Upper internals arrangement for a pressurized water reactor
Singleton, Norman R; Altman, David A; Yu, Ching; Rex, James A; Forsyth, David R
2013-07-09
In a pressurized water reactor with all of the in-core instrumentation gaining access to the core through the reactor head, each fuel assembly in which the instrumentation is introduced is aligned with an upper internals instrumentation guide-way. In the elevations above the upper internals upper support assembly, the instrumentation is protected and aligned by upper mounted instrumentation columns that are part of the instrumentation guide-way and extend from the upper support assembly towards the reactor head in hue with a corresponding head penetration. The upper mounted instrumentation columns are supported laterally at one end by an upper guide tube and at the other end by the upper support plate.
77 FR 39560 - International Joint Commission
Federal Register 2010, 2011, 2012, 2013, 2014
2012-07-03
... DEPARTMENT OF STATE [Public Notice 7945] International Joint Commission International Joint Commission Invites Public Comment on Upper Great Lakes Report The International Joint Commission (IJC) announced today that it is inviting public comment on the final report of its International Upper Great...
Reactor pressure vessel head vents and methods of using the same
Gels, John L; Keck, David J; Deaver, Gerald A
2014-10-28
Internal head vents are usable in nuclear reactors and include piping inside of the reactor pressure vessel with a vent in the reactor upper head. Piping extends downward from the upper head and passes outside of the reactor to permit the gas to escape or be forcibly vented outside of the reactor without external piping on the upper head. The piping may include upper and lowers section that removably mate where the upper head joins to the reactor pressure vessel. The removable mating may include a compressible bellows and corresponding funnel. The piping is fabricated of nuclear-reactor-safe materials, including carbon steel, stainless steel, and/or a Ni--Cr--Fe alloy. Methods install an internal head vent in a nuclear reactor by securing piping to an internal surface of an upper head of the nuclear reactor and/or securing piping to an internal surface of a reactor pressure vessel.
Heat up and failure of BWR upper internals during a severe accident
DOE Office of Scientific and Technical Information (OSTI.GOV)
Robb, Kevin R.
In boiling water reactors, the shroud dome, separators, and dryers above the core are made of approximately 100,000 kg of stainless steel. During a severe accident in which the coolant boils away and exothermic oxidation of zirconium occurs, gases (steam and hydrogen) are superheated in the core region and pass through the upper internals. In this scenario, the upper internals can also be heated by thermal radiation from the hot degrading core. Historically, models of the upper internals have been relatively simple in severe accident codes. The upper internals are typically modeled in MELCOR as two lumped volumes with simplifiedmore » heat transfer characteristics and no structural integrity considerations, and with limited ability to oxidize, melt, and relocate. The potential for and the subsequent impact of the upper internals to heat up, oxidize, fail, and relocate during a severe accident was investigated. A higher fidelity representation of the shroud dome, steam separators, and steam driers was developed in MELCOR v1.8.6 by extending the core region upwards. The MELCOR modeling effort entailed adding 45 additional core cells and control volumes, 98 flow paths, and numerous control functions. The model accounts for the mechanical loading and structural integrity, oxidation, melting, flow area blockage, and relocation of the various components. Consistent with a previous study, the results indicate that the upper internals can reach high temperatures during a severe accident sufficient to lose their structural integrity and relocate. Finally, the additional 100 metric tons of stainless steel debris influences the subsequent in-vessel and ex-vessel accident progression.« less
Heat up and failure of BWR upper internals during a severe accident
Robb, Kevin R.
2017-02-21
In boiling water reactors, the shroud dome, separators, and dryers above the core are made of approximately 100,000 kg of stainless steel. During a severe accident in which the coolant boils away and exothermic oxidation of zirconium occurs, gases (steam and hydrogen) are superheated in the core region and pass through the upper internals. In this scenario, the upper internals can also be heated by thermal radiation from the hot degrading core. Historically, models of the upper internals have been relatively simple in severe accident codes. The upper internals are typically modeled in MELCOR as two lumped volumes with simplifiedmore » heat transfer characteristics and no structural integrity considerations, and with limited ability to oxidize, melt, and relocate. The potential for and the subsequent impact of the upper internals to heat up, oxidize, fail, and relocate during a severe accident was investigated. A higher fidelity representation of the shroud dome, steam separators, and steam driers was developed in MELCOR v1.8.6 by extending the core region upwards. The MELCOR modeling effort entailed adding 45 additional core cells and control volumes, 98 flow paths, and numerous control functions. The model accounts for the mechanical loading and structural integrity, oxidation, melting, flow area blockage, and relocation of the various components. Consistent with a previous study, the results indicate that the upper internals can reach high temperatures during a severe accident sufficient to lose their structural integrity and relocate. Finally, the additional 100 metric tons of stainless steel debris influences the subsequent in-vessel and ex-vessel accident progression.« less
Nuclear reactor internals alignment configuration
Gilmore, Charles B [Greensburg, PA; Singleton, Norman R [Murrysville, PA
2009-11-10
An alignment system that employs jacking block assemblies and alignment posts around the periphery of the top plate of a nuclear reactor lower internals core shroud to align an upper core plate with the lower internals and the core shroud with the core barrel. The distal ends of the alignment posts are chamfered and are closely received within notches machined in the upper core plate at spaced locations around the outer circumference of the upper core plate. The jacking block assemblies are used to center the core shroud in the core barrel and the alignment posts assure the proper orientation of the upper core plate. The alignment posts may alternately be formed in the upper core plate and the notches may be formed in top plate.
Internal gravity waves in the upper atmosphere, generated by tropospheric jet streams
NASA Technical Reports Server (NTRS)
Chunchuzov, Y. P.; Torgashin, Y. M.
1979-01-01
A mechanism of internal gravity wave generation by jet streams in the troposphere is considered. Evaluations of the energy and pulse of internal gravity waves emitted into the upper atmosphere are given. The obtained values of flows can influence the thermal and dynamic regime of these layers.
Heat up and potential failure of BWR upper internals during a severe accident
DOE Office of Scientific and Technical Information (OSTI.GOV)
Robb, Kevin R
2015-01-01
In boiling water reactors, the steam dome, steam separators, and dryers above the core are comprised of approximately 100 tons of stainless steel. During a severe accident in which the coolant boils away and exothermic oxidation of zirconium occurs, gases (steam and hydrogen) are superheated in the core region and pass through the upper internals. Historically, the upper internals have been modeled using severe accident codes with relatively simple approximations. The upper internals are typically modeled in MELCOR as two lumped volumes with simplified heat transfer characteristics, with no structural integrity considerations, and with limited ability to oxidize, melt, andmore » relocate. The potential for and the subsequent impact of the upper internals to heat up, oxidize, fail, and relocate during a severe accident was investigated. A higher fidelity representation of the shroud dome, steam separators, and steam driers was developed in MELCOR v1.8.6 by extending the core region upwards. This modeling effort entailed adding 45 additional core cells and control volumes, 98 flow paths, and numerous control functions. The model accounts for the mechanical loading and structural integrity, oxidation, melting, flow area blockage, and relocation of the various components. The results indicate that the upper internals can reach high temperatures during a severe accident; they are predicted to reach a high enough temperature such that they lose their structural integrity and relocate. The additional 100 tons of stainless steel debris influences the subsequent in-vessel and ex-vessel accident progression.« less
Directional Characteristics of Inner Shelf Internal Tides
2007-06-01
Figure 18. YD 202-206 Current vector plot of significant events. Significant events include internal tidal bores, solibores, and solitons . The upper...Events (Bores, Solibores, and Solitons ): Upper column leading-edge cross-shore current velocity and cross-shore wind regression. The small ellipse...Significant Events (Bores, Solibores, and Solitons ): Upper column leading-edge along-shore current velocity and along-shore wind regression. The small
NASA Astrophysics Data System (ADS)
Petitdidier, M.
2009-04-01
In today's Information Age, an effective cyber-infrastructure and Internet access underpins development and human welfare by strengthening education and training, expanding science, technology and innovation capability, opening up collaboration opportunities with the rest of the world, and generating the knowledge base for decision-making. Poor Internet connectivity prevents many countries in Africa, especially Sub-Saharan ones, from taking advantage of these opportunities. There are many initiatives from local, governmental, African, European and international organisations to promote, survey and fund networking. The eGY (electronic Geophysical Year) and Sharing Knowledge Foundation initiatives are based on African scientific communities, and are complementary of other initiatives. Their bottom-up role is twofold: firstly to motivate and support the scientists in each country (1) to ask their government or organisations for a better Internet for research and for education and (2) to organize themselves to welcome new technologies, secondly to promote a better cyber-infrastructure for their universities towards international organisations. In 2007 during the IHY workshop that gathered African scientists from 20 countries eGY provided the results of the questionnaire sent to all the participants to describe the status of internet in the Universities and Research institutes. Then recommendations were written. In 2007 Sharing the knowledge foundation organized a meeting devoted to internet and Grids in Africa. The participants, scientists, industrialists and members of NGO originating from 14 countries wrote also recommendations. In 2009 the presentation in this session of R.L.A Cottrell and U. Kalim will provide an overview of the evolution of the networking. In parallel to the improvement of internet the development of scientific collaboration among African countries and with Europe by using ICT was considered as an essential point. This presentation will be focused on the recommendations, different achievements and plans (see presentation in this section by V. Ardizzone et al.) .
[COMPLICATIONS OF STENTINGOF UPPER URINARY TRACT].
Shkodkin, S V; Kogan, M I; Lyubushkin, A V; Miroshnichenko, O V
2015-01-01
Restoring the passage of urine through the upper urinary tract routinely is achieved by installing of external or internal drainage. Due to its objective advantages, internal drainage has been successfully used in surgery of the upper urinary tract. This review outlines the problems associated with the use ofinternal stents, namely difficultyin installation, migration, and reflux and stent obstruction, bacterial colonization of the stent, the development of functional and morphological changes in the drained segment of urinary tract.
Service Learning in Domestic and International Settings
ERIC Educational Resources Information Center
Miller, Kari Knutson; Gonzalez, Amber M.
2009-01-01
This paper examines pre-service teacher outcomes associated with service learning in domestic and international settings. One group of upper-division undergraduate level pre service teachers participated in supervised experiences in domestic settings. A second group of upper-division undergraduate level pre-service teachers participated in…
A two-plane internally irrigated root observation system for forest nursery stock.
Paul S. Johnson; Charles W. Putnam; William G. Mares
1981-01-01
A root observation chamber designed for forest nursery stock is described. The chamber consists of lower root observation section and a detachable upper "planter" section, both constructed of plexiglass and wood; the lower section is internally irrigated by a porous irrigation tube and the upper section by a "leader tube."
Federal Register 2010, 2011, 2012, 2013, 2014
2012-09-19
... of its International Upper Great Lakes Study Board, Lake Superior Regulation: Addressing Uncertainty... for comments has also been extended to September 30, 2012. The Study examines whether the regulation of outflows from Lake Superior through the compensating works and power dams on the St. Marys River...
Cross-National Achievement Comparisons of Upper-Secondary Students: A Swiss Perspective.
ERIC Educational Resources Information Center
Ramseier, Erich
This paper shows how the Third International Mathematics and Science Study (TIMSS) can be carried out in a country with a very complicated upper-secondary educational system. The difficulties are not linked to the measurement of achievement, since the international project provides a common achievement scale. The challenge lies in the design of…
PWR upper/lower internals shield
DOE Office of Scientific and Technical Information (OSTI.GOV)
Homyk, W.A.
1995-03-01
During refueling of a nuclear power plant, the reactor upper internals must be removed from the reactor vessel to permit transfer of the fuel. The upper internals are stored in the flooded reactor cavity. Refueling personnel working in containment at a number of nuclear stations typically receive radiation exposure from a portion of the highly contaminated upper intervals package which extends above the normal water level of the refueling pool. This same issue exists with reactor lower internals withdrawn for inservice inspection activities. One solution to this problem is to provide adequate shielding of the unimmersed portion. The use ofmore » lead sheets or blankets for shielding of the protruding components would be time consuming and require more effort for installation since the shielding mass would need to be transported to a support structure over the refueling pool. A preferable approach is to use the existing shielding mass of the refueling pool water. A method of shielding was devised which would use a vacuum pump to draw refueling pool water into an inverted canister suspended over the upper internals to provide shielding from the normally exposed components. During the Spring 1993 refueling of Indian Point 2 (IP2), a prototype shield device was demonstrated. This shield consists of a cylindrical tank open at the bottom that is suspended over the refueling pool with I-beams. The lower lip of the tank is two feet below normal pool level. After installation, the air width of the natural shielding provided by the existing pool water. This paper describes the design, development, testing and demonstration of the prototype device.« less
Yanamoto, S; Yamada, S; Takahashi, H; Naruse, T; Shigeta, T; Minamikawa, T; Shibuya, Y; Komori, T; Umeda, M
2014-11-01
The aim of this study was to review patients with tumours extending to the posterior portion of the upper gingiva and hard palate, and to evaluate the postoperative outcomes. Ten consecutive patients with tumours in the upper gingiva and hard palate, who underwent maxillectomy with internal dissection of the masticator space by the transmandibular approach, were reviewed retrospectively. Among the 10 patients, the pathological diagnosis was squamous cell carcinoma in seven, adenoid cystic carcinoma in one, malignant melanoma in one, and osteosarcoma in one. Loco-regional control was achieved in eight of nine patients (88.9%). Three patients had residual moderate trismus. Cosmetic issues were not noted in any patient. En bloc resection of the maxilla with the internal portion of the masticator space and neck through the parapharyngeal space by the transmandibular approach is a useful and satisfactory technique for the excision of a tumour with involvement of the posterior portion of the upper gingiva and hard palate. Copyright © 2014 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
NASA Technical Reports Server (NTRS)
Re, R. J.; Leavitt, L. D.
1984-01-01
The effects of five geometric design parameters on the internal performance of single-expansion-ramp nozzles were investigated at nozzle pressure ratios up to 10 in the static-test facility of the Langley 16-Foot Transonic Tunnel. The geometric variables on the expansion-ramp surface of the upper flap consisted of ramp chordal angle, ramp length, and initial ramp angle. On the lower flap, the geometric variables consisted of flap angle and flap length. Both internal performance and static-pressure distributions on the centerlines of the upper and lower flaps were obtained for all 43 nozzle configurations tested.
ERIC Educational Resources Information Center
Bakheit, Abdel Magid
2010-01-01
To document the current practice in relation with the treatment of patients with upper limb spasticity with botulinum toxin type A to inform future research in this area. We designed an international, cross-sectional, noninterventional survey of current practice. Nine hundred and seventy-four patients from 122 investigational centres in 31…
Timed activity performance in persons with upper limb amputation: A preliminary study.
Resnik, Linda; Borgia, Mathew; Acluche, Frantzy
55 subjects with upper limb amputation were administered the T-MAP twice within one week. To develop a timed measure of activity performance for persons with upper limb amputation (T-MAP); examine the measure's internal consistency, test-retest reliability and validity; and compare scores by prosthesis use. Measures of activity performance for persons with upper limb amputation are needed The time required to perform daily activities is a meaningful metric that implication for participation in life roles. Internal consistency and test-retest reliability were evaluated. Construct validity was examined by comparing scores by amputation level. Exploratory analyses compared sub-group scores, and examined correlations with other measures. Scale alpha was 0.77, ICC was 0.93. Timed scores differed by amputation level. Subjects using a prosthesis took longer to perform all tasks. T-MAP was not correlated with other measures of dexterity or activity, but was correlated with pain for non-prosthesis users. The timed scale had adequate internal consistency and excellent test-retest reliability. Analyses support reliability and construct validity of the T-MAP. 2c "outcomes" research. Published by Elsevier Inc.
Prasanna Kumar, S; Ravikumar, A
2014-01-01
The anatomy of the larynx and trachea is well described in literature, however the intraluminal dimensions and contour of the subglottis has not been well documented. Subglottis and trachea are dynamic structures and the internal dimensions and contours have been studied only on cadavers or by plain radiograph which has many technical and measurement errors. No data is available about the internal dimensions of the subglottic and trachea in Indian population. This is the first documented study to measure the dimensions of the trachea and subglottis in Indian population. The aim of this study is to measure the internal dimensions and contour of the subglottis and upper trachea of adult Indian population. We conducted cross-sectional, observational study in a university hospital in south India to measure the dimensions of the internal subglottic and upper tracheal lumen. CT scan with 3D reconstruction with multiplanar sections was used for precise measurements. Forty-eight subjects (30 male and 18 female) who had undergone CT scan of the neck and thorax for reasons other than airway compromise were included in the study. The internal coronal diameter (CD), sagittal diameter (SD), and circumference was measured at various levels from 5 to 70 mm below the level of glottis, in the subglottis and upper trachea. Measurements of the scan for each subject were done independently by a radiologist and ENT surgeon and average of the two were documented values of each subject. These measurements were then statistically analyzed using SSPS software. The mean CD of adult Indian male ranged from 13.18 to 17.68 mm. The average intraluminal circumference ranged from 48.82 mm at the subglottis 5 mm from the glottis to a maximum of 54.96 at 30 mm. The mean CD of adult Indian female ranged from 8.7 to 15.34 mm The average intraluminal circumference ranged from 36.5 at 5 mm and a maximum of 43.05 at 70 mm. The 95% CI for the coronal, sagittal and circumference of the subglottis and upper trachea for both genders have been calculated and discussed. We have observed that the average intraluminal dimensions of the subglottis and upper trachea in south Indian population is less than that reported in western literature and earlier studies.
Fog on the Central California Coast for 1973, Analysis of Trends
1976-03-01
wind. It climbs the ridges of the Aguajito and Jacks Peak, curling up over Los Laureles and down into Corral de Tierra. Slowly the fog piles higher...was chosen because of the close proximity to the Oakland International Airport, one of the very few locations where daily upper - air soundings were...Oakland International Airport was the only location near the central California coast where upper-air data were collected every day, twice daily during
NASA Technical Reports Server (NTRS)
Leavitt, L. D.
1985-01-01
An investigation was conducted at wind-off conditions in the static-test facility of the Langley 16-Foot Transonic Tunnel to determine the internal performance characteristics of a two-dimensional convergent nozzle with a thrust-vectoring capability up to 60 deg. Vectoring was accomplished by a downward rotation of a hinged upper convergent flap and a corresponding rotation of a center-pivoted lower convergent flap. The effects of geometric thrust-vector angle and upper-rotating-flap geometry on internal nozzle performance characteristics were investigated. Nozzle pressure ratio was varied from 1.0 (jet off) to approximately 5.0.
ERIC Educational Resources Information Center
Stolare, Martin
2017-01-01
The topic of this article is history education in upper primary school. Traditionally, the history subject has had a narrative orientation at this school level in Sweden, but it is also pattern that is discernible internationally. The recent Swedish upper primary school syllabus places more emphasis on the procedural aspects of the subject. In…
MacDonald, Chad; Moussavi, Zahra; Sarkodie-Gyan, Thompson
2007-01-01
This paper presents the development and simulation of a fuzzy logic based learning mechanism to emulate human motor learning. In particular, fuzzy inference was used to develop an internal model of a novel dynamic environment experienced during planar reaching movements with the upper limb. A dynamic model of the human arm was developed and a fuzzy if-then rule base was created to relate trajectory movement and velocity errors to internal model update parameters. An experimental simulation was performed to compare the fuzzy system's performance with that of human subjects. It was found that the dynamic model behaved as expected, and the fuzzy learning mechanism created an internal model that was capable of opposing the environmental force field to regain a trajectory closely resembling the desired ideal.
