Early diagnostic value of plasma PCT and BG assay for CRBSI after OLT.

PubMed

Chen, J; Wang, Y; Shen, Z; Zhu, Z; Song, Y; Han, R

2011-06-01

The aim was to evaluate the role of procalcitonin (PCT) and (1-3)-β-D-glucan (BG) tests for early detection or exclusion of central venous catheter-related bloodstream infections (CRBSI) in patients after orthotopic liver transplantation (OLT). Fifty-five patients with clinically suspected CRBSI were assessed after OLT in this prospective study. On the day of clinical suspicion of CRBSI, blood samples were obtained from central venous catheters and a peripheral vein for blood cultures and from a peripheral vein for PCT and BG tests. Plasma PCT and BG values were measured by using an immunoluminometric assay and Fungitell BG assay, respectively. No prisoners or organs from prisoners were used in this study. Twenty-five patients (45%) were diagnosed with CRBIS. Among them, 13 (52%) displayed gram-positive bacteriemia, 11 (44%) gram-negative bacteriemia, and 1 (4%) fungemia. The PCT values were higher in CRBSI than in non-CRBSI patients (P = .003). CRBSI patients did not show significant increases in plasma BG values compared with non-CRBSI subjects (P = .051). PCT and BG area under receiver operating characteristic curves were 0.840 and 0.486, respectively. Sensitivity, specificity, and positive and negative predictive values of a PCT of ≥ 3.1 ng/mL for the diagnosis of CRBSI were 0.72, 0.87, 0.82, and 0.79, respectively. The figures for a BG of ≥ 83 pg/mL were 0.32, 0.90, 0.73, and 0.61, respectively. Among the 24 patients with bacteria infections, PCT was higher in patients with gram-negative than those with gram-positive bacterial infections (P = .022). We concluded that the PCT assay may be a useful rapid diagnostic adjunct for the diagnosis of suspected CRBSI in OLT patients. Copyright © 2011 Elsevier Inc. All rights reserved.

Successful Pregnancies in Two Orthotopic Liver Transplant (OLT) Recipients in Iran; Two Case Reports.

PubMed

Zahra, Tayebi; Seyyed Alireza, Taqhavi; Shirin, Shahbazi

2009-10-01

Pregnancy and parenting have been part of human life throughout history and liver transplant recipients are not any exception. This paper reports successful pregnancies in two liver transplant recipients in Iran. The first case was a 34-year old woman who had undergone orthotopic liver transplantation (OLT) at Shiraz Namazi Educational Hospital in 2002. She decided to get pregnant seven years after the operation. During pregnancy, immunosuppressive therapy continued, except Mycophenolate Mofetil which has an absolute contra-indication in pregnancy. The patient was followed up during pregnancy by the transplant team as well as a gynecologist. She faced no significant complications and the liver function was stable during pregnancy. She later underwent a Cesarean section in the 38(th) week of gestation and the newborn was a healthy girl weighing 2480g with an Apgar score of 8 at the time of birth. There were no evidences of prematurity or structural abnormalities in the newborn. The second case was a 31-year old primipara who had received an orthotopic liver transplant (OLT) in Shiraz in 2002. She had a smooth pregnancy without any complications and the newborn was a boy weighing 3100g with Apgar scores of 8 and 10 at the time of birth and 5 minutes thereafter, respectively. As the number of transplant recipients is growing along with the number of recipients who are in their fertility years, it is vital to ensure a proper medical care by a coordinated multidisciplinary team during pregnancy.

Evaporite geometries and diagenetic traps, lower San Andres, Northwest shelf, New Mexico

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

Keller, D.R.

An east-west-trending belt of lower San Andres oil fields extends 80 mi across southeastern New Mexico from the Pecos River near Roswell to the Texas-New Mexico border. These fields are along a porosity pinch-out zone where porous carbonates grade laterally into bedded anhydrite and halite. The lower San Andres traps are associated with pre-Tertiary structural or stratigraphic traps. Oil and water production relationships from these fields are not consistent with present-day structure. These fields have been commonly interpreted to be hydrodynamic traps created by the eastern flow of fresh surface water that enters the lower San Andres outcrops west ofmore » Pecos River. There is no evidence, however, that surface water has moved through the lower San Andres in this area. This conclusion is supported by the fact that formation-water resistivities are uniform throughout the producing trend, no significant dissolution of carbonates or evaporites has occurred, and there has been no increase in biogradation of oils adjacent to the lower San Andres outcrops. These fields actually are diagenetic traps created by porosity occlusion in the water column beneath the oil accumulations. Hydrocarbons originally were trapped in pre-Tertiary structural and structural-stratigraphic traps. Bedded evaporites were effective barriers to vertical and lateral hydrocarbon migration. Eastward tilting of the Northwest shelf during the Tertiary opened these traps, but the oil remained in these structurally unfavorable positions because of the diagenetic sealing. The gas-solution drive in these reservoirs is a result of this sealing. The sequence of events leading to diagenetic entrapment include (1) Triassic and Jurassic migration of hydrocarbons into broad, low-relief post-San Andres structural and structural-stratigraphic traps; (2) rapid occlusion of porosity in the water column beneath oil reservoirs, and (3) Tertiary tilt-out traps.« less

André B. Muller (25.9.1918-1.4.2006)

NASA Astrophysics Data System (ADS)

West, R. M.

2006-06-01

With great sadness, we have learned about the death of André Muller on 1 April, at the age of 87. Living in retirement in his native Holland since 1983, he was one of ESOs true pioneers, an outstanding representative of the select group of European astronomers who succeeded in steering ESO through the difficult initial phases. André was close-ly associated with the entire process, from the first site monitoring programmes in South Africa to the subsequent search in Chile, the decision in favour of the La Silla site, as well as the management of ESOs early activities in Chile, includ-ing the construction of the headquarters and observatory and the installation of the first generation of ESO telescopes. Few persons, if any, have been so inti-mately connected to the setting-up of ESOs facilities and it would be impossible to list in detail all of the services André performed for the organisation with such great expertise and zeal during his long career.

Otomi de San Andres Cuexcontitlan, Estado de Mexico (Otomi of San Andres Cuexcontitlan, State of Mexico).

ERIC Educational Resources Information Center

Lastra, Yolanda

This document is one of 17 volumes on indigenous Mexican languages and is the result of a project undertaken by the Archivo de Lenguas Indigenas de Mexico. This volume contains information on Otomi, an indigenous language of Mexico spoken in San Andres Cuexcontitlan, in the state of Mexico. The objective of collecting such a representative…

Clinical values of AFP, GPC3 mRNA in peripheral blood for prediction of hepatocellular carcinoma recurrence following OLT: AFP, GPC3 mRNA for prediction of HCC.

PubMed

Wang, Yuliang; Shen, Zhongyang; Zhu, Zhijun; Han, Ruifa; Huai, Mingsheng

2011-03-01

Hepatocellular carcinoma (HCC) is one of the most common malignancies worldwide. Annually, about 200,000 patients died of HCC in China. Liver transplantation (LT) holds great theoretical appeal in treating HCC. However, the high recurrence rate after transplantation is the most important limiting factor for long-term survival. To assess the value of alpha-fetoprotein (AFP) messenger RNA (mRNA), Glypican-3 (GPC3) mRNA-expressing cells in the peripheral blood (PB) for prediction of HCC recurrence following orthotopic liver transplantation (OLT). 29 patients with HCC who underwent OLT with a minimum clinical follow-up of 12 months were included in this retrospective study. We detected AFP mRNA, GPC3 mRNA-expressing cells in the PB by TaqMan real-time reverse transcriptase-polymerase chain reaction (RT-PCR), pre-, intra- and post-operatively. The early recurrence of patients was evaluated. 8 (28%), 15 (52%), and 9 (31%) patients had AFP mRNA detected pre-, intra-, and post-operatively, respectively. With 12 months of follow-up, HCC recurred in 7 (24%) patients. Univariate analysis revealed that positive pre- and post-operative AFP mRNA, TNM stage as well as vascular invasion were significant predictors for the HCC recurrence. Multivariate analysis revealed that being positive for AFP mRNA pre-operatively remained a significant risk factor for HCC recurrence after OLT. GPC3 mRNA was expressed in all PB samples. There was no significant difference in the expression levels of GPC3 mRNA between the HCC and control groups. There were no significant differences in GPC3 mRNA expression values between those patients with and without tumor recurrence. The pre-operative detection of circulating AFP mRNA-expressing cells could be a useful predictor for HCC recurrence following OLT. GPC3 mRNA-expressing cells in PB seem to have no diagnostic value.

Management of end stage liver disease (ESLD): what is the current role of orthotopic liver transplantation (OLT)?

PubMed

Miró, José M; Laguno, Montserrat; Moreno, Asuncion; Rimola, Antonio

2006-01-01

Liver disease due to chronic hepatitis B and C is now a leading cause of morbidity and mortality among HIV-infected patients in the developed world, where classical opportunistic complications of severe immunodeficiency have declined dramatically. Orthotopic liver transplantation (OLT) is the only therapeutic option for patients with end-stage liver disease (ESLD). Accumulated experience in North America and Europe in the last 5 years indicates that 3-year survival in selected HIV-infected recipients of liver transplants was similar to that of HIV-negative recipients. So, HIV infection by itself is not therefore a contraindication for liver transplantation. As survival of HIV-infected patients with ESLD is shorter than non-HIV-infected population, the evaluation for OLT should be made after the first liver decompensation. The current selection criteria for HIV-positive transplant candidates include: no history of opportunistic infections or HIV-related neoplasms, CD4 cell count > 100 cells/mm(3), and plasma HIV viral load suppressible with antiretroviral treatment. For drug abusers, a 2-year abstinence from heroin and cocaine is required, although patients can be in a methadone programme. The main problems in the post-transplant period are pharmacokinetic and pharmacodynamic interactions between antiretrovirals and immunosuppressive drugs, and the management of relapse of HCV infection. Up to now, experience with pegylated interferon and ribavirin is scarce in this population. Currently, HCV re-infection is the main cause for concern.

Shedding Light on the Sea: André Morel's Legacy to Optical Oceanography

NASA Astrophysics Data System (ADS)

Antoine, David; Babin, Marcel; Berthon, Jean-François; Bricaud, Annick; Gentili, Bernard; Loisel, Hubert; Maritorena, Stéphane; Stramski, Dariusz

2014-01-01

André Morel (1933-2012) was a prominent pioneer of modern optical oceanography, enabling significant advances in this field. Through his forward thinking and research over more than 40 years, he made key contributions that this field needed to grow and to reach its current status. This article first summarizes his career and then successively covers different aspects of optical oceanography where he made significant contributions, from fundamental work on optical properties of water and particles to global oceanographic applications using satellite ocean color observations. At the end, we share our views on André's legacy to our research field and scientific community.

Shedding light on the sea: André Morel's legacy to optical oceanography.

PubMed

Antoine, David; Babin, Marcel; Berthon, Jean-François; Bricaud, Annick; Gentili, Bernard; Loisel, Hubert; Maritorena, Stéphane; Stramski, Dariusz

2014-01-01

André Morel (1933-2012) was a prominent pioneer of modern optical oceanography, enabling significant advances in this field. Through his forward thinking and research over more than 40 years, he made key contributions that this field needed to grow and to reach its current status. This article first summarizes his career and then successively covers different aspects of optical oceanography where he made significant contributions, from fundamental work on optical properties of water and particles to global oceanographic applications using satellite ocean color observations. At the end, we share our views on André's legacy to our research field and scientific community.

Energy Transition Initiative: Island Energy Snapshot - San Andres and Providencia (Fact Sheet); NREL(National Renewable Energy Laboratory)

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

None

This profile provides a snapshot of the energy landscape of the Archipelago of San Andres, Providencia, and Santa Catalina (unpopulated), also known as San Andres and Providencia, which is equidistant between Costa Rica and Jamaica and 775 kilometers northwest of Colombia. The archipelago is part of Colombia, though Nicaragua has also laid claim to it.

Magnetic resonance cholangiography in the assessment and management of biliary complications after OLT.

PubMed

Girometti, Rossano; Cereser, Lorenzo; Bazzocchi, Massimo; Zuiani, Chiara

2014-07-28

Despite advances in patient and graft management, biliary complications (BC) still represent a challenge both in the early and delayed period after orthotopic liver transplantation (OLT). Because of unspecific clinical presentation, imaging is often mandatory in order to diagnose BC. Among imaging modalities, magnetic resonance cholangiography (MRC) has gained widespread acceptance as a tool to represent the reconstructed biliary tree noninvasively, using both the conventional technique (based on heavily T2-weighted sequences) and contrast-enhanced MRC (based on the acquisition of T1-weighted sequences after the administration of hepatobiliary contrast agents). On this basis, MRC is generally indicated to: (1) avoid unnecessary procedures of direct cholangiography in patients with a negative examination and/or identify alternative complications; and (2) provide a road map for interventional procedures or surgery. As illustrated in the review, MRC is accurate in the diagnosis of different types of biliary complications, including anastomotic strictures, non-anastomotic strictures, leakage and stones.

[To the issue of postreperfusion syndrome predictors in orthotopic liver transplantation (OLT)].

PubMed

Kiseleva, E A; Ushakova, I A; Kim, E F; Matveev, G P; Biriulina, N Iu; Vabishchevich, A V

2012-01-01

The aim of the study is revelation of postperfusion syndrome (pPS) predictors in orthotopic liver transplantation (OLT). Was conducted a retrospective analysis of anesthesia maintainance protocols during orthotopic liver transplantation in 261 patients aged from 6 months to 60 years. Investigated the effect of various factors on the development of PPS by the application of methods of non-parametric statistics. Significantly more frequent development of the PPS is noted in the age group from 3 to 18 years (up to 30% of patients). In recipients older than 18 years the frequency of the development of the PPS does not depend on age, with an average of 14%. The development of the PPS does not depend on the recipient sex, the nature of the pathology which served as an indication to the OTP, the initial severity of the state, type of OTP (living related donor or cadaveric transplantation, primary or re-transplantation), the transplant warm ischemia duration, use, or the lack of venous-venous bypass, metabolic status of the patient. The obtained results do not contradict to the data of foreign publications. Among parameters available for screening, predictor of PPS was not detected.

The epidemiology and transmissibility of Zika virus in Girardot and San Andres island, Colombia, September 2015 to January 2016

PubMed Central

Rojas, DP; Dean, NE; Yang, Y; Kenah, E; Quintero, J; Tomasi, S; Ramirez, EL; Kelly, Y; Castro, C; Carrasquilla, G; Halloran, ME; Longini, IM

2016-01-01

Transmission of Zika virus (ZIKV) was first detected in Colombia in September 2015. As of April 2016, Colombia had reported over 65,000 cases of Zika virus disease (ZVD). We analysed daily surveillance data of ZVD cases reported to the health authorities of San Andres and Girardot, Colombia, between September 2015 and January 2016. ZVD was laboratory-confirmed by reverse transcription-polymerase chain reaction (RT-PCR) in the serum of acute cases within five days of symptom onset. We use daily incidence data to estimate the basic reproductive number (R0) in each population. We identified 928 and 1,936 reported ZVD cases from San Andres and Girardot, respectively. The overall attack rate for reported ZVD was 12.13 cases per 1,000 residents of San Andres and 18.43 cases per 1,000 residents of Girardot. Attack rates were significantly higher in females in both municipalities (p < 0.001). Cases occurred in all age groups with highest rates in 20 to 49 year-olds. The estimated R0 for the Zika outbreak was 1.41 (95% confidence interval (CI): 1.15–1.74) in San Andres and 4.61 (95% CI: 4.11–5.16) in Girardot. Transmission of ZIKV is ongoing in the Americas. The estimated R0 from Colombia supports the observed rapid spread. PMID:27452806

Using stable isotopes in tracing contaminant sources in an industrial area: A case study on the hydrological basin of the Olt River, Romania.

PubMed

Popescu, Raluca; Mimmo, Tanja; Dinca, Oana Romina; Capici, Calogero; Costinel, Diana; Sandru, Claudia; Ionete, Roxana Elena; Stefanescu, Ioan; Axente, Damian

2015-11-15

Tracing pollution sources and transformation of nitrogen compounds in surface- and groundwater is an issue of great significance worldwide due to the increased human activity, translated in high demand of water resources and pollution. In this work, the hydrological basin of an important chemical industrial platform in Romania (Ramnicu Valcea industrial area) was characterized in terms of the physico-chemical and isotope composition of δ(18)O and δ(2)H in water samples and δ(15)N of the inorganic nitrogen species. Throughout a period of one year, water samples from the Olt River and its more important tributaries were collected monthly in the industrial area, when the seasonal and spatial isotope patterns of the surface waters and the main sources of pollution were determined. Higher inorganic nitrogen concentrations (up to 10.2 mg N L(-1)) were measured between November 2012 and April 2013, which were designated as anthropogenic additions using the mixing calculations. The main sources of pollution with inorganic nitrogen were agriculture and residential release. The inorganic nitrogen from the industrial waste water duct had a distinct δ(15)N fingerprint (mean of -8.6‰). Also, one industrial release into the environment was identified for Olt River, at Ionesti site, in November 2012. The mean precipitation samples had the lowest inorganic nitrogen concentrations (less than 5.5 mg N L(-1)) with a distinct δ(15)N fingerprint compared to the surface and industrial waters. Copyright © 2015 Elsevier B.V. All rights reserved.

AND/R: Advanced neutron diffractometer/reflectometer for investigation of thin films and multilayers for the life sciences

PubMed Central

Dura, Joseph A.; Pierce, Donald J.; Majkrzak, Charles F.; Maliszewskyj, Nicholas C.; McGillivray, Duncan J.; Lösche, Mathias; O'Donovan, Kevin V.; Mihailescu, Mihaela; Perez-Salas, Ursula; Worcester, David L.; White, Stephen H.

2011-01-01

An elastic neutron scattering instrument, the advanced neutron diffractometer/reflectometer (AND/R), has recently been commissioned at the National Institute of Standards and Technology Center for Neutron Research. The AND/R is the centerpiece of the Cold Neutrons for Biology and Technology partnership, which is dedicated to the structural characterization of thin films and multilayers of biological interest. The instrument is capable of measuring both specular and nonspecular reflectivity, as well as crystalline or semicrystalline diffraction at wave-vector transfers up to approximately 2.20 Å−1. A detailed description of this flexible instrument and its performance characteristics in various operating modes are given. PMID:21892232

Opticien Célèbre. André Maréchal

NASA Astrophysics Data System (ADS)

Haidar, Riad

2017-12-01

Physicien français spécialisé en optique, professeur à la faculté des sciences de l'université de Paris, André Maréchal a également été délégué général à la recherche scientifique et technique, et directeur général de l'Institut d'Optique. On lui doit notamment des résultats remarquables sur la théorie des aberrations et de la diffraction.

Convenio "Andres Bello:" Informe Final [de la] Segunda Reunion de Ministros de Educacion de la Region Andina ("Andres Bello" Agreement: Final Report of the Second Meeting of the Andean Region Ministers of Education).

ERIC Educational Resources Information Center

Ministros de Educacion de la Region Andina, Lima (Peru).

This final report of the second meeting of the Andean Region Ministers of Education subscribing to the Andres Bello Agreement on education and culture contains a resume of the individual sessions and the proposals approved during that meeting. The proposals cover various educational problems and issues and begin with the Declaration of Lima which…

Localization in one-dimensional lattices with non-nearest-neighbor hopping: Generalized Anderson and Aubry-Andre models

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

Biddle, J.; Priour, D. J. Jr.; Wang, B.

We study the quantum localization phenomena of noninteracting particles in one-dimensional lattices based on tight-binding models with various forms of hopping terms beyond the nearest neighbor, which are generalizations of the famous Aubry-Andre and noninteracting Anderson models. For the case with deterministic disordered potential induced by a secondary incommensurate lattice (i.e., the Aubry-Andre model), we identify a class of self-dual models, for which the boundary between localized and extended eigenstates are determined analytically by employing a generalized Aubry-Andre transformation. We also numerically investigate the localization properties of nondual models with next-nearest-neighbor hopping, Gaussian, and power-law decay hopping terms. We findmore » that even for these nondual models, the numerically obtained mobility edges can be well approximated by the analytically obtained condition for localization transition in the self-dual models, as long as the decay of the hopping rate with respect to distance is sufficiently fast. For the disordered potential with genuinely random character, we examine scenarios with next-nearest-neighbor hopping, exponential, Gaussian, and power-law decay hopping terms numerically. We find that the higher-order hopping terms can remove the symmetry in the localization length about the energy band center compared to the Anderson model. Furthermore, our results demonstrate that for the power-law decay case, there exists a critical exponent below which mobility edges can be found. Our theoretical results could, in principle, be directly tested in shallow atomic optical lattice systems enabling non-nearest-neighbor hopping.« less

Microfossil evidence for pre-Columbian maize dispersals in the neotropics from San Andres, Tabasco, Mexico.

PubMed

Pohl, Mary E D; Piperno, Dolores R; Pope, Kevin O; Jones, John G

2007-04-17

The history of maize (Zea mays L.) is one of the most debated topics in New World archaeology. Molecular and genetic studies indicate that maize domestication took place in tropical southwest Mexico. Although archaeological evidence for the evolution of maize from its wild ancestor teosinte has yet to be found in that poorly studied region, other research combining paleoecology and archaeology is documenting the nature and timing of maize domestication and dispersals. Here we report a phytolith analysis of sediments from San Andrés, Tabasco, that confirms the spread of maize cultivation to the tropical Mexican Gulf Coast >7,000 years ago ( approximately 7,300 calendar years before present). We review the different methods used in sampling, identifying, and dating fossil maize remains and compare their strengths and weaknesses. Finally, we examine how San Andrés amplifies the present evidence for widespread maize dispersals into Central and South America. Multiple data sets from many sites indicate that maize was brought under cultivation and domesticated and had spread rapidly out of its domestication cradle in tropical southwest Mexico by the eighth millennium before the present.

Biofilm composition in the Olt River (Romania) reservoirs impacted by a chlor-alkali production plant.

PubMed

Dranguet, P; Cosio, C; Le Faucheur, S; Hug Peter, D; Loizeau, J-L; Ungureanu, V-Gh; Slaveykova, V I

2017-05-24

Freshwater biofilms can be useful indicators of water quality and offer the possibility to assess contaminant effects at the community level. The present field study examines the effects of chlor-alkali plant effluents on the community composition of biofilms grown in the Olt River (Romania) reservoirs. The relationship between ambient water quality variables and community composition alterations was explored. Amplicon sequencing revealed a significant modification of the composition of microalgal, bacterial and fungal communities in the biofilms collected in the impacted reservoirs in comparison with those living in the uncontaminated control reservoir. The abundance corrected Simpson index showed lower richness and diversity in biofilms collected in the impacted reservoirs than in the control reservoir. The biofilm bacterial communities of the impacted reservoirs were characterized by the contaminant-tolerant Cyanobacteria and Bacteroidetes, whereas microalgal communities were predominantly composed of Bacillariophyta and fungal communities of Lecanoromycetes and Paraglomycetes. A principal component analysis revealed that major contaminants present in the waste water of the chlor-alkali production plant, i.e. Na + , Ca 2+ , Cl - and Hg, were correlated with the alteration of biofilm community composition in the impacted reservoirs. However, the biofilm composition was also influenced by water quality variables such as NO 3 - , SO 4 2- , DOC and Zn from unknown sources. The results of the present study imply that, even when below the environmental quality standards, typical contaminants of chlor-alkali plant releases may affect biofilm composition and that their impacts on the microbial biodiversity might be currently overlooked.

[André Detoeuf (1884-1931): pharmacist, industrialist and chemist].

PubMed

Leclercq, Loïc

2011-04-01

During the transition between the 19th and 20th century, Auguste Béhal (1859-1941), a native of Lens (France, Pas-de-Calais), renewed organic chemistry teaching at the Paris School of Pharmacy by the introduction of atomic notation and pre-electronic mechanisms. This revolution primarily affects the future pharmacists. Thus, Béhal becomes the leader of a "School" of thought and directs the work of many students called "Béhaliens": Ernest Fourneau (1872-1949), Marc Tiffeneau (1873-1945), Marcel Sommelet (1877-1952), etc. Among these students, three are also from Lens: Amand Valeur (1870-1927), Raymond Delaby (1891-1958) and André Detoeuf (1884-1931). The latter, initially, will follow the footsteps of his older siblings (pharmacy studies, writing a thesis under the direction of Behal); however, despite having started a career in academia, he left his post for the industry (Etablissements Kuhlmann and Billault).

APA/APAGS Award for Distinguished Graduate Student in Professional Psychology: Octavio Andres Santos.

PubMed

2017-12-01

The APA/APAGS Award for Distinguished Graduate Student in Professional Psychology is awarded annually by the APA Board of Professional Affairs (BPA) and the American Psychological Association of Graduate Students (APAGS) to a graduate student who has demonstrated outstanding practice and application of psychology. The 2017 award winner is Octavio Andres Santos, who has demonstrated through several initiatives "effective engagement with advocacy, professional organizations, and research in the area of health disparities and multicultural/multilingual assessment." Santos's award citation, biography, and a selected bibliography are presented here. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

Evaluation of a Voluntary Tutoring Program in Chemistry, Physics and Mathematics for First-Year Undergraduates at Universidad Andres Bello, Chile

ERIC Educational Resources Information Center

Jiménez, Verónica A.; Acuña, Fabiola C.; Quiero, Felipe J.; López, Margarita; Zahn, Carmen I.

2015-01-01

This work describes the preliminary results of a tutoring program that provides personalized academic assistance to first-year undergraduates enrolled in introductory chemistry, physics and mathematics courses at Universidad Andres Bello (UNAB), in Concepción, Chile. Intervened courses have historically large enrolments, diverse student population…

Andre Hellegers and Carroll House: architect and blueprint for the Kennedy Institute of Ethics.

PubMed

Harvey, John Collins

2004-06-01

The Newman programs established at secular colleges and universities provided an opportunity for intellectual, spiritual, and social growth among the Catholic student population. As a young physician and junior medical faculty member, Andre Hellegers took part in the early organization and ongoing work of Carroll House, the Newman Center at the Johns Hopkins Medical Institutions. Helleger's experience at Carroll House enabled him to develop a clear blueprint of an academic center of excellence for the scientific, theological, and philosophical exploration of the many problems that he had seen and foresaw in medicine. That center would become Georgetown's Kennedy Institute of Ethics.

Logical optical line terminal technologies towards flexible and highly reliable metro- and access-integrated networks

NASA Astrophysics Data System (ADS)

Okamoto, Satoru; Sato, Takehiro; Yamanaka, Naoaki

2017-01-01

In this paper, flexible and highly reliable metro and access integrated networks with network virtualization and software defined networking technologies will be presented. Logical optical line terminal (L-OLT) technologies and active optical distribution networks (ODNs) are the key to introduce flexibility and high reliability into the metro and access integrated networks. In the Elastic Lambda Aggregation Network (EλAN) project which was started in 2012, a concept of the programmable optical line terminal (P-OLT) has been proposed. A role of the P-OLT is providing multiple network services that have different protocols and quality of service requirements by single OLT box. Accommodated services will be Internet access, mobile front-haul/back-haul, data-center access, and leased line. L-OLTs are configured within the P-OLT box to support the functions required for each network service. Multiple P-OLTs and programmable optical network units (P-ONUs) are connected by the active ODN. Optical access paths which have flexible capacity are set on the ODN to provide network services from L-OLT to logical ONUs (L-ONUs). The L-OLT to L-ONU path on the active ODN provides a logical connection. Therefore, introducing virtualization technologies becomes possible. One example is moving an L-OLT from one P-OLT to another P-OLT like a virtual machine. This movement is called L-OLT migration. The L-OLT migration provides flexible and reliable network functions such as energy saving by aggregating L-OLTs to a limited number of P-OLTs, and network wide optical access path restoration. Other L-OLT virtualization technologies and experimental results will be also discussed in the paper.

Process optimisation of microwave-assisted extraction of peony ( Paeonia suffruticosa Andr .) seed oil using hexane-ethanol mixture and its characterisation

Treesearch

Xiaoli Sun; Wengang Li; Jian Li; Yuangang Zu; Chung-Yun Hse; Jiulong Xie; Xiuhua Zhao

2016-01-01

Ethanol and hexane mixture agent microwave-assisted extraction (MAE) method was conducted to extract peony (Paeonia suffruticosa Andr.) seed oil (PSO). The aim of the study was to optimise the extraction for both yield and energy consumption in mixture agent MAE. The highest oil yield (34.49%) and lowest unit energy consumption (14 125.4 J g -1)...

Historical record of mercury contamination in sediments from the Babeni Reservoir in the Olt River, Romania.

PubMed

Bravo, Andrea Garcia; Loizeau, Jean-Luc; Ancey, Lydie; Ungureanu, Viorel Gheorghe; Dominik, Janusz

2009-08-01

Mercury (Hg) is a ubiquitous and hazardous contaminant in the aquatic environment showing a strong biomagnification effect along the food chain. The most common transfer path of Hg to humans is contaminated fish consumption. In severely exposed humans, Hg poisoning may lead to damage in the central nervous system. Thus, it is important to examine current and past contamination levels of Hg in aquatic milieu. The Olt River is the largest Romanian tributary of the Danube River. The use of Hg as an electrode in a chlor-alkali plant contributed to the contamination of the aquatic environment in the Rm Valcea region. The purpose of this study was to compare the current state of Hg contamination with the past contamination using a historical record obtained from a dated sediment core from one of the Olt River reservoirs (Babeni) located downstream from the chlor-alkali plant. To our knowledge, no published data on Hg contamination in this region are available. The Babeni Reservoir was selected for this study because it is situated downstream from the chlor-alkali plant, whilst the other reservoirs only retain the pollutants coming from the upstream part of the watershed. Preliminary analyses (unpublished) showed high Hg concentrations in the surface sediment of the Babeni Reservoir. One core was taken in the upstream Valcea Reservoir to provide a local background level of Hg concentrations in sediments. Sediment texture was uniform in the cores from both reservoirs. Laminated sediment structure, without any obvious discontinuities, was observed. Hg concentrations in the sediment core from the Valcea Reservoir were low and constant (0.01-0.08 mg/kg). In Babeni Reservoir sediments, Hg concentrations were very high in the deeper core section (up to 45 mg/kg in the longest core) and decreased to lower concentrations toward the top of the cores (1.3-2.4 mg/kg). This decrease probably reflects technological progress in control of emissions from the Hg-cell-based chlor

Hepatic encephalopathy before and neurological complications after liver transplantation have no impact on the employment status 1 year after transplantation

PubMed Central

Pflugrad, Henning; Tryc, Anita B; Goldbecker, Annemarie; Strassburg, Christian P; Barg-Hock, Hannelore; Klempnauer, Jürgen; Weissenborn, Karin

2017-01-01

AIM To investigate the impact of hepatic encephalopathy before orthotopic liver transplantation (OLT) and neurological complications after OLT on employment after OLT. METHODS One hundred and fourteen patients with chronic liver disease aged 18-60 years underwent neurological examination to identify neurological complications, neuropsychological tests comprising the PSE-Syndrome-Test yielding the psychometric hepatic encephalopathy score, the critical flicker frequency and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), completed a questionnaire concerning their occupation and filled in the short form 36 (SF-36) to assess health-related quality of life before OLT and 12 mo after OLT, if possible. Sixty-eight (59.6%) patients were recruited before OLT, while on the waiting list for OLT at Hannover Medical School [age: 48.7 ± 10.2 years, 45 (66.2%) male], and 46 (40.4%) patients were included directly after OLT. RESULTS Before OLT 43.0% of the patients were employed. The patients not employed before OLT were more often non-academics (employed: Academic/non-academic 16 (34.0%)/31 vs not employed 10 (17.6%)/52, P = 0.04), had more frequently a history of hepatic encephalopathy (HE) (yes/no; employed 15 (30.6%)/34 vs not employed 32 (49.2%)/33, P = 0.05) and achieved worse results in psychometric tests (RBANS sum score mean ± SD employed 472.1 ± 44.5 vs not employed 443.1 ± 56.7, P = 0.04) than those employed. Ten patients (18.2%), who were not employed before OLT, resumed work afterwards. The patients employed after OLT were younger [age median (range, min-max) employed 47 (42, 18-60) vs not employed 50 (31, 29-60), P = 0.01], achieved better results in the psychometric tests (RBANS sum score mean ± SD employed 490.7 ± 48.2 vs not employed 461.0 ± 54.5, P = 0.02) and had a higher health-related quality of life (SF 36 sum score mean ± SD employed 627.0 ± 138.1 vs not employed 433.7 ± 160.8; P < 0.001) compared to patients not

Anatomic feature of deltoid ligament attachment in posteromedial osteochondral lesion of talar dome.

PubMed

Nakasa, Tomoyuki; Sawa, Mikiya; Ikuta, Yasunari; Yoshikawa, Masahiro; Tsuyuguchi, Yusuke; Adachi, Nobuo

2018-03-01

Osteochondral lesions of the talus (OLT) are recognized as being commonly associated with trauma. However, the etiology of OLT remains unclear. In the case of a posteromedial lesion of OLT (medial OLT), the deep layer of the deltoid ligament is located close to the medial OLT, and this relationship between a medial lesion and deltoid ligament could be a risk factor for medial OLT. The purpose of this study is to investigate the unique anatomic feature of the deep deltoid attachment to the talus in patients with medial OLT compared with patients with non-medial OLT. Forty ankles with medial OLT and 40 ankles without medial OLT were retrospectively reviewed in this study. On the coronal images of MRI, the attachment of deltoid ligament was measured. The continuity of the osteochondral fragment and its bed was evaluated on MRI and arthroscopic findings. Coronal MRI images showed that the attachment of the deep deltoid ligament to the medial OLT was broader and located more proximally than in non-medial OLT. The continuity of fibers from the insertion site of deltoid ligament to the talus to the osteochondral fragment was observed (76.7%). In the arthroscopic findings, the osteochondral fragment was obviously connected to the talus at the medial site in 85.2% of feet. The location of the deep deltoid ligament attachment to the medial OLT was more proximal and there was the possibility of these anatomic feature might contribute to the pathogenesis of medial OLT. Copyright © 2017 The Japanese Orthopaedic Association. Published by Elsevier B.V. All rights reserved.

Drive-induced delocalization in the Aubry-André model

NASA Astrophysics Data System (ADS)

Ray, S.; Ghosh, A.; Sinha, S.

2018-01-01

Motivated by the recent experiment by Bordia et al. [Nat. Phys. 13, 460 (2017), 10.1038/nphys4020], we study the single particle delocalization phenomena of the Aubry-André (AA) model subjected to periodic drives. In two distinct cases we construct an equivalent classical description to illustrate that the drive-induced delocalization phenomena stems from an instability and the onset of chaos in the underlying dynamics. In the first case we analyze the delocalization and the thermalization in a time modulated AA potential with respect to driving frequency and demonstrate that there exists a threshold value of the amplitude of the drive. In the next example, we show that the periodic modulation of the phase of the hopping amplitude induced by a gauge field leads to an unusual effect on delocalization with a nonmonotonic dependence on the driving frequency. Within a window of such a driving frequency a delocalized Floquet band with a mobility edge appears, exhibiting multifractality in the spectrum as well as in the Floquet eigenfunctions. Finally, we explore the effect of interaction and discuss how the results of the present analysis can be tested experimentally.

Karl Andrée (1880-1959) sedimentologist and marine geologist

NASA Astrophysics Data System (ADS)

Dullo, Wolf-Christian; Pfaffl, Fritz A.

2017-09-01

Karl Andrée began studying questions of sedimentology and oceanography in 1908 when working as an assistant at the University of Marburg and he remained faithful to these subjects until his death in 1959. The vast majority of his scientific contributions, however, were published during his time at the University of Königsberg (1915-1945). There he published his fundamental papers on marine geology, all of which adhered strictly to the principles of uniformitarianism, and helped improve our understanding of sedimentary processes and the stratigraphic record. His scientific work has enormous breadth. In the course of 55 years, he published 124 individual papers and books, some of which became classic textbooks. His versatility is particularly evident in his book "Geology of the Seafloor", which contains many pertinent observations and descriptions still relevant today, even if it has fallen out of fashion. This scientist and university teacher was the first to successfully present the huge field of marine geology in all its facet and to consider the deposition of marine sediments as a function of their geographical distribution.

Predictors of renal function recovery among patients undergoing renal replacement therapy following orthotopic liver transplantation.

PubMed

Andreoli, Maria Claudia Cruz; Souza, Nádia Karina Guimarães de; Ammirati, Adriano Luiz; Matsui, Thais Nemoto; Carneiro, Fabiana Dias; Ramos, Ana Claudia Mallet de Souza; Iizuca, Ilson Jorge; Coelho, Maria Paula Vilela; Afonso, Rogério Carballo; Ferraz-Neto, Ben-Hur; Almeida, Marcio Dias de; Durão, Marcelino; Batista, Marcelo Costa; Monte, Julio Cesar; Pereira, Virgílio Gonçalves; Santos, Oscar Pavão Dos; Santos, Bento Cardoso Dos

2017-01-01

Renal dysfunction frequently occurs during the periods preceding and following orthotopic liver transplantation (OLT), and in many cases, renal replacement therapy (RRT) is required. Information regarding the duration of RRT and the rate of kidney function recovery after OLT is crucial for transplant program management. We evaluated a sample of 155 stable patients undergoing post-intensive care hemodialysis (HD) from a patient population of 908 adults who underwent OLT. We investigated the average time to renal function recovery (duration of RRT required) and determined the risk factors for remaining on dialysis > 90 days after OLT. Log-rank tests were used for univariate analysis, and Cox proportional hazards models were used to identify factors associated with the risk of remaining on HD. The results of our analysis showed that of the 155 patients, 28% had pre-OLT diabetes mellitus, 21% had pre-OLT hypertension, and 40% had viral hepatitis. Among the patients, the median MELD (Model for End-Stage Liver Disease) score was 27 (interquartile range [IQR] 22-35). When they were listed for liver transplantation, 32% of the patients had serum creatinine (Scr) levels > 1.5 mg/dL or were on HD, and 50% had serum creatinine (Scr) levels > 1.5 mg/dL or were on HD at the time of OLT. Of the transplanted patients, 25% underwent pre-OLT intermittent HD, and 14% and 41% underwent continuous renal replacement therapy (CRRT) pre-OLT and post-OLT, respectively. At 90 days post-OLT, 118 (76%) patients had been taken off dialysis, and 16 (10%) patients had died while undergoing HD. The median recovery time of these post-OLT patients was 33 (IQR 27-39) days. In the multivariate analysis, fulminant hepatic failure as the cause of liver disease (p<0.001), the absence of pre-OLT hypertension (p = 0.016), a lower intraoperative fresh-frozen plasma (FFP) transfusion volume (p = 0.019) and not undergoing pre-OLT intermittent HD (p = 0.032) were associated with performing RRT for less than

Predictors of renal function recovery among patients undergoing renal replacement therapy following orthotopic liver transplantation

PubMed Central

de Souza, Nádia Karina Guimarães; Ammirati, Adriano Luiz; Matsui, Thais Nemoto; Carneiro, Fabiana Dias; Ramos, Ana Claudia Mallet de Souza; Iizuca, Ilson Jorge; Afonso, Rogério Carballo; Ferraz-Neto, Ben-Hur; de Almeida, Marcio Dias; Durão, Marcelino; Batista, Marcelo Costa; Monte, Julio Cesar; Pereira, Virgílio Gonçalves; dos Santos, Oscar Pavão

2017-01-01

Renal dysfunction frequently occurs during the periods preceding and following orthotopic liver transplantation (OLT), and in many cases, renal replacement therapy (RRT) is required. Information regarding the duration of RRT and the rate of kidney function recovery after OLT is crucial for transplant program management. We evaluated a sample of 155 stable patients undergoing post-intensive care hemodialysis (HD) from a patient population of 908 adults who underwent OLT. We investigated the average time to renal function recovery (duration of RRT required) and determined the risk factors for remaining on dialysis > 90 days after OLT. Log-rank tests were used for univariate analysis, and Cox proportional hazards models were used to identify factors associated with the risk of remaining on HD. The results of our analysis showed that of the 155 patients, 28% had pre-OLT diabetes mellitus, 21% had pre-OLT hypertension, and 40% had viral hepatitis. Among the patients, the median MELD (Model for End-Stage Liver Disease) score was 27 (interquartile range [IQR] 22-35). When they were listed for liver transplantation, 32% of the patients had serum creatinine (Scr) levels > 1.5 mg/dL or were on HD, and 50% had serum creatinine (Scr) levels > 1.5 mg/dL or were on HD at the time of OLT. Of the transplanted patients, 25% underwent pre-OLT intermittent HD, and 14% and 41% underwent continuous renal replacement therapy (CRRT) pre-OLT and post-OLT, respectively. At 90 days post-OLT, 118 (76%) patients had been taken off dialysis, and 16 (10%) patients had died while undergoing HD. The median recovery time of these post-OLT patients was 33 (IQR 27–39) days. In the multivariate analysis, fulminant hepatic failure as the cause of liver disease (p<0.001), the absence of pre-OLT hypertension (p = 0.016), a lower intraoperative fresh-frozen plasma (FFP) transfusion volume (p = 0.019) and not undergoing pre-OLT intermittent HD (p = 0.032) were associated with performing RRT for less

Persistent Hg contamination and occurrence of Hg-methylating transcript (hgcA) downstream of a chlor-alkali plant in the Olt River (Romania).

PubMed

Bravo, Andrea G; Loizeau, Jean-Luc; Dranguet, Perrine; Makri, Stamatina; Björn, Erik; Ungureanu, Viorel Gh; Slaveykova, Vera I; Cosio, Claudia

2016-06-01

Chlor-alkali plants using mercury (Hg) cell technology are acute point sources of Hg pollution in the aquatic environment. While there have been recent efforts to reduce the use of Hg cells, some of the emitted Hg can be transformed to neurotoxic methylmercury (MeHg). Here, we aimed (i) to study the dispersion of Hg in four reservoirs located downstream of a chlor-alkali plant along the Olt River (Romania) and (ii) to track the activity of bacterial functional genes involved in Hg methylation. Total Hg (THg) concentrations in water and sediments decreased successively from the initial reservoir to downstream reservoirs. Suspended fine size particles and seston appeared to be responsible for the transport of THg into downstream reservoirs, while macrophytes reflected the local bioavailability of Hg. The concentration and proportion of MeHg were correlated with THg, but were not correlated with bacterial activity in sediments, while the abundance of hgcA transcript correlated with organic matter and Cl(-) concentration, indicating the importance of Hg bioavailability in sediments for Hg methylation. Our data clearly highlights the importance of considering Hg contamination as a legacy pollutant since there is a high risk of continued Hg accumulation in food webs long after Hg-cell phase out.

Distribution and landscape controls of organic layer thickness and carbon within the Alaskan Yukon River Basin

USGS Publications Warehouse

Pastick, Neal J.; Rigge, Matthew B.; Wylie, Bruce K.; Jorgenson, M. Torre; Rose, Joshua R.; Johnson, Kristofer D.; Ji, Lei

2014-01-01

Understanding of the organic layer thickness (OLT) and organic layer carbon (OLC) stocks in subarctic ecosystems is critical due to their importance in the global carbon cycle. Moreover, post-fire OLT provides an indicator of long-term successional trajectories and permafrost susceptibility to thaw. To these ends, we 1) mapped OLT and associated uncertainty at 30 m resolution in the Yukon River Basin (YRB), Alaska, employing decision tree models linking remotely sensed imagery with field and ancillary data, 2) converted OLT to OLC using a non-linear regression, 3) evaluate landscape controls on OLT and OLC, and 4) quantified the post-fire recovery of OLT and OLC. Areas of shallow (2 = 0.68; OLC: R2 = 0.66), where an average of 16 cm OLT and 5.3 kg/m2 OLC were consumed by fires. Strong predictors of OLT included climate, topography, near-surface permafrost distributions, soil wetness, and spectral information. Our modeling approach enabled us to produce regional maps of OLT and OLC, which will be useful in understanding risks and feedbacks associated with fires and climate feedbacks.

Laparoscopic Sleeve Gastrectomy for Morbid Obesity in Patients After Orthotopic Liver Transplant: a Matched Case-Control Study.

PubMed

Tsamalaidze, Levan; Stauffer, John A; Arasi, Lisa C; Villacreses, Diego E; Franco, Jose Salvador Serrano; Bowers, Steven; Elli, Enrique F

2018-02-01

Obesity is frequently encountered in patients with orthotopic liver transplant (OLT). The role of bariatric surgery is still unclear for this specific population. The aim of this study was to review our experience with laparoscopic sleeve gastrectomy (LSG) after OLT. We performed a retrospective case-control study of patients undergoing LSG after OLT from 2010 to 2016. OLT-LSG patients were matched by age, sex, body mass index (BMI), and year to non-OLT patients undergoing LSG. Demographics, operative variables, postoperative events, and long-term weight loss with comorbidity resolution were collected and compared between cases and controls. Of 303 patients undergoing LSG, 12 (4%) had previous OLT. They were matched to 36 non-OLT patients. No difference was found between groups in the American Society of Anesthesiologists class, mean operative time, or postoperative morbidity. The non-OLT group, however, had a significantly shorter mean hospital stay than the OLT group (1.7 vs 3.1 days; P < .001). There were no conversions to open procedures. For patients with long-term follow-up, change in BMI after LSG was similar between the groups, but the non-OLT patients had significantly more excess body weight loss at 2 years (53.7 vs 45.2%; P < .001). Similar resolution of comorbid conditions was noted in both groups. LSG caused no changes in dosage of immunosuppressive medications, and no liver complications occurred. LSG after OLT in appropriately selected patients appears to have similar outcomes to LSG in non-OLT patients.

Neurological Impact of World War I on the Artistic Avant-Garde: The Examples of André Breton, Guillaume Apollinaire and Blaise Cendrars.

PubMed

Bogousslavsky, Julien; Tatu, Laurent

2016-01-01

World War I erupted at a time when artistic avant-gardes were particularly thriving across Europe. Young poets, writers, painters and sculptors were called to arms or voluntary enrolled to fight, and several of them died during the conflict. Among others, it dramatically changed their creative output, either through specific wounds or through personal encounters and experiences. These individual events then significantly modified the course of the literary and artistic avant-garde movements. Three particularly illustrative examples of avant-garde French poets are presented here: André Breton (1896-1966), Guillaume Apollinaire (1880-1918) and Blaise Cendrars (1887-1961). The deep source of the surrealist movement can indeed be found in André Breton's involvement as an auxiliary physician with critical interest in neuropsychiatry, which caused him to discover automatic writing. Guillaume Apollinaire's right temporal subdural hematoma strongly modified his emotional state and subsequent artistic activities. Alternatively, after losing his right, writing hand, Blaise Cendrars not only substituted it with a phantom but also rapidly switched from poetry to novels after he learnt to write with his left hand. © 2016 S. Karger AG, Basel.

Societal reintegration following cadaveric orthotopic liver transplantation.

PubMed

Kelly, Ryan; Hurton, Scott; Ayloo, Subhashini; Cwinn, Mathew; De Coutere-Bosse, Sarah; Molinari, Michele

2016-06-01

Studies on patients' societal reintegration following orthotopic liver transplantation (OLT) are scarce. Between September 2006 and January 2008, all adults who were alive after 3 years post OLT were included in this prospective cohort study. Validated questionnaires were administered to all candidates with the primary aim of investigating the rate of their social re-integration following OLT and potential barriers they might have encountered. Among 157 eligible patients 110 (70%) participated. Mean participants' age was 57 years (SD 11.4) and 43% were females. Prior to OLT, 75% of patients were married and 6% were divorced. Following OLT there was no significant difference in marital status. Employment rate fell from 72% to 30% post-OLT. Patients who had been employed in either low-skill or advanced-skill jobs were less likely to return to work. After OLT, personal income fell an average of 4,363 Canadian dollars (CAN$) (SD 20,733) (P=0.03) but the majority of recipients (80%) reported high levels of satisfaction for their role in society. Although patients' satisfaction post-OLT is high, employment status is likely to be negatively affected for individuals who are not self-employed. Strategies to assist recipients in returning to their pre-OLT jobs should be developed to improve patients' economical status and societal ability to recoup resources committed for OLT.

Evaluation of joint position sense measured by inversion angle replication error in patients with an osteochondral lesion of the talus.

PubMed

Nakasa, Tomoyuki; Adachi, Nobuo; Shibuya, Hayatoshi; Okuhara, Atsushi; Ochi, Mitsuo

2013-01-01

The etiology of the osteochondral lesion of the talar dome (OLT) remains unclear. A joint position sense deficit of the ankle is reported to be a possible cause of ankle disorder. Repeated contact of the articular surface of the talar dome with the plafond during inversion might be a cause of OLT. The aim of the present study was to evaluate the joint position sense deficit by measuring the replication error of the inversion angle in patients with OLT. The replication error, which is the difference between the index angle and replication angle in inversion, was measured in 15 patients with OLT. The replication error in 15 healthy volunteers was evaluated as a control group. The side to side differences of the replication errors between the patients with OLT and healthy volunteers and the replication errors in each angle between the involved and uninvolved ankle in the patients with OLT were investigated. Finally, the side to side differences of the replication errors between the patients with OLT with a traumatic and nontraumatic history were compared. The side to side difference in the patients with OLT (1.3° ± 0.2°) was significantly greater than that in the healthy subjects (0.4° ± 0.7°) (p ≤ .05). Significant differences were found between the involved and uninvolved sides at 10°, 15°, 20°, and 25° in the patients with OLT. No significant difference (p > .05) was found between the patients with traumatic and nontraumatic OLT. The present study found that the patients with OLT have a joint position sense deficit during inversion movement, regardless of a traumatic history. Although various factors for the etiology of OLT have been reported, the joint position sense deficit in inversion might be a cause of OLT. Copyright © 2013 American College of Foot and Ankle Surgeons. Published by Elsevier Inc. All rights reserved.

Exposing Clinicians to Exposure: A Randomized Controlled Dissemination Trial of Exposure Therapy for Anxiety Disorders

PubMed Central

Harned, Melanie S.; Dimeff, Linda A.; Woodcock, Eric A.; Kelly, Tim; Zavertnik, Jake; Contreras, Ignacio; Danner, Sankirtana M.

2014-01-01

Objective The present study evaluated three technology-based methods of training mental health providers in exposure therapy (ET) for anxiety disorders. Training methods were designed to address common barriers to the dissemination of ET, including limited access to training, negative clinician attitudes toward ET, and lack of support during and following training. Method Clinicians naïve to ET (N=181, Mage = 37.4, 71.3% female, 72.1% Caucasian) were randomly assigned to: 1) an interactive, multimedia online training (OLT), 2) OLT plus a brief, computerized motivational enhancement intervention (OLT+ME), or 3) OLT + ME plus a web-based learning community (OLT+ME+LC). Assessments were completed at baseline, post-training, and 6 and 12 weeks following training. Outcomes include satisfaction, knowledge, self-efficacy, attitudes, self-reported clinical use, and observer-rated clinical proficiency. Results All three training methods led to large and comparable improvements in self-efficacy and clinical use of ET, indicating that OLT alone was sufficient for improving these outcomes. The addition of the ME intervention did not significantly improve outcomes in comparison to OLT alone. Supplementing the OLT with both the ME intervention and the LC significantly improved attitudes and clinical proficiency in comparison to OLT alone. The OLT+ME+LC condition was superior to both other conditions in increasing knowledge of ET. Conclusions Multi-component trainings that address multiple potential barriers to dissemination appear to be most effective in improving clinician outcomes. Technology-based training methods offer a satisfactory, effective, and scalable way to train mental health providers in evidence-based treatments such as ET. PMID:25311284

Factors influencing long-term quality of life and depression in German liver transplant recipients: a single-centre cross-sectional study.

PubMed

Zahn, Alexandra; Seubert, Lisa; Jünger, Jana; Schellberg, Dieter; Weiss, Karl Heinz; Schemmer, Peter; Stremmel, Wolfgang; Sauer, Peter; Gotthardt, Daniel Nils

2013-06-26

Health-related quality of life (HRQOL) following orthotopic liver transplantation (OLT) has become increasingly important. Therefore, we aimed to identify factors affecting HRQOL after OLT. This cross-sectional, single-centre study surveyed 281 OLT patients. Survey tools included the Short Form (SF-36) Health Survey, the Patient Health Questionnaire 9 (PHQ9), and a self-designed employment questionnaire. Patient medical records were reviewed. Participants included 187 men (mean age at OLT: 50 [± 11; 13-69] years). Primary indications for OLT were viral hepatitis (28%), alcoholic liver disease (35%), cholestatic liver disease (11%), and others (26%). Follow-up ranged from 2 to 136 months. Clinical factors associated with improved HRQOL were age ≤ 45 years at OLT and current MELD score <=≤ 13. Time after OLT and indication for transplantation affected SF-36 HRQOL. SF-36 physical component summary scales plateaued at 3-years post-OLT and then stabilized. For the SF-36 HRQOL, scores were the lowest in all domains for OLT recipients transplanted for chronic viral hepatitis and for unemployed patients, whereas sex and number of transplantations showed no significant differences. The PHQ9 results showed that depression was significantly more frequent among patients with current MELD score ≥ 13 or impaired liver function and those transplanted for chronic viral hepatitis or unemployed patients. Age and sex did not influence PHQ9 results. Medical and psychosocial support is crucial for long-term HRQOL after OLT. Developing multidisciplinary interventions to address issues such as employment, age, MELD score, and liver function may improve long-term HRQOL in these patients.

André Cournand, Bellevue's Cardiopulmonary Laboratory, and Research on Heart Failure.

PubMed

Braunwald, Eugene

2018-02-01

In 1954-1955, the author served as a research fellow in the cardiopulmonary laboratory led by André Cournand at Bellevue Hospital in New York. Cournand was a pulmonary physiologist and a professor of medicine at Columbia University. In his quest to obtain mixed venous blood to calculate pulmonary blood flow, he catheterized the right atrium, right ventricle, and pulmonary artery in patients and also measured the pressures in these chambers. Cournand and his collaborators soon appreciated the enormous potential of cardiac catheterization in deepening the understanding of cardiovascular pathophysiology. After a series of groundbreaking studies, Cournand and his coworker Dickinson Richards, as well as German physician Werner Forssmann, were awarded a Nobel Prize in 1956. Cournand's laboratory, his work habits, and his rigorous approach to science are described, as well as the stimulation the author received during the author's fellowship. As a result, the author went on to extend to the left side of the heart the observations that the Cournand group had conducted in the right heart. Also, the author continued Cournand's work on heart failure by developing techniques to measure ventricular function in patients and to describe the neurohumoral changes that occur in human heart failure.

The Effect of Bridging Locoregional Therapy and Sociodemographics on Survival in Hepatocellular Carcinoma Patients Undergoing Orthotopic Liver Transplantation: A United Network for Organ Sharing Population Study.

PubMed

Magnetta, Michael J; Xing, Minzhi; Zhang, Di; Kim, Hyun S

2016-12-01

To investigate socioeconomic and demographic factors associated with transplantation outcomes in patients with hepatocellular carcinoma (HCC) treated with bridging locoregional therapy (LRT) before orthotopic liver transplantation (OLT). The United Network for Organ Sharing (UNOS) database was used to identify all patients in the United States with HCC who were listed for OLT between 2002 and 2013. Mean overall survival (OS) after OLT was stratified based on age, sex, ethnicity, transplant year, region, and insurance status. Kaplan-Meier estimation was used for survival analysis with log-rank test and Cox proportional hazards model to assess independent prognostic factors for OS. Of the 17,291 listed patients with HCC, 14,511 underwent OLT. Mean age was 57.4 years (76.8% male). Favorable sociodemographic factors were associated with increased rates of bridging LRT before OLT and longer wait time on the transplant list and were shown to be independent prognostic factors for prolonged OS after OLT using multivariate analysis. Favorable demographic factors included patient age < 60 years, donor age < 45 years, year of diagnosis between 2008 and 2013, UNOS regions 4 and 5, Asian ethnicity, high functional status, postgraduate education, private payer insurance, and employment at the time of OLT. Patients with favorable sociodemographics had higher rates of LRT before OLT performed for HCC cure. These patients had longer transplant wait times and longer OS after OLT. Copyright © 2016 SIR. Published by Elsevier Inc. All rights reserved.

[The men of the Andrée expedition probably died of botulism. A new hypothesis explains these mysterious deaths].

PubMed

Personne, M

2000-03-22

The last camp of the three members of the 1897 Swedish Andrée balloon expedition to the North Pole was found in Svalbard in 1930. The human remains and the paraphernalia of the expedition including diaries were brought to Sweden and are presently housed in a museum. The cause of the deaths has never been determined, but several hypotheses have been put forward over the years. Trichinosis, scurvy, and poisoning by carbon-monoxide, vitamin-A or lead are some of them. In this article it is argued that botulism is a plausible explanation which is in better accord with known facts.

Presence of intrahepatic (total and ccc) HBV DNA is not predictive of HBV recurrence after liver transplantation.

PubMed

Hussain, Munira; Soldevila-Pico, Consuelo; Emre, Sukru; Luketic, Velimir; Lok, Anna S F

2007-08-01

Previous studies reported that hepatitis B virus (HBV) deoxyribonucleic acid (DNA) can be detected in livers of patients who received transplants for hepatitis B despite the absence of serological markers of HBV recurrence. Quantification of HBV DNA was not performed and presence of covalently closed circular (ccc) DNA was not analyzed in most studies. We aimed to quantify total and ccc HBV DNA in explant liver and post-orthotopic liver transplantation (OLT) biopsies and to correlate the values with HBV recurrence post-OLT. Frozen liver tissue from 34 patients (9 with explant liver only, 9 with explant liver and post-OLT liver biopsies, and 16 with post-OLT biopsies only) in the National Institutes of Health HBV-OLT study was examined using real-time polymerase chain reaction (PCR). Among the 18 patients with explant liver, 7 were hepatitis B e antigen (HBeAg)-positive, 8 had detectable serum HBV DNA, and 10 received antiviral therapy prior to OLT. Total and ccc HBV DNA was detected in explant livers of 17 and 16 patients, respectively. Of the 10 patients who received antiviral therapy pre-OLT, serum HBV DNA was undetectable in 8 at transplantation but 7 had detectable total and ccc HBV DNA in their explant liver. Of the 25 patients with post-OLT biopsies, total HBV DNA was detected in 83% and ccc DNA in 17% of 47 biopsies, although only 2 patients had HBV recurrence. In conclusion, total and ccc HBV DNA could be detected in explant livers of most patients despite antiviral therapy pre-OLT. Total but not ccc HBV DNA could be detected in post-OLT liver biopsies of most patients despite undetectable serum HBV DNA and hepatitis B surface antigen (HBsAg). Our findings suggest that occult HBV reinfection occurs in most HBV patients after OLT and continued administration of appropriate prophylactic therapy is important in preventing overt HBV recurrence. Copyright (c) 2007 AASLD.

Permafrost and organic layer interactions over a climate gradient in a discontinuous permafrost zone

NASA Astrophysics Data System (ADS)

Johnson, Kristofer D.; Harden, Jennifer W.; McGuire, A. David; Clark, Mark; Yuan, Fengming; Finley, Andrew O.

2013-09-01

Permafrost is tightly coupled to the organic soil layer, an interaction that mediates permafrost degradation in response to regional warming. We analyzed changes in permafrost occurrence and organic layer thickness (OLT) using more than 3000 soil pedons across a mean annual temperature (MAT) gradient. Cause and effect relationships between permafrost probability (PF), OLT, and other topographic factors were investigated using structural equation modeling in a multi-group analysis. Groups were defined by slope, soil texture type, and shallow (<28 cm) versus deep organic (≥28 cm) layers. The probability of observing permafrost sharply increased by 0.32 for every 10-cm OLT increase in shallow OLT soils (OLTs) due to an insulation effect, but PF decreased in deep OLT soils (OLTd) by 0.06 for every 10-cm increase. Across the MAT gradient, PF in sandy soils varied little, but PF in loamy and silty soils decreased substantially from cooler to warmer temperatures. The change in OLT was more heterogeneous across soil texture types—in some there was no change while in others OLTs soils thinned and/or OLTd soils thickened at warmer locations. Furthermore, when soil organic carbon was estimated using a relationship with thickness, the average increase in carbon in OLTd soils was almost four times greater compared to the average decrease in carbon in OLTs soils across all soil types. If soils follow a trajectory of warming that mimics the spatial gradients found today, then heterogeneities of permafrost degradation and organic layer thinning and thickening should be considered in the regional carbon balance.

Permafrost and organic layer interactions over a climate gradient in a discontinuous permafrost zone

USGS Publications Warehouse

Johnson, Kristofer D.; Harden, Jennifer W.; McGuire, A. David; Clark, Mark; Yuan, Fengming; Finley, Andrew O.

2013-01-01

Permafrost is tightly coupled to the organic soil layer, an interaction that mediates permafrost degradation in response to regional warming. We analyzed changes in permafrost occurrence and organic layer thickness (OLT) using more than 3000 soil pedons across a mean annual temperature (MAT) gradient. Cause and effect relationships between permafrost probability (PF), OLT, and other topographic factors were investigated using structural equation modeling in a multi-group analysis. Groups were defined by slope, soil texture type, and shallow (<28 cm) versus deep organic (≥28 cm) layers. The probability of observing permafrost sharply increased by 0.32 for every 10-cm OLT increase in shallow OLT soils (OLTs) due to an insulation effect, but PF decreased in deep OLT soils (OLTd) by 0.06 for every 10-cm increase. Across the MAT gradient, PF in sandy soils varied little, but PF in loamy and silty soils decreased substantially from cooler to warmer temperatures. The change in OLT was more heterogeneous across soil texture types—in some there was no change while in others OLTs soils thinned and/or OLTd soils thickened at warmer locations. Furthermore, when soil organic carbon was estimated using a relationship with thickness, the average increase in carbon in OLTd soils was almost four times greater compared to the average decrease in carbon in OLTs soils across all soil types. If soils follow a trajectory of warming that mimics the spatial gradients found today, then heterogeneities of permafrost degradation and organic layer thinning and thickening should be considered in the regional carbon balance.

Pretreatment of liver grafts in vivo by γ-aminobutyric acid receptor regulation reduces cold ischemia/warm reperfusion injury in rat

PubMed Central

Hori, Tomohide; Gardner, Lindsay B.; Hata, Toshiyuki; Chen, Feng; Baine, Ann-Marie T.; Uemoto, Shinji; Nguyen, Justin H.

2014-01-01

Summary Background: Gamma-aminobutyric acid (GABA) is found throughout the body. The regulation of GABA receptor (GABAR) reduces oxidative stress (OS). Ischemia/reperfusion injury after orthotopic liver transplantation (OLT) causes OS-induced graft damage. The effects of GABAR regulation in donors in vivo were investigated. Material/Methods: Donor rats received saline, a GABAR agonist or GABAR antagonist 4 h before surgery. Recipient rats were divided into four groups according to the donor treatments: laparotomy, OLT with saline, OLT with GABAR agonist and OLT with GABAR antagonist. Histopathological, biochemical and immunohistological examinations were performed at 6, 12 and 24 h after OLT. Protein assays were performed at 6 h after OLT. The 4-hydroxynonenal (4-HNE), ataxia-telangiectasia mutated kinase (ATM), phosphorylated histone H2AX (γH2AX), phosphatidylinositol-3 kinase (PI3K), Akt and superoxide dismutase (SOD) were assessed by western blot analysis. Results: In the univariate analysis, histopathological and biochemical profiles verified that the GABAR agonist reduced graft damage. Immunohistology revealed that the GABAR agonist prevented the induction of apoptosis. Measurement of 4-4-HNE levels confirmed OS-induced damage after OLT, and the GABAR agonist improved this damage. In the γH2AX, PI3K, Akt and antioxidant enzymes (SODs), ATM and H2AX were greatly increased after OLT, and were reduced by the GABAR agonist. In the multivariate analyses between multiple groups, histopathological assessment, aspartate aminotransferase level, immunohistological examinations for apoptotic induction and γH2AX showed statistical differences. Conclusions: A specific agonist demonstrated regulation of GABAR in vivo in the liver. This activation in vivo reduced OS after OLT via the ATM/H2AX pathway. PMID:23792534

Change in hepatic function, hemodynamics, and morphology after liver transplant. Physiological effect of therapy.

