Science.gov

Sample records for jam ten years

  1. Affordances: Ten Years On

    ERIC Educational Resources Information Center

    Brown, Jill P.; Stillman, Gloria

    2014-01-01

    Ten years ago the construct, affordance, was rising in prominence in scholarly literature. A proliferation of different uses and meanings was evident. Beginning with its origin in the work of Gibson, we traced its development and use in various scholarly fields. This paper revisits our original question with respect to its utility in mathematics…

  2. ESEA Ten Years Later

    ERIC Educational Resources Information Center

    Halperin, Samuel

    1975-01-01

    Achievements cited for ESEA include that it broke the log jam on federal aid to education, spotted the needs of children, fueled other movements toward equality of educational opportunity, recruited quality personnel, promoted public-nonpublic cooperation, promoted parental and community involvement, and the evaluation/accountability movement.…

  3. Ten years of PAMELA

    NASA Astrophysics Data System (ADS)

    Spillantini, Piero

    2016-07-01

    Pamela experiment has been designed as a cosmic ray observatory at 1 AU, dedicated to the precise and high statistics study of CR fluxes on a three decades energy range, form a few tens MeV up to several hundred GeV region. It is the last step of the 'Russian-Italian Mission' (RIM) program born in 1992 between several Italian and Russian institutes and with the participation of the Royal Institute of Technology of Stockholm (Sweden) and the Siegen University (German). Launched the 16 June 2006 from Baikonur cosmodrome on board of the Resurs-DK1 Russian satellite by a Soyuz rocket in an elliptical (350-610 km) quasi polar orbit (70° inclination) it was activated on 21 June 2006, afterword has been in a continuous data taking mode for ten years. The Pamela program pays particular attention to the study of particles (protons and electrons) and antiparticles (antiprotons and positrons) energy spectra. It also includes search for possible signals of dark matter annihilation, search for primordial antimatter (antihelium), search for new Matter in the Universe (Strangelets?), study of cosmic-ray propagation, solar physics and solar modulation, terrestrial magnetosphere. This program is made possible thanks to the outstanding performance of the instrument, the low energy threshold, the quasi-polar orbit, the 10 years duration of the observation. Protons and helium nuclei are the most abundant components of the cosmic radiation and the precise measurements of their fluxes allow understanding the acceleration and propagation of cosmic rays in the Galaxy. Their spectral shapes cannot be well described by a single power law: at 230-240 GV they exhibit an abrupt spectral hardening. They challenge the current paradigm of cosmic-ray acceleration in supernova remnants followed by diffusive propagation in the Galaxy. Of paramount importance is the discover of the anomalous increase of the positron flux at energies higher that 50 GeV (the so called 'Pamela anomaly'). The review of

  4. Ten years of reviews.

    PubMed

    Grant, Maria J

    2017-03-01

    The March 2017 issue of the Health Information and Libraries Journal marks the 10 year anniversary of the inaugural review published in the journal's review series. The review series was conceived to meet the growing appetite of health library and information workers to access synthesised evidence to inform their practice; something we'd already been doing to support medics in their practice. This editorial looks back on the 10 years and the inspiration which saw the development of a typology of review types and associated methodologies to address the lack of consistent guidelines on the features a review should incorporate.

  5. Ten Years of CERI.

    ERIC Educational Resources Information Center

    Hameyer, Uwe

    1980-01-01

    Reports on the activities of the Centre for Educational Research and Innovation (CERI) within the last 10 years and in the future. Topics include mathematics instruction, lifelong learning, environmental education at the university level, inservice and preservice education and education for the handicapped adolescent. (SA)

  6. Ten Years of Chandra

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.

    2009-01-01

    We celebrated the 10-th anniversary of the Launch of the Chandra X-ray Observatory on July 13, 2009. During these 10 years data from this Great Observatory have had a profound impact on 21st century astrophysics. With its unrivaled capability to produce sub-arcsecond images, the Observatory has enabled astronomers to make new discoveries in topics as diverse as comets and cosmology. We shall review some of the highlights, discuss the current status, and future plans.

  7. Ten Years of Chandra

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.

    2009-01-01

    We celebrated the 10-th anniversary of the Launch of the Chandra X-ray Observatory on July 13, 2009. During these 10 years data from this Great Observatory have had a profound impact on 21st century astrophysics. With its unrivaled capability to produce sub-arcsecond images, the Observatory has enabled astronomers to make new discoveries in topics as diverse as comets and cosmology. We shall review some of the highlights, discuss the current status, and future plans.

  8. A Ten-Year Reflection

    ERIC Educational Resources Information Center

    Phillip, Cyndi

    2016-01-01

    Five initiatives launched during Cyndi Phillip's term as American Association of School Librarians (AASL) President (2006-2007) continue to have an impact on school librarians ten years later. They include the rewriting of AASL's learning standards, introduction of the SKILLS Act, the presentation of the Crystal Apple Award to Scholastic Library…

  9. A Ten-Year Reflection

    ERIC Educational Resources Information Center

    Phillip, Cyndi

    2016-01-01

    Five initiatives launched during Cyndi Phillip's term as American Association of School Librarians (AASL) President (2006-2007) continue to have an impact on school librarians ten years later. They include the rewriting of AASL's learning standards, introduction of the SKILLS Act, the presentation of the Crystal Apple Award to Scholastic Library…

  10. Ten Thousand Years of Solitude

    SciTech Connect

    Benford, G. California Univ., Irvine, CA . Dept. of Physics); Kirkwood, C.W. Arizona State Univ., Tempe, AZ . Coll. of Business Administration); Harry, O. ); Pasqualetti, M.J. Arizona State Univ., Tempe, AZ )

    1991-03-01

    This report documents the authors work as an expert team advising the US Department of Energy on modes of inadvertent intrusion over the next 10,000 years into the Waste Isolation Pilot Project (WIPP) nuclear waste repository. Credible types of potential future accidental intrusion into the WIPP are estimated as a basis for creating warning markers to prevent inadvertent intrusion. A six-step process is used to structure possible scenarios for such intrusion, and it is concluded that the probability of inadvertent intrusion into the WIPP repository over the next ten thousand years lies between one and twenty-five percent. 3 figs., 5 tabs.

  11. Ten Years Of PACS Experience

    NASA Astrophysics Data System (ADS)

    Hindel, Robert; Meyer-Ebrecht, Dieter; Heu, Ruettger; Oosterwijk, Herman

    1989-05-01

    A few of us here can look back ten years or more of having observed or even having participated in the PACS development. Depending on our point of view, little or much progress has been made since 1978. In the following, the authors will sketch a log book of an industrial developer and vendor, i.e., Philips Medical Systems. Some comments will turn out to be specifically applicable to the Philips Concern but the majority is probably also true for other major X-ray manufacturing companies. There are certain ground rules which have to be observed if a company wants to prove itself in a market as ambitious and complex as the medical market and, in particular, the PACS market. These ground rules will be either explicitly mentioned or are implied for the attentive listener. The following aspects will be considered:

  12. Photovoltaics: The next ten years

    SciTech Connect

    Yerkes, J.W.

    1984-08-01

    By 1984 companies manufacturing photovoltaics had been doing serious business making low cost solar arrays for twelve years. Grid connected systems of megawatt size are operating in California, and more are on the drawing board. At least six companies in the USA have produced thin film cells of over ten percent and more are working in the field. New short term goals for thin film efficiency in the twelve to fifteen percent range promise to challenge the single crystal silicon cell which has dominated the business since 1972. ARCO Solar believes that a new class of ULTRA GENERATORS twenty percent efficient and selling for two dollars per peak watt can be deployed by utilities in the 1990's.

  13. Fibreoptic bronchoscopy: ten years on.

    PubMed Central

    Mitchell, D M; Emerson, C J; Collyer, J; Collins, J V

    1980-01-01

    Fibreoptic bronchoscopy was introduced more than 10 years ago and is now in many centres a routine diagnostic procedure, having superseded rigid bronchoscopy. Its major role is in the diagnosis of bronchial carcinoma, where the results are as good as, if not better than, results with the rigid instrument. Other major applications have been found in investigating haemoptysis, transbronchial lung biopsy in interstitial lung disease, and in the critically ill patient in the intensive care unit. More recently, the instrument has been used to perform bronchoalveolar lavage in investigating interstitial lung diseases and to enable lobar and segmental lung function studies to be performed. Fibreoptic bronchoscopy is a major advance in the diagnosis of pulmonary diseases, but there will always be times when rigid bronchoscopy is preferable. PMID:7000258

  14. Ten years of commercial photovoltaic experience

    SciTech Connect

    Yerkes, J.W.

    1983-08-01

    This paper reviews the author's experience during the ten year period 1972 to 1982. Examples of type and size of photovoltaic systems deployed each year year during this period are given. A table of average photovoltaic module prices and volume is summarized at the end of the paper.

  15. Preparing Future Faculty: Ten Years Later

    ERIC Educational Resources Information Center

    Murphy, Sean P.; Aiossa, Elizabeth; Winter, Mary Mugica

    2010-01-01

    When Sean Murphy designed the Graduate Student Internship Program at the College of Lake County (CLC), his 2001 TETYC article about the then two-year-old program detailed his programmatic response to the job market. Ten years later, the CLC-DePaul University partnership remains the strongest of the original dozen cross-sector relationships CLC…

  16. 'Safe handling of nanotechnology' ten years on

    NASA Astrophysics Data System (ADS)

    Maynard, Andrew D.; Aitken, Robert J.

    2016-12-01

    In 2006, a group of scientists proposed five grand challenges to support the safe handling of nanotechnology. Ten years on, Andrew Maynard and Robert Aitken -- two of the original authors -- look at where we have come, and where we still need to go.

  17. Ten-year urban forestry action plan

    Treesearch

    J.W." Jerry" Van Sambeek

    2017-01-01

    The Ten-year Urban Forestry Action Plan: 2016-2026 was published in September, 2015 (see http://www.urbanforestry.subr.edu/FinalActionPlan_Complete_11_17_15.pdf). This 260 page heavily illustrated document was prepared by the National Urban and Community Forestry Advisory Council (NUCFAC) under leadership and funding from the USDA Forest Service. The Plan's...

  18. Ten year planetary ephemeris: 1986-1995

    NASA Technical Reports Server (NTRS)

    Espenak, F.

    1986-01-01

    Accurate geocentric positions are tabulated at five day intervals for the Sun, Mercury, Venus, Mars, Jupiter, Saturn, Uranus and Neptune during the ten year period 1986 through 1995. The apparent angular diameters, radial velocities, declinations and mean times of meridian transit of the seven planets and the Sun are graphically depicted for each year in the interval. Appendices are included which discuss the theory of planetary orbits and a FORTRAN program for calculating planetary ephemerides.

  19. Ten Years of Infrasound Observation in Korea

    NASA Astrophysics Data System (ADS)

    Lee, Hee-Il; Che, Il-Young; Kim, Tae Sung

    2010-05-01

    Over the ten years after the installation of our first seismo-acoustic array station (CHNAR) in September 1999, Korea Institute of Geoscience and Mineral Resources (KIGAM) has been continuously observing infrasound with an infrasound array network, named KIN (Korean Infrasound Network) in Korea. This network consists of seven seismo-acoustic arrays (BRDAR, KMPAR, CHNAR, YAGAR, KSGAR, ULDAR and TJIAR). The aperture size of the smallest array (KMPAR and TJIAR) is about 300m and the largest is about 1.4km. The number of acoustic gauges are between 4 (TJIAR) and 18 (YAGAR), and 1 or 5 seismometers are collocated at the center of the acoustic array. All seismic and infrasonic signals of the arrays are digitized at 40 samples/sec and transmitted to KIGAM in real time. Many interesting infrasound signals associated with different kind of anthropogenic source as well as natural one are detected by KIN. Ten years of seismo-acoustic data are analyzed by using PMCC program, and identified more than five thousand of infrasonic events and catalogued in our infrasound database. This database is used to study characteristics of seasonally dependent propagation of the infrasound wave in local scale, as well as to better understand how atmospheric condition affects the detection ratio at a specific station throughout the year. It also played a valuable role in discriminating the anthropogenic events such as the second nuclear test on 25 May 2009 in North Korea, from natural earthquakes, which is important in estimating the seismicity in Korea.

  20. Introduction: Spitzer -- The Next Ten Years

    NASA Astrophysics Data System (ADS)

    Storrie-Lombardi, Lisa J.

    2014-01-01

    NASA's Spitzer Space Telescope passed its ten-year launch anniversary in August 2013 marking a decade of exciting, ground-breaking infrared science programs. The observatory excels at observations aimed at characterizing exoplanets, brown dwarf weather, and studies of the high-redshift universe, and continues to support programs across a wide spectrum of astrophysical disciplines. The science synergy with other NASA missions continues to be outstanding. The current engineering assessment shows that Spitzer can continue operations into at least 2017. The talks in this special session highlight the current state of the art of Spitzer science programs in the fields of high-redshift galaxies, high-redshift clusters, exoplanets, and stellar variability. The speakers will also look to the future when Spitzer will have ceased to operate but will continue to have a substantial scientific impact.

  1. Women in Astronomy II: Ten Years After

    NASA Technical Reports Server (NTRS)

    Sargent, Wallace

    2004-01-01

    The meeting "Women in Astronomy II: Ten Years After" took place at the California Institute of Technology in Pasadena, CA June 27-28, 2003. The meeting was sponsored by the Committee on the Status of Women of the American Astronomical Society and was attended by about 155 participants. The purpose of the meeting was: "To review the current status of women in astronomy, understand their work environment, assess development since the 1992 Baltimore conference, and recommend future actions that will improve the environment for all astronomers." A description of the meeting and its background can be found at http://www.aas.org/%7Ecswa/WIA2003.html. The proceedings are being edited by Profs. Meg Urry (Yale University) and Ran Bagenal (University of Colorado). The principal outcome of WIAII was a series of recommendations, "The Pasadena Recommendations", which have been approved by the AAS Council and which can be found at http://www.aas.org/%7Ecswa/.

  2. Women in Astronomy II: Ten Years After

    NASA Technical Reports Server (NTRS)

    Sargent, Wallace

    2004-01-01

    The meeting "Women in Astronomy II: Ten Years After" took place at the California Institute of Technology in Pasadena, CA June 27-28, 2003. The meeting was sponsored by the Committee on the Status of Women of the American Astronomical Society and was attended by about 155 participants. The purpose of the meeting was: "To review the current status of women in astronomy, understand their work environment, assess development since the 1992 Baltimore conference, and recommend future actions that will improve the environment for all astronomers." A description of the meeting and its background can be found at http://www.aas.org/%7Ecswa/WIA2003.html. The proceedings are being edited by Profs. Meg Urry (Yale University) and Ran Bagenal (University of Colorado). The principal outcome of WIAII was a series of recommendations, "The Pasadena Recommendations", which have been approved by the AAS Council and which can be found at http://www.aas.org/%7Ecswa/.

  3. Ten Years of ENA Imaging from Cassini

    NASA Astrophysics Data System (ADS)

    Brandt, Pontus; Mitchell, Donald; Westlake, Joseph; Carbary, James; Paranicas, Christopher; Mauk, Barry; Krimigis, Stamatios

    2014-05-01

    In this presentation we will provide a detailed review of the science highlights of the ENA observations obtained by The Ion Neutral Camera (INCA) on board Cassini. Since the launch of Cassini, INCA has unveiled an invisible world of hot plasma and neutral gas of the two biggest objects of our solar system: the giant magnetosphere of Jupiter and Saturn. Although more than ten years ago, INCA captured the first ENA images of the Jovian system revealing magnetospheric dynamics and an asymmetric Europa neutral gas torus. Approaching Saturn, INCA observed variability of Saturn's magnetospheric activity in response to changes in solar wind dynamic pressure, which was contrary to expectations and current theories. In orbit around Saturn, INCA continued the surprises including the first imaging and global characterization of Titan's exosphere extended out to its gravitational Hill sphere; recurring injections correlating with periodic Saturn Kilometric Radiation (SKR) bursts and magnetic field perturbations; and the discovery of energetic ionospheric outflow. Perhaps most significant, and the focal point of this presentation, is INCA's contribution to the understanding of global magnetospheric particle acceleration and transport, where the combination between ENA imaging and in-situ measurements have demonstrated that transport and acceleration of plasma is likely to occur in a two-step process. First, large-scale injections in the post-midnight sector accelerate and transport plasma in to about 12 RS up to energies of several hundreds of keV. Second, centrifugal interchange acts on the plasma inside of this region and provides further heating and transport in to about 6RS. We discuss this finding in the context of the two fundamental types of injections (or ENA intensifications) that INCA has revealed during its ten years of imaging. The first type is large-scale injections appearing beyond 12 RS in the post-midnight sector that have in many cases had an inward component

  4. Anxiety and IBS revisited: ten years later

    PubMed Central

    POPA, STEFAN-LUCIAN; DUMITRASCU, DAN LUCIAN

    2015-01-01

    Background and aim Irritable bowel syndrome (IBS) has been associated with high prevalence of psychological and psychiatric disorders. However, the association between IBS and each of its subtypes (diarrhea IBS-D, constipation IBS-C, mixed IBS-M) with anxiety still remains unclear. The purpose of this study was to perform a comparative analysis of the association between anxiety and IBS on a period of ten years. Methods PubMed was searched for studies analyzing IBS and anxiety, published at 10 years interval. The study presents a comparative analysis of the articles that were published between 2003–2005 and 2013–2015, investigating the correlation between anxiety and IBS. Results The initial search identified 220 articles, from which 156 were published between 2013 and 2015, and 64 were published between 2003 and 2005. Of these articles, 15 articles were included in the review. Out of these 15 articles, 10 articles analyzed the correlation between anxiety-depression status in IBS patients using specific questionnaires, 2 articles analyzed genetic variables in IBS, 1 article analyzed serotonin and monoamine oxidase levels in IBS, 1 article analyzed serum levels of IL-1β and IL-10 in IBS, 1 article analyzed somatostatin and vasoactive intestinal peptide levels in IBS. The result was a review of 15 studies that analyzed the association between IBS and anxiety. Conclusions IBS is a heterogeneous disorder caused by numerous psychological, immunological, infectious, endocrine and genetic factors. In recent years, the number of studies concentrating on genetic factors, cytokines and hormones has increased in comparison with the 2003–2005 period, when clinical investigation, using mainly questionnaires was the essential method. Also, the total number of papers investigating anxiety and IBS, considerably increased. The recent studies have confirmed the fact that IBS symptoms are often exacerbated during stressful events and the psychiatric treatment has a positive

  5. Ten years of Lusi: A review

    NASA Astrophysics Data System (ADS)

    Miller, Stephen A.

    2016-04-01

    The Lusi mud eruption has continued uninterrupted for ten years, settling into its current steady-state as a quasi-periodic geyser system. Many past, current, and future studies aim to quantify this system, which increasing evidence suggests is a new-born, tectonic scale hydrothermal system linked to the nearby volcano complex. The debate about whether the triggering of Lusi was a natural event of rather caused by drilling continues, but evidence mounts from the behavior of this system that an anthropogenic cause is highly unlikely. Understanding this system is very important because of its social and economic impact on the surrounding communities, and whether it poses future geohazards in the region from future eruptions. A large effort of infrastructures and constant maintenance activity has been and is being conducted inside the 7km2 mud flooded area. This region is framed by a tall embankment that contains the erupted mud and protects the surrounding settlements. This system is also very important for understanding at a larger scale volcanic hydrothermal systems, and to determine whether this new geothermal resource might be exploited. A large effort is underway from an EU-grant supporting the Lusi-Lab project (CEED, University of Oslo) and an SNF grant supporting the University of Neuchatel to study this system from geochemical, geophysical, and modeling perspectives. This review talk summarizes what is known, what is still unclear, and will revisit the behavior of Lusi since its inception.

  6. Ten years of judicial gatekeeping under Daubert.

    PubMed

    Cecil, Joe S

    2005-01-01

    In the ten years since Daubert v Merrell Dow Pharmaceuticals, Inc, the standards for admissibility at trial of expert testimony in general and scientific evidence in particular have become more demanding. Reviews of recent cases and empirical studies of federal judges' and attorneys' practices indicate that judges are more likely to consider the admissibility of expert evidence prior to trial, to inquire more deeply into the reasoning and methodology that supports the expert opinions, and to limit or exclude such evidence from presentation at trial. Studies of published cases confirm this finding. Recent cases consider more difficult questions arising from the differing methodologies used in various areas of science. The current legal framework that assesses admissibility in terms of professional practice outside the courtroom is poorly suited to cases that require expertise across a wide range of specialties and force judges to choose from among different scientific methodologies. Future research should focus on the pretrial screening of expert testimony and interactions between the attorneys and experts in shaping that testimony.

  7. Spacelab - Ten years of international cooperation

    NASA Technical Reports Server (NTRS)

    Bignier, M.; Harrington, J. C.; Sander, M. J.

    1983-01-01

    The history, current status, and future plans of the Spacelab program are reviewed, with a focus on the cooperative relationship between ESA and NASA. The initial decision to undertake the program and the three agreements signed to begin its implementation are examined, and the division of responsibilities and financial contributions is discussed insofar as it affected the management structure. Consideration is given to the major facilities, the 50-mission operational cycle, communications, the currently scheduled activities (through 1985), the prospective later uses, and the ten dedicated discipline laboratories. The importance of continuous mutual support during the planning and development phases is stressed. The program so far is considered a success, in terms of the goals set by the participants and in terms of the resolution of the problems inherent in international technological endeavors.

  8. Spacelab - Ten years of international cooperation

    NASA Technical Reports Server (NTRS)

    Bignier, M.; Harrington, J. C.; Sander, M. J.

    1983-01-01

    The history, current status, and future plans of the Spacelab program are reviewed, with a focus on the cooperative relationship between ESA and NASA. The initial decision to undertake the program and the three agreements signed to begin its implementation are examined, and the division of responsibilities and financial contributions is discussed insofar as it affected the management structure. Consideration is given to the major facilities, the 50-mission operational cycle, communications, the currently scheduled activities (through 1985), the prospective later uses, and the ten dedicated discipline laboratories. The importance of continuous mutual support during the planning and development phases is stressed. The program so far is considered a success, in terms of the goals set by the participants and in terms of the resolution of the problems inherent in international technological endeavors.

  9. The Columbine Tragedy Ten Years Later

    ERIC Educational Resources Information Center

    Hammond, Jane

    2009-01-01

    Some tragedies are so emblazoned in people's minds that years later they can recall where they were when they first heard the news. The assassinations of John F. Kennedy and Martin Luther King Jr., the Challenger explosion, and the Sept. 11 terrorist attacks are among these events. So also is the Columbine High School tragedy of April 20, 1999.…

  10. Assessment Update: The First Ten Years.

    ERIC Educational Resources Information Center

    National Center for Higher Education Management Systems, Boulder, CO.

    This document provides complete collections of columns from the journal "Assessment Update" for the past 10 years. By-lined columns from Trudy W. Banta, Editor, include articles on: (1) encouraging faculty involvement in assessment; (2) the growing variety of assessment methods; (3) assessment in response to external pressures: performance funding…

  11. Hyperactive Children: A Ten-Year Study

    ERIC Educational Resources Information Center

    Miller, James S.

    1978-01-01

    Available from: Arthur Retlaw and Associates, Inc., Suite 2080, 1603 Orrington Avenue, Evanston, Illinois 60201. A 10-year pediatric practice involving the observation of 290 children diagnosed as hyperactive led to the beliefs that hyperactivity is an emotional problem and that the child's inner state or family relationships should be central…

  12. The Next Ten Years in Education.

    ERIC Educational Resources Information Center

    Dede, Chris

    A person's beliefs about the future are very powerful in shaping his or her actions. The issue of what image of the next 10 years is most appropriate for educators today can be examined metaphorically with differing visions of what education can become. By using a series of predictions and by consolidating forecasts from futures research,…

  13. The Columbine Tragedy Ten Years Later

    ERIC Educational Resources Information Center

    Hammond, Jane

    2009-01-01

    Some tragedies are so emblazoned in people's minds that years later they can recall where they were when they first heard the news. The assassinations of John F. Kennedy and Martin Luther King Jr., the Challenger explosion, and the Sept. 11 terrorist attacks are among these events. So also is the Columbine High School tragedy of April 20, 1999.…

  14. Ten-year space launch technology plan

    NASA Technical Reports Server (NTRS)

    1992-01-01

    This document is the response to the National Space Policy Directive-4 (NSPD-4), signed by the President on 10 Jul. 1991. Directive NSPD-4 calls upon the Department of Defense (DoD), the Department of Energy (DOE), and the National Aeronautics and Space Administration (NASA) to coordinate national space launch technology efforts and to jointly prepare a 10-year space launch technology plan. The nation's future in space rests on the strength of its national launch technology program. This plan documents our current launch technology efforts, plans for future initiatives in this arena, and the overarching philosophy that links these activities into an integrated national technology program.

  15. Redefining Assessment? The First Ten Years of Assessment in Education

    ERIC Educational Resources Information Center

    Broadfoot, Patricia; Black, Paul

    2004-01-01

    The completion of the first ten years of this journal is an occasion for review and reflection. The main issues that have been addressed over the ten years are summarized in four main sections: Purposes, International Trends, Quality Concerns and Assessment for Learning. Each of these illustrates the underlying significance of the themes of…

  16. Redefining Assessment? The First Ten Years of Assessment in Education

    ERIC Educational Resources Information Center

    Broadfoot, Patricia; Black, Paul

    2004-01-01

    The completion of the first ten years of this journal is an occasion for review and reflection. The main issues that have been addressed over the ten years are summarized in four main sections: Purposes, International Trends, Quality Concerns and Assessment for Learning. Each of these illustrates the underlying significance of the themes of…

  17. Ten years of SLR production in Argentina

    NASA Astrophysics Data System (ADS)

    Pacheco, A.; Podestá, R.; Yin, Z.; Liu, W.; Actis, E.; Adarvez, S.; Quinteros, J.; Podestá, F.

    2017-07-01

    SLR technique is a proved astro-geodetic art with a significant power to contribute to Earth and Space Sciences. Therefore, scientific applications of SLR System are able to perform multiple tasks in the fields of Astrometry, Geodesy and Geophysics. The results we show here were obtained from satellite observations made at SLR 7406 Station of Observatorio Astronómico Félix Aguilar (OAFA) in San Juan, Argentina. The telescope was installed early on 2006, in concordance with an International Cooperation Agreement between Universidad Nacional de San Juan, Argentina and Chinese Academy of Sciences. In this abstract we show the current research being done with ILRS 7406 station: Length of day (LOD) and Angular velocity of Earth Rotation, calculated weekly; Pole Motion. ILRS7406 is daily surveying Pole coordinates x and y; Tracking SLR to GNSS constellations. SLR System contributes to the adjustment and validation of satellite GALILEO, GPS, GLONASS, and BEIDOU orbits. Our station is nowadays member of the new ITRF 2014 frame, and these past years has been one of the 3 highest producing SLR Stations on the ILRS net, composed of about 40 stations distributed all around the world. The obtained results during this first 10 years of experience are useful to enhance the traditional collaboration between OAFA and international services such as ILRS, IERS and NASA.

  18. Ten years of CR physics with PAMELA

    NASA Astrophysics Data System (ADS)

    Galper, A.; Spillantini, P.

    2017-09-01

    The satellite borne Pamela instrument is dedicated to the precise and high statistics study of CR fluxes on a four decades energy range. Pamela experiment is the last step of the "Russian-Italian Mission" (RIM) program established in 1992 between several Italian and Russian institutes and with the participation of Sweden and Germany. Designed as a cosmic ray observatory at 1 AU, it extensive program is made possible thanks to the outstanding performance of the instrument, the low energy threshold, the quasi-polar orbit and the 10 years duration of the observation. The physics program pays particular attention to the study of particles and antiparticles fluxes and includes search for dark matter, primordial antimatter, new matter in the Universe, study of cosmic-ray propagation, solar physics and solar modulation, and terrestrial magnetosphere. Very important is the discovery of the anomalous increase of the positron flux at energies higher that 50 GeV (the so called "Pamela anomaly"), and the abrupt spectral hardening of H and He, challenging the current paradigm of cosmic-ray acceleration and propagation in the Galaxy.

  19. Anaphylaxis: a ten years inpatient retrospective study.

    PubMed

    Techapornroong, Malee; Akrawinthawong, Krittapoom; Cheungpasitporn, Wisit; Ruxrungtham, Kiat

    2010-12-01

    The actual incidence of anaphylaxis is unknown. Periodical study of the anaphylaxis in different countries will raise the awareness to improve further the prevention and care. To investigate anaphylaxis among inpatients in the previous decade, we conducted a retrospective study of adult patients between 1992 and 2001 at a tertiary care center in Bangkok. Of 448,211 admissions, 80 events of anaphylaxis in 79 patients (0.017%) were found. The incidence had increased from 2.6 to 46 per 100,000 inpatients. Mean age +/- SD was 36 +/- 16 years-old, with an equal male:female ratio. Drugs, mainly antibiotics and nonsteroidal anti-inflammatory agents, (48%) and food (31%) were the most common causes. Over-the-counter medication and multiple drug use were responsible for up to a half of the unspecified drug causes. There was no fatality. 84% received epinephrine, but in only 7% it was given intramuscularly. Fifteen cases (20%) had a history of prior anaphylaxis, nonetheless only one had received prefilled epinephrine. The rise in the incidence of anaphylaxis over the two decades of the study period is alarming. Raising the awareness of anaphylaxis management among healthcare providers and the public is warranted.

  20. Minimally invasive thyroidectomy: a ten years experience

    PubMed Central

    Viani, Lorenzo; Montana, Chiara Montana; Cozzani, Federico; Sianesi, Mario

    2016-01-01

    Background The conventional thyroidectomy is the most frequent surgical procedure for thyroidal surgical disease. From several years were introduced minimally invasive approaches to thyroid surgery. These new procedures improved the incidence of postoperative pain, cosmetic results, patient’s quality of life, postoperative morbidity. The mini invasive video-assisted thyroidectomy (MIVAT) is a minimally invasive procedure that uses a minicervicotomy to treat thyroidal diseases. Methods We present our experience on 497 consecutively treated patients with MIVAT technique. We analyzed the mean age, sex, mean operative time, rate of bleeding, hypocalcemia, transitory and definitive nerve palsy (6 months after the procedure), postoperative pain scale from 0 to 10 at 1 hour and 24 hours after surgery, mean hospital stay. Results The indications to treat were related to preoperative diagnosis: 182 THYR 6, 184 THYR 3–4, 27 plummer, 24 basedow, 28 toxic goiter, 52 goiter. On 497 cases we have reported 1 case of bleeding (0,2%), 12 (2,4%) cases of transitory nerve palsy and 4 (0,8%) definitive nerve palsy. The rate of serologic hypocalcemia was 24.9% (124 cases) and clinical in 7.2% (36 cases); 1 case of hypoparathyroidism (0.2%). Conclusions The MIVAT is a safe approach to surgical thyroid disease, the cost are similar to CT as the adverse events. The minicervicotomy is really a minimally invasive tissue dissection. PMID:27294036

  1. Ten Years of the Armenian Virtual Observatory

    NASA Astrophysics Data System (ADS)

    Mickaelian, A. M.; Astsatryan, H. V.; Knyazyan, A. V.; Magakian, T. Yu.; Mikayelyan, G. A.; Erastova, L. K.; Hovhannisyan, L. R.; Sargsyan, L. A.; Sinamyan, P. K.

    2016-06-01

    Armenian Virtual Observatory (ArVO, www.aras.am/Arvo/arvo.htm) was created 10 years ago, in 2005, when after the accomplishment of the Digitized First Byurakan Survey (DFBS, www.aras.am/Dfbs/dfbs.html) we had enough resources to run a VO project and contribute in the International Virtual Observatory Alliance (IVOA, www.ivoa.net). ArVO is a project of Byurakan Astrophysical Observatory (BAO) aimed at construction of a modern system for data archiving, extraction, acquisition, reduction, use and publication. ArVO technical and research projects include Global Spectroscopic Database, which is being built based on DFBS. Quick optical identification of radio, IR or X-ray sources will be possible by plotting their positions in the DFBS or other spectroscopic plate and matching all available data. Accomplishment of new projects by combining data is so important that the International Council of Scientific Unions (ICSU) recently created World Data System (WDS, www.icsu-wds.org/) for unifying data coming from all science areas, and BAO has also joined it due to DFBS and ArVO projects.

  2. Planning the global family. Ten years on.

    PubMed

    Singh, J S

    1984-06-01

    which involve bringing birthrates down from around 37/1000 women to something closer to 22/1000 by 2000. Governments all over the world indicate that they would not hesitate to take action if they were worried about population trends. This is a marked change, for at the beginning of the 1950s almost every government in the world saw more people as a national asset. Currently, the welfare of individual human beings has become much more of a priority, and the Mexico City Conference will be concerned with how the world will provide for 10.2 billion people in the year 2100.

  3. EXTREMITY SARCOMA SURGERY IN YOUNGER CHILDREN: TEN YEARS OF PATIENTS TEN YEARS AND UNDER

    PubMed Central

    Israelsen, Ryan B; Ilium, Benjamin E; Crabtree, Susie; Randall, R Lor; Jones, Kevin B

    2011-01-01

    Sarcoma surgeons face unique challenges in younger patients with significant skeletal growth remaining. The heightened concerns regarding radiation in the very young and the drastic changes expected in the lengths and cross-sectional areas of bones affect the decision-making for both soft-tissue and bone sarcomas in this population. Nonetheless, there is sparse literature focused on sarcoma surgery in this age group. The records of one tertiary regional sarcoma treatment program were reviewed to identify all patients ten years old or younger at the time of local control surgery for limb or limb-girdle sarcomas. Demographic information, diagnosis, surgery performed, complications, and general outcomes were gleaned from the medical records. 43 patients were identified, including 15 with osteosarcomas, 11 Ewing’s sarcoma family tumors, five rhabdomyosarcomas, and two synovial sarcomas, among others. Location of tumors varied widely, but demonstrated a predilection for the upper extremity more than is typical in adolescents with the same tumor types. Survival was favorable overall, with only five patients dying from disease. Most patients continued to function well at latest follow-up, but 16 experienced additional surgical interventions following the index procedure. Sarcoma surgery in the younger growing child presents challenges for the surgeon, patient, and parents, but is usually successful in the long-term. PMID:22096434

  4. Ten Commandments Revisited: A Ten-Year Perspective on the Industrial Application of Formal Methods

    NASA Technical Reports Server (NTRS)

    Bowen, Jonathan P.; Hinchey, Michael G.

    2005-01-01

    Ten years ago, our 1995 paper Ten Commandments of Formal Methods suggested some guidelines to help ensure the success of a formal methods project. It proposed ten important requirements (or "commandments") for formal developers to consider and follow, based on our knowledge of several industrial application success stories, most of which have been reported in more detail in two books. The paper was surprisingly popular, is still widely referenced, and used as required reading in a number of formal methods courses. However, not all have agreed with some of our commandments, feeling that they may not be valid in the long-term. We re-examine the original commandments ten years on, and consider their validity in the light of a further decade of industrial best practice and experiences.

  5. Managing mountain hardwoods - a ten-year appraisal

    Treesearch

    George R., Jr. Trimble

    1961-01-01

    Ten years ago - in 1949 - four 5-acre plots were established on the Fernow Experimental Forest near Parsons, West Virginia, to show the effects upon mountain hardwoods of each of four management treatments.

  6. Ten Take Home Lessons from the First Ten Years of the CTN and Ten Recommendations for the Future

    PubMed Central

    Carroll, Kathleen M.; Ball, Samuel A.; Jackson, Ron; Martino, Steve; Petry, Nancy M.; Stitzer, Maxine L.; Wells, Elizabeth A.; Weiss, Roger D.

    2011-01-01

    The first ten years of the National Institute on Drug Abuse’s Clinical Trials Network (CTN) yielded a wealth of data on the effectiveness of a number of behavioral, pharmacologic, and combined approaches in community based settings. As an introduction to this Special Issue on the CTN, we summarize some of the methodological contributions and lessons learned from the behavioral trials conducted during its first ten years, including the capacity and enormous potential of this national research infrastructure; contributions to the methodology of effectiveness research; new insights from secondary analyses; the extent to which approaches with strong evidence bases, such as contingency management, extend their effectiveness to real world clinical settings; new data on ‘standard treatment’ as actually practiced in community programs, the extent to which retention remains a major issue in the field; important data on the safety of specific behavioral therapies for addiction; and heightened the importance of continued sustained attention to bridging the gap between treatment and research. Possible areas of focus for the CTN’s future include defining common outcome measures to be used in treatment outcome studies for illicit drugs; incorporating performance indicators and measures of clinical significance; conducting comparative outcome studies; contributing to the understanding of effective treatments of comorbidity; reaching underserved populations; building implementation science; understanding long-term outcomes of current treatments and sustaining treatment effects; and conducting future trials more efficiently. PMID:21854269

  7. Final Examinations in the Russian Ten-Year School.

    ERIC Educational Resources Information Center

    Apanasewicz, Nellie; Rosen, Seymour M.

    In May and June of each year, Soviet students who have completed grades one through ten face a final examination in each of the major subjects which they have studied. The examinations are constructed by the ministries of education in the Soviet republics and are submitted to the individual school district authorities. The type, form, and purpose…

  8. The First Ten Years. National Sea Grant College Program.

    ERIC Educational Resources Information Center

    Hull, E. W. Seabrook

    Detailed are the first ten years of the Sea Grant Program through 1976. The review is divided into three parts. Part I, Sea Grant Origin and Process, traces the historical development of the program and cites the program's philosophy. Part II, Sea Grant in Action, discusses marine resource development, marine technology, research and development,…

  9. Ten-year earnings from two small woodlands

    Treesearch

    Wilfred C. Mitchell; Henry H. Webster

    1961-01-01

    Ten years ago, management was started on two 30-acre demonstration woodlots on the Fernow Experimental Forest near Parsons, West Virginia. These were designated as Farm Woodlots, on the assumption that there was something significantly different between management incentives and opportunities for small holdings owned by farmers and for those owned by non-farmers.

  10. Ten Years after Columbine: The Tragedy of Youth Deepens

    ERIC Educational Resources Information Center

    Giroux, Henry A.

    2009-01-01

    For young people it just gets worse. Ten years after the Columbine tragedy, the debate over school safety has clearly shown that educators, parents, politicians, and the mainstream media have created the conditions in which young people have increasingly become the victims of adult mistreatment, indifference, neglect, even violence. The tragic…

  11. Ten Years after Columbine: The Tragedy of Youth Deepens

    ERIC Educational Resources Information Center

    Giroux, Henry A.

    2009-01-01

    For young people it just gets worse. Ten years after the Columbine tragedy, the debate over school safety has clearly shown that educators, parents, politicians, and the mainstream media have created the conditions in which young people have increasingly become the victims of adult mistreatment, indifference, neglect, even violence. The tragic…

  12. A ten year review of performance of photovoltaic systems

    SciTech Connect

    Rosenthal, A.L.; Durand, S.J.; Thomas, M.G.

    1993-06-01

    This paper presents data compiled by the Photovoltaic Design Assistance Center at Sandia National Laboratories from more than eighty field tests performed at over thirty-five photovoltaic systems in the United States during the last ten years. The recorded performance histories, failure rates, and degradation of post-Block IV modules and balance-of-system (BOS) components are described in detail.

  13. Reflections on Ten Years of Network Time Service

    DTIC Science & Technology

    2005-01-01

    36th Annual Precise Time and Time Interval (PTTI) Meeting 1 REFLECTIONS ON TEN YEARS OF NETWORK TIME SERVICE Richard...Schmidt Time Service Department U.S. Naval Observatory Washington, DC 20392-5420, USA E-mail: res@tuttle.usno.navy.mil Abstract The year...2004 marks the 10th anniversary since the start of U.S. Naval Observatory (USNO) time dissemination on the Internet using the Network Time Protocol

  14. Ten years of catalyst recycling: A step to the future

    SciTech Connect

    Case, A.; Garretson, G.; Wiewiorowski, E.

    1995-12-31

    The Port Nickel facility in Braithwaite, Louisiana, is known for pioneering hydrometallurgical processes for the separation and recovery of nickel, cobalt and copper. Ten years ago, in 1985, a new CRI-MET process for the recovery of molybdenum, vanadium, nickel, cobalt and alumina from spent catalysts was developed and implemented. Spent catalysts from the petroleum industry constitute the majority of feed. These are not only a valuable source of metals, but due to EPA regulations are frequently classified as hazardous under RCRA. Molybdenum and vanadium are selectively leached in an oxidative hydrothermal step. Alumina is then extracted in a Caustic digestive leach. The unique technology produces four primary commercial products: molybdenum trioxide, vanadium oxide, aluminum trihydrate and nickel-cobalt concentrate. This paper discusses the process, modifications during ten years of operation, and the relationship of these modifications to the future of the catalyst recycling business.

  15. Lessons learned from ten years of distance learning outreach*

    PubMed Central

    Locatis, Craig; Gaines, Cynthia; Liu, Wei-Li; Gill, Michael; Ackerman, Michael

    2015-01-01

    Objective: The study tested the efficacy of providing distance learning with real-time videoconferencing to broaden high school student knowledge of health careers. Methods: A pilot program was tried out and extended over ten years to include other schools in four different time zones and the National Library of Medicine. Survey results, site visits, and continued school participation were used as effectiveness indicators. Student ratings, site visits, and ongoing discussions were used to evaluate critical factors in the program. Results: Nine program factors contributed to success. Conclusions: Synchronous communication can be effective for outreach to special populations given appropriate infrastructure, technology, program design, and implementation. PMID:25918486

  16. Lessons learned from ten years of distance learning outreach.

    PubMed

    Locatis, Craig; Gaines, Cynthia; Liu, Wei-Li; Gill, Michael; Ackerman, Michael

    2015-04-01

    The study tested the efficacy of providing distance learning with real-time videoconferencing to broaden high school student knowledge of health careers. A pilot program was tried out and extended over ten years to include other schools in four different time zones and the National Library of Medicine. Survey results, site visits, and continued school participation were used as effectiveness indicators. Student ratings, site visits, and ongoing discussions were used to evaluate critical factors in the program. Nine program factors contributed to success. Synchronous communication can be effective for outreach to special populations given appropriate infrastructure, technology, program design, and implementation.

  17. Nutrition and cancer education: ten years of progress.

    PubMed

    Ashley, J M; St Jeor, S T; Veach, T L; Mackintosh, F R; Anderson, J L; Perumean-Chaney, S E; Krenkel, J A; Scott, B J

    2000-01-01

    The Nutrition Education and Research Program at the University of Nevada School of Medicine was awarded two separate NIH/NCI R25 cancer education grants over a ten-year period. With this support, a four-year longitudinal nutrition curriculum was implemented, including the required 20-hour freshman Medical Nutrition Course, junior and senior nutrition electives, and a senior assignment in nutrition and cancer during the rural rotation with faculty preceptors. Funding has also supported nutrition integration into the basic science courses, patient care courses, and specialty clerkships. A unique nutrition fellowship for medical students who specialize in nutrition during their four years of training and graduate with special Qualifications in Nutrition (SQIN) has also been instituted. The curriculum reflects a longitudinal, interdisciplinary, but flexible, integration of nutrition into an already crowded medical school education.

  18. Results in Assisted Peritoneal Dialysis: A Ten-Year Experience

    PubMed Central

    Querido, Sara; Branco, Patrícia Quadros; Costa, Elisabete; Pereira, Sara; Gaspar, Maria Augusta; Barata, José Diogo

    2015-01-01

    Background/Aims. Peritoneal dialysis is a successful renal replacement therapy (RRT) for old and dependent patients. We evaluated the clinical outcomes of an assisted peritoneal dialysis (aPD) program developed in a Portuguese center. Methods. Retrospective study based on 200 adult incident patients admitted during ten years to a PD program. We included all 17 patients who were under aPD and analysed various parameters, including complications with the technique, hospitalizations, and patient and technique survival. Results. The global peritonitis rate was lower in helped than in nonhelped patients: 0.4 versus 0.59 episodes/patient/year. The global hospitalization rate was higher in helped than in nonhelped patients: 0.67 versus 0.45 episodes/patient/year (p = NS). Technique survival in helped patients versus nonhelped patients was 92.3%, 92.3%, 83.1%, and 72.7% versus 91.9%, 81.7%, and 72.1%, and 68.3%, at 1, 2, 3, and 4 years, respectively (p = NS), and patient survival in helped patients versus nonhelped patients was 93.3%, 93.3%, 93.3%, and 74.7% versus 95.9% 93.7%, 89%, and 82% at 1, 2, 3, and 4 years, respectively (p = NS). Conclusions. aPD offers an opportune, reliable, and effective home care alternative for patients with no other RRT options. PMID:26600950

  19. A University Department of Family Medicine After Ten Years

    PubMed Central

    Geyman, John P.; Phillips, Theodore J.

    1982-01-01

    The Department of Family Medicine at the University of Washington was started ten years ago after a major curriculum change in the medical school placed new emphasis on education and training of family physicians for the surrounding region in Washington, Alaska, Montana and Idaho (WAMI). This department has organized active programs in patient care, teaching and research at the university base and in a number of affiliated community sites throughout the region. The department is well accepted within the mission of the medical school. Almost a third of graduating medical students choose postgraduate training in family practice. Almost 90 percent of the graduates of the ten programs within the department's network of family practice residencies are established in active family practices, with more than two thirds settling in the WAMI region. Follow-up studies show that these graduates feel well prepared for their practices; are providing a broad range of services in rural, suburban and urban settings; are typically involved in partnership or group practice; and are generally well satisfied with their personal and professional lives. PMID:7064482

  20. Ten years of progress in the Superfund Program

    SciTech Connect

    Clay, D.R. )

    1991-02-01

    Superfund celebrated its tenth anniversary in December 1990. The Comprehensive Environmental Response, Compensation, and Liability Act (CERCLA) - popularly known as Superfund - was passed into law in December 1980 in the wake of such incidents as Love Canal and the Valley of the Drums. The program was designed to clean up uncontrolled hazardous waste sites and, during the past ten years, thousands of actions have been taken to protect human health and the environment from the hazards posed by those sites. EPA believes that goal is best met by its strategy: make sites safer - control immediate threats; enforce aggressively; make sites cleaner - worst problems at worst sites first; bring new technology to bear on the problem.

  1. Ten years of police defibrillation: program characteristics and personnel attitudes.

    PubMed

    Papson, Kendra; Mosesso, Vincent N

    2005-01-01

    In 1992,a study to evaluate the effectiveness of police defibrillation was initiated in seven suburban police departments. This paper describes the characteristics of those programs and the attitudes of chiefs and officers ten years after the commencement of that study. A 32-item survey instrument including questions on department demographics, defibrillation program characteristics, and attitudes was mailed to the chiefs. A separate 25-item survey was developed to assess officers' attitudes; a non-management officer distributed and collected these surveys anonymously. Responses are reported descriptively. All seven chiefs and 78% of the officers completed surveys. Police arrive prior to emergency medical services on 80% or more of calls, with a mean +/- standard deviation response interval of 3.1 +/-1.7 minutes. All departments identify a program coordinator and six a medical director; three departments have a quality-improvement program. Five departments have liability coverage for the use of an automated external defibrillator (AED), and no department reported any liability-related problems. Five of the chiefs and 82% of the officers disagreed or strongly disagreed that liability issues are a concern or a source of hesitation in using the AED. Ninety-six percent of the officers agreed or strongly agreed that police AED use is beneficial to cardiac arrest victims. All seven police chiefs and 89% of the officers agreed or strongly agreed that AED use by police is appropriate. In these seven police departments with ten years of program experience, defibrillation has become integrated into the law-enforcement culture. Liability issues are not a prominent concern of chiefs or officers. Police chiefs and officers in these departments continue to support police-based defibrillation programs.

  2. Lateral patellar retinacular release: changes over the last ten years.

    PubMed

    Fonseca, Leonardo Pini Rosalem Marciano da; Kawatake, Ednei Haruo; Pochini, Alberto de Castro

    2017-01-01

    Lateral retinacular release is a useful resource in knee surgery that can be used for disorders of the extensor mechanism. For many years, it was indiscriminately used in the treatment of the various patellofemoral joint alterations, with conflicting functional results. This study aimed to analyze the changes that have occurred in the indications and clinical effectiveness of lateral retinacular release by reviewing the relevant literature of the past ten years, comparing it to the classic literature on the subject. It was found that less extensive releases decompress the lateral patellar facet, helping with pain control, while decreasing the risks of medial subluxation. Nowadays, there is clear evidence for its indication in the lateral patellar hypercompression syndrome associated with anterior knee pain, as long as there is no related instability; furthermore, it will normally play an adjuvant role in extensor mechanism alignment surgeries for cases of recurrent patellar instability. The initial results for symptomatic patellofemoral osteoarthritis are promising when lateral release is combined with cartilage debridement; in total knee replacement, it is more commonly used for the correction of valgus deformity in order to improve the components' congruency. Finally, distinguishing the different patellofemoral joint pathologies is seen as crucial in order to indicate this procedure. Further randomized control trials that compare surgical techniques with long-term results are still needed.

  3. Ten year experience with infrainguinal revascularization for limb salvage.

    PubMed

    Klamer, T W; George, S M; Lambert, G E

    1996-07-01

    Revascularization is the only alternative to amputation for patients with severe, symptomatic infrainguinal ischemia. It is the purpose of this study to determine the success of revascularization as defined by limb salvage in a personal 10-year operative experience. Primary infrainguinal bypass procedures were performed on 312 threatened limbs of 271 consecutive patients in the period between January 1, 1983, and December 31, 1992. Repeat revascularization was performed for failing/failed grafts as long as the extremity was viable and an outflow vessel could be found by either preoperative or intraoperative angiography. Ten patients died within 30 days of the primary procedure (4%) and the 5-year patient survival was 57%. Major amputations (AK or BK) were performed on 50 extremities over the 10-year period; cumulative 72-month limb salvage was 72%. Fifty-eight of the 312 extremities (19%) required 81 reoperations for failing/failed grafts, including a second procedure in 58, a third procedure in 14, and a fourth procedure in 9. Graft occlusions in which revision was either not attempted or was ultimately unsuccessful occurred in 72 extremities and led to 44 amputations. Cumulative primary and secondary graft patency for autologous conduit was clearly superior to nonautologous conduit (57% and 67% vs 20% and 21% respectively at 60 months). We believe that this approach to infrainguinal revascularization is warranted as the mortality is low and the likelihood of success is high. A long term commitment to careful postoperative surveillance is mandatory as reintervention is frequently required to maintain graft patency and limb salvage.

  4. Ten-year survival of cemented total knee replacement in patients aged less than 55 years.

    PubMed

    Keenan, A C M; Wood, A M; Arthur, C A; Jenkins, P J; Brenkel, I J; Walmsley, P J

    2012-07-01

    We report the ten-year survival of a cemented total knee replacement (TKR) in patients aged < 55 years at the time of surgery, and compare the functional outcome with that of patients aged > 55 years. The data were collected prospectively and analysed using Kaplan-Meier survival statistics, with revision for any reason, or death, as the endpoint. A total of 203 patients aged < 55 years were identified. Four had moved out of the area and were excluded, leaving a total of 221 TKRs in 199 patients for analysis (101 men and 98 women, mean age 50.6 years (28 to 55)); 171 patients had osteoarthritis and 28 had inflammatory arthritis. Four patients required revision and four died. The ten-year survival using revision as the endpoint was 98.2% (95% confidence interval 94.6 to 99.4). Based on the Oxford knee scores at five and ten years, the rate of dissatisfaction was 18% and 21%, respectively. This was no worse in the patients aged < 55 years than in patients aged > 55 years. These results demonstrate that the cemented PFC Sigma knee has an excellent survival rate in patients aged < 55 ten years post-operatively, with clinical outcomes similar to those of an older group. We conclude that TKR should not be withheld from patients on the basis of age.

  5. Ten years in the library: new data confirm paleontological patterns

    NASA Technical Reports Server (NTRS)

    Sepkoski, J. J. Jr; Sepkoski JJ, J. r. (Principal Investigator)

    1993-01-01

    A comparison is made between compilations of times of origination and extinction of fossil marine animal families published in 1982 and 1992. As a result of ten years of library research, half of the information in the compendia has changed: families have been added and deleted, low-resolution stratigraphic data been improved, and intervals of origination and extinction have been altered. Despite these changes, apparent macroevolutionary patterns for the entire marine fauna have remained constant. Diversity curves compiled from the two data bases are very similar, with a goodness-of-fit of 99%; the principal difference is that the 1992 curve averages 13% higher than the older curve. Both numbers and percentages of origination and extinction also match well, with fits ranging from 83% to 95%. All major events of radiation and extinction are identical. Therefore, errors in large paleontological data bases and arbitrariness of included taxa are not necessarily impediments to the analysis of pattern in the fossil record, so long as the data are sufficiently numerous.

  6. A ten year Moment Tensor database for Western Greece

    NASA Astrophysics Data System (ADS)

    Serpetsidaki, Anna; Sokos, Efthimios; Tselentis, G.-Akis

    2016-10-01

    Moment Tensors (MTs) provide important information for seismotectonic, stress distribution and source studies. It is also important as a real time or near real time information in shakemaps, tsunami warning, and stress transfer. Therefore a reliable and rapid MT computation is a routine task for modern seismic networks with broadband sensors and real-time digital telemetry. In this paper we present the database of Moment Tensor solutions computed during the last ten years in Western Greece by the University of Patras, Seismological Laboratory (UPSL). The data from UPSL broad band network were used together with the ISOLA Moment Tensor inversion package for routine MT calculation. The procedures followed and the comparison of UPSL derived solutions with the ones provided by other agencies for Western Greece region are presented as well. The Moment Tensor database includes solutions for events in the magnitude range 2.8-6.8 and provides a unique insight into the faulting characteristics of Western Greece. Moreover it paves the way for detailed studies of stress tensor and stress transfer. The weak events' Moment Tensor included in UPSL's database are important for the comprehension of local seismotectonics and reveal the role of minor faults, which may be critical in seismic hazard estimation.

  7. Ten years in the library: new data confirm paleontological patterns

    NASA Technical Reports Server (NTRS)

    Sepkoski, J. J. Jr; Sepkoski JJ, J. r. (Principal Investigator)

    1993-01-01

    A comparison is made between compilations of times of origination and extinction of fossil marine animal families published in 1982 and 1992. As a result of ten years of library research, half of the information in the compendia has changed: families have been added and deleted, low-resolution stratigraphic data been improved, and intervals of origination and extinction have been altered. Despite these changes, apparent macroevolutionary patterns for the entire marine fauna have remained constant. Diversity curves compiled from the two data bases are very similar, with a goodness-of-fit of 99%; the principal difference is that the 1992 curve averages 13% higher than the older curve. Both numbers and percentages of origination and extinction also match well, with fits ranging from 83% to 95%. All major events of radiation and extinction are identical. Therefore, errors in large paleontological data bases and arbitrariness of included taxa are not necessarily impediments to the analysis of pattern in the fossil record, so long as the data are sufficiently numerous.

  8. Holistic System of Care: a ten-year perspective.

    PubMed

    Nebelkopf, Ethan; Wright, Serena

    2011-01-01

    The Holistic System of Care for Native Americans in an Urban Environment is a community-focused intervention that provides behavioral health care, promotes health, and prevents disease. This approach is based on a community strategic planning process that honored Native American culture and relationships. Substance abuse, mental illness, homelessness, poverty, crime, physical illness, and violence are symptoms of historical trauma, family dysfunction, and spiritual imbalance. The holistic model links treatment, prevention, and recovery. The link between prevention and treatment is early intervention. Peer support is the link between treatment and recovery. Recovering individuals serve as role models linking recovery to prevention. Culture and spirituality build a strong and resilient foundation for recovery. This article documents the effectiveness of the holistic model over a ten-year period that it has been implemented at the Family & Child Guidance Clinic of the Native American Health Center in the San Francisco Bay Area. The holistic model has produced statistically significant reductions in substance abuse among adult Native American women, men, reentry, and homeless populations; reductions in substance abuse among Native American adolescents; reductions in HIV/AIDS high-risk behavior among Native American men, women, and adolescents; and decreases in acting out behavior among Native American severely emotionally disturbed children.

  9. Ten Years of Real-Time Earthquake Loss Alerts

    NASA Astrophysics Data System (ADS)

    Wyss, M.

    2013-12-01

    The priorities of the most important parameters of an earthquake disaster are: Number of fatalities, number of injured, mean damage as a function of settlement, expected intensity of shaking at critical facilities. The requirements to calculate these parameters in real time are: 1) Availability of reliable earthquake source parameters within minutes. 2) Capability of calculating expected intensities of strong ground shaking. 3) Data sets on population distribution and conditions of building stock as a function of settlements. 4) Data on locations of critical facilities. 5) Verified methods of calculating damage and losses. 6) Personnel available on a 24/7 basis to perform and review these calculations. There are three services available that distribute information about the likely consequences of earthquakes within about half an hour of the event. Two of these calculate losses, one gives only general information. Although, much progress has been made during the last ten years improving the data sets and the calculating methods, much remains to be done. The data sets are only first order approximations and the methods bare refinement. Nevertheless, the quantitative loss estimates after damaging earthquakes in real time are generally correct in the sense that they allow distinguishing disastrous from inconsequential events.

  10. [Ten years after "privatization" in primary health care].

    PubMed

    Marković, Biserka Bergman; Katić, Milica; Milaković, Sanja Blazeković; Petric, Dragomir

    2007-02-01

    Ten years after the privatization in primary health care its disadvantages have been noticed making it less quality and consequently increasing the costs of total health care of the patient. Current organization makes family practitioners inaccessible to the patient during a part of the day. Emergency health care and hospital emergency services are ever more burdened with the work that should be done by family practitioners, thus becoming hardly accessible in emergencies. Medical nurses are mostly occupied with administrative work, family practitioners are partly doing the work that should be done by nurses, while clinical specialists are doing the job of family practitioners. They all work a lot but they do the jobs that should not be in their domain and that are much under the level of their education. Health care becomes ineffective, below-quality and expensive. It is necessary to redefine the tasks of all health care participants starting from family practitioners, and to redefine the role of medical center. Solving the legal position of family practitioners working in "lease", introduction of the combined form of payment in family practice, and the possibility of interacting association of physicians could help eliminate the problems and promote the quality of health care.

  11. The State of the Carbon Cycle: Ten Years On

    NASA Astrophysics Data System (ADS)

    King, A. W.; Dilling, L.; Fairman, D. M.; Houghton, R. A.; Marland, G.; Rose, A.; Wilbanks, T. J.; Zimmerman, G.

    2015-12-01

    It has been nearly ten years since the First State of the Carbon Cycle Report (SOCCR-1) was published in 2007. Much has changed in the intervening years, but much has remained the same. In anticipation of a Second State of the Carbon Cycle Report (SOCCR-2), we, the members of the SOCCR-1 Coordinating Team, felt that a perspective from the first SOCCR and reflection on changes in the state of carbon cycle science and policy in the intervening years would be appropriate. The purpose of SOCCR-1 was to provide "…a synthesis and integration of the current knowledge of the North American carbon budget and its context within the global carbon cycle [i]n a format useful to decision makers." Being "useful to decision makers" was a guiding theme with three stakeholder workshops an integral part of the process. Drafting and revision of SOCCR-1 took place between 2005 and early 2007; the report's carbon budget was for circa 2003. In 2003, North America's fossil-fuel CO2 emissions were approximately 27% of global emissions. Nearly 85% of North American emissions were from the US, still at that time the world's largest emitter of fossil-fuel CO2. China's annual CO2 emissions exceeded those of the US for the first time while SOCCR-1 was being written. Today global CO2 emissions are dominated by emissions from China (28% in 2013), with US emissions only 14% of global emissions. Emissions from the US and North America have actually declined by approximately 10% since 2003 while emissions from China have doubled. Based on inventories of terrestrial carbon stocks, SOCCR-1 estimated that circa 2003 North American vegetation removed and stored a net 500 Mt C y-1 (±50%) from the atmosphere. A more recent synthesis incorporating additional estimates from atmospheric inversions and terrestrial biosphere modeling estimated the North American land sink for the decade of 2000-2009 at 350-470 Mt C y-1, with a slightly greater uncertainty due to the wider range of estimates from the

  12. [Characteristics of depression in Otocac ten years after the war].

    PubMed

    Marinić, Tatjana; Ozvacić, Zlata; Katić, Milica; Polasek, Ozren; Lazić, Durdica

    2007-02-01

    Depression is an important public health problem today. In the primary care setting, a high percentage of patients with depression present exclusively with physical symptoms; depression can often go undiagnosed in these patients. Another challenge for primary care doctors is the treatment of patients with depression and somatic comorbidity. When faced with demands to treat multiple chronic diseases, physicians may give depression less priority. The consequences of exposure to war stress on mental health have been constantly explored. Posttraumatic stress disorder and depression have been identified as the most common psychopathological consequences of exposure to war stressors. The 1991-1995 war in Croatia left deep psychosocial scars and affected self-perceived health, physical ability and mental health of the entire Croatian population stricken by war. Otocac is one of the areas that were more severely affected by war. The aim of the study was to evaluate the prevalence and characteristics of depression in general practice patients in Otocac, Croatia, ten years after the war in Croatia. In March 2005, 300 patients aged 18 and older were systematically selected from the patient list of a general practitioner in Otocac, Croatia. These patients were assessed for depression and classified as having a mild, moderate, severe or severe depressive episode with psychotic elements, according to the criteria of the ICD-10 classification of Mental and Behavioral Disorders, Croatian edition. Data were also collected on psychosomatic complaints, chronic diseases, sociodemographic characteristics, participation in war actions, refugee status, comorbid psychiatric diseases in patients and their family members. Differences in the characteristics of depressive and non-depressive patients were tested by chi2-test and Fisher's test. The level of significance was set at p < 0.05. The collected data were analyzed using the SPSS statistical software package, version 12.0.0. A total of

  13. A ten-year experience with pediatric face grafts.

    PubMed

    Greenhalgh, David G; Hinchcliff, Katharine; Sen, Soman; Palmieri, Tina L

    2013-01-01

    The authors reviewed their 10-year experience of performing face grafts in children with burns. They sought to compare different methods for aesthetic outcome and need for reconstruction. In addition, they determined the efficacy of using allograft skin or Integra as temporary covers. They performed a review of 160 pediatric patients who underwent acute facial excision and grafting for burns between 2000 and 2010. Of the 160 patients with a mean age of 5.8 ± 4.8 years, 96 were males. The mean burn size was 39.4 ± 24.61%, of which 36.5 ± 25.4% was third degree. Overall length of stay was 72.1 days, intensive care unit length of stay was 44.2 days, and the mortality rate was 13.75%. Ninety patients had their entire face burned, 42 burned half, 15 burned their foreheads, and seven had other combinations. The interval between injury and grafting was 13.9 ± 13.19 days. Sixty-three percent patients required one face graft, 23% had two, 8% had three, and 6% four or more. For their initial procedure, 105 patients underwent autografting, 28 had allografting, and 23 received Integra. The authors performed a two-stage procedure in 20.4% and a 1-day procedure in 79.6%. Ten patients had a contiguous "U-shaped" graft wrapped around the face. At least partial regrafting was performed in 21.1%. Allograft and Integra were used for massive burns (69.9 ± 14.5%, 62.6 ± 18.3%, respectively). Of these, 39% died, 17% developed an Integra infection, and 43% required regrafting before autografting. Overall, 24.5% of patients underwent facial reconstruction during their first admission, and 57.1% during subsequent admissions. No difference in the rate of reconstructive surgery was noted between patients receiving Integra or autografting. Autografting face burns as an initial, one-stage procedure works well. The "wrap-around" autograft leads to excellent cosmetic results. When there is a shortage of autograft, allograft or Integra are good options but Integra does not reduce the need

  14. 2006 - 2016: Ten Years Of Tsunami In French Polynesia

    NASA Astrophysics Data System (ADS)

    Reymond, D.; Jamelot, A.; Hyvernaud, O.