Andrade Ortega, Juan Alfonso; Millán Gómez, Ana Pilar; Ribeiro González, Marisa; Martínez Piró, Pilar; Jiménez Anula, Juan; Sánchez Andújar, María Belén
2017-06-21
The early detection of upper limb complications is important in women operated on for breast cancer. The "FACT-B+4-UL" questionnaire, a specific variant of the Functional Assessment of Cancer Therapy-Breast (FACT-B) is available among others to measure the upper limb function. The Spanish version of the upper limb subscale of the FACT-B+4 was validated in a prospective cohort of 201 women operated on for breast cancer (factor analysis, internal consistency, test-retest reliability, construct validity and sensitivity to change were determined). Its predictive capacity of subsequent lymphoedema and other complications in the upper limb was explored using logistic regression. This subscale is unifactorial and has a great internal consistency (Cronbach's alpha: 0.87), its test-retest reliability and construct validity are strong (intraclass correlation coefficient: 0.986; Pearson's R with "Quick DASH": 0.81) as is its sensitivity to change. It didn't predict the onset of lymphedema. Its predictive capacity for other upper limb complications is low. FACT-B+4-UL is useful in measuring upper limb disability in women surgically treated for breast cancer; but it does not predict the onset of lymphoedema and its predictive capacity for others complications in the upper limb is low. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.
Jacking mechanism for upper internals structure of a liquid metal nuclear reactor
Gillett, James E.; Wineman, Arthur L.
1984-01-01
A jacking mechanism for raising the upper internals structure of a liquid metal nuclear reactor which jacking mechanism uses a system of gears and drive shafts to transmit force from a single motor to four mechanically synchronized ball jacks to raise and lower support columns which support the upper internals structure. The support columns have a pin structure which rides up and down in a slot in a housing fixed to the reactor head. The pin has two locking plates which can be rotated around the pin to bring bolt holes through the locking plates into alignment with a set of bolt holes in the housing, there being a set of such housing bolt holes corresponding to both a raised and a lowered position of the support column. When the locking plate is so aligned, a surface of the locking plate mates with a surface in the housing such that the support column is then supported by the locking plate and not by the ball jacks. Since the locking plates are to be installed and bolted to the housing during periods of reactor operation, the ball jacks need not be sized to react the large forces which occur or potentially could occur on the upper internals structure of the reactor during operation. The locking plates react these loads. The ball jacks, used only during refueling, can be smaller, which enable conventionally available equipment to fulfill the precision requirements for the task within available space.
Artilheiro, Mariana Cunha; Fávero, Francis Meire; Caromano, Fátima Aparecida; Oliveira, Acary de Souza Bulle; Carvas, Nelson; Voos, Mariana Callil; Sá, Cristina Dos Santos Cardoso de
2017-12-08
The Jebsen-Taylor Test evaluates upper limb function by measuring timed performance on everyday activities. The test is used to assess and monitor the progression of patients with Parkinson disease, cerebral palsy, stroke and brain injury. To analyze the reliability, internal consistency and validity of the Jebsen-Taylor Test in people with Muscular Dystrophy and to describe and classify upper limb timed performance of people with Muscular Dystrophy. Fifty patients with Muscular Dystrophy were assessed. Non-dominant and dominant upper limb performances on the Jebsen-Taylor Test were filmed. Two raters evaluated timed performance for inter-rater reliability analysis. Test-retest reliability was investigated by using intraclass correlation coefficients. Internal consistency was assessed using the Cronbach alpha. Construct validity was conducted by comparing the Jebsen-Taylor Test with the Performance of Upper Limb. The internal consistency of Jebsen-Taylor Test was good (Cronbach's α=0.98). A very high inter-rater reliability (0.903-0.999), except for writing with an Intraclass correlation coefficient of 0.772-1.000. Strong correlations between the Jebsen-Taylor Test and the Performance of Upper Limb Module were found (rho=-0.712). The Jebsen-Taylor Test is a reliable and valid measure of timed performance for people with Muscular Dystrophy. Copyright © 2017 Associação Brasileira de Pesquisa e Pós-Graduação em Fisioterapia. Publicado por Elsevier Editora Ltda. All rights reserved.
Science Choices in Norwegian Upper Secondary School: What Matters?
ERIC Educational Resources Information Center
Boe, Maria Vetleseter
2012-01-01
There is international concern about young people's participation in science. This study investigated the relevant importance of various issues in 1628 Norwegian upper secondary students' choices of postcompulsory subject combinations: natural science and mathematics (henceforth Science) or languages, social science and economics (henceforth…
ENVIRONMENTAL SCREENING MODELING OF MERCURY IN THE UPPER EVERGLADES OF SOUTH FLORIDA
This screening modeling analysis examines mercury sources and fate in the upper canals of the South Florida Everglades. Mass balance modeling techniques are applied along with available data to examine the relative importance of external sources and internal cycling of mercury an...
ERIC Educational Resources Information Center
Miller, Kari Knutson; Gonzalez, Amber M.
2010-01-01
This paper examines pre-service teacher outcomes associated with service learning in domestic and international settings. Participants included upper-division, undergraduate-level pre-service teachers who participated in service learning experiences in either local, domestic settings (Orange County, CA) or international settings (Shanghai and…
2016-09-19
iss049e007067 (09/19/2016) --- Night views of the Earth from the International Space Station. This image is the southern Persian Gulf at night centered on Dubai and Abu Dhabi; east is at the top of the image with the coast of Iran to upper left and Muscat, Oman upper right.
Aerts, Bas R; Kuijer, P Paul; Beumer, Annechien; Eygendaal, Denise; Frings-Dresen, Monique H
2018-04-17
To test a 17-item questionnaire, the WOrk-Related Questionnaire for UPper extremity disorders (WORQ-UP), for dimensionality of the items (factor analysis) and internal consistency. Cross-sectional study. Outpatient clinic. A consecutive sample of patients (N=150) consisting of all new referral patients (either from a general physician or other hospital) who visited the orthopedic outpatient clinic because of an upper extremity musculoskeletal disorder. Not applicable. Number and dimensionality of the factors in the WORQ-UP. Four factors with eigenvalues (EVs) >1.0 were found. The factors were named exertion, dexterity, tools & equipment, and mobility. The EVs of the factors were, respectively, 5.78, 2.38, 1.81, and 1.24. The factors together explained 65.9% of the variance. The Cronbach alpha values for these factors were, respectively, .88, .74, .87, and .66. The 17 items of the WORQ-UP resemble 4 factors-exertion, dexterity, tools & equipment, and mobility-with a good internal consistency. Copyright © 2018 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Sandel, M H; Kolkman, J J; Kuipers, E J; Cuesta, M A; Meuwissen, S G
2000-09-01
It has been suggested that admission to a gastroenterology service (GAS) is associated with a better prognosis and lower cost for treatment of gastrointestinal (GI) diseases, such as upper GI bleeding (UGB). However, a large potential bias by higher comorbidity on internal medicine services (MED) could not be excluded from these studies. We therefore compared patients with upper GI bleeding admitted to a gastroenterology or internal medicine department, with special emphasis on prognostic factors, such as comorbidity, and outcome. Between 1991 and 1995, 322 patients were admitted to our hospital for UGB. Forty-five patients had variceal and 277 patients had nonvariceal upper GI bleeding (NUGB). Of 232 patients with primary NUGB, 125 were admitted to GAS and 93 to MED. The charts of these patients were revised, comorbidity was carefully recorded, and the Rockall risk score was calculated. All deaths were individually classified as unavoidable, mostly due to severe underlying illness, or potentially avoidable. No differences in delay for endoscopy or treatment were observed between GAS and MED. The rebleeding, surgery, and mortality rates in GAS and MED patients were 11.6% versus 11.5% (NS), 7.8% versus 7.3% (NS), and 2.4% versus 10.8% (p = 0.02), respectively. Rockall scores differed between GAS and MED patients (3.1 +/- 1.8 vs 3.7 +/- 1.7, p = 0.02). The mortality rate stratified by Rockall score was lower for the GAS patients. However, individual analysis revealed that only three of 13 deaths were potentially avoidable: two of 10 at the MED and one of three at the GAS. The lower mortality among nonvariceal upper GI bleeding patients admitted to a gastroenterological service compared to an internal medicine service was mainly due to lesser comorbidity. This effect was not detected by stratification according to Rockall, but shown with analysis of individual patient charts only. The latter underscores the potential pitfalls when comparing outcome or cost of treatment between different medical services.
Evaluation of rotator cuff muscle strength in healthy individuals
Cortez, Paulo José Oliveira; Tomazini, José Elias
2015-01-01
OBJECTIVE: To compare the strength generated by the rotator muscles of the shoulder joint between the right upper limb and left upper limb among healthy individuals. METHODS: To evaluate the muscle strength of upper limbs from isometric contractions in the horizontal direction (rotation) an isometric dynamometer was used, equipped with transducers, signal conditioning, a data acquisition board, and finally, a computer. Study participants were 22 male military subjects, aged between 18 and 19 years old, body mass between 57.7 and 93.0 kg (71.8 ± 9.45 kg) and height between 1.67 and 1.90 m (1.75 ± 0.06 m), healthy and without clinical diseases or any type of orthopedic injury in the muscle skeletal system. RESULTS: The internal rotation in the right upper limb (RUL) was higher than the average strength of internal rotation in the left upper limb (LUL) (p = 0.723). The external rotation strength in RUL was lower than the average strength of external rotation in the LUL (p=0.788). No statistical difference was observed by comparing the strength values of all isometric strength tests. CONCLUSION: For the sample and methodology used to assess muscle strength, there was no statistical difference between the strength generated by the muscles of the rotator cuff of the right and left upper limbs. Experimental Study. PMID:26207091
Abe, Tomonobu; Suenaga, Hiroto; Oshima, Hideki; Araki, Yoshimori; Mutsuga, Masato; Fujimoto, Kazuro; Usui, Akihiko
2015-04-01
An L-shaped incision combining an upper half mid-sternotomy and a left antero-lateral thoracotomy at the fourth intercostal space has been proposed by several authors for extensive aneurysms involving the aortic arch and the proximal thoracic descending aorta. This approach usually requires the division of the left internal thoracic artery at its mid position, thus making it unusable for coronary artery bypass. We herein report a modified surgical approach for simultaneous extensive arch and proximal thoracic descending aorta replacement and coronary artery bypass using the left internal thoracic artery combining a left antero-lateral thoracotomy at the sixth intercostal space and upper mid-sternotomy. The visualization of the whole diseased aorta down to the level below the hilum of the left lung was good, and the integrity of the left internal thoracic artery graft was preserved by early heparin administration before sternotomy.
ERIC Educational Resources Information Center
Regan, Julie; Walshe, Margaret; McMahon, Barry P.
2012-01-01
Background: The assessment of adequate upper oesophageal sphincter (UOS) opening during swallowing is an integral component of dysphagia evaluation. Aims: To ascertain speech and language therapists' (SLTs) satisfaction with current methods for assessing UOS function in people with dysphagia and to identify challenges encountered by SLTs with UOS…
Powder Keg on the Upper Missouri: Sources of Blackfeet Hostility, 1730-1810.
ERIC Educational Resources Information Center
Judy, Mark A.
1987-01-01
Evaluates reasons why Blackfeet Indians were bitterly hostile toward white fur traders in the upper Missouri River basin during the early 1800s. Explains causes of internal tribal turmoil including rapid adaptation of horses to tribal culture, devastating effects of disease, and guns disrupting the balance of power among tribes. (JHZ)
Imamverdiev, S B; Talybov, T A; Mamedov, R N
2014-01-01
This work was designed to evaluate methods of kidney drainage used in the surgical treatment of 250 patients with staghorn and multiple nephrolithiasis (SMN). All of them underwent open surgery that was followed by drainage of the upper urinary tract in 192 patients. Internal stenting was used in 111 cases, pyelostomy in 28, nephrostomy in 47, and internal stenting with nephrostoma in 6 cases. 91 and 20 patients had a stent inserted into the upper urinary tract in a retrograde and antegrade manner respectively. Retrograde stenting was bilateral in 14 and unilateral in 66 cases. 85% of the cases with ureter stents were followed up as outpatients for 4-5 weeks and only 10% for 6-7 weeks. Forty and ten patients with stents presented with marked dysuria and hematuria respectively. On the whole, combined antibacterial treatment with drainage of the upper urinary tract significantly improved long-term results of SMN treatment. It is concluded that nephrostomy and pyelostomy should be performed on days 14-18 and 10-12 respectively whereas the stent needs to be removed between weeks 2 and 8 after surgery.
Earth Observations taken by the Expedition 13 crew
2006-05-10
ISS013-E-17394 (10 May 2006) --- The central Phoenix Metro Area, Arizona is featured in this image photographed by an Expedition 13 crewmember on the International Space Station. The Phoenix, Arizona metropolitan area is the largest in the southwestern United States, and is comprised of 21 contiguous incorporated municipalities. Such a collection of discrete political entities forming a larger integrated urban landscape is referred to as a conurbation by urban geographers. This portion of a high resolution (approximately 9 meters/pixel) photograph (upper image) of the central metro region includes the boundary area between three of the municipalities included in the conurbation: the Cities of Phoenix (upper image, left), Tempe (upper image, center and lower right), and Scottsdale (upper image, upper right).
Denny, Jane F.; Foster, D.S.; Worley, C.R.; Irwin, Barry J.
2011-01-01
In 2008, the U.S. Geological Survey (USGS), Woods Hole Coastal and Marine Science Center (WHCMSC), in cooperation with the U.S. Army Corps of Engineers conducted a geophysical and sampling survey of the riverbed of the Upper St. Clair River between Port Huron, Mich., and Sarnia, Ontario, Canada. The objectives were to define the Quaternary geologic framework of the riverbed of the St. Clair River to evaluate the relationship between morphologic change of the riverbed and underlying stratigraphy. This report presents the geophysical and sample data collected from the St. Clair River, May 29-June 6, 2008, as part of the International Upper Great Lakes Study, a 5-year project funded by the International Joint Commission of the United States and Canada to examine whether physical changes in the St. Clair River are affecting water levels within upper Great Lakes, to assess regulation plans for outflows from Lake Superior, and to examine the potential effect of climate change on the Great Lakes water levels (http://www.iugls.org). This document makes available the data that were used in a separate report, U.S. Geological Survey Open-File Report 2009-1137, which detailed the interpretations of the Quaternary geologic framework of the region. This report includes a description of the high-resolution acoustic and sediment-sampling systems that were used to map the morphology, surficial sediment distribution, and underlying geology of the Upper St. Clair River during USGS field activity 2008-016-FA (http://quashnet.er.usgs.gov/cgi-bin/datasource/public_ds_info.pl?fa=2008-016-FA). Video and photographs of the riverbed were also collected and are included in this data release. Future analyses will be focused on substrate erosion and its effects on river-channel morphology and geometry. Ultimately, the International Upper Great Lakes Study will attempt to determine where physical changes in the St. Clair River affect water flow and, subsequently, water levels in the Upper Great Lakes.
Altunkan, Sekip; Iliman, Nevzat; Altunkan, Erkan
2008-04-01
Despite the widespread use of automated self-measurement monitors, there is limited published evidence on their accuracy and reliability on different patient groups. The objective of this study was to evaluate the accuracy and reliability of the Omron M6 (HEM-7001-E) upper-arm blood pressure (BP) device against mercury sphygmomanometer on elderly patients according to the criteria of the International Protocol. Thirty-three patients above 65 years of age, who were classified based on the BP categories of the International Protocol, were recruited for the study. BP measurements at the upper arm with the Omron M6 were compared with the results obtained by two trained observers using a mercury sphygmomanometer. Nine sequential BP measurements were taken. During the validation study, 99 measurements were obtained from 33 patients for comparison. The first phase was carried out on 15 patients and if the device passed this phase, 18 more patients were selected. Mean discrepancies and standard deviations of the device sphygmomanometer were 1.4+/-5.3 mmHg for systolic BP (SBP) and -1.4+/-4.5 mmHg for diastolic BP (DBP) in the study group. The device passed phase 1 in 15 patients. In phase 2.1, from the total 99 comparisons, 76, 92, and 97 for SBP and 77, 94, and 99 for DBP were less than 5, 10, and 15 mmHg, respectively. The Omron M6 passed phases 2.1 and 2.2 in the elderly group of patients. The Omron M6 (HEM-7001-E) upper-arm BP monitor passed according to the International Protocol criteria and can be recommended for use in elderly patients.
A Wake-Up Call for U.S. Educators: The Third International Mathematics and Science Study.
ERIC Educational Resources Information Center
Cochrane, Douglas
1999-01-01
This issue of "Policy Forum" compares the mathematics and science achievement of students midway through elementary school, midway through lower secondary school, and at the end of upper secondary school. The Third International Mathematics and Science Study (TIMSS), conducted in 1995-96, is the largest international education study ever…
Lei, Lei; Chen, Yi; Chen, Qi; Li, Yan; Wang, Ji-Guang
2017-12-01
The present study aimed to evaluate the accuracy of the automated oscillometric upper-arm blood pressure monitor SEJOY BP-1307 (also called JOYTECH DBP-1307) for home blood pressure monitoring according to the International Protocol of the European Society of Hypertension revision 2010. Systolic and diastolic blood pressures were sequentially measured in 33 adult Chinese individuals (13 women, 45.1 years of mean age) using a mercury sphygmomanometer (two observers) and the SEJOY BP-1307 device (one supervisor). Ninety-nine pairs of comparisons were obtained from 33 participants for judgments in two parts with three grading phases. The average±SD of the device-observer differences was 0.2±4.1 and -1.7±4.7 mmHg for systolic and diastolic blood pressure, respectively. The SEJOY BP-1307 device achieved the criteria in both part 1 and part 2 of the validation study. The SEJOY upper-arm blood pressure monitor BP-1307 has passed the requirements of the International Protocol revision 2010, and hence can be recommended for home use in adults.
NASA Technical Reports Server (NTRS)
Wing, David J.; Leavitt, Laurence D.; Re, Richard J.
1993-01-01
An investigation was conducted at wind-off conditions in the static-test facility of the Langley 16-Foot Transonic Tunnel to determine the internal performance characteristics of a single expansion-ramp nozzle with thrust-vectoring capability to 105 degrees. Thrust vectoring was accomplished by the downward rotation of an upper flap with adaptive capability for internal contouring and a corresponding rotation of a center-pivoted lower flap. The static internal performance of configurations with pitch thrust-vector angles of 0 degrees, 60 degrees, and 105 degrees each with two throat areas, was investigated. The nozzle pressure ratio was varied from 1.5 to approximately 8.0 (5.0 for the maximum throat area configurations). Results of this study indicated that the nozzle configuration of the present investigation, when vectored, provided excellent flow-turning capability with relatively high levels of internal performance. In all cases, the thrust vector angle was a function of the nozzle pressure ratio. This result is expected because the flow is bounded by a single expansion surface on both vectored- and unvectored-nozzle geometries.