PubMed

Millikan, W J; Henderson, J M; Stewart, M T; Warren, W D; Marsh, J W; Galloway, J R; Jennings, H; Kawasaki, S; Dodson, T F; Perlino, C A

1989-05-01

Orthotopic liver transplantation (OLT) has become standard therapy for patients with acute hepatic necrosis and end-stage liver disease. This study measured change in hepatic function (galactose elimination capacity [GEC]), liver blood flow (low dose galactose clearance: flow), hepatic volume (CT scan; volume) and morphology after OLT. The aim was to measure the physiologic response after OLT and compare this response with that after selective shunt (SS) and sclerotherapy (ES) to determine which patients should receive specific therapy. Between January 1987 and November 1988, 37 patients underwent OLT. Operative mortality was 18%, which was similar to that of SS in Child's C cirrhotics. GEC and volume were less in transplant patients than in cirrhotics treated with SS or ES. GEC, flow, and volume normalized after OLT; GEC was preserved after ES and SS, but volume decreased. Three preoperative patterns were observed that can aid in selection of OLT candidates. Patients with chronic cirrhosis (chronic active hepatitis; cryptogenic) need OLT when GEC is less than or equal to 225 mg/min and volume is less than or equal to 50% normal. Patients with Budd-Chiari Syndrome require OLT if cirrhosis has evolved. Patients with sclerosing cholangitis and primary biliary cirrhosis qualify for transplants when complications of the portal hypertensive syndrome develop. The studies can also direct therapy for ES failures. Selective shunt is indicated in those patients with stable disease whose GEC is greater than or equal to 300 mg/min and liver volume is greater than 75% normal; OLT is indicated for cirrhotics with GEC that is less than 225 mg/min and liver volume that is less than 50% predicted normal.

Cardiovascular risk after orthotopic liver transplantation, a review of the literature and preliminary results of a prospective study.

PubMed

Pisano, Giuseppina; Fracanzani, Anna L; Caccamo, Lucio; Donato, Maria F; Fargion, Silvia

2016-10-28

Improved surgical techniques and greater efficacy of new anti-rejection drugs have significantly improved the survival of patients undergoing orthotopic liver transplantation (OLT). This has led to an increased incidence of metabolic disorders as well as cardiovascular and cerebrovascular diseases as causes of morbidity and mortality in OLT patients. In the last decade, several studies have examined which predisposing factors lead to increased cardiovascular risk ( i.e ., age, ethnicity, diabetes, NASH, atrial fibrillation, and some echocardiographic parameters) as well as which factors after OLT ( i.e ., weight gain, metabolic syndrome, immunosuppressive therapy, and renal failure) are linked to increased cardiovascular mortality. However, currently, there are no available data that evaluate the development of atherosclerotic damage after OLT. The awareness of high cardiovascular risk after OLT has not only lead to the definition of new but generally not accepted screening of high risk patients before transplantation, but also to the need for careful patient follow up and treatment to control metabolic and cardiovascular pathologies after transplant. Prospective studies are needed to better define the predisposing factors for recurrence and de novo occurrence of metabolic alterations responsible for cardiovascular damage after OLT. Moreover, such studies will help to identify the timing of disease progression and damage, which in turn may help to prevent morbidity and mortality for cardiovascular diseases. Our preliminary results show early occurrence of atherosclerotic damage, which is already present a few weeks following OLT, suggesting that specific, patient-tailored therapies should be started immediately post OLT.

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

Maleux, Geert; Pirenne, Jacques; Vaninbroukx, Johan

Our purpose was to assess the feasibility of orthotopic liver transplantation (OLT) in patients priorly having undergone transjugular intrahepatic portosystemic shunt (TIPS) with an expanded tetrafluoroethylene (e-PTFE)-covered endoprosthesis. In 48 patients an e- PTFE-covered endoprosthesis was inserted to treat severe complications of portal hypertension. In 36 patients the endoprosthesis was inserted during TIPS creation (de novo TIPS); in the other 12 patients the endoprosthesis was placed to repermeabilize the previously created, but occluded bare stent (revision TIPS). Eight of them (5 de novo and 3 revision cases) later underwent an OLT. The hospital records of these patients were reviewed frommore » initial admission, through TIPS, the pre-OLT period, and OLT to current postoperative status. Five de novo and 3 revision cases underwent OLT 4-279 days (mean delay: 80.8 days) after TIPS procedure. All OLT's were performed under veno-venous bypass surgery. De visu surgical inspection confirmed correct positioning of the fully patent stent graft, starting in the portal vein and ending at the junction of the hepatic vein to the inferior caval vein. No surgical difficulty was observed during proximal or distal clamping or during resection of the diseased liver. Correctly positioned e-PTFE-covered nitinol endoprostheses do not interfere with a later OLT and may not be considered as a contraindication in patients who need a TIPS as a bridge to OLT.« less

Effects of an early referral system on liver transplantation for hepatoblastoma at Texas Children's Hospital.

PubMed

Kueht, Michael; Thompson, Patrick; Rana, Abbas; Cotton, Ronald; O'Mahony, Christine; Goss, John

2016-06-01

The purposes of this study were to analyze the effects of an ERS on time to transplantation and to describe our center's experience with OLT for HB. Patients who received OLT for HB between 2000 and 2013 were included. Patient and allograft characteristics, chemotherapy regimens, and prior surgical therapies were examined. The interval between diagnosis and OLT prior to and following the institution of an ERS for transplant was compared. Survival and tumor recurrence were analyzed. Nineteen patients received OLT for HB (mean age 33 months). All children received grafts from deceased donors. Two patients underwent prior resections. Tumor recurred in four patients (21.1%). Both patients who received salvage transplants experienced post-OLT recurrence. Three of the four recurrences occurred in spite of adjuvant chemotherapy. There were three deaths: two from metastatic disease. One- and five-yr survivals were 86.1% and 73.8%. After the institution of the ERS, the mean interval between tissue diagnosis and OLT was significantly reduced. Our series of 19 patients demonstrates a 21% recurrence of HB following OLT despite chemotherapy. Five-yr survival reached 73.8%. A system of early referral can effectively reduce times between diagnosis and transplant. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Differences in health-related quality of life scores after orthotopic liver transplantation with respect to selected socioeconomic factors.

PubMed

Saab, Sammy; Bownik, Hillary; Ayoub, Noel; Younossi, Zobair; Durazo, Francisco; Han, Steven; Hong, Johnny C; Farmer, Douglas; Busuttil, Ronald W

2011-05-01

One of the current ultimate goals of orthotopic liver transplantation (OLT) is the improvement of patients' health-related quality of life (HRQOL). The purpose of this study was to look at the effects of socioeconomic and demographic differences on the short-term and long-term HRQOL outcomes of OLT recipients. Three hundred three adult OLT recipients who were seen at the University of California Los Angeles were administered the Medical Outcomes Study Short Form 36 (SF-36), the Chronic Liver Disease Questionnaire (CLDQ), and a demographic survey. A parsimonious model of 12 socioeconomic and demographic predictors was identified. Their simultaneous influence on each SF-36 and CLDQ HRQOL domain score was evaluated with multivariate linear regression and backward selection. Hepatitis C virus impaired HRQOL; this was shown in the SF-36 Vitality and Bodily Pain domains and in most CLDQ domains. Females experienced more HRQOL impairment only within the CLDQ Abdominal Symptoms domain. OLT recipients who were married had better SF-36 Role-Emotion domain scores. OLT recipients with more than 12 years of education had better SF-36 Physical Functioning scores. Employed OLT recipients had less HRQOL impairment; this was evidenced by better scores in multiple domains of the SF-36 and the CLDQ. OLT patients with health maintenance organization or preferred provider organization insurance had higher HRQOL scores within almost all SF-36 and CLDQ domains. Patients with a mix of public and private insurance had significantly higher HRQOL scores in comparison with those with only public insurance. Identifying patients at higher risk for worse HRQOL scores, less satisfaction with OLT results, and greater problems with fatigue or mental health stressors will assist transplant centers in using their medical teams to develop early interventions and multidisciplinary approaches to improve HRQOL outcomes after OLT. Copyright © 2011 American Association for the Study of Liver Diseases.

New Learning Technologies and Media in Quebec: Profile and Positioning of the Main Stakeholders = Portrait et positionnement des intervenants en nouvelles technologies et nouveaux medias d'apprentissage au Quebec.

ERIC Educational Resources Information Center

Human Resources Development Canada, Hull (Quebec). Office of Learning Technologies.

This document is the product of a study that was conducted to identify the target audience of Canada's Office of Learning Technologies (OLT), determine which stakeholders should be involved in developing the OLT's action program; and recommend specific actions for the OLT to take. Chapter 1 provides an overview of the study methodology, which…

Out-of-Level Testing for Special Education Students with Mild Learning Handicaps.

ERIC Educational Resources Information Center

Jones, Eric D.; And Others

The purpose of this study was to evaluate the utility of out-of-level testing (OLT) when it is applied to the assessment of special education students with mild learning handicaps. This evaluation of OLT involved testing hypotheses related to: (1) the adequacy of vertical scaling, (2) the reliability and (3) the validity of OLT scores. Fifty-eight…

Improving the Performance of Online Learning Teams--A Discourse Analysis

ERIC Educational Resources Information Center

Liu, Ying Chieh; Burn, Janice M.

2007-01-01

This paper compares the processes of Face-To-Face (FTF) teams and Online Learning Teams (OLTs) and proposes methods to improve the performance of OLTs. An empirical study reviewed the performance of fifteen FTF teams and OLTs and their communication patterns were coded by the TEMPO system developed by Futoran et al. (1989) in order to develop a…

Chamaerops humilis L. var. argentea André date palm seed oil: a potential dietetic plant product.

PubMed

Nehdi, Imededdine Arbi; Mokbli, Sadok; Sbihi, Hassen; Tan, Chin Ping; Al-Resayes, Saud Ibrahim

2014-04-01

Chamaerops humilis L. var. argentea André (C. humilis) date palm seeds are an underutilized source of vegetable oil, and no studies describing their physicochemical characteristics to indicate the potential uses of this seed or seed oil have been reported. The oil content of the seeds is about 10%, mainly composed of oleic acid (38.71%), lauric acid (21.27%), linoleic acid (15.15%), palmitic acid (9.96%), and stearic acid (7.17%). The tocol (tocopherols and tocotrienols) content is 74 mg/100 g, with δ-tocotrienol as the major contributor (31.91%), followed by α-tocotrienol (29.37%), γ-tocopherol (20.16%), and γ-tocotrienol (11.86%). Furthermore, this oil shows high thermal stability. The differential scanning calorimetery curves revealed that the melting and crystallization points are 9.33 °C and -15.23 °C, respectively. © 2014 Institute of Food Technologists®

Circulating FoxP3+ Regulatory T and Interleukin17-Producing Th17 Cells Actively Influence HBV Clearance in De Novo Hepatitis B Virus Infected Patients after Orthotopic Liver Transplantation

PubMed Central

Li, Jin; Yang, Mei; Liu, Yuan; Guo, Xiaodong; Li, Hanwei; Liu, Zhenwen; Zhao, Jingmin

2015-01-01

Objective To longitudinally investigate the role of FoxP3+ Regulatory T cells (Treg) and interleukin17-producing T helper 17 cells (Th17) in De Novo Hepatitis B Virus infection after orthotopic Liver Transplantation (DNHB-OLT), and analyze the possible correlation between these cells and HBV clearance of the disease. Methods We enrolled 12 control cases after orthotopic Liver Transplantation (OLT) and 24 patients, including 12 diagnosed with DNHB-OLT and 12 diagnosed with Acute Hepatitis B Virus infection (AHB), into the study from the liver transplantation and research center at Beijing 302 Hospital. Flow cytometry was used to detect the frequencies of Treg and Th17, and ELISA was applied to detect the concentration of IL6, IL22, TGF-β and IL2 in peripheral blood. We also measured the gene expression level by real time-quantitative PCR and protein expression using immunohistochemistry and western-blot. Furthermore, we divided DNHB-OLT patients into the clearance and non-clearance groups and examined longitudinally Th17, Treg cells at different times. Results The percentage of Treg cells, expression of FoxP3 mRNA and related anti-inflammatory cytokines such as IL2 and TGF-β1 in the DNHB-OLT group were significantly higher than that in the AHB and OLT groups. The percentage of Th17 cells, expression of RORγt mRNA and related pro-inflammatory cytokines such as IL17 and IL22 in the DNHB-OLT group were significantly lower than that in the AHB group, but the levels of these cytokines are very similar to the OLT group. The ratios of Treg to Th17 in the DNHB-OLT group were significantly higher than that in the OLT and AHB groups. Treg frequencies significantly correlated with HBV DNA, whereas IL17 frequencies didn’t significantly correlate with ALT. In DNHB-OLT patients, the clearance group was accompanied by a rapid increase in the Th17 cells during the first 4th week and afterwards continuously decrease to the control group, together with a continuously decrease in

Multicenter Study of Staging and Therapeutic Predictors of Hepatocellular Carcinoma Recurrence following Transplantation.

PubMed

Welling, Theodore H; Eddinger, Kevin; Carrier, Kristen; Zhu, Danting; Kleaveland, Tyler; Moore, Derek E; Schaubel, Douglas E; Abt, Peter L

2018-05-05

Orthotopic liver transplantation (OLT) and resection are effective treatments for hepatocellular carcinoma (HCC). However, optimizing OLT and limiting HCC recurrence remains a vexing problem. New HCC MELD and allocation algorithms provide greater observation of HCC patients, many while receiving local-regional treatments. Potential benefits of local-regional treatment for limiting HCC recurrence post-OLT remain incompletely understood. Therefore we aimed to define HCC specific prognostic factors affecting recurrence in a contemporary, multi-center cohort of HCC patients undergoing OLT and specifically whether local-regional therapies limited recurrence. We identified 441 patients undergoing OLT for HCC at three major transplant centers from 2008-2013. Cox regression was used to analyze covariate-adjusted recurrence and mortality rates post-OLT. "Bridging" or "down-staging" therapy was used in 238 patients (54%) with transarterial chemoembolization (TACE) being used in 170 (71%) of treated patients. The survival rate post-OLT was 88% and 78% at 1 and 3 years, respectively, with HCC recurrence (28% of deaths) significantly increasing mortality rate (HR=19.87, p<0.0001). Tumor size, not tumor number, either at presentation or on explant independently predicted HCC recurrence (HR 1.36 and 1.73, respectively, p<0.05) with a threshold effect noted at 4.0 cm size. Local-regional therapy (TACE) reduced HCC recurrence by 64% when adjusting for presenting tumor size (HR 0.36, p<0.05). Explant tumor size and microvascular invasion predicted mortality (HR 1.19 and 1.51, respectively, p<0.05) and pathologic response to therapy (TACE or RFA) significantly decreased explant tumor size (0.56-1.62 cm diameter reduction, p<0.05). HCC tumor size at presentation or explant is the most important predictor for HCC recurrence post-OLT. Local-regional therapy to achieve a pathologic response (decreasing tumor size) can limit HCC recurrences post-OLT. This article is protected by copyright

Enhancement of Programmed Death Ligand 2 on Hepatitis C Virus Infected Hepatocytes by Calcineurin Inhibitors

PubMed Central

Koike, Kazuko; Takaki, Akinobu; Yagi, Takahito; Iwasaki, Yoshiaki; Yasunaka, Tetsuya; Sadamori, Hiroshi; Shinoura, Susumu; Umeda, Yuzo; Yoshida, Ryuichi; Sato, Daisuke; Nobuoka, Daisuke; Utsumi, Masashi; Miyake, Yasuhiro; Ikeda, Fusao; Shiraha, Hidenori; Fujiwara, Toshiyoshi; Yamamoto, Kazuhide

2015-01-01

Background Post orthotopic liver transplantation (OLT) viral hepatitis is an immunological condition where immune cells induce hepatitis during conditions of immune-suppression. The immune-regulatory programmed death-1 (PD-1)/PD-ligand 1 system is acknowledged to play important roles in immune-mediated diseases. However, the PD-1/PD-L2 interaction is not well characterized, with PD-L2 also exhibiting an immunostimulatory function. We hypothesized that this atypical molecule could affect the recurrence of post-OLT hepatitis. To test this hypothesis, we conducted immunohistochemical staining analysis and in vitro analysis of PD-L2. Methods The expression of PD-L2 was evaluated in liver biopsy specimens from patients with chronic hepatitis B (n = 15), post-OLT hepatitis B (n = 8), chronic hepatitis C (n = 48), and post-OLT hepatitis C (CH-C-OLT) (n = 14). The effect of calcineurin inhibitors (CNIs) and hepatitis C virus (HCV) on PD-L2 expression was investigated in hepatoma cell lines. Results The PD-L2 was highly expressed on CH-C-OLT hepatocytes. Treatment of hepatoma cell lines with CNIs resulted in increased PD-L2 expression, especially in combination with HCV core or NS3 protein. Transfection of cell lines with PD-L2 containing plasmid resulted in high intercellular adhesion molecule-1 (ICAM-1) expression, which might enhance hepatitis activity. Conclusions The PD-L2 is highly expressed on CH-C-OLT hepatocytes, whereas HCV proteins, in combination with CNIs, induce high expression of PD-L2 resulting in elevated expression of ICAM-1. These findings demonstrate the effect of CNIs on inducing PD-L2 and subsequent ICAM-1 expression, effects that may produce inflammatory cell infiltration in post-OLT hepatitis C. PMID:25675203

Employment after liver transplantation: a review.

PubMed

Huda, A; Newcomer, R; Harrington, C; Keeffe, E B; Esquivel, C O

2015-03-01

Return to productive employment is often an important milestone in the recovery and rehabilitation process after liver transplantation (OLT). This literature review identifies factors associated with employment in patients who underwent OLT. We searched PubMed for articles that addressed the various factors affecting employment after OLT. The studies demonstrated improvement in the quality of life and examined factors that predicted whether patients would return to work after OLT. Demographic variable associated with posttransplant employment included young age, male sex, college degree, Caucasian race, and pretransplant employment. Patients with alcohol-related liver disease had a significantly lower rate of employment than did those with other etiologies of liver disease. Recipients who were employed after transplantation had a significantly better posttransplant functional status than did those who were not employed. Economic pressures are increasing the expectation that patients who undergo successful OLT will return to work. Thus, transplant teams need to have a better understanding of posttransplant work outcomes for this vulnerable population, and greater attention must be paid to the full social rehabilitation of transplant recipients. Specific interventions for OLT recipients should be designed to evaluate and change their health perceptions and encourage their return to work. Published by Elsevier Inc.

The Lord’s Resistance Army Wicked Problem

DTIC Science & Technology

2012-03-14

alarming proportions after the failure of the Juba Peace Talks and “Operation Lightning Thunder” ( OLT ). Consequently between September 2008 and December...phase, followed with an assault by ground forces.60 The planners of OLT had assumed that the air strikes would have a decisive effect on the morale...different capabilities. 18 During OLT , dozens of LRA officers were killed or captured or simply surrendered and LRA’s core fighters were reduced to

Operative Technique and Clinical Outcome in Endoscopic Core Decompression of Osteochondral Lesions of the Talus: A Pilot Study

PubMed Central

Beck, Sascha; Claßen, Tim; Haversath, Marcel; Jäger, Marcus; Landgraeber, Stefan

2016-01-01

Background Revitalizing the necrotic subchondral bone and preserving the intact cartilage layer by retrograde drilling is the preferred option for treatment of undetached osteochondral lesions of the talus (OLT). We assessed the effectiveness of Endoscopic Core Decompression (ECD) in treatment of OLT. Material/Methods Seven patients with an undetached OLT of the medial talar dome underwent surgical treatment using an arthroscopically-guided transtalar drill meatus for core decompression of the lesion. Under endoscopic visualization the OLT was completely debrided while preserving the cartilage layer covering the defect. The drill tunnel and debrided OLT were filled using an injectable bone graft substitute. Various clinical scores, radiographic imaging, and MRI were evaluated after a mean follow-up of 24.1 months. Results The American Orthopedic Foot and Ankle Society Score significantly improved from 71.0±2.4 to 90.3±5.9, and the Foot and Ankle Disability Index improved from 71.8±11.1 to 91.7±4.8. Radiographically, we observed good bone remodelling of the medial talar dome contour within 3 months. In MRI, an alteration of the bony signal of the drill tunnel and the excised OLT remained for more than 12 months. Conclusions First follow-up results for the surgical technique described in this study are highly promising for treatment of undetached stable OLT grade II or transitional stage II–III according to the Pritsch classification. Even lesions larger than 150 mm2 showed good clinical scores, with full restoration of the medial talar dome contour in radiographic imaging. PMID:27362485

Operative Technique and Clinical Outcome in Endoscopic Core Decompression of Osteochondral Lesions of the Talus: A Pilot Study.

PubMed

Beck, Sascha; Claßen, Tim; Haversath, Marcel; Jäger, Marcus; Landgraeber, Stefan

2016-06-30

BACKGROUND Revitalizing the necrotic subchondral bone and preserving the intact cartilage layer by retrograde drilling is the preferred option for treatment of undetached osteochondral lesions of the talus (OLT). We assessed the effectiveness of Endoscopic Core Decompression (ECD) in treatment of OLT. MATERIAL AND METHODS Seven patients with an undetached OLT of the medial talar dome underwent surgical treatment using an arthroscopically-guided transtalar drill meatus for core decompression of the lesion. Under endoscopic visualization the OLT was completely debrided while preserving the cartilage layer covering the defect. The drill tunnel and debrided OLT were filled using an injectable bone graft substitute. Various clinical scores, radiographic imaging, and MRI were evaluated after a mean follow-up of 24.1 months. RESULTS The American Orthopedic Foot and Ankle Society Score significantly improved from 71.0±2.4 to 90.3±5.9, and the Foot and Ankle Disability Index improved from 71.8±11.1 to 91.7±4.8. Radiographically, we observed good bone remodelling of the medial talar dome contour within 3 months. In MRI, an alteration of the bony signal of the drill tunnel and the excised OLT remained for more than 12 months. CONCLUSIONS First follow-up results for the surgical technique described in this study are highly promising for treatment of undetached stable OLT grade II or transitional stage II-III according to the Pritsch classification. Even lesions larger than 150 mm2 showed good clinical scores, with full restoration of the medial talar dome contour in radiographic imaging.

[Long-term, tumor-free survival after radiotherapy combining hepatectomy-Whipple en bloc and orthotopic liver transplantation for early-stage hilar cholangiocarcinoma].

PubMed

Wu, You-min; Johlin, Frederick C; Rayhill, Stephen C; Jensen, Chris S; Jin, Xie; Mitros, Frank A

2009-08-01

To report the experience in surveillance and early detection of cholangiocarcinoma (CC) and in using en bloc total hepatectomy-pancreaticoduodenectomy-orthotopic liver transplantation (OLT-Whipple) to achieve complete eradication of early-stage CC complicating primary sclerosing cholangitis (PSC). Asymptomatic PSC patients underwent surveillance using endoscopic ultrasound and endoscopic retrograde cholangiopancreatography (ERCP) with multilevel brushings for cytological evaluation. Patients diagnosed with CC were treated with combined extra-beam radiotherapy, lesion-focused brachytherapy, and OLT-Whipple. Between January 1988 and February 2001, 42 of 119 PSC patients were followed according to the surveillance protocol. CC was detected in 8 patients, 6 of whom underwent OLT-Whipple. Of those 6 patients, 4 had stage I CC, and 2 had stage II CC. All 6 OLT-Whipple patients received combined external-beam and brachytherapy radiotherapy. The median time from diagnosis to OLT-Whipple was 144 days. One patient died 55 months post-transplant of an unrelated cause, without tumor recurrence. The other 5 were well without recurrence at 79, 82, 108, 128, 129 and 145 months. For patients with PSC, ERCP surveillance cytology and intralumenal endoscopic ultrasound examination allow for early detection of CC. Broad and lesion-focused radiotherapy combined with OLT-Whipple to remove the biliary epithelium en bloc offers promising long-term, tumor-free survival. All patients tolerated this extensive surgery well with good quality of life following surgery and recovery. These findings support consideration of the complete excision of an intact biliary tree via OLT-Whipple in patients with early-stage hilar CC complicating PSC.

Increased Risk of Death for Patients on the Waitlist for Liver Transplant Residing at Greater Distance From Specialized Liver Transplant Centers in the United States.

PubMed

Cicalese, Luca; Shirafkan, Ali; Jennings, Kristofer; Zorzi, Daria; Rastellini, Cristiana

2016-10-01

We have previously shown that patients listed for orthotopic liver transplantation (OLT) in United Network for Organ Sharing Region 4 (Texas and Oklahoma) have higher waitlist mortality rates when residing more than 30 miles from specialized liver transplant centers (LTC). Considering that findings might only be exclusive for this region with its peculiarities in terms of having the highest land surface extensions, lowest population densities, and largest rural populations. We investigated the entire OLT patient population in the United States to assess if our previous regional findings are nationally validated and if a rural, micropolitan, or metropolitan residence location affects outcome of waitlisted OLT patients in the nation. Patients waiting for OLT in the United States from 2002 to 2012 were stratified by distance from the patients' residence to LTC and by Rural Urban Commuting Area (RUCA) codes classification. Statistical analyses were performed to evaluate risk of mortality on the waitlist and the likelihood to receive an OLT using a Cox proportional hazards model and a generalized additive model with a logistic link. Survival time and probability of death while on the waitlist for OLT using distance to LTC showed significant increased risk with the distance (P = 0.001 and P < 0.0001, respectively). At the same time, using RUCA classification as the variable did not show significance (P = 0.14 and P = 0.73, respectively). Distance from an LTC is a risk factor of mortality on the waitlist for OLT, whereas RUCA classification is not a significant factor.

Pathological Roles of Interleukin-22 in the Development of Recurrent Hepatitis C after Liver Transplantation

PubMed Central

Li, Jin; Cheung, Eddie; Li, Hanwei; Zhao, Jingmin; Liu, Hongling; Liu, Zhenwen; Zhang, Min

2016-01-01

Objective The aim of this study was to longitudinally evaluate and analyze the role of interleukin-22-producing CD4 positive cells (IL-22) in the pathogenesis of Hepatitis C Virus recurrence after Orthotopic Liver Transplantation (HCV-OLT). Methods 15 HCV-OLT, 15 age- and gender- matched non-HCV post-OLT (OLT) and 15 hepatitis C virus infected (HCV) patients were enrolled into our study from the liver transplantation and research center at Beijing 302 Hospital. We determined the frequencies of IL-22 using flow cytometry and expression of IL-22 mRNA using PCR in peripheral blood and liver tissue. We also divided HCV-OLT patients into rapid fibrosis progression (RFP) and slow fibrosis progression (SFP), examined IL-22 cells and analyzed the correlations between IL-22 frequencies and liver injury, fibrosis and clinical parameters. Moreover, we investigated the role of IL-22 in Human Hepatic Stellate Cells (HSCs). Results The levels of serum IL-22, frequencies of IL-22 producing cells in peripheral blood mononuclear cells, and expression of IL-22 mRNA and protein in the liver in the HCV-OLT group were significantly higher than that in the HCV and OLT groups. Furthermore, eight (53.3%) patients developed RFP after two years; another three patients were diagnosed liver cirrhosis. The frequencies of IL-22 were much higher in RFP compared with SFP, while no significant difference existed between OLT and SFP. Intrahepatic IL-22 positive cells were located in fibrotic areas and significantly correlated with α-smooth muscle actin (α-SMA) and fibrosis staging scores, not with grading scores and HCRVNA. In vitro, IL-22 administration prevented HSCs apoptosis, promoted HSCs proliferation and activation, up-regulated the expression of HSC-sourced growth factors including α-SMA, TGF-β and TIMP-1, and increased the production of liver fibrosis markers including laminin, hyaluronic acid and collagen type IV. Conclusion Peripheral and intrahepatic IL-22 is up-regulated and plays

Extracorporeal albumin dialysis in patients with Amanita phalloides poisoning.

PubMed

Faybik, Peter; Hetz, Hubert; Baker, Amir; Bittermann, Clemens; Berlakovich, Gabriela; Werba, Alois; Krenn, Claus-Georg; Steltzer, Heinz

2003-01-01

Ingestion of Amanita phalloides is the most common cause of lethal mushroom poisoning. The relative late onset of symptoms is a distinct diagnostic feature of Amanita intoxication and also the main reason of failure for extracorporeal removal of Amanita-specific toxins from the gut and circulation. Extracorporeal albumin dialysis (ECAD) has been used on six consecutive patients admitted after A. phalloides poisoning with acute liver failure (ALF). Six patients, with mean age of 46 years (range: 9-70 years), underwent one to three ECAD treatments. The mean time from mushroom ingestion until the first ECAD treatment was 76 h. Two patients regenerated spontaneously under ECAD treatment and orthotopic liver transplantation (OLT) could be avoided. Two patients were successfully bridged to OLT and one patient died because of cerebral herniation. One patient was treated with ECAD immediately after OLT because of the graft dysfunction and survived without re-transplantation. ECAD appeared to be a successful treatment perspective in supporting liver regeneration or in sufficient bridging to OLT and also in treatment of graft dysfunction after OLT in patients with A. phalloides poisoning.

Algorithm for prioritization of patients on the waiting list for liver transplantation.

PubMed

Gambato, M; Senzolo, M; Canova, D; Germani, G; Tomat, S; Masier, A; Russo, F P; Perissinotto, E; Zanus, G; Cillo, U; Burra, P

2007-01-01

Prioritization of patients on the waiting list (WL) for OLT is still a critical issue. Numerous models have been developed to predict mortality before and after OLT. The aim of the study was to prospectively evaluate cirrhotics with and without hepatocellular carcinoma (HCC) undergoing orthotopic liver transplantation (OLT) severity of liver disease on the WL and at transplant, mortality on the WL and after OLT, and their correlations. An algorithm based on seven patient variables (MELD, CTP, UNOS, HCC, BMI, waiting time, age) was created by software dedicated to prioritize patients on the waiting list. We evaluated 118 patients including 75 men and 43 women of age range 19 to 66 years, who underwent OLT from July 2004 to June 2006. Mean CTP and MELD at listing were 8.44 (range 6-12) and 13 (range 2-24), respectively. Overall mortality on the WL at 24 months was 13%, which was significantly higher among patients with MELD > 25 compared to patients with MELD 0 to 15 (P < .0001) or MELD 16 to 25 (P = .0007) at listing. Mean MELD at OLT was 15 (range 7-36), which was significantly lower in patients with than without HCC (MELD 12 vs 16; P = .0003). Six hundred-day patient survival was significantly lower among patients with MELD > 25 compared to patients with MELD < 25 at OLT (P = .017), whereas no difference in survival was observed between patients with and without HCC. The sickest patients are characterized by high mortality both on the waiting list and after liver transplantation. Patients with HCC are transplanted in better condition compared to patients without HCC with the same survival.

Bridging Locoregional Therapy Prolongs Survival in Patients Listed for Liver Transplant with Hepatocellular Carcinoma

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

Xing, Minzhi; Sakaria, Sonali; Dhanasekaran, Renumathy

Background and AimsTo evaluate the long-term survival benefit of bridging locoregional therapy (LRT) prior to orthotopic liver transplantation (OLT) in patients with hepatocellular carcinoma (HCC) within Milan criteria.MethodsOur transplant center registry was studied for all HCC patients within the Milan criteria who were listed for OLT from 1998 to 2013. Baseline clinical characteristics and median overall survival (OS) were calculated and stratified by LRT, OLT status, and wait times. Survival analysis was conducted using Kaplan–Meier estimation and log-rank test.ResultsOf 265 listed, 205 underwent OLT (mean follow-up 7.6 years). Of 205, 111 received bridging LRT (A), and 94 did not (B).more » Both were similar in demographics and tumor characteristics (p > 0.05). Median OS from HCC for A/B were 86.4 vs. 68.9 months (p = 0.01). Median OS from OLT for A/B were 74.6 vs. 63.6 months (p = 0.03). On multivariate analysis, independent predictors for survival from HCC were bridging LRT (p = 0.002) and high wait time (p = 0.008); independent predictors for survival from OLT were bridging LRT (p = 0.005) and high wait time (p = 0.005). Of 60 who were listed but did not undergo transplant, 44 received LRT (C) and 16 received best supportive care (D). Median OS from HCC for C/D were 37.1 vs. 24.8 months (p = 0.03).ConclusionsBridging LRT and high wait times were independent positive prognostic factors for survival from HCC diagnosis and OLT.« less

Primary non-function is frequently associated with fatty liver allografts and high mortality after re-transplantation.

PubMed

Kulik, Ulf; Lehner, Frank; Klempnauer, Jürgen; Borlak, Jürgen

2017-08-01

The shortage of liver donations demands the use of suboptimal grafts with steatosis being a frequent finding. Although ≤30% macrovesicular steatosis is considered to be safe the risk for primary non-function (PNF) and outcome after re-transplantation (re-OLT) is unknown. Among 1205 orthotopic liver transplantations performed at our institution the frequency, survival and reason of re-OLT were evaluated. PNF (group A) cases and those with initial transplant function but subsequent need for re-OLT (group B) were analysed. Histopathology and clinical judgement determined the cause of PNF and included an assessment of hepatic steatosis. Additionally, survival of fatty liver allografts (group C) not requiring re-OLT was considered in Kaplan-Meier and multivariate regression analysis. A total of 77 high urgency re-OLTs were identified and included 39 PNF cases. Nearly 70% of PNF cases were due to primary fatty liver allografts. The 3-month in-hospital mortality for PNF cases after re-OLT was 46% and the mean survival after re-OLT was 0.5 years as compared to 5.2 and 5.1 years for group B, C, respectively, (P<.008). In multivariate Cox regression analysis only hepatic steatosis was associated with an inferior survival (HR 4.272, P=.002). The MELD score, donor BMI, age, cold ischaemic time, ICU stay, serum sodium and transaminases did not influence overall survival. Our study highlights fatty liver allografts to be a major cause for PNF with excessive mortality after re-transplantation. The findings demand the development of new methods to predict risk for PNF of fatty liver allografts. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Chemical Profile and Antioxidant Activity of the Oil from Peony Seeds (Paeonia suffruticosa Andr.)

PubMed Central

Yang, Xin; Song, Li-min; Xu, Qian; Li, Hong

2017-01-01

Peony seed oil (PSO) is a novel vegetable oil developed from the seeds of Paeonia suffruticosa Andr. The present study aimed to make an overall investigation on the chemical profile and antioxidant activities of PSO for reasonable development and utilization of this new resource food. Chemical analysis revealed that PSO was characterized by an uncommon high portion of α-linolenic acid (>38%), fairly low ratio of n-6 to n-3 polyunsaturated fatty acids (0.69), and much higher content of γ-tocopherol than various conventional seed oils. In vitro assay indicated that PSO is a more potent scavenger of free radicals than extra virgin olive oil. Moderate intake of PSO exhibited obvious protection against various oxidative damages such as tetrachloromethane-induced acute liver injury in mice and diet-induced hyperlipidemia in rats. The changes in the key indicators of oxidative injury and fatty acid composition in the liver caused by PSO administration were measured, and the results demonstrated that antioxidant properties of PSO are closely related to their characteristic chemical composition. Consequently, the present study provided new evidence for the health implications of PSO, which deserves further development for medical and nutritional use against oxidative damages that are associated with various diseases. PMID:29081895

How Two Sides of the Atlantic Contributed to Understanding of the Global Oceans: Charles Yentsch and Andre Morel

NASA Technical Reports Server (NTRS)

Acker, James G.

2013-01-01

In a few short days in September of this year, the ocean color/ocean optics community lost two of the founding members of its Hall of FameCharles Yentsch and Andre Morel. Yentsch passed away at the age of 85 on September 19, and Morel passed away on September 23 at the age of 79. It might sound clich to say that someone was instrumental to the advance of science in a particular field, but in the case of Yentsch and Morel and ocean color instrumentation, such an assessment would likely be accurate. Each mans career complimented that of the other Yentsch was one of the first to make measurements of the light field of the ocean from altitude and to advocate an instrument in space that could observe the spectrum of ocean radiance Morels theoretical underpinnings established a firm foundation for the measurements such an instrument could make, allowing their successful interpretation.

Comparison of macrophage migration inhibitory factor and neutrophil gelatinase-associated lipocalin-2 to predict acute kidney injury after liver transplantation: An observational pilot study

PubMed Central

Schiefer, Judith; Miller, Edmund J.; Berlakovich, Gabriela A.

2017-01-01

Introduction Several biomarkers have been suggested as early predictors of acute kidney injury (AKI) after orthotopic liver transplantation (OLT). Neutrophil gelatinase-associated lipocalin-2 (NGAL) appears to be a promising predictor of AKI after OLT, but the clinical benefit remains to be proven. Recently, systemic macrophage migration inhibitory factor (MIF) has been proposed as early indicator for requirement of renal replacement therapy after OLT. The aim of this prospective, observational pilot study was to compare the predictive values of serum and urinary MIF for severe AKI after OLT to those of serum and urinary NGAL. Methods Concentrations of MIF and NGAL were measured in serum and urine samples collected from patients undergoing OLT. Acute kidney injury was classified according to the KDIGO criteria, with stages 2 and 3 summarized as severe AKI. Areas under the receiver operating curves (AUC) were calculated to assess predictive values of MIF and NGAL for the development of severe AKI. Results Forty-five patients (mean age 55±8 years) were included. Nineteen patients (38%) developed severe AKI within 48 hours after reperfusion. At the end of OLT, serum MIF was predictive of severe AKI (AUC 0.73; 95% confidence intervals, CI 0.55–0.90; P = 0.03), whereas urinary MIF, serum NGAL, and urinary NGAL were not. On the first postoperative day, serum MIF (AUC 0.78; CI 0.62–0.93; P = 0.006), urinary MIF (AUC 0.71; CI 0.53–0.88; P = 0.03), and urinary NGAL (AUC 0.79; CI 0.64–0.93; P = 0.02) were predictive for severe AKI, while serum NGAL was not. Conclusion In the setting of OLT, MIF and NGAL had similar predictive values for the development of severe AKI. PMID:28813470

Cost of achieving equivalent outcomes in sicker patients after liver transplant.

PubMed

Dhar, Vikrom K; Wima, Koffi; Kim, Young; Hoehn, Richard S; Jung, Andrew D; Ertel, Audrey E; Diwan, Tayyab S; Paterno, Flavio; Shah, Shimul A

2018-03-01

We aimed to characterize variability in cost after straightforward orthotopic liver transplant (OLT). Using the University HealthSystem Consortium and Scientific Registry of Transplant Recipients databases, we identified patients who underwent OLT between 2011 and 2014. Patients meeting criteria for straightforward OLT, defined as length of stay < 14 days with discharge to home, were selected (n = 5763) and grouped into tertiles (low, medium, high) according to cost of perioperative stay. Patients undergoing straightforward OLT were of similar demographics regardless of cost. High cost patients were more likely to require preoperative hemodialysis, had higher severity of illness, and higher model for end-stage liver disease (MELD) (p < 0.01). High cost patients required greater utilization of resources including lab tests, blood transfusions, and opioids (p < 0.01). Despite having higher burden of disease and requiring increased resource utilization, high cost OLT patients with a straightforward perioperative course were shown to have identical 2-year graft and overall survival compared to lower cost patients (p = 0.82 and p = 0.63), respectively. Providing adequate perioperative care for OLT patients with higher severity of illness and disease burden requires increased cost and resource utilization; however, doing so provides these patients with long term survival equivalent to more routine patients. Copyright © 2017 International Hepato-Pancreato-Biliary Association Inc. Published by Elsevier Ltd. All rights reserved.

Reconfigurable multiport EPON repeater

NASA Astrophysics Data System (ADS)

Oishi, Masayuki; Inohara, Ryo; Agata, Akira; Horiuchi, Yukio

2009-11-01

An extended reach EPON repeater is one of the solutions to effectively expand FTTH service areas. In this paper, we propose a reconfigurable multi-port EPON repeater for effective accommodation of multiple ODNs with a single OLT line card. The proposed repeater, which has multi-ports in both OLT and ODN sides, consists of TRs, BTRs with the CDR function and a reconfigurable electrical matrix switch, can accommodate multiple ODNs to a single OLT line card by controlling the connection of the matrix switch. Although conventional EPON repeaters require full OLT line cards to accommodate subscribers from the initial installation stage, the proposed repeater can dramatically reduce the number of required line cards especially when the number of subscribers is less than a half of the maximum registerable users per OLT. Numerical calculation results show that the extended reach EPON system with the proposed EPON repeater can save 17.5% of the initial installation cost compared with a conventional repeater, and can be less expensive than conventional systems up to the maximum subscribers especially when the percentage of ODNs in lightly-populated areas is higher.

A "coca-cola" shape: cultural change, body image, and eating disorders in San Andrés, Belize.

PubMed

Anderson-Fye, Eileen P

2004-12-01

Eating disorders have been associated with developing nations undergoing rapid social transition, including participation in a global market economy and heavy media exposure. San Andrés, Belize, a community with many risk factors associated with the cross-cultural development of eating disorders, has shown remarkable resistance to previously documented patterns, despite a local focus on female beauty. Drawing on longitudinal person-centered ethnography with adolescent girls, this article examines why this community appears exceptional in light of the literature. First, community beauty and body image ideals and practices are explicated. Then, a protective ethnopsychology is proposed as a key mediating factor of the rapid socio-cultural change among young women. Finally, possible nascent cases of eating disordered behavior are discussed in light of their unique phenomenology: that is, having to do more with economic opportunity in the tourism industry and less with personal distress or desire for thinness. Close, meaning-centered examination of eating and body image practices may aid understanding and prevention of eating disorders among adolescents undergoing rapid social change in situations of globalization and immigration.

Malodor reductions and improved oral hygiene by toothbrushing and mouthrinsing.

PubMed

Nandlal, B; Shahikumar, P; Avinash, B S; Sreenivasan, P K; Subramanyam, R

2016-01-01

This clinical study compared the effects of an antibacterial regimen, comprising a triclosan toothpaste and a 0.075% cetylpyridinium chloride (CPC) mouthrinse, on malodor, self-reported malodor, and oral hygiene measures such as dental plaque, gingivitis, and bleeding relative to brushing with a fluoride toothpaste. At baseline, 36 subjects were evaluated for malodor (9-point organoleptic scale [OLT]), dental plaque (Turesky modification of Quigley-Hein; PI), gingivitis (Lφe-Silness; GI) and bleeding (Ainamo and Bay; BI) and randomized to (1) tooth brushing with fluoride toothpaste, or (2) a regimen comprising tooth brushing with a triclosan toothpaste and mouth rinsing with CPC mouthrinse. After the first use of assigned treatments, subjects were evaluated for malodor 2 h after breakfast (OLT-2 h) and used provided treatments for the next 14 days. On the 7 th and 14 th days, subjects refrained from oral hygiene for 12 h before evaluations (OLT, PI, GI, and BI) and then performed oral hygiene at the dental clinic. Subjects were evaluated for malodor 2 h after breakfast (OLT-2 h) and self-assessed their malodor on a 100 mm visual analog scale (VAS). Treatment groups demonstrated no significant differences in OLT, PI, GI, BI at baseline (P > 0.05). OLT-2 h scores after the first use of regimen and after tooth brushing alone were 5.94 and 6.21, respectively, and were statistically significantly different (P < 0.05). Correspondingly, the regimen demonstrated progressive reductions in OLT and OLT-2 h on the 7 th and 14 th day evaluations (5.81, 4.88, and 5.09, 4.20, respectively) and were significantly lower than after tooth brushing alone (6.49, 6.18, and 6.35, 5.99, respectively) (P < 0.05). From the 7 th to 14 th days, the regimen also demonstrated progressively lower PI, GI, BI, and self-reported malodor (VAS scores) which were significantly lower than tooth brushing alone (P < 0.05). Results from this study demonstrated that a regimen comprising a triclosan

Structural shifts of fecal microbial communities in rats with acute rejection after liver transplantation.

PubMed

Xie, Yirui; Luo, Zhuanbo; Li, Zhengfeng; Deng, Min; Liu, Hao; Zhu, Biao; Ruan, Bing; Li, Lanjuan

2012-08-01

Bacterial translocation and the development of sepsis after orthotopic liver transplantation (OLT) may be promoted by immunological damage to the intestinal mucosa or by quantitative and qualitative changes in intestinal microbiota. This study monitored structural shifts of gut microbiota in rats with OLT using PCR-denaturing gradient gel electrophoresis (DGGE) and real-time quantitative PCR (RT-qPCR). RT-qPCR targets six major microorganisms (Domain Bacteria, Bacteroides, Bifidobacteria, Enterobacteriaceae, Lactobacillus and Clostridium leptum subgroup). Isograft, Allograft and Sham model were studied. Bacterial translocation to host organs and plasma endotoxin were determined. Alteration in gut microbiota was associated with the elevation of plasma endotoxin and a higher rate of bacterial translocation (BT) to liver in rats with acute rejection. Dynamic analysis of DGGE fingerprints showed that the gut microbiota structure of animals in the three groups was similar before the operation. But significant alterations in the composition of fecal microbiota in Allograft group were observed at 1 and 2 weeks after the OLT. The acute rejection was accompanied by the shifts of gut microbiota towards members of Bacteroides and Ruminococcus. Results from RT-qPCR indicated that Bacteroides significantly increased at 2 weeks after the OLT, whereas numbers of Bifidobacterium spp. decreased at 1 week and recovered at 2 weeks after the OLT. In summary, our data showed that rats with acute rejection after OLT exhibited significant structure shifts in the gut microbiota which dominant by overgrowth of Bacteroides and Ruminococcus, and these were associated with elevation of plasma endotoxin and higher rate of BT.

Donor age does not influence 12-month outcome after orthotopic liver transplantation.

PubMed

Faber, W; Seehofer, D; Puhl, G; Guckelberger, O; Bertram, C; Neuhaus, P; Bahra, M

2011-12-01

Orthotopic liver transplantation (OLT) is the most effective treatment for patients with end-stage liver disease to date. The discrepancy between the numbers of donor livers and recipients has become a significant problem, resulting in a high patient mortality on the waiting list. Due to this, an expansion of the donor pool is necessary, for example, by accepting donor grafts from elderly donors. The aim of this study was to investigate the outcome after OLT depending on donor age. We retrospectively evaluated the outcome of 272 full-size cadaveric initial single OLTs within 12 months after OLT. The outcome was analyzed by dividing the collective into four donor age categories: donor age under 50, between 50 and 59, between 60 and 69, and 70 years or above. The outcome after OLT in these patients was retrospectively reviewed by using a prospective database. Patients positive for hepatitis C were excluded from the analysis. No increase of initial nonfunction was observed. Furthermore, no significant differences with regard to surgical complications and serum liver parameter were observed between the groups. Neither patient mortality rates nor rejection rates were different between the groups. However, ischemic-type biliary lesion rates increased significantly with donor age over 70 years (P<.05). The acceptance of liver grafts from older donors is a possible alternative to narrow the gap between donated and required organs. Safe use under optimal protocols is necessary to avoid a deterioration of post-OLT results. Copyright © 2011 Elsevier Inc. All rights reserved.

Rotational Thromboelastometry or Conventional Coagulation Tests in Liver Transplantation: Comparing Blood Loss, Transfusions, and Cost.

PubMed

Smart, Laura; Mumtaz, Khalid; Scharpf, Danielle; Gray, Nicole O'Bleness; Traetow, Daniel; Black, Sylvester; Michaels, Anthony J; Elkhammas, Elmahdi; Kirkpatrick, Robert; Hanje, A James

Orthotopic liver transplantation (OLT) can be associated with significant bleeding requiring multiple blood product transfusions. Rotational thromboelastometry (ROTEM) is a point-of-care device that has been used to monitor coagulation during OLT. Whether it reduces blood loss/transfusions during OLT remains controversial. We aim to compare ROTEM with conventional coagulation tests (aPTT, PT, INR, platelet count, fibrinogen) to guide transfusion of platelets, cryoprecipitate, and fresh frozen plasma (FFP) during OLT over 3 years. Thirty-four patients who had transfusions guided by ROTEM were compared to 34 controls who received transfusions guided by conventional coagulation tests (CCT). Intraoperative blood loss, type/ amount of blood products transfused, and direct costs were compared between the two groups. The ROTEM group had significantly less intra-operative blood loss (2.0 vs. 3.0 L, p = 0.04) and fresh frozen plasma (FFP) transfusion (4 units vs. 6.5 units, p = 0.015) compared to the CCT group (2.0L vs. 3.0L, p = 0.04). However, total number of patients transfused cryoprecipitate was increased in ROTEM (n = 25;73%) as compared to CCT (n = 19; 56%), p = 0.033. The direct cost of blood products plus testing was reduced in the ROTEM group ($113,142.89 vs. $127,814.77). In conclusion implementation of a ROTEM-guided transfusion algorithm resulted in a reduction in intra-operative blood loss, FFP transfusion and a decrease in direct cost during OLT. ROTEM is a useful and safe point of care device in OLT setting.

The Lord’s Resistance Army: The U.S. Response

DTIC Science & Technology

2012-04-11

initiated “Operation Lightning Thunder” ( OLT ), a campaign intended to capture or kill senior LRA leaders in northeastern DRC, where they had...enlarged regional campaign is viewed as the continuation of OLT . While the UPDF has since succeeded in capturing or killing several LRA commanders

A 20-year period of orthotopic liver transplantation activity in a single center: a time series analysis performed using the R Statistical Software.

PubMed

Santori, G; Andorno, E; Morelli, N; Casaccia, M; Bottino, G; Di Domenico, S; Valente, U

2009-05-01

In many Western countries a "minimum volume rule" policy has been adopted as a quality measure for complex surgical procedures. In Italy, the National Transplant Centre set the minimum number of orthotopic liver transplantation (OLT) procedures/y at 25/center. OLT procedures performed in a single center for a reasonably large period may be treated as a time series to evaluate trend, seasonal cycles, and nonsystematic fluctuations. Between January 1, 1987 and December 31, 2006, we performed 563 cadaveric donor OLTs to adult recipients. During 2007, there were another 28 procedures. The greatest numbers of OLTs/y were performed in 2001 (n = 51), 2005 (n = 50), and 2004 (n = 49). A time series analysis performed using R Statistical Software (Foundation for Statistical Computing, Vienna, Austria), a free software environment for statistical computing and graphics, showed an incremental trend after exponential smoothing as well as after seasonal decomposition. The predicted OLT/mo for 2007 calculated with the Holt-Winters exponential smoothing applied to the previous period 1987-2006 helped to identify the months where there was a major difference between predicted and performed procedures. The time series approach may be helpful to establish a minimum volume/y at a single-center level.

Outcomes after liver transplantation of patients with Indo-Asian ethnicity.

PubMed

Rocha, Chiara; Perera, M Thamara; Roberts, Keith; Bonney, Glenn; Gunson, Bridget; Nightingale, Peter; Bramhall, Simon R; Isaac, John; Muiesan, Paolo; Mirza, Darius F

2015-04-01

The impact of ethnicity on outcomes after orthotopic liver transplantation (OLT) is unclear. The British Indo-Asian population has a high incidence of liver disease but its contribution to the national deceased donor pool is small. We evaluated access to and outcomes of OLT in Indo-Asians. We compared 182 Indo-Asians with white patients undergoing OLT. Matching criteria were transplantation year, liver disease, age, sex. Donor and recipient characteristics, postoperative outcomes, including patient and graft survival, OLT era (early, 1987-2001; late, 2002-2011) were compared. Survival was also analyzed by underlying disease-acute liver failure (ALF) and chronic liver failure. Indo-Asians had higher diabetes incidence. There were no differences in waiting time for transplantation, despite smaller body size and more uncommon blood groups (B, AB) among Indo-Asians. In the early era, patient survival for Indo-Asians with ALF was worse when compared to whites. In the late era, graft and patient survival at 1, 2, and 5 years were similar between groups. This study demonstrates that Indo-Asian patients have equal access to OLT and comparable outcomes to whites in the United Kingdom. Survival has improved among Indo-Asian patients; this may be attributable to careful patient selection in case of ALF, though improvement of patient management may have contributed.

Risk factors for alcohol relapse following orthotopic liver transplantation: a systematic review.

PubMed

Rustad, James K; Stern, Theodore A; Prabhakar, Maithri; Musselman, Dominique

2015-01-01

Each year, 5000-6000 individuals undergo orthotopic liver transplantation (OLT) in the United States, and of these, nearly 18% have alcoholic liver disease. Relapse to alcohol occurs in more than 40% of patients with OLT for alcoholic liver disease. We sought to identify factors that predict relapse to alcohol or medication nonadherence following OLT in patients with alcoholic liver disease and to review what randomized clinical interventions have addressed these factors following OLT. Our hypothesis was that there would be factors before and after OLT that predict relapse to alcohol following OLT, and that these, if targeted, might improve sobriety and associated outcomes of adherence with medications and appointments. We performed a review (focusing on articles published since 2004) with PubMed and MEDLINE searches using the following search terms: liver transplantation, recidivism, alcohol relapse, and predictors of alcohol relapse. We supplemented the online searches with manual reviews of article reference lists and selected relevant articles for further review by author consensus. In largely white populations, prospective studies document that shorter length of pretransplantation sobriety is a significant predictor of time to first drink and time to binge use. Presence of psychiatric comorbidity, high score on standardized High-risk Alcoholism Relapse Scale, and diagnosis of Diagnostic and Statistical Manual of Mental Disorders (Fourth Edition) alcohol dependence are predictive of posttransplantation alcohol relapse. Pretransplantation alcohol use history variables (e.g., family history of alcoholism) reliably discriminate between complete abstainers and those who drink, while medical and psychosocial characteristics at early post-liver transplantation period (e.g., more bodily pain) maximally discriminate patterns of alcohol use. Alcoholic individuals with early-onset, rapidly accelerating moderate use and early-onset, continuously increasing heavy use have

Recipient’s Genetic R702W NOD2 Variant Is Associated with an Increased Risk of Bacterial Infections after Orthotopic Liver Transplantation

PubMed Central

van Hoek, Bart; van den Berg, Arie P.; Porte, Robert J.; Blokzijl, Hans; Coenraad, Minneke J.; Hepkema, Bouke G.; Schaapherder, Alexander F.; Ringers, Jan; Weersma, Rinse K.; Verspaget, Hein W.

2013-01-01

Introduction Orthotopic liver transplantation (OLT) is accompanied by a significant postoperative infection risk. Immunosuppression to prevent rejection increases the susceptibility to infections, mainly by impairing the adaptive immune system. Genetic polymorphisms in the lectin complement pathway of the donor have recently been identified as important risk determinants of clinically significant bacterial infection (CSI) after OLT. Another genetic factor involved in innate immunity is NOD2, which was reported to be associated with increased risk of spontaneous bacterial peritonitis in cirrhotic patients. Methods We assessed association of three genetic NOD2 variants (R702W, G908R and 3020insC) with increased risk of CSI after OLT. 288 OLT recipient-donor pairs from two tertiary referral centers were genotyped for the three NOD2 variants. The probability of CSI in relation to NOD2 gene variants was determined with cumulative incidence curves and log-rank analysis. Results The R702W NOD2 variant in the recipient was associated with CSI after OLT. Eight out of 15 (53.3%) individuals with a mutated genotype compared to 80/273 (29.3%) with wild type genotype developed CSI (p=0.027, univariate cox regression), illustrated by a higher frequency of CSI after OLT over time (p=0.0003, log rank analysis). Multivariate analysis (including the donor lectin complement pathway profile) showed independence of this R702W NOD2 association from other risk factors (HR 2.0; p=0.04). The other NOD2 variants, G908R and 3020insC, in the recipient were not associated with CSI. There was no association with CSI after OLT for any of the NOD2 variants in the donor. Conclusion The mutated NOD2 R702W genotype in the recipient is independently associated with an increased risk of bacterial infections after liver transplantation, indicating a predisposing role for this genetic factor impairing the recipient’s innate immune system. PMID:23977330

Intestinal microbial variation may predict early acute rejection after liver transplantation in rats.

PubMed

Ren, Zhigang; Jiang, Jianwen; Lu, Haifeng; Chen, Xinhua; He, Yong; Zhang, Hua; Xie, Haiyang; Wang, Weilin; Zheng, Shusen; Zhou, Lin

2014-10-27

Acute rejection (AR) remains a life-threatening complication after orthotopic liver transplantation (OLT) and there are few available diagnostic biomarkers clinically for AR. This study aims to identify intestinal microbial profile and explore potential application of microbial profile as a biomarker for AR after OLT. The OLT models in rats were established. Hepatic graft histology, ultrastructure, function, and intestinal barrier function were tested. Ileocecal contents were collected for intestinal microbial analysis. Hepatic graft suffered from the ischemia-reperfusion (I/R) injury on day 1, initial AR on day 3, and severe AR on day 7 after OLT. Real-time quantitative polymerase chain reaction results showed that genus Faecalibacterium prausnitzii and Lactobacillus were decreased, whereas Clostridium bolteae was increased during AR. Notably, cluster analysis of denaturing gradient gel electrophoresis (DGGE) profiles showed the 7AR and 3AR groups clustered together with 73.4% similarity, suggesting that intestinal microbiota was more sensitive than hepatic function in responding to AR. Microbial diversity and species richness were decreased during AR. Phylogenetic tree analysis showed that most of the decreased key bacteria belonged to phylum Firmicutes, whereas increased key bacteria belonged to phylum Bacteroidetes. Moreover, intestinal microvilli loss and tight junction damage were noted, and intestinal barrier dysfunction during AR presented a decrease of fecal secretory immunoglobulin A (sIgA) and increase of blood bacteremia, endotoxin, and tumor necrosis factor-α. We dynamically detail intestinal microbial characterization and find a high sensitivity of microbial change during AR after OLT, suggesting that intestinal microbial variation may predict AR in early phase and become an assistant therapeutic target to improve rejection after OLT.

Intestinal Microbial Variation May Predict Early Acute Rejection after Liver Transplantation in Rats

PubMed Central

Ren, Zhigang; Jiang, Jianwen; Lu, Haifeng; Chen, Xinhua; He, Yong; Zhang, Hua; Xie, Haiyang; Wang, Weilin; Zheng, Shusen; Zhou, Lin

2014-01-01

Background Acute rejection (AR) remains a life-threatening complication after orthotopic liver transplantation (OLT) and there are few available diagnostic biomarkers clinically for AR. This study aims to identify intestinal microbial profile and explore potential application of microbial profile as a biomarker for AR after OLT. Methods The OLT models in rats were established. Hepatic graft histology, ultrastructure, function, and intestinal barrier function were tested. Ileocecal contents were collected for intestinal microbial analysis. Results Hepatic graft suffered from the ischemia-reperfusion (I/R) injury on day 1, initial AR on day 3, and severe AR on day 7 after OLT. Real-time quantitative polymerase chain reaction results showed that genus Faecalibacterium prausnitzii and Lactobacillus were decreased, whereas Clostridium bolteae was increased during AR. Notably, cluster analysis of denaturing gradient gel electrophoresis (DGGE) profiles showed the 7AR and 3AR groups clustered together with 73.4% similarity, suggesting that intestinal microbiota was more sensitive than hepatic function in responding to AR. Microbial diversity and species richness were decreased during AR. Phylogenetic tree analysis showed that most of the decreased key bacteria belonged to phylum Firmicutes, whereas increased key bacteria belonged to phylum Bacteroidetes. Moreover, intestinal microvilli loss and tight junction damage were noted, and intestinal barrier dysfunction during AR presented a decrease of fecal secretory immunoglobulin A (sIgA) and increase of blood bacteremia, endotoxin, and tumor necrosis factor-α. Conclusion We dynamically detail intestinal microbial characterization and find a high sensitivity of microbial change during AR after OLT, suggesting that intestinal microbial variation may predict AR in early phase and become an assistant therapeutic target to improve rejection after OLT. PMID:25321166

Description of new species of Pterygorhabditis Timm, and Aspidonema (Sachs, ) Andrássy, (Nematoda: Bunonematoidea) in aquatic habitats from India.

PubMed

Tahseen, Q; Khan, R; Ahlawat, S

2016-07-01

The paper contains descriptions of two new species of the genera Pterygorhabditis Timm, 1957 and Aspidonema (Sachs, 1949) Andrássy, 1958 belonging to the families Pterygorhabditidae Goodey 1963 and Bunonematidae Micoletzky 1922, respectively. Species were procured from fixed samples, collected earlier from aquatic habitats. Pterygorhabditis punctata n. sp. is characterized by a cuticle with flattened hexagonal blocks arranged in eight longitudinal rows in both sexes; each metastegostomal plate with a minute denticle, and males with long, slender, fused spicules and nine pairs of post-cloacal, prominently setose genital papillae. Aspidonema formosa n. sp. is the first report of the genus from India. The species is characterized by the right side provided with 35-48 pairs of warts flanking a row of smooth membranous shields and surrounded by a well-developed network and an anisomorphic metastegostom without discernible armature. Species are compared with other congeners, together with the diagnoses of amended genera, and keys to the identification of species are provided.

Individual determinants of fish choosing in open-air street markets from Santo André, SP/Brazil.

PubMed

Vasconcellos, Juliana Parreira; Vasconcellos, Silvio Arruda; Pinheiro, Sonia Regina; de Oliveira, Thaís Helena Nishikata; Ribeiro, Naassom Almeida Souza; Martins, Cassia Neves; Porfírio, Bruno Augusti; Sanches, Sandra Abelardo; de Souza, Orlando Bispo; Telles, Evelise Oliveira; Balian, Simone de Carvalho

2013-09-01

The objective of this study was to identify the determinants of fish consumption in the population that attends open-air street markets in the city of Santo André, SP, Brazil.We performed a survey, covering approximately 482 people in 49 street markets.It consisted of free-answer questions, half open choice and half multiple-choice options, for the identification and evaluation of socioeconomic factors that facilitate and hinder fish consumption.A descriptive analysis of the data and further tests were used to determine the association between variables and linearity with consumption, with a significance level of 5%. The most commonly cited types of fish consumed were hake, sardine and dogfish. The factors that facilitate the purchase and consumption of fish are listed as follows: a preference for purchasing fish at street markets, appearance, firmness, fresh presentation, frozen presentation, as well as the respondent's education and individual monthly income. Limiting factors were identified as the price and the presence of spines. Perishability, odour, ethnicity, proximity to points of sale of residence and work, gender, age, number of people in the household, presence of children and acquisition supermarket were not characteristics that influenced decisions about fish consumption. Copyright © 2013 Elsevier Ltd. All rights reserved.

Investigating bang for your training buck: a randomized controlled trial comparing three methods of training clinicians in two core strategies of dialectical behavior therapy.

PubMed

Dimeff, Linda A; Harned, Melanie S; Woodcock, Eric A; Skutch, Julie M; Koerner, Kelly; Linehan, Marsha M

2015-05-01

The present study examined the efficacy of online training (OLT), instructor-led training (ILT), and a treatment manual (TM) in training mental health clinicians in two core strategies of Dialectical Behavior Therapy (DBT): chain analysis and validation. A randomized controlled trial compared OLT, ILT, and TM among clinicians naïve to DBT (N=172) who were assessed at baseline, post-training, and 30, 60, and 90 days following training. Primary outcomes included satisfaction, self-efficacy, motivation, knowledge, clinical proficiency, and clinical use. Overall, ILT outperformed OLT and TM in satisfaction, self-efficacy, and motivation, whereas OLT was the most effective method for increasing knowledge. The conditions did not differ in observer-rated clinical proficiency or self-reported clinical use, which both increased to moderate levels after training. In addition, ILT was particularly effective at improving motivation to use chain analysis, whereas OLT was particularly effective at increasing knowledge of validation strategies. These findings suggest that these types of brief, didactic trainings may be effective methods of increasing knowledge of new treatment strategies, but may not be sufficient to enable clinicians to achieve a high level of clinical use or proficiency. Additional research examining the possible advantages of matching training methods to types of treatment strategies may help to determine a tailored, more effective approach to training clinicians in empirically supported treatments. Copyright © 2015. Published by Elsevier Ltd.

The needs and expectations of overseas liver transplant recipients' families in Taiwan: across different transplantation stages.

