larow, Timothy Edward

1997-10-01

A coupled ocean-atmosphere initialization scheme using Newtonian relaxation has been developed for the Florida State University coupled ocean-atmosphere global general circulation model. The coupled model is used for seasonal predictions of the boreal summers of 1987 and 1988. The atmosphere model is a modified version of the Florida State University global spectral model, resolution triangular truncation 42 waves. The ocean general circulation model consists of a slightly modified version developed by Latif (1987). Coupling is synchronous with exchange of information every two model hours. Using daily analysis from ECMWF and observed monthly mean SSTs from NCEP, two - one year, time dependent, Newtonian relaxation were conducted using the coupled model prior to the seasonal forecasts. Relaxation was selectively applied to the atmospheric vorticity, divergence, temperature, and dew point depression equations, and to the ocean's surface temperature equation. The ocean's initial conditions are from a six year ocean-only simulation which used observed wind stresses and a relaxation towards observed SSTs for forcings. Coupled initialization was conducted from 1 June 1986 to 1 June 1987 for the 1987 boreal forecast and from 1 June 1987 to 1 June 1988 for the 1988 boreal forecast. Examination of annual means of net heat flux, freshwater flux and wind stress obtained by from the initialization show close agreement with Oberhuber (1988) climatology and the Florida State University pseudo wind stress analysis. Sensitivity of the initialization/assimilation scheme was tested by conducting two - ten member ensemble integrations. Each member was integrated for 90 days (June-August) of the respective year. Initial conditions for the ensembles consisted of the same ocean state as used by the initialize forecasts, while the atmospheric initial conditions were from ECMWF analysis centered on 1 June of the respective year. Root mean square error and anomaly correlations between observed and forecasted SSTs in the Nino 3 and Nino 4 regions show greater skill between the initialized forecasts than the ensemble forecasts. It is hypothesized that differences in the specific humidity within the planetary boundary layer are responsible for the large SST errors noted with the ensembles.

Atypical anticipatory postural adjustments during gait initiation among individuals with sub-acute stroke.

PubMed

Rajachandrakumar, Roshanth; Fraser, Julia E; Schinkel-Ivy, Alison; Inness, Elizabeth L; Biasin, Lou; Brunton, Karen; McIlroy, William E; Mansfield, Avril

2017-02-01

Anticipatory postural adjustments, executed prior to gait initiation, help preserve lateral stability when stepping. Atypical patterns of anticipatory activity prior to gait initiation may occur in individuals with unilateral impairment (e.g., stroke). This study aimed to determine the prevalence, correlates, and consequences of atypical anticipatory postural adjustment patterns prior to gait initiation in a sub-acute stroke population. Forty independently-ambulatory individuals with sub-acute stroke stood on two force plates and initiated gait at a self-selected speed. Medio-lateral centre of pressure displacement was calculated and used to define anticipatory postural adjustments (shift in medio-lateral centre of pressure >10mm from baseline). Stroke severity, motor recovery, and functional balance and mobility status were also obtained. Three patterns were identified: single (typical), absent (atypical), and multiple (atypical) anticipatory postural adjustments. Thirty-five percent of trials had atypical anticipatory postural adjustments (absent and multiple). Frequency of absent anticipatory postural adjustments was negatively correlated with walking speed. Multiple anticipatory postural adjustments were more prevalent when leading with the non-paretic than the paretic limb. Trials with multiple anticipatory postural adjustments had longer duration of anticipatory postural adjustment and time to foot-off, and shorter unloading time than trials with single anticipatory postural adjustments. A high prevalence of atypical anticipatory control prior to gait initiation was found in individuals with stroke. Temporal differences were identified with multiple anticipatory postural adjustments, indicating altered gait initiation. These findings provide insight into postural control during gait initiation in individuals with sub-acute stroke, and may inform interventions to improve ambulation in this population. Copyright © 2016 Elsevier B.V. All rights reserved.

Mouse-tracking evidence for parallel anticipatory option evaluation.

PubMed

Cranford, Edward A; Moss, Jarrod

2017-12-23

In fast-paced, dynamic tasks, the ability to anticipate the future outcome of a sequence of events is crucial to quickly selecting an appropriate course of action among multiple alternative options. There are two classes of theories that describe how anticipation occurs. Serial theories assume options are generated and evaluated one at a time, in order of quality, whereas parallel theories assume simultaneous generation and evaluation. The present research examined the option evaluation process during a task designed to be analogous to prior anticipation tasks, but within the domain of narrative text comprehension. Prior research has relied on indirect, off-line measurement of the option evaluation process during anticipation tasks. Because the movement of the hand can provide a window into underlying cognitive processes, online metrics such as continuous mouse tracking provide more fine-grained measurements of cognitive processing as it occurs in real time. In this study, participants listened to three-sentence stories and predicted the protagonists' final action by moving a mouse toward one of three possible options. Each story was presented with either one (control condition) or two (distractor condition) plausible ending options. Results seem most consistent with a parallel option evaluation process because initial mouse trajectories deviated further from the best option in the distractor condition compared to the control condition. It is difficult to completely rule out all possible serial processing accounts, although the results do place constraints on the time frame in which a serial processing explanation must operate.

Forecasting seasonal influenza with a state-space SIR model.

PubMed

Osthus, Dave; Hickmann, Kyle S; Caragea, Petruţa C; Higdon, Dave; Del Valle, Sara Y

2017-03-01

Seasonal influenza is a serious public health and societal problem due to its consequences resulting from absenteeism, hospitalizations, and deaths. The overall burden of influenza is captured by the Centers for Disease Control and Prevention's influenza-like illness network, which provides invaluable information about the current incidence. This information is used to provide decision support regarding prevention and response efforts. Despite the relatively rich surveillance data and the recurrent nature of seasonal influenza, forecasting the timing and intensity of seasonal influenza in the U.S. remains challenging because the form of the disease transmission process is uncertain, the disease dynamics are only partially observed, and the public health observations are noisy. Fitting a probabilistic state-space model motivated by a deterministic mathematical model [a susceptible-infectious-recovered (SIR) model] is a promising approach for forecasting seasonal influenza while simultaneously accounting for multiple sources of uncertainty. A significant finding of this work is the importance of thoughtfully specifying the prior, as results critically depend on its specification. Our conditionally specified prior allows us to exploit known relationships between latent SIR initial conditions and parameters and functions of surveillance data. We demonstrate advantages of our approach relative to alternatives via a forecasting comparison using several forecast accuracy metrics.

Posterior consistency in conditional distribution estimation

PubMed Central

Pati, Debdeep; Dunson, David B.; Tokdar, Surya T.

2014-01-01

A wide variety of priors have been proposed for nonparametric Bayesian estimation of conditional distributions, and there is a clear need for theorems providing conditions on the prior for large support, as well as posterior consistency. Estimation of an uncountable collection of conditional distributions across different regions of the predictor space is a challenging problem, which differs in some important ways from density and mean regression estimation problems. Defining various topologies on the space of conditional distributions, we provide sufficient conditions for posterior consistency focusing on a broad class of priors formulated as predictor-dependent mixtures of Gaussian kernels. This theory is illustrated by showing that the conditions are satisfied for a class of generalized stick-breaking process mixtures in which the stick-breaking lengths are monotone, differentiable functions of a continuous stochastic process. We also provide a set of sufficient conditions for the case where stick-breaking lengths are predictor independent, such as those arising from a fixed Dirichlet process prior. PMID:25067858

A new approach for reducing beam hardening artifacts in polychromatic X-ray computed tomography using more accurate prior image.

PubMed

Wang, Hui; Xu, Yanan; Shi, Hongli

2018-03-15

Metal artifacts severely degrade CT image quality in clinical diagnosis, which are difficult to removed, especially for the beam hardening artifacts. The metal artifact reduction (MAR) based on prior images are the most frequently-used methods. However, there exists a lot misclassification in most prior images caused by absence of prior information such as spectrum distribution of X-ray beam source, especially when multiple or big metal are included. This work aims is to identify a more accurate prior image to improve image quality. The proposed method includes four steps. First, the metal image is segmented by thresholding an initial image, where the metal traces are identified in the initial projection data using the forward projection of the metal image. Second, the accurate absorbent model of certain metal image is calculated according to the spectrum distribution of certain X-ray beam source and energy-dependent attenuation coefficients of metal. Third, a new metal image is reconstructed by the general analytical reconstruction algorithm such as filtered back projection (FPB). The prior image is obtained by segmenting the difference image between the initial image and the new metal image into air, tissue and bone. Fourth, the initial projection data are normalized by dividing the projection data of prior image pixel to pixel. The final corrected image is obtained by interpolation, denormalization and reconstruction. Several clinical images with dental fillings and knee prostheses were used to evaluate the proposed algorithm and normalized metal artifact reduction (NMAR) and linear interpolation (LI) method. The results demonstrate the artifacts were reduced efficiently by the proposed method. The proposed method could obtain an exact prior image using the prior information about X-ray beam source and energy-dependent attenuation coefficients of metal. As a result, better performance of reducing beam hardening artifacts can be achieved. Moreover, the process of the proposed method is rather simple and little extra calculation burden is necessary. It has superiorities over other algorithms when include multiple and/or big implants.

Optimized postweld heat treatment procedures for 17-4 PH stainless steels

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

Bhaduri, A.K.; Sujith, S.; Srinivasan, G.

1995-05-01

The postweld heat treatment (PWHT) procedures for 17-4 PH stainless steel weldments of matching chemistry was optimized vis-a-vis its microstructure prior to welding based on microstructural studies and room-temperature mechanical properties. The 17-4 PH stainless steel was welded in two different prior microstructural conditions (condition A and condition H 1150) and then postweld heat treated to condition H900 or condition H1150, using different heat treatment procedures. Microstructural investigations and room-temperature tensile properties were determined to study the combined effects of prior microstructural and PWHT procedures.

Survival and Recovery of Methanotrophic Bacteria Starved Under Oxic and Anoxic Conditions

NASA Technical Reports Server (NTRS)

Roslev, Peter; King, Gary M.

1994-01-01

The effects of carbon deprivation on survival of methanotrophic bacteria were compared in cultures incubated in the presence and absence of oxygen in the starvation medium. Survival and recovery of the examined methanotrophs were generally highest for cultures starved under anoxic conditions as indicated by poststarvation measurements of methane oxidation, tetrazolium salt reduction, plate counts, and protein synthesis. Methylosinus trichosporium OB3b survived up to 6 weeks of carbon deprivation under anoxic conditions while maintaining a physiological state that allowed relatively rapid (hours) methane oxidation after substrate addition. A small fraction of cells starved under oxic and anoxic conditions (4 and 10%, respectively) survived more than 10 weeks but required several days for recovery on plates and in liquid medium. A non-spore-forming methanotroph, strain WP 12, displayed 36 to 118% of its initial methane oxidation capacity after 5 days of carbon deprivation. Oxidation rates varied with growth history prior to the experiments as well as with starvation conditions. Strain WP 12 starved under anoxic conditions showed up to 90% higher methane oxidation activity and 46% higher protein production after starvation than did cultures starved under oxic conditions. Only minor changes in biomass and niorpholow were seen for methanotrophic bacteria starved tinder anoxic conditions. In contrast, starvation under oxic conditions resulted in morphology changes and an initial 28 to 35% loss of cell protein. These data suggest that methanotrophic bacteria can survin,e carbon deprivation under anoxic conditions by using maintenance energy derived Solelyr from an anaerobic endogenous metabolism. This capability could partly explain a significant potential for methane oxidation in environments not continuously, supporting aerobic methanotrophic growth.

Evidence that abnormal grain growth precedes fatigue crack initiation in nanocrystalline Ni-Fe

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

Furnish, Timothy A.; Bufford, Daniel C.; Ren, Fang

Prior studies on the high-cycle fatigue behavior of nanocrystalline metals have shown that fatigue fracture is associated with abnormal grain growth (AGG). However, those previous studies have been unable to determine if AGG precedes fatigue crack initiation, or vice-versa. The present study shows that AGG indeed occurs prior to crack formation in nanocrystalline Ni-Fe by using a recently developed synchrotron X-ray diffraction modality that has been adapted for in-situ analysis. The technique allows fatigue tests to be interrupted at the initial signs of the AGG process, and subsequent microscopy reveals the precursor damage state preceding crack initiation.

Evidence that abnormal grain growth precedes fatigue crack initiation in nanocrystalline Ni-Fe

DOE PAGES

Furnish, Timothy A.; Bufford, Daniel C.; Ren, Fang; ...

2018-09-06

Prior studies on the high-cycle fatigue behavior of nanocrystalline metals have shown that fatigue fracture is associated with abnormal grain growth (AGG). However, those previous studies have been unable to determine if AGG precedes fatigue crack initiation, or vice-versa. The present study shows that AGG indeed occurs prior to crack formation in nanocrystalline Ni-Fe by using a recently developed synchrotron X-ray diffraction modality that has been adapted for in-situ analysis. The technique allows fatigue tests to be interrupted at the initial signs of the AGG process, and subsequent microscopy reveals the precursor damage state preceding crack initiation.

Prior robust empirical Bayes inference for large-scale data by conditioning on rank with application to microarray data

PubMed Central

Liao, J. G.; Mcmurry, Timothy; Berg, Arthur

2014-01-01

Empirical Bayes methods have been extensively used for microarray data analysis by modeling the large number of unknown parameters as random effects. Empirical Bayes allows borrowing information across genes and can automatically adjust for multiple testing and selection bias. However, the standard empirical Bayes model can perform poorly if the assumed working prior deviates from the true prior. This paper proposes a new rank-conditioned inference in which the shrinkage and confidence intervals are based on the distribution of the error conditioned on rank of the data. Our approach is in contrast to a Bayesian posterior, which conditions on the data themselves. The new method is almost as efficient as standard Bayesian methods when the working prior is close to the true prior, and it is much more robust when the working prior is not close. In addition, it allows a more accurate (but also more complex) non-parametric estimate of the prior to be easily incorporated, resulting in improved inference. The new method’s prior robustness is demonstrated via simulation experiments. Application to a breast cancer gene expression microarray dataset is presented. Our R package rank.Shrinkage provides a ready-to-use implementation of the proposed methodology. PMID:23934072

Memory expression is independent of memory labilization/reconsolidation.

PubMed

Barreiro, Karina A; Suárez, Luis D; Lynch, Victoria M; Molina, Víctor A; Delorenzi, Alejandro

2013-11-01

There is growing evidence that certain reactivation conditions restrict the onset of both the destabilization phase and the restabilization process or reconsolidation. However, it is not yet clear how changes in memory expression during the retrieval experience can influence the emergence of the labilization/reconsolidation process. To address this issue, we used the context-signal memory model of Chasmagnathus. In this paradigm a short reminder that does not include reinforcement allows us to evaluate memory labilization and reconsolidation, whereas a short but reinforced reminder restricts the onset of such a process. The current study investigated the effects of the glutamate antagonists, APV (0.6 or 1.5 μg/g) and CNQX (1 μg/g), prior to the reminder session on both behavioral expression and the reconsolidation process. Under conditions where the reminder does not initiate the labilization/reconsolidation process, APV prevented memory expression without affecting long-term memory retention. In contrast, APV induced amnesic effects in the long-term when administered before a reminder session that triggers reconsolidation. Under the present parametric conditions, the administration of CNQX prior to the reminder that allows memory to enter reconsolidation impairs this process without disrupting memory expression. Overall, the present findings suggest that memory reactivation--but not memory expression--is necessary for labilization and reconsolidation. Retrieval and memory expression therefore appear not to be interchangeable concepts. Copyright © 2013 Elsevier Inc. All rights reserved.

Steaming of Red Oak Prior to Kiln-Drying: Effects on Moisture Movement

Treesearch

Robert A. Harris; James G. Schroeder; Stan C. Addis

1989-01-01

Red oak boards were steamed prior to kiln-drying to determine the effect of steaming on initial moisture content (MC), moisture distribution, and drying rate. Four hours of steaming in a saturated steam atmosphere caused a drop of approximately 10 percent in initial MC, a reduced moisture gradient through the thickness of the boards, and an increase in drying rate...

Accreditation of Prior Learning as a Lever for Lifelong Learning: Lessons Learnt from the New Opportunities Initiative, Portugal

ERIC Educational Resources Information Center

Carneiro, Roberto, Ed.

2011-01-01

The New Opportunities Initiative (NOI) is a Portuguese flagship programme to recognise and accredit prior learning (RPL, APL) and to endow low-skilled adults with upper secondary qualifications, which is defined as the minimum entry threshold to the exercise of a full citizenship in a knowledge-rich society. NOI's major achievement has been its…

Factors associated with pathways toward concurrent sex work and injection drug use among female sex workers who inject drugs in Northern Mexico

PubMed Central

Morris, Meghan D.; Lemus, Hector; Wagner, Karla D.; Martinez, Gustavo; Lozada, Remedios; Gómez, Rangel María Gudelia; Strathdee, Steffanie A.

2012-01-01

Aims To identify factors associated with time to initiation of (1) sex work prior to injecting drugs, (2) injection drug use, and (3) concurrent sex work and injection drug use (i.e., initiated at the same age) among female sex workers who currently inject drugs (FSW-IDU). Design Parametric survival analysis of baseline data for time to initiation event. Setting Tijuana and Ciudad Juarez situated on the Mexico-U.S. border. Participants 575 FSW-IDUs aged ≥18. Measurements Interview-administered surveys assessing context of sex work and injection drug use initiation. Findings Nearly half (n=256) initiated sex work prior to beginning to inject, a third (n=163) initiated injection first, and a quarter (n=136) initiated both sex work and injection drug use concurrently. Low education and living in Ciudad Juarez accelerated time to sex work initiation. Being from a southern Mexican state and initiating drug use with inhalants delayed the time to first injection drug use. Having an intimate partner encourage entry into sex work and first injecting drugs to deal with depression accelerated time to initiating sex work and injection concurrently. Early physical abuse accelerated time to initiating sex work and injection, and substantially accelerated time to initiation of both behaviors concurrently. Conclusions Among female sex workers who currently inject drugs in two Mexican-US border cities, nearly half appear to initiate sex work prior to beginning to inject, nearly one third initiate injection drug use before beginning sex work, and one quarter initiate both behaviors concurrently. Predictors of these three trajectories differ, and this provides possible modifiable targets for prevention. PMID:22775475

Second-Order Conditioning during a Compound Extinction Treatment

ERIC Educational Resources Information Center

Pineno, Oskar; Zilski, Jessica M.; Schachtman, Todd R.

2007-01-01

Two conditioned taste aversion experiments with rats were conducted to establish if a target taste that had received a prior pairing with illness could be subject to second-order conditioning during extinction treatment in compound with a flavor that also received prior conditioning. In these experiments, the occurrence of second-order…

Interpreting Repeated Temperature-Depth Profiles for Groundwater Flow

NASA Astrophysics Data System (ADS)

Bense, Victor F.; Kurylyk, Barret L.; van Daal, Jonathan; van der Ploeg, Martine J.; Carey, Sean K.

2017-10-01

Temperature can be used to trace groundwater flows due to thermal disturbances of subsurface advection. Prior hydrogeological studies that have used temperature-depth profiles to estimate vertical groundwater fluxes have either ignored the influence of climate change by employing steady-state analytical solutions or applied transient techniques to study temperature-depth profiles recorded at only a single point in time. Transient analyses of a single profile are predicated on the accurate determination of an unknown profile at some time in the past to form the initial condition. In this study, we use both analytical solutions and a numerical model to demonstrate that boreholes with temperature-depth profiles recorded at multiple times can be analyzed to either overcome the uncertainty associated with estimating unknown initial conditions or to form an additional check for the profile fitting. We further illustrate that the common approach of assuming a linear initial temperature-depth profile can result in significant errors for groundwater flux estimates. Profiles obtained from a borehole in the Veluwe area, Netherlands in both 1978 and 2016 are analyzed for an illustrative example. Since many temperature-depth profiles were collected in the late 1970s and 1980s, these previously profiled boreholes represent a significant and underexploited opportunity to obtain repeat measurements that can be used for similar analyses at other sites around the world.

Randomized Controlled Evaluation of an Early Intervention to Prevent Post-Rape Psychopathology

PubMed Central

Resnick, Heidi; Acierno, Ron; Waldrop, Angela E.; King, Lynda; King, Daniel; Danielson, Carla; Ruggiero, Kenneth J.; Kilpatrick, Dean

2007-01-01

A randomized between-group design was used to evaluate efficacy of a video intervention to reduce PTSD and other mental health problems, implemented prior to the forensic medical exam conducted within 72 hours post-sexual assault. Participants were 140 female victims of sexual assault (68 video/72 nonvideo) ages 15 or older. Assessments were targeted for 6 weeks (Time 1) and 6 months (Time 2) post-assault. At Time 1, the intervention was associated with lower scores on measures of PTSD and depression among women with prior rape history relative to scores among women with prior rape history in the standard care condition. At Time 2, depression scores were also lower among those with a prior history who were in the video relative to standard care condition. Small effects indicating higher PTSD and BAI scores among women without a prior history in the video condition were observed at Time 1. Accelerated longitudinal growth curve analysis indicated a video x prior rape history interaction for PTSD, yielding four patterns of symptom trajectory over time. Women with a prior rape history in the video condition generally maintained the lowest level of symptoms. PMID:17585872

Improved Ball-and-Socket Docking Mechanism

NASA Technical Reports Server (NTRS)

Cloyd, Richard; Bryan, Tom

2004-01-01

A proposed docking mechanism would form a ball-and-socket joint in the docked condition. The mechanism could tolerate significant initial misalignment because it would include an alignment cone that would guide the ball into the socket. Like other ball-and-socket joints, the joint would have three rotational degrees of freedom. This docking mechanism would be a successor to the one described in Passive Capture Joint With Three Degrees of Freedom (MFS-31146), NASA Tech Briefs, Vol. 22, No. 7 (July 1998), page 65. It would contain most of the components of the prior mechanism, plus some additional components that would expand its capabilities.

Screen test for cadmium and nickel plates as developed and used within the Aerospace Corporation

NASA Technical Reports Server (NTRS)

Phan, A. H.; Zimmerman, A. H.

1994-01-01

A new procedure described here was recently developed to quantify loading uniformity of nickel and cadmium plates and to screen finished electrodes prior to cell assembly. The technique utilizes the initial solubility rates of the active material in a standard chemical deloading solution at fixed conditions. The method can provide a reproducible indication of plate loading uniformity in situations where high surface loading limits the free flow of deloading solution into the internal porosity of the sinter plate. A preliminary study indicates that 'good' cell performance is associated with higher deloading rates.

Landslide risk assessment

USGS Publications Warehouse

Lessing, P.; Messina, C.P.; Fonner, R.F.

1983-01-01

Landslide risk can be assessed by evaluating geological conditions associated with past events. A sample of 2,4 16 slides from urban areas in West Virginia, each with 12 associated geological factors, has been analyzed using SAS computer methods. In addition, selected data have been normalized to account for areal distribution of rock formations, soil series, and slope percents. Final calculations yield landslide risk assessments of 1.50=high risk. The simplicity of the method provides for a rapid, initial assessment prior to financial investment. However, it does not replace on-site investigations, nor excuse poor construction. ?? 1983 Springer-Verlag New York Inc.

On the measurement of magnetic viscosity

NASA Astrophysics Data System (ADS)

Serletis, C.; Efthimiadis, K. G.

2012-08-01

This work is an investigation of the experimental method used for measuring the magnetic viscosity in a hard ferromagnetic material, i.e. the recording of the magnetization under constant applied field and temperature, after the material has been magnetically saturated. It investigates how the experimental results are affected by the initial conditions of the method (saturation field, field change rate and field oscillation prior to its stabilization), and by minor variations of field and temperature during the recording. Based on the arising conclusions and the use of a more complex fitting function of measurements, the accuracy and repeatability of experimental results is improved.

Fatigue and voluntary utilization of automation in simulated driving.

PubMed

Neubauer, Catherine; Matthews, Gerald; Langheim, Lisa; Saxby, Dyani

2012-10-01

A driving simulator was used to assess the impact on fatigue, stress, and workload of full vehicle automation that was initiated by the driver. Previous studies have shown that mandatory use of full automation induces a state of "passive fatigue" associated with loss of alertness. By contrast, voluntary use of automation may enhance the driver's perceptions of control and ability to manage fatigue. Participants were assigned to one of two experimental conditions, automation optional (AO) and nonautomation (NA), and then performed a 35 min, monotonous simulated drive. In the last 5 min, automation was unavailable and drivers were required to respond to an emergency event. Subjective state and workload were evaluated before and after the drive. Making automation available to the driver failed to alleviate fatigue and stress states induced by driving in monotonous conditions. Drivers who were fatigued prior to the drive were more likely to choose to use automation, but automation use increased distress, especially in fatigue-prone drivers. Drivers in the AO condition were slower to initiate steering responses to the emergency event, suggesting optional automation may be distracting. Optional, driver-controlled automation appears to pose the same dangers to task engagement and alertness as externally initiated automation. Drivers of automated vehicles may be vulnerable to fatigue that persists when normal vehicle control is restored. It is important to evaluate automated systems' impact on driver fatigue, to seek design solutions to the issue of maintaining driver engagement, and to address the vulnerabilities of fatigue-prone drivers.

RF-assisted current startup in FED

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

Borowski, S. K.; Peng, Yueng Kay Martin; Kammash, T.

1981-01-01

Auxiliary rf heating of electrons before and during the current rise phase in FED is examined as a means of reducing both the initiation loop voltage and resistive flux expendicture during startup. Prior to current initiation, 1 to 2 MW of electron cyclotron resonance heating (ECRH) power at {approx} 90 GHz is used to create a small volume of high conductivity plasma (T{sub e} {approx_equal} 100-200 eV, n{sub e} {approx_equal} 10{sup 13} cm{sup -3}) near the upper hybrid resonance (UHR) region. This plasma conditioning permits a small radius (a{sub o} {approx_equal} 0.2-0.4 m) current channel to be established with amore » relatively low initial loop voltage (<25 V). During the subsequent plasma expansion and current ramp phase, additional rf power is introduced to reduce volt-second consumption due to plasma resistance. The physics models used for analyzing the UHR heating and current rise phases are also discussed.« less

Semi-supervised vibration-based classification and condition monitoring of compressors

NASA Astrophysics Data System (ADS)

Potočnik, Primož; Govekar, Edvard

2017-09-01

Semi-supervised vibration-based classification and condition monitoring of the reciprocating compressors installed in refrigeration appliances is proposed in this paper. The method addresses the problem of industrial condition monitoring where prior class definitions are often not available or difficult to obtain from local experts. The proposed method combines feature extraction, principal component analysis, and statistical analysis for the extraction of initial class representatives, and compares the capability of various classification methods, including discriminant analysis (DA), neural networks (NN), support vector machines (SVM), and extreme learning machines (ELM). The use of the method is demonstrated on a case study which was based on industrially acquired vibration measurements of reciprocating compressors during the production of refrigeration appliances. The paper presents a comparative qualitative analysis of the applied classifiers, confirming the good performance of several nonlinear classifiers. If the model parameters are properly selected, then very good classification performance can be obtained from NN trained by Bayesian regularization, SVM and ELM classifiers. The method can be effectively applied for the industrial condition monitoring of compressors.

Comparison of Damage Models for Predicting the Non-Linear Response of Laminates Under Matrix Dominated Loading Conditions

NASA Technical Reports Server (NTRS)

Schuecker, Clara; Davila, Carlos G.; Rose, Cheryl A.

2010-01-01

Five models for matrix damage in fiber reinforced laminates are evaluated for matrix-dominated loading conditions under plane stress and are compared both qualitatively and quantitatively. The emphasis of this study is on a comparison of the response of embedded plies subjected to a homogeneous stress state. Three of the models are specifically designed for modeling the non-linear response due to distributed matrix cracking under homogeneous loading, and also account for non-linear (shear) behavior prior to the onset of cracking. The remaining two models are localized damage models intended for predicting local failure at stress concentrations. The modeling approaches of distributed vs. localized cracking as well as the different formulations of damage initiation and damage progression are compared and discussed.

Parasite Removal, but Not Herbivory, Deters Future Parasite Attachment on Tomato

PubMed Central

Tjiurutue, Muvari Connie; Palmer-Young, Evan C.; Adler, Lynn S.

2016-01-01

Plants face many antagonistic interactions that occur sequentially. Often, plants employ defense strategies in response to the initial damage that are highly specific and can affect interactions with subsequent antagonists. In addition to herbivores and pathogens, plants face attacks by parasitic plants, but we know little about how prior herbivory compared to prior parasite attachment affects subsequent host interactions. If host plants can respond adaptively to these different damage types, we predict that prior parasitism would have a greater deterrent effect on subsequent parasites than would prior herbivory. To test the effects of prior parasitism and prior herbivory on subsequent parasitic dodder (Cuscuta spp.) preference, we conducted two separate greenhouse studies with tomato hosts (Solanum lycopersicum). In the first experiment, we tested the effects of previous dodder attachment on subsequent dodder preference on tomato hosts using three treatments: control plants that had no previous dodder attachment; dodder-removed plants that had an initial dodder seedling attached, removed and left in the same pot to simulate parasite death; and dodder-continuous plants with an initial dodder seedling that remained attached. In the second experiment, we tested the effects of previous caterpillar damage (Spodoptera exigua) and mechanical damage on future dodder attachment on tomato hosts. Dodder attached most slowly to tomato hosts that had dodder plants previously attached and then removed, compared to control plants or plants with continuous dodder attachment. In contrast, herbivory did not affect subsequent dodder attachment rate. These results indicate that dodder preference depended on the identity and the outcome of the initial attack, suggesting that early-season interactions have the potential for profound impacts on subsequent community dynamics. PMID:27529694

Mixture class recovery in GMM under varying degrees of class separation: frequentist versus Bayesian estimation.

PubMed

Depaoli, Sarah

2013-06-01

Growth mixture modeling (GMM) represents a technique that is designed to capture change over time for unobserved subgroups (or latent classes) that exhibit qualitatively different patterns of growth. The aim of the current article was to explore the impact of latent class separation (i.e., how similar growth trajectories are across latent classes) on GMM performance. Several estimation conditions were compared: maximum likelihood via the expectation maximization (EM) algorithm and the Bayesian framework implementing diffuse priors, "accurate" informative priors, weakly informative priors, data-driven informative priors, priors reflecting partial-knowledge of parameters, and "inaccurate" (but informative) priors. The main goal was to provide insight about the optimal estimation condition under different degrees of latent class separation for GMM. Results indicated that optimal parameter recovery was obtained though the Bayesian approach using "accurate" informative priors, and partial-knowledge priors showed promise for the recovery of the growth trajectory parameters. Maximum likelihood and the remaining Bayesian estimation conditions yielded poor parameter recovery for the latent class proportions and the growth trajectories. (PsycINFO Database Record (c) 2013 APA, all rights reserved).

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

Krnjaic, Gordan

In this letter, we quantify the challenge of explaining the baryon asymmetry using initial conditions in a universe that undergoes inflation. Contrary to lore, we find that such an explanation is possible if netmore » $B-L$ number is stored in a light bosonic field with hyper-Planckian initial displacement and a delicately chosen field velocity prior to inflation. However, such a construction may require extremely tuned coupling constants to ensure that this asymmetry is viably communicated to the Standard Model after reheating; the large field displacement required to overcome inflationary dilution must not induce masses for Standard Model particles or generate dangerous washout processes. While these features are inelegant, this counterexample nonetheless shows that there is no theorem against such an explanation. We also comment on potential observables in the double $$\\beta$$-decay spectrum and on model variations that may allow for more natural realizations.« less

Comments on the BLAG model: the carbonate-silicate geochemical cycle and its effect on atmospheric carbon dioxide over the past 100 million years

NASA Technical Reports Server (NTRS)

Kasting, J. F.

1984-01-01

A self-consistent method of determining initial conditions for the model presented by Berner, Lasaga, and Garrels (1983) (henceforth, the BLAG model) is derived, based on the assumption that the CO2 geochemical cycle was in steady state at t = -100 my (million years). This initialization procedure leads to a dissolved magnesium concentration higher than that calculated by Berner, Lasaga, and Garrels and to a low ratio of dissolved calcium to bicarbonate prior to 60 my ago. The latter prediction conflicts with the geologic record of evaporite deposits, which requires that this ratio remain greater than 0.5. The contradiction is probably caused by oversimplifications in the BLAG model, such as the neglect of the cycles of organic carbon and sulfur.

Comments on the BLAG model - The carbonate-silicate geochemical cycle and its effect on atmospheric carbon dioxide over the past 100 million years

NASA Technical Reports Server (NTRS)

Kasting, J. F.

1984-01-01

A self-consistent method of determining initial conditions for the model presented by Berner, Lasaga, and Garrels (1983) (henceforth, the BLAG model) is derived, based on the assumption that the CO2 geochemical cycle was in steady state at t = -100 m.y. (million years). This initialization procedure leads to a dissolved magnesium concentration higher than that calculated by Berner, Lasaga, and Garrels and to a low ratio of dissolved calcium to bicarbonate prior to 60 m.y. ago. The latter prediction conflicts with the geologic record of evaporite deposits, which requires that this ratio remain greater than 0.5. The contradiction is probably caused by oversimplifications in the BLAG model, such as the neglect of the cycles of organic carbon and sulfur.

Solidification Dynamics of Spherical Drops in a Free Fall Environment

NASA Technical Reports Server (NTRS)

Grugel, Richard N.; Brush, Lucien N.

2006-01-01

Silver drops (99.9%, 4, 5, 7, and 9 mm diameter) were levitated, melted, and released to fall through Marshall Space Flight Center's 105 meter drop tube in helium - 6% hydrogen and pure argon atmospheres. By varying a drop s initial superheat the extent of solidification prior to impact ranged from complete to none during the approx. 4.6s of free fall time. Comparison of the experimental observations is made with numerical solutions to a model of the heat transfer and solidification kinetics associated with cooling of the drop during free fall, particularly with regard to the fraction of liquid transformed. Analysis reveals the relative importance ,of the initial parameters affecting the cooling and solidification rates within the drop. A discussion of the conditions under which the actual observations deviate from the assumptions used in the model is presented.

Solidification Dynamics of Metal Drops in a Free Fall Environment

NASA Technical Reports Server (NTRS)

Grugel, R. N.; Brush, L. N.; Curreri, Peter A. (Technical Monitor)

2001-01-01

Comparison of experimental observations were made with numerical solutions to a model of the heat transfer and solidification kinetics associated with the cooling of a molten drop during free fall, particularly with regard to the fraction of liquid transformed. Experimentally, silver drops (99.9%, 4-9 mm diameter) were levitated, melted, and released to fall through Marshall Space Flight Center's 105m drop tube in helium - 6% hydrogen and argon atmospheres. By systematically varying the drops initial superheat the extent of solidification prior to impact ranged from complete to none during the approximately 4.6s of free fall time. Analysis reveals the relative importance of the initial parameters affecting the cooling and solidification rates within the drop. A discussion of the conditions under which the actual observations deviate from the assumptions used in the model is presented.

Abrupt Decline in Kidney Function Before Initiating Hemodialysis and All-Cause Mortality: The Chronic Renal Insufficiency Cohort (CRIC) Study.

PubMed

Hsu, Raymond K; Chai, Boyang; Roy, Jason A; Anderson, Amanda H; Bansal, Nisha; Feldman, Harold I; Go, Alan S; He, Jiang; Horwitz, Edward J; Kusek, John W; Lash, James P; Ojo, Akinlolu; Sondheimer, James H; Townsend, Raymond R; Zhan, Min; Hsu, Chi-Yuan

2016-08-01

It is not clear whether the pattern of kidney function decline in patients with chronic kidney disease (CKD) may relate to outcomes after reaching end-stage renal disease (ESRD). We hypothesize that an abrupt decline in kidney function prior to ESRD predicts early death after initiating maintenance hemodialysis therapy. Prospective cohort study. The Chronic Renal Insufficiency Cohort (CRIC) Study enrolled men and women with mild to moderate CKD. For this study, we studied 661 individuals who developed chronic kidney failure that required hemodialysis therapy initiation. The primary predictor was the presence of an abrupt decline in kidney function prior to ESRD. We incorporated annual estimated glomerular filtration rates (eGFRs) into a mixed-effects model to estimate patient-specific eGFRs at 3 months prior to initiation of hemodialysis therapy. Abrupt decline was defined as having an extrapolated eGFR≥30mL/min/1.73m(2) at that time point. All-cause mortality within 1 year after initiating hemodialysis therapy. Multivariable Cox proportional hazards. Among 661 patients with CKD initiating hemodialysis therapy, 56 (8.5%) had an abrupt predialysis decline in kidney function and 69 died within 1 year after initiating hemodialysis therapy. After adjustment for demographics, cardiovascular disease, diabetes, and cancer, abrupt decline in kidney function was associated with a 3-fold higher risk for death within the first year of ESRD (adjusted HR, 3.09; 95% CI, 1.65-5.76). Relatively small number of outcomes; infrequent (yearly) eGFR determinations; lack of more granular clinical data. Abrupt decline in kidney function prior to ESRD occurred in a significant minority of incident hemodialysis patients and predicted early death in ESRD. Copyright © 2016 National Kidney Foundation, Inc. All rights reserved.

Health Care Utilization and Costs After Initiating Budesonide/Formoterol Combination or Fluticasone/Salmeterol Combination Among COPD Patients New to ICS/LABA Treatment.

PubMed

Davis, Jill R; Kern, David M; Williams, Setareh A; Tunceli, Ozgur; Wu, Bingcao; Hollis, Sally; Strange, Charlie; Trudo, Frank

2016-03-01

Chronic obstructive pulmonary disease (COPD) affects approximately 15 million people in the United States and accounts for approximately $36 billion in economic burden, primarily due to medical costs. To address the increasing clinical and economic burden, the Global Initiative for Chronic Obstructive Lung Disease emphasizes the use of therapies that help prevent COPD exacerbations, including inhaled corticosteroid/long-acting beta2-agonist (ICS/LABA). To evaluate health care costs and utilization among COPD patients newly initiating ICS/LABA combination therapy with budesonide/formoterol (BFC) or fluticasone/salmeterol (FSC) in a managed care system. COPD patients aged 40 years and older who initiated BFC (160/4.5 μg) or FSC (250/50 μg) treatment between March 1, 2009, and March 31, 2012, were identified using claims data from major U.S. health plans. BFC and FSC patients were propensity score matched (1:1) on age, sex, prior asthma diagnosis, prior COPD-related health care utilization, and respiratory medication use. COPD-related, pneumonia-related, and all-cause costs and utilization were analyzed during the 12-month follow-up period. Post-index costs were assessed with generalized linear models (GLMs) with gamma distribution. Health care utilization data were analyzed via logistic regression (any event vs. none) and GLMs with negative binomial distribution (number of visits) and were adjusted for the analogous pre-index variable as well as pre-index characteristics that remained imbalanced after matching. After matching, each cohort had 3,697 patients balanced on age (mean 64 years), sex (female 52% BFC and 54% FSC), asthma and other comorbid conditions, prior COPD-related health care utilization, and respiratory medication use. During the 12-month follow-up, COPD-related costs averaged $316 less for BFC versus FSC patients ($4,326 vs. $4,846; P = 0.003), reflecting lower inpatient ($966 vs. $1,202; P < 0.001), pharmacy ($1,482 vs. $1,609; P = 0.002), and outpatient/office ($1,378 vs. $1,436; P = 0.048) costs, but higher emergency department ($257 vs. $252; P = 0.033) costs. Pneumonia-related health care costs were also lower on average for BFC patients ($2,855 vs. $3,605; P < 0.001). Similarly, initiating BFC was associated with lower all-use health care costs versus initiating FSC ($21,580 vs. $24,483; P < 0.001, respectively). No differences in health care utilization were found between the 2 groups. In this study, although no difference was observed in rates of health care utilization, COPD patients initiating BFC treatment incurred lower average COPD-related, pneumonia-related, and all-cause costs versus FSC initiators, which was driven by cumulative differences in inpatient, outpatient, and pharmacy costs.

Serious fall injury history and adverse health outcomes after initiating hemodialysis among older U.S. adults.

PubMed

Bowling, C Barrett; Hall, Rasheeda; Khakharia, Anjali; Franch, Harold A; Plantinga, Laura C

2018-01-16

Although older adults with pre-dialysis chronic kidney disease (CKD) are at higher risk for falls, the prognostic significance of a serious fall injury prior to dialysis initiation has not been well described in the end-stage renal disease population. We examined the association between a serious fall injury in the year prior to starting hemodialysis and adverse health outcomes in the year following dialysis initiation using a retrospective cohort study of U.S. Medicare beneficiaries ≥ 67 years old who initiated dialysis in 2010-2012. Serious fall injuries were defined using diagnostic codes for falls plus an injury (fracture, joint dislocation, or head injury). Health outcomes, defined as time-to-event variables within the first year of dialysis, included four outcomes: a subsequent serious fall injury, hospital admission, post-acute skilled nursing facility (SNF) utilization, and mortality. Among this cohort of 81,653 initiating hemodialysis, 2,958 (3.6%) patients had a serious fall injury in the year prior to hemodialysis initiation. In the first year of dialysis, 7.6% had a subsequent serious fall injury, 67.6% a hospitalization, 30.7% a SNF claim and 26.1% died. Those with vs. without a serious fall injury in the year prior to hemodialysis initiation were at higher risk (hazard ratio, 95% confidence interval) for a subsequent serious fall injury (2.65, 2.41-2.91), hospitalization (1.11, 1.06-1.16), SNF claim (1.40, 1.30-1.50), and death (1.14, 1.06-1.22). For older adults initiating dialysis, a history of a serious fall injury may provide prognostic information to support decision-making and establish expectations for life after dialysis initiation. Published by Oxford University Press on behalf of The Gerontological Society of America 2018. This work is written by (a) US Government employee(s) and is in the public domain in the US.

Trajectory of cartilage loss within 4 years of knee replacement--a nested case-control study from the osteoarthritis initiative.

PubMed

Eckstein, F; Boudreau, R M; Wang, Z; Hannon, M J; Wirth, W; Cotofana, S; Guermazi, A; Roemer, F; Nevitt, M; John, M R; Ladel, C; Sharma, L; Hunter, D J; Kwoh, C K

2014-10-01

Knee replacement (KR) represents a clinically important endpoint of knee osteoarthritis (KOA). Here we examine the 4-year trajectory of femoro-tibial cartilage thickness loss prior to KR vs non-replaced controls. A nested case-control study was performed in Osteoarthritis Initiative (OAI) participants: Cases with KR between 12 and 60 month (M) follow-up were each matched with one control (without KR through 60M) by age, sex, and baseline radiographic stage. Femoro-tibial cartilage thickness was measured quantitatively using magnetic resonance imaging (MRI) at the annual visit prior to KR occurrence (T0), and at 1-4 years prior to T0 (T-1 to T-4). Cartilage loss between cases and controls was compared using paired t-tests and conditional logistic regression. One hundred and eighty-nine knees of 164 OAI participants [55% women; age 64 ± 8.7; body mass index (BMI) 29 ± 4.5] had KR and longitudinal cartilage data. Comparison of annualized slopes of change across all time points revealed greater loss in the central medial tibia (primary outcome) in KRs than in controls [94 ± 137 vs 55 ± 104 μm; P = 0.0017 (paired t); odds ratio (OR) 1.36 (95% confidence interval (CI): 1.08-1.70)]. The discrimination was stronger for T-2 → T0 [OR 1.61 (1.33-1.95), n = 127] than for T-1 → T0, and was not statistically significant for intervals prior to T-2 [i.e., T-4 → T-2, OR 0.97 (0.67-1.41), n = 60]. Results were similar for total medial femoro-tibial cartilage loss (secondary outcome), and when adjusting for pain and BMI. In knees with subsequent replacement, cartilage loss accelerates in the 2 years, and particularly in the year prior to surgery, compared with controls. Whether slowing this cartilage loss can delay KR remains to be determined. Copyright © 2014 Osteoarthritis Research Society International. Published by Elsevier Ltd. All rights reserved.

40 CFR 62.14356 - Compliance schedules and increments of progress.

Code of Federal Regulations, 2011 CFR

2011-07-01

... POLLUTANTS Federal Plan Requirements for Municipal Solid Waste Landfills That Commenced Construction Prior to...) to initiate on-site construction or initiate on-site installation of emission collection and/or control equipment. (3) Initiate on-site construction: Initiate on-site construction or initiate on-site...

40 CFR 62.14356 - Compliance schedules and increments of progress.

Code of Federal Regulations, 2013 CFR

2013-07-01

... POLLUTANTS Federal Plan Requirements for Municipal Solid Waste Landfills That Commenced Construction Prior to...) to initiate on-site construction or initiate on-site installation of emission collection and/or control equipment. (3) Initiate on-site construction: Initiate on-site construction or initiate on-site...

Mind wandering during film comprehension: The role of prior knowledge and situational interest.

PubMed

Kopp, Kristopher; Mills, Caitlin; D'Mello, Sidney

2016-06-01

This study assessed the occurrence and factors that influence mind wandering (MW) in the domain of film comprehension. The cascading model of inattention assumes that a stronger mental representation (i.e., a situation model) during comprehension results in less MW. Accordingly, a suppression hypothesis suggests that MW would decrease as a function of having the knowledge of the plot of a film prior to viewing, because the prior-knowledge would help to strengthen the situation model during comprehension. Furthermore, an interest-moderation hypothesis would predict that the suppression effect of prior-knowledge would only emerge when there was interest in viewing the film. In the current experiment, 108 participants either read a short story that depicted the plot (i.e., prior-knowledge condition) or read an unrelated story of equal length (control condition) prior to viewing the short film (32.5 minutes) entitled The Red Balloon. Participants self-reported their interest in viewing the film immediately before the film was presented. MW was tracked using a self-report method targeting instances of MW with metacognitive awareness. Participants in the prior-knowledge condition reported less MW compared with the control condition, thereby supporting the suppression hypothesis. MW also decreased over the duration of the film, but only for those with prior-knowledge of the film. Finally, prior-knowledge effects on MW were only observed when interest was average or high, but not when interest was low.

Autoignition of hydrogen in shear flows

NASA Astrophysics Data System (ADS)

Kalbhor, Abhijit; Chaudhuri, Swetaprovo; Chitilappilly, Lazar

2018-05-01

In this paper, we compare the autoignition characteristics of laminar, nitrogen-diluted hydrogen jets in two different oxidizer flow configurations: (a) co-flowing heated air and (b) wake of heated air, using two-dimensional numerical simulations coupled with detailed chemical kinetics. In both cases, autoignition is observed to initiate at locations with low scalar dissipation rates and high HO2 depletion rates. It is found that the induction stage prior to autoignition is primarily dominated by chemical kinetics and diffusion while the improved scalar mixing imparted by the large-scale flow structures controls the ignition progress in later stages. We further investigate the ignition transience and its connection with mixing by varying the initial wake conditions and fuel jet to oxidizer velocity ratios. These studies reveal that the autoignition delay times are independent of initial wake flow conditions. However, with increased jet velocity ratios, the later stages of ignition are accelerated, mainly due to enhanced mixing facilitated by the higher scalar dissipation rates. Furthermore, the sensitivity studies for the jet in wake configuration show a significant reduction in ignition delay even for about 0.14% (by volume) hydrogen dilution in the oxidizer. In addition, the detailed autoignition chemistry and the relative roles of certain radical species in the initiation of the autoignition process in these non-premixed jets are investigated by tracking the evolution of important chain reactions using a Lagrangian particle tracking approach. The reaction H2 + O2 ↔ HO2 + H is recognized to be the dominant chain initiation reaction that provides H radicals essential for the progress of subsequent elementary reactions during the pre-ignition stage.

Predictors of pain medication selection among patients diagnosed with fibromyalgia.

PubMed

Boulanger, Luke; Wu, Ning; Chen, Shih-Yin; Nagar, Saurabh; Fraser, Kimberly; Bernauer, Mark J; Zhao, Zhenxiang; Zhao, Yang

2012-04-01

Several pharmacologic therapies have been recommended for managing fibromyalgia. However, the factors associated with each treatment initiation have not been well established. This study assessed factors that were associated with the use of duloxetine vs. other pain medications among patients with fibromyalgia. Administrative claims from a large, U.S. commercially insured population were analyzed using a retrospective cohort design. Patients with fibromyalgia who were 18 to 64 years old and initiated duloxetine vs. selective serotonin reuptake inhibitors (SSRIs), tricyclic antidepressants (TCAs), venlafaxine, gabapentin, pregabalin, tramadol, or nontramadol opioids between January 1, 2007 and December 12, 2008 were selected. Treatment initiation was defined as no access to the same medication over the previous 90 days, with the most recent initiation date as the index date. All patients selected had at least one fibromyalgia diagnosis (ICD-9-CM: 729.1) in the 12 months prior to initiation of each study medication. Multiple logistic regression models were estimated to assess the predictors of initiating duloxetine vs. each of the other medications. The study included 117,305 patients with fibromyalgia (48 years of age on average; 76% women) who initiated duloxetine (n = 5,827), SSRIs (n = 8,620), TCAs (n = 5,424), venlafaxine (n = 2,038), gabapentin (n = 5,733), pregabalin (n = 11,152), tramadol (n = 7,312), or nontramadol opioids (n = 71,199). Common fibromyalgia-related comorbidities were low back pain (31% to 49%), osteoarthritis (14% to 21%), and sleep disturbance (10% to 15%). Controlling for demographic and clinical characteristics, patients who received pregabalin in the prior 12-month period were more likely to initiate duloxetine. Patients from other treatment cohorts, except for those in the pregabalin and nontramadol opioid cohorts, were more likely to re-initiate the same prior medication than to begin treatment with duloxetine. Other predictors of duloxetine initiation included history of rheumatoid and sleep disturbance. The presence of select comorbidities and prior use of certain medications were associated with the duloxetine initiation among working-age, commercially insured patients with fibromyalgia. © 2011 The Authors. Pain Practice © 2011 World Institute of Pain.