    2016-12-01

    Located in South central Pacific and despite of its far field situation, the French Polynesia is very much concerned by the tsunamis generated along the major subduction zones located around the Pacific. At the time of writing, 10 tsunamis have been generated in the Pacific Ocean since 2006; all these events recorded in French Polynesia, produced different levels of warning, starting from a simple seismic warning with an information bulletin, up to an effective tsunami warning with evacuation of the coastal zone. These tsunamigenic events represent an invaluable opportunity of evolutions and tests of the tsunami warning system developed in French Polynesia: during the last ten years, the warning rules had evolved from a simple criterion of magnitudes up to the computation of the main seismic source parameters (location, slowness determinant (Newman & Okal, 1998) and focal geometry) using two independent methods: the first one uses an inversion of W-phases (Kanamori & Rivera, 2012) and the second one performs an inversion of long period surface waves (Clément & Reymond, 2014); the source parameters such estimated allow to compute in near real time the expected distributions of tsunami heights (with the help of a super-computer and parallelized codes of numerical simulations). Furthermore, two kinds of numerical modeling are used: the first one, very rapid (performed in about 5minutes of computation time) is based on the Green's law (Jamelot & Reymond, 2015), and a more detailed and precise one that uses classical numerical simulations through nested grids (about 45 minutes of computation time). Consequently, the criteria of tsunami warning are presently based on the expected tsunami heights in the different archipelagos and islands of French Polynesia. This major evolution allows to differentiate and use different levels of warning for the different archipelagos,working in tandem with the Civil Defense. We present the comparison of the historical observed tsunami

  15. Ten Years of Tamoxifen Reduces Breast Cancer Recurrences, Improves Survival

    Cancer.gov

    Taking adjuvant tamoxifen for 10 years after primary treatment leads to a greater reduction in breast cancer recurrences and deaths than taking the drug for only 5 years, according to the results of a large international clinical trial.

  16. Ten-year Clinical Performance of Posterior Resin Composite Restorations.

    PubMed

    Krämer, Norbert; Reinelt, Christian; Frankenberger, Roland

    2015-08-01

    To investigate the clinical behavior of two different resin-based restorative systems in Class II cavities in a controlled prospective split-mouth study over 10 years. Thirty patients received 68 resin composite restorations (Solobond M + Grandio: n = 36; Syntac + Tetric Ceram: n = 32) by one dentist in a private practice. 35% of cavities revealed no enamel at the bottom of the proximal box, 48% of cavities provided < 0.5 mm of remaining proximal enamel. Restorations were examined according to modified USPHS criteria at baseline, after 6 months, and 1, 2, 4, 6, 8, and 10 years. Twenty-nine out of 30 patients attended the 10-year recall. The overall success rate of all restorations was 96.9%. One Grandio restoration suffered marginal fracture with exposed dentin and one Tetric Ceram restoration failed due to cusp fracture. After 10 years, Grandio showed higher surface roughness (p = 0.03) and less color match (p = 0.024; Mann-Whitney U-test). Molar restorations performed worse than premolar fillings regarding marginal integrity (4 and 10 years), filling integrity (4, 8, and 10 years), and tooth integrity (4, 8, and 10 years). The main reasons for degradation of resin composites were chipping and cracks in molar restorations after 8 years. Beyond the 4-year recall, marginal staining increased (43% bravo for stained margins at four years, 52% at 8 years, and 71% at 10 years). Tooth integrity deteriorated significantly due to more enamel cracks and chipping over time (9% at baseline and 89% after 10 years (p<0.05). Direct resin composite restorations performed satisfactorily over 10 years of clinical service.

  17. Ten-year observations on pruned ponderosa and jeffrey pine

    Treesearch

    Donald T. Gordon

    1959-01-01

    In 1956 Hallinl reported some observed effects of pruning ponderosa and Jeffrey pine based on the response after 5 years. This report is an extension of those observations, after a 10-year reexamination of the experiment. Hallin suggested that half the live crown, or six-tenths of total height of the tree could be pruned without adverse effects on growth. Pruning out...

  18. Change in filter strip performance over ten years

    Treesearch

    M.G. Dosskey; K.D. Hoagland; J.R. Brandle

    2007-01-01

    Effectiveness of filter strips may change over a period of years because key soil and vegetation conditions change after conversion of cultivated farmland to permanent vegetation. the main objectives of this study were to : 1) determine if effectiveness of a filter strip changes over years since establishment, and 2) determine if temporal change depends on vegetation...

  19. Ten-year growth of planted slash pine after thinnings

    Treesearch

    Hans G. Enghardt; W.F. Mann

    1972-01-01

    volume growth of slash pine between ages 17 and 27 years was directly related to residual basal area per acre after thinning. Diameter growth was inversely related to stand density, and very heavy cutting was required to attain a rate of 3 inches in 10 years.

  20. College Student Behavior: A Ten-Year Look.

    ERIC Educational Resources Information Center

    Lester, Lewis F.; Leach, Jonathan H.

    1983-01-01

    A survey of college students' behavior found that hedonism has increased during the past 10 years, based on measures of sexual activity and alcohol and marijuana use before and during college. Differences observed 10 years earlier in the behavior of male and female students have largely disappeared. (Authors/PP)

  1. Ten-year postoperative results of penetrating keratoplasty.

    PubMed

    Ing, J J; Ing, H H; Nelson, L R; Hodge, D O; Bourne, W M

    1998-10-01

    To investigate the changes in central corneal endothelial cells and corneal thickness in transplanted corneas from 5 to 10 years after grafting. This study also aimed to investigate the development of glaucoma, graft rejection, and graft failure during the first 10 postoperative years. Longitudinal cohort study of 500 consecutive penetrating keratoplasties by 1 surgeon. Patients were asked to return for follow-up examinations at 2 months and at 1, 3, 5, and 10 years after grafting. The authors excluded eyes regrafted during the study and the fellow eyes of bilateral cases, leaving 394 grafts in 394 patients for analysis. Penetrating keratoplasty was performed. Using specular microscopy, the authors measured endothelial cell density, coefficient of variation of cell area, percentage of hexagonal cells, and corneal thickness. The authors performed clinical examinations to determine graft rejection or failure and the development of glaucoma. By 10 years postkeratoplasty, 80 of the 394 patients had died and 68 grafts had failed. Of the remaining 246 patients, 119 (48%) returned for their 10-year examinations. For the 72 patients who returned for all of the scheduled postoperative visits and had no rejection episodes, reoperations, or failure, endothelial cell loss from preoperative donor levels at 10 years was 67 +/- 18% (mean +/- standard deviation), endothelial cell density was 958 +/- 471 cells/mm2, coefficient of variation was 0.32 +/- 0.11, hexagonal cells were 56 +/- 12%, and corneal thickness was 0.58 +/- 0.05 mm. The 5- to 10-year changes for all these values were significant (P < or = 0.004). The mean rate of late endothelial cell loss from 5 to 10 years postkeratoplasty was 4.2% per year. Eyes that were aphakic after grafting had the lowest endothelial cell loss (57 +/- 24%) and the lowest interval cell loss from 5 to 10 years postkeratoplasty (4 +/- 19%). Eyes that were phakic had the highest endothelial cell loss (73 +/- 8%) and 5- to 10-year-interval cell

  2. Ten-Year Study of a Wilson's Disease Dysarthric.

    ERIC Educational Resources Information Center

    Day, Linda Susan; Parnell, Martha M.

    1987-01-01

    The 10-year longitudinal case study describes the history, speech therapy program, and treatment results for an adult male with Wilson's disease, a genetically based metabolic progressive neurological disorder which includes severe speech problems. (DB)

  3. Ten-Year Results in a Cottonwood Plantation Spacing Study

    Treesearch

    R. M. Krinard; Robert L. Johnson

    1975-01-01

    During the first 10 years, unthinned cottonwood planted at four spacings grew from 2.8 to 3.4 cords per acre per year in trees 5.0 inches in d.b.h. and larger. Two basal area controlled thinning treatments did not increase yields. Initial spacings were 4 by 9, 8 by 9, 12 by 12, and 16 by 18 feet on Commerce-Convent soils. Only trees at the widest spacing averaged an...

  4. Ten year neurocognitive trajectories in first-episode psychosis.

    PubMed

    Barder, Helene E; Sundet, Kjetil; Rund, Bjørn R; Evensen, Julie; Haahr, Ulrik; Ten Velden Hegelstad, Wenche; Joa, Inge; Johannessen, Jan O; Langeveld, Johannes; Larsen, Tor K; Melle, Ingrid; Opjordsmoen, Stein; Røssberg, Jan I; Simonsen, Erik; Vaglum, Per; McGlashan, Thomas; Friis, Svein

    2013-01-01

    Neurocognitive impairment is commonly reported at onset of psychotic disorders. However, the long-term neurocognitive course remains largely uninvestigated in first episode psychosis (FEP) and the relationship to clinically significant subgroups even more so. We report 10 year longitudinal neurocognitive development in a sample of FEP patients, and explore whether the trajectories of cognitive course are related to presence of relapse to psychosis, especially within the first year, with a focus on the course of verbal memory. Forty-three FEP subjects (51% male, 28 ± 9 years) were followed-up neurocognitively over five assessments spanning 10 years. The test battery was divided into four neurocognitive indices; Executive Function, Verbal Learning, Motor Speed, and Verbal Fluency. The sample was grouped into those relapsing or not within the first, second and fifth year. The four neurocognitive indices showed overall stability over the 10 year period. Significant relapse by index interactions were found for all indices except Executive Function. Follow-up analyses identified a larger significant decrease over time for the encoding measure within Verbal Memory for patients with psychotic relapse in the first year [F (4, 38) = 5.8, p = 0.001, η(2) = 0.40]. Main findings are long-term stability in neurocognitive functioning in FEP patients, with the exception of verbal memory in patients with psychotic relapse or non-remission early in the course of illness. We conclude that worsening of specific parts of cognitive function may be expected for patients with on-going psychosis, but that the majority of patients do not show significant change in cognitive performance during the first 10 years after being diagnosed.

  5. Ten year neurocognitive trajectories in first-episode psychosis

    PubMed Central

    Barder, Helene E.; Sundet, Kjetil; Rund, Bjørn R.; Evensen, Julie; Haahr, Ulrik; Ten Velden Hegelstad, Wenche; Joa, Inge; Johannessen, Jan O.; Langeveld, Johannes; Larsen, Tor K.; Melle, Ingrid; Opjordsmoen, Stein; Røssberg, Jan I.; Simonsen, Erik; Vaglum, Per; McGlashan, Thomas; Friis, Svein

    2013-01-01

    Objective: Neurocognitive impairment is commonly reported at onset of psychotic disorders. However, the long-term neurocognitive course remains largely uninvestigated in first episode psychosis (FEP) and the relationship to clinically significant subgroups even more so. We report 10 year longitudinal neurocognitive development in a sample of FEP patients, and explore whether the trajectories of cognitive course are related to presence of relapse to psychosis, especially within the first year, with a focus on the course of verbal memory. Method: Forty-three FEP subjects (51% male, 28 ± 9 years) were followed-up neurocognitively over five assessments spanning 10 years. The test battery was divided into four neurocognitive indices; Executive Function, Verbal Learning, Motor Speed, and Verbal Fluency. The sample was grouped into those relapsing or not within the first, second and fifth year. Results: The four neurocognitive indices showed overall stability over the 10 year period. Significant relapse by index interactions were found for all indices except Executive Function. Follow-up analyses identified a larger significant decrease over time for the encoding measure within Verbal Memory for patients with psychotic relapse in the first year [F(4, 38) = 5.8, p = 0.001, η2 = 0.40]. Conclusions: Main findings are long-term stability in neurocognitive functioning in FEP patients, with the exception of verbal memory in patients with psychotic relapse or non-remission early in the course of illness. We conclude that worsening of specific parts of cognitive function may be expected for patients with on-going psychosis, but that the majority of patients do not show significant change in cognitive performance during the first 10 years after being diagnosed. PMID:24109449

  6. Prevalence of loneliness over ten years among the oldest old.

    PubMed

    Nyqvist, Fredrica; Cattan, Mima; Conradsson, Mia; Näsman, Marina; Gustafsson, Yngve

    2017-06-01

    This study examined the prevalence of loneliness among the oldest old within a 10-year period and studied the influence of various sociodemographic, social and health characteristics on loneliness. The study used population-based data from the Umeå85+/GErontological Regional DAtabase-study (GERDA) for the years 2000-2002, 2005-2007 and 2010-2012 including 85-year-old, 90-year-old and ⩾95-year-old participants. A final sample of 304 participants in 2000-2002, 329 participants in 2005-2007 and 401 participants in 2010-2012 was included in the analyses. Although the level of loneliness was already high in 2000-2002 (49.3% reported frequent loneliness), the results showed limited changes in loneliness during the 10-year study period. Loneliness was closely related to living alone, depressive symptoms and living in institutional settings. Although societal changes such as solitary living and growing urbanization suggest a changing trend in loneliness, we found that the prevalence of loneliness was relatively stable in this study. Nevertheless, loneliness is common among the oldest old and a focus on social issues related to living arrangements and on depressive symptoms is important in understanding loneliness.

  7. Ten-year follow-up of a giant prolactinoma.

    PubMed

    Fernandes, Vera; Santos, Maria Joana; Almeida, Rui; Marques, Olinda

    2015-11-20

    Giant prolactinomas are rare pituitary tumours of which management can be a challenge. A 28-year-old man presented with headaches, visual impairment and behavioural changes. Clinically, the patient was found to have hypogonadism and bitemporal hemianopsia. A MRI demonstrated a pituitary tumour 76 mm in diameter and blood tests revealed a serum prolactin of 158,700 µU/mL (reference range 58-254). Initially, a craniotomy was performed. Immunohistochemistry of the tumour identified a prolactinoma with a high proliferative index and the patient was started on treatment with a dopamine agonist. A year later, neurological symptoms worsened due to regrowth of the lesion's cystic component, and so further surgery was performed. After 10 years of treatment with dopamine agonists, the prolactin levels decreased by 96.8%, there was an effective reduction in tumour size, and the neurological signs and symptoms resolved.

  8. Promoting Reading through Partnerships: A Ten-Year Literature Overview.

    ERIC Educational Resources Information Center

    Thebridge, Stella; Train, Briony

    2002-01-01

    Discussion of a research project that examined partnerships between booksellers, publishers, library suppliers, and librarians to promote books and reading focuses on a review of the last 10 years to highlight the rise of reader development and the growing partnership among sectors of the book industry. (Author/LRW)

  9. Ten Years of Cybertech: The Educational Benefits of Bullfighting Robotics

    ERIC Educational Resources Information Center

    Hernando, M.; Galan, R.; Navarro, I.; Rodriguez-Losada, D.

    2011-01-01

    After 10 years of organizing the Cybertech robotics competition, this paper presents this unique and innovative educational experience of teaching engineering at Universidad Politecnica de Madrid (UPM), Spain. Cybertech is not only a well-known robotic contest in Spain due to the "Robotaurus" bullfighting, but is also a whole academic…

  10. Sight-Singing: Ten Years of Published Research

    ERIC Educational Resources Information Center

    Kuehne, Jane M.

    2010-01-01

    The purpose of this article was to review published research on sight-singing from the past 10 years, 1998-2008. Several authors published research in various areas in sight-singing. These included festival availability and participation, time use in sight-singing adjudication, method and materials, strategies of successful students, assessing…

  11. Reculturing Educational Leadership: The ISLLC Standards Ten Years Out.

    ERIC Educational Resources Information Center

    Murphy, Joseph

    Over the last 25 years, the field of school administration has experienced turmoil as it has struggled to grow out of its adolescence. A good deal of energy has been invested in coming to grips with the question of what ideas should shape school administration. This paper chronicles the role of one of the most significant reshaping initiatives to…

  12. The Higher Education Prison Program: The First Ten Years.

    ERIC Educational Resources Information Center

    Tobin, Patricia L.

    The first 10 years of operation of the college-in-prison program in Massachussetts and characteristics of participating offenders were assessed. College credit courses have been offered to inmates in adult corrections facilities by The University of Massachusetts at Boston through a program called the Higher Education Prison Program (HEPP).…

  13. The Future Problem Solving Experience Ten Years After.

    ERIC Educational Resources Information Center

    Flack, Jerry

    1991-01-01

    Four young men who had participated in the national competition of the Future Problem Solving (FPS) Program 10 years earlier offer reflections about their FPS experience. Their coach concludes that the program equips young people with the vision and skills needed to anticipate and solve problems and build better tomorrows. (JDD)

  14. Ten Years down the Road: Predictors of Driving Cessation

    ERIC Educational Resources Information Center

    Edwards, Jerri D.; Bart, Edward; O'Connor, Melissa L.; Cissell, Gayla

    2010-01-01

    Purpose: Recent prospective studies have found that cognition is a more salient predictor of driving cessation than physical performance or demographic factors among community-dwelling older adults. However, these studies have been limited to 5 years of follow-up. The current study used data from the Maryland Older Drivers Project to examine…

  15. Sight-Singing: Ten Years of Published Research

    ERIC Educational Resources Information Center

    Kuehne, Jane M.

    2010-01-01

    The purpose of this article was to review published research on sight-singing from the past 10 years, 1998-2008. Several authors published research in various areas in sight-singing. These included festival availability and participation, time use in sight-singing adjudication, method and materials, strategies of successful students, assessing…

  16. The Ten-Year History of the Asklepios Study

    PubMed Central

    Park, Jeong Bae

    2015-01-01

    The Asklepios study started 10 years ago when 2,500 subjects were screened between 2002 and 2004. And all of the 90+ publications we have for the moment are from those cross-sectional data. This is called round 1. Since 2011, in round 2, all of those patients have started to come back for a 10-year follow-up. At this moment, approximately 1,750 of those patients have been seen. The patients were followed by general practitioners (GP), and the GP again provided the information about what has happened with the medical status in the past 10 years including drug therapy: not only the drugs that they are taking at the moment were evaluated, but, because patients often use many drugs, the chronicles of drugs for major risk factors, for hypertension, lipids, contraceptives and more. Then, patients come to the study center where the same cluster of examinations are undertaken by one single doctor, Prof. Ernst R. Rietzschel and one study nurse, just like 10 years ago. Again, using a single observer at the two time frames has kept the methodology very strict. PMID:26587452

  17. Stump sprouting of blue oaks ten years after harvest

    Treesearch

    Douglas McCreary; William D. Tietje; William Frost

    2002-01-01

    A study was conducted at five sites throughout California to determine how the sprouting of harvested blue oak (Quercus douglasii) is affected by the date the trees are cut down, the height of the residual stumps, and whether stumps are protected by fencing or not. After 10 years, 34 percent of the stumps had viable sprouts. The greatest effects were...

  18. Ten Years Later: Locating and Interviewing Children of Drug Abusers

    ERIC Educational Resources Information Center

    Haggerty, Kevin P.; Fleming, Charles B.; Catalano, Richard F.; Petrie, Renee S.; Rubin, Ronald J.; Grassley, Mary H.

    2008-01-01

    Longitudinal studies require high follow-up rates in order to maintain statistical power, reduce bias, and enhance the generalizability of results. This study reports on locating and survey completion for a 10-year follow-up of the Focus on Families project, an investigation of 130 families headed by parents who were enrolled in methadone…

  19. Computing Trends in Small Liberal Arts Colleges: Ten Years Later.

    ERIC Educational Resources Information Center

    Smith, Peter

    Forty-one small liberal arts colleges were visited during the 1997-98 school year in order to talk to key information technology staff and to see computing facilities. A survey containing 15 factual and 10 open-ended questions was used to gather information. This paper presents findings in the following areas and comparison with results of a…

  20. Ten Years of Cybertech: The Educational Benefits of Bullfighting Robotics

    ERIC Educational Resources Information Center

    Hernando, M.; Galan, R.; Navarro, I.; Rodriguez-Losada, D.

    2011-01-01

    After 10 years of organizing the Cybertech robotics competition, this paper presents this unique and innovative educational experience of teaching engineering at Universidad Politecnica de Madrid (UPM), Spain. Cybertech is not only a well-known robotic contest in Spain due to the "Robotaurus" bullfighting, but is also a whole academic…

  1. Chandra: Ten Years of Amazing Science with a Great Observatory

    NASA Technical Reports Server (NTRS)

    Weisskopf, Martin C.

    2009-01-01

    We review briefly review the history of the development of the Chandra X-Ray Observatory, highlighting certain details that many attendees of this Conference might not be aware of. We then present a selection of scientific highlights of the first 10 years of this remarkable and unique mission.

  2. Management of Rett syndrome: a ten year experience.

    PubMed

    Budden, S S

    1995-04-01

    Over the past 10 years (1983-1993) multidisciplinary team at the Child Development and Rehabilitation Center has diagnosed and evaluated 60 females with Rett syndrome aged 13 months to 43 years. Experience with comprehensive management is discussed with focus on feeding difficulties, communication needs, hand function, scoliosis, and deformities. Clinical and radiological assessment of feeding problems is important in deciding whether therapy will allay symptoms or a gastrostomy is indicated. Hand use can be facilitated with appropriate intervention, and a coordinated effort with a communication specialist can develop systems for environmental access. Aggressive physical therapy has been very effective in preventing progression of scoliosis and avoiding surgery. Asymmetrical function is commonly recognized in ambulatory females, and is of neurogenic origin. Psychosocial support and educational plan attempts to collaborate with community services and resources.

  3. Anogenital warts in Northern Nigeria: A ten-year Review

    PubMed Central

    Ahmed, Saad Aliyu; Shehu, Mohammed Sani; Abubakar, Murtala; Dauda, Suleiman Eneyamire

    2013-01-01

    Background: Anogenital warts are a common cause of morbidity affecting mainly the productive age group of the economy. Paucity of data in Nigeria necessitated this study. Materials and Methods: The pathology records of anogenital warts diagnosed in the Department of Pathology, Ahmadu Bello University Zaria between 1st January 2000 and 31st December 2009 were reviewed. Results: A total of 68 warts were diagnosed within the study period with anogenital warts constituting 39.7%. Majority of cases (62%) were in the 20-39 years age group (range: 5–50 years) and vulva was the most common site affected. Conclusion: Genital warts are common in our environment, biopsy of suspicious lesions is recommended for diagnostic yield. PMID:24403708

  4. NHS litigation in bariatric surgery over a ten year period.

    PubMed

    Ratnasingham, Kumaran; Knight, James; Liu, Mamie; Karatsai, Eleni; Humadi, Samer; Irukulla, Shashi

    2017-04-01

    Negligence claims in the UK NHS has increased over the last 30 years. The aim of this present study was determine the number of claims and the cost of litigation in Bariatric Surgery and compare it to similar other specialties. Data was received from NHS Litigation Authority (NHSLA) in response to Freedom of Information data request. There was a total of 7 claims, of which 4 were successful. The total pay out sum was £210,000 in 10 years. This is a very low amount compared to other surgical specialties. This low level of litigation probably indicates that the current bariatric surgical services in the NHS are delivering safe care with good patient satisfaction. This needs to be carefully considered prior to changing the payment tariffs for bariatric surgery. Copyright © 2017 IJS Publishing Group Ltd. Published by Elsevier Ltd. All rights reserved.

  5. Ten-Year Profile of Infectious and Parasitic Disease Hospitalizations

    DTIC Science & Technology

    1989-03-09

    mononucleosis, rubella, chickenpox , measles, intestinal infections due to other organisms, A.. .... Codos 2 - .Avati and/0- iDlst Special AVL other...five-year period: chickenpox , enteritis due to a specific organism, early and symptomatic syphilis, other diseases of conjunctiva due to viruses and...ciated with childhood, including measles, mumps, and chickenpox . Women had significantly higher age-adjusted rates of total first hospitalizations for

  6. Ten-year history of an Oregon coastal plantation.

    Treesearch

    Robert H. Ruth

    1957-01-01

    Very productive forest land, capable of producing 1,000 to 1,500 board-feet of softwood per acre per year, is common in the "fog belt" along the Oregon Coast. Good forest management requires that this valuable land be kept in constant production with minimum time lost during the regeneration period. Also, if the land is to be managed for conifer production,...

  7. Ten-year cardiovascular risk assessment in university students.

    PubMed

    Uvacsek, Martina; Kneffel, Zs; Tóth, M; Johnson, A W; Vehrs, P; Myrer, J W; Hager, R

    2014-09-01

    Cardiovascular disease (CVD) is responsible for more than half of all deaths in the European region. The aim of the study was to compare body composition, blood pressure, total cholesterol (TC) and high density lipoprotein cholesterol (HDL-C), family history, activity behaviors, and the 10-year risk of having a heart attack between 166 university students (21.62 ± 2.59 yrs) from Utah (USA) and 198 students (22.11 ± 2.51 yrs) from Hungary. Ninety-two percent of the Hungarian students and 100% of the Utah students had an estimated 10-year Framingham risk score of 1% or less. The high prevalence of low risk was primarily due to the young age of study participants, healthy body composition and non-smoking behavior. Hungarians who had higher 10-year risk of heart attack had significantly higher waist hip ratio (WHR), TC, diastolic blood pressure (DBP) and were smokers compared to those Hungarians with lower risk. The self-reported physical activity levels between the two groups of students were not different. In conclusion the young men and women who participated in this study were, for the most part healthy; however the smoking habits and the lower physical activity of the Hungarian students likely elevated their risk of CVD.

  8. Ten Cool Things Seen in the First Year of LRO

    NASA Image and Video Library

    2017-09-27

    Mountains on the Moon On the Earth, we are taught that mountains form over millions of years, the result of gradual shifting and colliding plates. On the moon however, the situation is quite different. Even the largest lunar mountains were formed in minutes or less as asteroids and comets slammed into the surface at tremendous velocities, displacing and uplifting enough crust to create peaks that easily rival those found on Earth. On a few occasions in the past year, NASA has tilted the angle of LRO to do calibrations and other tests. In such cases the camera has the opportunity to gather oblique images of the lunar surface like the one featured here of Cabeus Crater providing a dramatic view of the moon's mountainous terrain. Cabeus Crater is located near the lunar south pole and contains the site of the LCROSS mission's impact. Early measurements by several instruments on LRO were used to guide the decision to send LCROSS to Cabeus. During the LCROSS impact LRO was carefully positioned to observe both the gas cloud generated in the impact, as well as the heating at the impact site. Credit: NASA/Goddard/Arizona State University To see the other nine images go to: www.nasa.gov/mission_pages/LRO/news/first-year.html NASA Goddard Space Flight Center is home to the nation's largest organization of combined scientists, engineers and technologists that build spacecraft, instruments and new technology to study the Earth, the sun, our solar system, and the universe.

  9. Scientific achievements from ten years of lunar laser ranging

    NASA Technical Reports Server (NTRS)

    Mulholland, J. D.

    1980-01-01

    In the 10 years since lunar laser ranging became a reality the need to analyze the observations has motivated improvements in several aspects of the mathematical model of earth-moon dynamics. Application of the data to improved estimates of the physical parameters of the earth-moon system has yielded significant astronomical, selenophysical, geophysical, and cosmological results. The scientific impact, both in improved theories and in numerical applications, is surveyed. The underlying physics and major difficulties are discussed, as well as the scientific results.

  10. [D.K. Beliaev's evolutionary concept--ten years later].

    PubMed

    Trut, L N

    1997-08-01

    D.K. Belyaev's evolutionary concept is considered in terms of (1) experimental results obtained during studies on domestication mainly in recent years and (2) modern views on evolution under extreme conditions and the role of the hierarchic system of regulation of genetic expression in evolution. Changes in neuroendocrine regulation in the course of long-term domestication are characterized, and the morphogenetic role of hormones and neurotransmitters is discussed. The effects of selection on the rate of some developmental processes and the importance of the resultant heterochronias for the morphogenetic consequences of selection for behavior are described.

  11. Scientific achievements from ten years of lunar laser ranging

    NASA Technical Reports Server (NTRS)

    Mulholland, J. D.

    1980-01-01

    In the 10 years since lunar laser ranging became a reality the need to analyze the observations has motivated improvements in several aspects of the mathematical model of earth-moon dynamics. Application of the data to improved estimates of the physical parameters of the earth-moon system has yielded significant astronomical, selenophysical, geophysical, and cosmological results. The scientific impact, both in improved theories and in numerical applications, is surveyed. The underlying physics and major difficulties are discussed, as well as the scientific results.

  12. Ten years of Developing International Volcanology Graduate Study Programs

    NASA Astrophysics Data System (ADS)

    Rose, W. I.

    2010-12-01

    In 2000 I reported at this symposium about multi-institutional graduate field trips to IAVCEI events, such as the Bali meeting and its importance in building international collegiality and awareness among the volcanology doctoral students. NSF was an enthusiastic supporter of these field sessions and this support has continued through the highly successful Pucon and Reykjavik sessions. International volcanology graduate program development began with several exchange programs. EHaz was a highly successful program (McGill, Simon Fraser, Michigan Tech, Buffalo, UNAM and Universidad de Colima) funded by the Department of Education (FIPSE) that moved students across North America where dozens of graduate students spent semesters of their study abroad and shared annual field trips and online student led graduate seminar classes. Michigan Tech’s volcanology graduate program started a Masters International program that combined Peace Corps service with hazards mitigation graduate study and students were placed by Peace Corps in countries with prominent natural hazards. The new program funded 2 year residences in foreign environments, principally in Pacific Latin America. NSF strongly supported this program from its inception, and eventually it gained NSF PIRE support. Dozens of students have initiated the 3 year program (15 completed) to date. A similar PIRE developed at UAF with a link to volcanology in the Russian Far East. One gain is the development of many socially-conscious research selections. Beginning this year transatlantic dual degree masters programs in volcanology are being offered by a consortium of US and European volcanology programs (Michigan Tech, Buffalo, Clermont Ferrand and University of Milan Bicocca), again aided by FIPSE funding. Students have dual advisors on both sides of the Atlantic and spend about half of their two year programs in Europe and half in US. Faculty also travel in the program and the four campuses are increasingly linked by

  13. The Catholic School under Scrutiny: Ten Years of Research in Italy (1998-2008)

    ERIC Educational Resources Information Center

    Malizia, Guglielmo; Cicatelli, Sergio

    2011-01-01

    This book delineates the evolution of the Study Centre for Catholic Schools (CSSC) in its first ten years of existence since its foundation in 1998 by the Italian Bishops' Conference. The volume is divided into three main sections. The first outlines the context and the activity of the CSSC during ten years: the role, the functions, the tasks and…

  14. The Catholic School under Scrutiny: Ten Years of Research in Italy (1998-2008)

    ERIC Educational Resources Information Center

    Malizia, Guglielmo; Cicatelli, Sergio

    2011-01-01

    This book delineates the evolution of the Study Centre for Catholic Schools (CSSC) in its first ten years of existence since its foundation in 1998 by the Italian Bishops' Conference. The volume is divided into three main sections. The first outlines the context and the activity of the CSSC during ten years: the role, the functions, the tasks and…

  15. Methadone-related deaths. A ten year overview.

    PubMed

    Vignali, Claudia; Stramesi, Cristiana; Morini, Luca; Pozzi, Fulvia; Groppi, Angelo

    2015-12-01

    Over the last 10 years we have registered in our district (about 500,000 inhabitants) 36 cases of fatal methadone poisoning, involving both patients on treatment and naive subjects: this is a significant increase of deaths due to methadone use, misuse or abuse compared with previous years. Twenty-four patients (66.7%) were on methadone maintenance programs for heroin detoxification, while 12 (33.3%) were taking the drug without a medical prescription. The average blood concentration of methadone in patients undergoing a maintenance program was 1.06 mg/L (0.21-3.37 mg/L), against 0.79 mg/L (0.2-3.15 mg/L) in those taking the non-prescribed drug. Since 111 heroin-related deaths were recorded in our district in the same period, the fact that there appear to be many methadone deaths (about a third of heroin-related deaths) cannot be overlooked. The aim of this work is to understand the possible reasons for such a large number of methadone-related deaths. On this subject, we have noticed that risks associated with methadone intake are often underestimated by clinicians prescribing the drug: sometimes methadone is prescribed without taking into account patient's tolerance to opiates, and a large number of subjects enrolled in methadone maintenance programs in Italy, have also been given take-home doses, thus increasing the risk of abuse and diversion.

  16. Acute renal failure in the same hospital ten years apart.

    PubMed

    Chow, Y W; Lim, B B; Hooi, L S

    2007-03-01

    A three month prospective study was carried out in 1994 (8/3/94 - 7/6/94) and late 2004/early 2005 (24/11/2004 - 15/2/2005) among patients with acute renal failure (ARF) (serum creatinine > 0.200 mmol/1). Incidence of ARF had increased from 0.48% (78/16,418) to 1.1% (211/18,697) of admissions between 1994 and 2004. Two thirds of patients were male. Mean age was 57.7 +/- 20.1 years in 1994 and 55.6 +/- 17.8 years in 2004. No difference was noted in causative factors, rate of oliguric ARF (about 10%) and mean peak urea and creatinine. The cause was pre-renal failure in 43.6% in 1994 and 53.5% in 2004. The second commonest cause was sepsis with 41% in 1994 and 37.9% in 2004. One in six patients needed dialysis and peritoneal dialysis was the main dialysis modality (69.2% and 74.3%). Mortality was 56.4% in 1994 and 44.5% in 2004. A quarter of deaths occurred within two days of admission due to severe underlying illness. Mortality among non-oliguric patients decreased from 52.9% in 1994 to 37.0% in 2004 (p = 0.04); for patients from intensive care units it was 78.3% in 1994 and 68.5% in 2004.

  17. [Percutaneous Endoscopic Gastrostomy (PEG): ten years of experience].

    PubMed

    Wanden-Berghe, C; Muñoz, J; Cantó, C; Domenech, Maria D; Reyes, Maria D; Pérez Moya, C; Sanz Valero, J

    2010-01-01

    The PEG is shown as a technique rather aggressive and with few complications. These characteristics have become the route of choice for enteral nutrition in patients who require nutritional support for prolonged periods. To know the evolution and quality of life of patients and caregivers with nutrition through PEG. Retrospective study of patients with PEG in a district hospital from July 1998 to July 2009. We reviewed hospital records and telephone contact with patients. There were 299 patients with PEG during the study period. There was a gradual increase in its use for nutritional therapy. Males were 152 (50.8%). There were 152 (50,8%) males. The age was 73.62 ± 13,05 years, males being the youngest (t = 5.07, P < 0.001). The most frequent indication was "neurological disease" 222 (85.7%). The duration of nutrition therapy was 390 days (range 1-2,913) showing independent from the rest of the variables. The completion of treatment was on death 134 (93.1%) or recovering the mouth 10 (6.9%). The QL was significantly improved in both patients (Z = -6.59, p < 0.001) and caregivers (Z = -6.83, P < 0.001) after PEG. There is a progressive increase in the use of PEG. with the mean time of treatment greater than one year, and being complete in most patients with the death. The quality of life experienced an improvement after PEG in both patients and caregivers in this series.

  18. Ten-Year Course of Borderline Personality Disorder

    PubMed Central

    Gunderson, John G.; Stout, Robert L.; McGlashan, Thomas H.; Shea, M. Tracie; Morey, Leslie C.; Grilo, Carlos M.; Zanarini, Mary C.; Yen, Shirley; Markowitz, John C.; Sanislow, Charles; Ansell, Emily; Pinto, Anthony; Skodol, Andrew E.

    2011-01-01

    Context Borderline personality disorder (BPD) is traditionally considered chronic and intractable. Objective To compare the course of BPD’s psychopathology and social function with that of other personality disorders and with major depressive disorder (MDD) over 10 years. Design A collaborative study of treatment-seeking, 18-to 45-year-old patients followed up with standardized, reliable, and repeated measures of diagnostic remission and relapse and of both global social functioning and subtypes of social functioning. Setting Nineteen clinical settings (hospital and outpatient) in 4 northeastern US cities. Participants Three study groups, including 175 patients with BPD, 312 with cluster C personality disorders, and 95 with MDD but no personality disorder. Main Outcome Measures The Diagnostic Interview for DSM-IV Personality Disorders and its follow-along version (the Diagnostic Interview for DSM-IV Personality Disorders–Follow-Along Version) were used to diagnose personality disorders and assess changes in them. The Structured Clinical Interview for DSM-IV Axis I Disorders and the Longitudinal Interval Follow-up Evaluation were used to diagnose MDD and assess changes in MDD and in social function. Results Eighty-five percent of patients with BPD remitted. Remission of BPD was slower than for MDD (P<.001) and minimally slower than for other personality disorders (P<.03). Twelve percent of patients with BPD relapsed, a rate less frequent and slower than for patients with MDD (P<.001) and other personality disorders (P=.008). All BPD criteria declined at similar rates. Social function scores showed severe impairment with only modest albeit statistically significant improvement; patients with BPD remained persistently more dysfunctional than the other 2 groups (P<.001). Reductions in criteria predicted subsequent improvements in DSM-IV Axis V Global Assessment of Functioning scores (P<.001). Conclusions The 10-year course of BPD is characterized by high rates of

  19. Suicidal Ideation Among Urban Nine and Ten Year Olds

    PubMed Central

    O’LEARY, CATHERINE C.; FRANK, DEBORAH A.; GRANT-KNIGHT, WANDA; BEEGHLY, MARJORIE; AUGUSTYN, MARILYN; ROSE-JACOBS, RUTH; CABRAL, HOWARD J.; GANNON, KATHERINE

    2008-01-01

    Little is known about rates and correlates of suicidal ideation among nonclinical samples of preadolescents from low-income urban backgrounds. Using the Children’s Depression Inventory, we measured suicidal ideation in 131 preadolescent urban children (49% female, 90% African American/Caribbean) participating in an ongoing prospective longitudinal study of prenatal cocaine exposure and children’s outcome. Suicidal ideation was reported by 14.5% of the children in this sample at 9 to 10 years of age. Children’s reports of depressive symptoms, exposure to violence, and distress symptoms in response to witnessing violence were associated with suicidal ideation, but prenatal cocaine exposure, parent-rated child behavior, and caregivers’ psychological distress symptoms were not. Suicidal ideation may be more prevalent among preadolescents from urban, low-income backgrounds than clinicians suspect, particularly among children exposed to violence. PMID:16511366

  20. Ten years of HPV vaccines: State of art and controversies.

    PubMed

    Angioli, Roberto; Lopez, Salvatore; Aloisi, Alessia; Terranova, Corrado; De Cicco, Carlo; Scaletta, Giuseppe; Capriglione, Stella; Miranda, Andrea; Luvero, Daniela; Ricciardi, Roberto; Montera, Roberto; Plotti, Francesco

    2016-06-01

    The human papillomavirus (HPV) represents one of the most common sexually transmitted infections and it has been related to cervical cancer. The HPV vaccines prevent infection with certain species of HPV associated with the development of cervical cancer or genital warts. We carried out a PubMed search up to 2015 evaluating all randomized studies published in literature. This review discusses the current status of HPVs vaccines on the global market, efficacy, safety profiles, controversies and future vaccine developments. Three HPVs vaccines are currently on the global market: bivalent, quadrivalent and ninevalent. Bivalent and quadrivalent vaccines can protect against almost 70% of cervical HPV-related cancerous and precancerous conditions and the ninevalent vaccine, instead, provides a protection against almost 90%. The use of vaccinations raised several controversies in the last years and, currently, is not possible to establish which type of vaccine is most effective, however all of them are safe. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

  1. Emergency department complaints: a ten-year review.

    PubMed

    Ooi, S B

    1997-03-01

    This 10-year (May 1986-31 December 1995) retrospective study was done to analyse the types of complaints received by the National University Hospital's Emergency Department (NUH EMD), so as to take remedial measures. It was done by reviewing three sources of complaints received by the department, namely formal written complaints, verbal feedback received by the Corporate Affairs Department, and via feedback forms. The areas of complaints looked for included the nature, number, validity, whether remediable and triage priority of the patients. One hundred and eighty-eight subcategories of complaints were received from 169 complaints. The complaint frequency was 0.26 per 1,000 visits or 1 complaint per 3,846 visits. The complaint frequency over the 10 years did not vary much (range 0 to 0.44). Most of the complaints are divided into 4 broad categories ie medical, doctor-patient/paramedical staff-patient relationship, patient flow/logistics at EMD and in-house complaints. The majority (71.3%) of the complaints were due to medical and doctor-patient relationship problems. Complaints tend to arise from Priority 2 and 3 rather than Priority 1 patients. 33.7% of the complaints were considered valid, 21.6% not valid while in the remaining 44.7%, validity could not be determined. 48.4% of complaints were likely to be remediable. Based on this study, we have since instituted a compulsory emergency department-driven "Customer Service Training Programme" and weekly teaching sessions for each incoming group of medical officers posted to the NUH EMD.

  2. Pain research in Africa: a ten-year bibliometric survey.

    PubMed

    Onyeka, Tonia C; Chukwuneke, Felix N

    2014-08-01

    Over the years, a trend for very low numbers of scientific publications from Africa has emerged. There has been no evaluation of pain research publications from this region. This study was conducted to determine the African pain research spectrum over the last 10 years, to identify trends in the number of publications from different countries, to identify currently underexplored areas of pain research, and to stimulate renewed interest in quality pain research in Nigeria and Africa. The English- and non-English-language medical literature on pain from July 2002 to May 2012 was studied using Medline, the Ovid database, and by performing hand searches of relevant references using Google. Publications on pain by Africans and/or non-Africans conducted in Africa on Africans living in Africa within the study period were included. The total number of articles per country, publication types, and impact factors of the respective journals were tabulated to determine the quantity and quality of research in this field. Two hundred twenty-eight (228) articles from 25 African countries that were published in 129 different journals were identified. The majority were epidemiological studies (43.9 %), experimental studies (20.2 %), randomized controlled trials (2.2 %), and systematic reviews (1.8 %). Nigeria, South Africa, and Uganda topped the list of the most-published articles, with 76 (33.3 %), 71 (31.1 %), and 12 (5.3 %), respectively. The total number of journals with impact factors was 81, of which 29 were high-impact-factor journals. Pain research publications from Africa should be encouraged. Given the underexplored frontiers of pain research, there is a need to engage in rigorous research in this field to enhance the contribution of the African continent ("the African Voice") to worldwide advances in this respect.

  3. Purpose in Life Predicts Allostatic Load Ten Years Later

    PubMed Central

    Zilioli, Samuele; Slatcher, Richard B.; Ong, Anthony D.; Gruenewald, Tara

    2015-01-01

    Objective Living a purposeful life is associated with better mental and physical health, including longevity. Accumulating evidence shows that these associations might be explained by the association between life purpose and regulation of physiological systems involved in the stress response. The aim of this study was to investigate the prospective associations between life purpose and allostatic load over a 10-year period. Methods Analyses were conducted using data from the Midlife in the United States (MIDUS) survey. Assessment of life purpose, psychological covariates and demographics were obtained at baseline, while biomarkers of allostatic load were assessed at the 10-year follow-up. Results We found that greater life purpose predicted lower levels of allostatic load at follow-up, even when controlling for other aspects of psychological well-being potentially associated with allostatic load. Further, life purpose was also a strong predictor of individual differences in self-health locus of control—i.e., beliefs about how much influence individuals can exert on their own health—which, in turn, partially mediated the association between purpose and allostatic load. Although life purpose was also negatively linked to other-health locus of control —i.e., the extent to which individuals believe their health is controlled by others/chance —this association did not mediate the impact of life purpose on allostatic load. Conclusion The current study provides the first empirical evidence for the long-term physiological correlates of life purpose and supports the hypothesis that self-health locus of control acts as one proximal psychological mechanism through which life purpose may be linked to positive biological outcomes. PMID:26526322

  4. Functional tissue engineering: Ten more years of progress.

    PubMed

    Guilak, Farshid; Baaijens, Frank P T

    2014-06-27

    "Functional tissue engineering" is a subset of the field of tissue engineering that was proposed by the United States National Committee on Biomechanics over a decade ago in order to place more emphasis on the roles of biomechanics and mechanobiology in tissue repair and regeneration. Over the past decade, there have been tremendous advances in this area, pointing out the critical role that biomechanical factors can play in the engineered repair of virtually all tissue and organ systems. In this special issue of the Journal of Biomechanics, we present a series of articles that address a broad array of the fundamental topics of functional tissue engineering, including: (1) measurement and modeling of the in vivo biomechanical environment and history in native and repair tissues; (2) further understanding of the biomechanical properties of native tissues across all geometric scales, in the context of repair or regeneration; (3) prioritization of specific biomechanical properties as design criteria; (4) development of biomaterials, scaffolds, and engineered tissues with prescribed biomechanical properties; (5) development of success criteria based on appropriate outcome measures; (6) investigation of the effects of mechanical factors on tissue repair in vivo; (7) investigation of the mechanisms by which physical factors may enhance tissue regeneration in vitro; and (8) development and validation of computational models of tissue growth and remodeling. These articles represent the tremendous expansion of this field in recent years, and emphasize the critical roles that biomechanics and mechanobiology play in controlling tissue repair and regeneration.

  5. Embryo stem cell research: ten years of controversy.

    PubMed

    Robertson, John A

    2010-01-01

    This overview of 10 years of stem cell controversy reviews the moral conflict that has made ESCs so controversial and how this conflict plays itself out in the legal realm, focusing on the constitutional status of efforts to ban ESC research or ESC-derived therapies. It provides a history of the federal funding debate from the Carter to the Obama administrations, and the importance of the Raab memo in authorizing federal funding for research with privately derived ESCs despite the Dickey-Wicker ban on federal funding of embryo research. It also reviews the role that scientists themselves have played in developing regulations for ESC research, the emergence of ESCROs as special review bodies for ESC research, and the thorough consent requirements for donation of IVF embryos to ESC research. With research now transitioning from the lab to the clinic, the article reviews the challenges of ensuring safety and consent in translational research. It concludes with a call for respecting those persons who have to using or working with ESC products and an account of how obtaining stem cells from a person's own cells will alleviate some but not all of the controversy surrounding ESC research.

  6. Stevens Johnson syndrome in Pakistan: a ten-year survey.

    PubMed

    Ahmed, Y I; Azeem, S; Khan, O; Majid, T H; Ahmed, D; Amin, A; Mahmood, A; Hameed, K

    2004-06-01

    A pre-tested questionnaire-based, retrospective study to highlight the causative factors, mode of presentation, complications and outcome of patients with Stevens Johnson syndrome. Aga Khan University Hospital over a 10 year period. All case records with a diagnosis of Steven Johnson Syndrome in the period 1990 to 2000 were retrospectively reviewed. Data was retrieved on a comprehensive questionnaire. The demographic variatbles and drugs taken within the previous 21 days were noted. Date analysis was done by Epi-Info Version 6.0. Of the 101 studied patient files, the most common offender was found to be the Penicillins as a group and Sulfadoxine-Pyrimethamine (Fansidar) when considering all drugs individually. Most common complications included electrolyte disturbances (13.9%) and congestive heart failure (6.9%). Mortality rate was high at 10.1%. SJS was found to be a rare condition but having a mortality rate of 10.1%. As it can be induced by a large number of drugs, caution should be practiced while prescribing.

  7. Ten years of integrated care for the older in France

    PubMed Central

    Somme, Dominique; de Stampa, Matthieu

    2011-01-01

    Background This paper analyzes progress made toward the integration of the French health care system for the older and chronically ill population. Policies Over the last 10 years, the French health care system has been principally influenced by two competing linkage models that failed to integrate social and health care services: local information and coordination centers, governed by the social field, and the gerontological health networks governed by the health field. In response to this fragmentation, Homes for the Integration and Autonomy for Alzheimer patients (MAIAs) is currently being implemented at experimental sites in the French national Alzheimer plan, using an evidence-based model of integrated care. In addition, the state’s reforms recently created regional health agencies (ARSs) by merging seven strategic institutions to manage the overall delivery of care. Conclusion The French health care system is moving from a linkage-based model to a more integrated care system. We draw some early lessons from these changes, including the importance of national leadership and governance and a change management strategy that uses both top-down and bottom-up approaches to implement these reforms. PMID:22375101

  8. Ten-year experience of phototherapy in Yonsei Medical Center.

    PubMed

    Park, S H; Hann, S K; Park, Y K

    1996-12-01

    Phototherapy with PUVA or UVB has been used to treat a wide variety of diseases such as psoriasis, vitiligo, atopic dermatitis and mycosis fungoides, etc. The present study was performed to investigate the pattern of phototherapy in the phototherapy clinic of Yonsei Medical Center. One thousand six hundred ninety two patients who received PUVA or UVB phototherapy were included in this study. We analyzed the protocols for phototherapy between 1985 and 1994. The number of phototherapy per year increased sharply until 1991 and thereafter it has remained relatively constant. The most common age group at the start of phototherapy was the third decade. The most common indications for PUVA and UVB phototherapy were vitiligo and psoriasis, respectively. Most patients had received less than 50 treatments of PUVA and less than 200 J/cm2 of cumulative UVA. Most patients had received less than 50 treatments with UVB and cumulative UVB doses were variable. We had not found any malignancy in the skin. Since the maximum safe cumulative doses of UVA or UVB have not yet been established, it is difficult to decide when phototherapy should be discontinued. The data presented in this study needs to be further analyzed in correlation with photoaging and cancer development for the safe usage of phototherapy.

  9. [Ten years experience in Mali community health centers].

    PubMed

    Balique, H; Ouattara, O; Iknane, A A

    2001-03-01

    At the end of 10 years' existence, the community health centres of Mali show a way of organisation which meets the public health requirements and demands of financial viability of any health establishment. Their originality lays in several factors: their legal personality, their private status, their financial support of the medical staff, their management by a users association and the public utilities agreement they have signed with the department. In spite of their success which makes their numbers reach 350, they suffer from great deficiencies, which are resulted by the lack of democratic traditions within the associations, a inappropriate transparency of their accounts and an inefficient supervision from the part of the department. The main questions posed by this new experience concern the limits of the concept of community, the importance of citizenship in the development dynamics, the participation of private institutions in the accomplishment of public utilities, the jacobin and authoritarian attitude of the department representatives, the contradictions between multiplication of centres to improve geographic access and the requirements of financial viability.

  10. Ten-years experience of laser use in aesthetic surgery

    NASA Astrophysics Data System (ADS)

    Gulev, Valerii S.; Dobrjakova, Olga B.; Dobrjakov, Boris S.

    2001-10-01

    A collaboration of the laser physicist and aesthetic surgeons has started 10 years ago. Within the period 1992 - 2000 we have carried out the investigation of the influence of the pulsed radiation, emitted by lasers having as active mediums crystals of the aluminum-yttrium garnet and alexandrite, on the cultures of the alive tissue and the fibrosis capsules around foreign bodies in the animals. Besides, we have studied the clinical protocol: in majority, patients were women after mammary augmentation. The laser tatoo non-invasive removals were marked at the beginning of the pulse of the Q-switch neodymium yttrium-aluminum garnet laser radiation used in human. It was obtained that this laser radiation broke the cell proliferation without any mutations and morphology changes. It was also noticed much evidence that the high functional fibroblast activities were registered in fibrosis capsules of not exposed animals to the laser radiation. It was also noticed that the use of laser radiation affected the speed and quality of the productive inflammation. The softening of the fibrous capsule around the mammary implant and the reduction of the pronounced rubbers were the clinical effects of the laser radiation.

  11. Chernobyl and Bhopal ten years on comparisons and contrasts

    SciTech Connect

    Grimston, M.C.

    1997-03-01

    Within eighteen months in mid- 1980s, two of the most serious industrial accidents in history occurred. At Bhopal, capital of Madhya Pradesh in central India, in the early hours of December 3, 1984, an explosion occurred at Union Carbide of India Ltd (UCIL)`s methyl isocyanate plant. Some 40 tonnes of a complex chemical mixture were released, causing several thousand deaths and hundreds of thousands of injuries. At Chernobyl in the north of Ukraine, then part of the USSR, in the early hours of April 26, 1986, an explosion at a state-owned nuclear power plant caused the release of some 6 tonnes (possibly more) of radioactive materials. The {open_quote}immediate{close_quote} death toll was much lower than at Bhopal. The usually-quoted figure of 30, all of whom were on site in the immediate aftermath of the explosion, includes two who died on site from burns and falling masonry and 28 who died within the following few weeks from Acute Radiation Syndrome. (Another person on site died of a heart attack, which it is difficult to associate directly with the accident.) However, the effects of the accident were widespread, especially in Belarus, Ukraine and Russia, and theoretical calculations suggest that further illness and premature deaths are to be expected for several years to come. This paper compares and contrasts these two accidents. There are striking similarities.

  12. Permitting of Landfill Bioreactor Operations: Ten Years after ...

    EPA Pesticide Factsheets

    Prior to promulgation of the Rule, there were approximately 20 full-scale bioreactor projects in North America, including one in Canada. Of these, six were permitted by EPA (four Project XL sites and two projects listed separately under a cooperative research agreement at the Outer Loop Landfill in Kentucky). In March 2014, there were about 40 bioreactor projects reported, including 30 active RD&D projects in 11 approved states and one project on tribal lands. Wisconsin features the largest number of projects at 13, due primarily to the fact that landfill owners in the state must either eliminate landfill disposal of biodegradable materials or to achieve the complete stabilization of deposited organic waste at MSW landfills within 40 years after closure. Most landfill operators have selected a bioreactor approach to attempt to achieve the latter goal. In summary, only 16 of 50 (32%) states have currently adopted the Rule, meaning that development of RD&D permitting procedures that are consistent with EPA’s requirements has generally not occurred. The predominant single reason cited for not adopting the Rule was lack of interest amongst landfill facilities in the state. Subtitle D and its state derivatives already allow leachate recirculation over prescriptive (i.e., minimum technology) liner systems, which is often the primary goal of site operators seeking to control leachate treatment costs. Other reasons related to concerns over increased time, cost

  13. Temperament and character in eating disorders: ten years of studies.

    PubMed

    Fassino, S; Amianto, F; Gramaglia, C; Facchini, F; Abbate Daga, G

    2004-06-01

    In recent years a number of studies of personality have been performed in subjects with Eating Disorders (EDs) to investigate the clinical differences between controls and ED patients and among EDs subtypes, and its role in the development and course of symptoms. The Tridimensional Personality Questionnaire (TPQ) and the Temperament and Character Inventory (TCI) have been widely used at this purpose, allowing the description of specific temperament and character profiles for EDs. High Harm Avoidance (HA) and low Self-Directedness (SD) are shared by all EDs. Slight differences on some facets have been found among ED subgroups. Nevertheless, HA is influenced by mood and both high HA and low SD are personality traits shared by many mental disorders, whose specificity is rather low. Restrictor anorectics are characterized by high Persistence (P) and a relatively higher SD, and bulimics by higher Novelty Seeking (NS) and the lowest SD, while binge/purging and purging anorectics share some traits with anorexia and some with bulimia. Though current data justify the discrimination among anorexia subtypes, they are not in contrast with the thesis of a continuum in ED personality traits. Since some personality traits display a prognostic value with regard to therapy and clinical outcome, further studies are needed on treatments and prognostic factors in EDs. Moreover, studies attempting to define the neurobiological and genetic correlates of temperament should be supported by clinical pharmacological trials.

  14. Permitting of Landfill Bioreactor Operations: Ten Years after ...

    EPA Pesticide Factsheets

    Prior to promulgation of the Rule, there were approximately 20 full-scale bioreactor projects in North America, including one in Canada. Of these, six were permitted by EPA (four Project XL sites and two projects listed separately under a cooperative research agreement at the Outer Loop Landfill in Kentucky). In March 2014, there were about 40 bioreactor projects reported, including 30 active RD&D projects in 11 approved states and one project on tribal lands. Wisconsin features the largest number of projects at 13, due primarily to the fact that landfill owners in the state must either eliminate landfill disposal of biodegradable materials or to achieve the complete stabilization of deposited organic waste at MSW landfills within 40 years after closure. Most landfill operators have selected a bioreactor approach to attempt to achieve the latter goal. In summary, only 16 of 50 (32%) states have currently adopted the Rule, meaning that development of RD&D permitting procedures that are consistent with EPA’s requirements has generally not occurred. The predominant single reason cited for not adopting the Rule was lack of interest amongst landfill facilities in the state. Subtitle D and its state derivatives already allow leachate recirculation over prescriptive (i.e., minimum technology) liner systems, which is often the primary goal of site operators seeking to control leachate treatment costs. Other reasons related to concerns over increased time, cost

  15. Ovarian Kaleidoscope Database: Ten Years and Beyond1

    PubMed Central

    Hsueh, Aaron J.; Rauch, Rami

    2012-01-01

    ABSTRACT Ovarian Kaleidoscope database (OKdb) is an online, searchable, public database containing text-based and DNA microarray data to facilitate research by ovarian researchers. Using key words and predetermined categories, users can search ovarian gene information based on gene function, cell type of expression, cellular localization, hormonal regulation, mutant phenotypes, chromosomal location, ligand-receptor relationship, and other criteria, either alone or in combination. For individual genes, users can access more than 10 extensive DNA microarray datasets to interrogate gene expression patterns in a development-specific and cell type-specific manner. All ligand and receptor genes expressed in the ovary are matched to facilitate investigation of paracrine/autocrine signaling. More than 3500 ovarian genes in the database are matched to 185 gene pathways in the Kyoto Encyclopedia of Genes and Genomes to allow for elucidation of gene interactions and relationships. In addition to >400 genes with infertility or subfertility phenotypes when mutated in mice or humans, the OKdb also lists ∼50 and ∼40 genes associated with polycystic ovarian syndrome and primary ovarian insufficiency, respectively. The expanding OKdb is updated weekly and allows submission of new genes by ovarian researchers to allow instant access to DNA microarray datasets for newly submitted genes. The present database is a virtual community for ovarian researchers and allows users to instantaneously provide their comments for individual gene pages based on an automated Web-discussion system. In the coming years, we will continue to add new features to serve the ovarian research community. PMID:22441797

  16. Endoscopic Repair of CSF Fistulae: A Ten Year Experience

    PubMed Central

    Alexander, Arun; Mathew, John; Varghese, Ajoy Mathew

    2016-01-01

    Introduction Cerebrospinal Fluid (CFF) fistulae are repaired endoscopically with varying degrees of success around the world. Large series are still uncommon, and the results varied primarily because of the different techniques by different surgeons and also because of a variation in the patient profile in each series, for example, many series deal primarily with traumatic CSF leaks where the defects are larger and outcomes poorer. Aim To analyse the surgical outcomes of Endoscopic CSF rhinorrhea closure. Materials and Methods This is a series of 34 cases operated upon primarily by one surgeon in two different centres over a period of 10 years. Results Of the 34 cases, 76% of the patients were women. Among the patients only 20.6% patients had a history of trauma preceding the CSF leak. The most common site of leak was in the fovea ethmoidalis in 19 (55.8%) followed by 10 (29.4%) in the cribriform plate. An overlay technique of placing the multiple layers of fascia and mucosa was used in 26 (76.5%) patients and underlay technique in the remaining. Postoperative lumbar drain was used in all patients. Conclusion Based on the treatment outcome of the 34 patients, it can be concluded that the success rate of a single endoscopic procedure in our experience is 97% and 100% following the second. Endoscopic approach for closure of CSF leak is safe with minimal complications and little morbidity. PMID:27656471

  17. Androgen insensitivity syndrome: ten years of our experience.

    PubMed

    Subramaniam, Amudha; Singh, Rajender; Tilak, Preetha; Devi, Rema; Kulandaivelu, Mahalingam; Kumarasamy, Thangaraj

    2013-01-01

    Abnormalities of secondary sexual differentiation manifest in varying degrees depending upon the severity of the underlying cause. Primary amenorrhea in phenotypic females is caused by several different factors, including hormonal imbalance, nutritional deficiency and sex differentiation abnormalities. Androgen insensitivity syndrome (AIS) accounts for a large proportion of such cases in phenotypic females but genetically male individuals. Over the past 10 years, we have collected data related to androgen insensitivity from more than 150 cases. The research identified several important but neglected facts about this syndrome; including the identification of mutations in 39% of the cases and the establishment of the cause of pathogenesis in 60% of them. The most intriguing facts were uncovered in relation to late presentation of the AIS cases, little awareness among patients and family members, no consensus on the age of performing gonadectomy, and reluctance of the patients to undergo recommended surgery. These issues need immediate attention to improve healthcare and management of AIS cases. This article summarizes our observations about AIS with an aim to spread awareness among patients and clinicians.

  18. Ten years of experience with third and fourth branchial remnants.

    PubMed

    Liberman, Moishe; Kay, Saundra; Emil, Sherif; Flageole, Hélène; Nguyen, Luong T; Tewfik, Ted L; Oudjhane, Kamal; Laberge, Jean-Martin

    2002-05-01

    Third and fourth branchial remnants may result in cysts and abscesses that are in close contact with the thyroid gland. These anomalies are rare and often present diagnostic and therapeutic challenges. The charts of patients diagnosed with a branchial anomaly between July 1991 and July 2001 at the Montreal Children's Hospital were reviewed. All cases of third and fourth branchial remnants or pyriform sinus fistulae were identified. Clinical presentation, imaging, treatment, and outcome were recorded. Eight patients with a third or fourth branchial anomaly were identified and ranged in age from birth to 13 years. All anomalies were left sided. Presenting symptoms consisted of an asymptomatic cervical mass (n = 1), an infected mass (n = 5), neonatal respiratory distress (n = 1), and 1 incidental cyst found on magnetic resonance imaging. Ultrasonography was useful in suggesting the diagnosis in 7 cases. Barium swallow was performed in 3 patients with 2 positive results. Pharyngoscopy results showed the internal opening in 2 of 7 patients. A portion of the thyroid gland was resected in 6 patients. One patient has not yet undergone a definitive procedure. There was 1 recurrence in a patient whose pathology did not confirm a branchial remnant. The diagnosis and management of pyriform sinus anomalies are challenging. Ultrasound scan, computed tomography scan, barium swallow, and pharyngoscopy are all useful. The portion of thyroid involved in the fistula must be excised en bloc with the inflammatory mass, and the tract should be ligated at the level of the pharynx to minimize recurrence. Copyright 2002, Elsevier Science (USA). All rights reserved.

  19. A ten-year analysis of surgical education research.

    PubMed

    Derossis, A M; DaRosa, D A; Dutta, S; Dunnington, G L

    2000-07-01

    Surgical education peer-reviewed publications have markedly increased over the last decade. The purpose of this study was to review the surgical education literature published over the last 10 years and address the following questions: What subjects in surgical education tend to be studied? What are the most to least commonly employed research designs and statistics? Has there been a change in how research data are collected? Where are these studies published? A literature search encompassing surgical education papers published between January 1988 and August 1998 was performed. Four investigators coded qualifying abstracts on journal type, subject of research, data collection methods, research design, and statistics. Each investigator was asked to code 10 articles at the start of the study to assess interrater reliability. A total of 420 abstracts were evaluated. Interrater reliability yielded percent agreements ranging from 82% to 96%. Curriculum and teaching were the most frequent topics studied (40%), followed by assessment (23%) and program evaluation (18%). Most research designs used were descriptive (41%). Experimental design has progressively increased from 2% in 1988-89 to 16% in 1998. A total of 551 statistical methods were accounted for in the 420 abstracts. The most common statistical analyses used were descriptive statistics (32%). The predominant mode of data collection was through testing or direct observations (34%). Survey instruments followed closely as a popular data collection method at 27%. The majority of papers were published in peer-reviewed surgical journals (64%),followed by medical education journals (22%) and "other" journals (14%). An analysis of the surgical education literature demonstrates the growing emphasis on the use of educational research to explore relevant issues and problems. Descriptive research is most popular, with an increasing trend in experimental research. Publication of educational research in peer-reviewed surgical

  20. Radiosurgery as treatment for acoustic neuroma. Ten years' experience.

    PubMed

    Llópez Carratalá, Ignacio; Escorihuela García, Vicente; Orts Alborch, Miguel; de Paula Vernetta, Carlos; Marco Algarra, Jaime

    2014-01-01

    The acoustic neuroma is a benign tumour that usually affects the vestibular portion of the vestibulocochlear nerve. It represents 8% of all intracranial tumours and 80% of those arising at the cerebellopontine angle. There are 3 treatment options: microsurgery (the technique of choice), radiosurgery and observation. The objective of the study was to evaluate the results and side effects obtained using radiosurgery as treatment for acoustic neuroma. We performed a review of all patients treated with radiosurgery (Gamma Knife and linear accelerator) at doses of 1200-1300 cGy for unilateral acoustic neuroma in our hospital from January 1999 until January 2010. In all patients we evaluated the overall state, tumour growth control rate (tumour smaller or remaining the same size), the involvement of v and vii cranial nerves and central nervous system disorders. We also assessed follow-up time and changes in hearing thresholds after radiosurgery. From a total of 35 patients studied, with a mean age of 58.29 years and lacking statistically significant differences in gender, the tumour growth control rate was over 90%. The main reason for visit (65.71%) was unilateral and progressive hearing loss. After treatment, 34.28% of patients had hearing loss. The involvement of the cranial nerves (v-vii) was transitory in 100% of cases. Gamma Knife radiosurgery was administered in 82.85% of patients. Although microsurgery is the treatment of choice for acoustic neuroma, we consider radiosurgery as a valid alternative in selected patients (elderly, comorbidity, small tumour size and sensorineural hearing loss, among others). Copyright © 2013 Elsevier España, S.L.U. y Sociedad Española de Otorrinolaringología y Patología Cérvico-Facial. All rights reserved.