PubMed

Chen, H-M; Shih, F-Jong; Pan, Y-J; Shih, F J; Wang, S-S

2014-04-01

This study explored the needs and expectations of Taiwanese overseas liver transplant recipients' families (OLTRFs) across three liver transplantation stages. An exploratory qualitative method was applied to a purposive sample of OLTRFs who received guided face-to-face, semi-structured interviews. Data were subjected to content analysis. Nineteen OLTRF members (15 females, 4 males) aged between 29 and 71 years (mean, 55.1 years) for 19 patients who had end-stage liver diseases were interviewed regarding overseas liver transplantation (OLT) across three stages: pre-departure (first stage), stay in mainland China (second stage), and re-entry into Taiwan (third stage). Five types of needs across OLT stages were reported: (a) knowing precise operation schedule in advance (first to second stages); (b) sharing the caring burdens (second to third stages); (c) knowing the updated health status if possible (all stages); (d) obtaining timely psychological support (all stages); and (e) effective communications between health professionals in Taiwan and mainland China to ensure the caring quality (all stages). Furthermore, five expectations were reported: (a) more donor sources (first stage); (b) comprehensive caring strategies for OLT (first stage); (c) a comprehensive consultation system and timely assistance channels for OLT recipients and their families (second to third stages); (d) a legal and accessible therapy process (all stages); and (e) the cooperation with foreign countries and allowed experience sharing for better quality of patient care (all stages). Most ethnic Chinese believe that family is an integrated system; moreover, there is close attachment between OLT recipients and their families. The needs and expectations of the recipients' family across three transplantation stages were first reported in this project. With this knowledge, the health providers of related countries are empowered by a better understanding of the family's needs and expectations of these

Extreme hepatic resections for the treatment of advanced hepatoblastoma: Are planned close margins an acceptable approach?

PubMed

Fonseca, Adriana; Gupta, Abha; Shaikh, Furqan; Ramphal, Raveena; Ng, Vicky; McGilvray, Ian; Gerstle, J Ted

2018-02-01

Orthotopic liver transplantation (OLT) is considered the standard for children with hepatoblastoma (HB) in whom complete surgical resection is not possible. However, OLT is not always available or feasible. To describe the outcome of children with HB who were initially deemed unresectable and underwent complex hepatectomy with planned close margins, and ultimately avoided OLT. Demographic data, surgical and pathologic details, and survival information were collected from children treated for HB between January 2010 to December 2015. Among six children (median age 12 months (3-41 months)), PRETEXT classification was III (n = 2), III/IV (n = 1), and IV (n = 3). Patients received a median of six cycles (range 4-7) of platinum-based induction chemotherapy; five received doxorubicin. Experienced pediatric surgeons performed extended right and left hepatectomy in five and one patients, respectively, with assistance of an experienced liver transplant surgeon (n = 4). Microscopic margins were positive (n = 2) and negative but close (n = 4; 2-5 mm). Two patients required vascular reconstruction of the vena cava. At median follow-up of 3.3 years (1.7-4.6 years), there was no evidence of local recurrence. One patient had recurrence of pulmonary disease 3 months after surgery. Patients with advanced HB treated with complex surgical resections with positive or close negative margins had good outcomes without OLT. We suggest that planned positive or close microscopic margins in highly selected HB patients may spare the morbidity of OLT and offer an alternative for those ineligible for OLT. Our experience illustrates the importance of a multidisciplinary team specialized in the management of liver tumors. © 2017 Wiley Periodicals, Inc.

Summative Evaluation of the Office of Learning Technologies. Final Report

ERIC Educational Resources Information Center

Human Resources Development Canada, 2002

2002-01-01

The Office of Learning Technologies (OLT) was launched by Human Resources Canada (HRDC) in 1996 as part of an education and training strategy for adult learners. It was established with an annual budget of $6 million. As a contributions program, the OLT encourages and supports initiatives of various public and private sector partners to expand…

Post-operative imaging in liver transplantation: State-of-the-art and future perspectives

PubMed Central

Girometti, Rossano; Como, Giuseppe; Bazzocchi, Massimo; Zuiani, Chiara

2014-01-01

Orthotopic liver transplantation (OLT) represents a major treatment for end-stage chronic liver disease, as well as selected cases of hepatocellular carcinoma and acute liver failure. The ever-increasing development of imaging modalities significantly contributed, over the last decades, to the management of recipients both in the pre-operative and post-operative period, thus impacting on graft and patients survival. When properly used, imaging modalities such as ultrasound, multidetector computed tomography, magnetic resonance imaging (MRI) and procedures of direct cholangiography are capable to provide rapid and reliable recognition and treatment of vascular and biliary complications occurring after OLT. Less defined is the role for imaging in assessing primary graft dysfunction (including rejection) or chronic allograft disease after OLT, e.g., hepatitis C virus (HCV) recurrence. This paper: (1) describes specific characteristic of the above imaging modalities and the rationale for their use in clinical practice; (2) illustrates main imaging findings related to post-OLT complications in adult patients; and (3) reviews future perspectives emerging in the surveillance of recipients with HCV recurrence, with special emphasis on MRI. PMID:24876739

Epistaxis in end stage liver disease masquerading as severe upper gastrointestinal hemorrhage.

PubMed

Camus, Marine; Jensen, Dennis M; Matthews, Jason D; Ohning, Gordon V; Kovacs, Thomas O; Jutabha, Rome; Ghassemi, Kevin A; Machicado, Gustavo A; Dulai, Gareth S

2014-10-14

To describe the prevalence, diagnosis, treatment, and outcomes of end stage liver disease (ESLD) patients with severe epistaxis thought to be severe upper gastrointestinal hemorrhage (UGIH). This observational single center study included all consecutive patients with ESLD and epistaxis identified from consecutive subjects hospitalized with suspected UGIH and prospectively enrolled in our databases of severe UGIH between 1998 and 2011. A total of 1249 patients were registered for severe UGIH in the data basis, 461 (36.9%) were cirrhotics. Epistaxis rather than UGIH was the bleeding source in 20 patients. All patients had severe coagulopathy. Epistaxis was initially controlled in all cases. Fifteen (75%) subjects required posterior nasal packing and 2 (10%) embolization in addition to correction of coagulopathy. Five (25%) patients died in the hospital, 12 (60%) received orthotopic liver transplantation (OLT), and 3 (15%) were discharged without OLT. The mortality rate was 63% in patients without OLT. Severe epistaxis in patients with ESLD is (1) a diagnosis of exclusion that requires upper endoscopy to exclude severe UGIH; and (2) associated with a high mortality rate in patients not receiving OLT.

[Portopulmonary hypertension: Updated review].

PubMed

Rodríguez-Almendros, Nielzer; Toapanta-Yanchapaxi, Liz N; Aguirre Valadez, Jonathan; Espinola Zavaleta, Nilda; Muñoz-Martínez, Sergio G; García-Juárez, Ignacio

Portopulmonary hypertension (PPH) is a rare condition worldwide, although epidemiological data are unknown in Mexico. However, chronic liver diseases are very prevalent in Mexico. PPH is the 4th subtype in frequency in the group of pulmonary arterial hypertension. Its diagnosis is made within 2 scenarios: patients with suspected pulmonary hypertension and candidates for orthotopic liver transplantation (OLT). Both echocardiogram and a right cardiac catheterisation are crucial for diagnosis in both cases. PPH is a challenge for OLT, since it can significantly increase perioperative mortality. The use of specific therapy is the cornerstone of this disease, as a measure to improve the outcome of those who become candidates for OLT with moderate to severe PPH. It is important to recognise that PPH can be a contraindication to OLT. The role of lung-liver transplantation or heart-lung-liver transplantation as a measure to heal pulmonary vascular disease in patients with PPH is still uncertain. Copyright © 2016 Instituto Nacional de Cardiología Ignacio Chávez. Publicado por Masson Doyma México S.A. All rights reserved.

Numerical Methods in Atmospheric and Oceanic Modelling: The Andre J. Robert Memorial Volume

NASA Astrophysics Data System (ADS)

Rosmond, Tom

Most people, even including some in the scientific community, do not realize how much the weather forecasts they use to guide the activities of their daily lives depend on very complex mathematics and numerical methods that are the basis of modern numerical weather prediction (NWP). André Robert (1929-1993), to whom Numerical Methods in Atmospheric and Oceanic Modelling is dedicated, had a career that contributed greatly to the growth of NWP and the role that the atmospheric computer models of NWP play in our society. There are probably no NWP models running anywhere in the world today that do not use numerical methods introduced by Robert, and those of us who work with and use these models everyday are indebted to him.The first two chapters of the volume are chronicles of Robert's life and career. The first is a 1987 interview by Harold Ritchie, one of Robert's many proteges and colleagues at the Canadian Atmospheric Environment Service. The interview traces Robert's life from his birth in New York to French Canadian parents, to his emigration to Quebec at an early age, his education and early employment, and his rise in stature as one of the preeminent research meteorologists of our time. An amusing anecdote he relates is his impression of weather forecasts while he was considering his first job as a meteorologist in the early 1950s. A newspaper of the time placed the weather forecast and daily horoscope side by side, and Robert regarded each to have a similar scientific basis. Thankfully he soon realized there was a difference between the two, and his subsequent career certainly confirmed the distinction.

Percutaneous osteoplasty for the treatment of a painful osteochondral lesion of the talus: a case report and literature review.

PubMed

Seo, Sung-Suk; Park, Joo-Yeon; Kim, Hae-Jin; Yoon, Ji-Wook; Park, Sang-Hyun; Kim, Kyung-Hoon

2012-01-01

An osteochondral lesion of the talus (OLT) is a lesion involving the talar articular cartilage and its subchondral bone. OLT is a known cause of chronic ankle pain after ankle sprains in the active population. The lesion causes deep ankle pain associated with weight-bearing, impaired function, limited range of motion, stiffness, catching, locking, and swelling. There are 2 common patterns of OLTs. Anterolateral talar dome lesions result from inversion and dorsiflexion injuries of the ankle at the area impacting against the fibula. Posteromedial lesions result from inversion, plantar flexion, and external rotation injuries of the ankle at the area impacting against the tibial ceiling of the ankle joint. Early diagnosis of an OLT is particularly important because the tibiotalar joint is exposed to more compressive load per unit area than any other joint in the body. Failure of diagnosis can lead to the evolution of a small, stable lesion into a larger lesion or an unstable fragment, which can result in chronic pain, joint instability, and premature osteoarthritis. A 43-year-old man, with a history of ankle sprain one year previously, visited our pain clinic for continuous right ankle pain after walking or standing for more than 30 minutes. There was a focal tenderness on the posteromedial area of the right talus. Imaging studies revealed a posteromedial OLT classified as having a geode form according to the FOG (fractures, osteonecroses, geodes) radiological classification and categorized as a stage 2a lesion on magnetic resonance imaging. The patient was scheduled for aspiration and osteoplasty with hydroxyapatite under arthroscopic and fluoroscopic guidance. A 26-gauge needle was inserted to infiltrate local anesthetics into the skin over the cyst and ankle joint. An arthroscope was placed into the joint to approach the OLT. The arthroscopic view showed that there was no connection between the OLT and the cyst of the talus body. A 13-gauge bone biopsy needle was

NOISECHECK Procedures for Measuring Noise Exposure from Aircraft Operations

DTIC Science & Technology

1980-11-01

in § afterburner , 8 min € MIL PVR, 8 min 6 80« rpm, and 20 min « idle). Aircraft Maintenance and Runup Log Procedure 1. Log every maintenance...OoMirtnat OltUnct »it« Profilt & SEL utt Eq. l Stipolt- « tnt I Fro» lorkihttt 7 NOISEFILE Sa ♦ 4 SEL Sltnt OltUnct WtSEFlLE SEL Mrtrift

Project watching the sky: a playful and constructivist approach in the practice of night sky observations for 2nd grade elementary school students in the city of Santo André

NASA Astrophysics Data System (ADS)

Voelzke, M. R.; Faria, R. Z.; Pedroso, M.; Jacinto, C.; Silva, L. C. P.

2017-07-01

The Johannes Kepler planetary, located at the SABINA Parque do Conhecimento in the City of Santo André, Brazil, has equipments that allow the teaching and diffusion of Astronomy. The attendances take place during the week for schools and at weekends for the public. The attending focus is on elementary students from Santo André’s municipal schools, kids between 6 and 10 years old. The pedagogical team created attendance models with specific matters for each age. The model is only incorporated into the planetary agenda after the municipal teacheŕs approval. This paper reports the establishment and approval of an attending project for 2nd grade students between September and November 2014. The workshops "My first spyglass" and "Creating my constellations" and the planetary session "Watching the Sky" were created. The Municipal Education Office received the project and passed it to the schools. From the 51 municipal schools, 13 took part sending 21 classes, totaling 521 students. The project included activities for the students, such as the construction of spyglasses out of cardboard which made them learn about constellations of yeaŕs seasons and enabled them to create their own constellations. During the schools permanency in the planetary, the teachers received a survey to evaluate the pilot project. The evaluation of the researched items allowed to classify them into satisfactory, partially satisfactory or unsatisfactory. The results were 95% satisfactory, considering the following aspects: used script, applied workshops, participation, concern and content uptake by the students; and a satisfactory rate of 100% about the used resources. Upon the approval, the pedagogical team included definitively this attendance into their agenda.

Urea cycle disorders: a case report of a successful treatment with liver transplant and a literature review.

PubMed

Foschi, Francesco Giuseppe; Morelli, Maria Cristina; Savini, Sara; Dall'Aglio, Anna Chiara; Lanzi, Arianna; Cescon, Matteo; Ercolani, Giorgio; Cucchetti, Alessandro; Pinna, Antonio Daniele; Stefanini, Giuseppe Francesco

2015-04-07

The urea cycle is the final pathway for nitrogen metabolism. Urea cycle disorders (UCDs) include a variety of genetic defects, which lead to inefficient urea synthesis. Elevated blood ammonium level is usually dominant in the clinical pattern and the primary manifestations affect the central nervous system. Herein, we report the case of a 17-year-old girl who was diagnosed with UCD at the age of 3. Despite a controlled diet, she was hospitalized several times for acute attacks with recurrent life risk. She came to our attention for a hyperammonemic episode. We proposed an orthotopic liver transplant (OLT) as a treatment; the patient and her family were in complete agreement. On February 28, 2007, she successfully received a transplant. Following the surgery, she has remained well, and she is currently leading a normal life. Usually for UCDs diet plays the primary therapeutic role, while OLT is often considered as a last resort. Our case report and the recent literature data on the quality of life and prognosis of traditionally treated patients vs OLT patients, support OLT as a primary intervention to prevent life-threatening acute episodes and chronic mental impairment.

Epistaxis in end stage liver disease masquerading as severe upper gastrointestinal hemorrhage

PubMed Central

Camus, Marine; Jensen, Dennis M; Matthews, Jason D; Ohning, Gordon V; Kovacs, Thomas O; Jutabha, Rome; Ghassemi, Kevin A; Machicado, Gustavo A; Dulai, Gareth S

2014-01-01

AIM: To describe the prevalence, diagnosis, treatment, and outcomes of end stage liver disease (ESLD) patients with severe epistaxis thought to be severe upper gastrointestinal hemorrhage (UGIH). METHODS: This observational single center study included all consecutive patients with ESLD and epistaxis identified from consecutive subjects hospitalized with suspected UGIH and prospectively enrolled in our databases of severe UGIH between 1998 and 2011. RESULTS: A total of 1249 patients were registered for severe UGIH in the data basis, 461 (36.9%) were cirrhotics. Epistaxis rather than UGIH was the bleeding source in 20 patients. All patients had severe coagulopathy. Epistaxis was initially controlled in all cases. Fifteen (75%) subjects required posterior nasal packing and 2 (10%) embolization in addition to correction of coagulopathy. Five (25%) patients died in the hospital, 12 (60%) received orthotopic liver transplantation (OLT), and 3 (15%) were discharged without OLT. The mortality rate was 63% in patients without OLT. CONCLUSION: Severe epistaxis in patients with ESLD is (1) a diagnosis of exclusion that requires upper endoscopy to exclude severe UGIH; and (2) associated with a high mortality rate in patients not receiving OLT. PMID:25320538

All-optical virtual private network system in OFDM based long-reach PON using RSOA re-modulation technique

NASA Astrophysics Data System (ADS)

Kim, Chang-Hun; Jung, Sang-Min; Kang, Su-Min; Han, Sang-Kook

2015-01-01

We propose an all-optical virtual private network (VPN) system in an orthogonal frequency division multiplexing (OFDM) based long reach PON (LR-PON). In the optical access network field, technologies based on fundamental upstream (U/S) and downstream (D/S) have been actively researched to accommodate explosion of data capacity. However, data transmission among the end users which is arisen from cloud computing, file-sharing and interactive game takes a large weight inside of internet traffic. Moreover, this traffic is predicted to increase more if Internet of Things (IoT) services are activated. In a conventional PON, VPN data is transmitted through ONU-OLT-ONU via U/S and D/S carriers. It leads to waste of bandwidth and energy due to O-E-O conversion in the OLT and round-trip propagation between OLT and remote node (RN). Also, it causes inevitable load to the OLT for electrical buffer, scheduling and routing. The network inefficiency becomes more critical in a LR-PON which has been researched as an effort to reduce CAPEX and OPEX through metro-access consolidation. In the proposed system, the VPN data is separated from conventional U/S and re-modulated on the D/S carrier by using RSOA in the ONUs to avoid bandwidth consumption of U/S and D/S unlike in previously reported system. Moreover, the transmitted VPN data is re-directed to the ONUs by wavelength selective reflector device in the RN without passing through the OLT. Experimental demonstration for the VPN communication system in an OFDM based LR-PON has been verified.

Availability of anesthetic effect monitoring: utilization, intraoperative management and time to extubation in liver transplantation.

PubMed

Schumann, R; Hudcova, J; Bonney, I; Cepeda, M S

2010-12-01

Titration of volatile anesthetics to anesthetic effect monitoring using the bispectral index (BIS) has been shown to decrease anesthetic requirements and facilitate recovery from anesthesia unrelated to liver transplantation (OLT). To determine whether availability of such monitoring influences its utilization pattern and affect anesthetic care and outcomes in OLT, we conducted a retrospective analysis in recipients with and without such monitoring. We evaluated annual BIS utilization over a period of 7 years, and compared 41 BIS-monitored patients to 42 controls. All received an isoflurane/air/oxygen and opioid-based anesthetic with planned postoperative ventilation. Data collection included age, body mass index (BMI), gender, Model for End-stage Liver Disease (MELD) score, and time to extubation (TtE). Mean preanhepatic, anhepatic, and postanhepatic end-tidal isoflurane concentrations were compared, as well as BIS values for each phase of OLT using the Kruskal-Wallis and Wilcoxon signed-rank tests, respectively. The use of anesthetic effect monitoring when available increased steadily from 15% of cases in the first year to almost 93% by year 7. There was no significant difference in age, gender, BMI, MELD, or TtE between groups. The BIS group received less inhalational anesthetic during each phase of OLT compared to the control group. However, this difference was statistically significant only during the anhepatic phase (P = .026), and was clinically not impressive. Within the BIS group, the mean BIS value was 38.74 ± 5.25 (mean ± standard deviation), and there was no difference for the BIS value between different transplant phases. Availability of anesthetic effect monitoring as an optional monitoring tool during OLT results in its increasing utilization by anesthesia care teams over time. However, unless integrated into an intraoperative algorithm and an early extubation protocol for fast tracking of OLT recipients, this utilization does not appear to provide

Serious gaming for orthotopic liver transplant anesthesiology: A randomized control trial.

PubMed

Katz, Daniel; Zerillo, Jeron; Kim, Sang; Hill, Bryan; Wang, Ryan; Goldberg, Andrew; DeMaria, Samuel

2017-04-01

Anesthetic management of orthotopic liver transplantation (OLT) is complex. Given the unequal distributions of liver transplant surgeries performed at different centers, anesthesiology providers receive relatively uneven OLT training and exposure. One well-suited modality for OLT training is the "serious game," an interactive application created for the purpose of imparting knowledge or skills, while leveraging the self-motivating elements of video games. We therefore developed a serious game designed to teach best practices for the anesthetic management of a standard OLT and determined if the game would improve resident performance in a simulated OLT. Forty-four residents on the liver transplant rotation were randomized to either the gaming group (GG) or the control group (CG) prior to their introductory simulation. Both groups were given access to the same educational materials and literature during their rotation, but the GG also had access to the OLT Trainer. Performance on the simulations were recorded on a standardized grading rubric. Both groups experienced an increase in score relative to baseline that was statistically significant at every stage. The improvements in scores were greater for the GG participants than the CG participants. Overall score improvement between the GG and CG (mean [standard deviation]) was statistically significant (GG, 7.95 [3.65]; CG, 4.8 [4.48]; P = 0.02), as were scores for preoperative assessment (GG, 2.67 [2.09]; CG, 1.17 [1.43]; P = 0.01) and anhepatic phase (GG, 1.62 [1.01]; CG, 0.75 [1.28]; P = 0.02). Of the residents with game access, 81% were "very satisfied" or "satisfied" with the game overall. In conclusion, adding a serious game to an existing educational curriculum for liver transplant anesthesia resulted in significant learning gains for rotating anesthesia residents. The intervention was straightforward to implement and cost-effective. Liver Transplantation 23 430-439 2017 AASLD. © 2017 by the American Association

A simplified multivisceral transplantation procedure for patients with combined end-stage liver disease and type 2 diabetes mellitus.

PubMed

He, Xiao-Shun; Fu, Shun-Jun; Zhao, Qiang; Zhu, Xiao-Feng; Wang, Dong-Ping; Han, Ming; Ju, Wei-Qiang; Ma, Yi; Jiao, Xing-Yuan; Yuan, Xiao-Peng; Hu, An-Bin; Guo, Zhi-Yong

2017-09-01

In liver transplant patients with type 2 diabetes mellitus (DM), the disease worsens after transplantation because of longterm use of diabetogenic immunosuppressive drugs, making management of those patients a great challenge. The objective of our study was to evaluate the safety and efficacy of a simplified multivisceral transplantation (SMT) procedure for the treatment of patients with end-stage liver disease and concurrent type 2 DM. Forty-four patients who had pretransplant type 2 DM were included. A total of 23 patients received SMT, and 21 patients received orthotopic liver transplantation (OLT). Patient and graft survivals, complications, diabetic control, and quality of life (QOL) were retrospectively analyzed in both groups. The 1-, 3-, and 5-year cumulative patient and graft survival rates were 91.5%, 75.4%, and 75.4% in the SMT group and were 94.4%, 64.4%, and 64.4% in the OLT group, respectively (P = 0.70). Interestingly, 95.7% (22/23) of patients achieved complete remission from DM after SMT compared with 16.7% (3/18) of patients after OLT. The occurrence of biliary complication was significantly higher in the OLT group than that in the SMT group (23.8% versus 0.0%; P = 0.01). Moreover, better QOL was observed in the SMT group than that in the OLT group. In conclusion, the SMT procedure we described here is a safe and viable option for patients with end-stage live disease and concurrent type 2 DM. This SMT procedure offers excellent transplant outcomes and QOL. Liver Transplantation 23 1161-1170 2017 AASLD. © 2017 by the American Association for the Study of Liver Diseases.

The safety and efficacy of ledipasvir/sofosbuvir with or without ribavirin in the treatment of orthotopic liver transplant recipients with recurrent hepatitis C: real-world data.

PubMed

Pyrsopoulos, Nikolaos; Trilianos, Panagiotis; Lingiah, Vivek A; Fung, Phoenix; Punnoose, Merlin

2018-07-01

Recurrent hepatitis C (RHC) in orthotopic liver transplantation (OLT) population is associated with accelerated rates of fibrosis, low efficacy and decreased tolerability with traditional therapies. The aim of this study was to evaluate the safety and efficacy of ledipasvir/sofosbuvir (LED/SOF) with or without ribavirin (RBV) in OLT patients with RHC. Patients at least 3 months post-OLT and with documented RHC were treated with LED/SOF with or without RBV for either 12 or 24 weeks. End-of-treatment and sustained virological response 12 weeks after the completion of treatment were documented. Patients were closely monitored for treatment-related adverse effects and the potential need for adjustment in their immunosuppression. Seventy-one patients were included in the study. Median age was 62 years. Median time from OLT was 55 months. Twenty-six (36.6%) patients were treatment-naive and 45 (63.4%) had previously failed interferon-based therapies. The majority of patients (57.7%) had stage F0-F2 fibrosis. Sixty-seven (94.3%) patients completed 12 weeks of LED/SOF with RBV, three patients completed 12 or 24 weeks of LED/SOF without RBV, and one patient completed only 8 weeks of LED/SOF without RBV owing to severe allograft dysfunction. Sustained virological response was near universal in our cohort (98.5%) regardless of genotype, fibrosis stage, and regimen or treatment duration. Most commonly reported side effects were malaise and gastrointestinal upset. No patient required adjustment in immunosuppression and no episodes of rejection were documented during treatment. The combination of LED/SOF with RBV for 12 weeks or LED/SOF for 24 weeks is very effective and safe in treating OLT recipients with RHC.

Isoflurane: An Ideal Anesthetic for Rodent Orthotopic Liver Transplantation Surgery?

PubMed

Cao, D; Liu, Y; Li, J; Gong, J

2016-10-01

Because the choice of anesthetic affects the rodent orthotopic liver transplantation (OLT) model, we compared the effects of isoflurane, ketamine, chloral hydrate, and pentobarbital on the OLT model. OLT was performed using the two-cuff technique. Two hundred male rats were randomly divided into five groups: control, isoflurane, ketamine, chloral hydrate, and pentobarbital groups. Rectal temperatures, respiratory rates, arterial blood values (pH, PaCO 2 , PaO 2 , and SatO 2 ), liver function tests and histopathology, recovery times, and anhepatic stage mortality rates were assessed. Compared with controls, respiratory rates decreased by 20% in the isoflurane group, and decreased by 40%-50% in the ketamine, chloral hydrate, and pentobarbital groups. The PaO 2 , SatO 2 , and pH levels in the ketamine, chloral hydrate, and pentobarbital groups were significantly lower than those in the isoflurane and control groups (P < .05). Only the pentobarbital group displayed significant liver histopathologic changes along with significantly higher levels of serum alanine aminotransferase and total bilirubin, but a significantly lower level of serum albumin, compared with the control group (P < .05). The isoflurane group had a 0% anhepatic stage mortality rate compared with rates of 30%-40% in the other anesthetic groups. Isoflurane should be the preferred anesthetic for rodent OLT surgery due to its minimal respiratory and hepatic physiological effects as well as its low anhepatic phase mortality rate. Secondary to isoflurane, ketamine and chloral hydrate may be administered as donor anesthetics. Pentobarbital use should be avoided entirely in rodent OLT surgery due to its significant hepatotoxic effects. Copyright © 2016 Elsevier Inc. All rights reserved.

Recurrent Primary Biliary Cirrhosis: Peritransplant Factors and Ursodeoxycholic Acid Treatment Post-Liver Transplant

PubMed Central

Guy, Jennifer E.; Qian, Peiqing; Lowell, Jeffrey A.; Peters, Marion G.

2014-01-01

Primary biliary cirrhosis (PBC) recurs after orthotopic liver transplantation (OLT) in up to one-third of patients. These patients are typically asymptomatic, can be identified by abnormal liver biochemistries, and have evidence of histologic recurrence on liver biopsy. The effect of treatment on recurrence has not been determined. This pilot study evaluates the factors associated with recurrent PBC and describes our experience using ursodeoxycholic acid treatment in this patient population. Forty-eight patients with PBC were followed for at least 1 yr post-OLT, and 27 patients (56%) developed abnormal serum alkaline phosphatase. Seventeen patients (35%) had evidence of recurrent PBC by liver biopsy. Patients with recurrent PBC had a trend toward longer warm ischemia times and more episodes of acute cellular rejection in the first year posttransplant, but this was not significant in multivariate analysis. Donor or recipient age, donor and recipient cytomegalovirus status, and dose of immunosuppression did not correlate with recurrence of PBC. Those patients diagnosed with recurrent PBC were placed on ursodeoxycholic acid, 15 mg/kg daily, with improvement in serum alkaline phosphatase in the majority. In conclusion, recurrent PBC is not infrequent post-OLT, and ursodeoxycholic acid can be used with some benefit post-OLT. Treatment effects on long-term survival are not known. PMID:16184542

A comparison of operation, endoscopic retrograde cholangiopancreatography, and percutaneous transhepatic cholangiography in biliary complications after hepatic transplantation.

PubMed

Kuo, P C; Lewis, W D; Stokes, K; Pleskow, D; Simpson, M A; Jenkins, R L

1994-08-01

Biliary complications (BC) remain a significant cause of morbidity and mortality after orthotopic liver transplantation (OLT). In an effort to determine the incidence of BC after OLT and the success of management options, 157 hepatic transplants performed from January 1987 to July 1991 were reviewed. The incidence of BC was 25 percent, with a one year mortality rate of 43.5 percent compared with 23.4 percent for patients in a control group (p < 0.05). Most BC occurring before postoperative day 30 presented as leaks, with a one year mortality rate of 50 percent (p < 0.03 versus control group). Biliary complications presenting after postoperative day 30 presented as strictures, with a one year mortality rate of 36.8 percent (p = NS versus control group). Endoscopic retrograde cholangiopancreatography (ERCP), percutaneous transhepatic cholangiography (PTHC), and operative treatment were analyzed to determine relative patency rates after intervention for BC. The analysis showed that ERCP and PTHC were equivalent, with a one year patency rate of 45 percent. Operative treatment had a patency rate of 89 percent (p < 0.05 compared to ERCP and PTHC). The results from ERCP and PTHC may be useful for delineation of rejection versus BC after OLT. However, operative treatment is significantly more effective for definitive treatment of BC after OLT.

Traffic-aware energy saving scheme with modularization supporting in TWDM-PON

NASA Astrophysics Data System (ADS)

Xiong, Yu; Sun, Peng; Liu, Chuanbo; Guan, Jianjun

2017-01-01

Time and wavelength division multiplexed passive optical network (TWDM-PON) is considered to be a primary solution for next-generation passive optical network stage 2 (NG-PON2). Due to the feature of multi-wavelength transmission of TWDM-PON, some of the transmitters/receivers at the optical line terminal (OLT) could be shut down to reduce the energy consumption. Therefore, a novel scheme called traffic-aware energy saving scheme with modularization supporting is proposed. Through establishing the modular energy consumption model of OLT, the wavelength transmitters/receivers at OLT could be switched on or shut down adaptively depending on sensing the status of network traffic load, thus the energy consumption of OLT will be effectively reduced. Furthermore, exploring the technology of optical network unit (ONU) modularization, each module of ONU could be switched to sleep or active mode independently in order to reduce the energy consumption of ONU. Simultaneously, the polling sequence of ONU could be changed dynamically via sensing the packet arrival time. In order to guarantee the delay performance of network traffic, the sub-cycle division strategy is designed to transmit the real-time traffic preferentially. Finally, simulation results verify that the proposed scheme is able to reduce the energy consumption of the network while maintaining the traffic delay performance.

Feature-space-based FMRI analysis using the optimal linear transformation.

PubMed

Sun, Fengrong; Morris, Drew; Lee, Wayne; Taylor, Margot J; Mills, Travis; Babyn, Paul S

2010-09-01

The optimal linear transformation (OLT), an image analysis technique of feature space, was first presented in the field of MRI. This paper proposes a method of extending OLT from MRI to functional MRI (fMRI) to improve the activation-detection performance over conventional approaches of fMRI analysis. In this method, first, ideal hemodynamic response time series for different stimuli were generated by convolving the theoretical hemodynamic response model with the stimulus timing. Second, constructing hypothetical signature vectors for different activity patterns of interest by virtue of the ideal hemodynamic responses, OLT was used to extract features of fMRI data. The resultant feature space had particular geometric clustering properties. It was then classified into different groups, each pertaining to an activity pattern of interest; the applied signature vector for each group was obtained by averaging. Third, using the applied signature vectors, OLT was applied again to generate fMRI composite images with high SNRs for the desired activity patterns. Simulations and a blocked fMRI experiment were employed for the method to be verified and compared with the general linear model (GLM)-based analysis. The simulation studies and the experimental results indicated the superiority of the proposed method over the GLM-based analysis in detecting brain activities.

Are drowned donors marginal donors? A single pediatric center experience.

PubMed

Kumm, Kayla R; Galván, N Thao N; Koohmaraie, Sarah; Rana, Abbas; Kueht, Michael; Baugh, Katherine; Hao, Liu; Yoeli, Dor; Cotton, Ronald; O'Mahony, Christine A; Goss, John A

2017-09-01

Drowning, a common cause of death in the pediatric population, is a potentially large donor pool for OLT. Anecdotally, transplant centers have deemed these organs high risk over concerns for infection and graft dysfunction. We theorized drowned donor liver allografts do not portend worse outcomes and therefore should not be excluded from the donation pool. We reviewed our single-center experience of pediatric OLTs between 1988 and 2015 and identified 33 drowned donor recipients. These OLTs were matched 1:2 to head trauma donor OLTs from our center. A chart review assessed postoperative peak AST and ALT, incidence of HAT, graft and recipient survival. Recipient survival at one year between patients with drowned donor vs head trauma donor allografts was not statistically significant (94% vs 97%, P=.63). HAT incidence was 6.1% in the drowned donor group vs 7.6% in the control group (P=.78). Mean postoperative peak AST and ALT was 683 U/L and 450 U/L for drowned donors vs 1119 U/L and 828 U/L in the matched cohort. These results suggest drowned donor liver allografts do not portend worse outcomes in comparison with those procured from head trauma donors. © 2017 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Does an injection of a stromal vascular fraction containing adipose-derived mesenchymal stem cells influence the outcomes of marrow stimulation in osteochondral lesions of the talus? A clinical and magnetic resonance imaging study.

PubMed

Kim, Yong Sang; Lee, Ho Jin; Choi, Yun Jin; Kim, Yong Il; Koh, Yong Gon

2014-10-01

Marrow stimulation for the treatment of osteochondral lesions of the talus (OLTs) is controversial in patients with poor prognostic factors of OLTs. Currently, mesenchymal stem cells (MSCs) are expected to biologically augment the treatment of OLTs. To compare the clinical and magnetic resonance imaging (MRI) outcomes between an injection of MSCs with marrow stimulation and marrow stimulation alone in patients with OLTs. Cohort study; Level of evidence, 3. A total of 49 patients (50 ankles) with OLTs underwent follow-up MRI after arthroscopic treatment. Among these 50 ankles, 26 underwent marrow stimulation alone (conventional group), and 24 underwent marrow stimulation with an injection of a stromal vascular fraction (SVF) containing MSCs (MSC group). Clinical outcomes were evaluated according to the visual analog scale (VAS) for pain, American Orthopaedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Scale, and Tegner activity scale. The magnetic resonance observation of cartilage repair tissue (MOCART) score was used for the MRI evaluation of repaired lesions. The mean VAS score, AOFAS score, and Tegner score improved from 7.1 ± 1.2, 68.5 ± 5.6, and 3.4 ± 0.6 to 3.9 ± 0.8, 78.3 ± 4.9, and 3.5 ± 0.8, respectively, in the conventional group and from 7.1 ± 0.8, 67.7 ± 4.7, and 3.4 ± 0.5 to 3.2 ± 0.8, 83.3 ± 7.0, and 3.9 ± 0.7, respectively, in the MSC group. All clinical outcomes, including the VAS, AOFAS, and Tegner scores, improved significantly in the MSC group compared with the conventional group (P = .003, .009, and .041, respectively). There was a significant difference (P = .037) in the mean MOCART score between the conventional and MSC groups (49.4 ± 16.6 vs 62.1 ± 21.8, respectively), and significant correlations of the MOCART score with clinical outcomes were found in both groups (P < .05). Patient age (≥46.1 years), large lesion size (≥151.2 mm(2)), and the presence of subchondral cysts were associated with a worse MOCART score in the

Piggyback technique in adult orthotopic liver transplantation: an analysis of 1067 liver transplants at a single center

PubMed Central

Nakamura, Noboru; Vaidya, Anil; Levi, David M.; Kato, Tomoaki; Nery, Jose R.; Madariaga, Juan R.; Molina, Enrique; Ruiz, Phillip; Gyamfi, Anthony; Tzakis, Andreas G.

2006-01-01

Background. Orthotopic liver transplantation (OLT) in adult patients has traditionally been performed using conventional caval reconstruction technique (CV) with veno-venous bypass. Recently, the piggyback technique (PB) without veno-venous bypass has begun to be widely used. The aim of this study was to assess the effect of routine use of PB on OLTs in adult patients. Patients and methods. A retrospective analysis was undertaken of 1067 orthotopic cadaveric whole liver transplantations in adult patients treated between June 1994 and July 2001. PB was used as the routine procedure. Patient demographics, factors including cold ischemia time (CIT), warm ischemia time (WIT), operative time, transfusions, blood loss, and postoperative results were assessed. The effects of clinical factors on graft survival were assessed by univariate and multivariate analyses.In all, 918 transplantations (86%) were performed with PB. Blood transfusion, WIT, and usage of veno-venous bypass were less with PB. Seventy-five (8.3%) cases with PB had refractory ascites following OLT (p=NS). Five venous outflow stenosis cases (0.54%) with PB were noted (p=NS). The liver and renal function during the postoperative periods was similar. Overall 1-, 3-, and 5-year patient survival rates were 85%, 78%, and 72% with PB. Univariate analysis showed that cava reconstruction method, CIT, WIT, amount of transfusion, length of hospital stay, donor age, and tumor presence were significant factors influencing graft survival. Multivariate analysis further reinforced the fact that CIT, donor age, amount of transfusion, and hospital stay were prognostic factors for graft survival. Conclusions. PB can be performed safely in the majority of adult OLTs. Results of OLT with PB are as same as for CV. Liver function, renal function, morbidity, mortality, and patient and graft survival are similar to CV. However, amount of transfusion, WIT, and use of veno-venous bypass are less with PB. PMID:18333273

The effect of prior upper abdominal surgery on outcomes after liver transplantation for hepatocellular carcinoma: An analysis of the database of the organ procurement transplant network.

PubMed

Silva, Jack P; Berger, Nicholas G; Yin, Ziyan; Liu, Ying; Tsai, Susan; Christians, Kathleen K; Clarke, Callisia N; Mogal, Harveshp; Gamblin, T Clark

2018-05-01

Orthotopic liver transplantation (OLT) is the preferred treatment for hepatocellular carcinoma (HCC) in select patients. Many patients listed for OLT have a history of prior upper abdominal surgery (UAS). Repeat abdominal surgery increases operative complexity and may cause a greater incidence of complication. This study sought to compare outcomes after liver transplantation for patients with and without prior UAS. Adult HCC patients undergoing OLT were identified using the database from the Organ Procurement and Transplantation Network (1987-2015). Patients were separated by presence of prior UAS into 2 propensity-matched cohorts. Overall survival (OS) and graft survival (GS) were analyzed by log-rank test and graphed using Kaplan-Meier method. Recipient and donor demographic and clinical characteristics were also studied using Cox regression models. A total of 15,043 patients were identified, of whom 6,205 had prior UAS (41.2%). After 1:1 propensity score matching, cohorts (UAS versus no UAS) contained 4,669 patients. UAS patients experienced shorter GS (122 months vs 129 months; P < .001) and shorter OS (130 months vs 141 months; P < .001). Median duration of stay for both cohorts was 8 days. Multivariate Cox regression models revealed that prior UAS was associated with an increased hazard ratio (HR) for GS (HR 1.14; 95% confidence interval (CI) 1.06-1.22; P < .001) and OS (HR 1.14; 95% CI 1.06-1.23; P < .001). Prior UAS is an independent negative predictor of GS and OS after OLT for HCC. OLT performed in patients with UAS remains a well-tolerated and effective treatment for select HCC patients but may alter expected outcomes and influence follow-up protocols. Copyright © 2017 Elsevier Inc. All rights reserved.

Role of Stereotactic Body Radiation Therapy Before Orthotopic Liver Transplantation: Retrospective Evaluation of Pathologic Response and Outcomes

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

Mannina, Edward Michael, E-mail: emmannina@gmail.com; Cardenes, Higinia Rosa; Lasley, Foster D.

Purpose: To analyze the results of stereotactic body radiation therapy (SBRT) in patients with early-stage, localized hepatocellular carcinoma who underwent definitive orthotopic liver transplantation (OLT). Methods and Materials: The subjects of this retrospective report are 38 patients diagnosed with hepatocellular carcinoma who underwent SBRT per institutional phase 1 to 2 eligibility criteria, before definitive OLT. Pre-OLT radiographs were compared with pathologic gold standard. Analysis of treatment failures and deaths was undertaken. Results: With median follow-up of 4.8 years from OLT, 9 of 38 patients (24%) recurred, whereas 10 of 38 patients (26%) died. Kaplan-Meier estimates of 3-year overall survival and disease-free survivalmore » are 77% and 74%, respectively. Sum longest dimension of tumors was significantly associated with disease-free survival (hazard ratio 1.93, P=.026). Pathologic response rate (complete plus partial response) was 68%. Radiographic scoring criteria performed poorly; modified Response Evaluation Criteria in Solid Tumors produced highest concordance (κ = 0.224). Explants revealed viable tumor in 74% of evaluable patients. Treatment failures had statistically larger sum longest dimension of tumors (4.0 cm vs 2.8 cm, P=.014) and non–statistically significant higher rates of lymphovascular space invasion (44% vs 17%), cT2 disease (44% vs 21%), ≥pT2 disease (67% vs 34%), multifocal tumors at time of SBRT (44% vs 21%), and less robust mean α-fetoprotein response (−25 IU/mL vs −162 IU/mL). Conclusions: Stereotactic body radiation therapy before to OLT is a well-tolerated treatment providing 68% pathologic response, though 74% of explants ultimately contained viable tumor. Radiographic response criteria poorly approximate pathology. Our data suggest further stratification of patients according to initial disease burden and treatment response.« less

Using old liver grafts for liver transplantation: where are the limits?

PubMed

Jiménez-Romero, Carlos; Caso Maestro, Oscar; Cambra Molero, Félix; Justo Alonso, Iago; Alegre Torrado, Cristina; Manrique Municio, Alejandro; Calvo Pulido, Jorge; Loinaz Segurola, Carmelo; Moreno González, Enrique

2014-08-21

The scarcity of ideal liver grafts for orthotopic liver transplantation (OLT) has led transplant teams to investigate other sources of grafts in order to augment the donor liver pool. One way to get more liver grafts is to use marginal donors, a not well-defined group which includes mainly donors > 60 years, donors with hypernatremia or macrosteatosis > 30%, donors with hepatitis C virus or hepatitis B virus positive serologies, cold ischemia time > 12 h, non-heart-beating donors, and grafts from split-livers or living-related donations. Perhaps the most practical and frequent measure to increase the liver pool, and thus to reduce waiting list mortality, is to use older livers. In the past years the results of OLT with old livers have improved, mainly due to better selection and maintenance of donors, improvements in surgical techniques in donors and recipients, and intra- and post-OLT management. At the present time, sexagenarian livers are generally accepted, but there still exists some controversy regarding the use of septuagenarian and octogenarian liver grafts. The aim of this paper is to briefly review the aging process of the liver and reported experiences using old livers for OLT. Fundamentally, the series of septuagenarian and octogenarian livers will be addressed to see if there is a limit to using these aged grafts.

Using old liver grafts for liver transplantation: Where are the limits?

PubMed Central

Jiménez-Romero, Carlos; Caso Maestro, Oscar; Cambra Molero, Félix; Justo Alonso, Iago; Alegre Torrado, Cristina; Manrique Municio, Alejandro; Calvo Pulido, Jorge; Loinaz Segurola, Carmelo; Moreno González, Enrique

2014-01-01

The scarcity of ideal liver grafts for orthotopic liver transplantation (OLT) has led transplant teams to investigate other sources of grafts in order to augment the donor liver pool. One way to get more liver grafts is to use marginal donors, a not well-defined group which includes mainly donors > 60 years, donors with hypernatremia or macrosteatosis > 30%, donors with hepatitis C virus or hepatitis B virus positive serologies, cold ischemia time > 12 h, non-heart-beating donors, and grafts from split-livers or living-related donations. Perhaps the most practical and frequent measure to increase the liver pool, and thus to reduce waiting list mortality, is to use older livers. In the past years the results of OLT with old livers have improved, mainly due to better selection and maintenance of donors, improvements in surgical techniques in donors and recipients, and intra- and post-OLT management. At the present time, sexagenarian livers are generally accepted, but there still exists some controversy regarding the use of septuagenarian and octogenarian liver grafts. The aim of this paper is to briefly review the aging process of the liver and reported experiences using old livers for OLT. Fundamentally, the series of septuagenarian and octogenarian livers will be addressed to see if there is a limit to using these aged grafts. PMID:25152573

Perioperative management in orthotopic liver transplantation: results of an Italian national survey.

PubMed

Biancofiore, G; Della Rocca, G

2012-06-01

No data are available on the perioperative approach during orthotopic liver transplantation (OLT) in Italy, apart from sporadically single center studies. The Department of Anesthesia cooperating with each Italian licensed OLT center received a questionnaire regarding preoperative evaluation, intraoperative anesthesia management, anesthetic drugs, blood components therapy, perioperative monitoring, supportive therapies, postoperative care, staff and organization. Twenty-two centers were surveyed and 17 returned the questionnaire. Center specific protocols for OLT anesthesia exist in 12 centers. Balanced anesthesia (volatile anesthetic agents and continuous infusion of opioids) is the standard anesthetic method. In 14 cases a thromboelastogram is available; one center reported not to have a rapid infusion device available. Pulmonary artery catheterization with a continuous cardiac output device is the most used hemodynamic monitoring system; in case of hemodynamic instability, the combination of dopamine/noradrenaline resulted the first choice before vascular clamping whereas noradrenaline alone after graft's reperfusion. No difference about which intraoperative phase is mostly characterized by the use of blood components was reported. Postoperative care is provided on anesthesiological-guided Intensive Care Units (ICU) in all the surveyed centers and in three centers the ICU is dedicated only to transplant patients. The results of this survey show that in Italy the perioperative management of patients undergoing OLT is not homogeneous. This database allows to debate on the best practices and pathways for perioperative management of these patients, and to stimulate future clinical trials aimed to assess the different component and steps forwards of the whole process.

Epsilon-aminocaproic acid improves postrecirculation hemodynamics by reducing intraliver activated protein C consumption in orthotopic liver transplantation.

PubMed

Kong, H Y; Wen, X H; Huang, S Q; Zhu, S M

2014-01-01

Activated protein C (APC) is related to regulating the inflammatory response and hemodynamic stability upon reperfusion in cardiac operations and orthotopic liver transplantation (OLT). Epsilon-aminocaproic acid (EACA) is frequently used to treat fibrinolysis during OLT. It also has inhibitory effects related to the inflammatory response. However, it remains to be determined whether EACA can attenuate intraliver APC consumption and improve hemodynamic stability after reperfusion during OLT. Fifty-nine recipients were randomized to receive either EACA (150 mg kg(-1) given intravenously prior to incision, followed by 15 mg kg(-1) h(-1) infusion until 2 h after the graft reperfusion) or the same volume of saline. Blood samples to assess plasma APC and protein C were obtained immediately before and after reperfusion from the inferior caval effluent or the portal veins for calculation of transliver differences (Δ). Hemodynamics and vasoactive medication use during the reperfusion period were observed in both groups. No transhepatic changes in protein C were found in either group. Immediately after reperfusion, a marked intraliver consumption of APC was noted in all recipients (P < 0.001), and intraliver consumption of APC in the control group was greater than that in the EACA-treated group (P < 0.05). Fewer requirements for vasoactive medication use after reperfusion and better initial graft function were noted in the EACA-treated group (P < 0.05). EACA can attenuate intraliver APC consumption and improve hemodynamic stability after reperfusion and initial graft function during OLT.

Congestion estimation technique in the optical network unit registration process.

PubMed

Kim, Geunyong; Yoo, Hark; Lee, Dongsoo; Kim, Youngsun; Lim, Hyuk

2016-07-01

We present a congestion estimation technique (CET) to estimate the optical network unit (ONU) registration success ratio for the ONU registration process in passive optical networks. An optical line terminal (OLT) estimates the number of collided ONUs via the proposed scheme during the serial number state. The OLT can obtain congestion level among ONUs to be registered such that this information may be exploited to change the size of a quiet window to decrease the collision probability. We verified the efficiency of the proposed method through simulation and experimental results.

Applying psychological theories to evidence-based clinical practice: identifying factors predictive of placing preventive fissure sealants.

PubMed

Bonetti, Debbie; Johnston, Marie; Clarkson, Jan E; Grimshaw, Jeremy; Pitts, Nigel B; Eccles, Martin; Steen, Nick; Thomas, Ruth; Maclennan, Graeme; Glidewell, Liz; Walker, Anne

2010-04-08

Psychological models are used to understand and predict behaviour in a wide range of settings, but have not been consistently applied to health professional behaviours, and the contribution of differing theories is not clear. This study explored the usefulness of a range of models to predict an evidence-based behaviour -- the placing of fissure sealants. Measures were collected by postal questionnaire from a random sample of general dental practitioners (GDPs) in Scotland. Outcomes were behavioural simulation (scenario decision-making), and behavioural intention. Predictor variables were from the Theory of Planned Behaviour (TPB), Social Cognitive Theory (SCT), Common Sense Self-regulation Model (CS-SRM), Operant Learning Theory (OLT), Implementation Intention (II), Stage Model, and knowledge (a non-theoretical construct). Multiple regression analysis was used to examine the predictive value of each theoretical model individually. Significant constructs from all theories were then entered into a 'cross theory' stepwise regression analysis to investigate their combined predictive value. Behavioural simulation - theory level variance explained was: TPB 31%; SCT 29%; II 7%; OLT 30%. Neither CS-SRM nor stage explained significant variance. In the cross theory analysis, habit (OLT), timeline acute (CS-SRM), and outcome expectancy (SCT) entered the equation, together explaining 38% of the variance. Behavioural intention - theory level variance explained was: TPB 30%; SCT 24%; OLT 58%, CS-SRM 27%. GDPs in the action stage had significantly higher intention to place fissure sealants. In the cross theory analysis, habit (OLT) and attitude (TPB) entered the equation, together explaining 68% of the variance in intention. The study provides evidence that psychological models can be useful in understanding and predicting clinical behaviour. Taking a theory-based approach enables the creation of a replicable methodology for identifying factors that may predict clinical behaviour

Predicting the discharge status after liver transplantation at a single center: a new approach for a new era.

PubMed

Kelly, Dympna M; Bennett, Renee; Brown, Nancy; McCoy, Judy; Boerner, Derek; Yu, Changhong; Eghtesad, Bijan; Barsoum, Wael; Fung, John J; Kattan, Michael W

2012-07-01

The aim of this study was to develop a tool for preoperatively predicting the need of a patient to attend an extended care facility after orthotopic liver transplantation (OLT). A multidisciplinary group, which included 2 transplant surgeons, 2 transplant nurses, 1 nurse manager, 2 physical therapists, 1 case manager, 1 home health care professional, 1 rehabilitation physician, and 1 statistician, met to identify preoperative factors relevant to discharge planning. The parameters that were examined as potential predictors of the discharge status were as follows: age, sex, language, Karnofsky score, OLT alone (versus a combined procedure), creatinine, bilirubin, international normalized ratio (INR), albumin, body mass index (BMI), Child-Turcotte-Pugh score, chemical Model for End-Stage Liver Disease score, renal dialysis, location before transplantation, comorbidities (encephalopathy, ascites, hydrothorax, and hepatopulmonary syndrome), diabetes mellitus (DM), cardiac ejection fraction and right ventricular systolic pressure, sex and availability of the primary caregiver, donor risk index, and donor characteristics. Between January 2004 and April 2010, 730 of 777 patients (94%) underwent only liver transplantation, and 47 patients (6%) underwent combined procedures. Five hundred nineteen patients (67%) were discharged home, 215 (28%) were discharged to a facility, and 43 (6%) died early after OLT. A multivariate logistic regression analysis identified the following parameters as significantly influencing the discharge status: a low Karnofsky score, an older age, female sex, an INR of 2.0, a creatinine level of 2.0 mg/dL, DM, a high bilirubin level, a low albumin level, a low or high BMI, and renal dialysis before OLT. The nomogram was prospectively validated with a population of 126 OLT recipients with a concordance index of 0.813. In conclusion, a new approach to improving the efficiency of hospital care is essential. We believe that this tool will aid in reducing

N-acetylcysteine induces shedding of selectins from liver and intestine during orthotopic liver transplantation

PubMed Central

Taut, F J H; Schmidt, H; Zapletal, C M; Thies, J C; Grube, C; Motsch, J; Klar, E; Martin, E

2001-01-01

In orthotopic liver transplantation (OLT), N-acetylcysteine (NAC) reduces ischaemia/reperfusion (I/R) injury, improves liver synthesis function and prevents primary nonfunction of the graft. To further elucidate the mechanisms of these beneficial effects of NAC, we investigated influence of high-dose NAC therapy on the pattern of adhesion molecule release from liver and intestine during OLT. Nine patients receiving allograft OLT were treated with 150 mg NAC/kg during the first hour after reperfusion; 10 patients received the carrier only. One hour after reperfusion, samples of arterial, portal venous and hepatic venous plasma were taken and blood flow in the hepatic artery and the portal vein was measured. Absolute concentrations of sICAM-1, sVCAM-1, sP-selectin and sE-selectin were not markedly different. However, balance calculations showed release of selectins from NAC-treated livers as opposed to net uptake in controls (P ≤ 0·02 for sP-selectin). This shedding of selectins might be a contributing factor to the decrease in leucocyte adherence and improved haemodynamics found experimentally with NAC-treatment. PMID:11422213

An investigation of noise performance in optical lock-in thermography

NASA Astrophysics Data System (ADS)

Rajic, Nik; Antolis, Cedric

2017-12-01

An investigation into the noise performance of optical lock-in thermography (OLT) is described. The study aims to clarify the influence of infrared detector type and key inspection parameters such as illumination strength and lock-in duration on the quality of OLT amplitude and phase imagery. The study compares the performance of a state-of-the-art cooled photon detector with several lower-cost microbolometers. The results reveal a significant noise performance advantage to the photon detector. Under certain inspection regimes the advantage with respect to phase image quality is disproportionately high relative to detector sensitivities. This is shown to result from an explicit dependence in the phase signal variance on the ratio between the signal amplitude and the detector sensitivity. While this finding supports the preferred use of photon detectors for OLT inspections, it does not exclude microbolometers from a useful role. In cases where the significantly lower capital cost and improved practicality of microbolometers provide an advantage it is shown that performance shortfalls can be overcome with a relatively small factorial increase in optical illumination intensity.

Paeonol extracted from Paeonia suffruticosa Andr. ameliorated UVB-induced skin photoaging via DLD/Nrf2/ARE and MAPK/AP-1 pathway.

PubMed

Sun, ZhengWang; Du, Juan; Hwang, Eunson; Yi, Tae-Hoo

2018-05-10

Paeonia suffruticosa Andr. (PS) has been used in traditional Chinese medicine for a long time. However, there are no studies that investigate the preventive effects of PS on ultraviolet B (UVB)-induced photoaging. In this study, paeonol (PA) was detected the main compound in PS root. In vitro, PS and PA significantly inhibited UVB-induced phosphorylation of mitogen-activated protein kinase and activator protein 1 in keratinocytes, which consequently led to degradation of procollagen type I. On the other hand, PS and PA increased NAD(P)H:quinone oxidoreductase 1 and heme oxygenase-1 expression, confirmed by greater nuclear accumulation of nuclear factor E2-releated factor 2 (Nrf2). Furthermore, this study proved that the endogenous antioxidant system Nrf2/antioxidant response element was regulated by dihydrolipoamide dehydrogenase, a tricarboxylic acid (TCA) cycle-associated protein whose level was decreased after UVB exposure. PS and PA promoted the production of dihydrolipoamide dehydrogenase, as well as the activation of Nrf2 and antioxidant response element, resulting in preventing procollagen type I ruined caused by UVB. In vivo, topical application of PS and PA attenuated UVB-induced matrix metalloproteinase-1 production and promoted procollagen type I in hairless mice. These results suggested PA a promising botanical in protecting skin from UVB-induced photoaging. Copyright © 2018 John Wiley & Sons, Ltd.

Cardio-hepatic risk assessment by CMR imaging in liver transplant candidates.

PubMed

Reddy, Sahadev T; Thai, Ngoc L; Oliva, Jose; Tom, Kusum B; Dishart, Michael K; Doyle, Mark; Yamrozik, June A; Williams, Ronald B; Shah, Moneal; Wani, Adil; Singh, Anil; Maheswary, Rishi; Biederman, Robert W W

2018-03-02

The preoperative workup of orthotopic liver transplantation (OLT) patients is practically complex given the need for multiple imaging modalities. We recently demonstrated in our proof-of-concept study the value of a one-stop-shop approach using cardiovascular MRI (CMR) to address this complex problem. However, this approach requires further validation in a larger cohort, as detection of hepatocellular carcinoma (HCC) as well as cardiovascular risk assessment is critically important in these patients. We hypothesized that coronary risk assessment and HCC detectability is acceptable using the one-stop-shop CMR approach. In this observational study, patients underwent CMRI evaluation including cardiac function, stress CMR, thoracoabdominal MRA, and abdominal MRI on a standard MRI scanner in one examination. Over 8 years, 252 OLT candidates underwent evaluation in the cardiac MRI suit. The completion rates for each segment of the CMR examination were 99% for function, 95% completed stress CMR, 93% completed LGE for viability, 85% for liver MRI, and 87% for MRA. A negative CMR stress examination had 100% CAD event-free survival at 12 months. A total of 63 (29%) patients proceeded to OLT. Explant pathology confirmed detection/exclusion of HCC. This study further defines the population suitable for the one-stop-shop CMR concept for preop evaluation of OLT candidates providing a road map for integrated testing in this complex patient population for evaluation of cardiac risk and detection of HCC lesions. © 2018 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

Monsters and the case of L. Joseph: André Feil's thesis on the origin of the Klippel-Feil syndrome and a social transformation of medicine.

PubMed

Belykh, Evgenii; Malik, Kashif; Simoneau, Isabelle; Yagmurlu, Kaan; Lei, Ting; Cavalcanti, Daniel D; Byvaltsev, Vadim A; Theodore, Nicholas; Preul, Mark C

2016-07-01

André Feil (1884-1955) was a French physician best recognized for his description, coauthored with Maurice Klippel, of patients with congenital fusion of cervical vertebrae, a condition currently known as Klippel-Feil syndrome. However, little is known about his background aside from the fact that he was a student of Klippel and a physician who took a keen interest in describing congenital anomalies. Despite the relative lack of information on Feil, his contributions to the fields of spinal disease and teratology extended far beyond science to play an integral role in changing the misguided perception shrouding patients with disfigurements, defects, deformities, and so-called monstrous births. In particular, Feil's 1919 medical school thesis on cervical abnormalities was a critical publication in defying long-held theory and opinion that human "monstrosities," anomalies, developmental abnormalities, and altered congenital physicality were a consequence of sinful behavior or a reversion to a primitive state. Indeed, his thesis on a spinal deformity centering on his patient, L. Joseph, was at the vanguard for a new view of a patient as nothing less than fully human, no matter his or her physicality or appearance.

Changes in the Concentrations of Mediators of Inflammation and Oxidative Stress in Exhaled Breath Condensate During Liver Transplantation and Their Relations With Postoperative ARDS.

PubMed

Liu, Dezhao; Luo, Gangjian; Luo, Chenfang; Wang, Tao; Sun, Guoliang; Hei, Ziqing

2015-05-01

Oxidative stress and inflammatory responses are thought to be involved in the pathogenesis of ARDS, which is one of the most serious complications of orthotopic liver transplantation (OLT). The collection of exhaled breath condensate (EBC) is a noninvasive method for obtaining clinical samples from the lungs. However, the changes of mediators of inflammation and oxidative stress in EBC remain unclear. Therefore, the aim of this study was to investigate the changes of mediators in EBC from OLT subjects and the relations between these mediators and ARDS. The levels of mediators of oxidative stress (superoxide dismutase [SOD], malondialdehyde [MDA], H2O2, NO, and 8-iso-prostaglandin F2α) and of inflammatory factors (tumor necrosis factor-α[TNF-α], interleukin [IL]-8, and IL-10) were measured in EBC and serum samples collected from 28 subjects before OLT surgery and at 2 and 4 h after the anhepatic phase. The diagnostic value for ARDS until the 3 days following transplantation was evaluated. Eighteen subjects developed ARDS after OLT. The concentrations of TNF-α, IL-8, MDA, NO, H2O2, and 8-iso-prostaglandin F2α were much higher in the ARDS group than in the control group, whereas the levels of IL-10 and SOD were lower in the ARDS group than in the control group. The serum levels of mediators of oxidative stress or inflammation were closely related to EBC levels. Receiver operating characteristic analysis showed that areas under the curves for MDA, NO, H2O2, 8-iso-prostaglandin F2α, TNF-α, IL-8, SOD, and IL-10 were 0.88, 0.88, 0.78, 0.84, 0.84, 0.94, 0.81, and 0.84 at 2 h after graft reperfusion and 0.98, 0.88, 0.92, 0.79, 0.95, 0.83, 0.88, and 0.97 at 4 h after graft reperfusion. EBC analysis is a noninvasive method for detecting mediators of inflammation and oxidative stress from the lungs. This method could be used to predict the higher incidence of ARDS induced by OLT. Copyright © 2015 by Daedalus Enterprises.

Predictive Value of Serum Creatinine, Blood Urea Nitrogen, Uric Acid, and β2-Microglobulin in the Evaluation of Acute Kidney Injury after Orthotopic Liver Transplantation.

PubMed

Lu, Hai-Yang; Ning, Xin-Yu; Chen, Ying-Qi; Han, Shu-Jun; Chi, Ping; Zhu, Sai-Nan; Yue, Yun

2018-05-05

As a major complication after orthotopic liver transplantation (OLT), the occurrence of acute kidney injury (AKI) is frequently defined by serum creatinine (Cr); however, the accuracy of commonly used blood urea nitrogen (BUN), uric acid (UA), and β 2 -microglobulin (β 2 -MG) remains to be explored. This retrospective study compared the accuracy of these parameters for post-OLT AKI evaluation. Patients who underwent OLT in three centers between July 2003 and December 2013 were enrolled. The postoperative AKI group was diagnosed by the Kidney Disease Improving Global Outcomes (KDIGO) criteria and classified by stage. Measurement data were analyzed using the t-test or Wilcoxon rank-sum test; enumerated data were analyzed using the Chi-square test or Fisher's exact test. Diagnostic reliability and predictive accuracy were evaluated using receiver operating characteristic (ROC) curve analysis. This study excluded 976 cases and analyzed 697 patients (578 men and 119 women); the post-OLT AKI incidence was 0.409. Compared with the no-AKI group, the AKI group showed very significant differences in Model for End-stage Liver Disease score (14.74 ± 9.91 vs. 11.07 ± 9.54, Z = 5.404; P < 0.001), hepatic encephalopathy (45 [15.8%] vs. 30 [7.3%], χ 2 = 12.699; P < 0.001), hemofiltration (28 [9.8%] vs. 0 [0.0%], χ 2 = 42.171; P < 0.001), and 28-day mortality (23 [8.1%] vs. 9 [2.2%], χ 2 = 13.323; P <0.001). Moreover, mean values of Cr, BUN, UA, and β 2 -MG in the AKI group differed significantly at postoperative days 1, 3, and 7 (all P < 0.001). ROC curve area was 0.847 of Cr for the detection of AKI Stage 1 (sensitivity 80.1%, specificity 75.7%, cutoff value 88.23 μmol/L), 0.916 for Stage 2 (sensitivity 87.6%, specificity 82.6%, cutoff value 99.9 μmol/L), and 0.972 for Stage 3 (sensitivity 94.1%, specificity 88.2%, cutoff value 122.90 μmol/L). The sensitivity and specificity of serum Cr might be a high-value indicator for the diagnosis and grading of post-OLT AKI.

Survival benefits of interferon-based therapy in patients with recurrent hepatitis C after orthotopic liver transplantation

PubMed Central

Zanaga, L.P.; Vigani, A.G.; Angerami, R.N.; Giorgetti, A.; Escanhoela, C.A.F.; Ataíde, E.C.; Boin, I.F.S.F.; Stucchi, R.S.B.