75 FR 43029 - The Presidential POWER Initiative: Protecting Our Workers and Ensuring Reemployment

Federal Register 2010, 2011, 2012, 2013, 2014

2010-07-22

... Presidential POWER Initiative: Protecting Our Workers and Ensuring Reemployment Memorandum for the Heads of... (POWER) Initiative, covering fiscal years 2011 through 2014. The POWER Initiative will extend prior... past. Under the POWER Initiative, each executive department and agency will be expected to improve its...

How rivers remember: The impacts of prior stress history on grain scale topography and bedload transport

NASA Astrophysics Data System (ADS)

Masteller, C.; Finnegan, N. J.

2016-12-01

Memory is preserved in rivers through the sorting and arrangement of grains on their beds, which reflect previous flow conditions. Manifestations of this phenomenon include observed hysteresis in bedload rating curves (e.g., Moog and Whiting, 1998; Reid et al., 1985) and correlations between the stage at the start of a transport event and the stage at the end of transport during a previous event (Turowski et al., 2011). This observed history dependence represents a key difficulty in the accurate prediction of bedload transport rates. To begin to systematically explore these memory effects on fluvial bedload transport, we experimentally examined how a gravel bed river responds to variations in prior stress history. Specifically, we compare the response of the grain-scale topography of a gravel riverbed to both below and above threshold flow conditions. We find that under low flow, when no sediment transport occurs, the bed compacts as the highest protruding grains pivot into low elevation pockets. This reorganization appears to occur logarithmically with low flow duration, making it analogous to compaction observed in dry granular flows subjected to agitation. The amount of prior compaction affects bedload transport rates at the onset of above threshold flow, with more compact beds yielding less bedload flux. In contrast, we find that under sediment-transporting flows, the bed dilates because grains are re-deposited in relatively precarious positions. During the same applied transport flow, we observe that the most pronounced dilation occurs when the initial bed is the most compact, suggesting that the potential for dilation is related to the degree of previous compaction. These observations highlight that a gravel bed experiences two different behaviors, compaction under low shear stresses, and dilation under high, sediment transporting, shear stresses. This observation is consistent with previous studies on the compaction and dilation of granular media, as well as flume experiments conducted using glass beads. Further, this study highlights the varying response of grain-scale topography and bedload transport rates to prior flow and bed conditions, demonstrating history dependence in fluvial systems.

Balancing the Role of Priors in Multi-Observer Segmentation Evaluation

PubMed Central

Huang, Xiaolei; Wang, Wei; Lopresti, Daniel; Long, Rodney; Antani, Sameer; Xue, Zhiyun; Thoma, George

2009-01-01

Comparison of a group of multiple observer segmentations is known to be a challenging problem. A good segmentation evaluation method would allow different segmentations not only to be compared, but to be combined to generate a “true” segmentation with higher consensus. Numerous multi-observer segmentation evaluation approaches have been proposed in the literature, and STAPLE in particular probabilistically estimates the true segmentation by optimal combination of observed segmentations and a prior model of the truth. An Expectation–Maximization (EM) algorithm, STAPLE’S convergence to the desired local minima depends on good initializations for the truth prior and the observer-performance prior. However, accurate modeling of the initial truth prior is nontrivial. Moreover, among the two priors, the truth prior always dominates so that in certain scenarios when meaningful observer-performance priors are available, STAPLE can not take advantage of that information. In this paper, we propose a Bayesian decision formulation of the problem that permits the two types of prior knowledge to be integrated in a complementary manner in four cases with differing application purposes: (1) with known truth prior; (2) with observer prior; (3) with neither truth prior nor observer prior; and (4) with both truth prior and observer prior. The third and fourth cases are not discussed (or effectively ignored) by STAPLE, and in our research we propose a new method to combine multiple-observer segmentations based on the maximum a posterior (MAP) principle, which respects the observer prior regardless of the availability of the truth prior. Based on the four scenarios, we have developed a web-based software application that implements the flexible segmentation evaluation framework for digitized uterine cervix images. Experiment results show that our framework has flexibility in effectively integrating different priors for multi-observer segmentation evaluation and it also generates results comparing favorably to those by the STAPLE algorithm and the Majority Vote Rule. PMID:20523759

Implementation of a referral to discharge glycemic control initiative for reduction of surgical site infections in gynecologic oncology patients.

PubMed

Hopkins, Laura; Brown-Broderick, Jennifer; Hearn, James; Malcolm, Janine; Chan, James; Hicks-Boucher, Wendy; De Sousa, Filomena; Walker, Mark C; Gagné, Sylvain

2017-08-01

To evaluate the frequency of surgical site infections before and after implementation of a comprehensive, multidisciplinary perioperative glycemic control initiative. As part of a CUSP (Comprehensive Unit-based Safety Program) initiative, between January 5 and December 18, 2015, we implemented comprehensive, multidisciplinary glycemic control initiative to reduce SSI rates in patients undergoing major pelvic surgery for a gynecologic malignancy ('Group II'). Key components of this quality of care initiative included pre-operative HbA1c measurement with special triage for patients meeting criteria for diabetes or pre-diabetes, standardization of available intraoperative insulin choices, rigorous pre-op/intra-op/post-op glucose monitoring with control targets set to maintain BG ≤10mmol/L (180mg/dL) and communication/notification with primary care providers. Effectiveness was evaluated against a similar control group of patients ('Group I') undergoing surgery in 2014 prior to implementation of this initiative. We studied a total of 462 patients. Subjects in the screened (Group II) and comparison (Group I) groups were of similar age (avg. 61.0, 60.0years; p=0.422) and BMI (avg. 31.1, 32.3kg/m 2 ; p=0.257). Descriptive statistics served to compare surgical site infection (SSI) rates and other characteristics across groups. Women undergoing surgery prior to implementation of this algorithm (n=165) had an infection rate of 14.6%. Group II (n=297) showed an over 2-fold reduction in SSI compared to Group I [5.7%; p=0.001, adjRR: 0.45, 95% CI: (0.25, 0.81)]. Additionally, approximately 19% of Group II patients were newly diagnosed with either prediabetes (HbA1C 6.0-6.4) or diabetes (HbA1C≥6.5) and were referred to family or internal medicine for appropriate management. Implementation of a comprehensive multidisciplinary glycemic control initiative can lead to a significant reduction in surgical site infections in addition to early identification of an important health condition in the gynecologic oncology patient population. Copyright © 2017 Elsevier Inc. All rights reserved.

A cross-field current instability for substorm expansions

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

Lui, A.T.Y.; Chang, C.L.; Mankofsky, A.

1991-07-01

The authors investigate a cross-field current instability (CFCI) as a candidate for current disruption during substorm expansions. The numerical solution of the linear dispersion equation indicates that (1) the proposed instability can occur at the inner edge or the midsection of the neutral sheet just prior to the substorm expansion onset although the former environment is found more favorable at the same drift speed scaled to the ion thermal speed, (2) the computed growth time is comparable to the substorm onset time, and (3) the excited waves have a mixed polarization with frequencies near the ion gyrofrequency at the innermore » edge and near the lower hybrid frequency in the midtail region. On the basis of this analysis, they propose a substorm development scenario in which plasma sheet thinning during the substorm growth phase leads to an enhancement in the relative drift between ions and electrons. This results in the neutral sheet being susceptible to the CHCI and initiates the diversion of the cross-tail current through the ionosphere. Whether or not a substorm current wedge is ultimately formed is regulated by the ionospheric condition. A large number of substorm features can be readily understood with the proposed scheme. These include (1) precursory activities (pseudobreakups) prior to substorm onset, (2) substorm initiation region to be spatially localized, (3) three different solar wind conditions for substorm occurence, (4) skew towards evening local times for substorm onset locations, (5) different acceleration characteristics between ions and electrons, (6) tailward spreading of current disruption region after substorm onset, and (7) local time expansion of substorm current wedge with possible discrete westward jump for the evening expansion.« less

Rapid bedside coagulometry prior to urgent neurosurgical procedures in anticoagulated patients.

PubMed

Beynon, Christopher; Jakobs, Martin; Rizos, Timolaos; Unterberg, Andreas W; Sakowitz, Oliver W

2014-01-01

With the increased use of oral anticoagulation with vitamin K antagonists, emergency physicians encounter a growing number of patients requiring a rapid reversal of anticoagulant effects in order to perform urgent surgical procedures. Initiation of these procedures can be delayed because the coagulation status has to be assessed through examination of blood samples in central laboratories (CL). This delay may lead to negative effects, especially in potentially life-threatening conditions such as intracranial haemorrhage. Point-of-care (POC) devices for assessment of international normalized ratio (POC INR) have improved the management of anticoagulation therapy in the outpatient setting. The use of these devices may also have beneficial effects in the treatment of anticoagulated patients requiring urgent neurosurgical procedures. The primary aim of this study was to analyse the potential of POC-guided assessment of INR to reduce time to potentially life-saving neurosurgery in this setting. Feasibility and accuracy as well as the gain of time through the use of this device were analysed. The POC coagulometer CoaguChek XS(®) was used in 17 patients with a history of anticoagulant use and a condition requiring urgent anticoagulant reversal prior to neurosurgical procedures (burr-hole trepanation: n = 8, craniotomy: n = 7, laminectomy: n = 2). No technical difficulties occurred and rapid assessment of INR was achieved in all cases within 2 min. POC INR values correlated well with CL INR assessment with a mean INR deviation of 0.036 ± 0.12. The mean gain of time through the use of the POC INR device compared with CL assessment of INR was 47 ± 6 min (range: 37-61 min). Our initial experiences with a POC INR device in anticoagulated patients undergoing urgent neurosurgical procedures demonstrate that its use may contribute to an improved management of these patients.

Papillon-Lefèvre syndrome: a successful outcome.

PubMed

Ahuja, Vanita; Shin, Richard Hochul; Mudgil, Adarsh; Nanda, Veena; Schoor, Robert

2005-11-01

Papillon-Lefèvre syndrome (PLS) is a rare autosomal recessive condition manifested clinically by hyperkeratosis of the palms and soles and rapidly progressive periodontitis resulting in loss of deciduous and permanent teeth. This case report describes the clinical periodontal findings and treatment of a 10-year-old male patient with PLS. The patient provided informed consent, and the study was conducted in accordance with the Helsinki Declaration of 1975, as revised in 2000. Upon initial presentation, a full periodontal examination was completed. Conventional probing depths, clinical attachment levels (CAL), gingival index (GI), and plaque index (PI) were measured prior to initial therapy, which involved oral hygiene instruction and scaling and root planing. At reevaluation, initial treatment proved unsuccessful, and a surgical approach with concomitant systemic antibiotic therapy was implemented. In addition, the patient's dermatologist treated his palmoplantar keratoderma with systemic retinoids. Subsequently, the patient was placed on a strict 3-month maintenance protocol and was evaluated over a period of 1 year. Initial treatment with mechanical therapy, oral hygiene instruction, frequent recalls, and systemic antibiotics did not yield efficacious results. However, with the addition of surgical treatment, a favorable clinical outcome was obtained. Numerous treatment regimens for the periodontal disease seen in PLS can be found in the literature. We demonstrate successful treatment of the periodontal disease seen in this condition using mechanical therapy, systemic antibiotics, and surgical modalities; over a period of 1 year, we were able to achieve significant reductions in gingival inflammation and erythema.

Tensor to scalar ratio and large scale power suppression from pre-slow roll initial conditions

NASA Astrophysics Data System (ADS)

Lello, Louis; Boyanovsky, Daniel

2014-05-01

We study the corrections to the power spectra of curvature and tensor perturbations and the tensor-to-scalar ratio r in single field slow roll inflation with standard kinetic term due to initial conditions imprinted by a ``fast-roll'' stage prior to slow roll. For a wide range of initial inflaton kinetic energy, this stage lasts only a few e-folds and merges smoothly with slow-roll thereby leading to non-Bunch-Davies initial conditions for modes that exit the Hubble radius during slow roll. We describe a program that yields the dynamics in the fast-roll stage while matching to the slow roll stage in a manner that is independent of the inflationary potentials. Corrections to the power spectra are encoded in a ``transfer function'' for initial conditions Script Tα(k), Script Pα(k) = PBDα(k)Script Tα(k), implying a modification of the ``consistency condition'' for the tensor to scalar ratio at a pivot scale k0: r(k0) = -8nT(k0) [Script TT(k0)/Script TScript R(k0)]. We obtain Script Tα(k) to leading order in a Born approximation valid for modes of observational relevance today. A fit yields Script Tα(k) = 1+Aαk-pcos [2πωk/Hsr+varphiα], with 1.5lesssimplesssim2, ω simeq 1 and Hsr the Hubble scale during slow roll inflation, where curvature and tensor perturbations feature the same p,ω for a wide range of initial conditions. These corrections lead to both a suppression of the quadrupole and oscillatory features in both PR(k) and r(k0) with a period of the order of the Hubble scale during slow roll inflation. The results are quite general and independent of the specific inflationary potentials, depending solely on the ratio of kinetic to potential energy κ and the slow roll parameters epsilonV, ηV to leading order in slow roll. For a wide range of κ and the values of epsilonV ηV corresponding to the upper bounds from Planck, we find that the low quadrupole is consistent with the results from Planck, and the oscillations in r(k0) as a function of k0 could be observable if the modes corresponding to the quadrupole and the pivot scale crossed the Hubble radius very few (2-3) e-folds after the onset of slow roll. We comment on possible impact on the recent BICEP2 results.

Attrition from HIV Testing to Antiretroviral Therapy Initiation among Patients Newly Diagnosed with HIV in Haiti

PubMed Central

NOEL, Edva; ESPERANCE, Morgan; MCLAUGHLIN, Megan; BERTRAND, Rachel; DEVIEUX, Jessy; SEVERE, Patrice; MARCELIN, Abdias; NICOTERA, Janet; DELCHER, Chris; GRISWOLD, Mark; MEREDITH, Genevive; PAPE, Jean William; KOENIG, Serena P

2013-01-01

Objective We report rates and risk factors for attrition in the first cohort of patients followed through all stages from HIV testing to ART initiation. Design Cohort study of all patients diagnosed with HIV between January and June, 2009. Methods We calculated the proportion of patients who completed CD4 cell counts and initiated ART or remained in pre-ART care during two years of follow-up, and assessed predictors of attrition. Results Of 1,427 patients newly diagnosed with HIV, 680 (48%) either initiated ART or were retained in pre-ART care for the subsequent two years. One thousand eighty-three patients (76%) received a CD4 cell count and 973 (90%) returned for result; 297 (31%) had CD4 cell count < 200 cells/μl and of these, 256 (86%) initiated ART. Among 429 patients with CD4 > 350 cells/μl, 215 (50%) started ART or were retained in pre-ART care. Active TB was associated with lower odds of attrition prior to CD4 cell count (OR: 0.08; 95% CI: 0.03–0.25) but also higher odds of attrition prior to ART initiation (OR: 2.46; 95% CI: 1.29–4.71). Lower annual income (≤ $US125) was associated with higher odds of attrition prior to CD4 cell count (OR 1.65; 95% CI: 1.25–2.19), and prior to ART initiation among those with CD4 cell count > 350 cells/μl (OR: 1.74; 95% CI: 1.20–2.52). After tracking patients through a national database, the retention rate increased to only 57%. Conclusion Fewer than half of patients newly diagnosed with HIV initiate ART or remain in pre-ART care for two years in a clinic providing comprehensive services. Additional efforts to improve retention in pre-ART are critically needed. PMID:23254154

Association of antidepressant medication therapy with inpatient rehabilitation outcomes for stroke, traumatic brain injury, or traumatic spinal cord injury.

PubMed

Weeks, Douglas L; Greer, Christopher L; Bray, Brenda S; Schwartz, Catrina R; White, John R

2011-05-01

To study whether outcomes in patients who have undergone inpatient rehabilitation for stroke, traumatic brain injury (TBI), or traumatic spinal cord injury (TSCI) differ based on antidepressant medication (ADM) use. Retrospective cohort study of 867 electronic medical records of patients receiving inpatient rehabilitation for stroke, TBI, or TSCI. Four cohorts were formed within each rehabilitation condition: patients with no history of ADM use and no indication of history of depression; patients with no history of ADM use but with a secondary diagnostic code for a depressive illness; patients with a history of ADM use prior to and during inpatient rehabilitation; and patients who began ADM therapy in inpatient rehabilitation. Freestanding inpatient rehabilitation facility (IRF). Patients diagnosed with stroke (n=625), TBI (n=175), and TSCI (n=67). Not applicable. FIM, rehabilitation length of stay (LOS), deviation between actual LOS and expected LOS, and functional gain per day. In each impairment condition, patients initiating ADM therapy in inpatient rehabilitation had longer LOS than patients in the same impairment condition on ADM at IRF admission, and had significantly longer LOS than patients with no history of ADM use and no diagnosis of depression (P<.05). LOS for patients initiating ADM therapy as inpatients even exceeded LOS for patients without ADM history, but who had a diagnosis for a depressive disorder. Deviation in LOS was significantly larger in the stroke and TBI groups initiating ADM in IRF than their counterparts with no history of ADM use, illustrating that the group initiating ADM therapy in rehabilitation significantly exceeded expected LOS. Increased LOS did not translate into functional gains, and in fact, functional gain per day was lower in the group initiating ADM therapy in IRF. Explanations for unexpectedly long LOS in patients initiating ADM in inpatient rehabilitation focus on the potential for ADM to inhibit therapy-driven remodeling of the nervous system when initiated close in time to nervous system injury, or the possibility that untreated sequelae (eg, depressive symptoms or fatigue) were limiting progress in therapy, which triggered ADM treatment. Copyright © 2011 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.

Autolytic degradation of skipjack tuna during heating as affected by initial quality and processing conditions.

PubMed

Stagg, Nicola J; Amato, Penny M; Giesbrecht, Francis; Lanier, Tyre C

2012-02-01

Several factors were studied as affecting protein degradation and texture of skipjack tuna muscle following ambient pressure thermal processing (precooking). These included degree of mushy tuna syndrome (MTS) evidenced in the raw meat, raw meat pH, abusive thawing/holding, and precooking temperature/time. Slurries and intact pieces from frozen skipjack tuna, either tempered for 2 h or thawed and held at 25 °C for 22 h (abusive treatment) were heated at temperatures ranging from 40 to 80 °C for up to 2 h, and also at 90 °C for 1 h, with or without prior adjustment of pH to 5 or 7 to favor cathepsin or calpain activity, respectively. Proteolysis of precooked samples was monitored by Lowry assay and SDS-PAGE; cooked texture of intact meat was measured using a Kramer shear press and by sensory profile analysis. Proteolysis maximally occurred in slurries of skipjack tuna muscle that had been abusively stored (22 h at 25 °C) and adjusted to pH 5 prior to heating at 55 °C. Intact pieces of tuna abusively thawed/held for 22 h with subsequent heating at 55 °C also evidenced the most proteolysis and were the least firm in texture. Raw fish that evidenced higher severity of MTS when raw displayed higher levels of proteolysis prior to cooking, which were further increased after cooking at 55 °C. The kinetic data presented here can be used to optimize processing conditions for skipjack tuna canning to minimize textural degradation and optimize quality. © 2012 Institute of Food Technologists®

Pediatric Emergency Research Canada (PERC): Patient/Family-Informed Research Priorities for Pediatric Emergency Medicine.

PubMed

Bialy, Liza; Plint, Amy C; Freedman, Stephen B; Johnson, David W; Curran, Janet A; Stang, Antonia S

2018-06-06

A growing body of literature supports patient and public involvement in the design, prioritization and dissemination of research and evidence based medicine. The objectives of this project were to engage patients and families in developing a prioritized list of research topics for Pediatric Emergency Medicine (PEM) and to compare results with prior research prioritization initiatives in the ED (emergency department) setting. We utilized a systematic process to combine administrative data on frequency of patient presentations to the ED with multiple stakeholder input including an initial stakeholder survey followed by a modified Delphi consensus methodology consisting of two web-based surveys and a face-to-face meeting. The prioritization process resulted in a ranked list of 15 research priorities. The top five priorities were mental health presentations, pain and sedation, practice tools, quality of care delivery and resource utilization. Mental health, pain and sedation, clinical prediction rules, respiratory illnesses /wheeze, patient safety/medication error and sepsis were identified as shared priorities with prior initiatives. Topics identified in our process that were not identified in prior work included resource utilization, ED communication, antibiotic stewardship and patient/family adherence with recommendations. This work identifies key priorities for research in PEM. Comparing our results with prior initiatives in the ED setting identified shared research priorities and opportunities for collaboration among PEM research networks. This work in particular makes an important contribution to the existing literature by including the patient/family perspective missing from prior work. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Attenuation of muscle damage by preconditioning with muscle hyperthermia 1-day prior to eccentric exercise.

PubMed

Nosaka, K; Muthalib, M; Lavender, A; Laursen, P B

2007-01-01

This study investigated the hypothesis that muscle damage would be attenuated in muscles subjected to passive hyperthermia 1 day prior to exercise. Fifteen male students performed 24 maximal eccentric actions of the elbow flexors with one arm; the opposite arm performed the same exercise 2-4 weeks later. The elbow flexors of one arm received a microwave diathermy treatment that increased muscle temperature to over 40 degrees C, 16-20 h prior to the exercise. The contralateral arm acted as an untreated control. Maximal voluntary isometric contraction strength (MVC), range of motion (ROM), upper arm circumference, muscle soreness, plasma creatine kinase activity and myoglobin concentration were measured 1 day prior to exercise, immediately before and after exercise, and daily for 4 days following exercise. Changes in the criterion measures were compared between conditions (treatment vs. control) using a two-way repeated measures ANOVA with a significance level of P < 0.05. All measures changed significantly following exercise, but the treatment arm showed a significantly faster recovery of MVC, a smaller change in ROM, and less muscle soreness compared with the control arm. However, the protective effect conferred by the diathermy treatment was significantly less effective compared with that seen in the second bout performed 4-6 weeks after the initial bout by a subgroup of the subjects (n = 11) using the control arm. These results suggest that passive hyperthermia treatment 1 day prior to eccentric exercise-induced muscle damage has a prophylactic effect, but the effect is not as strong as the repeated bout effect.

Randomized controlled evaluation of an early intervention to prevent post-rape psychopathology.

PubMed

Resnick, Heidi; Acierno, Ron; Waldrop, Angela E; King, Lynda; King, Daniel; Danielson, Carla; Ruggiero, Kenneth J; Kilpatrick, Dean

2007-10-01

A randomized between-group design was used to evaluate the efficacy of a video intervention to reduce post-traumatic stress disorder (PTSD) and other mental health problems, implemented prior to the forensic medical examination conducted within 72 h post-sexual assault. Participants were 140 female victims of sexual assault (68 video/72 nonvideo) aged 15 years or older. Assessments were targeted for 6 weeks (Time 1) and 6 months (Time 2) post-assault. At Time 1, the intervention was associated with lower scores on measures of PTSD and depression among women with a prior rape history relative to scores among women with a prior rape history in the standard care condition. At Time 2, depression scores were also lower among those with a prior rape history who were in the video relative to the standard care condition. Small effects indicating higher PTSD and Beck Anxiety Inventory (BAI) scores among women without a prior rape history in the video condition were observed at Time 1. Accelerated longitudinal growth curve analysis indicated a videoxprior rape history interaction for PTSD, yielding four patterns of symptom trajectory over time. Women with a prior rape history in the video condition generally maintained the lowest level of symptoms.

Completed | Office of Cancer Clinical Proteomics Research

Cancer.gov

Prior to the current Clinical Proteomic Tumor Analysis Consortium (CPTAC), previously funded initiatives associated with clinical proteomics research included: Clinical Proteomic Tumor Analysis Consortium (CPTAC 2.0) Clinical Proteomic Technologies for Cancer Initiative (CPTC) Mouse Proteomic Technologies Initiative

Scientific Revolutions to the nth power: n = 0, 1, 2, 3.

NASA Astrophysics Data System (ADS)

Beichler, James

2008-04-01

Thomas Kuhn's description and characterization of scientific revolutions set the standard for interpreting and understanding these events, but his characterization introduced an anomaly. Newtonian science was at the pinnacle of its success immediately prior to the Second Scientific Revolution. From an evolutionary point-of-view, there were no crises to be solved just problems within the Newtonian paradigm, whereas the specific crises that initiated the revolution are evident from everyone's point-of-view after the revolution. This paradox is well recognized, but it seems not to be a problem and is just ignored as if it were not important or significant. Yet this discrepancy strikes at the very heart of physics and the overall progress of science. Historical conditions currently parallel the period immediately prior to the Second Scientific Revolution indicating that a new scientific revolution is approaching. When a comparison of the two periods is made, new characteristics of scientific revolutions are identified, the paradox is solved and evidence of a Zeroth Scientific Revolution emerges from the historical record.

CT Imaging, Data Reduction, and Visualization of Hardwood Logs

Treesearch

Daniel L. Schmoldt

1996-01-01

Computer tomography (CT) is a mathematical technique that, combined with noninvasive scanning such as x-ray imaging, has become a powerful tool to nondestructively test materials prior to use or to evaluate materials prior to processing. In the current context, hardwood lumber processing can benefit greatly by knowing what a log looks like prior to initial breakdown....

Adaptive Conditioning of Multiple-Point Geostatistical Facies Simulation to Flow Data with Facies Probability Maps

NASA Astrophysics Data System (ADS)

Khodabakhshi, M.; Jafarpour, B.

2013-12-01

Characterization of complex geologic patterns that create preferential flow paths in certain reservoir systems requires higher-order geostatistical modeling techniques. Multipoint statistics (MPS) provides a flexible grid-based approach for simulating such complex geologic patterns from a conceptual prior model known as a training image (TI). In this approach, a stationary TI that encodes the higher-order spatial statistics of the expected geologic patterns is used to represent the shape and connectivity of the underlying lithofacies. While MPS is quite powerful for describing complex geologic facies connectivity, the nonlinear and complex relation between the flow data and facies distribution makes flow data conditioning quite challenging. We propose an adaptive technique for conditioning facies simulation from a prior TI to nonlinear flow data. Non-adaptive strategies for conditioning facies simulation to flow data can involves many forward flow model solutions that can be computationally very demanding. To improve the conditioning efficiency, we develop an adaptive sampling approach through a data feedback mechanism based on the sampling history. In this approach, after a short period of sampling burn-in time where unconditional samples are generated and passed through an acceptance/rejection test, an ensemble of accepted samples is identified and used to generate a facies probability map. This facies probability map contains the common features of the accepted samples and provides conditioning information about facies occurrence in each grid block, which is used to guide the conditional facies simulation process. As the sampling progresses, the initial probability map is updated according to the collective information about the facies distribution in the chain of accepted samples to increase the acceptance rate and efficiency of the conditioning. This conditioning process can be viewed as an optimization approach where each new sample is proposed based on the sampling history to improve the data mismatch objective function. We extend the application of this adaptive conditioning approach to the case where multiple training images are proposed to describe the geologic scenario in a given formation. We discuss the advantages and limitations of the proposed adaptive conditioning scheme and use numerical experiments from fluvial channel formations to demonstrate its applicability and performance compared to non-adaptive conditioning techniques.

Comparison of radiographic joint space width and magnetic resonance imaging for prediction of knee replacement: A longitudinal case-control study from the Osteoarthritis Initiative.

PubMed

Eckstein, Felix; Boudreau, Robert; Wang, Zhijie; Hannon, Michael J; Duryea, Jeff; Wirth, Wolfgang; Cotofana, Sebastian; Guermazi, Ali; Roemer, Frank; Nevitt, Michael; John, Markus R; Ladel, Christoph; Sharma, Leena; Hunter, David J; Kwoh, C Kent

2016-06-01

To evaluate whether change in fixed-location measures of radiographic joint space width (JSW) and cartilage thickness by MRI predict knee replacement. Knees replaced between 36 and 60 months' follow-up in the Osteoarthritis Initiative were each matched with one control by age, sex and radiographic status. Radiographic JSW was determined from fixed flexion radiographs and subregional femorotibial cartilage thickness from 3 T MRI. Changes between the annual visit before replacement (T0) and 2 years before T0 (T-2) were compared using conditional logistic regression. One hundred and nineteen knees from 102 participants (55.5 % women; age 64.2 ± 8.7 [mean ± SD] years) were studied. Fixed-location JSW change at 22.5 % from medial to lateral differed more between replaced and control knees (case-control [cc] OR = 1.57; 95 % CI: 1.23-2.01) than minimum medial JSW change (ccOR = 1.38; 95 % CI: 1.11-1.71). Medial femorotibial cartilage loss displayed discrimination similar to minimum JSW, and central tibial cartilage loss similar to fixed-location JSW. Location-independent thinning and thickening scores were elevated prior to knee replacement. Discrimination of structural progression between knee pre-placement cases versus controls was stronger for fixed-location than minimum radiographic JSW. MRI displayed similar discrimination to radiography and suggested greater simultaneous cartilage thickening and loss prior to knee replacement. • Fixed-location JSW predicts surgical knee replacement more strongly than minimum JSW. • MRI predicts knee replacement with similar accuracy to radiographic JSW. • MRI reveals greater cartilage thinning and thickening prior to knee replacement.

Forecasting seasonal influenza with a state-space SIR model

DOE PAGES

Osthus, Dave; Hickmann, Kyle S.; Caragea, Petruţa C.; ...

2017-04-08

Seasonal influenza is a serious public health and societal problem due to its consequences resulting from absenteeism, hospitalizations, and deaths. The overall burden of influenza is captured by the Centers for Disease Control and Prevention’s influenza-like illness network, which provides invaluable information about the current incidence. This information is used to provide decision support regarding prevention and response efforts. Despite the relatively rich surveillance data and the recurrent nature of seasonal influenza, forecasting the timing and intensity of seasonal influenza in the U.S. remains challenging because the form of the disease transmission process is uncertain, the disease dynamics are onlymore » partially observed, and the public health observations are noisy. Fitting a probabilistic state-space model motivated by a deterministic mathematical model [a susceptible-infectious-recovered (SIR) model] is a promising approach for forecasting seasonal influenza while simultaneously accounting for multiple sources of uncertainty. A significant finding of this work is the importance of thoughtfully specifying the prior, as results critically depend on its specification. Our conditionally specified prior allows us to exploit known relationships between latent SIR initial conditions and parameters and functions of surveillance data. We demonstrate advantages of our approach relative to alternatives via a forecasting comparison using several forecast accuracy metrics.« less

Forecasting seasonal influenza with a state-space SIR model

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

Osthus, Dave; Hickmann, Kyle S.; Caragea, Petruţa C.

Seasonal influenza is a serious public health and societal problem due to its consequences resulting from absenteeism, hospitalizations, and deaths. The overall burden of influenza is captured by the Centers for Disease Control and Prevention’s influenza-like illness network, which provides invaluable information about the current incidence. This information is used to provide decision support regarding prevention and response efforts. Despite the relatively rich surveillance data and the recurrent nature of seasonal influenza, forecasting the timing and intensity of seasonal influenza in the U.S. remains challenging because the form of the disease transmission process is uncertain, the disease dynamics are onlymore » partially observed, and the public health observations are noisy. Fitting a probabilistic state-space model motivated by a deterministic mathematical model [a susceptible-infectious-recovered (SIR) model] is a promising approach for forecasting seasonal influenza while simultaneously accounting for multiple sources of uncertainty. A significant finding of this work is the importance of thoughtfully specifying the prior, as results critically depend on its specification. Our conditionally specified prior allows us to exploit known relationships between latent SIR initial conditions and parameters and functions of surveillance data. We demonstrate advantages of our approach relative to alternatives via a forecasting comparison using several forecast accuracy metrics.« less

Chilldown study of the single stage inducer test rig

NASA Technical Reports Server (NTRS)

Kimura, L. A.

1972-01-01

Of the six chilldown tests, data from only one could be used for evaluation. During the rest of the chilldown tests, there was leakage hydrogen flow into the pump cavity prior to the initiation of the chilldown test. In all of the tests the hydrogen condition into the pump was probably 100% vapor. The data from this one test, therefore, can be used to compare only the single phase fluid correlation in the analytical pump chilldown model. In general, the actual pump chilled down much faster than predicted by the analytical pump model. There were insufficient data from the test to measure the pump flow rate and pump inlet fluid condition; therefore, these parameters were extrapolated based on related data which were available. However, even with the highest probable flow rate, the pump chilled faster than predicted.

A compressed sensing based approach on Discrete Algebraic Reconstruction Technique.

PubMed

Demircan-Tureyen, Ezgi; Kamasak, Mustafa E

2015-01-01

Discrete tomography (DT) techniques are capable of computing better results, even using less number of projections than the continuous tomography techniques. Discrete Algebraic Reconstruction Technique (DART) is an iterative reconstruction method proposed to achieve this goal by exploiting a prior knowledge on the gray levels and assuming that the scanned object is composed from a few different densities. In this paper, DART method is combined with an initial total variation minimization (TvMin) phase to ensure a better initial guess and extended with a segmentation procedure in which the threshold values are estimated from a finite set of candidates to minimize both the projection error and the total variation (TV) simultaneously. The accuracy and the robustness of the algorithm is compared with the original DART by the simulation experiments which are done under (1) limited number of projections, (2) limited view problem and (3) noisy projections conditions.

Gravity Effect on Capillary Limit in a Miniature Loop Heat Pipe with Multiple Evaporators and Multiple Condensers

NASA Technical Reports Server (NTRS)

Nagano, Hosei; Ku, Jentung

2007-01-01

This paper describes the gravity effect on heat transport characteristics in a minia6re loop heat pipe with multiple evaporators and multiple condensers. Tests were conducted in three different orientations: horizontal, 45deg tilt, and vertical. The gravity affected the loop's natural operating temperature, the maximum heat transport capability, and the thermal conductance. In the case that temperatures of compensation chambers were actively controlled, the required control heater power was also dependent on the test configuration. In the vertical configuration, the secondary wick was not able to pump the liquid from the CC to the evaporator against the gravity. Thus the loop could operate stably or display some peculiar behaviors depending on the initial liquid distribution between the evaporator and the CC. Because such an initial condition was not known prior to the test, the subsequent loop performance was unpredictable.

Long-Term Obliquity Variations of a Moonless Earth

NASA Astrophysics Data System (ADS)

Barnes, Jason W.; Lissauer, J. J.; Chambers, J. E.

2012-05-01

Earth's present-day obliquity varies by +/-1.2 degrees over 100,000-year timescales. Without the Moon's gravity increasing the rotation axis precession rate, prior theory predicted that a moonless Earth's obliquity would be allowed to vary between 0 and 85 degrees -- moreso even than present-day Mars (0 - 60 degrees). We use a modified version of the symplectic orbital integrator `mercury' to numerically investigate the obliquity evolution of hypothetical moonless Earths. Contrary to the large theoretically allowed range, we find that moonless Earths more typically experience obliquity variations of just +/- 10 degrees over Gyr timescales. Some initial conditions for the moonless Earth's rotation rate and obliquity yield slightly greater variations, but the majority have smaller variations. In particular, retrograde rotators are quite stable and should constitute 50% of the population if initial terrestrial planet rotation is isotropic. Our results have important implications for the prospects of long-term habitability of moonless planets in extrasolar systems.

When generating answers benefits arithmetic skill: the importance of prior knowledge.

PubMed

Rittle-Johnson, Bethany; Kmicikewycz, Alexander Oleksij

2008-09-01

People remember information better if they generate the information while studying rather than read the information. However, prior research has not investigated whether this generation effect extends to related but unstudied items and has not been conducted in classroom settings. We compared third graders' success on studied and unstudied multiplication problems after they spent a class period generating answers to problems or reading the answers from a calculator. The effect of condition interacted with prior knowledge. Students with low prior knowledge had higher accuracy in the generate condition, but as prior knowledge increased, the advantage of generating answers decreased. The benefits of generating answers may extend to unstudied items and to classroom settings, but only for learners with low prior knowledge.

An Electrostatic Precipitator System for the Martian Environment

NASA Technical Reports Server (NTRS)

Calle, C. I.; Mackey, P. J.; Hogue, M. D.; Johansen, M. R.; Phillips, J. R., III; Clements, J. S.

2012-01-01

Human exploration missions to Mars will require the development of technologies for the utilization of the planet's own resources for the production of commodities. However, the Martian atmosphere contains large amounts of dust. The extraction of commodities from this atmosphere requires prior removal of this dust. We report on our development of an electrostatic precipitator able to collect Martian simulated dust particles in atmospheric conditions approaching those of Mars. Extensive experiments with an initial prototype in a simulated Martian atmosphere showed efficiencies of 99%. The design of a second prototype with aerosolized Martian simulated dust in a flow-through is described. Keywords: Space applications, electrostatic precipitator, particle control, particle charging

Pre-inflationary universe in loop quantum cosmology

NASA Astrophysics Data System (ADS)

Zhu, Tao; Wang, Anzhong; Cleaver, Gerald; Kirsten, Klaus; Sheng, Qin

2017-10-01

The evolutions of the flat Friedmann-Lemaître-Robertson-Walker universe and its linear perturbations are studied systematically in the dressed metric approach of loop quantum cosmology. When it is dominated by the kinetic energy of the inflaton at the quantum bounce, the evolution of the background can be divided into three different phases prior to the preheating: bouncing, transition and slow-roll inflation. During the bouncing phase, the evolution is independent of not only the initial conditions, but also the inflationary potentials. In particular, the expansion factor can be well described by the same exact solution in all the cases considered. In contrast, in the potential-dominated case such a universality is lost. It is because of this universality that the linear perturbations are also independent of the inflationary models and obtained exactly. During the transition phase, the evolutions of the background and its linear perturbations are found explicitly, and then matched to the ones given in the other two phases. Hence, once the initial conditions are imposed, the linear scalar and tensor perturbations will be uniquely determined. Considering two different sets of initial conditions, one imposed during the contracting phase and the other at the bounce, we calculate the Bogoliubov coefficients and find that the two sets yield the same results and all lead to particle creations at the onset of the inflation. Due to the preinflationary dynamics, the scalar and tensor power spectra become scale dependent. By comparing our results with the Planck 2015 data, we find constraints on the total number of e -folds since the bounce, in order to be consistent with current observations.

Effects of Recent Exposure to a Conditioned Stimulus on Extinction of Pavlovian Fear Conditioning

ERIC Educational Resources Information Center

Chan, Wan Yee Macy; Leung, Hiu T.; Westbrook, R. Frederick; McNally, Gavan P.

2010-01-01

In six experiments we studied the effects of a single re-exposure to a conditioned stimulus (CS; "retrieval trial") prior to extinction training (extinction-reconsolidation boundary) on the development of and recovery from fear extinction. A single retrieval trial prior to extinction training significantly augmented the renewal and reinstatement…

Conditions during adulthood affect cohort-specific reproductive success in an Arctic-nesting goose population.

PubMed

Weegman, Mitch D; Bearhop, Stuart; Hilton, Geoff M; Walsh, Alyn; Fox, Anthony David

2016-01-01

Variation in fitness between individuals in populations may be attributed to differing environmental conditions experienced among birth (or hatch) years (i.e., between cohorts). In this study, we tested whether cohort fitness could also be explained by environmental conditions experienced in years post-hatch, using 736 lifelong resighting histories of Greenland white-fronted geese (Anser albifrons flavirostris) marked in their first winter. Specifically, we tested whether variation in age at first successful reproduction, the size of the first successful brood and the proportion of successful breeders by cohort was explained by environmental conditions experienced on breeding areas in west Greenland during hatch year, those in adulthood prior to successful reproduction and those in the year of successful reproduction, using North Atlantic Oscillation indices as proxies for environmental conditions during these periods. Fifty-nine (8%) of all marked birds reproduced successfully (i.e., were observed on wintering areas with young) only once in their lifetime and 15 (2%) reproduced successfully twice or thrice. Variation in age at first successful reproduction was explained by the environmental conditions experienced during adulthood in the years prior to successful reproduction. Birds bred earliest (mean age 4) when environmental conditions were 'good' prior to the year of successful reproduction. Conversely, birds successfully reproduced at older ages (mean age 7) if they experienced adverse conditions prior to the year of successful reproduction. Hatch year conditions and an interaction between those experienced prior to and during the year of successful reproduction explained less (marginally significant) variation in age at first successful reproduction. Environmental conditions did not explain variation in the size of the first successful brood or the proportion of successful breeders. These findings show that conditions during adulthood prior to the year of successful reproduction are most important in determining the age at first successful reproduction in Greenland white-fronted geese. Very few birds bred successfully at all (most only once), which suggests that May environmental conditions on breeding areas have cohort effects that influence lifetime (and not just annual) reproductive success.

An Optimization-Based State Estimatioin Framework for Large-Scale Natural Gas Networks

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

Jalving, Jordan; Zavala, Victor M.

We propose an optimization-based state estimation framework to track internal spacetime flow and pressure profiles of natural gas networks during dynamic transients. We find that the estimation problem is ill-posed (because of the infinite-dimensional nature of the states) and that this leads to instability of the estimator when short estimation horizons are used. To circumvent this issue, we propose moving horizon strategies that incorporate prior information. In particular, we propose a strategy that initializes the prior using steady-state information and compare its performance against a strategy that does not initialize the prior. We find that both strategies are capable ofmore » tracking the state profiles but we also find that superior performance is obtained with steady-state prior initialization. We also find that, under the proposed framework, pressure sensor information at junctions is sufficient to track the state profiles. We also derive approximate transport models and show that some of these can be used to achieve significant computational speed-ups without sacrificing estimation performance. We show that the estimator can be easily implemented in the graph-based modeling framework Plasmo.jl and use a multipipeline network study to demonstrate the developments.« less

Bayesian analysis of a mastitis control plan to investigate the influence of veterinary prior beliefs on clinical interpretation.

PubMed

Green, M J; Browne, W J; Green, L E; Bradley, A J; Leach, K A; Breen, J E; Medley, G F

2009-10-01

The fundamental objective for health research is to determine whether changes should be made to clinical decisions. Decisions made by veterinary surgeons in the light of new research evidence are known to be influenced by their prior beliefs, especially their initial opinions about the plausibility of possible results. In this paper, clinical trial results for a bovine mastitis control plan were evaluated within a Bayesian context, to incorporate a community of prior distributions that represented a spectrum of clinical prior beliefs. The aim was to quantify the effect of veterinary surgeons' initial viewpoints on the interpretation of the trial results. A Bayesian analysis was conducted using Markov chain Monte Carlo procedures. Stochastic models included a financial cost attributed to a change in clinical mastitis following implementation of the control plan. Prior distributions were incorporated that covered a realistic range of possible clinical viewpoints, including scepticism, enthusiasm and uncertainty. Posterior distributions revealed important differences in the financial gain that clinicians with different starting viewpoints would anticipate from the mastitis control plan, given the actual research results. For example, a severe skeptic would ascribe a probability of 0.50 for a return of < 5 UK pounds per cow in an average herd that implemented the plan, whereas an enthusiast would ascribe this probability for a return of > 20 UK pounds per cow. Simulations using increased trial sizes indicated that if the original study was four times as large, an initial skeptic would be more convinced about the efficacy of the control plan but would still anticipate less financial return than an initial enthusiast would anticipate after the original study. In conclusion, it is possible to estimate how clinicians' prior beliefs influence their interpretation of research evidence. Further research on the extent to which different interpretations of evidence result in changes to clinical practice would be worthwhile.

28 CFR 2.15 - Petition for consideration of parole prior to date set at hearing.

Code of Federal Regulations, 2010 CFR

2010-07-01

... prior to date set at hearing. 2.15 Section 2.15 Judicial Administration DEPARTMENT OF JUSTICE PAROLE... hearing. When a prisoner has served the minimum term of imprisonment required by law, the Bureau of... consideration for parole prior to the date set by the Commission at the initial or review hearing. The petition...

Improving Treatment Engagement for Returning OEF/OIF Veterans with PTSD, Depression, and Suicidal Ideation

PubMed Central

Gallegos, Autumn M.; Streltzov, Nicholas; Stecker, Tracy

2016-01-01

Posttraumatic stress disorder (PTSD) is associated with increased risk of suicidal ideation among Veterans of Iraq and Afghanistan (OEF/OIF). This report examined the effectiveness of a brief phone-based cognitive-behavioral intervention on treatment seeking among suicidal and non-suicidal OEF/OIF Veterans who screened positive for PTSD. Participants were randomized to the intervention or control conditions. We found that suicidal participants, regardless of condition, were twice as likely to attend treatment as non-suicidal participants. Participants assigned to the control condition who did not indicate suicidality at baseline were less likely to attend treatment at both the 1 and 6 month follow-up interviews. Qualitative findings of the suicidal participants indicated PTSD and depressive symptomatology, low social support, and infrequent positive coping mechanisms. Our finding indicates the effectiveness of an intervention to motivate Veterans with PTSD to initiate and remain in treatment. The intervention might be particularly useful prior to experiencing a psychological crisis. PMID:26894313

Differential transfer processes in incremental visuomotor adaptation.

PubMed

Seidler, Rachel D

2005-01-01

Visuomotor adaptive processes were examined by testing transfer of adaptation between similar conditions. Participants made manual aiming movements with a joystick to hit targets on a computer screen, with real-time feedback display of their movement. They adapted to three different rotations of the display in a sequential fashion, with a return to baseline display conditions between rotations. Adaptation was better when participants had prior adaptive experiences. When performance was assessed using direction error (calculated at the time of peak velocity) and initial endpoint error (error before any overt corrective actions), transfer was greater when the final rotation reflected an addition of previously experienced rotations (adaptation order 30 degrees rotation, 15 degrees, 45 degrees) than when it was a subtraction of previously experienced conditions (adaptation order 45 degrees rotation, 15 degrees, 30 degrees). Transfer was equal regardless of adaptation order when performance was assessed with final endpoint error (error following any discrete, corrective actions). These results imply the existence of multiple independent processes in visuomotor adaptation.

Production of mono- and di-carboxylated polyethylene glycols as a factor obstacle to the successful ozonation-assisted biodegradation of ethoxylated compounds.

PubMed

Nakai, Satoshi; Okuda, Tetsuji; Nishijima, Wataru; Okada, Mitsumasa

2015-10-01

Ozonation is believed to improve the biodegradability of organic compounds. In the present study, degradation of nonylphenol ethoxylates (NPEOs) was monitored in hybrid treatment systems consisting of ozonation and microbial degradation processes. We found that ozonation of NPEOs decreased, rather than increased, the biodegradability under certain conditions. The timing of ozonation was a definitive factor in determining whether ozonation increased or decreased the biodegradation rates of NPEOs. Initial ozonation of NPEOs prior to biodegradation reduced the rate of dissolved organic carbon (DOC) removal during the subsequent 14 d of biodegradation, whereas intermediate ozonation at the 9th day of biodegradation improved subsequent DOC removal during 14 d of NPEO biodegradation. Furthermore, reduction of DOC removal was also observed, when initial ozonation prior to biodegradation was subjected to cetyl alcohol ethoxylates. The production of less biodegradable intermediates, such as mono- and dicarboxylated polyethylene glycols (MCPEGs and DCPEGs), was responsible for the negative effect of ozonation on biodegradability of NPEOs. DCPEGs and MCPEGs were produced by biodegradation of polyethylene glycols (PEGs) that were ozonolysis products of the NPEOs, and the biodegradability of DCPEGs and MCPEGs was less than that of the precursor PEGs. The results indicate that, if the target chemicals contain ethoxy chains, production of PEGs may be one of the important factors when ozonation is considered. Copyright © 2015 Elsevier Ltd. All rights reserved.

An assessment of cold work effects on strain-controlled low-cycle fatigue behavior of type 304 stainless steel

NASA Astrophysics Data System (ADS)

Rao, K. Bhanu Sankara; Valsan, M.; Sandhya, R.; Mannan, S. L.; Rodriguez, P.