Trajectory Software With Upper Atmosphere Model
NASA Technical Reports Server (NTRS)
Barrett, Charles
2012-01-01
The Trajectory Software Applications 6.0 for the Dec Alpha platform has an implementation of the Jacchia-Lineberry Upper Atmosphere Density Model used in the Mission Control Center for International Space Station support. Previous trajectory software required an upper atmosphere to support atmosphere drag calculations in the Mission Control Center. The Functional operation will differ depending on the end-use of the module. In general, the calling routine will use function-calling arguments to specify input to the processor. The atmosphere model will then compute and return atmospheric density at the time of interest.
Secombe, C J; Tan, R H H; Perara, D I; Byrne, D P; Watts, S P; Wearn, J G
2017-09-01
Longitudinal evaluation of plasma endogenous ACTH concentration in clinically normal horses has not been investigated in the Southern Hemisphere. To longitudinally determine monthly upper reference limits for plasma ACTH in 2 disparate Australian geographic locations and to examine whether location affected the circannual rhythm of endogenous ACTH in the 2 groups of horses over a 12-month period. Clinically normal horses <20 years of age from 4 properties (institutional herd and client owned animals) in Perth (n = 40) and Townsville (n = 41) were included in the study. A prospective longitudinal descriptive study to determine the upper reference limit and confidence intervals for plasma ACTH in each geographic location using the ASVCP reference interval (RI) guidelines, for individual months and monthly groupings for 12 consecutive months. Plasma endogenous ACTH concentrations demonstrated a circannual rhythm. The increase in endogenous ACTH was not confined to the autumnal months but was associated with changes in photoperiod. During the quiescent period, plasma ACTH concentrations were lower, ≤43 pg/mL (upper limit of the 90% confidence interval (CI)) in horses from Perth and ≤67 pg/mL (upper limit of the 90% CI) in horses from Townsville, than at the acrophase, ≤94 pg/mL (upper limit of the 90% CI) in horses from Perth, ≤101 pg/mL (upper limit of the 90% CI) in horses from Townsville. Circannual rhythms of endogenous ACTH concentrations vary between geographic locations, this could be due to changes in photoperiod or other unknown factors, and upper reference limits should be determined for specific locations. Copyright © 2017 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals, Inc. on behalf of the American College of Veterinary Internal Medicine.
Revised upper limb module for spinal muscular atrophy: Development of a new module.
Mazzone, Elena S; Mayhew, Anna; Montes, Jacqueline; Ramsey, Danielle; Fanelli, Lavinia; Young, Sally Dunaway; Salazar, Rachel; De Sanctis, Roberto; Pasternak, Amy; Glanzman, Allan; Coratti, Giorgia; Civitello, Matthew; Forcina, Nicola; Gee, Richard; Duong, Tina; Pane, Marika; Scoto, Mariacristina; Pera, Maria Carmela; Messina, Sonia; Tennekoon, Gihan; Day, John W; Darras, Basil T; De Vivo, Darryl C; Finkel, Richard; Muntoni, Francesco; Mercuri, Eugenio
2017-06-01
There is a growing need for a robust clinical measure to assess upper limb motor function in spinal muscular atrophy (SMA), as the available scales lack sensitivity at the extremes of the clinical spectrum. We report the development of the Revised Upper Limb Module (RULM), an assessment specifically designed for upper limb function in SMA patients. An international panel with specific neuromuscular expertise performed a thorough review of scales currently available to assess upper limb function in SMA. This review facilitated a revision of the existing upper limb function scales to make a more robust clinical scale. Multiple revisions of the scale included statistical analysis and captured clinically relevant changes to fulfill requirements by regulators and advocacy groups. The resulting RULM scale shows good reliability and validity, making it a suitable tool to assess upper extremity function in the SMA population for multi-center clinical research. Muscle Nerve 55: 869-874, 2017. © 2016 Wiley Periodicals, Inc.
ERIC Educational Resources Information Center
Erford, Bradley T.; Biddison, Amanda R.
2006-01-01
The Math Essential Skills Screener--Upper Elementary Version (MESS-U) is part of a series of screening tests designed to help identify students ages 9-11 who are at risk for mathematics failure. Internal consistency, test-retest reliability, item analysis, decision efficiency, convergent validity and factorial validity of the MESS-U were studied…
NASA Ares I Crew Launch Vehicle Upper Stage Overview
NASA Technical Reports Server (NTRS)
Davusm Daniel J.; McArthur, J. Craig
2008-01-01
By incorporating rigorous engineering practices, innovative manufacturing processes and test techniques, a unique multi-center government/contractor partnership, and a clean-sheet design developed around the primary requirements for the International Space Station (ISS) and Lunar missions, the Upper Stage Element of NASA's Crew Launch Vehicle (CLV), the "Ares I," is a vital part of the Constellation Program's transportation system.
NASA Ares I Crew Launch Vehicle Upper State Overview
NASA Technical Reports Server (NTRS)
Davis, Daniel J.
2008-01-01
By incorporating rigorous engineering practices, innovative manufacturing processes and test techniques, a unique multi-center government/contractor partnership, and a clean-sheet design developed around the primary requirements for the International Space Station (ISS) and Lunar missions, the Upper Stage Element of NASA s Crew Launch Vehicle (CLV), the "Ares I," is a vital part of the Constellation Program s transportation system.
ERIC Educational Resources Information Center
Hodgson, Ann; Spours, Ken
2016-01-01
This article examines the challenges and possibilities for UK policy learning in relation to upper secondary education (USE) across England, Scotland, Wales and Northern Ireland (NI) within current national and global policy contexts. Drawing on a range of international literature, the article explores the concepts of "restrictive" and…
ERIC Educational Resources Information Center
Hodgson, Ann; Spours, Ken
2014-01-01
Recent international studies in upper-secondary education (USE) have highlighted the importance and complexities of this phase as it becomes a more universal experience. Here the authors examine recent trends in USE to provide a context for discussion of the English system, which has been moving from a "linked" to a more…
ERIC Educational Resources Information Center
Shinohara, Fumihiko
2006-01-01
This paper presents a brief introduction of the science education in Japan with an overview of the educational contents and standards laid by the Japanese Ministry of Education, Culture, Sports, Science and Technology (MEXT). It highlights the results of the International Education Association (IEA) on science education in Japan at upper secondary…
Supplemental heating of deposition tooling shields
Ohlhausen, James A.; Peebles, Diane E.; Hunter, John A.; Eckelmeyer, Kenneth H.
2000-01-01
A method of reducing particle generation from the thin coating deposited on the internal surfaces of a deposition chamber which undergoes temperature variation greater than 100.degree. C. comprising maintaining the temperature variation of the internal surfaces low enough during the process cycle to keep thermal expansion stresses between the coating and the surfaces under 500 MPa. For titanium nitride deposited on stainless steel, this means keeping temperature variations under approximately 70.degree. C. in a chamber that may be heated to over 350.degree. C. during a typical processing operation. Preferably, a supplemental heater is mounted behind the upper shield and controlled by a temperature sensitive element which provides feedback control based on the temperature of the upper shield.
NASA Technical Reports Server (NTRS)
Waites, W. L.; Chin, Y. T.
1974-01-01
A small-scale wind tunnel test of a two engine hybrid model with upper surface blowing on a simulated expandable duct internally blown flap was accomplished in a two phase program. The low wing Phase I model utilized 0.126c radius Jacobs/Hurkamp flaps and 0.337c radius Coanda flaps. The high wing Phase II model was utilized for continued studies on the Jacobs/Hurkamp flap. Principal study areas included: basic data both engines operative and with an engine out, control flap utilization, horizontal tail effectiveness, spoiler effectiveness, USB nacelle deflector study and USB/IBF pressure ratio effects.
"Mugging Up" versus "Exposure": International Schools and Social Mobility in Hyderabad, India
ERIC Educational Resources Information Center
Gilbertson, Amanda
2014-01-01
Drawing on 12 months of fieldwork in Hyderabad, India, this paper describes the emergence of "international" schools that are only accessible to upper-middle class and elite families and provide forms of cultural capital increasingly important for middle-class employment--"communication skills", "open-mindedness" and…
Gendered Patterns in International Research Collaborations in Academia
ERIC Educational Resources Information Center
Uhly, K. M.; Visser, L. M.; Zippel, K. S.
2017-01-01
Although women's representation in higher education nears parity with men at the undergraduate level, this representation diminishes as one ascends the academic ranks. Because gender gaps in the "elite" activity of international research collaborations might contribute to the underrepresentation of women in the upper ranks, we ask if…
2009-03-27
View from the balcony of the Russian Mission Control Center in Korolev, Russia moments before the Soyuz TMA-14 docks to the International Space Station on Saturday, March 28, 2009. A view of the International Space Station from Soyuz onboard cameras is visible in the upper right display. Photo Credit: (NASA/Bill Ingalls)
2009-03-27
View from the balcony of the Russian Mission Control Center in Korolev, Russia moments before the Soyuz TMA-14 docks to the International Space Station on Saturday, March 28, 2009. A view of the International Space Station from Soyuz onboard cameras is visible in the upper display. Photo Credit: (NASA/Bill Ingalls)
Study of internal gravity waves in the meteor zone
NASA Technical Reports Server (NTRS)
Gavrilov, N. M.
1987-01-01
An important component of the dynamical regime of the atmosphere at heights near 100 km are internal gravity waves (IGW) with periods from about 5 min to about 17.5 hrs which propagate from the lower atmospheric layers and are generated in the uppermost region of the atmosphere. As IGW propagate upwards, their amplitudes increase and they have a considerable effect on upper atmospheric processes: (1) they provide heat flux divergences comparable with solar heating; (2) they influence the gaseous composition and produce wave variations of the concentrations of gaseous components and emissions of the upper atmosphere; and (3) they cause considerable acceleration of the mean stream. It was concluded that the periods, wavelengths, amplitudes and velocities of IGW propagation in the meteor zone are now measured quite reliably. However, for estimating the influence of IGW on the thermal regime and the circulation of the upper atmosphere these parameters are not as important as the values of wave fluxes of energy, heat, moment and mass.
An Adaptive Security Construct: Insurgency in Sudan
2007-12-01
and “External Actors” existing as both foundational and supporting relatives. The “ Legs ” between cornerpoints, in addition to defining the tactical...directly. In a simplified mirror-image, the same progression of legs underlies each side’s connection with international or non-governmental external...Technologies ( DTI ), March 21, 2007). 45 Ghazal, Lakes, and Warab), and Upper Nile (Junqali, Wahdah, and Upper Nile).94 Allegations of corruption persist
Boeing CST-100 Starliner Processing
2018-04-26
Boeing’s CST-100 Starliner Orbital Flight Test vehicle will fly the first test flight to space on an uncrewed mission to the International Space Station. Here you see the spacecraft’s upper dome undergoing the final preparations before the upper and lower dome are mated for a pressure test, and then the two domes will move on to be populated with avionics, life support and other critical hardware.
ERIC Educational Resources Information Center
Koycu, Ümit; de Vries, Marc J.
2016-01-01
In the Netherlands, as well as in many other countries, there is an increasing interest in implementing education about engineering as a part of general education at the upper secondary school level. In order to know what pupils at that level think about engineering, a study has been done to investigate their attitude towards and their concept of…
ERIC Educational Resources Information Center
Lyche, Cecilia S.
2010-01-01
This paper reviews international research in the field of dropout from upper secondary education and training in OECD countries in order to present possible solutions to policymakers faced with the completion challenge. The paper begins by presenting existing definitions of dropout and upper secondary completion and states that dropout must be…
ERIC Educational Resources Information Center
Erikson, Josefina
2017-01-01
The 1991, Swedish upper secondary school reform presents internationally an unusual case of the far-reaching integration of academic and vocational programmes. It has often been claimed that late tracking, such as characterizes this reform, helps to reduce inequalities between different social classes. This article addresses the question of how…
Turner-Stokes, Lynne; Ashford, Stephen; Jacinto, Jorge; Maisonobe, Pascal; Balcaitiene, Jovita; Fheodoroff, Klemens
2016-01-01
Objectives Describe the rationale and protocol for the Upper Limb International Spasticity (ULIS)-III study, which aims to evaluate the impact of integrated spasticity management, involving multiple botulinum toxin A (BoNT-A) injection cycles and concomitant therapies, on patient-centred goal attainment. Outline novel outcome assessment methods for ULIS-III and report initial evaluation data from goal setting in early stages of the study. Design Large international longitudinal cohort study of integrated upper limb spasticity management, including BoNT-A. Participants and setting ULIS-III is a 2-year study expected to enrol >1000 participants at 58 study centres across 14 countries. Interventions The study design is non-interventional and intended to reflect real-life clinical practice. It will describe injection practices and additional treatment strategies, and record clinical decision-making in a serial approach to long-term spasticity management. Outcome measures ULIS-III will use a goal-directed approach to selection of targeted standardised measures to capture the diversity of presentation, goals and outcomes. ULIS-III will implement the Upper Limb Spasticity Index, a battery of assessments including a structured approach to goal attainment scaling (Goal Attainment Scaling—Evaluation of Outcomes for Upper Limb Spasticity tool), alongside a limited set of standardised measures, chosen according to patients' selected goal areas. Concomitant therapy inputs, patient satisfaction with engagement in goal setting, health economic end points and health-related quality of life data will also be captured. Results of initial evaluation of goal quality Recruitment started in January 2015. By June 2015, 58 sites had been identified and initial data collected for 79 patients across 13 sites in 3 countries. Goal setting data were quality-checked and centres rated on the basis of function-related and Specific, Measurable, Achievable, Realistic, Timed (SMART) characteristics of goal statements. Overall, 11/13 centres achieved the highest rating (A++). Conclusions ULIS-III will provide valuable information regarding treatment of and outcomes from real-life upper limb spasticity management worldwide. Trial registration number NCT02454803; Pre-results. PMID:27315835
Salinity Processes in the Upper Ocean Regional Study (SPURS)
2012-09-04
International maritime signal flags are seen on the bridge of the Woods Hole Oceanographic Institution's research vessel Knorr on Tuesday, Sept. 4, 2012, in Woods Hole, Mass. Knorr is scheduled to depart on Sept. 6 to take part in the Salinity Processes in the Upper Ocean Regional Study (SPURS). The NASA-sponsored expedition will sail to the North Atlantic's saltiest spot to get a detailed, 3-D picture of how salt content fluctuates in the ocean's upper layers and how these variations are related to shifts in rainfall patterns around the planet. Photo Credit: (NASA/Bill Ingalls)
Turbulent convection driven by internal radiative heating of melt ponds on sea ice
NASA Astrophysics Data System (ADS)
Wells, Andrew; Langton, Tom; Rees Jones, David; Moon, Woosok
2016-11-01
The melting of Arctic sea ice is strongly influenced by heat transfer through melt ponds which form on the ice surface. Melt ponds are internally heated by the absorption of incoming radiation and cooled by surface heat fluxes, resulting in vigorous buoyancy-driven convection in the pond interior. Motivated by this setting, we conduct two-dimensional direct-numerical simulations of the turbulent convective flow of a Boussinesq fluid between two horizontal boundaries, with internal heating predicted from a two-stream radiation model. A linearised thermal boundary condition describes heat exchange with the overlying atmosphere, whilst the lower boundary is isothermal. Vertically asymmetric convective flow modifies the upper surface temperature, and hence controls the partitioning of the incoming heat flux between emission at the upper and lower boundaries. We determine how the downward heat flux into the ice varies with a Rayleigh number based on the internal heating rate, the flux ratio of background surface cooling compared to internal heating, and a Biot number characterising the sensitivity of surface fluxes to surface temperature. Thus we elucidate the physical controls on heat transfer through Arctic melt ponds which determine the fate of sea ice in the summer.
NASA Astrophysics Data System (ADS)
Wada, K.; Sano, K.
2016-12-01
Simultaneously explosive and effusive eruptions of silicic magmas has shed light on the vesiculation and outgassing history of ascending magmas in the conduit and emplacement model of obsidian-rhyolite lavas (Castro et al., 2014; Shipper et al, 2013). As well as the knowledge of newly erupted products such as 2008-2009 Chaitén and 2011-2012 Cordón Caule eruptions, field and micro-textural evidences of well-exposed internal structure of obsidian-rhyolite lava leads to reveal eruption processes of silicic magmas. The Shirataki monogenetic volcano field, 2.2 million year age, northern Hokkaido, Japan, contains many outcrops of obsidian and vesiculated rhyolite zones (SiO2=76.7-77.4 wt.%). Among their outcrops, Akaishiyama lava shows good exposures of internal sections from the top to the bottom along the Kyukasawa valley with thickness of about 190 meters, showing the symmetrical structure comprising a upper clastic zone (UCZ; 5m thick), an upper dense obsidian zone (UDO; 15m), an upper banded obsidian zone (UBO; 70-80m), a central rhyolite zone (CR; 65m), a lower banded obsidian zone (LBO; 15m), a lower dense obsidian zone (LDO; 20m), and a lower clastic zone (LCZ; 3m). The upper banded obsidian zone is characterized by existence of spherulite concentration layers with tuffisite veins and rhyolite enclaves. Spherulites consisting of albite, cristobalaite and obsidian glass, are clustered in the dense obsidian. Tuffisite veins show brecciated obsidians in tuffaceous matrix, showing an outgassing path during the emplacement of obsidian lava. Perpendicular dip of spherulite parallel rows indicates the banded zone itself was the domain of vent area. From the observation of these occurrences in the internal section and rock texture, we show the qualitative formation model of Shirataki obsidian-rhyolite lava.
Sagatun, Åse; Wentzel-Larsen, Tore; Heyerdahl, Sonja; Lien, Lars
2016-06-01
Mental health problems in adolescence are associated with impaired function in young adulthood. Our aim was to assess how a hypothetical reduction in mental health problems in adolescence was related to medical benefits in young adulthood and to examine the mediating role of completion of upper secondary school. We used a population-based sample of more than 10,000 10th-grade adolescents with self-reported data on internalizing and externalizing mental health problems. The sample was linked to the Norwegian national registers of education and medical benefits. The mediation analysis was based on a causal inference framework. During a three-year period in young adulthood, 6.4% of men and 5.9% of women received medical benefits. A two-point hypothetical reduction in externalizing problems was related to a lower probability of receiving medical benefits of 1.5 (95% confidence interval (CI) 1.0-2.1) percentage points in young men and 1.8 (95% CI 1.3-2.3) percentage points in young women. The proportion mediated by the completion of upper secondary school was 52% (95% CI 36-76) among boys and 42% (95% CI 29-60) among girls. The corresponding reduction in the probability of receiving medical benefits was 1.8 percentage points for internalizing problems in both sexes (95% CI boys 1.2-2.4 and girls 1.4-2.2). The proportion mediated was lower for internalizing problems and was only significant among girls (19%). CONCLUSIONS INTERVENTION AND PREVENTION STRATEGIES TARGETING INTERNALIZING AND EXTERNALIZING PROBLEMS IN ADOLESCENTS MAY HAVE THE POTENTIAL TO REDUCE THE RECEIPT OF MEDICAL BENEFITS IN YOUNG ADULTHOOD THE COMPLETION OF UPPER SECONDARY SCHOOL SEEMS TO BE A MECHANISM FOR THIS ASSOCIATION, ESPECIALLY FOR EXTERNALIZING PROBLEMS. © 2016 the Nordic Societies of Public Health.