2017-01-01

Recurrent hepatitis C after orthotopic liver transplantation (OLT) is universal and can lead to graft failure and, consequently, reduced survival. Hepatitis C treatment can be used to prevent these detrimental outcomes. The aim of this study was to describe rates of hepatitis C recurrence and sustained virological response (SVR) to interferon-based treatment after OLT and its relationship to survival and progression of liver disease through retrospective analysis of medical records of 127 patients who underwent OLT due to cirrhosis or hepatocellular carcinoma secondary to chronic hepatitis C between January 2002 and December 2013. Fifty-six patients were diagnosed with recurrent disease, 42 started interferon-based therapy and 37 completed treatment. Demographic, treatment- and outcome-related variables were compared between SVR and non-responders (non-SVR). There was an overall 54.1% SVR rate with interferon-based therapies. SVR was associated with longer follow-up after treatment (median 66.5 vs 37 months for non-SVR, P=0.03) and after OLT (median 105 vs 72 months, P=0.074), and lower rates of disease progression (15 vs 64.7%, P=0.0028) and death (5 vs 35.3%, P=0.033). Regardless of the result of therapy (SVR or non-SVR), there was a significant difference between treated and untreated patients regarding the occurrence of death (P<0.001) and months of survival (P<0.001). Even with suboptimal interferon-based therapies (compared to the new direct-acting antivirals) there is a 54.1% SVR rate to treatment. SVR is associated with improved survival and reduced risks of clinical decompensation, loss of the liver graft and death. PMID:28076451

An assessment of thromboelastometry to monitor blood coagulation and guide transfusion support in liver transplantation.

PubMed

Blasi, Annabel; Beltran, Joan; Pereira, Arturo; Martinez-Palli, Graciela; Torrents, Abiguei; Balust, Jaume; Zavala, Elizabeth; Taura, Pilar; Garcia-Valdecasas, Juan-Carlos

2012-09-01

Rotation thromboelastometry (TEM) has been proposed as a convenient alternative to standard coagulation tests in guiding the treatment of coagulopathy during orthotopic liver transplantation (OLT). This study was aimed at assessing the value of TEM in monitoring blood coagulation and guide transfusion support in OLT. Standard coagulation and TEM (EXTEM and FIBTEM) tests were performed at four preestablished intraoperative time points in 236 OLTs and prospectively recorded in a dedicated database together with the main operative and transfusion data. Transfusion thresholds were based on standard coagulation tests. Spearman's rank correlation (ρ), linear regression, and receiver operating characteristic curves were used when appropriate. EXTEM maximum clot firmness (MCF(EXTEM)) was the TEM variable that best correlated with the platelet (PLT) and fibrinogen levels (ρ = 0.62 and ρ = 0.69, respectively). MCF(FIBTEM) correlated with fibrinogen level (ρ = 0.70). EXTEM clot amplitude at 10 minutes (A10(EXTEM)) was a good linear predictor of MCF(EXTEM) (R(2) =0.93). The cutoff values that best predicted the transfusion threshold for PLTs and fibrinogen were A10(EXTEM) = 35 mm and A10(FIBTEM) = 8 mm. At these values, the negative and positive predictive accuracies of TEM to predict the transfusion thresholds were 95 and 27%, respectively. A10(EXTEM) is an adequate TEM variable to guide therapeutic decisions during OLT. Patients with A10(EXTEM) of greater than 35 mm are unlikely to bleed because of coagulation deficiencies, but using A10(EXTEM) of not more than 35 mm as the sole transfusion criterion can lead to unnecessary utilization of PLTs and fibrinogen-rich products. © 2012 American Association of Blood Banks.

Thyroid storm complicated by fulminant hepatic failure: case report and literature review.

PubMed

Hambleton, Catherine; Buell, Joseph; Saggi, Bob; Balart, Luis; Shores, Nathan J; Kandil, Emad

2013-11-01

Thyroid storm is a presentation of severe thyrotoxicosis that has a mortality rate of up to 20% to 30%. Fulminant hepatic failure (FHF) entails encephalopathy with severe coagulopathy in the setting of liver disease. It carries a high mortality rate, with an approximately 60% rate of overall survival for patients who undergo orthotopic liver transplantation (OLT). Fulminant hepatic failure is a rare but serious complication of thyroid storm. There have been only 6 previously reported cases of FHF with thyroid storm. We present a patient from our institution with thyroid storm and FHF. A literature review was performed to analyze the outcomes of the 6 additional cases of concomitant thyroid storm and FHF. Our patient underwent thyroidectomy followed by OLT. Her serum levels of thyroid-stimulating hormone, triiodothyronine, thyroxine, and transaminase normalized, and she was ready for discharge within 10 days of surgery. She has survived without complication. There is a 40% mortality rate for the reported patients treated medically with these conditions. Of the 7 total cases of reported FHF and thyroid storm, 2 patients died. Only 2 of the 7 patients underwent thyroidectomy and OLT--both at our institution. Both patients survived without complications. Thyroid storm and FHF each independently carry high mortality rates, and managing patients with both conditions simultaneously is an extraordinary challenge. These cases should compel clinicians to investigate liver function in hyperthyroid patients and to be wary of its rapid decline in patients who present in thyroid storm with symptoms of liver dysfunction. Patients with rapidly progressing thyroid storm and FHF should be considered for total thyroidectomy and OLT.

Analysis of INF-gamma, TNF-alpha and dendritic cells to predict hepatitis C virus recurrence in liver transplant patients.

PubMed

Ocaña, L; Cos, J; Quer, J; Bilbao, I; Palou, E; Parra, R; Sauleda, S; Esteban, J I; Guàrdia, J; Massuet, L I; Margarit, C

2005-11-01

Hepatitis C virus (HCV) infection is one of the leading causes of chronic liver disease and the reason for more than 50% of liver transplantations (OLT). Recurrent HCV infection occurs in almost all transplant recipients and has an unfavorable course. Although immunosuppressive agents are necessary to avoid allograft rejection, these drugs may favor viral replication facilitating viral-mediated graft injury. To predict the evolution of two HCV(+) patients who underwent OLT, we studied INF-gamma and TNF-alpha production and the maturation capacity of dendritic cells (DCs) at three time points: before transplantation (Pre-Tx) and at 2 (2M) and 6 (6M) months after transplantation. Cytometric bead assays were used to quantify INF-gamma and TNF-alpha production in the supernates of mixed leukocyte reactions (MLR) between spleen cells from the liver donor and CD4(+) cells from the recipients. Immature and mature DCs were generated in vitro from patient monocytes. The one patient who experienced recurrent HCV showed loss of CD4(+) responses to donor antigens and INF-gamma and TNF-alpha production after OLT. In contrast, the other patient maintained detectable levels of these cytokines after OLT. It was possible to generate mature DCs from monocytes with the aid of CD40L in both cases, but decreased expression of HLA-DR, CD80, and CD86 markers was observed upon posttransplantation analyses in the patient with recurrent HCV. Loss of the proliferative response as well as INF-gamma and TNF-alpha production, together with a decreased HLA-DR, CD80, and CD86 (markers of mature DCs), indicated an inadequate immune response to viral progression in the liver transplant recipient with relapsing HCV infection.

Betel quid chewing leads to the development of unique de novo malignancies in liver transplant recipients, a retrospective single center study in Taiwan.

PubMed

Chen, Yi-Chan; Cheng, Chih-Hsien; Wang, Yu-Chao; Wu, Ting-Jun; Chou, Hong-Shiue; Chan, Kun-Ming; Lee, Wei-Chen; Lee, Chen-Fang; Soong, Ruey Shyang

2016-09-01

Orthotopic liver transplantation (OLT) is the choice of treatment not only for end-stage liver disease and acute liver failure but also for hepatocellular carcinoma (HCC). The development of de novo malignancies after liver transplantation plays an important role in late mortality; the incidence of late mortality has increased owing to improved survival. The incidence of de novo malignancies is 2.3% to 25%, which is 2 to 3 times that of malignancies in the general population. The most commonly reported de novo malignancies in solid organs are skin cancer, Karposi sarcoma, and colon cancer according to the frequency of exposure to a specific carcinogen. We hypothesized that exposure to different carcinogens would change the distribution of de novo malignancies among patients after OLT. In Taiwan, 10% of the population is exposed to a unique carcinogen, the betel quid, which is associated with a high incidence of head and neck cancer (HNC) among the Taiwanese population.From 2004 to 2014, we retrospectively reviewed 484 cases post-OLT at our institution and 16 patients with 17 de novo malignancies were identified. Most of the patients had HNC, which is in contrast to previous literature reports.Univariate and multivariate analyses identified betel quid chewing as the main leading factor for HNC in the Taiwanese population.Routine screening of the oral mucosa in patients with the habit of betel quid chewing is recommended in Taiwan for the early detection of HNC. Routine screening with aggressive treatment after diagnosis of HNC in patients with the habit of chewing betel quid, who underwent OLT, resulted in good patient prognosis.

Optical power equalization for upstream traffic with injection-locked Fabry-Perot lasers in TDM-PON

NASA Astrophysics Data System (ADS)

Huang, Ting-Tsan; Sheu, Lih-Gen; Chi, Sien

2010-10-01

An optical power equalization of upstream traffic in time-division-multiplexed passive optical network (TDM-PON) based on injection-locked Fabry-Perot lasers has been experimentally investigated. The upstream transmitters with stable spectrum are achieved by using an external injection light source in the optical line terminal (OLT). The different upstream powers can be equalized by injection locking a Fabry-Perot laser diode (FP-LD) biased below threshold current in OLT. The dynamic upstream power range from - 8.5 to - 19.5 db m is reduced to a 1.6 dB maximal power variation, when the uplink signal is directly modulated at 1.25 Gb/s.

Prediction of early postoperative infections in pediatric liver transplantation by logistic regression

NASA Astrophysics Data System (ADS)

Uzunova, Yordanka; Prodanova, Krasimira; Spassov, Lubomir

2016-12-01

Orthotopic liver transplantation (OLT) is the only curative treatment for end-stage liver disease. Early diagnosis and treatment of infections after OLT are usually associated with improved outcomes. This study's objective is to identify reliable factors that can predict postoperative infectious morbidity. 27 children were included in the analysis. They underwent liver transplantation in our department. The correlation between two parameters (the level of blood glucose at 5th postoperative day and the duration of the anhepatic phase) and postoperative infections was analyzed, using univariate analysis. In this analysis, an independent predictive factor was derived which adequately identifies patients at risk of infectious complications after a liver transplantation.

Erratum: Erratum to: "A higher-spin Chern-Simons theory of anyons"

NASA Astrophysics Data System (ADS)

Boulanger, N.; Sundell, P.; Valenzuela, M.

2017-09-01

In the published version there is an error in the affiliation (the word "Andre's" with accent) of the author Per Sundell. The present form in this erratum is the correct (should be the word "Andres" without accent). The affiliation under the symbol " b" should read: Departamento de Ciencias Físicas, Universidad Andres Bello, Santiago, Chile

Precipitation, density, and population dynamics of desert bighorn sheep on San Andres National Wildlife Refuge, New Mexico

USGS Publications Warehouse

Bender, L.C.; Weisenberger, M.E.

2005-01-01

Understanding the determinants of population size and performance for desert bighorn sheep (Ovis canadensis mexicana) is critical to develop effective recovery and management strategies. In arid environments, plant communities and consequently herbivore populations are strongly dependent upon precipitation, which is highly variable seasonally and annually. We conducted a retrospective exploratory analysis of desert bighorn sheep population dynamics on San Andres National Wildlife Refuge (SANWR), New Mexico, 1941-1976, by modeling sheep population size as a function of previous population sizes and precipitation. Population size and trend of desert bighorn were best and well described (R 2=0.89) by a model that included only total annual precipitation as a covariate. Models incorporating density-dependence, delayed density-dependence, and combinations of density and precipitation were less informative than the model containing precipitation alone (??AlCc=8.5-22.5). Lamb:female ratios were positively related to precipitation (current year: F1,34=7.09, P=0.012; previous year: F1,33=3.37, P=0.075) but were unrelated to population size (current year. F1,34=0.04, P=0.843; previous year: F1,33 =0.14, P=0.715). Instantaneous population rate of increase (r) was related to population size (F1,33=5.55; P=0.025). Precipitation limited populations of desert bighorn sheep on SANWR primarily in a density-independent manner by affecting production or survival of lambs, likely through influences on forage quantity and quality. Habitat evaluations and recovery plans for desert bighorn sheep need to consider fundamental influences on desert bighorn populations such as precipitation and food, rather than focus solely on proximate issues such as security cover, predation, and disease. Moreover, the concept of carrying capacity for desert bighorn sheep may need re-evaluation in respect to highly variable (CV =35.6%) localized precipitation patterns. On SANWR carrying capacity for desert

Vascular access: an historical perspective from Sir William Harvey to the 1956 Nobel prize to André F. Cournand, Werner Forssmann, and Dickinson W. Richards.

PubMed

Sette, Piersandro; Dorizzi, Romolo M; Azzini, Anna M

2012-01-01

Sir William Harvey (1578-1657), who had many precursors, discovered blood circulation in 1628 after a significant number of anatomic dissection of cadavers; his studies were continued by Sir Christopher Wren and Daniel Johann Major. The first central vein catheterization was performed on a horse by Stephen Hales, an English Vicar. In 1844, a century later, the French biologist Claude Bernard attempted the first carotid artery cannulation and repeated the procedure in the jugular vein, again on a horse. He was first to report the complications now well known to be associated with this maneuver. In 1929 Werner Forssmann tried cardiac catheterization on himself, but could not investigate the procedure further since his findings were rejected and ridiculed by colleagues. His work was continued by André Frédéric Cournand and Dickinson Woodruff Richards Jr in the United States. In 1956 the three physicians shared the Nobel Prize for Medicine for their studies on vascular and cardiac systems. The genius and the perseverance of the three physicians paved the way towards peripheral and central catheter vein placement, one of the most frequently performed maneuvers in hospitals. Its history still remains unknown to most and deserves a short description.

Prevention of hypothermia in patients undergoing orthotopic liver transplantation using the humigard® open surgery humidification system: a prospective randomized pilot and feasibility clinical trial.

PubMed

Weinberg, Laurence; Huang, Andrew; Alban, Daniel; Jones, Robert; Story, David; McNicol, Larry; Pearce, Brett

2017-01-23

Perioperative thermal disturbances during orthotopic liver transplantation (OLT) are common. We hypothesized that in patients undergoing OLT the use of a humidified high flow CO 2 warming system maintains higher intraoperative temperatures when compared to standardized multimodal strategies to maintain thermoregulatory homeostasis. We performed a randomized pilot study in adult patients undergoing primary OLT. Participants were randomized to receive either open wound humidification with a high flow CO 2 warming system in addition to standard care (Humidification group) or to standard care alone (Control group). The primary end point was nasopharyngeal core temperature measured 5 min immediately prior to reperfusion of the donor liver (Stage 3 - 5 min). Secondary endpoints included intraoperative PaCO 2 , minute ventilation and the use of vasoconstrictors. Eleven patients were randomized to each group. Both groups were similar for age, body mass index, MELD, SOFA and APACHE II scores, baseline temperature, and duration of surgery. Immediately prior to reperfusion (Stage 3 - 5 min) the mean (SD) core temperature was higher in the Humidification Group compared to the Control Group: 36.0 °C (0.13) vs. 35.4 °C (0.22), p = 0.028. Repeated measured ANOVA showed that core temperatures over time during the stages of the transplant were higher in the Humidification Group compared to the Control Group (p < 0.0001). There were no significant differences in the ETCO 2 , PaCO 2 , minute ventilation, or inotropic support. The humidified high flow CO 2 warming system was superior to standardized multimodal strategies in maintaining normothermia in patients undergoing OLT. Use of the device was feasible and did not interfere with any aspects of surgery. A larger study is needed to investigate if the improved thermoregulation observed is associated with improved patient outcomes. ACTRN12616001631493 . Retrospectively registered 25 November 2016.

10Gbps monolithic silicon FTTH transceiver for PON

NASA Astrophysics Data System (ADS)

Zhang, J.; Liow, T. Y.; Lo, G. Q.; Kwong, D. L.

2010-05-01

We propose a new passive optical network (PON) configuration and a novel silicon photonic transceiver architecture for optical network unit (ONU), eliminating the need for an internal laser source in ONU. We adopt dual fiber network configuration. The internal light source in each of the ONUs is eliminated. Instead, an extra seed laser source in the optical line termination (OLT) operates in continuous wave mode to serve the ONUs in the PON as a shared and centralized laser source. λ1 from OLT Tx and λ2 from the seed laser are combined by using a WDM combiner and connected to serve the multiple ONUs through the downstream fibers. The ONUs receive the data in λ1. Meanwhile, the ONUs encode and transmit data in λ2, which are sent back to OLT. The monolithic ONU transceiver contains a wavelength-division-multiplexing (WDM) filter component, a silicon modulator and a Ge photo-detector. The WDM in ONU selectively guides λ1 to the Ge-PD where the data in λ1 are detected and converted to electrical signals, and λ2 to the transmitter where the light is modulated by upstream data. The modulated optical signals in λ2 from ONUs are connected back to OLT through upstream fibers. The monolithic ONU transceiver chip size is only 2mm by 4mm. The crosstalk between the Tx and Rx is measured to be less than -20dB. The transceiver chip is integrated on a SFP+ transceiver board. Both Tx and Rx demonstrated data rate capabilities of up to 10Gbps. By implementing this scheme, the ONU transceiver size can be significantly reduced and the assembly processes will be greatly simplified. The results demonstrate the feasibility of mass manufacturing monolithic silicon ONU transceivers via low cost

Analysis of opioid-mediated analgesia in Phase III studies of methylnaltrexone for opioid-induced constipation in patients with chronic noncancer pain

PubMed Central

Webster, Lynn R; Brenner, Darren M; Barrett, Andrew C; Paterson, Craig; Bortey, Enoch; Forbes, William P

2015-01-01

Background Subcutaneous methylnaltrexone is efficacious and well tolerated for opioid-induced constipation (OIC) but may theoretically disrupt opioid-mediated analgesia. Methods Opioid use, pain intensity, and opioid withdrawal (Objective Opioid Withdrawal Scale [OOWS] and Subjective Opiate Withdrawal Scale [SOWS] scores) were reported in a randomized, double-blind trial with an open-label extension (RCT) and an open-label trial (OLT) evaluating safety in adults with chronic noncancer pain. In the RCT, patients taking ≥50 mg of oral morphine equivalents daily with <3 rescue-free bowel movements weekly received methyl naltrexone 12 mg once daily (n=150), every other day (n=148), or placebo (n=162) for 4 weeks, followed by open-label methylnaltrexone 12 mg (as needed [prn]; n=364) for 8 weeks. In the OLT, patients (n=1,034) on stable opioid doses with OIC received methylnaltrexone 12 mg prn for up to 48 weeks. Results Minimal fluctuations of median morphine equivalent dose from baseline (BL) were observed in the RCT double-blind period (BL, 154.8–161.0 mg/d; range, 137.1–168.0 mg/d), RCT open-label period (BL, 156.3–174.6; range, 144.0–180.0) and OLT (BL, 120 mg/d; range, 117.3–121.1 mg/d). No significant change from BL in pain intensity score occurred in any group at weeks 2 or 4 (both P≥0.1) of the RCT double-blind period, and scores remained stable during the open-label period and in the OLT (mean change, −0.2 to 0.1). Changes from BL in OOWS and SOWS scores during the double-blind period were not significantly impacted by methylnaltrexone exposure at weeks 2 or 4 (P>0.05 for all). Conclusion Methylnaltrexone did not affect opioid-mediated analgesia in patients with chronic noncancer pain and OIC. PMID:26586963

Septuagenarian and octogenarian donors provide excellent liver grafts for transplantation.

PubMed

Darius, T; Monbaliu, D; Jochmans, I; Meurisse, N; Desschans, B; Coosemans, W; Komuta, M; Roskams, T; Cassiman, D; van der Merwe, S; Van Steenbergen, W; Verslype, C; Laleman, W; Aerts, R; Nevens, F; Pirenne, J

2012-11-01

Wider utilization of liver grafts from donors ≥ 70 years old could substantially expand the organ pool, but their use remains limited by fear of poorer outcomes. We examined the results at our center of liver transplantation (OLT) using livers from donors ≥ 70 years old. From February 2003 to August 2010, we performed 450 OLT including 58 (13%) using donors ≥ 70 whose outcomes were compared with those using donors <70 years old. Cerebrovascular causes of death predominated among donors ≥ 70 (85% vs 47% in donors <70; P < .001). In contrast, traumatic causes of death predominated among donors <70 (36% vs 14% in donors ≥ 70; P = .002). Unlike grafts from donors <70 years old, grafts from older individuals had no additional risk factors (steatosis, high sodium, or hemodynamic instability). Both groups were comparable for cold and warm ischemia times. No difference was noted in posttransplant peak transaminases, incidence of primary nonfunction, hepatic artery thrombosis, biliary strictures, or retransplantation rates between groups. The 1- and 5-year patient survivals were 88% and 82% in recipients of livers <70 versus 90% and 84% in those from ≥ 70 years old (P = .705). Recipients of older grafts, who were 6 years older than recipients of younger grafts (P < .001), tended to have a lower laboratory Model for End-Stage Liver Disease score (P = .074). Short and mid-term survival following OLT using donors ≥ 70 yo can be excellent provided that there is adequate donor and recipient selection. Septuagenarians and octogenarians with cerebrovascular ischemic and bleeding accidents represent a large pool of potential donors whose wider use could substantially reduce mortality on the OLT waiting list. Copyright © 2012 Elsevier Inc. All rights reserved.

Professor André Jouve (1909-2001): A French cardiologist who was a pioneer of clinical vector-electrocardiography and cardiovascular epidemiology.

PubMed

Puddu, Paolo Emilio

2016-01-01

André, Julien, Auguste Jouve was born in Marseilles on June 10, 1909 son of Xavier Marie Francois Louis Jouve MD and Marie Louise Charlotte Vigliengo his wife. He had a brilliant medical career in Marseilles: Resident at Marseilles Hospitals in 1931, major of his promotion, then an Assistant in 1943 and a Chief in 1951, to become Associate Professor of Medicine in 1946 and finally Full Professor of Clinical and Experimental Cardiology in 1954. Fellow of several Cardiological Societies, he became President of the French Society of Cardiology in 1968, Vice-President of the European Society of Cardiology in 1972 and finally President of the French College of Vascular Pathology in 1973. He had been a WHO Expert for degenerative and cardiovascular diseases from 1958 to 1981 and a National correspondent of the Academy of Medicine in 1977. He was decorated by the Légion d'Honneur (Officer in 1975). He retired in 1981 and died in 2001. Clinical vector-electrocardiology and cardiovascular epidemiology were the main areas of his interest where he made essential contributions such as the famous treatise on ECG. The Heart Cantini Center was considered his leading creation and action, where the first French heart transplantation was performed in 1968, the first French epidemiological investigation on coronary risk factors took place, the idea of starting prevention at pediatric age was clearly outlined and the need of concentrating on psychological and dysmetabolic factors was precisely advocated for indexing later development of ischemic heart diseases. These achievements are reviewed and put into perspective. Copyright © 2016 Elsevier Inc. All rights reserved.

Bidirectional multi-optical line terminals incorporated converged WSN-PON network using M/M/1 queuing

NASA Astrophysics Data System (ADS)

Kumar, Love; Sharma, Vishal; Singh, Amarpal

2017-12-01

Wireless Sensor Networks (WSNs) have an assortment of application areas, for instance, civil, military, and video surveillance with restricted power resources and transmission link. To accommodate the massive traffic load in hefty sensor networks is another key issue. Subsequently, there is a necessity to backhaul the sensed information of such networks and prolong the transmission link to access the distinct receivers. Passive Optical Network (PON), a next-generation access technology, comes out as a suitable candidate for the convergence of the sensed data to the core system. The earlier demonstrated work with single-OLT-PON introduces an overloaded buffer akin to video surveillance scenarios. In this paper, to combine the bandwidth potential of PONs with the mobility capability of WSNs, the viability for the convergence of PONs and WSNs incorporating multi-optical line terminals is demonstrated to handle the overloaded OLTs. The existing M/M/1 queue theory with interleaving polling with adaptive cycle time as dynamic bandwidth algorithm is used to shun the probability of packets clash. Further, the proposed multi-sink WSN and multi-OLT PON converged structure is investigated in bidirectional mode analytically and through computer simulations. The observations establish the proposed structure competent to accommodate the colossal data traffic through less time consumption.

A CLS-based survivable and energy-saving WDM-PON architecture

NASA Astrophysics Data System (ADS)

Zhu, Min; Zhong, Wen-De; Zhang, Zhenrong; Luan, Feng

2013-11-01

We propose and demonstrate an improved survivable and energy-saving WDM-PON with colorless ONUs. It incorporates both energy-saving and self-healing operations. A simple effective energy-saving scheme is proposed by including an energy-saving control unit in the OLT and a control unit at each ONU. The energy-saving scheme realizes both dozing and sleep (offline) modes, which greatly improves the energy-saving efficiency for WDM-PONs. An intelligent protection switching scheme is designed in the OLT, which can distinguish if an ONU is in dozing/sleep (offline) state or a fiber is faulty. Moreover, by monitoring the optical power of each channel on both working and protection paths, the OLT can know the connection status of every fiber path, thus facilitating an effective protection switching and a faster failure recovery. The improved WDM-PON architecture not only significantly reduces energy consumption, but also performs self-healing operation in practical operation scenarios. The scheme feasibility is experimentally verified with 10 Gbit/s downstream and 1.25 Gbit/s upstream transmissions. We also examine the energy-saving efficiency of our proposed energy-saving scheme by simulation, which reveals that energy saving mainly arises from the dozing mode, not from the sleep mode when the ONU is in the online state.

Military Leadership as an Element of National Power

DTIC Science & Technology

1966-04-08

security, regularity, and specificity of work operations. In a remarkable book entitled Dialogues sur le Commandcment, Andre Maurois has created a... Maurois , Andre . Captains and Kings. New York: Appleton, 1925. (A series of dialogues on command between "The Lieutenant" and "The Philosopher. This...work deserves to be better known by students of the military mind.) 66. Maurois , Andre . Marshal Lyautey. London; Bodley Head, 1931. (The standard

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

Beaver, J.L. Jr.

Suniland field is located in the west Texas Permian basin. Production is primarily from peritidal shelf dolomites of the Permian (Guadalupian) San Andres Formation. San Andres deposition was highly cyclical, with at least two upward-shoaling megacycles comprising the lower 600 ft (183 m) of the formation; many smaller cycles occur within the megacycles. The field consists of an elongate, low-relief, east-west-trending anticline formed from draping over a pre-San Andres structural high. Hydrocarbon trapping is controlled primarily by structural closure and discontinuity of San Andres reservoir facies. Anhydrite cement precipitation also may cause an updip (northerly) permeability loss. Reservoirs occur inmore » thin, permeable oolitic grainstone intervals possessing primary intergranular porosity in combination with vugular and moldic pore systems. These grainstones interfinger with porous but generally impermeable oolitic packstones. Adjacent wackestones and mudstones are generally nonporous and impermeable. Porosity occlusion is primarily from precipitation of late dolomite cements. Anhydrite cements do not occlude porosity to a high degree. Oil production from the San Andres Formation at Suniland field is from nine separate reservoirs comprising two major pay categories, designated Sand Andres and lower San Andres. Pay depths range from 3,755 to 4,211 ft (1,144 to 1,283 m). Cumulative oil production to January 1986 is 7.35 million bbl from 69 wells. Permian (Leonardian) Glorieta production accounts for about 16% of total production. Reservoirs produce from solution gas expansion at low gas-to-oil ratios and high water cuts. Effective porosity in pay zones averages 14%; permeability averages 17 md.« less

Development and recent activity of the San Andrés landslide on El Hierro, Canary Islands, Spain

NASA Astrophysics Data System (ADS)

Klimeš, Jan; Yepes, Jorge; Becerril, Laura; Kusák, Michal; Galindo, Inés; Blahut, Jan

2016-05-01

Extremely voluminous landslides with a long run-out (also known as megalandslides) on oceanic volcanic islands are infrequent denudational processes on such islands. At the same time, they represent a major geological hazard that must be looked into to avoid negative consequences for the inhabitants of these islands. Their occurrence can be related to periods of intense seismo-volcanic activity, similar to that which occurred on El Hierro Island over 2011-2012. Landslides on volcanic islands are studied using onshore and offshore geological, geophysical and geomorphological records, considering their unique triggering conditions (e.g. lava intrusions, eruptive vents, magma chamber collapses). Previous work has pointed out similarities between specific cases of landslides on volcanic islands and deep-seated gravitational slope deformations (DSGSDs) which are typical in high mountain settings. Nevertheless, the methodological approaches and concepts used to investigate DSGSDs are not commonly applied on volcanic islands studies, even though their use may provide new information about the development stage, recent movements and future hazards. Therefore, this approach for studying the San Andrés landslide (SAL) on El Hierro (Canary Islands) has been developed applying a detailed morphological field mapping, an interpretation of digital elevation models, structural measurements, kinematic testing, and a precise movement monitoring system. The acquired information revealed a strong structural influence on the landslide morphology and the presence of sets of weakened planes acting as the sliding surfaces of the SAL or secondary landslides within its body. The presence of secondary landslides, deep erosive gullies, coastal cliffs and high on-shore relative relief also suggests a high susceptibility to future landslide movement. Direct monitoring on the landslide scarps and the slip plane, performed between February 2013 and July 2014, using an automated optical

Liver transplantation from hepatitis B surface antigen positive donors: a safe way to expand the donor pool.

PubMed

Loggi, Elisabetta; Micco, Lorenzo; Ercolani, Giorgio; Cucchetti, Alessandro; Bihl, Florian K; Grazi, Gian Luca; Gitto, Stefano; Bontadini, Andrea; Bernardi, Mauro; Grossi, Paolo; Costa, Alessandro Nanni; Pinna, Antonio Daniele; Brander, Christian; Andreone, Pietro

2012-03-01

The main limitation of orthotopic liver transplantation (OLT) is the scarcity of available donor organs. A possibility to increase the organ pool is to use grafts from hepatitis B virus surface antigen (HBsAg) positive donors, but few data are currently available in this setting. We assessed the clinical, serovirological, and immunological outcomes of liver transplant from HBsAg positive donors in a single centre study. From 2005 to 2009 10 patients underwent OLT from HBsAg positive donors, for HBV-related disease (n=6) or HBV-unrelated disease (n=4). The median follow-up was 42 months (range 12-60). All recipients were HBcAb positive and were given antiviral prophylaxis. Patients transplanted for HBV-related disease never cleared HBsAg. Two HBsAg negative patients never tested positive for HBsAg, whereas the others experienced an HBsAg appearance, followed by spontaneous production of anti-HBs, allowing HBsAg clearance. No patient ever had any sign of HBV hepatitis. HBV replication was effectively controlled by antiviral therapy. The immunologic sub-study showed that a most robust anti-HBV specific T cell response was associated with the control of HBV infection. OLT from HBsAg positive donors seems to be a safe procedure in the era of highly effective antiviral therapy. Copyright © 2011 European Association for the Study of the Liver. Published by Elsevier B.V. All rights reserved.

Endoscopic treatment of bile duct complications after orthotopic liver transplantation.

PubMed

Polese, L; Cillo, U; Brolese, A; Boccagni, P; Neri, D; Bassi, D; Erroi, F; Zanus, G; D'Amico, D F; Norberto, L

2007-01-01

To assess the indications and results of endoscopic retrograde cholangio-pancreatography (ERCP) in patients who have undergone ortotopic liver transplantation (OLT). We reviewed data from 42 consecutive patients who underwent ERCP for biliary complications after OLT over an 8-year period, in particular recording indications and success of the treatment after a mean of 17 months follow-up. Cholangiograms performed in 33/42 patients (79%) displayed anastomotic strictures in 17 patients (52%), bile duct stones in 8 (24%), both bile duct stones and an anastomotic stricture in 2 (6%), papillary stenosis in 1 (3%), and anastomotic biliary leakage in 1 (3%). In contrast, the contrastogram was normal in four patients (12%). Stone extraction was completed in 9/10 patients (90%) with a mean of 1.2 sessions, while stricture dilation was achieved in 12/19 patients (63%) after a mean of 1.7 sessions, by stent positioning (n = 7), balloon dilation (n = 4), or Soehendra dilator (n = 1). Both biliary leakage and papillary stenosis were cured by ERCP. Only one procedure-related complication -- severe pancreatitis (2.4%) -- was observed and no mortality. ERCP is a safe and effective mode of management of bile duct complications after OLT. It should be attempted before a surgical approach. Better results are obtained for treatment of biliary stones than of anastomotic strictures.

Dose requirements of continuous infusion of rocuronium and atracurium throughout orthotopic liver transplantation in humans

PubMed Central

Weng, Xiao-chuan; Zhou, Liang; Fu, Yin-yan; Zhu, Sheng-mei; He, Hui-liang; Wu, Jian

2005-01-01

Objective: To compare the dose requirements of continuous infusion of rocuronium and atracurium throughout orthotopic liver transplantation (OLT) in humans. Methods: Twenty male patients undergoing liver transplantation were randomly assigned to two comparable groups of 10 patients each to receive a continuous infusion of rocuronium or atracurium under intravenous balanced anesthesia. The response of adductor pollicis to train-of-four (TOF) stimulation of unlar nerve was monitored. The infusion rates of rocuronium and atracurium were adjusted to maintain T1/Tc ratio of 2%~10%. The total dose of each drug given during each of the three phases of OLT was recorded. Results: Rocuronium requirement, which were (0.468±0.167) mg/(kg·h) during the paleohepatic phase, decreased significantly during the anhepatic phase to (0.303±0.134) mg/(kg·h) and returned to the initial values at the neohepatic period ((0.429±0.130) mg/(kg·h)); whereas atracuruim requirements remained unchanged during orthotopic liver transplantation. Conclusions: This study showed that the exclusion of the liver from the circulation results in the significantly reduced requirement of rocuronium while the requirement of atracurium was not changed, which suggests that the liver is of major importance in the clearance of rocuronium. A continuous infusion of atracurium with constant rate can provide stable neuromuscular blockade during the three stages of OLT. PMID:16130187

Intrahepatic bilioenteric anastomosis after biliary complications of liver transplantation: operative rescue of surgical failures.

PubMed

Mercado, Miguel Angel; Vilatobá, Mario; Chan, Carlos; Domínguez, Ismael; Leal, Rafael Paulino; Olivera, Marco Antonio

2009-03-01

Biliary complications after orthotopic liver transplantation (OLT) are multifactorial in origin. In most series, the frequency of such complications ranges from 5-20%. Most can be treated by endoscopy and/or interventional radiology. For cases in which this option is not successful, surgical approach is indicated. We report the results of reoperation using an intrahepatic bilioenteric anastomosis. The medical charts of patients with biliary complications after OLT during a 10-year period (1997-2007), who failed to respond to nonsurgical treatment and were surgically treated, were reviewed. Roux-en-Y hepatojejunostomy was performed. Segments IV and V were partially removed after cutting the hilar plate, thus obtaining healthy ducts without ischemic or inflammatory reaction and allowing a wide hepatojejunostomy. Five cases (8.4%) with biliary complications after duct-to-duct anastomosis not amenable to further endoscopic management or interventional radiology were identified. Hepaticojejunostomy was achieved in all cases (wide, tension-free, nonischemic, fine hydrolyzable sutures), and segments IV and V were partially removed. No cholangitis, jaundice, and liver function test abnormalities were present in the postoperative. Mean follow-up was 24 months. Only one patient died of causes not related to bile duct reconstruction during follow-up. Intrahepatic hepatojejunostomy with partial resection of segments IV and V offers an excellent therapeutic alternative for biliary complications that require a surgical approach after OLT.

Power budget of direct-detection ultra-dense WDM-Nyquist-SCM PON with low-complexity SSBI mitigation

NASA Astrophysics Data System (ADS)

Soeiro, Ricardo O. J.; Alves, Tiago M. F.; Cartaxo, Adolfo V. T.

2017-07-01

The power budget (PB) of a direct-detection ultra-dense wavelength division/subcarrier multiplexing (SCM) passive optical network (PON) is assessed numerically for downstream, when a low-complexity iterative signal-to-signal beat interference (SSBI) mitigation technique is employed. Each SCM signal, inserted in a 12.5 GHz width optical channel, is comprised of two or three electrically generated and multiplexed 16-quadrature-amplitude-modulation (QAM) or 32-QAM Nyquist pulse-shaped subcarriers, each with a 7% forward error correction bit rate of 10.7 Gbit/s. The PB and maximum number of optical network units (ONUs) served by each optical line terminal (OLT) are compared with and without SSBI mitigation. When SSBI mitigation is realized, PB gains up to 4.5 dB are attained relative to the PB in the absence of SSBI mitigation. The PB gain enabled by the SSBI mitigation technique proposed in this work increases the number of ONUs served per OLT at least by a factor of 2, for the cases of higher spectral efficiency. In particular, for a SCM signal comprised of three subcarriers, the maximum number of ONUs served per OLT is between 2 and 32, and between 8 and 64, in the absence of SSBI mitigation, and when SSBI mitigation is employed, respectively, depending on the fiber length (up to 50 km) and order of QAM.

Design of a mutual authentication based on NTRUsign with a perturbation and inherent multipoint control protocol frames in an Ethernet-based passive optical network

NASA Astrophysics Data System (ADS)

Yin, Aihan; Ding, Yisheng

2014-11-01

Identity-related security issues inherently present in passive optical networks (PON) still exist in the current (1G) and next-generation (10G) Ethernet-based passive optical network (EPON) systems. We propose a mutual authentication scheme that integrates an NTRUsign digital signature algorithm with inherent multipoint control protocol (MPCP) frames over an EPON system between the optical line terminal (OLT) and optical network unit (ONU). Here, a primitive NTRUsign algorithm is significantly modified through the use of a new perturbation so that it can be effectively used for simultaneously completing signature and authentication functions on the OLT and the ONU sides. Also, in order to transmit their individual sensitive messages, which include public key, signature, and random value and so forth, to each other, we redefine three unique frames according to MPCP format frame. These generated messages can be added into the frames and delivered to each other, allowing the OLT and the ONU to go ahead with a mutual identity authentication process to verify their legal identities. Our simulation results show that this proposed scheme performs very well in resisting security attacks and has low influence on the registration efficiency to to-be-registered ONUs. A performance comparison with traditional authentication algorithms is also presented. To the best of our knowledge, no detailed design of mutual authentication in EPON can be found in the literature up to now.

A proposal for an SDN-based SIEPON architecture

NASA Astrophysics Data System (ADS)

Khalili, Hamzeh; Sallent, Sebastià; Piney, José Ramón; Rincón, David

2017-11-01

Passive Optical Network (PON) elements such as Optical Line Terminal (OLT) and Optical Network Units (ONUs) are currently managed by inflexible legacy network management systems. Software-Defined Networking (SDN) is a new networking paradigm that improves the operation and management of networks. In this paper, we propose a novel architecture, based on the SDN concept, for Ethernet Passive Optical Networks (EPON) that includes the Service Interoperability standard (SIEPON). In our proposal, the OLT is partially virtualized and some of its functionalities are allocated to the core network management system, while the OLT itself is replaced by an OpenFlow (OF) switch. A new MultiPoint MAC Control (MPMC) sublayer extension based on the OpenFlow protocol is presented. This would allow the SDN controller to manage and enhance the resource utilization, flow monitoring, bandwidth assignment, quality-of-service (QoS) guarantees, and energy management of the optical network access, to name a few possibilities. The OpenFlow switch is extended with synchronous ports to retain the time-critical nature of the EPON network. OpenFlow messages are also extended with new functionalities to implement the concept of EPON Service Paths (ESPs). Our simulation-based results demonstrate the effectiveness of the new architecture, while retaining a similar (or improved) performance in terms of delay and throughput when compared to legacy PONs.

New data on two remarkable Antarctic species Amblydorylaimus isokaryon (Loof, 1975) Andrássy, 1998 and Pararhyssocolpus paradoxus (Loof, 1975), gen. n., comb. n. (Nematoda, Dorylaimida)

PubMed Central

Elshishka, Milka; Lazarova, Stela; Radoslavov, Georgi; Hristov, Petar; Peneva, Vlada K.

2015-01-01

Abstract The taxonomic position of two antarctic dorylaimid species Amblydorylaimus isokaryon (Loof, 1975) Andrássy, 1998 and Pararhyssocolpus paradoxus (Loof, 1975), gen. n., comb. n. are discussed on the basis of morphological, including SEM study, morphometric, postembryonic and sequence data of 18S rDNA and the D2-D3 expansion fragments of large subunit rDNA. The evolutionary trees inferred from 18S sequences show insufficient resolution to determine the assignment of the two species to particular families, moreover Pararhyssocolpus paradoxus gen. n., comb. n. (=Rhyssocolpus paradoxus) previously regarded as a member of Nordiidae or Qudsianematidae, showed distant relationship both to Rhyssocolpus vinciguerrae and Eudorylaimus spp. The phylogram inferred from 28S sequences revealed that Amblydorylaimus isokaryon is a member of a well-supported group comprised of several Aporcelaimellus spp., while, no close relationships could be revealed for the Pararhyssocolpus paradoxus gen. n., comb. n. to any nematode genus. On the basis of molecular data and morphological characteristics, some taxonomic changes are proposed. Amblydorylaimus isokaryon is transferred from family Qudsianematidae to family Aporcelaimidae, and a new monotypic genus Pararhyssocolpus gen. n. is proposed, attributed to Pararhyssocolpidae fam. n. The diagnosis of the new family is provided together with emended diagnosis of the genera Amblydorylaimus and Pararhyssocolpus gen. n. Data concerning distribution of these endemic genera in the Antarctic region are also given. PMID:26257550

Hypothermic oxygenated machine perfusion (HOPE) for orthotopic liver transplantation of human liver allografts from extended criteria donors (ECD) in donation after brain death (DBD): a prospective multicentre randomised controlled trial (HOPE ECD-DBD).

PubMed

Czigany, Zoltan; Schöning, Wenzel; Ulmer, Tom Florian; Bednarsch, Jan; Amygdalos, Iakovos; Cramer, Thorsten; Rogiers, Xavier; Popescu, Irinel; Botea, Florin; Froněk, Jiří; Kroy, Daniela; Koch, Alexander; Tacke, Frank; Trautwein, Christian; Tolba, Rene H; Hein, Marc; Koek, Ger H; Dejong, Cornelis H C; Neumann, Ulf Peter; Lurje, Georg

2017-10-10

Orthotopic liver transplantation (OLT) has emerged as the mainstay of treatment for end-stage liver disease. In an attempt to improve the availability of donor allografts and reduce waiting list mortality, graft acceptance criteria were extended increasingly over the decades. The use of extended criteria donor (ECD) allografts is associated with a higher incidence of primary graft non-function and/or delayed graft function. As such, several strategies have been developed aiming at reconditioning poor quality ECD liver allografts. Hypothermic oxygenated machine perfusion (HOPE) has been successfully tested in preclinical experiments and in few clinical series of donation after cardiac death OLT. HOPE ECD-DBD is an investigator-initiated, open-label, phase-II, prospective multicentre randomised controlled trial on the effects of HOPE on ECD allografts in donation after brain death (DBD) OLT. Human whole organ liver grafts will be submitted to 1-2 hours of HOPE (n=23) via the portal vein before implantation and are going to be compared with a control group (n=23) of patients transplanted after conventional cold storage. Primary (peak and Δ peak alanine aminotransferase within 7 days) and secondary (aspartate aminotransferase, bilirubin and international normalised ratio, postoperative complications, early allograft dysfunction, duration of hospital and intensive care unit stay, 1-year patient and graft survival) endpoints will be analysed within a 12-month follow-up. Extent of ischaemia-reperfusion (I/R) injury will be assessed using liver tissue, perfusate, bile and serum samples taken during the perioperative phase of OLT. The study was approved by the institutional review board of the RWTH Aachen University, Aachen, Germany (EK 049/17). The current paper represent the pre-results phase. First results are expected in 2018. NCT03124641. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No

A novel wavelength reused bidirectional RoF-WDM-PON architecture to mitigate reflection and Rayleigh backscattered noise in multi-Gb/s m-QAM OFDM SSB upstream and downstream transmission over a single fiber

NASA Astrophysics Data System (ADS)

Patel, Dhananjay; Dalal, U. D.

2017-05-01

A novel m-QAM Orthogonal Frequency Division Multiplexing (OFDM) Single Sideband (SSB) architecture is proposed for centralized light source (CLS) bidirectional Radio over Fiber (RoF) - Wavelength Division Multiplexing (WDM) - Passive Optical Network (PON). In bidirectional transmission with carrier reuse over the single fiber, the Rayleigh Backscattering (RB) noise and reflection (RE) interferences from optical components can seriously deteriorate the transmission performance of the fiber optic systems. These interferometric noises can be mitigated by utilizing the optical modulation schemes at the Optical Line Terminal (OLT) and Optical Network Unit (ONU) such that the spectral overlap between the optical data spectrum and the RB and RE noise is minimum. A mathematical model is developed for the proposed architecture to accurately measure the performance of the transmission system and also to analyze the effect of interferometric noise caused by the RB and RE. The model takes into the account the different modulation schemes employed at the OLT and the ONU using a Mach Zehnder Modulator (MZM), the optical launch power and the bit-rates of the downstream and upstream signals, the gain of the amplifiers at the OLT and the ONU, the RB-RE noise, chromatic dispersion of the single mode fiber and optical filter responses. In addition, the model analyzes all the components of the RB-RE noise such as carrier RB, signal RB, carrier RE and signal RE, thus providing the complete representation of all the physical phenomena involved. An optical m-QAM OFDM SSB signal acts as a test signal to validate the model which provides excellent agreement with simulation results. The SSB modulation technique using the MZM at the OLT and the ONU differs in the data transmission technique that takes place through the first-order higher and the lower optical sideband respectively. This spectral gap between the downstream and upstream signals reduces the effect of Rayleigh backscattering and

KEAP1-NRF2 COMPLEX IN ISCHEMIA-INDUCED HEPATOCELLULAR DAMAGE OF MOUSE LIVER TRANSPLANTS

PubMed Central

Ke, Bibo; Shen, Xiu-Da; Zhang, Yu; Ji, Haofeng; Gao, Feng; Yue, Shi; Kamo, Naoko; Zhai, Yuan; Yamamoto, Masayuki; Busuttil, Ronald W.; Kupiec-Weglinski, Jerzy W.

2015-01-01

Background The Keap1-Nrf2 signaling pathway regulates host cell defense responses against oxidative stress and maintains the cellular redox balance. Aims&Methods: We investigated the function/molecular mechanisms by which Keap1-Nrf2 complex may influence liver ischemia/reperfusion injury (IRI) in a mouse model of hepatic cold storage (20h at 4 C) followed by orthotopic liver transplantation (OLT). Results The Keap1 hepatocyte-specific knock-out (HKO) in the donor liver ameliorated post-transplant IRI, evidenced by improved hepatocellular function and OLT outcomes (Keap1HKO Keap1HKO; 100% survival), as compared with controls (WT WT; 50% survival; p<0.01). In contrast, donor liver Nrf2 deficiency exacerbated IRI in transplant recipients (Nrf2KO Nrf2KO; 40% survival). Ablation of Keap1 signaling reduced macrophage/neutrophil trafficking, pro-inflammatory cytokine programs, and hepatocellular necrosis/apoptosis, while simultaneously promoting anti-apoptotic functions in OLTs. At the molecular level, Keap1HKO increased Nrf2 levels, stimulated Akt phosphorylation, and enhanced expression of anti-oxidant Trx1, HIF-1 , and HO-1. Pretreatment of liver donors with PI3K inhibitor (LY294002) disrupted Akt/HIF-1 signaling and recreated hepatocellular damage in otherwise IR-resistant Keap1HKO transplants. In parallel in vitro studies, hydrogen peroxide-stressed Keap1-deficient hepatocytes were characterized by enhanced expression of Nrf2, Trx1, and Akt phosphorylation, in association with decreased release of lactate dehydrogenase (LDH) in cell culture supernatants. Conclusions Keap1-Nrf2 complex prevents oxidative injury in IR-stressed OLTs through Keap1 signaling, which negatively regulates Nrf2 pathway. Activation of Nrf2 induces Trx1 and promotes PI3K/Akt, crucial for HIF-1 activity. HIF-1 -mediated overexpression of HO-1/CyclinD1 facilitates cytoprotection by limiting hepatic inflammatory responses, and hepatocellular necrosis/apoptosis in PI3K-dependent manner. PMID

Morphology and morphometrics of Heterodorus qinghaiensis n. sp. (Dorylaimida, Nordiidae) from soil samples in China.

PubMed

Wu, W J; Yan, L; Xu, C L; Yu, L; Wang, K; Jin, S Y; Xie, H

2016-07-01

One new species of the family Nordiidae Jairajpuri & Siddiqi, 1964 from the enclosure grassland of Qinghai Province, China, Heterodorus qinghaiensis n. sp., is described and illustrated. The new species is characterized by the slender body, 1.29-1.46 mm in length; the granular lateral chord with numerous large depression plaques throughout its entirety; the lip region offset by a distinct depression; amphid goblet-shaped with aperture about half to two-thirds of corresponding body diameter; odontostyle 11-13 μm long; rod-like odontophore without basal flanges; pharyngeal basal expansion about one-third of the total neck length; didelphic genital system containing sperm; ovaries generally not reaching the sphincter level; vulva transversed and sclerotized; female tail conoid with round terminus; 3-5 spaced ventromedial supplements and spicule 32-41 μm long. It is close to H. liangi (Ahmad, Wu & Shaheen, 2002) Andrássy, 2009, H. brevidentatus (Thorne, 1939) Andrássy, 2009, H. monticola Andrássy, 2011, H. morgensis (Loof, 1988) Andrássy, 2009 and H. meghalayensis (Mushtaq, Baniyamuddin & Ahmad, 2007) Andrássy, 2009 in having inconspicuous or no lateral body pores, smaller odontostyle and ventrally curved tail.

An All-Optical Access Metro Interface for Hybrid WDM/TDM PON Based on OBS

NASA Astrophysics Data System (ADS)

Segarra, Josep; Sales, Vicent; Prat, Josep

2007-04-01

A new all-optical access metro network interface based on optical burst switching (OBS) is proposed. A hybrid wavelength-division multiplexing/time-division multiplexing (WDM/TDM) access architecture with reflective optical network units (ONUs), an arrayed-waveguide-grating outside plant, and a tunable laser stack at the optical line terminal (OLT) is presented as a solution for the passive optical network. By means of OBS and a dynamic bandwidth allocation (DBA) protocol, which polls the ONUs, the available access bandwidth is managed. All the network intelligence and costly equipment is located at the OLT, where the DBA module is centrally implemented, providing quality of service (QoS). To scale this access network, an optical cross connect (OXC) is then used to attain a large number of ONUs by the same OLT. The hybrid WDM/TDM structure is also extended toward the metropolitan area network (MAN) by introducing the concept of OBS multiplexer (OBS-M). The network element OBS-M bridges the MAN and access networks by offering all-optical cross connection, wavelength conversion, and data signaling. The proposed innovative OBS-M node yields a full optical data network, interfacing access and metro with a geographically distributed access control. The resulting novel access metro architectures are nonblocking and, with an improved signaling, provide QoS, scalability, and very low latency. Finally, numerical analysis and simulations demonstrate the traffic performance of the proposed access scheme and all-optical access metro interface and architectures.

Dilemmas across different overseas liver transplant stages: Taiwan transplant recipient families' perspectives.

PubMed

Chen, H-M; Hu, R-H; Shih, F-Jong; Shih, F-J

2012-03-01

This study aimed to explore the dilemmas of Taiwanese overseas liver transplant recipient families (OLTRF) across three overseas liver transplant (OLT) stages in Taiwan and Mainland China. An exploratory qualitative method was employed using a purposive sample of OLTRF, who received guided face-to-face, semistructured interviews. Data were subjected to content analysis. Nineteen OLTRF (15 female, 4 male) aged between 29 and 71 years (mean 55.1) for 19 patients with end-stage liver diseases were interviewed. OLT stages including predeparture stage (first stage), stay in China stage (second stage), and reentry to Taiwan stage (third stage). Ten kinds of dilemmas were encountered: (1) unable to get transplantation immediately (first to second stages); (2) dilemma of choosing overseas transplantation (first to second stages); (3) uncertainty about the transplantation outcomes (second to third stages); (4) care pressure (second to third stages); (5) poor diet adaptation (second to third stages); (6) lack of trust in the medical care quality (second stage); (7) worry about not fulfilling family responsibilities (second stage); (8) lack of information (all stages); (9) financial pressure (all stages); and (10) frustration when seeking medical care (all stages). Taiwanese OLTRF's perspectives of their dilemmas through the OLT process were first revealed in this study. Both Western and Eastern health professionals might be empowered by better understanding of OLTRF's living experiences and concerns during the stages of overseas liver transplantation. Copyright © 2012 Elsevier Inc. All rights reserved.

Demonstration of flexible multicasting and aggregation functionality for TWDM-PON

NASA Astrophysics Data System (ADS)

Chen, Yuanxiang; Li, Juhao; Zhu, Paikun; Zhu, Jinglong; Tian, Yu; Wu, Zhongying; Peng, Huangfa; Xu, Yongchi; Chen, Jingbiao; He, Yongqi; Chen, Zhangyuan

2017-06-01

The time- and wavelength-division multiplexed passive optical network (TWDM-PON) has been recognized as an attractive solution to provide broadband access for the next-generation networks. In this paper, we propose flexible service multicasting and aggregation functionality for TWDM-PON utilizing multiple-pump four-wave-mixing (FWM) and cyclic arrayed waveguide grating (AWG). With the proposed scheme, multiple TWDM-PON links share a single optical line terminal (OLT), which can greatly reduce the network deployment expense and achieve efficient network resource utilization by load balancing among different optical distribution networks (ODNs). The proposed scheme is compatible with existing TDM-PON infrastructure with fixed-wavelength OLT transmitter, thus smooth service upgrade can be achieved. Utilizing the proposed scheme, we demonstrate a proof-of-concept experiment with 10-Gb/s OOK and 10-Gb/s QPSK orthogonal frequency division multiplexing (OFDM) signal multicasting and aggregating to seven PON links. Compared with back-to-back (BTB) channel, the newly generated multicasting OOK signal and OFDM signal have power penalty of 1.6 dB and 2 dB at the BER of 10-3, respectively. For the aggregation of multiple channels, no obvious power penalty is observed. What is more, to verify the flexibility of the proposed scheme, we reconfigure the wavelength selective switch (WSS) and adjust the number of pumps to realize flexible multicasting functionality. One to three, one to seven, one to thirteen and one to twenty-one multicasting are achieved without modifying OLT structure.

Liver transplantation for hepatocellular carcinoma: the Hong Kong experience.

PubMed

Ng, Kelvin K; Lo, Chung Mau; Chan, See Ching; Chok, Kenneth S; Cheung, Tan-To; Fan, Sheung Tat

2010-09-01

Orthotopic liver transplantation (OLT) is the best treatment option for selected patients with hepatocellular carcinoma (HCC) with the background of cirrhosis since this treatment modality can cure both diseases at once. Over the years, the applicability of OLT for HCC has evolved. In Asia, including Hong Kong, a shortage of deceased donor liver grafts is a universal problem having to be faced in all transplant centers. Living-donor liver transplant (LDLT) has therefore been developed to counteract organ shortage and the high prevalence of HCC. The application of LDLT for HCC is a complex process involving donor voluntarism, selection criteria for the recipient and justification with respect to long-term survival in comparison to the result of deceased donor liver transplant. This article reviews the authors' experience with OLT for HCC patients in Hong Kong, with emphasis on the applicability and outcome of LDLT for HCC. Donor voluntarism has a significant impact on the application of LDLT. "Fast-track" LDLT in the setting of recurrence following curative treatment carries a high risk of recurrence even though the tumor stage fulfills the standard criteria. Although the survival outcome may be worse following LDLT than DDLT for HCC, LDLT is still the main treatment option for patients with transplantable HCC in Hong Kong, and a reasonable survival outcome can be achieved in selected patients with extended indications. It is particularly true that LDLT provides the only hope for patients with advanced HCC under the constricting problem of organ shortage.

A reconfigurable all-optical VPN based on XGM effect of SOA in WDM PON

NASA Astrophysics Data System (ADS)

Hu, Xiaofeng; Zhang, Liang; Cao, Pan; Wang, Tao; Su, Yikai

2010-12-01

We propose and experimentally demonstrate a reconfigurable all-optical VPN scheme enabling intercommunications among different ONUs in a WDM PON. Reconfiguration is realized by dynamically setting wavelength conversion of optical VPN signal using a SOA in the OLT.

Cytotoxic and Antimicrobial Activity of Pseudopterosins and seco-Pseudopterosins Isolated from the Octocoral Pseudopterogorgia elisabethae of San Andrés and Providencia Islands (Southwest Caribbean Sea)

PubMed Central

Correa, Hebelin; Aristizabal, Fabio; Duque, Carmenza; Kerr, Russell

2011-01-01

To expand the potential of pseudopterosins and seco-pseudopterosins isolated from the octocoral Pseudopterogorgia elisabethae of San Andrés and Providencia islands (southwest Caribbean Sea), we report the anti-microbial profile against four pathogenic microorganisms (Staphylococcus aureus, Enterococcus faecalis, Pseudomonas aeruginosa and Candida albicans) and report a more complete cytotoxic profile against five human cells lines (HeLa, PC-3, HCT116, MCF-7 and BJ) for the compounds PsG, PsP, PsQ, PsS, PsT, PsU, 3-O-acetyl-PsU, seco-PsJ, seco-PsK and IMNGD. For the cytotoxic profiles, all compounds evaluated showed moderate and non-selective activity against both tumor and normal cell lines, where PsQ and PsG were the most active compounds (GI50 values between 5.8 μM to 12.0 μM). With respect to their anti-microbial activity the compounds showed good and selective activity against the Gram-positive bacteria, while they did not show activity against the Gram-negative bacterium or yeast. PsU, PsQ, PsS, seco-PsK and PsG were the most active compounds (IC50 2.9–4.5 μM) against S. aureus and PsG, PsU and seco-PsK showed good activity (IC50 3.1–3.8 μM) against E. faecalis, comparable to the reference drug vancomycin (4.2 μM). PMID:21556163

Beyond Bombs, Bullets and Planes: Developing Airmen-Statements for the 21st Century

DTIC Science & Technology

2009-12-11

credibility, trust and respect • Resolving conflict Source: Chaitra M. Hardison, Carra S. Sims, Farahana Ali, Andres Villamizar, Ben Mundell , and Paul......Categories Source: Chaitra M. Hardison, Carra S. Sims, Farahana Ali, Andres Villamizar, Ben Mundell , and Paul Howe, Cross-Cultural Skills for Deployed

Military History: A Selected Bibliography

DTIC Science & Technology

2003-03-01

Crusading Warfare. 1956. 16 5. Ear ly Modern War fa re (1450–1685) Andre, Louis. Michel le Tellier et l’organisation de l’armee...monarchique. 1906. Andre, Louis. Michel le Tellier and Louvois. 1942 ** Ashley, Maurice. General Monck. 1977. Baxter, Douglas C. Servants of the Sword

Experimental demonstration of time- and mode-division multiplexed passive optical network

NASA Astrophysics Data System (ADS)

Ren, Fang; Li, Juhao; Tang, Ruizhi; Hu, Tao; Yu, Jinyi; Mo, Qi; He, Yongqi; Chen, Zhangyuan; Li, Zhengbin

2017-07-01

A time- and mode-division multiplexed passive optical network (TMDM-PON) architecture is proposed, in which each optical network unit (ONU) communicates with the optical line terminal (OLT) independently utilizing both different time slots and switched optical linearly polarized (LP) spatial modes. Combination of a mode multiplexer/demultiplexer (MUX/DEUX) and a simple N × 1 optical switch is employed to select the specific LP mode in each ONU. A mode-insensitive power splitter is used for signal broadcast/combination between OLT and ONUs. We theoretically propose a dynamic mode and time slot assignment scheme for TMDM-PON based on inter-ONU priority rating, in which the time delay and packet loss ratio's variation tendency are investigated by simulation. Moreover, we experimentally demonstrate 2-mode TMDM-PON transmission over 10 km FMF with 10-Gb/s on-off keying (OOK) signal and direct detection.

Efficacy of oral vancomycin in recurrent primary sclerosing cholangitis following liver transplantation

PubMed Central

Hey, Penelope; Lokan, Julie; Johnson, Paul; Gow, Paul

2017-01-01

Primary sclerosing cholangitis (PSC) is a liver disease that leads to progressive destruction and stricturing of the biliary tree. Unfortunately, apart from orthotopic liver transplantation (OLT), there are no universally accepted therapies to treat this disease. Even following transplantation, recurrence of PSC is seen in approximately one quarter of patients and leads to high rates of graft failure. Oral vancomycin, through possible immunomodulatory and anti-inflammatory mechanisms, has been shown in small-scale studies to be successful in improving liver function tests in patients with pretransplant PSC. We report the first case of an adult patient diagnosed with recurrent PSC 4 years after OLT who was treated with oral vancomycin leading to complete normalisation of his liver biochemistry. This case adds to the growing literature of a potential therapeutic role for this antibiotic in PSC and highlights interesting questions regarding mechanisms of disease. PMID:28951512

77 FR 2712 - Agency Information Collection Extension

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-19

... collection of information is necessary for the proper performance of the functions of the agency, including... soon as possible. ADDRESSES: Written comments may be sent to Andre de Fontaine, EE-2F/ Forrestal... information collection instrument and instructions should be directed to Andre de Fontaine, EE-2F/Forrestal...

Scalable Emergency Response System for Oceangoing Assets Report on Brainstorming Concept Evaluations

DTIC Science & Technology

2007-04-11

Andr´e Badertscher, Andr´e Guignard, and Auke Jan Ijspeert, Swimming and Crawling with an Amphibious Snake Robot. 4. Alexander S. Boxerbaum, Philip ... Kotler , Mindy & Hillman, Ian “Japanese Nuclear Energy Policy and Public Opinion” James A Baker III Institute for Public Policy Rice University May 2000

Effect of intestinal microbiota alteration on hepatic damage in rats with acute rejection after liver transplantation.

PubMed

Xie, Yirui; Chen, Huazhong; Zhu, Biao; Qin, Nan; Chen, Yunbo; Li, Zhengfeng; Deng, Min; Jiang, Haiyin; Xu, Xiangfei; Yang, Jiezuan; Ruan, Bing; Li, Lanjuan

2014-11-01

The previous studies all focus on the effect of probiotics and antibiotics on infection after liver transplantation. Here, we focus on the effect of gut microbiota alteration caused by probiotics and antibiotics on hepatic damage after allograft liver transplantation. Brown-Norway rats received saline, probiotics, or antibiotics via daily gavage for 3 weeks. Orthotopic liver transplantation (OLT) was carried out after 1 week of gavage. Alteration of the intestinal microbiota, liver function and histopathology, serum and liver cytokines, and T cells in peripheral blood and Peyer's patch were evaluated. Distinct segregation of fecal bacterial diversity was observed in the probiotic group and antibiotic group when compared with the allograft group. As for diversity of intestinal mucosal microbiota and pathology of intestine at 2 weeks after OLT, antibiotics and probiotics had a significant effect on ileum and colon. The population of Lactobacillus and Bifidobacterium in the probiotic group was significantly greater than the antibiotic group and the allograft group. The liver injury was significantly reduced in the antibiotic group and the probiotic group compared with the allograft group. The CD4/CD8 and Treg cells in Peyer's patch were decreased in the antibiotic group. The intestinal Treg cell and serum and liver TGF-β were increased markedly while CD4/CD8 ratio was significantly decreased in the probiotic group. It suggested that probiotics mediate their beneficial effects through increase of Treg cells and TGF-β and deduction of CD4/CD8 in rats with acute rejection (AR) after OLT.

An autonomous recovery mechanism against optical distribution network failures in EPON

NASA Astrophysics Data System (ADS)

Liem, Andrew Tanny; Hwang, I.-Shyan; Nikoukar, AliAkbar

2014-10-01

Ethernet Passive Optical Network (EPON) is chosen for servicing diverse applications with higher bandwidth and Quality-of-Service (QoS), starting from Fiber-To-The-Home (FTTH), FTTB (business/building) and FTTO (office). Typically, a single OLT can provide services to both residential and business customers on the same Optical Line Terminal (OLT) port; thus, any failures in the system will cause a great loss for both network operators and customers. Network operators are looking for low-cost and high service availability mechanisms that focus on the failures that occur within the drop fiber section because the majority of faults are in this particular section. Therefore, in this paper, we propose an autonomous recovery mechanism that provides protection and recovery against Drop Distribution Fiber (DDF) link faults or transceiver failure at the ONU(s) in EPON systems. In the proposed mechanism, the ONU can automatically detect any signal anomalies in the physical layer or transceiver failure, switching the working line to the protection line and sending the critical event alarm to OLT via its neighbor. Each ONU has a protection line, which is connected to the nearest neighbor ONU, and therefore, when failure occurs, the ONU can still transmit and receive data via the neighbor ONU. Lastly, the Fault Dynamic Bandwidth Allocation for recovery mechanism is presented. Simulation results show that our proposed autonomous recovery mechanism is able to maintain the overall QoS performance in terms of mean packet delay, system throughput, packet loss and EF jitter.