1993-04-01

The influence of prior cold work (PCW) on low-cycle fatigue (LCF) behavior of type 304 stainless steel has been studied at 300, 823, 923, and 1023 K by conducting total axial strain-controlled tests in solution annealed (SA, 0 pct PCW) condition and on specimens having three levels of PCW, namely, 10, 20, and 30 pct. A triangular waveform with a constant frequency of 0.1 Hz was employed for all of the tests performed over strain amplitudes in the range of ±0.25 to ± 1.25 pct. These studies have revealed that fatigue life is strongly dependent on PCW, temperature, and strain amplitude employed in testing. The SA material generally displayed better endurance in terms of total and plastic strain amplitudes than the material in 10, 20, and 30 pct PCW conditions at all of the temperatures. However, at 300 K at very low strain amplitudes, PCW material exhibited better total strain fatigue resistance. At 823 K, LCF life decreased with increasing PCW, whereas at 923 K, 10 pct PCW displayed the lowest life. An improvement in life occurred for prior deformations exceeding 10 pct at all strain amplitudes at 923 K. Fatigue life showed a noticeable decrease with increasing temperature up to 1023 K in PCW state. On the other hand, SA material displayed a minimum in fatigue life at 923 K. The fatigue life results of SA as well as all of the PCW conditions obeyed the Basquin and Coffin-Manson relationships at 300, 823, and 923 K. The constants and exponents in these equations were found to depend on the test temperature and prior metallurgical state of the material. A study is made of cyclic stress-strain behavior in SA and PCW states and the relationship between the cyclic strain-hardening exponent and fatigue behavior at different temperatures has been explored. The influence of environment on fatigue crack initiation and propagation behavior has been examined.

Accessory stimulus modulates executive function during stepping task

PubMed Central

Watanabe, Tatsunori; Koyama, Soichiro; Tanabe, Shigeo

2015-01-01

When multiple sensory modalities are simultaneously presented, reaction time can be reduced while interference enlarges. The purpose of this research was to examine the effects of task-irrelevant acoustic accessory stimuli simultaneously presented with visual imperative stimuli on executive function during stepping. Executive functions were assessed by analyzing temporal events and errors in the initial weight transfer of the postural responses prior to a step (anticipatory postural adjustment errors). Eleven healthy young adults stepped forward in response to a visual stimulus. We applied a choice reaction time task and the Simon task, which consisted of congruent and incongruent conditions. Accessory stimuli were randomly presented with the visual stimuli. Compared with trials without accessory stimuli, the anticipatory postural adjustment error rates were higher in trials with accessory stimuli in the incongruent condition and the reaction times were shorter in trials with accessory stimuli in all the task conditions. Analyses after division of trials according to whether anticipatory postural adjustment error occurred or not revealed that the reaction times of trials with anticipatory postural adjustment errors were reduced more than those of trials without anticipatory postural adjustment errors in the incongruent condition. These results suggest that accessory stimuli modulate the initial motor programming of stepping by lowering decision threshold and exclusively under spatial incompatibility facilitate automatic response activation. The present findings advance the knowledge of intersensory judgment processes during stepping and may aid in the development of intervention and evaluation tools for individuals at risk of falls. PMID:25925321

Expectancy Learning from Probabilistic Input by Infants

PubMed Central

Romberg, Alexa R.; Saffran, Jenny R.

2013-01-01

Across the first few years of life, infants readily extract many kinds of regularities from their environment, and this ability is thought to be central to development in a number of domains. Numerous studies have documented infants’ ability to recognize deterministic sequential patterns. However, little is known about the processes infants use to build and update representations of structure in time, and how infants represent patterns that are not completely predictable. The present study investigated how infants’ expectations fora simple structure develope over time, and how infants update their representations with new information. We measured 12-month-old infants’ anticipatory eye movements to targets that appeared in one of two possible locations. During the initial phase of the experiment, infants either saw targets that appeared consistently in the same location (Deterministic condition) or probabilistically in either location, with one side more frequent than the other (Probabilistic condition). After this initial divergent experience, both groups saw the same sequence of trials for the rest of the experiment. The results show that infants readily learn from both deterministic and probabilistic input, with infants in both conditions reliably predicting the most likely target location by the end of the experiment. Local context had a large influence on behavior: infants adjusted their predictions to reflect changes in the target location on the previous trial. This flexibility was particularly evident in infants with more variable prior experience (the Probabilistic condition). The results provide some of the first data showing how infants learn in real time. PMID:23439947

Statins and risk of poststroke hemorrhagic complications

PubMed Central

MacIsaac, Rachael L.; Abdul-Rahim, Azmil H.; Siegerink, Bob; Bath, Philip M.; Endres, Matthias; Lees, Kennedy R.; Nolte, Christian H.

2016-01-01

Objective: To assess whether statin treatment before or after acute ischemic stroke (AIS) affects the risk of acute intracerebral hemorrhage (ICH), postacute ICH, and mortality within 90 days. Methods: Data were sought from the Virtual International Stroke Trials Archive, an international repository of clinical trials data. Using propensity score matching, we retrospectively compared patients with prior statin treatment and newly initiated statin within 3 days after AIS to patients without statin exposure. Outcomes of interest were acute symptomatic ICH (sICH), any acute ICH, postacute ICH, and mortality during follow-up of 3 months. Results: A total of 8,535 patients (mean age 70 years, 54% male, median baseline NIH Stroke Scale score 13) were analyzed. After propensity score matching, prior statin use was not strongly associated with sICH (adjusted odds ratio [OR] 1.33, 95% confidence interval [CI] 0.83–2.14) or any ICH (adjusted OR 1.35, 95% CI 0.92–1.98). There was no evidence of an interaction between prior statin use and thrombolysis. New initiation of statins was not associated with postacute ICH (adjusted hazard ratio [HR] 1.60, 95% CI 0.70–3.65). There was a signal towards lower 90-day mortality in patients with prior statin use (adjusted HR 0.84, 95% CI 0.70–1.00) and especially early initiation of statins (adjusted HR 0.67, 95% CI 0.46–0.97). Conclusions: Statin use prior to AIS was not associated with early hemorrhagic complications, irrespective of treatment with thrombolysis. New initiation of statin treatment early after AIS did not affect risk of postacute ICH, but might be associated with reduced mortality. PMID:27016519

GIMEMA CLL0809 Study (BendOfa)

ClinicalTrials.gov

2015-01-29

Patients With CLL Relapsing After an Initial Response (CR, PR ≥ 6 Months) Following no More Than Two Prior Treatment Lines; or; Patients With CLL Refractory (SD, PD or CR/PR < 6 Months) Following no More Than Two Prior Treatment Lines

[Perioperative management of a patient with myotonic dystrophy developing the cardiac symptoms initially prior to the neuromuscular symptoms].

PubMed

Wake, M; Matsushita, M; Aono, H; Matsumoto, M; Kohri, Y

1994-08-01

The authors anesthetized a 48-year-old woman with endometrial cancer and a large ovarian cyst. She developed cardiac failure initially followed by the sick sinus syndrome and A-V block from hypertrophic cardiomyopathy, prior to neuromuscular symptoms. Epidural anesthesia assisted by general anesthesia was carried out safely without intravenous administration of any muscle relaxants. From this experience, it is considered that epidural anesthesia assisted with some other proper methods is suitable for surgery of lower abdomen.

Experimental Protocol to Determine the Chloride Threshold Value for Corrosion in Samples Taken from Reinforced Concrete Structures

PubMed Central

Angst, Ueli M.; Boschmann, Carolina; Wagner, Matthias; Elsener, Bernhard

2017-01-01

The aging of reinforced concrete infrastructure in developed countries imposes an urgent need for methods to reliably assess the condition of these structures. Corrosion of the embedded reinforcing steel is the most frequent cause for degradation. While it is well known that the ability of a structure to withstand corrosion depends strongly on factors such as the materials used or the age, it is common practice to rely on threshold values stipulated in standards or textbooks. These threshold values for corrosion initiation (Ccrit) are independent of the actual properties of a certain structure, which clearly limits the accuracy of condition assessments and service life predictions. The practice of using tabulated values can be traced to the lack of reliable methods to determine Ccrit on-site and in the laboratory. Here, an experimental protocol to determine Ccrit for individual engineering structures or structural members is presented. A number of reinforced concrete samples are taken from structures and laboratory corrosion testing is performed. The main advantage of this method is that it ensures real conditions concerning parameters that are well known to greatly influence Ccrit, such as the steel-concrete interface, which cannot be representatively mimicked in laboratory-produced samples. At the same time, the accelerated corrosion test in the laboratory permits the reliable determination of Ccrit prior to corrosion initiation on the tested structure; this is a major advantage over all common condition assessment methods that only permit estimating the conditions for corrosion after initiation, i.e., when the structure is already damaged. The protocol yields the statistical distribution of Ccrit for the tested structure. This serves as a basis for probabilistic prediction models for the remaining time to corrosion, which is needed for maintenance planning. This method can potentially be used in material testing of civil infrastructures, similar to established methods used for mechanical testing. PMID:28892023

Experimental Protocol to Determine the Chloride Threshold Value for Corrosion in Samples Taken from Reinforced Concrete Structures.

PubMed

Angst, Ueli M; Boschmann, Carolina; Wagner, Matthias; Elsener, Bernhard

2017-08-31

The aging of reinforced concrete infrastructure in developed countries imposes an urgent need for methods to reliably assess the condition of these structures. Corrosion of the embedded reinforcing steel is the most frequent cause for degradation. While it is well known that the ability of a structure to withstand corrosion depends strongly on factors such as the materials used or the age, it is common practice to rely on threshold values stipulated in standards or textbooks. These threshold values for corrosion initiation (Ccrit) are independent of the actual properties of a certain structure, which clearly limits the accuracy of condition assessments and service life predictions. The practice of using tabulated values can be traced to the lack of reliable methods to determine Ccrit on-site and in the laboratory. Here, an experimental protocol to determine Ccrit for individual engineering structures or structural members is presented. A number of reinforced concrete samples are taken from structures and laboratory corrosion testing is performed. The main advantage of this method is that it ensures real conditions concerning parameters that are well known to greatly influence Ccrit, such as the steel-concrete interface, which cannot be representatively mimicked in laboratory-produced samples. At the same time, the accelerated corrosion test in the laboratory permits the reliable determination of Ccrit prior to corrosion initiation on the tested structure; this is a major advantage over all common condition assessment methods that only permit estimating the conditions for corrosion after initiation, i.e., when the structure is already damaged. The protocol yields the statistical distribution of Ccrit for the tested structure. This serves as a basis for probabilistic prediction models for the remaining time to corrosion, which is needed for maintenance planning. This method can potentially be used in material testing of civil infrastructures, similar to established methods used for mechanical testing.

The Effects of the Timing of Isolated FFI on the Explicit Knowledge and Written Accuracy of Learners with Different Prior Knowledge of the Linguistic Target

ERIC Educational Resources Information Center

Shintani, Natsuko

2017-01-01

This study examines the effects of the timing of explicit instruction (EI) on grammatical accuracy. A total of 123 learners were divided into two groups: those with some productive knowledge of past-counterfactual conditionals (+Prior Knowledge) and those without such knowledge (-Prior Knowledge). Each group was divided into four conditions. Two…

Prior Knowledge Guides Speech Segregation in Human Auditory Cortex.

PubMed

Wang, Yuanye; Zhang, Jianfeng; Zou, Jiajie; Luo, Huan; Ding, Nai

2018-05-18

Segregating concurrent sound streams is a computationally challenging task that requires integrating bottom-up acoustic cues (e.g. pitch) and top-down prior knowledge about sound streams. In a multi-talker environment, the brain can segregate different speakers in about 100 ms in auditory cortex. Here, we used magnetoencephalographic (MEG) recordings to investigate the temporal and spatial signature of how the brain utilizes prior knowledge to segregate 2 speech streams from the same speaker, which can hardly be separated based on bottom-up acoustic cues. In a primed condition, the participants know the target speech stream in advance while in an unprimed condition no such prior knowledge is available. Neural encoding of each speech stream is characterized by the MEG responses tracking the speech envelope. We demonstrate that an effect in bilateral superior temporal gyrus and superior temporal sulcus is much stronger in the primed condition than in the unprimed condition. Priming effects are observed at about 100 ms latency and last more than 600 ms. Interestingly, prior knowledge about the target stream facilitates speech segregation by mainly suppressing the neural tracking of the non-target speech stream. In sum, prior knowledge leads to reliable speech segregation in auditory cortex, even in the absence of reliable bottom-up speech segregation cue.

Impact of a cystic fibrosis transmembrane conductance regulator (CFTR) modulator on high-dose ibuprofen therapy in pediatric cystic fibrosis patients.

PubMed

Bruch, Brittany A; Singh, Sachinkumar B; Ramsey, Laura J; Starner, Timothy D

2018-05-01

This study was undertaken to determine if a clinically relevant drug-drug interaction occurred between ibuprofen and lumacaftor/ivacaftor. Peak ibuprofen plasma concentrations were measured prior to and after lumacaftor/ivacaftor initiation. A Wilcoxon signed rank sum test was used to compare the values. Nine patients were included in the final analysis. Peak ibuprofen plasma concentrations decreased an average of 36.4 mcg/mL after initiation of lumacaftor/ivacaftor with a relative reduction of 41.7%. The average peak plasma concentration was 84.2 mcg/mL (SD = 10.9) prior to lumacaftor/ivacaftor initiation and 47.9 mcg/mL (SD = 16.4) following initiation (P = 0.0039). Peak concentrations occurred at an average of 100 min (SD = 30) and 107 min (SD = 40) prior to and following lumacaftor/ivacaftor initiation, respectively. We suggest a clinically relevant drug-drug interaction exists between ibuprofen and lumacaftor/ivacaftor. Lumacaftor may cause subtherapeutic ibuprofen plasma concentrations due to the induction of CYP enzymes and increased metabolism of ibuprofen. Based on this analysis, we have modified our use of ibuprofen in several patients after evaluation of this drug-drug interaction. © 2018 Wiley Periodicals, Inc.

Administration of magnesium sulphate before rocuronium: effects on speed of onset and duration of neuromuscular block.

PubMed

Kussman, B; Shorten, G; Uppington, J; Comunale, M E

1997-07-01

The speeds of onset of pancuronium, atracurium and vecuronium are increased by prior administration of magnesium sulphate. A prospective, randomized, double-blind, controlled, clinical study was performed to examine the effects of prior i.v. administration of magnesium sulphate 60 mg kg-1 on the neuromuscular blocking effects of rocuronium 0.6 mg kg-1 during isoflurane anaesthesia. Neuromuscular function was measured electromyographically (Relaxograph) in 30 patients who received either magnesium sulphate 60 mg kg-1 or normal saline, 1-min before rocuronium 0.6 mg kg-1. Mean onset times were similar in the two groups (magnesium sulphate 71 (SD 20) s; normal saline 75 (23) s), but times to initial, 10% and 25% recovery from neuromuscular block were significantly longer in the magnesium sulphate group (42.1 (16.3), 49.0 (12.4) and 56.5 (13.2) min, respectively) than in the saline group (25.1 (9.1), 33.0 (11.1) and 35.6 (13.2) min, respectively) (P < 0.05 in all three cases). Administration of magnesium sulphate was not associated with adverse haemodynamic effects. Prior administration of magnesium sulphate, under the study conditions described, prolonged rocuronium-induced neuromuscular block but did not increase speed of onset.

30 CFR 57.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2014 CFR

2014-07-01

... nonelectric initiation system uses shock tube— (1) Connections with other initiation devices shall be secured... which detonation is to proceed; (5) Connections between blastholes shall not be made until immediately... use gas tube, continuity of the circuit shall be tested prior to blasting. ...

30 CFR 57.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... nonelectric initiation system uses shock tube— (1) Connections with other initiation devices shall be secured... which detonation is to proceed; (5) Connections between blastholes shall not be made until immediately... use gas tube, continuity of the circuit shall be tested prior to blasting. ...

30 CFR 57.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2013 CFR

2013-07-01

... nonelectric initiation system uses shock tube— (1) Connections with other initiation devices shall be secured... which detonation is to proceed; (5) Connections between blastholes shall not be made until immediately... use gas tube, continuity of the circuit shall be tested prior to blasting. ...

30 CFR 57.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2012 CFR

2012-07-01

... nonelectric initiation system uses shock tube— (1) Connections with other initiation devices shall be secured... which detonation is to proceed; (5) Connections between blastholes shall not be made until immediately... use gas tube, continuity of the circuit shall be tested prior to blasting. ...

30 CFR 57.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... nonelectric initiation system uses shock tube— (1) Connections with other initiation devices shall be secured... which detonation is to proceed; (5) Connections between blastholes shall not be made until immediately... use gas tube, continuity of the circuit shall be tested prior to blasting. ...

Effect of pre-slaughter physiological conditions on the oxidative stability of colour and lipid during chill storage of sliced, retail packed roast ham.

PubMed

Juncher, Dorte; Rønn, Birgitte; Beck Hansen, Tina; Henckel, Poul; Karlsson, Anders; Skibsted, Leif H; Bertelsen, Grete

2003-02-01

Pre-slaughter physiological conditions (A serving as control, B subjected to treadmill exercise immediately prior to stunning, C epinephrine injection 15 h prior to slaughter, and D epinephrine injection 15 h prior to slaughter and subjected to treadmill exercise immediately before stunning) were found to significantly affect colour and lipid oxidation of sliced, retail packed roast ham, produced from nitrite-cured (78 ppm nitrite) M. Longissimus dorsi. The pre-slaughter treatment resulted in variations in the level of glycogen, lactate, ATP and IMP and pH development as monitored in Longissimus dorsi muscles, with the lowest ultimate pH (pH(u)) in muscles from non-epinephrine treated pigs (treatments A and B). The initial tristimulus L(∗)-value and the L(∗)-value during chill storage of sliced roast ham packed in laminates with low or with very low oxygen transmission rate (OTR=40 and <0.5 cm(3)/m(2)/atm/24 h, respectively) were significantly affected by treatment, although the effect of the treatments was different during storage for 28 days (interaction between treatment and storage time). Roast ham from treatments A and B generally had a paler appearance (higher L(∗)-values) than from treatments C and D. No differences in the initial tristimulus a(∗)-values (redness) were found. During chill storage, a pronounced colour fading (decrease in a(∗)-values) was seen for laminate with low OTR, with a tendency of better colour stability for treatment C than A, but with no differences for the other treatments. For laminates with very low OTR, the cured meat pigment was stable with no decreases in a(∗)-values during storage. Lipid oxidation (thiobarbituric acid reactive substances, TBARS) in products in laminates with low OTR increased during storage and was significantly higher for roast ham from non-epinephrine treated pigs (A and B) than for ham from epinephrine-treated pigs (C and D). Statistical analysis relating pH and the level of glycogen, lactate, creatine phosphate, ATP and IMP in the individual pigs to the product quality parameters revealed that the ultimate level of lactate was the most important single parameter affecting product quality. After 28 days of chill storage, roast ham from pigs subjected to treatments C and D were more likely to support bacterial growth than from treatments A and B. In conclusion, the results show that pre-slaughter physiological conditions are of importance for chemical as well as for microbiological changes in retail stored roast ham.

Effect of School Belonging Trajectories in Grades 6–8 on Achievement: Gender and Ethnic Differences

PubMed Central

Hughes, Jan N.; Im, Myung Hee; Allee, Paula J.

2015-01-01

This study investigated the association between trajectories of school belonging across grades 6–8 and academic achievement in grade 8 in an ethnically diverse sample of 527 academically at-risk adolescents. Students reported annually on school belonging. Reading and math achievement were assessed at grade 5 (baseline) and grade 8. Interactive effects of gender and ethnicity were found in the conditional growth models for school belonging. Girls of all ethnicities had identical growth trajectories and reported higher initial school belonging than Euro-American or Latino boys. Latino and Euro-American males had lower initial level of school belonging than African American males, and Latino males had lower growth in school belonging than Euro-American males. In structural equation modeling (SEM) analyses, initial level of school belonging predicted grade 8 reading for girls and grade 8 math for boys and girls, above prior achievement and school and child covariates, but growth in school belonging predicted grade 8 achievement only for African American students. Implications for strategies to improve school belonging among academically at-risk youth are discussed. PMID:26563601

Effects of High Temperature Exposures on Fatigue Life of Disk Superalloys

NASA Technical Reports Server (NTRS)

Gabb, Tim P.; Telesman, Jack; Kantzos, Pete T.; Smith, James W.; Browning, Paul F.

2004-01-01

The effects on fatigue life of high temperature exposures simulating service conditions were considered for two disk superalloys. Powder metallurgy processed, supersolvus heat treated Udimet (trademark) 720 and ME3 fatigue specimens were exposed in air at temperatures of 650 to 704 C, for times of 100 h to over 1000 h. They were then tested using conventional fatigue tests at 650 and 704 C, to determine the effects of exposure on fatigue resistance. Cyclic dwell verification tests were also performed to contrast the effects of intermixed exposures and fatigue cycles. The prior exposures reduced life by up to 70% and increased the scatter in life, compared to unexposed levels. Cyclic dwell tests reduced lives even more. Fractographic evaluations indicated the failure mode was shifted by the exposures and cyclic dwells from predominantly internal to often surface crack initiations. The increased scatter in life was related to the competition between internal crack initiations at inclusions or large grains producing longer lives, and surface crack initiations at an environmentally affected surface layer producing shorter lives.

75 FR 31763 - Enhanced Examination Timing Control Initiative; Notice of Public Meeting

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-04

...] Enhanced Examination Timing Control Initiative; Notice of Public Meeting AGENCY: United States Patent and...: This notice announces a public meeting to solicit public opinions on an initiative being considered by.... Under the initiative, for applications filed in the USPTO that are not based on a prior foreign- filed...

29 CFR 4211.36 - Modifications to the determination of initial liabilities, the amortization of initial...

Code of Federal Regulations, 2010 CFR

2010-07-01

..., the amortization of initial liabilities, and the allocation fraction. 4211.36 Section 4211.36 Labor... initial liabilities, and the allocation fraction. (a) General rule. A plan using any of the allocation... participation under their prior plans. An amendment under this paragraph must include an allocation fraction...

Impact of Soil Moisture Initialization on Seasonal Weather Prediction

NASA Technical Reports Server (NTRS)

Koster, Randal D.; Suarez, Max J.; Houser, Paul (Technical Monitor)

2002-01-01

The potential role of soil moisture initialization in seasonal forecasting is illustrated through ensembles of simulations with the NASA Seasonal-to-Interannual Prediction Project (NSIPP) model. For each boreal summer during 1997-2001, we generated two 16-member ensembles of 3-month simulations. The first, "AMIP-style" ensemble establishes the degree to which a perfect prediction of SSTs would contribute to the seasonal prediction of precipitation and temperature over continents. The second ensemble is identical to the first, except that the land surface is also initialized with "realistic" soil moisture contents through the continuous prior application (within GCM simulations leading up to the start of the forecast period) of a daily observational precipitation data set and the associated avoidance of model drift through the scaling of all surface prognostic variables. A comparison of the two ensembles shows that soil moisture initialization has a statistically significant impact on summertime precipitation and temperature over only a handful of continental regions. These regions agree, to first order, with regions that satisfy three conditions: (1) a tendency toward large initial soil moisture anomalies, (2) a strong sensitivity of evaporation to soil moisture, and (3) a strong sensitivity of precipitation to evaporation. The degree to which the initialization improves forecasts relative to observations is mixed, reflecting a critical need for the continued development of model parameterizations and data analysis strategies.

Emerging from the Cradle

ERIC Educational Resources Information Center

Bull, Glen; Garofalo, Joe; Bell, Randy

2004-01-01

New technologies often assume the form of prior traditions during their infancy. For example, filmed plays known as photoplays were initially produced prior to the development of modern cinema conventions. Similarly, printed books at first assumed many of the characteristics of hand-lettered manuscripts.

Epicure: a European epidemiological study of patients with an advanced or metastatic Urothelial Carcinoma (UC) having progressed to a platinum-based chemotherapy.

PubMed

Houédé, N; Locker, G; Lucas, C; Parra, H Soto; Basso, U; Spaeth, D; Tambaro, R; Basterretxea, L; Morelli, F; Theodore, C; Lusuardi, L; Lainez, N; Guillot, A; Tonini, G; Bielle, J; Del Muro, X Garcia

2016-09-23

Platinum-based systemic chemotherapy is considered the backbone for management of advanced urothelial carcinomas. However there is a lack of real world data on the use of such chemotherapy regimens, on patient profiles and on management after treatment failure. Fifty-one randomly selected physicians from 4 European countries registered 218 consecutive patients in progression or relapse following a first platinum-based chemotherapy. Patient characteristics, tumor history and treatment regimens, as well as the considerations of physicians on the management of urothelial carcinoma were recorded. A systemic platinum-based regimen had been administered as the initial chemotherapy in 216 patients: 15 in the neoadjuvant setting, 61 in adjuvant therapy conditions, 137 in first-line advanced setting and 3 in other conditions. Of these patients, 76 (35 %) were initially considered as cisplatin-unfit, mainly because of renal impairment (52 patients). After platinum failure, renal impairment was observed in 44 % of patients, ECOG Performance Status ≥ 2 in 17 %, hemoglobinemia < 10 g/dL in 16 %, hepatic metastases in 13 %. 80 % of these patients received further anticancer therapy. Immediately after failure of adjuvant/neoadjuvant chemotherapy, most subsequent anticancer treatments were chemotherapy doublets (35/58), whereas after therapy failure in the advanced setting most patients receiving further anticancer drugs were treated with a single agent (80/114). After first progression to chemotherapy, treatment decisions were mainly driven by Performance Status and prior response to chemotherapy (>30 % patients). The most frequent all-settings second anticancer therapy regimen was vinflunine (70 % of single-agent and 42 % of all subsequent treatments), the main reasons evoked by physicians (>1 out of 4) being survival benefit, safety and phase III evidence. In this daily practice experience, a majority of patients with urothelial carcinoma previously treated with a platinum-based therapy received a second chemotherapy regimen, most often a single agent after an initial chemotherapy in the advanced setting and preferably a cytotoxic combination after a neoadjuvant or adjuvant chemotherapy. Performance Status and prior response to chemotherapy were the main drivers of further treatment decisions.

The Role of Frontal Cortical and Medial-Temporal Lobe Brain Areas in Learning a Bayesian Prior Belief on Reversals

PubMed Central

Jang, Anthony I.; Costa, Vincent D.; Rudebeck, Peter H.; Chudasama, Yogita; Murray, Elisabeth A.

2015-01-01

Reversal learning has been extensively studied across species as a task that indexes the ability to flexibly make and reverse deterministic stimulus–reward associations. Although various brain lesions have been found to affect performance on this task, the behavioral processes affected by these lesions have not yet been determined. This task includes at least two kinds of learning. First, subjects have to learn and reverse stimulus–reward associations in each block of trials. Second, subjects become more proficient at reversing choice preferences as they experience more reversals. We have developed a Bayesian approach to separately characterize these two learning processes. Reversal of choice behavior within each block is driven by a combination of evidence that a reversal has occurred, and a prior belief in reversals that evolves with experience across blocks. We applied the approach to behavior obtained from 89 macaques, comprising 12 lesion groups and a control group. We found that animals from all of the groups reversed more quickly as they experienced more reversals, and correspondingly they updated their prior beliefs about reversals at the same rate. However, the initial values of the priors that the various groups of animals brought to the task differed significantly, and it was these initial priors that led to the differences in behavior. Thus, by taking a Bayesian approach we find that variability in reversal-learning performance attributable to different neural systems is primarily driven by different prior beliefs about reversals that each group brings to the task. SIGNIFICANCE STATEMENT The ability to use prior knowledge to adapt choice behavior is critical for flexible decision making. Reversal learning is often studied as a form of flexible decision making. However, prior studies have not identified which brain regions are important for the formation and use of prior beliefs to guide choice behavior. Here we develop a Bayesian approach that formally characterizes learning set as a concept, and we show that, in macaque monkeys, the amygdala and medial prefrontal cortex have a role in establishing an initial belief about the stability of the reward environment. PMID:26290251

The real-world effectiveness and safety of fingolimod in relapsing-remitting multiple sclerosis patients: An observational study

PubMed Central

Damas, Fátima; Páramo, Maria Dolores; Ruiz-Peña, Juan Luis; Navarro, Guillermo

2017-01-01

Fingolimod approval was based mainly on two clinical trials, FREEDOMS and TRANSFORMS, which demonstrated the efficacy and safety of fingolimod in patients with multiple sclerosis (MS). We present an observational study that validates these trials findings in a real-world setting, whereby the effectiveness and safety of fingolimod was assessed in Seville’s’ (Spain) clinical practice. This retrospective study in MS patients assessed effectiveness (relapses, EDSS, gadolinium-enhancing T1 and new/enlarged T2-weighted lesions): total cohort (n = 249) and stratified according to prior treatment (glatiramer acetate/interferon beta-1 [immunomodulator], natalizumab, naïve), gender, basal EDSS score, basal Gd+ lesions, ARR prior to treatment, age at treatment initiation and number of prior treatments. A multivariante model was used to assess the ARR with baseline characteristics. The safety profile (adverse events [AEs]) was also described. Fingolimod reduced the annualized relapse rate (ARR) by 75%, 67% and 85% in the total cohort, patients previously treated with immunomodulatory and naïve patients (p<0.0001 all cases). However, patients previously treated with natalizumab kept a constant ARR. The ARR results and the consequent increase in the proportion of relapse-free patients were independent of the age at treatment initiation, number of prior treatments, gender and basal Gd+ lesions. Although fingolimod was effective regardless the basal EDSS score and ARR prior to fingolimod treatment, better outcomes were observed in patients with basal EDSS score <3 (0.2 vs. 0.4; p = 0.0244) and ARR ≥ 2 prior to fingolimod treatment (p = 0.0338). Only the basal EDSS score was association with ARR in the first 24 months of fingolimod treatment in the multivariante model (p = 0.0439). The cumulative probability of disability progression was 20% (month-24) in the total cohort, and was independent from prior treatment, age at treatment initiation, number of prior treatments, gender, basal EDSS score, basal Gd+ lesions and ARR prior to treatment. The real-world fingolimod benefits observed in this study seem to be similar than those observed in previous clinical trials. PMID:28453541

Hippocampal Arc (Arg3.1) expression is induced by memory recall and required for memory reconsolidation in trace fear conditioning.

PubMed

Chia, Chester; Otto, Tim

2013-11-01

Mounting evidence suggests that long-lasting, protein synthesis-dependent changes in synaptic strength accompany both the initial acquisition and subsequent recall of specific memories. Within brain areas thought to be important for learning and memory, including the hippocampus, learning-related plasticity is likely mediated in part by NMDA receptor activation and experience-dependent changes in gene expression. In the present study, we examined the role of activity-regulated cytoskeletal-associated protein (Arc/Arg3.1) expression in the acquisition, recall, and reconsolidation of memory in a trace fear conditioning paradigm. First, we show that the expression of Arc protein in ventral hippocampus (VH) is dramatically enhanced by memory recall 24h after the acquisition of trace fear conditioning, and that both memory recall and the associated recall-induced enhancement of Arc expression are blocked by pre-training administration of 2-amino-5-phosphonovaleric acid (APV). Next, we show that while infusion of Arc antisense oligodeoxynucleotides (ODNs) into VH prior to testing had little effect on memory recall, it significantly reduced both Arc protein expression and freezing behavior during subsequent testing sessions. Collectively, these results suggest that Arc/Arg3.1 protein plays an important functional role in both the initial acquisition of hippocampal-dependent memory and the reconsolidation of these memories after recall. Copyright © 2013 Elsevier Inc. All rights reserved.

Evaluation of different types of enamel conditioning before application of a fissure sealant.

PubMed

Ciucchi, Philip; Neuhaus, Klaus W; Emerich, Marta; Peutzfeldt, Anne; Lussi, Adrian

2015-01-01

The aim of the study was to compare fissure sealant quality after mechanical conditioning of erbium-doped yttrium aluminium garnet (Er:YAG) laser or air abrasion prior to chemical conditioning of phosphoric acid etching or of a self-etch adhesive. Twenty-five permanent molars were initially divided into three groups: control group (n = 5), phosphoric acid etching; test group 1 (n = 10), air abrasion; and test group 2, (n = 10) Er:YAG laser. After mechanical conditioning, the test group teeth were sectioned buccolingually and the occlusal surface of one half tooth (equal to one sample) was acid etched, while a self-etch adhesive was applied on the other half. The fissure system of each sample was sealed, thermo-cycled and immersed in 5% methylene dye for 24 h. Each sample was sectioned buccolingually, and one slice was analysed microscopically. Using specialized software microleakage, unfilled margin, sealant failure and unfilled area proportions were calculated. A nonparametric ANOVA model was applied to compare the Er:YAG treatment with that of air abrasion and the self-etch adhesive with phosphoric acid (α = 0.05). Test groups were compared to the control group using Wilcoxon rank sum tests (α = 0.05). The control group displayed significantly lower microleakage but higher unfilled area proportions than the Er:YAG laser + self-etch adhesive group and displayed significantly higher unfilled margin and unfilled area proportions than the air-abrasion + self-etch adhesive group. There was no statistically significant difference in the quality of sealants applied in fissures treated with either Er:YAG laser or air abrasion prior to phosphoric acid etching, nor in the quality of sealants applied in fissures treated with either self-etch adhesive or phosphoric acid following Er:YAG or air-abrasion treatment.

Stress exposure prior to fear acquisition interacts with estradiol status to alter recall of fear extinction in humans.

PubMed

Antov, Martin I; Stockhorst, Ursula

2014-11-01

Classical fear acquisition and extinction are important models for the etiology and treatment of anxiety disorders such as posttraumatic stress disorder (PTSD). Women are at a higher risk for PTSD than men. Levels of circulating 17-β estradiol (E2) in women have been linked to deficits in fear extinction and extinction recall. In PTSD, fear learning coincides with acute traumatic stress. However, little is known about the possible interaction between stress exposure and hormone status on fear acquisition and extinction learning. In a 2-day, 2×3 between-subjects design with healthy participants, we examined the effects of stress (psychosocial stressor vs. control, placed 45 min prior to conditioning) and natural E2-status on differential fear conditioning, covering fear acquisition, immediate extinction (Day 1), and 24h-delayed extinction recall (Day 2). To operationalize E2-status, we compared women in the early follicular phase (EF) of their menstrual cycle (low E2, low progesterone plasma levels), women in the midcycle phase (MC, high E2, low progesterone), and men. Conditioning was indicated by differential skin conductance responses. We found an interaction between stress exposure and natural E2-status in women only: In MC-women, extinction recall on Day 2 (24h after initial extinction training) was better when fear acquisition had been preceded by stress. In EF-women, the inverse was true. We show that extinction recall of conditioned fear acquired after stress depends on estrogen status in women. Therefore, extinction-based exposure therapy in free-cycling female anxiety patients should take cycle status into account. Copyright © 2014 Elsevier Ltd. All rights reserved.

Male-initiated partner abuse during marital separation prior to divorce.

PubMed

Toews, Michelle L; McKenry, Patrick C; Catlett, Beth S

2003-08-01

The purpose of this study was to assess predictors of male-initiated psychological and physical partner abuse during the separation process prior to divorce among a sample of 80 divorced fathers who reported no physical violence during their marriages. The predictor variables examined were male gender-role identity, female-initiated divorces, dependence on one's former wife, depression, anxiety, and coparental conflict. Through ordinary least square (OLS) regression techniques, it was found that male gender-role identity was positively related to male-initiated psychological abuse during separation. Logistic regression analyses revealed that male-initiated psychological abuse, anxiety level, coparental conflict, and dependence on one's former spouse increased the odds of a man engaging in physical abuse. However, depression decreased the odds of separation physical abuse. The models predicting both male-initiated psychological abuse (F = 2.20, p < .05, R2 = .15) and physical violence during the separation process were significant (Model chi2 = 35.00, df= 7, p < .001).

Classification of Initial conditions required for Substorm prediction.

NASA Astrophysics Data System (ADS)

Patra, S.; Spencer, E. A.

2014-12-01

We investigate different classes of substorms that occur as a result of various drivers such as the conditions in the solar wind and the internal state of the magnetosphere ionosphere system during the geomagnetic activity. In performing our study, we develop and use our low order physics based nonlinear model of the magnetosphere called WINDMI to establish the global energy exchange between the solar wind, magnetosphere and ionosphere by constraining the model results to satellite and ground measurements. On the other hand, we make quantitative and qualitative comparisons between our low order model with available MHD, multi-fluid and ring current simulations in terms of the energy transfer between the geomagnetic tail, plasma sheet, field aligned currents, ionospheric currents and ring current, during isolated substorms, storm time substorms, and sawtooth events. We use high resolution solar wind data from the ACE satellite, measurements from the CLUSTER and THEMIS missions satellites, and ground based magnetometer measurements from SUPERMAG and WDC Kyoto, to further develop our low order physics based model. Finally, we attempt to answer the following questions: 1) What conditions in the solar wind influence the type of substorm event. This includes the IMF strength and orientation, the particle densities, velocities and temperatures, and the timing of changes such as shocks, southward turnings or northward turnings of the IMF. 2) What is the state of the magnetosphere ionosphere system before an event begins. These are the steady state conditions prior to an event, if they exist, which produce the satellite and ground based measurements matched to the WINDMI model. 3) How does the prior state of the magnetosphere influence the transition into a particular mode of behavior under solar wind forcing. 4) Is it possible to classify the states of the magnetosphere into distinct categories depending on pre-conditioning, and solar wind forcing conditions? 5) Can we predict the occurrence of substorms with any confidence?

A Constrained Scheme for High Precision Downward Continuation of Potential Field Data

NASA Astrophysics Data System (ADS)

Wang, Jun; Meng, Xiaohong; Zhou, Zhiwen

2018-04-01

To further improve the accuracy of the downward continuation of potential field data, we present a novel constrained scheme in this paper combining the ideas of the truncated Taylor series expansion, the principal component analysis, the iterative continuation and the prior constraint. In the scheme, the initial downward continued field on the target plane is obtained from the original measured field using the truncated Taylor series expansion method. If the original field was with particularly low signal-to-noise ratio, the principal component analysis is utilized to suppress the noise influence. Then, the downward continued field is upward continued to the plane of the prior information. If the prior information was on the target plane, it should be upward continued over a short distance to get the updated prior information. Next, the difference between the calculated field and the updated prior information is calculated. The cosine attenuation function is adopted to get the scope of constraint and the corresponding modification item. Afterward, a correction is performed on the downward continued field on the target plane by adding the modification item. The correction process is iteratively repeated until the difference meets the convergence condition. The accuracy of the proposed constrained scheme is tested on synthetic data with and without noise. Numerous model tests demonstrate that downward continuation using the constrained strategy can yield more precise results compared to other downward continuation methods without constraints and is relatively insensitive to noise even for downward continuation over a large distance. Finally, the proposed scheme is applied to real magnetic data collected within the Dapai polymetallic deposit from the Fujian province in South China. This practical application also indicates the superiority of the presented scheme.

The effect of left frontal transcranial direct-current stimulation on propranolol-induced fear memory acquisition and consolidation deficits.

PubMed

Nasehi, Mohammad; Khani-Abyaneh, Mozhgan; Ebrahimi-Ghiri, Mohaddeseh; Zarrindast, Mohammad-Reza

2017-07-28

Accumulating evidence supports the efficacy of transcranial direct current stimulation (tDCS) in modulating numerous cognitive functions. Despite the fact that tDCS has been used for the enhancement of memory and cognition, very few animal studies have addressed its impact on the modulation of fear memory. This study was designed to determine whether pre/post-training frontal tDCS application would alter fear memory acquisition and/or consolidation deficits induced by propranolol in NMRI mice. Results indicated that administration of β1-adrenoceptor blocker propranolol (0.1mg/kg) impaired fear memory retrieval. Pre/post-training application of anodal tDCS when propranolol was administered prior to training reversed contextual memory retrieval whereas only the anodal application prior to training could induce the same result in the auditory test. Meanwhile, anodal stimulation had no effect on fear memories by itself. Moreover, regardless of when cathode was applied and propranolol administered, their combination restored contextual memory retrieval, while only cathodal stimulation prior to training facilitated the contextual memory retrieval. Also, auditory memory retrieval was restored when cathodal stimulation and propranolol occurred prior to training but it was abolished when stimulation occurred after training and propranolol was administered prior to training. Collectively, our findings show that tDCS applied on the left frontal cortex of mice affects fear memory performance. This alteration seems to be task-dependent and varies depending on the nature and timing of the stimulation. In certain conditions, tDCS reverses the effect of propranolol. These results provide initial evidence to support the timely use of tDCS for the modulation of fear-related memories. Copyright © 2017 Elsevier B.V. All rights reserved.

Atmospheric River Development and Effects on Southern California

NASA Astrophysics Data System (ADS)

Harris, S. M.; Carvalho, L. V.

2014-12-01

Throughout most of southern California (SCA) annual precipitation totals occur from relatively few storms per season. Any changes to storm frequency or intensity may dramatically impact the region, as its landscapes are prone to various rainfall-induced hazards including landslides and floods. These hazards become more frequent following drought or fire events, conditions also reliant on precipitation and common in SCA. Rainfall forecasts are especially difficult to determine as regional precipitation is affected by numerous phenomena. On synoptic timescales, atmospheric rivers (ARs) are one such phenomenon known to impact SCA rainfall. ARs are channels of high water vapor content found within the lower atmosphere that transport moisture towards midlatitudes. In areas with varying topography, ARs often produce high-intensity precipitation due to orographic forcing. Although much insight has been gained in understanding AR climatology affecting North America's western coast, the spatiotemporal characteristics and atmospheric forcings driving ARs to SCA need to be further addressed. The goal of this work is to understand the characteristics of ARs that impact SCA and to distinguish them from ARs that impact northern latitudes. We investigate AR characteristics as well as atmospheric features prior to plume initiation for ARs impacting different landfall regions along North America's western coast between 1998-2008. Dates of AR events are organized according to landfall region using total precipitable water (TPW) fields from the National Oceanic and Atmospheric Administration's Climate Forecast System Reanalysis (CFSR). Additional CFSR fields are used to create anomaly composites of moist static energy, geopotential height, as well as upper-level zonal and low-level meridional winds for each landfall region on the day of and prior to AR occurrence. ARs that impact SCA display different TPW plume characteristics as well as wave train patterns throughout the AR lifecycle (prior to plume initiation-AR landfall) compared to ARs that landfall further north. This suggests that ARs impacting SCA differ in initiation mechanisms as well as structural qualities from other ARs. Information from these analyses will assist in creating and validating an automatic tool for identifying AR occurrences.

Reproductive capability in dogs with canine leukocyte adhesion deficiency treated with nonmyeloablative conditioning prior to allogeneic hematopoietic stem cell transplantation

PubMed Central

Burkholder, Tanya H.; Colenda, Lyn; Tuschong, Laura M.; Starost, Matthew F.; Bauer, Thomas R.; Hickstein, Dennis D.

2006-01-01

Nonmyeloablative conditioning regimens are increasingly replacing myeolablative conditioning prior to allogeneic hematopoietic stem cell transplantation (SCT). The recent advent of these conditioning regimens has limited the assessment of the long-term effects of this treatment, including analysis of reproductive function. To address the question of reproductive function after nonmyeloablative transplantation, we analyzed a cohort of young dogs with the genetic disease canine leukocyte adhesion deficiency that were treated with a nonmyeloablative dose of 200 cGy total body irradiation followed by matched-littermate SCT. Five males and 5 females entered puberty; all 5 males and 4 females subsequently sired or delivered litters following transplantation. We demonstrate that fertility is intact and dogs have uncomplicated parturitions following nonmyeloablative conditioning for SCT. These results are encouraging for children and adults of childbearing age who receive similar conditioning regimens prior to allogeneic transplantation. PMID:16645166

Performance of 26 Meter Diameter Ringsail Parachute in a Simulated Martian Environment

NASA Technical Reports Server (NTRS)

Whitlock, Charles H.; Bendura, Richard J.; Cotrane, Lucille C.

1967-01-01

Inflation, drag, and stability characteristics of an 85.3-foot (26-meter) nominal diameter ringsail parachute deployed at a Mach number of 1.15 and at an altitude of 132,600 feet (40.42 kilometers) were obtained from the first flight test of the Planetary Entry Parachute Program. After deployment, the parachute inflated to the reefed condition. However, the canopy was unstable and produced low drag in the reefed condition. Upon disreefing and opening to full inflation, a slight instability in the canopy mouth was observed initially. After a short time, the fluctuations diminished and a stable configuration was attained. Results indicate a loss in drag during the fluctuation period prior to stable inflation. During descent, stability characteristics of the system were such that the average pitch-yaw angle from the local vertical was less than 10 degrees. Rolling motion between the payload and parachute canopy quickly damped to small amplitude.

Heat Exchanger/Humidifier Trade Study and Conceptual Design for the Constellation Space Suit Portable Life Support System Ventilation Subsystem

NASA Technical Reports Server (NTRS)

Paul, Heather L.; Sompayrac, Robert; Conger, Bruce; Chamberlain, Mateo

2009-01-01

As development of the Constellation Space Suit Element progresses, designing the most effective and efficient life support systems is critical. The baseline schematic analysis for the Portable Life Support System (PLSS) indicates that the ventilation loop will need some method of heat exchange and humidification prior to entering the helmet. A trade study was initiated to identify the challenges associated with conditioning the spacesuit breathing gas stream for temperature and water vapor control, to survey technological literature and resources on heat exchanger and humidifiers to provide solutions to the problems of conditioning the spacesuit breathing gas stream, and to propose potential candidate technologies to perform the heat exchanger and humidifier functions. This paper summarizes the results of this trade study and also describes the conceptual designs that NASA developed to address these issues.

Heat Exchanger/Humidifier Trade Study and Conceptual Design for the Constellation Space Suit Portable Life Support System Ventilation Subsystem

NASA Technical Reports Server (NTRS)

Paul, Heather L.; Conger, Bruce; Sompyrac, Robert; Chamberlain, Mateo

2008-01-01

As development of the Constellation Space Suit Element progresses, designing the most effective and efficient life support systems is critical. The baseline schematic analysis for the Portable Life Support System (PLSS) indicates that the ventilation loop will need some method of heat exchange and humidification prior to entering the helmet. A trade study was initiated to identify the challenges associated with conditioning the spacesuit breathing gas stream for temperature and water vapor control, to survey technological literature and resources on heat exchanger and humidifiers to provide solutions to the problems of conditioning the spacesuit breathing gas stream, and to propose potential candidate technologies to perform the heat exchanger and humidifier functions. This paper summarizes the results of this trade study and also describes the conceptual designs that NASA developed to address these issues.

Making judgments about ability: the role of implicit theories of ability in moderating inferences from temporal and social comparison information.

PubMed

Butler, R

2000-05-01

Two studies examined the novel proposal that implicit theories of intelligence (C. S. Dweck & E. L. Leggett, 1988) moderate both the effects of performance trends on ability inferences and the perceived diagnosticity of temporal versus normative feedback. Results from 613 adolescents and 42 teachers confirmed that entity theorists perceived initial outcome as more diagnostic and inferred higher ability in another (Study 1) and in the self (Study 2) in a declining outcome condition; incremental theorists perceived last outcome as more diagnostic and inferred higher ability in an ascending condition. Experimental induction of beliefs about ability had similar effects. As predicted, self-appraisal was affected more by temporal feedback among incremental theorists and by normative feedback among entity theorists. Results help resolve prior mixed findings regarding order effects and responses to temporal and normative evaluation.

Fifth Annual Report: 2008 Pre-Construction Eelgrass Monitoring and Propagation for King County Outfall Mitigation

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

Woodruff, Dana L.; Judd, Chaeli; Thom, Ronald M.

2010-01-01

This is the fifth and final report in a series documenting progress of the pre-construction eelgrass restoration and mitigation activities for the proposed King County Brightwater marine outfall, discharging to Puget Sound near Point Wells, Washington. King County began implementing a multiyear eelgrass monitoring and restoration program in 2004, with the primary goal of returning intertidal and shallow subtidal habitat and eelgrass to pre-construction conditions, after construction of the outfall. Major eelgrass mitigation program elements include: a) pre-construction monitoring, i.e., documenting initial eelgrass conditions and degree of fluctuation over a 5 year period prior to construction, b) eelgrass transplanting, includingmore » harvesting, offsite propagation and stockpiling of local plants for post-construction planting, and c) post-construction planting and subsequent monitoring, occurring in 2009 and beyond. The overall program is detailed in the Eelgrass Restoration and Biological Resources Implementation Workplan (King County 2008).« less

Helicobacter pylori eradication prior to initiation of long-term non-steroidal anti-inflammatory drug therapy in Chinese patients-a cost-effectiveness analysis.