Upper Limit of Weights in TAI Computation
NASA Technical Reports Server (NTRS)
Thomas, Claudine; Azoubib, Jacques
1996-01-01
The international reference time scale International Atomic Time (TAI) computed by the Bureau International des Poids et Mesures (BIPM) relies on a weighted average of data from a large number of atomic clocks. In it, the weight attributed to a given clock depends on its long-term stability. In this paper the TAI algorithm is used as the basis for a discussion of how to implement an upper limit of weight for clocks contributing to the ensemble time. This problem is approached through the comparison of two different techniques. In one case, a maximum relative weight is fixed: no individual clock can contribute more than a given fraction to the resulting time scale. The weight of each clock is then adjusted according to the qualities of the whole set of contributing elements. In the other case, a parameter characteristic of frequency stability is chosen: no individual clock can appear more stable than the stated limit. This is equivalent to choosing an absolute limit of weight and attributing this to to the most stable clocks independently of the other elements of the ensemble. The first technique is more robust than the second and automatically optimizes the stability of the resulting time scale, but leads to a more complicated computatio. The second technique has been used in the TAI algorithm since the very beginning. Careful analysis of tests on real clock data shows that improvement of the stability of the time scale requires revision from time to time of the fixed value chosen for the upper limit of absolute weight. In particular, we present results which confirm the decision of the CCDS Working Group on TAI to increase the absolute upper limit by a factor of 2.5. We also show that the use of an upper relative contribution further helps to improve the stability and may be a useful step towards better use of the massive ensemble of HP 507IA clocks now contributing to TAI.
Palliative Surgery in Treating Painful Metastases of the Upper Cervical Spine
Wu, Xinghuo; Ye, Zhewei; Pu, Feifei; Chen, Songfeng; Wang, Baichuan; Zhang, Zhicai; Yang, Cao; Yang, Shuhua; Shao, Zengwu
2016-01-01
Abstract Increased incidence of upper cervical metastases and higher life expectancy resulted in higher operative rates in patients. The purpose of this study was to explore the methods and the clinical outcomes of palliative surgery for cervical spinal metastases. A systematic review of a 15-case series of upper cervical metastases treated with palliative surgery was performed. All cases underwent palliative surgery, including anterior tumor resection and internal fixation in 3 cases, posterior tumor resection and internal fixation in 10 cases, and combined anterior and posterior tumor resection and internal fixation in 2 cases. Patients were followed-up clinically and radiologically after the operation, and visual analog scale (VAS) and activities of daily living scores were calculated. In addition, a literature review was performed and patients with upper cervical spine metastases were analyzed. The mean follow-up period was 12.5 months (range, 3–26 months) in this consecutive case series. The pain was substantially relieved in 93.3% (14/15) of the patients after the operation. The VAS and Japanese Orthopedic Association scores showed improved clinical outcomes, from 7.86 ± 1.72 and 11.13 ± 2.19 preoperatively to 2.13 ± 1.40 and 14.26 ± 3.03 postoperatively, respectively. The mean survival time was 9.5 months (range, 5–26 months). Dural tear occurred in 1 patient. Wound infections, instrumentation failure, and postoperative death were not observed. Among our cases and other cases reported in the literature, 72% of the patients were treated with simple anterior or posterior operation, and only 12% of the patients (3/25) underwent complex combined anterior and posterior operation. Metastatic upper cervical spine disease is not a rare occurrence. Balancing the perspective of patients on palliative surgery concerning the clinical benefits of operation versus its operative risks can assist the decision for surgery. PMID:27149472
Wang, Yong Tai; Vrongistinos, Konstantinos Dino; Xu, Dali
2008-08-01
The purposes of this study were to examine the consistency of wheelchair athletes' upper-limb kinematics in consecutive propulsive cycles and to investigate the relationship between the maximum angular velocities of the upper arm and forearm and the consistency of the upper-limb kinematical pattern. Eleven elite international wheelchair racers propelled their own chairs on a roller while performing maximum speeds during wheelchair propulsion. A Qualisys motion analysis system was used to film the wheelchair propulsive cycles. Six reflective markers placed on the right shoulder, elbow, wrist joints, metacarpal, wheel axis, and wheel were automatically digitized. The deviations in cycle time, upper-arm and forearm angles, and angular velocities among these propulsive cycles were analyzed. The results demonstrated that in the consecutive cycles of wheelchair propulsion the increased maximum angular velocity may lead to increased variability in the upper-limb angular kinematics. It is speculated that this increased variability may be important for the distribution of load on different upper-extremity muscles to avoid the fatigue during wheelchair racing.
Temperature variability caused by internal tides in the coral reef ecosystem of Hanauma bay, Hawai'i
NASA Astrophysics Data System (ADS)
Smith, Katharine A.; Rocheleau, Greg; Merrifield, Mark A.; Jaramillo, Sergio; Pawlak, Geno
2016-03-01
Hanauma Bay Nature Preserve is a shallow bay (<30 m depth) on the island of O'ahu, Hawai'i, offshore of which tidal flow over deep ridge topography (500-1000 m depth) is known to generate semidiurnal frequency internal tides. A field experiment was conducted during March to June 2009 to determine whether the deep internal tides propagate shoreward to influence variability in temperature and currents in the bay environment. Temperature observations in the bay exhibit a diurnal cycle that is strongest near the surface (upper 10 m) and is associated with solar heating. In early summer (May-June), as the upper mixed layer warms and a shallow seasonal thermocline develops, temperature fluctuations in deeper bay waters (>15 m depth) become dominated by large semidiurnal variations (up to 2.7 °C) that are attributed to the internal tide. These temperature drops caused by the internal tide occur consistently twice a day under summer stratification at depths as shallow as 15 m, while smaller temperature drops (up to 1.8 °C) occur occasionally at 5 m. Although semidiurnal band temperatures vary seasonally, semidiurnal band currents exhibit similar magnitudes in spring and summer. This suggests that the weak temperature fluctuations in spring are due to the bay residing entirely in the upper mixed layer at this time of year, while internal tide energy continues to influence currents. Observations made along a cross-shore/vertical transect at the center of the bay with an autonomous underwater vehicle highlight the structure of cold intrusions that fill a large portion of the bay as well as the relationship between temperature, salinity, chlorophyll, and backscatter. Near-bottom, advective heat flux estimates at the mouth of the bay indicate that the internal tide tends to advect cold water into the bay primarily on the northeast side of the bay entrance, with cold water outflow on the opposite side. The observations highlight the role of the internal tide along with seasonal changes in stratification in temperature variability in shallow ecosystems, particularly those close to generation sites.
Internal Gravity Waves in the Magnetized Solar Atmosphere. I. Magnetic Field Effects
DOE Office of Scientific and Technical Information (OSTI.GOV)
Vigeesh, G.; Steiner, O.; Jackiewicz, J., E-mail: vigeesh@leibniz-kis.de
Observations of the solar atmosphere show that internal gravity waves are generated by overshooting convection, but are suppressed at locations of magnetic flux, which is thought to be the result of mode conversion into magnetoacoustic waves. Here, we present a study of the acoustic-gravity wave spectrum emerging from a realistic, self-consistent simulation of solar (magneto)convection. A magnetic field free, hydrodynamic simulation and a magnetohydrodynamic (MHD) simulation with an initial, vertical, homogeneous field of 50 G flux density were carried out and compared with each other to highlight the effect of magnetic fields on the internal gravity wave propagation in themore » Sun’s atmosphere. We find that the internal gravity waves are absent or partially reflected back into the lower layers in the presence of magnetic fields and argue that the suppression is due to the coupling of internal gravity waves to slow magnetoacoustic waves still within the high- β region of the upper photosphere. The conversion to Alfvén waves is highly unlikely in our model because there is no strongly inclined magnetic field present. We argue that the suppression of internal waves observed within magnetic flux concentrations may also be due to nonlinear breaking of internal waves due to vortex flows that are ubiquitously present in the upper photosphere and the chromosphere.« less
ERIC Educational Resources Information Center
Thorley, Megan; Lannin, Natasha; Cusick, Anne; Novak, Iona; Boyd, Roslyn
2012-01-01
Aim: To investigate reliability of the Quality of Upper Extremity Skills Test (QUEST) scores for children with cerebral palsy (CP) aged 2-12 years. Method: Thirty-one QUESTs from 24 children with CP were rated once by two raters and twice by one rater. Internal consistency of total scores, inter- and intra-rater reliability findings for total,…
Federal Register 2010, 2011, 2012, 2013, 2014
2011-11-03
... functions. List of Subjects in 32 CFR Part 706 Marine safety, Navigation (water), and Vessels. Accordingly... out of alignment alignment with the the upper and middle upper and middle task task light in meters light in meters by: by: USV 11MUCO601 0.85 11MUCO602 0.85 11MUCO603 0.85 11MUCO604 0.85 USS FORT WORTH...
Reliability and validity of the closed kinetic chain upper extremity stability test.
Lee, Dong-Rour; Kim, Laurentius Jongsoon
2015-04-01
[Purpose] The purpose of this study was to examine the reliability and validity of the Closed Kinetic Chain Upper Extremity Stability (CKCUES) test. [Subjects and Methods] A sample of 40 subjects (20 males, 20 females) with and without pain in the upper limbs was recruited. The subjects were tested twice, three days apart to assess the reliability of the CKCUES test. The CKCUES test was performed four times, and the average was calculated using the data of the last 3 tests. In order to test the validity of the CKCUES test, peak torque of internal/external shoulder rotation was measured using an isokinetic dynamometer, and maximum grip strength was measured using a hand dynamometer, and their Pearson correlation coefficients with the average values of the CKCUES test were calculated. [Results] The reliability of the CKCUES test was very high (ICC=0.97). The correlations between the CKCUES test and maximum grip strength (r=0.78-0.79), and the peak torque of internal/external shoulder rotation (r=0.87-0.94) were high indicating its validity. [Conclusion] The reliability and validity of the CKCUES test were high. The CKCUES test is expected to be used for clinical tests on upper limb stability at low price.
Reliability of the Melbourne assessment of unilateral upper limb function.
Randall, M; Carlin, J B; Chondros, P; Reddihough, D
2001-11-01
This study examines the reliability of the Melbourne Assessment of Unilateral Upper Limb Function: a quantitative test of quality of movement in children with neurological impairment. The assessment was administered to 20 children aged from 5 to 16 years (mean age 9 years 10 months, SD 2 years 10 months) who had various types and degrees of cerebral palsy (CP). The performances of the 20 children during assessment were videotaped for subsequent scoring by 15 occupational therapists. Scores were analyzed for internal consistency of test items, inter- and intrarater reliability of scorings of the same videotapes, and test-retest reliability using repeat videotaping. Results revealed very high internal consistency of test items (alpha=0.96), moderate to high agreement both within and between raters for all test items (intraclass correlations of at least 0.7) apart from item 16 (hand to mouth and down), and high interrater reliability (0.95) and intrarater reliability (0.97) for total test scores. Test-retest results revealed moderate to high intrarater reliability for item totals (mean of 0.83 and 0.79) for each rater and high reliability for test totals (0.98 and 0.97). These findings indicate that the Melbourne Assessment of Unilateral Upper Limb Function is a reliable tool for measuring the quality of unilateral upper-limb movement in children with CP.
Upper limb injury in rugby union football: results of a cohort study.
Usman, Juliana; McIntosh, Andrew Stuart
2013-04-01
There have been few in-depth studies of upper limb injury epidemiology in rugby union football, despite reports that they accounted for between 14% and 28% of all rugby injuries. To report on upper limb injury incidence, injury severity and to identify the risk factors associated with upper limb injuries, for example, level of play, season (years) and playing position. Prospective cohort study across five rugby seasons from 2004 to 2008. Formal rugby competitions-suburban, provincial and international. 1475 adult male rugby players in Colts, Grade and Elite competitions. An upper limb injury resulting in a missed game and its characteristics. A total of 61 598 athletic exposures (AE) and 606 upper limb injuries were recorded. About 66% of the injuries were to the shoulder. The overall upper limb injury incidence rate (IIR) was 9.84 injuries/1000 AE (95% CI 9.06 to 10.62). Statistically significant associations were found between upper limb injuries and level of play; and between shoulder injuries and playing position (p<0.05). No association was found between upper limb and shoulder injuries and study year. The overall upper limb IIR decreased as the level of play increased; 10.74 upper limb injuries/1000 AE (95% CI 9.93 to 11.56) in Colts to 6.07 upper limb injuries/1000 AE (95% CI 5.46 to 6.69) in Elite. The upper limb IIR decreased as the level of play increased indicating that age, level of skill and playing experience may be risk factors for upper limb injury.
The Effect of Shoulder Plyometric Training on Amortization Time and Upper-Extremity Kinematics.
Swanik, Kathleen A; Thomas, Stephen J; Struminger, Aaron H; Bliven, Kellie C Huxel; Kelly, John D; Swanik, Charles B
2016-12-01
Plyometric training is credited with providing benefits in performance and dynamic restraint. However, limited prospective data exist quantifying kinematic adaptations such as amortization time, glenohumeral rotation, and scapulothoracic position, which may underlie the efficacy of plyometric training for upper-extremity rehabilitation or performance enhancement. To measure upper-extremity kinematics and plyometric phase times before and after an 8-wk upper-extremity strength- and plyometric-training program. Randomized pretest-posttest design. Research laboratory. 40 recreationally active men (plyometric group, age 20.43 ± 1.40 y, height 180.00 ± 8.80 cm, weight 73.07 ± 7.21 kg; strength group, age 21.95 ± 3.40 y, height 173.98 ± 11.91 cm, weight 74.79 ± 13.55 kg). Participants were randomly assigned to either a strength-training group or a strength- and plyometric-training group. Each participant performed the assigned training for 8 wk. Dynamic and static glenohumeral and scapular-rotation measurements were taken before and after the training programs. Dynamic measurement of scapular rotation and time spent in each plyometric phase (concentric, eccentric, and amortization) during a ball-toss exercise were recorded while the subjects were fitted with an electromagnetic tracking system. Static measures included scapular upward rotation at 3 different glenohumeral-abduction angles, glenohumeral internal rotation, and glenohumeral external rotation. Posttesting showed that both groups significantly decreased the time spent in the amortization, concentric, and eccentric phases of a ball-toss exercise (P < .01). Both groups also exhibited significantly decreased static external rotation and increased dynamic scapular upward rotation after the training period (P < .01). The only difference between the training protocols was that the plyometric-training group exhibited an increase in internal rotation that was not present in the strength-training group (P < .01). These findings support the use of both upper-extremity plyometrics and strength training for reducing commonly identified upper-extremity-injury risk factors and improving upper-extremity performance.
Wu, Xiang-Yang; Zhang, Zhe; Wu, Jian; Lü, Jun; Gu, Xiao-Hui
2009-11-01
To investigate the "window" surgical exposure strategy of the upper anterior cervical retropharyngeal approach for the exposure and decompression and instrumentation of the upper cervical spine. From Jan. 2000 to July 2008, 5 patients with upper cervical spinal injuries were treated by surgical operation included 4 males and 1 female with and average age of 35 years old ranging from 16 to 68 years. There were 2 cases of Hangman's fractures (type II ), 2 of C2.3 intervertebral disc displacement and 1 of C2 vertebral body tuberculosis. All patients underwent the upper cervical anterior retropharyngeal approach through the "window" between the hypoglossal nerve and the superior laryngeal nerve and pharynx and carotid artery. Two patients of Hangman's fractures underwent the C2,3 intervertebral disc discectomy, bone graft fusion and internal fixation. Two patients of C2,3 intervertebral disc displacement underwent the C2,3 intervertebral disc discectomy, decompression bone graft fusion and internal fixation. One patient of C2 vertebral body tuberculosis was dissected and resected and the focus and the cavity was filled by bone autografting. C1 anterior arch to C3 anterior vertebral body were successful exposed. Lesion resection or decompression and fusion were successful in all patients. All patients were followed-up for from 5 to 26 months (means 13.5 months). There was no important vascular and nerve injury and no wound infection. Neutral symptoms was improved and all patient got successful fusion. The "window" surgical exposure surgical technique of the upper cervical anterior retropharyngeal approach is a favorable strategy. This approach strategy can be performed with full exposure for C1-C3 anterior anatomical structure, and can get minimally invasive surgery results and few and far between wound complication, that is safe if corresponding experience is achieved.
Development of a prognostic nomogram for cirrhotic patients with upper gastrointestinal bleeding.
Zhou, Yu-Jie; Zheng, Ji-Na; Zhou, Yi-Fan; Han, Yi-Jing; Zou, Tian-Tian; Liu, Wen-Yue; Braddock, Martin; Shi, Ke-Qing; Wang, Xiao-Dong; Zheng, Ming-Hua
2017-10-01
Upper gastrointestinal bleeding (UGIB) is a complication with a high mortality rate in critically ill patients presenting with cirrhosis. Today, there exist few accurate scoring models specifically designed for mortality risk assessment in critically ill cirrhotic patients with upper gastrointestinal bleeding (CICGIB). Our aim was to develop and evaluate a novel nomogram-based model specific for CICGIB. Overall, 540 consecutive CICGIB patients were enrolled. On the basis of Cox regression analyses, the nomogram was constructed to estimate the probability of 30-day, 90-day, 270-day, and 1-year survival. An upper gastrointestinal bleeding-chronic liver failure-sequential organ failure assessment (UGIB-CLIF-SOFA) score was derived from the nomogram. Performance assessment and internal validation of the model were performed using Harrell's concordance index (C-index), calibration plot, and bootstrap sample procedures. UGIB-CLIF-SOFA was also compared with other prognostic models, such as CLIF-SOFA and model for end-stage liver disease, using C-indices. Eight independent factors derived from Cox analysis (including bilirubin, creatinine, international normalized ratio, sodium, albumin, mean artery pressure, vasopressin used, and hematocrit decrease>10%) were assembled into the nomogram and the UGIB-CLIF-SOFA score. The calibration plots showed optimal agreement between nomogram prediction and actual observation. The C-index of the nomogram using bootstrap (0.729; 95% confidence interval: 0.689-0.766) was higher than that of the other models for predicting survival of CICGIB. We have developed and internally validated a novel nomogram and an easy-to-use scoring system that accurately predicts the mortality probability of CICGIB on the basis of eight easy-to-obtain parameters. External validation is now warranted in future clinical studies.
Specialized connective tissue: bone, the structural framework of the upper extremity
Weatherholt, Alyssa M.; Fuchs, Robyn K.; Warden, Stuart J.