Neutrophil extracellular traps are pathogenic in primary graft dysfunction after lung transplantation.

PubMed

Sayah, David M; Mallavia, Beñat; Liu, Fengchun; Ortiz-Muñoz, Guadalupe; Caudrillier, Axelle; DerHovanessian, Ariss; Ross, David J; Lynch, Joseph P; Saggar, Rajan; Ardehali, Abbas; Ware, Lorraine B; Christie, Jason D; Belperio, John A; Looney, Mark R

2015-02-15

Primary graft dysfunction (PGD) causes early mortality after lung transplantation and may contribute to late graft failure. No effective treatments exist. The pathogenesis of PGD is unclear, although both neutrophils and activated platelets have been implicated. We hypothesized that neutrophil extracellular traps (NETs) contribute to lung injury in PGD in a platelet-dependent manner. To study NETs in experimental models of PGD and in lung transplant patients. Two experimental murine PGD models were studied: hilar clamp and orthotopic lung transplantation after prolonged cold ischemia (OLT-PCI). NETs were assessed by immunofluorescence microscopy and ELISA. Platelet activation was inhibited with aspirin, and NETs were disrupted with DNaseI. NETs were also measured in bronchoalveolar lavage fluid and plasma from lung transplant patients with and without PGD. NETs were increased after either hilar clamp or OLT-PCI compared with surgical control subjects. Activation and intrapulmonary accumulation of platelets were increased in OLT-PCI, and platelet inhibition reduced NETs and lung injury, and improved oxygenation. Disruption of NETs by intrabronchial administration of DNaseI also reduced lung injury and improved oxygenation. In bronchoalveolar lavage fluid from human lung transplant recipients, NETs were more abundant in patients with PGD. NETs accumulate in the lung in both experimental and clinical PGD. In experimental PGD, NET formation is platelet-dependent, and disruption of NETs with DNaseI reduces lung injury. These data are the first description of a pathogenic role for NETs in solid organ transplantation and suggest that NETs are a promising therapeutic target in PGD.

Neutrophil Extracellular Traps Are Pathogenic in Primary Graft Dysfunction after Lung Transplantation

PubMed Central

Mallavia, Beñat; Liu, Fengchun; Ortiz-Muñoz, Guadalupe; Caudrillier, Axelle; DerHovanessian, Ariss; Ross, David J.; Lynch III, Joseph P.; Saggar, Rajan; Ardehali, Abbas; Ware, Lorraine B.; Christie, Jason D.; Belperio, John A.; Looney, Mark R.

2015-01-01

Rationale: Primary graft dysfunction (PGD) causes early mortality after lung transplantation and may contribute to late graft failure. No effective treatments exist. The pathogenesis of PGD is unclear, although both neutrophils and activated platelets have been implicated. We hypothesized that neutrophil extracellular traps (NETs) contribute to lung injury in PGD in a platelet-dependent manner. Objectives: To study NETs in experimental models of PGD and in lung transplant patients. Methods: Two experimental murine PGD models were studied: hilar clamp and orthotopic lung transplantation after prolonged cold ischemia (OLT-PCI). NETs were assessed by immunofluorescence microscopy and ELISA. Platelet activation was inhibited with aspirin, and NETs were disrupted with DNaseI. NETs were also measured in bronchoalveolar lavage fluid and plasma from lung transplant patients with and without PGD. Measurements and Main Results: NETs were increased after either hilar clamp or OLT-PCI compared with surgical control subjects. Activation and intrapulmonary accumulation of platelets were increased in OLT-PCI, and platelet inhibition reduced NETs and lung injury, and improved oxygenation. Disruption of NETs by intrabronchial administration of DNaseI also reduced lung injury and improved oxygenation. In bronchoalveolar lavage fluid from human lung transplant recipients, NETs were more abundant in patients with PGD. Conclusions: NETs accumulate in the lung in both experimental and clinical PGD. In experimental PGD, NET formation is platelet-dependent, and disruption of NETs with DNaseI reduces lung injury. These data are the first description of a pathogenic role for NETs in solid organ transplantation and suggest that NETs are a promising therapeutic target in PGD. PMID:25485813

Early viral-specific T-cell testing predicts late Cytomegalovirus reactivation following Liver Transplantation.

PubMed

Sood, S; Haifer, C; Yu, L; Pavlovic, J; Gow, P J; Jones, R M; Visvanathan, K; Angus, P W; Testro, A G

2018-05-29

Although antiviral prophylaxis is effective in preventing early cytomegalovirus (CMV) reactivation following liver transplantation (OLT), it predisposes patients to late CMV after prophylaxis has ceased. QuantiFERON-CMV (QFN-CMV, Qiagen, The Netherlands) measures an individual's viral-specific immune response. Fifty-nine OLT recipients were prospectively monitored post-OLT in an observational cohort study. QFN-CMV was performed at regular time-points. An absolute QFN-CMV <0.1IU/mL was considered non-reactive. 50/59 (84.7%) had a reactive QFN-CMV by M6. 38/59 (64.4%) had antiviral prophylaxis or treatment before M6, with 31/38 (81.6%) developing a reactive QFN-CMV by 6 months. Over 90% already had a reactive result as early as 3 months post-transplant. 3 patients (5.08%) developed late CMV between 6-12 months (median 251 days) - all had a non-reactive M6 QFN-CMV. 2/3 experienced CMV disease. Non-reactive M6 QFN-CMV was significantly associated with late CMV (OR=54.4, PPV=0.33, NPV=1.00, p=0.003). Although only 5% of recipients developed late CMV, 2/3 suffered CMV disease. M6 QFN-CMV has an excellent NPV for late CMV, suggesting patients who exhibit a robust ex-vivo immune response at M6 can safely cease CMV monitoring. Furthermore, >90% already express viral-specific immunity as early as 3 months. Conceivably, antiviral prophylaxis could be discontinued early in these patients. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

Epstein-Barr DNA serology and positron-emission tomography imaging of the head and neck in pediatric transplant recipients.

PubMed

Sidell, Douglas; Venick, Robert S; Shapiro, Nina L

2014-05-01

Epstein-Barr virus (EBV) infection is a potential precursor of post-transplantation lymphoproliferative disorder (PTLD) in the pediatric transplant patient. Positron-emission tomography (PET) imaging is increasingly utilized in this population to monitor for neoplasia and PTLD. We assess the association between EBV serum titers and Waldeyer's ring and cervical lymph node PET positivity in the pediatric transplant recipient. Retrospective analysis of EBV serology and PET imaging results in pediatric orthotopic liver transplantation (OLT) recipients. Imaging results and laboratory data were reviewed for all pediatric OLT recipients from January 2005 to July 2011 at a single institution. Charts were evaluated for PET positivity at Waldeyer's ring or cervical lymphatics, and for EBV serology results. Demographic data extracted include patient sex and age at transplantation. A total of 122 pediatric OLT recipients were reviewed. Twelve patients (10%) underwent PET imaging. Overall, four patients (33%) had evidence of PET positivity at Waldeyer's ring or cervical lymphatics. Five patients (42%) had positive EBV serology. There was a significant association between PET imaging results and EBV DNA serology results (P = .01). PTLD surveillance in the pediatric transplant recipient is an important component of long-term care in this population. Although PET imaging is a new modality in monitoring pediatric transplant recipients for early signs of PTLD, an association between EBV serology and PET imaging results appears to exist. With increased implementation, PET imaging will likely prove valuable in its ability to monitor the transplant recipient at risk for PTLD. © 2013 The American Laryngological, Rhinological and Otological Society, Inc.

Symptomatic osteonecrosis of the femoral head after adult orthotopic liver transplantation.

PubMed

Li, Hua; Zhang, Jian; He, Ji-Wen; Wang, Kun; Wang, Gen-Shu; Jiang, Nan; Fu, Bin-Sheng; Wang, Guo-Ying; Yang, Yang; Chen, Gui-Hua

2012-07-01

With the increase of survival in liver transplantation recipients, more patients are at a high risk of developing osteonecrosis, especially in the femoral head, due to immunosuppressive treatment. The purpose of this study was to report the incidence, possible risk factors, and outcome of symptomatic osteonecrosis of the femoral head (ONFH) in adult patients with current immunosuppressive agents and individual protocol after liver transplantation in China. A retrospective analysis was performed on 226 adult patients who underwent orthotopic liver transplantation (OLT) at a single liver transplantation institution between January 2004 and December 2008. The posttransplant survival time (or pre-retransplantation survival time) of all the patients were more than 24 months. The possible pre- and post-transplantation risk factors of symptomatic ONFH were investigated and the curative effects of the treatment were also reported. The incidence of ONFH was 1.33% in patients after OLT. ONFH occurred at a mean of (14 ± 6) months (range, 10 - 21 months) after transplantation. Male patients more often presented with osteonecrosis as a complication than female patients. The patients with lower pre-transplantation total bilirubin and direct bilirubin levels (P < 0.05). There was no difference in the cumulative dose of corticosteroids or tacrolimus between the patients with or without symptomatic ONFH. Patients were treated either pharmacologically or surgically. All patients showed a nice curative effect without major complications during the 18 - 63 months post-treatment follow up. The symptomatic ONFH does not occur commonly after adult OLT in the current individual immunosuppressive protocol in China.

Coherent UDWDM PON with joint subcarrier reception at OLT.

PubMed

Kottke, Christoph; Fischer, Johannes Karl; Elschner, Robert; Frey, Felix; Hilt, Jonas; Schubert, Colja; Schmidt, Daniel; Wu, Zifeng; Lankl, Berthold

2014-07-14

In this contribution, we report on the experimental investigation of an ultra-dense wavelength-division multiplexing (UDWDM) upstream link with up to 700 × 2.488 Gb/s polarization-division multiplexing differential quadrature phase-shift keying parallel upstream user channels transmitted over 80 km of standard single-mode fiber. We discuss challenges of the digital signal processing in the optical line terminal arising from the joint reception of several upstream user channels. We present solutions for resource and cost-efficient realization of the required channel separation, matched filtering, down-conversion and decimation as well as realization of the clock recovery and polarization demultiplexing for each individual channel.

300 Gb/s IM/DD based SDM-WDM-PON with laserless ONUs.

PubMed

Bao, Fangdi; Morioka, Toshio; Oxenløwe, Leif K; Hu, Hao

2018-04-02

A low-cost, high-speed SDM-WDM-PON architecture is proposed by using a multi-core fiber (MCF) and intensity modulation/directly detection (IM/DD). One of the MCF cores is used for sending laser sources from optical line terminal (OLT) to optical network unit (ONU), thus facilitating laserless and colorless ONUs, and providing ease of network management and maintenance. In addition, the wavelengths of the ONUs are controlled on the OLT side, which also enables flexible optical networks. Thanks to the low inter-core crosstalk of a MCF, downstream (DS) and upstream (US) signals are transmitted independently in different cores of the MCF, not only increasing the aggregated capacity but also avoiding the Rayleigh backscattering noise. Finally, a proof-of-principle experiment is performed by using a 7-core fiber, achieving 300 /120 Gb/s aggregated capacity for DS and US (3 × cores, 4 × wavelengths, 25/10 Gb/s per wavelength), respectively.

De-optical-line-terminal hybrid access-aggregation optical network for time-sensitive services based on software-defined networking orchestration

NASA Astrophysics Data System (ADS)

Bai, Wei; Yang, Hui; Xiao, Hongyun; Yu, Ao; He, Linkuan; Zhang, Jie; Li, Zhen; Du, Yi

2017-11-01

With the increase in varieties of services in network, time-sensitive services (TSSs) appear and bring forward an impending need for delay performance. Ultralow-latency communication has become one of the important development goals for many scenarios in the coming 5G era (e.g., robotics and driverless cars). However, the conventional methods, which decrease delay by promoting the available resources and the network transmission speed, have limited effect; a new breakthrough for ultralow-latency communication is necessary. We propose a de-optical-line-terminal (De-OLT) hybrid access-aggregation optical network (DAON) for TSS based on software-defined networking (SDN) orchestration. In this network, low-latency all-optical communication based on optical burst switching can be achieved by removing OLT. For supporting this network and guaranteeing the quality of service for TSSs, we design SDN-driven control method and service provision method. Numerical results demonstrate the proposed DAON promotes network service efficiency and avoids traffic congestion.

Effect of mouth cleaning with hinokitiol-containing gel on oral malodor: a randomized, open-label pilot study.

PubMed

Iha, Kosaku; Suzuki, Nao; Yoneda, Masahiro; Takeshita, Toru; Hirofuji, Takao

2013-10-01

The aim of the study was to evaluate the effect of mouth cleaning with hinokitiol-containing gel on oral malodor. An open-label, randomized, controlled trial was conducted to assess oral malodor and clinical parameters related to oral malodor before and after mouth cleaning with hinokitiol-containing gel (n = 9) or with gel not including hinokitiol (n = 9). Mouth cleaning included the teeth, gingiva, and tongue and was carried out 3 times per day for 4 weeks. Organoleptic test (OLT) scores (P = .021), levels of hydrogen sulfide (P = .008) and methyl mercaptan (P = .020), frequency of bleeding on probing, average probing pocket depth, and plaque index significantly improved in the group using hinokitiol. In contrast, only the OLT score (P = .031) significantly improved in the control group after the treatment regimen. Mouth cleaning with hinokitiol-containing gel may be effective for reduction of oral malodor. Copyright © 2013 Elsevier Inc. All rights reserved.

Monthly Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1950 - 2007) (V. 2010)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37831-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37831-6290 U.S.A.; Marland, G. [Research Institute for Environment, Energy, and Economics Appalachian State University Boone, NC 28608-2131 USA

2010-01-01

The basic data provided in these data files are derived from time series of Global, Regional, and National Fossil-Fuel CO2 Emissions (http://cdiac.ess-dive.lbl.gov/trends/emis/overview_2013.html), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signature (del 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996) for years prior to 1990 and a variable population distribution for later years (Andres et al. 2016). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production). The monthly, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http

U.S. EPA, Pesticide Product Label, FRUIT BUILDER'S FISH OIL PESTICIDE/STICKER-SPREADER, 11/06/1981

EPA Pesticide Factsheets

2011-04-21

... 'E;'<1 .... : f''':.l ':, • 'l I,) ,Ih':i I:, th •. (~"I:"L'd t!:,..rl,;,]nt ~ldge of l)lLJ d·. Jt'icprnt..!It ,)! tll'~ ute of IL) ,) iLl" ·n~, ;)1 Olt I'f" 'I' J.JI!,Jr': .. 'j' .... n (j hi! ...

Hydrometeor Data and Analytical-Theoretical Investigations Pertaining to the SAMS Rain Erosion Program of the 1972-73 Season at Wallops Island, Virginia - AFGL/SAMS Report Number 5

DTIC Science & Technology

1977-07-05

Report No.5 1. INTRODUCTION The liquid-water-content values and other associated hydrometeorological information for the trajectories of the SAMS...Map Showin« Sitini; Locations of Rain ( Jauges and Oisdrometers Relative to the Missile Launch Pads 80 OltOftOMCTCR I |"fy/^n ^J^^^^^ 01 J I

Exploring Staff Perceptions: Early Childhood Teacher Educators Examine Online Teaching and Learning Challenges and Dilemmas

ERIC Educational Resources Information Center

Davis, Julie; Lennox, Sandra; Walker, Sue; Walsh, Kerryann

2007-01-01

Early Childhood teacher educators at Queensland University of Technology (QUT) have been engaging with online teaching and learning since the mid 1990s. On campus students have lectures and tutorials supported by information and communication technologies via QUT's home grown learning management system, Online Learning and Teaching (OLT). We…

Designing Journalism Capstone Units That Demonstrate Student Skills

ERIC Educational Resources Information Center

Cullen, Trevor

2016-01-01

There are considerable differences in the structure, content, and delivery of tertiary journalism degrees in Australia as identified in a 2014 Office for Learning and Teaching (OLT) Innovation and Development Project report on graduate qualities and journalism curriculum renewal. To address this situation, the author argues for journalism capstone…

Natural History of Cirrhosis of Liver after First Decompensation: A Prospective Study in India.

PubMed

Shah, Apurva S; Amarapurkar, Deepak N

2018-03-01

As liver cirrhosis is a dynamic condition, it is possible to improve survival in decompensated cirrhosis. Hence, we planned a prospective study to determine the natural history of cirrhosis after first decompensation. We enrolled all patients of liver cirrhosis who presented with first episode of decompensation defined by the presence of ascites, either overt or detected by Ultrasonography (UD), Gastroesophageal Variceal Bleeding (GEVB), and Hepatic Encephalopathy (HE). All patients were followed up to death/liver transplant or at least for the period of 1 year. Multivariable Cox proportional hazards regression was used to analyze the risk of failure (death or Orthotopic Liver Transplantation (OLT)). In total of 110 cirrhotic patients (93 males, mean age 50 ± 11 years), the most frequent etiology was alcohol (48%), followed by nonalcoholic steatohepatitis/cryptogenic (26%), hepatitis B (10%), autoimmune hepatitis (7%), and hepatitis C (6%). The distribution of CTP classes was: 4%, 56%, and 41% in class A, B, and C, respectively. Ascites was the most common decompensation found in 88 patients (80%) followed by HE (14%) and GEVB (6%). At 1-year follow up, transplant free survival was 78%, 2 underwent OLT, 4 developed hepatocellular carcinoma, and 24 died. Cumulative incidence of failure (death or OLT) by type of decompensation after 1 year was: 22% overt ascites, 50% GEVB, 28% UD ascites, 20% HE, and 33% ascites and GEVB concomitant. Patients with UD ascites do not have a negligible mortality rate as compared to overt ascites. Patients with cirrhosis after first decompensation have better transplant free survival with treatment of etiology and complications than previously mentioned in literature.

CXCR3+CD4+ T cells mediate innate immune function in the pathophysiology of liver ischemia/reperfusion injury.

PubMed

Zhai, Yuan; Shen, Xiu-da; Hancock, Wayne W; Gao, Feng; Qiao, Bo; Lassman, Charles; Belperio, John A; Strieter, Robert M; Busuttil, Ronald W; Kupiec-Weglinski, Jerzy W

2006-05-15

Ischemia-reperfusion injury (IRI), an innate immune-dominated inflammatory response, develops in the absence of exogenous Ags. The recently highlighted role of T cells in IRI raises a question as to how T lymphocytes interact with the innate immune system and function with no Ag stimulation. This study dissected the mechanism of innate immune-induced T cell recruitment and activation in rat syngeneic orthotopic liver transplantation (OLT) model. Liver IRI was induced after cold storage (24-36 h) at 4 degrees C in University of Wisconsin solution. Gene products contributing to IRI were identified by cDNA microarray at 4-h posttransplant. IRI triggered increased intrahepatic expression of CXCL10, along with CXCL9 and 11. The significance of CXCR3 ligand induction was documented by the ability of neutralizing anti-CXCR3 Ab treatment to ameliorate hepatocellular damage and improve 14-day survival of 30-h cold-stored OLTs (95 vs 40% in controls; p < 0.01). Immunohistology analysis confirmed reduced CXCR3+ and CD4+ T cell infiltration in OLTs after treatment. Interestingly, anti-CXCR3 Ab did not suppress innate immune activation in the liver, as evidenced by increased levels of IL-1beta, IL-6, inducible NO synthase, and multiple neutrophil/monokine-targeted chemokine programs. In conclusion, this study demonstrates a novel mechanism of T cell recruitment and function in the absence of exogenous Ag stimulation. By documenting that the execution of innate immune function requires CXCR3+CD4+ T cells, it highlights the critical role of CXCR3 chemokine biology for the continuum of innate to adaptive immunity in the pathophysiology of liver IRI.

Adverse events affect sorafenib efficacy in patients with recurrent hepatocellular carcinoma after liver transplantation: experience at a single center and review of the literature.

PubMed

Zavaglia, Claudio; Airoldi, Aldo; Mancuso, Andrea; Vangeli, Marcello; Viganò, Raffaella; Cordone, Gabriella; Gentiluomo, Maria; Belli, Luca Saverio

2013-02-01

The aim of this study was to assess the safety and efficacy of sorafenib, with or without everolimus, in the treatment of recurrent hepatocellular carcinoma (HCC) after an orthotopic liver transplantation (OLT). We reviewed the outcome of our consecutive cohort series of patients. Eleven patients (nine men) with recurrent HCC after OLT were treated. Four patients received cyclosporine plus sorafenib at a starting dose of 400 mg twice daily; seven received the combination of sorafenib (same dosage) and everolimus. Sorafenib was reduced or stopped according to the drug label. The median time to recurrence was 12 months (range 2-66). The mean age at the start of treatment was 57 ± 9 years. Sorafenib was withdrawn because of intolerance or side-effects in four (36%) patients. Dose reduction because of adverse events or intolerance was required in 91% of patients after 26 ± 11 days from the start of treatment. The average length of treatment was 68 days (range 15-444). One patient died because of a massive gastrointestinal bleeding while receiving sorafenib and everolimus. The most frequent adverse events were fatigue (54%), skin toxicity (45%), and hypophosphatemia (36%). Two patients (18%) showed a radiological partial response, one (9%) had a stable disease, and six (54%) showed a progressive disease. None of the patients achieved a complete response. Treatment response could not be assessed in two (18%) patients. The overall median survival since the start of treatment was 5 months. One-year survival was 18%. Sorafenib, with or without mammalian target of rapamycin inhibitors, is poorly tolerated and rarely effective in the treatment of recurrent HCC after OLT.

Clinical impact and efficacy of lamivudine therapy in de novo hepatitis B infection after liver transplantation.

PubMed

Castells, Lluís; Vargas, Víctor; Rodríguez, Francisco; Allende, Helena; Buti, Maria; Sánchez-Avila, José F; Jardí, Rosendo; Margarit, Carlos; Pumarola, Tomás; Esteban, Rafael; Guardia, Jaime

2002-10-01

De novo hepatitis B virus (HBV) infection after orthotopic liver transplantation (OLT) in patients negative for hepatitis B surface antigen (HBsAg) is between 1.7% and 3.5% in areas with a low prevalence of HBV infection. The importance of this problem and the efficacy of lamivudine treatment has not been defined in areas with a high prevalence of positivity to antibody to hepatitis B core antigen (Anti-HBc). To define the characteristics and the clinical impact of de novo HBV infection in OLT recipients and to evaluate the efficacy of lamivudine treatment in this context, 229 HBsAg (-) donors (145 men, 84 women) were retrospectively evaluated between June 1994 and June 2000. Forty-eight recipients were excluded for various reasons. The final study population included 181 patients that were prospectively followed up for more than 6 months after OLT. When de novo HBV infection was detected, liver allograft biopsy was performed and treatment with lamivudine was indicated if patients were HBV-DNA-positive with elevated ALT levels. Survival time was defined as the interval between diagnosis of HBV infection and death or last follow-up visit. Thirty-one of 229 liver donors (13.5%) were anti-HBc(+). After a mean follow-up of 54.4+/-30 months, 9 of the 181 recipients (5%) developed de novo HBV infection; 8 of 27 recipients (29.6%) of livers from anti-HBc(+) donors as compared with only one of 154 recipients (0.6%) of livers from anti-HBc(-) donors P < 0.005). Liver biopsies performed in 8 of 9 cases showed chronic active hepatitis in 7 patients and acute hepatitis in one patient who cleared HBV spontaneously during the first 3 months. Seven patients were treated with lamivudine for a mean period of 24.5 months; HBV-DNA became negative in 5 of 7 (71.4%), and HBeAg became undetectable in 3 of 6 patients (50%). Patient actuarial survival rates at 1, 3, and 5 years were 100%, 94.7%, and 81.2% for recipients of anti-HBc (+) livers and 95.2%, 83%, and 77.3% for recipients of

The Effects of Aerodynamic Heating and Heat Transfer on the Surface Temperature of a Body of Revolution in Steady Supersonic Flight

DTIC Science & Technology

1947-07-01

HF..-I.T THA.:\\SFER 0.:\\ THE SnlfACE TDJPER.Hl’RE Of ... BODY OF RE’·OLt·TIO.:\\ 471 o~~---~~~--~~~~~--~~~~--~ 1.2 1.6 2.0 2,4 2.8 3.2 Moch number

Permafrost and organic layer interactions over a climate gradient in a discontinuous permafrost zone

Treesearch

Kristofer D. Johnson; Jennifer W. Harden; A. David McGuire; Mark Clark; Fengming Yuan; Andrew O. Finley

2013-01-01

Permafrost is tightly coupled to the organic soil layer, an interaction that mediates permafrost degradation in response to regional warming. We analyzed changes in permafrost occurrence and organic layer thickness (OLT) using more than 3000 soil pedons across a mean annual temperature (MAT) gradient. Cause and effect relationships between permafrost probability (PF),...

"Bush Law 101": Realising Place Conscious Pedagogy in the Law Curriculum

ERIC Educational Resources Information Center

Kennedy, Amanda; Mundy, Trish; Nielsen, Jennifer M.

2016-01-01

In 2012, a team of academics from six universities worked on an OLT-funded project, "Rethinking Law Curriculum: developing strategies to prepare law graduates for practice in rural and regional Australia." The project was motivated by the declining proportion of lawyers being attracted to and remaining in practice in rural and regional…

CS-10 Verification Survey at Former McClellan AFB, Sacramento, CA

DTIC Science & Technology

2013-09-26

8217!11C’D ./ -k~>olY 3ə ’-Af" 4 \\I Olt te’o Q__li~\\ (G"d.07y r ,~ ’illi’ 󈧏󈧓 ’>, - c;;¥a’f’’i c""" I 16 Distribution A: Approved for public release

Postschool Goals and Transition Services for Students with Learning Disabilities

ERIC Educational Resources Information Center

Daviso, Alfred W.; Denney, Stephen C.; Baer, Robert M.; Flexer, Robert

2011-01-01

This article describes the initial findings for students with learning disabilities from the first year of The Ohio Longitudinal Transition Study (OLTS). The study included 416 participants with learning disabilities who were exiting high school. Data from an in-school survey were analyzed by sample demographics (e.g. school setting, school type,…

Waupaca Foundry, Inc. Plant No.5

EPA Pesticide Factsheets

2015-09-10

... y 2 ,Qt:;" qq_, s- 2.0'J'"' 99, R" ·~ ~.0) /Olt ? I. 9 0 II I. '2 It' 8' I. ffj lr~rr q ., ?~ 1/(.C /0 /.10 IZ2 ' ... I (.., 67 r II '"';9( 1 i , II 8 I ' q. c-=r;.. '-t r 177 'I 6. l, 6 ;- ) -- ...

Back to Essentials: Virtues and Character for Strategic Leaders

DTIC Science & Technology

2012-03-20

religious perspective, this study also includes the set of virtues identified by French philosopher André Comte -Sponville.34 Finally, the model takes... Comte - Sponville Havard PROPOSAL Prudence Wisdom; Prudence Prudence Prudence Prudence Prudence Justice Justice Justice Justice Justice Justice...accessed 20 Jan 2012. 34 Andre Comte -Sponville. A Small Treatrise on the Great Virtues (New York, NY, Metropolitan Books, Henry Holt and Company, LLC

Response to Dietary Oxalate after Bariatric Surgery

PubMed Central

Froeder, Leila; Arasaki, Carlos Haruo; Malheiros, Carlos Alberto; Baxmann, Alessandra Calábria

2012-01-01

Summary Background and objectives Bariatric surgery (BS) may be associated with increased oxalate excretion and a higher risk of nephrolithiasis. This study aimed to investigate urinary abnormalities and responses to an acute oxalate load as an indirect assessment of the intestinal absorption of oxalate in this population. Design, setting, participants, & measurements Twenty-four–hour urine specimens were collected from 61 patients a median of 48 months after BS (post-BS) as well as from 30 morbidly obese (MO) participants; dietary information was obtained through 24-hour food recalls. An oral oxalate load test (OLT), consisting of 2-hour urine samples after overnight fasting and 2, 4, and 6 hours after consuming 375 mg of oxalate (spinach juice), was performed on 21 MO and 22 post-BS patients 12 months after BS. Ten post-BS patients also underwent OLT before surgery (pre-BS). Results There was a higher percentage of low urinary volume (<1.5 L/d) in post-BS versus MO (P<0.001). Hypocitraturia and hyperoxaluria (P=0.13 and P=0.36, respectively) were more frequent in BS versus MO patients. The OLT showed intragroup (P<0.001 for all periods versus baseline) and intergroup differences (P<0.001 for post-BS versus MO; P=0.03for post-BS versus pre-BS). The total mean increment in oxaluria after 6 hours of load, expressed as area under the curve, was higher in both post-BS versus MO and in post-BS versus pre-BS participants (P<0.001 for both). Conclusions The mean oxaluric response to an oxalate load is markedly elevated in post-bariatric surgery patients, suggesting that increased intestinal absorption of dietary oxalate is a predisposing mechanism for enteric hyperoxaluria. PMID:23024163

Magnetic ring anastomosis of suprahepatic vena cava: novel technique for liver transplantation in rat.

PubMed

Shi, Yuan; Zhang, Wei; Deng, Yong-lin; Zhang, Ya-min; Zhang, Quan-sheng; Zhang, Wei-ye; Zheng, Hong; Pan, Cheng; Shen, Zhong-Yang

2015-01-01

To improve the technique of suprahepatic vena cava (SHVC) reconstruction in rat OLT, novel magnetic rings were designed and manufactured to facilitate reconstruction of SHVC and shorten the anhepatic time. One-hundred and twenty adult male Wistar rats were randomly divided into two groups: rings group (n = 30), using magnetic rings for SHVC reconstruction; suture group (n = 30), 7/0 prolene suture was used for SHVC running anastomosis as control. Cuff techniques were used for portal vein and infrahepatic vena cava reconstruction as Kamada and Calne described. The bile duct was reconnected with a stent. The hepatic re-arterialization was omitted. In the rings group, the SHVC reconstruction took 0.91 ± 0.24 (mean ± SD) min; the anhepatic phase and the recipient operation time were 5.63 ± 0.65 min and 36.02 ± 8.02 min, respectively. In suture group, the anastomotic time of SHVC was 10.40 ± 2.11 min; the anhepatic phase and the recipient operation time were 17.76 ± 2.51 and 49.38 ± 12.06 min, respectively, and there was statistically significant difference between the two groups. The ALT levels reached peak at 24 h post-OLT (186.2 ± 32.5 IU/l) and restored to normal level at 96 h gradually. In the rings group, 29 of 30 rats survived at day 7 and 28 of 30 rats survived at day 30. In contrast, only 25 of 30 recipients in suture group remained alive at day 7 and 22 of 30 remained alive at day 30 (P < 0.05). Better anastomotic healing was founded in rings group by pathology and scanning electron microscope. The magnetic rings technique provides a novel, simple method for SHVC reconstruction of OLT in rat. It significantly shortens anhepatic phase, while the success rate of the operation is satisfactory. © 2014 Steunstichting ESOT.

Impact of N-acetylcysteine on the hepatic microcirculation after orthotopic liver transplantation.

PubMed

Koeppel, T A; Lehmann, T G; Thies, J C; Gehrcke, R; Gebhard, M M; Herfarth, C; Otto, G; Post, S

1996-05-15

Recent observations showed an improvement of hepatic macro- and microhemodynamics as well as survival rates after warm ischemia of the liver following treatment with N-acetylcysteine (NAC). In this study we assessed the influence of NAC on the hepatic microcirculation after orthotopic liver transplantation (OLT) using intravital fluorescence microscopy. OLT with simultaneous arterialization was performed in 16 male Lewis rats following cold storage in University of Wisconsin solution for 24 hr. Within the experimental group (n = 8) donors received NAC (400 mg/kg) 25 min before hepatectomy. In addition, high-dose treatment of recipients with NAC (400 mg/kg) was started with reperfusion. Control animals (n = 8) received an equivalent amount of Ringer's solution. Intravital fluorescence microscopy was performed 30-90 min after reperfusion assessing acinar and sinusoidal perfusion, leukocyte-endothelium interaction, and phagocytic activity. Treatment with NAC reduced the number of nonperfused sinusoid from 52.4 +/- 0.8% to 15.7 +/- 0.5% (p = 0.0001) (mean +/- SEM). Furthermore, we achieved a significant reduction of leukocytes adhering to sinusoidal endothelium (per mm2 liver surface) from 351.9 +/- 13.0 in controls to 83.6 +/- 4.2 in the experimental group (P = 0.0001). In postsinusoidal venules, treatment with NAC decreased the number of sticking leukocytes (per mm2 endothelium) from 1098.5 +/- 59.6 to 425.9 +/- 37.7 (P = 0.0001). Moreover, bile flow was significantly increased after therapy with NAC (4.3 +/- 1.2 vs. 2.2 +/- 0.7 ml/90 min x 100g liver) (P < 0.05). Phagocytic activity was not influenced by application of NAC. We conclude that high-dose therapy with NAC in OLT attenuates manifestations of microvascular perfusion failure early after reperfusion and should be considered as a means to reduce reperfusion injury.

Intraoperative Portal Flow of Less Than 1 Liter per Minute After Orthotopic Liver Transplantation Is Not Associated Per Se With an Increased Rate of Early Graft Dysfunction.

PubMed

Gastaca, M; Prieto, M; Valdivieso, A; Ruiz, P; Ventoso, A; Palomares, I; Matarranz, A; Martinez-Indart, L; Ortiz de Urbina, J

2016-09-01

The aim of this study was to determine whether a portal flow of <1,000 mL/min in orthotopic liver transplantation (OLT) is associated with a higher incidence of early graft dysfunction (EGD) and graft loss. A retrospective study was performed of 540 OLTs carried out consecutively from December 2004 to December 2013. Patients were divided into 2 groups: group A, portal flow <1,000 mL/min; and group B, portal flow >1,000 mL/min. We studied the incidence of EGD and graft survival. A subanalysis was performed to define the minimum acceptable portal flow/100 g of liver weight to reduce the development EGD and graft loss. Group A included 29 patients and group B, 511 patients. Group A had significantly lower-weight donors and recipients, female recipients with cholestatic disease, lower MELD scores, and lower hepatic artery flow. EGD occurred in 7 patients in group A (24.1%) versus 101 patients in group B (19.8%; P = .43). No significant differences were found in 1- and 5-year graft survival. A portal flow of <80 mL/min/100 g of liver weight was related to a significantly higher risk of developing EGD (odds ratio, 4.35; 95% confidence interval [CI], 1.46-12.91; P = .008) and graft loss (hazard ratio, 4.05; 95% CI, 1.32-12.42; P = .014). Intraoperative portal flow of <1,000 mL/min in OLT was not related per se with a higher incidence of EGD or graft loss. Significantly higher risk of developing EGD and graft loss was associated with a portal flow of <80 mL/min/100 g of liver weight. Copyright © 2016 Elsevier Inc. All rights reserved.

Comparison of the WarmCloud and Bair Hugger Warming Devices for the Prevention of Intraoperative Hypothermia in Patients Undergoing Orthotopic Liver Transplantation: A Randomized Clinical Trial

PubMed Central

Pearce, Brett; Mattheyse, Linda; Ellard, Louise; Desmond, Fiona; Pillai, Param; Weinberg, Laurence

2018-01-01

Background The avoidance of hypothermia is vital during prolonged and open surgery to improve patient outcomes. Hypothermia is particularly common during orthotopic liver transplantation (OLT) and associated with undesirable physiological effects that can adversely impact on perioperative morbidity. The KanMed WarmCloud (Bromma, Sweden) is a revolutionary, closed-loop, warm-air heating mattress developed to maintain normothermia and prevent pressure sores during major surgery. The clinical effectiveness of the WarmCloud device during OLT is unknown. Therefore, we conducted a randomized controlled trial to determine whether the WarmCloud device reduces hypothermia and prevents pressure injuries compared with the Bair Hugger underbody warming device. Methods Patients were randomly allocated to receive either the WarmCloud or Bair Hugger warming device. Both groups also received other routine standardized multimodal thermoregulatory strategies. Temperatures were recorded by nasopharyngeal temperature probe at set time points during surgery. The primary endpoint was nasopharyngeal temperature recorded 5 minutes before reperfusion. Secondary endpoints included changes in temperature over the predefined intraoperative time points, number of patients whose nadir temperature was below 35.5°C and the development of pressure injuries during surgery. Results Twenty-six patients were recruited with 13 patients randomized to each group. One patient from the WarmCloud group was excluded because of a protocol violation. Baseline characteristics were similar. The mean (standard deviation) temperature before reperfusion was 36.0°C (0.7) in the WarmCloud group versus 36.3°C (0.6) in the Bairhugger group (P = 0.25). There were no statistical differences between the groups for any of the secondary endpoints. Conclusions When combined with standardized multimodal thermoregulatory strategies, the WarmCloud device does not reduce hypothermia compared with the Bair Hugger device in

Scalable Active Optical Access Network Using Variable High-Speed PLZT Optical Switch/Splitter

NASA Astrophysics Data System (ADS)

Ashizawa, Kunitaka; Sato, Takehiro; Tokuhashi, Kazumasa; Ishii, Daisuke; Okamoto, Satoru; Yamanaka, Naoaki; Oki, Eiji

This paper proposes a scalable active optical access network using high-speed Plumbum Lanthanum Zirconate Titanate (PLZT) optical switch/splitter. The Active Optical Network, called ActiON, using PLZT switching technology has been presented to increase the number of subscribers and the maximum transmission distance, compared to the Passive Optical Network (PON). ActiON supports the multicast slot allocation realized by running the PLZT switch elements in the splitter mode, which forces the switch to behave as an optical splitter. However, the previous ActiON creates a tradeoff between the network scalability and the power loss experienced by the optical signal to each user. It does not use the optical power efficiently because the optical power is simply divided into 0.5 to 0.5 without considering transmission distance from OLT to each ONU. The proposed network adopts PLZT switch elements in the variable splitter mode, which controls the split ratio of the optical power considering the transmission distance from OLT to each ONU, in addition to PLZT switch elements in existing two modes, the switching mode and the splitter mode. The proposed network introduces the flexible multicast slot allocation according to the transmission distance from OLT to each user and the number of required users using three modes, while keeping the advantages of ActiON, which are to support scalable and secure access services. Numerical results show that the proposed network dramatically reduces the required number of slots and supports high bandwidth efficiency services and extends the coverage of access network, compared to the previous ActiON, and the required computation time for selecting multicast users is less than 30msec, which is acceptable for on-demand broadcast services.

[Orthotopic liver transplantation in adult patients with cadaveric grafts. Experience of the Fundeni Center of General Surgery and Liver Transplantation].

PubMed

Popescu, I; Ionescu, M; Tulbure, D; Ciurea, S; Băilă, S; Braşoveanu, V; Hrehoreţ, D; Sârbu-Boeţi, P; Pietrăreanu, D; Alexandrescu, S; Dorobanţu, B; Gheorghe, L; Gheorghe, C; Mihăilă, M; Boroş, M; Croitoru, M; Herlea, V

2005-01-01

We analyze the experience of the Center of General Surgery and Liver Transplantation from the Fundeni Clinical Institute (Bucharest, Romania) regarding orthotopic liver transplantation (OLT) in adult recipients, with whole liver grafts from cadaveric donors, between April 2000 (when the first successful LT was performed in Romania) and December 2004. This series includes 37 OLTs in adult recipients (16 women and 21 men, aged between 29-57 years--average 46 years). Other two LT with whole liver cadaveric grafts and two reduced-size LT were performed in children; also, in the same period, due to the acute organ shortage, other methods of LT were performed in 28 patients (21 living donor LT, 6 split LT and one "do mino" LT), that were not included in the present series. The indications for OLT were HBV cirrhosis--10, HBV+HDV cirrhosis--4, HCV cirrhosis--11, HBV+HCV cirrhosis--2, biliary cirrhosis--5, Wilson disease--2, alcoholic cirrhosis--1, non-alcoholic liver disease--1, autoimmune cirrhosis--1. With three exceptions, in which the classical transplantation technique was used, the liver was grafted following the technique described by Belghiti. Local postoperative complications occurred in 15 patients (41%) and general complications in 17 (46%); late complications were registered in 18 patients (49%) and recurrence of the initial disease in 6 patients (16%). Intrao- and postoperative mortality was 8% (3/37). There were two patients (5%) who died because of immunosuppressive drug neurotoxicity at more than 30 days following LT. Four patients (11%) died lately because of PTLD, liver venoocclusive disease, recurrent autoimmune hepatitis and liver venoocclusive disease, myocardial infarction, respectively. Thirty-four patients survived the postoperative period (92%); according to Kaplan-Meier analysis, actuarial patient-survival rate at month 31 was 75%.

The Impact of Fire on Active Layer Thicknes

NASA Astrophysics Data System (ADS)

Schaefer, K. M.; Parsekian, A.; Natali, S.; Ludwig, S.; Michaelides, R. J.; Zebker, H. A.; Chen, J.

2016-12-01

Fire influences permafrost thermodynamics by darkening the surface to increase solar absorption and removing insulating moss and organic soil, resulting in an increase in Active Layer Thickness (ALT). The summer of 2015 was one of the worst fire years on record in Alaska with multiple fires in the Yukon-Kuskokwim (YK) Delta. To understand the impacts of fire on permafrost, we need large-scale, extensive measurements of ALT both within and outside the fire zones. In August 2016, we surveyed ALT across multiple fire zones in the YK Delta using Ground Penetrating Radar (GPR) and mechanical probing. GPR uses pulsed, radio-frequency electromagnetic waves to noninvasively image the subsurface and is an effective tool to quickly map ALT over large areas. We supplemented this ALT data with measurements of Volumetric Water Content (VWC), Organic Layer Thickness (OLT), and burn severity. We quantified the impacts of fire by statistically comparing the measurements inside and outside the fire zones and statistically regressing ALT against VWC, change in OLT, and burn severity.

Efficacy of oral vancomycin in recurrent primary sclerosing cholangitis following liver transplantation.

PubMed

Hey, Penelope; Lokan, Julie; Johnson, Paul; Gow, Paul

2017-09-25

Primary sclerosing cholangitis (PSC) is a liver disease that leads to progressive destruction and stricturing of the biliary tree. Unfortunately, apart from orthotopic liver transplantation (OLT), there are no universally accepted therapies to treat this disease. Even following transplantation, recurrence of PSC is seen in approximately one quarter of patients and leads to high rates of graft failure. Oral vancomycin, through possible immunomodulatory and anti-inflammatory mechanisms, has been shown in small-scale studies to be successful in improving liver function tests in patients with pretransplant PSC. We report the first case of an adult patient diagnosed with recurrent PSC 4 years after OLT who was treated with oral vancomycin leading to complete normalisation of his liver biochemistry. This case adds to the growing literature of a potential therapeutic role for this antibiotic in PSC and highlights interesting questions regarding mechanisms of disease. © BMJ Publishing Group Ltd (unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

Impact of Retirement Choices of Early Career Marines: A Choice Analysis Model

DTIC Science & Technology

2013-03-01

CHOICES OF EARLY CAREER MARINES: A CHOICE ANALYSIS MODEL by André G. La Taste Aaron Masaitis March 2013 Thesis Advisor: Michael Dixon... ANALYSIS MODEL 5. FUNDING NUMBERS 6. AUTHOR(S) André G. La Taste, Aaron Masaitis 7. PERFORMING ORGANIZATION NAME(S) AND ADDRESS(ES) Naval Postgraduate...system. The research will be conducted using a discrete choice analysis methodology that is often used to differentiate factors that lead to

Valuing the Leadership Role of University Unit Coordinators

ERIC Educational Resources Information Center

Pepper, Coral; Roberts, Susan

2016-01-01

In this paper we describe the experiences of 64 unit coordinators across 15 Australian universities, gathered during 2011/2012 as part of an Office for Learning and Teaching (OLT) project. Our intention was to gain insight into how unit coordinators (academics who coordinate a discrete unit of study) perceive their role as leaders of learning in…

An enhanced DWBA algorithm in hybrid WDM/TDM EPON networks with heterogeneous propagation delays

NASA Astrophysics Data System (ADS)

Li, Chengjun; Guo, Wei; Jin, Yaohui; Sun, Weiqiang; Hu, Weisheng

2011-12-01

An enhanced dynamic wavelength and bandwidth allocation (DWBA) algorithm in hybrid WDM/TDM PON is proposed and experimentally demonstrated. In addition to the fairness of bandwidth allocation, this algorithm also considers the varying propagation delays between ONUs and OLT. The simulation based on MATLAB indicates that the improved algorithm has a better performance compared with some other algorithms.

Finding the Sweet Spot: Bridging X3D, S1000D, and SCORM for Embedded Performance Assessment and Life Cycle Training Content Management

DTIC Science & Technology

2010-07-14

f\\11 eL1&iled.i’m:COilPI: Io) d< olt <llllllt e\\’CDI: re<ci\\oifi’Om XJD KCD!: f71 10Ucl!C«~~~:ItttO nl’liTOIIdledAI (I’R.ooicnRes>ocl t\\’t:U r«d\\’ed

Application of a Biotin Functionalized QD Assay for Determining Available Binding Sites on Electrospun Nanofiber Membrane

DTIC Science & Technology

2011-01-01

Dawn.Nida@us.army.mil) Joshua Magnone (Joshua.Magnone@us.army.mil) Andre Senecal (Andy.Senecal@us.army.mil) ISSN 1477-3155 Article type Research Submission...Dawn.Nida@us.army.mil; Joshua Magnone - Joshua.Magnone@us.army.mil; Andre Senecal - Andy.Senecal@us.army.mil *Corresponding Author 2...Biol Eng 2007, 1:doi10.1186/1754-1611-1-2. 12. Senecal A, Magnone J, Marek P, Senecal K: Development of functional nanofibrous membrane assemblies

ESO's early history, 1953 - 1975. I. Striving towards the convention.

NASA Astrophysics Data System (ADS)

Blaauw, A.

1988-12-01

On January 26, 1954 twelve leading astronomers from six European countries issued the historical statement we reproduce here [1]. It carries the signatures of Otto Heckmann and Albrecht Unsöld of the German Federal Republic, Paul Bourgeois from Belgium, Andre Couder and Andre Danjon from France, Roderick Redman from Great Britain, Jan Oort, Pieter Oosterhoff and Pieter van Rhijn from the Netherlands, and Bertil Lindblad, Knut Lundmark and Gunnar Malmquist from Sweden.

[Changes in hemodynamics and oxygen metabolism of different Child-grade patients during orthotopic liver transplantation without veno-venous bypass].

PubMed

Zhao, Dong; Wang, Tian-long; Pan, Fang; Zhao, Lei; Zhang, Lian-feng; Yang, Ba-xian

2006-08-18

To investigate the changes in hemodynamics and oxygen metabolism of different Child-grade patients during orthotopic liver transplantation (OLT) without veno-venous bypass. Forty patients with end-stage liver disease undergoing non veno-venous OLT under general anesthesia were enrolled in this research. Swan-Ganz catheter was placed in the pulmonary artery via right internal jugular vein and right radial artery was cannulated to monitor mean pulmonary artery pressure (mPAP) and artery blood pressure (ABP) continuously. Pulmonary capillary wedge pressure (PCWP) and central venous pressure (CVP) were also recorded. Cardiac output (CO) was recorded at several time points, such as, 30 min after induction (T1), when inferior vena cava and portal vein were clamped (T2), 30 min after portal vein was clamped (T3), 10 min after unclamping of portal vein (T4), 60 min after graft reperfusion (T5) and at the end of the operation (T6). Blood samples were taken from radial and pulmonary artery for blood gas analysis and hemodynamic parameters, such as, cardiac index (CI), stroke volume index (SVI), pulmonary vascular resistance index (PVRI), and system vascular resistance index (SVRI); oxygen delivery (DO2) and oxygen consumption (VO2) were also calculated at these time points. (1) The mPAP values were much higher in group C than in group A or B at all time points. CVP was significantly increased at T1 or T2 in group C as compared with those points of Child's B or C. PCWP was increased significantly after unclamping of portal vein in all three groups and was much higher at several points in Child's C than in Child's A or B. The SVRI value of T1 and the PVRI value of T3 were much lower in group C than those points in group A and the value of SVRI/PVRI was less than normal except at T3 point. And blood gas analysis elucidated that PaO2 was higher than 400 mm Hg at any points. (2) Oxygen consumption was significantly decreased during the operation due to less blood supply and was

West Europe Report.

DTIC Science & Technology

1986-04-18

72 FRANCE Giraud Views Mitterrand’s Defense Policies ( Andre Giraud; LE MONDE, 12 Feb 86) 74 NORWAY Women’s Groups Lobby for Larger Female Role in...038 18 April 1986 MILITARY FRANCE GIRAUD VIEWS MITTERRAND’S DEFENSE POLICIES Paris LE MONDE in French 12 Feb 86 p 2 [Article by Andre Giraud...industries started is downright ludicrous, and joining in the election campaign by writing that "thanks to the administration of the Mauroy and Fabius

PRI and the Beyond Merida Initiative

DTIC Science & Technology

2011-10-28

candidate, Andres Manuel Lopez , called for the de- militarization of our bilateral agenda while speaking to a U.S. think tank.9 Santiago Creel Miranda, a... manuel -l%C3%B3pez- obrador (accessed October 16, 2011) 10 Elimparcial. “Anti-narco fight will change if president: Creel,” http...Wilson Institute for Scholars: Mexico Institute. http://www.wilsoncenter.org/event/dialogues-mexicodi%C3%A1logos-con-m%C3%A9xico- featuring- andr %C3%A9s

Living donor liver transplantation for congenital absence of the portal vein.

PubMed

Sanada, Y; Mizuta, K; Kawano, Y; Egami, S; Hayashida, M; Wakiya, T; Mori, M; Hishikawa, S; Morishima, K; Fujiwara, T; Sakuma, Y; Hyodo, M; Yasuda, Y; Kobayashi, E; Kawarasaki, H

2009-12-01

The congenital absence of the portal vein (CAPV) is a rare venous malformation in which mesenteric venous blood drains directly into the systemic circulation. Liver transplantation (OLT) may be indicated for patients with symptomatic CAPV refractory to medical treatment, especially due to hyperammonemia, portosystemic encephalopathy, hepatopulmonary syndrome, or hepatic tumors. Because portal hypertension and collateral circulation do not occur with CAPV, significant splanchnic congestion may occur when the portocaval shunt is totally clamped during portal vein (PV) reconstruction in OLT. This phenomenon results in severe bowel edema and hemodynamic instability, which negatively impact the patient's condition and postoperative recovery. We have successfully reconstructed the PV in living donor liver transplantation (LDLT) using a venous interposition graft, which was anastomosed end-to-side to the portocaval shunt by a partial side-clamp, using a patent round ligament of the liver, which was anastomosed end-to-end to the graft PV with preservation of both the portal and caval blood flows. Owing to the differences in anatomy among patients, at LDLT for CAPV liver transplant surgeons should seek to preserve both portal and caval blood flows.

Estimate carbon emissions from degraded permafrost with InSAR and a soil thermal model

NASA Astrophysics Data System (ADS)

Zhou, Z.; Liu, L.

2016-12-01

Climate warming, tundra fire over past decades has caused degradation in permafrost widely and quickly. Recent studies indicate that an increase in degradation could switch permafrost from a carbon sink to a source, with the potential of creating a positive feedback to anthropogenic climate warming. Unfortunately, Soil Organic Carbon (SOC) emissions from degraded permafrost unquantified, and limit our ability to understand SOC losses in arctic environments. This work will investigate recent 10 years of data already collected at the Anaktuvuk River fire (both ground and remote sensed), and will employ a soil thermal model to estimate SOC emission in this region. The model converts the increases in Active Layer Thickness (ALT), as measured by InSAR, to changes in Organic Layer Thickness (OLT), and SOC. ALOS-1/2 L-band SAR dataset will be used to produce the ATL changes over the study area. Soil prosperities (e.g. temperature at different depth, bulk density) will be used in the soil thermal model to estimate OLT changes and SOC losses. Ground measurement will validate the InSAR results and the soil thermal model. A final estimation of SOC emission will be produced in Anaktuvuk River region.

Integrated coding-aware intra-ONU scheduling for passive optical networks with inter-ONU traffic

NASA Astrophysics Data System (ADS)

Li, Yan; Dai, Shifang; Wu, Weiwei

2016-12-01

Recently, with the soaring of traffic among optical network units (ONUs), network coding (NC) is becoming an appealing technique for improving the performance of passive optical networks (PONs) with such inter-ONU traffic. However, in the existed NC-based PONs, NC can only be implemented by buffering inter-ONU traffic at the optical line terminal (OLT) to wait for the establishment of coding condition, such passive uncertain waiting severely limits the effect of NC technique. In this paper, we will study integrated coding-aware intra-ONU scheduling in which the scheduling of inter-ONU traffic within each ONU will be undertaken by the OLT to actively facilitate the forming of coding inter-ONU traffic based on the global inter-ONU traffic distribution, and then the performance of PONs with inter-ONU traffic can be significantly improved. We firstly design two report message patterns and an inter-ONU traffic transmission framework as the basis for the integrated coding-aware intra-ONU scheduling. Three specific scheduling strategies are then proposed for adapting diverse global inter-ONU traffic distributions. The effectiveness of the work is finally evaluated by both theoretical analysis and simulations.

Monthly Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1950-2008) (V. 2011)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Research Institute for Environment, Energy and Economics Appalachian State University Boone, North Carolina 28608 U.S.A.

2011-01-01

The monthly, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Annual Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (V. 2015)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Appalachian State University, Boone, North Carolina (USA)

2015-01-01

The monthly, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1950 - 2010) (V. 2013)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Research Institute for Environment, Energy and Economics Appalachian State University Boone, North Carolina 28608 U.S.A.

2013-01-01

The monthly, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1950 - 2009) (V. 2012)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Research Institute for Environment, Energy and Economics Appalachian State University Boone, North Carolina 28608 U.S.A.

2012-01-01

The monthly, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Research Institute for Environment, Energy and Economics Appalachian State University Boone, North Carolina 28608 U.S.A.

2015-01-01

The basic data provided in these data files are derived from time series of Global, Regional, and National Fossil-Fuel CO2 Emissions (http://cdiac.ess-dive.lbl.gov/trends/emis/overview_2011.html), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signature (del 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Annual Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree latitude by One Degree Longitude (V. 2013)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Appalachian State University, Boone, North Carolina (USA).

2013-01-01

The monthly, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Environmental Impact Research Program. Osprey Nest Platforms. Section 5.1.6, US Army Corps of Engineers Wildlife Resources Management Manual.

DTIC Science & Technology

1986-07-01

34"x 0treated pole, with 101, olts5" min. top diam. 518"x 7" hardwood dowel,6’O set 1- 112" deep, glued TOP VIEW I r 2’-,9 Some as dinam . of pole usedI I...added strength ; these are described in the section entitled Tripod Support. Pole supports. Two designs are suggested for attaching the solid base

VizieR Online Data Catalog: TrES-2b multi-band transit observations (Mislis+, 2010)

NASA Astrophysics Data System (ADS)

Mislis, D.; Schroeter, S.; Schmitt, J. H. M. M.; Cordes, O.; Reif, K.

2010-02-01

The OLT data were taken on 11 April 2009 using a 3Kx3K CCD with a 1x1 FOV and an I-band filter as in our previous observing run (Paper I, Mislis & Schmitt, 2009, Cat. ). The Calar Alto data were taken on 28 May 2009 using BUSCA and the 2.2m telescope. (1 data file).

VizieR Online Data Catalog: Transit timing variations on Qatar-1 (von Essen+, 2013)

NASA Astrophysics Data System (ADS)

von Essen, C.; Schroter, S.; Agol, E.; Schmitt, J. H. M. M.

2013-06-01

The OLT data were taken between March 2011 and October 2012 using an Apogee Alta U9000 CCD with a 9'x9' field of view. The PTST data were taken between May and August 2012 using a Santa Barbara CCD with a 30'x30' field of view in a 3x3 binning and a Baade R-band filter setup. (2 data files).

Acute quadriplegic myopathy with myosin-deficient muscle fibres after liver transplantation: defining the clinical picture and delimiting the risk factors.

PubMed

Miró, O; Salmerón, J M; Masanés, F; Alonso, J R; Graus, F; Mas, A; Grau, J M

1999-04-27

In the last few years, rare cases of acute quadriplegic myopathy (AQM*) with myosin-deficient muscle fibres occurring after solid organ transplantation has been reported. The aim of the present study was to review all cases of AQM with myosin deficient fibres seen at our institution among a large series of patients after orthotopic liver transplants (OLT), with special attention to clinical aspects and associated risk factors. Additionally, an extensive review of all ultrastructurally demonstrated cases of AQM in transplant recipients is also included. Among patients involved in 281 consecutive liver transplant procedures performed in a 4-year period, 3 men and 1 woman developed an arreflexic, flaccid quadriplegia in the immediate postoperative period of OLT. After ruling out other causes of weakness, a muscle biopsy was performed and a loss of thick (myosin) filaments was confirmed by ultrastructural analysis in all cases. Accurate clinical, epidemiological, and evolutive data were recorded. Corticosteroids had been used at usual dosage given to liver transplant recipients; all four patients had several intra- and postoperative complications leading to receiving significantly higher amounts of hemoderivates, to develop renal failure in all cases, and to require a significantly higher number of reoperations within a few days after transplantation than our contemporaneous global series of liver transplant recipients. AQM patients required a significantly longer intensive care unit and hospital stay. Muscular recovery was the rule, but currently a mild myopathic gait remains in three patients. These and other reported cases of AQM do not histologically and clinically differ from AQM seen in other critically ill patients who have not had transplants. Patients with a complicated intra- and postoperative course of OLT who develop newly acquired acute muscle weakness should be suspected as having acute AQM with myosin-deficient muscle fibres. In this setting

Model for end-stage liver disease dynamic stratification of survival benefit.

PubMed

Avolio, A W; Siciliano, M; Barone, M; Lai, Q; Caracciolo, G L; Barbarino, R; Nicolotti, N; Lirosi, M C; Gasbarrini, A; Agnes, S

2012-09-01

Only patients with Model for End-stage Liver Disease (MELD) scores ≥18 or ≥17 experience a survival benefit (SB) at 12 and 36 months after liver transplantation (OLT). The SB calculation estimates the difference after stratification for risk categories between the survival rate of transplanted versus waiting list patients. The aim of this study was to perform a short- and long-term (60 months) SB analyses of a Italian OLT program. One-hundred seventy-one patients were stratified into four MELD classes (6-14, 15-18, 19-25, 26-40), and two groups: namely, waiting list (WL) and transplanted groups (TX). The median waiting time for transplanted patients was 4.4 months (range, 0-35). SB was expressed as mortality hazard ratio (MHR) as obtained through a Cox regression analysis using as a covariate the status of each patient in the waiting list (WL = 0, reference group) or the TX group (TX = 1). Values over 1 indicated the MHR in favor of the WL with the values below 1 indicating MHR in favor of Tx. In the MELD class 6 to 14, the MHR was above 1 at 3 and 6 months, indicating an SB in favor of WL; subsequently, the MHR dropped below 1, indicating an SB in favor of TX (P < .05). In the MELD class 15 to 18 the MHR was above 1 at 3 months, but below 1 subsequently (P < .05). For MELD classes 19 to 25 and 26 to 40, the MHR was always below 1 (P < .01). According to the SB approach, patients in the MELD class 6 to 14 could safely wait for at least 36 months; patients in the MELD class 15 to 18 should likely remain no longer than 12 months on the waiting list, and all the remaining patients with MELD > 18 should be transplanted as soon as possible. OLT should not be precluded but only postponed for MELD < 19 patients. Copyright © 2012 Elsevier Inc. All rights reserved.

Safety and immunogenicity of a Vi polysaccharide-tetanus toxoid conjugate vaccine (Typbar-TCV) in healthy infants, children, and adults in typhoid endemic areas: a multicenter, 2-cohort, open-label, double-blind, randomized controlled phase 3 study.

PubMed

Mohan, Vadrevu Krishna; Varanasi, Vineeth; Singh, Anit; Pasetti, Marcela F; Levine, Myron M; Venkatesan, Ramasamy; Ella, Krishna M

2015-08-01

Enteric fever caused by Salmonella Typhi remains a major public health problem in developing countries. Typbar-TCV is a single-dose typhoid Vi polysaccharide-tetanus toxoid conjugate vaccine for persons ≥6 months of age. Six hundred fifty-four healthy subjects aged 2-45 years enrolled in a double-blind, randomized controlled trial (RCT) received a single dose of Typbar-TCV or comparator "Vi polysaccharide" (Typbar), and 327 healthy subjects aged 6-23 months received a single dose of Typbar-TCV in an open-label trial (OLT); both received single- or multidose presentations from different lots. After 2 years, subsets in each group received a booster dose. The primary objective included analysis of geometric mean titer (GMTs) and 4-fold rise of anti-Vi serum immunoglobulin G (IgG) enzyme-linked immunosorbent assay titers over baseline (seroconversion [SCN]) 42 days after immunization. Typbar-TCV recipients in the RCT attained higher anti-Vi IgG GMTs 42 days after immunization (SCN, 97%; GMT, 1293 [95% confidence interval {CI}, 1153-1449]) than recipients of Typbar (SCN, 93%; GMT, 411 [95% CI, 359-471]) (P < .001). Typbar-TCV was highly immunogenic in the OLT (SCN, 98%; GMT, 1937 [95% CI, 1785-2103]). Two years after vaccination, anti-Vi titers remained higher in Typbar-TCV subjects (GMT, 82 [95% CI, 73-92]); and exhibited higher avidity (geometric mean avidity index [GMAI], 60%) than in Typbar recipients (GMT, 46 [95% CI, 40-53]; GMAI 46%) in the RCT (P < .001). OLT Typbar-TCV recipients achieved GMT of 48 (95% CI, 42-55) and GMAI of 57%. Typbar-TCV induced multiple IgG subclasses and strong booster responses in all ages. No serious vaccine-attributable adverse events were observed. Single-dose Typbar-TCV is well tolerated and induces robust and long-lasting serum anti-Vi IgG across age groups. CTRI/2011/08/001957, CTRI/2014/01/004341. © The Author 2015. Published by Oxford University Press on behalf of the Infectious Diseases Society of America. All rights reserved

Analysis of ground-water data for selected wells near Holloman Air Force Base, New Mexico, 1950-95

USGS Publications Warehouse

Huff, G.F.

1996-01-01

Ground-water-level, ground-water-withdrawal, and ground- water-quality data were evaluated for trends. Holloman Air Force Base is located in the west-central part of Otero County, New Mexico. Ground-water-data analyses include assembly and inspection of U.S. Geological Survey and Holloman Air Force Base data, including ground-water-level data for public-supply and observation wells and withdrawal and water-quality data for public-supply wells in the area. Well Douglas 4 shows a statistically significant decreasing trend in water levels for 1972-86 and a statistically significant increasing trend in water levels for 1986-90. Water levels in wells San Andres 5 and San Andres 6 show statistically significant decreasing trends for 1972-93 and 1981-89, respectively. A mixture of statistically significant increasing trends, statistically significant decreasing trends, and lack of statistically significant trends over periods ranging from the early 1970's to the early 1990's are indicated for the Boles wells and wells near the Boles wells. Well Boles 5 shows a statistically significant increasing trend in water levels for 1981-90. Well Boles 5 and well 17S.09E.25.343 show no statistically significant trends in water levels for 1990-93 and 1988-93, respectively. For 1986-93, well Frenchy 1 shows a statistically significant decreasing trend in water levels. Ground-water withdrawal from the San Andres and Douglas wells regularly exceeded estimated ground-water recharge from San Andres Canyon for 1963-87. For 1951-57 and 1960-86, ground-water withdrawal from the Boles wells regularly exceeded total estimated ground-water recharge from Mule, Arrow, and Lead Canyons. Ground-water withdrawal from the San Andres and Douglas wells and from the Boles wells nearly equaled estimated ground- water recharge for 1989-93 and 1986-93, respectively. For 1987- 93, ground-water withdrawal from the Escondido well regularly exceeded estimated ground-water recharge from Escondido Canyon, and

Sea Ice Observations from the Winter Weddell Gyre Study - 󈨝

DTIC Science & Technology

1991-02-01

Winter Weddell Gyre Study-󈨝 Debra A. Meese. John W. Govoni. Vladimir Churijn. Borns Ivanov, Victor Komarovskiy. Vasily Shilnikov and Andre Zachek P...A MEESE, JOHN W GOVMN, VLADIMIR CHJURUN. BORIS IVANOV, VICrOR KONIAROVSKIY. VASILY SHILNIKOV AND ANDRE ZACHEK INTRODUCTION 18 September 1989 (day 261...station 24, ,0 f 1 2 150 300 5 JIE1IOBAfl OBOTAIIOBKA OoeaIorpadliuecxanI CTaIIW~lf Pit Itjara: ~ 18 ’= 67𔃿o, ’fP 67-50𔃿 ) 𔃾:S A = iis 5 ~~v BPe.fn

On-Line Point Positioning with Single Frame Camera Data

DTIC Science & Technology

1992-03-15

tion algorithms and methods will be found in robotics and industrial quality control. 1. Project data The project has been defined as "On-line point...development and use of the OLT algorithms and meth- ods for applications in robotics , industrial quality control and autonomous vehicle naviga- tion...Of particular interest in robotics and autonomous vehicle navigation is, for example, the task of determining the position and orientation of a mobile

Prevalence and awareness of halitosis in a sample of Jordanian population

PubMed Central

Hammad, Mohammad M.; Darwazeh, Azmi MG.; Al-Waeli, Haider; Tarakji, Bassel; Alhadithy, Teeb T.