PubMed

You, J H S; Lau, W; Lee, I Y C; Yung, M; Ching, J Y L; Chan, F K L; Lee, K K C

2006-04-01

Recent randomized clinical trials suggested that eradication of Helicobacter pylori prior to initiation of non-steroidal anti-inflammatory drug (NSAID) therapy would reduce the rate of peptic ulcer disease (PUD). To analyze the cost-effectiveness of H. pylori eradication prior to initiation of long-term NSAID therapy for prevention of NSAID-induced PUD in a cohort of Chinese patients at high risk for PUD. Clinical and economic data of 100 participants from a previously reported clinical trial conducted in Hong Kong were analyzed. Patients with a history of peptic ulcers were randomized to 1-week omeprazole 20 mg, amoxicillin 1 g and clarithromycin 500 mg twice daily (eradication group; n = 51) or 1-week omeprazole 20 mg twice daily (omeprazole group; n = 49) before initiation of diclofenac 100 mg daily for 6 months. The rates of PUD and healthcare utilization for routine follow-up as well as for management of symptomatic PUD of the 2 groups were retrieved from medical records. The rate of symptomatic ulcers in eradication group and omeprazole group were 3.9% and 18%, respectively. The mean direct medical cost of the eradication group was significantly lower than that of the omeprazole group by 30% (US dollar 797 (95% CI = 685 - 909) versus US dollar 1,128 (95% CI = 879 - 1,377)) (p = 0.018). The results were robust to variation of all the cost items. H. pylori eradication prior to initiation of NSAID therapy appeared to reduce the ulcer rate and mean direct medical cost when compared to no eradication for Chinese H. pylori-infected NSAID users at high risk for PUD.

Decision-problem state analysis methodology

NASA Technical Reports Server (NTRS)

Dieterly, D. L.

1980-01-01

A methodology for analyzing a decision-problem state is presented. The methodology is based on the analysis of an incident in terms of the set of decision-problem conditions encountered. By decomposing the events that preceded an unwanted outcome, such as an accident, into the set of decision-problem conditions that were resolved, a more comprehensive understanding is possible. All human-error accidents are not caused by faulty decision-problem resolutions, but it appears to be one of the major areas of accidents cited in the literature. A three-phase methodology is presented which accommodates a wide spectrum of events. It allows for a systems content analysis of the available data to establish: (1) the resolutions made, (2) alternatives not considered, (3) resolutions missed, and (4) possible conditions not considered. The product is a map of the decision-problem conditions that were encountered as well as a projected, assumed set of conditions that should have been considered. The application of this methodology introduces a systematic approach to decomposing the events that transpired prior to the accident. The initial emphasis is on decision and problem resolution. The technique allows for a standardized method of accident into a scenario which may used for review or the development of a training simulation.

Risk Predictors and Causes of Technique Failure Within the First Year of Peritoneal Dialysis: An Australia and New Zealand Dialysis and Transplant Registry (ANZDATA) Study.

PubMed

See, Emily J; Johnson, David W; Hawley, Carmel M; Pascoe, Elaine M; Badve, Sunil V; Boudville, Neil; Clayton, Philip A; Sud, Kamal; Polkinghorne, Kevan R; Borlace, Monique; Cho, Yeoungjee

2017-12-22

Concern regarding technique failure is a major barrier to increased uptake of peritoneal dialysis (PD), and the first year of therapy is a particularly vulnerable time. A cohort study using competing-risk regression analyses to identify the key risk factors and risk periods for early transfer to hemodialysis therapy or death in incident PD patients. All adult patients who initiated PD therapy in Australia and New Zealand in 2000 through 2014. Patient demographics and comorbid conditions, duration of prior renal replacement therapy, timing of referral, PD modality, dialysis era, and center size. Technique failure within the first year, defined as transfer to hemodialysis therapy for more than 30 days or death. Of 16,748 patients included in the study, 4,389 developed early technique failure. Factors associated with increased risk included age older than 70 years, diabetes or vascular disease, prior renal replacement therapy, late referral to a nephrology service, or management in a smaller center. Asian or other race and use of continuous ambulatory PD were associated with reduced risk, as was initiation of PD therapy in 2010 through 2014. Although the risk for technique failure due to death or infection was constant during the first year, mechanical and other causes accounted for a greater number of cases within the initial 9 months of treatment. Potential for residual confounding due to limited data for residual kidney function, dialysis prescription, and socioeconomic factors. Several modifiable and nonmodifiable factors are associated with early technique failure in PD. Targeted interventions should be considered in high-risk patients to avoid the consequences of an unplanned transfer to hemodialysis therapy or death. Crown Copyright © 2017. Published by Elsevier Inc. All rights reserved.

Self-triggered assistive stimulus training improves step initiation in persons with Parkinson’s disease

PubMed Central

2013-01-01

Background Prior studies demonstrated that hesitation-prone persons with Parkinson’s disease (PDs) acutely improve step initiation using a novel self-triggered stimulus that enhances lateral weight shift prior to step onset. PDs showed reduced anticipatory postural adjustment (APA) durations, earlier step onsets, and faster 1st step speed immediately following stimulus exposure. Objective This study investigated the effects of long-term stimulus exposure. Methods Two groups of hesitation-prone subjects with Parkinson’s disease (PD) participated in a 6-week step-initiation training program involving one of two stimulus conditions: 1) Drop. The stance-side support surface was lowered quickly (1.5 cm); 2) Vibration. A short vibration (100 ms) was applied beneath the stance-side support surface. Stimuli were self-triggered by a 5% reduction in vertical force under the stance foot during the APA. Testing was at baseline, immediately post-training, and 6 weeks post-training. Measurements included timing and magnitude of ground reaction forces, and step speed and length. Results Both groups improved their APA force modulation after training. Contrary to previous results, neither group showed reduced APA durations or earlier step onset times. The vibration group showed 55% increase in step speed and a 39% increase in step length which were retained 6 weeks post-training. The drop group showed no stepping-performance improvements. Conclusions The acute sensitivity to the quickness-enhancing effects of stimulus exposure demonstrated in previous studies was supplanted by improved force modulation following prolonged stimulus exposure. The results suggest a potential approach to reduce the severity of start hesitation in PDs, but further study is needed to understand the relationship between short- and long-term effects of stimulus exposure. PMID:23363975

Parametrisation of initial conditions for seasonal stream flow forecasting in the Swiss Rhine basin

NASA Astrophysics Data System (ADS)

Schick, Simon; Rössler, Ole; Weingartner, Rolf

2016-04-01

Current climate forecast models show - to the best of our knowledge - low skill in forecasting climate variability in Central Europe at seasonal lead times. When it comes to seasonal stream flow forecasting, initial conditions thus play an important role. Here, initial conditions refer to the catchments moisture at the date of forecast, i.e. snow depth, stream flow and lake level, soil moisture content, and groundwater level. The parametrisation of these initial conditions can take place at various spatial and temporal scales. Examples are the grid size of a distributed model or the time aggregation of predictors in statistical models. Therefore, the present study aims to investigate the extent to which the parametrisation of initial conditions at different spatial scales leads to differences in forecast errors. To do so, we conduct a forecast experiment for the Swiss Rhine at Basel, which covers parts of Germany, Austria, and Switzerland and is southerly bounded by the Alps. Seasonal mean stream flow is defined for the time aggregation of 30, 60, and 90 days and forecasted at 24 dates within the calendar year, i.e. at the 1st and 16th day of each month. A regression model is employed due to the various anthropogenic effects on the basins hydrology, which often are not quantifiable but might be grasped by a simple black box model. Furthermore, the pool of candidate predictors consists of antecedent temperature, precipitation, and stream flow only. This pragmatic approach follows the fact that observations of variables relevant for hydrological storages are either scarce in space or time (soil moisture, groundwater level), restricted to certain seasons (snow depth), or regions (lake levels, snow depth). For a systematic evaluation, we therefore focus on the comprehensive archives of meteorological observations and reanalyses to estimate the initial conditions via climate variability prior to the date of forecast. The experiment itself is based on four different approaches, whose differences in model skill were estimated within a rigorous cross-validation framework for the period 1982-2013: The predictands are regressed on antecedent temperature, precipitation, and stream flow. Here, temperature and precipitation constitute basin averages out of the E-OBS gridded data set. As in 1., but temperature and precipitation are used at the E-OBS grid scale (0.25 degree in longitude and latitude) without spatial averaging. As in 1., but the regression model is applied to 66 gauged subcatchments of the Rhine basin. Forecasts for these subcatchments are then simply summed and upscaled to the area of the Rhine basin. As in 3., but the forecasts at the subcatchment scale are additionally weighted in terms of hydrological representativeness of the corresponding subcatchment.

30 CFR 56.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2011 CFR

2011-07-01

... shock tube— (1) Connections with other initiation devices shall be secured in a manner which provides... proceed; (5) Connections between blastholes shall not be made until immediately prior to clearing the... connected to the trunklines at the blast site. (c) When the nonelectric initiation system uses gas tube...

30 CFR 56.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2013 CFR

2013-07-01

... shock tube— (1) Connections with other initiation devices shall be secured in a manner which provides... proceed; (5) Connections between blastholes shall not be made until immediately prior to clearing the... connected to the trunklines at the blast site. (c) When the nonelectric initiation system uses gas tube...

30 CFR 56.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2010 CFR

2010-07-01

... shock tube— (1) Connections with other initiation devices shall be secured in a manner which provides... proceed; (5) Connections between blastholes shall not be made until immediately prior to clearing the... connected to the trunklines at the blast site. (c) When the nonelectric initiation system uses gas tube...

30 CFR 56.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2014 CFR

2014-07-01

... shock tube— (1) Connections with other initiation devices shall be secured in a manner which provides... proceed; (5) Connections between blastholes shall not be made until immediately prior to clearing the... connected to the trunklines at the blast site. (c) When the nonelectric initiation system uses gas tube...

30 CFR 56.6501 - Nonelectric initiation systems.

Code of Federal Regulations, 2012 CFR

2012-07-01

... shock tube— (1) Connections with other initiation devices shall be secured in a manner which provides... proceed; (5) Connections between blastholes shall not be made until immediately prior to clearing the... connected to the trunklines at the blast site. (c) When the nonelectric initiation system uses gas tube...

40 CFR Table 5 to Subpart Llll of... - Summary of Reporting Requirements for New Sewage Sludge Incineration Units a

Code of Federal Regulations, 2013 CFR

2013-07-01

.... Documentation for siting requirements. 4. Anticipated date of initial startup. § 60.4915(a). Notification of initial startup Prior to initial startup 1. Maximum design dry sewage sludge burning capacity2.... 4. Anticipated date of initial startup. 5. Site-specific monitoring plan. 6. The site-specific...

40 CFR Table 5 to Subpart Llll of... - Summary of Reporting Requirements for New Sewage Sludge Incineration Units a

Code of Federal Regulations, 2014 CFR

2014-07-01

.... Documentation for siting requirements. 4. Anticipated date of initial startup. § 60.4915(a). Notification of initial startup Prior to initial startup 1. Maximum design dry sewage sludge burning capacity2.... 4. Anticipated date of initial startup. 5. Site-specific monitoring plan. 6. The site-specific...

The influence of prior exercise at anaerobic threshold on decompression sickness

NASA Technical Reports Server (NTRS)

Kumar, K. V.; Waligora, James M.; Gilbert, John H., III

1992-01-01

This study was conducted to examine the effects of exercise prior to decompression on the incidence of altitude decompression sickness (DCS). In a balanced, two-period, crossover trial, 39 healthy individuals were each exposed twice, without denitrogenation, to an altitude of 6400 m in a hypobaric chamber. Under the experimental condition, subjects exercised at their predetermined anaerobic threshold levels for 30 min each day for 3 d prior to altitude exposure; the other condition was a non-exercise control. Under both conditions, subjects performed exercise simulating space extravehicular activities at altitude for a period of 3 h, while breathing 100 percent oxygen. There were nine preferences (untied responses) for DCS, four under control and five under experimental conditions; all were Type I, pain-only bends. No carry-over effects between exposures was detected, and the test for treatment differences showed p = 0.56 for symptoms. No significant difference in DCS preferences was found after subjects exercised up to their anaerobic threshold levels during the days prior to decompression.

Gender differences for initiating teriparatide therapy: baseline data from the Direct Assessment of Nonvertebral Fracture in the Community Experience (DANCE) study.

PubMed

Wong, M; Wan, X; Ruff, V; Krohn, K; Taylor, K

2012-04-01

The prospective, observational Direct Assessment of Nonvertebral Fracture in the Community Experience (DANCE) study shows that, among patients with risk factors for osteoporosis, women are more likely to be screened and to receive appropriate treatment than men. There needs to be greater awareness that osteoporosis affects both men and women. The prospective, observational DANCE study evaluated teriparatide use in the mainland USA and Puerto Rico in patients with osteoporosis in a community setting. This analysis compares baseline characteristics of women and men that may contribute to differences in initiation of teriparatide therapy. Investigators prescribed teriparatide 20 μg/day subcutaneous injection for ≤24 months to 3,698 patients (3,342 women, 356 men) whom they considered appropriate candidates for therapy. Study entry was guided by product labeling. Specific timing and frequency of office visits were not mandated. Treatment decisions were based on the clinical judgment of study investigators and local standards of care. At baseline, similar proportions of women and men had prior fragility fractures (57% and 59%, respectively) and comorbid conditions that increase fracture risk (83% and 84%, respectively). Women were older than men (mean age 68 vs. 65 year; P < 0.0001) and more likely to have received prior osteoporosis therapy (88% vs. 62%; P < 0.0001). Investigators prescribed teriparatide more often for women than men based on general frailty (21% vs. 16%; P = 0.0151), low body mass index (17% vs. 10%; P = 0.0005), and an inadequate response (58% vs. 36%; P < 0.0001) or intolerance to previous therapy (23% vs. 12%; P < 0.0001). Chronic glucocorticoid therapy was the reason investigators cited most frequently for initiating therapy more often in men than in women (17% vs. 10%; P < 0.0001) These results suggest that patients' gender may influence the reasons physicians initiate teriparatide therapy in a community setting.

Financial Aid for Prior Learning Assessment: Early Successes and Lessons from the U.S. Department of Education's Experimental Sites Initiative

ERIC Educational Resources Information Center

Plumlee, Tucker; Klein-Collins, Rebecca

2017-01-01

In 2015, the U.S. Department of Labor invited postsecondary institutions to participate in an experiment to learn how federal financial aid might be used to cover the costs of prior learning assessment (PLA). PLA is the process of evaluating a student's prior workplace and experiential learning for academic credit. While the experiment is still…

Application of a topical vapocoolant spray decreases pain at the site of initial intradermal anaesthetic injection during ultrasound-guided breast needle biopsy.

PubMed

Collado-Mesa, F; Net, J M; Arheart, K; Klevos, G A; Yepes, M M

2015-09-01

To assess whether the application of a topical vapocoolant spray immediately prior to initial intradermal anaesthetic injection during ultrasound-guided breast biopsy decreases pain at the site of the initial injection. In this institutional review board-approved, Health Insurance Portability and Accountability Act (HIPAA)-compliant study, 50 women aged 49.1 ± 1.6 years (mean ± standard error) were recruited and provided written informed consent. Participants served as their own controls and were blinded as to whether a topical vapocoolant spray or a placebo was used immediately prior to the initial local anaesthetic injection at two separate biopsy sites. With the exception of the application of vapocoolant or placebo, the entire ultrasound-guided procedure was performed according to a routine protocol. Participants recorded pain at initial injection site on a visual analogue scale. General linear mixed models for repeated measures analysis of variance and a 0.05 significance level were used. Application of topical vapocoolant spray was shown to significantly decrease pain at the site of initial intradermal anaesthetic injection as compared to placebo (p<0.001). Treatment effect was independent of age of the subject, race/ethnicity, operator, type of biopsy device, and histopathology result. No complications from vapocoolant spray use were reported. Application of a topical vapocoolant spray immediately prior to initial intradermal anaesthetic injection during ultrasound-guided breast biopsy significantly decreases pain at the site of the initial injection and could contribute to improve the patient's overall procedural experience. Copyright © 2015 The Royal College of Radiologists. Published by Elsevier Ltd. All rights reserved.

Relaxing USOS Solar Array Constraints for Russian Vehicle Undocking

NASA Technical Reports Server (NTRS)

Menkin, Evgeny; Schrock, Mariusz; Schrock, Rita; Zaczek, Mariusz; Gomez, Susan; Lee, Roscoe; Bennet, George

2011-01-01

With the retirement of Space Shuttle cargo delivery capability and the ten year life extension of the International Space Station (ISS) more emphasis is being put on preservation of the service life of ISS critical components. Current restrictions on the United States Orbital Segment (USOS) Solar Array (SA) positioning during Russian Vehicle (RV) departure from ISS nadir and zenith ports cause SA to be positioned in the plume field of Service Module thrusters and lead to degradation of SAs as well as potential damage to Sun tracking Beta Gimbal Assemblies (BGA). These restrictions are imposed because of the single fault tolerant RV Motion Control System (MCS), which does not meet ISS Safety requirements for catastrophic hazards and dictates 16 degree Solar Array Rotary Joint position, which ensures that ISS and RV relative motion post separation, does lead to collision. The purpose of this paper is to describe a methodology and the analysis that was performed to determine relative motion trajectories of the ISS and separating RV for nominal and contingency cases. Analysis was performed in three phases that included ISS free drift prior to Visiting Vehicle separation, ISS and Visiting Vehicle relative motion analysis and clearance analysis. First, the ISS free drift analysis determined the worst case attitude and attitude rate excursions prior to RV separation based on a series of different configurations and mass properties. Next, the relative motion analysis calculated the separation trajectories while varying the initial conditions, such as docking mechanism performance, Visiting Vehicle MCS failure, departure port location, ISS attitude and attitude rates at the time of separation, etc. The analysis employed both orbital mechanics and rigid body rotation calculations while accounting for various atmospheric conditions and gravity gradient effects. The resulting relative motion trajectories were then used to determine the worst case separation envelopes during the clearance analysis. Analytical models were developed individually for each stage and the results were used to build initial conditions for the following stages. In addition to the analysis approach, this paper also discusses the analysis results, showing worst case relative motion envelopes, the recommendations for ISS appendage positioning and the suggested approach for future analyses.

Imaging of Posttraumatic Arthritis, Avascular Necrosis, Septic Arthritis, Complex Regional Pain Syndrome, and Cancer Mimicking Arthritis.

PubMed

Rupasov, Andrey; Cain, Usa; Montoya, Simone; Blickman, Johan G

2017-09-01

This article focuses on the imaging of 5 discrete entities with a common end result of disability: posttraumatic arthritis, a common form of secondary osteoarthritis that results from a prior insult to the joint; avascular necrosis, a disease of impaired osseous blood flow, leading to cellular death and subsequent osseous collapse; septic arthritis, an infectious process leading to destructive changes within the joint; complex regional pain syndrome, a chronic limb-confined painful condition arising after injury; and cases of cancer mimicking arthritis, in which the initial findings seem to represent arthritis, despite a more insidious cause. Copyright © 2017 Elsevier Inc. All rights reserved.

Thermal Environmental Testing of NSTAR Engineering Model Ion Thrusters

NASA Technical Reports Server (NTRS)

Rawlin, Vincent K.; Patterson, Michael J.; Becker, Raymond A.

1999-01-01

NASA's New Millenium program will fly a xenon ion propulsion system on the Deep Space 1 Mission. Tests were conducted under NASA's Solar Electric Propulsion Technology Applications Readiness (NSTAR) Program with 3 different engineering model ion thrusters to determine thruster thermal characteristics over the NSTAR operating range in a variety of thermal environments. A liquid nitrogen-cooled shroud was used to cold-soak the thruster to -120 C. Initial tests were performed prior to a mature spacecraft design. Those results and the final, severe, requirements mandated by the spacecraft led to several changes to the basic thermal design. These changes were incorporated into a final design and tested over a wide range of environmental conditions.

Microstructural Evolution of Ti-6Al-4V during High Strain Rate Conditions of Metal Cutting

NASA Technical Reports Server (NTRS)

Dong, Lei; Schneider, Judy

2009-01-01

The microstructural evolution following metal cutting was investigated within the metal chips of Ti-6Al-4V. Metal cutting was used to impose a high strain rate on the order of approx.10(exp 5)/s within the primary shear zone as the metal was removed from the workpiece. The initial microstructure of the parent material (PM) was composed of a bi-modal microstructure with coarse prior grains and equiaxed primary located at the boundaries. After metal cutting, the microstructure of the metal chips showed coarsening of the equiaxed primary grains and lamellar. These metallographic findings suggest that the metal chips experienced high temperatures which remained below the transus temperature.

Anti-neutrophil cytoplasmic antibody-associated vasculitis associated with infectious mononucleosis due to primary Epstein–Barr virus infection: report of three cases

PubMed Central

Yamaguchi, Makoto; Yoshioka, Tomoki; Yamakawa, Taishi; Maeda, Matsuyoshi; Shimizu, Hideaki; Fujita, Yoshiro; Maruyama, Shoichi; Ito, Yasuhiko; Matsuo, Seiichi

2014-01-01

Although the aetiology of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis remains unclear, it is generally believed that environmental factors such as infections contribute to its development of ANCA-associated vasculitis. Prior Epstein–Barr virus (EBV) infection is reported to be a trigger of systemic vasculitis. We herein report three cases of ANCA-associated vasculitis presenting with infectious mononucleosis due to primary EBV infection. The causal link between the two pathologies could not be proved, but primary EBV infection may play a role in the initiation or exacerbation of ANCA-associated vasculitis. Future studies are necessary to determine the interaction between these diseases conditions. PMID:25859349

Anti-neutrophil cytoplasmic antibody-associated vasculitis associated with infectious mononucleosis due to primary Epstein-Barr virus infection: report of three cases.

PubMed

Yamaguchi, Makoto; Yoshioka, Tomoki; Yamakawa, Taishi; Maeda, Matsuyoshi; Shimizu, Hideaki; Fujita, Yoshiro; Maruyama, Shoichi; Ito, Yasuhiko; Matsuo, Seiichi

2014-02-01

Although the aetiology of anti-neutrophil cytoplasmic antibody (ANCA)-associated vasculitis remains unclear, it is generally believed that environmental factors such as infections contribute to its development of ANCA-associated vasculitis. Prior Epstein-Barr virus (EBV) infection is reported to be a trigger of systemic vasculitis. We herein report three cases of ANCA-associated vasculitis presenting with infectious mononucleosis due to primary EBV infection. The causal link between the two pathologies could not be proved, but primary EBV infection may play a role in the initiation or exacerbation of ANCA-associated vasculitis. Future studies are necessary to determine the interaction between these diseases conditions.

Physical Limits on the Predictability of Erosion and Sediment Transport by Landslides and Debris Flows

NASA Astrophysics Data System (ADS)

Iverson, R. M.

2015-12-01

Episodic landslides and debris flows play a key role in sculpting many steep landscapes, and they also pose significant natural hazards. Field evidence, laboratory experiments, and theoretical analyses show that variations in the quantity, speed, and distance of sediment transport by landslides and debris flows can depend strongly on nuanced differences in initial conditions. Moreover, initial conditions themselves can be strongly dependent on the geological legacy of prior events. The scope of these dependencies is revealed by the results of landslide dynamics experiments [Iverson et al., Science, 2000], debris-flow erosion experiments [Iverson et al., Nature Geosci., 2011], and numerical simulations of the highly destructive 2014 Oso, Washington, landslide [Iverson et al., Earth Planet. Sci. Let., 2015]. In each of these cases, feedbacks between basal sediment deformation and pore-pressure generation cause the speed and distance of sediment transport to be very sensitive to subtle differences in the ambient sediment porosity and water content. On the other hand, the onset of most landslides and debris flows depends largely on pore-water pressure distributions and only indirectly on sediment porosity and water content. Thus, even if perfect predictions of the locations and timing of landslides and debris flows were available, the dynamics of the events - and their consequent hazards and sediment transport - would be difficult to predict. This difficulty is a manifestation of the nonlinear physics involved, rather than of poor understanding of those physics. Consequently, physically based models for assessing the hazards and sediment transport due to landslides and debris flows must take into account both evolving nonlinear dynamics and inherent uncertainties about initial conditions. By contrast, landscape evolution models that use prescribed algebraic formulas to represent sediment transport by landslides and debris flows lack a sound physical basis.

A general framework for complete positivity

NASA Astrophysics Data System (ADS)

Dominy, Jason M.; Shabani, Alireza; Lidar, Daniel A.

2016-01-01

Complete positivity of quantum dynamics is often viewed as a litmus test for physicality; yet, it is well known that correlated initial states need not give rise to completely positive evolutions. This observation spurred numerous investigations over the past two decades attempting to identify necessary and sufficient conditions for complete positivity. Here, we describe a complete and consistent mathematical framework for the discussion and analysis of complete positivity for correlated initial states of open quantum systems. This formalism is built upon a few simple axioms and is sufficiently general to contain all prior methodologies going back to Pechakas (Phys Rev Lett 73:1060-1062, 1994). The key observation is that initial system-bath states with the same reduced state on the system must evolve under all admissible unitary operators to system-bath states with the same reduced state on the system, in order to ensure that the induced dynamical maps on the system are well defined. Once this consistency condition is imposed, related concepts such as the assignment map and the dynamical maps are uniquely defined. In general, the dynamical maps may not be applied to arbitrary system states, but only to those in an appropriately defined physical domain. We show that the constrained nature of the problem gives rise to not one but three inequivalent types of complete positivity. Using this framework, we elucidate the limitations of recent attempts to provide conditions for complete positivity using quantum discord and the quantum data processing inequality. In particular, we correct the claim made by two of us (Shabani and Lidar in Phys Rev Lett 102:100402-100404, 2009) that vanishing discord is necessary for complete positivity, and explain that it is valid only for a particular class of initial states. The problem remains open, and may require fresh perspectives and new mathematical tools. The formalism presented herein may be one step in that direction.

The use of visual cues in gravity judgements on parabolic motion.

PubMed

Jörges, Björn; Hagenfeld, Lena; López-Moliner, Joan

2018-06-21

Evidence suggests that humans rely on an earth gravity prior for sensory-motor tasks like catching or reaching. Even under earth-discrepant conditions, this prior biases perception and action towards assuming a gravitational downwards acceleration of 9.81 m/s 2 . This can be particularly detrimental in interactions with virtual environments employing earth-discrepant gravity conditions for their visual presentation. The present study thus investigates how well humans discriminate visually presented gravities and which cues they use to extract gravity from the visual scene. To this end, we employed a Two-Interval Forced-Choice Design. In Experiment 1, participants had to judge which of two presented parabolas had the higher underlying gravity. We used two initial vertical velocities, two horizontal velocities and a constant target size. Experiment 2 added a manipulation of the reliability of the target size. Experiment 1 shows that participants have generally high discrimination thresholds for visually presented gravities, with weber fractions of 13 to beyond 30%. We identified the rate of change of the elevation angle (ẏ) and the visual angle (θ) as major cues. Experiment 2 suggests furthermore that size variability has a small influence on discrimination thresholds, while at the same time larger size variability increases reliance on ẏ and decreases reliance on θ. All in all, even though we use all available information, humans display low precision when extracting the governing gravity from a visual scene, which might further impact our capabilities of adapting to earth-discrepant gravity conditions with visual information alone. Copyright © 2018. Published by Elsevier Ltd.

High pressure hydriding of sponge-Zr in steam-hydrogen mixtures

NASA Astrophysics Data System (ADS)

Soo Kim, Yeon; Wang, Wei-E.; Olander, D. R.; Yagnik, S. K.

1997-07-01

Hydriding kinetics of thin sponge-Zr layers metallurgically bonded to a Zircaloy disk has been studied by thermogravimetry in the temperature range 350-400°C in 7 MPa hydrogen-steam mixtures. Some specimens were prefilmed with a thin oxide layer prior to exposure to the reactant gas; all were coated with a thin layer of gold to avoid premature reaction at edges. Two types of hydriding were observed in prefilmed specimens, viz., a slow hydrogen absorption process that precedes an accelerated (massive) hydriding. At 7 MPa total pressure, the critical ratio of H 2/H 2O above which massive hydriding occurs at 400°C is ˜ 200. The critical H 2/H 20 ratio is shifted to ˜2.5 × 103 at 350°C. The slow hydriding process occurs only when conditions for hydriding and oxidation are approximately equally favorable. Based on maximum weight gain, the specimen is completely converted to δ-ZrH 2 by massive hydriding in ˜5 h at a hydriding rate of ˜10 -6 mol H/cm 2 s. Incubation times of 10-20 h prior to the onset of massive hydriding increases with prefilm oxide thickness in the range of 0-10 μm. By changing to a steam-enriched gas, massive hydriding that initially started in a steam-starved condition was arrested by re-formation of a protective oxide scale.

Optimizing the "priming" effect: influence of prior exercise intensity and recovery duration on O2 uptake kinetics and severe-intensity exercise tolerance.

PubMed

Bailey, Stephen J; Vanhatalo, Anni; Wilkerson, Daryl P; Dimenna, Fred J; Jones, Andrew M

2009-12-01

It has been suggested that a prior bout of high-intensity exercise has the potential to enhance performance during subsequent high-intensity exercise by accelerating the O(2) uptake (Vo(2)) on-response. However, the optimal combination of prior exercise intensity and subsequent recovery duration required to elicit this effect is presently unclear. Eight male participants, aged 18-24 yr, completed step cycle ergometer exercise tests to 80% of the difference between the preestablished gas exchange threshold and maximal Vo(2) (i.e., 80%Delta) after no prior exercise (control) and after six different combinations of prior exercise intensity and recovery duration: 40%Delta with 3 min (40-3-80), 9 min (40-9-80), and 20 min (40-20-80) of recovery and 70%Delta with 3 min (70-3-80), 9 min (70-9-80), and 20 min (70-20-80) of recovery. Overall Vo(2) kinetics were accelerated relative to control in all conditions except for 40-9-80 and 40-20-80 conditions as a consequence of a reduction in the Vo(2) slow component amplitude; the phase II time constant was not significantly altered with any prior exercise/recovery combination. Exercise tolerance at 80%Delta was improved by 15% and 30% above control in the 70-9-80 and 70-20-80 conditions, respectively, but was impaired by 16% in the 70-3-80 condition. Prior exercise at 40%Delta did not significantly influence exercise tolerance regardless of the recovery duration. These data demonstrate that prior high-intensity exercise ( approximately 70%Delta) can enhance the tolerance to subsequent high-intensity exercise provided that it is coupled with adequate recovery duration (>or=9 min). This combination presumably optimizes the balance between preserving the effects of prior exercise on Vo(2) kinetics and providing sufficient time for muscle homeostasis (e.g., muscle phosphocreatine and H(+) concentrations) to be restored.

21 CFR 1250.83 - Storage of water prior to treatment.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 21 Food and Drugs 8 2011-04-01 2011-04-01 false Storage of water prior to treatment. 1250.83... CONVEYANCE SANITATION Sanitation Facilities and Conditions on Vessels § 1250.83 Storage of water prior to treatment. The following requirements with respect to the storage of water on vessels prior to treatment...

21 CFR 1250.83 - Storage of water prior to treatment.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Storage of water prior to treatment. 1250.83... CONVEYANCE SANITATION Sanitation Facilities and Conditions on Vessels § 1250.83 Storage of water prior to treatment. The following requirements with respect to the storage of water on vessels prior to treatment...

A hybrid optimization approach to the estimation of distributed parameters in two-dimensional confined aquifers

USGS Publications Warehouse

Heidari, M.; Ranjithan, S.R.

1998-01-01

In using non-linear optimization techniques for estimation of parameters in a distributed ground water model, the initial values of the parameters and prior information about them play important roles. In this paper, the genetic algorithm (GA) is combined with the truncated-Newton search technique to estimate groundwater parameters for a confined steady-state ground water model. Use of prior information about the parameters is shown to be important in estimating correct or near-correct values of parameters on a regional scale. The amount of prior information needed for an accurate solution is estimated by evaluation of the sensitivity of the performance function to the parameters. For the example presented here, it is experimentally demonstrated that only one piece of prior information of the least sensitive parameter is sufficient to arrive at the global or near-global optimum solution. For hydraulic head data with measurement errors, the error in the estimation of parameters increases as the standard deviation of the errors increases. Results from our experiments show that, in general, the accuracy of the estimated parameters depends on the level of noise in the hydraulic head data and the initial values used in the truncated-Newton search technique.In using non-linear optimization techniques for estimation of parameters in a distributed ground water model, the initial values of the parameters and prior information about them play important roles. In this paper, the genetic algorithm (GA) is combined with the truncated-Newton search technique to estimate groundwater parameters for a confined steady-state ground water model. Use of prior information about the parameters is shown to be important in estimating correct or near-correct values of parameters on a regional scale. The amount of prior information needed for an accurate solution is estimated by evaluation of the sensitivity of the performance function to the parameters. For the example presented here, it is experimentally demonstrated that only one piece of prior information of the least sensitive parameter is sufficient to arrive at the global or near-global optimum solution. For hydraulic head data with measurement errors, the error in the estimation of parameters increases as the standard deviation of the errors increases. Results from our experiments show that, in general, the accuracy of the estimated parameters depends on the level of noise in the hydraulic head data and the initial values used in the truncated-Newton search technique.

Enhanced Extinction of Aversive Memories by High-Frequency Stimulation of the Rat Infralimbic Cortex

PubMed Central

Maroun, Mouna; Kavushansky, Alexandra; Holmes, Andrew; Wellman, Cara; Motanis, Helen

2012-01-01

Electrical stimulation of the rodent medial prefrontal cortex (mPFC), including the infralimbic cortex (IL), immediately prior to or during fear extinction training facilitates extinction memory. Here we examined the effects of high-frequency stimulation (HFS) of the rat IL either prior to conditioning or following retrieval of the conditioned memory, on extinction of Pavlovian fear and conditioned taste aversion (CTA). IL-HFS applied immediately after fear memory retrieval, but not three hours after retrieval or prior to conditioning, subsequently reduced freezing during fear extinction. Similarly, IL-HFS given immediately, but not three hours after, retrieval of a CTA memory reduced aversion during extinction. These data indicate that HFS of the IL may be an effective method for reducing both learned fear and learned aversion. PMID:22586453

Recalled Initiation and Duration of Maternal Breastfeeding Among Children with and Without ADHD in a Well Characterized Case-Control Sample.

PubMed

Stadler, Diane D; Musser, Erica D; Holton, Kathleen F; Shannon, Jackilen; Nigg, Joel T

2016-02-01

Early environmental influences are increasingly of interest in understanding ADHD as a neurodevelopmental condition, particularly in light of recognition that gene by environment interplay are likely involved in this condition. Breastfeeding duration predicts cognitive development, as well as development of brain white matter connectivity, in areas similar to those seen in ADHD. Prior studies show an association between breastfeeding and ADHD but without adequate evaluation of ADHD. A case control cohort of 474 children aged 7-13 years was examined, 291 with well characterized ADHD (71.5 % male) and the rest typically developing controls (51.9 % male). Mothers retrospectively reported on breast feeding initiation and duration. Initiation of breastfeeding was not associated with child ADHD, but shorter duration of breastfeeding was associated with child ADHD with a medium effect size (d = 0.40, p < 0.05); this effect held after covarying a broad set of potential confounders, including child oppositional defiant and conduct problems and including maternal and paternal ADHD symptoms. Effects were replicated across both parent and teacher ratings of child ADHD symptoms. Shorter duration of breastfeeding is among several risk factors in early life associated with future ADHD, or else longer duration is protective. The direction of this effect is unknown, however. It may be that some children are more difficult to breastfeed or that breastfeeding provides nutrients or other benefits that reduce future chance of ADHD.

Can the effects of temporal grouping explain the similarities and differences between free recall and serial recall?

PubMed

Spurgeon, Jessica; Ward, Geoff; Matthews, William J; Farrell, Simon

2015-04-01

Temporal grouping can provide a principled explanation for changes in the serial position curves and output orders that occur with increasing list length in immediate free recall (IFR) and immediate serial recall (ISR). To test these claims, we examined the effects of temporal grouping on the order of recall in IFR and ISR of lists of between one and 12 words. Consistent with prior research, there were significant effects of temporal grouping in the ISR task with mid-length lists using serial recall scoring, and no overall grouping advantage in the IFR task with longer list lengths using free recall scoring. In all conditions, there was a general tendency to initiate recall with either the first list item or with one of the last four items, and then to recall in a forward serial order. In the grouped IFR conditions, when participants started with one of the last four words, there were particularly heightened tendencies to initiate recall with the first item of the most recent group. Moreover, there was an increased degree of forward-ordered transitions within groups than across groups in IFR. These findings are broadly consistent with Farrell's model, in which lists of items in immediate memory are parsed into distinct groups and participants initiate recall with the first item of a chosen cluster, but also highlight shortcomings of that model. The data support the claim that grouping may offer an important element in the theoretical integration of IFR and ISR.

Incidence and rates of visual field progression after longitudinally measured optic disc change in glaucoma.

PubMed

Chauhan, Balwantray C; Nicolela, Marcelo T; Artes, Paul H

2009-11-01

To determine whether glaucoma patients with progressive optic disc change have subsequent visual field progression earlier and at a faster rate compared with those without disc change. Prospective, longitudinal, cohort study. Eighty-one patients with open-angle glaucoma. Patients underwent confocal scanning laser tomography and standard automated perimetry every 6 months. The complete follow-up was divided into initial and subsequent periods. Two initial periods-first 3 years (Protocol A) and first half of the total follow-up (Protocol B)-were used, with the respective remainder being the subsequent follow-up. Disc change during the initial follow-up was determined with liberal, moderate, or conservative criteria of the Topographic Change Analysis. Subsequent field progression was determined with significant pattern deviation change in >or=3 locations (criterion used in the Early Manifest Glaucoma Trial). As a control analysis, field change during the initial follow-up was determined with significant pattern deviation change in >or=1, >or=2, or >or=3 locations. Survival time to subsequent field progression, rates of mean deviation (MD) change, and positive and negative likelihood ratios. The median (interquartile range) total follow-up was 11.0 (8.0-12.0) years with 22 (18-24) examinations. More patients had disc changes during the initial follow-up compared with field changes. The mean time to field progression was consistently shorter (protocol A, 0.8-1.7 years; protocol B, 0.3-0.7 years) in patients with prior disc change. In the control analysis, patients with prior field change had statistically earlier subsequent field progression (protocol A, 2.9-3.0 years; protocol B, 0.7-0.9). Similarly, patients with either prior disc or field change always had worse mean rates of subsequent MD change, although the distributions overlapped widely. Patients with subsequent field progression were up to 3 times more likely to have prior disc change compared with those without, and up to 5 times more likely to have prior field change compared with those without. Longitudinally measured optic disc change is predictive of subsequent visual field progression and may be an efficacious end point for functional outcomes in clinical studies and trials in glaucoma.

Anti-MuSK myasthenia gravis with prolonged remission.

PubMed

Bouwyn, Jean Paul; Magnier, Patrick; Bédat-Millet, Anne-Laure; Ahtoy, Patrick; Maltête, David; Lefaucheur, Romain

2016-07-01

Myasthenia gravis (MG) with antibodies against muscle-specific tyrosine kinase (MuSK) is a rare disorder of neuromuscular transmission affecting preferentially bulbar, neck and respiratory muscles. We report the case of a 22-year-old man who presented with diplopia on lateral gaze to both sides, facial diplegia, nasal dysarthria and dysphagia. Repetitive nerve stimulation of the trapezius and orbicularis oculi muscles showed amplitude decrements of 19% and 41% respectively supporting the diagnosis of myasthenia gravis. MUsK antibodies were positive. Corticosteroids were introduced and then tapered and discontinued at 6 months after initiation. The patient remained in remission and asymptomatic for 4 years without ongoing treatment or prior treatment with rituximab after this first relapse of MuSK-MG. MuSK- MG is considered a hard-to-treat condition and patients generally remain dependent on immunosuppression or prior treatment with rituximab. Our observation highlights that patients with MuSK-MG can have a benign course and that continued immunosuppressive or immunomodulatory therapy may not always be required. Copyright © 2016 Elsevier B.V. All rights reserved.

Nest movement by piping plovers in response to changing habitat conditions

USGS Publications Warehouse

Wiltermuth, Mark T.; Anteau, Michael J.; Sherfy, Mark H.; Shaffer, Terry L.

2009-01-01

Birds that nest along reservoir or river shorelines may face fluctuating water levels that threaten nest survival. On Lake Sakakawea of the upper Missouri River, 37 and 70% of Piping Plover (Charadrius melodus) nests found in 2007 and 2008, respectively, were initiated at elevations inundated prior to projected hatch date. We describe eight events at seven nests in which adult Piping Plovers appeared to have moved active nests threatened by rising water or gathered eggs apparently displaced by rising water on Lake Sakakawea and the Garrison reach of the upper Missouri River. Additionally, we describe one nest that was moved after the habitat at the nest site had been disturbed by domestic cattle. Our observations and evidence indicate that adult Piping Plovers are capable of moving eggs and establishing nests at new sites during incubation. Furthermore, our results suggest that Piping Plovers evaluate their reproductive investment under potential threat of nest loss and may be capable of acting prospectively (moving nests prior to inundation) and reactively (regathering eggs after inundation) to avoid nest failure.

Release of lead from crystal decanters under conditions of normal use.

PubMed

Barbee, S J; Constantine, L A

1994-03-01

The pattern of release of lead (Pb) from crystal was investigated using new and used decanters. Two decanters in use prior to this study yielded significantly less Pb into sherry than did a decanter during its initial use. Pb concentrations in sherry after storage for 2 months reached 50, 163 or 1410 micrograms/litre in decanters previously used for 20, or for 10 yr, or a new decanter, respectively. The new decanter imparted progressively less Pb through normal use. Pb concentration was assayed in sherry during a series of three separate sampling periods, each 2 months in duration. The Pb concentration at the end of each period was 1410, 330 or 150 micrograms/litre respectively. These data are consistent with ceramic chemistry theory, which predicts that leaching of Pb from crystal is self-limiting exponentially as a function of increasing distance from the crystal-liquid interface. The results of this investigation support the concept that sufficient ageing of Pb crystal prior to use reduces, to acceptable levels, the human health risk to adults associated with consumption of beverages stored in Pb crystal decanters.

Prevalence and risk factors related to preterm birth in Brazil.

PubMed

Leal, Maria do Carmo; Esteves-Pereira, Ana Paula; Nakamura-Pereira, Marcos; Torres, Jacqueline Alves; Theme-Filha, Mariza; Domingues, Rosa Maria Soares Madeira; Dias, Marcos Augusto Bastos; Moreira, Maria Elizabeth; Gama, Silvana Granado

2016-10-17

The rate of preterm birth has been increasing worldwide, including in Brazil. This constitutes a significant public health challenge because of the higher levels of morbidity and mortality and long-term health effects associated with preterm birth. This study describes and quantifies factors affecting spontaneous and provider-initiated preterm birth in Brazil. Data are from the 2011-2012 "Birth in Brazil" study, which used a national population-based sample of 23,940 women. We analyzed the variables following a three-level hierarchical methodology. For each level, we performed non-conditional multiple logistic regression for both spontaneous and provider-initiated preterm birth. The rate of preterm birth was 11.5 %, (95 % confidence 10.3 % to 12.9 %) 60.7 % spontaneous - with spontaneous onset of labor or premature preterm rupture of membranes - and 39.3 % provider-initiated, with more than 90 % of the last group being pre-labor cesarean deliveries. Socio-demographic factors associated with spontaneous preterm birth were adolescent pregnancy, low total years of schooling, and inadequate prenatal care. Other risk factors were previous preterm birth (OR 3.74; 95 % CI 2.92-4.79), multiple pregnancy (OR 16.42; 95 % CI 10.56-25.53), abruptio placentae (OR 2.38; 95 % CI 1.27-4.47) and infections (OR 4.89; 95 % CI 1.72-13.88). In contrast, provider-initiated preterm birth was associated with private childbirth healthcare (OR 1.47; 95 % CI 1.09-1.97), advanced-age pregnancy (OR 1.27; 95 % CI 1.01-1.59), two or more prior cesarean deliveries (OR 1.64; 95 % CI 1.19-2.26), multiple pregnancy (OR 20.29; 95 % CI 12.58-32.72) and any maternal or fetal pathology (OR 6.84; 95 % CI 5.56-8.42). The high proportion of provider-initiated preterm birth and its association with prior cesarean deliveries and all of the studied maternal/fetal pathologies suggest that a reduction of this type of prematurity may be possible. The association of spontaneous preterm birth with socially-disadvantaged groups reaffirms that the reduction of social and health inequalities should continue to be a national priority.

Effects of stretching and fatigue on peak torque, muscle imbalance, and stability.

PubMed

Costa, Pablo B; Ruas, Cassio V; Smith, Cory M

2018-01-01

The present study examined the acute effects of hamstrings stretching and fatigue on knee extension and flexion peak torque (PT), hamstrings to quadriceps (H:Q) ratio, and postural stability. Seventeen women (mean±SD age=21.8±2.1 years; body mass=63.0±10.5 kg; height=164.7±6.2 cm) and eighteen men (25.8±4.6 years; 83.6±13.2 kg; 175.3±6.0 cm) took part in three laboratory visits. The first visit was a familiarization session, and the subsequent two visits were randomly assigned as a control or stretching condition. For the testing visits, subjects performed a postural stability assessment, stretched (or sat quietly during the control condition), performed a 50-repetition unilateral isokinetic fatigue protocol, and repeated the postural stability assessment. There were no significant differences between control and stretching conditions for initial quadriceps and hamstrings PT, initial H:Q ratio, quadriceps and hamstrings PT fatigue indexes, H:Q ratio Fatigue Index, rating of perceived exertion (RPE), or postural stability (P>0.05). When analyzing 5 intervals of 10 repetitions, significant declines in quadriceps PT were found in all intervals for both conditions (P<0.05). However, a decline in hamstrings PT was only found until the fourth interval (i.e., repetitions 31 to 40) for the stretching condition (P<0.05). Stretching the hamstrings immediately prior to long-duration activities may eventually cause adverse effects in force-generating capacity of this muscle group to occur earlier when fatiguing tasks are involved. Nevertheless, no changes were found for the H:Q ratios after stretching when compared to no-stretching.

Temperature effects on the deformation and fracture of Al-Li-Cu-In alloys

NASA Technical Reports Server (NTRS)

Wagner, John A.; Gangloff, Richard P.

1991-01-01

The crack initiation and growth fracture resistance of Al-Cu-Li and Al-Cu-Li-In alloys were characterized and optimized for cryogenic tank applications. Presently, the effects of stress state and temperature is being determined on the fracture toughness and fracture mechanisms of commercially available Vintage 3 2090-T81 and experimental 2090+In-T6. Precracked J-integral specimens of both alloys were tested at ambient and cryogenic temperatures in the plane stress and plane strain conditions. Considering ambient temperature, results showed that 2090-T81 exhibited the highest toughness in both plane strain and plane stress conditions. For the plane strain condition, reasonable crack initiation and growth toughness of 1090-T81 are associated with a significant amount of delamination and transgranular fracture. Plane stress toughnesses were higher and fracture was characterized by shear cracking with minimal delaminations. In comparisons, the fracture behavior of 2090+In-T6 is significantly degraded by subgrain boundary precipitation. Toughness is low and characterized by intersubgranular fracture with no delamination in the plane stress or plane strain conditions. Intersubgranular cracking is a low energy event which presumably occurs prior to the onset of slip band cracking. Copious grain boundary precipitation is atypical of commercially available 2090. At cryogenic temperatures, both alloys exhibit increased yield strength, toughness, and amount of delamination and shear cracking. The change in fracture mode of 2090+In-T6 from intersubgranular cracking at ambient temperature to a combination of intersubgranular cracking, shear cracking, and delamination at cryogenic temperature is the subject of further investigation.

Early Verb Learning: How Do Children Learn How to Compare Events?

PubMed Central

Childers, Jane B.; Parrish, Rebecca; Olson, Christina V.; Burch, Clare; Fung, Gavin; McIntyre, Kevin

2015-01-01

An important problem verb learners must solve is how to extend verbs. Children could use cross-situational information to guide their extensions, however comparing events is difficult. Two studies test whether children benefit from initially seeing a pair of similar events (‘progressive alignment’) while learning new verbs, and whether this influence changes with age. In Study 1, 2 ½- and 3 ½-year-old children participated in an interactive task. Children who saw a pair of similar events and then varied events were able to extend verbs at test, differing from a control group; children who saw two pairs of varied events did not differ from the control group. In Study 2, events were presented on a monitor. Following the initial pair of events that varied by condition, a Tobii x120 eye tracker recorded 2 ½-, 3 ½- and 4 ½-year-olds’ fixations to specific elements of events (AOIs) during the second pair of events, which were the same across conditions. After seeing the pair of events that were highly similar, 2 ½-year-olds showed significantly longer fixation durations to agents and to affected objects as compared to the all varied condition. At test, 3 ½-year-olds were able to extend the verb, but only in the progressive alignment condition. These results are important because they show children’s visual attention to relevant elements in dynamic events is influenced by their prior comparison experience, and they show that young children benefit from seeing similar events as they learn to compare events to each other. PMID:27092030

A randomized controlled trial of prison-initiated buprenorphine: prison outcomes and community treatment entry.