2011-01-01
Bone is a connective tissue containing cells, fibers and ground substance. There are many functions in the body in which the bone participates, such as storing minerals, providing internal support, protecting vital organs, enabling movement, and providing attachment sites for muscles and tendons. Bone is unique because its collagen framework absorbs energy, while the mineral encased within the matrix allows bone to resist deformation. This article provides an overview of the structure and function of bone tissue from a macroscopic to microscopic level and discusses the physiological processes contributing to upper extremity bone health. It concludes by discussing common conditions influencing upper extremity bone health. PMID:22047807
Diagnosing oceanic nutrient deficiency
2016-01-01
The supply of a range of nutrient elements to surface waters is an important driver of oceanic production and the subsequent linked cycling of the nutrients and carbon. Relative deficiencies of different nutrients with respect to biological requirements, within both surface and internal water masses, can be both a key indicator and driver of the potential for these nutrients to become limiting for the production of new organic material in the upper ocean. The availability of high-quality, full-depth and global-scale datasets on the concentrations of a wide range of both macro- and micro-nutrients produced through the international GEOTRACES programme provides the potential for estimation of multi-element deficiencies at unprecedented scales. Resultant coherent large-scale patterns in diagnosed deficiency can be linked to the interacting physical–chemical–biological processes which drive upper ocean nutrient biogeochemistry. Calculations of ranked deficiencies across multiple elements further highlight important remaining uncertainties in the stoichiometric plasticity of nutrient ratios within oceanic microbial systems and caveats with regards to linkages to upper ocean nutrient limitation. This article is part of the themed issue ‘Biological and climatic impacts of ocean trace element chemistry’. PMID:29035255
Diagnosing oceanic nutrient deficiency
NASA Astrophysics Data System (ADS)
Moore, C. Mark
2016-11-01
The supply of a range of nutrient elements to surface waters is an important driver of oceanic production and the subsequent linked cycling of the nutrients and carbon. Relative deficiencies of different nutrients with respect to biological requirements, within both surface and internal water masses, can be both a key indicator and driver of the potential for these nutrients to become limiting for the production of new organic material in the upper ocean. The availability of high-quality, full-depth and global-scale datasets on the concentrations of a wide range of both macro- and micro-nutrients produced through the international GEOTRACES programme provides the potential for estimation of multi-element deficiencies at unprecedented scales. Resultant coherent large-scale patterns in diagnosed deficiency can be linked to the interacting physical-chemical-biological processes which drive upper ocean nutrient biogeochemistry. Calculations of ranked deficiencies across multiple elements further highlight important remaining uncertainties in the stoichiometric plasticity of nutrient ratios within oceanic microbial systems and caveats with regards to linkages to upper ocean nutrient limitation. This article is part of the themed issue 'Biological and climatic impacts of ocean trace element chemistry'.
Guo, Wan-Gang; Li, Bing-Ling; He, Yong; Xue, Yu-Sheng; Wang, Hai-Yan; Zheng, Qiang-Sun; Xiang, Ding-Cheng
2014-08-01
To validate the Andon KD-5917 automatic upper arm blood pressure monitor according to the European Society of Hypertension International Protocol revision 2010. Sequential same-left-arm measurements of systolic blood pressure (SBP) and diastolic blood pressure (DBP) were obtained in 33 participants using the mercury sphygmomanometer and the test device. According to the validation protocol, 99 pairs of test device and reference blood pressure measurements (three pairs for each of the 33 participants) were obtained in the study. The device produced 73, 98, and 99 measurements within 5, 10, and 15 mmHg for SBP and 86, 98, and 99 for DBP, respectively. The mean ± SD device-observer difference was 3.07 ± 3.68 mmHg for SBP and -0.89 ± 3.72 mmHg for DBP. The number of patients with two or three of the device-observer difference within 5 mmHg was 26 for SBP and 29 for DBP, and no patient had a device-observer difference within 5 mmHg. The Andon KD-5917 automatic upper arm blood pressure monitor can be recommended for clinical use and self-measurement in an adult population on the basis of the European Society of Hypertension International Protocol revision 2010.
Wade, Elman E.
1979-01-01
A nuclear reactor including two rotatable plugs and a positive top core holddown structure. The top core holddown structure is divided into two parts: a small core cover, and a large core cover. The small core cover, and the upper internals associated therewith, are attached to the small rotating plug, and the large core cover, with its associated upper internals, is attached to the large rotating plug. By so splitting the core holddown structures, under-the-plug refueling is accomplished without the necessity of enlarging the reactor pressure vessel to provide a storage space for the core holddown structure during refueling. Additionally, the small and large rotating plugs, and their associated core covers, are arranged such that the separation of the two core covers to permit rotation is accomplished without the installation of complex lifting mechanisms.
Wave-mean flow interactions in the upper atmosphere
NASA Technical Reports Server (NTRS)
Lindzen, R. S.
1973-01-01
The nature of internal gravity waves is described with special emphasis on their ability to transport energy and momentum. The conditions under which these fluxes interact with the mean state of the atmosphere are described and the results are applied to various problems of the upper atmosphere, including the quasi-biennial oscillation, the heat budget of the thermosphere, the general circulation of the mesosphere, turbulence in the mesosphere, and the 4-day circulation of the Venusian atmosphere.
Proceedings of the 2007 Antenna Applications Symposium, Volume 1
2007-12-01
34Gyrator- Based Biquad Filters and Negative Impedance Converters for Microwaves," International Journal of RF and Microwave Computer- Aided...upper curves in the figure is the bandwidth based on half power gain 0/ 2 0.443 / DλΔ = , and the other upper curve is for the “Ideal” case 0/ 2 0.5...simulator with TEM horn, 2Ports HP Power Network Analyzer (PNA). 153 [a] [b] Figure 7: Active input impedance of the measured and simulated
Chris A. Maier; R.O. Teskey
1992-01-01
Leaf gas exchange and water relations were monitored in the upper canopy of two 25 m tall eastern white pine (Pinus strobus L.) trees over two consecutive growing seasons (1986 and 1987). Examination of the seasonal and diurnal patterns of net photosynthesis and leaf conductance showed that both internal and external (environmental) factors were...
Pareja, Juan A; Casanova, Ignacio; Arbex, Andrea; Cuadrado, María L
2015-11-01
The infratrochlear nerve supplies the medial aspect of the upper eyelid, the superolateral aspect of the nose and the lacrimal caruncle. This nerve may contribute to the pain stemming from the trochlea, but infratrochlear neuralgia has not been identified as a specific cause of pain. Over a 10-year period we have been recruiting patients with pain in the internal angle of the orbit that did not show features of trochlear pain. Seven patients (six female, one male; mean age, 46.1 ± 18.9) presented with pain in the territory of the infratrochlear nerve. The pain appeared in the internal angle of the orbit and upper eyelid (n = 3), the superolateral aspect of the nose (n = 3), or the lacrimal caruncle (n = 1). All patients had a paroxysmal pain, with the attacks lasting five to 30 seconds. Pain attacks were mostly spontaneous, but two patients had triggers. Between attacks, all patients had local allodynia. Pain did not increase with vertical eye movements. Six patients were treated with gabapentin with complete response, and one patient experienced long-lasting relief with an anesthetic blockade of the infratrochlear nerve. Infratrochlear neuralgia should be considered as a possible cause of pain in the internal angle of the orbit. © International Headache Society 2015.
Structural Design and Analysis of the Upper Pressure Shell Section of a Composite Crew Module
NASA Technical Reports Server (NTRS)
Sleight, David W.; Paddock, David; Jeans, Jim W.; Hudeck, John D.
2008-01-01
This paper presents the results of the structural design and analysis of the upper pressure shell section of a carbon composite demonstration structure for the Composite Crew Module (CCM) Project. The project is managed by the NASA Engineering and Safety Center with participants from eight NASA Centers, the Air Force Research Laboratory, and multiple aerospace contractors including ATK/Swales, Northrop Grumman, Lockheed Martin, Collier Research Corporation, Genesis Engineering, and Janicki Industries. The paper discusses details of the upper pressure shell section design of the CCM and presents the structural analysis results using the HyperSizer structural sizing software and the MSC Nastran finite element analysis software. The HyperSizer results showed that the controlling load case driving most of the sizing in the upper pressure shell section was the internal pressure load case. The regions around the cutouts were controlled by internal pressure and the main parachute load cases. The global finite element analysis results showed that the majority of the elements of the CCM had a positive margin of safety with the exception of a few hot spots around the cutouts. These hot spots are currently being investigated with a more detailed analysis. Local finite element models of the Low Impact Docking System (LIDS) interface ring and the forward bay gussets with greater mesh fidelity were created for local sizing and analysis. The sizing of the LIDS interface ring was driven by the drogue parachute loads, Trans-Lunar Insertion (TLI) loads, and internal pressure. The drogue parachute loads controlled the sizing of the gusset cap on the drogue gusset and TLI loads controlled the sizing of the other five gusset caps. The main parachute loads controlled the sizing of the lower ends of the gusset caps on the main parachute fittings. The results showed that the gusset web/pressure shell and gusset web/gusset cap interfaces bonded using Pi-preform joints had local hot spots in the Pi-preform termination regions. These regions require a detailed three-dimensional analysis, which is currently being performed, to accurately address the load distribution near the Pi-preform termination in the upper and lower gusset caps.
Konzelmann, M; Burrus, C; Hilfiker, R; Rivier, G; Deriaz, O; Luthi, F
2015-03-01
Functional evaluation of upper limb is not only based on clinical findings but requires self-administered questionnaires to address patients' perspective. The Hand Function Sort (HFS©) was only validated in English. The aim of this study was the French cross cultural adaptation and validation of the HFS© (HFS-F). 150 patients with various upper limbs impairments were recruited in a rehabilitation center. Translation and cross-cultural adaptation were made according to international guidelines. Construct validity was estimated through correlations with Disabilities Arm Shoulder and Hand (DASH) questionnaire, SF-36 mental component summary (MCS),SF-36 physical component summary (PCS) and pain intensity. Internal consistency was assessed by Cronbach's α and test-retest reliability by intraclass correlation. Cronbach's α was 0.98, test-retest reliability was excellent at 0.921 (95 % CI 0.871-0.971) same as original HFS©. Correlations with DASH were-0.779 (95 % CI -0.847 to -0.685); with SF 36 PCS 0.452 (95 % CI 0.276-0.599); with pain -0.247 (95 % CI -0.429 to -0.041); with SF 36 MCS 0.242 (95 % CI 0.042-0.422). There were no floor or ceiling effects. The HFS-F has the same good psychometric properties as the original HFS© (internal consistency, test retest reliability, convergent validity with DASH, divergent validity with SF-36 MCS, and no floor or ceiling effects). The convergent validity with SF-36 PCS was poor; we found no correlation with pain. The HFS-F could be used with confidence in a population of working patients. Other studies are necessary to study its psychometric properties in other populations.
Fatichi, S; Rimkus, S; Burlando, P; Bordoy, R
2014-09-15
Projections of climate change effects in streamflow are increasingly required to plan water management strategies. These projections are however largely uncertain due to the spread among climate model realizations, internal climate variability, and difficulties in transferring climate model results at the spatial and temporal scales required by catchment hydrology. A combination of a stochastic downscaling methodology and distributed hydrological modeling was used in the ACQWA project to provide projections of future streamflow (up to year 2050) for the upper Po and Rhone basins, respectively located in northern Italy and south-western Switzerland. Results suggest that internal (stochastic) climate variability is a fundamental source of uncertainty, typically comparable or larger than the projected climate change signal. Therefore, climate change effects in streamflow mean, frequency, and seasonality can be masked by natural climatic fluctuations in large parts of the analyzed regions. An exception to the overwhelming role of stochastic variability is represented by high elevation catchments fed by glaciers where streamflow is expected to be considerably reduced due to glacier retreat, with consequences appreciable in the main downstream rivers in August and September. Simulations also identify regions (west upper Rhone and Toce, Ticino river basins) where a strong precipitation increase in the February to April period projects streamflow beyond the range of natural climate variability during the melting season. This study emphasizes the importance of including internal climate variability in climate change analyses, especially when compared to the limited uncertainty that would be accounted for by few deterministic projections. The presented results could be useful in guiding more specific impact studies, although design or management decisions should be better based on reliability and vulnerability criteria as suggested by recent literature. Copyright © 2013 Elsevier B.V. All rights reserved.
Hsu, Hsiu-Hao; Chou, You-Li; Lou, Shu-Zon; Huang, Ming-Jer; Chou, Paul Pei-Hsi
2011-03-01
Falling onto the outstretched hand is the most common cause of upper extremity injury. This study develops an experimental model for evaluating the shoulder load during a simulated forward fall onto one hand with three different forearm axially rotated postures, and examines the shoulder abduction angle and shoulder flexion angle in each case. Fifteen healthy young male subjects with an average age of 23.7 years performed a series of one-armed arrests from a height of 5 cm onto a force plate. The kinematics and kinetics of the upper extremity were analyzed for three different forearm postures, namely 45° externally rotated, non-rotated, and 45° internally rotated. The shoulder joint load and shoulder abduction/flexion angles were significantly dependent on the rotational posture of the forearm. The shoulder medio-lateral shear forces in the externally rotated group were found to be 1.61 and 2.94 times higher than those in the non-rotated and internally rotated groups, respectively. The shoulder flexion angles in the externally rotated, non-rotated and internally rotated groups were 0.6°, 8.0° and 19.2°, respectively, while the corresponding shoulder abduction angles were 6.1°, 34.1° and 46.3°, respectively. In falls onto the outstretched hand, an externally rotated forearm posture should be avoided in order to reduce the medio-lateral shear force acting on the shoulder joint. In falls of this type, a 45° internally rotated forearm posture represents the most effective fall strategy in terms of minimizing the risk of upper extremity injuries. Copyright © 2010 Elsevier Ltd. All rights reserved.
[Epidemiology of upper gastrointestinal bleeding in Gabon].
Gaudong Mbethe, G L; Mounguengui, D; Ondounda, M; Magne, C; Bignoumbra, R; Ntsoumou, S; Moussavou Kombila, J-B; Nzenze, J R
2014-01-01
The department of internal medicine of the military hospital of Gabon managed 92 cases of upper gastrointestinal bleeding from April 2009 to November 2011. The frequency of these hemorrhages in the department was 8.2%; they occurred most often in adults aged 30-40 years and 50-60 years, and mainly men (74%). Erosive-ulcerative lesions (65.2%) were the leading causes of hemorrhage, followed by esophageal varices (15.2%). These results underline the importance of preventive measures for the control of this bleeding.
The Impact of the HP 5071A on International Atomic Time. Appendix A
1995-12-01
need still to be evaluated. Also in Figure 7, The upper and lower values for the two-way satellite time and frequency transfer ( TWSTFT ) technique are...typical performance stability observed between two sites remote to each other. The upper limit is dotted on the right end as a reminder that TWSTFT is not...not be as good as that shown, but would be nominally given by 1 nslr. The TWSTFT technique both transmits and receives, and cannot be used for
NASA's upper atmosphere research satellite: A program to study global ozone change
NASA Technical Reports Server (NTRS)
Luther, Michael R.
1992-01-01
The Upper Atmosphere Research Satellite (UARS) is a major initiative in the NASA Office of Space Science and Applications, and is the prototype for NASA's Earth Observing System (EOS) planned for launch in the 1990s. The UARS combines a balanced program of experimental and theoretical investigations to perform diagnostic studies, qualitative model analysis, and quantitative measurements and comparative studies of the upper atmosphere. UARS provides theoretical and experimental investigations which pursue four specific research topics: atmospheric energy budget, chemistry, dynamics, and coupling processes. An international cadre of investigators was assembled by NASA to accomplish those scientific objectives. The observatory, its complement of ten state of the art instruments, and the ground system are nearing flight readiness. The timely UARS program will play a major role in providing data to understand the complex physical and chemical processes occurring in the upper atmosphere and answering many questions regarding the health of the ozone layer.
Altunkan, Sekip; Ilman, Nevzat; Kayatürk, Nur; Altunkan, Erkan
2007-08-01
Electronic blood pressure (BP) measurement devices are the preferred choice of patients owing to their user-friendly nature; however, there is a requirement to investigate the accuracy and reliability of these devices. The objective of this study is to evaluate the accuracy of the Omron M6 upper-arm BP device against the mercury sphygmomanometer in adults and obese adults according to the International Protocol criteria. One hundred and twenty-one patients, older than 30 years of age, were studied and classified on the basis of the range of the International Protocol. BP measurements at the upper arm with the Omron M6 were compared with the results obtained by two trained observers using a mercury sphygmomanometer. Nine sequential BP measurements were taken. A total of 33 participants were selected for each validation study. During the validation study, 99 measurements were performed on 33 participants for comparison. The first phase was performed on 15 participants, and if the device passed this phase, 18 more participants were selected. Having a two-fold purpose, this study was conducted on both adult and obese adult patients. Mean discrepancies and standard deviations of the monitor-mercury sphygmomanometer were 1.1+/-4.0 mmHg for systolic BP (SBP) and -0.5+/-3.5 mmHg for diastolic BP (DBP) in the adult group. The device passed phase 1 in 15 participants. In phase 2.1, out of a total of 99 comparisons, 88, 96, and 97 for SBP, and 88, 98, and 99 for DBP were <5, <10, and <15 mmHg, respectively. Mean discrepancies and standard deviations of the monitor-mercury sphygmomanometer were 1.7+/-4.8 mmHg for SBP and -0.8+/-4.3 mmHg for DBP in the obese adult group. The device passed phase 1 in 15 participants. In phase 2.1, out of a total of 99 comparisons, 82, 90, and 97 for SBP, and 80, 97, and 99 for DBP were <5, <10, and <15 mmHg, respectively. It was found that the Omron M6 automatic monitor, which measures BP at the upper arm, produced results in accordance with the criteria of phases 2.1 and 2.2 in both SBP and DBP, when applied to adults and to obese adults. It was concluded that the Omron M6 device, which measures BP at the upper arm, was deemed to be in accordance with the International Protocol criteria and can be recommended for use by adults and obese adults.
Doan, Phuong T K; Watson, Sue B; Markovic, Stefan; Liang, Anqi; Guo, Jay; Mugalingam, Shan; Stokes, Jonathan; Morley, Andrew; Zhang, Weitao; Arhonditsis, George B; Dittrich, Maria
2018-04-24
Internal phosphorus (P) loading significantly contributes to hysteresis in ecosystem response to nutrient remediation, but the dynamics of sediment P transformations are often poorly characterized. Here, we applied a reaction-transport diagenetic model to investigate sediment P dynamics in the Bay of Quinte, a polymictic, spatially complex embayment of Lake Ontario, (Canada). We quantified spatial and temporal variability of sediment P binding forms and estimated P diffusive fluxes and sediment P retention in different parts of the bay. Our model supports the notion that diagenetic recycling of redox sensitive and organic bound P forms drive sediment P release. In the recent years, summer sediment P diffusive fluxes varied in the range of 3.2-3.6 mg P m -2 d -1 in the upper bay compared to 1.5 mg P m -2 d -1 in the middle-lower bay. Meanwhile sediment P retention ranged between 71% and 75% in the upper and middle-lower bay, respectively. The reconstruction of temporal trends of internal P loading in the past century, suggests that against the backdrop of reduced external P inputs, sediment P exerts growing control over the lake nutrient budget. Higher sediment P diffusive fluxes since mid-20th century with particular increase in the past 20 years in the shallower upper basins, emphasize limited sediment P retention potential and suggest prolonged ecosystem recovery, highlighting the importance of ongoing P control measures. Copyright © 2018 Elsevier B.V. All rights reserved.
Kang, Yuan-Yuan; Chen, Qi; Liu, Chang-Yuan; Li, Yan; Wang, Ji-Guang
2018-02-01
The aim of this study was to evaluate the accuracy of the automated oscillometric upper arm blood pressure (BP) monitor AVITA BPM64 for home BP monitoring according to the International Protocol of the European Society of Hypertension revision 2010. Systolic and diastolic BPs were measured sequentially in 33 adult Chinese (14 women, mean age 47.0 years) using a mercury sphygmomanometer (two observers) and the AVITA BPM64 device (one supervisor). A total of 99 pairs of comparisons were obtained from 33 participants for judgments in two parts with three grading phases. The AVITA BPM64 device achieved the targets in part 1 of the validation study. The number of absolute differences between device and observers within 5, 10, and 15 mmHg was 91/99, 98/99, and 98/99, respectively, for systolic BP and 92/99, 99/99, and 99/99, respectively, for diastolic BP. The device also fulfilled the criteria in part 2 of the validation study. Thirty-two participants for both systolic and diastolic BP had at least two of the three device-observer differences within 5 mmHg (required ≥24). Only one participant for systolic BP had all three device-observer comparisons greater than 5 mmHg. The AVITA upper arm BP monitor BPM64 has passed the requirements of the International Protocol revision 2010, and hence can be recommended for home use in adults.