  1. Laparoscopic colorectal surgery for colorectal polyps: experience of ten years

    PubMed Central

    Dulskas, Audrius; Kuliešius, Žygimantas; E. Samalavičius, Narimantas

    2017-01-01

    Background. Laparoscopy or its combination with endoscopy is the next step for “difficult” polyps. The purpose of the paper was to review the outcomes of the laparoscopic approach to the management of “difficult” colorectal polyps. Materials and methods. From 2006 to 2016, 58 patients who underwent laparoscopic treatment for “difficult” polyps that could not be treated by endoscopy at the National Cancer Institute, Lithuania, were included. The demographic data, the type of surgery, length of post-operative stay, complications, and final pathology were reviewed prospectively. Results. The mean patient was 65.9 ± 8.9 years of age. Laparoscopic mobilization of the colonic segment and colotomy with removal of the polyp was performed in 15 (25.9%) patients, laparoscopic segmental bowel resection in 41 (70.7%) cases: anterior rectal resection with partial total mesorectal excision in 18 (31.0%), sigmoid resection in nine (15.5%), left hemicolectomy in seven (12.1%), right hemicolectomies in two (3.4%), ileocecal resection in two (3.4%), resection of transverse colon in two (3.4%), and sigmoid resection with transanal retrieval of specimen in one (1.7%). Two patients (3.4%) underwent laparoscopic-assisted endoscopic polypectomy. The mean post-operative hospital stay was 5.7 ± 2.4 days. There were four complications (6.9%). All patients recovered after conservative treatment. The mean polyp size was 3.5 ± 1.9 cm. Final histopathology revealed hyperplastic polyps (n = 2), tubular adenoma (n = 9), tubulovillous adenoma (n = 31), carcinoma in situ (n = 12), and invasive cancer (n = 4). Conclusions. For the management of endoscopically unresectable polyps, laparoscopic surgery is currently the technique of choice. PMID:28630589

  2. Laparoscopic colorectal surgery for colorectal polyps: experience of ten years.

    PubMed

    Dulskas, Audrius; Kuliešius, Žygimantas; E Samalavičius, Narimantas

    2017-01-01

    Background. Laparoscopy or its combination with endoscopy is the next step for "difficult" polyps. The purpose of the paper was to review the outcomes of the laparoscopic approach to the management of "difficult" colorectal polyps. Materials and methods. From 2006 to 2016, 58 patients who underwent laparoscopic treatment for "difficult" polyps that could not be treated by endoscopy at the National Cancer Institute, Lithuania, were included. The demographic data, the type of surgery, length of post-operative stay, complications, and final pathology were reviewed prospectively. Results. The mean patient was 65.9 ± 8.9 years of age. Laparoscopic mobilization of the colonic segment and colotomy with removal of the polyp was performed in 15 (25.9%) patients, laparoscopic segmental bowel resection in 41 (70.7%) cases: anterior rectal resection with partial total mesorectal excision in 18 (31.0%), sigmoid resection in nine (15.5%), left hemicolectomy in seven (12.1%), right hemicolectomies in two (3.4%), ileocecal resection in two (3.4%), resection of transverse colon in two (3.4%), and sigmoid resection with transanal retrieval of specimen in one (1.7%). Two patients (3.4%) underwent laparoscopic-assisted endoscopic polypectomy. The mean post-operative hospital stay was 5.7 ± 2.4 days. There were four complications (6.9%). All patients recovered after conservative treatment. The mean polyp size was 3.5 ± 1.9 cm. Final histopathology revealed hyperplastic polyps (n = 2), tubular adenoma (n = 9), tubulovillous adenoma (n = 31), carcinoma in situ (n = 12), and invasive cancer (n = 4). Conclusions. For the management of endoscopically unresectable polyps, laparoscopic surgery is currently the technique of choice.

  3. Ten years at war: comprehensive analysis of amputation trends.

    PubMed

    Krueger, Chad A; Wenke, Joseph C; Ficke, James R

    2012-12-01

    While multiple studies have examined amputations that have occurred during the current conflicts in Iraq and Afghanistan, none of these studies have provided an overarching characterization of all of these injuries. A retrospective study of all major extremity amputations sustained by US Service Members from January 2001 through July 30, 2011, was performed. Data obtained from these amputees included amputation level(s), mechanism of injury, time to amputation, Injury Severity Score (ISS), age, rank, number of trauma admissions, and number of troops deployed. There were 1,221 amputees who met inclusion criteria. These amputees sustained a total of 1,631 amputations. The number of amputations performed each year has increased dramatically in 2010 (196) and the first half of 2011 (160) from 2008 (105) and 2009 (94). The number of amputations performed per every 100 traumatic admissions (3.5-14) and the number of amputations per 100,000 deployed troops (2-14) has also increased in 2010 and the first half of 2011. Most amputations occurred at the transtibial (683, 41.8%) and transfemoral (564, 34.5%) levels. Thirty percent of the amputees (366) sustained multiple amputations, and 14% of all amputations (228) performed involved the upper extremity. There were 127 amputees (10%) who underwent their amputation more than 90 days after the date of injury. The number of amputations occurring during the current Iraqi and Afghanistan conflicts has increased in 2010 and the first half of 2011. Most amputations involve the lower extremities, and there is a much higher percentage of amputees who have sustained multiple amputations during current operations than previous conflicts. Epidemiologic study, level IV.

  4. Interactive radio in the classroom: ten years of proven success.

    PubMed

    Imhoof, M

    1985-01-01

    Interactive instructional radio programming is an innovative, inexpensive, and highly effective educational tool. In interactive radio programming, lessons are provided by a radio instructor, but unlike other radio education programs, the instructor prompts responses from the radio audience, provides pauses for audience responses, and then supplies the correct response to the prompt. The lessons are generally supervised by a classroom teacher, and the students respond to the radio prompts either orally or in writing. The lessons encourage student participation, and the programs frequently require more than 100 audience responses for each 1/2 hour of radio programing. The US Agency for International Development's Office of Education in the Bureau for Science and Technology researched and developed the tool during the last 10 years, and conducted highly successful experimental projects with it in Kenya, Nicaragua, and the Dominican Republic. In September 1984 a conference, jointly sponsored by the agency and Kenya's Ministry of Education, Science, and Technology, was held in Nairobi to demonstrate the new tool and to encourage other countries to utilize the approach. Participants visited rural classrooms in Kenya where they had an opportunity to observe how the technique was being successfully used in Kenya's Radio Language Arts Project. In view of the successful results attained in the experimental projects of the 3 countries noted above, the conference participants recommended that the technique should immediately be integrated into the national curricula of these countries, and that the approach should be more widely used in other countries. They noted that the technique is especially appropriate for use in primary schools and in nonformal adult education programs and that the tool is especially useful for teaching mathematics and second languages. They recommended that educators in developing countries develop interactive instructional radio programs, evaluate

  5. Ten years of tiotropium: clinical impact and patient perspectives.

    PubMed

    Yohannes, Abebaw M; Connolly, Martin J; Hanania, Nicola A

    2013-01-01

    Tiotropium bromide is an anticholinergic agent that has gained worldwide acceptance as a first-line, once daily maintenance therapy for patients with moderate-to-severe chronic obstructive pulmonary disease. The purpose of this review is to synthesize the evidence base in the past 10 years on the development of tiotropium and its efficacy compared to other able interventions such as long-acting beta agonists (LABAs), as well as to assess its safety profile and its effects on health-related outcomes in patients with COPD. Treatment with tiotropium bromide has generally improved patients' health-related quality of life, reduced the number of patients suffering from acute exacerbations, decreased the number of hospitalizations, improved dyspnea, and reduced adverse events compared to placebo. In the past decade, several studies have examined the safety and efficacy of tiotropium in comparison to placebo and to LABAs (salmeterol, formoterol, and indacaterol) over periods ranging from 3 months to 48 months of follow-up. Head-to-head comparisons of tiotropium 18μg (once daily) with salmeterol 50μg (twice daily) in well-controlled trials demonstrated that tiotropium was superior in reducing acute exacerbation events and in improving quality of life. In a few short-term studies, indacaterol was comparable to tiotropium in its efficacy in improving health-related outcomes. Although the safety record of tiotropium has been exemplary in comparison to placebo, anticholinergic events such as dry mouth can be encountered in some patients. While the long-term safety of tiotropium when delivered in the HandiHaler® has been well documented, its delivery using the Respimat® Soft Mist Inhaler™ was associated with an elevated risk of cardiovascular complications, including increased mortality when compared to placebo. The exact mechanism for this is not known but is being investigated in a large multinational study that will evaluate the long-term safety of different doses of

  6. Income Changes during the First Ten Years of Occupational Experience: A Comparison of Blacks and Whites.

    ERIC Educational Resources Information Center

    Blum, Zahava D.

    This analysis of income changes is based on retrospective life history data collected from white and black men, 30-39 years old in 1968. Educational level is shown to be the most important determinant of initial income for both blacks and whites, but the relationship is weaker for whites than for blacks. Ten years later, education shows a stronger…

  7. Changing Course: Ten Years of Tracking Online Education in the United States

    ERIC Educational Resources Information Center

    Allen, I. Elaine; Seaman, Jeff

    2013-01-01

    "Changing Course: Ten Years of Tracking Online Education" in the United States is the tenth annual report on the state of online learning in U.S. higher education. The survey is designed, administered and analyzed by the Babson Survey Research Group. Data collection is conducted in partnership with the College Board. This year's study, like those…

  8. Randomized Trial of Treatment for Children with Sexual Behavior Problems: Ten-Year Follow-Up

    ERIC Educational Resources Information Center

    Carpentier, Melissa Y.; Silovsky, Jane F.; Chaffin, Mark

    2006-01-01

    This study prospectively follows 135 children 5-12 years of age with sexual behavior problems from a randomized trial comparing a 12-session group cognitive-behavioral therapy (CBT) with group play therapy and follows 156 general clinic children with nonsexual behavior problems. Ten-year follow-up data on future juvenile and adult arrests and…

  9. Ten-year longitudinal clinical evaluation of a visible light cured posterior composite resin.

    PubMed

    Shimizu, T; Kitano, T; Inoue, M; Narikawa, K; Fujii, B

    1995-12-01

    Using modified USPHS criteria, we evaluated annually for ten years 91 cases restored with visible light cured posterior composite resin LFP (Base resin: UDMA; filler: micro crushed type, alumino-silicate, barium glass and silica, 85 wt%, 74 vol%). The 91 cases restored with LFP decreased to 68 in ten years. Of the 23 cases that were lost, one resulted from a pulpal reaction immediately following restoration, four were extracted owing to periodontal disease or extrusion of third molars, two became abutments owing to loss of an adjacent tooth, eight had recurrent caries, and eight were lost owing to caries on a surface having no relationship to the composite resin restoration. Because we observed comparatively little wear, good marginal adaptability, and no discoloration, we concluded that the ten-year clinical success of LFP was on the whole very good, and that this resin has adequate clinical merit as a restorative material for posterior teeth when restricted to restorations covering comparatively small areas.

  10. DITTY - a computer program for calculating population dose integrated over ten thousand years

    SciTech Connect

    Napier, B.A.; Peloquin, R.A.; Strenge, D.L.

    1986-03-01

    The computer program DITTY (Dose Integrated Over Ten Thousand Years) was developed to determine the collective dose from long term nuclear waste disposal sites resulting from the ground-water pathways. DITTY estimates the time integral of collective dose over a ten-thousand-year period for time-variant radionuclide releases to surface waters, wells, or the atmosphere. This document includes the following information on DITTY: a description of the mathematical models, program designs, data file requirements, input preparation, output interpretations, sample problems, and program-generated diagnostic messages.

  11. The ten-year survival of the Birmingham hip resurfacing: an independent series.

    PubMed

    Murray, D W; Grammatopoulos, G; Pandit, H; Gundle, R; Gill, H S; McLardy-Smith, P

    2012-09-01

    Recent events have highlighted the importance of implant design for survival and wear-related complications following metal-on-metal hip resurfacing arthroplasty. The mid-term survival of the most widely used implant, the Birmingham Hip Resurfacing (BHR), has been described by its designers. The aim of this study was to report the ten-year survival and patient-reported functional outcome of the BHR from an independent centre. In this cohort of 554 patients (646 BHRs) with a mean age of 51.9 years (16.5 to 81.5) followed for a mean of eight years (1 to 12), the survival and patient-reported functional outcome depended on gender and the size of the implant. In female hips (n = 267) the ten-year survival was 74% (95% confidence interval (CI) 83 to 91), the ten-year revision rate for pseudotumour was 7%, the mean Oxford hip score (OHS) was 43 (SD 8) and the mean UCLA activity score was 6.4 (SD 2). In male hips (n = 379) the ten-year survival was 95% (95% CI 92.0 to 97.4), the ten-year revision rate for pseudotumour was 1.7%, the mean OHS was 45 (SD 6) and the mean UCLA score was 7.6 (SD 2). In the most demanding subgroup, comprising male patients aged < 50 years treated for primary osteoarthritis, the survival was 99% (95% CI 97 to 100). This study supports the ongoing use of resurfacing in young active men, who are a subgroup of patients who tend to have problems with conventional THR. In contrast, the results in women have been poor and we do not recommend metal-on-metal resurfacing in women. Continuous follow-up is recommended because of the increasing incidence of pseudotumour with the passage of time.

  12. Indirect composite restorations luted with two different procedures: A ten years follow up clinical trial

    PubMed Central

    Preti, Alessandro; Vano, Michele; Derchi, Giacomo; Mangani, Francesco; Cerutti, Antonio

    2015-01-01

    Objectives: The aim of this clinical trial was to evaluate posterior indirect composite resin restoration ten years after placement luted with two different procedures. Study Design: In 23 patients 22 inlays/onlays (Group A) were luted using a dual-cured resin composite cement and 26 inlays/onlays (Group B) were luted using a light cured resin composite for a total of 48 Class I and Class II indirect composite resin inlays and onlays. The restorations were evaluated at 2 time points: 1) one week after placement (baseline evaluation) and 2) ten years after placement using the modified USPHS criteria. The Mann-Whitney and the Wilcoxon tests were used to examine the difference between the results of the baseline and 10 years evaluation for each criteria. Results: Numerical but not statistically significant differences were noted on any of the recorded clinical parameters (p>0.05) between the inlay/onlays of Group A and Group B. 91% and 94 % of Group A and B respectively were rated as clinically acceptable in all the evaluated criteria ten years after clinical function. Conclusions: Within the limits of the study the results showed after ten years of function a comparable clinical performance of indirect composite resin inlays/onlays placed with a light cure or dual cure luting procedures. Key words:Light curing composite, dual curing composite, indirect composite restoration, inlays/onlays, clinical trial. PMID:25810842

  13. Jamitons: Phantom Traffic Jams

    ERIC Educational Resources Information Center

    Kowszun, Jorj

    2013-01-01

    Traffic on motorways can slow down for no apparent reason. Sudden changes in speed by one or two drivers can create a chain reaction that causes a traffic jam for the vehicles that are following. This kind of phantom traffic jam is called a "jamiton" and the article discusses some of the ways in which traffic engineers produce…

  14. Jamitons: Phantom Traffic Jams

    ERIC Educational Resources Information Center

    Kowszun, Jorj

    2013-01-01

    Traffic on motorways can slow down for no apparent reason. Sudden changes in speed by one or two drivers can create a chain reaction that causes a traffic jam for the vehicles that are following. This kind of phantom traffic jam is called a "jamiton" and the article discusses some of the ways in which traffic engineers produce…

  15. Ten Years of Open Space Schools; A Review of the Research.

    ERIC Educational Resources Information Center

    George, Paul S.

    1975-01-01

    This bulletin reviews the last ten years of research on open space schools in an attempt to provide information for future decision making. The first section defines and presents the historical development of open space schools. The second section reviews the research concerning effects of open space schools on teachers, and section three…

  16. Quality of Life in South Africa--The First Ten Years of Democracy

    ERIC Educational Resources Information Center

    Moller, Valerie

    2007-01-01

    South Africa celebrated ten years of democracy in 2004. This special issue of "Social Indicators Research" ("SIR") reviews developments that have impacted on the quality of life of ordinary South Africans during the transition period. The issue updates an earlier volume of "SIR" (Volume 41) published in 1997 and as a…

  17. "Ten Years On": Making Children Visible in Teacher Education and Ways of Reading Video

    ERIC Educational Resources Information Center

    Burke, Catherine; Cunningham, Peter

    2011-01-01

    "Ten Years On" is a 30-minute video documentary discovered in the course of researching progressive primary education, school architecture and pedagogy. It was locally produced for professional rather than commercial use at a significant historical moment for educational politics and primary practice. Here, we explore the possibilities…

  18. Ten Years on: Does Graduate Student Promise Predict Later Scientific Achievement?

    ERIC Educational Resources Information Center

    Haslam, Nick; Laham, Simon M.

    2009-01-01

    We examined publication records of 60 social psychologists to determine whether publication record at the time of the PhD (t0) predicted scientific achievement (publication quantity, quality, and impact) ten years later (t10). Publication quantity and quality each correlated moderately across this time-span. Productivity and impact at t10 were…

  19. Ten Years Later: A Follow-Up Study of Professors Still Working after Age 70

    ERIC Educational Resources Information Center

    Dorfman, Lorraine T.

    2009-01-01

    Little is known about the impact of the end of mandatory retirement on professors over the long term. This follow-up study investigated the ten-year experience of professors who chose not to retire from a major research university after the elimination of the age 70 mandatory retirement in 1994. The initial interview study was conducted in 1998…

  20. Educational Virtual Environments: A Ten-Year Review of Empirical Research (1999-2009)

    ERIC Educational Resources Information Center

    Mikropoulos, Tassos A.; Natsis, Antonis

    2011-01-01

    This study is a ten-year critical review of empirical research on the educational applications of Virtual Reality (VR). Results show that although the majority of the 53 reviewed articles refer to science and mathematics, researchers from social sciences also seem to appreciate the educational value of VR and incorporate their learning goals in…

  1. Ten Years on: Does Graduate Student Promise Predict Later Scientific Achievement?

    ERIC Educational Resources Information Center

    Haslam, Nick; Laham, Simon M.

    2009-01-01

    We examined publication records of 60 social psychologists to determine whether publication record at the time of the PhD (t0) predicted scientific achievement (publication quantity, quality, and impact) ten years later (t10). Publication quantity and quality each correlated moderately across this time-span. Productivity and impact at t10 were…

  2. The Career Fair Project: A Ten Year Experiment in Performance-Based Learning

    ERIC Educational Resources Information Center

    Stewart, Vicki

    2005-01-01

    This article summarizes my experiences in developing an educational initiative known as the Career Fair Project within the curriculum of the Legal Administration/Law Clerk program at Durham College over the past ten years. A performance-based, student-centered project, the Career Fair empowers students to work collaboratively with one another in…

  3. Over Ten Years after the Implementation of the Teacher's Law: Watching and Expecting

    ERIC Educational Resources Information Center

    Li, Yin

    2006-01-01

    It has been over ten years since the "Teacher's Law" took effect on January 1, 1994, and its promulgation and implementation have somewhat helped in protecting teachers' legal rights and interests. Undeniably, however, the "Teacher's Law" is defective in many aspects, such as the absence of teachers' legal identity, its failure…

  4. Educational Virtual Environments: A Ten-Year Review of Empirical Research (1999-2009)

    ERIC Educational Resources Information Center

    Mikropoulos, Tassos A.; Natsis, Antonis

    2011-01-01

    This study is a ten-year critical review of empirical research on the educational applications of Virtual Reality (VR). Results show that although the majority of the 53 reviewed articles refer to science and mathematics, researchers from social sciences also seem to appreciate the educational value of VR and incorporate their learning goals in…

  5. Teacher Professional Development in "Teaching and Teacher Education" over Ten Years

    ERIC Educational Resources Information Center

    Avalos, Beatrice

    2011-01-01

    A review of publications in "Teaching and Teacher Education" over ten years (2000-2010) on teacher professional development is the subject of the paper. The first part synthesises production referred to learning, facilitation and collaboration, factors influencing professional development, effectiveness of professional development and issues…

  6. Mathematical Skills in Undergraduate Students. A Ten-Year Survey of a Plant Physiology Course

    ERIC Educational Resources Information Center

    Llamas, A.; Vila, F.; Sanz, A.

    2012-01-01

    In the health and life sciences and many other scientific disciplines, problem solving depends on mathematical skills. However, significant deficiencies are commonly found in this regard in undergraduate students. In an attempt to understand the underlying causes, and to improve students' performances, this article describes a ten-year survey…

  7. Eastern White Pine Seed Source Trials: Ten-Year Results From Three Midwestern Plantations

    Treesearch

    David T. Funk

    1971-01-01

    Ten-year-old eastern white pine trees from southern Appalachian sources growing in southern Illinois and southern Indiana are taller and have fewer branches for their size than trees from other sources. In a northeastern Iowa plantation, the "best" seed source is not yet apparent.

  8. Ten-year results of a ponderosa pine progeny test in the Black Hills

    Treesearch

    Wayne D. Shepperd; Sue E. McElderry

    1986-01-01

    Ten-year survival and growth of seedlings from 77 parent trees from throughout the Black Hills were compared, using a cluster-analysis technique. Five clusters were identified that account for most of the variability in survival and growth of the open-pollinated families. One cluster, containing 6 families, exhibited exceptional survival and growth. Another, containing...

  9. Teacher Professional Development in "Teaching and Teacher Education" over Ten Years

    ERIC Educational Resources Information Center

    Avalos, Beatrice

    2011-01-01

    A review of publications in "Teaching and Teacher Education" over ten years (2000-2010) on teacher professional development is the subject of the paper. The first part synthesises production referred to learning, facilitation and collaboration, factors influencing professional development, effectiveness of professional development and issues…

  10. Ten Years Later: A Follow-Up Study of Professors Still Working after Age 70

    ERIC Educational Resources Information Center

    Dorfman, Lorraine T.

    2009-01-01

    Little is known about the impact of the end of mandatory retirement on professors over the long term. This follow-up study investigated the ten-year experience of professors who chose not to retire from a major research university after the elimination of the age 70 mandatory retirement in 1994. The initial interview study was conducted in 1998…

  11. TOJDE: Electronic Publishing and a Review of Ten Years' Experience in Turkey

    ERIC Educational Resources Information Center

    Ozarslan, Yasin; Balaban-Sali, Jale; Demiray, Ugur

    2012-01-01

    This review examines "The Turkish Online Journal of Distance Education" (TOJDE) over a ten years period from 2000-2010. The study provides an opportunity to examine publishing activities such as number of published articles, authors, research topics and methods, and analyses of TOJDE's website such as time users stay on site and user…

  12. Mathematical Skills in Undergraduate Students. A Ten-Year Survey of a Plant Physiology Course

    ERIC Educational Resources Information Center

    Llamas, A.; Vila, F.; Sanz, A.

    2012-01-01

    In the health and life sciences and many other scientific disciplines, problem solving depends on mathematical skills. However, significant deficiencies are commonly found in this regard in undergraduate students. In an attempt to understand the underlying causes, and to improve students' performances, this article describes a ten-year survey…

  13. Adult and Continuing Education: The Next Ten Years. Information Series No. 114.

    ERIC Educational Resources Information Center

    Grabowski, Stanley M.

    Futurism for adult and continuing education in the next ten years is the focus of this information analysis paper intended for adult educators and researchers. The paper is based on (1) literature practices in the field, (2) discussions with colleagues, (3) personal observations and experiences, (4) participation in futures conferences about adult…

  14. Technology in Science Education: The Next Ten Years: Perspectives and Recommendations.

    ERIC Educational Resources Information Center

    Licklider, J. C. R.; And Others

    The four papers in this collection were commissioned by the Science Education Directorate of the National Science Foundation to assist in planning a research agenda for science education for the next ten years. A background paper by Dr. J.C.R. Licklider, "Impact of Information Technology on Education in Science and Technology," discusses the…

  15. "Ten Years On": Making Children Visible in Teacher Education and Ways of Reading Video

    ERIC Educational Resources Information Center

    Burke, Catherine; Cunningham, Peter

    2011-01-01

    "Ten Years On" is a 30-minute video documentary discovered in the course of researching progressive primary education, school architecture and pedagogy. It was locally produced for professional rather than commercial use at a significant historical moment for educational politics and primary practice. Here, we explore the possibilities…

  16. Technology in Science Education: The Next Ten Years: Perspectives and Recommendations.

    ERIC Educational Resources Information Center

    Licklider, J. C. R.; And Others

    The four papers in this collection were commissioned by the Science Education Directorate of the National Science Foundation to assist in planning a research agenda for science education for the next ten years. A background paper by Dr. J.C.R. Licklider, "Impact of Information Technology on Education in Science and Technology," discusses the…

  17. Quality of Life in South Africa--The First Ten Years of Democracy

    ERIC Educational Resources Information Center

    Moller, Valerie

    2007-01-01

    South Africa celebrated ten years of democracy in 2004. This special issue of "Social Indicators Research" ("SIR") reviews developments that have impacted on the quality of life of ordinary South Africans during the transition period. The issue updates an earlier volume of "SIR" (Volume 41) published in 1997 and as a…

  18. The Decline of Print: Ten Years of Print Serial Use in a Small Academic Medical Library

    ERIC Educational Resources Information Center

    Rosati, Karen Thompson

    2006-01-01

    Tracking use of print journals over a ten-year period has allowed The University of South Carolina (USC) School of Medicine Library an essential tool for more accurate collection development, for both print and electronic selection. This lengthy study has provided usage statistics for purchasing decisions regarding electronic subscriptions still…

  19. Pathological fracture of the femur ten years after successful radiation therapy for metastatic breast cancer.

    PubMed

    Hatano, Hiroshi; Morita, Tetsuro; Kobayashi, Hiroto; Ito, Takui; Segawa, Hiroyuki; Saito, Mari

    2004-01-01

    We describe a case involving a 75-year-old woman presenting with a femur fracture 10 years after radiation therapy for metastatic breast cancer, which developed in the right femur. The lesion showed complete response with bone healing following radiation therapy; however, the patient sustained a femur fracture ten years later. Histological examination of the specimens obtained from the lesion revealed features of radiation osteonecrosis, but there was no histological evidence of tumor. To our knowledge, there has been no reported case of pathological fracture ten years after radiation therapy from radiation osteonecrosis rather than progression of the metastatic lesion. Late complications of radiation therapy should be considered with care, even when metastatic lesions demonstrate complete response to treatment.

  20. New polyethylenes in total hip replacement: A ten- to 12-year follow-up study.

    PubMed

    García-Rey, E; García-Cimbrelo, E; Cruz-Pardos, A

    2013-03-01

    Between 1999 and 2001, 90 patients underwent total hip replacement using the same uncemented acetabular and femoral components with a 28 mm metallic femoral head but with prospective randomisation of the acetabular liner to either Durasul highly cross-linked polyethylene or nitrogen-sterilised Sulene polyethylene. We assessed 83 patients at a minimum follow-up of ten years. Linear penetration of the femoral head was estimated at six weeks, six and 12 months and annually thereafter, using the Dorr method, given the non-spherical shape of the acetabular component. There was no loosening of any component; only one hip in the Sulene group showed proximal femoral osteolysis. The mean penetration of the femoral head at six weeks was 0.08 mm (0.02 to 0.15) for the Durasul group and 0.16 mm (0.05 to 0.28) for the Sulene group (p = 0.001). The mean yearly linear penetration was 64.8% lower for the Durasul group at 0.05 mm/year (sd 0.035) for the Sulene group and 0.02 mm/year (sd 0.016) for the Durasul (p < 0.001). Mean linear femoral head penetration at ten years was 61% less in the Durasul than Sulene group. Highly cross-linked polyethylene gives excellent results at ten years.

  1. Frequency of serial sexual homicide victimization in Virginia for a ten-year period.

    PubMed

    McNamara, James J; Morton, Robert J

    2004-05-01

    The frequency of serial sexual murder has been widely discussed, and estimates of the number of victims in the United States range from 500 to 6000 per year. This study attempted to quantify the number of serial sexual murder victims in Virginia for a ten-year period. Multiple sources of data were utilized, including Federal Bureau of Investigation (FBI) case files, FBI's Violent Criminal Apprehension Program (ViCAP) reports, Virginia State Police ViCAP reports, Virginia Homicide Investigators Association, and the Virginia Division of Forensic Science DNA database, to effectively cull out all the known serial sexual murder victims for the given time period. Review of these records revealed a total of 28 victims of serial sexual murder, compared with a total of 5183 murder victims for the same ten-year period. The frequency of serial sexual victimization was 0.5% of all homicides for the given period. These results highlight the unusual frequency of serial sexual murder.

  2. Ten-year evaluation of conservative and surgical treatment of gingival recession. A case series study.

    PubMed

    Jorgić-Srdjak, K; Bosnjak, A; Plancak, D; Maricević, T

    2000-12-01

    In the last years the treatment of non-inflammatory periodontal diseases has greatly changed. Apico-coronal dimension of gingival tissue is not considered to be of utmost importance, but significance of tissue thickness over each tooth is stressed. Purpose of this study was to show results of conservative and surgical treatment of gingival recession. Sample consisted of two groups of subjects, which have been treated in one of stated ways during ten years. The data was obtained on the beginning and after ten years of recall. Both groups showed increased dimension of keratinized gingiva during observed time with decrease of gingival recession, plaque- and gingival index. It is considered that treatment should start with conservative measures with necessary motivation of the patients. If it does not show improvement, one should consider best surgical method available for each patient. Clinical results show success in both groups, meaning that treatment was properly decided on.

  3. Propellant/material compatibility program and results: Ten-year milestones

    NASA Technical Reports Server (NTRS)

    Moran, C.; Bjorkland, R.

    1982-01-01

    The analyses and results of a test program to establish the effects of long term (10 years or more) contact of materials with earth-storable propellants for the purpose of designing chemical propulsion system components which are used for current as well as future planetary spacecraft are described. The period from the publication of JPL TM 33-779 IN 1976 through the testing accomplished in 1981 is covered. The following propellants are reported herein: hydrazine, monomethylhydrazine and nitrogen tetroxide. Materials included the following: aluminum alloys, corrosion resistant steels and a titanium alloy. The results of the testing of more than 80 specimens are included. Material ratings relative to the ten year milepost were assigned. Some evidence of propellant decomposition was found. Titanium is rated as acceptable for ten year applications. Aluminum and stainless steel alloys are also rated as acceptable with few restrictions.

  4. Jamming of Semiflexible Polymers

    NASA Astrophysics Data System (ADS)

    Hoy, Robert S.

    2017-02-01

    We study jamming in model freely rotating polymers as a function of chain length N and bond angle θ0. The volume fraction at jamming ϕJ(θ0) is minimal for rigid-rodlike chains (θ0=0 ), and increases monotonically with increasing θ0≤π /2 . In contrast to flexible polymers, marginally jammed states of freely rotating polymers are highly hypostatic, even when bond and angle constraints are accounted for. Large-aspect-ratio (small θ0) chains behave comparably to stiff fibers: resistance to large-scale bending plays a major role in their jamming phenomenology. Low-aspect-ratio (large θ0) chains behave more like flexible polymers, but still jam at much lower densities due to the presence of frozen-in three-body correlations corresponding to the fixed bond angles. Long-chain systems jam at lower ϕ and are more hypostatic at jamming than short-chain systems. Implications of these findings for polymer solidification are discussed.

  5. Early Predictors of Ten-Year Course in First-Episode Psychosis.

    PubMed

    Friis, Svein; Melle, Ingrid; Johannessen, Jan Olav; Røssberg, Jan Ivar; Barder, Helene Eidsmo; Evensen, Julie Horgen; Haahr, Ulrik; Ten Velden Hegelstad, Wenche; Joa, Inge; Langeveld, Johannes; Larsen, Tor Ketil; Opjordsmoen, Stein; Rund, Bjørn Rishovd; Simonsen, Erik; Vaglum, Per Wiggen; McGlashan, Thomas H

    2016-04-01

    Identifying patients at risk of poor outcome at an early stage of illness can aid in treatment planning. This study sought to create a best-fit statistical model of known baseline and early-course risk factors to predict time in psychosis during a ten-year follow-up period after a first psychotic episode. Between 1997 and 2000, 301 patients with DSM-IV nonorganic, nonaffective first-episode psychosis were recruited consecutively from catchment area-based sectors in Norway and Denmark. Specialized mental health personnel evaluated patients at baseline, three months, and one, two, five, and ten years (N=186 at ten years). Time in psychosis was defined as time with scores ≥4 on any of the Positive and Negative Syndrome Scale items P1, P3, P5, P6, and G9. Evaluations were retrospective, based on clinical interviews and all available clinical information. During the first two years, patients were also evaluated by their clinicians at least biweekly. Baseline and early-course predictors of long-term course were identified with linear mixed-model analyses. Four variables provided significant, additive predictions of longer time in psychosis during the ten-year follow-up: deterioration in premorbid social functioning, duration of untreated psychosis (DUP) of ≥26 weeks, core schizophrenia spectrum disorder, and no remission within three months. First-episode psychosis patients should be followed carefully after the start of treatment. If symptoms do not remit within three months with adequate treatment, there is a considerable risk of a poor long-term outcome, particularly for patients with a deterioration in premorbid social functioning, a DUP of at least half a year, and a diagnosis within the core schizophrenia spectrum.

  6. Mixed jamming method for SAR

    NASA Astrophysics Data System (ADS)

    Zhao, Hong-feng; Zhang, Peng; Wang, Yong-sheng

    2007-11-01

    The mixed jamming method of synthetic aperture radar is analyzed and discussed. The methods of active noise and deception jamming and the signal model of transmitting is described. The raw echo signal of SAR and the model of jammed echo signal are expatiated, the characteristic of SAR and the evaluating method of jamming effect are established. Finally, the mixed jamming imaging of SAR is simulated.

  7. Injection-molded 1-3 piezocomposite sensor development: The last ten years

    NASA Astrophysics Data System (ADS)

    Benjamin, Kim C.

    2005-04-01

    The past ten years have seen several interesting demonstrations of 1-3 piezocomposite when used as the active component in sonar sensors. Initially considered receive only by most in the field, piezocomposite has evolved into a proven broadband transducer material with both receive and transmit capability. From large aperture single element calibration transducers, to parametric mode projectors, the material has surprised many experts with its power handling capability. Its polymer constituent provides an amazing degree of versatility by allowing the thermoforming and shaping of transducer substrates for packaging into todays undersea vehicles. This talk will review the last ten years of piezocomposite transducer and array development focusing on both the materials transmit behavior and fabrication benefits for future sonar applications. [Work supported by the U.S. Navy.

  8. Contamination Control Changes to the Reusable Solid Rocket Motor Program: A Ten Year Review

    NASA Technical Reports Server (NTRS)

    Bushman, David M.

    1998-01-01

    During the post Challenger period, the National Aeronautics and Space Administration and Thiokol implemented changes to the Reusable Solid Rocket Motor (RSRM) contract to include provisions for contamination control to enhance the production environment. During the ten years since those agreements for contamination controls were made, many changes have taken place in the production facilities at Thiokol. These changes have led to the production of much higher quality shuttle solid rocket motors and improved cleanliness and safety of operations in the production facilities. The experience in contamination control over this past decade highlights the value these changes have brought to the RSRM program, and how the system can be improved to meet the challenges the program will face in the next ten years.

  9. Constraint counting for frictional jamming

    NASA Astrophysics Data System (ADS)

    Quint, D. A.; Henkes, S.; Schwarz, J. M.

    2012-02-01

    While the frictionless jamming transition has been intensely studied in recent years, more realistic frictional packings are less well understood. In frictionless sphere packings, the transition is predicted by a simple mean-field constraint counting argument, the isostaticity argument. For frictional packings, a modified constraint counting argument, which includes slipping contacts at the Coulomb threshold, has had limited success in accounting for the transition. We propose that the frictional jamming transition is not mean field and is triggered by the nucleation of unstable regions, which are themselves dynamical objects due to the Coulomb criterion. We create frictional packings using MD simulations and test for the presence and shape of rigid clusters with the pebble game to identify the partition of the packing into stable and unstable regions. To understand the dynamics of these unstable regions we follow perturbations at contacts crucial to the stability of the ``frictional house of cards.''

  10. A prospective ten-year follow-up of patients with chronic urticaria.

    PubMed

    Dionigi, P C L; Menezes, M C S; Forte, W C N

    2016-01-01

    Chronic urticaria can be the initial clinical presentation of a number of different diseases. The objective of the present study was to report the associated diseases during a ten-year clinical-laboratory follow-up in patients with an initial diagnosis of chronic spontaneous urticaria (CSU) of unknown cause. A prospective, longitudinal cohort study with a ten-year clinical-laboratory follow-up was conducted. Patients with a history of urticarial plaques of over six weeks presenting as the only clinical symptom were selected. Individuals with other clinical conditions, urticaria of known causes or chronic physical urticaria were excluded. The following tests were initially performed: haemogram, urine type I, stool parasite exam and sedimentation rate. The following exams were ordered during follow-up: PPD; urine culture; serology tests; antithyroid and antinuclear antibodies, rheumatoid factor, lupus anticoagulant; thyroid hormones; serum immunoglobulin; paranasal sinus and thorax radiographs; testing for BK and Helicobacter pylori; and prick tests. Infections were diagnosed in 29% of patients (syphilis, parasitosis, H. pylori, urinary infection, tuberculosis, hepatitis B and C); autoimmune diseases in 21% (thyroiditis, rheumatoid arthritis and antiphospholipid antibody syndrome); primary immunodeficiencies in 4% (IgA and IgG2 deficiencies); and chronic myeloid leukaemia in 1%. At ten-years of follow-up, the urticaria diagnosis was CSU of unknown cause in 45% of the cases. This ten-year clinical-laboratory follow-up of 100 individuals with chronic urticaria as the initial diagnosis revealed the presence of associated diseases in over half of the cases. The most prevalent diseases were infections and autoimmune diseases besides primary immunodeficiencies and blood diseases. Copyright © 2016 SEICAP. Published by Elsevier España, S.L.U. All rights reserved.

  11. [Top ten progression of neuro-ophthalmology research in China in the latest five years].

    PubMed

    2014-12-01

    Ten researches that represent the most advanced neuro-ophthalmology related studies in china were voted by specialists from Chinese Neuro-ophthalmology Society. These researches were concentrated in the following fields: clinical and basic researches of optic neuritis, studies of ischemic optic neuropathy, and clinical present of Leber's hereditary optic neuropathy. These researches represented the level of neuro-ophthalmology in China and also showed the focus of our Chinese neuro-ophthalmologists in recent years.

  12. Fragile granular jamming

    SciTech Connect

    Rivera, Michael K; Ecke, Robert E; Bandi, Mahesh M; Kzakala, Florent

    2009-01-01

    We demonstrate experimentally that the route to a jammed state for a set of bi-dispersed frictional disks, subjected to uni-axial compression from a random initial unjammed state, consists of a consolidation state, a fragile jammed state, and finally a rigid jammed state. In the consolidation regime, the pressure on the sides increases very slowly with the packing fraction {phi} and there are no detectable stress chains. In the fragile jammed state, stress chains are visible, the pressure increases exponentially with {phi}, and the fraction of moving disks drops exponentially. Eventually, a final regime where particle displacements are below our resolution and the pressure varies approximately linearly with {phi} is reached. We argue that this scenario is generic for ather mal frictional compressed particles.

  13. [Sexual complaints and dysfunction among PLHIV receiving ARV treatment for ten years in Senegal].

    PubMed

    Diaw, J; Taverne, B; Coutherut, J

    2014-10-01

    The sexual health of people who have been living with HIV (PLHIV) and who have been receiving ARV drug treatment for several years is still a virtually unexplored topic in Africa today. A study was conducted in Senegal on people who have been treated with ARVs for ten years. Half of those interviewed believe that their sexuality has deteriorated. HIV infection has become a chronic disease in which sexual dysfunction related to the disease or age is interpreted in the context of popular representations of HIV infection and those on sexuality defined by social norms.

  14. Idaho National Laboratory 2013-2022 Ten-Year Site Plan

    SciTech Connect

    Calvin Ozaki; Sheryl L. Morton; Elizabeth A. Connell; William T. Buyers; Craig L. Jacobson; Charles T. Mullen; Christopher P. Ischay; Ernest L. Fossum; Robert D. Logan

    2011-06-01

    The Idaho National Laboratory (INL) Ten-Year Site Plan (TYSP) describes the strategy for accomplishing the long-term objective of transforming the laboratory to meet Department of Energy (DOE) national nuclear research and development (R&D) goals, as outlined in DOE strategic plans. The plan links R&D mission goals and INL core capabilities with infrastructure requirements (single- and multi-program), establishs the 10-year end-state vision for INL complexes, and identifies and prioritizes infrastructure needs and capability gaps. The TYSP serves as the basis for documenting and justifying infrastructure investments proposed as part of the FY 2013 budget formulation process.

  15. Total knee arthroplasty with an oxidised zirconium femoral component: ten-year survivorship analysis.

    PubMed

    Ahmed, I; Salmon, L J; Waller, A; Watanabe, H; Roe, J P; Pinczewski, L A

    2016-01-01

    Oxidised zirconium was introduced as a material for femoral components in total knee arthroplasty (TKA) as an attempt to reduce polyethylene wear. However, the long-term survival of this component is not known. We performed a retrospective review of a prospectively collected database to assess the ten year survival and clinical and radiological outcomes of an oxidised zirconium total knee arthroplasty with the Genesis II prosthesis. The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), Knee Injury and Osteoarthritis Outcome Score (KOOS) and a patient satisfaction scale were used to assess outcome. A total of 303 consecutive TKAs were performed in 278 patients with a mean age of 68 years (45 to 89). The rate of survival ten years post-operatively as assessed using Kaplan-Meier analysis was 97% (95% confidence interval 94 to 99) with revision for any reason as the endpoint. There were no revisions for loosening, osteolysis or failure of the implant. There was a significant improvement in all components of the WOMAC score at final follow-up (p < 0.001). The mean individual components of the KOOS score for symptoms (82.4 points; 36 to 100), pain (87.5 points; 6 to 100), activities of daily life (84.9 points; 15 to 100) and quality of life (71.4 points; 6 to 100) were all at higher end of the scale. This study provides further supportive evidence that the oxidised zirconium TKA gives comparable rates of survival with other implants and excellent functional outcomes ten years post-operatively. Total knee arthroplasty with an oxidised zirconium femoral component gives comparable long-term rates of survival and functional outcomes with conventional implants. ©2016 The British Editorial Society of Bone & Joint Surgery.

  16. Ten-year mortality review in a pioneer psychiatric hospital in West Africa.

    PubMed

    Malomo, I O; Aina, O F; Ladapo, H T O; Owoeye, A O

    2003-07-01

    To determine the mortality among admitted patients in the study centre, a pioneer psychiatric facility in the West African sub-region. A detailed retrospective study of the records of all deaths among the inpatients during the ten-year period of January, 1991 to December, 2000. Psychiatric Hospital Yaba, Lagos, Nigeria; established in 1907 with present bed status of 535 and patronage from Lagos and it's environ, including the neighbouring Benin Republic. Ninety six patients that died while on admission in the centre during the study period. A total of 96 patients died over the ten-year period, giving an annual rate of 9.6. The age range was 14-87 years, and mean of 44.4 (SD +/- 16.8) years. The male: female ratio was 1:1.6. Schizophrenia (26%) and major depression (25%) constituted the main psychiatric diagnoses at the time of admission among the cohort. The commonest cause of death included infections/infestations, most especially malaria and septicaemia (44% of the cohort). It is concluded that the major psychotic disorders, schizophrenia and depression continue to constitute the highest psychopathologies diagnosed psychiatric mortality study. Finally, infections/infestations still continue to play leading role as major causes of death in the West African sub-region.

  17. Ten-year forecasts of water quality in Lake Michigan using a deterministic eutrophication model

    SciTech Connect

    Lesht, B.M.

    1984-03-01

    A dynamic, deterministic lake eutrophication model was used to forecast changes in Lake Michigan water quality over a ten-year simulation period. Emphasis was placed on changes in epiliminon phytoplankton biomass and in whole-lake total phosphorus concentration in response to changes in input phosphorus loads and to variations in winter conditions. Constant-condition simulations corresponding to current, increased, and reduced loads and to mild, average, and severe winters were used to establish bounds for the projected changes in water quality. Monte Carlo-type simulations were used to estimate the variance associated with the projections. Given the assumptions and limitations inherent in the modeling process, water quality in Lake Michigan is projected to improve slightly (reduced concentrations of phytoplankton and total phosphorus) over the next ten years. Year-to-year variations are significant, however, and will depend on loading and winter conditions. The variation in the projected values associated with the assumed fluctuations in loads and winter conditions is approximately 20 percent. 25 references, 20 figures, 4 tables.

  18. Home Environment and School Performance: A Ten-Year Follow-up and Examination of Three Models of Environmental Action.

    ERIC Educational Resources Information Center

    Bradley, Robert H.; And Others

    1988-01-01

    Examines home environments of children aged ten and eleven when they were six months and two years old. Significant correlations were observed between the home environments at two and ten years, children's achievement test scores, and classroom behavior. Home environment at six months was related to a minimal number of classroom behaviors. (RJC)

  19. 76 FR 9786 - NIOSH Dose Reconstruction Program Ten-Year Review-Phase I Report on Customer Service; Request for...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2011-02-22

    ... From the Federal Register Online via the Government Publishing Office DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention NIOSH Dose Reconstruction Program Ten-Year... review and comment on the draft publication, ``NIOSH Dose Reconstruction Program Ten-Year Review--Phase...

  20. Dopa-Responsive Dystonia in a Ten-Year-Old Girl

    PubMed Central

    Soma, Venkatesh; Mohammed, Hussain Sadiq; Riyas, Ebrahim; Murugesan, Karuppasamy

    2012-01-01

    Children with recent onset dystonia and gait abnormalities may pose a diagnostic challenge. A ten-year-old, developmentally normal girl, presented with a six-month history of gait abnormality and dystonia. Her complaint worsened as the day progressed. In view of typical diurnal variation of dystonia, a therapeutic challenge with levodopa/carbidopa was given and there was a dramatic response. Hence, a diagnosis of dopa-responsive dystonia (DRD) was made. DRD is an inherited disorder characterized by dystonia with diurnal variation and favorable response to levodopa/carbidopa. The inheritance is usually autosomal dominant, however, in some cases, autosomal-recessive inheritance is also seen. PMID:24479026

  1. Scientific publications in pediatrics over the last ten years in Turkey and worldwide.

    PubMed

    Altun, Demet; Dabak, Orçun; Hacıhamdioğlu, Duygu Övünç

    2015-01-01

    In keeping with the large area of interest comprised within the field of pediatrics, the number and diversity of publications in this field has gradually increased over the last ten years in our country as well as worldwide. The objective of this paper is to offer an analysis of the status of pediatrics publications during those ten years. The publications analyzed were listed in the Thomson Reuters Web of Science and/or published in journals included in the Science Citation Index, the Science Citation Index Expanded and the Social Sciences Citation Index. All of these publications appeared in journals in which at least one pediatrics specialist published between the years 2004 and 2013. It may be seen that Turkey is in fifth place worldwide in terms of the number of studies published in these journals, with 6,134 such publications. The conclusion is that it is necessary for more Turkish studies to be multicenter, to involve international participation and to receive more citations; importance must be attached to the objective of transforming of the knowledge produced by Turkish researchers into a greater number of publications of increased quality.

  2. Generation IV Nuclear Energy Systems Ten-Year Program Plan Fiscal Year 2005, Volume 1

    SciTech Connect

    2005-03-01

    As reflected in the U.S. ''National Energy Policy'', nuclear energy has a strong role to play in satisfying our nation's future energy security and environmental quality needs. The desirable environmental, economic, and sustainability attributes of nuclear energy give it a cornerstone position, not only in the U.S. energy portfolio, but also in the world's future energy portfolio. Accordingly, on September 20, 2002, U.S. Energy Secretary Spencer Abraham announced that, ''The United States and nine other countries have agreed to develop six Generation IV nuclear energy concepts''. The Secretary also noted that the systems are expected to ''represent significant advances in economics, safety, reliability, proliferation resistance, and waste minimization''. The six systems and their broad, worldwide research and development (R&D) needs are described in ''A Technology Roadmap for Generation IV Nuclear Energy Systems'' (hereafter referred to as the Generation IV Roadmap). The first 10 years of required U.S. R&D contributions to achieve the goals described in the Generation IV Roadmap are outlined in this Program Plan.

  3. Flouride. Ten-year prospective study of deciduous and permanent dentition.

    PubMed

    Margolis, F J; Reames, H R; Freshman, E; MaCauley, C D; Mehaffey, H

    1975-07-01

    A ten-year longitudinal prospective study compared the effect of fluoride on dentition of 1,500 children from infancy through age 10 years. In Kalamazoo, Mich, and Oneida, NY, parallel groups were given a fluoride-vitamin supplement from infancy and from age 4 and compared with fluoridated water and control groups. Incidence of new caries activity in both deciduous and permanent teeth was measured by mean number of new decayed and filled teeth, as well as percentage of children with no caries throughout the periods studied. Prevalence of caries was also studied in six-year molars. The results indicate a consistent (and, for selected groups, a statistically significant) diminution in caries activity for both deciduous and permanent teeth for groups ranked from greatest retardation of caries to least: infant fluoride group, water fluoride group, age 4 fluoride group, and controls.

  4. The Talar Body Prosthesis: Results at Ten to Thirty-six Years of Follow-up.

    PubMed

    Harnroongroj, Thos; Harnroongroj, Thossart

    2014-07-16

    Satisfactory results of implantation of the talar body prosthesis were reported in 1997, although some complications associated with the initial design were noted. The present study evaluated outcomes of treatment with a modified talar body prosthesis. Of the thirty-six talar body prostheses implanted with use of a transmalleolar surgical approach from 1974 to 2011, thirty-three were available for follow-up at ten to thirty-six years or had failed prior to that time. The indication for implantation had been osteonecrosis in twenty-three patients, a comminuted talar fracture in eight, and a talar body tumor in two. Twenty-eight of the thirty-three prostheses were still in place at the time of final follow-up and five had failed prior to five years. The duration of follow-up was ten to twenty years in eight patients, twenty to thirty years in eleven, and thirty to thirty-six years in nine. The AOFAS (American Orthopaedic Foot & Ankle Society) ankle-hindfoot score did not differ significantly among these three groups. Patients over sixty-five years of age with underlying disease that impeded walking ability had lower AOFAS scores. Early prosthesis failure occurred as a result of size mismatch in two patients, tumor recurrence in one, infection in one, and osteonecrosis of the talar head and neck in one. These failures, which occurred at eight to fifty-seven months, were treated with tibiotalar arthrodesis in three patients, prosthesis revision in one, and below-the-knee amputation in one. Although early prosthesis failure may occur, survival of the talar body prosthesis can provide satisfactory ankle and foot function. Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. Copyright © 2014 by The Journal of Bone and Joint Surgery, Incorporated.

  5. [Evaluation of needle exchange program at Pereiro de Aguiar prison (Ourense, Spain): ten years of experience].

    PubMed

    Ferrer-Castro, V; Crespo-Leiro, M R; García-Marcos, L S; Pérez-Rivas, M; Alonso-Conde, A; García-Fernández, I; Lorenzo-Guisado, A; Sánchez-Fernández, J L; Seara-Selas, M; Sanjosé-Vallejo, R

    2012-01-01

    To evaluate the effectiveness of NEPs in prison to reduce the prevalence of infections associated with intravenous drug use and to know more about acceptance of the program by inmates and staff. cross-sectional observational study at baseline, 6 and 12 months and 10 years of program development. Interviews were conducted with program users, as well as random sample surveys of officials at the various cuts, and a random sample of inmates from the centre after10 years. Activity indicators of the program were recorded continuously, and the prevalence of HIV, HBV and HCV at baseline and after 10 years was evaluated. For the statistical analysis, the chi-square test was used with the Yates correction when necessary. In ten years we have supplied a total of 15,962 syringes to 429 users, (average 20.2 users/month), and 11,327 (70.9%) were returned. The prevalence of HIV infection decreased from 21% in 1999 to 8.5% in 2009, HCV prevalence from 40% to 26.1% (p <0.01), finding no significant differences in the prevalence of HBsAg +. Most of the inmates and civil servants believe that the program did not increase intravenous drug use and improves hygienic living conditions in prison. After ten years of development of the NEP, there was a significant decrease in the prevalence of HIV and HCV in the prison population at the centre, and the program is accepted as beneficial by most of the inmates and staff participating in the survey.

  6. A Ten Year Retrospective on Environmental Justice: What Have We Learned?

    SciTech Connect

    Scott, Michael J.; Jaksch, John A.; Cort, Katherine A.

    2005-03-01

    Beginning in 1994, Executive Order 12898 has directed federal executive agencies to identify and address, as appropriate, disproportionately high and adverse health or environmental effects of their programs, policies, and activities on minority and low income populations. The policy behind the Executive Order was to prevent minority and low income groups from bearing disproportionate adverse environmental consequences of federal actions. During the last ten years, federal agencies have implemented Executive Order 12898, and some also have developed explicit procedures or guidance for the steps that need to be taken during the preparation of environmental impact statements. Based on the authors’ experience, the paper examines how environmental justice practice has evolved in the ten years since the original Executive Order was issued. This evolution has been both procedural and substantive. The paper examines how the actual practice of environmental justice analysis has progressed in federal agencies that deal with waste management issues. Reference is made to changes in case law and agency practice. The 2000 Census of Population and the ongoing development of geographic information systems in particular have made it easier to identify minority and low-income populations at risk. At the same time, a number of stakeholder groups have taken positions over specific federal actions that have given rise to novel issues and challenges for analysts. The paper discusses how NEPA practice is evolving to deal with these issues and challenges.

  7. Idaho National Laboratory 2015-2023 Ten-Year Site Plan

    SciTech Connect

    Sheryl Morton; Elizabeth Connell; Bill Buyers; John Reisenauer; Rob Logan; Chris Ischay; Ernest Fossum; Paul Contreras; Joel Zarret; Steve Hill; Jon Tillo

    2013-09-01

    This Idaho National Laboratory (INL) Ten-Year Site Plan (TYSP) describes the strategy for accomplishing the long-term objective of sustaining the INL infrastructure to meet the Department of Energy Office of Nuclear Energy (DOE-NE) mission: to promote nuclear power as a resource capable of making major contributions in meeting the nation’s energy supply, environmental and energy security needs. This TYSP provides the strategy for INL to accomplish its mission by: (1) linking R&D mission goals to core capabilities and infrastructure requirements; (2) establishing a ten-year end-state vision for INL facility complexes; (3) identifying and prioritizing infrastructure needs and capability gaps; (4) establishing maintenance and repair strategies that allow for sustainment of mission-critical (MC) facilities; and (5) applying sustainability principles to each decision and action. The TYSP serves as the infrastructure-planning baseline for INL; and, though budget formulation documents are informed by the TYSP, it is not itself a budget document.

  8. ``Long-life`` aluminium brazing alloys for automotive radiators -- a ten-year retrospective

    SciTech Connect

    Scott, A.C.; Woods, R.A.

    1998-12-31

    A class of corrosion-resistant brazing sheet materials, generally referred to as ``long-life alloys,`` has been in widespread use in brazed aluminum automobile radiators for over ten years. K319 tube material was initially introduced in 1986 to address the problem of road-salt-induced, outside-in corrosion of tubes in vacuum-brazed aluminum radiators, The development history, metallurgy, and field performance of long-life radiator brazing sheet are reviewed. This material utilizes the familiar sacrificial layer concept to improve corrosion resistance; however, it is unusual in that the layer is not introduced by conventional cladding means during sheet manufacture, but rather develops in situ by metallurgical transformations which occur during the brazing cycle. The sacrificial layer, about 25 mV anodic to the core alloy, increases by an order of magnitude the time-to-perforation of radiator tube sheet tested in cyclic acidified salt spray (SWAAT), which mimics the corrosion morphology observed in the field. Radiators examined after ten years of field service show excellent corrosion resistance, as predicted by SWAAT.

  9. Emergent traffic jams

    SciTech Connect

    Nagel, K.; Paczuski, M. |

    1995-04-01

    We study a single-lane traffic model that is based on human driving behavior. The outflow from a traffic jam self-organizes to a critical state of maximum throughput. Small perturbations of the outflow far downstream create emergent traffic jams with a power law distribution {ital P}({ital t}){similar_to}{ital t}{sup {minus}3/2} of lifetimes {ital t}. On varying the vehicle density in a closed system, this critical state separates lamellar and jammed regimes and exhibits 1/{ital f} noise in the power spectrum. Using random walk arguments, in conjunction with a cascade equation, we develop a phenomenological theory that predicts the critical exponents for this transition and explains the self-organizing behavior. These predictions are consistent with all of our numerical results.

  10. Extraskeletal Ewing's Sarcoma: insight into a ten years follow-up.

    PubMed

    Zitelli, A; Manfredelli, S; Brunotti, G; Marcantonio, M; Pontone, S; Angelici, A

    2013-01-01

    Extraskeletal Ewing's sarcoma is a rare malignant soft tissue tumor, classified within the Ewing's Sarcoma Family Tumors. While the classical Ewing's Sarcoma affects mainly the bone during youth, the Extraskeletal histotype differs for age incidence, primary location and prognosis. Peak incidence and typical location are during adolescence and in the extremities respectively. We report a 30 year old woman case with a positive outcome after ten years from first diagnosis of Extraskeletal Ewing's sarcoma. Treatment was achieved through surgical resection plus adjuvant chemoradiotherapy derived from EW93 and IRS III trials. Conclusion. Our report represents an unusual case due to age of presentation, neoplasm location and long survival reached. In last decades several trials results demonstrated that long survival could be achieved by combined surgery and adjuvant multi-drug treatment.

  11. Randomized trial of treatment for children with sexual behavior problems: ten-year follow-up.

    PubMed

    Carpentier, Melissa Y; Silovsky, Jane F; Chaffin, Mark

    2006-06-01

    This study prospectively follows 135 children 5-12 years of age with sexual behavior problems from a randomized trial comparing a 12-session group cognitive-behavioral therapy (CBT) with group play therapy and follows 156 general clinic children with nonsexual behavior problems. Ten-year follow-up data on future juvenile and adult arrests and child welfare perpetration reports were collected. The CBT group had significantly fewer future sex offenses than the play therapy group (2% vs. 10%) and did not differ from the general clinic comparison (3%), supporting the use of short-term CBT. There were no group differences in nonsexual offenses (21%). The findings do not support assumptions about persistent or difficult to modify risk and raise questions about policies and practices founded on this assumption. Copyright 2006 APA, all rights reserved.

  12. [Ten years progression-free survival obtained in a patient with mantle cell lymphoma].

    PubMed

    Wysokińska, Elwira; Kolak, Agnieszka; Starosławska, Elżbieta; Kieszko, Dariusz; Kamińska, Marzena; Surdyka, Dariusz; Mocarska, Agnieszka; Burdan, Franciszek

    2015-05-01

    Mantle cell lymphoma is a rare aggressive lymphoma derived from B cells, characterized by rapid progression and subsequent recurrence. It is considered to be an incurable disease, with exception of a certain group of patients treated with an autogenic stem cell transplantation. The mean survival time is three years, after applying the conventional regimen based on COP (cyclophosphamide, vincristine, prednisone) or CHOP chemotherapy (COP + doxorubicin). An addition of rituximab to CHOP regimen significantly prolongs progression-free survival. The present case reports ten years progression-free survival in a female patient with mantle cell lymphoma with baseline clinical stage IVB (MIPI 5), treated with nine courses of CHOP chemotherapy. Rituximab was added from 3 to 8 course. The complete clinical, radiological and histopathological response has been obtained.

  13. Jammed lattice sphere packings

    NASA Astrophysics Data System (ADS)

    Kallus, Yoav; Marcotte, Étienne; Torquato, Salvatore

    2013-12-01

    We generate and study an ensemble of isostatic jammed hard-sphere lattices. These lattices are obtained by compression of a periodic system with an adaptive unit cell containing a single sphere until the point of mechanical stability. We present detailed numerical data about the densities, pair correlations, force distributions, and structure factors of such lattices. We show that this model retains many of the crucial structural features of the classical hard-sphere model and propose it as a model for the jamming and glass transitions that enables exploration of much higher dimensions than are usually accessible.

  14. Shocks near Jamming

    NASA Astrophysics Data System (ADS)

    Gómez, Leopoldo R.; Turner, Ari M.; van Hecke, Martin; Vitelli, Vincenzo

    2012-02-01

    Nonlinear sound is an extreme phenomenon typically observed in solids after violent explosions. But granular media are different. Right when they jam, these fragile and disordered solids exhibit a vanishing rigidity and sound speed, so that even tiny mechanical perturbations form supersonic shocks. Here, we perform simulations in which two-dimensional jammed granular packings are dynamically compressed and demonstrate that the elementary excitations are strongly nonlinear shocks, rather than ordinary phonons. We capture the full dependence of the shock speed on pressure and impact intensity by a surprisingly simple analytical model.

  15. Ten years of photonics education at the college level in Ontario: results and by-products

    NASA Astrophysics Data System (ADS)

    Nantel, Marc

    2010-08-01

    In 2000, there was no way for an Ontario student to obtain a credential in optics, laser or photonics without going through graduate school. This was in, arguably, the world-leading jurisdiction in photonics-enabled telecommunications industry. To alleviate this problem and supply the job market with highly-qualified people in the field of optics and photonics, the Ontario Centres of Excellence - then as Photonics Research Ontario - partnered with Algonquin College (Ottawa) and Niagara College (Welland) to establish over the past decade a suite of programs: a 1-year Certificate in Advanced Lasers, a 2-year Diploma for Photonics Engineering Technician, a 3-year Diploma for Photonics Engineering Technologists and a 4-year Bachelor of Applied Technology - Photonics. Much has been learnt along the way - the crucial need for industrial partner and government support, for example - and many course corrections had to be made (telecom bust, anyone?). The author will share the results of this 10-year journey so far, the lessons learnt, and a view to the next ten years for these programs and photonics education in Ontario in general.

  16. A Ten Year Audit of Maternal Mortality: Millennium Development Still a Distant Goal.

    PubMed

    Singla, Anshuja; Rajaram, Shalini; Mehta, Sumita; Radhakrishnan, Gita

    2017-01-01

    To assess various causes of maternal mortality over a ten year period. Retrospective audit of hospital case records. Tertiary care hospital. Pregnant women who expired in the premises of GTB Hospital. A retrospective audit of case records of maternal deaths was conducted for a ten year period (January 2005 to December 2014). There were a total of 647 maternal deaths out of 1,16,641 live births. Sixty-eight percent (n = 445) of women were aged 21-30 years, while 10.5% (n = 68) were <20 years of age. The most common direct causes of maternal mortality were preeclampsia/eclampsia in 24.4% (n = 158), obstetric hemorrhage in 19.1% (n = 124) and puerperal sepsis in 14.5% (n = 94). With regards to indirect causes, anemia accounted for 15.3% (n = 99) mortality. There was only 1 (0.1%) mortality because of HIV/AIDS. Other notable causes of maternal mortality were infective hepatitis in 7.1% (n = 46). Tuberculosis, that is a disease of tropical countries, accounted for 3.0% (n = 20) of the total deaths. High maternal mortality in GTB hospital can be due to it being a tertiary hospital with referrals from all neighbouring states. Accessible antenatal care can help prevent these maternal deaths. Female education can be of immense help in dealing with the problem and improving the utilization of public health facilities. Preeclampsia/eclampsia and obstetric hemorrhage have been the main causes of maternal mortality for ages. Regular antenatal visits and the judicious training of grassroot level workers to pick-up complications early on in the pregnancy can be an effective way to deal the morbidity and mortality associated with these problems. The Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakaram (JSSK) in India are pioneer steps in this direction.

  17. A ten-year history of the demography and productivity of an Arctic wolf pack

    USGS Publications Warehouse

    Mech, L.D.