PubMed

Gordon, Michael S; Kinlock, Timothy W; Schwartz, Robert P; Fitzgerald, Terrence T; O'Grady, Kevin E; Vocci, Frank J

2014-09-01

Buprenorphine is a promising treatment for heroin addiction. However, little is known regarding its provision to pre-release prisoners with heroin dependence histories who were not opioid-tolerant, the relative effectiveness of the post-release setting in which it is provided, and gender differences in treatment outcome in this population. This is the first randomized clinical trial of prison-initiated buprenorphine provided to male and female inmates in the US who were previously heroin-dependent prior to incarceration. A total of 211 participants with 3-9 months remaining in prison were randomized to one of four conditions formed by crossing In-Prison Treatment Condition (received buprenorphine vs. counseling only) and Post-release Service Setting (at an opioid treatment center vs. a community health center). Outcome measures were: entered prison treatment; completed prison treatment; and entered community treatment 10 days post-release. There was a significant main effect (p=.006) for entering prison treatment favoring the In-Prison buprenorphine Treatment Condition (99.0% vs. 80.4%). Regarding completing prison treatment, the only significant effect was Gender, with women significantly (p<.001) more likely to complete than men (85.7% vs. 52.7%). There was a significant main effect (p=.012) for community treatment entry, favoring the In-Prison buprenorphine Treatment Condition (47.5% vs. 33.7%). Buprenorphine appears feasible and acceptable to prisoners who were not opioid-tolerant and can facilitate community treatment entry. However, concerns remain with in-prison treatment termination due to attempted diversion of medication. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

A Randomized Controlled Trial of Prison-Initiated Buprenorphine: Prison Outcomes and Community Treatment Entry

PubMed Central

Gordon, Michael S.; Kinlock, Timothy W.; Schwartz, Robert P.; Fitzgerald, Terrence; O’Grady, Kevin E.; Vocci, Frank J.

2014-01-01

Background Buprenorphine is a promising treatment for heroin addiction. However, little is known regarding its provision to pre-release prisoners with heroin dependence histories who were not opioid-tolerant, the relative effectiveness of the post-release setting in which it is provided, and gender differences in treatment outcome in this population. Methods This is the first randomized clinical trial of prison-initiated buprenorphine provided to male and female inmates in the US who were previously heroin-dependent prior to incarceration. A total of 211 participants with 3–9 months remaining in prison were randomized to one of four conditions formed by crossing In-Prison Treatment Condition (received buprenorphine vs. counseling only) and Post-release Service Setting (at an opioid treatment center vs. a community health center). Outcome measures were: entered prison treatment; completed prison treatment; and entered community treatment 10 days post-release. Results There was a significant main effect (p=.006) for entering prison treatment favoring the In-Prison buprenorphine Treatment Condition (99.0% vs. 80.4%). Regarding completing prison treatment, the only significant effect was Gender, with women significantly (p<.001) more likely to complete than men (85.7% vs. 52.7%). There was a significant main effect (p=.012) for community treatment entry, favoring the In-Prison buprenorphine Treatment Condition (47.5% vs. 33.7%). Conclusions Buprenorphine appears feasible and acceptable to prisoners who were not opioid-tolerant and can facilitate community treatment entry. However, concerns remain with in-prison treatment termination due to attempted diversion of medication. PMID:24962326

Limited period of graviresponsiveness in germinating spores of Ceratopteris richardii

NASA Technical Reports Server (NTRS)

Edwards, E. S.; Roux, S. J.

1994-01-01

Rhizoids of the fern Ceratopteris richardii Brogn. usually emerge 40 h after germination is initiated by light, and more than 90% of them emerge growing in a downward direction. However, when the spores are germinated on a clinostat, the emerging rhizoids show no preferential orientation. This indicates that under normal 1 g conditions the initial growth direction of rhizoids can be oriented by gravity. If the orientation of the spores is changed 3 h or less after the start of germination, the growth direction of most emerging rhizoids becomes downward relative to the new orientation. However, if the orientation of the spores is changed by 180 degrees 8 h or more after germination is initiated by light, most rhizoids emerge growing upward; i.e., the same direction as if there had been no orientation change. Emerged rhizoids also do not change their direction of growth if their orientation is changed. These results indicate that the growth direction of emerging rhizoids is set by gravity prior to actual emergence, and that the time of full orientation responsiveness is limited to a period ranging from the initiation of germination to about 3-4 h after the start of germination. There is a gravity-oriented nuclear movement beginning at about 13 h after germination, and this movement appears to predict the initial growth direction of rhizoids.

Limited period of graviresponsiveness in germinating spores of Ceratopteris richardii.

PubMed

Edwards, E S; Roux, S J

1994-01-01

Rhizoids of the fern Ceratopteris richardii Brogn. usually emerge 40 h after germination is initiated by light, and more than 90% of them emerge growing in a downward direction. However, when the spores are germinated on a clinostat, the emerging rhizoids show no preferential orientation. This indicates that under normal 1 g conditions the initial growth direction of rhizoids can be oriented by gravity. If the orientation of the spores is changed 3 h or less after the start of germination, the growth direction of most emerging rhizoids becomes downward relative to the new orientation. However, if the orientation of the spores is changed by 180 degrees 8 h or more after germination is initiated by light, most rhizoids emerge growing upward; i.e., the same direction as if there had been no orientation change. Emerged rhizoids also do not change their direction of growth if their orientation is changed. These results indicate that the growth direction of emerging rhizoids is set by gravity prior to actual emergence, and that the time of full orientation responsiveness is limited to a period ranging from the initiation of germination to about 3-4 h after the start of germination. There is a gravity-oriented nuclear movement beginning at about 13 h after germination, and this movement appears to predict the initial growth direction of rhizoids.

Access to Oral Osteoporosis Drugs among Female Medicare Part D Beneficiaries

PubMed Central

Lin, Chia-Wei; Karaca-Mandic, Pinar; McCullough, Jeffrey S.; Weaver, Lesley

2014-01-01

Background For women living with osteoporosis, high out-of-pocket drug costs may prevent drug therapy initiation. We investigate the association between oral osteoporosis out-of-pocket medication costs and female Medicare beneficiaries’ initiation of osteoporosis drug therapy. Methods We used 2007 and 2008 administrative claims and enrollment data for a 5% random sample of Medicare beneficiaries. Our study sample included age-qualified, female beneficiaries who had no prior history of osteoporosis but were diagnosed with osteoporosis in 2007 or 2008. Additionally, we only included beneficiaries continuously enrolled in standalone prescription drug plans. We excluded beneficiaries who had a chronic condition that was contraindicated with osteoporosis drug utilization. Our final sample included 25,069 beneficiaries. Logistic regression analysis was used to examine the association between the out-of-pocket costs and initiation of oral osteoporosis drug therapy during the year of diagnosis. Findings Twenty-six percent of female Medicare beneficiaries newly diagnosed with osteoporosis initiated oral osteoporosis drug therapy. Beneficiaries’ out-of-pocket costs were not associated with the initiation of drug therapy for osteoporosis. However, there were statistically significant racial disparities in beneficiaries’ initiation of drug therapy. African Americans were 3 percentage points less likely to initiate drug therapy than whites. In contrast, Asian/Pacific Islander and Hispanic beneficiaries were 8 and 18 percentage points respectively more likely to initiate drug therapy than whites. Additionally, institutionalized beneficiaries were 11 percentage points less likely to initiate drug therapy than other beneficiaries. Conclusions Access barriers for drug therapy initiation may be driven by factors other than patients’ out-of-pocket costs. These results suggest that improved osteoporosis treatment requires a more comprehensive approach that goes beyond payment policies. PMID:24837398

Serum prolactin concentrations in relation to hypopituitarism and obesity in children with optic nerve hypoplasia.

PubMed

Vedin, Amy M; Garcia-Filion, Pamela; Fink, Cassandra; Borchert, Mark; Geffner, Mitchell E

2012-01-01

The majority of children with optic nerve hypoplasia (ONH) develop hypopituitarism and many also become obese. These associated conditions are a major cause of morbidity and are possibly due to hypothalamic dysfunction. Because mild hyperprolactinemia often occurs in subjects with disorders of the hypothalamus, we examined whether hyperprolactinemia was present in children with ONH during the first 3 years of life and whether it was a marker for hypopituitarism and/or obesity. Data were retrospectively analyzed from a registry study of children with ONH. The initial serum prolactin was obtained prior to age 36 months (n = 125) and compared with pituitary function and body mass index at age 5. 72% of subjects had an elevated initial serum prolactin and 60% had hypopituitarism. An elevated initial prolactin was associated with hypopituitarism (OR 2.58; 95% CI 1.16, 5.73), specifically with growth hormone deficiency (OR 2.77; 95% CI 1.21, 6.34). 31% of subjects had a body mass index ≥ 85th percentile, but this did not correlate with initial hyperprolactinemia. Early hyperprolactinemia correlates with the presence of hypopituitarism in children with ONH, but it is not a reliable prognosticator of hypopituitarism. Additionally, hyperprolactinemia does not predict future weight excess. Copyright © 2012 S. Karger AG, Basel.

Serum Prolactin Concentrations in Relation to Hypopituitarism and Obesity in Children with Optic Nerve Hypoplasia

PubMed Central

Vedin, Amy M.; Garcia-Filion, Pamela; Fink, Cassandra; Borchert, Mark; Geffner, Mitchell E.

2013-01-01

Background/Aims The majority of children with optic nerve hypoplasia (ONH) develop hypopituitarism and many also become obese. These associated conditions are a major cause of morbidity and are possibly due to hypothalamic dysfunction. Because mild hyperprolactinemia often occurs in subjects with disorders of the hypothalamus, we examined whether hyperprolactinemia was present in children with ONH during the first three years of life and whether it was a marker for hypopituitarism and/or obesity. Methods Data were retrospectively analyzed from a registry study of children with ONH. The initial serum prolactin was obtained prior to age 36 months (n=125) and compared with pituitary function and body mass index (BMI) at age 5. Results Seventy-two percent of subjects had an elevated initial serum prolactin and 60% had hypopituitarism. An elevated initial prolactin was associated with hypopituitarism (OR 2.58; 95% CI 1.16, 5.73), specifically with growth hormone deficiency (OR 2.77; 95% CI 1.21, 6.34). Thirty-one percent of subjects had a BMI ≥85th %ile, but this did not correlate with initial hyperprolactinemia. Conclusions Early hyperprolactinemia correlates with the presence of hypopituitarism in children with ONH, but it is not a reliable prognosticator of hypopituitarism. Additionally, hyperprolactinemia does not predict future weight excess. PMID:22572701

Retrospective cohort study of anti-tumor necrosis factor agent use in a veteran population

PubMed Central

Madkour, Nermeen; Kazerooni, Rashid

2014-01-01

Introduction. Anti-tumor necrosis factor (TNF) agents are effective for several immunologic conditions (rheumatoid arthritis (RA), Crohn’s disease (CD), and psoriasis). The purpose of this study was to evaluate the efficacy and safety of anti-TNF agents via chart review. Methods. Single-site, retrospective cohort study that evaluated the efficacy and safety of anti-TNF agents in veterans initiated between 2010 and 2011. Primary aim evaluated response at 12 months post-index date. Secondary aims evaluated initial response prior to 12 months post-index date and infection events. Results. A majority of patients were prescribed anti-TNF agents for CD (27%) and RA (24%). Patients were initiated on etanercept (41%), adalimumab (40%), and infliximab (18%) between 2010 and 2011. No differences in patient demographics were reported. Response rates were high overall. Sixty-five percent of etanercept patients, 82% of adalimumab patients, and 59% of infliximab patients were either partial or full responders, respectively. Approximately 16%, 11%, and 12% of etanercept, adalimumab, and infliximab were non-responders, respectively. Infections between the groups were non-significant. Etanercept and adalimumab patients had higher but non-significant odds of being a responder relative to infliximab. Conclusions. Most patients initiated with anti-TNF agent were responders at 12 months follow-up for all indications in a veteran population. PMID:24883246

Neural substrate of initiation of cross-modal working memory retrieval.

PubMed

Zhang, Yangyang; Hu, Yang; Guan, Shuchen; Hong, Xiaolong; Wang, Zhaoxin; Li, Xianchun

2014-01-01

Cross-modal working memory requires integrating stimuli from different modalities and it is associated with co-activation of distributed networks in the brain. However, how brain initiates cross-modal working memory retrieval remains not clear yet. In the present study, we developed a cued matching task, in which the necessity for cross-modal/unimodal memory retrieval and its initiation time were controlled by a task cue appeared in the delay period. Using functional magnetic resonance imaging (fMRI), significantly larger brain activations were observed in the left lateral prefrontal cortex (l-LPFC), left superior parietal lobe (l-SPL), and thalamus in the cued cross-modal matching trials (CCMT) compared to those in the cued unimodal matching trials (CUMT). However, no significant differences in the brain activations prior to task cue were observed for sensory stimulation in the l-LPFC and l-SPL areas. Although thalamus displayed differential responses to the sensory stimulation between two conditions, the differential responses were not the same with responses to the task cues. These results revealed that the frontoparietal-thalamus network participated in the initiation of cross-modal working memory retrieval. Secondly, the l-SPL and thalamus showed differential activations between maintenance and working memory retrieval, which might be associated with the enhanced demand for cognitive resources.

Elevated extracellular potassium prior to muscle contraction reduces onset and steady-state exercise hyperemia in humans.

PubMed

Terwoord, Janée D; Hearon, Christopher M; Luckasen, Gary J; Richards, Jennifer C; Joyner, Michael J; Dinenno, Frank A

2018-05-03

The increase in interstitial potassium (K + ) during muscle contractions is thought to be a vasodilatory signal that contributes to exercise hyperemia. To determine the role of extracellular K + in exercise hyperemia, we perfused skeletal muscle with K + prior to contractions such that the effect of any endogenously-released K + would be minimized. We tested the hypothesis that local, intra-arterial infusion of potassium chloride (KCl) at rest would impair vasodilation in response to subsequent rhythmic handgrip exercise in humans. In 11 young adults, we determined forearm blood flow (FBF; Doppler ultrasound) and vascular conductance (FVC; FBF/mean arterial pressure) during 4 minutes of rhythmic handgrip exercise at 10% of maximal voluntary contraction during 1) control conditions (CTRL), 2) infusion of KCl prior to the initiation of exercise, and 3) infusion of sodium nitroprusside (SNP) as a control vasodilator. Infusion of KCl or SNP elevated resting FVC similarly prior to the onset of exercise (CTRL: 39 {plus minus} 6 vs. KCl: 81 {plus minus} 12 and SNP: 82 {plus minus} 13 ml/min/100 mmHg; both P < 0.05 vs. CTRL). Infusion of KCl at rest diminished the hyperemic (Δ FBF) and vasodilatory (Δ FVC) response to subsequent exercise by 22 {plus minus} 5% and 30 {plus minus} 5%, respectively (both P < 0.05 vs. CTRL), whereas SNP did not affect the change in FBF (P = 0.74 vs. CTRL) or FVC (P = 0.61 vs. CTRL) from rest to steady-state exercise. These findings implicate the K + ion as an essential vasodilator substance contributing to exercise hyperemia in humans.

Contraceptive Hormone Use and Cardiovascular Disease

PubMed Central

Shufelt, Chrisandra L.; Noel Bairey Merz, C.

2009-01-01

Contraceptive hormones, most commonly prescribed as oral contraceptives (OC), are a widely utilized method to prevent ovulation, implantation and therefore pregnancy. The Women’s Health Initiative demonstrated cardiovascular risk linked to menopausal hormone therapy among women without pre-existing cardiovascular disease, prompting review of the safety, efficacy and side effects of other forms of hormone therapy. A variety of basic science, animal and human data suggest that contraceptive hormones have anti-atheromatous effects, however relatively less is known regarding the impact on atherosclerosis, thrombosis, vasomotion and arrhythmogenesis. Newer generation OC formulations currently in use indicate no increased myocardial infarction (MI) risk for current users, but a persistent increased risk of venous thrombo-embolism (VTE). There are no cardiovascular data available for the newest generation contraceptive hormone formulations, including those that contain newer progestins that lower blood pressure, as well as the non-oral routes (topical and vaginal). Current guidelines indicate that, as with all medication, contraceptive hormones should be selected and initiated by weighing risks and benefits for the individual patient. Women 35 years and older should be assessed for cardiovascular risk factors including hypertension, smoking, diabetes, nephropathy and other vascular diseases including migraines, prior to use. Existing data are mixed with regard to possible protection from OC for atherosclerosis and cardiovascular events; longer-term cardiovascular follow-up of menopausal women with regard to prior OC use, including subgroup information regarding adequacy of ovulatory cycling, the presence of hyperandrogenic conditions, and the presence of prothrombotic genetic disorders is needed to address this important issue. PMID:19147038

Baseline psychophysiological and cortisol reactivity as a predictor of PTSD treatment outcome in virtual reality exposure therapy

PubMed Central

Norrholm, Seth Davin; Jovanovic, Tanja; Gerardi, Maryrose; Breazeale, Kathryn G.; Price, Matthew; Davis, Michael; Duncan, Erica; Ressler, Kerry J.; Bradley, Bekh; Rizzo, Albert; Tuerk, Peter W.; Rothbaum, Barbara O.

2017-01-01

Baseline cue-dependent physiological reactivity may serve as an objective measure of posttraumatic stress disorder (PTSD) symptoms. Additionally, prior animal model and psychological studies would suggest that subjects with greatest symptoms at baseline may have the greatest violation of expectancy to danger when undergoing exposure based psychotherapy; thus treatment approaches which enhanced the learning under these conditions would be optimal for those with maximal baseline cue-dependent reactivity. However methods to study this hypothesis objectively are lacking. Virtual reality (VR) methodologies have been successfully employed as an enhanced form of imaginal prolonged exposure therapy for the treatment of PTSD. Our goal was to examine the predictive nature of initial psychophysiological (e.g., startle, skin conductance, heart rate) and stress hormone responses (e.g., cortisol) during presentation of VR-based combat-related stimuli on PTSD treatment outcome. Combat veterans with PTSD underwent 6 weeks of VR exposure therapy combined with either D-cycloserine (DCS), alprazolam (ALP), or placebo (PBO). In the DCS group, startle response to VR scenes prior to initiation of treatment accounted for 76% of the variance in CAPS change scores, p < 0.001, in that higher responses predicted greater changes in symptom severity over time. Additionally, baseline cortisol reactivity was inversely associated with treatment response in the ALP group, p = 0.04. We propose that baseline cue-activated physiological measures will be sensitive to predicting patients’ level of response to exposure therapy, in particular in the presence of enhancement (e.g., DCS). PMID:27183343

Improved hydroxyurea effect with the use of text messaging in children with sickle cell anemia.

PubMed

Estepp, Jeremie H; Winter, Bryan; Johnson, Margery; Smeltzer, Matthew P; Howard, Scott C; Hankins, Jane S

2014-11-01

In children with sickle cell anemia (SCA), hydroxyurea reduces morbidity, but adherence is frequently suboptimal. Because most families of children with SCA have access to cellular telephone services, we assessed the impact of text messaged reminders as a tool to improve adherence to hydroxyurea. All patients <19 years of age with HbSS or HbSβ(0) thalassemia who were treated with hydroxyurea at a maximal tolerated dosage (MTD) at St. Jude Children's Research Hospital Comprehensive Pediatric Sickle Cell Program and who received automated text message reminders (SIMON®) were retrospectively identified. Laboratory parameters, hospitalizations, and medication possession ratios (MPR) prior to and after initiation of SIMON® were compared to assess the impact of SIMON®. Of the 97.3% of families with access to a cell phone, 91% elected to receive text message reminders. Among 55 children receiving hydroxyurea at MTD, laboratory parameters reflected waning medication compliance during the 12 months prior to SIMON®. Following initiation of SIMON®, children had higher mean corpuscular volumes, hemoglobin levels and fetal hemoglobin percentages and lower absolute reticulocyte counts and bilirubin levels, suggesting improved medication adherence. Hospitalizations were uncommon before and after SIMON®, and medication possession ratios (MPRs) were high before and after SIMON®, neither was significantly changed. SIMON® was feasible and improved hematologic parameters in children with SCA receiving hydroxyurea at a MTD. Future work will include extension of this technology to children with other chronic medical conditions who require daily use of medication. © 2014 Wiley Periodicals, Inc.

Corrosion initiation and propagation behavior of corrosion resistant concrete reinforcing materials

NASA Astrophysics Data System (ADS)

Hurley, Michael F.

The life of a concrete structure exposed to deicing compounds or seawater is often limited by chloride induced corrosion of the steel reinforcement. In this study, the key material attributes that affect the corrosion initiation and propagation periods were studied. These included material composition, surface condition, ageing time, propagation behavior during active corrosion, morphology of attack, and type of corrosion products generated by each rebar material. The threshold chloride concentrations for solid 316LN stainless steel, 316L stainless steel clad over carbon steel, 2101 LDX, MMFX-2, and carbon steel rebar were investigated using electrochemical techniques in saturated calcium hydroxide solutions. Surface preparation, test method, duration of period exposed to a passivating condition prior to introduction of chloride, and presence of cladding defects all affected the threshold chloride concentration obtained. A model was implemented to predict the extension of time until corrosion initiation would be expected. 8 years was the predicted time to corrosion initiation for carbon steel. However, model results confirmed that use of 316LN may increase the time until onset of corrosion to 100 years or more. To assess the potential benefits afforded by new corrosion resistant rebar alloys from a corrosion resistance standpoint the corrosion propagation behavior and other factors that might affect the risk of corrosion-induced concrete cracking must also be considered. Radial pit growth was found to be ohmically controlled but repassivation occurred more readily at high potentials in the case of 316LN and 2101 stainless steels. The discovery of ohmically controlled propagation enabled transformation of propagation rates from simulated concrete pore solution to less conductive concrete by accounting for resistance changes in the surrounding medium. The corrosion propagation behavior as well as the morphology of attack directly affects the propensity for concrete cracking. Experimental results were used in conjunction with an existing model to predict the time until concrete cracking occurs for new rebar materials. The results suggest that corrosion resistant materials offer a significant extension to the corrosion propagation stage over carbon steel, even in very aggressive conditions because small, localized anodes develop when initiated.

Motivationally Significant Stimuli Show Visual Prior Entry: Evidence for Attentional Capture

ERIC Educational Resources Information Center

West, Greg L.; Anderson, Adam A. K.; Pratt, Jay

2009-01-01

Previous studies that have found attentional capture effects for stimuli of motivational significance do not directly measure initial attentional deployment, leaving it unclear to what extent these items produce attentional capture. Visual prior entry, as measured by temporal order judgments (TOJs), rests on the premise that allocated attention…

47 CFR 27.1170 - Payment issues.

Code of Federal Regulations, 2014 CFR

2014-10-01

... emission designator. If a prior coordination notice (PCN) under § 101.103(d) of this chapter is prepared... Bands Cost-Sharing Policies Governing Microwave Relocation from the 2110-2150 Mhz and 2160-2200 Mhz Bands § 27.1170 Payment issues. Prior to initiating operations for a newly constructed site or modified...

Strong consistency of nonparametric Bayes density estimation on compact metric spaces with applications to specific manifolds

PubMed Central

Bhattacharya, Abhishek; Dunson, David B.

2012-01-01

This article considers a broad class of kernel mixture density models on compact metric spaces and manifolds. Following a Bayesian approach with a nonparametric prior on the location mixing distribution, sufficient conditions are obtained on the kernel, prior and the underlying space for strong posterior consistency at any continuous density. The prior is also allowed to depend on the sample size n and sufficient conditions are obtained for weak and strong consistency. These conditions are verified on compact Euclidean spaces using multivariate Gaussian kernels, on the hypersphere using a von Mises-Fisher kernel and on the planar shape space using complex Watson kernels. PMID:22984295

Clayey Landslide Initiation and Acceleration Strongly Modulated by Soil Swelling

NASA Astrophysics Data System (ADS)

Schulz, William H.; Smith, Joel B.; Wang, Gonghui; Jiang, Yao; Roering, Joshua J.

2018-02-01

Largely unknown mechanisms restrain motion of clay-rich, slow-moving landslides that are widespread worldwide and rarely accelerate catastrophically. We studied a clayey, slow-moving landslide typical of thousands in Northern California, USA, to decipher hydrologic-mechanical interactions that modulate landslide dynamics. Similar to some other studies, observed pore-water pressures correlated poorly with landslide reactivation and speed. In situ and laboratory measurements strongly suggested that variable pressure along the landslide's lateral shear boundaries resulting from seasonal soil expansion and contraction modulated its reactivation and speed. Slope-stability modeling suggested that the landslide's observed behavior could be predicted by including transient swell pressure as a resistance term, whereas modeling considering only transient hydrologic conditions predicted movement five to six months prior to when it was observed. All clayey soils swell to some degree; hence, our findings suggest that swell pressure likely modulates motion of many landslides and should be considered to improve forecasts of clayey landslide initiation and mobility.

Clayey landslide initiation and acceleration strongly modulated by soil swelling

USGS Publications Warehouse

Schulz, William; Smith, Joel B.; Wang, Gonghui; Jiang, Yao; Roering, Joshua J.

2018-01-01

Largely unknown mechanisms restrain motion of clay-rich, slow-moving landslides that are widespread worldwide and rarely accelerate catastrophically. We studied a clayey, slow-moving landslide typical of thousands in northern California, USA, to decipher hydrologic-mechanical interactions that modulate landslide dynamics. Similar to some other studies, observed pore-water pressures correlated poorly with landslide reactivation and speed. In situ and laboratory measurements strongly suggested that variable pressure along the landslide's lateral shear boundaries resulting from seasonal soil expansion and contraction modulated its reactivation and speed. Slope-stability modeling suggested that the landslide's observed behavior could be predicted by including transient swell pressure as a resistance term, whereas modeling considering only transient hydrologic conditions predicted movement 5–6 months prior to when it was observed. All clayey soils swell to some degree; hence, our findings suggest that swell pressure likely modulates motion of many landslides and should be considered to improve forecasts of clayey landslide initiation and mobility.

Mechanical small bowel obstruction following a blunt abdominal trauma: A case report

PubMed Central

Zirak-Schmidt, Samira; El-Hussuna, Alaa

2015-01-01

Introduction Intestinal obstruction following abdominal trauma has previously been described. However, in most reported cases pathological finding was intestinal stenosis. Presentation of the case A 51-year-old male was admitted after a motor vehicle accident. Initial focused abdominal sonogram for trauma and enhanced computerized tomography were normal, however there was a fracture of the tibia. Three days later, he complained of abdominal pain, constipation, and vomiting. An exploratory laparotomy showed bleeding from the omentum and mechanical small bowel obstruction due to a fibrous band. Discussion The patient had prior abdominal surgery, but clinical and radiological findings indicate that the impact of the motor vehicle accident initiated his condition either by causing rotation of a bowel segment around the fibrous band, or by formation of a fibrous band secondary to minimal bleeding from the omentum. Conclusion High index of suspicion of intestinal obstruction is mandatory in trauma patients presenting with complaints of abdominal pain, vomiting, and constipation despite uneventful CT scan. PMID:26566436

Generalized teleparallel cosmology and initial singularity crossing

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

Awad, Adel; Nashed, Gamal, E-mail: Adel.Awad@bue.edu.eg, E-mail: gglnashed@sci.asu.edu.eg

We present a class of cosmological solutions for a generalized teleparallel gravity with f ( T )= T +α̃ (− T ) {sup n} , where α̃ is some parameter and n is an integer or half-integer. Choosing α̃ ∼ G {sup n} {sup −1}, where G is the gravitational constant, and working with an equation of state p = w ρ, one obtains a cosmological solution with multiple branches. The dynamics of the solution describes standard cosmology at late times, but the higher-torsion correction changes the nature of the initial singularity from big bang to a sudden singularity. Themore » milder behavior of the sudden singularity enables us to extend timelike or lightlike curves, through joining two disconnected branches of solution at the singularity, leaving the singularity traversable. We show that this extension is consistent with the field equations through checking the known junction conditions for generalized teleparallel gravity. This suggests that these solutions describe a contracting phase a prior to the expanding phase of the universe.« less

Fast single image dehazing based on image fusion

NASA Astrophysics Data System (ADS)

Liu, Haibo; Yang, Jie; Wu, Zhengping; Zhang, Qingnian

2015-01-01

Images captured in foggy weather conditions often fade the colors and reduce the contrast of the observed objects. An efficient image fusion method is proposed to remove haze from a single input image. First, the initial medium transmission is estimated based on the dark channel prior. Second, the method adopts an assumption that the degradation level affected by haze of each region is the same, which is similar to the Retinex theory, and uses a simple Gaussian filter to get the coarse medium transmission. Then, pixel-level fusion is achieved between the initial medium transmission and coarse medium transmission. The proposed method can recover a high-quality haze-free image based on the physical model, and the complexity of the proposed method is only a linear function of the number of input image pixels. Experimental results demonstrate that the proposed method can allow a very fast implementation and achieve better restoration for visibility and color fidelity compared to some state-of-the-art methods.

Changes in the frequency of swallowing during electrical stimulation of superior laryngeal nerve in rats.

PubMed

Tsuji, Kojun; Tsujimura, Takanori; Magara, Jin; Sakai, Shogo; Nakamura, Yuki; Inoue, Makoto

2015-02-01

The aim of the present study was to investigate the adaptation of the swallowing reflex in terms of reduced swallowing reflex initiation following continuous superior laryngeal nerve stimulation. Forty-four male Sprague Dawley rats were anesthetized with urethane. To identify swallowing, electromyographic activity of the left mylohyoid and thyrohyoid muscles was recorded. To evoke the swallowing response, the superior laryngeal nerve (SLN), recurrent laryngeal nerve, or cortical swallowing area was electrically stimulated. Repetitive swallowing evoked by continuous SLN stimulation was gradually reduced, and this reduction was dependent on the resting time duration between stimulations. Prior SLN stimulation also suppressed subsequent swallowing initiation. The reduction in evoked swallows induced by recurrent laryngeal nerve or cortical swallowing area stimulation was less than that following superior laryngeal nerve stimulation. Decerebration had no effect on the reduction in evoked swallows. Prior subthreshold stimulation reduced subsequent initiation of swallowing, suggesting that there was no relationship between swallowing movement evoked by prior stimulation and the subsequent reduction in swallowing initiation. Overall, these data suggest that reduced sensory afferent nerve firing and/or trans-synaptic responses, as well as part of the brainstem central pattern generator, are involved in adaptation of the swallowing reflex following continuous stimulation of swallow-inducing peripheral nerves and cortical areas. Copyright © 2014 Elsevier Inc. All rights reserved.

A Screening Matrix for an Initial Line of Inquiry

ERIC Educational Resources Information Center

Nordness, Philip D.; Swain, Kristine D.; Haverkost, Ann

2012-01-01

The Screening for Understanding: Initial Line of Inquiry was designed to be used in conjunction with the child study team planning process for dealing with continuous problem behaviors prior to conducting a formal functional behavioral assessment. To conduct the initial line of inquiry a one-page reproducible screening matrix was used during child…

Seismic tomography as a tool for measuring stress in mines

USGS Publications Warehouse

Scott, Douglas F.; Williams, T.J.; Denton, D.K.; Friedel, M.J.

1999-01-01

Spokane Research Center personnel have been investigating the use of seismic tomography to monitor the behavior of a rock mass, detect hazardous ground conditions and assess the mechanical integrity of a rock mass affected by mining. Seismic tomography can be a valuable tool for determining relative stress in deep, >1,220-m (>4,000-ft), underground pillars. If high-stress areas are detected, they can be destressed prior to development or they can be avoided. High-stress areas can be monitored with successive seismic surveys to determine if stress decreases to a level where development can be initiated safely. There are several benefits to using seismic tomography to identify high stress in deep underground pillars. The technique is reliable, cost-effective, efficient and noninvasive. Also, investigators can monitor large rock masses, as well as monitor pillars during the mining cycle. By identifying areas of high stress, engineers will be able to assure that miners are working in a safer environment.Spokane Research Center personnel have been investigating the use of seismic tomography to monitor the behavior of a rock mass, detect hazardous ground conditions and assess the mechanical integrity of a rock mass affected by mining. Seismic tomography can be a valuable tool for determining relative stress in deep, >1,200-m (>4,000-ft), underground pillars. If high-stress areas are detected, they can be destressed prior to development or they can be avoided. High-stress areas can be monitored with successive seismic surveys to determine if stress decreases to a level where development can be initiated safely. There are several benefits to using seismic tomography to identify high stress in deep underground pillars. The technique is reliable, cost-effective, efficient and noninvasive. Also, investigators can monitor large rock masses, as well as monitor pillars during the mining cycle. By identifying areas of high stress. engineers will be able to assure that miners are working in a safer environment.

Strengthening and toughening mechanisms in low-c microalloyed martensitic steel as influenced by austenite conditioning

NASA Astrophysics Data System (ADS)

Kennett, Shane C.

Three low-carbon ASTM A514 microalloyed steels were used to assess the effects of austenite conditioning on the microstructure and mechanical properties of martensite. A range of prior austenite grain sizes with and without thermomechanical processing were produced in a Gleeble RTM 3500 and direct-quenched. Samples in the as-quenched, low temperature tempered, and high temperature tempered conditions were studied. The microstructure was characterized with scanning electron microscopy, electron backscattered diffraction, transmission electron microscopy, and x-ray diffraction. The uniaxial tensile properties and Charpy V-notch properties were measured and compared with the microstructural features (prior austenite grain size, packet size, block size, lath boundaries, and dislocation density). For the equiaxed prior austenite grain conditions, prior austenite grain size refinement decreases the packet size, decreases the block size, and increases the dislocation density of as-quenched martensite. However, after high temperature tempering the dislocation density decreases with prior austenite grain size refinement. Thermomechanical processing increases the low angle substructure, increases the dislocation density, and decreases the block size of as-quenched martensite. The dislocation density increase and block size refinement is sensitive to the austenite grain size before ausforming. The larger prior austenite grain size conditions have a larger increase in dislocation density, but the small prior austenite grain size conditions have the largest refinement in block size. Additionally, for the large prior austenite grain size conditions, the packet size increases with thermomechanical processing. The strength of martensite is often related to an effective grain size or carbon concentration. For the current work, it was concluded that the strength of martensite is primarily controlled by the dislocation density and dislocation substructure; which is related to a grain size and carbon concentration. In the microyielding regime, the strength and work hardening is related to the motion of unpinned dislocation segments. However, with tensile strain, a dislocation cell structure is developed and the flow strength (greater than 1% offset) is controlled by the dislocation density following a Taylor hardening model, thereby ruling out any grain size effects on the flow strength. Additionally, it is proposed that lath boundaries contribute to strength. It is shown that the strength differences associated with thermomechanically processed steels can be fully accounted for by dislocation density differences and the effect of lath boundaries. The low temperature ductile to brittle transition of martensite is controlled by the martensite block size, packet size, and prior austenite grain size. However, the effect of block size is likely small in comparison. The ductile to brittle transition temperature is best correlated to the inverse square root of the martensite packet size because large crack deflections are typical at packet boundaries.

Air-Sea Heat Flux Transfer for MJO Initiation Processes during DYNAMO/CINDY2011 in Extended-Range Forecasts

NASA Astrophysics Data System (ADS)

Hong, X.; Reynolds, C. A.; Doyle, J. D.

2016-12-01

In this study, two-sets of monthly forecasts for the period during the Dynamics of Madden-Julian Oscillation (MJO)/Cooperative Indian Ocean Experiment of Intraseasonal Variability (DAYNAMO/CINDY) in November 2011 are examined. Each set includes three forecasts with the first set from Navy Global Environmental Model (NAVGEM) and the second set from Navy's non-hydrostatic Coupled Ocean-Atmosphere Mesoscale Prediction System (COAMPS®1). Three NAVGEM monthly forecasts have used sea surface temperature (SST) from persistent at the initial time, from Navy Coupled Ocean Data Assimilation (NCODA) analysis, and from coupled NAVGEM-Hybrid Coordinate Ocean Model (HYCOM) forecasts. Examination found that NAVGEM can predict the MJO at 20-days lead time using SST from analysis and from coupled NAVGEM-HYCOM but cannot predict the MJO using the persistent SST, in which a clear circumnavigating signal is absent. Three NAVGEM monthly forecasts are then applied as lateral boundary conditions for three COAMPS monthly forecasts. The results show that all COAMPS runs, including using lateral boundary conditions from the NAVGEM that is without the MJO signal, can predict the MJO. Vertically integrated moisture anomaly and 850-hPa wind anomaly in all COAMPS runs have indicated strong anomalous equatorial easterlies associated with Rossby wave prior to the MJO initiation. Strong surface heat fluxes and turbulence kinetic energy have promoted the convective instability and triggered anomalous ascending motion, which deepens moist boundary layer and develops deep convection into the upper troposphere to form the MJO phase. The results have suggested that air-sea interaction process is important for the initiation and development of the MJO. 1COAMPS® is a registered trademark of the Naval Research Laboratory

Modeling Type IIn Supernovae: Understanding How Shock Development Effects Light Curves Properties

NASA Astrophysics Data System (ADS)

De La Rosa, Janie

2016-06-01

Type IIn supernovae are produced when massive stars experience dramatic mass loss phases caused by opacity edges or violent explosions. Violent mass ejections occur quite often just prior to the collapse of the star. If the final episode happens just before collapse, the outward ejecta is sufficiently dense to alter the supernova light-curve, both by absorbing the initial supernova light and producing emission when the supernova shock hits the ejecta. Initially, the ejecta is driven by shock progating through the interior of the star, and eventually expands through the circumstellar medium, forming a cold dense shell. As the shock wave approaches the shell, there is an increase in UV and optical radiation at the location of the shock breakout. We have developed a suite of simple semi-analytical models in order to understand the relationship between our observations and the properties of the expanding SN ejecta. When we compare Type IIn observations to a set of modeled SNe, we begin to see the influence of initial explosion conditions on early UV light curve properties such as peak luminosities and decay rate.The fast rise and decay corresponds to the models representing a photosphere moving through the envelope, while the modeled light curves with a slower rise and decay rate are powered by 56Ni decay. However, in both of these cases, models that matched the luminosity were unable to match the low radii from the blackbody models. The effect of shock heating as the supernova material blasts through the circumstellar material can drastically alter the temperature and position of the photosphere. The new set of models redefine the initial modeling conditions to incorporate an outer shell-like structure, and include late-time shock heating from shocks produced as the supernova ejecta travels through the inhomogeneous circumstellar medium.

Timeliness of Care Planning upon Initiation of Chronic Opioid Therapy for Chronic Pain.

PubMed

Von Korff, Michael; Turner, Judith A; Shortreed, Susan M; Saunders, Kathleen; Rosenberg, Dori; Thielke, Stephen; LeResche, Linda

2016-03-01

Chronic opioid therapy (COT) guidelines recommend developing a COT care plan at the initiation of COT. Assess the timeliness of care planning upon initiation of COT. Observational cohort study in a setting incentivizing and tracking documentation of COT care plans in electronic health records (EHRs). Study participants (N = 896) were aged 45 years or older, had initiated an episode of opioid use within the prior 6 months, and reported regular use of prescription analgesics when screened for a baseline interview about 3 months after an index opioid prescription MEASURES: A timely care plan was defined by an EHR documented care plan prior to or within 4 months after the index opioid prescription. Among COT initiators, 30% had a timely COT care plan documented in the EHR within 4 months following index prescription, while 51% had a documented COT care plan within 12 months following index prescription. Among those interviewed at 1 year follow-up (N = 735), 252 (34.2%) reported opioid use on 7 or more days in the prior 2 weeks. Less than half (45.6%) of the 252 individuals who sustained regular opioid use at 1 year had predicted at baseline that it was somewhat, very, or extremely likely they would be using opioids regularly in 1 year. Patients initiating COT were unlikely to have timely COT care plans. Many who sustained regular opioid use at 1 year had not anticipated using opioids long term. © 2015 American Academy of Pain Medicine. All rights reserved. For permissions, please e-mail: journals.permissions@oup.com.

Spatiotemporal analysis of prior appropriations water calls

NASA Astrophysics Data System (ADS)

Elbakidze, Levan; Shen, Xiaozhe; Taylor, Garth; Mooney, SiâN.

2012-06-01

A spatiotemporal model is developed to examine prior appropriations-based water curtailment in Idaho's Snake River Plain Aquifer. Using a 100 year horizon, prior appropriations-based curtailment supplemented with optimized water use reductions is shown to produce a spatial distribution of water use reductions that differs from that produced by regulatory curtailment based strictly on initial water right assignments. Discounted profits over 100 years of crop production are up to 7% higher when allocation is optimized. Total pumping over 100 years is 0.3%, 3%, and 40% higher under 1, 10, and 100 year prior appropriations-based regulatory curtailment, respectively.

Upper Cervical Epidural Abscess in Clinical Practice: Diagnosis and Management

PubMed Central

Al-Hourani, Khalid; Al-Aref, Rami; Mesfin, Addisu

2015-01-01

Study Design Narrative review. Objective Upper cervical epidural abscess (UCEA) is a rare surgical emergency. Despite increasing incidence, uncertainty remains as to how it should initially be managed. Risk factors for UCEA include immunocompromised hosts, diabetes mellitus, and intravenous drug use. Our objective is to provide a comprehensive overview of the literature including the history, clinical manifestations, diagnosis, and management of UCEA. Methods Using PubMed, studies published prior to 2015 were analyzed. We used the keywords “Upper cervical epidural abscess,” “C1 osteomyelitis,” “C2 osteomyelitis,” “C1 epidural abscess,” “C2 epidural abscess.” We excluded cases with tuberculosis. Results The review addresses epidemiology, etiology, imaging, microbiology, and diagnosis of this condition. We also address the nonoperative and operative management options and the relative indications for each as reviewed in the literature. Conclusion A high index of suspicion is required to diagnose this rare condition with magnetic resonance imaging being the imaging modality of choice. There has been a shift toward surgical management of this condition in recent times, with favorable outcomes. PMID:27190742

Provider perceptions of the value of same-day, electronic patient-reported measures for use in clinical HIV care

PubMed Central

Fredericksen, RJ; Tufano, J; Ralston, J; McReynolds, J; Stewart, M; Lober, WB; Mayer, K; Mathews, WC; Mugavero, M; Crane, PK; Crane, HM

2016-01-01

Strong evidence suggests that patient-reported outcomes (PROs) aid in managing chronic conditions, reduce omissions in care, and improve patient-provider communication. However, provider acceptability of PROs and their use in clinical HIV care is not well known. We interviewed providers (n=27) from four geographically diverse HIV and community care clinics in the U.S. that have integrated PROs into routine HIV care, querying perceived value, challenges, and use of PRO data. Perceived benefits included the ability of PROs to identify less-observable behaviors and conditions, particularly suicidal ideation, depression, and substance use; usefulness in agenda-setting prior to a visit; and reduction of social desirability bias in patient-provider communication. Challenges included initial flow integration issues and ease of interpretation of PRO feedback. Providers value same-day, electronic patient-reported measures for use in clinical HIV care with the condition that PROs are 1) tailored to be the most clinically relevant to their population; 2) well-integrated into clinic flow; 3) easy to interpret, highlighting chief patient concerns and changes over time. PMID:27237187

Relationship of Systemic Cytokine Concentrations to Cognitive Function over Two Years in Women with Early Stage Breast Cancer

PubMed Central

Lyon, Debra E.; Cohen, Ronald; Chen, Huaihou; Kelly, Debra L.; McCain, Nancy L.; Starkweather, Angela; Sturgill, Jamie; Jackson-Cook, Colleen K.

2016-01-01

Cancer and its treatment are frequently associated with cancer-related cognitive impairment (CRCI). While CRCI has been linked to chemotherapy, there is increasing evidence that the condition may start prior to treatment and for some, remain unresolved after active treatment and into survivorship. Although the pathophysiology of the condition is complex, alterations in systemic cytokines, signaling molecules activated in response to infection or injury that trigger inflammation, are a possible mechanism linked to cognitive dysfunction in breast cancer and other conditions. Given the conflicting results in the literature, the lack of focus on domain-specific cognitive testing, and the need for a longer time period given the multiple modalities of standard treatments for early-stage breast cancer, this longitudinal study was conducted to address these gaps. Methods We assessed 75 women with early-stage breast cancer at five points over two years, starting prior to the initial chemotherapy through 24 months after chemotherapy initiation. Measures included a validated computerized evaluation of domain-specific cognitive functioning and a 17-plex panel of plasma cytokines. Linear mixed-effects models were applied to test the relationships of clinical variables and cytokine concentrations to each cognitive domain. Results: Levels and patterns of cytokine concentrations varied over time: six of the 17 cytokines (IL-6, IL-12, IL-17, G-CSF, MIPS-1β, and MCP-1) had the most variability. Some cytokine levels (e.g., IL-6) increased during chemotherapy but then decreased subsequently, while others (e.g., IL-17) consistently declined from baseline over time. There were multiple relationships among cytokines and cognition, which varied over time. At baseline, elevated concentrations of G-CSF and reduced concentrations of IL-17 were associated with faster psychomotor speed. At the second time-point (prior to the mid-chemotherapy), multiple cytokines had significant associations with psychomotor speed, complex attention, executive function, verbal memory, cognitive flexibility, composite memory and visual memory. Six months after chemotherapy initiation and at the one-year point, there were multiple, significant relationships among cytokines and multiple cognitive. At two years, fewer significant relationships were noted; however, lower concentrations of IL-7, a hematopoietic cytokine, were associated with better psychomotor speed, complex attention, and memory (composite, verbal and visual). MCP-1 was inversely associated with psychomotor speed and complex attention and higher levels of MIP-1β were related to better complex attention. Conclusion Levels and patterns of cytokines changed over time and demonstrated associations with domain-specific cognitive functioning that varied over time. The observed associations between cytokines and cognitive performance provides evidence that not only prototypical cytokines (i.e. IL-6, TNF-α, and IL1-β) but also cytokines from multiple classes may contribute to the inflammatory environment that is associated with cognitive dysfunction. Future studies to better delineate the cytokine changes, both individually and in networks, are needed to precisely assess a mechanistic link between cytokines and cognitive function in women receiving treatments for breast cancer. PMID:27890459

Proteometabolomic response of Deinococcus radiodurans exposed to UVC and vacuum conditions: Initial studies prior to the Tanpopo space mission.

PubMed

Ott, Emanuel; Kawaguchi, Yuko; Kölbl, Denise; Chaturvedi, Palak; Nakagawa, Kazumichi; Yamagishi, Akihiko; Weckwerth, Wolfram; Milojevic, Tetyana

2017-01-01

The multiple extremes resistant bacterium Deinococcus radiodurans is able to withstand harsh conditions of simulated outer space environment. The Tanpopo orbital mission performs a long-term space exposure of D. radiodurans aiming to investigate the possibility of interplanetary transfer of life. The revealing of molecular machinery responsible for survivability of D. radiodurans in the outer space environment can improve our understanding of underlying stress response mechanisms. In this paper, we have evaluated the molecular response of D. radiodurans after the exposure to space-related conditions of UVC irradiation and vacuum. Notably, scanning electron microscopy investigations showed that neither morphology nor cellular integrity of irradiated cells was affected, while integrated proteomic and metabolomic analysis revealed numerous molecular alterations in metabolic and stress response pathways. Several molecular key mechanisms of D. radiodurans, including the tricarboxylic acid cycle, the DNA damage response systems, ROS scavenging systems and transcriptional regulators responded in order to cope with the stressful situation caused by UVC irradiation under vacuum conditions. These results reveal the effectiveness of the integrative proteometabolomic approach as a tool in molecular analysis of microbial stress response caused by space-related factors.