2014-01-01

Objectives: This study was conducted to estimate the prevalence and awareness of halitosis among the subjects of a population, and also to compare the results of Halimeter® readings to self-estimation of halitosis and to assess the relationship between halitosis and oral health. Materials and Methods: A sample of 205 employees from the Jordan University for Science and Technology (JUST) were selected as study subjects. A standardized questionnaire focusing on dental hygiene, self-reported halitosis, and smoking was filled by all participants. In the clinical examination, the objective values for assessment of oral health and the presence of halitosis were gathered through an organoleptic test (OLT) and the measurement of volatile sulfur compound (VSC) level by Halimeter for each participant. Results: The prevalence of halitosis was 78%, with low rate of awareness (20.5%). The amount of TC played the most important role in increasing the concentration of VSCs in mouth air (P < 0.001). Conclusion: A statistically significant correlation was found between OLT and Halimeter values (P < 0.001). Subjective patients’ opinion did not correlate with the objective evaluation of halitosis. TC scores and smoking were the factors significantly associated to halitosis. The Halimeter showed promising characteristics regarding diagnosis of halitosis for clinical setting and field surveys. PMID:25625076

Lack of Clinical Relevance of ANA and ASMA Positivity in Patients with Liver Transplantation without a History of Autoimmune Diseases.

PubMed

Pellegrini, Lucienne; Parrilli, Gianpaolo; Santonicola, Antonella; Cinquanta, Luigi; Caputo, Cesare; Ciacci, Carolina; Zingone, Fabiana

2017-01-01

The relevance of isolated autoimmunity elevation in orthotopic liver transplantation (OLT) patients is unknown. Our aim was to analyse how serum autoantibodies change in time and to evaluate their clinical relevance in OLT patients. Patients were invited to provide samples to evaluate ANA, AMA, ASMA, and LKM at the time of enrolment ( T 0), after 6 months ( T 6), and after 12 months ( T 12). We included 114 patients in the study (76% males, median age 62.5 years), finding isolated elevation of at least one serum antibody in up to 80% of them. We described fluctuating positive autoantibodies in the one year of observation, with only 45.6% of patients positive for ANA and less than 2% positive for ASMA, at all three times. Isolated elevation of tissue antibodies was not related to gender, age, HCC at transplant, early rejection, cause of transplantation, immunotherapy taken, and age at the time of the study. We did not detect a higher prevalence of positive autoimmunity in patients with signs of liver injury. ANA and ASMA evaluation in patients with liver transplantation and no history of autoimmune disease has no clinical relevance, since it varies in time and is not related to any risk factors or liver injury. Routine autoimmunity evaluation should be avoided.

Lack of Clinical Relevance of ANA and ASMA Positivity in Patients with Liver Transplantation without a History of Autoimmune Diseases

PubMed Central

Pellegrini, Lucienne; Parrilli, Gianpaolo; Santonicola, Antonella; Cinquanta, Luigi; Caputo, Cesare

2017-01-01

The relevance of isolated autoimmunity elevation in orthotopic liver transplantation (OLT) patients is unknown. Our aim was to analyse how serum autoantibodies change in time and to evaluate their clinical relevance in OLT patients. Patients were invited to provide samples to evaluate ANA, AMA, ASMA, and LKM at the time of enrolment (T0), after 6 months (T6), and after 12 months (T12). We included 114 patients in the study (76% males, median age 62.5 years), finding isolated elevation of at least one serum antibody in up to 80% of them. We described fluctuating positive autoantibodies in the one year of observation, with only 45.6% of patients positive for ANA and less than 2% positive for ASMA, at all three times. Isolated elevation of tissue antibodies was not related to gender, age, HCC at transplant, early rejection, cause of transplantation, immunotherapy taken, and age at the time of the study. We did not detect a higher prevalence of positive autoimmunity in patients with signs of liver injury. ANA and ASMA evaluation in patients with liver transplantation and no history of autoimmune disease has no clinical relevance, since it varies in time and is not related to any risk factors or liver injury. Routine autoimmunity evaluation should be avoided. PMID:28337446

Diverse effects of FK506 on the apoptosis of hepatocytes and infiltrating lymphocytes in an allografted rat liver.

PubMed

Moriuchi, Hiroki; Kamohara, Yukio; Eguchi, Susumu; Gu, Weili; Fujioka, Hikaru; Yamamoto, Takao; Tajima, Yoshitsugu; Kanematsu, Takashi; Koji, Takehiko

2011-05-01

The current study investigated whether FK506 (FK) regulates the apoptotic systems in allografted rat liver and the contribution of Fas/Fas-ligand system and Bcl-2 family during acute rejection. The recipients were divided into three groups, the allo, the allo-FK, and the syn group. Rats were euthanized 1, 3, 5, and 7 d after OLT. Apoptotic activity was explored using terminal deoxynucleotidyl transferase-mediated dUTP nick-end labeling (TUNEL) assay. The expression of Fas/Fas-ligand and Bcl-2/Bax in the grafted livers was investigated by Western blotting and immunohistochemistry. The apoptotic index (AI) of hepatocytes in the allo-FK group was less than that in the allo group. Fas in the allo group was more intense than that in the allo-FK group in the periportal areas on day 1 and 3, while Bcl-2 in the allo group was less intense than that in the allo-FK group in the pericaval areas at all time-points after OLT. FK provides beneficial antiapoptotic effects on hepatocytes in the grafted rat livers through both the down-regulation of Fas expression in the periportal areas and the up-regulation of Bcl-2 expression in the pericaval areas. Copyright © 2011 Elsevier Inc. All rights reserved.

Caffeine suppresses exercise-enhanced long-term and location memory in middle-aged rats: Involvement of hippocampal Akt and CREB signaling.

PubMed

Cechella, José L; Leite, Marlon R; da Rocha, Juliana T; Dobrachinski, Fernando; Gai, Bibiana M; Soares, Félix A A; Bresciani, Guilherme; Royes, Luiz F F; Zeni, Gilson

2014-11-05

The cognitive function decline is closely related with brain changes generated by age. The ability of caffeine and exercise to prevent memory impairment has been reported in animal models and humans. The purpose of the present study was to investigate whether swimming exercise and caffeine administration enhance memory in middle-aged Wistar rats. Male Wistar rats (18months) received caffeine at a dose of 30mg/kg, 5days per week by a period of 4weeks. Animals were subjected to swimming training with a workload (3% of body weight, 20min per day for 4weeks). After 4weeks, the object recognition test (ORT) and the object location test (OLT) were performed. The results of this study demonstrated that caffeine suppressed exercise-enhanced long-term (ORT) and spatial (OLT) memory in middle-aged and this effect may be related to a decrease in hippocampal p-CREB signaling. This study also provided evidence that the effects of this protocol on memory were not accompanied by alterations in the levels of activated Akt. The [(3)H] glutamate uptake was reduced in hippocampus of rats administered with caffeine and submitted to swimming protocol. Copyright © 2014 Elsevier Ireland Ltd. All rights reserved.

Critical exponents of the disorder-driven superfluid-insulator transition in one-dimensional Bose-Einstein condensates

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

Cestari, J. C. C.; Foerster, A.; Gusmao, M. A.

2011-11-15

We investigate the nature of the superfluid-insulator quantum phase transition driven by disorder for noninteracting ultracold atoms on one-dimensional lattices. We consider two different cases: Anderson-type disorder, with local energies randomly distributed, and pseudodisorder due to a potential incommensurate with the lattice, which is usually called the Aubry-Andre model. A scaling analysis of numerical data for the superfluid fraction for different lattice sizes allows us to determine quantum critical exponents characterizing the disorder-driven superfluid-insulator transition. We also briefly discuss the effect of interactions close to the noninteracting quantum critical point of the Aubry-Andre model.

A Novel Reliable WDM-PON System

NASA Astrophysics Data System (ADS)

Chen, Benyang; Gan, Chaoqin; Qi, Yongqian; Xia, Lei

2011-12-01

In this paper, a reliable Wavelength-Division-Multiplexing Passive Optical Network (WDM-PON) system is proposed. It can provide the protection against both the feeder fiber failure and the distribution fiber failure. When the fiber failure occurs, the corresponding switches in the OLT and in the ONU can switch to the protection link without affecting the users in normal status. That is to say, the protection for one ONU is independent of the other ONUs.

Photonic integrated transmitter and receiver for NG-PON2

NASA Astrophysics Data System (ADS)

Tavares, Ana; Lopes, Ana; Rodrigues, Cláudio; Mãocheia, Paulo; Mendes, Tiago; Brandão, Simão.; Rodrigues, Francisco; Ferreira, Ricardo; Teixeira, António

2014-08-01

In this paper the authors present a monolithic Photonic Integrated Circuit which includes a transmitter and a receiver for NG-PON2. With this layout it is possible to build an OLT and, by redesigning some filters, also an ONU. This technology allows reducing the losses in the transmitter and in the receiver, increasing power budget, and also reducing the OEO conversions, which has been a major problem that operators want to surpass.

Trans-Amazonian U-Th-Pb monazite ages and P-T-d exhumation paths of garnet-bearing leucogranite and migmatitic country rock of the southeastern Tandilia belt, Rio de la Plata craton in Argentina

NASA Astrophysics Data System (ADS)

Martínez, Juan Cruz; Massonne, Hans-Joachim; Frisicale, María Cristina; Dristas, Jorge A.

2017-03-01

A garnet-bearing leucogranite and two country rocks from the Transamazonian Tandilia belt of the Rio de la Plata craton were studied in detail. The leucogranite contains garnet with homogeneous composition of pyr6(gros + andr)2spes5alm87. In a garnet-biotite migmatite, the core and rim compositions of garnet are pyr1.7(gros + andr)5spes5.6alm87.7 and pyr1.2(gros + andr)5.5spes6.7alm86.6, respectively. These compositions in a sillimanite-garnet-muscovite migmatite are pyr4(gros + andr)2.7spes2.7alm90.6 and pyr2.7(gros + andr)4spes3.2alm90.1, respectively. We used this information to decipher the P-T evolution of the rocks applying P-T and T-H2O pseudosections with the PERPLE_X computer software package taking into consideration deformational microstructures. The leucogranite records an isothermal decompression from 5.3 to 3.8 kbar at 665 °C. The garnet-biotite migmatite was exhumed from 5.5 kbar at 630 °C to 4.3 kbar at 615 °C and the sillimanite-garnet-muscovite migmatite from supersolidus conditions of 670 °C and 3.6 kbar to 625 °C at 2.4 kbar. Late andalusite formed in this rock. Seventy four analyses of 28 monazite grains of the country rocks yielded three groups of U-Th-Pb ages which were related to a collisional event (I: ca. 2.13-2.14 Ga.), a postcollisional thermal overprint (II: ca. 2.01 Ga) and slow cooling of the orogen (III: 1.80-1.90 Ga). Inherited ages of 2.28 and 2.25 Ga could refer to an early accretionary stage of the orogen. An age of 2.41 Ga indicates the presence of recycled Siderian continental crust. Synkinematic crystallization of melts and the subsolidus development of an S2-foliation, demonstrated by deformational microstructures, occurred during the exhumation of the studied area from depths of 18 km to 8 km in the time interval 2.01-1.90 Ga.

Serial volumetric assessment of large for size liver grafts after whole cadaveric liver transplant in adults: do large liver grafts shrink in size?

PubMed

Bekheit, Mohamed; Rajakannu, Muthukumarassamy; Bucur, Petru; Adam, Rene; SaCunha, Antonio; Castaing, Denis; Cherqui, Daniel; Vibert, Eric

2016-02-01

After whole graft orthotopic liver transplantation (OLT), adaptation of the large grafts' volume to recipient weight is widely accepted despite the paucity of evidence on this subject. Thirty nine patients with GRWR > 2.5% were included in this study and subsequently divided into two groups with 3 ≥ GRWR > 3%. Patients had CT scans at three predetermined time points after OLT used for measuring the liver volume. The objective of this study is to evaluate the volumetric changes of whole large liver grafts after adult OLT. At LT, the mean graft recipient body weight ratio (GRWR) was 3.1 ± 0.4%. The mean liver weight was 1881 ± 68 g at LT, 2014 ± 99 ml at one week, 1725 ± 126 ml at 3 months, and 1632 ± 117 (ml) at >6 months. There is an initial increase at 1 week after LT and a subsequent decrease of liver volume on later measurements. None of the late volume measurements were significantly different from the initial graft volume at liver transplant in pair wise comparisons ANOVA repeated measures (p > 0.05). Similarly, the mean GRWR did not change significantly between the initial calculation at transplantation date and the subsequent measurements during the different study time points (F = 0.04, p = 0.96) with a mean of 3.1% (95% CI = 2.2-4.2). AUC ROC discriminated a cutoff of 3% for the initial GRWR above which grafts tend to decrease in size over time (c statistics = 0.74, p = 0.036). In a Clustered ANOVA repeated measures, there was no significant difference in the changes of liver volume between both groups. However, patients with GRWR > 3 showed a trend towards a latent reduction in volume over the tracing period. There was a tendency, but none significant; towards a higher bilirubin, AST, ALT levels over the first postoperative days in recipients with GRWR > 3. Large grafts do not significantly decrease in size. Nonetheless, grafts weighing >3% of the GRWR show a different trend towards decrease in size over time. Copyright © 2015. Published by

Taxonomic and floristic novelties for Echeveria (Crassulaceae) in Central Michoacan, Mexico.

PubMed

García-Ruiz, Ignacio; Valentín-Martínez, Dagoberto; Carrillo-Reyes, Pablo; Costea, Mihai

2016-01-01

A new species, Echeveria coruana , is described and illustrated from the malpaís near San Andrés Corú, Michoacan, Mexico. The species belongs to series Gibbiflorae and the new taxon was compared with Echeveria purhepecha and Echeveria patriotica , with whom it shares the closest morphological affinities. Additionally, Echeveria yalmanantlaensis an endangered species from Sierra of Manantlán Biosphere Reserve, State of Colima, was also discovered near San Andrés Corú and is reported for the first time from the State of Michoacan. The conservation status of both species was (re)evaluated according to the criteria of the International Union for Conservation of Nature.

Proceedings of the Meeting of the Coordinating Group on Modern Control Theory (4th) Held at Rochester, Michigan, on 27-28 October 1982. Part II,

DTIC Science & Technology

1983-01-01

DCUMNTATON AGEREAD INSTRUCTIONS ______ REPORT___DOCUMENTATION _____PAGE_ BEFORE COMPLETKNG FORM 1REPORT NUMBER ILGOVT ACCESSION No. 3 . RECIPIENT’S...Herbert E. Cohen) control 0900 - Endgame Performance Study of a Special Class of Interceptors by Dr. Jonathan Korn ALPHATECH, Inc. 3 New England Executive...tactile/force feedback sensor applications. 3 L i7 TYPICAL GRIPPER FACE (NOT IN GRIPPER B3OLTS 00 BASE SLIP Nm mSENSORS "o 0 TORQUE, GRIP 0 fie d e

Installation Restoration Program. Phase II. Confirmation/Quantification. Stage 1 for Tinker AFB, Oklahoma. Volume 2. Appendices,

DTIC Science & Technology

1985-09-01

Special Olt 9-; ~ ~ ~ ~ ~ J -..-- w--- ’- V - V --y a - . . . . . . RADIAN APPENDIX A Definitions, Nomenclatures and Units A- i . -- 5. . -, - - STAGED...contaminatg ed 11 a thei±r~ iMei S-t.r-roundlin. Review the u f -r Ai Force investigationa. These *r-esu I.ts shall~ I & prvie une eatcvr B-5 -9 V q M I ...results or highly complicated nonlinear mathematical modeling , should * be precise, clear and technically defendable. This section should clearly

Recent Selected Papers of Northwestern Polytechnical University in Two Parts. Part I. 1979.

DTIC Science & Technology

1981-08-20

pressure coefficient is calculated by the exact Bernoulli equation. Two numerical examples are included, and the results agree fairly well with known... Bernoulli equation is applied to cal- culate the pressure coefficient: ft. 2 2, Lq32) In the above expression, all the derivatives are calculated by...0.14: R Olt(6) The real part on the unit circle in ecuation (2) is used. Making use of equations (5) and (6), both sides of equation (2) are expanded

The Development of Decision Aids for Counter-Terrorist Applications

DTIC Science & Technology

1980-12-01

I.D. AM OLT of PLO A14YOLP of PLO Agua Sandinist TPLF of Turkey 0 TERORISTS 3 4 25 2 GROUP CAPABILITY Unknown Unknown Auto Weapons Sten Gun "DEADLINE...of any terrorist group to different situ - ations are not independent, but reflect a coherent policy regarding violence and willingness to negotiate...importance in this stage is the need to deter future terrorist activities with- out jeopardizing our credibility in future negotiation situ - ations. I8

Research and emulation of ranging in BPON system

NASA Astrophysics Data System (ADS)

Yang, Guangxiang; Tao, Dexin; He, Yan

2005-12-01

Ranging is one of the key technologies in Broadband Passive Optical Network based on the ATM (BPON) system. It is complex for software designers and difficult to test. In order to simplify the ranging procedure, enhance its efficiency, and find an appropriate method to verify it, a new ranging procedure that completely satisfies the requirements specified in ITU-T G.983.1 and one verifying method is proposed in this paper. A kind of ranging procedure without serial number (SN) searching function, called one-by-one ranging are developed under the condition of cold PON, cold Optical Network Termination (ONU). The ranging procedure includes the use of OLT and ONU flow charts respectively. By using the network emulation software OPNET, the BPON system is modeled and the ranging procedure is simulated. The emulation experimental results show that the presented ranging procedure can effectively eliminate the collision of burst mode signals between ONUs, which can be ranged one-by-one under the controlling of OLT, while also enhancing the ranging efficiency. As all of the message formats used in this research conform with the ITU-T G.983.1, the ranging procedure can meet the protocol specifications with good interoperability, and is very compatible with products of other manufacturer. According to the present study of ranging procedures, guidelines and principles are provided, Also some design difficulties are eliminated in the software design.

Pulsed laser-based optical frequency comb generator for high capacity wavelength division multiplexed passive optical network supporting 1.2 Tbps

NASA Astrophysics Data System (ADS)

Ullah, Rahat; Liu, Bo; Zhang, Qi; Saad Khan, Muhammad; Ahmad, Ibrar; Ali, Amjad; Khan, Razaullah; Tian, Qinghua; Yan, Cheng; Xin, Xiangjun

2016-09-01

An architecture for flattened and broad spectrum multicarriers is presented by generating 60 comb lines from pulsed laser driven by user-defined bit stream in cascade with three modulators. The proposed scheme is a cost-effective architecture for optical line terminal (OLT) in wavelength division multiplexed passive optical network (WDM-PON) system. The optical frequency comb generator consists of a pulsed laser in cascade with a phase modulator and two Mach-Zehnder modulators driven by an RF source incorporating no phase shifter, filter, or electrical amplifier. Optical frequency comb generation is deployed in the simulation environment at OLT in WDM-PON system supports 1.2-Tbps data rate. With 10-GHz frequency spacing, each frequency tone carries data signal of 20 Gbps-based differential quadrature phase shift keying (DQPSK) in downlink transmission. We adopt DQPSK-based modulation technique in the downlink transmission because it supports 2 bits per symbol, which increases the data rate in WDM-PON system. Furthermore, DQPSK format is tolerant to different types of dispersions and has a high spectral efficiency with less complex configurations. Part of the downlink power is utilized in the uplink transmission; the uplink transmission is based on intensity modulated on-off keying. Minimum power penalties have been observed with excellent eye diagrams and other transmission performances at specified bit error rates.

Impact of backreflections on single-fiber bidirectional wavelength-division-multiplexing passive optical networks (WDM-PONs)

NASA Astrophysics Data System (ADS)

Gao, Shiyu

With increased demand for bandwidth-hungry applications such as video-on-demand, wavelength-division-multiplexing passive optical network (WDM-PON) has become a strong contender in overcoming the last mile bottle neck. However, the wide-scale deployment of WDM-PONs has been delayed mainly due to the high cost of wavelength-specific optical components. To realize cost-effective WDM-PONs, various wavelength-independent, so called colorless architectures, have been developed so that all the subscribers can have identical optical network units (ONUs). In such WDM-PONs, however, single-fiber bidirectional transmission results in degradation of system performance caused by interference between the signals and backreflections. This thesis investigates the impact of backreflections on single-fiber bidirectional WDM-PONs. A WDM-PON with various optical line terminals (OLTs) and colorless ONU configurations is presented. The dependence of the power penalty, caused by backreflections, on a variety of parameters is investigated. This includes parameters such as the source linewidths, receiver bandwidth, transmission line loss (TLL), ONU gain, chirp effect at the ONU and optical return loss (ORL), in various WDM-PON configurations. The WDM-PON with continuous wave (CW) seed light and remodulation schemes are both presented and studied experimentally. The impacts of the backreflections on the single-fiber bidirectional WDM-PON with various OLT and ONU configurations are compared and analyzed accordingly.

Protein C activity and postoperative metabolic liver function after liver transplantation.

PubMed

Wagener, G; Diaz, G; Guarrera, J V; Minhaz, M; Renz, J F; Sladen, R N

2012-06-01

Protein C is a natural thrombin antagonist produced by hepatocytes. Its levels are low in liver failure and predispose patients to increased risk for thrombosis. Little is known about the relationship between protein C activity and hepatic function after orthotopic liver transplantation (OLT). We measured protein C activity of 41 patients undergoing liver transplantation by the Staclot method (normal range, 70%-130%) preoperatively and then daily on postoperative days (POD) 0-5. The mean protein C activity was low before OLT (34.3 ± 4.3%) and inversely correlated with the preoperative Model for End-Stage Liver Disease score (Spearman's r = -0.643; P < .0001). Mean activity increased significantly on POD 1 (58.9 ± 4.5%), and remained above preoperative levels through POD 5. Ten patients developed metabolic liver dysfunction defined by a serum total bilirubin >5 mg/dL on POD 7. These patients had significantly lower protein C activity from POD 3 (47.2 ± 9.6% vs 75.9 ± 5.8%; P = .01) to POD 5. Preoperative protein C activity correlated inversely with the severity of liver failure as indicated by preoperative MELD score. Protein C activity recovered rapidly in patients with good allograft function but remained significantly lower in patients who had limited metabolic function as evidenced by increased total bilirubin levels. Copyright © 2012 Elsevier Inc. All rights reserved.

GSK3β and VDAC Involvement in ER Stress and Apoptosis Modulation during Orthotopic Liver Transplantation

PubMed Central

Zaouali, Mohamed Amine; Panisello, Arnau; Lopez, Alexandre; Castro, Carlos; Folch, Emma; Carbonell, Teresa; Rolo, Anabela; Palmeira, Carlos Marques; Garcia-Gil, Agustin; Adam, René; Roselló-Catafau, Joan

2017-01-01

We investigated the involvement of glycogen synthase kinase-3β (GSK3β) and the voltage-dependent anion channel (VDAC) in livers subjected to cold ischemia–reperfusion injury (I/R) associated with orthotopic liver transplantation (OLT). Rat livers were preserved in University of Wisconsin (UW) and Institute Georges Lopez (IGL-1) solution, the latter enriched or not with trimetazidine, and then subjected to OLT. Transaminase (ALT) and HMGB1 protein levels, glutamate dehydrogenase (GLDH), and oxidative stress (MDA) were measured. The AKT protein kinase and its direct substrates, GSK3β and VDAC, as well as caspases 3, 9, and cytochrome C and reticulum endoplasmic stress-related proteins (GRP78, pPERK, ATF4, and CHOP), were determined by Western blot. IGL-1+TMZ significantly reduced liver injury. We also observed a significant phosphorylation of AKT, which in turn induced the phosphorylation and inhibition of GSK3β. In addition, TMZ protected the mitochondria since, in comparison with IGL-1 alone, we found reductions in VDAC phosphorylation, apoptosis, and GLDH release. All these results were correlated with decreased ER stress. Addition of TMZ to IGL-1 solution increased the tolerance of the liver graft to I/R injury through inhibition of GSK3β and VDAC, contributing to ER stress reduction and cell death prevention. PMID:28282906

A Descriptive Study of the DoD-Managed Freight Forwarder Concept.

DTIC Science & Technology

1986-09-01

AFLC/PMPO AMSAC-OL/ 7 AFLC ILC/ AWST MTMCEA/ ITEL AFLC ILC/EC MTMC-ITX AFLC ILC/GB USN/OP-632B AF IT! LSM USN/SUP-07C DISAM/DIC USASAC-NCAD (OL/T) SAAC...commercial insurance coverage for the protection of all purchaser-owned FMS materiel while in custody of the freight forwarder. r . Process FMS customer...export for each shipment. r . Provide export boxing and marking if required. s. Carry out freight rate negotiations as required. t. Retrieve freight from

Long reach DWDM-PON with 12.5 GHz channel spacing based on comb source seeding

NASA Astrophysics Data System (ADS)

Zhou, Zhao; Nie, Hai-tao; Wang, Yao-jun

2016-07-01

A long reach dense wavelength division multiplexing passive optical network (DWDM-PON) with 12.5 GHz channel spacing is proposed and experimentally demonstrated. An optical frequency comb source is used to provide the multiwavelength seeding light, while reflective semiconductor optical amplifiers (RSOAs) are installed in both optical line terminal (OLT) and optical network units (ONUs) as colorless transmitter. The experimental results show that the bidirectional transmission for 1.2 Gbit/s data rate is achieved over 80 km single mode fiber (SMF).

Study of dual-polarization OQAM-OFDM PON with direct detection

NASA Astrophysics Data System (ADS)

Luo, Qing-long; Feng, Min; Bai, Cheng-lin; Hu, Wei-sheng

2016-01-01

An offset quadrature amplitude modulation orthogonal frequency-division multiplexing (OQAM-OFDM) passive optical network (PON) architecture with direct detection is brought up to increase the transmission range and improve the system performance. In optical line terminal (OLT), OQAM-OFDM signals at 40 Gbit/s are transmitted as downstream. At each optical network unit (ONU), the optical OQAM-OFDM signal is demodulated with direct detection. The results show that the transmission distance can exceed 20 km with negligible penalty under the experimental conditions.

Taxonomic and floristic novelties for Echeveria (Crassulaceae) in Central Michoacan, Mexico

PubMed Central

García-Ruiz, Ignacio; Valentín-Martínez, Dagoberto; Carrillo-Reyes, Pablo; Costea, Mihai

2016-01-01

Abstract A new species, Echeveria coruana, is described and illustrated from the malpaís near San Andrés Corú, Michoacan, Mexico. The species belongs to series Gibbiflorae and the new taxon was compared with Echeveria purhepecha and Echeveria patriotica, with whom it shares the closest morphological affinities. Additionally, Echeveria yalmanantlaensis an endangered species from Sierra of Manantlán Biosphere Reserve, State of Colima, was also discovered near San Andrés Corú and is reported for the first time from the State of Michoacan. The conservation status of both species was (re)evaluated according to the criteria of the International Union for Conservation of Nature. PMID:28127240

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

Tsosie, Bernadette; Johnson, Richard

Groundwater samples were collected from monitoring wells at the Bluewater, New Mexico, Disposal Site to monitor groundwater contaminants as specified in the 1997 Long-Term Surveillance Plan for the DOE Bluewater (UMTRCA Title II) Disposal Site Near Grants, New Mexico (LTSP). Sampling and analyses were conducted as specified in the Sampling and Analysis Plan for U.S. Department of Energy Office of Legacy Management Sites (LMS/PRO/S04351, continually updated). A duplicate sample was collected from location HMC-951. Alluvium wells are completed in the alluvial sediments in the former channel of the Rio San Jose, which was covered by basalt lava flows known asmore » the El Malpais, and are identified by the suffix (M). Bedrock wells are completed in the San Andres Limestone/Glorieta Sandstone hydrologic unit (San Andres aquifer) and are identified by the suffix (SG). Wells HMC-951 and OBS-3 are also completed in the San Andres aquifer. The LTSP requires monitoring for molybdenum, selenium, uranium, and polychlorinated biphenyls (PCBs); PCB monitoring occurs only during November sampling events. This event included sampling for an expanded list of analytes to characterize the site aquifers and to support a regional groundwater investigation being conducted by the New Mexico Environment Department.« less

High-resolution sequence stratigraphy and continental environmental evolution: An example from east-central Argentina

NASA Astrophysics Data System (ADS)

Beilinson, Elisa; Veiga, Gonzalo D.; Spalletti, Luis A.

2013-10-01

The aims of this contribution is to establish a high-resolution sequence stratigraphic scheme for the continental deposits that constitute the Punta San Andrés Alloformation (Plio-Pleistocene) in east-central Argentina, to analyze the basin fill evolution and to identify and assess the role that extrinsic factors such as climate and sea-level oscillations played during evolution of the unit. For the high-resolution sequence stratigraphical study of the Punta San Andrés Alloformation, high- and low-accommodation system tracts were defined mainly on the basis of the architectural elements present in the succession, also taking into account the relative degree of channel and floodplain deposits. Discontinuities and the nature of depositional systems generated during variations in accommodation helped identify two fourth-order high-accommodation system tracts and two fourth-order low-accommodation system tracts. At a third-order scale, the Punta San Andrés Alloformation may be interpreted as the progradation of continental depositional systems, characterized by a braided system in the proximal areas, and a low-sinuosity, single-channel system in the distal areas, defined by a high rate of sediment supply and discharge peaks which periodically flooded the plains and generated high aggradation rates during the late Pliocene and lower Pleistocene.

Shock Tunnel Tests of Arched Wall Panels

DTIC Science & Technology

1974-07-01

NCNOR « LOT S/W ETC lOLT ANCMO« NOO IEE DETAIL* / tELOW , , METAL TIE* / I*" 0. C. VERT -HAiONRT «ALL...same as shown in Table 2-1. 2-6 m^ Table 2-1 SPACING OF WALL TIES i Moiimuffl Dittonc« Moiimum Spocing ef No 4 Gogt Wall Typ. I K«twHn Lot ...sides free to move), the flexural cracking occurs at the top, botton \\ and center, and the resistance to motion, induced by ’ wedging"or geometric

A novel WDM passive optical network architecture supporting two independent multicast data streams

NASA Astrophysics Data System (ADS)

Qiu, Yang; Chan, Chun-Kit

2012-01-01

We propose a novel scheme to perform optical multicast overlay of two independent multicast data streams on a wavelength-division-multiplexed (WDM) passive optical network. By controlling a sinusoidal clock signal and shifting the wavelength at the optical line terminal (OLT), the delivery of the two multicast data, being carried by the generated optical tones, can be independently and flexibly controlled. Simultaneous transmission of 10-Gb/s unicast downstream and upstream data as well as two independent 10-Gb/s multicast data was successfully demonstrated.

PowerFilm PowerShade Fixed Site Solar System Cost Reduction Plan

DTIC Science & Technology

2014-07-31

2337 230’^ St Ames, lA 50014 JL’Olt^lO:pi𔄁oq7 j pageii Executive summary Power film and its partners have developed a Generation II PowerShade...which meets or exceeds the goals of this development contract, increasing power and improving the ROI of the power shade significantly while improving a...number of the human factors. Comparing the Gen II 1.8 KW PowerShade to the equivalent power Gen I unit (Gen I Medium), The cost has been reduced

Effects of Tadalafil Once-Daily or On-Demand vs Placebo on Return to Baseline Erectile Function After Bilateral Nerve-Sparing Radical Prostatectomy--Results from a Randomized Controlled Trial (REACTT).

PubMed

Mulhall, John P; Brock, Gerald; Oelke, Matthias; Fode, Mikkel; Probst, Kai A; Henneges, Carsten; d'Anzeo, Gianluca; Rossi, Andrea; Büttner, Hartwig

2016-04-01

The multicenter, randomized, double-blind, double-dummy, placebo-controlled REACTT trial suggested that treatment with tadalafil once daily (OaD) started early after bilateral nerve-sparing radical prostatectomy (nsRP) for prostate cancer may contribute to erectile function (EF)-recovery, which was predefined as achieving an International Index of Erectile Function (IIEF)-EF score ≥22. Here, we report descriptive post-hoc analyses, using the more strict definition for EF-recovery of returning back to the pre-surgery IIEF-EF-level ("back-to-baseline analysis"). REACTT included 422 men <68 years with adenocarcinoma of the prostate and preoperative IIEF-EF ≥22 who underwent nsRP at 50 centers from 9 European countries and Canada. Patients were randomized post-nsRP 1:1:1 to 9-month double-blind treatment (DBT) with tadalafil 5 mg OaD (n = 139), tadalafil 20 mg on-demand (pro-re-nata, PRN; n = 142), or placebo (n = 141), followed by 6-week drug-free washout (DFW) and 3-month open-label tadalafil OaD treatment (OLT). Proportion of patients returning to their preoperative IIEF-EF category (22-25 or ≥26) at the end of DBT, DFW, and OLT. Overall, 92.4% of patients had pre-surgery (baseline) IIEF-EF scores ≥26 (tadalafil OaD 94.2%, PRN 91.6%, placebo 91.5%), 7.4% had IIEF-EF 22-25. At the end of DBT, 22.3% of patients on tadalafil OaD had achieved "back-to-baseline" IIEF-EF, compared with 11.3% on tadalafil PRN and 7.8% on placebo. Of all 58 patients "back-to-baseline" at the end of DBT, only 1 PRN-group patient had started from a baseline IIEF-EF <26. The treatment-group difference at the end of DBT was not maintained after DFW. After 3 months of OLT with tadalafil OaD, the proportion of patients with "back-to-baseline" IIEF-EF had almost doubled in all 3 groups. Changing the definition for EF-recovery from IIEF-EF ≥22 to the more strict definition of "returning back-to-baseline IIEF-EF" had no major impact. Tadalafil OaD started early after nsRP improved

ATV-3

NASA Image and Video Library

2012-04-06

ISS030-E-210840 (6 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, enters the Automated Transfer Vehicle (ATV-3) currently docked with the International Space Station.

Optimization of immunosuppressive therapy based on a multiparametric mixed lymphocyte reaction assay reduces infectious complications and mortality in living donor liver transplant recipients.

PubMed

Tanaka, Y; Tashiro, H; Onoe, T; Ide, K; Ishiyama, K; Ohdan, H

2012-03-01

We investigated the clinical relevance of immune monitoring by a multiparametric mixed lymphocyte reaction (MLR) assay, wherein the number and phenotype of alloreactive precursors can be quantified by combining the results of carboxyfluorescein diacetate succinimidyl ester labeling and flow cytometry analysis. In 51 adult patients undergoing living donor liver transplantation (OLT), immunosuppressive drugs were dosed on the basis of immune monitoring by the MLR assay (optimized protocol: group O). In 64 other patients, the agents were prescribed according to empirical regimens (empirical protocol: group E). In group O, MLR assays were performed at 2- to 4-week intervals until 3 months after OLT and thereafter at 3- to 6-month intervals. Therapeutic adjustments for immunosuppressants were determined by tapering the doses in cases of anti-donor hyporesponsiveness for both CD4+ and CD8+ T-cell subsets. The 1-year patient and graft survivals in groups O versus E were 90.2% versus 76.6%, respectively. The incidence of acute rejection episodes (ARE) among group O (13.7%) were lower than in cohort E (28.1%). None of the patients in group O while four patients (3%) in group E already have shown chronic rejection to date. The incidences of bacteremia and fungal infections in group O (9.8% and 7.5%, respectively) were lower than in cohort E (18.8% and 12.6%, respectively). A multiparametric MLR assay may facilitate the development of adequate immunosuppressive regimens. Copyright © 2012 Elsevier Inc. All rights reserved.

A novel design of optical CDMA system based on TCM and FFH

NASA Astrophysics Data System (ADS)

Fang, Jun-Bin; Xu, Zhi-Hai; Huang, Hong-bin; Zheng, Liming; Chen, Shun-er; Liu, Wei-ping

2005-02-01

For the application in Passive Optical Network (PON), a novel design of OCDMA system scheme is proposed in this paper. There are two key components included in this scheme: a new kind of OCDMA encoder/decoder system based on TCM and FFH and an improved Optical Line Terminal (OLT) receiving system with improved anti-interference performance by the use of Long Period Fiber Grating (LPFG). In the encoder/decoder system, Trellis Coded Modulation (TCM) encoder is applied in front of the FFH modulator. Original signal firstly is encoded through TCM encoder, and then the redundant code out of the TCM encoder will be mapped into one of the FFH modulation signal subsets for transmission. On the receiver (decoder) side, transmitting signal is demodulated through FFH and decoded by trellis decoder. Owing to the fact that high coding gain can be acquired by TCM without adding transmitting band and reducing transmitting speed, TCM is utilized to ameliorate bit error performance and reduce multi-user interference. In the OLT receiving system, EDFA and LPFG are placed in front of decoder to get excellent gain flatness on a large bandwidth, and Optical Hard Limiter (OHL) is also deployed to improve detection performance, through which the anti-interference performance of receiving system can be greatly enhanced. At the same time, some software is used to simulate the system performance for further analysis and authentication. The related work in this paper provides a valuable reference to the research.

Angiogenesis and proliferation of bile duct enhances ischemic tolerance in rats with cirrhosis

PubMed Central

Zhang, Zhiqiang; Li, Zhennan; Zou, Chen; Zhang, Jingjing; Zhu, Yi; Miao, Yi

2015-01-01

Background/aims: Primary biliary cirrhosis (PBC), an autoimmune disease of the liver, is marked by slow progressive destruction of bile ducts. These patients with PBC often undergo orthotopic liver transplantation (OLT). Ischemic bile duct lesion (IBDL) is a major source of morbidity and even mortality after OLT. Cirrhosis of the liver has a higher tolerance to ischemia than a normal liver, but the mechanism remains unknown. Angiogenesis and proliferation of bile duct often responses in bile duct ischemia, which may enhance ischemic tolerance in patients with cirrhosis. Methodology: To test the hypothesis, a rat model with cirrhosis was established. Biochemical indexes of ischemic severity were measured including total bilirubin (TBIL) and direct bilirubin (DBIL). Immunohistochemical assay was performed for Ki67 (a biomarker for the proliferation of bile duct) and CD34 (a biomarker of angiogenesis). Results: The levels were lower for TBIL and DBIL in the bile duct from rat model with cirrhosis than that from a normal rat after ischemic surgery (P < 0.05). The levels were higher for Ki67 and CD34 from a rat model with cirrhosis than that from a normal rat after ischemic surgery (P < 0.05). Conclusions: The results suggest that a liver with cirrhosis has a better ischemic tolerance than a normal liver. Angiogenesis and proliferation of bile duct enhances ischemic tolerance in rats with cirrhosis. More research on the pathogenesis of IBDLs is needed for developing more specific preventive or therapeutic strategies. PMID:26550120

Kuipers in Columbus

NASA Image and Video Library

2012-06-08

ISS031-E-096064 (8 June 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, works with the silicon detector unit in the Columbus laboratory of the International Space Station.

Perspectives on the 2010 Nobel Prize in physics for graphene.

PubMed

Dresselhaus, Mildred S; Araujo, Paulo T

2010-11-23

The 2010 Nobel Prize in physics was awarded to Andre Geim and Konstantin Novoselov for their groundbreaking experiments regarding the two-dimensional material graphene. Some personal perspectives about this award are presented.

Kuipers floats through the ATV-3

NASA Image and Video Library

2012-04-06

ISS030-E-210842 (6 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, floats into the Automated Transfer Vehicle (ATV-3) currently docked with the International Space Station.

Kuipers works in the ATV-3

NASA Image and Video Library

2012-04-06

ISS030-E-210896 (6 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, works in the Automated Transfer Vehicle (ATV-3) currently docked with the International Space Station.

Self-healing ring-based WDM-PON

NASA Astrophysics Data System (ADS)

Zhou, Yang; Gan, Chaoqin; Zhu, Long

2010-05-01

In this paper, a survivable ring-based wavelength-division-multiplexing (WDM)-passive optical network (PON) for fiber protection is proposed. Protections for feeder fiber and distributed fiber are independent in the scheme. Optical line terminal (OLT) and optical network units (ONUs) can automatically switch to protection link when fiber failure occurs. Protection distributed fiber is not required in the scheme. Cost-effective components are used in ONUs to minimize costs of network. A simulation study is performed to demonstrate the scheme. Its result shows good performance of upstream and downstream signals.

Kuipers near food containers in the SM

NASA Image and Video Library

2012-03-28

ISS030-E-178069 (28 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, is pictured near food storage containers in the Zvezda Service Module of the International Space Station.

Kuipers works at the MSG in the U.S. Laboratory

NASA Image and Video Library

2012-01-16

ISS030-E-032779 (16 Jan. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, works at the Microgravity Science Glovebox (MSG) in the Destiny laboratory of the International Space Station.

Paleoproterozoic migmatitic gneisses from the Tandilia belt (Argentina), Río de la Plata craton, record cooling at deep crustal levels

NASA Astrophysics Data System (ADS)

Martínez, Juan Cruz; Massonne, Hans-Joachim; Dristas, Jorge Anastasio; Theye, Thomas; Graff, Ailín Ayelén

2016-04-01

We studied high-grade metamorphic rocks of the El Cristo hill area of the Tandilia belt. Mineral analyses and thermodynamic calculations were carried out for two adjacent rock samples: an amphibole-biotite gneiss and a garnet-biotite-bearing migmatite. Peritectic garnets in the migmatite show core compositions of pyr4.5(gro + andr)10spes6alm79.5 changing to pyr3.5(gro + andr)17spes6alm73.5 at their thin rims. Garnet compositions in the gneiss are pyr6.5(gro + andr)26spes12alm55.5 and pyr4.5(gro + andr)34spes12alm49.5 for core and rim, respectively. A P-T path was constructed by calculating pseudosections in the 11-component system Si-Ti-Al-Fe-Mn-Mg-Ca-Na-K-O-H and contouring them by isopleths for garnet components using the PERPLE_X software package. Supra-solidus crystallization of garnet cores in the migmatite began at 5.8 kbar and 660 °C. Garnet rims equilibrated at 7.0 kbar and 640 °C compatible with garnet cores in the amphibole-biotite gneiss (7.6 kbar and 660 °C). The further chemical development of garnet in this rock points to P-T conditions of 11.6 kbar and 620 °C and 12.2 kbar and 595 °C (outermost garnet rim). At this high-pressure stage Ca-amphibole was not stable. Most biotite formed during exhumation whereas the high-pressure accessory minerals, titanite and epidote, persisted. According to the obtained anti-clockwise P-T path the originally partly melted material was tectonically transported from ∼22 km (middle crust) to ∼40 km (lower crust) depths reaching a geothermal gradient as low as 15 °C km-1. This transport probably occurred along a major suture zone, which was active during the Paleoproterozoic (2.25-2.10 Ga), before a terminating collision of terranes near the SW boundary of the Rio de la Plata craton.

Sympatric cattle grazing and desert bighorn sheep foraging

USGS Publications Warehouse

Garrison, Kyle R.; Cain, James W.; Rominger, Eric M.; Goldstein, Elise J.

2015-01-01

Foraging behavior affects animal fitness and is largely dictated by the resources available to an animal. Understanding factors that affect forage resources is important for conservation and management of wildlife. Cattle sympatry is proposed to limit desert bighorn population performance, but few studies have quantified the effect of cattle foraging on bighorn forage resources or foraging behavior by desert bighorn. We estimated forage biomass for desert bighorn sheep in 2 mountain ranges: the cattle-grazed Caballo Mountains and the ungrazed San Andres Mountains, New Mexico. We recorded foraging bout efficiency of adult females by recording feeding time/step while foraging, and activity budgets of 3 age-sex classes (i.e., adult males, adult females, yearlings). We also estimated forage biomass at sites where bighorn were observed foraging. We expected lower forage biomass in the cattle-grazed Caballo range than in the ungrazed San Andres range and lower biomass at cattle-accessible versus inaccessible areas within the Caballo range. We predicted bighorn would be less efficient foragers in the Caballo range. Groundcover forage biomass was low in both ranges throughout the study (Jun 2012–Nov 2013). Browse biomass, however, was 4.7 times lower in the Caballo range versus the San Andres range. Bighorn in the Caballo range exhibited greater overall daily travel time, presumably to locate areas of higher forage abundance. By selecting areas with greater forage abundance, adult females in the Caballo range exhibited foraging bout efficiency similar to their San Andres counterparts but lower overall daily browsing time. We did not find a significant reduction in forage biomass at cattle-accessible areas in the Caballo range. Only the most rugged areas in the Caballo range had abundant forage, potentially a result of intensive historical livestock use in less rugged areas. Forage conditions in the Caballo range apparently force bighorn to increase foraging effort by

Kuipers using communication equipment in the U.S. Laboratory

NASA Image and Video Library

2012-04-24

ISS030-E-250651 (24 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, uses a communication system near a robotic workstation in the Destiny laboratory of the International Space Station.

Multiple isotopes (O, C, Li, Sr) as tracers of CO2 and brine leakage from CO2-enhanced oil recovery activities in Permian Basin, Texas, USA

NASA Astrophysics Data System (ADS)

Phan, T. T.; Sharma, S.; Gardiner, J. B.; Thomas, R. B.; Stuckman, M.; Spaulding, R.; Lopano, C. L.; Hakala, A.

2017-12-01

Potential CO2 and brine migration or leakage into shallow groundwater is a critical issue associated with CO2 injection at both enhanced oil recovery (EOR) and carbon sequestration sites. The effectiveness of multiple isotope systems (δ18OH2O, δ13C, δ7Li, 87Sr/86Sr) in monitoring CO2 and brine leakage at a CO2-EOR site located within the Permian basin (Seminole, Texas, USA) was studied. Water samples collected from an oil producing formation (San Andres), a deep groundwater formation (Santa Rosa), and a shallow groundwater aquifer (Ogallala) over a four-year period were analyzed for elemental and isotopic compositions. The absence of any change in δ18OH2O or δ13CDIC values of water in the overlying Ogallala aquifer after CO2 injection indicates that injected CO2 did not leak into this aquifer. The range of Ogallala water δ7Li (13-17‰) overlaps the San Andres water δ7Li (13-15‰) whereas 87Sr/86Sr of Ogallala (0.70792±0.00005) significantly differs from San Andres water (0.70865±0.00003). This observation demonstrates that Sr isotopes are much more sensitive than Li isotopes in tracking brine leakage into shallow groundwater at the studied site. In contrast, deep groundwater δ7Li (21-25‰) is isotopically distinct from San Andres produced water; thus, monitoring this intermitted formation water can provide an early indication of CO2 injection-induced brine migration from the underlying oil producing formation. During water alternating with gas (WAG) operations, a significant shift towards more positive δ13CDIC values was observed in the produced water from several of the San Andres formation wells. The carbon isotope trend suggests that the 13C enriched injected CO2 and formation carbonates became the primary sources of dissolved inorganic carbon in the area surrounding the injection wells. Moreover, one-way ANOVA statistical analysis shows that the differences in δ7Li (F(1,16) = 2.09, p = 0.17) and 87Sr/86Sr (F(1,18) = 4.47, p = 0.05) values of

GPS measurement of relative motion of the Cocos and Caribbean Plates and strain accumulation across the Middle America Trench

NASA Astrophysics Data System (ADS)

Dixon, Timothy H.

1993-10-01

Global Positioning System (GPS) measurements in 1988 and 1991 on Cocos Island (Cocos plate), San Andres Island (Caribbean plate), and Liberia (Caribbean plate, mainland Costa Rica) provide an estimate of relative motion between the Cocos and Caribbean plates. The data for Cocos and San Andres Islands, both located more than 400 km from the Middle America Trench, define a velocity that is equivalent within two standard errors (7 mm/yr rate, 5 degrees azimuth) to the NUVEL-1 plate motion model. The data for Liberia, 120 km from the trench, define a velocity that is similar in azimuth but substantially different in rate from NUVEL-1. The discrepancy can be explained with a simple model of elastic strain accumulation with a subduction zone that is locked to a relatively shallow (20±5 km) depth.

UNIVERSITY OF CALIFORNIA – CENTER FOR ENVIRONMENTAL IMPLICATIONS OF NANOTECHNOLOGY (UC-CEIN)

EPA Science Inventory

EPA GRANT NUMBER: 0830117
Title: University of California – Center for Environmental Implications of Nanotechnology (UC-CEIN)
Investigator: Andre E. Nel
Institution: University of California - Los Angeles
EPA Project Officer: Nor...

Kuipers watches food and drink packets float in the Node 1

NASA Image and Video Library

2012-01-30

ISS030-E-166649 (30 Jan. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, is pictured near food and beverage packages floating freely in the Unity node of the International Space Station.

Kuipers exercises on the ARED

NASA Image and Video Library

2012-06-05

ISS031-E-157839 (5 June 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, exercises using the advanced Resistive Exercise Device (aRED) in the Tranquility node of the International Space Station.

Kuipers conducts ARGES experiment OPS at the MSG during EXP 8 / EXP 9

NASA Image and Video Library

2004-04-24

ISS008-E-22134 (24 April 2004) --- European Space Agency (ESA) astronaut Andre Kuipers of the Netherlands is pictured near the Microgravity Science Glovebox (MSG) in the Destiny laboratory of the International Space Station (ISS).

iss031e148737

NASA Image and Video Library

2012-06-27

ISS031-E-148737 (27 June 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, poses for a photo with Robonaut 2 humanoid robot in the Destiny laboratory of the International Space Station.

NOAA Freedom of Information Act (FOIA) Corporate Services, Staff and Line

Science.gov Websites

Items of Interest for the Public FOIA Contacts Frequently requested records Reading Room For NOAA Staff -628-5755 Andre Sivels Records Officer NOAA Corporate Services 301-628-5658 Staff Office, Service

Don't wait for Paris summit to improve health.

PubMed

Soares, Andréia Azevedo; Figueres, Christiana

2015-11-01

How developing countries will make the transition to sustainable clean-energy economies is a major challenge for the United Nations summit that opens in Paris this month. Christiana Figueres talks to Andréia Azevedo Soares.

A Great Teacher-Maurois Remembered Alain

ERIC Educational Resources Information Center

Baslaw, Annette S.

1972-01-01

This article deals with the fame and philosophies of a great" teacher, Emile-Auguste Chartier, better known as Alain. The author includes quotes from Andre Maurois which reflect the regard that is felt for Alain. (MS)

Kuipers during Glovebox Health Check in Columbus

NASA Image and Video Library

2012-05-18

ISS031-E-140314 (18 May 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, supports a ground-conducted health check on ESA’s Biolab Glovebox in the Columbus laboratory of the International Space Station.

Kuipers during Glovebox Health Check in Columbus

NASA Image and Video Library

2012-05-18

ISS031-E-140311 (18 May 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, supports a ground-conducted health check on ESA’s Biolab Glovebox in the Columbus laboratory of the International Space Station.

Kuipers during Glovebox Health Check in Columbus

NASA Image and Video Library

2012-05-18

ISS031-E-140316 (18 May 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, supports a ground-conducted health check on ESA’s Biolab Glovebox in the Columbus laboratory of the International Space Station.

iss031e143872

NASA Image and Video Library

2012-06-24

ISS031-E-143872 (24 June 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, squeezes a water bubble out of his beverage container, showing his image refracted and reflected, on the International Space Station.

Kuipers works with DSC Hardware in the U.S. Laboratory

NASA Image and Video Library

2012-01-16

ISS030-E-155917 (16 Jan. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, prepares to place Diffusion Soret Coefficient (DSC) hardware in stowage containers in the Destiny laboratory of the International Space Station.

Kuipers configures the GCP in the ATV-3

NASA Image and Video Library

2012-04-06

ISS030-E-210829 (6 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, configures the Gas Control Panel (GCP) in the Automated Transfer Vehicle (ATV-3) currently docked with the International Space Station.

Kuipers in ATV3

NASA Image and Video Library

2012-05-15

ISS031-E-157790 (15 May 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, floats freely in ESA?s "Edoardo Amaldi" Automated Transfer Vehicle-3 (ATV-3) currently docked with the International Space Station.

Kuipers configures the GCP in the ATV-3

NASA Image and Video Library

2012-04-06

ISS030-E-210810 (6 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, configures the Gas Control Panel (GCP) in the Automated Transfer Vehicle (ATV-3) currently docked with the International Space Station.

Kuipers performs routine in-flight maintenance on EMU in the A/L

NASA Image and Video Library

2012-03-13

ISS030-E-148284 (13 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, performs routine in-flight maintenance on Extravehicular Mobility Unit (EMU) equipment in the Quest airlock of the International Space Station.

Effects of curcumin on short-term spatial and recognition memory, adult neurogenesis and neuroinflammation in a streptozotocin-induced rat model of dementia of Alzheimer's type.

PubMed

Bassani, Taysa B; Turnes, Joelle M; Moura, Eric L R; Bonato, Jéssica M; Cóppola-Segovia, Valentín; Zanata, Silvio M; Oliveira, Rúbia M M W; Vital, Maria A B F

2017-09-29

Curcumin is a natural polyphenol with evidence of antioxidant, anti-inflammatory and neuroprotective properties. Recent evidence also suggests that curcumin increases cognitive performance in animal models of dementia, and this effect would be related to its capacity to enhance adult neurogenesis. The aim of this study was to test the hypothesis that curcumin treatment would be able to preserve cognition by increasing neurogenesis and decreasing neuroinflammation in the model of dementia of Alzheimer's type induced by an intracerebroventricular injection of streptozotocin (ICV-STZ) in Wistar rats. The animals were injected with ICV-STZ or vehicle and curcumin treatments (25, 50 and 100mg/kg, gavage) were performed for 30days. Four weeks after surgery, STZ-lesioned animals exhibited impairments in short-term spatial memory (Object Location Test (OLT) and Y maze) and short-term recognition memory (Object Recognition Test - ORT), decreased cell proliferation and immature neurons (Ki-67- and doublecortin-positive cells, respectively) in the subventricular zone (SVZ) and dentate gyrus (DG) of hippocampus, and increased immunoreactivity for the glial markers GFAP and Iba-1 (neuroinflammation). Curcumin treatment in the doses of 50 and 100mg/kg prevented the deficits in recognition memory in the ORT, but not in spatial memory in the OLT and Y maze. Curcumin treatment exerted only slight improvements in neuroinflammation, resulting in no improvements in hippocampal and subventricular neurogenesis. These results suggest a positive effect of curcumin in object recognition memory which was not related to hippocampal neurogenesis. Copyright © 2017 Elsevier B.V. All rights reserved.

Classical Notions of Coagulation Revisited in Relation with Blood Losses, Transfusion Rate for 700 Consecutive Liver Transplantations.

PubMed

Massicotte, Luc; Thibeault, Lynda; Roy, André

2015-07-01

During the last decade, improved surgical and anesthetic management, such as better understanding of coagulation defects and the use of the phlebotomy, has reduced intraoperative blood product transfusions during orthotopic liver transplantation (OLT). The goal of this study was to look at the impact of initial conventional coagulation tests on blood loss and blood product requirement and to evaluate the role of the phlebotomy during liver transplantations. A total of 700 consecutive OLTs were studied. The group of patients was split into two according to the median of starting international normalized ratio to study blood losses and transfusion rate. Logistic regression was used to determine the main predictors of blood loss, intraoperative blood transfusion, and survival. There was no intergroup difference for demographic characteristics. The mean blood loss was 1,184 mL with a median of 920 mL. Overall, 77.4% of the patients did not receive any blood product and the mean transfusion rate of red blood cells (RBCs) was 0.5 ± 1.4 units per patient. Severity of recipients' disease did not correlate with blood loss or transfusion rate. Starting hemoglobin value was the only biochemical variable linked to RBC transfusions. Phlebotomy was linked to decrease in blood loss, RBC transfusions, and increased survival rate. It is concluded that bleeding did not correlate with traditional coagulation defects or the severity of recipient's disease. Preemptive phlebotomy was linked to a decreased blood loss, a decreased transfusion rate, and an increased 1-year survival rate. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Liver transplantation from anti-hepatitis C virus-positive donors: our experience.

PubMed

Álvaro, E; Abradelo, M; Fuertes, A; Manrique, A; Colina, F; Alegre, C; Calvo, J; García, M; García-Sesma, A; Cambra, F; Sanabria, R; Moreno, E; Jimenez, C

2012-01-01

Hepatitis C (HCV) is among the most common causes of end-stage liver disease worldwide. The donor shortage leads us to consider alternative organ sources such as HCV-positive donors. The outcomes of these transplants must be evaluated thoroughly since there is universal recurrence of disease among HCV-positive liver transplant recipients. From January 2005 to April 2011, we performed 143 liver transplants (OLT) to treat end-stage liver disease secondary to HCV infection. Thirteen patients (9,1%) received livers from HCV-positive donors. A control group consisted of 130 HCV-positive patients who underwent OLT during the same period with organs from HCV-negative donors. Donor HCV status was assessed by 2 tests: HCV antibodies and viral load. Not only recipient and graft survivals were analyzed, but also frequency, timing and severity of hepatitis recurrence. Among 143 transplants performed in HCV-positive recipients during a 6-year period from January 1, 2005, to April 30, 2011, 9.1% of patients received an organ from an anti-HCV-positive donor, 72.7% of whom showed a negative viral load. The vast majority (80%) of our patients suffered hepatitis during their follow-up, 22.4% of which were severe cases. No significant difference in patient or graft survival was observed between the 2 groups. A high percentage of grafts with initial positive serology for HCV showed no viral replication. Grafts from HCV-positive donors can be considered to be a safe, effective source for liver donation. Copyright © 2012 Elsevier Inc. All rights reserved.

Hepcidin expression does not rescue the iron-poor phenotype of Kupffer cells in Hfe-null mice after liver transplantation.

PubMed

Garuti, Cinzia; Tian, Yinghua; Montosi, Giuliana; Sabelli, Manuela; Corradini, Elena; Graf, Rolf; Ventura, Paolo; Vegetti, Alberto; Clavien, Pierre-Alain; Pietrangelo, Antonello

2010-07-01

Hemochromatosis is a common hereditary disease caused by mutations in HFE and characterized by increased absorption of iron in the intestine. However, the intestine does not appear to be the site of mutant HFE activity in the disease; we investigated the role of the liver-the source of the iron regulatory hormone hepcidin-in pathogenesis in mice. We exchanged livers between Hfe wild-type (+/+) and Hfe null (-/-) mice by orthotopic liver transplantation (OLT) and assessed histopathology, serum and tissue iron parameters, and hepatic hepcidin messenger RNA expression. At 6-8 months after OLT, Hfe(-/-) mice that received Hfe(-/-) livers maintained the hemochromatosis phenotype: iron accumulation in hepatocytes but not Kupffer cells (KC), increased transferrin levels, and low levels of iron in the spleen. Hfe(+/+) mice that received Hfe(-/-) livers had increased levels of iron in serum and liver and low levels of iron in spleen. However, they did not develop the iron-poor KCs that characterize hemochromatosis: KCs appeared iron rich, although hepatic hepcidin expression was low. Transplantation of Hfe(+/+) livers into Hfe(-/-) mice prevented hepatic iron accumulation but did not return spleen and plasma levels of iron to normal; KCs still appeared to be iron poor, despite normal hepcidin expression. In Hfe(-/-) mice, transplantation of livers from Hfe(+/+) mice reversed the iron-loading phenotype associated with hemochromatosis (regardless of Hfe expression in intestine). However, KCs still had low levels of iron that were not affected by hepatic hepcidin expression. These findings indicate an independent, iron-modifying effect of HFE in KCs. Copyright 2010 AGA Institute. Published by Elsevier Inc. All rights reserved.

Kuipers lubricates and cleans the beverage adapter on the PWD

NASA Image and Video Library

2012-01-23

ISS030-E-156300 (23 Jan. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, lubricates and cleans the beverage adapter on the Potable Water Dispenser (PWD) in the Harmony node of the International Space Station.

Ultrasound Imaging Using Diffraction Tomography in a Cylindrical Geometry

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

Chambers, D H; Littrup, P

2002-01-24

Tomographic images of tissue phantoms and a sample of breast tissue have been produced from an acoustic synthetic array system for frequencies near 500 kHz. The images for sound speed and attenuation show millimeter resolution and demonstrate the feasibility of obtaining high-resolution tomographic images with frequencies that can deeply penetrate tissue. The image reconstruction method is based on the Born approximation to acoustic scattering and is a simplified version of a method previously used by Andre (Andre, et. al., Int. J. Imaging Systems and Technology, Vol 8, No. 1, 1997) for a circular acoustic array system. The images have comparablemore » resolution to conventional ultrasound images at much higher frequencies (3-5 MHz) but with lower speckle noise. This shows the potential of low frequency, deeply penetrating, ultrasound for high-resolution quantitative imaging.« less

iss031e143875

NASA Image and Video Library

2012-06-24

ISS031-E-143875 (24 June 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, watches a water bubble float freely between him and the camera, showing his image refracted and reflected, on the International Space Station.

SIGNIFICANCE OF EXPERIMENTAL STUDIES FOR ASSESSING ADVERSE EFFECTS OF ENDOCRINE-DISRUPTING CHEMICALS

EPA Science Inventory

The U.S. Environmental Protection Agency (US EPA) is developing an endocrine disruptor screening and testing program to detect chemicals that alter hypothalamic-pituitary-gonadal (HPG) function, estrogen, androgen, and thyroid (EAT) hormone synthesis or metabolism and induce andr...

77 FR 2609 - Unblocking of Specially Designated Nationals and Blocked Persons Pursuant to the Foreign...

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-18

..., S.A. DE C.V. (a.k.a. MEDIC EXPRESS, S.A. DE C.V.; a.k.a. GRUPO LOMEDIC), Av. del Parque 489, Col. San Andres, Guadalajara, Jalisco 44810, Mexico; Calle Chicle 234, Colonia El Colli Industrial, Zapopan...

Kuipers uses vacuum cleaner while performing maintenance in the Columbus Module

NASA Image and Video Library

2012-02-22

ISS030-E-093398 (22 Feb. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, uses a vacuum cleaner while performing the scheduled extensive cleanup of ventilation systems in the Columbus laboratory of the International Space Station.

WDM/TDM PON experiments using the AWG free spectral range periodicity to transmit unicast and multicast data

NASA Astrophysics Data System (ADS)

Bock, Carlos; Prat, Josep

2005-04-01

A hybrid WDM/TDM PON architecture implemented by means of two cascaded Arrayed Waveguide Gratings (AWG) is presented. Using the Free Spectral Range (FSR) periodicity of AWGs we transmit unicast and multicast traffic on different wavelengths to each Optical Network Unit (ONU). The OLT is equipped with two laser stacks, a tunable one for unicast transmission and a fixed one for multicast transmission. We propose the ONU to be reflective in order to avoid any light source at the Costumer Premises Equipment (CPE). Optical transmission tests demonstrate correct transmission at 2.5 Gbps up to 30 km.

Bidirectional and simultaneous FTTX/Ethernet services using RSOA based remodulation and polarization multiplexing technique

NASA Astrophysics Data System (ADS)

Das, Anindya S.; Patra, Ardhendu S.