    1995-01-01

    A pack of two to eight adult wolves (Canis lupus arctos) and their pups was observed during ten summers (1986-95) on Ellesmere Island, Northwest Territories, Canada. The author habituated the wolf pack to his presence in the first summer and reinforced the habituation each summer thereafter. The first alpha female produced four to six pups each year between 1986 and 1989. However, her daughter, who succeeded her as the alpha female, produced only one to three pups each year between 1990 and 1992 and in 1994, and apparently did not whelp in 1993 or in 1995. The tenure of the first alpha male was at least two years, and his successor was alpha male for the remaining eight years of the study. The wolf pack was characterized by highly variable annual productivity. The second alpha male-and-female breeding pair likely was an older brother and a younger sister. Early survival of wolf pups was high and constant, with all pups surviving through August of their first year. The pack's demography was consistent with what is known for wolf packs in other regions of North America, but its productivity was more typical of arctic packs.

  18. [Smoking among psychology students over a ten-year period (1996-2006)].

    PubMed

    Míguez Varela, María del Carmen; Becoña Iglesias, Elisardo

    2009-11-01

    The purpose of this study was to analyze the evolution of smoking among Psychology students at the University of Santiago de Compostela (Spain) over a ten-year period (1986-2006). We also assessed the extent of knowledge of the Spanish health legislation on tobacco (Ley 28/2005) and its effect on smoking. We administered a questionnaire to representative samples of students from the 1st year of their Psychology course to the 5th year, on four occasions. In the academic year 1996-1997 (N = 835), 34% of the sample claimed to be daily smokers; in 1999-2000 (N = 842), the figure was 35.2%; in 2003-2004 (N = 835) it was 31.9%; and in 2006-2007 (N = 688), it was 22.8%. Moreover, in the last assessment, 97.1% of the sample reported being aware of the legislation (Ley 28/2005) and 41.9% of the smokers claimed that it had some degree of influence on their smoking. It can be stated that, although overall current prevalence of smoking is similar to that of 10 years ago, a significant change is observed in the profile of smokers. This change is expressed in lower levels of nicotine dependence and a decrease in the percentage of daily smokers, together with an increase in occasional smokers.

  19. Couples groups for parents of preschoolers: ten-year outcomes of a randomized trial*

    PubMed Central

    Cowan, Carolyn Pape; Cowan, Philip A.; Barry, Jason

    2011-01-01

    This paper reports the results of a 10-year follow-up of two variations of a couples group preventive intervention offered to couples in the year before their oldest child made the transition to kindergarten. 100 couples were randomly assigned to (1) a low-dose control condition, (2) a couples group meeting for 16 weeks that focused more on couple relationship issues among other family topics, or (3) a couples group meeting for 16 weeks that focused more on parenting issues among other family issues, with an identical curriculum to condition (2). Earlier papers reported that both variations of the intervention produced positive results on parent-child relationships and on the children’s adaptation to kindergarten and 1st grade, and that the groups emphasizing couple relationships also had additional positive effects on couple interaction quality. The present paper uses growth curve analyses to examine intervention effects extending from the children’s transition to kindergarten to the transition to high school – ten years after the couples groups ended. There were 6-year positive effects of the pre-kindergarten interventions on observed couple interaction and 10-year positive effects on both parents’ marital satisfaction and the children’s adaptation (hyperactivity and aggression). Discussion includes a focus on the implications of these results for family policy, clinical practice, and the need to include a couples focus in preventive interventions to strengthen family relationships and enhance children’s adaptation to school. PMID:21480703

  20. Analyzing the Study of Using Acupuncture in Delivery in the Past Ten Years in China

    PubMed Central

    Chen, Yingru; Zhang, Xuekai; Fang, Yigong; Yang, Jinsheng

    2014-01-01

    The use of acupuncture in inducing delivery has a long history in China. With progress over time, it has been applied in many aspects. For further study of acupuncture in delivery, this paper analyzed the papers using acupuncture in delivery in the past ten years in mainland China. 87 literatures were picked out by searching relevant electronic databases and bibliographies of relevant journals. The analysis showed randomized controlled trials that were the major type of research, while preclinical researches and literature reviews only account for around ten percent, respectively. Clinical researches indicated that acupuncture can relieve labor pain, promote maternal uterine contraction, shorten birth process, and treat postpartum disorders. Preclinical researches found that acupuncture can adjust certain hormones and improve uterus contraction of late-stage pregnant rats. However, due to lack of large multicenter randomized controlled clinical trials, standardized evaluations of clinical effects in clinical researches and detailed mechanism study in preclinical researches and unequivocal conclusions about the effectiveness, efficacy, and mechanisms of acupuncture in this field cannot be obtained from those researches yet. Further clinical and preclinical studies about the use of acupuncture in delivery with improved methodology is still needed. PMID:24688593

  1. Cognition in Huntington's disease in manifest, premanifest and converting gene carriers over ten years.

    PubMed

    Hart, Ellen P; Dumas, Eve M; Giltay, Erik J; Middelkoop, Huub A M; Roos, Raymund A C

    2013-01-01

    Cognitive decline in Huntington's disease (HD) remains an area of inconsistencies, especially far from disease onset. To clarify the course of cognition in premanifest HD. Twenty-six premanifest HD, 19 manifest HD, and 87 control subjects were followed for ten years, using an extensive cognitive battery. Differences in baseline levels and change over time, on four factors (motor speed, global cognition, executive functioning (EF), and memory) were examined, using multilevel regression analyses. Converters were additionally analysed as a separate group. Also, the influence of motor speed and predicted years to disease onset on the cognitive factors was studied. Manifest HD subjects showed lower baseline scores compared to controls on the motor speed (p=0.002), memory (p<0.001) and EF (p<0.001). They additionally deteriorated over the ten-year follow-up on memory (p=0.01). Converters deteriorated on EF (p=0.04). Further analyses of premanifest subjects 'far from and close to predicted onset' revealed lower baseline scores for the 'close' group on EF, as compared to controls (p=0.001). They also deteriorated on memory (p=0.01). Motor speed substantially mediated the results of the three cognitive factors; when added as covariate to the model several baseline and slope differences for the cognitive factors ceased to be significant. Memory and EF are highly sensitive for ascertaining deterioration in premanifest HD gene carriers, especially in subjects close to onset. Lack of deterioration for the subjects further away from onset suggests that both domains are largely unaffected in those far from onset. Also, motor influence on cognition is substantial and should be taken into account in cognitive HD research.

  2. Clinical tolerance in large field radiotherapy--the knowledge gained over the last ten years.

    PubMed

    Gocheva, Lilia B

    2010-01-01

    Malignant disorders are still far from being successfully managed in spite of the apparent progress achieved by surgical treatment, high energy radiotherapy (RT) and chemotherapy (CHT). They keep being the second most frequent cause of lethal outcomes both in Bulgaria and in most countries of the world. One of the promising approaches to increasing the efficaciousness of treatment is development and use of methods that are in full accord with the modern requirements of a complex therapy. Over the last fifty years, large field radiation techniques, applied as systemic therapy in oncology, have been investigated and established. These techniques show the transition in oncology to using actively various variants of large field radiotherapy (LFR), the "heavy artillery" of oncoradiologic practice, as an alternative or adjunct therapy to chemotherapy (CHT). In the present paper we review the current knowledge in the field and present the clinical experience accumulated over the last ten years with respect to clinical tolerance in the major large-field radiotherapy techniques--total body irradiation, half body irradiation, whole abdominal irradiation, total and partial lymphoid irradiation. Described in detail are the contemporary knowledge about clinical and hematologic tolerance in total body irradiation as part of the myelo- and nonmyeloablative conditioning regimens as well as in half body irradiation as a systemic therapy in oncology. We also present the amassed experience in clinical tolerance in partial body irradiation in the form of whole abdominal and total or partial lymphoid irradiation. Another point worth noting based again on the experience gained over the last ten years is that for LFR we need to develop a radiotherapy technique that is designed carefully to achieve an optimal therapeutic effect that should include the disease control, good clinical tolerance and reduction of post-radiotherapy sequelae.

  3. Ten-year results of a double-heat-treated metal-on-metal hip resurfacing.

    PubMed

    Daniel, J; Ziaee, H; Kamali, A; Pradhan, C; Band, T; McMinn, D J W

    2010-01-01

    Second-generation metal-on-metal bearings were introduced as a response to the considerable incidence of wear-induced failures associated with conventional replacements, especially in young patients. We present the results at ten years of a consecutive series of patients treated using a metal-on-metal hip resurfacing. A distinct feature of the bearings used in our series was that they had been subjected to double-heat treatments during the post-casting phase of their manufacture. In the past these bearings had not been subjected to thermal treatments, making this a unique metal-on-metal bearing which had not been used before in clinical practice. We report the outcome of 184 consecutive hips (160 patients) treated using a hybrid-fixed metal-on-metal hip resurfacing during 1996. Patients were invited for a clinicoradiological follow-up at a minimum of ten years. The Oxford hip score and anteroposterior and lateral radiographs were obtained. The mean age at operation was 54 years (21 to 75). A series of 107 consecutive hips (99 patients) who received the same prosthesis, but subjected to a single thermal treatment after being cast, between March 1994 and December 1995, were used as a control group for comparison. In the 1994 to 1995 group seven patients (seven hips) died from unrelated causes and there were four revisions (4%) for osteolysis and aseptic loosening. In the 1996 group nine patients died at a mean of 6.9 years after operation because of unrelated causes. There were 30 revisions (16%) at a mean of 7.3 years (1.2 to 10.9), one for infection at 1.2 years and 29 for osteolysis and aseptic loosening. Furthermore, in the latter group there were radiological signs of failure in 27 (24%) of the 111 surviving hips. The magnitude of the problem of osteolysis and aseptic loosening in the 1996 cohort did not become obvious until five years after the operation. Our results indicate that double-heat treatments of metal-on-metal bearings can lead to an increased

  4. Sediment Movement Near a Tropical Wood Jam

    NASA Astrophysics Data System (ADS)

    Cadol, D.; Wohl, E.

    2008-12-01

    One mechanism by which wood interacts with sediment transport is the trapping of sediment behind jams. In tropical streams, higher discharge per unit of contributing area and higher microbial diversity relative to temperate zones are likely to cause in-stream wood to be more transient. This may reduce the residence time of jams, also reducing wood-induced sediment storage. To begin to evaluate this possibility, tracer clasts, scour chains, and wood pieces were surveyed four times from June 2007 to June 2008 at a wood jam in a stream in Costa Rica. At the study site the moderate gradient (3.2%) stream drains 1.6 km2 of preserved old-growth tropical wet forest of La Selva Biological Station. The mean grain size of the bed material is 205 mm, ranging from coarse sand to boulders, with discontinuous bedrock outcrops on both banks. Distance traveled by the tracer clasts was positively correlated with both maximum and average daily rainfall during the time between surveys. Between the first two surveys, a new accumulation of wood in the jam blocked the thalweg and redirected the majority of flow around the side of the jam. A 15-cm-thick wedge of sediment was deposited behind the blockage, and gravel bars adjacent to and immediately downstream of the jam were scoured by as much as 30 cm. The majority of the gravel sized tracer clasts placed upstream of the jam were not recovered and were presumably incorporated into the sediment wedge. Tracer clasts placed in the portion of the channel affected by the redirected flow were transported downstream as much as 47 m. Clasts larger than D55 (220 mm) were not transported in the course of the study. The jam and key pieces persisted for the entire study period, and the number of pieces in the jam stayed nearly constant. However, the structure was modified and only 46% of the original pieces were retained for the full year. The clast transport distance was positively correlated with wood turnover rate for the three inter

  5. Ten-year results of physical activity after high tibial osteotomy in patients with knee osteoarthritis.

    PubMed

    W-Dahl, Annette; Toksvig-Larsen, Sören; Lindstrand, Anders

    2017-03-01

    The purpose was to describe physical activity with respect to leisure and working activity in patients operated on by high tibial osteotomy using the hemicallotasis technique for knee osteoarthritis (OA), preoperatively and 10 years postoperatively. Seventy-nine patients, median age 55 (range 35-66), operated on by high tibial osteotomy using the hemicallotasis technique for knee OA 2001-2003 were included. Questionnaires for evaluation of physical and working activity, satisfaction as well as the Knee injury and Osteoarthritis Outcome Score (KOOS) were filled in preoperatively and 2 and 10 years postoperatively. Conversion to knee arthroplasty was obtained through the Swedish Knee Arthroplasty Register. Changes between two postoperative measurements were assessed by Wilcoxon's rank test. Twenty-five patients were converted to a total knee arthroplasty, and nine patients were lost to follow-up during the 10 years, resulted in 45 patients available for follow-up. Preoperatively, 33/45 patients were physically active mainly in heavy yard/household work, and 43/45 patients were working active. Ten years after the HCO, 23/45 patients were still active with golf, dancing, hiking, etc., and 23/45 were retired. At 10 years postoperatively compared to 2 years postoperatively, the patients experienced more problems with pain (89 compared to 69, p = <0.0001). Of 45 patients, 36 were satisfied with the high tibial osteotomy surgery in general 10 years postoperatively, while 13/45 were satisfied with their sport and recreational function. The 10-year results indicate that high tibial osteotomy using the hemicallotasis technique for knee OA is an option for selected patients that improves the level of physical activity, with mild deterioration over time, and gives the majority of the patients the possibility to be working active until retirement. Level IV.

  6. Ten-year outcome of enzyme replacement therapy with agalsidase beta in patients with Fabry disease

    PubMed Central

    Germain, Dominique P; Charrow, Joel; Desnick, Robert J; Guffon, Nathalie; Kempf, Judy; Lachmann, Robin H; Lemay, Roberta; Linthorst, Gabor E; Packman, Seymour; Scott, C Ronald; Waldek, Stephen; Warnock, David G; Weinreb, Neal J; Wilcox, William R

    2015-01-01

    Background Fabry disease results from deficient α-galactosidase A activity and globotriaosylceramide accumulation causing renal insufficiency, strokes, hypertrophic cardiomyopathy and early demise. We assessed the 10-year outcome of recombinant α-galactosidase A therapy. Methods The outcomes (severe clinical events, renal function, cardiac structure) of 52/58 patients with classic Fabry disease from the phase 3 clinical trial and extension study, and the Fabry Registry were evaluated. Disease progression rates for patients with low renal involvement (LRI, n=32) or high renal involvement (HRI, n=20) at baseline were assessed. Results 81% of patients (42/52) did not experience any severe clinical event during the treatment interval and 94% (49/52) were alive at the end of the study period. Ten patients reported a total of 16 events. Patients classified as LRI started therapy 13 years younger than HRI (mean 25 years vs 38 years). Mean slopes for estimated glomerular filtration rate for LRI and HRI were −1.89 mL/min/1.73 m2/year and −6.82 mL/min/1.73 m2/year, respectively. Overall, the mean left ventricular posterior wall thickness and interventricular septum thickness remained unchanged and normal. Patients who initiated treatment at age ≥40 years exhibited significant increase in left ventricular posterior wall thickness and interventricular septum thickness. Mean plasma globotriaosylceramide normalised within 6 months. Conclusions This 10-year study documents the effectiveness of agalsidase beta (1 mg/kg/2 weeks) in patients with Fabry disease. Most patients remained alive and event-free. Patients who initiated treatment at a younger age and with less kidney involvement benefited the most from therapy. Patients who initiated treatment at older ages and/or had advanced renal disease experienced disease progression. PMID:25795794

  7. Jamming in granular materials

    NASA Astrophysics Data System (ADS)

    Behringer, Robert P.

    2015-01-01

    Granular materials are one of a class of materials which undergo a transition from mechanically unstable to mechanically stable states as key system parameters change. Pioneering work by Liu and Nagel and O'Hern et al. focused on models consisting of frictionless grains. In this case, density, commonly expressed in terms of the packing fraction, ϕ, is of particular importance. For instance, O'Hern et al. found that there is a minimum ϕ =ϕJ, such that below this value there are no jammed states, and that above this value, all stress-isotropic states are jammed. Recently, simulations and experiments have explored the case of grains with friction. This case is more subtle, and ϕ does not play such a simple role. Recently, several experiments have shown that there exists a range of relatively low ϕ's such that at the same ϕ it is possible to have jammed, unjammed, and fragile states in the sense of Cates et al. This review discusses some of this recent work, and contrasts the cases of jamming for frictionless and frictional granular systems.

  8. The Classroom Traffic Jam

    ERIC Educational Resources Information Center

    Edwards, Arthur W.

    1977-01-01

    The importance of energy conservation is developed in this simulation. Children draw an automobile and then are asked to drive it through the classroom roadways. When a traffic jam results, students offer ways to eliminate it. The importance of mass transportation and car pools is stressed by the teacher. (MA)

  9. Lunar radionuclide records of average solar-cosmic-ray fluxes over the last ten million years

    SciTech Connect

    Reedy, R.C.

    1980-03-21

    Because changes in solar activity can modify the fluxes of cosmic-ray particles in the solar system, the nature of the galactic and solar cosmic rays and their interactions with matter are described and used to study the ancient sun. The use of cosmogenic nuclides in meteorites and lunar samples as detectors of past cosmic-ray variations are discussed. Meteorite records of the history of the galactic cosmic rays are reviewed. The fluxes of solar protons over various time periods as determined from lunar radionuclide data are presented and examined. The intensities of solar protons emitted during 1954 to 1964 (11-year solar cycle number 19) were much larger than those for 1965 to 1975 (solar cycle 20). Average solar-proton fluxes determined for the last one to ten million years from lunar /sup 26/Al and /sup 53/Mn data show little variation and are similar to the fluxes for recent solar cycles. Lunar activities of /sup 14/C (and preliminary results for /sup 81/Kr) indicate that the average fluxes of solar protons over the last 10/sup 4/ (and 10/sup 5/) years are several times larger than those for the last 10/sup 6/ to 10/sup 7/ years; however, cross-section measurements and other work are needed to confirm these flux variations.

  10. Indolent lung opacity: Ten years follow-up of pulmonary inflammatory pseudo-tumor

    PubMed Central

    Degheili, Jad A; Kanj, Nadim A; Koubaissi, Salwa A; Nasser, Mouhamad J

    2017-01-01

    Inflammatory pseudotumor (IPT) has always been considered a diagnostic challenge. Its rarity and resemblance to other more common pathological entities imposes that neither clinical nor radiological characteristics can lead to a definitive diagnosis. The surgical excision of the lesion is the ultimate approach for accurate diagnosis and cure. Moreover the true nature of IPT, its origin as a neoplastic entity or an over-reactive inflammatory reaction to an unknown trigger, has been a long debated matter. Surgery remains the treatment of choice. IPT is mostly an indolent disease with minimal morbidity and mortality. Local invasion and metastasis predict a poor prognosis. We hereby present a unique case of pulmonary IPT that was surgically excised, but recurred contralaterally, shortly thereafter. Despite no medical or surgical treatment for ten years, the lesion has remained stable in size, with neither symptoms nor extra-pulmonary manifestations. PMID:28255550

  11. FCC reactor product-catalyst separation: Ten years of commercial experience with closed cyclones

    SciTech Connect

    Miller, R.B.; Johnson, T.E.; Santner, C.R.; Avidan, A.A.; Johnson, D.L.

    1995-09-01

    FCC reactor closed cyclones were first commercialized ten years ago and have now been installed in over 22 FCC units worldwide. Cumulative commercial experience has shown significant yield benefits, in some cases higher than first estimated, and excellent reliability. By nearly eliminating post-riser cracking, they reduce dry gas make and produce higher yields of desirable liquid products. Trouble-free operation with closed cyclones is attributed to proper design, instrumentation, and operating procedures. The Mobil-Kellogg Closed Cyclone technology is the only design offered for license which uses the positive-pressure riser cyclone system which has proven to be least sensitive to upsets. This paper traces the development and commercialization of closed cyclones, discusses differences between competing closed cyclone designs, and documents the benefits which have been observed for Mobil-Kellogg Closed Cyclones.

  12. Ten years from the Antarctic Sub-millimeter Telescope and Remote Observatory

    NASA Astrophysics Data System (ADS)

    Martin, Christopher L.

    2007-08-01

    Beginning with the winter season of 1995 and for the next ten years, the Antarctic Sub-mm Telescope and Remote Observatory (AST/RO, Stark et al. 1997; Stark et al. 2001; ), a 1.7m diameter, offset Gregorian telescope located at an altitude of 2847m at the Amundsen-Scott South Pole Station collected sub-mm and Terahertz data in the 1.3mm to 200μm wavelength bands. From its location just a few hundred meters away from the geophysical South Pole, AST/RO was the first sub-mm telescope to over-winter on the polar plateau, a location uniquely suited to high quality sub-mm observations due its very low humidity, high atmospheric stability and thin troposphere (Chamberlin et al. 1997).

  13. Introduction to "Tsunami Science: Ten Years After the 2004 Indian Ocean Tsunami. Volume I"

    NASA Astrophysics Data System (ADS)

    Rabinovich, Alexander B.; Geist, Eric L.; Fritz, Hermann M.; Borrero, Jose C.

    2015-03-01

    Twenty-two papers on the study of tsunamis are included in Volume I of the PAGEOPH topical issue "Tsunami Science: Ten Years after the 2004 Indian Ocean Tsunami." Eight papers examine various aspects of past events with an emphasis on case and regional studies. Five papers are on tsunami warning and forecast, including the improvement of existing tsunami warning systems and the development of new warning systems in the northeast Atlantic and Mediterranean region. Three more papers present the results of analytical studies and discuss benchmark problems. Four papers report the impacts of tsunamis, including the detailed calculation of inundation onshore and into rivers and probabilistic analysis for engineering purposes. The final two papers relate to important investigations of the source and tsunami generation. Overall, the volume not only addresses the pivotal 2004 Indian Ocean (Sumatra) and 2011 Japan (Tohoku) tsunamis, but also examines the tsunami hazard posed to other critical coasts in the world.

  14. Solar induced terrestrial plant fluorescence derived of ten years of SCIAMACHY data.

    NASA Astrophysics Data System (ADS)

    Vountas, M.; Rozanov, V. V.; Khosravi, N.; Bracher, A.; Burrows, J. P.

    2014-12-01

    Plant fluorescence has a direct link to photosynthetic efficiency. Satelite-based remote sensing has been shown to have the potential to derive it on a global scale- accordingly it became subject of various recently published studies and stimulated an upsurge in this research field. This study presents a novel retrieval method for solar induced terrestrial plant fluorescence (SIF). When used with typical spectrometer data an additive spectral component not induced by fluorescence is often accompanying the actual SIF retrieval and can significantly deteriorate the results. To account for this effect a correction method is combined with the retrieval. The method has been applied to ten years of SCIAMACHY data with promising results. In absence of large area ground based validation data a final judgement of the results presented is not feasible. A direct comparison to data of others was showing promising and in certain regions ambivalent results.

  15. Photoswitchable Fluorescent Proteins: Ten Years of Colorful Chemistry and Exciting Applications

    PubMed Central

    Zhou, Xin X.; Lin, Michael Z.

    2013-01-01

    Reversibly photoswitchable fluorescent proteins (RSFPs) are fluorescent proteins whose fluorescence, upon excitation at a certain wavelength, can be switched on or off by light in a reversible manner. In the last ten years, many new RSFPs have been developed and novel applications in cell imaging discovered that rely on their photoswitching properties. This review will describe research on the mechanisms of reversible photoswitching and recent applications using RSFPs. While cis-trans isomerization of the chromophore is believed to be the general mechanism for most RSFPs, structural studies reveal diversity in the details of photoswitching mechanisms, including different effects of protonation, chromophore planarity, and pocket flexibility. Applications of RSFPs include new types of live-cell superresolution imaging, tracking of protein movements and interactions, information storage, and optical control of protein activity. PMID:23876529

  16. Idaho National Laboratory Ten-Year Site Plan Project Description Document

    SciTech Connect

    Not Listed

    2012-03-01

    This document describes the currently active and proposed infrastructure projects listed in Appendix B of the Idaho National Laboratory 2013-2022 Ten Year Site Plan (DOE/ID-11449). It was produced in accordance with Contract Data Requirements List I.06. The projects delineated in this document support infrastructure needs at INL's Research and Education Campus, Materials and Fuels Complex, Advanced Test Reactor Complex and the greater site-wide area. The projects provide critical infrastructure needed to meet current and future INL opereational and research needs. Execution of these projects will restore, rebuild, and revitalize INL's physical infrastructure; enhance program execution, and make a significant contribution toward reducing complex-wide deferred maintenance.

  17. Introduction to "Tsunami Science: Ten Years after the 2004 Indian Ocean Tsunami. Volume II."

    NASA Astrophysics Data System (ADS)

    Rabinovich, Alexander B.; Geist, Eric L.; Fritz, Hermann M.; Borrero, Jose C.

    2015-12-01

    Twenty papers on the study of tsunamis and respective tsunamigenic earthquakes are included in Volume II of the PAGEOPH topical issue "Tsunami Science: Ten Years after the 2004 Indian Ocean Tsunami". The papers presented in this second of two special volumes of Pure and Applied Geophysics reflect the state of tsunami science during this time, including five papers devoted to new findings specifically in the Indian Ocean. Two papers compile results from global observations and eight papers cover Pacific Ocean studies, focusing mainly on the 2011 Tohoku earthquake and tsunami. Remaining papers in this volume describe studies in the Atlantic Ocean and Mediterranean Sea and tsunami source studies. Overall, the volume not only addresses the pivotal 2004 Indian Ocean and 2011 Tohoku tsunamis, but also examines the tsunami hazard posed to other critical coasts in the world.

  18. [Treatment of acromegaly: a critical analysis of the last ten years].

    PubMed

    Chanson, Philippe; Kamenický, Peter

    2012-04-01

    The ten previous years in terms of acromegaly treatment were essentially characterized by the experience accumulated with new formulations of somatostatin analogues or new drugs such GH-receptor antagonists recently available. Surgery remains the first-line treatment and its results did not change despite the generalization of endoscopy, which mainly seems to decrease local side-effects. The setting of radiotherapy was essentially modified by the increasing use of gamma-knife or stereotactic radiotherapy; however, their results are essentially the same as the classic fractionated, conventional radiotherapy and nobody knows if it will decrease the side-effects of this therapeutic modality. Nevertheless, thanks to a multistep therapeutic strategy, combining the different therapeutic modalities, it has become very rare for acromegaly not to be controlled in a patient. Copyright © 2012 Elsevier Masson SAS. All rights reserved.

  19. Perspective: The first ten years of broadband chirped pulse Fourier transform microwave spectroscopy.

    PubMed

    Park, G Barratt; Field, Robert W

    2016-05-28

    Since its invention in 2006, the broadband chirped pulse Fourier transform spectrometer has transformed the field of microwave spectroscopy. The technique enables the collection of a ≥10 GHz bandwidth spectrum in a single shot of the spectrometer, which allows broadband, high-resolution microwave spectra to be acquired several orders of magnitude faster than what was previously possible. We discuss the advantages and challenges associated with the technique and look back on the first ten years of chirped pulse Fourier transform spectroscopy. In addition to enabling faster-than-ever structure determination of increasingly complex species, the technique has given rise to an assortment of entirely new classes of experiments, ranging from chiral sensing by three-wave mixing to microwave detection of multichannel reaction kinetics. However, this is only the beginning. Future generations of microwave experiments will make increasingly creative use of frequency-agile pulse sequences for the coherent manipulation and interrogation of molecular dynamics.

  20. The evolution and structure of Pegasi planets: ten years of models and still much to learn!

    NASA Astrophysics Data System (ADS)

    Guillot, T.

    2006-02-01

    Ten years after the discovery of 51 Peg b, our understanding of the evolution of "Pegasi planets" (a.k.a. "Hot Jupiters") has been shaken several times: by the discovery of the first transiting extrasolar planet, HD209458b and its large radius, the discovery of the evaporation of this planet, the measurement of the radii of several other extrasolar planets, and recently by measurements of the infrared planetary emission by the detection of the secondary eclipse for 2 Pegasides. I discuss the different theoretical explanations and models that have been proposed to explain the observations. Our understanding of Pegasides is far from complete, but great hope lies in statistical observations and characterization of transiting planets with ground based programs and the space missions COROT and Kepler.

  1. Evaluation of Nutritional Biochemical Parameters in Haemodialysis Patients over a Ten-year Period.

    PubMed

    Alfonso, A I-Q; Castillo, R F; Gomez Jimenez, F J; Nuñez Negrillo, A M

    2015-06-01

    Protein-energy malnutrition as well as systemic inflammation and metabolic disorders are common in patients with chronic kidney failure, who require renal replacement therapy (haemodialysis). Such malnutrition is a factor that significantly contributes to their morbidity and mortality. This study evaluated the nutritional status of haemodialysis patients by assessing biochemical and anthropometric parameters in order to determine whether these patients suffered disorders reflecting nutritional deterioration directly related to time on haemodialysis. This research comprised 90 patients of both genders with chronic kidney failure, who regularly received haemodialysis at our unit over a period of ten years. The patients' blood was tested quarterly for plasma albumin, total cholesterol and total proteins, and tested monthly for transferrin. The patients' weight, height and body mass index (BMI) were monitored. Body mass index was calculated using the formula: weight (kg)/height (m2 ) and classified in one of the following categories defined in the World Health Organization (WHO) Global Database on Body Mass Index: (i) underweight [BMI < 18.50], (ii) normal [BMI 18.50 - 24.99], (iii) overweight [BMI 25 - 29.99], (iv) obese [BMI > 30]. In the ten-year period of the study, the patients experienced a substantial decline in their biochemical parameters. Nevertheless, their BMI did not show any significant changes despite the patients' state of malnutrition. The prevalence of malnutrition in haemodialysis patients was evident. Nevertheless, the BMI of the subjects did not correspond to the biochemical parameters measured. Consequently, the results showed that the nutritional deterioration of these patients was mainly reflected in their biochemical parameters rather than in their anthropometric measurements.

  2. Evaluation of Nutritional Biochemical Parameters in Haemodialysis Patients over a Ten-year Period

    PubMed Central

    Alfonso, AIQ; Castillo, RF; Jimenez, FJ Gomez; Negrillo, AM Nuñez

    2015-01-01

    ABSTRACT Aim: Protein-energy malnutrition as well as systemic inflammation and metabolic disorders are common in patients with chronic kidney failure who require renal replacement therapy (haemodialysis). Such malnutrition is a factor that significantly contributes to their morbidity and mortality. This study evaluated the nutritional status of haemodialysis patients by assessing biochemical and anthropometric parameters in order to determine whether these patients suffered disorders reflecting nutritional deterioration directly related to time on haemodialysis. Subjects and Method: This research comprised 90 patients of both genders with chronic kidney failure, who regularly received haemodialysis at our unit over a period of ten years. The patients' blood was tested quarterly for plasma albumin, total cholesterol and total proteins, and tested monthly for transferrin. The patients' weight, height and body mass index (BMI) were monitored. Body mass index was calculated using the formula: weight (kg)/height (m2) and classified in one of the following categories defined in the World Health Organization (WHO) Global Database on Body Mass Index: (i) underweight [BMI < 18.50], (ii) normal [BMI 18.50 – 24.99], (iii) overweight [BMI 25 – 29.99], (iv) obese [BMI ≥ 30]. Results: In the ten-year period of the study, the patients experienced a substantial decline in their biochemical parameters. Nevertheless, their BMI did not show any significant changes despite the patients' state of malnutrition. Conclusions: The prevalence of malnutrition in haemodialysis patients was evident. Nevertheless, the BMI of the subjects did not correspond to the biochemical parameters measured. Consequently, the results showed that the nutritional deterioration of these patients was mainly reflected in their biochemical parameters rather than in their anthropometric measurements. PMID:26426172

  3. Chronic myeloid leukemia relapsing ten years after allogenic bone marrow transplantation.

    PubMed

    Hino, Yutaro; Doki, Noriko; Yamamoto, Keita; Senoo, Yasushi; Sasajima, Satoshi; Sakaguchi, Masahiro; Hattori, Keiichiro; Kaito, Satoshi; Kurosawa, Shuhei; Harada, Kaito; Ikegawa, Shuntaro; Watanabe, Daisuke; Hagino, Takeshi; Yoshioka, Kosuke; Watakabe, Kyoko; Igarashi, Aiko; Najima, Yuho; Kobayashi, Takeshi; Kakihana, Kazuhiko; Sakamaki, Hisashi; Ohashi, Kazuteru

    2016-05-01

    A 58-year-old female was diagnosed with Philadelphia chromosome positive chronic myeloid leukemia (CML) in blast crisis (BC) in 2004. The patient received imatinib, which quickly induced molecular remission, and subsequently underwent bone marrow transplantation (BMT) from an unrelated human leukocyte antigen (HLA)-identical donor. The post-transplant clinical course was essentially uneventful. In 2014, ten years after the BMT, the patient was admitted to our hospital complaining of lymphadenopathy, and blasts were observed in peripheral blood. The patient was diagnosed as having a CML relapse in myeloid BC, with leukemic infiltration in lymph nodes, and was treated with dasatinib. Subsequently, pleural effusion developed and nilotinib was administered, which induced normal blood counts without blasts and partial cytogenetic remission, one month after administration. Six months after the relapse, this patient underwent a second BMT from an HLA-matched unrelated donor. Recent studies have demonstrated the cumulative incidence of CML relapse more than five years after allogeneic hematopoietic stem cell transplantation (allo-HSCT) to be higher than in acute myeloid leukemia. Although rare, the possibility of late relapse should be considered in patients diagnosed with CML after allo-HSCT.

  4. A Ten-Year Kuala Lumpur Review on Laser Posterior Cordectomy for Bilateral Vocal Fold Immobility

    PubMed Central

    Mawaddah, Azman; Marina, Mat Baki; Halimuddin, Sawali; Mohd Razif, Mohd Yunus; Abdullah, Sani

    2016-01-01

    Bilateral vocal fold immobility (BVFI) is commonly caused by injury to the recurrent laryngeal nerve (RLN) and leads to stridor and dyspnea of varying onsets. A retrospective study was done at the Department of Otorhinolaryngology of Universiti Kebangsaan Malaysia Medical Centre on laser microsurgical posterior cordectomy for BVFI. The objectives were to identify the average duration of onset of stridor from the time of insult and to evaluate the outcome of laser posterior cordectomy as a surgical option. From 1997 to 2007, a total of 31 patients with BVFI were referred for surgery. Twelve patients had tracheostomy done prior to the procedure, whereas 19 patients were without tracheostomy. Ten patients were successfully decannulated, and only 4 patients had complications related to the procedure. The minimum onset of stridor was 7 months, maximum onset of stridor was 28 years, and the mean onset of stridor was 8.7 years. The commonest complication observed was posterior glottic adhesion following bilateral posterior cordectomy. Laser endolaryngeal posterior cordectomy is an excellent surgical option as it enables successful decannulation or avoidance of tracheostomy in patients with BVFI. The onset of stridor took years after the insult to the recurrent laryngeal nerves. PMID:27660547

  5. Ten-year results after cementless THA with a sandwich-type alumina ceramic bearing.

    PubMed

    Park, Youn-Soo; Park, Se-Jun; Lim, Seung-Jae

    2010-11-02

    We analyzed the long-term results of a single-surgeon series of 102 cementless total hip arthroplasties (THAs) performed using a sandwich-type alumina ceramic bearing. The prostheses involved a porous-coated acetabular socket, a polyethylene-alumina composite liner, a 28-mm alumina head, and a grit-blasted titanium-alloy stem. Mean patient age at the time of THA was 39 years (range, 18-66 years), and 76% of the patients were younger than 50 years. All procedures were performed with use of the same surgical technique and the same implant at a single center. Mean follow-up was 115 months (range, 84-133 months). When failure was defined as revision of either the acetabular or the femoral component for any reason, Kaplan-Meier survival probability at 10 years was 95.3% (95% confidence interval, 89.5%-100%). Mean Harris Hip Score improved from 47 points (range, 16-70 points) preoperatively to 95 points (range, 85-100 points) at final follow-up. No radiographically detectable osteolysis around the acetabular or femoral component was observed in any hip. No patient reported squeaking in the operated hip. During the follow-up period, 3 hips (3%) required revision surgery; 2 underwent acetabular revision because of a ceramic liner fracture and 1 underwent revision for early loosening of the acetabular cup. Ten-year results of cementless THA with a sandwich-type alumina ceramic bearing were encouraging, and no great increase in ceramic failure rate was observed, which contrasts with the findings of previously reported short-term follow-up studies. Copyright 2010, SLACK Incorporated.

  6. More than skin deep. Ten year follow-up of delayed cutaneous adverse drug reactions (CADR).

    PubMed

    Graudins, Linda Velta; Ly, Jenny; Trubiano, Jason; Aung, Ar Kar

    2016-10-01

    To determine the gaps in practice regarding appropriate ADR documentation and risk communication for patients diagnosed with severe cutaneous adverse drug reactions (CADR). This was a retrospective observational cohort study conducted using hospital coding and databases to identify inpatients diagnosed with CADR from January 2004 to August 2014. Hospital discharge summaries, ADR reports and pharmacy dispensing records were reviewed for ADR documentation. Patients still living in Australia and who did not opt out of being contacted were invited to be surveyed by telephone to determine their understanding of recommendations, re-exposure rates and long-term effects. Of 85 patients identified, median age was 59 (IQR 44-72) years and 47.1% were male. The most common diagnosis was TENS (49.4%). Ten patients (11.8%) died as inpatients. Of the 81 patients with a drug-related causality, 47 (58%) had appropriate documentation in all three required medical record platforms. Of the 56 eligible patients, 38 (67.9%) were surveyed; 13% had no information provided upon discharge and 26.3% patients had a mismatch in knowledge of implicated medications. No surveyed patient had a relapse of CADR, but 23.7% had a subsequent unrelated allergic reaction. Thirteen patients (34.2%) reported long-term effects. We found gaps in the accuracy of ADR documentation and communication of risk at discharge, which indicated risks to patient safety. Electronic systems are being developed to improve documentation. Written information about CADR is being provided at discharge to improve patient understanding and knowledge. © 2016 The British Pharmacological Society.

  7. Ten years of studies on Maryland's inner Continental Margin and coastal bays

    USGS Publications Warehouse

    Kerhin, R.T.; Conkwright, R.; Wells, D.

    1999-01-01

    During the past ten years of the Association of American State Geologists-Mineral Management Service Continental Margins Program, the Maryland Geological Survey investigated the sedimentological, paleontological, stratigraphical and geophysical character of Maryland's inner continental shelf. Based on seismic records and sedimentological analyses completed during the first four years, a late Quaternary stratigraphic model was developed. Five distinct stratigraphic units were identified and described on the Maryland inner shelf. These units represent late Pleistocene interglacial deposits, the oldest of which corresponds to pre-Illinoian (oxygen-isotope stages 7 and/or 9) transgressive shelf sands. Overlying the Q1 unit, the Q2 unit is a 6-meter thick mud sequence of oxygen-isotope stage 5 (128-75 ka) age. Units Q3 and Q4 representing fluvial and leading edge estuarine deposits (oxygen-isotope stages 4, 3 and 2) filled numerous paleochannels that were incised into units Q2 and Q1. Modern trailing-edge transgressive shelf shoals (Unit Q5) discontinuously cap the sequence. The 5th and 6th years studies reported on the economic minerals of surficial and cored sediments. Vibracores collected off the Maryland's shelf during previous studies were analyzed for mineral types and abundances, weight percent of general size fractions, and heavy mineral (HM) content. Mineralogic maturity indices were compiled to correlate the THM and economic heavy minerals (EHM) abundances with position offshore, sediment type, and the indices themselves. For the 7th year, the Maryland Geological Survey re-examined geophysical records and lithological data originally collected by the Army Corps of Engineers to locate and assess beach fill borrow areas for the Ocean City Beach Replenishment Project. Data from 163 vibracores and over 300 kilometers of high-resolution seismic profile records collected off Ocean City, Maryland, supported the stratigraphic model developed by MGS during the first

  8. A Vision for the Next Ten Years for Integrated Ocean Observing Data

    NASA Astrophysics Data System (ADS)

    Willis, Z. S.

    2012-12-01

    Ocean observing has come a long way since the Ocean Sciences Decadal Committee met over a decade ago. Since then, our use of the ocean and coast and their vast resources has increased substantially - with increased shipping, fishing, offshore energy development and recreational boating. That increased use has also spearheaded advances in observing systems. Cutting-edge autonomous and remotely operated vehicles scour the surface and travel to depths collecting essential biogeochemical data for better managing our marine resources. Satellites enable the global mapping of practically every physical ocean variable imaginable. A nationally-integrated coastal network of high-frequency radars lines the borders of the U.S. feeding critical navigation, response, and environmental information continuously. Federal, academic, and industry communities have joined in unique partnerships at regional, national, and global levels to address common challenges to monitoring our ocean. The 2002 Workshop, Building Consensus: Toward an Integrated and Sustained Ocean Observing System laid the framework for the current United States Integrated Ocean Observing System (U.S. IOOS). Ten years later, U.S. IOOS has moved from concept to reality, though much work remains to meet the nation's ocean observing needs. Today, new research and technologies, evolving users and user requirements, economic and funding challenges, and diverse institutional mandates all influence the future growth and implementation of U.S. IOOS. In light of this new environment, the Interagency Ocean Observation Committee (IOOC) will host the 2012 Integrated Ocean Observing System Summit in November 2012, providing a forum to develop a comprehensive ocean observing vision for the next decade, utilizing the knowledge and expertise gained by the IOOS-wide community over the past ten years. This effort to bring together ocean observing stakeholders at the regional, national, and global levels to address these challenges

  9. Epidemiology of Cervical Spine Injuries in High School Athletes Over a Ten-Year Period.

    PubMed

    Meron, Adele; McMullen, Christopher; Laker, Scott R; Currie, Dustin; Comstock, R Dawn

    2017-09-12

    Over 7 million athletes participate in high school (HS) sports annually, with both the benefits of physical activity and risks of injury. While catastrophic cervical spine injuries have been studied, limited data are available characterizing less severe cervical spine injuries in HS athletes. To describe and compare cervical spine injury rates and patterns among United States (US) HS athletes across 24 sports over a ten-year period. Descriptive epidemiology study SETTING: National sample of high schools participating in the High School Reporting Information Online (High School RIO) injury surveillance system. Athletes from participating schools injured in a school sanctioned practice, competition, or performance during the 2005-2006 through 2014-2015 academic years. Cervical spine injury data captured by High School RIO during the ten-year study period were examined. Cervical spine injury was defined as any injury to the cervical spinal cord, bones, nerves, or supporting structures of the cervical spine including muscles, ligaments, and tendons. Cervical spine injury rates, diagnoses, mechanisms, and severities. During the study period, 1,080 cervical spine injuries were reported during 35,581,036 athlete exposures (AE) for an injury rate of 3.04 per 100,000 AE. Injury rates were highest in football (10.10), wrestling (7.42) and girls' gymnastics (4.95). Muscle injuries were most common (63.1%), followed by nerve injuries (20.5%). A larger proportion of football injuries were nerve injuries compared to all other sports (IPR, 3.31; CI, 2.33-4.72), while in boys' ice hockey fractures represented a greater proportion of injuries compared with all other sports (IPR, 7.64; CI, 2.10-27.83). Overall, the most common mechanisms of injury were contact with another player (70.7%) and contact with playing surface (16.1%). Cervical spine injury rates and patterns vary by sport and gender. Characterizing these differences is the first step in developing effective, evidence

  10. Ten year rank-order stability of personality traits and disorders in a clinical sample

    PubMed Central

    Hopwood, Christopher J.; Morey, Leslie C.; Donnellan, M. Brent; Samuel, Douglas B.; Grilo, Carlos M.; McGlashan, Thomas H.; Shea, M. Tracie; Zanarini, Mary C.; Gunderson, John G.; Skodol, Andrew E.

    2012-01-01

    Objective To compare the 10-year retest stability of normal traits, pathological traits, and personality disorder dimensions in a clinical sample. Method Ten-year rank order stability estimates for the Revised NEO Personality Inventory, Schedule for Nonadaptive and Adaptive Personality, and Diagnostic Interview for DSM-IV Personality Disorders were evaluated before and after correcting for test-retest dependability and internal consistency in a clinical sample (N = 266). Results Dependability corrected stability estimates were generally in the range of .60–.90 for traits and .25–.65 for personality disorders. Conclusions The relatively lower stability of personality disorder symptoms may indicate important differences between pathological behaviors and relatively more stable self-attributed traits and imply that a full understanding of personality and personality pathology needs to take both traits and symptoms into account. The Five-Factor Theory distinction between basic tendencies and characteristic adaptations provides a theoretical framework for the separation of traits and disorders in terms of stability in which traits reflect basic tendencies that are stable and pervasive across situations, whereas personality disorder symptoms reflect characteristic maladaptations that are a function of both basic tendencies and environmental dynamics. PMID:22812532

  11. Ten-year rank-order stability of personality traits and disorders in a clinical sample.

    PubMed

    Hopwood, Christopher J; Morey, Leslie C; Donnellan, M Brent; Samuel, Douglas B; Grilo, Carlos M; McGlashan, Thomas H; Shea, M Tracie; Zanarini, Mary C; Gunderson, John G; Skodol, Andrew E

    2013-06-01

    This study compares the 10-year retest stability of normal traits, pathological traits, and personality disorder dimensions in a clinical sample. Ten-year rank-order stability estimates for the Revised NEO Personality Inventory, Schedule for Nonadaptive and Adaptive Personality, and Diagnostic Interview for DSM-IV Personality Disorders were evaluated before and after correcting for test-retest dependability and internal consistency in a clinical sample (N = 266). Dependability-corrected stability estimates were generally in the range of.60-.90 for traits and.25-.65 for personality disorders. The relatively lower stability of personality disorder symptoms may indicate important differences between pathological behaviors and relatively more stable self-attributed traits and imply that a full understanding of personality and personality pathology needs to take both traits and symptoms into account. The five-factor theory distinction between basic tendencies and characteristic adaptations provides a theoretical framework for the separation of traits and disorders in terms of stability in which traits reflect basic tendencies that are stable and pervasive across situations, whereas personality disorder symptoms reflect characteristic maladaptations that are a function of both basic tendencies and environmental dynamics. © 2012 Wiley Periodicals, Inc.

  12. Ten-year helium anomaly prior to the 2014 Mt Ontake eruption

    PubMed Central

    Sano, Yuji; Kagoshima, Takanori; Takahata, Naoto; Nishio, Yoshiro; Roulleau, Emilie; Pinti, Daniele L.; Fischer, Tobias P.

    2015-01-01

    Mt Ontake in central Japan suddenly erupted on 27th September 2014, killing 57 people with 6 still missing. It was a hydro-volcanic eruption and new magmatic material was not detected. There were no precursor signals such as seismicity and edifice inflation. It is difficult to predict hydro-volcanic eruptions because they are local phenomena that only affect a limited area surrounding the explosive vent. Here we report a long-term helium anomaly measured in hot springs close to the central cone. Helium-3 is the most sensitive tracer of magmatic volatiles. We have conducted spatial surveys around the volcano at once per few years since November 1981. The 3He/4He ratios of the closest site to the cone stayed constant until June 2000 and increased significantly from June 2003 to November 2014, while those of distant sites showed no valuable change. These observations suggest a recent re-activation of Mt Ontake and that helium-3 enhancement may have been a precursor of the 2014 eruption. We show that the eruption was ultimately caused by the increased input of magmatic volatiles over a ten-year period which resulted in the slow pressurization of the volcanic conduit leading to the hydro-volcanic event in September 2014. PMID:26286468

  13. Naive (commonsense) geography and geobrowser usability after ten years of Google Earth

    NASA Astrophysics Data System (ADS)

    Hamerlinck, J. D.

    2016-04-01

    In 1995, the concept of ‘naive geography’ was formally introduced as an area of cognitive geographic information science representing ‘the body of knowledge that people have about the surrounding geographic world’ and reflecting ‘the way people think and reason about geographic space and time, both consciously and subconsciously’. The need to incorporate such commonsense knowledge and reasoning into design of geospatial technologies was identified but faced challenges in formalizing these relationships and processes in software implementation. Ten years later, the Google Earth geobrowser was released, marking the beginning of a new era of open access to, and application of, geographic data and information in society. Fast-forward to today, and the opportunity presents itself to take stock of twenty years of naive geography and a decade of the ubiquitous virtual globe. This paper introduces an ongoing research effort to explore the integration of naive (or commonsense) geography concepts in the Google Earth geobrowser virtual globe and their possible impact on Google Earth's usability, utility, and usefulness. A multi-phase methodology is described, combining usability reviews and usability testing with use-case scenarios involving the U.S.-Canadian Yellowstone to Yukon Initiative. Initial progress on a usability review combining cognitive walkthroughs and heuristics evaluation is presented.

  14. Cancer mortality in the asphalt industry: a ten year follow up of an occupational cohort.

    PubMed Central

    Hansen, E S

    1989-01-01

    A historical cohort study was conducted to study the possible risk of cancer associated with exposure to asphalt. Altogether 1320 unskilled workers employed in the asphalt industry were followed up over a ten year period and compared with 43,024 unskilled men in terms of cause specific mortality. Both groups were identified from census records and followed up by an automatic record link that had been established previously between the census register, National Register, and Death Certificate Register. The cancer mortality was significantly increased in asphalt workers aged 45 or more, when five years' latency from enrolment into the study was allowed for (SMR for cancer: 159, 95% confidence interval: 106-228). Non-significant increases were seen for respiratory, bladder, and digestive cancers but a significant increase was seen for brain cancer (SMR = 500, 95% CI: 103-1461). Components of asphalt fumes may have been important to the observed association between risk of cancer and employment in the asphalt industry. PMID:2775679

  15. Reverse shoulder arthroplasty in young patient with achondroplasia - Ten year follow up: Case report.

    PubMed

    van den Broek, M; Verborgt, O; Declercq, G

    2017-08-05

    Skeletal dysplasia in achondroplasia can affect all body joints - including the glenohumeral joint - and is prone to develop to degenerative osteoarthritis (OA). This may cause pain and mobility problems at young age. Surgical treatment is challenging due to the dysplastic anatomy of the shoulder joint - with a dysplastic deformed short humerus, a small, hypoplastic medialized glenoid and lateralized acromion - and the long life expectancy of these patients. The indications for reverse shoulder arthroplasty (RSA) evolved during years with rotator cuff tears and rotator cuff arthropathy in combination with or without glenohumeral OA as the main indicator, with good short to mid-term results. Long term results of RSA are rarely found in literature, especially in young patients. The use of a RSA in glenohumeral OA with an intact rotator cuff has rarely been reported. In this case report we present the ten-year clinical and radiographic results of a RSA for the treatment of degenerative OA with glenohumeral dysplasia in a young patient with achondroplasia. Copyright © 2017 Elsevier Masson SAS. All rights reserved.

  16. Posterior arthroscopic subtalar arthrodesis: ten cases at one-year follow-up.

    PubMed

    Albert, A; Deleu, P-A; Leemrijse, T; Maldague, P; Devos Bevernage, B

    2011-06-01

    Isolated subtalar arthrodesis is the treatment of choice for several conditions -mostly subtalar arthritis, tarsal coalition and posterior tibial tendon dysfunction- unresponsive to conservative treatment. Arthroscopic procedures are an interesting recent alternative, less invasive than conventional open techniques. Posterior arthroscopy, in prone position, could be more advantageous than the conventional lateral and/or anterior approach. Ten cases, from 20 to 59-years-old, were prospectively followed up for minimum of one-year (range 12 to 31 months). Arthritis and tarsal coalition were the most common indications. Fusion was observed in all cases at a maximum of nine weeks. Mean average AOFAS score improved from 47 to 78. No complications were noted related to the technique. Only two patients, operated for a symptomatic subtalar coalition, complained of some residual pain due to a lateral submalleolar impingement. Interest of preservation of vascular talar supply and bone grafting are discussed. The good results using this innovative technique are encouraging. Long-term randomized studies remain necessary to confirm the reliability of the procedure in these different indications, and the type of bone graft to favour, if really needed. Level IV therapeutic study. Copyright © 2011 Elsevier Masson SAS. All rights reserved.

  17. Long-Term Clinical Outcomes of Invasive Giant Prolactinomas after a Mean Ten-Year Followup

    PubMed Central

    Wu, Ze Rui; Zhang, Yong; Lin, Shao Jian; Su, Zhi Peng; Wei, Yong Xu; Shang, Han Bing; Yang, Wen Lei; Zhao, Wei Guo

    2016-01-01

    Objective. The aim of this study is to observe clinical outcomes after more than ten years of followup in a group of patients with invasive giant prolactinomas (IGPs) treated with dopamine agonists (DAs). Methods. Twenty-five patients met the criteria of IGPs, among which 16 patients primarily received bromocriptine (BRC) and the other nine had undergone unsuccessful microsurgery prior to BRC treatment. Results. After a mean follow-up period of 135.5 ± 4.7 months, the clinical symptoms in all patients improved by different degrees. Tumor volume was decreased by a mean of 98.6%, and the tumors of 19 patients had almost completely disappeared. The mean duration of treatment at maximal doses of BRC was 48.5 months. At the last follow-up visit, nineteen patients had normal PRL levels, and 14 of these patients had received the low-dose BRC treatment (at an average of 2.9 ± 0.3 mg/d). Younger patients < 25 years had a significantly higher rate of persistent hyperprolactinemia after long-term BRC treatment (p = 0.043). Conclusion. DAs are a first-line therapy for IGPs because they can effectively achieve long-term control in both shrinking tumor volume and normalizing the PRL level, and majority of patients need low-dose DA maintenance. Younger patients are prone to persistent hyperprolactinemia despite long-term DA treatment. PMID:27999593

  18. Ten-year helium anomaly prior to the 2014 Mt Ontake eruption.

    PubMed

    Sano, Yuji; Kagoshima, Takanori; Takahata, Naoto; Nishio, Yoshiro; Roulleau, Emilie; Pinti, Daniele L; Fischer, Tobias P

    2015-08-19

    Mt Ontake in central Japan suddenly erupted on 27(th) September 2014, killing 57 people with 6 still missing. It was a hydro-volcanic eruption and new magmatic material was not detected. There were no precursor signals such as seismicity and edifice inflation. It is difficult to predict hydro-volcanic eruptions because they are local phenomena that only affect a limited area surrounding the explosive vent. Here we report a long-term helium anomaly measured in hot springs close to the central cone. Helium-3 is the most sensitive tracer of magmatic volatiles. We have conducted spatial surveys around the volcano at once per few years since November 1981. The (3)He/(4)He ratios of the closest site to the cone stayed constant until June 2000 and increased significantly from June 2003 to November 2014, while those of distant sites showed no valuable change. These observations suggest a recent re-activation of Mt Ontake and that helium-3 enhancement may have been a precursor of the 2014 eruption. We show that the eruption was ultimately caused by the increased input of magmatic volatiles over a ten-year period which resulted in the slow pressurization of the volcanic conduit leading to the hydro-volcanic event in September 2014.

  19. Highlighting ten years of physics education research in the upper division

    NASA Astrophysics Data System (ADS)

    Ambrose, Bradley

    2015-04-01

    The field of Physics Education Research (PER) has for over thirty years provided insights into student thinking and guided the development and assessment of reformed teaching strategies and practices in introductory physics courses. In the last decade or so, researchers have expanded the domain of such investigations to upper-division courses where undergraduate majors study more advanced content and begin to see themselves as future physicists. The upcoming Focused Collection on Upper Division PER brings together work from researchers active in these new frontiers of PER. In this presentation we provide an overview of the studies in this collection, which offer to the PER and greater physics education communities: new insights about the thinking, behavior, and beliefs of students in the upper division; new tools to innovate instruction, assess student learning, and evaluate teaching effectiveness; and groundbreaking studies of identity development and ``thinking like a physicist'' among physics majors. In this session we also recognize the ten-year anniversary of Physical Review Special Topics: Physics Education Research, an occasion that we will celebrate with an informal reception immediately following the conclusion of this invited session.

  20. Five to Ten Years Follow-up after Coiling of 241 Patients with Acutely Ruptured Aneurysms

    PubMed Central

    Consoli, A.; Renieri, L.; Mura, R.; Nappini, S.; Ricciardi, F.; Pecchioli, G.; Ammannati, F.; Mangiafico, S.

    2012-01-01

    Summary Endovascular treatment has assumed a role of first choice in the management of ruptured intracranial aneurysms. We describe the clinical and morphological data after the treatment of 258 ruptured intracranial aneurysms in 241 patients, in order to evaluate the safety and the efficacy of the endovascular treatment. Two hundred and forty-one patients with saccular ruptured aneurysms were treated at our institution between 2000 and 2005. After the endovascular treatment a clinical and angiographic follow-up was conducted. The clinical follow-up was carried out with a medical examination and telephonic interviews and mRS was used for evaluation. Two hundred and forty-nine acutely ruptured aneurysms were successfully treated and immediately after the endovascular procedure 81.9% of the aneurysms resulted completely occluded, 12.1% had a residual neck and 6% revealed a residual sac. The evolution of each grade was evaluated at six months and two years. During the follow-up we observed five early and one late re-bleedings. Twenty-four patients underwent a second procedure. After the discharge and up to ten years 73.1% of patients had a good clinical outcome (mRS0-1), 8.9% died and the remainder showed moderate-severe disability (mRS2-3). The long-term stability of the anatomical result is a critical issue of this approach because eventual re-bleedings may occur even after several months or years. A careful clinical and radiological follow-up for up to two years after the embolization may prevent recurrences but may not be sufficient. PMID:22440595

  1. Ten-Year Outcome of Serum Metal Ion Levels After Primary Total Hip Arthroplasty

    PubMed Central

    Levine, Brett R.; Hsu, Andrew R.; Skipor, Anastasia K.; Hallab, Nadim J.; Paprosky, Wayne G.; Galante, Jorge O.; Jacobs, Joshua J.

    2013-01-01

    Abstract: We previously reported on the metal ion concentrations of cobalt, chromium, and titanium that were found in the serum of patients three years after they had undergone primary total hip arthroplasty as compared with the concentrations found in the serum of control patients who did not have an implant. This study is a concise update on the serum metal levels found in a cohort of these patients ten years after the time of hip implantation. Of the original seventy-five subjects, metal ion levels were available for forty patients (53%). Ten patients (hybrid group) had received a hybrid total hip replacement that consisted of a modular cobalt-alloy femoral stem with a cobalt-alloy femoral head that had been inserted with cement and a titanium acetabular socket that had been inserted without cement. Nine patients (cobalt-chromium [CoCr] group) had received an implant with an extensively porous-coated modular cobalt-alloy femoral stem and femoral head along with a titanium acetabular socket; the femoral and acetabular components had each been inserted without cement. Eight patients (titanium group) had undergone insertion of a proximally porous-coated modular titanium-alloy femoral stem with a cobalt-alloy femoral head and a titanium acetabular socket; the femoral and acetabular components had each been inserted without cement. Thirteen patients (control group) from the original control group of patients who had not received an implant served as control subjects. Serum metal levels were measured with use of high-resolution sector field inductively coupled plasma mass spectrometry. The hybrid total hip arthroplasty group had mean cobalt levels that were 3.2 times higher at 120 months than they were at baseline, and the cobalt levels in that group were significantly higher than those in the titanium total hip arthroplasty group at thirty-six, sixty, eighty-four, ninety-six, and 120 months (p < 0.01). The hybrid group had mean chromium levels that were 3.9 times

  2. The Nottingham Prognostic Index: five- and ten-year data for all-cause survival within a screened population.

    PubMed

    Fong, Y; Evans, J; Brook, D; Kenkre, J; Jarvis, P; Gower-Thomas, K

    2015-03-01

    The Nottingham Prognostic Index (NPI) is an established prognostication tool in the management of breast cancers (BCs). Latest ten-year survival data have demonstrated an improved outlook for each NPI category and the latest UK five- and ten-year survival from BC has been reported to be 85% and 77%, respectively. We compared survival of each NPI category for BCs diagnosed within the national breast screening service in Wales (Breast Test Wales (BTW)) to the latest data, and reviewed its validity in unselected cases within a screened population. All women screened between 1998 and 2001 within BTW were included. The NPI score for each cancer was calculated using the size, nodal status, and grade of the primary tumour. Survival data (all-cause) were calculated after ten years of follow-up. In the three-year screening period, 199,082 women were screened. A total of 1,712 cancers were diagnosed, and 1,546 had data available for calculating the NPI. Overall five-year and ten-year survival was 94% and 82%, respectively. Overall five-year and ten-year survival (all-cause) has improved even when compared with UK data for BC-specific survival. We found that the NPI remains valid for BC treatment, and that our data provide a reference for updating the all-cause survival of women diagnosed with BCs within a screened population.

  3. The Nottingham Prognostic Index: five- and ten-year data for all-cause Survival within a Screened Population

    PubMed Central

    Evans, J; Brook, D; Kenkre, J; Jarvis, P; Gower-Thomas, K

    2015-01-01

    Introduction The Nottingham Prognostic Index (NPI) is an established prognostication tool in the management of breast cancers (BCs). Latest ten-year survival data have demonstrated an improved outlook for each NPI category and the latest UK five- and ten-year survival from BC has been reported to be 85% and 77%, respectively. We compared survival of each NPI category for BCs diagnosed within the national breast screening service in Wales (Breast Test Wales (BTW)) to the latest data, and reviewed its validity in unselected cases within a screened population. Methods All women screened between 1998 and 2001 within BTW were included. The NPI score for each cancer was calculated using the size, nodal status, and grade of the primary tumour. Survival data (all-cause) were calculated after ten years of follow-up. Results In the three-year screening period, 199,082 women were screened. A total of 1,712 cancers were diagnosed, and 1,546 had data available for calculating the NPI. Overall five-year and ten-year survival was 94% and 82%, respectively. Conclusions Overall five-year and ten-year survival (all-cause) has improved even when compared with UK data for BC-specific survival. We found that the NPI remains valid for BC treatment, and that our data provide a reference for updating the all-cause survival of women diagnosed with BCs within a screened population. PMID:25723691

  4. Ten years of negotiating rights around maternal health in Uttar Pradesh, India

    PubMed Central

    2011-01-01

    Background Preventable maternal mortality and morbidity have been globally recognized as human rights issues. Maternal mortality in India is among the highest in the world, and reflects inequity in access to healthcare: women from certain states as well as poorer women and less literate women appear to be significantly disadvantaged. The government of India has been attempting to improve maternal outcomes through a cash transfer within the National Rural Health Mission to encourage women to come to hospitals for childbirth. Methods This paper reviews documents of the last ten years describing the experiences of a Non-Governmental Organisation, SAHAYOG, in working with a civil society platform, the Healthwatch Forum, to develop ‘rights based’ strategies around maternal health. The paper builds an analysis using recent frameworks on accountability and gendered rights claiming to examine these experiences and draw out lessons regarding rights claiming strategies for poor women. Results The examination of documents over the last ten years indicates defined phases of development in the evolution of SAHAYOG’s understanding and of the shifts in strategy among SAHAYOG and its close allies, and responses by the state. The first three stages depict the deepening of SAHAYOG’s understanding of the manner in which poor and marginalized women negotiate their access to health care; the fourth stage explores a health system intervention and the challenges of working from within civil society in alliance with poor and marginalized women. Conclusion The findings from SAHAYOG’s experiences with poor Dalit women in Uttar Pradesh reveal the elements of social exclusion within the health system that prevent poor and marginalized women from accessing effective lifesaving care. Creating a voice for the most marginalised and carving space for its articulation impacts upon the institutions and actors that have a duty to meet the claims being made. However, given the accountability

  5. Medical School Attrition-Beyond the Statistics A Ten Year Retrospective Study

    PubMed Central

    2013-01-01

    Background Medical school attrition is important - securing a place in medical school is difficult and a high attrition rate can affect the academic reputation of a medical school and staff morale. More important, however, are the personal consequences of dropout for the student. The aims of our study were to examine factors associated with attrition over a ten-year period (2001–2011) and to study the personal effects of dropout on individual students. Methods The study included quantitative analysis of completed cohorts and qualitative analysis of ten-year data. Data were collected from individual student files, examination and admission records, exit interviews and staff interviews. Statistical analysis was carried out on five successive completed cohorts. Qualitative data from student files was transcribed and independently analysed by three authors. Data was coded and categorized and key themes were identified. Results Overall attrition rate was 5.7% (45/779) in 6 completed cohorts when students who transferred to other medical courses were excluded. Students from Kuwait and United Arab Emirates had the highest dropout rate (RR = 5.70, 95% Confidence Intervals 2.65 to 12.27;p < 0.0001) compared to Irish and EU students combined. North American students had a higher dropout rate than Irish and EU students; RR = 2.68 (1.09 to 6.58;p = 0.027) but this was not significant when transfers were excluded (RR = 1.32(0.38, 4.62);p = 0.75). Male students were more likely to dropout than females (RR 1.70, .93 to 3.11) but this was not significant (p = 0.079). Absenteeism was documented in 30% of students, academic difficulty in 55.7%, social isolation in 20%, and psychological morbidity in 40% (higher than other studies). Qualitative analysis revealed recurrent themes of isolation, failure, and despair. Student Welfare services were only accessed by one-third of dropout students. Conclusions While dropout is often multifactorial, certain red

  6. Medical school attrition-beyond the statistics a ten year retrospective study.

    PubMed

    Maher, Bridget M; Hynes, Helen; Sweeney, Catherine; Khashan, Ali S; O'Rourke, Margaret; Doran, Kieran; Harris, Anne; Flynn, Siun O'

    2013-01-31

    Medical school attrition is important--securing a place in medical school is difficult and a high attrition rate can affect the academic reputation of a medical school and staff morale. More important, however, are the personal consequences of dropout for the student. The aims of our study were to examine factors associated with attrition over a ten-year period (2001-2011) and to study the personal effects of dropout on individual students. The study included quantitative analysis of completed cohorts and qualitative analysis of ten-year data. Data were collected from individual student files, examination and admission records, exit interviews and staff interviews. Statistical analysis was carried out on five successive completed cohorts. Qualitative data from student files was transcribed and independently analysed by three authors. Data was coded and categorized and key themes were identified. Overall attrition rate was 5.7% (45/779) in 6 completed cohorts when students who transferred to other medical courses were excluded. Students from Kuwait and United Arab Emirates had the highest dropout rate (RR = 5.70, 95% Confidence Intervals 2.65 to 12.27;p < 0.0001) compared to Irish and EU students combined. North American students had a higher dropout rate than Irish and EU students; RR = 2.68 (1.09 to 6.58;p = 0.027) but this was not significant when transfers were excluded (RR = 1.32(0.38, 4.62);p = 0.75). Male students were more likely to dropout than females (RR 1.70, .93 to 3.11) but this was not significant (p = 0.079).Absenteeism was documented in 30% of students, academic difficulty in 55.7%, social isolation in 20%, and psychological morbidity in 40% (higher than other studies). Qualitative analysis revealed recurrent themes of isolation, failure, and despair. Student Welfare services were only accessed by one-third of dropout students. While dropout is often multifactorial, certain red flag signals may alert us to risk of dropout including non-EU origin

  7. Organisation and Management of a Complete Bachelor Degree Offered Online at the University of Milan for Ten Years

    ERIC Educational Resources Information Center

    Milani, Manuela; Papini, Sabrina; Scaccia, Daniela; Scarabottolo, Nello

    2014-01-01

    This paper is aimed at presenting some reflections on organisation and management of SSRI online: an e-learning initiative started at the University of Milan (Italy) in the academic year 2004/05 and offered to students over the last ten years. The initiative consisted in implementing the online version of an already existing three-year bachelor…

  8. Ten years of RELEA: achievements and challenges for astronomy education development

    NASA Astrophysics Data System (ADS)

    Bretones, Paulo Sergio; Jafelice, Luiz Carlos; Horvath, Jorge Ernesto

    2015-08-01

    When an area of education, and more particularly the research within this area, is aimed to development, a basic requirement is the existence of a regular publication that accounts for the scientific production in that area. This study aims to analyze 10 years of Latin-American Journal of Astronomy Education (RELEA). Publishing policies of the RELEA and their context are discussed in relation to submission, refereeing and publication. The 75 articles published in 18 editions are analyzed and classified by: year of publication, edition, the authors' institutions, school level, study focus and content. The results present trends and shortcomings of the production. A comparison with the number of articles published in other Brazilian journals of education and an analysis of the international scene in relation to other type publications along these ten years is made. Given that this journal is now consolidated, its future prospects in the international landscape are further considered. The challenges related to article submission are discussed: how to increase their number, the submission of Latin American countries, and how to bring in the issues and subjects not addressed until now. It is also considered the possibility of encouraging graduate studies, new lines of research in astronomy education, and dissemination of material in schools and universities for teachers and students. Finally, future possibilities are discussed given the IAU development programs. For example, more article submission from Portuguese-speaking countries with the support of Regional Nodes and Language Expertise Centers, and opportunities for volunteer IAU members and global projects for the development of astronomy education.