Proteometabolomic response of Deinococcus radiodurans exposed to UVC and vacuum conditions: Initial studies prior to the Tanpopo space mission

PubMed Central

Ott, Emanuel; Kawaguchi, Yuko; Kölbl, Denise; Chaturvedi, Palak; Nakagawa, Kazumichi; Yamagishi, Akihiko; Weckwerth, Wolfram

2017-01-01

The multiple extremes resistant bacterium Deinococcus radiodurans is able to withstand harsh conditions of simulated outer space environment. The Tanpopo orbital mission performs a long-term space exposure of D. radiodurans aiming to investigate the possibility of interplanetary transfer of life. The revealing of molecular machinery responsible for survivability of D. radiodurans in the outer space environment can improve our understanding of underlying stress response mechanisms. In this paper, we have evaluated the molecular response of D. radiodurans after the exposure to space-related conditions of UVC irradiation and vacuum. Notably, scanning electron microscopy investigations showed that neither morphology nor cellular integrity of irradiated cells was affected, while integrated proteomic and metabolomic analysis revealed numerous molecular alterations in metabolic and stress response pathways. Several molecular key mechanisms of D. radiodurans, including the tricarboxylic acid cycle, the DNA damage response systems, ROS scavenging systems and transcriptional regulators responded in order to cope with the stressful situation caused by UVC irradiation under vacuum conditions. These results reveal the effectiveness of the integrative proteometabolomic approach as a tool in molecular analysis of microbial stress response caused by space-related factors. PMID:29244852

Contrasting early Holocene temperature variations between monsoonal East Asia and westerly dominated Central Asia

NASA Astrophysics Data System (ADS)

Zhao, Jiaju; An, Chen-Bang; Huang, Yongsong; Morrill, Carrie; Chen, Fa-Hu

2017-12-01

Numerous studies have demonstrated that there are major differences in the timing of maximum Holocene precipitation between the monsoonal East Asia and westerly dominated Central Asia, but it is unclear if the moisture differences are also associated with corresponding temperature contrasts. Here we present the first alkenone-based paleotemperature reconstructions for the past 21 kyr from Lake Balikun, central Asia. We show, unlike the initiation of Holocene warm conditions at ∼11 kyr BP in the monsoon regions, the arid central Asia remained in a glacial-like cold condition prior to 8 kyr BP and experienced abrupt warming of ∼9 °C after the collapse of the Laurentide ice sheet. Comparison with pollen and other geochemical data indicates the abrupt warming is closely associated with major increase in the moisture supply to the region. Together, our multiproxy data indicate ∼2 thousand years delay of temperature and moisture optimum relative to local summer insolation maximum, suggesting major influence of the Laurentide ice sheet and other high latitude ice sheet forcings on the regional atmospheric circulation. In addition, our data reveal a temperature drop by ∼4 °C around 4 kyr BP lasting multiple centuries, coinciding with severe increases in aridity previously reported based on multiproxy data. In contrast, model simulations display a much less pronounced delay in the initiation of Holocene warm conditions, raising unresolved questions about the relative importance of local radiative forcing and high-latitude ice on temperature in this region.

Comparison of the effects of sodium bicarbonate jet prophylaxis on blood pressure in normotensive individuals and patients with controlled hypertension: a controlled clinical trial.

PubMed

Ferreira, Camila Lopes; De Marco, Andrea Carvalho; Lazzari, Thiago Rodrigues; Amorim, José Benedito Oliveira; Santamaria, Mauro Pedrine; Jardini, Maria Aparecida Neves

2017-01-01

This study assessed the blood pressure (BP) of normotensive subjects and subjects with pharmacologically controlled hypertension after sodium bicarbonate jet prophylaxis. Forty subjects were divided into 2 groups: a normotensive control group (n = 20) and a hypertensive group (n = 20). Blood pressure measurements were conducted at 4 timepoints: prior to the dental prophylaxis (T0), immediately after treatment (Ti), 15 minutes after treatment (T15), and 30 minutes after treatment (T30). The systolic BP (SBP) values for both groups were significantly increased at Ti (P < 0.05) and returned to their initial state at T15. Both groups also showed a significant increase in diastolic BP (DBP) values at Ti (P < 0.05); however, the basal conditions in hypertensive subjects were not restored until T30, whereas the values for normotensive subjects were restored at T15. The results indicated that systemic BP changed significantly after sodium bicarbonate jet prophylaxis in both study groups; while initial SBP values were restored by 15 minutes in both groups, the return to initial DBP values took longer in the hypertensive group than in the normotensive group.

[Non-neuronal effects of muscarinic antagonists in the prophylaxis of stress].

PubMed

Nezhinskaia, G I; Vladykin, A L; Sapronov, N S

2008-01-01

We have studied the stress-limiting role of the immune reaction initiated by cholinergic antagonists and the influence of these drugs on the dynamics of antibody formation in the spleen and the blood serum corticosterone level. The protective effect of immune reaction initiated by methacine (muscarinic receptor antagonist) or hexamethonium (nicotinic receptor antagonist) in prevention of stress gastric ulcer in rats (induced by water immersion stress, WIS) was estimated upon administration of the drugs for 5 days (local response) or 14 days (systemic response) prior to WIS. The pharmacological effects of drugs were estimated upon their administration 30 minutes prior to WIS. It is shown that, if cholinergic antagonists affect the systemic immune response the induction of WIS at this level of immune reaction leads to the effective prevention of stress gastric ulcer. The administration of methacine (but not hexamethonium) 14 days prior to WIS effectively reduces gastric lesions up to 1.0 +/- 0.1 arbitrary units in comparison to 3.6 + 0.2 arbitrary units in the control group. Under effective prophylaxis, the number of antibody-forming cells (AFC/10(6) of splenocytes) and corticosterone concentration are close to their basal level, while under stress conditions, these parameters significantly increase up to 870 +/- 21 and 350 +/- 4 vs. 100 +/- 17 and 107 +/- 6 in the control group, accordingly. It is established that both methacine and hexamethonium remain immunologically active for 28 days and more: the maximum amount of AFC upon administration of hexamethonium and methacine was on the 5th day and 14th day, respectively. Thus, determination of the drug influence on the systemic immune response allows one to predict the non-neuronal effects of cholinergic antagonists and, in this way, to affect the pathogenesis of stress gastric ulcer. Estimation of the AFC response and corticosterone level after WIS shows the efficacy ofprophylaxis of the gastric stress lesion.

Assessment of bird response to the Migratory Bird Habitat Initiative using weather-surveillance radar

USGS Publications Warehouse

Sieges, Mason L.; Smolinsky, Jaclyn A.; Baldwin, Michael J.; Barrow, Wylie C.; Randall, Lori A.; Buler, Jeffrey J.

2014-01-01

In response to the Deepwater Horizon oil spill in spring 2010, the Natural Resources Conservation Service implemented the Migratory Bird Habitat Initiative (MBHI) to provide temporary wetland habitat for migrating and wintering waterfowl, shorebirds, and other birds along the northern Gulf of Mexico via managed flooding of agricultural lands. We used weather-surveillance radar to conduct broad regional assessments of bird response to MBHI activities within the Mississippi Alluvial Valley and the West Gulf Coastal Plain. Across both regions, birds responded positively to MBHI management by exhibiting greater relative bird densities within sites relative to pre-management conditions in prior years and relative to surrounding non-flooded agricultural lands. Bird density at MBHI sites was generally greatest during winter for both regions. Unusually high flooding in the years prior to implementation of the MBHI confounded detection of overall changes in remotely sensed soil wetness across sites. The magnitude of bird response at MBHI sites compared to prior years and to non-flooded agricultural lands was generally related to the surrounding landscape context: proximity to areas of high bird density, amount of forested wetlands, emergent marsh, non-flooded agriculture, or permanent open water. However, these relationships varied in strength and direction between regions and seasons, a finding which we attribute to differences in seasonal bird composition and broad regional differences in landscape configuration and composition. We detected greater increases in relative bird use at sites in closer proximity to areas of high bird density during winter in both regions. Additionally, bird density was greater during winter at sites with more emergent marsh in the surrounding landscape. Thus, bird use of managed wetlands could be maximized by enrolling lands located near areas of known bird concentration and within a mosaic of existing wetlands. Weather-radar observations provide strong evidence that MBHI sites located inland from coastal wetlands impacted by the oil spill provided wetland habitat used by a variety of birds.

Early Results in Capella's Prior Learning Assessment Experimental Site Initiative

ERIC Educational Resources Information Center

Klein, Jillian

2017-01-01

In July 2014, the U.S. Department of Education announced a new round of experimental sites focusing on competency-based education. Capella University was selected to participate in three of the Department of Education's competency-based education (CBE) experiments and began by implementing the prior learning assessment experiment, which allows…

Credit for Prior Learning Practices: Results of the AACRAO December 2014 60 Second Survey

ERIC Educational Resources Information Center

American Association of Collegiate Registrars and Admissions Officers (AACRAO), 2015

2015-01-01

The American Association of Collegiate Registrars and Admissions Officers (AACRAO) initiated a series of surveys designed to capture member institutional practice snapshots in 60 seconds or less. The December 2014 "AACRAO 60 Second Survey" asked respondents to indicate their institutions' credit for prior learning practices (CPL). To…

40 CFR 63.695 - Inspection and monitoring requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... least once every calendar year after initial fill, and (B) Visually inspect the internal floating roof...) each time the tank is emptied and degassed and at least every 10 years. Prior to each inspection, the... emptied and degassed and at least every 5 years. Prior to each inspection, the owner or operator shall...

Student Teachers' Reflections on Prior Experiences of Learning Geography

ERIC Educational Resources Information Center

Dolan, Anne M.; Waldron, Fionnuala; Pike, Susan; Greenwood, Richard

2014-01-01

Primary geography education is an important part of initial teacher education. The importance of prior experiences in the development of student teachers has long been recognised and there is growing evidence of the nature of those experiences in areas such as geography. This paper reports the findings of research conducted with one cohort of…

Technology for Future NASA Missions: Civil Space Technology Initiative (CSTI) and Pathfinder

DTIC Science & Technology

1988-01-01

SEPTEMBER 1988 PACE Space Research and Technology Overview 1 Frederick P. Povinelli Civil Space Technology Initiative 15 Judith H. Ambrus...Peterson Peterson Pierson Pietsch Pilcher Pistole Piszczor Pittian Plotkin Portnoy Poucher Povinelli Povell Pozarovski Priebe Prior Pyle

40 CFR Table 4 to Subpart Eeee of... - Summary of Reporting Requirements

Code of Federal Regulations, 2010 CFR

2010-07-01

.... Waste management plan; and § 60.2952. v. Anticipated date of initial startup. § 60.2952. 2. Startup notification a. Prior to initial startup i. Types of waste to be burned;ii. Maximum design waste burning... petition for site-specific operating limits; and § 60.2953. v. Anticipated date of initial startup. § 60...

40 CFR Table 4 to Subpart Eeee of... - Summary of Reporting Requirements

Code of Federal Regulations, 2012 CFR

2012-07-01

.... Waste management plan; and § 60.2952. v. Anticipated date of initial startup. § 60.2952. 2. Startup notification a. Prior to initial startup i. Types of waste to be burned;ii. Maximum design waste burning... petition for site-specific operating limits; and § 60.2953. v. Anticipated date of initial startup. § 60...

40 CFR Table 4 to Subpart Eeee of... - Summary of Reporting Requirements

Code of Federal Regulations, 2011 CFR

2011-07-01

.... Waste management plan; and § 60.2952. v. Anticipated date of initial startup. § 60.2952. 2. Startup notification a. Prior to initial startup i. Types of waste to be burned;ii. Maximum design waste burning... petition for site-specific operating limits; and § 60.2953. v. Anticipated date of initial startup. § 60...

40 CFR Table 4 to Subpart Eeee of... - Summary of Reporting Requirements

Code of Federal Regulations, 2013 CFR

2013-07-01

.... Waste management plan; and § 60.2952. v. Anticipated date of initial startup. § 60.2952. 2. Startup notification a. Prior to initial startup i. Types of waste to be burned;ii. Maximum design waste burning... petition for site-specific operating limits; and § 60.2953. v. Anticipated date of initial startup. § 60...

40 CFR Table 4 to Subpart Eeee of... - Summary of Reporting Requirements

Code of Federal Regulations, 2014 CFR

2014-07-01

.... Waste management plan; and § 60.2952. v. Anticipated date of initial startup. § 60.2952. 2. Startup notification a. Prior to initial startup i. Types of waste to be burned;ii. Maximum design waste burning... petition for site-specific operating limits; and § 60.2953. v. Anticipated date of initial startup. § 60...

The Neuro-Mechanical Processes That Underlie Goal-Directed Medio-Lateral APA during Gait Initiation.

PubMed

Honeine, Jean-Louis; Schieppati, Marco; Crisafulli, Oscar; Do, Manh-Cuong

2016-01-01

Gait initiation (GI) involves passing from bipedal to unipedal stance. It requires a rapid movement of the center of foot pressure (CoP) towards the future swing foot and of the center of mass (CoM) in the direction of the stance foot prior to the incoming step. This anticipatory postural adjustment (APA) allows disengaging the swing leg from the ground and establishing favorable conditions for stepping. This study aimed to describe the neuro-mechanical process that underlies the goal-directed medio-lateral (ML) APA. We hypothesized that controlled knee flexion of the stance leg contributes to the initial ML displacement of the CoP and to the calibration of the first step. Fourteen subjects initiated gait starting from three different initial stance widths of 15 cm (Small), 30 cm (Medium), and 45 cm (Large). Optoelectronic, force platform and electromyogram (EMG) measurements were performed. During APA, soleus activity diminished bilaterally, while tibialis anterior (TA) activity increased, more so in the stance leg than in the swing leg, and to a larger extent with increasing initial stance width. Knee flexion of the stance leg was observed during APA and correlated with the ML CoP displacement towards the swing leg. ML CoP and CoM displacements during APA increased with increasing stance width. The activity of stance-leg TA was correlated with the degree of knee flexion. Swing-leg tensor fasciae latae (TFL) was also active during APA. Across subjects, when stance-leg tibialis activity was low, TFL activity was large and vice versa. The modulation of the ML CoP position during APA allowed the gravity-driven torque to place the CoM just lateral to the stance foot during step execution. Accordingly, the gravity-driven torque, the ML CoM velocity during step execution, and the step width at foot contact (FC) were lower in the Small and greater in the Large condition. Consequently, the position of the stepping foot at FC remained close to the sagittal plane in all three conditions. Conclusively, coordinated activation of hip abductors and ankle dorsiflexors during APA displaces the CoP towards the swing leg, and sets the contact position for the swing foot.

The Neuro-Mechanical Processes That Underlie Goal-Directed Medio-Lateral APA during Gait Initiation

PubMed Central

Honeine, Jean-Louis; Schieppati, Marco; Crisafulli, Oscar; Do, Manh-Cuong

2016-01-01

Gait initiation (GI) involves passing from bipedal to unipedal stance. It requires a rapid movement of the center of foot pressure (CoP) towards the future swing foot and of the center of mass (CoM) in the direction of the stance foot prior to the incoming step. This anticipatory postural adjustment (APA) allows disengaging the swing leg from the ground and establishing favorable conditions for stepping. This study aimed to describe the neuro-mechanical process that underlies the goal-directed medio-lateral (ML) APA. We hypothesized that controlled knee flexion of the stance leg contributes to the initial ML displacement of the CoP and to the calibration of the first step. Fourteen subjects initiated gait starting from three different initial stance widths of 15 cm (Small), 30 cm (Medium), and 45 cm (Large). Optoelectronic, force platform and electromyogram (EMG) measurements were performed. During APA, soleus activity diminished bilaterally, while tibialis anterior (TA) activity increased, more so in the stance leg than in the swing leg, and to a larger extent with increasing initial stance width. Knee flexion of the stance leg was observed during APA and correlated with the ML CoP displacement towards the swing leg. ML CoP and CoM displacements during APA increased with increasing stance width. The activity of stance-leg TA was correlated with the degree of knee flexion. Swing-leg tensor fasciae latae (TFL) was also active during APA. Across subjects, when stance-leg tibialis activity was low, TFL activity was large and vice versa. The modulation of the ML CoP position during APA allowed the gravity-driven torque to place the CoM just lateral to the stance foot during step execution. Accordingly, the gravity-driven torque, the ML CoM velocity during step execution, and the step width at foot contact (FC) were lower in the Small and greater in the Large condition. Consequently, the position of the stepping foot at FC remained close to the sagittal plane in all three conditions. Conclusively, coordinated activation of hip abductors and ankle dorsiflexors during APA displaces the CoP towards the swing leg, and sets the contact position for the swing foot. PMID:27642280

Impella 2.5 initiated prior to unprotected left main PCI in acute myocardial infarction complicated by cardiogenic shock improves early survival.

PubMed

Meraj, Perwaiz M; Doshi, Rajkumar; Schreiber, Theodore; Maini, Brijeshwar; O'Neill, William W

2017-06-01

To assess post-procedural outcomes when Impella 2.5 percutaneous left ventricular assist device (pLVAD) support is initiated either prior to or after percutaneous coronary intervention (PCI) on unprotected left main coronary artery (ULMCA) culprit lesion in the context of acute myocardial infarction cardiogenic shock (AMICS). Initiation of Impella 2.5 pLVAD prior to PCI is associated with significant survival benefit in the setting of AMICS. Outcomes of those presenting with a ULMCA culprit lesion in this setting have not been well characterized. Thirty-six consecutive patients in the cVAD Registry supported with Impella 2.5 pLVAD for AMICS who underwent PCI on ULMCA culprit lesion were included in our multicenter study. The average age was 69.8 ± 14.2 years, 77.8% were male, 72.7% were in CS at admission, 44.4% sustained one or multiple cardiac arrests, and 30.6% had anoxic brain injury. Baseline characteristics were comparable between the Pre-PCI group (n = 20) and Post-PCI group (n = 16). Non-ST segment elevation myocardial infarction and greater coronary disease burden were significantly more frequent in the Pre-PCI group but they had significantly better survival to discharge (55.0% vs 18.8%, P = 0.041). Kaplan-Meier 30-day survival analysis showed very poor survival in Post-PCI group (48.1% vs 12.5%, Log-Rank P = 0.004). Initiation of Impella 2.5 pLVAD prior to as compared with after PCI of ULMCA for AMICS culprit lesion is associated with significant early survival. As previously described, patients supported after PCI appear to have very poor survival at 30 days. © 2017, Wiley Periodicals, Inc.

Controlling for Prior Attainment Reduces the Positive Influence that Single-Gender Classroom Initiatives Exert on High School Students' Scholastic Achievements.

PubMed

Pennington, Charlotte R; Kaye, Linda K; Qureshi, Adam W; Heim, Derek

2018-01-01

Research points to the positive impact that gender-segregated schooling and classroom initiatives exert on academic attainment. An evaluation of these studies which reveal positive effects highlights, however, that students are typically selectively assigned to single- or mixed-gender instructional settings, presenting a methodological confound. The current study controls for students' prior attainment to appraise the efficacy of a single-gender classroom initiative implemented in a co-educational high school in the United Kingdom. Secondary data analysis (using archived data) was performed on 266 middle-ability, 11-12 year-old students' standardized test scores in Languages (English, foreign language), STEM-related (Mathematics, Science, Information and Communication Technology), and Non-STEM subjects (art, music, drama). Ninety-eight students (54, 55% female) were taught in single-gender and 168 (69, 41% female) in mixed-gender classrooms. Students undertook identical tests irrespective of classroom type, which were graded in accordance with U.K national curriculum guidelines. Controlling for students' prior attainment, findings indicate that students do not appear to benefit from being taught in single-gender relative to mixed-gender classrooms in Language and STEM-related subjects. Young women benefitted from being taught in mixed-gender relative to single-gender classes for Non-STEM subjects. However, when prior ability is not controlled for, the intervention appears to be effective for all school subjects, highlighting the confounding influence of selective admissions. These findings suggest that gender-segregated classroom initiatives may not bolster students' grades. It is argued that studies that do not control for selection effects may tell us little about the effectiveness of such interventions on scholastic achievement.

Isolation of Endohyphal Bacteria from Foliar Ascomycota and In Vitro Establishment of Their Symbiotic Associations

PubMed Central

Arendt, Kayla R.; Hockett, Kevin L.; Araldi-Brondolo, Sarah J.; Baltrus, David A.

2016-01-01

Endohyphal bacteria (EHB) can influence fungal phenotypes and shape the outcomes of plant-fungal interactions. Previous work has suggested that EHB form facultative associations with many foliar fungi in the Ascomycota. These bacteria can be isolated in culture, and fungi can be cured of EHB using antibiotics. Here, we present methods for successfully introducing EHB into axenic mycelia of strains representing two classes of Ascomycota. We first establish in vitro conditions favoring reintroduction of two strains of EHB (Luteibacter sp.) into axenic cultures of their original fungal hosts, focusing on fungi isolated from healthy plant tissue as endophytes: Microdiplodia sp. (Dothideomycetes) and Pestalotiopsis sp. (Sordariomycetes). We then demonstrate that these EHB can be introduced into a novel fungal host under the same conditions, successfully transferring EHB between fungi representing different classes. Finally, we manipulate conditions to optimize reintroduction in a focal EHB-fungal association. We show that EHB infections were initiated and maintained more often under low-nutrient culture conditions and when EHB and fungal hyphae were washed with MgCl2 prior to reassociation. Our study provides new methods for experimental assessment of the effects of EHB on fungal phenotypes and shows how the identity of the fungal host and growth conditions can define the establishment of these widespread and important symbioses. PMID:26969692

Automated aberration correction of arbitrary laser modes in high numerical aperture systems.

PubMed

Hering, Julian; Waller, Erik H; Von Freymann, Georg

2016-12-12

Controlling the point-spread-function in three-dimensional laser lithography is crucial for fabricating structures with highest definition and resolution. In contrast to microscopy, aberrations have to be physically corrected prior to writing, to create well defined doughnut modes, bottlebeams or multi foci modes. We report on a modified Gerchberg-Saxton algorithm for spatial-light-modulator based automated aberration compensation to optimize arbitrary laser-modes in a high numerical aperture system. Using circularly polarized light for the measurement and first-guess initial conditions for amplitude and phase of the pupil function our scalar approach outperforms recent algorithms with vectorial corrections. Besides laser lithography also applications like optical tweezers and microscopy might benefit from the method presented.

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

Godfrey, Andrew T.; Collins, Benjamin S.; Gentry, Cole A.

CASL members TVA, Westinghouse, and Oak Ridge National Laboratory have successfully completed a detailed simulation of the initial startup of Watts Bar Nuclear Unit 2 (WBN2) using the advanced reactor simulation tools known as VERA. WBN2 is the first commercial power reactor to join the nation’s electrical grid in over two decades, and the modern core design and availability of data make it an excellent benchmark for CASL. Calculations were performed three months prior to the startup, and in the first blind application of VERA to a new reactor, predicted criticality and physics parameters very close to those later measuredmore » by TVA. Subsequent calculations with the latest version of VERA and using exact measurement conditions improved the results even further.« less

Iterative reconstruction of simulated low count data: a comparison of post-filtering versus regularised OSEM

NASA Astrophysics Data System (ADS)

Karaoglanis, K.; Efthimiou, N.; Tsoumpas, C.

2015-09-01

Low count PET data is a challenge for medical image reconstruction. The statistics of a dataset is a key factor of the quality of the reconstructed images. Reconstruction algorithms which would be able to compensate for low count datasets could provide the means to reduce the patient injected doses and/or reduce the scan times. It has been shown that the use of priors improve the image quality in low count conditions. In this study we compared regularised versus post-filtered OSEM for their performance on challenging simulated low count datasets. Initial visual comparison demonstrated that both algorithms improve the image quality, although the use of regularization does not introduce the undesired blurring as post-filtering.

Problems encountered with conventional fiber-reinforced composites

NASA Technical Reports Server (NTRS)

Landel, R. F.

1981-01-01

Preparational, computational, and operational problems associated with fiber-reinforced composites (FRC) are reviewed. Initial preparation of FRCs is shown to involve consideration of the type of prepreg, the setting time, cure conditions and cycles, and cure temperatures. The effects of the choice of bonding agents, the fiber transfer length, and individual fiber responses to bonding agents are noted to have an impact on fiber strength, moisture uptake, and fatigue resistance. The deformation prior to failure and the failure region are modeled through models of mini-, micro- and macro mechanics formulations employing a stiffness matrix, failure criterion, or fracture mechanics. The detection, evaluation, and repair of defects comprises the operational domain, and it is stressed that no good repair techniques exist for FRCs.

Spawning of zebra mussels (Dreissena polymorpha) and rearing of veligers under laboratory conditions

USGS Publications Warehouse

Nichols, S. Jerrine; Nalepa, Thomas F.; Schloesser, Donald W.

1992-01-01

The spawning cycle of the zebra mussel, Dreissena polymorpha, is amenable to laboratory manipulations. Techniques are presented that can be used to initiate spawning and rear veligers from fertilized egg to settlement stage. Spawning can be induced in sexually mature mussels by temperature flucuations or by the addition of ripe gametes. Embryonic survival is excellent until the straight-hinge stage when the first wave of mortality occurs, usually due to improper food. The second critical stage of development occurs just prior to settlement when mortality increases again. Veliger mortality averaged over 90% from egg to settlement. The results indicate that obtaining large numbers of veligers for laboratory experiments to be conducted year-round is difficult.

Probability of Achieving Glycemic Control with Basal Insulin in Patients with Type 2 Diabetes in Real-World Practice in the USA.

PubMed

Blonde, Lawrence; Meneghini, Luigi; Peng, Xuejun Victor; Boss, Anders; Rhee, Kyu; Shaunik, Alka; Kumar, Supriya; Balodi, Sidhartha; Brulle-Wohlhueter, Claire; McCrimmon, Rory J

2018-06-01

Basal insulin (BI) plays an important role in treating type 2 diabetes (T2D), especially when oral antidiabetic (OAD) medications are insufficient for glycemic control. We conducted a retrospective, observational study using electronic medical records (EMR) data from the IBM ® Explorys database to evaluate the probability of achieving glycemic control over 24 months after BI initiation in patients with T2D in the USA. A cohort of 6597 patients with T2D who started BI following OAD(s) and had at least one valid glycated hemoglobin (HbA1c) result recorded both within 90 days before and 720 days after BI initiation were selected. We estimated the changes from baseline in HbA1c every 6 months, the quarterly conditional probabilities of reaching HbA1c < 7% if a patient had not achieved glycemic control prior to each quarter (Q), and the cumulative probability of reaching glycemic control over 24 months. Our cohort was representative of patients with T2D who initiated BI from OADs in the USA. The average HbA1c was 9.1% at BI initiation, and decreased robustly (1.5%) in the first 6 months after initiation with no further reductions thereafter. The conditional probability of reaching glycemic control decreased rapidly in the first year (26.6% in Q2; 17.6% in Q3; 8.6% in Q4), and then remained low (≤ 6.1%) for each quarter in the second year. Cumulatively, about 38% of patients reached HbA1c < 7% in the first year; only approximately 8% more did so in the second year. Our study of real-world data from a large US EMR database suggested that among patients with T2D who initiated BI after OADs, the likelihood of reaching glycemic control diminished over time, and remained low from 12 months onwards. Additional treatment options should be considered if patients do not reach glycemic control within 12 months of BI initiation. Sanofi Corporation.

Use of uninformative priors to initialize state estimation for dynamical systems

NASA Astrophysics Data System (ADS)

Worthy, Johnny L.; Holzinger, Marcus J.

2017-10-01

The admissible region must be expressed probabilistically in order to be used in Bayesian estimation schemes. When treated as a probability density function (PDF), a uniform admissible region can be shown to have non-uniform probability density after a transformation. An alternative approach can be used to express the admissible region probabilistically according to the Principle of Transformation Groups. This paper uses a fundamental multivariate probability transformation theorem to show that regardless of which state space an admissible region is expressed in, the probability density must remain the same under the Principle of Transformation Groups. The admissible region can be shown to be analogous to an uninformative prior with a probability density that remains constant under reparameterization. This paper introduces requirements on how these uninformative priors may be transformed and used for state estimation and the difference in results when initializing an estimation scheme via a traditional transformation versus the alternative approach.

Abdominal multi-organ CT segmentation using organ correlation graph and prediction-based shape and location priors.

PubMed

Okada, Toshiyuki; Linguraru, Marius George; Hori, Masatoshi; Summers, Ronald M; Tomiyama, Noriyuki; Sato, Yoshinobu

2013-01-01

The paper addresses the automated segmentation of multiple organs in upper abdominal CT data. We propose a framework of multi-organ segmentation which is adaptable to any imaging conditions without using intensity information in manually traced training data. The features of the framework are as follows: (1) the organ correlation graph (OCG) is introduced, which encodes the spatial correlations among organs inherent in human anatomy; (2) the patient-specific organ shape and location priors obtained using OCG enable the estimation of intensity priors from only target data and optionally a number of untraced CT data of the same imaging condition as the target data. The proposed methods were evaluated through segmentation of eight abdominal organs (liver, spleen, left and right kidney, pancreas, gallbladder, aorta, and inferior vena cava) from 86 CT data obtained by four imaging conditions at two hospitals. The performance was comparable to the state-of-the-art method using intensity priors constructed from manually traced data.

Environment-Assisted Cracking in Custom 465 Stainless Steel

NASA Astrophysics Data System (ADS)

Lee, E. U.; Goswami, R.; Jones, M.; Vasudevan, A. K.

2011-02-01

The influence of cold work and aging on the environment-assisted cracking (EAC) behavior and mechanical properties of Custom 465 stainless steel (SS) was studied. Four sets of specimens were made and tested. All specimens were initially solution annealed, rapidly cooled, and refrigerated (SAR condition). The first specimen set was steel in the SAR condition. The second specimen set was aged to the H1000 condition. The third specimen set was 60 pct cold worked, and the fourth specimen set was 60 pct cold worked and aged at temperatures ranging from 755 K to 825 K (482 °C to 552 °C) for 4 hours in air. The specimens were subsequently subjected to EAC and mechanical testing. The EAC testing was conducted, using the rising step load (RSL) technique, in aqueous solutions of NaCl of pH 7.3 with concentrations ranging from 0.0035 to 3.5 pct at room temperature. The microstructure, dislocation substructure, and crack paths, resulting from the cold work, aging, or subsequent EAC testing, were examined by optical microscopy, transmission electron microscopy (TEM), and scanning electron microscopy (SEM). The aging of the cold-worked specimens induced carbide precipitation within the martensite lath, but not at the lath or packet boundaries. In the aged specimens, as aging temperature rose, the threshold stress intensity for EAC (KIEAC), elongation, and fracture toughness increased, but the strength and hardness decreased. The KIEAC also decreased with increasing yield strength and NaCl concentration. In the SAR and H1000 specimens, the EAC propagated along the prior austenite grain boundary, while in the cold-worked and cold-worked and aged specimens, the EAC propagated along the martensite lath, and its packet and prior austenite grain boundaries. The controlling mechanism for the observed EAC was identified to be hydrogen embrittlement.

Opioid tolerance and urine drug testing among initiates of extended-release or long-acting opioids in Food and Drug Administration's Sentinel System.

PubMed

Larochelle, Marc R; Cocoros, Noelle M; Popovic, Jennifer; Dee, Elizabeth C; Kornegay, Cynthia; Ju, Jing; Racoosin, Judith A

A risk evaluation and mitigation strategy for extended-release and long-acting (ER/LA) opioid analgesics was approved by the Food and Drug Administration in 2012. Our objective was to assess frequency of opioid tolerance and urine drug testing for individuals initiating ER/LA opioid analgesics. Retrospective cohort study. Sentinel, a distributed database with electronic healthcare data on >190 million predominantly commercially insured members. Members under age 65 initiating ER/LA opioid analgesics between January 2009 and December 2013. We examined the proportion of opioid-tolerant-only ER/LA opioid analgesic initiates meeting tolerance criteria: receipt of ≥30 mg oxycodone equivalents per day in 7 days prior to the first opioid-tolerant-only dispensing. We separately examined the proportion of new users of extended-release oxycodone (ERO) and other ER/LA opioid analgesics with a claim for a urine drug test in the 30 days prior to, and separately for the 183 days after, dispensing. We identified 79,824 ERO, 7,343 extended-release hydromorphone, and 91,778 transdermal fentanyl opi-oid-tolerant-only episodes. Tolerance criteria were met in 64 percent of ERO, 64 percent of extended-release hydromorphone and 40 percent of transdermal fentanyl episodes. We identified 210,581 incident ERO and 311,660 other ER/LA opioid analgesic episodes. Use of urine drug testing for ERO compared with other ER/LA opioid analgesics was: 4 percent vs 14 percent respectively in the 30 days prior to initiation and 9 percent vs 23 percent respectively in the 183 days following initiation. These results suggest potential areas for improving appropriate ER/LA opioid analgesic prescribing practices.

Effect of Statin Use on Acute Kidney Injury Risk Following Coronary Artery Bypass Grafting

PubMed Central

Layton, J. Bradley; Kshirsagar, Abhijit V.; Simpson, Ross J.; Pate, Virginia; Funk, Michele Jonsson; Sturmer, Til; Brookhart, M. Alan

2013-01-01

Acute kidney injury (AKI) is a serious complication of cardiovascular surgery. While some non-experimental studies suggest statin use may reduce post-surgical AKI, methodological differences in study designs leave uncertainty regarding the reality or magnitude of the effect. We estimated the effect of pre-operative statin initiation on post-coronary artery bypass graft (CABG) AKI using an epidemiologic approach more closely simulating a randomized controlled trial in a large CABG patient population. We utilized healthcare claims from large, employer-based and Medicare insurance databases for the years 2000 – 2010. To minimize healthy user bias, we identified patients undergoing non-emergency CABG who either newly initiated a statin within 20 days prior to surgery or were unexposed for 200+ days prior to CABG. AKI was identified within 15 days following CABG. We calculated multivariable adjusted risk ratios (RR) and 95% confidence intervals (CI) with Poisson regression. Analyses were repeated using propensity score methods adjusted for clinical and healthcare utilization variables. We identified 17,077 CABG patients. Post-CABG AKI developed in 3.4% of statin initiators and 6.2% of non-initiators. After adjustment, we observed a protective effect of statin initiation on AKI (RR = 0.78, 95% CI 0.63, 0.96). This effect differed by age: ≥65 years, RR=0.91 (95% CI: 0.68, 1.20); <65 years, RR=0.62 (95% CI: 0.45, 0.86), although AKI was more common in the older age group (7.7 vs. 4.0%). In conclusion, statin initiation immediately prior to CABG may modestly reduce the risk of post-operative AKI, particularly in younger CABG patients. PMID:23273532

Arteriovenous fistula maturation in patients with permanent access created prior to or after hemodialysis initiation.

PubMed

Duque, Juan C; Martinez, Laisel; Tabbara, Marwan; Dvorquez, Denise; Mehandru, Sushil K; Asif, Arif; Vazquez-Padron, Roberto I; Salman, Loay H

2017-05-15

Multiple factors and comorbidities have been implicated in the ability of arteriovenous fistulas (AVF) to mature, including vessel anatomy, advanced age, and the presence of coronary artery disease or peripheral vascular disease. However, little is known about the role of uremia on AVF primary failure. In this study, we attempt to evaluate the effect of uremia on AVF maturation by comparing AVF outcomes between pre-dialysis chronic kidney disease (CKD) stage five patients and those who had their AVF created after hemodialysis (HD) initiation. We included 612 patients who underwent AVF creation between 2003 and 2015 at the University of Miami Hospital and Jackson Memorial Hospital. Effects of uremia on primary failure were evaluated using univariate statistical comparisons and multivariate logistic regression analyses. Primary failure occurred in 28.1% and 26.3% of patients with an AVF created prior to or after HD initiation, respectively (p = 0.73). The time of HD initiation was not associated with AVF maturation in multivariate logistic regression analysis (p = 0.57). In addition, pre-operative blood urea nitrogen (p = 0.78), estimated glomerular filtration rate (p = 0.66), and serum creatinine levels (p = 0.14) were not associated with AVF primary failure in pre-dialysis patients. Our results show that clearance of uremia with regular HD treatments prior to AVF creation does not improve the frequency of vascular access maturation.

Ethanol-induced disruption of Golgi apparatus morphology, primary neurite number and cellular orientation in developing cortical neurons

PubMed Central

Powrozek, Teresa A.; Olson, Eric C.

2012-01-01

Prenatal ethanol exposure disrupts cortical neurite initiation and outgrowth, but prior studies have reported both ethanol-dependent growth promotion and inhibition. To resolve this ambiguity and better approximate in vivo conditions, we quantitatively analyzed neuronal morphology using a new, whole hemisphere explant model. In this model, Layer 6 (L6) cortical neurons migrate, laminate and extend neurites in an organotypic fashion. To selectively label L6 neurons we performed ex utero electroporation of a GFP expression construct at embryonic day 13 and allowed the explants to develop for 2 days in vitro. Explants were exposed to (400mg/dL) ethanol for either 4 or 24 hrs prior to fixation. Complete 3-D reconstructions were made of >80 GFP-positive neurons in each experimental condition. Acute responses to ethanol exposure included compaction of the Golgi apparatus accompanied by elaboration of supernumerary primary apical neurites, as well as a modest (~15%) increase in higher order apical neurite length. With longer exposure time, ethanol exposure leads to a consistent, significant disorientation of the cell (cell body, primary apical neurite, and Golgi) with respect to the pial surface. The effects on cellular orientation were accompanied by decreased expression of cytoskeletal elements, microtubule associated protein 2 and F-actin. These findings indicate that upon exposure to ethanol, developing L6 neurons manifest disruptions in Golgi apparatus and cytoskeletal elements which may in turn trigger selective and significant perturbations to primary neurite formation and neuronal polarity. PMID:22840816

Lower skin temperature decreases maximal cycling performance.

PubMed

Imai, Daiki; Okazaki, Kazunobu; Matsumura, Shinya; Suzuki, Takashi; Miyazawa, Taiki; Suzuki, Akina; Takeda, Ryosuke; Hamamoto, Takeshi; Zako, Tetsuo; Kawabata, Takashi; Miyagawa, Toshiaki

2011-12-01

It is known that external cooling of body regions involved in exercise, prior to exercise, decreases anaerobic performance. However, there have been no studies reporting the effects of whole body skin surface cooling before exercise on maximal anaerobic capacity. In order to clarify the effects, we compared power output during the Wingate anaerobic test between preconditioning by exposure to temperature 10 degrees C and 25 degrees C. Eight healthy males carried out the Wingate test for 30 seconds, after pre-conditioning for 60 minutes using a perfusion suit with water at a temperature of 10 degrees C or 25 degrees C. We evaluated the peak power (PP) and peak power slope (PS) of the power output. Mean skin temperature (T(sk)) at 60 minutes of pre-conditioning in the 10 degrees C trial was significantly lower than in the 25 degrees C trial (p < 0.05). PP and also PS were significantly lower in the 10 degrees C trial than in the 25 degrees C trial. Changes (Δ) in PP between the 10 degrees C trial and the 25 degrees C trial were strongly correlated with ΔT(sk) and Δ in thigh and leg skin temperature (ΔT(thigh) and ΔT(leg), respectively), whereas ΔPS was strongly correlated with ΔT(sk), but not with ΔT(thigh) and ΔT(leg). Whole body skin surface cooling prior to exercise restricts anaerobic capacity, especially in the initial phase of exercise.

Coalescence of Magnetic Islands in the low resistivity Hall MHD Regime.

NASA Astrophysics Data System (ADS)

Knoll, D. A.; Chacon, L.; Simakov, A. N.

2006-10-01

We revisit the well-known problem of the coalescence of magnetic islands in the context of Hall MHD. Unlike previous work, we focus on regimes of small resistivity (S ˜10^6) and where the ion skin depth diL (system size). These conditions are of relevance, for instance, in the solar corona and the earth's magnetotail. We aim to address under which conditions such systems can exhibit fast reconnection. First, we revisit the resistive MHD problem to further understand the well-known sloshing result. Next, the interaction between the ion inertial length, di, and the dynamically evolving current sheet scale length, (δJ), is established. Initially, diδJ. If η is such that (δJ) dynamically thins down to di prior to the well-known sloshing phenomena, then sloshing is avoided. This results in peak reconnection rates which are η-independent and scale as √di. However, if di is small enough that resistivity prevents (δJ) from thinning down to this scale prior to sloshing, then reconnection (and sloshing) proceeds as in the resistive MHD model. Finally, we discuss our development of a semi-analytical model to describe the well-known sloshing result in the resistive MHD model, and our plans to extend it to Hall MHD. D. A. Knoll, L. Chac'on, Phys. Plasmas, 13 (3), p.032307 (2006). D. A. Knoll, L. Chac'on, Phys. Rev. Lett., 96, 135001 (2006). A. Simakov, L. Chac'on, D. A. Knoll, Phys. Plasmas, accepted (2006).

Self-disclosure of HIV status, disclosure counseling, and retention in HIV care in Cameroon.

PubMed

Breger, Tiffany L; Newman, Jamie E; Mfangam Molu, Brigitte; Akam, Wilfred; Balimba, Ashu; Atibu, Joseph; Kiumbu, Modeste; Azinyue, Innocent; Hemingway-Foday, Jennifer; Pence, Brian W

2017-07-01

Poor retention in care is common among HIV-positive adults in sub-Saharan Africa settings and remains a key barrier to HIV management. We quantify the associations of disclosure of HIV status and referral to disclosure counseling with successful retention in care using data from three Cameroon clinics participating in the Phase 1 International epidemiologic Databases to Evaluate AIDS Central Africa cohort. Of 1646 patients newly initiating antiretroviral therapy between January 2008 and January 2011, 43% were retained in care following treatment initiation. Self-disclosure of HIV status to at least one person prior to treatment initiation was associated with a minimal increase in the likelihood of being retained in care (risk ratio [RR] = 1.14; 95% confidence interval (CI): 0.94, 1.38). However, referral to disclosure counseling was associated with a moderate increase in retention (RR = 1.37; 95% CI: 1.21, 1.55) and was not significantly modified by prior disclosure status (p = .3). Our results suggest that while self-disclosure may not significantly improve retention among patients receiving care at these Cameroon sites, counseling services may play an important role regardless of prior disclosure status.

Own and Others' Prior Experiences Influence Children's Imitation of Causal Acts

ERIC Educational Resources Information Center

Williamson, Rebecca A.; Meltzoff, Andrew N.

2011-01-01

Young children learn from others' examples, and they do so selectively. We examine whether the efficacy of prior experiences influences children's imitation. Thirty-six-month-olds had initial experience on a causal learning task either by performing the task themselves or by watching an adult perform it. The nature of the experience was…

Using a Preflective Activity to Identify Faculty Beliefs Prior to an International Professional Development Experience

ERIC Educational Resources Information Center

Harder, Amy; Lamm, Alexa; Roberts, T. Grady; Navarro, Maria; Ricketts, John

2012-01-01

Today's college graduates in agricultural and life sciences must be prepared to work in a global society. Increasing the integration of international content into on-campus courses requires globally competent faculty members. This study reports faculty's initial attitudes and beliefs about Latin American culture prior to participating in a 12-day…

What Is Next after 40 Years? Part 1: Prior Learning Assessment--1970-2011

ERIC Educational Resources Information Center

Travers, Nan L.

2012-01-01

Education practices focused on adult learners, such as prior learning assessment (PLA), are becoming more established in the United States. Initially, PLA was developed to provide greater access to higher education for World War II veterans and later for adult learners more generally as a way to balance the concentrated efforts most colleges and…

Operational Initiative in Theory and Doctrine

DTIC Science & Technology

2015-05-21

1984 Paret translation of On War uses the term initiative with far more frequency than the original German text ; given that Paret contextually...logical evolution of thought throughout doctrine, from core texts and dominant military theory prior to 1905 through the current catalogued system...Unfortunately, no such cohesive map currently exists; rather, military theorists have charted the terrain of initiative piecemeal. This section seeks to

20 CFR 418.1230 - What is the effective date of an income-related monthly adjustment amount initial determination...

Code of Federal Regulations, 2011 CFR

2011-04-01

...-related monthly adjustment amount initial determination that is based on a more recent tax year? 418.1230... Income-Related Monthly Adjustment Amount Determinations Using A More Recent Tax Year's Modified Adjusted... initial determination that is based on a more recent tax year? (a) When you make your request prior to...

20 CFR 418.1230 - What is the effective date of an income-related monthly adjustment amount initial determination...

Code of Federal Regulations, 2010 CFR

2010-04-01

...-related monthly adjustment amount initial determination that is based on a more recent tax year? 418.1230... Income-Related Monthly Adjustment Amount Determinations Using A More Recent Tax Year's Modified Adjusted... initial determination that is based on a more recent tax year? (a) When you make your request prior to...

20 CFR 418.1230 - What is the effective date of an income-related monthly adjustment amount initial determination...

Code of Federal Regulations, 2012 CFR

2012-04-01

...-related monthly adjustment amount initial determination that is based on a more recent tax year? 418.1230... Income-Related Monthly Adjustment Amount Determinations Using A More Recent Tax Year's Modified Adjusted... initial determination that is based on a more recent tax year? (a) When you make your request prior to...

20 CFR 418.1230 - What is the effective date of an income-related monthly adjustment amount initial determination...

Code of Federal Regulations, 2013 CFR

2013-04-01

...-related monthly adjustment amount initial determination that is based on a more recent tax year? 418.1230... Income-Related Monthly Adjustment Amount Determinations Using A More Recent Tax Year's Modified Adjusted... initial determination that is based on a more recent tax year? (a) When you make your request prior to...

Adjusting Beliefs via Transformed Fuzzy Priors

NASA Astrophysics Data System (ADS)

Rattanadamrongaksorn, T.; Sirikanchanarak, D.; Sirisrisakulchai, J.; Sriboonchitta, S.

2018-02-01

Instead of leaving a decision to a pure data-driven system, intervention and collaboration by human would be preferred to fill the gap that machine cannot perform well. In financial applications, for instance, the inference and prediction during structural changes by critical factors; such as market conditions, administrative styles, political policies, etc.; have significant influences to investment strategies. With the conditions differing from the past, we believe that the decision should not be made by only the historical data but also with human estimation. In this study, the updating process by data fusion between expert opinions and statistical observations is thus proposed. The expert’s linguistic terms can be translated into mathematical expressions by the predefined fuzzy numbers and utilized as the initial knowledge for Bayesian statistical framework via the possibility-to-probability transformation. The artificial samples on five scenarios were tested in the univariate problem to demonstrate the methodology. The results showed the shifts and variations appeared on the parameters of the distributions and, as a consequence, adjust the degrees of belief accordingly.

Fracture Mechanisms For SiC Fibers And SiC/SiC Composites Under Stress-Rupture Conditions at High Temperatures

NASA Technical Reports Server (NTRS)

DiCarlo, James A.; Yun, Hee Mann; Hurst, Janet B.; Viterna, L. (Technical Monitor)

2002-01-01

The successful application of SiC/SiC ceramic matrix composites as high-temperature structural materials depends strongly on maximizing the fracture or rupture life of the load-bearing fiber and matrix constituents. Using high-temperature data measured under stress-rupture test conditions, this study examines in a mechanistic manner the effects of various intrinsic and extrinsic factors on the creep and fracture behavior of a variety of SiC fiber types. It is shown that although some fiber types fracture during a large primary creep stage, the fiber creep rate just prior to fracture plays a key role in determining fiber rupture time (Monkman-Grant theory). If it is assumed that SiC matrices rupture in a similar manner as fibers with the same microstructures, one can develop simple mechanistic models to analyze and optimize the stress-rupture behavior of SiC/SiC composites for applied stresses that are initially below matrix cracking.

A model of peripheral microvascular injury: irreversible caudal necrosis induced in carrageenan-inflamed rats treated with anti-inflammatory drugs and mild chilling: a pluricausal thrombo-haemorrhagic phenomenon.

PubMed

Whitehouse, M W; Rainsford, K D

1985-01-01

A florid tail injury was observed in carrageenan-inflamed rats previously treated with acidic non-steroidal anti-inflammatory (NSAI) drugs to suppress paw inflammation and then exposed to mild chilling (7-10 degrees C for 10-16 h). All three treatments, i.e. NSAI drug + carrageenan paw oedema + mild chilling treatment, were required for the development of this condition. Histological observations suggest that the tissue necrosis was initiated by a primary disturbance of the peripheral vasculature. The possible involvement of suppressed prostaglandin (PG) production in the aetiology of this condition is indicated by the fact that it was totally reversed by prior treatment with PGE2. This appears to be a classical pluricausal thrombohaemorrhagic phenomenon (of Selye), with cold-stress being the sensitizer and carrageenan and NSAI drugs being the challenger. The possibilities are considered of employing this tail injury model as a convenient method of developing drugs to control microvascular disturbances in man.

Development and validation of an algorithm to complete colonoscopy using standard endoscopes in patients with prior incomplete colonoscopy

PubMed Central

Rogers, Melinda C.; Gawron, Andrew; Grande, David; Keswani, Rajesh N.