Axial and radial water transport and internal water storage in tropical forest canopy trees.
Shelley A. James; Frederick C. Meinzer; Guillermo Goldstein; David Woodruff; Timothy Jones; Teresa Restom; Monica Mejia; Michael Clearwater; Paula Campanello
2003-01-01
Heat and stable isotope tracers were used to study axial and radial water transport in relation to sapwood anatomical characteristics and internal water storage in four canopy tree species of a seasonally dry tropical forest in Panama. Anatomical characteristics of the wood and radial profiles of sap flow were measured at the base, upper trunk, and crown of a single...
ERIC Educational Resources Information Center
Melloy, Patricia G.
2015-01-01
A two-part laboratory exercise was developed to enhance classroom instruction on the significance of p53 mutations in cancer development. Students were asked to mine key information from an international database of p53 genetic changes related to cancer, the IARC TP53 database. Using this database, students designed several data mining activities…
Individualized 3D printing navigation template for pedicle screw fixation in upper cervical spine
Guo, Fei; Dai, Jianhao; Zhang, Junxiang; Ma, Yichuan; Zhu, Guanghui; Shen, Junjie; Niu, Guoqi
2017-01-01
Purpose Pedicle screw fixation in the upper cervical spine is a difficult and high-risk procedure. The screw is difficult to place rapidly and accurately, and can lead to serious injury of spinal cord or vertebral artery. The aim of this study was to design an individualized 3D printing navigation template for pedicle screw fixation in the upper cervical spine. Methods Using CT thin slices data, we employed computer software to design the navigation template for pedicle screw fixation in the upper cervical spine (atlas and axis). The upper cervical spine models and navigation templates were produced by 3D printer with equal proportion, two sets for each case. In one set (Test group), pedicle screws fixation were guided by the navigation template; in the second set (Control group), the screws were fixed under fluoroscopy. According to the degree of pedicle cortex perforation and whether the screw needed to be refitted, the fixation effects were divided into 3 types: Type I, screw is fully located within the vertebral pedicle; Type II, degree of pedicle cortex perforation is <1 mm, but with good internal fixation stability and no need to renovate; Type III, degree of pedicle cortex perforation is >1 mm or with the poor internal fixation stability and in need of renovation. Type I and Type II were acceptable placements; Type III placements were unacceptable. Results A total of 19 upper cervical spine and 19 navigation templates were printed, and 37 pedicle screws were fixed in each group. Type I screw-placements in the test group totaled 32; Type II totaled 3; and Type III totaled 2; with an acceptable rate of 94.60%. Type I screw placements in the control group totaled 23; Type II totaled 3; and Type III totaled 11, with an acceptable rate of 70.27%. The acceptability rate in test group was higher than the rate in control group. The operation time and fluoroscopic frequency for each screw were decreased, compared with control group. Conclusion The individualized 3D printing navigation template for pedicle screw fixation is easy and safe, with a high success rate in the upper cervical spine surgery. PMID:28152039
Individualized 3D printing navigation template for pedicle screw fixation in upper cervical spine.
Guo, Fei; Dai, Jianhao; Zhang, Junxiang; Ma, Yichuan; Zhu, Guanghui; Shen, Junjie; Niu, Guoqi
2017-01-01
Pedicle screw fixation in the upper cervical spine is a difficult and high-risk procedure. The screw is difficult to place rapidly and accurately, and can lead to serious injury of spinal cord or vertebral artery. The aim of this study was to design an individualized 3D printing navigation template for pedicle screw fixation in the upper cervical spine. Using CT thin slices data, we employed computer software to design the navigation template for pedicle screw fixation in the upper cervical spine (atlas and axis). The upper cervical spine models and navigation templates were produced by 3D printer with equal proportion, two sets for each case. In one set (Test group), pedicle screws fixation were guided by the navigation template; in the second set (Control group), the screws were fixed under fluoroscopy. According to the degree of pedicle cortex perforation and whether the screw needed to be refitted, the fixation effects were divided into 3 types: Type I, screw is fully located within the vertebral pedicle; Type II, degree of pedicle cortex perforation is <1 mm, but with good internal fixation stability and no need to renovate; Type III, degree of pedicle cortex perforation is >1 mm or with the poor internal fixation stability and in need of renovation. Type I and Type II were acceptable placements; Type III placements were unacceptable. A total of 19 upper cervical spine and 19 navigation templates were printed, and 37 pedicle screws were fixed in each group. Type I screw-placements in the test group totaled 32; Type II totaled 3; and Type III totaled 2; with an acceptable rate of 94.60%. Type I screw placements in the control group totaled 23; Type II totaled 3; and Type III totaled 11, with an acceptable rate of 70.27%. The acceptability rate in test group was higher than the rate in control group. The operation time and fluoroscopic frequency for each screw were decreased, compared with control group. The individualized 3D printing navigation template for pedicle screw fixation is easy and safe, with a high success rate in the upper cervical spine surgery.
Wu, Lili; Jiao, Yinghui; Wang, Chengdong; Chen, Lei; Di, Dalin; Zhang, Haiyan
2015-08-01
This study aimed to validate the Andon KD-5851 upper arm blood pressure (BP) monitor according to the European Society of Hypertension International Protocol (ESH-IP) revision 2010. A total of 33 eligible participants were included in the study. Sequential measurements of BPs were performed using a mercury sphygmomanometer and the device, and the data analysis was carried out following precisely the ESH-IP revision 2010. The device had 82, 98, and 99 measurements within 5, 10, and 15 mmHg for systolic blood pressure and 85, 95, and 99 measurements for diastolic blood pressure, respectively. The average device-observer difference was -0.53±4.00 mmHg for systolic blood pressure and -1.15±4.06 mmHg for diastolic blood pressure. The device passed all the criteria according to the ESH-IP revision 2010. According to the validation results on the basis of the ESH-IP revision 2010, the Andon KD-5851 upper arm BP monitor can be recommended for self/home measurement in adults. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
Erdem, Emre; Aydogdu, Türkan; Akpolat, Tekin
2011-02-01
Standard validation protocols are objective guides for healthcare providers, physicians, and patients. The purpose of this study was to test validation of the Medisana MTP Plus upper arm blood pressure (BP) measuring monitor for self-measurement according to the European Society of Hypertension International Protocol (ESH-IP2) in adults. The Medisana MTP Plus monitor is an automated and oscillometric upper arm device for home BP monitoring. Nine consecutive measurements were made according to the ESH-IP2. Overseen by an independent supervisor, measurements were recorded by two observers blinded from both each other's readings and from the device readings. The Medisana MTP Plus device fulfills the validation criteria of the ESH-IP2 for the general population. The mean (standard deviation) of the difference between the observers and the device measurements was 0.6 mmHg (5.1 mmHg) for systolic and 2.7 mmHg (3.4 mmHg) for diastolic pressures, respectively. As the Medisana MTP Plus device has achieved the required standards, it is recommended for home BP monitoring in an adult population.
High pressure capillary connector
Renzi, Ronald F.
2005-08-09
A high pressure connector capable of operating at pressures of 40,000 psi or higher is provided. This connector can be employed to position a first fluid-bearing conduit that has a proximal end and a distal end to a second fluid-bearing conduit thereby providing fluid communication between the first and second fluid-bearing conduits. The connector includes (a) an internal fitting assembly having a body cavity with (i) a lower segment that defines a lower segment aperture and (ii) an interiorly threaded upper segment, (b) a first member having a first member aperture that traverses its length wherein the first member aperture is configured to accommodate the first fluid-bearing conduit and wherein the first member is positioned in the lower segment of the internal fitting assembly, and (c) a second member having a second member aperture that traverses its length wherein the second member is positioned in the upper segment of the fitting assembly and wherein a lower surface of the second member is in contact with an upper surface of the first member to assert a compressive force onto the first member and wherein the first member aperture and the second member aperture are coaxial.
Velstra, Inge-Marie; Bolliger, Marc; Krebs, Jörg; Rietman, Johan S; Curt, Armin
2016-05-01
To determine which single or combined upper limb muscles as defined by the International Standards for the Neurological Classification of Spinal Cord Injury (ISNCSCI); upper extremity motor score (UEMS) and the Graded Redefined Assessment of Strength, Sensibility, and Prehension (GRASSP), best predict upper limb function and independence in activities of daily living (ADLs) and to assess the predictive value of qualitative grasp movements (QlG) on upper limb function in individuals with acute tetraplegia. As part of a Europe-wide, prospective, longitudinal, multicenter study ISNCSCI, GRASSP, and Spinal Cord Independence Measure (SCIM III) scores were recorded at 1 and 6 months after SCI. For prediction of upper limb function and ADLs, a logistic regression model and unbiased recursive partitioning conditional inference tree (URP-CTREE) were used. Results: Logistic regression and URP-CTREE revealed that a combination of ISNCSCI and GRASSP muscles (to a maximum of 4) demonstrated the best prediction (specificity and sensitivity ranged from 81.8% to 96.0%) of upper limb function and identified homogenous outcome cohorts at 6 months. The URP-CTREE model with the QlG predictors for upper limb function showed similar results. Prediction of upper limb function can be achieved through a combination of defined, specific upper limb muscles assessed in the ISNCSCI and GRASSP. A combination of a limited number of proximal and distal muscles along with an assessment of grasping movements can be applied for clinical decision making for rehabilitation interventions and clinical trials. © The Author(s) 2015.
Urinary Infections in Patients with Catheters in the Upper Urinary Tract: Microbiological Study.
Lara-Isla, Alba; Medina-Polo, José; Alonso-Isa, Manuel; Benítez-Sala, Raúl; Sopeña-Sutil, Raquel; Justo-Quintas, Juan; Gil-Moradillo, Javier; González-Padilla, Daniel A; García-Rojo, Esther; Passas-Martínez, Juan Bautista; Tejido-Sánchez, Ángel
2017-01-01
Infections related to catheters in the upper urinary tract (CUUT) are associated with specific characteristics. A prospective observational study was carried out from 2012 to 2015 to evaluate infections in patients with CUUT. A total of 209 infections were included (99 with double-J, 81 with nephrostomy, and 29 with internal/external nephroureteral stents). Among nephrostomy tube carriers, the most frequently isolated microorganisms were Pseudomonas and Enterococcus. In those with an internal/external nephroureteral stent, Klebsiella was the most common, and 57.1% were extended-spectrum beta-lactamase-producing Klebsiella. In double-J carriers, Escherichia coli and Enterococcus were the most common microorganisms. Multiple-drug resistance (MDR) microorganisms were isolated in 28.6, 47.1, and 58.3% of patients with double-J, nephrostomy, and internal-external nephroureteral stents. A percutaneous CUUT (p = 0.005) and immunosuppression (p = 0.034) were risk factors for MDR microorganisms. Non-E. coli bacteria are commonly isolated in patients with CUUT. MDR microorganisms are frequent, mainly in percutaneous approach or immunosuppression. © 2017 S. Karger AG, Basel.
Ulnar nerve injury associated with trampoline injuries.
Maclin, Melvin M; Novak, Christine B; Mackinnon, Susan E
2004-08-01
This study reports three cases of ulnar neuropathy after trampoline injuries in children. A chart review was performed on children who sustained an ulnar nerve injury from a trampoline accident. In all cases, surgical intervention was required. Injuries included upper-extremity fractures in two cases and an upper-extremity laceration in one case. All cases required surgical exploration with internal neurolysis and ulnar nerve transposition. Nerve grafts were used in two cases and an additional nerve transfer was used in one case. All patients had return of intrinsic hand function and sensation after surgery. Children should be followed for evolution of ulnar nerve neuropathy after upper-extremity injury with consideration for electrical studies and surgical exploration if there is no improvement after 3 months.
External Versus Two Different Internal Foci of Attention in Long-Distance Throwing.
Oki, Yuta; Kokubu, Masahiro; Nakagomi, Shiro
2018-02-01
The present study examined the influence of attentional focus on performance during a long-distance throwing task. Twelve participants executed three maximum-effort, long-distance baseball throwing attempts in three focus conditions: internal focus on wrist flexion (wrist internal focus), internal focus on the separation between pelvis and upper torso orientations (torso internal focus), and external focus on the ball path (external focus). Compared with the external focus and torso internal focus conditions, performance was poorer in the wrist internal focus condition. Performances were not different in the torso internal and external focus conditions. In addition, attentional focus affected the release angle of the ball but not its initial velocity. Our results reveal that the body part targeted for internal focus of attention and the forcefulness of the motor activity can be as important to motor performance as whether the attention is internal or external.
The development of the NZ-based international upper limb surgery registry.
Sinnott, K A; Dunn, J A; Rothwell, A G; Hall, A S; Post, M W M
2014-08-01
Implementation study. To describe the development and potential value of the New Zealand (NZ) upper limb surgery registry and report the demographic and spinal cord injury characteristics of individuals with tetraplegia collated to date. Multi Center-coordinated from Burwood Spinal Unit, NZ. Following discussions with eight international units, clinical information and outcomes measures were agreed upon for use in this specific population. To implement this consensus, a web-based upper limb surgery registry was developed in NZ. Inclusion criteria included referral to a hand clinic for clinical assessment for suitability for tendon transfer surgery. Clinical data were collected regardless of acceptance of surgery thereby creating a self-selected control group. Twenty-eight years of retrospective NZ data was entered into the registry, as well as 3 years of prospective data collected in NZ. From 1982 to 2013, a total of 357 persons with tetraplegia were assessed as suitable for surgery. Of those, 223 individuals underwent surgery and 134 declined the intervention(s). The prospective group currently comprises 55 assessments with 23 surgery individuals and 32 who have declined surgery to date. Clinical information is now available within a web-based registry for all individuals reviewed in hand clinics from when upper limb surgery was first introduced. A broad range of outcomes of interest can easily be reported directly from the registry. The self-selected control group will allow comparative studies to be explicitly linked to the specific interventions of interest.
ERIC Educational Resources Information Center
Kakarmath, Sujay; Denis, Vanessa; Encinas-Martin, Marta; Borgonovi, Francesca; Subramanian, S. V.
2018-01-01
We assess the relationship between general literacy skills and health status by analysing data from the Programme for the International Assessment of Adult Competencies (PIAAC), an international survey of about 250,000 adults aged 16-65 years conducted by the Organisation for Economic Co-operation and Development (OECD) from 2011-15 in 33…
Steam generator for liquid metal fast breeder reactor
Gillett, James E.; Garner, Daniel C.; Wineman, Arthur L.; Robey, Robert M.
1985-01-01
Improvements in the design of internal components of J-shaped steam generators for liquid metal fast breeder reactors. Complex design improvements have been made to the internals of J-shaped steam generators which improvements are intended to reduce tube vibration, tube jamming, flow problems in the upper portion of the steam generator, manufacturing complexities in tube spacer attachments, thermal stripping potentials and difficulties in the weld fabrication of certain components.
Permeability of continental crust influenced by internal and external forcing
Rojstaczer, S.A.; Ingebritsen, S.E.; Hayba, D.O.
2008-01-01
The permeability of continental crust is so highly variable that it is often considered to defy systematic characterization. However, despite this variability, some order has been gleaned from globally compiled data. What accounts for the apparent coherence of mean permeability in the continental crust (and permeability-depth relations) on a very large scale? Here we argue that large-scale crustal permeability adjusts to accommodate rates of internal and external forcing. In the deeper crust, internal forcing - fluxes induced by metamorphism, magmatism, and mantle degassing - is dominant, whereas in the shallow crust, external forcing - the vigor of the hydrologic cycle - is a primary control. Crustal petrologists have long recognized the likelihood of a causal relation between fluid flux and permeability in the deep, ductile crust, where fluid pressures are typically near-lithostatic. It is less obvious that such a relation should pertain in the relatively cool, brittle upper crust, where near-hydrostatic fluid pressures are the norm. We use first-order calculations and numerical modeling to explore the hypothesis that upper-crustal permeability is influenced by the magnitude of external fluid sources, much as lower-crustal permeability is influenced by the magnitude of internal fluid sources. We compare model-generated permeability structures with various observations of crustal permeability. ?? 2008 The Authors Journal compilation ?? 2008 Blackwell Publishing Ltd.
NASA Technical Reports Server (NTRS)
Capone, Francis J.; Schirmer, Alberto W.
1993-01-01
An investigation was conducted at static conditions in order to determine the internal performance characteristics of a multiaxis thrust vectoring single expansion ramp nozzle. Yaw vectoring was achieved by deflecting yaw flaps in the nozzle sidewall into the nozzle exhaust flow. In order to eliminate any physical interference between the variable angle yaw flap deflected into the exhaust flow and the nozzle upper ramp and lower flap which were deflected for pitch vectoring, the downstream corners of both the nozzle ramp and lower flap were cut off to allow for up to 30 deg of yaw vectoring. The effects of nozzle upper ramp and lower flap cutout, yaw flap hinge line location and hinge inclination angle, sidewall containment, geometric pitch vector angle, and geometric yaw vector angle were studied. This investigation was conducted in the static-test facility of the Langley 16-Foot Transonic Tunnel at nozzle pressure ratios up to 8.0.
Stable density stratification solar pond
NASA Technical Reports Server (NTRS)
Lansing, F. L. (Inventor)
1985-01-01
A stable density-stratification solar pond for use in the collection and storage of solar thermal energy including a container having a first section characterized by an internal wall of a substantially cylindrical configuration and a second section having an internal wall of a substantially truncated conical configuration surmounting the first section in coaxial alignment therewith, the second section of said container being characterized by a base of a diameter substantially equal to the diameter of the first section and a truncated apex defining a solar energy acceptance opening is discussed. A body of immiscible liquids is disposed within the container and comprises a lower portion substantially filling the first section of the container and an upper portion substantially filling the second section of the container, said lower portion being an aqueous based liquid of a darker color than the upper portion and of a greater density. A protective cover plate is removably provided for covering the acceptance opening.
Reflection enhances creativity: Beneficial effects of idea evaluation on idea generation.
Hao, Ning; Ku, Yixuan; Liu, Meigui; Hu, Yi; Bodner, Mark; Grabner, Roland H; Fink, Andreas
2016-03-01
The present study aimed to explore the neural correlates underlying the effects of idea evaluation on idea generation in creative thinking. Participants were required to generate original uses of conventional objects (alternative uses task) during EEG recording. A reflection task (mentally evaluating the generated ideas) or a distraction task (object characteristics task) was inserted into the course of idea generation. Behavioral results revealed that participants generated ideas with higher originality after evaluating the generated ideas than after performing the distraction task. The EEG results revealed that idea evaluation was accompanied with upper alpha (10-13 Hz) synchronization, most prominent at frontal cortical sites. Moreover, upper alpha activity in frontal cortices during idea generation was enhanced after idea evaluation. These findings indicate that idea evaluation may elicit a state of heightened internal attention or top-down activity that facilitates efficient retrieval and integration of internal memory representations. Copyright © 2016 Elsevier Inc. All rights reserved.