  9. Clinical characteristics of renal cancer in Malaysia : a ten year review.

    PubMed

    Singam, Praveen; Ho, Christopher; Hong, Goh Eng; Mohd, Azrif; Tamil, Azmi Md; Cheok, Lee Boon; Zainuddin, Zulkifli

    2010-01-01

    Renal cancer is rare and its incidence is 1.9 per 100,000 in the Malaysian population, which consists of three major ethnic groups (Malay, Chinese and Indians). A retrospective study was her conducted to identify clinical characteristics and ethnic background influences on presentation. The study included all renal cancer patients from a single medical institution over ten years, with a total of 75 cases. Seventy-three patients underwent surgery while 2 received only radiotherapy or chemotherapy. The male to female ratio was 2.75:1. Incidence was equal among the Malay (49.3%) and Chinese ethnic groups (45.3%). Mean age of patients were 57.1 (18-93) years old. There were 26 (37.4%) patients with Stage I disease, 14 (18.7%) at Stage II, 23 (30.7%) at Stage III and 12 (16%) at Stage IV. The Chinese race presented at mean older age (p= 0.02) and later stage of disease (p= 0.046). Patients above 40 years old had more advanced stage disease (p= 0.023). Tumour histology were clear cell (72%), urothelial cell (13.3%), sarcomatoid cell and nephroblastoma each contributed 2.7%. The mean tumour size was 8.1 (2-20) cm. There was substantial agreement between the pre and post operative staging (kappa 0.691). In conclusion we observed significant influences of age and race in the clinical presentation of renal cancer in our institution based population. There was larger male to female ratio and mean tumour size as compared to previous epidemiology studies.

  10. [Phenology of forest vegetation in northeast of China in ten years using remote sensing].

    PubMed

    Hou, Xue-Hui; Niu, Zheng; Gao, Shuai

    2014-02-01

    Plant phenology is the best indicator of terrestrial ecosystem response to climate change and it becomes a hot issue in the study of global change. The forest in northeast of China plays an important part in global forest ecosystem. In this paper, yearly integrated Normalized Difference Vegetation Index (NDVI) of forest vegetation in northeast China was calculated based on Spot Vegetation datasets from 2001-2010, which has been filtered using Savtiky-Galoy method. And then, the yearly integrated NDVI profile was fitted using a logistic model. Two key parameters of forest phenology (start of season, SOS; end of season, EOS) were extracted according to the greatest rate of curvature of fitted cumulative NDVI and the length of forest phenology (length of season, LOS) was also analyzed. The main conclusions of this paper are (1) SOS mainly occurs in the 110th-140th day and EOS in 260th and 290th day. SOS displays a marked delayed from south to north while EOS gradually advances. However, the changes of SOS and EOS in ten years are not obvious. (2) Corresponding to the SOS and EOS, LOS of forest in study area mainly occurs in the 120th-160th day; however, it is spatially heterogeneous. LOS of forest in Greater Khingan Mountains is shorter (about 120-140 day) than forests in Xiao Hinggan Ling and Changbai Mountains (about 160 day). The results in this paper are concordant with records of phenology in situ measurements and previous researches in the same area. It indicates that forest phenophases using method in this paper from Spot Vegetation dataset is feasible.

  11. Dinosaurs in decline tens of millions of years before their final extinction.

    PubMed

    Sakamoto, Manabu; Benton, Michael J; Venditti, Chris

    2016-05-03

    Whether dinosaurs were in a long-term decline or whether they were reigning strong right up to their final disappearance at the Cretaceous-Paleogene (K-Pg) mass extinction event 66 Mya has been debated for decades with no clear resolution. The dispute has continued unresolved because of a lack of statistical rigor and appropriate evolutionary framework. Here, for the first time to our knowledge, we apply a Bayesian phylogenetic approach to model the evolutionary dynamics of speciation and extinction through time in Mesozoic dinosaurs, properly taking account of previously ignored statistical violations. We find overwhelming support for a long-term decline across all dinosaurs and within all three dinosaurian subclades (Ornithischia, Sauropodomorpha, and Theropoda), where speciation rate slowed down through time and was ultimately exceeded by extinction rate tens of millions of years before the K-Pg boundary. The only exceptions to this general pattern are the morphologically specialized herbivores, the Hadrosauriformes and Ceratopsidae, which show rapid species proliferations throughout the Late Cretaceous instead. Our results highlight that, despite some heterogeneity in speciation dynamics, dinosaurs showed a marked reduction in their ability to replace extinct species with new ones, making them vulnerable to extinction and unable to respond quickly to and recover from the final catastrophic event.

  12. Ten years after "Worrying trends in econophysics": developments and current challenges

    NASA Astrophysics Data System (ADS)

    Ormerod, Paul

    2016-12-01

    Econophysics has made a number of important additions to scientific knowledge. Yet it continues to lack influence with both economists and policy makers. Ten years ago, I and three other economists sympathetic to econophysics wrote a paper on worrying trends within the discipline. For example, its lack of awareness of the economics literature, and shortfalls in the use of statistical analysis. These continue to be obstacles to wider acceptance by economists. Like all agents, policy makers respond to incentives, and economists understand this very well. Much of the econophysics community appears to think that simply doing good science is sufficient to have the work recognised, rather than relating to the motivations and incentives of policy makers. Nevertheless, econophysics now has three major opportunities to advance knowledge in areas where policy makers perceive weaknesses in what they are presented with by economists. All can benefit from the analysis of Big Data. The first is a core model of agent behaviour which is more relevant to cyber society than the rational agent model of economics. Second, extending our understanding of the business cycle, primarily by incorporating the importance of networks into models. Third, devising proper measures of output in cyber society.

  13. Reflection on the Process of Open Sourcing Software Based on Ten Years of Development of RAPID

    NASA Astrophysics Data System (ADS)

    David, C. H.; Famiglietti, J. S.; Yang, Z. L.; Habets, F.; Maidment, D.

    2015-12-01

    As the number and size of geoscience datasets persist in their constant rise, geoscientists increasingly express their yearning for further sharing of their data and software, and for facilitation of the associated academic credits. We present here our experience based on the open source development of an Earth System Model focusing on the propagation of water flow waves in large river networks: the Routing Application for Parallel computatIon of Discharge (RAPID). Since inception of RAPID ten years ago in January 2006, the community of its users has grown slowly but steadily, and now includes researchers in industry, academia, and government organizations. This growth of the RAPID users community can be explained - at least in part - by its open availability. However, despite an increasing support for open science (software and data), the mechanics of sharing still remain mysterious to many geoscientists… as they were for the authors. The purpose of this presentation is therefore to shed light on the steps involved in opening software and data based on a decade of experience related to the development and release of an Earth System Model. Three distinct steps of open sourcing are highlighted here: opening, exposing, and automatic testing. Each one of these steps is presented as an independent and tractable increment at various stages of development that is justified based on the size of the users community. Topics covered include software and data licenses, code and data repositories, unit testing, and continuous integration.

  14. SPIE Smart Structures Product Implementation Award: a review of the first ten years

    NASA Astrophysics Data System (ADS)

    Anderson, Eric H.; Sater, Janet M.

    2007-04-01

    The research field of smart materials and structures has been a distinct entity for two decades. Over the past ten years, the SPIE Industrial and Commercial Applications Conference has presented a Smart Structures Product Implementation Award at its annual symposium. This paper revisits the nine winning entries to date (1998-2007) and updates their status. The paper begins with a brief description of the original and current intent of the award and follows with a short overview of the evolution of smart structures, from research to products. The winning teams and their respective products are then described. The current status of the products is discussed based on publicly available information and input from the respective companies. Note however that it is not the purpose of the paper to rank the product winners in terms of success or sales. The paper concludes with an assessment of the larger trends in productization of smart structures technologies. The application "form" for the award as well as the evaluation criteria and suggestions for improving award application packages can be found in the appendix.

  15. Greater ecosystem carbon in the Mojave Desert after ten years exposure to elevated CO2

    NASA Astrophysics Data System (ADS)

    Evans, R. D.; Koyama, A.; Sonderegger, D. L.; Charlet, T. N.; Newingham, B. A.; Fenstermaker, L. F.; Harlow, B.; Jin, V. L.; Ogle, K.; Smith, S. D.; Nowak, R. S.

    2014-05-01

    Carbon dioxide is the main greenhouse gas inducing climate change. Increased global CO2 emissions, estimated at 8.4 Pg C yr-1 at present, have accelerated from 1% yr-1 during 1990-1999 to 2.5% yr-1 during 2000-2009 (ref. ). The carbon balance of terrestrial ecosystems is the greatest unknown in the global C budget because the actual magnitude, location and causes of terrestrial sinks are uncertain; estimates of terrestrial C uptake, therefore, are often based on the residuals between direct measurements of the atmospheric sink and well-constrained models of ocean uptake of CO2 (ref. ). Here we report significant terrestrial C accumulation caused by CO2 enhancement to net ecosystem productivity in an intact, undisturbed arid ecosystem following ten years of exposure to elevated atmospheric CO2. Results provide direct evidence that CO2 fertilization substantially increases ecosystem C storage and that arid ecosystems are significant, previously unrecognized, sinks for atmospheric CO2 that must be accounted for in efforts to constrain terrestrial and global C cycles.

  16. Modeling the Office of Science Ten Year Facilities Plan: The PERI Architecture Tiger Team

    SciTech Connect

    de Supinski, Bronis R.; Alam, Sadaf; Bailey, David H.; Carrington, Laura; Daley, Chris; Dubey, Anshu; Gamblin, Todd; Gunter, Dan; Hovland, Paul D.; Jagode, Heike; Karavanic, Karen; Marin, Gabriel; Mellor-Crummey, John; Moore, Shirley; Norris, Boyana; Oliker, Leonid; Olschanowsky, Catherine; Roth, Philip C.; Schulz, Martin; Shende, Sameer; Snavely, Allan; Spear, Wyatt; Tikir, Mustafa; Vetter, Jeff; Worley, Pat; Wright, Nicholas

    2009-06-26

    The Performance Engineering Institute (PERI) originally proposed a tiger team activity as a mechanism to target significant effort optimizing key Office of Science applications, a model that was successfully realized with the assistance of two JOULE metric teams. However, the Office of Science requested a new focus beginning in 2008: assistance in forming its ten year facilities plan. To meet this request, PERI formed the Architecture Tiger Team, which is modeling the performance of key science applications on future architectures, with S3D, FLASH and GTC chosen as the first application targets. In this activity, we have measured the performance of these applications on current systems in order to understand their baseline performance and to ensure that our modeling activity focuses on the right versions and inputs of the applications. We have applied a variety of modeling techniques to anticipate the performance of these applications on a range of anticipated systems. While our initial findings predict that Office of Science applications will continue to perform well on future machines from major hardware vendors, we have also encountered several areas in which we must extend our modeling techniques in order to fulfill our mission accurately and completely. In addition, we anticipate that models of a wider range of applications will reveal critical differences between expected future systems, thus providing guidance for future Office of Science procurement decisions, and will enable DOE applications to exploit machines in future facilities fully.

  17. Modeling the Office of Science Ten Year FacilitiesPlan: The PERI Architecture Tiger Team

    SciTech Connect

    de Supinski, B R; Alam, S R; Bailey, D H; Carrington, L; Daley, C

    2009-05-27

    The Performance Engineering Institute (PERI) originally proposed a tiger team activity as a mechanism to target significant effort to the optimization of key Office of Science applications, a model that was successfully realized with the assistance of two JOULE metric teams. However, the Office of Science requested a new focus beginning in 2008: assistance in forming its ten year facilities plan. To meet this request, PERI formed the Architecture Tiger Team, which is modeling the performance of key science applications on future architectures, with S3D, FLASH and GTC chosen as the first application targets. In this activity, we have measured the performance of these applications on current systems in order to understand their baseline performance and to ensure that our modeling activity focuses on the right versions and inputs of the applications. We have applied a variety of modeling techniques to anticipate the performance of these applications on a range of anticipated systems. While our initial findings predict that Office of Science applications will continue to perform well on future machines from major hardware vendors, we have also encountered several areas in which we must extend our modeling techniques in order to fulfill our mission accurately and completely. In addition, we anticipate that models of a wider range of applications will reveal critical differences between expected future systems, thus providing guidance for future Office of Science procurement decisions, and will enable DOE applications to exploit machines in future facilities fully.

  18. Modeling the Office of Science Ten Year Facilities Plan: The PERI Architecture Team

    SciTech Connect

    de Supinski, Bronis R.; Alam, Sadaf R; Bailey, David; Carrington, Laura; Daley, Christopher; Dubey, Anshu; Gamblin, Todd; Gunter, Dan; Hovland, Paul; Jagode, Heike; Karavanic, Karen; Marin, Gabriel; Mellor-Crummey, John; Moore, Shirley; Norris, Boyana; Oliker, Leonid; Olschanowsky, Cathy; Roth, Philip C; Schulz, Martin; Shende, Sameer; Snavely, Allan; Spea, Wyatt; Tikir, Mustafa; Vetter, Jeffrey S; Worley, Patrick H; Wright, Nicholas

    2009-01-01

    The Performance Engineering Institute (PERI) originally proposed a tiger team activity as a mechanism to target significant effort optimizing key Office of Science applications, a model that was successfully realized with the assistance of two JOULE metric teams. However, the Office of Science requested a new focus beginning in 2008: assistance in forming its ten year facilities plan. To meet this request, PERI formed the Architecture Tiger Team, which is modeling the performance of key science applications on future architectures, with S3D, FLASH and GTC chosen as the first application targets. In this activity, we have measured the performance of these applications on current systems in order to understand their baseline performance and to ensure that our modeling activity focuses on the right versions and inputs of the applications. We have applied a variety of modeling techniques to anticipate the performance of these applications on a range of anticipated systems. While our initial findings predict that Office of Science applications will continue to perform well on future machines from major hardware vendors, we have also encountered several areas in which we must extend our modeling techniques in order to fulfilll our mission accurately and completely. In addition, we anticipate that models of a wider range of applications will reveal critical differences between expected future systems, thus providing guidance for future Office of Science procurement decisions, and will enable DOE applications to exploit machines in future facilities fully.

  19. Ten Years of Proteomics in Bladder Cancer: Progress and Future Directions

    PubMed Central

    Frantzi, Maria; Vlahou, Antonia

    2017-01-01

    Research efforts targeting the identification of bladder cancer biomarkers have been extensive during the past decade. Investigations have been performed at the genome, transcriptome, proteome, and metabolome levels and outputs have started appearing including the sketching of disease molecular subtypes. Proteins are directly linked to cell phenotype hence they accumulate special interest as both biomarkers and therapeutic targets. Multiple technical challenges exist, of the main, being the protein concentration vast dynamic range and presence of proteins in modified forms. The scope of this review is to summarize the contribution of proteomics research in this quest of bladder cancer biomarkers. To obtain an unbiased and comprehensive overview, the scientific literature was searched for manuscripts describing proteomic studies on urothelial cancer from the last ten years and those including independent verification studies in urine, tissue and blood are briefly presented. General observations include: a) in most cases, suboptimal experimental design including healthy controls in biomarker discovery and frequently biomarker verification, is followed; b) variability in protein findings between studies can be observed, to some extent reflecting complexity of experimental approaches and proteome itself; c) consistently reported biomarkers include mainly plasma proteins and d) compilation of protein markers into diagnostic panels appears the most promising way forward. Two main avenues of research can now be foreseen: targeting integration of the existing disparate data with proteomic findings being placed in the context of existing knowledge on bladder cancer subtypes and in parallel, accumulation of clinical samples to support proper validation studies of promising marker combinations. PMID:28149930

  20. Persistence of native and exotic plants ten years after prairie reconstruction data set

    USGS Publications Warehouse

    Larson, Diane L.; Bright, J. B.; Drobney, Pauline; Larson, Jennifer L.; Vacek, Sara

    2016-01-01

    These data sets consist of data collected during 2005-2007, 2010, and 2015 at Neal Smith NWR (IA) and Fergus Falls, Litchfield, and Morris Wetland Management Districts (MN) that were used in the analysis in support of the article titled "Integrity of tallgrass prairie reconstructions ten years after planting: native plant persistence and exotic weed resistance," which has been submitted to the journal Restoration Ecology. The primary goal of this study was to understand what influence early reconstruction practices have on long-term outcomes. Twelve replicates of three planting methods (dormant-season broadcast, growing-season broadcast, and growing-season drill) and three seed mix richness levels (10, 20 or 34 species), fully crossed in a completely randomized design were planted in 2005 on nine former agricultural fields. Cover by species was estimated in 2005-2007, 2010 and 2015, and richness data for treatment plots was determined in 2007, 2010, and 2015. Data from Minnesota and Iowa sites were analyzed separately, and are housed in separate files.

  1. Dinosaurs in decline tens of millions of years before their final extinction

    PubMed Central

    Sakamoto, Manabu; Benton, Michael J.; Venditti, Chris

    2016-01-01

    Whether dinosaurs were in a long-term decline or whether they were reigning strong right up to their final disappearance at the Cretaceous–Paleogene (K-Pg) mass extinction event 66 Mya has been debated for decades with no clear resolution. The dispute has continued unresolved because of a lack of statistical rigor and appropriate evolutionary framework. Here, for the first time to our knowledge, we apply a Bayesian phylogenetic approach to model the evolutionary dynamics of speciation and extinction through time in Mesozoic dinosaurs, properly taking account of previously ignored statistical violations. We find overwhelming support for a long-term decline across all dinosaurs and within all three dinosaurian subclades (Ornithischia, Sauropodomorpha, and Theropoda), where speciation rate slowed down through time and was ultimately exceeded by extinction rate tens of millions of years before the K-Pg boundary. The only exceptions to this general pattern are the morphologically specialized herbivores, the Hadrosauriformes and Ceratopsidae, which show rapid species proliferations throughout the Late Cretaceous instead. Our results highlight that, despite some heterogeneity in speciation dynamics, dinosaurs showed a marked reduction in their ability to replace extinct species with new ones, making them vulnerable to extinction and unable to respond quickly to and recover from the final catastrophic event. PMID:27092007

  2. Dinosaurs in decline tens of millions of years before their final extinction

    NASA Astrophysics Data System (ADS)

    Sakamoto, Manabu; Benton, Michael J.

    2016-05-01

    Whether dinosaurs were in a long-term decline or whether they were reigning strong right up to their final disappearance at the Cretaceous-Paleogene (K-Pg) mass extinction event 66 Mya has been debated for decades with no clear resolution. The dispute has continued unresolved because of a lack of statistical rigor and appropriate evolutionary framework. Here, for the first time to our knowledge, we apply a Bayesian phylogenetic approach to model the evolutionary dynamics of speciation and extinction through time in Mesozoic dinosaurs, properly taking account of previously ignored statistical violations. We find overwhelming support for a long-term decline across all dinosaurs and within all three dinosaurian subclades (Ornithischia, Sauropodomorpha, and Theropoda), where speciation rate slowed down through time and was ultimately exceeded by extinction rate tens of millions of years before the K-Pg boundary. The only exceptions to this general pattern are the morphologically specialized herbivores, the Hadrosauriformes and Ceratopsidae, which show rapid species proliferations throughout the Late Cretaceous instead. Our results highlight that, despite some heterogeneity in speciation dynamics, dinosaurs showed a marked reduction in their ability to replace extinct species with new ones, making them vulnerable to extinction and unable to respond quickly to and recover from the final catastrophic event.

  3. A ten-year review of neonatal bloodstream infections in a tertiary private hospital in Kenya.

    PubMed

    Kohli-Kochhar, Ruchika; Omuse, Geoffrey; Revathi, Gunturu

    2011-11-15

    Neonatal mortality in developing countries is usually due to an infectious cause. The gold standard of investigation in developing countries is a positive blood culture. It is important to know the aetiology of neonatal bloodstream infections so that empiric treatment can be effective. We conducted a retrospective clinical audit over ten years between January 2000 until December 2009, looking at the aetiology of both early and late onset neonatal sepsis. We analysed data from 152 (23%) patient isolates out of 662 suspected cases of neonatal sepsis. Our study revealed that Gram-positive organisms were the predominant cause of both early and late onset sepsis; the common isolates were Staphylococcus epidermidis (34%) and Staphylococcus aureus (27%). There were no isolates of group B Streptococcus. Candida species was isolated only in patients with late onset sepsis (6.9%). Bacterial isolates were relatively sensitive to the commonly used first- and second-line empiric antibiotics. Gram-positive organisms remain the major cause of neonatal bloodstream infections in our setup. The findings of this study will guide clinicians in prescribing the right empiric therapy in cases of suspected neonatal sepsis before the definitive culture results are obtained.

  4. Analysis and management of brain abscess; a ten year hospital based study.

    PubMed

    Sarmast, Arif Hussain; Showkat, Hakim Irfan; Bhat, Abdul Rashid; Kirmani, Altaf Rehman; Kachroo, Mohammad Yousuf; Mir, Suhail Farooq; Lone, Yasir Ahmed; Khan, Aamir Aalam

    2012-01-01

    To study clinical, microbiological and radiological profile of pyogenic brain abscess patients along with modes of treatment and their outcome. This retrospective as well as prospective study included One hundred and fourteen patients of Brain Abscess who were admitted and evaluated in the Department of Neurosurgery over a period of ten years .This study had a retrospective component from Oct 2001 to May 2009 in which eighty six patients were included and a prospective component from June 2009 to Oct 2011 which included twenty eight patients. Patients were managed medically including intravenous antibiotics and surgical management including single burr hole and total resection with open craniotomy or craniectomy. To evaluate abscess size after aspiration, CT or MR imaging was performed [~ 24 hours after aspiration] and as and when demanded by worsening of the clinical condition or no response to medical and surgical treatment. It was observed that majority of the patients in our study were males numbering 83(72.8%) where as there were only 31 females (27.2%). It was observed that among the underlying factors CSOM predominated with 57 patients ie (50%).

  5. Ten years EULAR Scleroderma Research and Trials (EUSTAR): what has been achieved?

    PubMed

    Müller-Ladner, Ulf; Tyndall, Alan; Czirjak, Laszlo; Denton, Christopher; Matucci-Cerinic, Marco

    2014-02-01

    Ten years ago a group of researchers interested in and dedicated to the field of systemic sclerosis started a unique experiment called European League Against Rheumatism (EULAR) Scleroderma Trials And Research (EUSTAR) that was designed to establish a large-scale database in a rare disease to facilitate the exact characterisation of this debilitating disease, spread the knowledge even beyond the borders of Europe and stimulate innovative research targeting the major problems of the affected patients. This EUSTAR experiment, with all its facets, including the creation of a large-scale database, the initiation of more than 40 investigator-driven clinical and basic science projects, the teaching of more than 400 young clinicians in the field of systemic sclerosis and the realisation of multicenter EU grants, which were all facilitated by an initial research grant from EULAR, is outlined and commented upon by the members of the steering committee in this viewpoint article on behalf of the now more than 150 contributing centres and the international systemic sclerosis patients' association, the Federation of European Scleroderma Associations.

  6. [Thinking about academic development of acupuncture and moxibustion in recent ten years].

    PubMed

    Wen, Bi-ling; Jia, Chun-sheng; Liu, Wei-hong; Yang, Yong-qing; Wang, Ling-ling; Yang, Hua-yuan; Wu, Xiao-dong; Shen, Xue-yong; Xu, Ping; Zhao, Jing-shen; Liu, Jun-ling; Cheng, Kai; Zhu, Wen-zeng

    2009-12-01

    Through combing the academic development of acupuncture in recent ten years, objectively reflects the real development status of acupuncture subject on these aspects sucl as basis, clinic, equipment, teaching and standardization, etc., shows the scientific and technological achievements and the highlights of the acupuncture academic development, analyzes the bottleneck and dilemma of the acupuncture academic development. It is indicated that there are several problems existed in acupuncture researche at present, such as the scale and the input of the acupuncture theory research are not enough, the basic research and clinical application is disjointed, the correlation between the acupoints and viscera need more systematic and further researches, the design level of clinical research on acupoints' main indications should be improved. From now on we should follow the inherent rule of the traditional theory of Chinese medicine and the way of integrated thinking, explore the new rule of acupuncture academic development, in order to fit the new historical period, and comprehensively promote the sustainable and coordinated development of acupuncture science.

  7. Ten-year results of quality assurance in radiotherapy chart round

    PubMed Central

    2013-01-01

    Background The Royal Australian and New Zealand College of Radiologists (RANZCR) initiated a unique instrument to audit the quality of patient notes and radiotherapy prescriptions. We present our experience collected over ten years from the use of the RANZCR audit instrument. Methods In this study, the results of data collected prospectively from January 1999 to June 2009 through the audit instrument were assessed. Radiotherapy chart rounds were held weekly in the uro-oncology tumour stream and real time feedback was provided. Electronic medical records were retrospectively assessed in September 2009 to see if any omissions were subsequently corrected. Results In total 2597 patients were audited. One hundred and thirty seven (5%) patients had one hundred and ninety nine omissions in documentation or radiotherapy prescription. In 79% of chart rounds no omissions were found at all, in 12% of chart rounds one omission was found and in 9% of chart rounds two or more omissions were found. Out of 199 omissions, 95% were of record keeping and 2% were omissions in the treatment prescription. Of omissions, 152 (76%) were unfiled investigation results of which 77 (51%) were subsequently corrected. Conclusions Real-time audit with feedback is an effective tool in assessing the standards of radiotherapy documentation in our department, and also probably contributed to the high level of attentiveness. A large proportion of omissions were investigation results, which highlights the need for an improved system of retrieval of investigation results in the radiation oncology department. PMID:23617328

  8. [Ten years of laparoscopic living kidney donation. From an extravagant to a routine procedure].

    PubMed

    Giessing, M; Fuller, T F; Deger, S; Roigas, J; Tüllmann, M; Liefeldt, L; Budde, K; Fischer, T; Winkelmann, B; Schnorr, D; Loening, S A

    2006-01-01

    Ten years ago the first laparoscopic living donor nephrectomy (LDN) was performed. Today, LDN is a routine operation in many US-American transplantation centers and an increasing number of centers in Europe are practicing LDN. In this article the different aspects of LDN for donor, kidney, recipient and operating surgeon are evaluated. We performed a literature research concerning LDN and the different aspects. Our own experience, as the largest LDN center in Germany, is part of the evaluation. Laparoscopic extraction of a kidney from a living donor is as safe for the donor as the open approach. At the same time, LDN offers multiple advantages like reduced pain and shorter convalescence. For the donated kidney and the recipient no disadvantages occur from the laparoscopic technique, as long as special intra- and perioperative demands are met. For the operating surgeon multiple developments have expanded the technical armentarium. LDN is safe for donor, recipient and kidney. Central issue of an optimal LDN is sufficient experience with laparoscopic urological techniques.

  9. Ten years of publicly funded biological disease-modifying antirheumatic drugs in Australia.

    PubMed

    Hopkins, Ashley M; Proudman, Susanna M; Vitry, Agnes I; Sorich, Michael J; Cleland, Leslie G; Wiese, Michael D

    2016-02-01

    Biological disease-modifying antirheumatic drugs (bDMARDs) for rheumatoid arthritis (RA) treatment were among the first high-cost medicines to be subsidised in Australia. High-cost medicines pose several challenges to the Australian National Medicines Policy, which aims to provide timely access to effective medicines at a cost individuals and the community can afford. Thus, novel restriction criteria were developed to encourage cost-effective use of bDMARDs. Government expenditure on bDMARD subsidies for RA treatment grew to about $383 million in 2014. Evidence that initiation and continuation criteria for bDMARDs meet usually applied cost-benefit criteria is lacking. The combined expenditure on tocilizumab, certolizumab pegol and golimumab (added to the Australian Government's Pharmaceutical Benefits Scheme in 2010) was $93 million in 2014, which is 210% over the initial estimate. Present and future challenges with regard to bDMARDs for RA and other high-cost drugs include improved expenditure predictions, monitoring of cost-effectiveness in relation to actual use and strategic development, regulation and use of biosimilars. Ten years of documentation on clinical and laboratory findings indicating eligibility to initiate and continue on bDMARDs remains un-used. These data represent an untapped opportunity to promote quality of use of bDMARDs and biosimilars and to improve cost predictions for high-cost drugs.

  10. Ten-year study of postoperative complications following dental extractions in patients with inherited bleeding disorders.

    PubMed

    Hsieh, J-T; Klein, K; Batstone, M

    2017-09-01

    Dental extractions challenge the body's haemostatic mechanism. Postoperative bleeding from dental extraction can be prolonged, or even life threatening in patients with inherited bleeding disorders. Pre- and postoperative clotting factor replacements or systemic desmopressin (ddAVP) have been advocated at our institution to prevent bleeding complications in these patients. This study aimed to assess the postoperative bleeding rate in patients with inherited bleeding disorders that underwent dental extractions at our institution between 2003 and 2012. Patients with inherited bleeding disorders such as haemophilia A, haemophilia B, and von Willebrand's disease were included. Retrospective chart review was conducted. The result showed 53 extraction events occurred in 45 patients over the 10-year period. Ten out of 53 extraction events (18.9%) had postoperative bleeding requiring further factor replacement or ddAVP. Postoperative bleeding in one patient with mild haemophilia A was complicated by the development of inhibitors. Type and severity of bleeding disorder, bone removal, and use of a local haemostatic agent did not have any significant effect on postoperative bleeding. Despite the use of perioperative factors and desmopressin, the postoperative bleeding rates remain high for patients with inherited bleeding disorders. More studies are required to assess the safety and effectiveness of using local haemostatic control to achieve haemostasis following extractions. Crown Copyright © 2017. Published by Elsevier Ltd. All rights reserved.

  11. Modeling the Office of Science ten year facilities plan: The PERI Architecture Tiger Team

    NASA Astrophysics Data System (ADS)

    de Supinski, Bronis R.; Alam, Sadaf; Bailey, David H.; Carrington, Laura; Daley, Chris; Dubey, Anshu; Gamblin, Todd; Gunter, Dan; Hovland, Paul D.; Jagode, Heike; Karavanic, Karen; Marin, Gabriel; Mellor-Crummey, John; Moore, Shirley; Norris, Boyana; Oliker, Leonid; Olschanowsky, Catherine; Roth, Philip C.; Schulz, Martin; Shende, Sameer; Snavely, Allan; Spear, Wyatt; Tikir, Mustafa; Vetter, Jeff; Worley, Pat; Wright, Nicholas

    2009-07-01

    The Performance Engineering Institute (PERI) originally proposed a tiger team activity as a mechanism to target significant effort optimizing key Office of Science applications, a model that was successfully realized with the assistance of two JOULE metric teams. However, the Office of Science requested a new focus beginning in 2008: assistance in forming its ten year facilities plan. To meet this request, PERI formed the Architecture Tiger Team, which is modeling the performance of key science applications on future architectures, with S3D, FLASH and GTC chosen as the first application targets. In this activity, we have measured the performance of these applications on current systems in order to understand their baseline performance and to ensure that our modeling activity focuses on the right versions and inputs of the applications. We have applied a variety of modeling techniques to anticipate the performance of these applications on a range of anticipated systems. While our initial findings predict that Office of Science applications will continue to perform well on future machines from major hardware vendors, we have also encountered several areas in which we must extend our modeling techniques in order to fulfill our mission accurately and completely. In addition, we anticipate that models of a wider range of applications will reveal critical differences between expected future systems, thus providing guidance for future Office of Science procurement decisions, and will enable DOE applications to exploit machines in future facilities fully.

  12. The Register of Antarctic Marine Species (RAMS): a ten-year appraisal

    PubMed Central

    Jossart, Quentin; Moreau, Camille; Agüera, Antonio; Broyer, Claude De; Danis, Bruno

    2015-01-01

    Abstract The Register of Antarctic Marine Species (RAMS) is a marine species database that manages an authoritative taxonomic list of species occurring in the Southern Ocean. RAMS links with several other initiatives managing biogeographic or genomics information. The current paper aims to briefly present RAMS and provides an updated snapshot of its contents, in the form of a DarwinCore checklist (available through http://ipt.biodiversity.aq/resource.do?r=rams) and illustrative barplots. Moreover, this article presents a ten year appraisal (since the creation of RAMS). This appraisal first focuses on RAMS bibliometrics. We observed that RAMS was cited (Google Scholar) in 50 distinct publications among which 32 were peer-reviewed in 18 different journals. Three journals (Antarctic Science, Polar Biology, ZooKeys) represent almost 40% of these peer-review publications. The second appraisal focuses on the evolution of new RAMS records. We observed an important decrease in data additions since 2011. As a case study, we focused on an original dataset for a specific group (Asteroidea, Echinodermata). It appears that around one hundred species of asteroids are lacking in RAMS despite the relatively high availability of these data. This suggests that the users’ community (or collaborative projects such as AquaRES) could be helpful in order to maintain the RAMS database over the long term. PMID:26478709

  13. Ten Years of Observatory Science from Saanich Inlet on the VENUS Cabled Ocean Observatory

    NASA Astrophysics Data System (ADS)

    Dewey, R. K.; Tunnicliffe, V.; Macoun, P.; Round, A.

    2016-02-01

    The Saanich Inlet array of the VENUS cabled ocean observatory, maintained and operated by Ocean Networks Canada, was installed in February 2006, and in 2016 will have supported ten years of comprehensive interactive science. Representing the first in the present generation of cabled observing technologies, this coastal array has provided continuous high power and broadband communications to a variety of instrument platforms, hundreds of sensors, and enabled dozens of short, medium, and long-term studies. Saanich Inlet is a protected fjord with limited tidal action, resulting in an extremely productive environment, with strong seasonal chemical variations driven by episodic deep water renewal events and oxygen reduction processes. The breadth of the research has included microbial and benthic community dynamics, biogeochemical cycles, forensics, quantifying inter-annual variations, benthic-pelagic coupling, sensor testing, plankton dynamics, and bio-turbulence. Observatory measurements include core water properties (CTD & O2) and water-column echo-sounder records, as well as experiment-oriented deployments utilizing cameras, Gliders, Dopplers, hydrophones, and a variety of biogeochemical sensors. With a recently installed Buoy Profiler System for monitoring the entire water column, community plans continue with a dedicated Redox experiment through the 2016-17 seasons. Highlights from the dozens of research papers and theses will be presented to demonstrate the achievements enabled by a comprehensive coastal cabled observing system.

  14. [Evaluation of Uruguay's antismoking campaign: progress and challenges at ten years].

    PubMed

    Triunfo, Patricia; Harris, Jeffrey; Balsa, Ana

    2016-10-01

    In 2005, shortly after ratifying the Framework Convention on Tobacco Control (FCTC), Uruguay began an ambitious tobacco control campaign that brought the country to the global forefront in the fight against smoking. The wide range of measures implemented in a relatively short period and the rigorousness with which policies were implemented and enforced have few precedents, even in the most developed countries. This paper presents a synthesis and update of several papers by the authors that evaluate different aspects of the campaign ten years following ratification of the FCTC. In particular, these research studies highlight the campaign's aggregate impact on the drop in prevalence of current tobacco consumption in adult and youth populations, and on decisions by pregnant women to quit smoking (1, 2), as well as the relative impact of tax policies in relation to non-price tobacco control measures. The analyses are based on observational studies (at the population or individual level) that use external (Argentina and Chile) and internal (nonsmokers) control groups. Pending challenges in the design of antismoking policies are also discussed.

  15. Outcomes of Open Carpal Tunnel Release at a Minimum of Ten Years

    PubMed Central

    Louie, Dexter L.; Earp, Brandon E.; Collins, Jamie E.; Losina, Elena; Katz, Jeffrey N.; Black, Eric M.; Simmons, Barry P.; Blazar, Philip E.

    2013-01-01

    Background: There is little research on the long-term outcomes of open carpal tunnel release. The purpose of this retrospective study was to determine the functional and symptomatic outcomes of patients at a minimum of ten years postoperatively. Methods: Two hundred and eleven patients underwent open carpal tunnel release from 1996 to 2000 performed by the same hand fellowship-trained surgeon. Follow-up with validated self-administered questionnaire instruments was conducted an average of thirteen years after surgery. The principal outcomes included the Levine-Katz symptom and function scores, ranging from 1 point (best) to 5 points (worst), and satisfaction with the results of surgery. The patients self-reported current comorbidities. Results: After a mean follow-up of thirteen years (range, eleven to seventeen years), 92% (194) of 211 patients were located. They included 140 who were still living and fifty-four who had died. Seventy-two percent (113) of the 157 located, surviving patients responded to the questionnaire. The mean Levine-Katz symptom score (and standard deviation) was 1.3 ± 0.5 points, and 13% of patients had a poor symptom score (≥2 points). The mean Levine-Katz function score was 1.6 ± 0.8 points, and 26% had a poor function score (≥2 points). The most common symptom-related complaint was weakness in the hand, followed by diurnal pain, numbness, and tingling. The least common symptoms were nocturnal pain and tenderness at the incision. Eighty-eight percent of the patients were either completely satisfied or very satisfied with the surgery. Seventy-four percent reported their symptoms to be completely resolved. Thirty-three percent of men were classified as having poor function compared with 23% of women. Two (1.8%) of 113 patients underwent repeat surgery. Conclusions: At an average of thirteen years after open carpal tunnel release, the majority of patients are satisfied and free of symptoms of carpal tunnel syndrome. Level of Evidence

  16. Minimum ten-year results of primary bipolar hip arthroplasty for degenerative arthritis of the hip.

    PubMed

    Pellegrini, Vincent D; Heiges, Bradley A; Bixler, Brian; Lehman, Erik B; Davis, Charles M

    2006-08-01

    Bipolar hip arthroplasty has been advocated by some as an alternative to total hip arthroplasty for the treatment of degenerative arthritis of the hip. We sought to assess the results of this procedure at our institution after a minimum duration of follow-up of ten years. We retrospectively reviewed a consecutive series of 152 patients (173 hips) who underwent primary bipolar hemiarthroplasty for the treatment of symptomatic degenerative arthritis of the hip with a cementless femoral component between 1983 and 1987. Of the original cohort of 152 patients, ninety-two patients (104 hips) were available for clinical and radiographic review at a mean of 12.2 years postoperatively. At the time of the latest follow-up, self-administered Harris hip questionnaires were used to assess pain, mobility, activity level, and overall satisfaction with the procedure. Biplanar hip radiographs were made to evaluate bipolar shell migration, osteolysis, and femoral stem fixation. At the time of the latest follow-up, nineteen patients (nineteen hips) had undergone revision to total hip arthroplasty because of mechanical failure, and three patients (three hips) were awaiting revision because of symptomatic radiographic mechanical failure. Twelve acetabular revisions were performed or scheduled for the treatment of pelvic osteolysis or protrusio acetabuli secondary to component migration. Acetabular reconstruction required bone-grafting, an oversized shell, and/or a pelvic reconstruction ring. The overall rate of mechanical failure was 21.2% (twenty-two of 104 hips), with 91% (twenty) of the twenty-two failures involving the acetabular component. Reaming of the acetabulum at the time of the index arthroplasty was associated with a 6.4-fold greater risk of revision. The rate of implant survival, with revision because of mechanical failure as the end point, was 94.2% for femoral components and 80.8% for acetabular components at a mean of 12.2 years. Of the remaining sixty-nine patients

  17. Food items in the food intake of children aged seven to ten years.

    PubMed

    Hinnig, Patrícia de Fragas; Hinnigi, Patrícia de Fragas; Bergamaschi, Denise Pimentel; Bergamaschi, Denise Pimental

    2012-06-01

    To describe the most representative food items regarding the total intake of energy, carbohydrates, proteins and lipids in children with ages between 7 and 10 years. A list was prepared with all food intake and quantities, and the diet composition in relation to energy and macronutrients was calculated. The list was based on information provided by a 3-day-Food Diary completed by 85 schoolchildren ranging from seven to ten years old and enrolled in a public school in São Paulo, Brazil. After dividing the food into 129 items, we calculated the percentage in which each item contributed to diet nutrient intake and identified those which contributed to up to 95% of the total intake of calories and selected nutrients. The items "White rice, Greek rice, rice with vegetables" and "Brown, black and white beans, lentils" contributed significantly to the total intake of energy and carbohydrates. The item "Whole milk, powdered milk" had a significant participation in the total intake of lipids, protein and energy. We emphasize the importance of carbohydrates and energy intake from sugar-sweetened beverages (sodas and processed juices) in the total diet intake of the children. the contribution of rice in the total food intake of energy and carbohydrates; of beans in energy, carbohydrates and proteins; of milk and meat in energy, protein and lipids; and bread in energy and carbohydrates is noticeable. The participation of sugar-sweetened beverage in the total intake in energy and carbohydrates and of candies in the total intake of lipids is also evident.

  18. Efficacy, risk factors and complications of endoscopic polypectomy: Ten year experience at a single center

    PubMed Central

    Consolo, Pierluigi; Luigiano, Carmelo; Strangio, Giuseppe; Scaffidi, Maria Grazia; Giacobbe, Giuseppa; Giuseppe, Giovanna Di; Zirilli, Agata; Familiari, Luigi

    2008-01-01

    AIM: To examine the efficacy and complications of colonoscopic resection of colorectal polypoid lesions. METHODS: We retrospectively reviewed 1354 polypectomies performed on 1038 patients over a ten-year period. One hundred and sixty of these were performed for large polyps, those measuring ≥ 20 mm. Size, shape, location, histology, the technique of polypectomy used, complications, drugs assumption and associated intestinal or extra intestinal diseases were analyzed. For statistical analysis, the Pearson χ2 test, NPC test and a Binary Logistic Regression were used. RESULTS: The mean patient age was 65.9 ± 12.4 years, with 671 men and 367 women. The mean size of polyps removed was 9.45 ± 9.56 mm while the size of large polyps was 31.5 ± 10.8 mm. There were 388 pedunculated and 966 sessile polyps and the most common location was the sigmoid colon (41.3%). The most frequent histology was tubular adenoma (55.9%) while for the large polyps was villous (92/160 -57.5%). Coexistent malignancy was observed in 28 polyps (2.1%) and of these, 20 were large polyps. There were 17 procedural bleeding (1.3%) and one perforation. The statistical analysis showed that cancer is correlated to polyp size (P < 0.0001); sessile shape (P < 0.0001) and bleeding are correlated to cardiac disease (P = 0.034), tubular adenoma (P = 0.016) and polyp size. CONCLUSION: The endoscopic resection is a simple and safe procedure for removing colon rectal neoplastic lesions and should be considered the treatment of choice for large colorectal polyps. The polyp size is an important risk factor for malignancy and for bleeding. PMID:18416463

  19. Shearing dynamics and jamming density

    NASA Astrophysics Data System (ADS)

    Olsson, Peter; Vâgberg, Daniel; Teitel, Stephen

    2009-03-01

    We study the effect of a shearing dynamics on the properties of a granular system, by examining how the jamming density depends on the preparation of the starting configurations. Whereas the jamming density at point J was obtained by relaxing random configurations [O'Hern et al, Phys. Rev. E 68, 011306 (2003)], we apply this method to configurations obtained after shearing the system at a certain shear rate. We find that the jamming density increases somewhat and that this effect is more pronounced for configurations produced at smaller shear rates. Different measures of the order of the jammed configurations are also discussed.

  20. 1994-2004 : Ten years of European effort for education in Seismology

    NASA Astrophysics Data System (ADS)

    Virieux, J.; Zollo, A.; Lomax, A.; Berenguer, J.; Laj, C.; Bobbio, A.

    2004-12-01

    Following trends of the pioneer PEPP project in USA, an European group has investigated since 1994 how to promote physics and earth sciences and, more specifically, how to educate scientifically and socially young generations to environmental hazards. Seismology has been selected as the vehicle for a prototypical ten-years experience of teaching and learning sciences in European high schools accounting for the specificity and differencies of educational systems in each country. This general purpose has required competences and strong interactions of both teachers, researchers and high school students. Over ten years of continuous activities, these people have found that the target was very ambitious and that both high-tech efforts as well as very focused teaching procedures must be set on. Dedicated instruments were developped in two years through interactions between researchers,teachers and students in order to fit both the scientific quality but also pedagogical features and were installed in different parts of Europe. The sequence of Colfiorito Earthquakes in September-October 1997 was the first data collected simultaneously in different European schools. Since then, more thant 50 stations have been deployed over Europe and data have been made available for education purposes. Data from these seismic stations have been used as the back-bone for interactions between students/pupils, teachers and researchers leading to the development of dedicated teaching and learning materials as software tools for data analysis, simple experimentations and so on. The framework for such an European initiative has been provided by Italian and French national funds and put together under the banner of the so-called EDUSEIS projet. This EDUcational SEISmological European Network (http://www.eduseis.org/) has shown that indeed environmental education is possible with its typical feature of long-term efforts. Funding through Europe will certainly increase the cohesion of this

  1. EPA Honors Ten Texas Organizations for 2015 Energy Star Partners of Year

    EPA Pesticide Factsheets

    DALLAS - (April 6, 2015) The U.S. Environmental Protection Agency (EPA) and the U.S. Department of Energy (DOE) are honoring ten Texas organizations for its commitment to saving energy and protecting the environment through superior energy efficienc

  2. A Cannulated Tri-Tapered Femoral Stem for Total Hip Arthroplasty: Clinical and Radiological Results at Ten Years.

    PubMed

    Rajakulendran, Karthig; Strambi, Francesco; Ruggeri, Riccardo; Field, Richard E

    2015-10-01

    We report the ten-year clinical and radiological outcomes of a novel cannulated, tri-tapered femoral stem, used in primary total hip arthroplasty (110 stems in 98 patients). At ten years, two Tri-taper stems had been revised for infection and dislocation. The mean Oxford Hip Score improved from 13.46 pre-operatively, to 37.04. Radiological analysis revealed radiolucent lines in 57 cases, but none exceeded 2 mm thickness. Stem subsidence was identified in 63 cases, with mean distal tip migration of 3.8 mm. Survivorship with revision for aseptic loosening as the end point was 100% at 10 years. Stem survival with revision for any cause was 98.2% (95% CI, 92.9% to 99.5%). The ten-year results of the Tri-taper stem are comparable to other polished, tapered femoral stems. Copyright © 2015 Elsevier Inc. All rights reserved.

  3. Saturn’s Tropospheric Temperatures and Para-Hydrogen Distribution from Ten Years of Cassini Observations

    NASA Astrophysics Data System (ADS)

    Fletcher, Leigh N.; Irwin, Patrick G.; Sinclair, James; Giles, Rohini; Barstow, Joanna; Achterberg, Richard K.; Orton, Glenn S.

    2014-11-01

    Cassini/CIRS observations of Saturn’s 10-1400 cm-1 spectrum have been inverted to construct a global record of tropospheric temperature and para-hydrogen variability over the ten-year span of the Cassini mission. The data record the slow reversal of seasonal asymmetries in tropospheric conditions from northern winter (2004, Ls=293), through northern spring equinox (2009, Ls=0) to the present day (2014, Ls=60). Mid-latitude tropospheric temperatures have cooled by approximately 4-6 K in the south and warmed by 2-4 K in the north, with the seasonal contrast decreasing with depth. CIRS detected the north polar minimum 100-mbar temperatures 6-8 years after winter solstice, whereas the south polar maximum occurred 1-2 years after summer solstice, consistent with the lag times predicted by radiative equilibrium models. Warm polar cyclones and the northern hexagon persist throughout the mission, suggesting that they are permanent features of Saturn’s tropospheric circulation. The 200-mbar thermal enhancement (“knee”) that was strongest in the summer but weak or absent in winter in 2004-2006 (Fletcher et al., 2007, Icarus 189, p.457-478) has now shifted northward and is present globally in 2014, suggestive of radiative heating in Saturn’s tropospheric haze layer. Saturn’s para-H2 fraction, which serves as a tracer of both tropospheric mixing and the efficiency of re-equilibration between the ortho- and para-hydrogen states, is slowly altering: super-equilibrium conditions (para-H2 fraction exceeding equilibrium expectations and suggestive of subsiding airmasses) that dominated the southern summer hemisphere are now weakening, whereas the sub-equilibrium conditions (suggestive of uplift) of the northern winter are being replaced by equilibrium or super-equilibrium conditions in spring. The thermal ‘knee’ and the para-H2 distribution are tracking both the increased spring illumination and the increasing tropospheric haze opacity of the springtime hemisphere

  4. [Home parenteral nutrition in patients with advanced cancer: experience of a single centre over ten years].

    PubMed

    Moreno Villares, J M; Gomis Muñoz, P; Valero Zanuy, Ma A; León Sanz, M

    2004-01-01

    The use of Home Parenteral Nutrition (HPN) in patients with advanced cancer without the possibility of curative treatment continues to be a controversial subject entailing a considerable emotional burden. Nonetheless, this group of patients constitutes the main indication for HPN in many programmes. To present the characteristics of a series of patients included on an HPN programme over the last ten years. Retrospective study of the case histories of the 11 patients who received HPN over this period. The demographic and clinical details were noted along with their complications and evolution for comparison with those of a control group of patients with benign disease receiving HPN over the same period. For the comparisons, Student's t test and the chi-squared test were used as and when indicated. Results were considered statistically significant if p < 0.05. Eleven patients received HPN, nine of them because of an irresoluble intestinal obstruction and two because of a high flow fistula. The mean age at the start of HPN was 50.8 +/- 12.7 years versus 37.3 +/- 17.2 years for the group with benign disease (p < 0.05). The mean duration of HPN was 71.05 +/- 217 days in the first group, notably less than the second (387.15 +/- 995.85; p < 0.05), with a range between 5 and 760 days. The patients received the infusion through a previously implanted subcutaneous reservoir (n = 9) and on two occasions, electively, through a tunnelled catheter. The infection rate was higher in the group with cancer (0.34 episodes per patient and 1,000 days on HPN) than in the group with benign disease (0.08 episodes; p < 0.05). HPN was suspended in only one of the patients more than 5 days prior to death due to clinical deterioration. Two patients required admission due to a complication associated with the technique. In both cases, a fungal infection of the blood made it necessary to withdraw the catheter. The quality of life, measured by means of an activity scale, was similar at the start

  5. Ten years of specialized adult care for phenylketonuria - a single-centre experience.

    PubMed

    Mütze, Ulrike; Thiele, Alena Gerlinde; Baerwald, Christoph; Ceglarek, Uta; Kiess, Wieland; Beblo, Skadi

    2016-03-24

    Specialized adult care of phenylketonuria (PKU) patients is of increasing importance. Adult outpatient clinics for inherited errors of metabolism can help to achieve this task, but experience is limited. Ten years after establishment of a coordinated transition process and specialised adult care for inherited metabolic diseases, adult PKU care was evaluated with respect to metabolic control, therapy satisfaction, life satisfaction, sociodemographic data, economical welfare as well as pregnancy outcome. All PKU patients transferred from paediatric to adult care between 2005 and 2015 were identified. A retrospective data analysis and a cross-sectional survey in a sub-cohort of 30 patients including a questionnaire for assessing quality of life (FLZm) were performed as a single-centre investigation at the metabolic department of the University Hospital Leipzig, Germany. For statistical analysis, Mann-Whitney-U-test, t-test for independent samples, ANOVA and chi square test were used as appropriate. 96 PKU patients (56 females/40 males; median age 32 years, range 18-62) were included. In the last 3-year period, 81% of the transferred patients still kept contact to the adult care centre. Metabolic control was stable over the evaluation period and dried blood phenylalanine concentrations mostly remained within the therapeutic range (median 673.0 μmol/l, range 213.0-1381.1). Sociodemographic data, economical welfare and life satisfaction data were comparable to data from the general population. However, differences could be revealed when splitting the cohort according to time of diagnosis and to management during childhood. 83% of the PKU adults were satisfied with the transition process and current adult care. 25 completed pregnancies were supervised; three newborns, born after unplanned pregnancy, showed characteristic symptoms of maternal PKU syndrome. Continuous care for adult PKU patients in a specialized outpatient clinic is successful, leading to good to

  6. Ten-Year Comparisons of Problems and Competencies for National Samples of Youth: Self, Parent, and Teacher Reports.

    ERIC Educational Resources Information Center

    Achenbach, Thomas M.; Dumenci, Levent; Rescorla, Leslie A.

    2002-01-01

    This study compared national samples of United States' 11- to 18- year-olds assessed in 1989 and 1999. Parent, teacher and self-report sources showed small improvements in competencies and adaptive functioning and small declines in problems over ten years. No significant differences on any scales were found for youths assessed shortly before and…

  7. Nd Isotopic Provenance of Sedimentary Rocks Along Margins of North America: ten Years of Study

    NASA Astrophysics Data System (ADS)

    Patchett, J.; Ross, G. M.

    2001-12-01

    Ten years of effort, principally employing Nd isotopes, have resulted in substantial advances in understanding of the movements of sedimentary material around North America from Cambrian to Cretaceous time. This synthesis has depended upon work of current and former students S. Samson, J. Gleason, N. Boghossian, C. Garzione, M. Roth, B. Canale and E. Rosenberg, as well as collaborators W. Dickinson and A. Embry, among others. Nd isotopes are particularly good at documenting movements of sedimentary material on the largest (continental) scale and over extended times. What has emerged is a picture of a largely exposed North America-Greenland craton from Neoproterozoic to Ordovician time, a partial to complete burial by detritus from Caledonian-Appalachian mountains starting in the Ordovician, a gradual exhumation during Late Paleozoic and Mesozoic time, followed by a partial burial with Cordilleran detritus during Late Jurassic to Tertiary time. One current question is the nature of the Mesozoic and Tertiary sedimentary material eroded from the North American Cordillera, and its relevance for Cordilleran orogenesis. Another current question is the extent to which Caledonian-Appalachian detritus covered the craton in Devonian-Carboniferous time, and the timing and manner of its removal during Mesozoic time. At first glance, available Nd isotopic data appear to suggest that the Canada-Greenland Shield was largely covered during most of Mesozoic time, a conclusion that would have profound effects on models of dynamic topography. However, this conclusion is also very dependent on the relationship between topography and erosion, because in certain situations a geographically-restricted cover sequence could dominate over low-relief cratonic terrain as a sediment source.

  8. Survival of the Scandinavian total ankle replacement (STAR): results of ten to nineteen years follow-up.

    PubMed

    Frigg, Arno; Germann, Ursula; Huber, Martin; Horisberger, Monika

    2017-07-26

    The purpose of this study was to evaluate survival and clinical outcome of the Scandinavian total ankle replacement (STAR) prosthesis after a minimum of ten years up to a maximum of 19 years. Fifty STAR prostheses in 46 patients with end stage ankle osteoarthritis operated between 1996 and 2006 by the same surgeon (MH) were included. Minimal follow-up was ten years (median 14.6 years, 95% confidence interval [CI] 12.9-16.4). Clinical (Kofoed score) and radiological assessments were taken before the operation and at one, ten (+2), and 16 (±3) years after implantation. The primary endpoint was defined as exchange of the whole prosthesis or conversion to arthrodesis (def. 1), exchange of at least one metallic component (def. 2), or exchange of any component including the inlay (due to breakage or wear) (def. 3). Survival was estimated according to Kaplan-Meier. Further reoperations related to STAR were also recorded. The ten year survival rate was (def. 1) 94% (CI 82-98%), (def. 2) 90% (CI, 77-96%), and (def. 3) 78% (CI 64-87%). The 19-year survival rate was (def. 1) 91% (CI 78-97%), (def. 2) 75% (CI 53-88%), and (def. 3) 55% (CI 34-71%). Considering any re-operations related to STAR, 52% (26/50) of prostheses were affected by re-operations. Mean pre-operative Kofoed score was 49, which improved to 84 after one year (n = 50), to 90 after ten years (n = 46), and to 89 after 16 years (n = 28). The survival rate for def. 1 and 2 was high. However, re-operations occurred in 52% of all STAR prosthesis. Retrospective cohort study, evidence Level 4.

  9. Ten years of METEOR (an international rheumatoid arthritis registry): development, research opportunities and future perspectives.

    PubMed

    Bergstra, Sytske Anne; Machado, Pedro M M C; van den Berg, Rosaline; Landewé, Robert B M; Huizinga, Tom W J

    2016-01-01

    Ten years ago, the METEOR tool was developed to simulate treatment-to-target and create an international research database. The development of the METEOR tool and database, research opportunities and future perspectives are described. The METEOR tool is a free, online, internationally available tool in which daily practice visits of all rheumatoid arthritis patients visiting a rheumatologist can be registered. In the tool, disease characteristics, patient- and physician-reported outcomes and prescribed treatment could be entered. These can be subsequently displayed in powerful graphics, facilitating treatment decisions and patient-physician interactions. An upload facility is also available, by which data from local electronic health record systems or registries can be integrated into the METEOR database. This is currently being actively used in, among other countries, the Netherlands, Portugal and India. Since an increasing number of hospitals use electronic health record systems, the upload facility is being actively used by an increasing number of sites, enabling them to benefit from the benchmark and research opportunities of METEOR. Enabling a connection between local registries and METEOR is a well established but time-consuming process for which an IT-specialist of METEOR and the local registry are necessary. However, once this process has been finished, data can be uploaded regularly and relatively easily according to a pre-specified format. The METEOR database currently contains data from >39,000 patients and >200,000 visits, from 32 different countries and is ever increasing. Continuous efforts are being undertaken to increase the quality of data in the database. Since METEOR was founded 10 years ago, many rheumatologists worldwide have used the METEOR tool to follow-up their patients and improve the quality of care they provide to their patients. Combined with uploaded data, this has led to an extensive growth of the database. It now offers a unique

  10. Offsite source recovery project - ten years of sealed source recovery and disposal

    SciTech Connect

    Whitworth, Julia Rose; Pearson, Mike; Witkowski, Ioana; Wald - Hopkins, Mark; Cuthbertson, A

    2010-01-01

    The Global Threat Reduction Initiative's (GTRI) Offsite Source Recovery Project (OSRP) has been recovering excess and unwanted radioactive sealed sources for ten years. In January 2009, GTRI announced that the project had recovered 20,000 sealed radioactive sources (this number has since increased to more than 23,000). This project grew out of early efforts at Los Alamos National Laboratory (LANL) to recover and disposition excess Plutonium-239 (Pu-239) sealed sources that were distributed in the 1960s and 1970s under the Atoms for Peace Program. Decades later, these sources began to exceed their special form certifications or fall out of regular use. As OSRP has collected and stored sealed sources, initially using 'No Path Forward' waste exemptions for storage within the Department of Energy (DOE) complex, it has consistently worked to create disposal pathways for the material it has recovered. The project was initially restricted to recovering sealed sources that would meet the definition of Greater-than-Class-C (GTCC) low-level radioactive waste, assisting DOE in meeting its obligations under the Low-level Radioactive Waste Policy Act Amendments (PL 99-240) to provide disposal for this type of waste. After being transferred from DOE-Environmental Management (EM) to the U.S. National Nuclear Security Administration (NNSA) to be part of GTRI, OSRP's mission was expanded to include not only material that would be classified as GTCC when it became waste, but also any other materials that might constitute a 'national security consideration.' It was recognized at the time that the GTCC category was a waste designation having to do with environmental consequence, rather than the threat posed by deliberate or accidental misuse. The project faces barriers to recovery in many areas, but disposal continues to be one of the more difficult to overcome. This paper discusses OSRP's disposal efforts over its 10-year history. For sources meeting the DOE definition of

  11. Early detection, early symptom progression and symptomatic remission after ten years in a first episode of psychosis study.

    PubMed

    Ten Velden Hegelstad, Wenche; Haahr, Ulrik; Larsen, Tor K; Auestad, Bjørn; Barder, Helene; Evensen, Julie; Joa, Inge; Johannessen, Jan O; Langeveld, Johannes; Melle, Ingrid; Opjordsmoen, Stein; Rossberg, Jan Ivar; Rund, Bjørn Rishovd; Simonsen, Erik; Vaglum, Per; McGlashan, Thomas; Friis, Svein

    2013-02-01

    Poor symptom outcome remains a challenge in psychosis: At least 50% of first-episode patients continue to have positive and/or negative symptoms after ten years. To investigate rates, early predictors and early symptom progression of long-term non-remitted psychosis in an early detection study. Symptomatic remission according to new international criteria was assessed in 174 patients at ten-year follow-up. Remitted and non-remitted patients were compared on early symptom progression, and logistic regression was applied to predict non-remission. At ten years, 50% of patients were in symptomatic remission. Non-remission was predicted by positive symptoms at inclusion and during the first year of treatment. Of individual symptoms only hallucinations were significantly predictive of ten-year non-remission. Early symptom differences were not reflected by differences in treatment. Long-term symptomatic non-remission is associated with early positive symptoms. More assertive intervention may be needed in patients who do not respond robustly in the first year of treatment, whether or not they have been detected "early". Copyright © 2012 Elsevier B.V. All rights reserved.