2017-01-01

Background and study aims  Incomplete colonoscopy may occur as a result of colon angulation (adhesions or diverticulosis), endoscope looping, or both. Specialty endoscopes/devices have been shown to successfully complete prior incomplete colonoscopies, but may not be widely available. Radiographic or other image-based evaluations have been shown to be effective but may miss small or flat lesions, and colonoscopy is often still indicated if a large lesion is identified. The purpose of this study was to develop and validate an algorithm to determine the optimum endoscope to ensure completion of the examination in patients with prior incomplete colonoscopy. Patients and methods  This was a prospective cohort study of 175 patients with prior incomplete colonoscopy who were referred to a single endoscopist at a single academic medical center over a 3-year period from 2012 through 2015. Colonoscopy outcomes from the initial 50 patients were used to develop an algorithm to determine the optimal standard endoscope and technique to achieve cecal intubation. The algorithm was validated on the subsequent 125 patients. Results  The overall repeat colonoscopy success rate using a standard endoscope was 94 %. The initial standard endoscope specified by the algorithm was used and completed the colonoscopy in 90 % of patients. Conclusions  This study identifies an effective strategy for completing colonoscopy in patients with prior incomplete examination, using widely available standard endoscopes and an algorithm based on patient characteristics and reasons for prior incomplete colonoscopy. PMID:28924595

Landslide mobility and hazards: implications of the 2014 Oso disaster

USGS Publications Warehouse

Iverson, Richard M.; George, David L.; Allstadt, Kate E.; Reid, Mark E.; Collins, Brian D.; Vallance, James W.; Schilling, Steve P.; Godt, Jonathan W.; Cannon, Charles; Magirl, Christopher S.; Baum, Rex L.; Coe, Jeffrey A.; Schulz, William; Bower, J. Brent

2015-01-01

Landslides reflect landscape instability that evolves over meteorological and geological timescales, and they also pose threats to people, property, and the environment. The severity of these threats depends largely on landslide speed and travel distance, which are collectively described as landslide “mobility”. To investigate causes and effects of mobility, we focus on a disastrous landslide that occurred on 22 March 2014 near Oso, Washington, USA, following a long period of abnormally wet weather. The landslide's impacts were severe because its mobility exceeded that of prior historical landslides at the site, and also exceeded that of comparable landslides elsewhere. The ∼8×106 m3 landslide originated on a gently sloping (<20°) riverside bluff only 180 m high, yet it traveled across the entire ∼1 km breadth of the adjacent floodplain and spread laterally a similar distance. Seismological evidence indicates that high-speed, flowing motion of the landslide began after about 50 s of preliminary slope movement, and observational evidence supports the hypothesis that the high mobility of the landslide resulted from liquefaction of water-saturated sediment at its base. Numerical simulation of the event using a newly developed model indicates that liquefaction and high mobility can be attributed to compression- and/or shear-induced sediment contraction that was strongly dependent on initial conditions. An alternative numerical simulation indicates that the landslide would have been far less mobile if its initial porosity and water content had been only slightly lower. Sensitive dependence of landslide mobility on initial conditions has broad implications for assessment of landslide hazards.

Landslide mobility and hazards: implications of the 2014 Oso disaster

NASA Astrophysics Data System (ADS)

Iverson, R. M.; George, D. L.; Allstadt, K.; Reid, M. E.; Collins, B. D.; Vallance, J. W.; Schilling, S. P.; Godt, J. W.; Cannon, C. M.; Magirl, C. S.; Baum, R. L.; Coe, J. A.; Schulz, W. H.; Bower, J. B.

2015-02-01

Landslides reflect landscape instability that evolves over meteorological and geological timescales, and they also pose threats to people, property, and the environment. The severity of these threats depends largely on landslide speed and travel distance, which are collectively described as landslide "mobility". To investigate causes and effects of mobility, we focus on a disastrous landslide that occurred on 22 March 2014 near Oso, Washington, USA, following a long period of abnormally wet weather. The landslide's impacts were severe because its mobility exceeded that of prior historical landslides at the site, and also exceeded that of comparable landslides elsewhere. The ∼ 8 ×106 m3 landslide originated on a gently sloping (<20°) riverside bluff only 180 m high, yet it traveled across the entire ∼1 km breadth of the adjacent floodplain and spread laterally a similar distance. Seismological evidence indicates that high-speed, flowing motion of the landslide began after about 50 s of preliminary slope movement, and observational evidence supports the hypothesis that the high mobility of the landslide resulted from liquefaction of water-saturated sediment at its base. Numerical simulation of the event using a newly developed model indicates that liquefaction and high mobility can be attributed to compression- and/or shear-induced sediment contraction that was strongly dependent on initial conditions. An alternative numerical simulation indicates that the landslide would have been far less mobile if its initial porosity and water content had been only slightly lower. Sensitive dependence of landslide mobility on initial conditions has broad implications for assessment of landslide hazards.

Early change in thermal perception is not a driver of anticipatory exercise pacing in the heat.

PubMed

Barwood, Martin James; Corbett, Jo; White, Danny; James, Jason

2012-10-01

Initial power output declines significantly during exercise in hot conditions on attaining a rapid increase in skin temperature when exercise commences. It is unclear whether this initial reduced power is mediated consciously, through thermal perceptual cues, or is a subconscious process. The authors tested the hypothesis that improved thermal perception (feeling cooler and more comfortable) in the absence of a change in thermal state (ie, similar deep-body and skin temperatures between spray conditions) would alter pacing and 40 km cycling time trial (TT) performance. Eleven trained participants (mean (SD): age 30 (8.1) years; height 1.78 (0.06) m; mass 76.0 (8.3) kg) completed three 40 km cycling TTs in standardised conditions (32°C, 50% RH) with thermal perception altered prior to exercise by application of cold-receptor-activating menthol spray (MENTHOL SPRAY), in contrast to a separate control spray (CONTROL SPRAY) and no spray control (CON). Thermal perception, perceived exertion, thermal responses and cycling TT performance were measured. MENTHOL SPRAY induced feelings of coolness and improved thermal comfort before and during exercise. Skin temperature profile at the start of exercise was similar between sprays (CON-SPRAY 33.3 (1.1)°C and MENTHOL SPRAY 33.4 (0.4)°C, but different to CON 34.5 (0.5)°C), but there was no difference in the pacing strategy adopted. There was no performance benefit using MENTHOL SPRAY; cycling TT completion time for CON is 71.58 (6.21) min, for CON-SPRAY is 70.94 (6.06) min and for MENTHOL SPRAY is 71.04 (5.47) min. The hypothesis is rejected. Thermal perception is not a primary driver of early pacing during 40 km cycling TT in hot conditions in trained participants.

Effects of subliminal affective priming on helping behavior using the foot-in-the-door technique.

PubMed

Skandrani-Marzouki, Inès; Marzouki, Yousri; Joule, Robert-Vincent

2012-12-01

Two experiments examined the effect of subliminal affective priming on compliance using the foot-in-the-door (FITD) paradigm. Prior to the target request, participants were exposed to subliminal emotional expressions. FITD (presence vs. absence of initial request) was crossed with Priming (positive, negative, neutral, and absence of prime-blank screen) in a between-subjects design. 180 students volunteered as participants (M=22 years). 20 participants (10 females) were assigned to each of eight experimental conditions plus the control condition that neither involved the initial request nor the priming experiment. Participants were asked to judge whether target sentences were relevant or not for road safety instruction. In Experiment 1, emotional valence of prime stimuli affected both endorsement rate and time devoted to the target request but not participants' attitude. Affective priming effects did not interact significantly with the FITD effect. In experiment 2, in 180 more students, the attitude measure was replaced by an implicit recognition task. Results showed that regardless of priming condition, in the absence of FITD, participants recognized target sentences better than in the presence of FITD. Conversely, in the presence of the FITD, participants recognized more accurately previously seen sentences that were primed by positive emotions relative to other priming conditions. The latter result suggests that the presence of the FITD involves a significant amount of cognitive resources so that only stimuli emotionally relevant to the task's goal (i.e., positive) tend to be processed. Together, these results could explain how, contrary to helping behavior, compliant behavior that has no direct association with the prime stimuli was not easily influenced by the affective subliminal priming.

CD4 responses in the setting or suboptimal virological responses to antiretroviral therapy: features, outcomes, and associated factors.

PubMed

Collazos, Julio; Asensi, Víctor; Cartón, José Antonio

2009-07-01

The factors associated with discordant viroimmunological responses following antiretroviral therapy are unclear. We studied 1380 patients who initiated a protease inhibitor (PI)-based antiretroviral regimen and who fulfilled the criteria for inclusion. Of them, 255 (18.5%) had CD4 increases > or =100 cells/microl after 1 year of therapy despite detectable viral load (immunological responders); they were compared with 669 patients (48.5%) who had CD4 increases <100 cells/microl regardless of their final viral load (immunological nonresponders). Immunological responders had higher rates of sexual acquisition of HIV (p = 0.03), lower rates of clinical progression (p = 0.02), higher probabilities of being naive to antiretroviral therapy (p = 0.006) or to PI if antiretroviral experienced (p = 0.03), higher rates of receiving only nucleoside reverse transcriptase inhibitors in addition to the PI (p = 0.04), and lower baseline CD4 counts (p = 0.007) and higher viral loads (p = 0.009), as compared with nonresponders. Multivariate analysis revealed that sexual transmission of HIV (homosexual p = 0.004, heterosexual p = 0.03), no prior PI experience (p = 0.005), absence of clinical progression (p = 0.02), and lower baseline CD4 counts (p = 0.03) were independently associated with immunological response. However, these factors differed according to the patients' prior antiretroviral status, as higher baseline viral load was also associated with immunological response in antiretroviral-experienced patients (p = 0.02), whereas baseline CD4 count (p = 0.007) was the only predictive parameter in antiretroviral-naive patients. We conclude that immunological responses despite suboptimal viral suppression are common. Prior PI experience, HIV transmission category, baseline CD4 counts, and clinical progression were independently predictive of this condition, although the associated factors were different depending on the patient's prior antiretroviral history.

HIV-related symptoms and management in HIV and antiretroviral therapy patients in KwaZulu-Natal, South Africa: A longitudinal study

PubMed Central

Peltzer, Karl

2014-01-01

Aim The study aimed to determine the prevalence, predictors, and self-reported management of HIV- or ARV-related symptoms among HIV patients prior to antiretroviral therapy (ART) and over three time points while receiving ART in KwaZulu-Natal, South Africa. Method A total of 735 consecutive patients (29.8% male and 70.2% female) who attended three HIV clinics completed assessments prior to ARV initiation, 519 after 6 months, 557 after 12 months, and 499 after 20 months on ART. Results The HIV patients reported an average of 7.5 symptoms (prior to ART), 1.2 symptoms after 6 months on ART, 0.3 symptoms after 12 months on ART, and 0.2 symptoms after 20 months on ART on the day of the interview, with a higher symptom frequency amongst patients who were not employed, had lower CD4 cell counts, experienced internalised stigma, and used alcohol. The most common symptoms or conditions identified by the self-report included tuberculosis, diarrhoea, headaches, rash, nausea and vomiting, pain, neuropathy, lack of appetite, cough, and chills. Overall, the participants reported medications as the most frequently occurring management strategy, with the second being spiritual, and the third being complementary or traditional treatments. The use of all other management strategies decreased over the four different assessment periods from prior to ART to 20 months on ART. Conclusion This study found a high symptom burden among HIV patients, which significantly decreased with progression on antiretroviral treatment. Several symptoms that persisted over time and several sociodemographic factors were identified that can guide symptom management. The utilisation of different symptom management strategies (medical, spiritual, complementary, and traditional) should be taken into consideration in HIV treatment. PMID:24405285

Orexin/hypocretin receptor 1 signaling mediates Pavlovian cue-food conditioning and extinction.

PubMed

Keefer, Sara E; Cole, Sindy; Petrovich, Gorica D

2016-08-01

Learned food cues can drive feeding in the absence of hunger, and orexin/hypocretin signaling is necessary for this type of overeating. The current study examined whether orexin also mediates cue-food learning during the acquisition and extinction of these associations. In Experiment 1, rats underwent two sessions of Pavlovian appetitive conditioning, consisting of tone-food presentations. Prior to each session, rats received either the orexin 1 receptor antagonist SB-334867 (SB) or vehicle systemically. SB treatment did not affect conditioned responses during the first conditioning session, measured as food cup behavior during the tone and latency to approach the food cup after the tone onset, compared to the vehicle group. During the second conditioning session, SB treatment attenuated learning. All groups that received SB, prior to either the first or second conditioning session, displayed significantly less food cup behavior and had longer latencies to approach the food cup after tone onset compared to the vehicle group. These findings suggest orexin signaling at the 1 receptor mediates the consolidation and recall of cue-food acquisition. In Experiment 2, another group of rats underwent tone-food conditioning sessions (drug free), followed by two extinction sessions under either SB or vehicle treatment. Similar to Experiment 1, SB did not affect conditioned responses during the first session. During the second extinction session, the group that received SB prior to the first extinction session, but vehicle prior to the second, expressed conditioned food cup responses longer after tone offset, when the pellets were previously delivered during conditioning, and maintained shorter latencies to approach the food cup compared to the other groups. The persistence of these conditioned behaviors indicates impairment in extinction consolidation due to SB treatment during the first extinction session. Together, these results demonstrate an important role for orexin signaling during Pavlovian appetitive conditioning and extinction. Copyright © 2016 Elsevier Inc. All rights reserved.

Orexin/hypocretin receptor 1 signaling mediates Pavlovian cue-food conditioning and extinction

PubMed Central

Keefer, Sara E.; Cole, Sindy; Petrovich, Gorica D.

2016-01-01

Learned food cues can drive feeding in the absence of hunger, and orexin/hypocretin signaling is necessary for this type of overeating. The current study examined whether orexin also mediates cue-food learning during the acquisition and extinction of these associations. In Experiment 1, rats underwent two sessions of Pavlovian appetitive conditioning, consisting of tone-food presentations. Prior to each session, rats received either the orexin 1 receptor antagonist SB-334867 (SB) or vehicle systemically. SB treatment did not affect conditioned responses during the first conditioning session, measured as food cup behavior during the tone and latency to approach the food cup after the tone onset, compared to the vehicle group. During the second conditioning session, SB treatment attenuated learning. All groups that received SB, prior to either the first or second conditioning session, displayed significantly less food cup behavior and had longer latencies to approach the food cup after tone onset compared to the vehicle group. These findings suggest orexin signaling at the 1 receptor mediates the consolidation and recall of cue-food acquisition. In Experiment 2, another group of rats underwent tone-food conditioning sessions (drug free), followed by two extinction sessions under either SB or vehicle treatment. Similar to Experiment 1, SB did not affect conditioned responses during the first session. During the second extinction session, the group that received SB prior to the first extinction session, but vehicle prior to the second, expressed conditioned food cup responses longer after tone offset, when the pellets were previously delivered during conditioning, and maintained shorter latencies to approach the food cup compared to the other groups. The persistence of these conditioned behaviors indicates impairment in extinction consolidation due to SB treatment during the first extinction session. Together, these results demonstrate an important role for orexin signaling during Pavlovian appetitive conditioning and extinction. PMID:26945612

Incidence and Predictive Factors of Pain Flare After Spine Stereotactic Body Radiation Therapy: Secondary Analysis of Phase 1/2 Trials

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

Pan, Hubert Y.; Allen, Pamela K.; Wang, Xin S.

Purpose/Objective(s): To perform a secondary analysis of institutional prospective spine stereotactic body radiation therapy (SBRT) trials to investigate posttreatment acute pain flare. Methods and Materials: Medical records for enrolled patients were reviewed. Study protocol included baseline and follow-up surveys with pain assessment by Brief Pain Inventory and documentation of pain medications. Patients were considered evaluable for pain flare if clinical note or follow-up survey was completed within 2 weeks of SBRT. Pain flare was defined as a clinical note indicating increased pain at the treated site or survey showing a 2-point increase in worst pain score, a 25% increase in analgesicmore » intake, or the initiation of steroids. Binary logistic regression was used to determine predictive factors for pain flare occurrence. Results: Of the 210 enrolled patients, 195 (93%) were evaluable for pain flare, including 172 (88%) clinically, 135 (69%) by survey, and 112 (57%) by both methods. Of evaluable patients, 61 (31%) had undergone prior surgery, 57 (29%) had received prior radiation, and 34 (17%) took steroids during treatment, mostly for prior conditions. Pain flare was observed in 44 patients (23%). Median time to pain flare was 5 days (range, 0-20 days) after the start of treatment. On multivariate analysis, the only independent factor associated with pain flare was the number of treatment fractions (odds ratio = 0.66, P=.004). Age, sex, performance status, spine location, number of treated vertebrae, prior radiation, prior surgery, primary tumor histology, baseline pain score, and steroid use were not significant. Conclusions: Acute pain flare after spine SBRT is a relatively common event, for which patients should be counseled. Additional study is needed to determine whether prophylactic or symptomatic intervention is preferred.« less

Use of prior mammograms in the transition to digital mammography: a performance and cost analysis.

PubMed

Taylor-Phillips, S; Wallis, M G; Duncan, A; Gale, A G

2012-01-01

Breast screening in Europe is gradually changing from film to digital imaging and reporting of cases. In the transition period prior mammograms (from the preceding screening round) are films thereby potentially causing difficulties in comparison to current digital mammograms. To examine this breast screening performance was measured at a digital mammography workstation with prior mammograms displayed in different formats, and the associated costs calculated. 160 selected difficult cases (41% malignant) were read by eight UK qualified mammography readers in three conditions: with film prior mammograms; with digitised prior mammograms; or without prior mammograms. Lesion location and probability of malignancy were recorded, alongside a decision of whether to recall each case for further tests. JAFROC analysis showed a difference between conditions (p=.006); performance with prior mammograms in either film or digitised formats was superior to that without prior mammograms (p<.05). There was no difference in the performance when the prior mammograms were presented in film or digitised form. The number of benign or normal cases recalled was 26% higher without prior mammograms than with digitised or film prior mammograms (p<.05). This would correspond to an increase in recall rate at the study hospital from 4.3% to 5.5% with no associated increase in cancer detection rate. The cost of this increase was estimated to be £11,581 (€13,666) per 10,000 women screened, which is higher than the cost of digitised (£11,114/€13,115), or film display (£6451/€7612) of the prior mammograms. It is recommended that, where available, prior mammograms are used in the transition to digital breast screening. Copyright © 2010 Elsevier Ireland Ltd. All rights reserved.

The role of template superhelicity in the initiation of bacteriophage lambda DNA replication.

PubMed Central

Alfano, C; McMacken, R

1988-01-01

The prepriming steps in the initiation of bacteriophage lambda DNA replication depend on the action of the lambda O and P proteins and on the DnaB helicase, single-stranded DNA binding protein (SSB), and DnaJ and DnaK heat shock proteins of the E. coli host. The binding of multiple copies of the lambda O protein to the phage replication origin (ori lambda) initiates the ordered assembly of a series of nucleoprotein structures that form at ori lambda prior to DNA unwinding, priming and DNA synthesis steps. Since the initiation of lambda DNA replication is known to occur only on supercoiled templates in vivo and in vitro, we examined how the early steps in lambda DNA replication are influenced by superhelical tension. All initiation complexes formed prior to helicase-mediated DNA-unwinding form with high efficiency on relaxed ori lambda DNA. Nonetheless, the DNA templates in these structures must be negatively supertwisted before they can be replicated. Once DNA helicase unwinding is initiated at ori lambda, however, later steps in lambda DNA replication proceed efficiently in the absence of superhelical tension. We conclude that supercoiling is required during the initiation of lambda DNA replication to facilitate entry of a DNA helicase, presumably the DnaB protein, between the DNA strands. Images PMID:2847118

Lessons learned from the U.S. Geological Survey abandoned mine lands initiative: 1997-2002

USGS Publications Warehouse

Kimball, Briant A.; Church, Stan E.; Besser, John M.

2006-01-01

Growth of the United States has been facilitated, in part, by hard-rock mining in the Rocky Mountains. Abandoned and inactive mines cause many significant environmental concerns in hundreds of watersheds. Those who have responsibility to address these environmental concerns must have a basic level of scientific information about mining and mine wastes in a watershed prior to initiating remediation activities. To demonstrate what information is needed and how to obtain that information, the U.S. Geological Survey implemented the Abandoned Mine Lands (AML) Initiative from 1997 to 2002 with demonstration studies in the Boulder River watershed in Montana and the Animas River watershed in Colorado. The AML Initiative included collection and analysis of geologic, hydrologic, geochemical, geophysical, and biological data. The synergy of this interdisciplinary analysis produced a perspective of the environmental concerns that could not have come from a single discipline. Two examples of these perspectives include (1) the combination of hydrological tracer techniques, structural geology, and geophysics help to understand the spatial distribution of loading to the streams in a way that cannot be evaluated by monitoring at a catchment outlet, and (2) the combination of toxicology and hydrology combine to illustrate that seasonal variability of toxicity conditions occurs. Lessons have been learned by listening to and collaborating with land-management agencies to understand their needs and by applying interdisciplinary methods to answer their questions.

32 CFR 564.58 - Determination of amount allowable.

Code of Federal Regulations, 2013 CFR

2013-07-01

... the property immediately prior to the accident or incident. Subject to the foregoing, the amount... to the condition in which it was immediately prior to the accident or incident. However, if as the... less than that prior to the accident or incident, the difference in value will be added to the cost of...

32 CFR 564.58 - Determination of amount allowable.

Code of Federal Regulations, 2014 CFR

2014-07-01

... the property immediately prior to the accident or incident. Subject to the foregoing, the amount... to the condition in which it was immediately prior to the accident or incident. However, if as the... less than that prior to the accident or incident, the difference in value will be added to the cost of...

Reactivity of coal in direct hydrogenation processes: Technical progress report, March-May 1987

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

Baldwin, R.M.; Miller, R.L.

Research during the past quarter centered on continuation of two facets related to the study of coal reactivity in direct hydrogenation liquefaction processes. Five coals from the Argonne Premium coal collection were liquefied at three temperature levels in order to gather data for kinetic analysis purposes. Conversion of these coals to THF-, toluene-, and hexane-solubles was determined at temperatures of 425, 400, and 375 C, and nominal reaction times of 3, 5, 10, 15, and 40 minutes in the microautoclave batch reaction system. Preliminary mathematical modeling of the data using simple irreversible rate expressions and more complex formulations based onmore » a statistical distribution of activation energies was initiated in order to investigate the feasibility of utilizing activation energy as an additional reactivity screening factor. Use of complex models such as the Anthony-Howard formulation for purposes of activation energy determination from liquefaction data at one temperature level was further examined. Five of the 21 coals from the Penn State Premium coal sample bank were liquefied at the standard reactivity screening conditions, and the rate and extent of conversion to THF-, and toluene-, and hexane-solubles quantified. These data were added to the existing data base containing similar information for the prior coal suites from the Exxon and Argonne collections, and preliminary correlational efforts for reactivity vs. coal properties were initiated. Prior conclusions regarding the effect of rank on the rate and extent of conversion were qualitatively verified from the data collected. 1 ref., 13 figs., 2 tabs.« less

Chronic Obstructive Pulmonary Disease and Heart Failure Self-Management Kits for Outpatient Transitions of Care.

PubMed

Boylan, Paul; Joseph, Tina; Hale, Genevieve; Moreau, Cynthia; Seamon, Matthew; Jones, Renee

2018-03-01

To develop heart failure (HF) and chronic obstructive pulmonary disease (COPD) self-management kits in an accountable care organization (ACO) to facilitate patients' self-care and prevent hospital readmissions. Pharmacists practice in an outpatient-based ACO. They participate in interprofessional office visits with providers and independently manage maintenance pharmacotherapies. Pharmacists collaborate with an interprofessional team within the ACO including physicians, nurses, case managers, and paramedics. Two commonly encountered diseases are chronic COPD and HF. Reducing preventable readmissions for these conditions are important quality benchmarks and cost-saving strategies. Pharmacists were responsible for developing HF and COPD self-management kits containing patient education materials and prescriptions to facilitate self-care. Prior to kit development, pharmacists performed a literature review to determine the presence of previously published findings on these topics. The interprofessional team continually evaluates the successes and limitations of this initiative. Pharmacists developed training and instructions for ACO allied health professionals in an effort to incorporate the self-management kits in clinical practice. The initial literature search revealed no studies describing the intervention of interest. Innovative programs designed to help reduce preventable readmissions are lacking in primary care. Implementation of the self-management kits was accepted by interprofessional ACO leadership and is currently being integrated into allied health workflow. Patients at risk for having an exacerbation of COPD or HF should receive self-management strategies. Prompt therapy prior to exacerbations reduces hospital admissions and readmissions, speeds recovery, and slows disease progression. Pharmacist-facilitated implementation of self-management kits may be developed by interprofessional health care teams.

Baseline psychophysiological and cortisol reactivity as a predictor of PTSD treatment outcome in virtual reality exposure therapy.

PubMed

Norrholm, Seth Davin; Jovanovic, Tanja; Gerardi, Maryrose; Breazeale, Kathryn G; Price, Matthew; Davis, Michael; Duncan, Erica; Ressler, Kerry J; Bradley, Bekh; Rizzo, Albert; Tuerk, Peter W; Rothbaum, Barbara O

2016-07-01

Baseline cue-dependent physiological reactivity may serve as an objective measure of posttraumatic stress disorder (PTSD) symptoms. Additionally, prior animal model and psychological studies would suggest that subjects with greatest symptoms at baseline may have the greatest violation of expectancy to danger when undergoing exposure based psychotherapy; thus treatment approaches which enhanced the learning under these conditions would be optimal for those with maximal baseline cue-dependent reactivity. However methods to study this hypothesis objectively are lacking. Virtual reality (VR) methodologies have been successfully employed as an enhanced form of imaginal prolonged exposure therapy for the treatment of PTSD. Our goal was to examine the predictive nature of initial psychophysiological (e.g., startle, skin conductance, heart rate) and stress hormone responses (e.g., cortisol) during presentation of VR-based combat-related stimuli on PTSD treatment outcome. Combat veterans with PTSD underwent 6 weeks of VR exposure therapy combined with either d-cycloserine (DCS), alprazolam (ALP), or placebo (PBO). In the DCS group, startle response to VR scenes prior to initiation of treatment accounted for 76% of the variance in CAPS change scores, p < 0.001, in that higher responses predicted greater changes in symptom severity over time. Additionally, baseline cortisol reactivity was inversely associated with treatment response in the ALP group, p = 0.04. We propose that baseline cue-activated physiological measures will be sensitive to predicting patients' level of response to exposure therapy, in particular in the presence of enhancement (e.g., DCS). Published by Elsevier Ltd.

Effect of controlled and uncontrolled rate of cooling, prior to controlled rate of freezing, on motion characteristics and acrosomal integrity of cryopreserved ram spermatozoa.

PubMed

Joshi, Anil; Kumar, Davendra; Naqvi, S M K; Maurya, V P

2008-12-01

A programmable cell freezer provides ideal cryobiological conditions for controlled-rate cooling and freezing of ram spermatozoa. The purpose of this study was to investigate the effects of controlled (Group 1) and uncontrolled (Group 2) cooling conditions prior to programmable freezing of ram semen on post-thaw sperm motion characteristics and acrosomal integrity of ram spermatozoa. Semen samples of good initial motility obtained from adult Malpura rams were pooled, diluted to 1 × 10(9) spermatozoa per milliliter with Egg yolk-TEST-glycerol extender, and packaged in 0.25 mL straws. Straws representing Group 1 were cooled in a programmable cell freezer from 25°C to 5°C at the rate of -0.15°C per minute followed by a holding time of 2 h for equilibration, while straws of Group 2 were allowed to cool slowly up to 5°C and equilibrate for 2 h in the cold cabinet. After equilibration, straws of Group 2 were also loaded in the cell freezer for freezing straws of both the treatment groups simultaneously from 5°C to -125°C at the rate of -25°C per minute. Thawing of straws was done at 50°C for 10 s and the quality of frozen-thawed spermatozoa was objectively assessed by using sperm motility analyzer. Thawed samples were also evaluated for acrosomal integrity after staining the dried semen smears with Giemsa stain. The average post-thaw motility of straws was significantly higher (P < 0.05) in samples frozen after controlled cooling, compared with samples frozen after uncontrolled rate of cooling. The percent of spermatozoa with normal acrosome was also significantly (P < 0.05) higher in Group 1, compared to Group 2. The results indicate that controlled-rate cooling has a significant effect on post-thaw motility and acrosomal integrity of frozen-thawed ram spermatozoa, compared to uncontrolled-rate cooling prior to programmable freezing.

Explicit Instructions Increase Cognitive Costs of Deception in Predictable Social Context

PubMed Central

Falkiewicz, Marcel; Sarzyńska, Justyna; Babula, Justyna; Szatkowska, Iwona; Grabowska, Anna; Nęcka, Edward

2015-01-01

Convincing participants to deceive remains one of the biggest and most important challenges of laboratory-based deception research. The simplest and most prevalent method involves explicitly instructing participants to lie or tell the truth before presenting each task item. The usual finding of such experiments is increased cognitive load associated with deceptive responses, explained by necessity to inhibit default and automatic honest responses. However, explicit instructions are usually coupled with the absence of social context in the experimental task. Context plays a key role in social cognition by activating prior knowledge, which facilitates behaviors consistent with the latter. We hypothesized that in the presence of social context, both honest and deceptive responses can be produced on the basis of prior knowledge, without reliance on truth and without additional cognitive load during deceptive responses. In order to test the hypothesis, we have developed Speed-Dating Task (SDT), which is based on a real-life social event. In SDT, participants respond both honestly and deceptively to questions in order to appear similar to each of the dates. The dates are predictable and represent well-known categories (i.e., atheist or conservative). In one condition participants rely on explicit instructions preceding each question (external cue). In the second condition no explicit instructions are present, so the participants need to adapt based on prior knowledge about the category the dates belong to (internal cue). With internal cues, reaction times (RTs) are similar for both honest and deceptive responses. However, in the presence of external cues (EC), RTs are longer for deceptive than honest responses, suggesting that deceptive responses are associated with increased cognitive load. Compared to internal cues, deception costs were higher when EC were present. However, the effect was limited to the first part of the experiment, only partially confirming our initial hypothesis. The results suggest that the presence of social context in deception tasks might have a significant influence on cognitive processes associated with deception. PMID:26696929

Intravenous nicotine self-administration and cue-induced reinstatement in mice: Effects of nicotine dose, rate of drug infusion and prior instrumental training

PubMed Central

Fowler, Christie D.; Kenny, Paul J.

2011-01-01

Intravenous nicotine self-administration is the most direct measure of nicotine reinforcement in laboratory animals, but this procedure has proven difficult to establish in mice. We found that stable responding for nicotine in C57BL6/J mice was facilitated by prior instrumental training for food reward, initial exposure of mice to a lower unit dose of nicotine (0.03 mg/kg/infusion) before access to higher doses, a slower rate of drug delivery (3-sec versus 1-sec infusion), consistency in schedule of daily testing, and low extraneous noise during testing. Under these conditions, we found that mice lever-pressing for nicotine (0.03–0.4 mg/kg/infusion; 60-min test sessions) under a fixed-ratio 5 time-out 20-sec (FR5TO20) reinforcement schedule consumed the drug according to an inverted ‘U’-shaped dose-response curve. Mice switched their responding onto a previously non-reinforced lever to continue earning nicotine infusions when the active/inactive lever assignment was reversed. The nicotinic acetylcholine receptor (nAChR) antagonist mecamylamine decreased responding for nicotine, but not food rewards, verifying that nAChRs regulate nicotine self-administration in mice. The cue-light paired with nicotine delivery did not support responding when delivered independently of nicotine infusions, further verifying that mice responded selectivity for the drug. Nicotine-seeking responses extinguished when nicotine infusions and the cue-light were withheld, and exposure to the cue-light reinstated responding. Finally, mice without prior instrumental food training acquired stable responding for nicotine under the FR5TO20 schedule, but required a greater number of sessions. These data demonstrate that nicotine is an effective reinforcer in mice and establish conditions under which the drug is reliably self-administered by mice. PMID:21640128

7 CFR 3560.304 - Initial operating capital.

Code of Federal Regulations, 2010 CFR

2010-01-01

... AGRICULTURE DIRECT MULTI-FAMILY HOUSING LOANS AND GRANTS Financial Management § 3560.304 Initial operating... of 12 months prior to the withdrawal request; (4) The withdrawal will not affect the financial viability of the housing project; (5) Contributions to the reserve account are at authorized levels; (6) The...

Fungal prosthetic valve endocarditis with mycotic aneurysm: Case report.

PubMed

Brandão, Mariana; Almeida, Jorge; Ferraz, Rita; Santos, Lurdes; Pinho, Paulo; Casanova, Jorge

2016-09-01

Fungal prosthetic valve endocarditis is an extremely severe form of infective endocarditis, with poor prognosis and high mortality despite treatment. Candida albicans is the most common etiological agent for this rare but increasingly frequent condition. We present a case of fungal prosthetic valve endocarditis due to C. albicans following aortic and pulmonary valve replacement in a 38-year-old woman with a history of surgically corrected tetralogy of Fallot, prior infective endocarditis and acute renal failure with need for catheter-based hemodialysis. Antifungal therapy with liposomal amphotericin B was initiated prior to cardiac surgery, in which the bioprostheses were replaced by homografts, providing greater resistance to recurrent infection. During hospitalization, a mycotic aneurysm was diagnosed following an episode of acute arterial ischemia, requiring two vascular surgical interventions. Despite the complications, the patient's outcome was good and she was discharged on suppressive antifungal therapy with oral fluconazole for at least a year. The reported case illustrates multiple risk factors for fungal endocarditis, as well as complications and predictors of poor prognosis, demonstrating its complexity. Copyright © 2016 Sociedade Portuguesa de Cardiologia. Publicado por Elsevier España, S.L.U. All rights reserved.

Tracking Debris Shed by a Space-Shuttle Launch Vehicle

NASA Technical Reports Server (NTRS)

Stuart, Phillip C.; Rogers, Stuart E.

2009-01-01

The DEBRIS software predicts the trajectories of debris particles shed by a space-shuttle launch vehicle during ascent, to aid in assessing potential harm to the space-shuttle orbiter and crew. The user specifies the location of release and other initial conditions for a debris particle. DEBRIS tracks the particle within an overset grid system by means of a computational fluid dynamics (CFD) simulation of the local flow field and a ballistic simulation that takes account of the mass of the particle and its aerodynamic properties in the flow field. The computed particle trajectory is stored in a file to be post-processed by other software for viewing and analyzing the trajectory. DEBRIS supplants a prior debris tracking code that took .15 minutes to calculate a single particle trajectory: DEBRIS can calculate 1,000 trajectories in .20 seconds on a desktop computer. Other improvements over the prior code include adaptive time-stepping to ensure accuracy, forcing at least one step per grid cell to ensure resolution of all CFD-resolved flow features, ability to simulate rebound of debris from surfaces, extensive error checking, a builtin suite of test cases, and dynamic allocation of memory.

Incubation of curing brines for the production of ready-to-eat, uncured, no-nitrite-or-nitrate-added, ground, cooked and sliced ham.

PubMed

Krause, B L; Sebranek, J G; Rust, R E; Mendonca, A

2011-12-01

Salt concentration, vegetable juice powder (VJP) concentration and temperature were investigated to determine necessary conditions for incubation of curing brines including VJP and a starter culture containing Staphylococcus carnosus prior to production of naturally cured, no-nitrate/nitrite-added meat products. Subsequently, incubated brines were utilized to produce no-nitrate/nitrite-added sliced ham in which quality characteristics and residual nitrite concentrations were measured to determine feasibility of brine incubation for nitrate conversion prior to injection. Two ham treatments (one with VJP and starter culture; one with pre-converted VJP) and a nitrite-added control were used. No differences (P>0.05) were found for color in the VJP treatments. Control sliced ham was redder after 42 days of storage, retaining significantly (P<0.05) greater a* (redness) than either of the VJP treatments. Residual nitrite concentration was greater (P<0.05) in the control hams during the first week of storage. While the nitrite-added control retained greater red color and initially had more residual nitrite than the VJP treatments, the two VJP treatments did not differ from each other. Copyright © 2011 Elsevier Ltd. All rights reserved.

Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children.

PubMed

Alexeeff, Stacey E; Yau, Vincent; Qian, Yinge; Davignon, Meghan; Lynch, Frances; Crawford, Phillip; Davis, Robert; Croen, Lisa A

2017-07-01

This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out of 79 medical conditions were associated with increased ASD risk. Developmental delay, mental health, and neurology conditions had the strongest associations (ORs 2.0-23.3). Moderately strong associations were observed for nutrition, genetic, ear nose and throat, and sleep conditions (ORs 2.1-3.2). Using machine learning methods, we clustered children based on their medical conditions prior to ASD diagnosis and demonstrated ASD risk stratification. Our findings provide new evidence indicating that children with ASD have a disproportionate burden of certain medical conditions preceding ASD diagnosis.

Amphetamine-induced incentive sensitization of sign-tracking behavior in adolescent and adult female rats

PubMed Central

Doremus-Fitzwater, Tamara L.; Spear, Linda P.

2010-01-01

Age-specific behavioral and neural characteristics may predispose adolescents to initiate and escalate use of alcohol and drugs. Adolescents may avidly seek novel experiences, including drugs of abuse, because of enhanced incentive motivation for drugs and natural rewards, perhaps especially when that incentive motivation is sensitized by prior drug exposure. Using a Pavlovian conditioned approach (PCA) procedure, sign-tracking (ST) and goal-tracking (GT) behavior was examined in amphetamine-sensitized and control adolescent and adult female Sprague-Dawley rats, with expression of elevated ST behavior used to index enhanced incentive motivation for reward-associated cues. Rats were first exposed to a sensitizing regimen of amphetamine injections (3.0 mg/kg/ml d-amphetamine per day) or given saline (0.9% w/v) once daily for 4 days. Expression of ST and GT was then examined over 8 days of PCA training consisting of 25 pairings of an 8-sec presentation of an illuminated lever immediately followed by response-independent delivery of a banana-flavored food pellet. Results showed that adults clearly displayed more ST behavior than adolescents, reflected via both more contacts with, and shorter latencies to approach, the lever. Prior amphetamine sensitization increased ST (but not GT) behaviors regardless of age. Thus, when indexed via ST, incentive motivation was found to be greater in adults than adolescents, with a prior history of amphetamine exposure generally sensitizing incentive motivation for cues predicting a food reward regardless of age. PMID:21534648

34 CFR 694.13 - What are the requirements concerning section 404E scholarship awards for grantees whose initial...

Code of Federal Regulations, 2013 CFR

2013-07-01

... scholarship awards for grantees whose initial GEAR UP grant awards were made prior to August 14, 2008? 694.13... UNDERGRADUATE PROGRAMS (GEAR UP) § 694.13 What are the requirements concerning section 404E scholarship awards... requirements apply to section 404E scholarship awards for grantees whose initial GEAR UP grant awards were made...

34 CFR 694.13 - What are the requirements concerning section 404E scholarship awards for grantees whose initial...

Code of Federal Regulations, 2011 CFR

2011-07-01

... scholarship awards for grantees whose initial GEAR UP grant awards were made prior to August 14, 2008? 694.13... UNDERGRADUATE PROGRAMS (GEAR UP) § 694.13 What are the requirements concerning section 404E scholarship awards... requirements apply to section 404E scholarship awards for grantees whose initial GEAR UP grant awards were made...

34 CFR 694.13 - What are the requirements concerning section 404E scholarship awards for grantees whose initial...

Code of Federal Regulations, 2012 CFR

2012-07-01

... scholarship awards for grantees whose initial GEAR UP grant awards were made prior to August 14, 2008? 694.13... UNDERGRADUATE PROGRAMS (GEAR UP) § 694.13 What are the requirements concerning section 404E scholarship awards... requirements apply to section 404E scholarship awards for grantees whose initial GEAR UP grant awards were made...

34 CFR 694.13 - What are the requirements concerning section 404E scholarship awards for grantees whose initial...

Code of Federal Regulations, 2014 CFR

2014-07-01

... scholarship awards for grantees whose initial GEAR UP grant awards were made prior to August 14, 2008? 694.13... UNDERGRADUATE PROGRAMS (GEAR UP) § 694.13 What are the requirements concerning section 404E scholarship awards... requirements apply to section 404E scholarship awards for grantees whose initial GEAR UP grant awards were made...

7 CFR 1780.44 - Actions prior to loan or grant closing or start of construction, whichever occurs first.

Code of Federal Regulations, 2010 CFR

2010-01-01

... received that all signed users may not connect to the system, there will be such additional investigation made as deemed necessary to determine the number of users who will connect to the system. (c) Initial... prior to the required deposit time shall be appropriately accounted for. (e) Excess RUS loan and grant...

Amygdala Signaling during Foraging in a Hazardous Environment.

PubMed

Amir, Alon; Lee, Seung-Chan; Headley, Drew B; Herzallah, Mohammad M; Pare, Denis

2015-09-23

We recorded basolateral amygdala (BL) neurons in a seminaturalistic foraging task. Rats had to leave their nest to retrieve food in an elongated arena inhabited by a mechanical predator. There were marked trial-to-trial variations in behavior. After poking their head into the foraging arena and waiting there for a while, rats either retreated to their nest or initiated foraging. Before initiating foraging, rats waited longer on trials that followed failed than successful trials indicating that prior experience influenced behavior. Upon foraging initiation, most principal cells (Type-1) reduced their firing rate, while in a minority (Type-2) it increased. When rats aborted foraging, Type-1 cells increased their firing rates, whereas in Type-2 cells it did not change. Surprisingly, the opposite activity profiles of Type-1 and Type-2 units were also seen in control tasks devoid of explicit threats or rewards. The common correlate of BL activity across these tasks was movement velocity, although an influence of position was also observed. Thus depending on whether rats initiated movement or not, the activity of BL neurons decreased or increased, regardless of whether threat or rewards were present. Therefore, BL activity not only encodes threats or rewards, but is closely related to behavioral output. We propose that higher order cortical areas determine task-related changes in BL activity as a function of reward/threat expectations and internal states. Because Type-1 and Type-2 cells likely form differential connections with the central amygdala (controlling freezing), this process would determine whether movement aimed at attaining food or exploration is suppressed or facilitated. Significance statement: For decades, amygdala research has been dominated by pavlovian and operant conditioning paradigms. This work has led to the view that amygdala neurons signal threats or rewards, in turn causing defensive or approach behaviors. However, the artificial circumstances of conditioning studies bear little resemblance to normal life. In natural conditions, subjects are simultaneously presented with potential threats and rewards, forcing them to engage in a form of risk assessment. We examined this process using a seminaturalistic foraging task. In constant conditions of threats and rewards, amygdala activity could be high or low, depending on the rats' decisions on a given trial. Therefore, amygdala activity does not only encode threats or rewards but is also closely related to behavioral output. Copyright © 2015 the authors 0270-6474/15/3512994-12$15.00/0.

Defibrotide for the treatment of hepatic veno-occlusive disease/sinusoidal obstruction syndrome following nontransplant-associated chemotherapy: Final results from a post hoc analysis of data from an expanded-access program.

PubMed

Kernan, Nancy A; Richardson, Paul G; Smith, Angela R; Triplett, Brandon M; Antin, Joseph H; Lehmann, Leslie; Messinger, Yoav; Liang, Wei; Hume, Robin; Tappe, William; Soiffer, Robert J; Grupp, Stephan A

2018-06-06

Hepatic veno-occlusive disease/sinusoidal obstruction syndrome (VOD/SOS) is a potentially fatal complication of conditioning for hematopoietic stem cell transplantation (HSCT) but can occur after nontransplant-associated chemotherapy. Following HSCT, VOD/SOS with multi-organ dysfunction (MOD) may be associated with >80% mortality. Defibrotide is approved to treat severe hepatic VOD/SOS post-HSCT in patients aged >1 month in the European Union and hepatic VOD/SOS with renal or pulmonary dysfunction post-HSCT in the United States. Prior to US approval, defibrotide was available to treat VOD/SOS through an expanded-access treatment (T-IND) program. A post hoc analysis of nontransplant-associated VOD/SOS patients treated with defibrotide initiated within 30 days of starting chemotherapy and followed for 70 days is presented. Patients were diagnosed by Baltimore or modified Seattle criteria or biopsy, and received defibrotide 25 mg/kg/day in four divided doses (≥21 days recommended). Of the 1,154 patients in the T-IND, 137 had nontransplant-associated VOD/SOS, 82 of whom developed VOD/SOS within 30 days of starting chemotherapy. Of them, 66 (80.5%) were aged ≤16 years. Across all the 82 patients, Kaplan-Meier estimated day +70 survival was 74.1%, 65.8% in patients with MOD (n = 38), and 81.3% in patients without MOD (n = 44). By age group, Kaplan-Meier estimated day +70 survival was 80.1% in pediatric patients (n = 66) and 50.0% in adults (n = 16). Treatment-related adverse events occurred in 26.8%. In this post hoc analysis of 82 patients initiating defibrotide within 30 days of starting chemotherapy, Kaplan-Meier estimated survival was 74.1% at 70 days after defibrotide initiation. Safety profile was consistent with prior defibrotide studies. © 2018 The Authors. Pediatric Blood & Cancer Published by Wiley Periodicals, Inc.

Characterization of the Decision Network for Wing Expansion in Drosophila Using Targeted Expression of the TRPM8 Channel

PubMed Central

Peabody, Nathan C.; Pohl, Jascha B.; Diao, Fengqiu; Vreede, Andrew P.; Sandstrom, David J.; Wang, Howard; Zelensky, Paul K.; White, Benjamin H.

2009-01-01

After emergence, adult flies and other insects select a suitable perch and expand their wings. Wing expansion is governed by the hormone bursicon and can be delayed under adverse environmental conditions. How environmental factors delay bursicon release and alter perch selection and expansion behaviors has not been investigated in detail. Here we provide evidence that in Drosophila the motor programs underlying perch selection and wing expansion have different environmental dependencies. Using physical manipulations, we demonstrate that the decision to perch is based primarily on environmental valuations and is incrementally delayed under conditions of increasing perturbation and confinement. In contrast, the all-or-none motor patterns underlying wing expansion are relatively invariant in length regardless of environmental conditions. Using a novel technique for targeted activation of neurons, we show that the highly stereotyped wing expansion motor patterns can be initiated by stimulation of NCCAP, a small network of central neurons that regulates the release of bursicon. Activation of this network using the cold-sensitive rat TRPM8 channel is sufficient to trigger all essential behavioral and somatic processes required for wing expansion. The delay of wing expansion under adverse circumstances thus couples an environmentally-sensitive decision network to a command-like network that initiates a fixed action pattern. Because NCCAP mediates environmentally-insensitive ecdysis-related behaviors in Drosophila development prior to adult emergence, the study of wing expansion promises insights not only into how networks mediate behavioral choices, but also into how decision networks develop. PMID:19295141

Conditional maximum-entropy method for selecting prior distributions in Bayesian statistics

NASA Astrophysics Data System (ADS)

Abe, Sumiyoshi

2014-11-01

The conditional maximum-entropy method (abbreviated here as C-MaxEnt) is formulated for selecting prior probability distributions in Bayesian statistics for parameter estimation. This method is inspired by a statistical-mechanical approach to systems governed by dynamics with largely separated time scales and is based on three key concepts: conjugate pairs of variables, dimensionless integration measures with coarse-graining factors and partial maximization of the joint entropy. The method enables one to calculate a prior purely from a likelihood in a simple way. It is shown, in particular, how it not only yields Jeffreys's rules but also reveals new structures hidden behind them.

Towards sensor array materials: can failure be delayed?

PubMed Central

Mekid, Samir; Saheb, Nouari; Khan, Shafique M A; Qureshi, Khurram K

2015-01-01

Further to prior development in enhancing structural health using smart materials, an innovative class of materials characterized by the ability to feel senses like humans, i.e. ‘nervous materials’, is discussed. Designed at all scales, these materials will enhance personnel and public safety, and secure greater reliability of products. Materials may fail suddenly, but any system wishes that failure is known in good time and delayed until safe conditions are reached. Nervous materials are expected to be the solution to this statement. This new class of materials is based on the novel concept of materials capable of feeling multiple structural and external stimuli, e.g. stress, force, pressure and temperature, while feeding information back to a controller for appropriate real-time action. The strain–stress state is developed in real time with the identified and characterized source of stimulus, with optimized time response to retrieve initial specified conditions, e.g. shape and strength. Sensors are volumetrically embedded and distributed, emulating the human nervous system. Immediate applications are in aircraft, cars, nuclear energy and robotics. Such materials will reduce maintenance costs, detect initial failures and delay them with self-healing. This article reviews the common aspects and challenges surrounding this new class of materials with types of sensors to be embedded seamlessly or inherently, including appropriate embedding manufacturing techniques with modeling and simulation methods. PMID:27877794

Towards sensor array materials: can failure be delayed?

NASA Astrophysics Data System (ADS)

Mekid, Samir; Saheb, Nouari; Khan, Shafique M. A.; Qureshi, Khurram K.

2015-06-01

Further to prior development in enhancing structural health using smart materials, an innovative class of materials characterized by the ability to feel senses like humans, i.e. ‘nervous materials’, is discussed. Designed at all scales, these materials will enhance personnel and public safety, and secure greater reliability of products. Materials may fail suddenly, but any system wishes that failure is known in good time and delayed until safe conditions are reached. Nervous materials are expected to be the solution to this statement. This new class of materials is based on the novel concept of materials capable of feeling multiple structural and external stimuli, e.g. stress, force, pressure and temperature, while feeding information back to a controller for appropriate real-time action. The strain-stress state is developed in real time with the identified and characterized source of stimulus, with optimized time response to retrieve initial specified conditions, e.g. shape and strength. Sensors are volumetrically embedded and distributed, emulating the human nervous system. Immediate applications are in aircraft, cars, nuclear energy and robotics. Such materials will reduce maintenance costs, detect initial failures and delay them with self-healing. This article reviews the common aspects and challenges surrounding this new class of materials with types of sensors to be embedded seamlessly or inherently, including appropriate embedding manufacturing techniques with modeling and simulation methods.