1979-10-31
construction is to be carried on in the vicinity. 34 - - -- - Figure 13 - Geologic Interpretation of Part of the Upper Amazon Basin ( Peru ) Figure 14 - Radar...and how to proceed still remains under review. Likely some of you are aware of the concept called the National Oceanic Satellite System. It would serve...radar to emphasize the surface evidence of underground geological phenomena has proved itself of great value. Figure 13 shows an area in the upper Amazon
Tedesco Triccas, L; Burridge, J H; Hughes, A M; Pickering, R M; Desikan, M; Rothwell, J C; Verheyden, G
2016-01-01
To systematically review the methodology in particular treatment options and outcomes and the effect of multiple sessions of transcranial direct current stimulation (tDCS) with rehabilitation programmes for upper extremity recovery post stroke. A search was conducted for randomised controlled trials involving tDCS and rehabilitation for the upper extremity in stroke. Quality of included studies was analysed using the Modified Downs and Black form. The extent of, and effect of variation in treatment parameters such as anodal, cathodal and bi-hemispheric tDCS on upper extremity outcome measures of impairment and activity were analysed using meta-analysis. Nine studies (371 participants with acute, sub-acute and chronic stroke) were included. Different methodologies of tDCS and upper extremity intervention, outcome measures and timing of assessments were identified. Real tDCS combined with rehabilitation had a small non-significant effect of +0.11 (p=0.44) and +0.24 (p=0.11) on upper extremity impairments and activities at post-intervention respectively. Various tDCS methods have been used in stroke rehabilitation. The evidence so far is not statistically significant, but is suggestive of, at best, a small beneficial effect on upper extremity impairment. Future research should focus on which patients and rehabilitation programmes are likely to respond to different tDCS regimes. Copyright © 2015 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.
Nerot, A; Skalli, W; Wang, X
2016-10-03
Recent progress in 3D scanning technologies allows easy access to 3D human body envelope. To create personalized human models with an articulated linkage for realistic re-posturing and motion analyses, an accurate estimation of internal skeleton points, including joint centers, from the external envelope is required. For this research project, 3D reconstructions of both internal skeleton and external envelope from low dose biplanar X-rays of 40 male adults were obtained. Using principal component analysis technique (PCA), a low-dimensional dataset was used to predict internal points of the upper body from the trunk envelope. A least squares method was used to find PC scores that fit the PCA-based model to the envelope of a new subject. To validate the proposed approach, estimated internal points were evaluated using a leave-one-out (LOO) procedure, i.e. successively considering each individual from our dataset as an extra-subject. In addition, different methods were proposed to reduce the variability in data and improve the performance of the PCA-based prediction. The best method was considered as the one providing the smallest errors between estimated and reference internal points with an average error of 8.3mm anterior-posteriorly, 6.7mm laterally and 6.5mm vertically. As the proposed approach relies on few or no bony landmarks, it could be easily applicable and generalizable to surface scans from any devices. Combined with automatic body scanning techniques, this study could potentially constitute a new step towards automatic generation of external/internal subject-specific manikins. Copyright © 2016 Elsevier Ltd. All rights reserved.
Zhang, Lu; Kang, Yuan-Yuan; Zeng, Wei-Fang; Li, Yan; Wang, Ji-Guang
2015-04-01
The present study aimed to evaluate the accuracy of the Rossmax CF175 upper-arm blood pressure monitor for home blood pressure monitoring according to the International Protocol of the European Society of Hypertension revision 2010. Systolic and diastolic blood pressures were sequentially measured in 33 adult Chinese (17 women, mean age 46 years) using a mercury sphygmomanometer (two observers) and the Rossmax CF175 device (one supervisor). A total of 99 pairs of comparisons were obtained from 33 participants for judgments in two parts with three grading phases. All the blood pressure requirements were fulfilled. The Rossmax CF175 device achieved the targets in part 1 of the validation study. The number of absolute differences between the device and observers within 5, 10, and 15 mmHg was 78/99, 94/99, and 98/99, respectively, for systolic blood pressure, and 81/99, 96/99, and 97/99, respectively, for diastolic blood pressure. The device also achieved the criteria in part 2 of the validation study. Twenty-nine participants, for both of systolic and diastolic blood pressure, had at least two of the three device-observers differences within 5 mmHg (required ≥24). Only one participant for diastolic blood pressure had all three device-observers comparisons greater than 5 mmHg. The Rossmax automated oscillometric upper-arm blood pressure monitor CF175 fulfilled the requirements of the International Protocol revision 2010, and hence can be recommended for blood pressure measurement in adults.
Huang, Jinhua; Li, Zhijie; Li, Guimei; Liu, Zhaoying
2015-10-01
This study aimed to evaluate the accuracy of the Andon KD-5965 upper-arm blood pressure monitor according to the European Society of Hypertension International Protocol revision 2010. Systolic and diastolic blood pressures were sequentially measured in 33 adults, with 20 women using a mercury sphygmomanometer (two observers) and the Andon KD-5965 device (one supervisor). A total of 99 pairs of comparisons were obtained from 33 participants for judgments in two parts with three grading phases. The device achieved the targets in part 1 of the validation study. The number of absolute differences between the device and observers within 5, 10, and 15 mmHg was 70/99, 91/99, and 98/99, respectively, for systolic blood pressure and 81/99, 99/99, and 99/99, respectively, for diastolic blood pressure. The device also fulfilled the criteria in part 2 of the validation study. Twenty-five and 29 participants, for systolic and diastolic blood pressure, respectively, had at least two of the three device-observers differences within 5 mmHg (required≥24). Two and one participants for systolic and diastolic blood pressure, respectively, had all three device-observers comparisons greater than 5 mmHg. According to the validation results, with better performance for diastolic blood pressure than that for systolic blood pressure, the Andon automated oscillometric upper-arm blood pressure monitor KD-5965 fulfilled the requirements of the European Society of Hypertension International Protocol revision 2010, and hence can be recommended for blood pressure measurement in adults.
A Force-Velocity Relationship and Coordination Patterns in Overarm Throwing
van den Tillaar, Roland; Ettema, Gertjan
2004-01-01
A force-velocity relationship in overarm throwing was determined using ball weights varying from 0.2 to 0.8 kg. Seven experienced handball players were filmed at 240 frames per second. Velocity of joints of the upper extremity and ball together with the force on the ball were derived from the data. A statistically significant negative relationship between force and maximal ball velocity, as well as between ball weight and maximal ball velocity was observed. Also, with increase of ball weight the total throwing movement time increased. No significant change in relative timing of the different joints was demonstrated, suggesting that the subjects did not change their “global ”coordination pattern (kinematics) within the tested range of ball weights. A simple model revealed that 67% of ball velocity at ball release was explained by the summation of effects from the velocity of elbow extension and internal rotation of the shoulder. With regard to the upper extremity the internal rotation of the shoulder and elbow extension are two important contributors to the total ball velocity at release. Key Points An inverse relationship between load and velocity and a linear force-velocity exists in overarm throwing with ball weights varying from 0.2 to 0.8 kg. Qualitatively, no changes in coordination pattern (relative timing) occur with increasing ball weight within the tested range of ball weights. The absolute throwing movement time increased with ball weight. Quantitatively, with regard to the upper extremity, the internal rotation of the shoulder and elbow extension are two important contributors to the total ball velocity at release. PMID:24624005
Constraints on Thermochemical Convection of the Mantle from Plume-related Observations
NASA Astrophysics Data System (ADS)
Zhong, S.
2005-05-01
Although geochemical observations have long suggested a layered mantle with more enriched mantle material in the bottom layer to provide a significant amount of heat to the top layer, the nature of such a layering remains unclear. An important observation that has been used to argue against the conventional layered mantle model (i.e., the layering at the 670 km depth) was the plume heat flux [Davies, 1999]. Plume heat flux is estimated as ~ 3.5 TW, or 10% of the surface heat flux [Davies, 1988; Sleep, 1990]. In this study, we demonstrate with 3-D spherical models of mantle convection with depth- and temperature-dependent viscosity that observed plume heat flux, plume excess temperature (<350°C), and upper mantle temperature (~ 1300°C) can pose important constraints on the layered mantle convection. We show that for a purely thermal convection model (i.e., a whole mantle convection), the observations of plume heat flux, plume excess temperature, and upper mantle temperature can be simultaneously explained only when internal heating rate is about 65%. For smaller internal heating rate, plume heat flux and plume excess temperature would be too large, and upper mantle temperature would be too small, compared with the observed. This suggests that for a whole mantle convection the CMB heat flux needs to be > 10 TW. For a core with no significant heat producing elements, such large CMB heat flux may lead to too rapid cooling of the core or a too young inner core. A layered mantle convection may help reduce the CMB heat flux. For layered convection models, we found that the top layer needs to be ~70% internally heated to explain the upper mantle temperature and plume-related observations, and this required internal heating ratio is insensitive to the layer thickness for the bottom layer (we used ~600 km and 1100 km thicknesses). This result suggests that heat generation rate for the bottom layer cannot be significantly larger (< a factor of 2) than that for the top layer. thus challenging the conventional geochemical inference for an significantly enriched bottom layer. However, this is more consistent with recent estimate of the MORB source composition that increases heat producing element concentration by a factor of three compared with the previously proposed.
Sun, Wei; Chou, Chih-Ping; Stacy, Alan W; Ma, Huiyan; Unger, Jennifer; Gallaher, Peggy
2007-02-01
Cronbach's a is widely used in social science research to estimate the internal consistency of reliability of a measurement scale. However, when items are not strictly parallel, the Cronbach's a coefficient provides a lower-bound estimate of true reliability, and this estimate may be further biased downward when items are dichotomous. The estimation of standardized Cronbach's a for a scale with dichotomous items can be improved by using the upper bound of coefficient phi. SAS and SPSS macros have been developed in this article to obtain standardized Cronbach's a via this method. The simulation analysis showed that Cronbach's a from upper-bound phi might be appropriate for estimating the real reliability when standardized Cronbach's a is problematic.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Ashbrook, C.L.
1970-09-22
A separator consists of a housing having an upper fluid inlet and a lower fluid outlet in the sides of the housing. An inverted conical tube is disposed internally of the housing and is in fluid communication with the fluid inlet. The upper fluid inlet tangentially intersects the inverted conical tube so as to create a rotating vortex upon introduction of the mixture. Axially disposed within the vortex tube at the upper end is a withdrawal tube for removing lighter mixture components that are drawn toward the center of the tube. At the lower end of the vortex tube ismore » an adjustable impact plate for transmitting a concussion wave through the vortexed body, so as to cause cavitation. Heavier mixture components gravitate toward the lower fluid outlet and are withdrawn through it. (7 claims)« less
Potential for water-quality degradation of interconnected aquifers in west-central Florida
Metz, P.A.; Brendle, D.L.
1996-01-01
Thousands of deep artesian wells were drilled into the Upper Floridan aquifer in west-central Florida prior to well-drilling regulations adopted in the 1970's. The wells were usually completed with a short length of casing through the unconsolidated sediments and were left open to multiple aquifers containing water of varying quality. These open boreholes serve as a potential source of water-quality degradation within the aquifers when vertical internal borehole flow is induced by hydraulic-head differences. Thispotential for water-quality degradation exists in west-central Florida where both the intermediate aquifer system and Upper Floridan aquifer exist. Measurements of caliper, temperature, gamma, fluid conductivity, and flow were obtained in 87 wells throughout west-central Florida to determine the occurrence of interaquifer borehole flow between the intermediate aquifer system and the Upper Floridan aquifer. Flow measurements were made using an impeller flowmeter, a heat-pulse flowmeter, and a video camera with an impeller flowmeter attachment. Of the 87 wells measured with the impeller flowmeter, 17 had internal flow which ranged from 10 to 300 gallons per minute. A heat-pulse flowmeter was used in 19 wells in which flow was not detected using the impeller flowmeter. Of these 19 wells, 18 had internal flow which ranged from 0.3 to 10gallons per minute. Additionally, water-quality samples were collected from specific contributing zones in wells that had internal flow. Analysis of geophysical and water-quality data indicates degradation of water quality has occurred from mineralized ground water flowing upward from the Upper Floridan aquifer into the intermediate aquifer system through both uncased boreholes and corroded black-iron well casings. In areas where there is a downward component of flow, data indicate that potable water from the intermediate aquifer system is artificially recharging the Upper Floridan aquifer through open boreholes. A geographical area was defined where there is a potential for water- quality degradation due to improperly cased wells. This area was delineated based on where there is an upward component of ground-water flow and where there is an occurrence of poor-quality water. The delineated area includes parts of Hillsborough, Manatee, Sarasota, Charlotte, De Soto, and Hardee Counties. To prevent further contamination of the aquifers, the Southwest Florida Water Management District began the Quality of Water Improvement Program in 1974 to restore hydrologic conditions altered by improperly constructed wells or deteriorating casings. As of May 1994, more than 3,000 wells have been inspected and approximately 1,350 have been plugged. To minimize interaquifer contamination, existing wells, especially ones with black-iron casing, should be inspected and, if necessary, repaired with new casing or plugged.
Complex metabolic oscillations in plants forced by harmonic irradiance.
Nedbal, Ladislav; Brezina, Vítezslav
2002-01-01
Plants exposed to harmonically modulated irradiance, approximately 1 + cos(omegat), exhibit a complex periodic pattern of chlorophyll fluorescence emission that can be deconvoluted into a steady-state component, a component that is modulated with the frequency of the irradiance (omega), and into at least two upper harmonic components (2omega and 3omega). A model is proposed that accounts for the upper harmonics in fluorescence emission by nonlinear negative feedback regulation of photosynthesis. In contrast to simpler linear models, the model predicts that the steady-state fluorescence component will depend on the frequency of light modulation, and that amplitudes of all fluorescence components will exhibit resonance peak(s) when the irradiance frequency is tuned to an internal frequency of a regulatory component. The experiments confirmed that the upper harmonic components appear and exhibit distinct resonant peaks. The frequency of autonomous oscillations observed earlier upon an abrupt increase in CO(2) concentration corresponds to the sharpest of the resonant peaks of the forced oscillations. We propose that the underlying principles are general for a wide spectrum of negative-feedback regulatory mechanisms. The analysis by forced harmonic oscillations will enable us to examine internal dynamics of regulatory processes that have not been accessible to noninvasive fluorescence monitoring to date. PMID:12324435
Saturn's very axisymmetric magnetic field: No detectable secular variation or tilt
NASA Astrophysics Data System (ADS)
Cao, Hao; Russell, Christopher T.; Christensen, Ulrich R.; Dougherty, Michele K.; Burton, Marcia E.
2011-04-01
Saturn is the only planet in the solar system whose observed magnetic field is highly axisymmetric. At least a small deviation from perfect symmetry is required for a dynamo-generated magnetic field. Analyzing more than six years of magnetometer data obtained by Cassini close to the planet, we show that Saturn's observed field is much more axisymmetric than previously thought. We invert the magnetometer observations that were obtained in the "current-free" inner magnetosphere for an internal model, varying the assumed unknown rotation rate of Saturn's deep interior. No unambiguous non-axially symmetric magnetic moment is detected, with a new upper bound on the dipole tilt of 0.06°. An axisymmetric internal model with Schmidt-normalized spherical harmonic coefficients g10 = 21,191 ± 24 nT, g20 = 1586 ± 7 nT. g30 = 2374 ± 47 nT is derived from these measurements, the upper bounds on the axial degree 4 and 5 terms are 720 nT and 3200 nT respectively. The secular variation for the last 30 years is within the probable error of each term from degree 1 to 3, and the upper bounds are an order of magnitude smaller than in similar terrestrial terms for degrees 1 and 2. Differentially rotating conducting stable layers above Saturn's dynamo region have been proposed to symmetrize the magnetic field (Stevenson, 1982). The new upper bound on the dipole tilt implies that this stable layer must have a thickness L >= 4000 km, and this thickness is consistent with our weak secular variation observations.
Liquid interfacial water and brines in the upper surface of Mars
NASA Astrophysics Data System (ADS)
Moehlmann, Diedrich
2013-04-01
Liquid interfacial water and brines in the upper surface of Mars Diedrich T.F. Möhlmann DLR Institut für Planetenforschung, Rutherfordstr. 2, D - 12489 Berlin, Germany dirk.moehlmann@dlr.de Interfacial water films and numerous brines are known to remain liquid at temperatures far below 0° C. The physical processes behind are described in some detail. Deliquescence, i.e. the liquefaction of hygroscopic salts at the threshold of a specific "Deliquescence Relative Humidity", is shown to be that process, which on present Mars supports the formation of stable interfacial water and bulk liquids in form of temporary brines on and in a salty upper surface of present Mars in a diurnally temporary and repetitive process. Temperature and relative humidity are the governing conditions for deliquescence (and the counterpart "efflorescence") to evolve. The current thermo-dynamical conditions on Mars support these processes to evolve on present Mars. The deliquescence-driven presence of liquid brines in the soil of the upper surface of Mars can expected to be followed by physical and chemical processes like "surface cementation", down-slope flows, and physical and chemical weathering processes. A remarkable and possibly also biologically relevant evolution towards internally interfacial water bearing structures of dendritic capillaries is related to their freezing - thawing driven formation. The internal walls of these network-pores or -tubes can be covered by films of interfacial water, providing that way possibly habitable crack-systems in soil and rock. These evolutionary processes of networks, driven by their tip-growth, can expected to be ongoing also at present.
Mechanisms of postprandial abdominal bloating and distension in functional dyspepsia.
Burri, Emanuel; Barba, Elizabeth; Huaman, Jose Walter; Cisternas, Daniel; Accarino, Anna; Soldevilla, Alfredo; Malagelada, Juan-R; Azpiroz, Fernando
2014-03-01
Patients with irritable bowel syndrome and abdominal bloating exhibit abnormal responses of the abdominal wall to colonic gas loads. We hypothesised that in patients with postprandial bloating, ingestion of a meal triggers comparable abdominal wall dyssynergia. Our aim was to characterise abdominal accommodation to a meal in patients with postprandial bloating. A test meal (0.8 kcal/ml nutrients plus 27 g/litre polyethylenglycol 4000) was administered at 50 ml/min as long as tolerated in 10 patients with postprandial bloating (fulfilling Rome III criteria for postprandial distress syndrome) and 12 healthy subjects, while electromyographic (EMG) responses of the anterior wall (upper and lower rectus, external and internal oblique via bipolar surface electrodes) and the diaphragm (via six ring electrodes over an oesophageal tube in the hiatus) were measured. Means +/- SD were calculated. Healthy subjects tolerated a meal volume of 913±308 ml; normal abdominal wall accommodation to the meal consisted of diaphragmatic relaxation (EMG activity decreased by 15±6%) and a compensatory contraction (25±9% increase) of the upper abdominal wall muscles (upper rectus and external oblique), with no changes in the lower anterior muscles (lower rectus and internal oblique). Patients tolerated lower volume loads (604±310 ml; p=0.030 vs healthy subjects) and developed a paradoxical response, that is, diaphragmatic contraction (14±3% EMG increment; p<0.01 vs healthy subjects) and upper anterior wall relaxation (9±4% inhibition; p<0.01 vs healthy subjects). In functional dyspepsia, postprandial abdominal distension is produced by an abnormal viscerosomatic response to meal ingestion that alters normal abdominal accommodation.
Relationship Between Physical Qualities and Minutes Played in International Women's Rugby Sevens.