2015-08-01

A bidirectional and simultaneous transmission of Ethernet, FTTX services through single optical carrier wavelength employing polarization multiplexing technique in the transmitter end and the user end. 10 Gbps and 2.5 Gbps datarates are transmitted over 50 km single mode fiber employing POLMUX technique at OLT and ONU to provide Ethernet and FTTX services concurrently to the user. Reflective semiconductor optical amplifier is used to reuse and remodulate the downlink signal to uplink transmission. The upstream and the downstream transmission performances are observed by the bit error rate values and the eye diagrams obtained by the BER analyzer.

In-service communication channel sensing based on reflectometry for TWDM-PON systems

NASA Astrophysics Data System (ADS)

Iida, Daisuke; Kuwano, Shigeru; Terada, Jun

2014-05-01

Many base stations are accommodated in TWDM-PON based mobile backhaul and fronthaul networks for future radio access, and failed connections in an optical network unit (ONU) wavelength channel severely degrade system performance. A cost effective in-service ONU wavelength channel monitor is essential to ensure proper system operation without failed connections. To address this issue we propose a reflectometry-based remote sensing method that provides wavelength channel information with the optical line terminal (OLT)-ONU distance. The method realizes real-time monitoring of ONU wavelength channels without signal quality degradation. Experimental results show it achieves wavelength channel distinction with high distance resolution.

A power-efficient switchable CML driver at 10 Gbps

NASA Astrophysics Data System (ADS)

Peipei, Chen; Lei, Li; Huihua, Liu

2016-02-01

High static power limits the application of conventional current-mode logic(CML). This paper presents a power-efficient switchable CML driver, which achieves a significant current saving by 75% compared with conventional ones. Implemented in the 130 nm CMOS technology process, the proposed CML driver just occupies an area about 0.003 mm2 and provides a robust differential signal of 1600 mV for 10 Gbps optical line terminal (OLT) with a total current of 10 mA. The peak-to-peak jitter is about 4 ps (0.04TUI) and the offset voltage is 347.2 mV @ 1600 mVPP.

Multipurpose Arcade Combat Simulator (MACS) Basic Rifle Marksmanship (BRM) Program

DTIC Science & Technology

1989-10-01

that shooters are aiming at the center of mass of each target to the best of their abilities. It then computes the central point of the three-round shot...group, measures the distance between this central point and the actual center of the target, and uses this distance as a constant offset value, which...WAE LIto, SIT 3 CLA HO CHANGE 151100 CM? $111 ,10-Im6%AAG ISE LEST30 IF$ SCREEN OCO ias NEXT 2 syltJ4 NSK L91T1)S Olt ?ILA ,r6 SORDERA COLo0 410 Ltx7 2

Expedition 29/30 crew training during Electrical Power System Major Case training

NASA Image and Video Library

2011-06-22

PHOTO DATE: 22 June 2011 LOCATION: Bldg. 5, Space Station Training Facility. SUBJECT: Expedition 29/30 crew training during Electrical Power System Major Case training event. Astronauts Dan Burbank, Don Pettit and Andre Kuipers working together in mockup. PHOTOGRAPHER: Mark Sowa

Sub-Saharan Africa Report.

DTIC Science & Technology

1987-02-03

Moises Justine) Pedro de Castro van Dunem, Paulo Miguel Junior, Roberto Leal Ramos Monteiro Rui Guilherme Cardoso de Matos, Rafael Sapilinha...Sambalanga, Simeao Adao Manuel, Xavier de (Jesus) Cequeira! Sebastiao Garrido, Santana Andre Pitra Petroff, [name indistinct], and Comrade Lieutenant Colonel

Genetics Home Reference: Schimke immuno-osseous dysplasia

MedlinePlus

... Smithson SF, Sloan EA, Lou S, Huang Y, Choi K, Lücke T, Alpay H, André JL, Asakura Y, ... Collard L, Cordeiro I, Cormier-Daire V, Cransberg K, Cutka K, Deschenes G, Ehrich JH, Fründ S, Georgaki ...

77 FR 4400 - Additional Designations, Foreign Narcotics Kingpin Designation Act

Federal Register 2010, 2011, 2012, 2013, 2014

2012-01-27

..., DOB 04 OCT 1972; POB Guatemala City, Guatemala; nationality Guatemala; (INDIVIDUAL) [SDNTK] 2. BORRAYO...; citizen Guatemala; (INDIVIDUAL) [SDNTK] 3. FERNANDEZ CARBAJAL, Jorge Andres, DOB 26 Feb 1958; Passport..., DOB 30 Mar 1974; POB Guatemala; Passport 008818499; Nationality Guatemalan; (INDIVIDUAL) [SDNTK...

Kuipers works with Stowage in ATV3

NASA Image and Video Library

2012-05-15

ISS031-E-084591 (15 May 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, is pictured during cargo operations in ESA?s "Edoardo Amaldi" Automated Transfer Vehicle-3 (ATV-3) currently docked with the International Space Station.

Thermophysical Modeling of Novel Machinable Ceramic Materials

DTIC Science & Technology

2009-11-01

ORGANIZATION REPORT NUMBER Gonzalo Gutierrez. Departamento de Fisica , Facultad de Ciencias. L’niversidad de Chile. Casilla 653, Santiago, Chile...Walter Orellana, Departamento de Fisica , Universidad Andres Belio, Chile www.gnm.cl 9. SPONSORING / MONITORING AGENCY NAME(S) AND ADDRESS(ES

A blow to curiosity

NASA Astrophysics Data System (ADS)

Moriarty, Philip

2011-01-01

Andre Geim is correct to highlight the fact that the UK's Engineering and Physical Sciences Research Council (EPSRC) has long been an excellent model of how a funding body should operate with a minimum of bureaucracy (November 2010 p7).

Kuipers during replacement of the Marangoni Surface Fluid Dynamics Experiment

NASA Image and Video Library

2012-03-15

ISS030-E-142827 (15 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, works to remove the Marangoni Surface fluid physics experiment from the Fluid Physics Experiment Facility (FPEF) in the Kibo laboratory of the International Space Station.

Kuipers trims his hair in the Node 3

NASA Image and Video Library

2011-12-30

ISS030-E-033523 (30 Dec. 2011) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, trims his hair in the Tranquility node of the International Space Station. Kuipers used hair clippers fashioned with a vacuum device to garner freshly cut hair.

Kuipers trims his hair in the Node 3

NASA Image and Video Library

2011-12-30

ISS030-E-033548 (30 Dec. 2011) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, trims his hair in the Tranquility node of the International Space Station. Kuipers used hair clippers fashioned with a vacuum device to garner freshly cut hair.

Kuipers performs Water Sample Analysis

NASA Image and Video Library

2012-05-15

ISS031-E-084619 (15 May 2012) --- After collecting samples from the Water Recovery System (WRS), European Space Agency astronaut Andre Kuipers, Expedition 31 flight engineer, processes the samples for chemical and microbial analysis in the Unity node of the International Space Station.

Kuipers works to remove the Marangoni Suface Fluid Physics Experiment

NASA Image and Video Library

2012-03-15

ISS030-E-142784 (15 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, works to remove the Marangoni Surface fluid physics experiment from the Fluid Physics Experiment Facility (FPEF) in the Kibo laboratory of the International Space Station.

Kuipers works to remove the Marangoni Suface Fluid Physics Experiment

NASA Image and Video Library

2012-03-15

ISS030-E-142785 (15 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, works to remove the Marangoni Surface fluid physics experiment from the Fluid Physics Experiment Facility (FPEF) in the Kibo laboratory of the International Space Station.

The African Peace and Security Architecture: Myth or Reality

DTIC Science & Technology

2013-03-01

resolving the conflicts. Efforts by African leaders to create continental peace and security mechanisms failed miserably . Consequently, Africans depended...Framework Document, October 2001), 14. 6 Andre Le Sage, “Africa’s Irregular Security Threats: Challenges for U.S. Engagement,” (Strategic Forum

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude - 2016

DOE Data Explorer

Andres, R.J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Boden, T.A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Marland, G. [Appalachian State University, Boone, NC (United States)

2016-01-01

The monthly, fossil-fuel CO2 emissions estimates from 1950-2013 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2016), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude - 2015

DOE Data Explorer

Andres, R.J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Boden, T.A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Marland, J. [Appalachian State University, Boone, NC (United States)

2015-01-01

The monthly, fossil-fuel CO2 emissions estimates from 1950-2011 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2015), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1950 - 2010) (V.2010)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Boden, T. A. [Carbon Dioxide Information Analysis Center Environmental Sciences Division Oak Ridge National Laboratory Oak Ridge, Tennessee 37830-6290 U.S.A.; Marland, G. [Research Institute for Environment, Energy and Economics Appalachian State University Boone, North Carolina 28608 U.S.A.

2010-01-01

The monthly, fossil-fuel CO2 emissions estimates from 1950-2010 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2013), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1950 - 2006) (V.2009)

DOE Data Explorer

Andres, R. J. [.; Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory Oak Ridge, TN (USA).; Boden, Thomas A. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory Oak Ridge, TN (USA).; Marland, Greg [Appalachian State University, Boone, North Carolina (USA)

2009-01-01

The basic data provided in these data files are derived from time series of Global, Regional, and National Fossil-Fuel CO2 Emissions (http://cdiac.ess-dive.lbl.gov/trends/emis/overview_2006.html), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude (V. 2011) (1950 - 2010)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (USA); Boden, Thomas A. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (USA_; Marland, G. [Research Institute for Environment, Energy and Economics Appalachian State University Boone, North Carolina 28608 U.S.A.

2011-01-01

The monthly, fossil-fuel CO2 emissions estimates from 1950-2010 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2013), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude (V. 2012)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (USA); Boden, Thomas A. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (USA); Marland, G. [Appalachian State University, Boone, North Caroline (USA)

2012-01-01

The basic data provided in these data files are derived from time series of Global, Regional, and National Fossil-Fuel CO2 Emissions (http://cdiac.ess-dive.lbl.gov/trends/emis/overview_2009.html), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html Q10 for a description why emission totals based upon consumption differ from those based upon production).

Monthly Fossil-Fuel CO2 Emissions: Mass of Emissions Gridded by One Degree Latitude by One Degree Longitude - 2013

DOE Data Explorer

Andres, R. J. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Boden, T.A. [Oak Ridge National Lab. (ORNL), Oak Ridge, TN (United States); Marland, G. [Appalachain State University, Boone, NC (United States)

1996-01-01

The monthly, fossil-fuel CO2 emissions estimates from 1950-2010 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2013), the references therein, and the methodology described in Andres et al. (2011). The data accessible here take these tabular, national, mass-emissions data and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Kuipers during photo documentation of the fluid and electrical interfaces on the UIA

NASA Image and Video Library

2012-01-27

ISS030-E-156468 (27 Jan. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, is pictured in the Quest airlock of the International Space Station during photo documentation of the fluid and electrical interfaces on the Umbilical Interface Assembly (UIA) Connector Shelf.

On Non-Linear Sensitivity of Marine Biological Models to Parameter Variations

DTIC Science & Technology

2007-01-01

M.B., 2002. Understanding uncertain enviromental systems. In: Grasman, J., van Straten, G. (Eds.), Predictability and Nonlinear Modelling in Natural...model evaluations to compute sensitivity indices. Comput. Phys. Commun. 145, 280–297. Saltelli, A., Andres, T.H., Homma, T., 1993. Some new techniques

Free, Classless, and Urbane?

ERIC Educational Resources Information Center

Kessel, Barbara Bailey

1970-01-01

A proponent of the New Left describes a classroom experience in which she considers her "working-class students as literary critics, and compares their comments to Murray Krieger's analysis of Andre Malraux's "Man's Fate. Reprinted from "The Radical Teacher, volume 2, December 30, 1969. (DS)

Kuipers uses drill in the ATV-3

NASA Image and Video Library

2012-03-31

ISS030-E-178670 (31 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, works in the newly attached European Space Agency?s ?Edoardo Amaldi? Automated Transfer Vehicle-3 (ATV-3). The ATV docked with the space station on March 28, 2012.

Proteomic Expression Patterns in Fathead Minnows Exposed to Trenbolone and Flutamide

EPA Science Inventory

Insights into androgen signaling in the liver of fathead minnow (Pimephales promelas) was obtained using non-gel based proteomics analysis. We exposed female fathead minnows for 48 hr through the water to a prototypical androgen (17b-trenbolone, 5 ?g/L), a prototypical anti-andr...

Collaborative video caching scheme over OFDM-based long-reach passive optical networks

NASA Astrophysics Data System (ADS)

Li, Yan; Dai, Shifang; Chang, Xiangmao

2018-07-01

Long-reach passive optical networks (LR-PONs) are now considered as a desirable access solution for cost-efficiently delivering broadband services by integrating metro network with access network, among which orthogonal frequency division multiplexing (OFDM)-based LR-PONs gain greater research interests due to their good robustness and high spectrum efficiency. In such attractive OFDM-based LR-PONs, however, it is still challenging to effectively provide video service, which is one of the most popular and profitable broadband services, for end users. Given that more video requesters (i.e., end users) far away from optical line terminal (OLT) are served in OFDM-based LR-PONs, it is efficiency-prohibitive to use traditional video delivery model, which relies on the OLT to transmit videos to requesters, for providing video service, due to the model will incur not only larger video playback delay but also higher downstream bandwidth consumption. In this paper, we propose a novel video caching scheme that to collaboratively cache videos on distributed optical network units (ONUs) which are closer to end users, and thus to timely and cost-efficiently provide videos for requesters by ONUs over OFDM-based LR-PONs. We firstly construct an OFDM-based LR-PON architecture to enable the cooperation among ONUs while caching videos. Given a limited storage capacity of each ONU, we then propose collaborative approaches to cache videos on ONUs with the aim to maximize the local video hit ratio (LVHR), i.e., the proportion of video requests that can be directly satisfied by ONUs, under diverse resources requirements and requests distributions of videos. Simulations are finally conducted to evaluate the efficiency of our proposed scheme.

Bridging locoregional therapy for hepatocellular carcinoma prior to liver transplantation.

PubMed

Heckman, Jason T; Devera, Michael B; Marsh, J Wallis; Fontes, Paulo; Amesur, Nikhil B; Holloway, Shane E; Nalesnik, Michael; Geller, David A; Steel, Jennifer L; Gamblin, T Clark

2008-11-01

The impact of locoregional therapy prior to liver transplantation for hepatocellular carcinoma utilizing either transcatheter arterial chemoembolization (TACE), yttrium-90 ((90)Y), radiofrequency ablation (RFA), or resection prior to orthotopic liver transplantation (OLT) is largely unknown. We sought to examine locoregional therapies and their effect on survival compared with transplantation alone. A retrospective review of a prospectively collected database. 123 patients were included. Patients were analyzed in two groups. Group I consisted of 50 patients that received therapy (20 TACE; 16 (90)Y; 13 RFA, 3 resections). Group II consisted of 73 patients transplanted without therapy. Median list time was 28 days (range 2-260 days ) in group I, and 24 days (range 1-380 days) in group II. Median time from therapy to OLT was 3.8 months (range 9 days to 68 months). Twelve patients (24%) were successfully downstaged (8 TACE, 2 (90)Y, 2 RFA/resection). Overall 1-, 3-, and 5-year survival were 81%, 74%, and 74%, respectively. Survival was not statistically significantly different between the two groups (P = 0.53). The 12 patients downstaged did not have a significant difference in survival as compared with the patients who received therapy but did not respond or the patients who were transplanted without therapy (P = 0.76). Our report addresses locoregional therapy for hepatocellular carcinoma as a bridge to transplant. There was no statistical difference in overall survival between patients treated and those not treated prior to transplant. We provide further evidence that locoregional therapy is a safe tool for patients on the transplant list, does not impact survival, and can downstage selected patients to allow life-saving liver transplantation.

Menstrual blood-derived mesenchymal stem cells differentiate into functional hepatocyte-like cells*

PubMed Central

Mou, Xiao-zhou; Lin, Jian; Chen, Jin-yang; Li, Yi-fei; Wu, Xiao-xing; Xiang, Bing-yu; Li, Cai-yun; Ma, Ju-ming; Xiang, Charlie

2013-01-01

Orthotopic liver transplantation (OLT) is the only proven effective treatment for both end-stage and metabolic liver diseases. Hepatocyte transplantation is a promising alternative for OLT, but the lack of available donor livers has hampered its clinical application. Hepatocyte-like cells (HLCs) differentiated from many multi-potential stem cells can help repair damaged liver tissue. Yet almost suitable cells currently identified for human use are difficult to harvest and involve invasive procedures. Recently, a novel mesenchymal stem cell derived from human menstrual blood (MenSC) has been discovered and obtained easily and repeatedly. In this study, we examined whether the MenSCs are able to differentiate into functional HLCs in vitro. After three weeks of incubation in hepatogenic differentiation medium containing hepatocyte growth factor (HGF), fibroblast growth factor-4 (FGF-4), and oncostain M (OSM), cuboidal HLCs were observed, and cells also expressed hepatocyte-specific marker genes including albumin (ALB), α-fetoprotein (AFP), cytokeratin 18/19 (CK18/19), and cytochrome P450 1A1/3A4 (CYP1A1/3A4). Differentiated cells further demonstrated in vitro mature hepatocyte functions such as urea synthesis, glycogen storage, and indocyanine green (ICG) uptake. After intrasplenic transplantation into mice with 2/3 partial hepatectomy, the MenSC-derived HLCs were detected in recipient livers and expressed human ALB protein. We also showed that MenSC-derived HLC transplantation could restore the serum ALB level and significantly suppressed transaminase activity of liver injury animals. In conclusion, MenSCs may serve as an ideal, easily accessible source of material for tissue engineering and cell therapy of liver tissues. PMID:24190442

Gene Therapy for Liver Transplantation Using Adenoviral Vectors: CD40–CD154 Blockade by Gene Transfer of CD40Ig Protects Rat Livers from Cold Ischemia and Reperfusion Injury

PubMed Central

Ke, Bibo; Shen, Xiu-Da; Gao, Feng; Busuttil, Ronald W.; Löwenstein, Pedro R.; Castro, Maria G.; Kupiec-Weglinski, Jerzy W.

2010-01-01

Liver injury induced by ischemia/reperfusion (I/R) is the prime factor in delayed or loss graft function following transplantation. CD4+ T lymphocytes are key cellular mediators of antigen-independent inflammatory response triggered by I/R. We attempted to modulate rat liver I/R injury by targeted gene therapy with CD40Ig, which blocks the CD40–CD154 costimulation pathway. One hundred percent of Ad-CD40Ig-pretreated orthotopic liver transplants (OLTs) subjected to 24 h of cold (4°C) ischemia survived >14 days (vs 50% in untreated/Ad-β-gal groups). Ad-CD40Ig treatment decreased sGOT levels and depressed neutrophil infiltration, compared with controls. These functional data correlated with histological Suzuki’s grading of hepatic injury, which in untreated/Ad-β-gal groups showed severe necrosis (>60%) and moderate to severe sinusoidal congestion; the Ad-CD40Ig-pretreated group revealed minimal sinusoidal congestion/necrosis. Unlike in controls, OLT expression of mRNA coding for IL-2/IFN-γ remained depressed, whereas that of IL-4/IL-13 reciprocally increased in the Ad-CD40Ig group. Ad-CD40Ig reduced frequency of TUNEL+ cells and proapoptotic Caspase-3, but enhanced antioxidant HO-1 and antiapoptotic Bcl-2/Bcl-xl expression. Thus, prolonged blockade of CD40–CD154 by CD40Ig exerts potent cytoprotection against hepatic I/R injury. These results provide the rationale for a novel gene therapy approach to maximize the organ donor pool through the safer use of liver transplants exposed to prolonged cold ischemia. PMID:14741776

Repeated Neck Restraint Stress Bidirectionally Modulates Excitatory Transmission in the Dentate Gyrus and Performance in a Hippocampus-dependent Memory Task.

PubMed

Spyrka, Jadwiga; Hess, Grzegorz

2018-05-21

The consequences of stress depend on characteristics of the stressor, including the duration of exposure, severity, and predictability. Exposure of mice to repeated neck restraint has been shown to bidirectionally modulate the potential for long-term potentiation (LTP) in the dentate gyrus (DG) in a manner dependent on the number of restraint repetitions, but the influence of repeated brief neck restraint on electrophysiology of single DG neurons has not yet been investigated. Here, we aimed at finding the effects of 1, 3, 7, 14, or 21 daily neck restraint sessions lasting 10 min on electrophysiological characteristics of DG granule cells as well as excitatory and inhibitory synaptic inputs to these neurons. While the excitability of DG granule cells and inhibitory synaptic transmission were unchanged, neck restraint decreased the frequency of spontaneous excitatory currents after three repetitions but enhanced it after 14 and 21 repetitions. The consequences of repeated neck restraint on hippocampus-dependent memory were investigated using the object location test (OLT). Neck restraint stress impaired cognitive performance in the OLT after three repetitions but improved it after 14 and 21 repetitions. Mice subjected to three neck restraint sessions displayed an increase in the measures of depressive and anxiety-like behaviors, however, prolongation of the exposure to neck restraint resulted in a gradual decline in the intensity of these measures. These data indicate that stress imposed by an increasing number of repeated neck restraint episodes bidirectionally modulates both excitatory synaptic transmission in the DG and cognitive performance in the object location memory task. Copyright © 2018 IBRO. Published by Elsevier Ltd. All rights reserved.

[Cause of death after liver transplantation: an analysis of 41 cases in 382 patients].

PubMed

Rayes, N; Bechstein, W O; Keck, H; Blumhardt, G; Lohmann, R; Neuhaus, P

1995-01-01

The aim of this study was to analyse the causes of death after liver transplantation in order to find and to avoid preventable fatal complications if possible. Between September 1988 and September 1993 415 orthotopic liver transplantations in 382 patients were performed at the Rudolf Virchow University Hospital in Berlin. During the same interval 41 (10.7%) of these patients died. Their clinical records were reviewed. The main cause of death was infection (29.3%), followed by recurrent malignancy (21.9%). Less patients died because of hepatitis B-reinfection (14.6%), chronic rejection (7.3%), hemorrhage (7.3%), cardiac failure (7.3%), trauma (4.8%), hypoxia (4.8%) and recurrence of alcoholic liver disease (4.8%). There was a wide spectrum of opportunistic infectious agents with CMV and Pneumocystis carinii being the most important pathogenic organisms. Only one isolated bacterial infection as principle cause of death was found. In all fatal infections the lung was the primary site of infection, 7 patients additionally developed sepsis. Altogether 75 patients (19.6%) with hepatitis B-cirrhosis were transplanted. Six of them (8%) developed a fatal hepatitis B-reinfection. Malignancy was the indication for OLT in 41 patients (10.7%). Six of these patients (14.6%) died because of recurrent tumor. Regarding the whole series, most deaths occurred four to twelve months (58.5%) and only five (12.2%) during the first month after OLT. Recurrence of primary disease is an important factor regarding total mortality. Therefore it is necessary to practise a careful selection of liver transplant recipients. In the future more attention needs to be drawn towards prevention, identification and management of opportunistic infections.

Cognitive and Temperament Predictors of Executive Ability: Principles for Developing Leadership Capacity

DTIC Science & Technology

1993-05-01

experience essays. Salmoni, A. W ., Schmidt, R. A., & Walter , C. B. (1985). Knowledge of results and motor learning: A review and critical reappraisal...Individuals as producers of their own development: A life-span perspective. New York: Academic Press. Tornow , W . W ., & Pinto, P. R. (1976). The development of...0a S C c -0 0 o 0, olt z - 1:.- 6 is a E 3 0: 060 ac g C : a o , ’ V1 0~ ~ OON g ~ ow aa Ab w .2 c C - too U0b 0b a- - 0 0 C O X WE-- 0 c a0 a = Cc

Side-to-side cavocavostomy with an endovascular stapler: Rescue technique for severe hepatic vein and/or inferior vena cava outflow obstruction after liver transplantation using the piggyback technique.

PubMed

Quintini, Cristiano; Miller, Charles M; Hashimoto, Koji; Philip, Ding; Uso, Teresa Diago; Aucejo, Federico; Kelly, Dympna; Winans, Charles; Eghtesad, Bijan; Vogt, David; Fung, John

2009-01-01

Venous outflow obstruction is a rare but potentially lethal complication after orthotopic liver transplantation (OLT) with the "piggyback" technique. Therapeutic options include angioplasty with or without stent placement, surgical reconstruction of the venous anastomosis, and retransplantation. Surgical options are technically very challenging and the outcomes discouraging. We describe here two cases of venous outflow obstruction in recipients of piggyback liver grafts, one involving both the vena cava and hepatic veins and the other affecting only hepatic vein outflow. Both patients were treated successfully with side-to-side cavo-cavostomy using an endovascular (endo-GIA) stapler. This novel technique is fast and effective in resolving the outflow obstruction. Copyright 2008 AASLD.

Intracranial tuberculoma in a liver transplant patient: first reported case and review of the literature.

PubMed

Henderson, Corey; Meyers, Burt; Humayun Gultekin, S; Liu, Bin; Zhang, David Y

2003-01-01

A 66-year-old female who had undergone an orthotopic liver transplant two years before admission was admitted with fever and neurological symptoms of several days' duration. Following an extensive work-up, which revealed positive intracranial lesions on computed typography and magnetic resonance imaging, the patient was begun on broad spectrum antimicrobials including corticosteroids. The patient responded though the etiology of infection remained unclear. After a stereotactic biopsy was performed revealing granulomas and acid-fast bacilli, the patient was started on antituberculous medications. A review of the literature reveals that the rare occurrence of intracranial tuberculoma should be considered in an orthotopic liver transplant (OLT) patient with central nervous system pathology.

Computer Assisted Medical Diagnosis (CAMD) System Version 1.0 Technical Manual.

DTIC Science & Technology

1992-10-01

Asaasasa S " "ft Mo Q0r "Ma.. @ ffM ’ 0e= 1aw- 0ý K. O - ^0e’O.t-,ý 4V .4 0;P S&. co *;:c Olt 0-oZo6.06-c v- f ’*-IA S0 . N Ml t* Q.0. L . ii a ,I...M& N.-2 1NNNNa N1ý*m N NN NNNNNN NN-NNNNNNN W.9 co 2 ;:N 2 .0 al .0-w -lI -, a? S -J w a a ( ( acca (a *. (a m. a a *.mo i-W - U - - - - U - 4--’- a-W

Space Shuttle Endeavour Move

NASA Image and Video Library

2012-10-12

The driver of the Over Land Transporter (OLT) is seen as he maneuvers the space shuttle Endeavour on the streets of Los Angeles as it heads to its new home at the California Science Center, Friday, Oct. 12, 2012. Endeavour, built as a replacement for space shuttle Challenger, completed 25 missions, spent 299 days in orbit, and orbited Earth 4,671 times while traveling 122,883,151 miles. Beginning Oct. 30, the shuttle will be on display in the CSC's Samuel Oschin Space Shuttle Endeavour Display Pavilion, embarking on its new mission to commemorate past achievements in space and educate and inspire future generations of explorers. Photo Credit: (NASA/Carla Cioffi)

(LBA-and-WRM)-based DBA scheme for multi-wavelength upstream transmission supporting 10 Gbps and 1 Gbps in MAN

NASA Astrophysics Data System (ADS)

Zhang, Yuchao; Gan, Chaoqin; Gou, Kaiyu; Xu, Anni; Ma, Jiamin

2018-01-01

DBA scheme based on Load balance algorithm (LBA) and wavelength recycle mechanism (WRM) for multi-wavelength upstream transmission is proposed in this paper. According to 1 Gbps and 10 Gbps line rates, ONUs are grouped into different VPONs. To facilitate wavelength management, resource pool is proposed to record wavelength state. To realize quantitative analysis, a mathematical model describing metro-access network (MAN) environment is presented. To 10G-EPON upstream, load balance algorithm is designed to ensure load distribution fairness for 10G-OLTs. To 1G-EPON upstream, wavelength recycle mechanism is designed to share remained wavelengths. Finally, the effectiveness of the proposed scheme is demonstrated by simulation and analysis.

ELF Communications System Ecological Monitoring Program: A Summary Report for 1982-1992

DTIC Science & Technology

1993-10-01

autumn- abscised alder leaves were used in the packs; since 1990, only fresh alder leaves have been used. Leaf packs were periodically retrieved and...red pine planting survival. Northern Journal of Applied Forestry, 5:14; 1988. 56. Connaughton, P. The effects of acid precipitation on nutrient levels

Exploring Chile: Identities and Their Relation with the Environment through the Film "Football Stories"

ERIC Educational Resources Information Center

Gallardo, Marta; García-Reyes, David

2018-01-01

Cinema can be considered a useful tool for understanding different geographic concepts, showing physical and human factors and the interactions between them. Andres Wood's film "Football Stories" explores the Chilean territory allowing the observation of the differences between the north and south of the country. Geographic components…

Presence of Salmonella Enteritidis and Salmonella Gallinarum in commercial laying hens diagnosed with Fowl Typhoid Disease in Colombia

USDA-ARS?s Scientific Manuscript database

: A severe outbreak of salmonellosis in commercial brown table egg layers first occurred in Colombia in 2006. From 2008 to 2012, 35 samples collected from commercial layers farms in the states of Cundinamarca, Santander, Bolivar and San Andres, were positive to Salmonella enterica. Salmonella (S) wa...

Kuipers unpacks CTBs in the ATV-3

NASA Image and Video Library

2012-03-31

ISS030-E-178659 (31 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, unpacks stowage containers in the newly attached European Space Agency?s ?Edoardo Amaldi? Automated Transfer Vehicle-3 (ATV-3). The ATV docked with the space station on March 28, 2012.

Annual Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1751 - 2008) (V. 2011)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center, Oak Ridge National Laboratory, U.S.; Boden, T. A. [Carbon Dioxide Information Analysis Center, Oak Ridge National Laboratory, U.S.; Marland, G. [Carbon Dioxide Information Analysis Center, Oak Ridge National Laboratory, U.S.

2012-01-01

The basic data provided in these data files are derived from time series of Global, Regional, and National Fossil-Fuel CO2 Emissions (http://cdiac.ess-dive.lbl.gov/trends/emis/overview_2008.html) and references therein. The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signature (del 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Annual Fossil-Fuel CO2 Emissions: Isomass of Emissions Gridded by One Degree Latitude by One Degree Longitude (1751 - 2009) (V. 2012)

DOE Data Explorer

Andres, R. J. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (USA); Boden, Thomas A. [Carbon Dioxide Information Analysis Center (CDIAC), Oak Ridge National Laboratory (ORNL), Oak Ridge, TN (USA); Marlad, Greg [Appalachian State University, Boone, NC (USA)

2012-01-01

The annual, isotopic (δ 13C) fossil-fuel CO2 emissions estimates from 1751-2009 provided in this database are derived from time series of global, regional, and national fossil-fuel CO2 emissions (Boden et al. 2012) and references therein. The data accessible here take these tabular, national, mass-emissions data, multiply them by stable carbon isotopic signatures (δ 13C) as described in Andres et al. (2000), and distribute them spatially on a one degree latitude by one degree longitude grid. The within-country spatial distribution is achieved through a fixed population distribution as reported in Andres et al. (1996). Note that the mass-emissions data used here are based on fossil-fuel consumption estimates as these are more representative of within country emissions than fossil-fuel production estimates (see http://cdiac.ess-dive.lbl.gov/faq.html#Q10 for a description why emission totals based upon consumption differ from those based upon production).

Differential Game Logic for Hybrid Games

DTIC Science & Technology

2012-03-01

André Platzer. Logics of dynamical systems (invited tutorial). In LICS [DBL12]. [PP03] Marc Pauly and Rohit Parikh. Game logic - an overview...hybrid games. Theor. Comput. Sci., 412(48):6770–6785, 2011. [Wal98] Wolfgang Walter. Ordinary Differential Equations. Springer, 1998. 18 A Proof of Scott

Diagnostic Classification Models: Are They Necessary? Commentary on Rupp and Templin (2008)

ERIC Educational Resources Information Center

Gorin, Joanna S.

2009-01-01

In their paper "Unique Characteristics of Diagnostic Classification Models: A Comprehensive Review of the Current State-of-the-Art," Andre Rupp and Jonathan Templin (2008) provide a comparative analysis of selected psychometric models useful for the analysis of multidimensional data for purposes of diagnostic score reporting. Recent assessment…

Science. [SITE 2001 Section].

ERIC Educational Resources Information Center

Roach, Linda E., Ed.

This document contains the following papers on science from the SITE (Society for Information Technology & Teacher Education) 2001 conference: (1) "Using a Computer Simulation before Dissection To Help Students Learn Anatomy" (Joseph Paul Akpan and Thomas Andre); (2) "EARTH2CLASS: A Unique Workshop/On-Line/Distance-Learning…

Expedition 9 Preflight Activities

NASA Image and Video Library

2004-04-13

European Space Agency astronaut Andre Kuipers of the Netherlands, left, NASA Science Officer Mike Fincke, center and Expedition 9 Commander Gennady Padalka sign books, envelops and mementos in the space museum located at the Baikonur Cosmodrome, Wednesday, April, 14, 2004, in Baikonur, Kazakhstan. Photo Credit: "NASA/Bill Ingalls"

75 FR 30017 - Electronic Tariff Filings; Notice of Posting Regarding Filing Procedures for Electronically Filed...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-05-28

...-order.asp . For further information, please contact Keith Pierce at 202-502- 8525 or Andre Goodson at...\\ the Commission adopted regulations requiring that, starting April 1, 2010, and for a transition period... example, if a company with a baseline tariff effective April 15, 2010, has an outstanding compliance...

Socio-Environmental and Hematological Profile of Landfill Residents (São Jorge Landfill–Sao Paulo, Brazil)

PubMed Central

Palmeira Wanderley, Vivianni; Affonso Fonseca, Fernando Luiz; Vala Quiaios, André; Nuno Domingues, José; Paixão, Susana; Figueiredo, João; Ferreira, Ana; de Almeida Pinto, Cleonice; da Silva, Odair Ramos; Alvarenga, Rogério; Machi Junior, Amaury; Luiz Savóia, Eriane Justo; Daminello Raimundo, Rodrigo

2017-01-01

We are experiencing an unprecedented urbanization process that, alongside physical, social and economic developments, has been having a significant impact on a population’s health. Due to the increase in pollution, violence and poverty, our modern cities no longer ensure a good quality of life so they become unhealthy environments. This study aims to assess the effect of social, environmental and economic factors on the hematologic profile of residents of Santo André’s landfill. In particular, we will assess the effect of social, economic, and environmental factors on current and potential disease markers obtained from hematological tests. The research method is the observational type, from a retrospective cohort, and by convenience sampling in Santo André in the Greater ABC (municipalities of Santo André, São Bernardo do Campo and São Caetano do Sul, southeast part of the Greater São Paulo Metropolitan Area, Brazil). The study determined a socio-environmental profile and the hematologic diseases screening related to a close location to the landfill. The disease manifests itself within a broad spectrum of symptoms that causes changes in blood count parameters. The objective of this work is to show that there is an association between social, environmental and economic factors and a variety of serious disease outcomes that may be detected from blood screening. A causal study of the effect of living near the landfill on these disease outcomes would be a very expensive and time-consuming study. This work we believe is sufficient for public health officials to consider policy and attempt remediation of the effects of living near a landfill. PMID:28085053

Comparison between the 6-minute walk tests performed in patients with chronic obstructive pulmonary disease at different altitudes

PubMed Central

Squassoni, Selma Denis; Machado, Nadine Cristina; Lapa, Mônica Silveira; Cordoni, Priscila Kessar; Bortolassi, Luciene Costa; de Oliveira, Juliana Nascimento; Tavares, Cecilia Melo Rosa; Fiss, Elie

2014-01-01

Objective To evaluate the influence of the altitude on the 6-minute walking test in patients with moderate to severe pulmonary disease. Methods Twenty-nine patients performed the 6-minute walk test at a pulmonary rehabilitation clinic in Santo André (above sea level), in São Paulo State, and at the Enseada Beach, in Guarujá (at sea level), also in São Paulo State. Of these 29 patients, 8 did the test both on hard sand and on asphalt to analyze if there were differences in performance during the tests. Data such as heart rate, oxygen saturation, test distance, and Borg scale were compared. Results We found no statistical difference in relation to oxygen saturation at rest before the beginning of the walking test in Santo André 94.67±2.26% and at sea level 95.56±2% (p=0.71). The minimum saturation measured during the test was 87.27±6.54% in Santo André and 89.10±5.41% in Guarujá (p=0.098). There were no differences in the performed distance between the different kinds of terrains; the distance on sand was 387.75±5.02m and on asphalt it was 375.00±6.54m (p=0.654). Regarding oxygen saturation during walking, the pulse oximetry on sand was 95.12±1.80% and on asphalt it was 96.87±1.64% (p=1.05). Conclusion Altitude did not affect the performance of the walking test in patients with moderate to severe pulmonary disease and the results were similar in both cases, on sand and on asphalt. PMID:25628195

Socio-Environmental and Hematological Profile of Landfill Residents (São Jorge Landfill-Sao Paulo, Brazil).

PubMed

Palmeira Wanderley, Vivianni; Affonso Fonseca, Fernando Luiz; Vala Quiaios, André; Nuno Domingues, José; Paixão, Susana; Figueiredo, João; Ferreira, Ana; de Almeida Pinto, Cleonice; da Silva, Odair Ramos; Alvarenga, Rogério; Machi Junior, Amaury; Luiz Savóia, Eriane Justo; Daminello Raimundo, Rodrigo

2017-01-11

We are experiencing an unprecedented urbanization process that, alongside physical, social and economic developments, has been having a significant impact on a population's health. Due to the increase in pollution, violence and poverty, our modern cities no longer ensure a good quality of life so they become unhealthy environments. This study aims to assess the effect of social, environmental and economic factors on the hematologic profile of residents of Santo André's landfill. In particular, we will assess the effect of social, economic, and environmental factors on current and potential disease markers obtained from hematological tests. The research method is the observational type, from a retrospective cohort, and by convenience sampling in Santo André in the Greater ABC (municipalities of Santo André, São Bernardo do Campo and São Caetano do Sul, southeast part of the Greater São Paulo Metropolitan Area, Brazil). The study determined a socio-environmental profile and the hematologic diseases screening related to a close location to the landfill. The disease manifests itself within a broad spectrum of symptoms that causes changes in blood count parameters. The objective of this work is to show that there is an association between social, environmental and economic factors and a variety of serious disease outcomes that may be detected from blood screening. A causal study of the effect of living near the landfill on these disease outcomes would be a very expensive and time-consuming study. This work we believe is sufficient for public health officials to consider policy and attempt remediation of the effects of living near a landfill.

Women in Higher Education Administration: A Book of Readings.

ERIC Educational Resources Information Center

Berry, Margaret C., Ed.

The status and satisfaction of women in higher education administration are addressed in 29 articles. Contents include the following: Why Don't Women Aspire to Leadership Positions in Education (Sylvia-Lee Tibbets); Training Women for Administration (Rae Andre and Mary I. Edwards); Kindergarten: The Training Ground for Women in Administration…

Project AIR FORCE Modeling Capabilities for Support of Combat Operations in Denied Environments

DTIC Science & Technology

2015-01-01

within the Air Force and OSD.7 First, we thank Generals Herbert Carlisle, PACAF/CC, and Janet Wolfenbarger, AFMC/CC, for sponsoring this work. Gen...March 2014: http://www.rand.org/pubs/monographs/MG176.html Stucker, James P., Ruth T. Berg, Andre A. Gerner, Amada Giarla, William L. Spencer

Paradoxes in French-Language Instruction: Recent Social and Historical Research on Literacy in France

ERIC Educational Resources Information Center

Rockwell, Elsie; Galvao, Ana Maria

2012-01-01

This essay on three recent books by outstanding scholars--"La raison scolaire" by Bernard Lahire, "Histoire de l'enseignement du francais du XVII[superscript e] au XX[superscript e] siecle" by Andre Chervel, and "L'ecole et la lecture obligatoire" by Anne-Marie Chartier--offers the opportunity to acquaint readers with…

Moliere: A Collection of Critical Essays. Twentieth Century Views Series.

ERIC Educational Resources Information Center

Guicharnaud, Jacques, Ed.

One of a series of works aimed at presenting contemporary critical opinion on major authors, this collection includes essays by Jacques Guicharnaud, Rene Bray, Gustave Lanson, Alfred Simon, Will G. Moore, Ramon Fernandez, Paul Benichou, Lionel Gossman, Andre Villiers, James Doolittle, H. Gaston Hall, Robert J. Nelson, Jacques Copeau, Charles…

Summer Study Program in Geophysical Fluid Dynamics, The Woods Hole Oceanographic Institution, Dynamic Differentiation.

DTIC Science & Technology

1984-01-01

crossing in a disorderly way. The similarity of these structures to the " spinifex textures" character- istic of the millimeter scales in komatite rocks...strongl supports the idea that the spinifex structure had its origin in just such a process. NOTES SUBMITTED BY Bruce Bayly and Andre Gorius * S

75 FR 71670 - Endangered Species; File No. 15606

Federal Register 2010, 2011, 2012, 2013, 2014

2010-11-24

... Andre Landry, Ph.D., Texas A&M University at Galveston, Department of Marine Biology, 5007 Avenue U... Species; File No. 15606 AGENCY: National Marine Fisheries Service (NMFS), National Oceanic and Atmospheric..., National Marine Fisheries Service. [FR Doc. 2010-29667 Filed 11-23-10; 8:45 am] BILLING CODE 3510-22-P ...

Underactuated Spacecraft Control with Disturbance Compensation

DTIC Science & Technology

2015-08-31

fuel, which shortens the spacecraft’s life. Hence with RW failures, the spacecraft becomes underactuated. Recent missions, such as Kepler and...R. Cowen, "The wheels come off Kepler ," URL: http://www.nature.com/news/ the-wheels- come-off- kepler -1.13032 [cited 18 October 2013]. [2] Moos

Kuipers and Kononenko during ATV Approach and Docking

NASA Image and Video Library

2012-03-28

ISS030-E-177327 (28 March 2012) --- European Space Agency astronaut Andre Kuipers and Russian cosmonaut Oleg Kononenko (foreground), both Expedition 30 flight engineers, monitor the approach and docking of ESA’s “Edoardo Amaldi” Automated Transfer Vehicle-3 (ATV-3) in the Zvezda Service Module of the International Space Station.

Kuipers and Kononenko during ATV Approach and Docking

NASA Image and Video Library

2012-03-28

ISS030-E-177363 (28 March 2012) --- European Space Agency astronaut Andre Kuipers and Russian cosmonaut Oleg Kononenko (foreground), both Expedition 30 flight engineers, monitor the approach and docking of ESA’s “Edoardo Amaldi” Automated Transfer Vehicle-3 (ATV-3) in the Zvezda Service Module of the International Space Station.

Kuipers and Kononenko during ATV Approach and Docking

NASA Image and Video Library

2012-03-28

ISS030-E-177317 (28 March 2012) --- European Space Agency astronaut Andre Kuipers and Russian cosmonaut Oleg Kononenko (foreground), both Expedition 30 flight engineers, monitor the approach and docking of ESA’s “Edoardo Amaldi” Automated Transfer Vehicle-3 (ATV-3) in the Zvezda Service Module of the International Space Station.

Kuipers holds the Plasma-03 experiment container as Foale looks on during Expedition 9 / Expedition 8

NASA Image and Video Library

2004-04-29

ISS008-E-22393 (29 April 2004) --- European Space Agency (ESA) astronaut Andre Kuipers of the Netherlands, holds a Complex “Plasma-03” canister in the Zvezda Service Module of the International Space Station (ISS). Astronaut C. Michael Foale, Expedition 8 commander and NASA ISS science officer, is at right.

The Search for Electromagnetic Induction (1820-1831). Experiment No. 20.

ERIC Educational Resources Information Center

Devons, Samuel

This paper focuses on the search for electromagnetic induction from 1820 to 1831 and the efforts by Augustin Fresnel's colleague, Andre Marie Ampere, in electric and magnetic induction. Faraday's work is discussed with excerpts from his diary on electromagnetism. A variety of different experiments by researchers including Francoise Jean Arago,…

Evaluation and proposed study of potential ground-water supplies, Gallup area, New Mexico

USGS Publications Warehouse

Hiss, William L.

1975-01-01

The ground-water potential of 5 areas in central-western New Mexico within 85 miles (135 km) of Gallup, N. Mex. was evaluated by reviewing the published literature, inspecting aerial and space photographs, and interviewing ranchers and personnel employed by well-drilling and mineral-exploration companies by telephone. The San Andres Limestone and underlying Glorieta Sandstone of Permian age are the oldest aquifers capable of yielding water of a quality suitable for municipal use. Extreme local variations in hydraulic conductivity and water quality reflect a karstic topography developed on the San Andres Limestone prior to burial by Upper Triassic sediments. The San Andres Limestone and Glorieta Sandstone form an important aquifer in the Grants-Bluewater area where yields of as much as 2,200 gallons per minute (140 l/s) have been obtained. Yields from wells completed in the San Andres-Glorieta aquifer on the Chaco slope and in the Gallup sag-Mogollon slope on the northeast and southeast flanks, respectively, of the Zuni uplift will be much less than those prevailing in the Grants-Bluewater area. Water quality in the San Andres Limestone and Glorieta Sandstone deteriorates with distance away from the axis of the Zuni uplift. Sandstones of Triassic, Jurassic, and Cretaceous age are potential aquifers wherever they are present. Yields to wells tapping these aquifers are generally less than 200 gallons per minute (13 l/s) due to the relatively low hydraulic conductivity. Wells tapping alluvium of Late Cenozoic age along the Rio San Jose and Puerco River and interbedded volcanics and alluvium elsewhere in the area generally yield less than 100 gallons per minute (6 l/s) of water. Tributaries ,of the Rio San Jose that have eroded canyons into Paleozoic and Mesozoic rocks east of the Continental Divide and south of the eastern part of the Zuni uplift have been repeatedly displaced and (or) covered by Quaternary volcanic rocks. The exact location, extent, and depth of

[Extracorporeal reconstruction of arteries of a transplant of the liver for its subsequent implantation and surgical aspects of arterial anatomy the hepatoduodenal area].

PubMed

Khubutiia, M Sh; Guliaev, V A; Novruzbekov, M S; Lemenev, V L; Driaev, V T

2014-01-01

Orthotopic liver transplantation (OLT) remains the only and radical method of treating patients with terminal stages of chronic diffuse hepatic diseases (cirrhoses), of patients with various congenital metabolic lesions of the liver, autoimmune diseases characterized by lesions of bile ducts, as well as series of both primary and secondary tumorous hepatic lesions. Liver transplantation is one of the most complicated operative interventions. Difficulty of OLT is determined by multifactorial and well-coordinated work of various medical services at the pre-, intra- and postoperative stage of management. One of the important components of success in transplantation consists in providing adequate arterial blood flow of the transplanted organ, which is achieved by extracorporeal reconstruction of the transplant. Variants of arterial blood supply of the liver are observed in each third donor. These anatomical peculiarities increase probability of a surgical error, which is considerably higher if not taking into consideration the complicated anatomy of the donor organ and its misalignment with the anatomical peculiarities of the recipient. Surgeon's responsibility is especially great during taking out the liver from the donor, as well as during its preparation for implantation. Procurement of the liver and pancreas from the same donor for transplantation to two different recipients may be accompanied and followed by the so-called conflict of interests which the surgeon has to decide in favour of the both during procurement of the organ for its extracorporeal processing. The sequence of the presented surgical manipulations on hepatic and pancreatic vessels, as well as anatomical reference points make it possible to preserve the vessels of the maximum length for the both organs. A wide variety of the structure of hepatic vessels may be divided into three types, depending upon the number of the sources of arterial blood supply.

Experimental demonstration of large capacity WSDM optical access network with multicore fibers and advanced modulation formats.

PubMed

Li, Borui; Feng, Zhenhua; Tang, Ming; Xu, Zhilin; Fu, Songnian; Wu, Qiong; Deng, Lei; Tong, Weijun; Liu, Shuang; Shum, Perry Ping

2015-05-04

Towards the next generation optical access network supporting large capacity data transmission to enormous number of users covering a wider area, we proposed a hybrid wavelength-space division multiplexing (WSDM) optical access network architecture utilizing multicore fibers with advanced modulation formats. As a proof of concept, we experimentally demonstrated a WSDM optical access network with duplex transmission using our developed and fabricated multicore (7-core) fibers with 58.7km distance. As a cost-effective modulation scheme for access network, the optical OFDM-QPSK signal has been intensity modulated on the downstream transmission in the optical line terminal (OLT) and it was directly detected in the optical network unit (ONU) after MCF transmission. 10 wavelengths with 25GHz channel spacing from an optical comb generator are employed and each wavelength is loaded with 5Gb/s OFDM-QPSK signal. After amplification, power splitting, and fan-in multiplexer, 10-wavelength downstream signal was injected into six outer layer cores simultaneously and the aggregation downstream capacity reaches 300 Gb/s. -16 dBm sensitivity has been achieved for 3.8 × 10^-3 bit error ratio (BER) with 7% Forward Error Correction (FEC) limit for all wavelengths in every core. Upstream signal from ONU side has also been generated and the bidirectional transmission in the same core causes negligible performance degradation to the downstream signal. As a universal platform for wired/wireless data access, our proposed architecture provides additional dimension for high speed mobile signal transmission and we hence demonstrated an upstream delivery of 20Gb/s per wavelength with QPSK modulation formats using the inner core of MCF emulating a mobile backhaul service. The IQ modulated data was coherently detected in the OLT side. -19 dBm sensitivity has been achieved under the FEC limit and more than 18 dB power budget is guaranteed.

Optimal Utilization of Donor Grafts With Extended Criteria

PubMed Central

Cameron, Andrew M.; Ghobrial, R Mark; Yersiz, Hasan; Farmer, Douglas G.; Lipshutz, Gerald S.; Gordon, Sherilyn A.; Zimmerman, Michael; Hong, Johnny; Collins, Thomas E.; Gornbein, Jeffery; Amersi, Farin; Weaver, Michael; Cao, Carlos; Chen, Tony; Hiatt, Jonathan R.; Busuttil, Ronald W.

2006-01-01

Objective: Severely limited organ resources mandate maximum utilization of donor allografts for orthotopic liver transplantation (OLT). This work aimed to identify factors that impact survival outcomes for extended criteria donors (ECD) and developed an ECD scoring system to facilitate graft-recipient matching and optimize utilization of ECDs. Methods: Retrospective analysis of over 1000 primary adult OLTs at UCLA. Extended criteria (EC) considered included donor age (>55 years), donor hospital stay (>5 days), cold ischemia time (>10 hours), and warm ischemia time (>40 minutes). One point was assigned for each extended criterion. Cox proportional hazard regression model was used for multivariate analysis. Results: Of 1153 allografts considered in the study, 568 organs exhibited no extended criteria (0 score), while 429, 135 and 21 donor allografts exhibited an EC score of 1, 2 and 3, respectively. Overall 1-year patient survival rates were 88%, 82%, 77% and 48% for recipients with EC scores of 0, 1, 2 and 3 respectively (P < 0.001). Adjusting for recipient age and urgency at the time of transplantation, multivariate analysis identified an ascending mortality risk ratio of 1.4 and 1.8 compared to a score of 0 for an EC score of 1, and 2 (P < 0.01) respectively. In contrast, an EC score of 3 was associated with a mortality risk ratio of 4.5 (P < 0.001). Further, advanced recipient age linearly increased the death hazard ratio, while an urgent recipient status increased the risk ratio of death by 50%. Conclusions: Extended criteria donors can be scored using readily available parameters. Optimizing perioperative variables and matching ECD allografts to appropriately selected recipients are crucial to maintain acceptable outcomes and represent a preferable alternative to both high waiting list mortality and to a potentially futile transplant that utilizes an ECD for a critically ill recipient. PMID:16772778

Autoimmune conditions are associated with perioperative thrombotic complications in liver transplant recipients: A UNOS database analysis.

PubMed

Bezinover, Dmitri; Iskandarani, Khaled; Chinchilli, Vernon; McQuillan, Patrick; Saner, Fuat; Kadry, Zakiyah; Riley, Thomas R; Janicki, Piotr K

2016-05-21

End stage liver disease (ESLD) is associated with significant thrombotic complications. In this study, we attempted to determine if patients with ESLD, due to oncologic or autoimmune diseases, are susceptible to thrombosis to a greater extent than patients with ESLD due to other causes. In this retrospective study, we analyzed the UNOS database to determine the incidence of thrombotic complications in orthotopic liver transplant (OLT) recipients with autoimmune and oncologic conditions. Between 2000 and 2012, 65,646 OLTs were performed. We found 4,247 cases of preoperative portal vein thrombosis (PVT) and 1,233 cases of postoperative vascular thrombosis (VT) leading to graft failure. Statistical evaluation demonstrated that patients with either hepatocellular carcinoma (HCC) or autoimmune hepatitis (AIC) had a higher incidence of PVT (p = 0.05 and 0.03 respectively). Patients with primary biliary cirrhosis (PBC), primary sclerosing cholangitis (PSC) and AIC had a higher incidence of postoperative VT associated with graft failure (p < 0.0001, p < 0.0001, p = 0.05 respectively). Patients with preoperative PVT had a higher incidence of postoperative VT (p < 0.0001). Multivariable logistic regression demonstrated that patients with AIC, and BMI ≥40, having had a transjugular intrahepatic portosystemic shunt, and those with diabetes mellitus were more likely to have preoperative PVT: odds ratio (OR)(1.36, 1.19, 1.78, 1.22 respectively). Patients with PSC, PBC, AIC, BMI ≤18, or with a preoperative PVT were more likely to have a postoperative VT: OR (1.93, 2.09, 1.64, 1.60, and 2.01, respectively). Despite the limited number of variables available in the UNOS database potentially related to thrombotic complications, this analysis demonstrates a clear association between autoimmune causes of ESLD and perioperative thrombotic complications. Perioperative management of patients at risk should include strategies to reduce the potential for these

Vacuum Spectrograph for E-Beam Ablation Studies.

DTIC Science & Technology

1987-07-31

Washington, D. C. 20332 I. ISAIAS OP ISUNCISNGMPONSORING IN. OFFICE svm*OL 9. PROCUREMENT INSTRVMG14T IDENTIFICATION NdUMBERi ORGA1CNIZATION Ia ~b *Air...Unannounced [J Justification ’pig ~Distribution/______ AvAilability Codes Avnil andr/or Di pC a Figure 1. Photograph of the VM-510 and pumping station

Kuipers installs and routes RCS Video Cables in the U.S. Laboratory

NASA Image and Video Library

2012-02-01

ISS030-E-060117 (1 Feb. 2012) --- In the International Space Station?s Destiny laboratory, European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, routes video cable for the High Rate Communication System (HRCS). HRCS will allow for two additional space-to-ground audio channels and two additional downlink video channels.

The Fritz Roethlisberger Memorial Award Goes to "Using Leadered Groups in Organizational Behavior and Management Survey Courses"

ERIC Educational Resources Information Center

Amoroso, Lisa M.; Loyd, Denise Lewin; Hoobler, Jenny M.

2012-01-01

The Fritz J. Roethlisberger Memorial Award for the best article in the 2011 "Journal of Management Education" goes to Rae Andre for her article, Using Leadered Groups in Organizational Behavior and Management Survey Courses ("Journal of Management Education," Volume 35, Number 5, pp. 596-619). In keeping with Roethlisberger's legacy, this year's…

Studies in Theatre and Drama; Essays in Honor of Hubert C. Heffner.

ERIC Educational Resources Information Center

Brockett, Oscar G., Ed.

The twelve essays (each by a different author) in this volume cover drama in a liberal education, comment on the tragic hero, remarks on "Hamlet" and "Hedda Gabler," notes on music and drama, comment on didactic drama, an examination of "Andre," studies of the Haymarket Theatre, London productions of American plays,…

Fair Student Funding and Other Reforms: Baltimore's Plan for Equity, Empowerment, Accountability and Improvement

ERIC Educational Resources Information Center

Frank, Stephen

2012-01-01

Superintendent Andres A. Alonso arrived in Baltimore in 2007 with a vision for improving the city's struggling schools. His vision included empowering school leaders and creating accountability for student learning through a series of reforms that center around a new system for giving resources to schools, called Fair Student Funding (FSF). FSF…

AWG-based WDM-PON monitoring system using an optical switch and a WDM filter

NASA Astrophysics Data System (ADS)

Liaw, S.-K.; Lai, Y.-T.; Chang, C.-L.; Shung, O.

2008-09-01

A new WDM-PON scheme with real-time monitoring based on a time-sharing method is proposed. It uses an optical time domain reflectometer (OTDR) to monitor multiple ports by integrating an optical switch (OSW) with a dense wavelength division multiplexer (DWDM) at the optical line terminal (OLT) site. Each downstream signal and its corresponding monitoring signal are separated by m times the free-space range (FSR) of an array waveguide grating (AWG). A bit error rate (BER) test in 2.5 Gb/s × 27 km is performed with and without turning on the OTDR. A small power penalty of 0.7 dB is observed compared to the back-to-back measurement.

A novel survivable architecture for hybrid WDM/TDM passive optical networks

NASA Astrophysics Data System (ADS)

Qiu, Yang; Chan, Chun-Kit

2014-02-01

A novel tree-ring survivable architecture, which consists of an organization of a wavelength-division-multiplexing (WDM) tree from optical line terminal (OLT) to remote nodes (RNs) and a time division multiplexing (TDM) ring in each RN, is proposed for hybrid WDM/TDM passive optical networks. By utilizing the cyclic property of arrayed waveguide gratings (AWGs) and the single-ring topology among a group of optical network units (ONUs) in the remote node, not only the feeder and distribution fibers, but also any fiber failures in the RN rings are protected simultaneously. Five-Gbit/s transmissions under both normal working and protection modes were experimentally demonstrated and a traffic restoration time was successfully measured.

Re-modulated technology of WDM-PON employing different DQPSK downstream signals

NASA Astrophysics Data System (ADS)

Gao, Chao; Xin, Xiang-jun; Yu, Chong-xiu

2012-11-01

This paper proposes a kind of modulation architecture for wavelength-division-multiplexing passive optical network (WDMPON) employing optical differential quadrature phase shift keying (DQPSK) downstream signals and two different modulation formats of re-modulated upstream signals. At the optical line terminal (OLT), 10 Gbit/s signal is modulated with DQPSK. At the optical network unit (ONU), part of the downstream signal is re-modulated with on-off keying (OOK) or inverse-return-to-zero (IRZ). Simulation results show the impact on the system employing NRZ, RZ and carrier-suppressed return-to-zero (CSRZ). The analyses also reflect that the architecture can restrain chromatic dispersion and channel crosstalk, which makes it the best architecture of access network in the future.

The radio-on-fiber-wavelength-division-multiplexed-passive-optical network (WDM-RoF-PON) for wireless and wire layout with linearly-polarized dual-wavelength fiber laser and carrier reusing

NASA Astrophysics Data System (ADS)

Ji, Wei; Chang, Jun

2013-07-01

In this paper, we design a WDM-RoF-PON based on linearly-polarized dual-wavelength fiber laser and CSRZ-DPSK, which can achieve wire-line and wireless access synchronously. With the CSRZ-DPSK modulation, the wireless access in ONU can save RF source and the frequency of radio carrier can be controlled by OLT. The dual-wavelength fiber laser is the union light source of WDM-PON with polarization multiplexing. By the RSOA and downstream light source reusing, the ONU can save omit laser source and makes the WDM-PON to be colorless. The networking has the credible transmission property, including wireless access and fiber transmission. The networking also has excellent covering range.

Allosteric Learning Model in English Lesson: Teachers' Views, the Instructions of Curriculum and Course Book, a Sample of Daily Lesson Plan

ERIC Educational Resources Information Center

Berkant, Hasan Güner; Baysal, Seda

2017-01-01

The changes which occur during the learning process have been explained by many teaching-learning models and theories. One of these models is allosteric learning model (ALM) which was developed by André Giordan in 1989. This model was derived from a biological metaphor related to proteins. The interaction between individual and environment in a…

A Sense of Story: Essays on Contemporary Writers for Children.

ERIC Educational Resources Information Center

Townsend, John Rowe

This is an introduction to the work of 19 contemporary English-language writers for children. It consists of critical essays on the works of Joan Aiken, L. M. Boston, H. F. Brinsmead, John Christopher, Helen Cresswell, Meindert DeJong, Eleanor Estes, Paula Fox, Leon Garfield, Alan Garner, Madeleine L'Engle, William Mayne, Andre Norton, Scott…

"The Struggle for Welcome": Valuing Difference through Refugee Stories in the English Curriculum

ERIC Educational Resources Information Center

Henderson, Deborah; Fitzgerald, Dominique

2014-01-01

This paper is concerned with how refugee stories can be used as the means of exploring values and developing intercultural understanding in the English classroom. To illustrate this possibility, André Dao's (2005) "Vuot Bien--The Search for Freedom: Huong Thi Nguen's Story," about the impact of war and oppression on people's lives,…

Crossing the Aisle: Conversations about Collaboration

ERIC Educational Resources Information Center

Powell, Mark

2011-01-01

This article presents edited transcripts of separate Skype conversations with Richard Ungerer, AMS executive director, in his office at AMS headquarters in New York and Andre Roberfroid, president of AMI, at his home in Vetraz-Monthoux, France. It also presents a discussion of the ways the two organizations can join forces to strengthen the…

Kuipers sets up the CSA-CP in the U.S. Laboratory

NASA Image and Video Library

2012-01-26

ISS030-E-156455 (26 Jan. 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, sets up the Compound Specific Analyzer - Combustion Products (CSA-CP) in the Destiny laboratory of the International Space Station. The purpose of the analyzer is to measure the concentrations of carbon monoxide, hydrogen cyanide, hydrogen chloride and oxygen.

An Absence of Hypochondria: Memoirs of the Physically Ill, the Handicapped, and Their Caretakers.

ERIC Educational Resources Information Center

Wunsch, Karen

1995-01-01

Discusses how the best of autobiographies about the sick enrich the genre, with references to John Hull's "Touching the Rock," Andre Dubus's "Broken Vessels," Jacquie Gordon's "Give Me One Wish," and Robert Murphy's "The Body Silent," among others. Suggests that the reader's attempt to understand his or her own wounds motivates the reading of…

Scanning Probe Investigation of Pitting Corrosion on Aluminum 5083 H131

DTIC Science & Technology

2014-05-01

245–254. 10. Dolic, N.; Malina, J.; Begic Hadzipasic, A. Pit Nucleation on As-Cast Aluminum Alloy AW-5083 in 0.01M NaCl. Journal of Mining and...R. A.; Stratmann, M. Application of a Kelvin Microprobe to the Corrosion in Humid Atmospheres. J. Electrochem Soc. 1991, 138 (1), 55–61. 15

Postdoctoral Fellow | Center for Cancer Research

Cancer.gov

In Dr. Andre Nussenzweig's laboratory in the Laboratory of Genome Integrity, the postdoctoral fellow will study the mechanisms involved in DNA double-strand break repair, focusing on understanding the influence of chromatin structure on the maintenance of genome integrity and their roles in a variety of cancers using cutting edge cellular, molecular, and genomic tools.

Baltimore School District on Upward Swing

ERIC Educational Resources Information Center

Maxwell, Lesli A.

2009-01-01

Two years ago, only 150 students attended Holabird Elementary, then a K-5 school in the southeastern corner of this city. Competition from charters and from regular public schools in nearby Baltimore County had drained families from Holabird, a chronic underperformer. So when Andres A. Alonso, the chief executive officer of the Baltimore city…

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

Pitts, J.P.

A waterflood initiated in the Suniland Field of Lynn County is expected to sustain the production rate of that field well past the year 2000. Discovered in the early 1950's. The Suniland is a San Andres-Glorieta reservoir that has produced more than 5.5 million bbl of oil. Production peaked at over 30,000 bbl/mo in 1957 and peak production was sustained for approximately 20 yr, when primary production began to decline. By 1976, production in the field declined to 9000 bbl/mo and unitization was being discussed. When injection began in September 1978, there was an immediate increase in production from 9000more » to 12500 bbl/mo. In a period of little over a year. That increase was not the result of injection, but the result of more efficient operating procedures. A more efficiency operation was achieved by cleaning up the wells, installing larger pumping units (320 Lufkins), and eliminating the competitive production practices by Commingling the productive zones from the top of the San Andres through the Glorieta.« less

Threats and Opportunities of Science at a For-Profit University in Chile

ERIC Educational Resources Information Center

Barandiaran, Javiera

2012-01-01

Thirty years after pro-market policies were first adopted, how best to organize Chile's scientific enterprise remains as elusive as when universities were state-run and funded. This paper explores scientific research at a for-profit university, University Andres Bello, to ask if a new mode of knowledge production is in the making and with what…

The Bottlenose Dolphin (Tursiops truncatus) as a Model to Understand Variation in Stress and Reproductive Hormone Measures in Relation to Sampling Matrix, Demographics, and Environmental Factors

DTIC Science & Technology

2013-09-30

establishment of homeostasis. While the HPA axis and physiological processes driven by the GCs are essential for an individual’s ability to respond and...relying upon methods which include capture-release health assessments. Stress and reproductive hormones (cortisol, aldosterone , thyroid...in the Ashepoo, Combahee and Edisto (ACE) Basin, also in South Carolina. Laboratory Analyses Hormone concentrations (cortisol, aldosterone

Vector Potential, Electromagnetic Induction and "Physical Meaning"

ERIC Educational Resources Information Center

Giuliani, G.