  12. Nonconvex optimization and jamming

    NASA Astrophysics Data System (ADS)

    Kallus, Yoav

    Recent work on the jamming transition of particles with short-range interactions has drawn connections with models based on minimization problems with linear inequality constraints and a concave objective. These properties reduce the continuous optimization problem to a discrete search among the corners of the feasible polytope. I will discuss results from simulations of models with and without quenched disorder, exhibiting critical power laws, scaling collapse, and protocol dependence. These models are also well-suited for study using tools of algebraic topology, which I will discuss briefly. Supported by an Omidyar Fellowship at the Santa Fe Institute.

  13. Ice Jam Data Collection

    DTIC Science & Technology

    1994-03-01

    Sweden, p. 301- LITERATURE CITED 317. Pomerleau, R.T. (1992a) Field ice measurements Beltaos , S . (1978) Field investigations of river ice for...9, LuleA, Sweden, p. 355-371. Proceedings of the 16th Annual Conference of the Beltaos , S ., R. Gerard, S . Petryk and T.D. Association of State...AD- A280 067 Ice Jam Data Collection Kathleen D. White and Jon E. ZufelT March 1994 DTIC S EECTEa @8199M411 aF FI 1,0 Tis EWE’~t a, pm. DTIC QUALFPy

  14. Ten Years of Monitoring the Eruption of Shrub Mud Volcano, Alaska

    NASA Astrophysics Data System (ADS)

    McGimsey, R. G.; Evans, W. C.; Bergfeld, D.; McCarthy, S. H.; Hagstrum, J. T.

    2007-12-01

    Shrub mud volcano, one of three in the Klawasi group on the eastern flank of Mount Drum volcano in the Wrangell volcanic field of eastern Alaska, has been erupting warm, saline mud and CO2-rich gas continuously since at least the summer of 1997, following 40 years of repose. The initial eruption in early summer of 1997, documented by Richter and others (1998), involved violent fountaining of mud, up to 6-8 m high, from nearly a dozen vents located near the summit, and quiet effusion from vents located about mid-way down the north flank of the 100-m-high cone. Guided by topography, early emissions of copious amounts of CO2 gas flowed in narrow streams through brushy foliage leaving behind stripes of brown, dead vegetation along the flow paths. The hazard posed by the CO2 emissions was evident from dead birds and mammals found near the vents. Initial surveys of the activity in 1997 recorded water temperatures up to 46°C. A survey in 1999 by Sorey and others (2000) found numerous active vents-many in different locations than those two years earlier-a maximum water temperature of 54°C, and an estimated total discharge of warm water of 50 l/s. Measured CO2 emissions were extrapolated to a discharge rate of 6-12 tonnes/day. The highest water temperature recorded was 57.3°C in 2000, with temperatures gradually declining since. From year to year, we found that eruptive activity migrated amongst clusters of vents, some new and some continuing from 1997. Between the summer of 2003 and the spring of 2004, the system changed dramatically when a large collapse pit formed a few tens of meters from the main summit vents and all previously active vents became inactive. This water-filled circular pit measured 28 m in diameter, up to 9 m deep, and encompassed an area that had previously been unaffected by the eruptive activity. In July 2004, water temperature and discharge at the outlet channel was 37.2°C and 9.4 l/s, respectively. The total CO2 discharge from the roiling pool

  15. Ten-year variability in fluxes, meteorology, and environmental conditions at a Colorado subalpine forest site

    NASA Astrophysics Data System (ADS)

    Burns, S. P.; Turnipseed, A.; Bowling, D. R.; Hu, J.; Monson, R. K.

    2009-12-01

    Changing meteorological and environmental conditions affect fluxes; model analysis has shown that environmental variability directly accounts for about half the interannual variability in net ecosystem exchange (NEE) of CO2 whereas the other 50% is due to biotic responses to these changing variables (Richardson et al. 2007). In our study, ten years (1998-2008) of turbulent flux measurements of heat, water vapor, and CO2 at the Niwot Ridge AmeriFlux site (Monson et al. 2002) are examined with respect to meteorological conditions (atmospheric temperature, stability, precipitation, and cloudiness) as well as changes in environmental conditions, such as snow depth and soil moisture. The typical yearly cycle and an estimate of the magnitude of year-to-year variability in the diurnal fluxes and other variables for a high-elevation subalpine forest ecosystem are presented. Wintertime ecosystem respiration has an average 30-min NEE of 0.62 μmol m-2 s-1 with an interannual range between 0.5-1 μmol m-2 s-1. Uptake of CO2 in late summer has an average NEE of -0.71 μmol m-2 s-1 with an interannual range between -0.1 to -1.5 μmol m-2 s-1. Previous studies at the Niwot Ridge AmeriFlux site have described the importance of photosynthetic photon flux density (PPFD) (Monson et al. 2002) and also growing season length (Hu et al. 2009) on NEE. Water isotope ratios analyzed by Hu et al. (2009) have shown that trees at the site primarily rely on water from snowmelt to sustain them throughout the summer; combining this result with the SIPNET model, Hu et al. conclude that there is a limited connection between summer precipitation and the cumulative annual gross primary production (GPP). We have tested this conclusion more explicitly by examining the response of NEE to specific precipitation events and the effect of extended dry periods on the diel cycle of the fluxes, CO2 mole fraction, sap flow, and other meteorological and soil variables. Additionally, we examine the connection

  16. Cause-Specific Mortality in HIV-Positive Patients Who Survived Ten Years after Starting Antiretroviral Therapy

    PubMed Central

    May, Margaret T.; Vehreschild, Janne; Obel, Niels; Gill, Michael John; Crane, Heidi; Boesecke, Christoph; Samji, Hasina; Grabar, Sophie; Cazanave, Charles; Cavassini, Matthias; Shepherd, Leah; d’Arminio Monforte, Antonella; Smit, Colette; Saag, Michael; Lampe, Fiona; Hernando, Vicky; Montero, Marta; Zangerle, Robert; Justice, Amy C.; Sterling, Timothy; Miro, Jose; Ingle, Suzanne; Sterne, Jonathan A. C.

    2016-01-01

    Objectives To estimate mortality rates and prognostic factors in HIV-positive patients who started combination antiretroviral therapy between 1996–1999 and survived for more than ten years. Methods We used data from 18 European and North American HIV cohort studies contributing to the Antiretroviral Therapy Cohort Collaboration. We followed up patients from ten years after start of combination antiretroviral therapy. We estimated overall and cause-specific mortality rate ratios for age, sex, transmission through injection drug use, AIDS, CD4 count and HIV-1 RNA. Results During 50,593 person years 656/13,011 (5%) patients died. Older age, male sex, injecting drug use transmission, AIDS, and low CD4 count and detectable viral replication ten years after starting combination antiretroviral therapy were associated with higher subsequent mortality. CD4 count at ART start did not predict mortality in models adjusted for patient characteristics ten years after start of antiretroviral therapy. The most frequent causes of death (among 340 classified) were non-AIDS cancer, AIDS, cardiovascular, and liver-related disease. Older age was strongly associated with cardiovascular mortality, injecting drug use transmission with non-AIDS infection and liver-related mortality, and low CD4 and detectable viral replication ten years after starting antiretroviral therapy with AIDS mortality. Five-year mortality risk was <5% in 60% of all patients, and in 30% of those aged over 60 years. Conclusions Viral replication, lower CD4 count, prior AIDS, and transmission via injecting drug use continue to predict higher all-cause and AIDS-related mortality in patients treated with combination antiretroviral therapy for over a decade. Deaths from AIDS and non-AIDS infection are less frequent than deaths from other non-AIDS causes. PMID:27525413

  17. Strongly baryon-dominated disk galaxies at the peak of galaxy formation ten billion years ago

    NASA Astrophysics Data System (ADS)

    Genzel, R.; Schreiber, N. M. Förster; Übler, H.; Lang, P.; Naab, T.; Bender, R.; Tacconi, L. J.; Wisnioski, E.; Wuyts, S.; Alexander, T.; Beifiori, A.; Belli, S.; Brammer, G.; Burkert, A.; Carollo, C. M.; Chan, J.; Davies, R.; Fossati, M.; Galametz, A.; Genel, S.; Gerhard, O.; Lutz, D.; Mendel, J. T.; Momcheva, I.; Nelson, E. J.; Renzini, A.; Saglia, R.; Sternberg, A.; Tacchella, S.; Tadaki, K.; Wilman, D.

    2017-03-01

    In the cold dark matter cosmology, the baryonic components of galaxies—stars and gas—are thought to be mixed with and embedded in non-baryonic and non-relativistic dark matter, which dominates the total mass of the galaxy and its dark-matter halo. In the local (low-redshift) Universe, the mass of dark matter within a galactic disk increases with disk radius, becoming appreciable and then dominant in the outer, baryonic regions of the disks of star-forming galaxies. This results in rotation velocities of the visible matter within the disk that are constant or increasing with disk radius—a hallmark of the dark-matter model. Comparisons between the dynamical mass, inferred from these velocities in rotational equilibrium, and the sum of the stellar and cold-gas mass at the peak epoch of galaxy formation ten billion years ago, inferred from ancillary data, suggest high baryon fractions in the inner, star-forming regions of the disks. Although this implied baryon fraction may be larger than in the local Universe, the systematic uncertainties (owing to the chosen stellar initial-mass function and the calibration of gas masses) render such comparisons inconclusive in terms of the mass of dark matter. Here we report rotation curves (showing rotation velocity as a function of disk radius) for the outer disks of six massive star-forming galaxies, and find that the rotation velocities are not constant, but decrease with radius. We propose that this trend arises because of a combination of two main factors: first, a large fraction of the massive high-redshift galaxy population was strongly baryon-dominated, with dark matter playing a smaller part than in the local Universe; and second, the large velocity dispersion in high-redshift disks introduces a substantial pressure term that leads to a decrease in rotation velocity with increasing radius. The effect of both factors appears to increase with redshift. Qualitatively, the observations suggest that baryons in the early

  18. Strongly baryon-dominated disk galaxies at the peak of galaxy formation ten billion years ago.

    PubMed

    Genzel, R; Schreiber, N M Förster; Übler, H; Lang, P; Naab, T; Bender, R; Tacconi, L J; Wisnioski, E; Wuyts, S; Alexander, T; Beifiori, A; Belli, S; Brammer, G; Burkert, A; Carollo, C M; Chan, J; Davies, R; Fossati, M; Galametz, A; Genel, S; Gerhard, O; Lutz, D; Mendel, J T; Momcheva, I; Nelson, E J; Renzini, A; Saglia, R; Sternberg, A; Tacchella, S; Tadaki, K; Wilman, D

    2017-03-15

    In the cold dark matter cosmology, the baryonic components of galaxies-stars and gas-are thought to be mixed with and embedded in non-baryonic and non-relativistic dark matter, which dominates the total mass of the galaxy and its dark-matter halo. In the local (low-redshift) Universe, the mass of dark matter within a galactic disk increases with disk radius, becoming appreciable and then dominant in the outer, baryonic regions of the disks of star-forming galaxies. This results in rotation velocities of the visible matter within the disk that are constant or increasing with disk radius-a hallmark of the dark-matter model. Comparisons between the dynamical mass, inferred from these velocities in rotational equilibrium, and the sum of the stellar and cold-gas mass at the peak epoch of galaxy formation ten billion years ago, inferred from ancillary data, suggest high baryon fractions in the inner, star-forming regions of the disks. Although this implied baryon fraction may be larger than in the local Universe, the systematic uncertainties (owing to the chosen stellar initial-mass function and the calibration of gas masses) render such comparisons inconclusive in terms of the mass of dark matter. Here we report rotation curves (showing rotation velocity as a function of disk radius) for the outer disks of six massive star-forming galaxies, and find that the rotation velocities are not constant, but decrease with radius. We propose that this trend arises because of a combination of two main factors: first, a large fraction of the massive high-redshift galaxy population was strongly baryon-dominated, with dark matter playing a smaller part than in the local Universe; and second, the large velocity dispersion in high-redshift disks introduces a substantial pressure term that leads to a decrease in rotation velocity with increasing radius. The effect of both factors appears to increase with redshift. Qualitatively, the observations suggest that baryons in the early (high

  19. Creative Climate: A global ten-year communications, research and learning project about environmental change

    NASA Astrophysics Data System (ADS)

    Brandon, M. A.; Smith, J.

    2010-12-01

    The next ten years have been described by influential science and policy figures as ‘the most important in human history’. Many believe that the actions taken will decide whether we catastrophically change the atmosphere and eradicate our fellow species or find an alternative, less-damaging development path. But communications and public engagement initiatives have tended to focus on near term impacts or debates - whether they emphasise hazards, or trumpet ‘solutions’. There are signs of diminishing returns on communications and public engagement efforts, and serious obstacles to engaging around 40% of publics in e.g. the US and the UK. The Creative Climate web project takes a new approach, inviting people to see humanity’s intellectual and practical journey with these issues as an inspiring, dynamic and unfolding story. We are inviting people to join us in building a huge living archive of experiences and ideas that respond to these issues. The website will collect thoughts and stories from doorstep to workplace, from lab to garden; from international conference to community meeting - from all over the world. The body of diaries lie at the core of the project, but these are supplemented by the offer of free online learning resources and broadcast-quality audio and video materials. The project is experimental in terms of its scope, its approach to environmental communications and debate and in its use of media. It works with formal partners, including the BBC, yet also makes the most of the opportunities for user generated content to create a rich multimedia resource that can support research, learning and engagement. The design of the project is informed by environmental social science and communications research, and by an awareness of the unfolding potential of Internet based communications to support social change. It is also intended that the Creative Climate platform will develop so as to serve researchers by offering an open resource of qualitative

  20. Ten Year Experience with Prosthetic Graft Infections Involving the Femoral Artery

    PubMed Central

    Siracuse, Jeffrey J; Nandivada, Prathima; Giles, Kristina A; Hamdan, Allen D; Wyers, Mark C; Chaikof, Elliot L; Pomposelli, Frank B; Schermerhorn, Marc L

    2013-01-01

    Background Prosthetic graft infection is a major complication of peripheral vascular surgery. We investigated our institution’s experience over ten years with bypass grafts involving the femoral artery to determine the incidence and risk factors for prosthetic graft infection. Methods A retrospective cohort single institution review of prosthetic bypass grafts involving the femoral artery from 2001–2010 evaluated patient demographics, body mass index, comorbidities, indications, location of bypass, type of prosthetic material, case urgency, previous ipsilateral bypass or percutaneous interventions; and evaluated the incidence of graft infections, amputations, and mortality. Results There were 496 prosthetic grafts identified with a graft infection rate of 3.8% (n=19) at a mean follow-up of 27 months. Multivariable analysis shows that redo bypass (HR 5.8, 95% CI 2.2–15.0), active infection at time of bypass (HR 5.2, 95% CI 1.9–14.2), female gender (HR 4.5, 95% CI 1.6–12.7), and diabetes mellitus (HR 4.6, 95% CI 1.5–14.3) were significant predictors of graft infection. Graft infection was predictive of major lower extremity amputation (HR 9.8, 95% CI 3.5–27.1) as was preoperative tissue loss (HR 4.7, 95% CI 1.8–11.9). Graft infection did not predict long term mortality, however chronic renal insufficiency (HR 2.3, 95% CI 1.6–3.4), tissue loss (HR 1.4, 95% CI 1.0–1.9), and active infection (HR 2.3, 95% CI 1.6–3.4) did. Infected grafts were removed 79% of the time. Staphylococcus epidermidis (37%) and Methicillin-sensitive Staphylococcus aureus (26%) were the most common pathogens isolated. Conclusions Redo-bypass, female gender, diabetes, and active infection at time of bypass are associated with a higher risk for prosthetic graft infection and major extremity amputation, but do not confer an increased risk of mortality. Autologous vein for lower extremity bypass and endovascular interventions should be considered when feasible in high

  1. [Good agricultural practice (GAP) of Chinese materia medica (CMM) for ten years: achievements, problems and proposals].

    PubMed

    Guo, Lan-Ping; Zhang, Yan; Zhu, Shou-Dong; Wang, Gui-Hua; Wang, Xiu; Zhang, Xiao-Bo; Chen, Mei-Lan; He, Ya-Li; Han, Bang-Xing; Chen, Nai-Fu; Huang, Lu-Qi

    2014-04-01

    This paper aims to summarize the achievements during the implementation process of good agricultural practice (GAP) in Chinese Materia Medica (CMM), and on basis of analyzing the existing problems of GAP, to propose further implementation of GAP in TCM growing. Since the launch of GAP in CMM growing ten years ago, it has acquired great achievements, including: (1) The promulgation of a series of measures for the administration of the GAP approval in the CMM growing; (2) The expanded planting area of CMM; (3) The increased awareness of standardized CMM growing among farmers and enterprises; (4) The establishment of GAP implementation bases for CMM growing; (5) The improvement of theory and methodology for CMM growing; (6) The development of a large group of experts and scholars in GAP approval for CMM production. The problems existing in the production include: (1) A deep understanding of GAP and its certification is still needed; (2) The distribution of the certification base is not reasonable; (3) The geo-economics effect and the backward farming practices are thought to be the bottlenecks in the standardization of CMM growing and the scale production of CMM; (4) Low comparative effectiveness limits the development of the GAP; (5) The base of breeding improved variety is blank; (6) The immature of the cultivation technique lead to the risk of production process; (7) The degradation of soil microbial and the continuous cropping obstacle restrict the sustainable development of the GAP base. To further promote the health and orderly GAP in the CMM growing, the authors propose: (1) To change the mode of production; (2) To establish a sound standard system so as to ensure quality products for fair prices; (3) To fully consider the geo-economic culture and vigorously promote the definite cultivating of traditional Chinese medicinal materials; (4) To strengthen the transformation and generalization of basic researches and achievements, in order to provide technical

  2. Genotype-environment interaction and stability in ten-year height growth of Norway spruce Clones (Picea abies Karst.).

    Treesearch

    J.B. St. Clair; J. Kleinschmit

    1986-01-01

    Norway spruce cuttings of 40 clones were tested on seven contrasting sites in northern Germany. Analysis of variance for ten-year height growth indicate a highly significant clone x site interaction. This interaction may be reduced by selection of stable clones. Several measures of stability were calculated and discussed. Characterization of sites by the method of...

  3. A Study in Critical Listening Using Eight to Ten Year Olds in an Analysis of Commercial Propaganda Emanating from Television.

    ERIC Educational Resources Information Center

    Cook, Jimmie Ellis

    Selected eight to ten year old Maryland children were used in this study measuring the effect of lessons in becoming aware of propaganda employed by commercial advertisers in television programs. Sixteen 45-minute lessons directed to the propaganda techniques of Band Wagon, Card Stacking, Glittering Generalities, Name Calling, Plain Folks,…

  4. 78 FR 41307 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ...; Second Ten-Year PM 10 Maintenance Plan for Ca on City AGENCY: Environmental Protection Agency (EPA... submitted to EPA a revised maintenance plan for the Ca on City area for the National Ambient Air Quality... 10 ), which was adopted by the State on November 20, 2008. As required by Clean Air Act (CAA) section...

  5. A Decade of Development: The Best of Ten Years. An Anniversary Publication of Selected Papers. Adult Student Personnel Association, Inc.

    ERIC Educational Resources Information Center

    Clifford, Earle W., Ed.; And Others

    "The Best of Ten Years," a publication of the Tenth Annual Conference for the Adult Student Personnel Association, Inc. (ASPA), contains prophesies for the future in addition to a chronicle of concerns of the decade. Articles included are: Financial Aid for Evening Students (Sol Jacobson); The Programming and Counseling of Adult Transfer Students…

  6. Lessons from the Institute for New Heads (INH) Class of 2006: Ten Headships--134 Years of Hard-Earned Experience

    ERIC Educational Resources Information Center

    Raphel, Annette; Huber, John; Chandler, Carolyn; Vorenberg, Amy; Jones-Wilkins, Andy; Devey, Mark A.; Holford, Josie; Craig, Ian; Elam, Julie

    2016-01-01

    Ten years ago in July 2006, 64 mostly starry-eyed men and women attended the NAIS Institute for New Heads (INH) in order to learn the ropes of headship. These newly minted heads were filled with enthusiasm, commitment, and passion, along with humility and a bit of healthy trepidation. One core group connected under the careful guidance of…

  7. Lessons from the Institute for New Heads (INH) Class of 2006: Ten Headships--134 Years of Hard-Earned Experience

    ERIC Educational Resources Information Center

    Raphel, Annette; Huber, John; Chandler, Carolyn; Vorenberg, Amy; Jones-Wilkins, Andy; Devey, Mark A.; Holford, Josie; Craig, Ian; Elam, Julie

    2016-01-01

    Ten years ago in July 2006, 64 mostly starry-eyed men and women attended the NAIS Institute for New Heads (INH) in order to learn the ropes of headship. These newly minted heads were filled with enthusiasm, commitment, and passion, along with humility and a bit of healthy trepidation. One core group connected under the careful guidance of…

  8. 78 FR 57496 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-19

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year PM10 Maintenance Plan for Aspen AGENCY: Environmental Protection Agency (EPA). ACTION...

  9. Russia: despite legislative and procedural barriers, HIV-positive woman fights for custody of ten-year-old brother.

    PubMed

    Utyasheva, Leah

    2009-12-01

    Svetlana Izambaeva, a well-known HIV-activist and educator in Russia, is seeking to obtain custody of her ten-year-old brother, Sasha. After their mother died, regional official refused Izambaeva custody because of her HIV-positive status. Consequently, the local child custody agency (organ opeki) decided to give Sasha to a foster family.

  10. Ten Years of Youth Programs at the American Museum of Natural History: An Independent Perspective and Lessons Learned

    ERIC Educational Resources Information Center

    Carroll, Becky

    2008-01-01

    In this report, the author shares her perspective on ten years of science-rich programming for high school youth at the American Museum of Natural History. This report includes: (1) A discussion of the theory of action and the rationale that underlies the AMNH youth programs; (2) A description of three of the programs that have been offered and…

  11. A College-Sponsored Laboratory Skills Contest for High-School Students: A Ten-Year Retrospective

    ERIC Educational Resources Information Center

    Last, Arthur M.; Ablog, Aileen; Millar, Shawn; von Hollen, Gordon; Webb, Jane; Dyck, Shawna

    2007-01-01

    Over the past ten years, the Department of Chemistry at the University College of the Fraser Valley has sponsored an annual laboratory skills contest for local Grade 12 high-school students as part of its Chemistry Week celebrations. The organizational details of the contest, its objectives, successes, and short-comings are discussed. (Contains 1…

  12. Ten Years of Youth Programs at the American Museum of Natural History: An Independent Perspective and Lessons Learned

    ERIC Educational Resources Information Center

    Carroll, Becky

    2008-01-01

    In this report, the author shares her perspective on ten years of science-rich programming for high school youth at the American Museum of Natural History. This report includes: (1) A discussion of the theory of action and the rationale that underlies the AMNH youth programs; (2) A description of three of the programs that have been offered and…

  13. A Study in Critical Listening Using Eight to Ten Year Olds in an Analysis of Commercial Propaganda Emanating from Television.

    ERIC Educational Resources Information Center

    Cook, Jimmie Ellis

    Selected eight to ten year old Maryland children were used in this study measuring the effect of lessons in becoming aware of propaganda employed by commercial advertisers in television programs. Sixteen 45-minute lessons directed to the propaganda techniques of Band Wagon, Card Stacking, Glittering Generalities, Name Calling, Plain Folks,…

  14. 78 FR 46861 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Greeley AGENCY: Environmental Protection Agency...

  15. 78 FR 56185 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-12

    ... From the Federal Register Online via the Government Publishing Office ] ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Fort Collins AGENCY: Environmental Protection...

  16. 78 FR 46816 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-02

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Greeley AGENCY: Environmental Protection Agency...

  17. 78 FR 41342 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-07-10

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year PM 10 Maintenance Plan for Ca on City AGENCY: Environmental Protection Agency...

  18. 78 FR 46552 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-08-01

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado; Second Ten-Year Carbon Monoxide Maintenance Plan for Colorado Springs AGENCY: Environmental...

  19. 78 FR 71550 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-11-29

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year PM 10 Maintenance Plan for Telluride AGENCY: Environmental Protection Agency...

  20. 78 FR 57573 - Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year...

    Federal Register 2010, 2011, 2012, 2013, 2014

    2013-09-19

    ... From the Federal Register Online via the Government Publishing Office ENVIRONMENTAL PROTECTION AGENCY 40 CFR Part 52 Approval and Promulgation of Air Quality Implementation Plans; State of Colorado Second Ten-Year PM 10 Maintenance Plan for Aspen AGENCY: Environmental Protection Agency (EPA)....

  1. Estuarine River Data for the Ten Thousand Islands Area, Florida, Water Year 2005

    USGS Publications Warehouse

    Byrne, Michael J.; Patino, Eduardo

    2008-01-01

    The U.S. Geological Survey collected stream discharge, stage, salinity, and water-temperature data near the mouths of 11 tributaries flowing into the Ten Thousand Islands area of Florida from October 2004 to June 2005. Maximum positive discharge from Barron River and Faka Union River was 6,000 and 3,200 ft3/s, respectively; no other tributary exceeded 2,600 ft3/s. Salinity variation was greatest at Barron River and Faka Union River, ranging from 2 to 37 ppt, and from 3 to 34 ppt, respectively. Salinity maximums were greatest at Wood River and Little Wood River, each exceeding 40 ppt. All data were collected prior to the commencement of the Picayune Strand Restoration Project, which is designed to establish a more natural flow regime to the tributaries of the Ten Thousand Islands area.

  2. A prospective comparative study of cementless total hip arthroplasty and hip resurfacing in patients under the age of 55 years: a ten-year follow-up.

    PubMed

    Haddad, F S; Konan, S; Tahmassebi, J

    2015-05-01

    The aim of this study was to evaluate the ten-year clinical and functional outcome of hip resurfacing and to compare it with that of cementless hip arthroplasty in patients under the age of 55 years. Between 1999 and 2002, 80 patients were enrolled into the study: 24 were randomised (11 to hip resurfacing, 13 to total hip arthroplasty), 18 refused hip resurfacing and chose cementless total hip arthroplasty with a 32 mm bearing, and 38 insisted on resurfacing. The mean follow-up for all patients was 12.1 years (10 to 14). Patients were assessed clinically and radiologically at one year, five years and ten years. Outcome measures included EuroQol EQ5D, Oxford, Harris hip, University of California Los Angeles and University College Hospital functional scores. No differences were seen between the two groups in the Oxford or Harris hip scores or in the quality of life scores. Despite a similar aspiration to activity pre-operatively, a higher proportion of patients with a hip resurfacing were running and involved in sport and heavy manual labour after ten years. We found significantly higher function scores in patients who had undergone hip resurfacing than in those with a cementless hip arthroplasty at ten years. This suggests a functional advantage for hip resurfacing. There were no other attendant problems. ©2015 The British Editorial Society of Bone & Joint Surgery.

  3. Deletion of JAM-A causes morphological defects in the corneal epithelium.

    PubMed

    Kang, Liang I; Wang, Yan; Suckow, Arthur T; Czymmek, Kirk J; Cooke, Vesselina G; Naik, Ulhas P; Duncan, Melinda K

    2007-01-01

    Junctional adhesion molecule-A (JAM-A, JAM-1, F11R) is an Ig domain containing transmembrane protein that has been proposed to function in diverse processes including platelet activation and adhesion, leukocyte transmigration, angiogenesis, epithelial cell shape and endothelial cell migration although its function in vivo is less well established. In the mouse eye, JAM-A protein expression is first detected at 12.5 dpc in the blood vessels of the tunica vasculosa, while it is first detected in both the corneal epithelium and lens between 13.5 and 14.5 dpc. In the corneal epithelium, JAM-A levels remain appreciable throughout life, while JAM-A immunostaining becomes stronger in the lens as the animals age. Both the cornea and lens of mice lacking an intact JAM-A gene are transparent until at least a year of age, although the cells of the JAM-A null corneal epithelium are irregularly shaped. In wild-type mice, JAM-A protein is found at the leading edge of repairing corneal epithelial wounds, however, corneal epithelial wound repair was qualitatively normal in JAM-A null animals. In summary, JAM-A is expressed in the corneal epithelium where it appears to regulate cell shape.

  4. The results of Oxford unicompartmental knee arthroplasty in the United States: a mean ten-year survival analysis.

    PubMed

    Emerson, R H; Alnachoukati, O; Barrington, J; Ennin, K

    2016-10-01

    Approved by the Food and Drug Administration in 2004, the Phase III Oxford Medial Partial Knee is used to treat anteromedial osteoarthritis (AMOA) in patients with an intact anterior cruciate ligament. This unicompartmental knee arthroplasty (UKA) is relatively new in the United States, and therefore long-term American results are lacking. This is a single surgeon, retrospective study based on prospectively collected data, analysing a consecutive series of primary UKAs using the Phase III mobile-bearing Oxford Knee and Phase III instrumentation. Between July 2004 and December 2006, the senior author (RHE) carried out a medial UKA in 173 patients (213 knees) for anteromedial osteoarthritis or avascular necrosis (AVN). A total of 95 patients were men and 78 were women. Their mean age at surgery was 67 years (38 to 89) and mean body mass index 29.87 kg/m2 (17 to 62). The mean follow-up was ten years (4 to 11). Survivorship of the Oxford UKA at ten years was 88%, using life table analysis. Implant survivorship at ten years was 95%. The most common cause for revision was the progression of osteoarthritis in the lateral compartment. The mean knee score element of the American Knee Society Score (AKSS) was 50 pre-operatively and increased to 93 post-operatively. The mean AKSS function score was 56 pre-operatively rising to 78 post-operatively CONCLUSION: This ten-year follow-up study of the Oxford UKA undertaken in the United States shows good survivorship and excellent function in a wide selection of patients with AMOA and AVN. Cite this article: Bone Joint J 2016;98-B(10 Suppl B):34-40. ©2016 Alnachoukati et al.

  5. Profiling agricultural land cover change in the North Central U.S. using ten years of the Cropland Data Layer

    NASA Astrophysics Data System (ADS)

    Sandborn, A.; Ebinger, L.

    2016-12-01

    The Cropland Data Layer (CDL), produced by the USDA/National Agricultural Statistics Service, provides annual, georeferenced crop specific land cover data over the contiguous United States. Several analyses were performed on ten years (2007-2016) of CDL data in order to visualize and quantify agricultural change over the North Central region (North Dakota, South Dakota, and Minnesota). Crop masks were derived from the CDL and layered to produce a ten-year time stack of corn, soybeans, and spring wheat at 30m spatial resolution. Through numerous image analyses, a temporal profile of each crop type was compiled and portrayed cartographically. For each crop, analyses included calculating the mean center of crop area over the ten year sequence, identifying the first and latest year the crop was grown on each pixel, and distinguishing crop rotation patterns and replacement statistics. Results show a clear north-western expansion trend for corn and soybeans, and a western migration trend for spring wheat. While some change may be due to commonly practiced crop rotation, this analysis shows that crop footprints have extended into areas that were previously other crops, idle cropland, and pasture/rangeland. Possible factors contributing to this crop migration pattern include profit advantages of row crops over small grains, improved crop genetics, climate change, and farm management program changes. Identifying and mapping these crop planting differences will better inform agricultural best practices, help to monitor the latest crop migration patterns, and present researchers with a way to quantitatively measure and forecast future agricultural trends.

  6. A thermodynamic unification of jamming

    NASA Astrophysics Data System (ADS)

    Lu, Kevin; Brodsky, E. E.; Kavehpour, H. P.

    2008-05-01

    Fragile materials ranging from sand to fire retardant to toothpaste are able to exhibit both solid and fluid-like properties across the jamming transition. Unlike ordinary fusion, systems of grains, foams and colloids jam and cease to flow under conditions that still remain unknown. Here, we quantify jamming using a thermodynamic approach by accounting for the structural ageing and the shear-induced compressibility of dry sand. Specifically, the jamming threshold is defined using a non-thermal temperature that measures the `fluffiness' of a granular mixture. The thermodynamic model, cast in terms of pressure, temperature and free volume, also successfully predicts the entropic data of five molecular glasses. Notably, the predicted configurational entropy averts the Kauzmann paradox-an unresolved crisis where the configurational entropy becomes negative-entirely. Without any free parameters, the proposed equation-of-state also governs the mechanism of shear banding and the associated features of shear softening and thickness invariance.

  7. The simplest model of jamming

    NASA Astrophysics Data System (ADS)

    Franz, Silvio; Parisi, Giorgio

    2016-04-01

    We study a well known neural network model—the perceptron—as a simple statistical physics model of jamming of hard objects. We exhibit two regimes: (1) a convex optimization regime where jamming is hypostatic and non-critical; (2) a non-convex optimization regime where jamming is isostatic and critical. We characterize the critical jamming phase through exponents describing the distribution laws of forces and gaps. Surprisingly we find that these exponents coincide with the corresponding ones recently computed in high dimensional hard spheres. In addition, modifying the perceptron to a random linear programming problem, we show that isostaticity is not a sufficient condition for singular force and gap distributions. For that, fragmentation of the space of solutions (replica symmetry breaking) appears to be a crucial ingredient. We hypothesize universality for a large class of non-convex constrained satisfaction problems with continuous variables.

  8. Biophysics: Life in a jam

    NASA Astrophysics Data System (ADS)

    Gokhale, Shreyas; Gore, Jeff

    2016-08-01

    Jammed states in growing yeast populations share intriguing similarities with amorphous solids, despite being generated through self-replication. The impact this behaviour has on cell division highlights one way that physical forces regulate biological function.

  9. Effectiveness of different methods to control legionella in the water supply: ten-year experience in an Italian university hospital.

    PubMed

    Marchesi, I; Marchegiano, P; Bargellini, A; Cencetti, S; Frezza, G; Miselli, M; Borella, P

    2011-01-01

    We report our ten-year experience of hyperchlorination, thermal shock, chlorine dioxide, monochloramine, boilers and point-of-use filters for controlling legionella contamination in a hospital hot water distribution system. Shock disinfections were associated with a return to pre-treatment contamination levels within one or two months. We found that chlorine dioxide successfully maintained levels at <100 cfu/L, whilst preliminary experiments gave satisfactory results with monochloramine. No contamination was observed applying point-of-use filters and electric boilers at temperatures of >58°C and no cases of nosocomial legionellosis were detected in the ten-year observation period. Our performance ranking in reducing legionella contamination was filter, boiler, chlorine dioxide, hyperchlorination and thermal shock. Chlorine dioxide was the least expensive procedure followed by thermal shock, hyperchlorination, boiler and filter. We suggest adopting chlorine dioxide and electric boilers in parallel.

  10. Ten-Year Growth of Five Planted Hardwood Species Mechanical Weed Control on Sharkey Clay Soil

    Treesearch

    Roger M. Krinard; Harvey E. Kennedy

    1983-01-01

    Five hardwood species planted on Sharkey clay soil showed little practical difference in growth whether plots were mowed or diskedfor weed control in years 6 to 10, although disking had given better growth in the first 5 years. After 10 years, cottonwood (Populus deltoides Bartr. ex Marsh.) stem volume was at least three times greater than other species. Changes in...

  11. Shear Jamming in Particulate Media

    NASA Astrophysics Data System (ADS)

    Bertrand, Thibault; O'Hern, Corey S.; Shattuck, Mark D.

    2014-11-01

    More than two decades ago, Liu and Nagel introduced the concept of jamming and proposed a phase diagram for the jamming transition as a function of applied shear stress, density, and temperature. Since then, numerous computational as well as experimental studies have underscored the usefulness of this concept in systems ranging from colloidal glasses to packings of granular materials. Recently, Bi et al. presented experimental results that suggested that jamming via isotropic compression can lead to different packings than those generated via shear. To investigate fundamental aspects of shear-induced jamming, we performed numerical simulations and theoretical analyses of frictionless and frictional particulate media undergoing simple shear. We are able to predict the form of the boundaries in the shear-jamming phase diagram and determine how they change with system size. We also study the relationship between the shear-jamming phase diagram and the fluctuations in the stress versus strain for packings undergoing continuous shear in the context of geometrical families of packings.

  12. Diffusion in jammed particle packs

    NASA Astrophysics Data System (ADS)

    Bolintineanu, Dan S.; Silbert, Leonardo E.; Grest, Gary S.; Lechman, Jeremy B.

    2015-03-01

    Diffusive transport in jammed particle packs is of interest for a number of applications, as well as being a potential indicator of structural properties near the jamming point. To this end, we report stochastic simulations of equilibrium diffusion through monodisperse sphere packs near the jamming point in the limit of a perfectly insulating surrounding medium. The time dependence of various diffusion properties is resolved over several orders of magnitude. Two time regimes of expected Fickian diffusion are observed, separated by an intermediate regime of anomalous diffusion. This intermediate regime grows as the particle volume fraction approaches the critical jamming transition. The diffusion behavior is fully controlled by the extent of the contacts between neighboring particles, which in turn depend on proximity to the jamming point. In particular, the mean first passage time associated with the escape of random walkers between neighboring particles is shown to control both the time to recover Fickian diffusion and the long time diffusivity. Scaling laws are established that relate these quantities to the difference between the actual and critical jamming volume fractions. Sandia National Laboratories is a multiprogram laboratory managed and operated by Sandia Corporation, a wholly owned subsidiary of Lockheed Martin Corporation, for the U.S. Department of Energy's NNSA under Contract DE- AC04-94AL85000.

  13. Ten-year hip fracture incidence rate trends in a large California population, 1997-2006.

    PubMed

    Adams, A L; Shi, J; Takayanagi, M; Dell, R M; Funahashi, T T; Jacobsen, S J

    2013-01-01

    Hip fractures are a large public health problem with significant negative impact on an individual's overall health and survival. But while the total numbers of persons affected by hip fractures may be anticipated to increase, incidence rates appear to be declining. To describe annual hip fracture incidence rate trends in an integrated health-care organization over 1997-2006, during which a proactive bone health program was initiated program-wide and other secular trends occurred in the population. For this ecologic trend study, we identified all men and women ≥45 years old as of January 1 of each year. Incident fractures for each year were identified using ICD-9 diagnosis codes 820-820.9, excluding all subjects who had fractures in prior years. Annual person-time at risk for hip fracture was determined from enrollment data. Sex- and age-specific and adjusted annual incidence rates were calculated. The overall annual hip fracture incidence rate for men declined from 1.52/1,000 person-years in 1997 to 1.29/1,000 person-years in 2006, a 15.3% (95% confidence interval [CI]=6.2-24.5) decrease. For women, incidence declined from 2.65/1,000 person-years in 1997 to 2.24/1,000 person-years in 2006, a 15.3% (95% CI=8.7-21.9) decrease. Among subjects aged 85 years or older, incidence rates for men declined from 27.0/1,000 to 18.9/1,000 person-years, and for women they declined from 32.7/1,000 to 27.1/1,000 person-years. Hip fracture incidence has been declining in all age groups over the past 10 years. While many factors may contribute to this decline, the results are consistent with a potential benefit of the active bone health intervention.

  14. Ten Years' Growth of Pruned and Unpruned Cottonwood Planted at 40- by 40-Foot Spacing

    Treesearch

    Roger M. Krinard

    1985-01-01

    Diameters at age 10 of cottonwood (Populus deltoides Bartr. ex Marsh.) select clone Stoneville 66 planted at 40- by 40-foot spacing varied from 13.4 to 16.4 inches depending on height of pruning. Pruning treatments, applied from the 2nd through 8th years, were (1) unpruned, (2) pruned to a third of height yearly, (3) pruned to half of height yearly...

  15. Ten years of invasion: Harmonia axyridis (Pallas) (Coleoptera: Coccinellidae) in Britain

    PubMed Central

    Roy, Helen E; Brown, Peter M J

    2015-01-01

    1. Harmonia axyridis was first recorded in Britain in 2004. Two subsequent earlier records were received from 2003. 2. The UK Ladybird Survey, a citizen science initiative involving online recording, was launched in 2005 to encourage people across Britain to track the spread of H. axyridis. Tens of thousands of people have provided records of H. axyridis and other species of ladybirds, creating an invaluable dataset for large-scale and long-term research. Declines in the distribution of seven (of eight assessed) native species of ladybird have been demonstrated, and correlated with the arrival of H. axyridis, using the records collated through the UK Ladybird Survey. 3. Experimental research and field surveys have also contributed to our understanding of the ecology of H. axyridis and particularly the process of invasion. Harmonia axyridis arrived in Britain through dispersal and introduction events from regions in which it was deliberately released as a biological control agent. The rapid spread of this species has been attributed to its high natural dispersal capability by means of both flight and anthropogenic transport. A number of factors have contributed to the successful establishment and indeed dominance of this polymorphic species within aphidophagous guilds, including high reproductive capacity, intra-guild predation, eurytopic nature, high resistance to natural enemies within the invaded range, and potentially phenotypic plasticity. 4. The global invasion by H. axyridis and subsequent research on this species has contributed to the general understanding of biological invasions. PMID:26435571

  16. Ten years of invasion: Harmonia axyridis (Pallas) (Coleoptera: Coccinellidae) in Britain.

    PubMed

    Roy, Helen E; Brown, Peter M J

    2015-08-01

    1. Harmonia axyridis was first recorded in Britain in 2004. Two subsequent earlier records were received from 2003. 2. The UK Ladybird Survey, a citizen science initiative involving online recording, was launched in 2005 to encourage people across Britain to track the spread of H. axyridis. Tens of thousands of people have provided records of H. axyridis and other species of ladybirds, creating an invaluable dataset for large-scale and long-term research. Declines in the distribution of seven (of eight assessed) native species of ladybird have been demonstrated, and correlated with the arrival of H. axyridis, using the records collated through the UK Ladybird Survey. 3. Experimental research and field surveys have also contributed to our understanding of the ecology of H. axyridis and particularly the process of invasion. Harmonia axyridis arrived in Britain through dispersal and introduction events from regions in which it was deliberately released as a biological control agent. The rapid spread of this species has been attributed to its high natural dispersal capability by means of both flight and anthropogenic transport. A number of factors have contributed to the successful establishment and indeed dominance of this polymorphic species within aphidophagous guilds, including high reproductive capacity, intra-guild predation, eurytopic nature, high resistance to natural enemies within the invaded range, and potentially phenotypic plasticity. 4. The global invasion by H. axyridis and subsequent research on this species has contributed to the general understanding of biological invasions.

  17. Ten Years of Timber Management in the Middle Coastal Plain of Georgia

    Treesearch

    E.P. Jones; F.A. Bennett

    1965-01-01

    The pilot forest on the George Walton Experimental Forest represents the medium-size forest ownership in the middle coastal plain of Georgia. Tbis 2,200-acre forest of slash and longleaf pine has been under planned management for 10 years. Gross earnings have been $7.03 per acre per year, with an annual cost of $1.15 per acre.

  18. Ten-Year Trends in Public Opinion from the "EDNEXT" Poll

    ERIC Educational Resources Information Center

    Peterson, Paul E.; Henderson, Michael B.; West, Martin R.; Barrows, Samuel

    2017-01-01

    The year 2016 marks the 10th anniversary of the "Education Next" poll on K-12 education policy, offering "Education Next" the opportunity to take a retrospective look at public opinion on this vital topic. In 8 of the past 10 years, "Education Next" has also surveyed teachers on the subject and has seen some…

  19. Ten-Year Trends in Public Opinion from the "EDNEXT" Poll

    ERIC Educational Resources Information Center

    Peterson, Paul E.; Henderson, Michael B.; West, Martin R.; Barrows, Samuel

    2017-01-01

    The year 2016 marks the 10th anniversary of the "Education Next" poll on K-12 education policy, offering "Education Next" the opportunity to take a retrospective look at public opinion on this vital topic. In 8 of the past 10 years, "Education Next" has also surveyed teachers on the subject and has seen some…

  20. The lack of technical basis for requiring a ten thousand year prediction for nuclear waste management

    SciTech Connect

    Ramspott, L.D.

    1993-11-10

    There is no technical basis for setting a time limit of 10,000 years on the regulated performance of a nuclear waste repository. First, accurate prediction of releases for such periods is not possible. Second, there is nothing unique about 10,000 years. Third, equally toxic materials, which never transform to non-toxic substances by radioactive decay, have no long-term requirements. And fourth, over a 10,000 year time frame, social and natural disasters will dwarf the worst possible outcomes of repository placement. Analyses could be required to extend as long as doses above current radiation protection guidelines are possible (perhaps several million years), but these results should be recognized as qualitative information rather than evidence of quantitative compliance with exact numerical limits. Concern for what will happen over long times can be addressed for the next several hundred years by maintaining waste retrievability. At that time, uncertainty about future performance should have been reduced significantly.

  1. Review of ten-years presence of Aedes albopictus in Spain 2004-2014: known distribution and public health concerns.

    PubMed

    Collantes, Francisco; Delacour, Sarah; Alarcón-Elbal, Pedro María; Ruiz-Arrondo, Ignacio; Delgado, Juan Antonio; Torrell-Sorio, Antonio; Bengoa, Mikel; Eritja, Roger; Miranda, Miguel Ángel; Molina, Ricardo; Lucientes, Javier

    2015-12-23

    Ten years have gone by since the Asian tiger mosquito Aedes albopictus was recorded for the first time in Spain. In this paper, all relevant published information about this vector in Spain for the period 2004-2014 is reviewed. The known distribution for 2014 is provided, including all historical records (published and unpublished data) and the results from samplings of the last year. The consequences on public health about the presence of the Asian tiger mosquito in Spain are also highlighted. Further, legal aspects and control plans related to the management and diseases transmitted by this invasive vector species are also discussed.

  2. Motor complications in Parkinson's disease: ten year follow-up study.

    PubMed

    López, Iria Cabo; Ruiz, Pedro J García; Del Pozo, Silvia Vázquez Fernández; Bernardos, Vicenta Sánchez

    2010-12-15

    Parkinson's disease (PD) can be symptomatically controlled with standard treatments; however, after a few years, this response typically declines and most patients develop motor complications. We carried out a prospective practice-based study to evaluate the evolution appearance and evolution of motor complications in 64 de novo PD patients over 5 years and in 38 PD patients over 10 years. We studied untreated patients from initial assessment at basal conditions and evaluated every 6 months thereafter with treatment (levodopa versus other drugs). The follow-up assessments were performed with the Unified Parkinson's Disease Rating Scale (UPDRS). At each assessment, patients were monitored regarding the development of dyskinesias, motor fluctuations, freezing, loss of postural reflexes, and cognitive impairment. We observed a significant improvement in UPDRS scores during the first year, then a progressive decline, more evident after the third year. Motor complications increased after the third year, and at the end of the survey (tenth year); drug-induced dyskinesias and motor fluctuations were experienced (71.1 and 94.7%, respectively). After the first decade, many complications arose from the non-levodopa-responsive features of the disease (cognitive impairment was present in 52.6% and gait freezing in 71.1%). Initial medication may influence medium-term complications but not long-term problems. Most long-term disabling problems of PD were related to non-levodopa-responsive features.

  3. Ten-year climatology of potassium number density at 54° N, 12° E

    NASA Astrophysics Data System (ADS)

    Lautenbach, J.; Höffner, J.; Lübken, F.-J.; Kopp, M.; Gerding, M.

    2017-09-01

    In the years from 2002 to 2012 potassium densities observations were performed in the mesopause region at Kühlungsborn using a potassium Doppler lidar. The 10-year diurnal data set comprises 5090 h of potassium number densities at 741 days with 25.2% under full daylight conditions. Potassium number densities show a clear semi-annual variation with two broad maxima reoccurring every year. The first maximum occurs in summer and lasts for about 4 months (May-August) with number densities up to 60 atoms/cc. The second maximum is observed from early December to late February with densities up to 30 atoms/cc. Both the peak density and the column density are higher at solstices than at equinoxes. The large data set shows little variation of the mean layer over the 10 years.

  4. Ten Years of the Literature of Online Searching: An Analysis of "Online" and "Online Review."

    ERIC Educational Resources Information Center

    Sievert, MaryEllen C.

    1990-01-01

    The first 10 years of 2 journals on online searching are compared in terms of vital statistics, editorial policies, citation data, author affiliations, subject analysis of titles, circulation, impact factors, and immediacy using data from SSCI Journal Citation Reports. (EAM)

  5. Ten Years of the Literature of Online Searching: An Analysis of "Online" and "Online Review."

    ERIC Educational Resources Information Center

    Sievert, MaryEllen C.

    1990-01-01

    The first 10 years of 2 journals on online searching are compared in terms of vital statistics, editorial policies, citation data, author affiliations, subject analysis of titles, circulation, impact factors, and immediacy using data from SSCI Journal Citation Reports. (EAM)

  6. Ten years' evaluation of diet, anthropometry, and physical exercise adherence after islet allotransplantation.

    PubMed

    Delmonte, V; Peixoto, E M L; Poggioli, R; Enfield, G; Luzi, L; Ricordi, C; Alejandro, R

    2013-06-01

    Allogeneic islet transplantation (IT) provokes changes in metabolic responses and nutritional behaviors. The durability of these changes needs to be described as well as their impact on the recipients' lifestyle. The goal of this study was to investigate how islet transplantation influenced diet, exercise habits, and body composition during 10 years after IT. A retrospective study performed in 33 (14 males, 19 females) IT recipients used dietary, physical activity open- ended questionnaire and anthropometric measurements. Data were collected before transplantation, every 3 months up to the 18th and every 6 months thereafter. Data were grouped by gender and eras: pre-IT; 0-3 years; 4-6 years, and 7-10 years after IT. Reduction in body mass index (BMI) from pre-IT to 0-3 years was noted: 23.68 ± 2,18 kg/m(2) to 22.07 ± 2.94 kg/m(2) (P < .05). Increased values were observed from 0-3 years to 4-6 years in: waist circumference (WC) (76.68 ± 7.22 to 79.44 ± 7.58 cm), BMI (23,68 ± 2,18 to 22,75 ± 3,11 kg/m(2)) and weight (64.69 ± 11.98 to 67.43 ± 14 kg): (P < .03). WC increased continuously up to 7-10 years (86.33 ± 9.45 cm; P < .05). There was an average of 5.3 ± 5.6 h/wk of exercise during follow-up. From pre-IT to 0-3 years there was a 19% reduction in protein consumption (P < .05) and a 39% increase in calories from saturated fats (P < .05). A trend to reduce carbohydrates intake noted from pre-IT to 0-3 years was progressively inverted from then throughout 7-10 years (not significant). IT was associated with a significantly decreased BMI early on that it was not sustained. The subsequent weight gain and WC increase could be the result of chronic immunosuppressive therapy and/or voluntary change in eating habits. The increased consumption of carbohydrates could be related to an adaptation of a lifestyle or/and reintroduction of insulin after graft dysfunction. Active lifestyle might be result of the intensive clinical care after IT, concomitant awareness of

  7. Ten Years of Forest Cover Change in the Sierra Nevada Detected Using Landsat Satellite Image Analysis

    NASA Technical Reports Server (NTRS)

    Potter, Christopher S.

    2014-01-01

    A detailed geographic record of recent vegetation regrowth and disturbance patterns in forests of the Sierra Nevada remains a gap that can be filled with remote sensing data. Landsat (TM) imagery was analyzed to detect 10 years of recent changes (between 2000 and 2009) in forest vegetation cover for areas burned by wildfires between years of 1995 to 1999 in the region. Results confirmed the prevalence of regrowing forest vegetation during the period 2000 and 2009 over 17% of the combined burned areas.

  8. Ten-year effects from row thinnings in loblolly pine plantations of eastern Maryland

    Treesearch

    Silas Little; John J. Mohr; Paul V. Mook

    1967-01-01

    Four degrees of row thinning were tested in 17-year-old loblolly pine plantations of eastern Maryland. In the following 10 years diameter and basal-area growth of tagged trees increased in relation to intensity of thinning. The heavier thinnings also had the most effect in increasing live-crown lengths and ratios and in favoring crown-class position. Volume growth was...

  9. Prediction of geomagnetic activity on time scales of one to ten years

    NASA Technical Reports Server (NTRS)

    Feynman, J.; Gu, X. Y.

    1986-01-01

    The long-term prediction of geomagnetic indices that characterize the state of the magnetosphere is discussed. While a prediction of the yearly average sunspot number is simultaneously a prediction of the yearly number of sudden-commencement storms, it is not a prediction of the number of disturbed or quiet half days. Knowledge of the sunspot cycle phase leads to a good estimate of the correlation expected between activity during one 27-day solar rotation period and the next.

  10. Quality of life after TIA and stroke: ten-year results of the Oxford Vascular Study.

    PubMed

    Luengo-Fernandez, Ramon; Gray, Alastair M; Bull, Linda; Welch, Sarah; Cuthbertson, Fiona; Rothwell, Peter M

    2013-10-29

    To evaluate the 5-year impact of stroke and TIA on utility and quality-adjusted survival. TIA and stroke patients from a UK population-based study (Oxford Vascular Study) were recruited from 2002 to 2007, and followed up until 2012. Quality of life was assessed over 5 years using the EQ-5D (EuroQol-5 Dimensions), with responses converted into utilities ranging from -0.59 (worse than death) to 1 (perfect health), using UK population valuations. Utilities for stroke and TIA patients were compared with those in matched controls obtained from the 2006 Health Survey for England. Five-year quality-adjusted life years were estimated by combining utility and survival information. Four hundred forty TIA and 748 stroke patients were ascertained and included. Utility remained constant at approximately 0.78 over the 5 years after TIA. Utility improved from 0.64 one month after stroke to 0.70 at 6 months (p = 0.006), remaining at approximately 0.70 thereafter. Matched controls had considerably higher utility levels than stroke/TIA patients (0.85, p < 0.001). Event severity and recurrent stroke were significant predictors of decreased long-term utility. Five-year quality-adjusted life expectancy was 3.32 (95% confidence interval: 3.22-3.48) quality-adjusted life years after TIA and 2.21 (2.15-2.37) after stroke, varying considerably by severity (minor: 2.94; moderate: 1.65; and severe: 0.70). Quality-adjusted survival is low over the 5 years after stroke and TIA, with severity and recurrent stroke being major predictors. There remains considerable scope for improvements in acute treatment and secondary prevention to improve the quality of life after TIA and stroke.

  11. Ten-year patterns of alcohol consumption and drinking problems among older women and men.

    PubMed

    Moos, Rudolf H; Schutte, Kathleen; Brennan, Penny; Moos, Bernice S

    2004-07-01

    This study focused on changes in 10-year patterns of alcohol consumption among older women and men, late-life and life history predictors of drinking problems, and gender differences in these predictors. A sample of late-middle-aged community residents (N = 1291) who had consumed alcohol in the past year or shortly before was surveyed at baseline and 1 year, 4 years and 10 years later. At each contact point, participants completed an inventory that assessed their alcohol consumption, drinking problems and health-related and life context factors. Participants also provided information about their life history of drinking. Over the 10 years, the proportion of individuals who consumed alcohol declined. Among individuals who continued to drink, women and men showed comparable declines in alcohol consumption, minor concomitants of alcohol consumption and drinking problems. In addition to the amount of alcohol consumption, smoking, friends' approval of drinking and avoidance coping consistently predicted late-life drinking problems. With respect to life history factors, heavy drinking, drinking problems and increased drinking in response to life events were related to a higher likelihood of late-life drinking problems; obtaining help from family members and friends and, among men, participation in Alcoholics Anonymous, were related to a lower likelihood of problems. Older women and men show comparable declines in alcohol consumption and drinking problems. Specific late-life social context and coping variables, and life history indices, are risk factors for late-life drinking problems among both women and men.

  12. Ten years' experience using an integrated workers' compensation management system to control workers' compensation costs.

    PubMed

    Bernacki, Edward J; Tsai, Shan P

    2003-05-01

    This work presents 10 years of experience using an Integrated Workers' Compensation Claims Management System that allows safety professionals, adjusters, and selected medical and nursing providers to collaborate in a process of preventing accidents and expeditiously assessing, treating, and returning individuals to productive work. The hallmarks of the program involve patient advocacy and customer service, steerage of injured employees to a small network of physicians, close follow-up, and the continuous dialogue between parties regarding claims management. The integrated claims management system was instituted in fiscal year 1992 servicing a population of approximately 21,000 individuals. The system was periodically refined and by the 2002 fiscal year, 39,000 individuals were managed under this paradigm. The frequency of lost-time and medical claims rate decreased 73% (from 22 per 1000 employees to 6) and 61% (from 155 per 1000 employees to 61), respectively, between fiscal year 1992 and fiscal year 2002. The number of temporary/total days paid per 100 insureds decreased from 163 in fiscal year 1992 to 37 in fiscal year 2002, or 77%. Total workers' compensation expenses including all medical, indemnity and administrative, decreased from $0.81 per $100 of payroll in fiscal year 1992 to $0.37 per $100 of payroll in fiscal year 2002, a 54% decrease. More specifically, medical costs per $100 of payroll decreased 44% (from $0.27 to $0.15), temporary/total, 61% (from $0.18 to $0.07), permanent/partial, 63% (from $0.19 to $0.07) and administrative costs, 48% ($0.16 to $0.09). These data suggests that workers' compensation costs can be reduced over a multi-year period by using a small network of clinically skilled health care providers who address an individual workers' psychological, as well as physical needs and where communication between all parties (e.g., medical care providers, supervisors, and injured employees) is constantly maintained. Furthermore, these results

  13. Radiological progression and lung function in silicosis: a ten year follow up study.

    PubMed Central

    Ng, T P; Chan, S L; Lam, K P

    1987-01-01

    Chest radiographs and spirometric tests were performed on 81 patients who had silicosis from two granite quarries in 1975, 73 of whom were followed up for two to 10 (mean 7.2) years. Each patient's initial and most recent chest radiographs were assessed independently by three experienced readers, and the yearly declines in forced expiratory volume in one second and forced vital capacity were estimated from two to four (mean 3.45) serial spirometric readings. Estimates of individual dust exposure were based on extensive historical data on hygiene. All but 11 patients were no longer exposed to dust by the start of follow up, but 24 (45%) of 53 patients who had simple silicosis and 11 (55%) of 20 who had the complicated disease showed radiological evidence of disease progression. In patients who had simple silicosis and showed no radiological progression the yearly declines in forced expiratory volume in one second and forced vital capacity were modest (64 ml/year and 59 ml/year, respectively), whereas significantly greater declines in lung function were seen in those who showed radiological evidence of progression (97 ml/year and 95 ml/year, respectively). In addition to radiological progression the previous average dust concentration to which patients had been exposed also influenced declines in both forced expiratory volume in one second and forced vital capacity after allowing for the effects of age, smoking, duration of exposure, history of tuberculosis, initial state of disease, and baseline lung function. The probability of radiological progression was most strongly influenced by the average dust concentration previously exposed to. The progression of simple silicosis is thus accompanied by appreciable declines in lung function and is strongly affected by previous levels of exposure to dust. PMID:3115361

  14. Ten-year analysis of oral cancer focusing on young people in northern Thailand.

    PubMed

    Komolmalai, Nicha; Chuachamsai, Sompol; Tantiwipawin, Salee; Dejsuvan, Sarita; Buhngamongkol, Patcharaluk; Wongvised, Chanika; Chitapanarux, Imjai; Iamaroon, Anak

    2015-01-01

    The objective of the present study was to assess the current situation of oral squamous cell carcinoma (OSCC) in northern Thailand, with an emphasis on patients <40 years of age. Medical records of patients histologically diagnosed with OSCC were collected from the Cancer Registry of Maharaj Nakorn Chiang Mai Hospital, Thailand between 2001 and 2010. The clinico-demographic data of patients aged <40 years (young group) and those aged ≥40 years (old group) were compared. A total of 874 patients were included in this study, of which 4.1% were <40 years of age. The tongue was the most common cancer site in both age groups. Most patients in both age groups were diagnosed with oral cancer at stage IV. Tobacco smoking (62.3%) and alcohol consumption (52.3%) were the most common risk factors in both age groups. However, the rates of betel quid chewing (17.5%) had decreased from those found in our study in the previous decade (50.2%); these rates were not found in the young group. The 5-year survival rate was 27.4% for the old group and 56.2% for the young group. OSCC remains a serious oral health problem in northern Thailand, and it has not been resolved among young adults.

  15. Ten-year NEDO BVAD development program: moving forward to the clinical arena.

    PubMed

    Motomura, Tadashi; Okubo, Hisashi; Oda, Takeshi; Ogawa, Daisuke; Okahisa, Toshiya; Igo, Stephen; Shinohara, Toshiyuki; Yamamoto, Yoshiro; Noguchi, Chikaya; Ishizuka, Tsukasa; Okamoto, Eiji; Nosé, Yukihiko

    2006-01-01

    Since 1995, the Baylor Group has been developing a totally implantable NEDO BVAD system. This 10-year program was completed in March 2005, and preparation for clinical trials is underway. This article summarizes the entire 10-year NEDO program and describes the strategy for clinical trials. The project aimed to achieve: (1) dual centrifugal pumps with the ability of full biventricular support, (2) a compact system implantable into small adults, (3) a totally implantable system with transcutaneous energy transmission system (TETS), (4) a durable system with a lifetime of over 5 years, and (5) a system free of thrombus and with minimal hemolysis. The final goals are to complete preclinical system evaluations and commence the clinical trials in the near future. In vitro studies have demonstrated a pump capacity of over 8.5 l/min and an Index of Hemolysis of <0.004 g/100 l. The pump-bearing life expectancy was over 5 years. To date, eight pumps endured in vivo studies of over 3 months without complications, including thromboembolic events. The in vitro endurance studies of eight pumps are longer than 1 year. There were no mechanical malfunctions or pump failure. A stepwise clinical trial is being planned: Step1, a wearable BVAD/VAD will be clinically studied; Step 2, the BVAD/VAD will be implanted intracorporeally without TETS; and, Step 3, a totally implantable system will be clinically evaluated. The NEDO BVAD system has completed preclinical testing. Clinical trial preparation is underway.

  16. Ten year outcomes of outpatients with schizophrenia on conventional depot antipsychotics: a systematic chart review.

    PubMed

    Uchida, Takahito; Suzuki, Takefumi; Sakurai, Hitoshi; Tsutsumi, Chisa; Den, Ryosuke; Mimura, Masaru; Uchida, Hiroyuki

    2013-09-01

    Long-term follow-up data of patients with schizophrenia on depot antipsychotics have been few and the longest follow-up period has been up to 7 years. We carried out a systematic chart review to examine 10-year outcomes for outpatients with schizophrenia who were receiving a conventional depot antipsychotic. Maintenance of outpatient status for 10 years was considered as a favorable outcome. From the initial sample of 1587 outpatients, 90 patients who were receiving a depot antipsychotic were included in this study (mean±SD, age 44.0±13.0 years; men, N=54). Haloperidol decanoate, fluphenazine decanoate, fluphenazine enanthate, and haloperidol decanoate plus fluphenazine enanthate were used in 53 (58.9%), 29 (32.2%), seven (7.8%), and one (1.1%) patients, respectively. These depot antipsychotics accounted for 36.9% of the total antipsychotic dosage on average. Seventeen patients (18.9%) successfully maintained outpatient status for 10 years. The most frequent reason for dropout was 'hospitalization' (N=49, 54.4%), followed by 'referral to another clinic/hospital' (N=9, 10.0%) and 'side effects' (N=7, 7.8%). As only 36.9% of the chlorpromazine equivalents were administered through depot antipsychotics, it is difficult to draw any firm conclusion. Still, the data suggest that even depot antipsychotics may not sufficiently prevent relapse in the treatment of schizophrenia.