Development of an Aerosol Model of Cryptococcus Reveals Humidity as an Important Factor Affecting the Viability of Cryptococcus during Aerosolization

PubMed Central

Springer, Deborah J.; Saini, Divey; Byrnes, Edmond J.; Heitman, Joseph; Frothingham, Richard

2013-01-01

Cryptococcus is an emerging global health threat that is annually responsible for over 1,000,000 infections and one third of all AIDS patient deaths. There is an ongoing outbreak of cryptococcosis in the western United States and Canada. Cryptococcosis is a disease resulting from the inhalation of the infectious propagules from the environment. The current and most frequently used animal infection models initiate infection via liquid suspension through intranasal instillation or intravenous injection. These models do not replicate the typically dry nature of aerosol exposure and may hinder our ability to decipher the initial events that lead to clearance or the establishment of infection. We have established a standardized aerosol model of murine infection for the human fungal pathogen Cryptococcus. Aerosolized cells were generated utilizing a Collison nebulizer in a whole-body Madison Chamber at different humidity conditions. The aerosols inside the chamber were sampled using a BioSampler to determine viable aerosol concentration and spray factor (ratio of viable aerosol concentration to total inoculum concentration). We have effectively delivered yeast and yeast-spore mixtures to the lungs of mice and observed the establishment of disease. We observed that growth conditions prior to exposure and humidity within the Madison Chamber during exposure can alter Cryptococcus survival and dose retained in mice. PMID:23894542

Displaying Knowledge through Interrogatives in Student-Initiated Sequences

ERIC Educational Resources Information Center

Solem, Marit Skarbø

2016-01-01

This article presents an analysis of student initiatives in whole-class interactions. While prior research on question-answer sequences in classroom interactions has shown students to be rather passive recipients of knowledge, this article focuses on aspects of classroom interaction where students take a more active role. Following a conversation…

40 CFR 90.316 - Hydrocarbon analyzer calibration.

Code of Federal Regulations, 2011 CFR

2011-07-01

...) Initial and periodic optimization of detector response. Prior to initial use and at least annually... nitrogen. (2) Use of one of the following procedures is required for FID or HFID optimization: (i) The procedure outlined in Society of Automotive Engineers (SAE) paper No. 770141, “Optimization of a Flame...

Black walnut tree growth in a mixed species, upland hardwood stand in southern Indiana

Treesearch

R.K. Myers; B.C. Fischer

1991-01-01

A study was initiated in 1971 on Purdue University woodlands in southern Indiana to monitor the growth of black walnut rages and survival in the absence of management, as well as establishing stand ante tree development data baselines prior to initiation of management activities.

Meta-Analysis: An Approach to Interview Success.

ERIC Educational Resources Information Center

McCaslin, Mark; Carlson, Nancy M.

An initial research step, developing an effective interview strategy, presents unique challenges for novice and master research alike. To focus qualitative research in the human ecology of the study, the strategy presented in this paper used an initial interview protocol and preanalysis process, called meta-analysis, prior to developing the formal…

Antecedents of Adolescent Initiation into Stages of Drug Use: A Developmental Analysis

ERIC Educational Resources Information Center

Kandel, Denise B.; And Others

1978-01-01

Predictors associated with adolescents' initiation into three cumulative stages of drug use--hard liquor, marihuana, and other illicit drugs--were investigated. The strongest predictors were prior involvement in deviant behavior (hard liquor); peer influence, and adolescent beliefs and values (marihuana); and relationship to parents, and…

A multilevel modeling approach to examining individual differences in skill acquisition for a computer-based task.

PubMed

Nair, Sankaran N; Czaja, Sara J; Sharit, Joseph

2007-06-01

This article explores the role of age, cognitive abilities, prior experience, and knowledge in skill acquisition for a computer-based simulated customer service task. Fifty-two participants aged 50-80 performed the task over 4 consecutive days following training. They also completed a battery that assessed prior computer experience and cognitive abilities. The data indicated that overall quality and efficiency of performance improved with practice. The predictors of initial level of performance and rate of change in performance varied according to the performance parameter assessed. Age and fluid intelligence predicted initial level and rate of improvement in overall quality, whereas crystallized intelligence and age predicted initial e-mail processing time, and crystallized intelligence predicted rate of change in e-mail processing time over days. We discuss the implications of these findings for the design of intervention strategies.

Statistical Learning Is Not Affected by a Prior Bout of Physical Exercise

ERIC Educational Resources Information Center

Stevens, David J.; Arciuli, Joanne; Anderson, David I.

2016-01-01

This study examined the effect of a prior bout of exercise on implicit cognition. Specifically, we examined whether a prior bout of moderate intensity exercise affected performance on a statistical learning task in healthy adults. A total of 42 participants were allocated to one of three conditions--a control group, a group that exercised for…

29 CFR 553.23 - Agreement or understanding prior to performance of work.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Agreement or understanding prior to performance of work... understanding prior to performance of work. (a) General. (1) As a condition for use of compensatory time in lieu of overtime payment in cash, section 7(o)(2)(A) of the Act requires an agreement or understanding...

Lessons Learned "Establishing an Electrically Safe Work Condition" Specifically related to Racking Electrical Breakers

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

Martinez, Tommy Robert; Romero, Philbert Roland; Garcia, Samuel Anthony

During low voltage electrical equipment maintenance, a bad breaker was identified. The breaker was racked out from the substation cubicle without following the hazardous energy control process identified in the Integrated Work Document (IWD). The IWD required the substation to be in an electrically safe work condition prior to racking the breaker. Per NFPA 70E requirements, electrical equipment shall be put into an electrically safe work condition before an employee performs work on or interacts with equipment in a manner that increases the likelihood of creating an arc flash. Racking in or out a breaker on an energized bus maymore » increase the likelihood of creating an arc flash dependent on equipment conditions. A thorough risk assessment must be performed prior to performing such a task. The risk assessment determines the risk control measures to be put in place prior to performing the work. Electrical Safety Officers (ESO) can assist in performing risk assessments and incorporating risk control measures.« less

Clinostat exposure and symmetrization of frog eggs

NASA Technical Reports Server (NTRS)

Nace, G. W.; Tremor, J. W.

1982-01-01

Since the orientation of unfertilized eggs and the righting of eggs after grey crescent formation do not affect the axes, attention here is directed toward a comparative study of the initial rotation of the fertilized egg, the so-called rotation of orientation (R-of-O). The goal of the investigation is to determine the timing and dynamics of the R-of-O (as distinct from inversion rotations), to confirm prior observations, and to examine the influence of gravity compensation at periods that might be crucial. Gravity compensation for 1 hr during the R-of-O is found to yield fewer abnormalities. It is hypothesized that it changes the axes and that return to normal conditions permits regulation. Longer exposure is found to yield more abnormalities, perhaps by perturbing both the action of the aster and regulation.

Some results regarding stability of photovoltaic maximum-power-point tracking dc-dc converters

NASA Astrophysics Data System (ADS)

Schaefer, John F.

An analytical investigation of a class of photovoltaic (PV) maximum-power-point tracking dc-dc converters has yielded basic results relative to the stability of such devices. Necessary and sufficient conditions for stable operation are derived, and design tools are given. Specific results have been obtained for arbitrary PV arrays driving converters powering resistive loads and batteries. The analytical techniques are applicable to inverters, also. Portions of the theoretical results have been verified in operational devices: a 1500 watt unit has driven a 1-horsepower, 90-volt dc motor powering a water pump jack for over one year. Prior to modification shortly after initial installation, the unit exhibited instability at low levels of irradiance, as predicted by the theory. Two examples are provided.

Anticholinergic toxicity in a one-year-old male following ingestion of Lupinus mutabilis seeds: case report.

PubMed

Flores-Pamo, Adrian Ernesto; Pisano, Elinor; Carreazo, Nilton Yhuri

2017-11-06

The seeds from Lupinus mutabilis Sweet, also called "chocho", are an important part of the diet in several countries in South America. Prior to consumption, processing is required to remove toxic alkaloids. These alkaloids are known to have pharmacological properties as antiarrhythmics, antimuscarinics and hypoglycemics. We report a case in which a one-year-old male initially presented with altered mental status and respiratory distress and subsequently developed symptoms of anticholinergic toxicity, after ingesting a large amount of chocho seeds. In spite of going through a difficult clinical condition, the subject evolved favorably through receiving supportive treatment. The seeds from Lupinus mutabilis provide nutritional benefits when consumed, but people need to know their risks when these seeds are consumed without proper preparation.

Effects of self-fertilization, environmental stress and exposure to xenobiotics on fitness-related traits of the freshwater snail Lymnaea stagnalis.

PubMed

Coutellec, Marie-Agnès; Lagadic, Laurent

2006-03-01

Genetic and ecological factors may interact in their effects on fitness. Such interactions are thus to be expected between inbreeding and exposure of a population to a toxicant. The magnitude of inbreeding depression is thought to increase in stressful environments. To test this hypothesis, we investigated the combined effects of environmental conditions and inbreeding on fitness in the self-fertile snail Lymnaea stagnalis, using a stress gradient (0-2) applied to a 100 isolated and paired lineages: laboratory control (0), outdoor microcosm control (1) and pesticide exposure under outdoor microcosm conditions (2). Outdoor stress conditions were maintained for 28 days prior to measurements of fitness traits (fecundity, hatching success, and size at hatching) under laboratory conditions, so that delayed environmental effects could be estimated. Under laboratory control conditions, we found significant initial family level heterogeneity for most measured traits, including physiological performances as assessed through energetic biomarkers. Whatever the environmental conditions, inbreeding depression was very low for progeny performances. Negative values of self-fertilization depression (SFD) were obtained. Unexpectedly, SFD showed a negative relationship with the assumed stress intensity, reflecting a higher sensitivity under pairing than under selfing, mostly due to parental fecundity. This suggests that stressful conditions may favour selfing. Stress intensity increased the distribution limits of both depression indices, suggesting that changes in fitness are less predictable in a population under stress. Implications of such findings for environmental risk assessment of pesticides are discussed.

Effect of sonication on the colloidal stability of iron oxide nanoparticles

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

Sodipo, Bashiru Kayode; Aziz, Azlan Abdul

2015-04-24

Colloidal stability of superparamagnetic iron oxide nanoparticles’ (SPION) suspensions, ultrasonically irradiated at various pH was studied. Electrophoresis measurement of the sonicated SPION showed that the shock waves and other unique conditions generated from the acoustic cavitation process (formation, growth and collapse of bubbles) affect the zeta potential value of the suspension. In this work, stabled colloidal suspensions of SPION were prepared and their pH is varied between 3 and 5. Prior to ultrasonic irradiation of the suspensions, their initial zeta potential values were determined. After ultrasonic irradiation of the suspensions, we observed that the sonication process interacts with colloidal stabilitymore » of the nanoparticles. The results demonstrated that only suspensions with pH less 4 were found stable and able to retain more than 90% of its initial zeta potential value. However, at pH greater than 4, the suspensions were found unstable. The result implies that good zeta potential value of SPION can be sustained in sonochemical process as long as the pH of the mixture is kept below 4.« less

Hybrid Weighted Minimum Norm Method A new method based LORETA to solve EEG inverse problem.

PubMed

Song, C; Zhuang, T; Wu, Q

2005-01-01

This Paper brings forward a new method to solve EEG inverse problem. Based on following physiological characteristic of neural electrical activity source: first, the neighboring neurons are prone to active synchronously; second, the distribution of source space is sparse; third, the active intensity of the sources are high centralized, we take these prior knowledge as prerequisite condition to develop the inverse solution of EEG, and not assume other characteristic of inverse solution to realize the most commonly 3D EEG reconstruction map. The proposed algorithm takes advantage of LORETA's low resolution method which emphasizes particularly on 'localization' and FOCUSS's high resolution method which emphasizes particularly on 'separability'. The method is still under the frame of the weighted minimum norm method. The keystone is to construct a weighted matrix which takes reference from the existing smoothness operator, competition mechanism and study algorithm. The basic processing is to obtain an initial solution's estimation firstly, then construct a new estimation using the initial solution's information, repeat this process until the solutions under last two estimate processing is keeping unchanged.

Kvichak River RISEC Project Resource Reconnaissance and Physical Characterization

DOE Data Explorer

Jarlath McEntee

2015-10-01

During the summer and fall of 2011 TerraSond Ltd. (TerraSond) completed a bathymetric survey and hydrokinetic energy assessment of the Kvichak River at Igiugig, Alaska. The purpose of this work was to characterize the initial site conditions for the design and installation of a hydrokinetic turbine to provide electric power for the village. There were six distinct phases of work for this project. The first was a literature review and investigation of prior surveys and hydrologic studies done in the area. The second, third, fourth, and fifth phases consisted of four field expeditions conducted over the summer and fall of 2011. These expeditions consisted of an initial reconnaissance, multi beam bathymetric surveys, flow velocity and discharge measurements, a survey of water levels, and detailed flow velocity studies. The final phase of the project was complete data reduction, and preparation of the final report with its accompanying map sheets and data packages. This submission contains the final report for the Kvichak River RiISEC Project in addition to weather data for Igiugig, AK, Summer 2015.

Six Degree-of-Freedom Entry Dispersion Analysis for the METEOR Recovery Module

NASA Technical Reports Server (NTRS)

Desai, Prasun N.; Braun, Robert D.; Powell, Richard W.; Engelund, Walter C.; Tartabini, Paul V.

1996-01-01

The present study performs a six degree-of-freedom entry dispersion analysis for the Multiple Experiment Transporter to Earth Orbit and Return (METEOR) mission. METEOR offered the capability of flying a recoverable science package in a microgravity environment. However, since the Recovery Module has no active control system, an accurate determination of the splashdown position is difficult because no opportunity exists to remove any errors. Hence, uncertainties in the initial conditions prior to deorbit burn initiation, during deorbit burn and exo-atmospheric coast phases, and during atmospheric flight impact the splashdown location. This investigation was undertaken to quantify the impact of the various exo-atmospheric and atmospheric uncertainties. Additionally, a Monte-Carlo analysis was performed to statistically assess the splashdown dispersion footprint caused by the multiple mission uncertainties. The Monte-Carlo analysis showed that a 3-sigma splashdown dispersion footprint with axes of 43.3 nm (long), -33.5 nm (short), and 10.0 nm (crossrange) can be constructed. A 58% probability exists that the Recovery Module will overshoot the nominal splashdown site.

Geothermal Energy Geopressure Subprogram: DOE Lafourche Crossing No. 1, Terrebonne Parish and Lafourche Parish, Louisiana: Environmental assessment

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

Not Available

1978-10-01

The proposed action will consist of drilling one geothermal fluid well for intermittent production testing of 284 days over a three year period. Two disposal wells will initially be drilled to provide disposal of lower volume fluids produced during initial testing. Two additional disposal wells will be drilled, logged, completed, tested, and operated prior to commencement of high volume fluid production. Construction of the proposed action will change the land-use of 2 ha (5 ac) for the test well and each of the injection wells from agriculture or wetlands to resource exploration. Lands will be cleared and erosion and runoffmore » will result. During operation of the well test, the only expected impacts are from venting of gases or flaring of gases and noise. After the tests are completed, the area will be restored as much as possible to its natural condition by revegetation programs using nature species. All sources of pollutants will be collected and disposed in environmentally acceptable ways. Accidents may result from this proposed action.« less

Modeling of zero gravity venting: Studies of two-phase heat transfer under reduced gravity

NASA Technical Reports Server (NTRS)

Merte, H., Jr.

1986-01-01

The objective is to predict the pressure response of a saturated liquid-vapor system when undergoing a venting or depressurization process in zero gravity at low vent rates. An experimental investigation of the venting of cylindrical containers partially filled with initially saturated liquids was previously conducted under zero-gravity conditions and compared with an analytical model which incorporated the effect of interfacial mass transfer on the ullage pressure response during venting. A new model is presented to improve the estimation of the interfacial mass transfer. Duhammel's superposition integral is incorporated to approximate the transient temperature response of the interface, treating the liquid as a semi-infinite solid with conduction heat transfer. Account is also taken of the condensation taking place within the bulk of a saturated vapor as isentropic expansion takes place. Computational results are presented for the venting of R-11 from a given vessel and initial state for five different venting rates over a period of three seconds, and compared to prior NASA experiments. An improvement in the prediction of the final pressure takes place, but is still considerably below the measurements.

Experimental test of whether electrostatically charged micro-organisms and their spores contribute to the onset of arcs across vacuum gaps

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

Grisham, L. R.; Halle, A. von; Carpe, A. F.

2013-12-15

Recently it was proposed [L. R. Grisham et al. Phys. Plasmas 19, 023107 (2012)] that one of the initiators of vacuum voltage breakdown between conducting electrodes might be micro-organisms and their spores, previously deposited during exposure to air, which then become electrostatically charged when an electric potential is applied across the vacuum gap. This note describes a simple experiment to compare the number of voltage-conditioning pulses required to reach the nominal maximum operating voltage across a gap between two metallic conductors in a vacuum, comparing cases in which biological cleaning was done just prior to pump-down with cases where thismore » was not done, with each case preceded by exposure to ambient air for three days. Based upon these results, it does not appear that air-deposited microbes and their spores constitute a major pathway for arc initiation, at least for exposure periods of a few days, and for vacuum gaps of a few millimeters, in the regime where voltage holding is usually observed to vary linearly with gap distance.« less

Basin deconstruction-construction: Seeking thermal-tectonic consistency through the integration of geochemical thermal indicators and seismic fault mechanical stratigraphy ​- Example from Faras Field, North Western Desert, Egypt

NASA Astrophysics Data System (ADS)

Pigott, John D.; Abouelresh, Mohamed O.

2016-02-01

To construct a model of a sedimentary basin's thermal tectonic history is first to deconstruct it: taking apart its geological elements, searching for its initial conditions, and then to reassemble the elements in the temporal order that the basin is assumed to have evolved. Two inherent difficulties implicit to the analysis are that most organic thermal indicators are cumulative, irreversible and a function of both temperature and time and the non-uniqueness of crustal strain histories which complicates tectonic interpretations. If the initial conditions (e.g. starting maturity of the reactants and initial crustal temperature) can be specified and the boundary conditions incrementally designated from changes in the lithospheric heat engine owing to stratigraphic structural constraints, then the number of pathways for the temporal evolution of a basin is greatly reduced. For this investigation, model input uncertainties are reduced through seeking a solution that iteratively integrates the geologically constrained tectonic subsidence, geochemically constrained thermal indicators, and geophysically constrained fault mechanical stratigraphy. The Faras oilfield in the Abu Gharadig Basin, North Western Desert, Egypt, provides an investigative example of such a basin's deconstructive procedure. Multiple episodes of crustal extension and shortening are apparent in the tectonic subsidence analyses which are constrained from the fault mechanical stratigraphy interpreted from reflection seismic profiles. The model was iterated with different thermal boundary conditions until outputs best fit the geochemical observations. In so doing, the thermal iterations demonstrate that general relationship that basin heat flow increases decrease vertical model maturity gradients, increases in surface temperatures shift vertical maturity gradients linearly to higher values, increases in sediment conductivities lower vertical maturities with depth, and the addition of ;ghost; layers (those layers removed) prior to the erosional event increase maturities beneath, and conversely. These integrated constraints upon the basin evolution model indicate that the principal source rocks, Khatatba and the lowest part of the Alam El Bueib formations, entered the oil window at approximately 95 Ma and the gas window at approximately 25 Ma. The upper part of the Alam El Bueib Formation is within the oil window at the present day. Establishing initial and boundary value conditions for a basin's thermal evolution when geovalidated by the integration of seismic fault mechanical stratigraphy, tectonic subsidence analysis, and organic geochemical maturity indicators provides a powerful tool for optimizing petroleum exploration in both mature and frontier basins.

Effects of Prior Experience on Shelter-Seeking Behavior of Juvenile American Lobsters.

PubMed

Bayer, Skylar R; Bianchi, Katherine M; Atema, Jelle; Jacobs, Molly W

2017-04-01

Shelter-seeking behaviors are vital for survival for a range of juvenile benthic organisms. These behaviors may be innate or they may be affected by prior experience. After hatching, American lobsters Homarus americanus likely first come into contact with shelter during the late postlarval (decapodid) stage, known as stage IV. After the subsequent molt to the first juvenile stage (stage V), they are entirely benthic and are thought to be highly cryptic. We hypothesized that postlarval (stage IV) experience with shelter would carry over into the first juvenile stage (stage V) and reduce the time needed for juveniles to locate and enter shelters (sheltering). We found some evidence of a carryover effect, but not the one we predicted: stage V juveniles with postlarval shelter experience took significantly longer to initiate sheltering. We also hypothesized that stage V juveniles would demonstrate learning by relocating shelters more quickly with immediate prior experience. Our findings were mixed. In a maze, juveniles with immediate prior experience were faster to regain visual contact with shelter, suggesting that they had learned the location of the shelter. In contrast, there was no significant effect of immediate prior experience on time to initiate sheltering in an open arena, or in the maze after juveniles had regained visual contact. We conclude that very young (stage V) juvenile lobsters modify their shelter-seeking behavior based on prior experiences across several timescales. Ecologically relevant variation in habitat exposure among postlarval and early juvenile lobsters may influence successful recruitment in this culturally and commercially important fishery species.

Inductive current startup in large tokamaks with expanding minor radius and rf assist

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

Borowski, S.K.

1984-02-01

Auxiliary rf heating of electrons before and during the current-rise phase of a large tokamak, such as the Fusion Engineering Device (R = 4.8 m, a = 1.3 m, sigma = 1.6, B/sub T/ = 3.62 T), is examined as a means of reducing both the initiation loop voltage and resistive flux expenditure during startup. Prior to current initiation, 1 to 2 MW of electron cyclotron resonance heating power at approx. 90 GHz is used to create a small volume of high conductivity plasma (T/sub e/ approx. = 100 eV, n/sub e/ approx. = 10/sup 19/ m/sup -3/) near themore » upper hybrid resonance (UHR) region. This plasma conditioning permits a small radius (a/sub 0/ approx. = 0.2 to 0.4 m) current channel to be established with a relatively low initial loop voltage (less than or equal to 25 V as opposed to approx. 100 V without rf assist). During the subsequent plasma expansion and current ramp phase, a combination of rf heating (up to 5 MW) and current profile control leads to a substantial savings in volt-seconds by: (1) minimizing the resistive flux consumption; and (2) maintaining the internal flux at or near the flat profile limit.« less

Inductive current startup in large tokamaks with expanding minor radius and RF assist

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

Borowski, S.K.

1983-01-01

Auxiliary RF heating of electrons before and during the current rise phase of a large tokamak, such as the Fusion Engineering Device, is examined as a means of reducing both the initiation loop voltage and resistive flux expenditure during startup. Prior to current initiation, 1 to 2 MW of electron cyclotron resonance heating power at approx.90 GHz is used to create a small volume of high conductivity plasma (T/sub e/ approx. = 100 eV, n/sub e/ approx. = 10/sup 19/m/sup -3/) near the upper hybrid resonance (UHR) region. This plasma conditioning permits a small radius (a/sup 0/ approx.< 0.4 m)more » current channel to be established with a relatively low initial loop voltage (approx.< 25 V as opposed to approx.100 V without RF assist). During the subsequent plasma expansion and current ramp phase, additional RF power is introduced to reduce volt-second consumption due to plasma resistance. To study the preheating phase, a near classical particle and energy transport model is developed to estimate the electron heating efficiency in a currentless toroidal plasma. The model assumes that preferential electron heating at the UHR leads to the formation of an ambipolar sheath potential between the neutral plasma and the conducting vacuum vessel and limiter.« less

Successful treatment of a guitarist with a finger joint injury using instrument-assisted soft tissue mobilization: a case report

PubMed Central

Terry Loghmani, M.; Bayliss, Amy J.; Clayton, Greg; Gundeck, Evelina

2015-01-01

Finger injuries are common and can greatly affect a musician’s quality of life. A 55-year-old man, who had injured the proximal interphalangeal joint of the left index finger 6 months prior to any intervention, was treated with a manual therapy approach incorporating instrument-assisted soft tissue mobilization (IASTM). Initial examination findings included self-reported pain and functional limitations and physical impairments that significantly impeded his ability to play the acoustic guitar. He was treated once a week for 6 weeks with IASTM, joint mobilization, therapeutic exercise, and ice massage. Additionally, a home exercise program and self-care instructions were provided. The patient gained positive outcomes with improvements in pain (Numerical Pain Rating Scale while playing the guitar: initial 5/10, discharge 1/10) and function (Disability Arm Shoulder Hand Sports-Performing Arts Optional Module: initial 75; discharge 6·25), each reaching a minimum clinically important difference. Importantly, he was able to play the guitar with minimal to no pain as desired. Physical measures also improved, including an immediate gain in finger range of motion with IASTM alone. Manual therapy approaches integrating IASTM may provide an effective conservative treatment strategy for patients with finger/hand conditions in the performing arts and other patient populations. PMID:26952165

Simulating Roll Clouds associated with Low-Level Convergence.

NASA Astrophysics Data System (ADS)

Prasad, A. A.; Sherwood, S. C.

2015-12-01

Convective initiation often takes place when features such as fronts and/or rolls collide, merge or otherwise meet. Rolls indicate boundary layer convergence and may initiate thunderstorms. These are often seen in satellite and radar imagery prior to the onset of deep convection. However, links between convergence driven rolls and convection are poor in global models. The poor representation of convection is the source of many model biases, especially over the Maritime Continent in the Tropics. We simulate low-level convergence lines over north-eastern Australia using the Weather Research and Forecasting (WRF) Model (version 3.7). The simulations are events from September-October 2002 driven by sea breeze circulations. Cloud lines associated with bore-waves that form along the low-level convergence lines are thoroughly investigated in this study with comparisons from satellite and surface observations. Initial simulations for a series of cloud lines observed on 4th October, 2002 over the Gulf of Carpentaria showed greater agreement in the timing and propagation of the disturbance and the low-level convergence, however the cloud lines or streets of roll clouds were not properly captured by the model. Results from a number of WRF simulations with different microphysics, cumulus and planetary boundary layer schemes, resolution and boundary conditions will also be discussed.

Own and Others' Prior Experiences Influence Children's Imitation of Causal Acts.

PubMed

Williamson, Rebecca A; Meltzoff, Andrew N

2011-07-01

Young children learn from others' examples, and they do so selectively. We examine whether the efficacy of prior experiences influences children's imitation. Thirty-six-month-olds had initial experience on a causal learning task either by performing the task themselves or by watching an adult perform it. The nature of the experience was manipulated such that the actor had either an easy or a difficult experience completing the task. Next, a second adult demonstrated an innovative technique for completing it. Children who had a difficult first-person experience, and those who had witnessed another person having difficulty, were significantly more likely to adopt and imitate the adult's innovation than those who had or witnessed an easy experience. Children who observed another were also more likely to imitate than were those who had the initial experience themselves. Imitation is influenced by prior experience, both when it is obtained through one's own hands-on motor manipulation and when it derives from observing the acts of others.

The education of attention as explanation of variability of practice effects: learning the final approach phase in a flight simulator.

PubMed

Huet, Michaël; Jacobs, David M; Camachon, Cyril; Missenard, Olivier; Gray, Rob; Montagne, Gilles

2011-12-01

The present study reports two experiments in which a total of 20 participants without prior flight experience practiced the final approach phase in a fixed-base simulator. All participants received self-controlled concurrent feedback during 180 practice trials. Experiment 1 shows that participants learn more quickly under variable practice conditions than under constant practice conditions. This finding is attributed to the education of attention to the more useful informational variables: Variability of practice reduces the usefulness of initially used informational variables, which leads to a quicker change in variable use, and hence to a larger improvement in performance. In the practice phase of Experiment 2 variability was selectively applied to some experimental factors but not to others. Participants tended to converge toward the variables that were useful in the specific conditions that they encountered during practice. This indicates that an explanation for variability of practice effects in terms of the education of attention is a useful alternative to traditional explanations based on the notion of the generalized motor program and to explanations based on the notions of noise and local minima.

Erectile dysfunction and lower urinary tract symptoms: a consensus on the importance of co-diagnosis

PubMed Central

Kirby, M; Chapple, C; Jackson, G; Eardley, I; Edwards, D; Hackett, G; Ralph, D; Rees, J; Speakman, M; Spinks, J; Wylie, K

2013-01-01

Despite differences in design, many large epidemiological studies using well-powered multivariate analyses consistently provide overwhelming evidence of a link between erectile dysfunction (ED) and lower urinary tract symptoms (LUTS). Preclinical evidence suggests that several common pathophysiological mechanisms are involved in the development of both ED and LUTS. We recommend that patients seeking consultation for one condition should always be screened for the other condition. We propose that co-diagnosis would ensure that patient management accounts for all possible co-morbid and associated conditions. Medical, socio-demographic and lifestyle risk factors can help to inform diagnoses and should be taken into consideration during the initial consultation. Awareness of risk factors may alert physicians to patients at risk of ED or LUTS and so allow them to manage patients accordingly; early diagnosis of ED in patients with LUTS, for example, could help reduce the risk of subsequent cardiovascular disease. Prescribing physicians should be aware of the sexual adverse effects of many treatments currently recommended for LUTS; sexual function should be evaluated prior to commencement of treatment, and monitored throughout treatment to ensure that the choice of drug is appropriate. PMID:23617950

The effect of prior healthcare employment on the wages of registered nurses.

PubMed

Yoo, Byung-Kwang; Kim, Minchul; Lin, Tzu-Chun; Sasaki, Tomoko; Ward, Debbie; Spetz, Joanne

2016-08-19

The proportion of registered nurses (RNs) with employment in health-related positions before their initial RN education has increased in the past two decades. Previous research found that prior health-related employment is positively associated with RN workforce supply, potentially due to the wage differences based on different career paths. This study's objective is to test the hypotheses that prior health-related employment is associated with differences in starting wages and with different rates of wage growth for experience as an RN. We conducted a cross-sectional analysis using the 2008 National Sample Survey of Registered Nurses (NSSRN) linked with county-level variables from the Area Health Resource File. We estimated a Heckman model where the second-stage equation's outcome variable was the logarithm of the RN hourly wage, accounting for the self-selection of working or not working as an RN (i.e., the first-stage equation's outcome variable). Key covariates included interaction terms between years of experience, experience squared, and six categories of prior health-related employment (manager, LPN/LVN, allied health, nursing aide, clerk, and all other healthcare positions). Additional covariates included demographics, weekly working hours, marital status, highest nursing degree, and county-level variables (e.g., unemployment rate). We estimated the marginal effect of experience on wage for each type of prior health-related employment, conducting separate analyses for RNs whose initial education was a Bachelor of Science in Nursing (BSN) (unweighted N = 10,345/weighted N = 945,429), RNs whose initial education was an Associate degree (unweighted N = 13,791/weighted N = 1,296,809), and total population combining the former groups (unweighted N = 24,136/weighted N = 2,242,238). Prior health-related employment was associated with higher wages, with the strongest wage differences among BSN-educated RNs. Among BSN-educated RNs, previous employment as a health care manager, LPN/LVN, or nursing aide produced statistically higher starting wages ($1.72-$3.86 per hour; $3400-$7700 per year; p = 0.006-0.08). However, experience-based wage growth was lower for BSN-educated RNs previously employed as allied health workers, LPN/LVNs, or nursing aides. Among Associate degree-educated RNs, wage difference was not observed except for higher initial wage for RNs with previous employment as LPN/LVNs. Prior employment in health-related positions was associated with both starting salary and experience-based wage growth among BSN-educated RNs. The higher wage return for those with a BSN may motivate non-RN healthcare workers to seek a BSN in their transition to RN jobs, which could help advancement toward the 80 % BSN workforce recommended by the U.S. Institute of Medicine.

Diagnostic pathways and direct medical costs incurred by new adult pulmonary tuberculosis patients prior to anti-tuberculosis treatment – Tamil Nadu, India

PubMed Central

Veesa, Karun Sandeep; John, Kamalabhai Russell; Moonan, Patrick K.; Kaliappan, Saravanakumar Puthupalayam; Manjunath, Krishna; Sagili, Karuna D.; Ravichandra, Chinnappareddy; Menon, Pradeep Aravindan; Dolla, Chandrakumar; Luke, Nancy; Munshi, Kaivan; George, Kuryan; Minz, Shantidani

2018-01-01

Background Tuberculosis (TB) patients face substantial delays prior to treatment initiation, and out of pocket (OOP) expenditures often surpass the economic productivity of the household. We evaluated the pre-diagnostic cost and health seeking behaviour of new adult pulmonary TB patients registered at Primary Health Centres (PHCs) in Vellore district, Tamil Nadu, India. Methods This descriptive study, part of a randomised controlled trial conducted in three rural Tuberculosis Units from Dec 2012 to Dec 2015, collected data on number of health facilities, dates of visits prior to the initiation of anti-tuberculosis treatment, and direct OOP medical costs associated with TB diagnosis. Logistic regression analysis examined the factors associated with delays in treatment initiation and OOP expenditures. Results Of 880 TB patients interviewed, 34.7% presented to public health facilities and 65% patients sought private health facilities as their first point of care. The average monthly individual income was $77.79 (SD 57.14). About 69% incurred some pre-treatment costs at an average of $39.74. Overall, patients experienced a median of 6 days (3–11 IQR) of time to treatment initiation and 21 days (10–30 IQR) of health systems delay. Age ≤ 40 years (aOR: 1.73; CI: 1.22–2.44), diabetes (aOR: 1.63; CI: 1.08–2.44) and first visit to a private health facility (aOR: 17.2; CI: 11.1–26.4) were associated with higher direct OOP medical costs, while age ≤ 40 years (aOR: 0.64; CI: 0.48–0.85) and first visit to private health facility (aOR: 1.79, CI: 1.34–2.39) were associated with health systems delay. Conclusion The majority of rural TB patients registering at PHCs visited private health facilities first and incurred substantial direct OOP medical costs and delays prior to diagnosis and anti-tuberculosis treatment initiation. This study highlights the need for PHCs to be made as the preferred choice for first point of contact, to combat TB more efficiently. PMID:29414980

Diagnostic pathways and direct medical costs incurred by new adult pulmonary tuberculosis patients prior to anti-tuberculosis treatment - Tamil Nadu, India.

PubMed

Veesa, Karun Sandeep; John, Kamalabhai Russell; Moonan, Patrick K; Kaliappan, Saravanakumar Puthupalayam; Manjunath, Krishna; Sagili, Karuna D; Ravichandra, Chinnappareddy; Menon, Pradeep Aravindan; Dolla, Chandrakumar; Luke, Nancy; Munshi, Kaivan; George, Kuryan; Minz, Shantidani

2018-01-01

Tuberculosis (TB) patients face substantial delays prior to treatment initiation, and out of pocket (OOP) expenditures often surpass the economic productivity of the household. We evaluated the pre-diagnostic cost and health seeking behaviour of new adult pulmonary TB patients registered at Primary Health Centres (PHCs) in Vellore district, Tamil Nadu, India. This descriptive study, part of a randomised controlled trial conducted in three rural Tuberculosis Units from Dec 2012 to Dec 2015, collected data on number of health facilities, dates of visits prior to the initiation of anti-tuberculosis treatment, and direct OOP medical costs associated with TB diagnosis. Logistic regression analysis examined the factors associated with delays in treatment initiation and OOP expenditures. Of 880 TB patients interviewed, 34.7% presented to public health facilities and 65% patients sought private health facilities as their first point of care. The average monthly individual income was $77.79 (SD 57.14). About 69% incurred some pre-treatment costs at an average of $39.74. Overall, patients experienced a median of 6 days (3-11 IQR) of time to treatment initiation and 21 days (10-30 IQR) of health systems delay. Age ≤ 40 years (aOR: 1.73; CI: 1.22-2.44), diabetes (aOR: 1.63; CI: 1.08-2.44) and first visit to a private health facility (aOR: 17.2; CI: 11.1-26.4) were associated with higher direct OOP medical costs, while age ≤ 40 years (aOR: 0.64; CI: 0.48-0.85) and first visit to private health facility (aOR: 1.79, CI: 1.34-2.39) were associated with health systems delay. The majority of rural TB patients registering at PHCs visited private health facilities first and incurred substantial direct OOP medical costs and delays prior to diagnosis and anti-tuberculosis treatment initiation. This study highlights the need for PHCs to be made as the preferred choice for first point of contact, to combat TB more efficiently.

Fate of Escherichia coli O157:H7 and Salmonella on whole strawberries and blueberries of two maturities under different storage conditions.

PubMed

Nguyen, Thao P; Friedrich, Loretta M; Danyluk, Michelle D

2014-07-01

Strawberries and blueberries harvested at or near full-ripe maturity tend to be less firm and more susceptible to bruising during harvest and transport. The objective of this research was to determine the fate of Escherichia coli O157:H7 and Salmonella on bruised and intact surfaces of whole strawberries and blueberries at shipping (2°C) and retail display (15.5°C) temperatures. Strawberries and blueberries were either purchased from a supermarket or were harvested immediately prior to use; they were bruised using established protocols, were spot inoculated, and were incubated at 2 and 15.5°C. Strawberries, subjected to modified atmospheres, were further transferred to bags and were sealed in with an initial atmosphere of ca. 10% CO2 and 5% O2. Strawberries were sampled at 0, 2, 5, and 24 h and on days 3 and 7; blueberries were sampled on days 0, 1, 3, and 7. After stomaching, samples were enumerated on nonselective and selective media, and populations were recorded as log CFU per berry. At both storage temperatures, population declines for both E. coli O157:H7 and Salmonella were seen under all conditions for strawberries. At 2 ± 2°C, E. coli O157:H7 and Salmonella populations on blueberries declined over 7 days under all conditions. At 15.5 ± 2°C, E. coli O157:H7 populations declined; however, Salmonella populations initially declined but increased to populations near or above initial populations over 7 days on blueberries. No overall significant differences were observed between bruised and intact treatments or between the two maturity levels for strawberries and blueberries. Modified atmospheric conditions did not affect the behavior of E. coli O157:H7 and Salmonella on strawberries at both temperatures. This research indicates that E. coli O157:H7 and Salmonella do not grow on strawberries at shipping or retail display temperatures, even when they are harvested at a maturity prone to bruising; however, Salmonella growth may occur on bruised full ripe blueberries under retail display temperatures.

Nonmedical prescription opioid use and illegal drug use: initiation trajectory and related risks among people who use illegal drugs in Vancouver, Canada.

PubMed

Cheng, Tessa; Small, Will; Nosova, Ekaterina; Hogg, Bob; Hayashi, Kanna; Kerr, Thomas; DeBeck, Kora

2018-01-16

We investigated the prevalence of and risk factors associated with initiating nonmedical prescription opioid use (NMPOU) before and after illegal drugs using data from two linked cohort studies of street youth and adults who use illegal drugs in Vancouver, Canada. All participants who attended a study visit between 2013 and 2016 were eligible for the primary analyses. Among 512 youth and 833 adult participants, the prevalence of NMPOU was extremely high (88% among street youth; 90% among adults), and over one-third of those who reported engaging in NMPOU had initiated NMPOU before illegal drug use (vs. transitioning from illegal drugs to NMPOU). Participants who reported either transitioning to or from NMPOU had higher risk profiles, particularly related to substance use, when compared with those who reported never engaging in NMPOU. Sub-analyses restricted to only those who engaged in NMPOU found few statistically significant differences between those who initiated NMPOU prior to illegal drugs versus those who initiated illegal drugs prior to NMPOU. Findings suggest that among people who use illegal drugs, early NMPOU trajectories do not appear to critically shape future patterns and practices.

Quantitative assessments of arousal by analyzing microsaccade rates and pupil fluctuations prior to slow eye movements.

PubMed

Honda, Shogo; Kohama, Takeshi; Tanaka, Tatsuro; Yoshida, Hisashi

2014-01-01

It is well known that a decline of arousal level causes of poor performance of movements or judgments. Our previous study indicates that microsaccade (MS) rates and pupil fluctuations change before slow eye movements (SEMs) (Honda et al. 2013). However, SEM detection of this study was obscure and insufficient. In this study, we propose a new SEM detection method and analyze MS rates and pupil fluctuations while subjects maintain their gaze on a target. We modified Shin et al.'s method, which is optimized for EOG (electrooculography) signals, to extract the period of sustaining SEMs using a general eye tracker. After SEM detection, we analyzed MS rates and pupil fluctuations prior to the initiation of SEMs. As a result, we were able to detect SEMs more precisely than in our previous study. Moreover, the results of eye movements and pupil fluctuations analyses show that gradual rise of MS rate and longitudinal miosis are observed prior to the initiation of SEMs, which is consistent with our previous study. These findings suggest that monitoring eye movements and pupil fluctuations may evaluate the arousal level more precisely. Further, we found that these tendencies become more significant when they are restricted to the initial SEMs.

Safety and efficacy of pirfenidone in idiopathic pulmonary fibrosis in clinical practice.

PubMed

Okuda, Ryo; Hagiwara, Eri; Baba, Tomohisa; Kitamura, Hideya; Kato, Terufumi; Ogura, Takashi

2013-09-01

Previous pirfenidone trials have only involved patients with mild-to-moderate idiopathic pulmonary fibrosis (IPF). The aim of this study was to investigate the safety and efficacy of pirfenidone in patients with mild-to-severe IPF in clinical practice. The clinical records of 76 patients who were diagnosed with IPF and received pirfenidone were reviewed. The most frequent adverse event was anorexia, although the grade of anorexia in most patients was mild. Dose reduction of pirfenidone improved anorexia in 84% affected patients, which resulted in a high medication compliance rate. The mean forced vital capacity (FVC) at the initiation of pirfenidone therapy in this study was approximately 10% lower than that in previous clinical trials. The mean change in FVC during the 6-month period prior to the therapy initiation was -188 mL, which improved to -19 mL during the 6-month period after therapy. Significant attenuation in percentage predicted diffusion capacity of the lung for carbon monoxide decline was also achieved after pirfenidone therapy initiation. The efficacy of pirfenidone in attenuating the degree of FVC decline was higher in the group with FVC decline of ≥150 mL during the 6-month period prior to therapy initiation. The levels of serum markers, such as KL-6 and SP-D, were also lowered by the therapy. These results showed that pirfenidone was well-tolerated and had beneficial effects in patients with mild-to-severe and/or progressive IPF. The degree of disease progression prior to the initiation of pirfenidone therapy had an impact on the response to the therapy. Copyright © 2013 Elsevier Ltd. All rights reserved.

Effects of soil conditions on survival and growth of black willow cuttings.

PubMed

Schaff, Steven D; Pezeshki, S Reza; Shields, F Douglas

2003-06-01

Current streambank restoration efforts focus on providing bank stability, enhancing water quality, and improving woody habitat using native vegetation rather than traditional engineering techniques. However, in most cases harsh site conditions limit restoration success. A two-year field study was conducted at Twentymile Creek, in northern Mississippi, investigating edaphic factors governing the survival of black willow (Salix nigra) cuttings used for streambank restoration. Low height growth, above-ground biomass production, and average leaf area were observed in willow cuttings grown in plots subjected to moisture deficits. However, sediment texture emerged as the dominant factor determining willow post growth, health, and survival. Shoot biomass, leaf biomass, and total above-ground biomass were 15-, 10-, and 14-fold greater for large willow cuttings (posts) grown in plots with sandy sediments relative to those grown in plots with similar moisture and soil redox potential but with silt and clay sediments. Average leaf size, average leaf mass and specific leaf area were all lower in fine textured plots. Under moisture conditions present at our sites, coarse-grained sediment (sand) was more conducive to willow growth, biomass production, and survival than were fine-grained sediments (silt/clay). Our results strongly suggest that soil texture and moisture conditions can determine restoration success. Therefore, it is critical that site conditions are factored into the selection of project locations prior to the initiation of willow planting restoration projects.

Is an Illustration Always Worth Ten Thousand Words? Effects of Prior Knowledge, Learning Style and Multimedia Illustrations on Text Comprehension.

ERIC Educational Resources Information Center

Ollerenshaw, Alison; Aidman, Eugene; Kidd, Garry

1997-01-01

This study examined comprehension in four groups of undergraduates under text only, multimedia, and two diagram conditions of text supplementation. Results indicated that effects of text supplementation are mediated by prior knowledge and learning style: multimedia appears more beneficial to surface learners with little prior knowledge and makes…

Derrick Bell's Post-"Brown" Moves toward Critical Race Theory

ERIC Educational Resources Information Center

Hughes, Sherick; Noblit, George; Cleveland, Darrell

2013-01-01

The late Professor Derrick Bell is renowned as the intellectual architect who drafted the blueprints that guided the initial development of critical race theory (CRT). Prior to the advent of CRT, Professor Bell wrote extensively on initiatives designed to improve the lives of African Americans. Among his most influential scholarship, "Serving…

49 CFR 1155.26 - Board determinations under 49 U.S.C. 10909.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 days prior to filing of application—Environmental report (and/or historic report, if applicable) filed and environmental process initiated pursuant to 49 CFR 1155.24. (i) Day 0—Application filed. (ii... date for initial comments. (iv) 30 days after the Final EIS (or other final environmental documentation...

Initiation of conidiation in Erysiphe necator is regulated by prior vegetative growth, inoculum density and light

USDA-ARS?s Scientific Manuscript database

Initiation of asexual sporulation in powdery mildews is preceded by a period of superficial vegetative growth of mildew colonies. We found evidence of signaling in Erysiphe necator that was promulgated at the colony center as early as five days after inoculation and stimulated sporulation throughout...

Kindergarten Readiness Impacts of the Arkansas Better Chance State Prekindergarten Initiative

ERIC Educational Resources Information Center

Hustedt, Jason T.; Jung, Kwanghee; Barnett, W. Steven; Williams, Tonya

2015-01-01

Enrollment in state-funded pre-K programs prior to kindergarten entry has become increasingly common. As each state develops its own model for pre-K, rigorous studies of the impacts of state-specific programs are needed. This study investigates impacts of the Arkansas Better Chance (ABC) initiative at kindergarten entry using a…

32 CFR 518.23 - Annual report content.

Code of Federal Regulations, 2010 CFR

2010-07-01

... of initial FOIA requests responded to (completed) during the fiscal year. This should include pending cases at the end of the prior fiscal year, Total Actions is the sum of Items 1b through 1e, on the DD... of initial FOIA requests responded to that were granted in full during the fiscal year. (This may...

The Early Assessment Conundrum: Lessons from the Past, Implications for the Future

ERIC Educational Resources Information Center

Bordignon, Catherine M.; Lam, Tony C. M.

2004-01-01

The early childhood educational field has garnered attention with initiatives to foster skill acquisition in young children prior to kindergarten entry. These initiatives, in conjunction with the rigorous demands of curricular reform and a burgeoning accountability movement, invoke questions regarding the adequacy of the instruments used to assess…

49 CFR 821.14 - Motions.

Code of Federal Regulations, 2012 CFR

2012-10-01

..., and Appeals From Law Judges Initial Decisions and Appealable Orders § 821.14 Motions. (a) General. Any... shall be by motion. Prior to the assignment of the proceeding to a law judge, all motions shall be... from the law judge's initial decision may be filed, all motions shall be addressed to the law judge. At...

49 CFR 821.14 - Motions.

Code of Federal Regulations, 2014 CFR

2014-10-01

..., and Appeals From Law Judges Initial Decisions and Appealable Orders § 821.14 Motions. (a) General. Any... shall be by motion. Prior to the assignment of the proceeding to a law judge, all motions shall be... from the law judge's initial decision may be filed, all motions shall be addressed to the law judge. At...

49 CFR 821.14 - Motions.

Code of Federal Regulations, 2013 CFR

2013-10-01

..., and Appeals From Law Judges Initial Decisions and Appealable Orders § 821.14 Motions. (a) General. Any... shall be by motion. Prior to the assignment of the proceeding to a law judge, all motions shall be... from the law judge's initial decision may be filed, all motions shall be addressed to the law judge. At...

Calcium handling precedes cardiac differentiation to initiate the first heartbeat

PubMed Central

Tyser, Richard CV; Miranda, Antonio MA; Chen, Chiann-mun; Davidson, Sean M

2016-01-01

The mammalian heartbeat is thought to begin just prior to the linear heart tube stage of development. How the initial contractions are established and the downstream consequences of the earliest contractile function on cardiac differentiation and morphogenesis have not been described. Using high-resolution live imaging of mouse embryos, we observed randomly distributed spontaneous asynchronous Ca2+-oscillations (SACOs) in the forming cardiac crescent (stage E7.75) prior to overt beating. Nascent contraction initiated at around E8.0 and was associated with sarcomeric assembly and rapid Ca2+ transients, underpinned by sequential expression of the Na+-Ca2+ exchanger (NCX1) and L-type Ca2+ channel (LTCC). Pharmacological inhibition of NCX1 and LTCC revealed rapid development of Ca2+ handling in the early heart and an essential early role for NCX1 in establishing SACOs through to the initiation of beating. NCX1 blockade impacted on CaMKII signalling to down-regulate cardiac gene expression, leading to impaired differentiation and failed crescent maturation. DOI: http://dx.doi.org/10.7554/eLife.17113.001 PMID:27725084