2010-01-01

A forgotten experiment by Andre Blondel (1914) proves, as held on the basis of theoretical arguments in a previous paper, that the time variation of the magnetic flux is not the cause of the induced emf; the physical agent is instead the vector potential through the term [equation omitted] (when the induced circuit is at rest). The "good…

Venezuelan Bolivarian Missions in Colombia: What Are the Real, Underlying Reasons for Their Existence?

DTIC Science & Technology

2013-06-01

resulting positive impact on the population.7 Despite the apparent success of the 5 Liliana Perez Rico...constitutional president Carlos Andres Perez . Although the attempt was unsuccessful and Chávez was imprisoned for a bit more than two years, his...Caracas: Instituto de Estudios Superiores de Administracion, 2006), http://siteresources.worldbank.org/INTDECINEQ/Resources/1149208- 1147789289867

Stalled ERP at Random Textiles

ERIC Educational Resources Information Center

Brumberg, Robert; Kops, Eric; Little, Elizabeth; Gamble, George; Underbakke, Jesse; Havelka, Douglas

2016-01-01

Andre Raymond, Executive Vice President of Sales and Marketing for Random Textiles Co. Inc. (RTC), stood in front of the podium to address his team of 70 sales consultants in Las Vegas, NV. The organization had increased market share and achieved record sales over the past three years; however, in the shadow of this success lurked an obstacle that…

"Angie Was Our Sister:" Witnessing the Trans-Formation of Disgust in the Citizenry of Photography

ERIC Educational Resources Information Center

Cram, Emily Dianne

2012-01-01

In 2009, Andre Andrade was convicted for the murder of Angie Zapata, an 18-year-old Latina transgender woman living in rural Colorado. This essay traces the way Angie's friends, family, and community countered the assertion of transphobia in the courtroom and larger public discussion by circulating self-portraits of Angie on t-shirts at community…

Reduced Transfusion During OLT by POC Coagulation Management and TEG Functional Fibrinogen: A Retrospective Observational Study.

PubMed

De Pietri, Lesley; Ragusa, Francesca; Deleuterio, Annalisa; Begliomini, Bruno; Serra, Valentina

2016-01-01

Patients undergoing orthotopic liver transplantation are at high risk of bleeding complications. Several Authors have shown that thromboelastography (TEG)-based coagulation management and the administration of fibrinogen concentrate reduce the need for blood transfusion. We conducted a single-center, retrospective cohort observational study (Modena Polyclinic, Italy) on 386 consecutive patients undergoing liver transplantation. We assessed the impact on resource consumption and patient survival after the introduction of a new TEG-based transfusion algorithm, requiring also the introduction of the fibrinogen functional thromboelastography test and a maximum amplitude of functional fibrinogen thromboelastography transfusion cutoff (7 mm) to direct in administering fibrinogen (2012-2014, n = 118) compared with a purely TEG-based algorithm previously used (2005-2011, n = 268). After 2012, there was a significant decrease in the use of homologous blood (1502 ± 1376 vs 794 ± 717 mL, P < 0.001), fresh frozen plasma (537 ± 798 vs 98 ± 375 mL, P < 0.001), and platelets (158 ± 280 vs 75 ± 148 mL, P < 0.005), whereas the use of fibrinogen increased (0.1 ± 0.5 vs 1.4 ± 1.8 g, P < 0.001). There were no significant differences in 30-day and 6-month survival between the 2 groups. The implementation of a new coagulation management method featuring the addition of the fibrinogen functional thromboelastography test to the TEG test according to an algorithm which provides for the administration of fibrinogen has helped in reducing the need for transfusion in patients undergoing liver transplantation with no impact on their survival.

Natural radioactivity in stream sediments of Oltet River, Romania

NASA Astrophysics Data System (ADS)

Ion, Adriana

2017-04-01

The concentration of naturally occurring radionuclides (U-238, Th-232 and K-40) in stream sediments of the Oltet River was measured in order to establish the primary sources of radionuclides, the transport pathways and the geochemical factors favouring their mobilisation and concentration in the existing geological context. The Oltet River has a length of 185 Km and crosses the southern central part of the country, being the right tributary of the Olt River. The range in elevation of the watercourse varies between 1963 m in the springs area (Parîng Mountains) and 200 m at the confluence with the Olt River, whereas the relief of the Oltet Basin has a varied character, manifested by the presence of diverse forms of relief, starting with major mountainous heights and ending with low-lying plains regions. In cross section from North to South, the Olteț River cuts metamorphic rocks (schist, gneisses, quartzite, marble, mica-schist's), magmatic rocks (granite and granitoid massifs - intruded by veins of microgranite, aplite, pegmatite and lamprophyre) and limestone, followed by deposits composed of clays, marls, sands and gravels, that are characterized by the presence of lignite seams. 44 stream sediment samples were collected in summer of 2016 from sampling points distributed along the river with an equidistance of about 4 - 5 km. The activity concentrations of the U-238, Th-232 and K-40 were measured by gamma ray spectrometry using HPGe detector (ORTEC) with 26% relative efficiency in multilayer shielding. The reference materials used were IAEA - RGK-1 and IAEA - 314. Analysis was performed on the <2 mm fraction of sediment sample, each sample was counted for 24,000 s. U-238 specific activity in the stream sediments varies between 6.18 and 68.76 Bq/Kg and Th-232 specific activity from 8.12 to 89.28 Bq/Kg, whereas the K-40 specific activity in sediments ranges from 99.01 to 312.16 Bq/Kg. In the upper sector of the Oltet River, concentrations of U-238, Th-232 and K-40

Water resources of the Zuni tribal lands, McKinley and Cibola Counties, New Mexico

USGS Publications Warehouse

Orr, Brennon R.

1987-01-01

An evaluation of the water resources of the Zuni tribal lands in west-central New Mexico was made to determine the yield, variability, and quality of water available to the Pueblo of Zuni. This study is needed to aid in orderly development of these resources. Rocks of Permian to Quaternary age supply stock, irrigation, and domestic water to the Zuni Indians. The Glorieta Sandstone and San Andres Limestone (Glorieta-San Andres aquifer) of Permian age and sandstones in the Chinle Formation of Triassic age provide most of this water supply. Water in the Glorieta-San Andres aquifer is confined by minimal-permeability shales and is transmitted through the aquifer along interconnected solution channels and fractures. Water-level and water-quality information indicate greater hydraulic conductivities along the southern boundaries of Zuni tribal lands. Well yields from the Glorieta-San Andres aquifer are as much as 150 gallons per minute, and aquifer transmissivity ranges from 30 to 1,400 feet squared per day. Longterm, water-level declines of as much as 29 feet have been measured near pumping centers at Black Rock. Multiple-well aquifer tests are needed to further define aquifer properties (storage, transmissivity, and leakage from confining units) and the effects of well design on well yields. Dissolved-solids concentrations in water from the aquifer range from 331 to 1,068 milligrams per liter. Calcium and sulfate are the predominant ions. Water in sandstones of the Chinle Formation is confined by adjacent shales and is transmitted along interconnected fractures. Well yields range from 5 to 125 gallons per minute, and aquifer transmissivity ranges from 40 to 1,400 feet squared per day. Water-level declines of as much as 27 feet have been measured near Zuni Village. Dissolved-solids concentrations in water from the aquifer range from 215 to 1,980 milligrams per liter. Sodium and bicarbonate are the predominant ions. Other sources of ground water are used primarily for

Advanced Motor-Controller Development.

DTIC Science & Technology

1983-06-22

OUTPUTS: 16 BIT PROE:UCT IN ACCA , FiCC:B Oi:t2 -* 0011: 0172 B:7 .04E SIFY STA A MCAN:,* SF,-’E MULTIPLICAND 001t4 0175 iF CLF: A INIT RESUI_I_T AOll5...OL-:t41) 04: ELSE ACCA IS UNC:HANGED 0-142 01SF ::,A 0CI CLAMP 0’Fi A #0 TEST SIGN OF A C0It 0l91 E’E: fBM I C.LIPI EBRFNCH IF NEG 01t4 4 : : 001,15 19...ELSE S.:ET ACCA =-ACCB:1B TQJ5. 01 .’ NEG B .ESTOPE ACCE: 01155 C. l1’-9 E -9 PTI RETUR’N Al? I .9~~ _________ . .... ... | |- - - - . . rjOt :E

Performance analysis of cross-seeding WDM-PON system using transfer matrix method

NASA Astrophysics Data System (ADS)

Simatupang, Joni Welman; Pukhrambam, Puspa Devi; Huang, Yen-Ru

2016-12-01

In this paper, a model based on the transfer matrix method is adopted to analyze the effects of Rayleigh backscattering and Fresnel multiple reflections on a cross-seeding WDM-PON system. As part of analytical approximation methods, this time-independent model is quite simple but very efficient when it is applied to various WDM-PON transmission systems, including the cross-seeding scheme. The cross seeding scheme is most beneficial for systems with low loop-back ONU gain or low reflection loss at the drop fiber for upstream data in bidirectional transmission. However for downstream data transmission, multiple reflections power could destroy the usefulness of the cross-seeding scheme when the reflectivity is high enough and the RN is positioned near OLT or close to ONU.

Analysis of the influence of backscattered optical power over bidirectional PON links

NASA Astrophysics Data System (ADS)

Martínez, J. J.; Garcés, I.; López, A.; Villafranca, A.; Losada, M. A.

2010-05-01

Our aim is to describe the behavior of non-linear scattering effects that arise in standard single mode fiber (SMF), specifically scattering effects that propagate optical power in the reverse direction of the source signal such as Rayleigh Scattering (RS) and Brillouin Scattering (BS). For this purpose, the effects of backscattering phenomena over a bidirectional data transmission in a passive optical network (PON) scheme have been assessed. The impact of these high optical power components over reception at the optical line terminal (OLT) side has been determined when both links use the same wavelength. Bit Error Rate (BER) measurements have been performed with different transmission rates, using several techniques to mitigate the influence of backscattering over the received signal and considering cases with filtered and unfiltered BS.

Sliceable transponders for metro-access transmission links

NASA Astrophysics Data System (ADS)

Wagner, C.; Madsen, P.; Spolitis, S.; Vegas Olmos, J. J.; Tafur Monroy, I.

2015-01-01

This paper presents a solution for upgrading optical access networks by reusing existing electronics or optical equipment: sliceable transponders using signal spectrum slicing and stitching back method after direct detection. This technique allows transmission of wide bandwidth signals from the service provider (OLT - optical line terminal) to the end user (ONU - optical network unit) over an optical distribution network (ODN) via low bandwidth equipment. We show simulation and experimental results for duobinary signaling of 1 Gbit/s and 10 Gbit/s waveforms. The number of slices is adjusted to match the lowest analog bandwidth of used electrical devices and scale from 2 slices to 10 slices. Results of experimental transmission show error free signal recovery by using post forward error correction with 7% overhead.

Colorless ONU implementation for WDM-PON using direct-detection optical OFDM

NASA Astrophysics Data System (ADS)

Feng, Min; Luo, Qing-long; Bai, Cheng-lin

2013-03-01

A novel architecture for the colorless optical network unit (ONU) is proposed and experimentally demonstrated with direct-detection optical orthogonal frequency division multiplexing (DDO-OFDM). In this architecture, polarization-division multiplexing is used to reduce the cost at ONU. In optical line terminal (OLT), quadrature amplitude modulation (QAM) intensity-modulated OFDM signal with x-polarization at 10 Gbit/s is transmitted as downstream. At each ONU, the optical OFDM signal is demodulated with direct detection, and γ-polarization signal is modulated for upstream on-off keying (OOK) data at 5 Gbit/s. Simulation results show that the power penalty is negligible for both optical OFDM downstream and the on-off keying upstream signals after over 50 km single-mode fiber (SMF) transmission.

The effect of ultrasonics on the strength properties of carbon steel processed by cold plastic deformation

NASA Technical Reports Server (NTRS)

Atanasiu, N.; Dragan, O.; Atanasiu, Z.

1974-01-01

A study was made of the influence of ultrasounds on the mechanical properties of OLT 35 carbon steel tubes cold-drawn on a plug ultrasonically activated by longitudinal waves. Experimental results indicate that: 1. The reduction in the values of the flow limit and tensile strength is proportional to the increase in acoustic energy introduced into the material subjected to deformation. 2. The diminution in influence of ultrasounds on tensile strength and flow rate that is due to an increased degree of deformation is explained by a reduction in specific density of the acoustic energy at the focus of deformation. 3. The relations calculated on the basis of the variation in the flow limit and tensile strength as a function of acoustic energy intensity was verified experimentally.

Military Standard Generators Prototype Modifications. Volume 3. 60 kW DoD Generator Set

DTIC Science & Technology

1988-03-31

14 JAN ., 17 :35: ’w. 6843 GEN S DS-00 273 . .. •- -,- - 32. 351 3 DE,-.. F Z EX ,-UST 2 895. 93 DEL;. F C REL!:7T 3 988.34 DEC-. F C 4 EXH-4AUST 4...33. 351 DEG. F C 20 GEN. FRAME TOP 11. 64 DEG. F C 2:1 GEN. FRAME BTTM 82. 15± DEG. F C 21 GEN. FRAME BTTM 113. i6 DEG. F C 2,. GEN. EXCITER 32. 992...DEG. F C 21 GEli . FRAME BTTM ±88.15 DEG. F S2 -EN. EXCITER 12. 49 DEG. F C 22 S-EN. EXCITER 185. 5 DEG. F 27 G2N. ’OLT. REG. 95. 459 DEG. F C 23 GEN

Evaluation of the Impact of Towing DC-9 Transport Airplanes at Boston-Logan Airport.

DTIC Science & Technology

1980-05-01

42- 22’ 71’ 02’ 12 1617 [t6 -96 F6p olt ln, slotr ADHA ,- r ’ C is on 11 f / 1 -3 . P o s.Nt Ofic /29/3 / 06/64 70 0 ftj. SE 42- 21’ 71’ W1 20 360 337 336...34A-A8 $64 DOUGLAS AIRCRAFT CO LONG BEACH CA PIG/ 1 /2 GG EVALUATION OF THE IMPACT OF TOWING DC-9 TRANSPORT AIRPLANES AT -ETC(U) MAY G0 E A HOOVER DOT...a -ib’f t0 tie U S. pubic through the Nat onj T, r ,ca, h -nrrmatior Ser\\ice, St 1 ’ o c: a q~nii 22161 - - ,.......~ - r’) C 2 TAINKD A ,4

PWFQ: a priority-based weighted fair queueing algorithm for the downstream transmission of EPON

NASA Astrophysics Data System (ADS)

Xu, Sunjuan; Ye, Jiajun; Zou, Junni

2005-11-01

In the downstream direction of EPON, all ethernet frames share one downlink channel from the OLT to destination ONUs. To guarantee differentiated services, a scheduling algorithm is needed to solve the link-sharing issue. In this paper, we first review the classical WFQ algorithm and point out the shortcomings existing in the fair queueing principle of WFQ algorithm for EPON. Then we propose a novel scheduling algorithm called Priority-based WFQ (PWFQ) algorithm which distributes bandwidth based on priority. PWFQ algorithm can guarantee the quality of real-time services whether under light load or under heavy load. Simulation results also show that PWFQ algorithm not only can improve delay performance of real-time services, but can also meet the worst-case delay bound requirements.

Kuipers sets up the EHS/TEPC Spectrometer and Detector Assembly in the SM

NASA Image and Video Library

2012-03-12

ISS030-E-177101 (12 March 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, sets up the Environmental Health System / Tissue Equivalent Proportional Counter (EHS/TEPC) spectrometer and detector assembly on panel 327 in the Zvezda Service Module of the International Space Station. The TEPC detector assembly is the primary radiation measurement tool on the space station.

VizieR Online Data Catalog: Dense cores in Taurus L1495 cloud (Marsh+, 2016)

NASA Astrophysics Data System (ADS)

Marsh, K. A.; Kirk, J. M.; Andre, P.; Griffin, M. J.; Konyves, V.; Palmeirim, P.; Men'shchikov, A.; Ward-Thompson, D.; Benedettini, M.; Bresnahan, D. W.; di, Francesco J.; Elia, D.; Motte, F.; Peretto, N.; Pezzuto, S.; Roy, A.; Sadavoy, S.; Schneider, N.; Spinoglio, L.; White, G. J.

2017-04-01

The observational data on which the present catalogue is based consists of a set of images of the L1495 cloud in the Taurus star-forming region, made as part of the HGBS (Andre et al. 2010). The data were taken using PACS at 70, 160, 250, 350 and 500 microns in fast-scanning (60"/s) parallel mode. (2 data files).

USSR Report, International Affairs

DTIC Science & Technology

1986-06-23

Carlos Carvajal, Pablo Ramos Sanchez Interview; LATINSKAYA AMERIKA, No 12, Dec 85) .14 Work of Cuban Center for American Studies Described... Carlos Carvajal, chairman of the Bolivian Committee for Peace and Democracy, and Pablo Ramos Sanchez, rector of San Andres University, by unnamed...LATINSKAYA AMERIKA journalists, date and place not specified] [Text] Carlos Carvajal, chairman of the Bolivian committee for Peace and Democracy

Lawfare: The Colombian Case

DTIC Science & Technology

2010-05-01

Colombia is legislation conceived between 1998 and 1999 by the administration of President Andrés Pastrana and continued by President Alvaro Uribe , backed...speech to the diplomatic corps accredited in Bogota, President Alvaro Uribe stated, “In Colombia...or insurgent activity.7 The government’s successful passage in 2002 of President Alvaro Uribe’s Democratic Security Policy complemented the ongoing

Phenylpropanoid metabolism in suspension cultures of Vanilla planifolia Andr

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

Funk, C.; Brodelius, P.E.

Feeding of cinnamic acid and ferulic acid to non-treated and chitosan-treated cell suspension cultures of Vanilla planifolia resulted in the formation of trace amounts of p-hydroxybenzoic acid (5.2 micrograms per gram fresh weight of cells) and vanillic acid (6.4 micrograms per gram fresh weight of cells), respectively. Addition of a 4-hydroxycinnamate: CoA-ligase inhibitor, 3,4-(methylenedioxy)-cinnamic acid (MDCA), resulted in a reduced biosynthesis of ligneous material with a simultaneous significant increased vanillic acid formation (around 75 micrograms per gram fresh weight of cells). A K{sub i} of 100 micromolar for 4-hydroxycinnamate: CoA-ligase in a crude preparation was estimated for this inhibitor. Itmore » is suggested that the conversion of cinnamic acids into benzoic acids does not involve cinnamoyl CoA esters as intermediates. Feeding of {sup 14}C-cinnamic acid and {sup 14}C-ferulic acid to cells treated with MDCA indicate that cinnamic acid, but not ferulic acid, is a precursor of vanillic acid in these cultivated cells of V. planifolia.« less

VizieR Online Data Catalog: Star-forming potential in the Perseus complex (Mercimek+, 2017)

NASA Astrophysics Data System (ADS)

Mercimek, S.; Myers, P. C.; Lee, K. I.; Sadavoy, S. I.

2018-05-01

We used published catalogs of cores and YSOs at different wavelengths ranging from sub-millimeter (850 μm) to infrared (1.25 μm). We focus on seven clumps in Perseus, which Sadavoy et al. (2014ApJ...787L..18S) showed in their Figure 1. They defined these clumps and their boundaries using a fitted Herschel-derived column density map. The column density threshold of AV~7 mag is proposed as a star formation threshold by Andre et al. (2010A&A...518L.102A), Lada et al. (2010ApJ...724..687L), and Evans et al. (2014ApJ...782..114E) and is equal to N(H2)~5x1021/cm2 (see also, Kirk et al. 2006, J/ApJ/646/1009; Andre et al. 2010A&A...518L.102A). We considered a core or YSO to be associated with a clump if it is located within the AV=7 mag contour of that clump from Sadavoy et al. (2014ApJ...787L..18S). We define a "source" to be a starless core or a YSO. (7 data files).

The Preston of the Guinier-Preston Zones. Guinier

NASA Astrophysics Data System (ADS)

Hardouin Duparc, O. B. M.

2010-10-01

Almost all materials scientists know about the Guinier-Preston (GP) zones, which were discovered in age-hardened aluminum-copper alloys in 1938. One of the discoverers, the French André Guinier, is rightly well known. The other discoverer, the British G.D. Preston, is totally ignored, even in English scientific biographies. I wish here to partly make up for this “oblivion” by giving elements about George Preston’s life (August 8, 1896 to June 22, 1972) and scientific work. Born in Ireland to the physicist Thomas Preston and deceased in Scotland, G. Preston carried out his scientific achievements in England, mainly studying the crystallographic structure of metals, metallic alloys, and thin films of metal oxides in a pioneering way. He also discussed the atomistic structure of twins in 1927. He mastered many kinds of X-ray and electron diffraction techniques up to diffuse scattering, which allowed him to detect the GP zones. Although he was involved in several controversies, including one about diamonds, he always remained a forthright person until his final professorship in Dundee. André Guinier’s career is briefly recalled in a parallel way.

The Preston of the Guinier-Preston Zones. Guinier

NASA Astrophysics Data System (ADS)

Hardouin Duparc, O. B. M.

2010-08-01

Almost all materials scientists know about the Guinier-Preston (GP) zones, which were discovered in age-hardened aluminum-copper alloys in 1938. One of the discoverers, the French André Guinier, is rightly well known. The other discoverer, the British G.D. Preston, is totally ignored, even in English scientific biographies. I wish here to partly make up for this “oblivion” by giving elements about George Preston’s life (August 8, 1896 to June 22, 1972) and scientific work. Born in Ireland to the physicist Thomas Preston and deceased in Scotland, G. Preston carried out his scientific achievements in England, mainly studying the crystallographic structure of metals, metallic alloys, and thin films of metal oxides in a pioneering way. He also discussed the atomistic structure of twins in 1927. He mastered many kinds of X-ray and electron diffraction techniques up to diffuse scattering, which allowed him to detect the GP zones. Although he was involved in several controversies, including one about diamonds, he always remained a forthright person until his final professorship in Dundee. André Guinier’s career is briefly recalled in a parallel way.

The Arago Laboratory of Banyuls and some of its Academicians.

PubMed

Soyer-Gobillard, Marie-Odile

2016-12-01

Since its founding in 1881 by Henri de Lacaze-Duthiers (1821-1901), the Arago Laboratory of Banyuls has been one of the three marine stations of the University Pierre and Marie Curie-Paris 6. It is located in Banyuls (Banyuls-sur-Mer) in Northern Catalonia. The center hosts researchers and students from all over the world. Some became famous, including four Nobel Prize winners: André Lwoff (1965), Pierre-Gilles de Gennes (1991), Albert Fert (2007) and Jules Hoffmann (2011). This article focuses on five scientists closely related to the center. The first three are Henri de Lacaze-Duthiers (1821-1901), the founder; Édouard Chatton (1883-1947), eminent director of the center; and André Lwoff (1902-1994), who before being known for his work in bacterial genetics and virology was an outstanding protozoologist under the direction of Chatton. Lynn Margulis (1938-2011), a great friend of the Arago Laboratory and personal friend of the author, is also remembered. Finally, there is a mention of Walter J. Gehring (1939-2014), professor at the University of Basel, Switzerland. [Int Microbiol 19(4): 183-190 (2016)]. Copyright© by the Spanish Society for Microbiology and Institute for Catalan Studies.

Morphology of Labronemella major n. sp. (Nematoda: Dorylaimida), a soil-dwelling nematode from China, including a revised key to species of the genus.

PubMed

Wu, W J; Yan, L; Xie, H; Xu, C L; Wang, K; Jin, S Y

2017-01-01

One new species from Qinghai Province, China, Labronemella major n. sp., is described. The new species is characterized by a body length of 3.03-3.34 mm; lip region wide, offset by a distinct depression, disc-like with six separated inner liplets; amphid fovea funnel-shaped, distinctly bulged on body surface in scanning electron micrographs; odontostyle long (35-39 μm) with distinct lumen, aperture about 39-47% of its length; odontophore rod-like and long; guiding ring double; pharyngeal basal expansion about half of the total neck length; uterus relatively long and tripartite; vulva transverse and sclerotized; spicules 81-90 μm long; ventromedial supplements 19-23; tail short, rounded to conoid. It can be differentiated from all other species of the genus by its relatively longer body, odontostyle and spicules, and wider lip region. Due to the lip region being offset by a deep constriction, and the long (three or more times the body diameter at mid-body) tripartite uterus, the new species is close to Labronemella czernowitzensis (Micoletzky, 1922) Andrássy, 2002 and Labronemella labiata Andrássy, 1985. An improved key to the genus including the new species is provided.

78 FR 21344 - In the Matter of: Andro Telemi, a/k/a Andre Telimi, a/k/a Andre Telemi; 8868 Bluffdale Drive, La...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-10

... Economic Powers Act (50 U.S.C. 1701-1706); 18 U.S.C. 793, 794 or 798; section 4(b) of the Internal Security... Emergency Economic Powers Act (50 U.S.C. 1701, et seq. (2006 & Supp. IV 2010)). I have received notice of... United States any item subject to the Regulations with knowledge or reason to know that the item will be...

Somewhere Between Great and Small: Disentangling the Conceptual Jumble of Middle, Regional, and Niche Powers

DTIC Science & Technology

2013-01-01

and levels of corruption, as well as more ephemeral soft power considerations like national reputation, moral clout, and cultural influence.7 For...of carefully calibrated issues that balance underlying national interests and plausible opportunities for exerting influence. Middle power diplomacy...World (University Park: Pennsylvania State University Press, 1997); Björn Hettne, András Inotai and Osvaldo Sunkel, eds., Gobalism and the New

["Anxiety glistens on our brows". Dream reports in literary works on the horrors of ghettos and concentration camps].

PubMed

Klein, J

1991-06-01

Dream reports occupy a special place in literature about confinement in concentration camps and ghettos (Robert Antelme, Charlotte Delbo, Anna Langfus, André Schwarz-Bart). They are central elements in the narrative that relate the anxiety of those threatened with destruction more faithfully than any realistic account could. They disrupt the chronological linearity and rationality and represent in images horror beyond memory or description.

Trial by Science: A Forensic Extravaganza

ERIC Educational Resources Information Center

Hunt, Vanessa

2004-01-01

"His handwriting checks out and his prints look pretty good. Move him to the top of the list," orders the 13-year-old captain. His co-detective makes appropriate procedural notes. "Bring the next one up. Get a foot measurement and let Andre print him before we talk." In another corner of the room, two girls administer a solemn oath to one of six…

Quantum Linear Systems Theory

DTIC Science & Technology

2013-02-15

Matthew James, Andre Carvalho and Michael Hush completed some work analyzing cross-phase modulation using single photon quantum filtering techniques...ANU Michael Hush January – June, 2012, Postdoc, ANU Matthew R. James Professor, Australian National University Ian R. Petersen Professor...appear, IEEE Trans. Aut. Control., 2013. A. R. R. Carvalho, M. R. Hush , and M. R. James, “Cavity driven by a single photon: Conditional dynamics and

Keeping genome organized creates opportunities for damage | Center for Cancer Research

Cancer.gov

Packing an entire genome inside the cramped quarters of a cell nucleus can put chromosomes at risk for damage, according to new research led by André Nussenzweig, Ph.D., Chief of CCR’s Laboratory of Genomic Integrity. The findings, reported July 20, 2017, in Cell, suggest that DNA breaks are routinely introduced and then repaired as a cell folds and organizes its genome, and

Defense Conference on Nondestructive Testing (28th), 27-29 November 1979

DTIC Science & Technology

1979-11-29

58 ’.Microencapsulated Penetrants, A Now Approach to Penetrant Inspection" • ........ Albert Olevitch, Wright- Patterson AEB, OH...J. Watts, Warren, MI 48090 ......................... 140 "Using NDT Methods to Influence the Aircraft Design Process,’ William L Andre, Moffett Field...Albert Olevitch Air Force Materialý Laboratory Attn: AFML/MXE Wright- Patterson AFB, OH 45433 Autovon 785-3691 ABSTRACT This paper describes the work

Greek National Security Concerns and the European Union’s Common Foreign and Security Policy: Consensus or Divergence?

DTIC Science & Technology

2011-09-01

Petropoulos and Harry J . Psomiades, Foreign Interference in Greek Politics: An Historical Perspective, vol. II of Modern Greek Research Series, ed... Maxwell Airforce Base, 2002), 13. 48 Ibid. 49 According to this theory, Turkish diplomats claim that several islets, while not explicitly...and Opportunities, vol. VI in Modern Greek Research Series, ed. Van Coufoudakis, Harry J . Psomiades and Andre Gerolymatos (New York: Pella Publishing

Dealing with Political Ferment in Latin America: The Populist Revival, the Emergence of the Center, and Implications for U.S. Policy

DTIC Science & Technology

2009-09-01

president considerable embarrassment. The main outcome of the Colombian insurgency has not been to undermine Uribe , but rather to complicate...discussed above. In Colombia, Uribe has continued his country’s traditionally sound macroeconomic policies and concluded an FTA with the United...in security, development, and other aid to Uribe and his predecessor, Andres Pastrana.130 Much of this aid has gone toward traditional security

Indicators of Suicide Found on Social Networks: Phase 2

DTIC Science & Technology

2015-10-01

Engagement in Sport and Suicide Risk. Archives of Suicide Research . 11(4), pp375-390. Chioqueta, A. P. & Stiles, T. C. (2007). The relationship between...Approved for Public Distribution: Distribution Unlimited Defense Personnel and Security Research Center Defense Manpower Data Center Technical...Report 15-04 October 2015 Indicators of Suicide Found on Social Networks: Phase 2 Andrée E. Rose Defense Personnel and Security Research

An Observational Study of the Kuroshio in the East China Sea: Local, Regional, and Basin-Wide Perspectives on a Western Boundary Current

DTIC Science & Technology

2008-01-01

a seamount (summit ~320 m depth); the northern section reaches ~460 m depth while the southern section reaches ~1400 m (Oka and Kawabe, 2003). East...AN OBSERVATIONAL STUDY OF THE KUROSHIO IN THE EAST CHINA SEA: LOCAL, REGIONAL, AND BASIN-WIDE PERSPECTIVES ON A WESTERN BOUNDARY CURRENT...BY MAGDALENA ANDRES A DISSERTATION SUBMITTED IN PARTIAL FULFILLMENT OF THE REQUIREMENTS FOR THE DEGREE OF DOCTOR OF

Hepatitis B (HBV), Hepatitis C (HCV) and Hepatitis Delta (HDV) Viruses in the Colombian Population—How Is the Epidemiological Situation?

PubMed Central

Alvarado-Mora, Mónica Viviana; Gutierrez Fernandez, María Fernanda; Gomes-Gouvêa, Michele Soares; de Azevedo Neto, Raymundo Soares; Carrilho, Flair José; Pinho, João Renato Rebello

2011-01-01

Background Viral hepatitis B, C and delta still remain a serious problem worldwide. In Colombia, data from 1980s described that HBV and HDV infection are important causes of hepatitis, but little is known about HCV infection. The aim of this study was to determine the currently frequency of HBV, HCV and HDV in four different Colombian regions. Methodology/Principal Findings This study was conducted in 697 habitants from 4 Colombian departments: Amazonas, Chocó, Magdalena and San Andres Islands. Epidemiological data were obtained from an interview applied to each individual aiming to evaluate risk factors related to HBV, HCV or HDV infections. All samples were tested for HBsAg, anti-HBc, anti-HBs and anti-HCV markers. Samples that were positive to HBsAg and/or anti-HBc were tested to anti-HDV. Concerning the geographical origin of the samples, the three HBV markers showed a statistically significant difference: HBsAg (p = 0.033) and anti-HBc (p<0.001) were more frequent in Amazonas and Magdalena departments. Isolated anti-HBs (a marker of previous vaccination) frequencies were: Chocó (53.26%), Amazonas (32.88%), Magdalena (17.0%) and San Andrés (15.33%) - p<0.001. Prevalence of anti-HBc increased with age; HBsAg varied from 1.97 to 8.39% (p = 0.033). Amazonas department showed the highest frequency for anti-HCV marker (5.68%), while the lowest frequency was found in San Andrés Island (0.66%). Anti-HDV was found in 9 (5.20%) out of 173 anti-HBc and/or HBsAg positive samples, 8 of them from the Amazonas region and 1 from them Magdalena department. Conclusions/Significance In conclusion, HBV, HCV and HDV infections are detected throughout Colombia in frequency levels that would place some areas as hyperendemic for HBV, especially those found in Amazonas and Magdalena departments. Novel strategies to increase HBV immunization in the rural population and to strengthen HCV surveillance are reinforced by these results. PMID:21559488

Rapid generation of functional hepatocyte-like cells from human adipose-derived stem cells.

PubMed

Fu, Yanli; Deng, Jie; Jiang, Qingyuan; Wang, Yuan; Zhang, Yujing; Yao, Yunqi; Cheng, Fuyi; Chen, Xiaolei; Xu, Fen; Huang, Meijuan; Yang, Yang; Zhang, Shuang; Yu, Dechao; Zhao, Robert Chunhua; Wei, Yuquan; Deng, Hongxin

2016-08-05

Liver disease is a major cause of death worldwide. Orthotropic liver transplantation (OLT) represents the only effective treatment for patients with liver failure, but the increasing demand for organs is unfortunately so great that its application is limited. Hepatocyte transplantation is a promising alternative to OLT for the treatment of some liver-based metabolic disorders or acute liver failure. Unfortunately, the lack of donor livers also makes it difficult to obtain enough viable hepatocytes for hepatocyte-based therapies. Currently, a fundamental solution to this key problem is still lacking. Here we show a novel non-transgenic protocol that facilitates the rapid generation of functional induced hepatocytes (iHeps) from human adipose-derived stem cells (hADSCs), providing a source of available cells for autologous hepatocytes to treat liver disease. We used collagenase digestion to isolate hADSCs. The surface marker was detected by flow cytometry. The multipotential differentiation potency was detected by induction into adipocytes, osteocytes, and chondrocytes. Passage 3-7 hADSCs were induced into iHeps using an induction culture system composed of small molecule compounds and cell factors. Primary cultured hADSCs presented a fusiform or polygon appearance that became fibroblast-like after passage 3. More than 95 % of the cells expressed the mesenchymal cell markers CD29, CD44, CD166, CD105, and CD90. hADSCs possessed multipotential differentiation towards adipocytes, osteocytes, and chondrocytes. We rapidly induced hADSCs into iHeps within 10 days in vitro; the cellular morphology changed from fusiform to close-connected cubiform, which was similar to hepatocytes. After induction, most of the iHeps co-expressed albumin and alpha-1 antitrypsin; they also expressed mature hepatocyte special genes and achieved the basic functions of hepatocyte. Moreover, iHep transplantation could improve the liver function of acute liver-injured NPG mice and prolong life. We

A subclinical high tricuspid regurgitation pressure gradient independent of the mean pulmonary artery pressure is a risk factor for the survival after living donor liver transplantation.

PubMed

Saragai, Yosuke; Takaki, Akinobu; Umeda, Yuzo; Matsusaki, Takashi; Yasunaka, Tetsuya; Oyama, Atsushi; Kaku, Ryuji; Nakamura, Kazufumi; Yoshida, Ryuichi; Nobuoka, Daisuke; Kuise, Takashi; Takagi, Kosei; Adachi, Takuya; Wada, Nozomu; Takeuchi, Yasuto; Koike, Kazuko; Ikeda, Fusao; Onishi, Hideki; Shiraha, Hidenori; Nakamura, Shinichiro; Morimatsu, Hiroshi; Ito, Hiroshi; Fujiwara, Toshiyoshi; Yagi, Takahito; Okada, Hiroyuki

2018-05-15

Portopulmonary hypertension (POPH) is characterized by pulmonary vasoconstriction, while hepatopulmonary syndrome (HPS) is characterized by vasodilation. Definite POPH is a risk factor for the survival after orthotopic liver transplantation (OLT), as the congestive pressure affects the grafted liver, while subclinical pulmonary hypertension (PH) has been acknowledged as a non-risk factor for deceased donor OLT. Given that PH measurement requires cardiac catheterization, the tricuspid regurgitation pressure gradient (TRPG) measured by echocardiography is used to screen for PH and congestive pressure to the liver. We investigated the impact of a subclinical high TRPG on the survival of small grafted living donor liver transplantation (LDLT). We retrospectively analyzed 84 LDLT candidates. Patients exhibiting a TRPG ≥25 mmHg on echocardiography were categorized as potentially having liver congestion (subclinical high TRPG; n = 34). The mean pulmonary artery pressure (mPAP) measured after general anesthesia with FIO 2 0.6 (mPAP-FIO 2 0.6) was also assessed. Patients exhibiting pO 2  < 80 mmHg and an alveolar-arterial oxygen gradient (AaDO 2 ) ≥ 15 mmHg were categorized as potentially having HPS (subclinical HPS; n = 29). The clinical course after LDLT was investigated according to subclinical high TRPG. A subclinical high TRPG (p = 0.012) and older donor age (p = 0.008) were correlated with a poor 40-month survival. Although a higher mPAP-FIO 2 0.6 was expected to correlate with a worse survival, a high mPAP-FIO 2 0.6 with a low TRPG was associated with high frequency complicating subclinical HPS and a good survival, suggesting a reduction in the PH pressure via pulmonary shunt. In cirrhosis patients, mPAP-FIO 2 0.6 may not accurately reflect the congestive pressure to the liver, as the pressure might escape via pulmonary shunt. A subclinical high TRPG is an important marker for predicting a worse survival after LDLT, possibly reflecting

Implantability, Complications, and Follow-Up After Transjugular Intrahepatic Portosystemic Stent-Shunt Creation With the 6F Self-Expanding Sinus-SuperFlex-Visual Stent.

PubMed

Spira, Daniel; Wiskirchen, Jakub; Lauer, Ulrich; Ketelsen, Dominik; Nikolaou, Konstantin; Wiesinger, Benjamin

2016-07-01

The transjugular intrahepatic portosystemic stent-shunt (TIPSS) builds a shortcut between the portal vein and a liver vein, and represents a sophisticated alternative to open surgery in the management of portal hypertension or its complications. To describe clinical experiences with a low-profile nitinol stent system in TIPSS creation, and to assess primary and long-term success. Twenty-six patients (5 females, 21 males; mean age 54.6 years) were treated using a low-profile 6F self-expanding sinus-SuperFlex-Visual stent system. The indication for TIPSS creation was refractory bleeding in 9 of the 26 patients, refractory ascites in 18 patients, and acute thrombosis of the portal vein confluence in one patient. Portosystemic pressure gradients before and after TIPSS, periprocedural and long-term complications, and the time to orthotopic liver transplantation (OLT) or death were recorded. The portosystemic pressure gradient was significantly reduced, from 20.9 ± 6.3 mmHg before to 8.2 ± 2.3 mmHg after TIPSS creation (P < 0.001). Procedure-related complications included acute tract occlusion (n = 2), liver hematoma (n = 1), hepatic encephalopathy (n = 1), and cardiac failure (n = 1). Three of the 26 patients had late-onset TIPSS occlusion (at 12, 12, and 39 months after TIPSS creation). Three patients died within one week after the procedure due to their poor general condition (multiorgan failure, acute respiratory distress syndrome, necrotizing pancreatitis, and aspiration pneumonia). Another four patients succumbed to their underlying advanced liver disease within one year after TIPSS insertion. Seven patients underwent OLT at a mean time of 9.4 months after TIPSS creation. The sinus-SuperFlex-Visual stent system can be safely deployed as a TIPSS device. The pressure gradient reduction was clinically sufficient to treat the patients' symptoms, and periprocedural complications were due to the TIPSS procedure per se rather than to the particular stent system employed

Comparison of hepatic MDCT, MRI, and DSA to explant pathology for the detection and treatment planning of hepatocellular carcinoma.

PubMed

Ladd, Lauren M; Tirkes, Temel; Tann, Mark; Agarwal, David M; Johnson, Matthew S; Tahir, Bilal; Sandrasegaran, Kumaresan

2016-12-01

The diagnosis and treatment plan for hepatocellular carcinoma (HCC) can be made from radiologic imaging. However, lesion detection may vary depending on the imaging modality. This study aims to evaluate the sensitivities of hepatic multidetector computed tomography (MDCT), magnetic resonance imaging (MRI), and digital subtraction angiography (DSA) in the detection of HCC and the consequent management impact on potential liver transplant patients. One hundred and sixteen HCC lesions were analyzed in 41 patients who received an orthotopic liver transplant (OLT). All of the patients underwent pretransplantation hepatic DSA, MDCT, and/or MRI. The imaging results were independently reviewed retrospectively in a blinded fashion by two interventional and two abdominal radiologists. The liver explant pathology was used as the gold standard for assessing each imaging modality. The sensitivity for overall HCC detection was higher for cross-sectional imaging using MRI (51.5%, 95% confidence interval [CI]=36.2-58.4%) and MDCT (49.8%, 95% CI=43.7-55.9%) than for DSA (41.7%, 95% CI=36.2-47.3%) ( P =0.05). The difference in false-positive rate was not statistically significant between MRI (22%), MDCT (29%), and DSA (29%) ( P =0.67). The sensitivity was significantly higher for detecting right lobe lesions than left lobe lesions for all modalities (MRI: 56.1% vs. 43.1%, MDCT: 55.0% vs. 42.0%, and DSA: 46.9% vs. 33.9%; all P <0.01). The sensitivities of the three imaging modalities were also higher for lesions ≥2 cm vs. <2 cm (MRI: 73.4% vs. 32.7%, MDCT: 66.9% vs. 33.8%, and DSA: 62.2% vs. 24.1%; all P <0.01). The interobserver correlation was rated as very good to excellent. The sensitivity for detecting HCC is higher for MRI and MDCT than for DSA, and so cross-sectional imaging modalities should be used to evaluate OLT candidacy.

Study of bidirectional broadband passive optical network (BPON) using EDFA

NASA Astrophysics Data System (ADS)

Almalaq, Yasser

Optical line terminals (OLTs) and number of optical network units (ONUs) are two main parts of passive optical network (PON). OLT is placed at the central office of the service providers, the ONUs are located near to the end subscribers. When compared with point-to-point design, a PON decreases the number of fiber used and central office components required. Broadband PON (BPON), which is one type of PON, can support high-speed voice, data and video services to subscribers' residential homes and small businesses. In this research, by using erbium doped fiber amplifier (EDFA), the performance of bi-directional BPON is experimented and tested for both downstream and upstream traffic directions. Ethernet PON (E-PON) and gigabit PON (G-PON) are the two other kinds of passive optical network besides BPON. The most beneficial factor of using BPON is it's reduced cost. The cost of the maintenance between the central office and the users' side is suitable because of the use of passive components, such as a splitter in the BPON architecture. In this work, a bidirectional BPON has been analyzed for both downstream and upstream cases by using bit error rate analyzer (BER). BER analyzers test three factors that are the maximum Q factor, minimum bit error rate, and eye height. In other words, parameters such as maximum Q factor, minimum bit error rate, and eye height can be analyzed utilized a BER tester. Passive optical components such as a splitter, optical circulator, and filters have been used in modeling and simulations. A 12th edition Optiwave simulator has been used in order to analyze the bidirectional BPON system. The system has been tested under several conditions such as changing the fiber length, extinction ratio, dispersion, and coding technique. When a long optical fiber above 40km was used, an EDFA was used in order to improve the quality of the signal.

1.25-3.125 Gb/s per user PON with RSOA as phase modulator for statistical wavelength ONU

NASA Astrophysics Data System (ADS)

Chu, Guang Yong; Polo, Victor; Lerín, Adolfo; Tabares, Jeison; Cano, Iván N.; Prat, Josep

2015-12-01

We report a new scheme to support, cost efficiently, ultra-dense wavelength division multiplexing (UDWDM) for optical access networks. As validating experiment, we apply phase modulation of a reflective semiconductor optical amplifier (RSOA) at the ONU with a single DFB, and simplified coherent receiver at OLT for upstream. We extend the limited 3-dB modulation bandwidth of available uncooled To-can packaged RSOA (~400 MHz) and operate it at 3.125 Gb/s with the optimal performance for phase modulation using small and large signal measurement characteristics. The optimal condition is selected at input power of 0 dBm, with 70 mA bias condition. The sensitivities at 3.125 Gb/s (at BER=10-3) for heterodyne and intradyne detection reach -34.3 dBm and -38.8 dBm, respectively.

Hierarchy Bayesian model based services awareness of high-speed optical access networks

NASA Astrophysics Data System (ADS)

Bai, Hui-feng

2018-03-01

As the speed of optical access networks soars with ever increasing multiple services, the service-supporting ability of optical access networks suffers greatly from the shortage of service awareness. Aiming to solve this problem, a hierarchy Bayesian model based services awareness mechanism is proposed for high-speed optical access networks. This approach builds a so-called hierarchy Bayesian model, according to the structure of typical optical access networks. Moreover, the proposed scheme is able to conduct simple services awareness operation in each optical network unit (ONU) and to perform complex services awareness from the whole view of system in optical line terminal (OLT). Simulation results show that the proposed scheme is able to achieve better quality of services (QoS), in terms of packet loss rate and time delay.

Suppression of optical beat interference-noise in orthogonal frequency division multiple access-passive optical network link using self-homodyne balanced detection

NASA Astrophysics Data System (ADS)

Won, Yong-Yuk; Jung, Sang-Min; Han, Sang-Kook

2014-08-01

A new technique, which reduces optical beat interference (OBI) noise in orthogonal frequency division multiple access-passive optical network (OFDMA-PON) links, is proposed. A self-homodyne balanced detection, which uses a single laser for the optical line terminal (OLT) as well as for the optical network unit (ONU), reduces OBI noise and also improves the signal to noise ratio (SNR) of the discrete multi-tone (DMT) signal. The proposed scheme is verified by transmitting quadrature phase shift keying (QPSK)-modulated DMT signal over a 20-km single mode fiber. The optical signal to noise ratio (OSNR), that is required for BER of 10-5, is reduced by 2 dB in the balanced detection compared with a single channel due to the cancellation of OBI noise in conjunction with the local laser.

Power Budget Analysis of Colorless Hybrid WDM/TDM-PON Scheme Using Downstream DPSK and Re-modulated Upstream OOK Data Signals

NASA Astrophysics Data System (ADS)

Khan, Yousaf; Afridi, Muhammad Idrees; Khan, Ahmed Mudassir; Rehman, Waheed Ur; Khan, Jahanzeb

2014-09-01

Hybrid wavelength-division multiplexed/time-division multiplexed passive optical access networks (WDM/TDM-PONs) combine the advance features of both WDM and TDM PONs to provide a cost-effective access network solution. We demonstrate and analyze the transmission performances and power budget issues of a colorless hybrid WDM/TDM-PON scheme. A 10-Gb/s downstream differential phase shift keying (DPSK) and remodulated upstream on/off keying (OOK) data signals are transmitted over 25 km standard single mode fiber. Simulation results show error free transmission having adequate power margins in both downstream and upstream transmission, which prove the applicability of the proposed scheme to future passive optical access networks. The power budget confines both the PON splitting ratio and the distance between the Optical Line Terminal (OLT) and Optical Network Unit (ONU).

Stability and Support Operations, Intervening Armed Forces and the Population They Serve: Defining a Doctrine

DTIC Science & Technology

2002-05-24

Chauvancy, Le moral du soldat occidental dans les nouveaux contextes d’intervention » (The Western Soldier Moral In The New Intervention Environment). MARS...Lawrence A. “Military Stability and Support Operations: Analogies, Patterns And Recurring Themes”. Military Review 4 (July-august 1997): 51. WEB SITES...And General Staff College, Fort Leavenworth, Kansas, 1967. BOOKS IN FRENCH Corvisier, André. Histoire militaire de la France, 4. de 1940 à nos jours

iss031e150065

NASA Image and Video Library

2012-06-28

ISS031-E-150065 (28 June 2012) --- In the Rassvet Mini-Research Module 1 (MRM-1), Russian cosmonaut Oleg Kononenko (center), Expedition 31 commander; along with European Space Agency astronaut Andre Kuipers (left) and NASA astronaut Don Pettit, both flight engineers, pose for a photo after adding the Soyuz TMA-03M patch to the growing collection of insignias representing crews who have worked on the International Space Station.

Towards Natural Transition in Compressible Boundary Layers

DTIC Science & Technology

2016-06-29

AFRL-AFOSR-CL-TR-2016-0011 Towards natural transition in compressible boundary layers Marcello Faraco de Medeiros FUNDACAO PARA O INCREMENTO DA...to 29-03-2016 Towards natural transition in compressible boundary layers FA9550-11-1-0354 Marcello A. Faraco de Medeiros Germán Andrés Gaviria...unlimited. 109 Final report Towards natural transition in compressible boundary layers Principal Investigator: Marcello Augusto Faraco de Medeiros

Accelerated Intoxication of GABAergic Synapses by Botulinum Neurotoxin A Disinhibits Stem Cell-Derived Neuron Networks Prior to Network Silencing

DTIC Science & Technology

2015-04-23

synaptic and post-synaptic compartments, resulting in a lower apparent rate of synaptic activity (Wang et al., 2003; Chalifoux and Carter , 2011). This led...Chalifoux and Carter , 2011). Although we did not directly iso- late and quantify GABARB function in intoxicated neurons, the reduction in mIPSCs following...thank Dr. James Apland for scien- tific guidance and editorial assistance; Christopher Fifty, Megan Lyman, Angela Adkins, Chelsea Andres, Justin

Immune Blood Sample Draw

NASA Image and Video Library

2012-04-26

ISS030-E-257690 (26 April 2012) --- European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, prepares for IMMUNE venous blood sample draws in the Columbus laboratory of the International Space Station. Following the blood draws, the samples were temporarily stowed in the Minus Eighty Laboratory Freezer for ISS 1 (MELFI-1) and later packed together with saliva samples on the Soyuz TMA-22 for return to Earth for analysis.

Kuipers replaces the ESEM-1 with new ESEM in the U.S. Laboratory

NASA Image and Video Library

2011-12-28

ISS030-E-033367 (28 Dec. 2011) --- In the International Space Station?s Destiny laboratory, European Space Agency astronaut Andre Kuipers, Expedition 30 flight engineer, replaces the faulty Exchangeable Standard Electronic Module 1 (ESEM-1) behind the front panel of the Microgravity Science Glovebox Remote Power Distribution Assembly (MSG RPDA) with the new spare. The ESEM is used to distribute station main power to the entire MSG facility.

[The apothecaries of the quartier de la Harpe in Paris in the 16th and 17th centuries].

PubMed

Warolin, Christian

2015-09-01

Large families of apothecaries, some of them very famous, lived in the Quartier de la Harpe in Paris, on the left bank of Seine, from the 16th to the 17th century. The study confirms a well-established fact that apothecaries practised endogamy, in others words marriage within the same social class. The biographical research includes ten apothecaries, most of whom lived in the rue Saint-André-des-Arts.

jsc2011e212757

NASA Image and Video Library

2011-12-01

At the Kremlin Wall in Moscow, Expedition 30 NASA Flight Engineer Don Pettit lays flowers at the site where Russian space heroes are interred during a traditional ceremony Dec. 1, 2011. Pettit, Soyuz Commander Oleg Kononenko and Flight Engineer Andre Kuipers of the European Space Agency will launch on Dec. 21 from the Baikonur Cosmodrome in Kazakhstan on their Soyuz TMA-03M spacecraft to the International Space Station. Credit: NASA

Kuipers conducts ARGES experiment OPS at the MSG during EXP 8 / EXP 9

NASA Image and Video Library

2004-04-24

ISS008-E-22128 (24 April 2004) --- European Space Agency (ESA) astronaut Andre Kuipers of the Netherlands works with the ARGES experiment for the Microgravity Science Glovebox (MSG) in the Destiny laboratory of the International Space Station (ISS). The main objectives of ARGES are to determine which factors are critical in the onset of instabilities in High-Intensity Discharge (HID) lamps and to characterize the separation of individual gaseous elements inside.

Mojave Desert, California

NASA Image and Video Library

1981-04-14

STS001-12-308 (12-14 April 1981) --- Space shuttle Columbia approached Edwards Air Force Base from the left to land at the dry lake at the center. The view is to the southwest. The edge of the light "vee" is the intersection of the San Andres and Garlock Faults at Fort Tejon. Los Angeles is at upper right. Owens Lake is at the lower center. Photo credit: NASA

Mexico’s National Command and Control Center Challenges and Successes

DTIC Science & Technology

2011-06-01

Perales Pimentel Ing. Francisco Niembro Maribel Cervates Guerrero Genaro Garcia Luna Secretaría de Seguridad Pública Mexico , D.F. Point of...9841 Irvine Ctr Dr., Ste 200 Irvine, CA 92618 Alex Bonino and Fred Schellenberg Narcotics Affairs Section, US Embassy Mexico , D.F. Andres...Federal Rights License. 14. ABSTRACT Secretar?de Seguridad P?blica (The Secretariat of Public Security or SSP) has a work force of nearly 30,800 police

Eddies and the Kuroshio between Luzon and Northeastern Taiwan: Integration of In Situ Observations and Remote Sensing Data

DTIC Science & Technology

2016-09-30

Taiwan: Integration of In Situ Observations and Remote Sensing Data Sb. GRANT NUMBER N00014-15-1-2593 Sc. PROGRAM ELEMENT NUMBER 1000000976 6... Remote Sensing Data Magdalena Andres Woods Hole Oceanographic Institution 1266 Woods Hole Road I Woods Hole, MA 02543 1. Long Term Goals The...MONITORING AGENCY NAME(S) AND ADDRESS(ES) 10. SPONSOR/MONITOR’S ACRONYM($) Dr. Theresa Paluszkiewicz ONR ONR Ocean Battlespace Sensing S& T Dept

Arms Control and British and French Nuclear Forces.

DTIC Science & Technology

1987-12-01

ne:ghboring and allied territories. Although they still maintain their policy is one of massive retaliation, in 19S1 Prime Minister Pierre Mauroy ...York \\Vi:k.Paul, ’The lusion of’ N’A’TO’s Nuclear Defense," in N’uclear Weapons in lir’i’.ee Ib- Andre %%~ J. Pierre. New York L’i’rivPress. 1984. Yi

Measurement of Deep Levels at InGaAs(P)/InP Heterojunctions

DTIC Science & Technology

1990-04-01

by write Eq. (10) to obtain (for shallow or deep donor traps): VD(O) = VDK + q/K f. N, (x*)(x* -x)dx* -qAx/ o, - + J N,(x)dx J-* +_N,, F(x)dx KFc . N...8217T, P. Andre, 1. N. Patillon, J. L. Gentler, E. P. Menu , D. Moroni, and G. Case 2: Bias sweep frequency large (e,, <Wf~ccw) M. Martin, Int. Symp. GaAs

Fighting Corruption in Mexico: Lessons from Colombia

DTIC Science & Technology

2011-06-01

combat the growing threat. The strategy presented by President Alvaro Uribe in 2003, albeit not perfect, made important strides towards the reform...Edivision Compania Editorial, 1987), 119–120; Andres Lopez- Restrepo and Alvaro Camacho-Guizado, ―From Smugglers to Drug-Lords to ‗Traquetos...of President Uribe in 2002, the GOC viewed the security threat posed by drug trafficking organizations, the FARC and the paramilitaries, as a

Development of an Implantable Fish Spawning Sensor Tag

DTIC Science & Technology

2013-09-24

Manatee Hatchery Facility, Port Manatee , Florida) using a Millar Instruments pressure catheter inserted a fixed distance (15cm) into the ovary before and...red drum aquaculture facility in Port Manatee , Florida (or similar aquaculture facility where spawning fishes are kept). This facility maintains a...at the Port Manatee hatchery and phase three tests on goliath grouper in the field. RESULTS *Please refer to other sections for more details and

KENNEDY SPACE CENTER, FLA. - At the airport in San Jose, Costa Rica, the NASA hangar is dedicated. The speaker is Hermann Faith, executive director, Costa Rica-USA (CRUSA) Foundation. At the table are (from left) Dr. Jorge Andres Diaz, head scientiest CARTA mission; Gary Shelton, NASA deployment manager; Dr. Pedro Leon, general director, National Center for Advanced Technology (CENAT); Dr. Rogelio Pardo, minister of science and tchnology; John Danilovioch, U.S. ambassador to Costa Rica; and Lic. Vilma Lopez, subdirector, Civil Aviation (DGAC). NASA KSC has been testing its Aircraft-based Volcanic Emission Mass Spectrometer (AVEMS) in flights over the Turrialba volcano and in the crater, sampling and analyzing fresh volcanic gases in their natural chemical state. The AVEMS system has been developed for use in the Space Shuttle program, to detect toxic gas leaks and emissions in the Shuttle’s aft compartment and the crew compartment.

NASA Image and Video Library

2003-03-31

KENNEDY SPACE CENTER, FLA. - At the airport in San Jose, Costa Rica, the NASA hangar is dedicated. The speaker is Hermann Faith, executive director, Costa Rica-USA (CRUSA) Foundation. At the table are (from left) Dr. Jorge Andres Diaz, head scientiest CARTA mission; Gary Shelton, NASA deployment manager; Dr. Pedro Leon, general director, National Center for Advanced Technology (CENAT); Dr. Rogelio Pardo, minister of science and tchnology; John Danilovioch, U.S. ambassador to Costa Rica; and Lic. Vilma Lopez, subdirector, Civil Aviation (DGAC). NASA KSC has been testing its Aircraft-based Volcanic Emission Mass Spectrometer (AVEMS) in flights over the Turrialba volcano and in the crater, sampling and analyzing fresh volcanic gases in their natural chemical state. The AVEMS system has been developed for use in the Space Shuttle program, to detect toxic gas leaks and emissions in the Shuttle’s aft compartment and the crew compartment.

Aquifer composition and the tendency toward scale-deposit formation during reverse osmosis desalination - Examples from saline ground water in New Mexico, USA

USGS Publications Warehouse

Huff, G.F.

2006-01-01

Desalination is expected to make a substantial contribution to water supply in the United States by 2020. Currently, reverse osmosis is one of the most cost effective and widely used desalination technologies. The tendency to form scale deposits during reverse osmosis is an important factor in determining the suitability of input waters for use in desalination. The tendency toward scale formation of samples of saline ground water from selected geologic units in New Mexico was assessed using simulated evaporation. All saline water samples showed a strong tendency to form CaCO3 scale deposits. Saline ground water samples from the Yeso Formation and the San Andres Limestone showed relatively stronger tendencies to form CaSO4 2H2O scale deposits and relatively weaker tendencies to form SiO2(a) scale deposits than saline ground water samples from the Rio Grande alluvium. Tendencies toward scale formation in saline ground water samples from the Dockum Group were highly variable. The tendencies toward scale formation of saline waters from the Yeso Formation, San Andres Limestone, and Rio Grande alluvium appear to correlate with the mineralogical composition of the geologic units, suggesting that scale-forming tendencies are governed by aquifer composition and water-rock interaction. ?? 2006 Elsevier B.V. All rights reserved.

The Case against Secondary Task Analyses of Mental Workload.

DTIC Science & Technology

1980-01-10

different attributes of one object (e.g., its color, form and size) than one attribute of three objects (e.g., red, green and blue or square, circle and...RED printed in colored ink, e.g. green . The subjecc is instructed to report the ink color, ignoring the color word. This is quite difficult for most...Directions in Cognitive Psycholoz. London: Routledge & Kegan Paul (in press). Baddeley, A. D. The capacity for generating information by randomization

Proceedings of the Public Workshop on Alternative Separation Concepts: Presentations, Discussions and Recommendations, held at Atlantic City Airport, New Jersey, January 7, 8 and 9, 1981.

DTIC Science & Technology

1981-06-01

going on with the MITRE Corporation taking a look at the methods of providing ATARS ser- vice to aircraft in the traffic pattern. And we’re using some...SRDS ... "DABS, BCAS and ATARS " 31 QUESTIONS AND ANSWERS . ... ........................ 37 SPEAKERS Andres Zellweger, FAA, OSEM ... 񕍜 Replacement...either EFR or normal IFR procedures is provided either by the DABS/ ATARS operating in a traffic separation rather than collision avoidance mode or by

Renita Fincke at Russian Mission Control Center

NASA Image and Video Library

2004-04-20

Renita Fincke, wife of Expedition 9 Flight Engineer and NASA International Space Station Science Officer Michael Fincke, smiles with their two-year old son Chandra at the Russian Mission Control Center outside Moscow, Wednesday, April 21, 2004, following the successful docking of the Russian Soyuz capsule carrying Fincke, Expedition 9 Commander Gennady Padalka and European Space Agency astronaut Andre Kuipers of the Netherlands to the International Space Station. Photo Credit: (NASA/Bill Ingalls)

Kuroshio Transport East of Taiwan and the Effect of Mesoscale Eddies

DTIC Science & Technology

2012-09-30

1 DISTRIBUTION STATEMENT A. Approved for public release; distribution is unlimited. Kuroshio Transport East of Taiwan and the Effect of...2012 2. REPORT TYPE 3. DATES COVERED 00-00-2012 to 00-00-2012 4. TITLE AND SUBTITLE Kuroshio Transport East of Taiwan and the Effect of...field program, Vegan Mensah, a Ph.D. student from NTU, visited the Woods Hole Oceaongraphic Institution (WHOI) for two weeks in March 2012. M. Andres

Solar cell power for field instrumentation at White Sands Missile range. Final report

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

Bond, J.W. Jr..; Reckart, D.H. Jr; Milway, W.B.

1978-01-01

The initial phase of an Instrumentation Development Project to explore and document what solar power can do for remote field instrumentation systems is described. The work scope consisted of selection, design, construction, test, and delivery of a solar cell power system for White Sands Missile Range. A Drone Formation Control System Interrogator was selected; a power supply was built and installed in the San Andres Mountain Range at WSMR in late August 1977.

Subversion: Uruguayan Armed Forces Summary of Subversive Movement in Latin America. Part 2

DTIC Science & Technology

1977-08-12

Group] j. UP [Union Popular—Popular Unity] k. INI—Grupo MARCHA [Izquierda Nacional Independiente —Grupo MARCHA; National Independent Left—MARCHA...y Populäres—Revolu- tionary Unity Movement of National People’s Groups] z. FA [Frente Amplio—Broad Front] TX Movimiento de Independientes 26...Manuel Andres Dibar Curuchet.’° When he was transferred to the Salto diocese, he was replaced in this post by Paul Dabezies, whose political position was

Two-Dimensional, Time-Dependent Plasma Structures of a Hall Effect Thruster

DTIC Science & Technology

2011-09-01

atmospheric pressure to 80 mtorr, is accomplished by a Leybold-Trivac rotary van vacuum pump and the second stage is completed by four 20 in CVI...Thruster”. Physics of Plasmas, 13, 2006. 3. Albarede, Luc, Vanessa Vial, Alexey Lazurenko, Andre Bouchoule, and Michel Dudeck. “Low Frequency Dynamical...Force Research Laboratory Space and Missile Division (AFRL/RZS) 5 Pollux Drive Edwards AFB, CA 93524 DSN 525-5230 AFRL/RZS Approval for public release

Vietnam Head Injury Study - Phase III: A 30-Year Post-Injury Follow-Up Study

DTIC Science & Technology

2007-08-01

Michael Koenigs1, Edward D. Huey1, Vanessa Raymont1,2, Bobby Cheon2, Jeffrey Solomon3, Eric M. Wassermann1, & Jordan Grafman1 1Cognitive Neuroscience...Currently, Dr. Vanessa Raymont and colleagues are about to submit a manuscript to the journal Brain entitled, “Demographic, Structural and Genetic...PENETRATING HEAD INJURY Vanessa Raymont1&2, Amanda Greathouse1&2, Katherine Reding1&2, Robert Lipsky3, Andres Salazar2, and Jordan Grafman2* 1