  17. Ten years of Nature Reviews Neuroscience: insights from the highly cited

    PubMed Central

    Luo, Liqun; Rodriguez, Eugenio; Jerbi, Karim; Lachaux, Jean-Philippe; Martinerie, Jacques; Corbetta, Maurizio; Shulman, Gordon L.; Piomelli, Daniele; Turrigiano, Gina G.; Nelson, Sacha B.; Joëls, Marian; de Kloet, E. Ronald; Holsboer, Florian; Amodio, David M.; Frith, Chris D.; Block, Michelle L.; Zecca, Luigi; Hong, Jau-Shyong; Dantzer, Robert; Kelley, Keith W.; Craig, A. D. (Bud)

    2012-01-01

    To celebrate the first 10 years of Nature Reviews Neuroscience, we invited the authors of the most cited article of each year to look back on the state of their field of research at the time of publication and the impact their article has had, and to discuss the questions that might be answered in the next 10 years. This selection of highly cited articles provides interesting snapshots of the progress that has been made in diverse areas of neuroscience. They show the enormous influence of neuroimaging techniques and highlight concepts that have generated substantial interest in the past decade, such as neuroimmunology, social neuroscience and the `network approach' to brain function. These advancements will pave the way for further exciting discoveries that lie ahead. PMID:20852655

  18. Ten years of Nature Reviews Neuroscience: insights from the highly cited.

    PubMed

    Luo, Liqun; Rodriguez, Eugenio; Jerbi, Karim; Lachaux, Jean-Philippe; Martinerie, Jacques; Corbetta, Maurizio; Shulman, Gordon L; Piomelli, Daniele; Turrigiano, Gina G; Nelson, Sacha B; Joëls, Marian; de Kloet, E Ronald; Holsboer, Florian; Amodio, David M; Frith, Chris D; Block, Michelle L; Zecca, Luigi; Hong, Jau-Shyong; Dantzer, Robert; Kelley, Keith W; Craig, A D

    2010-10-01

    To celebrate the first 10 years of Nature Reviews Neuroscience, we invited the authors of the most cited article of each year to look back on the state of their field of research at the time of publication and the impact their article has had, and to discuss the questions that might be answered in the next 10 years. This selection of highly cited articles provides interesting snapshots of the progress that has been made in diverse areas of neuroscience. They show the enormous influence of neuroimaging techniques and highlight concepts that have generated substantial interest in the past decade, such as neuroimmunology, social neuroscience and the 'network approach' to brain function. These advancements will pave the way for further exciting discoveries that lie ahead.

  19. Apathy in first episode psychosis patients: a ten year longitudinal follow-up study.

    PubMed

    Evensen, Julie; Røssberg, Jan Ivar; Barder, Helene; Haahr, Ulrik; Hegelstad, Wenche ten Velden; Joa, Inge; Johannessen, Jan Olav; Larsen, T K; Melle, Ingrid; Opjordsmoen, Stein; Rund, Bjørn Rishovd; Simonsen, Erik; Sundet, Kjetil; Vaglum, Per; Friis, Svein; McGlashan, Thomas

    2012-04-01

    Apathy is a common symptom in first episode psychosis (FEP), and is associated with poor functioning. Prevalence and correlates of apathy 10 years after the first psychotic episode remain unexplored. The aims of the study were twofold: 1) to examine prevalence and predictors of apathy at 10 years, and 2) to examine the relationship between apathy at 10 years and concurrent symptoms, functioning and outcome, including subjective quality of life. Three-hundred-and-one patients with FEP were included at baseline, 186 participated in the 10 year follow-up. Of these, 178 patients completed the Apathy Evaluation Scale (AES-S-Apathy). Patients were classified as having apathy (AES-S-Apathy≥27) or not. The relationship between apathy and baseline variables (Demographics, Diagnosis, Duration of Untreated Psychosis), measures of symptomatology (Positive and Negative Syndrome Scale, Calgary Depression Scale for Schizophrenia), functioning (Global Assessment of Functioning Scale, Strauss Carpenter Level of Functioning Scale) and subjective quality of life (Lehman's Quality of Life Interview) were estimated through correlation analyses and blockwise multiple hierarchical regression analysis. Nearly 30% of patients met the threshold for being apathetic at follow-up. No baseline variables predicted apathy significantly at 10 years. Apathy was found to contribute independently to functioning and subjective quality of life, even when controlling for other significant correlates. Apathy is a common symptom in a FEP cohort 10 years after illness debut, and its presence relates to impaired functioning and poorer subjective quality of life. Copyright © 2011 Elsevier B.V. All rights reserved.

  20. Ten years of vegetation assembly after a North American mega fire.

    PubMed

    Abella, Scott R; Fornwalt, Paula J

    2015-02-01

    Altered fuels and climate change are transforming fire regimes in many of Earth's biomes. Postfire reassembly of vegetation--paramount to C storage and biodiversity conservation--frequently remains unpredictable and complicated by rapid global change. Using a unique data set of pre and long-term postfire data, combined with long-term data from nearby unburned areas, we examined 10 years of understory vegetation assembly after the 2002 Hayman Fire. This fire was the largest wildfire in recorded history in Colorado, USA. Resistance (initial postfire deviance from prefire condition) and resilience (return to prefire condition) declined with increasing fire severity. However, via both resistance and resilience, 'legacy' species of the prefire community constituted >75% of total plant cover within 3 years even in severely burned areas. Perseverance of legacy species, coupled with new colonizers, created a persistent increase in community species richness and cover over prefire levels. This was driven by a first-year increase (maintained over time) in forbs with short life spans; a 2-3-year delayed surge in long-lived forbs; and a consistent increase in graminoids through the 10th postfire year. Burning increased exotic plant invasion relative to prefire and unburned areas, but burned communities always were >89% native. This study informs debate in the literature regarding whether these increasingly large fires are 'ecological catastrophes.' Landscape-scale severe burning was catastrophic from a tree overstory perspective, but from an understory perspective, burning promoted rich and productive native understories, despite the entire 10-year postfire period receiving below-average precipitation. Published 2014. This article is a U.S. Government work and is in the public domain in the USA.

  1. Ten years of tuberculosis intervention in Greenland – has it prevented cases of childhood tuberculosis?

    PubMed Central

    Birch, Emilie; Andersson, Mikael; Koch, Anders; Stenz, Flemming; Søborg, Bolette

    2014-01-01

    Background The incidence of tuberculosis (TB) disease in Greenland doubled in the 1990s. To combat the increase, national TB interventions were initiated in 2000 and strengthened in 2007. Objective To determine whether the effect of interventions could be detected, we estimated the TB disease risk among children≤15 years before and after interventions were implemented. Design For a study cohort, we recruited all children ≤15 years of age included in the Greenlandic Civil Registration System (CRS) from 1990 to 2010. The CRS identifier was used to link cohort participants with TB cases identified based on the Greenlandic National TB registry. Bacille Calmette Guerin (BCG) vaccination status was identified through year of birth, as BCG was offered to newborns born either before 1991 or after 1996. Years with interventions were defined as 2000–2006 (primary interventions) and 2007–2010 (intensified interventions). Risk of TB was estimated using Poisson regression. Results The study included 35,858 children, of whom 209 had TB disease. The TB disease incidence decreased after interventions were implemented (2007–2010: IRR [incidence rate ratios] 0.62, 95% CI: 0.39–0.95, p=0.03, compared with the 1995–1999 period). The TB disease risk was inversely associated with BCG vaccination (IRR: 0.54, 95% CI: 0.41–0.72, p<0.001). Conclusions Years with national TB interventions in Greenland, including neonate BCG vaccination, are associated with a lower TB disease incidence among children ≤15 years of age. PMID:25045654

  2. Using a natural abilities battery for academic and career guidance: a ten-year study.

    PubMed

    Brown, Corrie C; Harvey, Stephen B; Stiles, Dori

    2011-01-01

    Over a period of 10 years, first-year students from 11 consecutive veterinary classes conducted a self-assessment using a natural abilities survey. The present study analyzes the data compiled from students' self-assessment results. As a group, veterinary students are exceptional problem solvers, either through inductive or deductive reasoning, and have strong spatial relations capacities. Veterinary students have a range of learning styles with design memory being the primary vehicle for information delivery and tonal memory being the least frequently used style overall. Information gained on each student's natural abilities can be used to guide effective career decision making and enhance prospects for long-term career satisfaction.

  3. Drug addicts treatment for ten years in Thanyarak Hospital (1989-1998).

    PubMed

    Verachai, V; Dechongkit, S; Patarakorn, A; Lukanapichonchut, L

    2001-01-01

    The problem of drug addicts has increased over the past 3-4 years. A retrospective descriptive study of inpatient drug addicts at Thanyarak Hospital was done. Data from the record pool from October 1989 to September 1998 was reviewed for demographic information, diagnosis, HIV infection and the outcome of treatment. The study showed that the total number of patients increased from 7,595 cases in 1989 to 10,661 cases in 1995, but decreased in the next three years to 7,633 cases in 1998. Males constituted more than 91.5 per cent in each year. Mean ages decreased from 31.1+/-8.8 to 26.5+/-9.3 years. Most of the patients were labourers or were unemployed. The number of students also increased. Initially, students constituted only 1.3 per cent but in the last 3 years this increased to 4.0, 8.0 and 17.1 per cent, respectively. The education level has gradually increased. Heroin addiction was approximately 80.6-92.4 per cent in the first 8 years but markedly decreased to 38.0 per cent in the last year. Opium addiction decreased from 3.8 per cent to 1.0 per cent. Methamphetamine addiction markedly increased from 0.4 per cent to 51.5 per cent. The outcome of the treatments showed that patients who attended the 2-3 weeks detoxification treatment program was 30.9-43.5 per cent but patients who joined the therapeutic community rehabilitation program was only 0.8-4.2 per cent. The mortality rate increased from 2.1 per thousand to 5.2 per thousand and more HIV infected patients died than non-HIV infected patients. This rate varied from 1.7 times in 1989 to 8 times in 1995 and 4.5 times in 1996. We conclude from this study that drug addicts changed from heroin to Methamphetamine especially among young students in the last 2-3 years. HIV infection was still high in old cases (about 40%).

  4. Ten Years' Work of an Urban Observatory: Ralph Curtiss and the Detroit Spectrographic Program

    NASA Astrophysics Data System (ADS)

    Lindner, R. P.

    1999-05-01

    The University of Michigan developed a productive and path-breaking spectroscopic program in the years before World War I. This paper discusses the motivation for the creation of the program, its funding, how staff was hired, fired, and retained, and the choice and evolution of the particular spectroscopic program. A number of interesting workers passed through the program during these years, and significant work on classification, physical analysis, and the study of stars with emission spectra appeared. The research for this paper is based on work in the personal and institutional archives of the staff of the Michigan observatories and in some of the working papers of the Observatory.

  5. Ten-digit replantation with seven years follow-up: A case report.

    PubMed

    Cong, Haibo; Sui, Haiming; Wang, Chenlin; Wang, Zhumin; Yang, Qingmin; Wang, Buxing

    2010-07-01

    In this report, we present a case of successful replantation of 10-digit complete amputation and results of postoperative rehabilitation in 7 years follow-up. The rehabilitation program included psychotherapy, physical therapy, sensory re-education, and measurements. At the 7 years postoperatively, the static two-point discriminations of replanted digits ranged from 4 to 11 mm. Grasping powers ranged from 69 to 81 lb, and pinching powers ranged from 13 to 19 lb. The patient returned to the previous employment. Our experience has demonstrated that systemic postoperative rehabilitation and measurements could achieve satisfactory recovery of the sensory and motor functions of multiple-digit replantation.

  6. [Stabilizing effect of orthokeratology lenses (ten-year follow-up results)].

    PubMed

    Tarutta, E P; Verzhanskaya, T Yu

    2017-01-01

    The global prevalence of myopia in adults varies between 20-50% in Europe and the US and 60-90% in Asian countries. According to WHO, myopia is one of the five leading causes of blindness and low vision in the world. Prevention or deceleration of myopia progression is an important public health problem. In recent years, orthokeratology (ortho-k) contact lenses worn at night have been found effective in slowing down the progression of myopia, however, the follow-up period in related studies is no longer than five years.

  7. Alternatives to Custody: A Ten-Year Review of a Community-Based Program in Britain.

    ERIC Educational Resources Information Center

    Stevens, Barbara Christine

    1996-01-01

    Describes the development of a community forensic psychology service during its first 10 years of service. Service emphasizes cooperation among psychologists, probation officers, and others in establishing alternatives to custody for sex offenders, shoplifters, drug and alcohol abusers, and young criminals. Discusses theoretical orientation of the…

  8. Ten and more years after vertical banded gastroplasty as primary operation for morbid obesity.

    PubMed

    Balsiger, B M; Poggio, J L; Mai, J; Kelly, K A; Sarr, M G

    2000-01-01

    Long-term follow-up (>10 years) after vertical banded gastroplasty (VBG) is almost nonexistent. The aim of this study was to determine long-term outcome after VBG in a group of 71 patients studied prospectively. Seventy-one consecutive patients with morbid obesity (54 women and 17 men; mean age 40 years [range 22 to 71 years]) underwent VBG from 1985 to 1989 and were followed prospectively. Follow-up was obtained in 70 (99%) of the 71 patients. Weight (mean +/- standard error of the mean) preoperatively was 138 +/- 3 kg and decreased to 108 +/- 2 kg 10 or more years postoperatively. Body mass index decreased from 49 +/-1 to 39 +/- 1. Only 14 (20%) of 70 patients lost and maintained the loss of at least half of their excess body weight with the VBG anatomy. Vomiting one or more times per week continues to occur in 21% and heartburn in 16%. Fourteen patients have undergone conversion from VBG to Roux-en-Y gastric bypass (11 patients) or other procedures (3 patients) because of a combination of inadequate weight loss in 13 patients, gastroesophageal reflux in five, and frequent vomiting in four. Only 26% of patients after VBG have maintained a weight loss of at least 50% of their excess body weight; 17% underwent bariatric reoperation with good results. Thus VBG is not an effective, durable bariatric operation.

  9. Ten-Year Trends in Physical Dating Violence Victimization?among?US?Adolescent?Females

    ERIC Educational Resources Information Center

    Howard, Donna E.; Debnam, Katrina J.; Wang, Min Q.

    2013-01-01

    Background: The study provides 10-year trend data on the psychosocial correlates of physical dating violence (PDV) victimization among females who participated in the national Youth Risk Behavior Surveys of US high school students between 1999 and 2009. Methods: The dependent variable was PDV. Independent variables included 4 dimensions: violence,…

  10. Case Study: Youth Transitions Task Force--A Ten-Year Retrospective, Spring 2015

    ERIC Educational Resources Information Center

    Poulos, Jennifer; d'Entremont, Chad; Culbertson, Nina

    2015-01-01

    In 2004, Boston Public Schools reported that more than 8% of its students dropped out of school that year. The city faced a crisis. Thousands of students were failing to earn a high-school diploma, a necessary credential for entrance into postsecondary education and/or the twenty-first century workforce. Factors driving students' decisions to…

  11. Ten-Year Cumulative Author Index Volume 2001, 36(1) through 2010, 45(4)

    ERIC Educational Resources Information Center

    Zucker, Stanley H.; Hassert, Silva

    2011-01-01

    This cumulative author index was developed as a service for the readership of Education and Training in Autism and Developmental Disabilities. It was prepared as a resource for scholars wishing to access the 391 articles published in volumes 36-45 of this journal. It also serves as a timely supplement to the 25-year (1966-1990) cumulative author…

  12. A Content Analysis of LGBTQ Qualitative Research in Counseling: A Ten-Year Review

    ERIC Educational Resources Information Center

    Singh, Anneliese A.; Shelton, Kimber

    2011-01-01

    This content analysis examines the qualitative methodology used in counseling research with lesbian, gay, bisexual, transgender, and queer (LGBTQ) issues published over the last 10 years (1998-2008) in 4 counseling and counseling psychology journals ("Journal of Counseling & Development," "Journal of Counseling Psychology," "Journal of LGBT Issues…

  13. Lunar radionuclide records of average solar-cosmic-ray fluxes over the last ten million years

    NASA Technical Reports Server (NTRS)

    Reedy, R. C.

    1980-01-01

    The use of cosmogenic radionuclides in lunar materials as indicators of solar cosmic ray fluxes and thus solar activity over the past 10 million years is discussed. The nature of solar and galactic cosmic ray particles and their interactions with matter are reviewed, with particular emphasis on nuclide production by cosmic-ray-induced nuclear reactions. Evidence of galactic cosmic ray flux variations from measurements of radionuclide activities in meteorites is considered which has indicated changes of less than about 25-50% over the last few million years. Measurements of radionuclide activities in lunar materials which are used to determine solar cosmic ray fluxes are then examined together with direct proton measurements indicating variations in solar fluxes with different solar cycles. It is noted that whereas average solar proton fluxes determined for the last 1-10 million years from Al-26 and Mn-53 data show little variation and are similar to recent values, lunar C-14 and Kr-81 activities indicate average solar proton fluxes several times greater over the past 10,000 to 100,000 years.

  14. A Content Analysis of LGBTQ Qualitative Research in Counseling: A Ten-Year Review

    ERIC Educational Resources Information Center

    Singh, Anneliese A.; Shelton, Kimber

    2011-01-01

    This content analysis examines the qualitative methodology used in counseling research with lesbian, gay, bisexual, transgender, and queer (LGBTQ) issues published over the last 10 years (1998-2008) in 4 counseling and counseling psychology journals ("Journal of Counseling & Development," "Journal of Counseling Psychology," "Journal of LGBT Issues…

  15. Celebrating Ten Years. Foundation for Individual Rights in Education Annual Report, 2009

    ERIC Educational Resources Information Center

    Foundation for Individual Rights in Education (NJ1), 2009

    2009-01-01

    This paper presents the annual report of the Foundation for Individual Rights in Education (FIRE) for 2009. The year 2009 was momentous for FIRE, for it marked its tenth anniversary. In the last decade, FIRE has been remarkably successful at fighting to secure basic rights of free speech and conscience on college campuses. It has fought for…

  16. The Development of Writing Habitus: A Ten-Year Case Study of a Young Writer

    ERIC Educational Resources Information Center

    Compton-Lilly, Catherine

    2014-01-01

    Peter, an African American writer from a low-income community, is followed across a 10-year period as he progresses from first grade through high school. Drawing on writing samples and interviews, the author identifies a set of interrelated dispositions that contribute to his development of "habitus" as a writer. This article considers…

  17. Psychotropic Drug Patterns in a Large ICF/MR Facility: A Ten-Year Experience.

    ERIC Educational Resources Information Center

    Poindexter, Ann R.

    1989-01-01

    Psychotropic drug-prescribing patterns for 474 adults with mental retardation residing at an intermediate-care facility were examined for a 10-year period. Results indicated a progressive, marked decrease in total psychotropic drug usage and changes in the type of drugs prescribed with overall decline in drug usage. (Author/DB)

  18. In Good Company: A Ten-Year Odyssey in Pursuit of Civic Purpose.

    ERIC Educational Resources Information Center

    Ottenritter, Nan; Parsons, Michael H.

    1996-01-01

    Describes the 10-year process in which Hagerstown Junior College (HJC) (Maryland) underwent a transition from a passive institution to a proactive agent for community renewal. Indicates that HJC redefined its civic purpose and executed its agenda through community-based programming and the facilitation of community problem solving. Includes 15…

  19. A TEN-YEAR WATER BALANCE OF A MOUNTAINOUS SEMI-ARID WATERSHED. (R824784)

    EPA Science Inventory

    Quantifying water balance components, which is particularly challenging in snow-fed, semi-arid regions, is crucial to understanding the basic hydrology of a watershed. In this study, a water balance was computed using 10 years of data collected at the Upper Sheep Creek Water...

  20. Ten Year Plan for the Redevelopment of Intellectual Disability Services: Consumers' Guide. Final Report.

    ERIC Educational Resources Information Center

    Neilson Associates Pty. Ltd., Melbourne (Australia).

    This consumers' guide provides an easily understandable, large print summary of the recommendations in a 10-year plan for changes in services to people with intellectual disabilities in Victoria, Australia. Twenty of the 250 recommendations of the plan are given in simplified language accompanied by illustrations, including recommendations for:…

  1. Ten Year Plan for the Redevelopment of Intellectual Disability Services. Final Report, August, 1988. Data Book.

    ERIC Educational Resources Information Center

    Neilson Associates Pty. Ltd., Melbourne (Australia).

    This databook for the final report of the 10-year plan to redevelop services for individuals with intellectual disabilities in Victoria, Australia, presents results of three studies. The major study provides a functional profile of people with intellectual disabilities living in State-run institutions (Residential Training Centres) or attending…

  2. Ten Year Plan for the Redevelopment of Intellectual Disability Services. Final Report.

    ERIC Educational Resources Information Center

    Neilson Associates Pty. Ltd., Melbourne (Australia).

    This report recommends a 10-year plan for changes in services to people with intellectual disabilities in Victoria, Australia. Intended key outcomes of the plan include: increases in the numbers of clients receiving direct residential support in community-based accommodations; reductions in numbers of adult clients resident in large scale…

  3. Ten-Year Cumulative Author Index Volume 2001, 36(1) through 2010, 45(4)

    ERIC Educational Resources Information Center

    Zucker, Stanley H.; Hassert, Silva

    2011-01-01

    This cumulative author index was developed as a service for the readership of Education and Training in Autism and Developmental Disabilities. It was prepared as a resource for scholars wishing to access the 391 articles published in volumes 36-45 of this journal. It also serves as a timely supplement to the 25-year (1966-1990) cumulative author…

  4. Ten years of hospitalisation for oral health-related conditions in Western Australia: an unjust dichotomy.

    PubMed

    Kruger, Estie; Tennant, Marc

    2016-01-01

    The objective of this study was: (1) to examine the demographics of in-patient oral health care by Aboriginal status; (2) to identify the mix of oral conditions by Aboriginal status; and (3) to describe trends over a 10-year period, comparing Aboriginal and non-Aboriginal groups. Hospitalisation data were obtained from the Western Australian Morbidity Data System (HMDS). The principal diagnosis, as classified by the International Classification of Disease (ICD-10AM), was obtained for every episode for adult patients who were discharged from all hospitals in Western Australia (WA) for the financial years 1999-2000 to 2008-09. Results indicated that more than 130000 persons were admitted to hospitals in WA over 10 years, for oral health-related conditions, at a direct cost of more than $400million. Most of those admitted were younger than 30 years, and 2.8% of all those admitted were Aboriginal people. Aboriginal people were admitted at significantly higher rates, for a very different mix of conditions, they were mostly from younger age groups, were mostly from very remote and the most disadvantaged areas and were almost all uninsured, compared with non-Aboriginal people. Hospital admissions for oral health-related conditions, as well as the mix of conditions that drive these hospitalisations, are strongly divided across social, racial and geographic variables, and remain a burden to the health-care system.

  5. Ten-Year Review of Rating Scales, VII: Scales Assessing Functional Impairment

    ERIC Educational Resources Information Center

    Winters, Nancy C.; Collett, Brent R.; Myers, Kathleen M.

    2005-01-01

    Objective: This is the seventh in a series of 10-year reviews of rating scales. Here the authors present scales measuring functional impairment, a sequela of mental illness. The measurement of functional impairment has assumed importance with the recognition that symptom resolution does not necessarily correlate with functional improvement.…

  6. TAC Evaluation Assistance: A Ten-Year Evolution from Accountability to Program Improvement.

    ERIC Educational Resources Information Center

    Yap, Kim O.

    The Title I/Chapter 1 Technical Assistance Centers (TACs) were originally created to provide assistance to state and local education agencies in implementing the Title I evaluation and reporting system. However, over a 10-year period, TAC role has changed significantly. Its service foci have evolved from providing evaluation assistance to helping…

  7. The Boston Marathon Medical Care Team: A Ten-Year Experience.

    ERIC Educational Resources Information Center

    Adner, Marvin M.; And Others

    1988-01-01

    The composition, ojbectives, and perceptions of the medical care team which has evolved over the last 10 years to provide acute care for injured persons at the finish line of the Boston Marathon are described, as well as as an ancillary group which maintains medical records and defines injury patterns. (Author/CB)

  8. [Benefit of a geriatric mobile team in the emergency departments: a ten-year review].

    PubMed

    Natali, Jean-Philippe; Schwald, Nathalie; Bach, Frédérique; Bourgouin, Gaëlle; Chiffray, Dominique; Bloch, Frédéric

    2015-01-01

    A geriatric mobile team was created in the emergency department of Cochin Hospital in Paris, in 2005. This key player in the multi-disciplinary management of elderly patients in the emergency department and in the geriatric care pathway, showed, during its 10-year of existence, its utility.

  9. A TEN-YEAR WATER BALANCE OF A MOUNTAINOUS SEMI-ARID WATERSHED. (R824784)

    EPA Science Inventory

    Quantifying water balance components, which is particularly challenging in snow-fed, semi-arid regions, is crucial to understanding the basic hydrology of a watershed. In this study, a water balance was computed using 10 years of data collected at the Upper Sheep Creek Water...

  10. Ten Year Plan for the Redevelopment of Intellectual Disability Services: Consumers' Guide. Final Report.

    ERIC Educational Resources Information Center

    Neilson Associates Pty. Ltd., Melbourne (Australia).

    This consumers' guide provides an easily understandable, large print summary of the recommendations in a 10-year plan for changes in services to people with intellectual disabilities in Victoria, Australia. Twenty of the 250 recommendations of the plan are given in simplified language accompanied by illustrations, including recommendations for:…

  11. Ten years of RELEA: Achievements and challenges for astronomy education development

    NASA Astrophysics Data System (ADS)

    Bretones, P. S.; Jafelice, L. C.; Horvath, J. E.

    2016-10-01

    When an area of education, and more particularly the research within this area, is aimed to development, one of the basic requirements is the existence of a regular publication that accounts for the scientific production in that area. This study aims to analyze 10 years of Latin-American Journal of Astronomy Education (RELEA) [http://www.relea.ufscar.br/].

  12. Ten Years in the Trenches: Faculty Perspectives on Sustaining Service-Learning

    ERIC Educational Resources Information Center

    Cooper, Jay R.

    2014-01-01

    This study reports the perceptions of faculty 10 years after participating and sustaining their involvement in academic service-learning. Issues explored include why participants became involved in service-learning, the perceived impact on the promotion and tenure process, the challenges and rewards reaped by participants, and what sustained them…

  13. Patterns of Development in Writing: Case Study of a Child from Five to Ten Years Old.

    ERIC Educational Resources Information Center

    Bissex, Glenda L.

    Observations of the developing writing patterns of one child over a period of five years brought insight to the question of how children learn to write. The patterns, identifiable in other areas of child development, were the processes of differentiation and decentration, the sometimes nonparallel growth of form and function, and an increasing…

  14. Achieving Collective Impact: Reflections on Ten Years of the University of Georgia Archway Partnership

    ERIC Educational Resources Information Center

    Garber, Mel; Adams, Katherine R.

    2017-01-01

    Collective impact is a model for achieving tangible change and improvement in communities through a series of well-defined parameters of collaboration. This article provides a 10-year reflection on the University of Georgia Archway Partnership, a university-community collaboration, in the context of the parameters of collective impact. Emphasis is…

  15. Ten year regeneration of southern Appalachian hardwood clearcuts after controlling residual trees

    Treesearch

    P.M. Zaldivar-Garcia; D.T. Tew

    1991-01-01

    Two upland hardwood stands were clearcut in 1978 and three treatments to control the unmerchantable and/or cull trees were applied. The treatments applied to the residual trees were chainsaw felling, herbicide injection, and a control, where residual trees were left standing. Regeneration was sampled 10 years after the cutting.

  16. Ten year clinical evaluation of Starr-Edwards 2400 and 1260 aortic valve prostheses.

    PubMed Central

    Hackett, D; Fessatidis, I; Sapsford, R; Oakley, C

    1987-01-01

    The long term performance characteristics of the 2400 and 1260 series of Starr-Edwards aortic prostheses were investigated by a follow up study of clinical outcome of 327 patients discharged from hospital with isolated aortic valve replacement. Follow up lasted for up to 10 years and was based on 1616 patient-years. The 2400 series cloth covered tracked valve was implanted in 182 patients from 1974 to 1980 and the 1260 series bare strut silastic ball valve was inserted in 145 patients from 1979 to 1983. Total 10 year mortality and valve related morbidity were low and no cases of mechanical valve failure were recorded. There were no significant actuarial differences in mortality or valve related morbidity between the 2400 and 1260 valves. Starr-Edwards models 2400 and 1260 aortic valve prostheses showed excellent durability without any mechanical failures over a 10 year period. The long term outcome of isolated aortic valve replacement with these models is associated with a low frequency of valve related complications. PMID:3580223

  17. Technology and Knowledge Transfer in the Graz Region Ten Years of Experience

    ERIC Educational Resources Information Center

    Hofer, Franz; Adametz, Christoph; Holzer, Franz

    2004-01-01

    Technology and knowledge transfer from universities to small and medium-sized enterprises (SMEs) is seen as one way to strengthen a region's innovation capability. But what if SMEs do not want to play along? Looking back at some 10 years' experience of supporting SMEs, the authors describe in detail the 'Active Knowledge Transfer' programme, which…

  18. The Northern hardwood forest ecosystem: ten years of recovery from clearcutting

    Treesearch

    J.W. Hornbeck; C.W. Martin; R.S. Pierce; F.H. Bormann; G.E. Likens; J.S. Eaton; J.S. Eaton

    1987-01-01

    Two even-age management systems, progressive strip cutting and block clearcutting, have been studied since 1970 on small watersheds at the Hubbard Brook Experimental Forest, New Hampshire. In the strip cutting, all merchantable trees were harvested in a series of three strips over 4 years (1970-74). In the block clearcutting, all trees were harvested in a single...

  19. Ten-year diameter and basal area growth of trees surrounding small group selection openings

    Treesearch

    Philip M. McDonald; Martin W. Ritchie; Celeste S. Abbott

    1996-01-01

    The effects of small openings in forest stands has interested silviculturists and ecologists for years. Interest generally has centered on the vegetation in the openings, not on that immediately outside of them. Quantitative information on the growth of trees adjacent to group-selection openings, although often mentioned in forestry textbooks as contributing to cost...

  20. Watershed response and recovery from the Will Fire: ten years of observations

    Treesearch

    Kenneth B. Roby

    1989-01-01

    Watershed response and recovery from a wildfire which burned 95 percent of the Williams Creek watershed in 1979 were monitored. Ground cover reduced to 11 percent by the fire increased to 80 percent by 1983. Grasses seeded for erosion control provided less than 10 percent cover until 3 years following the fire, and no significant difference in ground cover was found...

  1. Ten Years after a Preschool Intervention for Low Birth Weight Spanish-American Children.

    ERIC Educational Resources Information Center

    Askins, Billy E.; Cornett, Joe D.

    1985-01-01

    The low birth weight criterion and other factors used for entry in 1971 into the Responsive Environment Program for Spanish-American Children (RESPAC), yielded predictions of school failure for nearly all RESPAC students. A significant finding of the 10-year follow-up study was that 86 percent of RESPAC students had normal school progress. (JHZ)

  2. Functional and Anatomic Consequences of Diabetic Pregnancy on Memory in Ten-Year-Old Children.

    PubMed

    Jabès, Adeline; Thomas, Kathleen M; Langworthy, Sara; Georgieff, Michael K; Nelson, Charles A

    2015-09-01

    Pregnancies complicated by diabetes mellitus impair offspring memory functions during infancy and early childhood. The purpose of this study was to investigate the long-term consequences of such pregnancies on memory and memory-related brain regions in 10-year-old children. Nineteen children of diabetic mothers (CDMs) and 35 children of nondiabetic mothers participated in this 10-year follow-up study. Memory performance was assessed using a continuous recognition memory task during which children made old/new judgments in response to pictures of concrete and abstract objects presented after different lags or delays. In addition, the volume of the hippocampal formation (HF) was measured using high-resolution structural images. At 10 years of age, recognition memory performance of CDMs did not differ from children of nondiabetic mothers. Similarly, the volume of the HF did not differ between groups. However, the size of the HF in CDMs predicted the time those children needed to provide accurate responses in the continuous recognition memory task. CDMs do not show memory impairments by 10 years of age, despite evidence for such impairments early in life. However, subtle differences in underlying neural processes may still be present. These results have important implications for long-term cognitive development of CDMs.

  3. Ten Years of Using Presentations at a Student Conference as a Final Assessment

    ERIC Educational Resources Information Center

    Lund, Nick

    2013-01-01

    The final assessment for all psychology courses in the department of interdisciplinary studies, MMU Cheshire programmes, in the past 10 years has been a presentation of project work at an undergraduate conference. It is argued that this acts as an "authentic" assessment method which helps prepare students for future experiences. Alumni…

  4. Self-Report Stability of Adolescent Cigarette Use across Ten Years of Panel Study Data

    ERIC Educational Resources Information Center

    Shillington, Audrey M.; Reed, Mark B.; Clapp, John D.

    2010-01-01

    This study is the first to examine adolescent cigarette report stability over 10 years. Six waves of data were utilized from the National Longitudinal Survey of Youth. This study examined internal/logical consistency and external consistency. Report stability was higher for lifetime use reports than the age of onset reports. Wave-by-wave…

  5. Self-Report Stability of Adolescent Cigarette Use across Ten Years of Panel Study Data

    ERIC Educational Resources Information Center

    Shillington, Audrey M.; Reed, Mark B.; Clapp, John D.

    2010-01-01

    This study is the first to examine adolescent cigarette report stability over 10 years. Six waves of data were utilized from the National Longitudinal Survey of Youth. This study examined internal/logical consistency and external consistency. Report stability was higher for lifetime use reports than the age of onset reports. Wave-by-wave…

  6. Ten Years of Research on Adolescent Literacy, 1994-2004: A Review

    ERIC Educational Resources Information Center

    Phelps, Stephen

    2005-01-01

    There has been a shift in the field of adolescent literacy in the past 10 years. The focus on cognitive strategy instruction as a way to further the literacy development of adolescents and to "remediate" older, struggling readers has been supplemented with an appreciation of sociocultural influences that shape the literacy practices of an…

  7. Ten-Year Research Update Review: Psychiatric Problems in Children with Epilepsy

    ERIC Educational Resources Information Center

    Plioplys, Sigita; Dunn, David W.; Caplan, Rochelle

    2007-01-01

    The research on epilepsy, a neuropsychiatric disorder characterized by seizures, psychopathology, cognitive, and linguistic problems among children in the age group of 0 to 18 years is reported. Early identification of children with epilepsy (CWE) and the development of multidisciplinary management strategies would advance relevant clinical…

  8. Reflecting on Ten Years of Incentive Programs: The 1993 SREB Career Ladder Clearinghouse Survey.

    ERIC Educational Resources Information Center

    Cornett, Lynn M.; Gaines, Gale F.

    This paper reflects on the evolution of teacher performance incentive policies and draws conclusions from 10 years of monitoring trends in performance incentive policies, from the explosion of interest in career ladder plans in the mid-1980s through teacher and school incentive programs tied to comprehensive restructuring initiatives in the early…

  9. Ten Years of Change in Sierran Stringer Meadows: An Evaluation of Range Condition Models

    Treesearch

    Barbara H. Allen

    1989-01-01

    Grazed Sierra Nevada stringer meadow systems were sampled on Blodgett Forest Research Station in northern California between 1977 and 1987 to determine cattle use, and to examine changes in production and species composition over time. Utilization of meadow species averaged 61 percent over the 10 years, but use increased to more than 80 percent utilization after 1985....

  10. The Fundacion Universidad Empresa of Madrid, Ten Years of Experience in University-Industry Relations.

    ERIC Educational Resources Information Center

    Saenz de Miera, Antonio

    1983-01-01

    The first 10 years of Spain's leading organization designed to promote the establishment of relationships between universities and industry are discussed. Its activities in scientific and technical research projects and funding, continuing education programs, and coordination of employment opportunities are outlined. (MSE)

  11. Ten-Year Reflections on Mentoring SoTL Research in a Research-Intensive University

    ERIC Educational Resources Information Center

    Hubball, Harry; Clarke, Anthony; Poole, Gary

    2010-01-01

    This study focuses on an examination of mentoring SoTL research from the 10-year implementation of an 8-month mixed-mode international faculty certificate program on SoTL leadership at the University of British Columbia, Canada. Data suggest that faculty members, especially those unfamiliar with social science methodologies, experienced…

  12. Exploring Diversity: Reflections Ten Years On. Australian Early Childhood Resource Booklets, No. 2.

    ERIC Educational Resources Information Center

    Schurch, Pam; Hopson, Elizabeth

    This booklet reflects the past 10 year's thoughts and experiences and presents the current debate concerning multicultural early childhood education, as experienced by the Lady Gowrie Child Centre, in Sydney, New South Wales, Australia. The booklet describes how the center experienced the satisfying process of change and growth with such a program…

  13. Eritrean Voices: Indigenous Views on the Development of the Curriculum Ten Years after Independence

    ERIC Educational Resources Information Center

    David, Robert G.

    2004-01-01

    Since 1991, the Eritrean government has put into place an education system which had already been developed in the liberated areas during the years of struggle against Ethiopia. Little has been written on Eritrean education policy, and in particular the voices of educationalists responsible for its implementation have remained silent. In this…

  14. Ten Year Plan for the Redevelopment of Intellectual Disability Services. Final Report.

    ERIC Educational Resources Information Center

    Neilson Associates Pty. Ltd., Melbourne (Australia).

    This report recommends a 10-year plan for changes in services to people with intellectual disabilities in Victoria, Australia. Intended key outcomes of the plan include: increases in the numbers of clients receiving direct residential support in community-based accommodations; reductions in numbers of adult clients resident in large scale…

  15. Ten-Year Research Update Review: Psychiatric Problems in Children with Epilepsy

    ERIC Educational Resources Information Center

    Plioplys, Sigita; Dunn, David W.; Caplan, Rochelle

    2007-01-01

    The research on epilepsy, a neuropsychiatric disorder characterized by seizures, psychopathology, cognitive, and linguistic problems among children in the age group of 0 to 18 years is reported. Early identification of children with epilepsy (CWE) and the development of multidisciplinary management strategies would advance relevant clinical…

  16. Catholic Schools Still Make a Difference: Ten Years of Research, 1991-2000.

    ERIC Educational Resources Information Center

    Hunt, Thomas C., Ed.; Joseph, Ellis A., Ed.; Nuzzi, Ronald J., Ed.

    The collection of articles in this publication offers a review of the research on Catholic schools during the past decade, and as such, represents an update of "Catholic Schools Make a Difference: Twenty-Five Years of Research." Following the "Introduction," the volume is divided into five sections: (1) "Catholic Schools and the Broader Church"…

  17. Alternatives to Custody: A Ten-Year Review of a Community-Based Program in Britain.

    ERIC Educational Resources Information Center

    Stevens, Barbara Christine

    1996-01-01

    Describes the development of a community forensic psychology service during its first 10 years of service. Service emphasizes cooperation among psychologists, probation officers, and others in establishing alternatives to custody for sex offenders, shoplifters, drug and alcohol abusers, and young criminals. Discusses theoretical orientation of the…

  18. [A ten-year clinical study of cracked teeth restored with glass ceramic crowns].

    PubMed

    Luo, X P; Yuan, Y; Shi, Y J; Qian, D D

    2016-10-09

    Objective: To evaluate the clinic performance of high strength glass ceramic crowns for the painful cracked teeth during a 10-year observation period. Methods: Forty-two posterior teeth from 36 patients were diagnosed as having a crack, biting painful and sensitivity to cold were selected in the Department of Prosthodontic, Institute and Hospital of Stomatology, Nanjing University Medical School. The lost-wax hot pressed glass ceramic crowns were bonded on the minimally invasive prepared teeth by modern adhesive technology. Patients were interviewed and went through clinic examination after one week, one month, and every six months. Results: The effectiveness of 42 glass ceramic crowns for cracked teeth was evaluated for a mean observation time over 10-year. At the first week, 29(81%) patients were free of pain, three still had sensitivity to cold and chewing pain, three still had sensitivity to cold, one had painful to cold and hot. After one month, two patients still had chewing pain, and one tooth needed endodontic treatment after six months. In 10 years, 2(5%) all ceramic crowns were broken, the other 40 restorations kept good clinical performances with a 10-year survival rate of 95%. Conclusions: The high strength glass ceramic crowns are very effective and successful in treating the cracked teeth and then keep the good mastication function and appearance.

  19. U.S. dental school applicants and enrollees: a ten year perspective.

    PubMed

    Weaver, R G; Haden, N K; Valachovic, R W

    2000-12-01

    Applications to dental schools increased throughout the 1990s until 1997. In 1998 this pattern reversed, and the number of dental school applicants has dropped each year since that time and continues to decline through the application cycle for the 2001-2002 first-year class. Possible reasons for the decline in applications include an abundance of financially rewarding career opportunities fueled by the robust U.S. economy, a reluctance by college students to assume more educational debt, an unfavorable view of healthcare careers in the light of managed care and declining federal reimbursement, and assumptions about the difficulty of gaining admittance to dental school given the high academic achievement of those who have been admitted in recent years. A national decline in the applicant pool does not necessarily translate into a decline for any given dental school. The quality of applicants, judged by grade point averages and Dental Admissions Test scores, is high. Nevertheless, the recent drop in dental school applicants is a cause for concern. Because recruitment must be approached as a process that takes years to yield results, stakeholders in dental education need to sustain vigorous recruiting efforts even in the best of times.

  20. Ten Years of Open Practice: A Reflection on the Impact of OpenLearn

    ERIC Educational Resources Information Center

    Law, Patrina; Jelfs, Anne

    2016-01-01

    The Open University (OU) makes a proportion of all its taught modules available to the public via OpenLearn each year. This process involves the modification, of module excerpts, showcasing subject matter and teaching approach. This activity serves both the University's social and business missions through the delivery of free courses to the…

  1. The Fundacion Universidad Empresa of Madrid, Ten Years of Experience in University-Industry Relations.

    ERIC Educational Resources Information Center

    Saenz de Miera, Antonio

    1983-01-01

    The first 10 years of Spain's leading organization designed to promote the establishment of relationships between universities and industry are discussed. Its activities in scientific and technical research projects and funding, continuing education programs, and coordination of employment opportunities are outlined. (MSE)

  2. Ten years of failure in automatic time tables scheduling at the UTC

    NASA Astrophysics Data System (ADS)

    Trigano, Philippe; Boufflet, Jean-Paul; Newstead, Emma

    1991-03-01

    We chose to tackle the problem of trying to set up time tables of the first 5 years of UTC curriculum, for several reasons: (1) the problem has eluded Operational Research combinatorial techniques for over 6 years, and Artificial Intelligence techniques for over 4 years, despite an average of 2 attempts per year, (2) there is a large amount of data (teaching personal curriculum structure, available classrooms,...), (3) there is no clear optimizing criterion (one must need a maximum flexibility for a student population which has not decided yet which courses it will take), (4) if constraints are taken literally, then the problem has no solution, (5) the actual manual solution involves a consensus between several decision makers, (6) an expert was available and willing to participate in the project. The number of students and of options increasing over the years, the problem is more and more difficult to visualize and to solve efficiently. Several techniques have been tested to solve this problem, but none succeeded. We first tried combinatorial techniques, but the problem has no solution if one cannot violate some of the constraints, and it was not possible to succeed. We tried to use Relational Data Bases to store the several data (more than 5000), but it was not efficient enough. Then, an Object Oriented Data Base gave us the good answer for storing all these data. We tried to use Prolog to solve the problem, but we realized that Backtracking and Backward inferences were not a good solution. We needed an expert system with a forward strategy. Thus, we implemented an expert system integrated into an object oriented data base. The software architecture was correct, but we forgot an important factor: what was the human expert's knowledge? How was it possible to 'catch' that knowledge? In fact, the knowledge base that we used was inefficient, and the system failed one more time. It has good performances during experimental tests. But in fact, it was not able to find a

  3. Ten-year transient luminous events and Earth observations of FORMOSAT-2

    NASA Astrophysics Data System (ADS)

    Chern, Rock Jeng-Shing; Lin, Shin-Fa; Wu, An-Ming

    2015-07-01

    The purpose of this paper is to summarize the enormous contributions of FS2 (FORMOSAT-2 or Formosa satellite #2) in both Earth and transient luminous events (TLEs) observations in 10 years. As a small satellite operated for 10 years (20 May 2004 to 20 May 2014) in orbit, FS2 keeps its two unique characteristics: (1) to orbit 14 revolutions around the Earth per day with daily revisit capability, and (2) to provide the capabilities of Earth observation in sunlight time and TLEs observation in eclipsed time every day. It carries two payloads: the remote sensing instrument (RSI) for Earth imaging in satellite's day time and the imager of sprites and upper atmospheric lightning instrument (ISUAL) for scientific observations in satellite's night time, respectively. Daily revisit capability provides changes of events on Earth in either short time (several days) or long term (several years). Examples include: Indian Ocean earthquake and tsunami (December 2004), disintegration of Wilkins Ice Shelf in Antarctica region (2006-2014, long term), Sichuan earthquake (May 2008), Tohoku earthquake and tsunami (March 2011), polar regions (2006-2014, long term), etc. In the TLEs observation, ISUAL had recorded more than 35,000 events in 10 years with 73.93% elves, 6.54% red sprites, 5.81% halos, 13.42% blue jets and 0.30% gigantic jets. Major contributions of FS2 in this specific scientific area are presented. In particular, current and future research topics on TLEs are discussed. Also, major contributions of FS2's RSI to the United Nations Institute for Training and Research (UNITAR) Operational Satellite Applications Programme (UNOSAT) and Group of Earth Observation System of Systems (GEOSS) are summarized. This paper also addresses briefly the health status of FS2 after working 10 years in orbit.

  4. Implementation and Refinement of a Problem-based Learning Model: A Ten-Year Experience

    PubMed Central

    Crabtree, Brian L.; Theilman, Gary D.; Ross, Brendan S.; Cleary, John D.; Byrd, H. Joseph

    2007-01-01

    Objectives To evaluate the effectiveness of a problem-based learning (PBL) model implemented in 1995 at the University of Mississippi School of Pharmacy. Design The third-professional (P3) year curriculum was reoriented from a faculty-centered model of teaching to a student-centered model of learning. Didactic lectures and structured classroom time were diminished. Small student groups were organized and a faculty facilitator monitored each group's discussions and provided individual student assessments. At the end of each 8-week block, students were assessed on group participation, disease and drug content knowledge, and problem-solving abilities. Faculty and student input was solicited at the end of each year to aid programmatic improvement. In 2000, a formal 5-year review of the PBL program was conducted. Assessment Recommendations for improvement included clarifying course objectives, adopting a peer-review process for examination materials, refining the group assessment instruments, and providing an opportunity for student remediation after a course was failed. A weekly case conference presided over by a faculty content expert was also recommended. Ongoing critical evaluation during the following 5-year period was provided by graduates of the program, faculty participants, and accreditation reviews. Conclusion Over our 10-year experience with a PBL model of P3 education, we found that although the initial challenges of increased demands on personnel and teaching space were easily overcome, student acceptance of the program depended on their acknowledgment of the practical benefits of active learning and on the value afforded their input on curricular development. PMID:17429517

  5. Residential relocations among older people over the course of more than ten years

    PubMed Central

    Buurman, Bianca M.; Trentalange, Mark; Nicholson, Nicholas; McGloin, Joanne M.; Gahbauer, Evelyne A.; Allore, Heather G.; Gill, Thomas M.

    2014-01-01

    Objective To describe the rates of residential relocations over the course of 10.5 years and evaluate differences in these relocation rates according to gender and decedent status. Design Prospective, longitudinal study with monthly telephone follow-up for up to 126 months. Setting Greater New Haven, Connecticut. Participants 754 persons, aged 70 years or older, who were initially community-living and nondisabled in their basic activities of daily living. Measurements Residential location was assessed during monthly interviews and included: community, assisted living facility (AL) and nursing home (NH). A residential relocation was defined as a change of residential location for at least one week and included relocations within (e.g. community-community) or between (community-assisted living) locations. We calculated the rates of relocations/1000 patient-months and evaluated differences by gender and decedent status. Results Sixty-six percent of participants had at least one residential relocation (range 0–12). Women had lower rates of relocations from NH to community (rate ratio (RR) 0.59, p=.02); otherwise, there were no gender differences. Decedents had higher rates of relocation from community to AL (RR 1.71, p=0.002), from community to NH (RR 3.64, p<.001), between ALs (RR 3.65, p<.001) and from AL to NH (RR 2.5, p<0.001). In decedents, relocations from community to NH (RR 3.58, p<.001) and from AL to NH (RR 3.3, p<.001) were most often observed in the last year of life. Conclusions A majority of older people relocated at least once during 10.5 years follow-up. Women had lower rates of relocation from NH to community. Decedents were more likely to relocate to a residential location providing a higher level of assistance, compared with non-decedents. Residential relocations were most common in the last year of life. PMID:24794829

  6. Ten years of Cassini Discoveries in the Saturn System and More Excitement to Come

    NASA Astrophysics Data System (ADS)

    Spilker, Linda J.; Edgington, Scott; Altobelli, Nicolas

    2014-11-01

    Cassini’s findings have revolutionized our understanding of Saturn, its complex rings, the amazing assortment of moons and the planet’s dynamic magnetic environment. The robotic spacecraft arrived in 2004 after a 7-year flight from Earth, dropped a parachuted probe named Huygens to study the atmosphere and surface of Saturn’s big moon Titan, and commenced making astonishing discoveries that continue today. Icy jets shoot from the tiny moon Enceladus; Titan’s hydrocarbon lakes and seas are dominated by liquid ethane and methane, and complex pre-biotic chemicals form in the atmosphere and rain to the surface; 3-dimensional structures rise above Saturn’s rings, and a giant Saturn storm circled the entire planet. Cassini’s findings at Saturn have also fundamentally altered many of our concepts of how planets form around stars. The Solstice Mission continues to provide fundamental new science as Cassini observes seasonal and temporal changes, and addresses new questions that have arisen during the mission thus far. Cassini is now 4 years into its 7-year Solstice Mission. The mission’s grand finale occurs in 2017, with 22 inclined orbits between the innermost D ring and the upper portions of Saturn’s atmosphere, enabling unique gravity and magnetic field measurements of the planet, unprecedented determination of the ring mass, some of the highest resolution measurements of the rings and Saturn, and in situ observations in a completely new region around the planet. Highlights from 10 years of Cassini’s ambitious inquiry at Saturn will be presented along with the remarkable science that will be collected in the next three years.Cassini-Huygens is a cooperative undertaking by NASA, the European Space Agency (ESA), and the Italian space agency (Agenzia Spaziale Italiana, ASI).This work was carried out in part at the Jet Propulsion Laboratory, California Institute of Technology, under contract with NASA. Copyright 2014 California Institute of Technology

  7. Ten-year outcomes of a randomised trial of laparoscopic versus open surgery for colon cancer.

    PubMed

    Deijen, Charlotte L; Vasmel, Jeanine E; de Lange-de Klerk, Elly S M; Cuesta, Miguel A; Coene, Peter-Paul L O; Lange, Johan F; Meijerink, W J H Jeroen; Jakimowicz, Jack J; Jeekel, Johannes; Kazemier, Geert; Janssen, Ignace M C; Påhlman, Lars; Haglind, Eva; Bonjer, H Jaap

    2017-06-01

    Laparoscopic surgery for colon cancer is associated with improved recovery and similar cancer outcomes at 3 and 5 years in comparison with open surgery. However, long-term survival rates have rarely been reported. Here, we present survival and recurrence rates of the Dutch patients included in the COlon cancer Laparoscopic or Open Resection (COLOR) trial at 10-year follow-up. Between March 1997 and March 2003, patients with non-metastatic colon cancer were recruited by 29 hospitals in eight countries and randomised to either laparoscopic or open surgery. Main inclusion criterion for the COLOR trial was solitary adenocarcinoma of the left or right colon. The primary outcome was disease-free survival at 3 years, and secondary outcomes included overall survival and recurrence. The 10-year follow-up data of all Dutch patients were collected. Analysis was by intention-to-treat. The trial was registered at ClinicalTrials.gov (NCT00387842). In total, 1248 patients were randomised, of which 329 were Dutch. Fifty-eight Dutch patients were excluded and 15 were lost to follow-up, leaving 256 patients for 10-year analysis. Median follow-up was 112 months. Disease-free survival rates were 45.2 % in the laparoscopic group and 43.2 % in the open group (difference 2.0 %; 95 % confidence interval (CI) -10.3 to 14.3; p = 0.96). Overall survival rates were 48.4 and 46.7 %, respectively (difference 1.7 %; 95 % CI -10.6 to 14.0; p = 0.83). Stage-specific analysis revealed similar survival rates for both groups. Sixty-two patients were diagnosed with recurrent disease, accounting for 29.4 % in the laparoscopic group and 28.2 % in the open group (difference 1.2 %; 95 % CI -11.1 to 13.5; p = 0.73). Seven patients had port- or wound-site recurrences (laparoscopic n = 3 vs. open n = 4). Laparoscopic surgery for non-metastatic colon cancer is associated with similar rates of disease-free survival, overall survival and recurrences as open surgery at 10-year follow-up.

  8. Ten-year detection rate of brain arteriovenous malformations in a large, multiethnic, defined population.

    PubMed

    Gabriel, Rodney A; Kim, Helen; Sidney, Stephen; McCulloch, Charles E; Singh, Vineeta; Johnston, S Claiborne; Ko, Nerissa U; Achrol, Achal S; Zaroff, Jonathan G; Young, William L

    2010-01-01

    To evaluate whether increased neuroimaging use is associated with increased brain arteriovenous malformation (BAVM) detection, we examined detection rates in the Kaiser Permanente Medical Care Program of northern California between 1995 and 2004. We reviewed medical records, radiology reports, and administrative databases to identify BAVMs, intracranial aneurysms (IAs: subarachnoid hemorrhage [SAH] and unruptured aneurysms), and other vascular malformations (OVMs: dural fistulas, cavernous malformations, Vein of Galen malformations, and venous malformations). Poisson regression (with robust standard errors) was used to test for trend. Random-effects meta-analysis generated a pooled measure of BAVM detection rate from 6 studies. We identified 401 BAVMs (197 ruptured, 204 unruptured), 570 OVMs, and 2892 IAs (2079 SAHs and 813 unruptured IAs). Detection rates per 100 000 person-years were 1.4 (95% CI, 1.3 to 1.6) for BAVMs, 2.0 (95% CI, 1.8 to 2.3) for OVMs, and 10.3 (95% CI, 9.9 to 10.7) for IAs. Neuroimaging utilization increased 12% per year during the time period (P<0.001). Overall, rates increased for IAs (P<0.001), remained stable for OVMs (P=0.858), and decreased for BAVMs (P=0.001). Detection rates increased 15% per year for unruptured IAs (P<0.001), with no change in SAHs (P=0.903). However, rates decreased 7% per year for unruptured BAVMs (P=0.016) and 3% per year for ruptured BAVMs (P=0.005). Meta-analysis yielded a pooled BAVM detection rate of 1.3 (95% CI, 1.2 to 1.4) per 100 000 person-years, without heterogeneity between studies (P=0.25). Rates for BAVMs, OVMs, and IAs in this large, multiethnic population were similar to those in other series. During 1995 to 2004, a period of increasing neuroimaging utilization, we did not observe an increased rate of detection of unruptured BAVMs, despite increased detection of unruptured IAs.

  9. The Catskill-Cairo experimental rigid pavement: A ten-year progress report

    NASA Astrophysics Data System (ADS)

    Vyce, J. M.; Phillips, R. G.

    1981-07-01

    The Catskill-Cairo experimental rigid pavement, open to traffic for over 10 years, shows very little change in condition. Test sections include 60-ft 10-in. slab lengths reinforced with mesh and containing load-transfer devices, 20-ft slab lengths with no mesh reinforcement but both with and without load-transfer devices, and three types of base material. All sections are in good condition, with little added roughness, little faulting, and light cracking. More important, there are no significant differences in performance of the various designs. The lack of distress and performance differences among the various designs is most likely due to the light traffic volumes carried by the test road. This situation led to the conclusion that none of the design alternatives can be eliminated based on performance of this test road after 10 years.

  10. Ten and a half years seroepidemiology of Mycoplasma pneumoniae infection in Denmark.

    PubMed Central

    Lind, K.; Bentzon, M. W.

    1991-01-01

    The study was based on a computerized card index of 9161 patients who had at least one positive blood specimen in the Mycoplasma pneumoniae complement fixation test. A total of 12,562 specimens from these patients had been sent to Statens Seruminstitut from hospitals and general practitioners during a 10.5-year period. The period encompassed a previously described endemic period in a 30-year study of the epidemiological pattern of M. pneumoniae infection in Denmark. The serological data presented support the hypothesis advanced here that a more than sixfold increase of children in day care might have contributed to a change in the epidemiological pattern. The correlation between age and level of specific antibodies, as well as persistence of seropositivity, were also investigated. PMID:1908784

  11. [Ten years of protection of the maternity leave of women working in Pistoia].

    PubMed

    Pellegrini, M; Panzone, I; Genovese, P; Fedi, A; Ciapini, C; Innocenti, A

    2007-01-01

    We have analyzed 1175 interventions about pregnant women who came, from 1997 to 2006, to our public occupational health service, asked for the advance the abstention of work during pregnancy. Requests for advance the abstention of work during pregnancy came from service sector (welfare, school and cleaning--29%), shoe industry (14.4%), textile and clothing industry (11.4%), commerce (characterized by prolonged standing straight 13%), health service (8.7%), tourism (8%). The first seven years (1997-2003) the prevailing risks have been the muscular effort and the postures, while the last three years (2004-2006) have increased biological and chemical risks. The most important principles of labour protection for pregnant women is the agreement with every subject, and the information of the social parties, but above all the direct information of the women.

  12. Teaching communications and professionalism through writing and humanities: reflections of ten years of experience.

    PubMed

    Sklar, David P; Doezema, David; McLaughlin, Steve; Helitzer, Deborah

    2002-11-01

    Both professionalism and interpersonal communication are core competencies for emergency medicine residents as well as residents from other specialties. The authors describe a weekly, small-group seminar lasting one year for emergency medicine residents that incorporates didactic materials, case studies, narrative expression (stories and poems), and small-group discussion. Examples of cases and narrative expressions are provided and a rationale for utilizing the format is explained. A theoretical model for evaluation measures is also included.

  13. Hallucinations and sleep disorders in PD: ten-year prospective longitudinal study.

    PubMed

    Goetz, Christopher G; Ouyang, Bichun; Negron, Alice; Stebbins, Glenn T

    2010-11-16

    To assess prospectively progression and relationship of hallucinations and sleep disorders over a 10-year longitudinal study of patients with Parkinson disease (PD). Eighty-nine patients with PD were recruited to fill cells of normal sleep without hallucinations (n = 20), sleep fragmentation only (n = 20), vivid dreams/nightmares (n = 20), hallucinations with insight (n = 20), and hallucinations without insight (n = 9). At baseline, 0.5, 1.5, 4, 6, and 10 years, sleep disorders and hallucinations were assessed by standardized scales with the longitudinal data analyzed by generalized estimating equations with assumptions of linearity in time. At 10 years, we could account for all subjects (27 interviewed, 61 deceased, and 1 too ill for interview). Hallucination prevalence and severity increased over time (p < 0.0001, p = 0.0001). Acting out dreams also increased over time (p = 0.001). In contrast, presence of vivid dreams/nightmares or sleep fragmentation did not increase over time. For all visits, the prevalence of sleep fragmentation did not differ between subjects with vs without hallucinations (odds ratio [OR] = 1.50, p = 0.09). However, severe sleep fragmentation was associated with concurrent hallucinations (OR 2.01, p = 0.006). The presence of hallucinations was also highly associated with concurrent vivid dreams/nightmares (OR = 2.60, p < 0.0001) and with concurrent acting out dreams (OR = 2.38, p = 0.0004). Among the baseline nonhallucinators, no sleep abnormalities at study entry predicted future development of hallucinations. Hallucinations and sleep abnormalities follow very different patterns of progression in PD over 10 years. Whereas patients with hallucinations often have concurrent sleep aberrations, no sleep problem is predictive of future hallucinations.

  14. Body-size preferences in Croatian children ages seven to ten years.

    PubMed

    Ambrosi-Randić, Neala; Pokrajac-Bulian, Alessandra

    2003-06-01

    288 Croatian school children, ages 7 to 10 years rated their current and ideal body sizes on Collins' figures and chose the favorite figure for their same- and opposite-sex friends. Girls aged 10 preferred their female friends' figure to be more similar to their own, while boys preferred a friend's to be larger. These findings support cultural ideal of thinness for girls and strength for boys.

  15. Report on Ten Years' Experience of Premarital Hemoglobinopathy Screening at a Center in Antalya, Southern Turkey.

    PubMed

    Canatan, Duran; Delibas, Serpil

    2016-08-01

    Thalassemia and hemoglobinopathies are a major public health problem in Turkey. Hemoglobinopathy prevention programs (HPPs) were started in 33 provinces situated in Thrace, Marmara, Aegean, Mediterranean and South Eastern regions of Turkey in 2003. A premarital hemoglobinopathy test is mandatory and free of charge in this program. According to the Ministry of Health reports, 46 first level hemoglobinopathy diagnostic centers were established for premarital tests. Within the last 10 years, approximately 79.0% of married individuals per year were screened by the centers. While the percentage of premarital screening tests was 30.0% of all couples in 2003, it reached 86.0% in 2013. The number of newborn with thalassemia and hemoglobinopathies were 272 in 2002 and dropped to 25 in 2013. There has been a 90.0% reduction in affected births. Our hemoglobinopathy diagnostic center was established in 2003 and licensed by the Ministry of Health in 2004. We studied a total of 89,981 blood samples from premarital tests for 10 years and the incidence of β- and α-thalassemia (β- and α-thal) trait was found to be 6.57 and 3.56%, respectively. The distribution of the most common abnormal hemoglobins (Hbs) was: Hb S (HBB: c.20A > T) (0.31%), Hb D-Los Angeles (HBB: c.364G > C) (0.15%), Hb G-Coushatta (HBB: c.68A > C) (0.06%) and Hb E (HBB: c.79G > A) (0.02%). A total of 60 couples, both carrying β-thal trait, were directed to the prenatal diagnosis (PND) center in 10 years. The premarital hemoglobinopathy screening program is running successfully at our center and other centers in Turkey.

  16. Human Metapneumovirus: Insights from a Ten-Year Molecular and Epidemiological Analysis in Germany

    PubMed Central

    Reiche, Janine; Jacobsen, Sonja; Neubauer, Katrin; Hafemann, Susi; Nitsche, Andreas; Milde, Jeanette; Wolff, Thorsten; Schweiger, Brunhilde

    2014-01-01

    Human metapneumovirus (HMPV) is a cause of respiratory tract illness at all ages. In this study the epidemiological and molecular diversity among patients of different ages was investigated. Between 2000–2001 and 2009–2010, HMPV was detected in 3% (138/4,549) of samples from outpatients with influenza-like illness with a new, sensitive real-time RT-PCR assay. Several hundred (797) clinical specimens from hospitalized children below the age of 4 years with acute respiratory illness were investigated and HMPV was detected in 11.9% of them. Investigation of outpatients revealed that HMPV infections occurred in individuals of all ages but were most prevalent in children (0–4 years) and the elderly (>60 years). The most present clinical features of HMPV infections were cough, bronchitis, fever/shivers and pneumonia. About two thirds of HMPV-positive samples were detected in February and March throughout the study period. Molecular characterization of HMPV revealed a complex cyclic pattern of group dominance where HMPV subgroup A and B viruses predominated in general for three consecutive seasons. German HMPV represented all genetic lineages including A1, A2, B1, B2, sub-clusters A2a and A2b. For Germany, not only time-dependent circulation of lineages and sub-clusters was observed but also co-circulation of two or three predominant lineages. Two newly emerging amino acid substitutions (positions 223 and 280) of lineage B2 were detected in seven German HMPV sequences. Our study gives new insights into the molecular epidemiology of HMPV in in- and outpatients over a time period of 10 years for the first time. It is one of only few long-term surveillance studies in Europe, and allows comparative molecular analyses of HMPV circulating worldwide. PMID:24505479

  17. Ten-year clinical epidemiological trends of intracerebral hemorrhage in Chongqing, China.

    PubMed

    Yan, Pengcheng; Eckermann, Jan M; Qin, Xinyue; Zhang, John H

    2010-10-01

    The combination of an increase in aged population and adaptation of Western lifestyle is modifying the epidemiological status of intracerebral hemorrhage in China. The purpose of this study is to analyse and characterize the changing trends of intracerebral hemorrhage in Chongqing, the largest city in Southwest China, over the past 10 years. We retrospectively reviewed the medical records of patients diagnosed with intracerebral hemorrhage who visited the First Affiliated Hospital of Chongqing Medical University from 1 January 1998 to 31 December 1998 and from 1 January 2008 to 31 December 2008, respectively. Relevant variable information of these two populations for the two time periods was compared and discussed. There were a total of 404 intracerebral hemorrhage patients who met the study criteria and registered in the First Affiliated Hospital in 1998 (128 cases) and 2008 (276 cases). The highest incidence of intracerebral hemorrhage was noted in the 1960s and 1970s age groups. The mean onset age of intracerebral hemorrhage was 2·65 years older in 2008 compared to 1998, specifically 2·10 years older for men and 3·38 years for women. In 1998, male intracerebral hemorrhage patients outnumbered female patients (1·42:1). This gender disproportion became higher in 2008 (1·63:1). Hypertension accounts for the highest proportion of all risk factors. The number of patients had minimally invasive interventions (intracranial hematoma drainage) was increased, and the in-hospital mortality rate decreased to 14·13% in 2008 from 19·53% in 1998. We identified changes in population characteristics of patients with intracerebral hemorrhage during a period of economic development in China. These changes in patterns of intracerebral hemorrhage have raised new challenges and the needs for priority adjustment in the campaign for intracerebral hemorrhage prevention in China and other developing countries.

  18. Ten-year survival after epithelial ovarian cancer is not associated with BRCA mutation status.

    PubMed

    Kotsopoulos, Joanne; Rosen, Barry; Fan, Isabel; Moody, Joel; McLaughlin, John R; Risch, Harvey; May, Taymaa; Sun, Ping; Narod, Steven A

    2016-01-01

    After a diagnosis of ovarian cancer, positive BRCA mutation status confers a transient mortality benefit that diminishes with time. The majority of women who survive for 10-12 years are effectively cured of their disease. Thus, it is important to estimate the probability of long-term survival by BRCA mutation status and treatment-related factors. We included unselected epithelial ovarian cancers diagnosed in Ontario, Canada from 1995 to 1999 and from 2002 to 2004. Clinical information was obtained from medical records. Survival status was determined by linkage to the Ontario Cancer Registry. We estimated the annual mortality for these patients. We compared women who did and did not survive 10 years for a range of factors including BRCA mutation status and extent of residual disease post-surgery. Of the 1421 patients, 109 (7.7%) had BRCA1 mutations and 68 (4.8%) had BRCA2 mutations. A status of no residual disease was achieved by 39% of non-carriers and 19% of mutation carriers (P<0.0001). By 10-years of follow-up, 43% of non-carriers, 57% of BRCA1 mutation carriers and 69% of BRCA2 mutation carriers had died from ovarian cancer. Among women with stage III/IV serous cancers and no residual disease, the 10-year actuarial survival was 42% for non-carriers and 29% for mutation carriers (P=0.40). The initial survival advantage among women with BRCA mutations may reflect a higher initial sensitivity of BRCA carriers to chemotherapy, but this response does not predict long-term survival. The strongest predictor of long-term survival is status of no residual disease at resection. Copyright © 2015. Published by Elsevier Inc.

  19. [Surgery of bronchiectasis: what have changed in the last ten years?].

    PubMed

    António, Carla; Pinto, Nelson; Bihun, Vyacheslav; Bernardo, João; Antunes, Manuel

    2010-01-01

    Bronchiectasis is defined as chronic abnormal dilatation and distortion of the bronchi. Surgery continues to be play an important role in the treatment of this disease especially in focal disease which is both curative. The objective of this study is to characterize the patients who underwent surgical resection of bronchiectasis in 10 years and compare them with patients operated by the same pathology in the previous 10 years. We conducted a review of cases of 78 patients operated in the 2000 ' s and the results were compared with those obtained in the study by the same professional service, referring to the previous decade. We assessed sex, age, symptoms, number of years with symptoms, complementary exams performed prior to surgery, indications for surgery, previous pulmonary diseases, location of bronchiectasis, type of surgical approach, number of hospitalization days and complications of surgery. In the last decade a smaller number of patients with bronchiectasis ( 78 versus 119 ) were submitted to thoracic surgery. In both groups the right lung and the lower lobes were the most affected and the majority of patients was submitted to lobectomy. In the last decade a lower percentage of complications was registed ( 6.4 %, versus 15.0 % (. The surgery was considered to be curative in 94.9 % and only 91 % in the 90 ' s. This study would support the idea that the surgery of bronchiectasis continues to be an excellent alternative to the treatment of localized forms of the disease and its complications.

  20. Ten-Year Survival in Patients with Idiopathic Pulmonary Fibrosis After Lung Transplantation.

    PubMed

    ten Klooster, Liesbeth; Nossent, George D; Kwakkel-van Erp, Johanna M; van Kessel, Diana A; Oudijk, Erik J; van de Graaf, Ed A; Luijk, Bart; Hoek, Rogier A; van den Blink, Bernt; van Hal, Peter Th; Verschuuren, Erik A; van der Bij, Wim; van Moorsel, Coline H; Grutters, Jan C

    2015-12-01

    Idiopathic pulmonary fibrosis (IPF) is a progressive and lethal fibrosing lung disease with a median survival of approximately 3 years after diagnosis. The only medical option to improve survival in IPF is lung transplantation (LTX). The purpose of this study was to evaluate trajectory data of IPF patients listed for LTX and to investigate the survival after LTX. Data were retrospectively collected from September 1989 until July 2011 of all IPF patients registered for LTX in the Netherlands. Patients were included after revision of the diagnosis based on the criteria set by the ATS/ERS/JRS/ALAT. Trajectory data, clinical data at time of screening, and donor data were collected. In total, 98 IPF patients were listed for LTX. During the waiting list period, 30 % of the patients died. Mean pulmonary artery pressure, 6-min walking distance, and the use of supplemental oxygen were significant predictors of mortality on the waiting list. Fifty-two patients received LTX with a median overall survival after transplantation of 10 years. This study demonstrated a 10-year survival time after LTX in IPF. Furthermore, our study demonstrated a significantly better survival after bilateral LTX in IPF compared to single LTX although bilateral LTX patients were significantly younger.

  1. Temporomandibular total joint prosthesis infections: a ten-year retrospective analysis.

    PubMed

    McKenzie, W S; Louis, P J

    2017-05-01

    A retrospective review of 178 total temporomandibular joint replacements (TJR) performed on 106 patients at the University of Alabama at Birmingham during the years 2000-2010 was completed. Data regarding sex, past medical history, prosthesis manufacturer, microbiology, antibiotic therapy, and the need for additional procedures were obtained from the medical records of patients who developed a prosthetic joint infection following TJR. Of the 106 patients, 95 (89.6%) were female and 11 (10.4%) were male. The average age of the patients was 47 years (range 19-68 years). Sixty patients underwent bilateral TJR. The average length of follow-up was 41 months. Of the 178 TJR performed, eight joints (4.5%) developed an infection of the prosthesis, all requiring removal despite antibiotic therapy. The average time to onset of infection was 14.3 months (range 6 days to 72 months), while the average time to removal of the prosthesis was 26.9 months (range 10 weeks to 84 months). Microbiology data from the infected joints revealed colonization with coagulase-negative Staphylococcus (4/8 joints) and Propionibacterium (2/8 joints), as well as Serratia and Peptostreptococcus species. Three of the prostheses had negative cultures. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.

  2. Ten-year antibody persistence induced by hepatitis A and B vaccine (Twinrix) in adults.

    PubMed

    Van Herck, K; Leroux-Roels, G; Van Damme, P; Srinivasa, K; Hoet, B

    2007-05-01

    Hepatitis A and B infections are prevalent worldwide and cause significant morbidity and mortality. A combined vaccine providing dual protection against hepatitis A and B is available (Twinrix, GlaxoSmithKline Biologicals). Two cohorts of adults aged 17-43 years were vaccinated with Twinrix according to a 0, 1, 6 months schedule and followed up for 10 years. One month after the primary vaccination course (Month 7), all subjects were seropositive for anti-HAV and all had anti-HBs> or = 10 mIU/ml. At month 120, 100% of subjects (N=34; N=29) in both cohorts were seropositive for anti-HAV; 94.1% and 86.2% of subjects had anti-HBs > or = 10 mIU/ml. The geometric mean concentrations (GMC; mIU/ml) were 373.9 and 674.6 in the two cohorts for anti-HAV, and 103.8 and 320.0, respectively, for anti-HBs. None of the serious adverse events reported throughout the follow-up period were considered by the investigator to be causally related to vaccination. Combined hepatitis A and B vaccine, Twinrix, is safe, well-tolerated and has demonstrated a highly immunogenic profile. Persistence of anti-HAV and anti-HBs antibodies in adults remains high for at least 10 years after primary vaccination.

  3. Ten-year-old children strategies in mental addition: A counting model account.

    PubMed

    Thevenot, Catherine; Barrouillet, Pierre; Castel, Caroline; Uittenhove, Kim

    2016-01-01

    For more than 30 years, it has been admitted that individuals from the age of 10 mainly retrieve the answer of simple additions from long-term memory, at least when the sum does not exceed 10. Nevertheless, recent studies challenge this assumption and suggest that expert adults use fast, compacted and unconscious procedures in order to solve very simple problems such as 3+2. If this is true, automated procedures should be rooted in earlier strategies and therefore observable in their non-compacted form in children. Thus, contrary to the dominant theoretical position, children's behaviors should not reflect retrieval. This is precisely what we observed in analyzing the responses times of a sample of 42 10-year-old children who solved additions with operands from 1 to 9. Our results converge towards the conclusion that 10-year-old children still use counting procedures in order to solve non-tie problems involving operands from 2 to 4. Moreover, these counting procedures are revealed whatever the expertise of children, who differ only in their speed of execution. Therefore and contrary to the dominant position in the literature according to which children's strategies evolve from counting to retrieval, the key change in development of mental addition solving appears to be a shift from slow to quick counting procedures. Copyright © 2015 Elsevier B.V. All rights reserved.

  4. Tracheostomy in children: a ten-year experience from a tertiary center in southern Brazil.

    PubMed

    Schweiger, Cláudia; Manica, Denise; Becker, Carolina Fischer; Abreu, Larissa Santos Perez; Manzini, Michelle; Sekine, Leo; Kuhl, Gabriel

    2016-08-24

    Children may require tracheostomy due to many different health conditions. Over the last 40 years, indications of tracheostomy have endorsed substantial modifications. To evaluate pediatric patients warranted tracheostomy at our Hospital, in regard to their indications, associated comorbidities, complications and decannulation rates. Retrospective study concerning patients under 18 years of age undergoing tracheostomy in a tertiary health care center, from January 2006 to November 2015. One hundred and twenty-three children required a tracheostomy after ENT evaluation during the study period. A proportion of 63% was male, and 56% was under one year of age. Glossoptosis was the most common indication (30%), followed by subglottic stenosis (16%) and pharyngomalacia (11%). The mortality rate was 31%. By the end of this review, 35 children (28.4%) had been decannulated, and the fewer the number of comorbidities, the greater the decannulation rate (0.77±0.84 vs. 1.7±1.00 comorbidities; p<0.001). Tracheostomy in children is a relatively frequent procedure at our hospital. The most common indications are glossoptosis and subglottic stenosis. A high mortality rate was found, potentially substantiated by the high number of critical care patients with chronic neurological conditions in this cohort. Our decannulation rate is slightly below other series, probably because of the greater amount of patients with comorbidities. Copyright © 2016 Associação Brasileira de Otorrinolaringologia e Cirurgia Cérvico-Facial. Published by Elsevier Editora Ltda. All rights reserved.

  5. [Ten years comparison of diagnosis and treatment of asthma in urban children in China].

    PubMed

    Sha, Li; Liu, Chuanhe; Shao, Mingjun; Chen, Yuzhi

    2016-03-01

    To compare the changes of diagnosis, treatment and control of 0-14 years old urban asthma children during 10 years. The questionnaires were given to diagnosed asthmatic children during the national epidemiological survey of asthma in children in 2000 and 2010 to understand the diagnosis and treatment of asthma and the status of the disease control. Children with asthma of a total of 36 cities were involved in this study, and the diagnosed asthma children in recent 2 years were 6,128 and 8 174, separately. Data were stored using epi-info software by double entry, V19.0 of SPSS was used to do the statistical analysis , χ(2) test was used. The proportion of correct diagnosis of asthma before investigation in 2010 was 64.6%, while it was 70.7% in 2010, which showed a significant increase (χ(2) = 59.3, P < 0.01). Diagnosis rate of asthma onset within 1 year was separately 50.8% and 78.6% in 2000 and 2010. The early diagnostic rate was significantly higher in 2010 than that in 2000 (χ(2) = 817.7, P < 0.01). In 2000 and 2010 children with asthma medication in the use of inhaled corticosteroids was 36.3% and 61.7%, it increased by 0.7 times in 2010 (χ(2) = 907.5, P < 0.01). Systemic corticosteroids utilization rate was separately 74.2% and 39.1% (χ(2) = 1 730.6, P < 0.01). Beta 2 agonists utilization rate was separately 71.8% and 73.4%, showing a slight rise (χ(2) = 4.3, P < 0.05). Antibiotics usage was separately 97.4% and 76.0%, compared to a decrease of 21.4% (χ(2) = 1 274.2, P < 0.01). In the survey of 2000 and 2010, children with acute asthma attacks within recent 1 year were separately 86.3% and 77.0% (χ(2) = 194.0, P<0.01), hospitalizations for asthma attack were separately 54.0% and 47.3% (χ(2) = 61.7, P < 0.01), rate of absence from school due to asthma less than 10 days was separately 47.5% and 71.4% (χ(2) = 682.6, P < 0.01). The rates of correct diagnosis and early diagnosis of asthma in urban Chinese children within 1 year had a significant increase

  6. Ten-Year Review of Major Birth Defects in VLBW Infants

    PubMed Central

    Hansen, Nellie I.; Shankaran, Seetha; Bell, Edward F.; Boghossian, Nansi S.; Murray, Jeffrey C.; Laptook, Abbot R.; Walsh, Michele C.; Carlo, Waldemar A.; Sánchez, Pablo J.; Van Meurs, Krisa P.; Das, Abhik; Hale, Ellen C.; Newman, Nancy S.; Ball, M. Bethany; Higgins, Rosemary D.; Stoll, Barbara J.

    2013-01-01

    OBJECTIVE: Birth defects (BDs) are an important cause of infant mortality and disproportionately occur among low birth weight infants. We determined the prevalence of BDs in a cohort of very low birth weight (VLBW) infants cared for at the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN) centers over a 10-year period and examined the relationship between anomalies, neonatal outcomes, and surgical care. METHODS: Infant and maternal data were collected prospectively for infants weighing 401 to 1500 g at NRN sites between January 1, 1998, and December 31, 2007. Poisson regression models were used to compare risk of outcomes for infants with versus without BDs while adjusting for gestational age and other characteristics. RESULTS: A BD was present in 1776 (4.8%) of the 37 262 infants in our VLBW cohort. Yearly prevalence of BDs increased from 4.0% of infants born in 1998 to 5.6% in 2007, P < .001. Mean gestational age overall was 28 weeks, and mean birth weight was 1007 g. Infants with BDs were more mature but more likely to be small for gestational age compared with infants without BDs. Chromosomal and cardiovascular anomalies were most frequent with each occurring in 20% of affected infants. Mortality was higher among infants with BDs (49% vs 18%; adjusted relative risk: 3.66 [95% confidence interval: 3.41–3.92]; P < .001) and varied by diagnosis. Among those surviving >3 days, more infants with BDs underwent major surgery (48% vs 13%, P < .001). CONCLUSIONS: Prevalence of BDs increased during the 10 years studied. BDs remain an important cause of neonatal morbidity and mortality among VLBW infants. PMID:23733791

  7. Death in Community Australian Football: A Ten Year National Insurance Claims Report

    PubMed Central

    Finch, Caroline F.

    2016-01-01

    While deaths are thought to be rare in community Australian sport, there is no systematic reporting so the frequency and leading causes of death is unknown. The aim of this study was to describe the frequency and cause of deaths associated with community-level Australian Football (AF), based on insurance-claims records. Retrospective review of prospectively collected insurance-claims for death in relation to community-level AF activities Australia-wide from 2004 to 2013. Eligible participants were aged 15+ years, involved in an Australian football club as players, coaches, umpires or supporting roles. Details were extracted for: year of death, level of play, age, sex, anatomical location of injury, and a descriptive narrative of the event. Descriptive data are presented for frequency of cases by subgroups. From 26,749 insurance-claims relating to AF, 31 cases were in relation to a death. All fatalities were in males. The initial event occurred during on-field activities of players (football matches or training) in 16 cases. The remainder occurred to people outside of on-field football activity (n = 8), or non-players (n = 7). Road trauma (n = 8) and cardiac conditions (n = 7) were the leading identifiable causes, with unconfirmed and other causes (including collapsed or not yet determined) comprising 16 cases. Although rare, fatalities do occur in community AF to both players and people in supporting roles, averaging 3 per year in this setting alone. A systematic, comprehensive approach to data collection is urgently required to better understand the risk and causes of death in participants of AF and other sports. PMID:27467365

  8. Ten years of measured UV Index from the Spanish UVB Radiometric Network.

    PubMed

    Utrillas, M P; Marín, M J; Esteve, A R; Estellés, V; Gandía, S; Núnez, J A; Martínez-Lozano, J A

    2013-08-05

    An analysis is made of the UV Index (UVI) obtained from the ultraviolet erythemal solar radiation (UVER) data measured by the Spanish UVB Radiometric Network between the years 2000 and 2009. Previously, the daily UVI has been evaluated using two different criteria: (a) the value corresponding to solar noon; and (b) the daily maximum value. The mean percentage of agreement is 92% if we consider the cases for which the difference is zero or one UVI unit. These results are similar to those obtained in a previous work where only 2 years were analyzed. In all the stations the UVI reaches very high values (8-10) in spring-summer, and the very high and extreme (≥ 11) UVI values are more dependent on the continental effect than on the latitude effect. From the UVI values it is possible to classify the stations into four groups: Coastal stations, Continental stations (more than 200 km from the coast), Southern stations (Coastal stations but with similar values of UVI as the Continental ones due to their low latitude) and Canary Islands stations (1400 km southwest from the Iberian Peninsula thus lower latitude). The monthly mean maximum of UVI is reached in July due to the annual evolution of the total ozone column. This value corresponds, for a skin phototype II, to three times the minimal erythemal dose (MED) in an hour in a Coastal station, 3.5 MEDs in an hour measured in a Continental or Southern station and up five MEDs in an hour in the Izaña station (Canary Islands). The cumulative dose on a horizontal plane over an average year has been calculated for each station. More than 40% of the annual dose is received in summer, about 35% in spring, more than 11% in autumn and less than 10% in winter except for the stations in the Canary Islands where the difference between seasons is less significant. Copyright © 2013 Elsevier B.V. All rights reserved.

  9. Ten-Year Recurrence Rates in Young Women With Breast Cancer by Locoregional Treatment Approach

    SciTech Connect

    Beadle, Beth M.; Woodward, Wendy A. Tucker, Susan L.; Outlaw, Elesyia D.; Allen, Pamela K.; Oh, Julia L.; Strom, Eric A.; Perkins, George H.; Tereffe, Welela; Yu, T.-K.; Meric-Bernstam, Funda; Litton, Jennifer K.; Buchholz, Thomas A.

    2009-03-01

    Purpose: Young women with breast cancer have higher locoregional recurrence (LRR) rates than older patients. The goal of this study is to determine the impact of locoregional treatment strategy, breast-conserving therapy (BCT), mastectomy alone (M), or mastectomy with adjuvant radiation (MXRT), on LRR for patients 35 years or younger. Methods and Materials: Data for 668 breast cancers in 652 young patients with breast cancer were retrospectively reviewed; 197 patients were treated with BCT, 237 with M, and 234 with MXRT. Results: Median follow-up for all living patients was 114 months. In the entire cohort, 10-year actuarial LRR rates varied by locoregional treatment: 19.8% for BCT, 24.1% for M, and 15.1% for MXRT (p = 0.05). In patients with Stage II disease, 10-year actuarial LRR rates by locoregional treatment strategy were 17.7% for BCT, 22.8% for M, and 5.7% for MXRT (p = 0.02). On multivariate analysis, M (hazard ratio, 4.45) and Grade III disease (hazard ratio, 2.24) predicted for increased LRR. In patients with Stage I disease, there was no difference in LRR rates based on locoregional treatment (18.0% for BCT, 19.8% for M; p = 0.56), but chemotherapy use had a statistically significant LRR benefit (13.5% for chemotherapy, 27.9% for none; p = 0.04). Conclusions: Young women have high rates of LRR after breast cancer treatment. For patients with Stage II disease, the best locoregional control rates were achieved with MXRT. For patients with Stage I disease, similar outcomes were achieved with BCT and mastectomy; however, chemotherapy provided a significant benefit to either approach.

  10. Evolving trends in surgically managed patients with proximal humerus fracture: are we different after ten years?

    PubMed Central

    Hong, Choon Chiet; Hey, Dennis Hwee Weng; Murphy, Diarmuid

    2014-01-01

    INTRODUCTION New knowledge, and improved surgical hardware and fixation techniques have changed surgical management. We review the evolving trends of surgically managed proximal humerus fractures. METHODS Patients who underwent surgery for proximal humerus fractures from 1 January 2001 to 31 December 2010 were identified from the hospital’s electronic diagnosis and operative coding database. Data extracted from the database included patient demographics, comorbidities, clinical and radiological findings, operative techniques, and complications. RESULTS In total, 95 patients with 97 surgically managed proximal humerus fractures were identified. The median age of the patients was 50 (range 12–85) years, and the male to female ratio was 1.2:1.0. Male patients tended to present at a younger age than female patients (peak age 30–39 years vs. 70–79 years, p < 0.001). Two-part surgical neck fracture was the most common type of fracture (n = 33, 34.0%). Plate osteosynthesis was predominantly used for two- and three-part surgical neck fractures involving the greater tuberosity (p = 0.03, p = 0.0002, respectively). Hemiarthroplasty was commonly performed for four-part fractures (p < 0.001). Wound infections, implant failure, avascular necrosis of the humeral head and nonunion were seen in 8 (8.3%) cases. Minimally invasive plate osteosynthesis (MIPO) had been in use since 2007 (p < 0.001). CONCLUSION Surgically managed proximal humerus fractures predominantly involved young men following high velocity injury and elderly women following osteoporotic fractures. Open plating was most commonly used for two- and three-part fractures, and hemiarthroplasty for four-part fractures. MIPO techniques have been practised in our institution since 2007. PMID:25631967

  11. Ten-year trends in self-reported emotional and behavioral problems of Dutch adolescents.

    PubMed

    Tick, Nouchka T; van der Ende, Jan; Verhulst, Frank C

    2008-05-01

    Research comparing population samples from different time periods to investigate secular changes in adolescents' psychosocial problems have mostly focused on parent and teacher reports. The few studies using self-reports have limitations, such as using only school-based samples or investigating a limited range of problems. We investigated changes from 1993 to 2003 in Dutch 11- to 18-year-old girls' and boys' self-reported emotional and behavioral problems. We also examined whether trends were different for various socio-demographic groups. We used the Youth Self-Report (YSR) to assess emotional and behavioral problems, and obtained self-reports of police contact, substance abuse, suicidal ideation and self-harm across two adolescent population samples, assessed in 1993 and 2003. To investigate whether reports were different for the 2 years, we performed analyses of variance on the mean scores, and chi-square analyses on the percentages of deviant-scoring children and children reporting specific problem behaviors for boys and girls separately. Logistic regressions were conducted to investigate interactions of year with various sociodemographic variables. For boys, results showed a few small changes, indicating decreases from 1993 to 2003 in self-reported Social Problems, Externalizing, Aggressive Behavior, and Rule-Breaking Behavior. For girls, Thought problems, Somatic Complaints, Internalizing problems, suicidal ideation and self-harm increased. Drunkenness and drug use increased for both boys and girls. There were some differences between socio-demographic groups. Boys from low-SES families and younger adolescent girls experienced most increases. We found evidence for some small trends in self-reported problems. For boys, some decreases were seen, regarding mostly behavioral problems, whereas for girls, some increases were seen in emotional and behavioral problems. Changes appeared to have most negatively affected young adolescent girls' functioning.

  12. Ten-year review of major birth defects in VLBW infants.

    PubMed

    Adams-Chapman, Ira; Hansen, Nellie I; Shankaran, Seetha; Bell, Edward F; Boghossian, Nansi S; Murray, Jeffrey C; Laptook, Abbot R; Walsh, Michele C; Carlo, Waldemar A; Sánchez, Pablo J; Van Meurs, Krisa P; Das, Abhik; Hale, Ellen C; Newman, Nancy S; Ball, M Bethany; Higgins, Rosemary D; Stoll, Barbara J

    2013-07-01

    Birth defects (BDs) are an important cause of infant mortality and disproportionately occur among low birth weight infants. We determined the prevalence of BDs in a cohort of very low birth weight (VLBW) infants cared for at the Eunice Kennedy Shriver National Institute of Child Health and Human Development Neonatal Research Network (NRN) centers over a 10-year period and examined the relationship between anomalies, neonatal outcomes, and surgical care. Infant and maternal data were collected prospectively for infants weighing 401 to 1500 g at NRN sites between January 1, 1998, and December 31, 2007. Poisson regression models were used to compare risk of outcomes for infants with versus without BDs while adjusting for gestational age and other characteristics. A BD was present in 1776 (4.8%) of the 37 262 infants in our VLBW cohort. Yearly prevalence of BDs increased from 4.0% of infants born in 1998 to 5.6% in 2007, P < .001. Mean gestational age overall was 28 weeks, and mean birth weight was 1007 g. Infants with BDs were more mature but more likely to be small for gestational age compared with infants without BDs. Chromosomal and cardiovascular anomalies were most frequent with each occurring in 20% of affected infants. Mortality was higher among infants with BDs (49% vs 18%; adjusted relative risk: 3.66 [95% confidence interval: 3.41-3.92]; P < .001) and varied by diagnosis. Among those surviving >3 days, more infants with BDs underwent major surgery (48% vs 13%, P < .001). Prevalence of BDs increased during the 10 years studied. BDs remain an important cause of neonatal morbidity and mortality among VLBW infants.

  13. Cassini-Huygens Science Highlights: Ten years of Surprises in the Saturn System

    NASA Astrophysics Data System (ADS)

    Spilker, Linda; Esposito, Larry W.; Matson, Dennis L.; Edgington, Scott; Altobelli, Nicolas

    The Cassini-Huygens mission has greatly enhanced our understanding of the Saturn system. Fundamental discoveries have altered our views of Saturn, its retinue of icy moons including Titan, the dynamic rings, and the system’s complex magnetosphere. Cassini has orbited Saturn for 10 years, delivering the Huygens probe to its Titan landing in 2005. It is now three years into its 7-year Solstice mission, returning science in a previously unobserved seasonal phase. As it watches the approach of northern summer, long-dark regions throughout the system become sunlit, allowing Cassini’s science instruments to probe as-yet unsolved mysteries. Key Cassini-Huygens discoveries include icy jets of material streaming from tiny Enceladus’ south pole, lakes of liquid hydrocarbons and methane rain on giant Titan, three-dimensional structures in Saturn’s rings, and curtain-like aurorae flickering over Saturn’s poles. The Huygens probe sent back amazing images of Titan’s surface, and made detailed measurements of the atmospheric composition, structure and winds. Key Cassini-Huygens science highlights will be presented. The Solstice Mission continues to provide new science as Cassini observes seasonal and temporal changes, and addresses new questions that have arisen during the mission thus far. The mission’s grand finale occurs in 2017, with 22 inclined orbits between the innermost D ring and the upper portions of Saturn’s atmosphere, enabling unique gravity and magnetic field measurements of the planet, unprecedented determination of the ring mass, some of the highest resolution measurements of the rings and Saturn, and in situ observations in a completely new region around the planet. Cassini-Huygens is a cooperative undertaking by NASA, the European Space Agency (ESA), and the Italian space agency (Agenzia Spaziale Italiana, ASI). This work was carried out in part at the Jet Propulsion Laboratory, California Institute of Technology, under contract with NASA

  14. Application of hormonal treatment in hypogonadotropic hypogonadism: more than ten years experience.

    PubMed

    Yang, Luo; Zhang, Si Xiao; Dong, Qiang; Xiong, Zi Bing; Li, Xiang

    2012-04-01

    To demonstrate the efficacy of hormone treatment on the patients with hypogonadotropic hypogonadism (HH), we summarized our more than 10 years experience. A total of 242 male patients (age range 15-52 years old) with HH including two Kallmann syndrome treated at the andrology outpatient clinics of university hospital in the past 10 years were reviewed retrospectively. The patients were divided into three groups based on the different treatment strategy. There were 84 patients treated with human chorionic gonadotropin (hCG) (group 1, hCG treatment group), 74 patients treated with hCG plus human menopause gonadotropin (hMG) (group 2, hCG + hMG treatment group), and 84 patients treated with testosterone (group 3, T treatment group). Sex characteristics, testicular volume, and sperm production were determined before and after the treatments. The therapeutic effects in the three groups were analyzed statistically. In total, 42 patients of group 1 (50.0%) and 56 of group 2 (75.7%) had their testicular volumes increased after 6-18 months treatment, from 2.0 ± 1.1 to 6.8 ± 3.2 mL and 2.1 ± 1.1 to 8.8 ± 3.9 mL, respectively. Only six patients of group 3 had their testicular volumes increased but no statistically significant. Among the patients with testes growth, 34 patients of group 1 and 48 patients of group 2 achieved spermatogenesis, and three of them made their wives pregnant naturally. During the follow-up after treatment, there were 36 patients finally defined as delayed puberty, and 204 patients defined as idiopathic hypogonadotropic hypogonadism. For the hormonal treatment of HH, testosterone therapy could not stimulate testes growth and spermatogenesis, but HCG therapy and hCG/hMG combination therapy both are effective, while hCG/hMG combination therapy could achieve better therapeutic effects.

  15. Death in Community Australian Football: A Ten Year National Insurance Claims Report.

    PubMed

    Fortington, Lauren V; Finch, Caroline F

    2016-01-01

    While deaths are thought to be rare in community Australian sport, there is no systematic reporting so the frequency and leading causes of death is unknown. The aim of this study was to describe the frequency and cause of deaths associated with community-level Australian Football (AF), based on insurance-claims records. Retrospective review of prospectively collected insurance-claims for death in relation to community-level AF activities Australia-wide from 2004 to 2013. Eligible participants were aged 15+ years, involved in an Australian football club as players, coaches, umpires or supporting roles. Details were extracted for: year of death, level of play, age, sex, anatomical location of injury, and a descriptive narrative of the event. Descriptive data are presented for frequency of cases by subgroups. From 26,749 insurance-claims relating to AF, 31 cases were in relation to a death. All fatalities were in males. The initial event occurred during on-field activities of players (football matches or training) in 16 cases. The remainder occurred to people outside of on-field football activity (n = 8), or non-players (n = 7). Road trauma (n = 8) and cardiac conditions (n = 7) were the leading identifiable causes, with unconfirmed and other causes (including collapsed or not yet determined) comprising 16 cases. Although rare, fatalities do occur in community AF to both players and people in supporting roles, averaging 3 per year in this setting alone. A systematic, comprehensive approach to data collection is urgently required to better understand the risk and causes of death in participants of AF and other sports.

  16. Hybrid repair of type A acute aortic dissections with the Lupiae technique: ten-year results.

    PubMed

    Esposito, Giampiero; Cappabianca, Giangiuseppe; Bichi, Samuele; Cricco, Antonio; Albano, Giovanni; Anzuini, Angelo

    2015-02-01

    Replacing the ascending aorta and the arch in patients with type A acute aortic dissection achieves good short-term results, but several patients are left with distal intimal tears or a patent false lumen in the descending aorta. In this series, we report the 10-year experience with the Lupiae technique, a hybrid aortic repair technique for patients with type A acute aortic dissection. From 2003 to 2013, 89 patients with type A acute aortic dissections underwent replacement of the ascending aorta, the arch, and the rerouting of the neck vessels on the ascending aorta, creating a proximal Dacron landing zone for a completion with thoracic endovascular aortic repair if necessary. In-hospital mortality was 8.9%. In 16 patients, the false lumen healed spontaneously, whereas the remaining 65 patients underwent thoracic endovascular aortic repair. One patient died after thoracic endovascular aortic repair. Eighty patients were followed up. Complete thrombosis of the false lumen was obtained in 93.8% of patients. The median follow-up was 46 ± 35 months. Overall 8-year survival was 93.7% ± 5%, 100% for patients with spontaneously healed residual false lumen after just type A acute aortic dissection repair and 92.3% ± 7.7% for patients who underwent thoracic endovascular aortic repair after type A acute aortic dissection repair. In 10 years, 1 patient underwent a reoperation on the distal aorta (1.25%). The availability of a Dacron landing zone on the distal ascending aorta after type A acute aortic dissection repair allows the exclusion, with a thoracic endovascular aortic repair, of any residual intimal tear refilling a patent false lumen. This approach seems to be associated with a high probability of false lumen thrombosis and low rates of reoperations on the distal aorta. Copyright © 2015 The American Association for Thoracic Surgery. Published by Elsevier Inc. All rights reserved.

  17. Ten Years of Screening and Testing for Acute HIV Infection in North Carolina

    PubMed Central

    Kuruc, JoAnn D.; Cope, Anna B.; Sampson, Lynne A.; Gay, Cynthia L.; Ashby, Rhonda M.; Foust, Evelyn M.; Brinson, Myra; Barnhart, John E.; Margolis, David; Miller, William C.; Leone, Peter A.; Eron, Joseph J.

    2015-01-01

    Objective To describe demographic and behavioral characteristics of persons with acute HIV infection (AHI) over time. Methods We conducted a retrospective assessment of AHI identified through the STAT (Screening and Tracing Active Transmission) Program from 2003 through 2012 in North Carolina (NC). AHI was identified using pooled nucleic acid amplification for antibody negative samples and individual HIV-1 RNA for antibody indeterminate samples. The STAT program provides rapid notification and evaluation. We compared STAT collected demographic and risk characteristics to all persons requesting tests and all non-AHI diagnoses from the NC State Laboratory of Public Health. Results The STAT Program identified 236 AHI cases representing 3.4% (95% CI 3.0–3.9%) of all HIV diagnoses. AHI cases were similar to those diagnosed during established HIV. On pre-test risk-assessments, AHI cases were predominately Black (69.1%), male (80.1%), young (46.8% < 25 years), and men who have sex with men (MSM) (51.7%). Per post-diagnosis interviews, the median age decreased from 35 (IQR 25–42) to 27 (IQR 22–37) years, and the proportion <25 years increased from 23.8% to 45.2% (trend p=0.04) between 2003 and 2012. AHI men were more likely to report MSM risk post-diagnosis than on pre-test risk-assessments (64% to 82.9%; p<0.0001). Post-diagnosis report of MSM risk in men with AHI increased from 71.4% to 96.2%. Conclusions In NC, 3.4% of individuals diagnosed with HIV infection have AHI. AHI screening provides a real-time source of incidence trends, improves the diagnostic yield of HIV testing and offers an opportunity to limit onward transmission. PMID:26761274

  18. Ten Years of Screening and Testing for Acute HIV Infection in North Carolina.

    PubMed

    Kuruc, JoAnn D; Cope, Anna B; Sampson, Lynne A; Gay, Cynthia L; Ashby, Rhonda M; Foust, Evelyn M; Brinson, Myra; Barnhart, John E; Margolis, David; Miller, William C; Leone, Peter A; Eron, Joseph J

    2016-01-01

    To describe demographic and behavioral characteristics of persons with acute HIV infection (AHI) over time. We conducted a retrospective assessment of AHI identified through the Screening and Tracing Active Transmission (STAT) program from 2003 to 2012 in North Carolina (NC). AHI was identified using pooled nucleic acid amplification for antibody negative samples and individual HIV-1 RNA for antibody indeterminate samples. The STAT program provides rapid notification and evaluation. We compared STAT-collected demographic and risk characteristics with all persons requesting tests and all non-AHI diagnoses from the NC State Laboratory of Public Health. The STAT Program identified 236 AHI cases representing 3.4% (95% confidence interval: 3.0% to 3.9%) of all HIV diagnoses. AHI cases were similar to those diagnosed during established HIV. On pretest risk-assessments, AHI cases were predominately black (69.1%), male (80.1%), young (46.8% < 25 years), and men who have sex with men (MSM) (51.7%). Per postdiagnosis interviews, the median age decreased from 35 (interquartile range 25-42) to 27 (interquartile range 22-37) years, and the proportion <25 years increased from 23.8% to 45.2% (trend P = 0.04) between 2003 and 2012. AHI men were more likely to report MSM risk post-diagnosis than on pretest risk-assessments (64%-82.9%; P < 0.0001). Post-diagnosis report of MSM risk in men with AHI increased from 71.4% to 96.2%. In NC, 3.4% of individuals diagnosed with HIV infection have AHI. AHI screening provides a real-time source of incidence trends, improves the diagnostic yield of HIV testing, and offers an opportunity to limit onward transmission.

  19. Ten-year epidemiological study of chemical burns in Jinshan, Shanghai, PR China.

    PubMed

    Li, Wei; Wu, Xiaofeng; Gao, Chengjin

    2013-11-01

    The epidemiological pattern of chemical burns varies widely in different areas of the world. To analyse effective preventive approaches, an insight into the pattern of injury is desirable. However, our data are only limited to Shanghai area, China. A 10-year retrospective review includes all patients with chemical burns admitted to the Department of Burn and Plastic Surgery from January 2001 to December 2010; those who were admitted to the ophthalmologic department or other departments were excluded. The data collected included age, gender, injury pattern, patient workplaces, aetiological agents, incidence by month and year, burn size, burn depth and site, time for immediate irrigation, length of hospital stay and outcome. A total of 615 patients admitted to our department for in-hospital treatment of chemical burn injury were included in the study. The mean age was 32.1±12.3 years with a range of 2-66 years. A total of 562 cases (91.4%) were male and 53 cases (8.6%) female. The mean total burn surface area (TBSA) was 30.3±24.7% with a mean full-thickness burn area of 17.5±23.8%. Most chemical burns took place in summer and fall. The majority of chemical burns were work related (93.0%); among them accidents that happened in private factories were predominant (70.8%). Although caustic soda was the leading cause of all chemical burns (15.8%), acid burn was the most common (45.2%). The extremities were the most frequent areas of injuries, followed by head and neck. Most cases had none (30.4%) or insufficient (61.1%) immediate irrigation after injury. In all patients, 47 cases had inhalation injuries, 94 cases accompanying ophthalmologic burns, 51 cases accompanying other associated injuries and 67 cases chemical toxicity. A total of 212 cases (34.5%) underwent early total or tangential excision and skin or skin flap grafting in the first week after injury. The mean length of hospital stay was 44.1±24.7 days. Sixteen cases died of respiratory failure, sepsis or

  20. Ten years of genetics and genomics: what have we achieved and where are we heading?

    PubMed Central

    Heard, Edith; Tishkoff, Sarah; Todd, John A.; Vidal, Marc; Wagner, Günter P.; Wang, Jun; Weigel, Detlef; Young, Richard

    2010-01-01

    To celebrate the first 10 years of Nature Reviews Genetics, we asked eight leading researchers for their views on the key developments in genetics and genomics in the past decade and the prospects for the future. Their responses highlight the incredible changes that the field has seen, from the explosion of genomic data and the many possibilities it has opened up to the ability to reprogramme adult cells to pluripotency. The way ahead looks similarly exciting as we address questions such as how cells function as systems and how complex interactions among genetics, epigenetics and the environment combine to shape phenotypes. PMID:20820184

  1. Trends in types of dermatology books available over the last ten years.

    PubMed

    Aquino, Lisa L; Wu, Jashin J

    2009-06-15

    Shifts in interest toward cosmetic and surgical dermatology and away from medical and academic dermatology have been observed in recent years. We hypothesized that this trend would be evident in the types of books available for purchase from a major medical textbook supplier. Books published from 1998-2008 were categorized by type and statistical testing was performed to determine if this trend has been reflected in books published. The percentage of medical dermatology books decreased over time, whereas the percentage of cosmetic and surgical dermatology books increased over time.

  2. Overview of ten-year operation of the superconducting linear accelerator at the Spallation Neutron Source

    NASA Astrophysics Data System (ADS)

    Kim, S.-H.; Afanador, R.; Barnhart, D. L.; Crofford, M.; Degraff, B. D.; Doleans, M.; Galambos, J.; Gold, S. W.; Howell, M. P.; Mammosser, J.; McMahan, C. J.; Neustadt, T. S.; Peters, C.; Saunders, J. W.; Strong, W. H.; Vandygriff, D. J.; Vandygriff, D. M.

    2017-04-01

    The Spallation Neutron Source (SNS) has acquired extensive operational experience of a pulsed proton superconducting linear accelerator (SCL) as a user facility. Numerous lessons have been learned in its first 10 years operation to achieve a stable and reliable operation of the SCL. In this paper, an overview of the SNS SCL design, qualification of superconducting radio frequency (SRF) cavities and ancillary subsystems, an overview of the SNS cryogenic system, the SCL operation including SCL output energy history and downtime statistics, performance stability of the SRF cavities, efforts for SRF cavity performance recovery and improvement at the SNS, and maintenance activities for cryomodules are introduced.

  3. Dosimetric Consistency of Co-60 Teletherapy Unit- a ten years Study

    PubMed Central

    Baba, Misba H; Mohib-ul-Haq, M.; Khan, Aijaz A.

    2013-01-01

    Objective The goal of the Radiation standards and Dosimetry is to ensure that the output of the Teletherapy Unit is within ±2% of the stated one and the output of the treatment dose calculation methods are within ±5%. In the present paper, we studied the dosimetry of Cobalt-60 (Co-60) Teletherapy unit at Sher-I-Kashmir Institute of Medical Sciences (SKIMS) for last 10 years. Radioactivity is the phenomenon of disintegration of unstable nuclides called radionuclides. Among these radionuclides, Cobalt-60, incorporated in Telecobalt Unit, is commonly used in therapeutic treatment of cancer. Cobalt-60 being unstable decays continuously into Ni-60 with half life of 5.27 years thereby resulting in the decrease in its activity, hence dose rate (output). It is, therefore, mandatory to measure the dose rate of the Cobalt-60 source regularly so that the patient receives the same dose every time as prescribed by the radiation oncologist. The under dosage may lead to unsatisfactory treatment of cancer and over dosage may cause radiation hazards. Our study emphasizes the consistency between actual output and output obtained using decay method. Methodology The methodology involved in the present study is the calculations of actual dose rate of Co-60 Teletherapy Unit by two techniques i.e. Source to Surface Distance (SSD) and Source to Axis Distance (SAD), used for the External Beam Radiotherapy, of various cancers, using the standard methods. Thereby, a year wise comparison has been made between average actual dosimetric output (dose rate) and the average expected output values (obtained by using decay method for Co-60.) Results The present study shows that there is a consistency in the average output (dose rate) obtained by the actual dosimetry values and the expected output values obtained using decay method. The values obtained by actual dosimetry are within ±2% of the expected values. Conclusion The results thus obtained in a year wise comparison of average output by

  4. Breeding Bird Community Continues to Colonize Riparian Buffers Ten Years after Harvest

    PubMed Central

    2015-01-01

    Riparian ecosystems integrate aquatic and terrestrial communities and often contain unique assemblages of flora and fauna. Retention of forested buffers along riparian habitats is a commonly employed practice to reduce potential negative effects of land use on aquatic systems. However, very few studies have examined long-term population and community responses to buffers, leading to considerable uncertainty about effectiveness of this practice for achieving conservation and management outcomes. We examined short- (1–2 years) and long-term (~10 years) avian community responses (occupancy and abundance) to riparian buffer prescriptions to clearcut logging silvicultural practices in the Pacific Northwest USA. We used a Before-After-Control-Impact experimental approach and temporally replicated point counts analyzed within a Bayesian framework. Our experimental design consisted of forested control sites with no harvest, sites with relatively narrow (~13m) forested buffers on each side of the stream, and sites with wider (~30m) and more variable width unharvested buffer. Buffer treatments exhibited a 31–44% increase in mean species richness in the post-harvest years, a pattern most evident 10 years post-harvest. Post-harvest, species turnover was much higher on both treatments (63–74%) relative to the controls (29%). We did not find evidence of local extinction for any species but found strong evidence (no overlap in 95% credible intervals) for an increase in site occupancy on both Narrow (short-term: 7%; long-term 29%) and Wide buffers (short-term: 21%; long-term 93%) relative to controls after harvest. We did not find a treatment effect on total avian abundance. When assessing relationships between buffer width and site level abundance of four riparian specialists, we did not find strong evidence of reduced abundance in Narrow or Wide buffers. Silviculture regulations in this region dictate average buffer widths on small and large permanent streams that range

  5. A ten-year experience of physical Intimate partner violence (IPV) in a French forensic unit.

    PubMed

    Savall, Frédéric; Lechevalier, Agathe; Hérin, Fabrice; Vergnault, Marion; Telmon, Norbert; Bartoli, Christophe

    2017-02-01

    Forensic units have a central role to play in healthy public policy, by the collection and management of violence. This study aims to describe the characteristics of physical Intimate Partner Violence (IPV) against men reported over 10 years in the forensic unit of Toulouse (France) and to compare them with the characteristics of physical IPV against women over the same period. All the medico-legal reports of male victims over 18 years of age between 2005 and 2014 were analyzed. Female victims over 18 years of age in the same period were randomized by year in order to study a similar number of individuals. We analyzed 712 forensic reports of male victims and 865 forensic reports of female victims. Repeated consultation concerned 20.5% of women and 7.5% of men (p < 0.001). More male victims than female victims consulted in an emergency unit (p < 0.001). The most frequently alleged manner of attack was punching for male victims (34.1%) and grabbing or pushing for female victims (86.7%). There were fewer wounds and vascular or visceral injuries for female victims (p = 0.001). There were more reports of no injury for female victims (p < 0.001) and fewer reports with at least two injuries (p = 0.002). The most common injuries were superficial skin injuries (abrasion, bruise or hematoma) for both groups. On the one hand, physical IPV against women was more frequent than against men, while physical IPV against men seemed to be more severe than against women. The distribution of alleged manners of attack and injuries were consistent with previous studies. However, the mechanisms of the origin of the process of violence are difficult to apprehend in such a dyadic context. The findings should be interpreted with caution, but they provide original and substantial material, which can be useful in recognizing victims and in developing preventive strategies. With this aim, forensic units have a central role to play in the collection of violence and in individualized

  6. Ten Years of MISR Observations from Terra: Looking Back, Ahead, and in Between

    NASA Technical Reports Server (NTRS)

    Diner, David J.; Ackerman, Thomas P.; Braverman, Amy J.; Bruegge, Carol J.; Chopping, Mark J.; Clothiaux, Eugene E.; Davies, Roger; Di Girolamo, Larry; Kahn, Ralph A.; Knyazikhin, Yuri; hide

    2010-01-01

    The Multi-angle Imaging SpectroRadiometer (MISR) instrument has been collecting global Earth data from NASA's Terra satellite since February 2000. With its nine along-track view angles, four visible/near-infrared spectral bands, intrinsic spatial resolution of 275 m, and stable radiometric and geometric calibration, no instrument that combines MISR's attributes has previously flown in space. The more than 10-year (and counting) MISR data record provides unprecedented opportunities for characterizing long-term trends in aerosol, cloud, and surface properties, and includes 3-D textural information conventionally thought to be accessible only to active sensors.

  7. Intrascrotal lipoblastoma in a ten year old: case report and review of literature

    PubMed Central

    Nakib, Ghassan; Calcaterra, Valeria; Avolio, Luigi; Guazzotti, Marinella; Goruppi, Ilaria; Viglio, Alessandra; Pelizzo, Gloria

    2013-01-01

    Lipoblastoma is a rare benign soft tissue tumor encountered almost exclusively in infancy and early childhood. The location of tumors varies, but most occur in the extremities, trunk, head and neck. Less frequently, lipoblastomas have been reported in the mediastinum, the retroperitoneum and the inguinal region. Only 7 cases of lipoblastoma in the scrotum have been reported so far in the English literature, with none of the patients older than 8. We report an intrascrotal lipoblastoma in a 10 year-old boy. The differential diagnosis is discussed with reference to the literature. PMID:23772297

  8. Overview of ten-year operation of the superconducting linear accelerator at the Spallation Neutron Source

    DOE PAGES

    Kim, Sang-Ho; Afanador, Ralph; Barnhart, Debra L.; ...

    2017-02-04

    The Spallation Neutron Source (SNS) has acquired extensive operational experience of a pulsed proton superconducting linear accelerator (SCL) as a user facility. Numerous lessons have been learned in its first 10 years operation to achieve a stable and reliable operation of the SCL. In this paper, an overview of the SNS SCL design, qualification of superconducting radio frequency (SRF) cavities and ancillary subsystems, an overview of the SNS cryogenic system, the SCL operation including SCL output energy history and downtime statistics, performance stability of the SRF cavities, efforts for SRF cavity performance recovery and improvement at the SNS, and maintenancemore » activities for cryomodules are introduced.« less

  9. Fear Extinction as a Model for Translational Neuroscience: Ten Years of Progress

    PubMed Central

    Milad, Mohammed R.; Quirk, Gregory J.

    2016-01-01

    The psychology of extinction has been studied for decades. Approximately 10 years ago, however, there began a concerted effort to understand the neural circuits of extinction of fear conditioning, in both animals and humans. Progress during this period has been facilitated by an unusual degree of coordination between rodent and human researchers examining fear extinction. This successful research program could serve as a model for translational research in other areas of behavioral neuroscience. Here we review the major advances and highlight new approaches to understanding and exploiting fear extinction. PMID:22129456

  10. Ten Years of MISR Observations from Terra: Looking Back, Ahead, and in Between

    NASA Technical Reports Server (NTRS)

    Diner, David J.; Ackerman, Thomas P.; Braverman, Amy J.; Bruegge, Carol J.; Chopping, Mark J.; Clothiaux, Eugene E.; Davies, Roger; Di Girolamo, Larry; Kahn, Ralph A.; Knyazikhin, Yuri; Liu, Yang; Marchand, Roger; Martonchik, John V.; Muller, Jan-Peter; Nolin, Anne W.; Pinty, Bernard; Verstraete, Michel M.; Wu, Dong L.; Garay, Michael J.; Kalashnikova, Olga V.; Davis, Anthony B.; Davis, Edgar S.; Chipman, Russell A.

    2010-01-01

    The Multi-angle Imaging SpectroRadiometer (MISR) instrument has been collecting global Earth data from NASA's Terra satellite since February 2000. With its nine along-track view angles, four visible/near-infrared spectral bands, intrinsic spatial resolution of 275 m, and stable radiometric and geometric calibration, no instrument that combines MISR's attributes has previously flown in space. The more than 10-year (and counting) MISR data record provides unprecedented opportunities for characterizing long-term trends in aerosol, cloud, and surface properties, and includes 3-D textural information conventionally thought to be accessible only to active sensors.

  11. Kicking Back Cognitive Ageing: Leg Power Predicts Cognitive Ageing after Ten Years in Older Female Twins.

    PubMed

    Steves, Claire J; Mehta, Mitul M; Jackson, Stephen H D; Spector, Tim D

    2016-01-01

    Many observational studies have shown a protective effect of physical activity on cognitive ageing, but interventional studies have been less convincing. This may be due to short time scales of interventions, suboptimal interventional regimes or lack of lasting effect. Confounding through common genetic and developmental causes is also possible. We aimed to test whether muscle fitness (measured by leg power) could predict cognitive change in a healthy older population over a 10-year time interval, how this performed alongside other predictors of cognitive ageing, and whether this effect was confounded by factors shared by twins. In addition, we investigated whether differences in leg power were predictive of differences in brain structure and function after 12 years of follow-up in identical twin pairs. A total of 324 healthy female twins (average age at baseline 55, range 43-73) performed the Cambridge Neuropsychological Test Automated Battery (CANTAB) at two time points 10 years apart. Linear regression modelling was used to assess the relationships between baseline leg power, physical activity and subsequent cognitive change, adjusting comprehensively for baseline covariates (including heart disease, diabetes, blood pressure, fasting blood glucose, lipids, diet, body habitus, smoking and alcohol habits, reading IQ, socioeconomic status and birthweight). A discordant twin approach was used to adjust for factors shared by twins. A subset of monozygotic pairs then underwent magnetic resonance imaging. The relationship between muscle fitness and brain structure and function was assessed using linear regression modelling and paired t tests. A striking protective relationship was found between muscle fitness (leg power) and both 10-year cognitive change [fully adjusted model standardised β-coefficient (Stdβ) = 0.174, p = 0.002] and subsequent total grey matter (Stdβ = 0.362, p = 0.005). These effects were robust in discordant twin analyses, where within

  12. Kicking Back Cognitive Ageing: Leg Power Predicts Cognitive Ageing after Ten Years in Older Female Twins

    PubMed Central

    Steves, Claire J.; Mehta, Mitul M.; Jackson, Stephen H.D.; Spector, Tim D.

    2016-01-01

    Background Many observational studies have shown a protective effect of physical activity on cognitive ageing, but interventional studies have been less convincing. This may be due to short time scales of interventions, suboptimal interventional regimes or lack of lasting effect. Confounding through common genetic and developmental causes is also possible. Objectives We aimed to test whether muscle fitness (measured by leg power) could predict cognitive change in a healthy older population over a 10-year time interval, how this performed alongside other predictors of cognitive ageing, and whether this effect was confounded by factors shared by twins. In addition, we investigated whether differences in leg power were predictive of differences in brain structure and function after 12 years of follow-up in identical twin pairs. Methods A total of 324 healthy female twins (average age at baseline 55, range 43-73) performed the Cambridge Neuropsychological Test Automated Battery (CANTAB) at two time points 10 years apart. Linear regression modelling was used to assess the relationships between baseline leg power, physical activity and subsequent cognitive change, adjusting comprehensively for baseline covariates (including heart disease, diabetes, blood pressure, fasting blood glucose, lipids, diet, body habitus, smoking and alcohol habits, reading IQ, socioeconomic status and birthweight). A discordant twin approach was used to adjust for factors shared by twins. A subset of monozygotic pairs then underwent magnetic resonance imaging. The relationship between muscle fitness and brain structure and function was assessed using linear regression modelling and paired t tests. Results A striking protective relationship was found between muscle fitness (leg power) and both 10-year cognitive change [fully adjusted model standardised β-coefficient (Stdβ) = 0.174, p = 0.002] and subsequent total grey matter (Stdβ = 0.362, p = 0.005). These effects were robust in discordant

  13. Breeding Bird Community Continues to Colonize Riparian Buffers Ten Years after Harvest.

    PubMed

    Pearson, Scott F; Giovanini, Jack; Jones, Jay E; Kroll, Andrew J

    2015-01-01

    Riparian ecosystems integrate aquatic and terrestrial communities and often contain unique assemblages of flora and fauna. Retention of forested buffers along riparian habitats is a commonly employed practice to reduce potential negative effects of land use on aquatic systems. However, very few studies have examined long-term population and community responses to buffers, leading to considerable uncertainty about effectiveness of this practice for achieving conservation and management outcomes. We examined short- (1-2 years) and long-term (~10 years) avian community responses (occupancy and abundance) to riparian buffer prescriptions to clearcut logging silvicultural practices in the Pacific Northwest USA. We used a Before-After-Control-Impact experimental approach and temporally replicated point counts analyzed within a Bayesian framework. Our experimental design consisted of forested control sites with no harvest, sites with relatively narrow (~13 m) forested buffers on each side of the stream, and sites with wider (~30 m) and more variable width unharvested buffer. Buffer treatments exhibited a 31-44% increase in mean species richness in the post-harvest years, a pattern most evident 10 years post-harvest. Post-harvest, species turnover was much higher on both treatments (63-74%) relative to the controls (29%). We did not find evidence of local extinction for any species but found strong evidence (no overlap in 95% credible intervals) for an increase in site occupancy on both Narrow (short-term: 7%; long-term 29%) and Wide buffers (short-term: 21%; long-term 93%) relative to controls after harvest. We did not find a treatment effect on total avian abundance. When assessing relationships between buffer width and site level abundance of four riparian specialists, we did not find strong evidence of reduced abundance in Narrow or Wide buffers. Silviculture regulations in this region dictate average buffer widths on small and large permanent streams that range from

  14. The Last Ten Years of Advancements in Plant-Derived Recombinant Vaccines against Hepatitis B

    PubMed Central

    Joung, Young Hee; Park, Se Hee; Moon, Ki-Beom; Jeon, Jae-Heung; Cho, Hye-Sun; Kim, Hyun-Soon

    2016-01-01

    Disease prevention through vaccination is considered to be the greatest contribution to public health over the past century. Every year more than 100 million children are vaccinated with the standard World Health Organization (WHO)-recommended vaccines including hepatitis B (HepB). HepB is the most serious type of liver infection caused by the hepatitis B virus (HBV), however, it can be prevented by currently available recombinant vaccine, which has an excellent record of safety and effectiveness. To date, recombinant vaccines are produced in many systems of bacteria, yeast, insect, and mammalian and plant cells. Among these platforms, the use of plant cells has received considerable attention in terms of intrinsic safety, scalability, and appropriate modification of target proteins. Research groups worldwide have attempted to develop more efficacious plant-derived vaccines for over 30 diseases, most frequently HepB and influenza. More inspiring, approximately 12 plant-made antigens have already been tested in clinical trials, with successful outcomes. In this study, the latest information from the last 10 years on plant-derived antigens, especially hepatitis B surface antigen, approaches are reviewed and breakthroughs regarding the weak points are also discussed. PMID:27754367

  15. Cardiovascular Diseases Risk Factors in oil and gas workers: a ten years observational retrospective cohort.

    PubMed

    Mannocci, A; Pignalosa, S; Nicosia, V; Saulle, R; Sernia, S; La Torre, G

    2016-01-01

    The study aim was to examine the trend of major clinical biochemistry factors associated with cardiovascular diseases and dyslipidemia onset over a 10-year period (2000-2010) in Oil and Gas workers. The information extracted from "Computerized management of individual medical services database" regarding 439 Italian workers of an oil and gas company were analysed. A constant and significant increase of the average Body Mass Index and serum cholesterol were found, and in particular in workers < 36 years: BMI was 24.4 (2000) and 25.8 (2010) with p < 0.001, and cholesterol was 188.3 mg/dL (2000) and 206.5 mg/dL (2010) with p < 0.001. Analysed variables are the most important risk factor for cardiovascular, neurological and neoplastic diseases, as well as they reduce life expectancy. Occupational medicine in particular in extreme working environmental conditions, such as for workers in oil and gas companies, monitoring health status and promoting healthy life style, has a strategic role to perform cost-effective strategies to reduce health risks, thus improving the workers lifestyle.

  16. [Ten years of emergency attendances for cocaine-users in Spain].

    PubMed

    Galicia, Miguel; Nogué, Santiago; Burillo-Putze, Guillermo

    2014-10-07

    Cocaine is the second most consumed illegal drug in the western world, following cannabis. Since 1998, it is also the drug that more attendances generate in different emergency devices, and it is responsible for more of 60% of the emergencies directly related to drug consumption. This work reviews the main Spanish scientific articles published in the last 10 years, in which different factors related to the use of this drug have been analyzed in relation to the use of emergency by cocaine users. A total of 8,795 patients were included (interval 57-1,755), with an average age of 32.64 years (SD 3.02), and an average percentage of positives to cocaine of 54.78% (SD 47.03); there were 7 works with 100% of subjects being positive to cocaine. Males predominated with an average of 78.69% (SD 12). They presented cardiovascular symptoms in 30% cases (SD 22.7), neurological symptoms in 11.6% cases (SD 4.28) and psychiatric symptoms in 49.32% cases (SD 23.87). There was a multiple consumption in 49.02% of patients (interval 4.3-76.2), fundamentally associated with alcohol (57.78%, SD 6.18) and cannabis (21.56%, SD 10.72). Two hundred and forty-six patients (2.8%) needed admission and 8 died (0.09%). Copyright © 2013 Elsevier España, S.L.U. All rights reserved.

  17. Ten Years of Patient Surveys in Accredited Breast Centers in North Rhine-Westphalia

    PubMed Central

    Ansmann, L.; Kowalski, C.; Pfaff, H.

    2016-01-01

    Introduction: Patient surveys are an established tool for quality control in healthcare organizations. This report looks at the design and development of the annual patient surveys carried out among breast cancer patients treated in the Breast Centers of North Rhine-Westphalia and discusses selected findings from 10 consecutive years. Material and Methods: Since 2006 the Institute for Medical Sociology, Health Services Research and Rehabilitation Science (IMVR) of the University of Cologne has carried out an annual survey of breast cancer patients using the Cologne Patient Questionnaire for Breast Cancer. The patients included in the survey have been diagnosed with primary breast cancer and undergo surgery between February and July in one of the Breast Centers in North Rhine-Westphalia accredited by the medical association of Westphalia-Lippe. The questionnaire and the type of feedback given to the Breast Centers were comprehensively revised in 2014. Selected results collected over the survey period were analyzed descriptively. Results: The survey period of 10 years provides information on the actual medical care delivered in the Breast Centers based on the data obtained in this period from around 40 000 patients. Some areas showed positive developments over time. Conclusion: The approach used to survey patients, the Cologne Patient Questionnaire for Breast Cancer 2.0 and the benchmark-focused feedback provide an impetus for organizational learning in Breast Centers. The concept could also be used in other healthcare organizations to stimulate learning and improve healthcare services. PMID:26855439

  18. Ten years of science in Philosophical Transactions A: with the University Research Fellows.

    PubMed

    Thompson, J Michael T

    2007-12-15

    In this brief paper, I review my 10 years as the Editor of the Philosophical Transactions of the Royal Society A. I look at the content of the journal over the years, relating it to a full classification of the physical sciences based on the interests of fellows and research fellows of the Royal Society. I show that the journal has performed well in terms of downloads, citations and impact factors. Innovations such as the Millennium and Christmas Issues for young scientists have stimulated a close and enjoyable interaction with the Society's research fellows. In addition to authoring papers and organizing themes, they have always been keen to help with the refereeing processes. They provided exciting demonstrations for a Summer Science exhibit that I organized to highlight the work of the journal, and five of the research fellows now sit on the Editorial Board. Looking to the future, I describe the new subject clusters that are being introduced as the journal steps up its publication rate from one issue per month to two, starting in January 2008.

  19. A core curriculum for international health: evaluating ten years' experience at the University of Arizona.

    PubMed

    Pust, R E; Moher, S P

    1992-02-01

    215 graduates (118 women and 97 men) of the University of Arizona's International Health Core Curriculum received a questionnaire after completion of their clinical practice in order to evaluate the experience of 10 years from 1982-91. The curriculum consisted of a 3- week orientation course given to 4th year medical students with core contents of population, nutrition, and infectious diseases followed up by student evaluation upon completion. 192 students were eligible for the survey of whom 154 completed it yielding an 80% response rate: 139 future physicians and 15 nurses, health educators, and nutritionists. 113 of 154 respondents completed an international health field experience after the course in 43 developing countries: 22% in Africa, 39% in Asia-Pacific, and 39% in Latin American-Caribbean. 79% were in rural and 34% in urban areas. A public health-community medicine program was incorporated in the clinical work at most sites. 95% of them participated in clinical care, 73% in community teaching, and 51% in research and evaluation. The duration of this field experience lasted 6-12 months for 69% of them. The median responses regarding the possibility of postcourse international field work and rating the worth of the course for clinical care, teaching others, and research were well or very well. They also rated the preparation of the course for subsequent work at 43 specific sites as good and dealing with limited resources and cross-culture communication as very good. All were willing to recommend the course to their peers.

  20. Ten Year Trends in Cardiovascular Risk Factors in the Federation of Bosnia and Herzegovina

    PubMed Central

    Pilav, Aida; Brankovic, Suada; Doder, Vildana

    2014-01-01

    Introduction: Results of routine health statistics show that in the Federation of Bosnia and Herzegovina (FBIH) are the leading causes of death of population are diseases of circulatory system (53% in 2012) namely, cardiomyopathy, heart failure and acute myocardial infarction. This data are red alert for immediate and imminent action. Methods: Two cross-sectional population surveys were conducted in 2002 and 2012 in the FBIH among adult population aged 25-64 years for assessment and distribution of major risk factors for cardiovascular diseases (CVD), preferably hypertension, obesity and smoking. Results: Overall prevalence of hypertension among adult population in the FBIH in year 2012 was 41%, similar as in 2002. Prevalence of obesity in 2012 among men was higher compared to 2002, stood at 20.3%, while for women it was 24.1%. Total of 61.3% of men and 35.9% of women said they were daily smokers, while the percentage in 2002 was 49.3% among men and 29.8% among women and the difference was statistically significant. Conclusions: Distributions of the major risk factors for CVD are worsening in the adult population in the FBIH, especially in middle age men, what can result in serious deterioration of health and increased rates of chronic diseases, especially CVD. PMID:25649524