Goodale, Tyler L; Gabbett, Tim J; Stellingwerff, Trent; Tsai, Ming-Chang; Sheppard, Jeremy M
2016-05-01
To investigate the physical qualities that differentiate playing minutes in international-level women's rugby sevens players. Twenty-four national-level female rugby sevens players underwent measurements of anthropometry, acceleration, speed, lower- and upper-body strength, lower-body power, and aerobic fitness. Playing minutes in international competition were used to differentiate players into 2 groups, a high- or low-playing-minutes group. Playing minutes were related to team selection, which was determined by the coaching staff. Playing minutes were therefore used to differentiate performance levels. Players in the high-playing-minutes group (≥70 min) were older (mean ± SD 24.3 ± 3.1 vs 21.2 ± 4.3 y, P = .05, effect size [ES] = 0.77 ± 0.66, 90% confidence limit) and had greater experience in a national-training-center environment (2.4 ± 0.8 vs 1.7 ± 0.9 y, P = .03, ES = 0.83 ± 0.65), faster 1600-m time (374.5 ± 20.4 vs 393.5 ± 29.8 s, P = .09, ES = -0.70 ± 0.68), and greater 1-repetition-maximum upper-body strength (bench press 68.4 ± 6.3 vs 62.2 ± 8.1 kg, P = .07, ES = 0.80 ± 0.70, and neutral-grip pull-up 84.0 ± 8.2 vs 79.1 ± 5.4 kg, P = .12, ES = 0.68 ± 0.72) than athletes who played fewer minutes. Age (rs = .59 ± ~.28), training experience (rs = .57 ± ~.29), bench press (r = .44 ± ~.36), and 1600-m time (r = -.43 ± ~.34) were significantly associated with playing minutes. Neutral-grip pull-up and bench press contributed significantly to a discriminant analysis. The average squared canonical correlation was .46. The discriminant analysis predicted 7 of 9 and 6 of 10 high- and low-playing-minutes athletes, respectively. Age, training experience, upper-body strength, and aerobic fitness differentiated athlete playing minutes in international women's rugby sevens.
NASA Astrophysics Data System (ADS)
Lloyd, A. J.; Wiens, D.; Zhu, H.; Tromp, J.; Nyblade, A.; Anandakrishnan, S.; Aster, R. C.; Huerta, A. D.; Winberry, J. P.; Wilson, T. J.; Dalziel, I. W. D.; Hansen, S. E.; Shore, P.
2017-12-01
The upper mantle and transition zone beneath Antarctica and the surrounding ocean are among the poorest seismically imaged regions of the Earth's interior. Over the last 1.5 decades researchers have deployed several large temporary broadband seismic arrays focusing on major tectonic features in the Antarctic. The broader international community has also facilitated further instrumentation of the continent, often operating stations in additional regions. As of 2016, waveforms are available from almost 300 unique station locations. Using these stations along with 26 southern mid-latitude seismic stations we have imaged the seismic structure of the upper mantle and transition zone using full waveform adjoint techniques. The full waveform adjoint inversion assimilates phase observations from 3-component seismograms containing P, S, Rayleigh, and Love waves, including reflections and overtones, from 270 earthquakes (5.5 ≤ Mw ≤ 7.0) that occurred between 2001-2003 and 2007-2016. We present the major results of the full waveform adjoint inversion following 20 iterations, resulting in a continental-scale seismic model (ANT_20) with regional-scale resolution. Within East Antarctica, ANT_20 reveals internal seismic heterogeneity and differences in lithospheric thickness. For example, fast seismic velocities extending to 200-300 km depth are imaged beneath both Wilkes Land and the Gamburtsev Subglacial Mountains, whereas fast velocities only extend to 100-200 km depth beneath the Lambert Graben and Enderby Land. Furthermore, fast velocities are not found beneath portions of Dronning Maud Land, suggesting old cratonic lithosphere may be absent. Beneath West Antarctica slow upper mantle seismic velocities are imaged extending from the Balleny Island southward along the Transantarctic Mountains front, and broaden beneath the southern and northern portion of the mountain range. In addition, slow upper mantle velocities are imaged beneath the West Antarctic coast extending from Marie Byrd Land to the Antarctic Peninsula. This region of slow velocity only extends to 150-200 km depth beneath the Antarctic Peninsula, while elsewhere it extends to deeper upper mantle depths and possibly into the transition zone as well as offshore, suggesting two different geodynamic processes are at play.
Parametric study of a simultaneous pitch/yaw thrust vectoring single expansion ramp nozzle
NASA Technical Reports Server (NTRS)
Schirmer, Alberto W.; Capone, Francis J.
1989-01-01
In the course of the last eleven years, the concept of thrust vectoring has emerged as a promising method of enhancing aircraft control capabilities in post-stall flight incursions during combat. In order to study the application of simultaneous pitch and yaw vectoring to single expansion ramp nozzles, a static test was conducted in the NASA-Langley 16 foot transonic tunnel. This investigation was based on internal performance data provided by force, mass flow and internal pressure measurements at nozzle pressure ratios up to 8. The internal performance characteristics of the nozzle were studied for several combinations of six different parameters: yaw vectoring angle, pitch vectoring angle, upper ramp cutout, sidewall hinge location, hinge inclination angle and sidewall containment. Results indicated a 2-to- 3-percent decrease in resultant thrust ratio with vectoring in either pitch or yaw. Losses were mostly associated with the turning of supersonic flow. Resultant thrust ratios were also decreased by sideways expansion of the jet. The effects of cutback corners in the upper ramp and lower flap on performance were small. Maximum resultant yaw vector angles, about half of the flap angle, were achieved for the configuration with the most forward hinge location.
History and Evolution of Precambrian plate tectonics
NASA Astrophysics Data System (ADS)
Fischer, Ria; Gerya, Taras
2014-05-01
Plate tectonics is a global self-organising process driven by negative buoyancy at thermal boundary layers. Phanerozoic plate tectonics with its typical subduction and orogeny is relatively well understood and can be traced back in the geological records of the continents. Interpretations of geological, petrological and geochemical observations from Proterozoic and Archean orogenic belts however (e.g., Brown, 2006), suggest a different tectonic regime in the Precambrian. Due to higher radioactive heat production the Precambrian lithosphere shows lower internal strength and is strongly weakened by percolating melts. The fundamental difference between Precambrian and Phanerozoic tectonics is therefore the upper-mantle temperature, which determines the strength of the upper mantle (Brun, 2002) and the further tectonic history. 3D petrological-thermomechanical numerical modelling experiments of oceanic subduction at an active plate at different upper-mantle temperatures show these different subduction regimes. For upper-mantle temperatures < 175 K above the present day value a subduction style appears which is close to present day subduction but with more frequent slab break-off. At upper-mantle temperatures 175 - 250 K above present day values steep subduction continues but the plates are weakened enough to allow buckling and also lithospheric delamination and drip-offs. For upper-mantle temperatures > 250 K above the present day value no subduction occurs any more. The whole lithosphere is delaminating and due to strong volcanism and formation of a thicker crust subduction is inhibited. This stage of 200-250 K higher upper mantle temperature which corresponds roughly to the early Archean (Abbott, 1994) is marked by strong volcanism due to sublithospheric decompression melting which leads to an equal thickness for both oceanic and continental plates. As a consequence subduction is inhibited, but a compressional setup instead will lead to orogeny between a continental or felsic terrain and an oceanic or mafic terrain as well as internal crustal convection. Small-scale convection with plume shaped cold downwellings also in the upper mantle is of increased importance compared to the large-scale subduction cycle observed for present temperature conditions. It is also observed that lithospheric downwellings may initiate subduction by pulling at and breaking the plate. References: Abbott, D., Drury, R., Smith, W.H.F., 1994. Flat to steep transition in subduction style. Geology 22, 937-940. Brown, M., 2006. Duality of thermal regimes is the distinctive characteristic of plate tectonics since the neoarchean. Geology 34, 961-964. Brun, J.P., 2002. Deformation of the continental lithosphere: Insights from brittle-ductile models. Geological Society, London, Special Publications 200, 355-370.
The home stroke rehabilitation and monitoring system trial: a randomized controlled trial.
Linder, Susan M; Rosenfeldt, Anson B; Reiss, Aimee; Buchanan, Sharon; Sahu, Komal; Bay, Curtis R; Wolf, Steven L; Alberts, Jay L
2013-01-01
Because many individuals poststroke lack access to the quality and intensity of rehabilitation to improve upper extremity motor function, a home-based robotic-assisted upper extremity rehabilitation device is being paired with an individualized home exercise program. The primary aim of this project is to determine the effectiveness of robotic-assisted home therapy compared with a home exercise program on upper extremity motor recovery and health-related quality of life for stroke survivors in rural and underserved locations. The secondary aim is to explore whether initial degree of motor function of the upper limb may be a factor in predicting the extent to which patients with stroke may be responsive to a home therapy approach. We hypothesize that the home exercise program intervention, when enhanced with robotic-assisted therapy, will result in significantly better outcomes in motor function and quality of life. A total of 96 participants within six-months of a single, unilateral ischemic, or hemorrhagic stroke will be recruited in this prospective, single-blind, multisite randomized clinical trial. The primary outcome is the change in upper extremity function using the Action Research Arm Test. Secondary outcomes include changes in: upper extremity function (Wolf Motor Function Test), upper extremity impairment (upper extremity portion of the Fugl-Meyer Test), self-reported quality of life (Stroke Impact Scale), and affect (Centers for Epidemiologic Studies Depression Scale). Similar or greater improvements in upper extremity function using the combined robotic home exercise program intervention compared with home exercise program alone will be interpreted as evidence that supports the introduction of in-home technology to augment the recovery of function poststroke. © 2012 The Authors. International Journal of Stroke © 2012 World Stroke Organization.
NASA Astrophysics Data System (ADS)
Nyblade, A.; Lloyd, A. J.; Anandakrishnan, S.; Wiens, D. A.; Aster, R. C.; Huerta, A. D.; Wilson, T. J.; Shore, P.; Zhao, D.
2011-12-01
As part of the International Polar Year in Antarctica, 37 seismic stations have been installed across West Antarctica as part of the Polar Earth Observing Network (POLENET). 23 stations form a sparse backbone network of which 21 are co-located on rock sites with a network of continuously recording GPS stations. The remaining 14 stations, in conjunction with 2 backbone stations, form a seismic transect extending from the Ellsworth Mountains across the West Antarctic Rift System (WARS) and into Marie Byrd Land. Here we present preliminary P and S wave velocity models of the upper mantle from regional body wave tomography using P and S travel times from teleseismic events recorded by the seismic transect during the first year (2009-2010) of deployment. Preliminary P wave velocity models consisting of ~3,000 ray paths from 266 events indicate that the upper mantle beneath the Whitmore Mountains is seismically faster than the upper mantle beneath Marie Byrd Land and the WARS. Furthermore, we observe two substantial upper mantle low velocity zones located beneath Marie Byrd Land and near the southern boundary of the WARS.
Wijdenes, Paula; Brouwers, Michael; van der Sluis, Corry K
2018-02-01
In order to create more uniformity in the prescription of upper limb prostheses by Dutch rehabilitation teams, the development and implementation of a Prosthesis Prescription Protocol of the upper limb (PPP-Arm) was initiated. The aim was to create a national digital protocol to structure, underpin, and evaluate the prescription of upper limb prostheses for clients with acquired or congenital arm defects. Prosthesis Prescription Protocol of the Arm (PPP-Arm) was developed on the basis of the International Classification of Functioning and consisted of several layers. All stakeholders (rehabilitation teams, orthopedic workshops, patients, and insurance companies) were involved in development and implementation. A national project coordinator and knowledge brokers in each team were essential for the project. PPP-Arm was successfully developed and implemented in nine Dutch rehabilitation teams. The protocol improved team collaboration, structure, and completeness of prosthesis prescriptions and treatment uniformity and might be interesting for other countries as well. Clinical relevance A national protocol to prescribe upper limb prostheses can be helpful to create uniformity in treatment of patients with upper limb defects. Such a protocol improves quality of care for all patients in the country.
The deep thermal field of the Upper Rhine Graben
NASA Astrophysics Data System (ADS)
Freymark, Jessica; Sippel, Judith; Scheck-Wenderoth, Magdalena; Bär, Kristian; Stiller, Manfred; Fritsche, Johann-Gerhard; Kracht, Matthias
2017-01-01
The Upper Rhine Graben has a significant socioeconomic relevance as it provides a great potential for geothermal energy production. The key for the utilisation of this energy resource is to understand the controlling factors of the thermal field in this area. We have therefore built a data-based lithospheric-scale 3D structural model of the Upper Rhine Graben and its adjacent areas. In addition, 3D gravity modelling was performed to constrain the internal structure of the crystalline crust consistent with seismic information. Based on this lithosphere scale 3D structural model the present-day conductive thermal field was calculated and compared to measured temperatures. Our results show that the regional thermal field is mainly controlled by the configuration of the upper crust, which has different thermal properties characteristic for the Variscan and Alpine domains. Temperature maxima are predicted for the Upper Rhine Graben where thick insulating Cenozoic sediments cause a thermal blanketing effect and where the underlying crustal units are characterised by high radiogenic heat production. The comparison of calculated and measured temperatures overall shows a reasonable fit, while locally occuring model deviations indicate where a larger influence of groundwater flow may be expected.
Satellite ozone measurements and the detection of trends
NASA Technical Reports Server (NTRS)
Hilsenrath, Ernest
1990-01-01
Due to the international scientific community's concern with the problem of anthropogenic gas-caused depletion of the ozone layer, an international observational program has been established to conduct stratospheric studies for at least a decade. These observations, which will be performed both by the Space Shuttle and the Upper Atmosphere Research Satellite, will encompass the energy input by solar UV irradiance, source and intermediate gases in ozone chemistry, and the global distributions of these ozone-affecting gases by winds.
The Control Based on Internal Average Kinetic Energy in Complex Environment for Multi-robot System
NASA Astrophysics Data System (ADS)
Yang, Mao; Tian, Yantao; Yin, Xianghua
In this paper, reference trajectory is designed according to minimum energy consumed for multi-robot system, which nonlinear programming and cubic spline interpolation are adopted. The control strategy is composed of two levels, which lower-level is simple PD control and the upper-level is based on the internal average kinetic energy for multi-robot system in the complex environment with velocity damping. Simulation tests verify the effectiveness of this control strategy.
Antualpa, Kizzy; Aoki, Marcelo Saldanha; Moreira, Alexandre
2018-05-01
This study examined the effect of a 4-week intensified training (IT) period, followed by a 2-week tapering period (TP), on salivary immunoglobulin A (SIgA), salivary cortisol, and the severity of upper respiratory tract infection symptoms in 23 rhythmic gymnasts [12.1 (2.6) y; 143.9 (13.7) cm; 37.2 (9.4) kg]. Saliva sampling was conducted at pre- and post-IT, and post-TP (analyzed using enzyme-linked immunosorbent assay). The Wisconsin Upper Respiratory Symptom Survey (WURSS-21) questionnaire was completed daily to analyze the severity of upper respiratory tract infection symptoms. The session rating of the perceived exertion was used to determine the internal training load and the acute:chronic workload ratio. A higher SIgA concentration [SIgA abs (μg/mL); F = 7.6; P = .001] for post-IT [234 (104)] versus pre-IT [173 (91)], and post-TP [182 (70)], and a higher SIgA secretion rate [SIgA rate (μg/min); F = 3.4; P = .04] for post-IT [69 (28)] versus pre-IT [55 (27)], and post-TP [58 (22)] were observed. No significant change was observed for cortisol (F = 0.81; P = .45) or for the severity of upper respiratory tract infection symptoms (χ 2 = 2.81; P = .24). Internal training load was higher during IT (vs TP; effect size = 2.37). The acute:chronic workload for the IT weeks varied from 1.2 (0.3) to 1.4 (0.3). These results suggest that a 4-week IT may temporarily augment the oral mucosal immunity, and an acute:chronic workload of 1.2-1.4 seems to be a safe approach to periodized training loads in youth rhythmic gymnasts.
Academic success or failure in nursing students: results of a retrospective observational study.
Lancia, Loreto; Petrucci, Cristina; Giorgi, Fabio; Dante, Angelo; Cifone, Maria Grazia
2013-12-01
Nursing student academic failure is a phenomenon of growing international interest, not only because of its economic impact but also because it negatively affects the availability of future nurses in different healthcare systems. To recruit the students with the highest probability of academic success, an open challenge for universities is to recruit students who have previously demonstrated superior scholastic aptitudes that appear to be associated with a greater likelihood of academic success. Documenting the relationship between the selection methods used when selecting nursing students and academic failure will contribute to the international debate concerning the optimisation of the selection strategies. The principal aim of this study was to investigate the role in predicting nursing student academic success of (1) the upper-secondary diploma grades and (2) the score obtained by students in the nursing degree program admission test. A retrospective observational study was conducted. Five cohorts of nursing students, matriculated in consecutive academic years from 2004 to 2008, in an Italian bachelor's degree program were observed retrospectively. Overall, 61.2% of the 1006 considered students concluded their degree within the legal duration allowed for the nursing degree. Students who failed were those who had lowest grades associated with their upper-secondary diploma coursework (p=0.000) and were male (p=0.000). The grades associated with the upper-secondary diploma coursework, unlike the admission test score, correlates positively with the final degree grade and the average value of degree program examination scores. No correlation was found between the upper-secondary diploma coursework grades and the scores obtained in the test for the nursing degree program admission test (r=-0.037). These results suggest that upper-secondary diploma coursework grades are a parameter that should receive great consideration, especially in cases where there are planned numbers of incoming nursing degree students. Copyright © 2013 Elsevier Ltd. All rights reserved.
Upper Limb Outcome Measures Used in Stroke Rehabilitation Studies: A Systematic Literature Review
Santisteban, Leire; Térémetz, Maxime; Bleton, Jean-Pierre; Baron, Jean-Claude; Maier, Marc A.; Lindberg, Påvel G.
2016-01-01
Background Establishing which upper limb outcome measures are most commonly used in stroke studies may help in improving consensus among scientists and clinicians. Objective In this study we aimed to identify the most commonly used upper limb outcome measures in intervention studies after stroke and to describe domains covered according to ICF, how measures are combined, and how their use varies geographically and over time. Methods Pubmed, CinHAL, and PeDRO databases were searched for upper limb intervention studies in stroke according to PRISMA guidelines and477 studies were included. Results In studies 48different outcome measures were found. Only 15 of these outcome measures were used in more than 5% of the studies. The Fugl-Meyer Test (FMT)was the most commonly used measure (in 36% of studies). Commonly used measures covered ICF domains of body function and activity to varying extents. Most studies (72%) combined multiple outcome measures: the FMT was often combined with the Motor Activity Log (MAL), the Wolf Motor Function Test and the Action Research Arm Test, but infrequently combined with the Motor Assessment Scale or the Nine Hole Peg Test. Key components of manual dexterity such as selective finger movements were rarely measured. Frequency of use increased over a twelve-year period for the FMT and for assessments of kinematics, whereas other measures, such as the MAL and the Jebsen Taylor Hand Test showed decreased use over time. Use varied largely between countries showing low international consensus. Conclusions The results showed a large diversity of outcome measures used across studies. However, a growing number of studies used the FMT, a neurological test with good psychometric properties. For thorough assessment the FMT needs to be combined with functional measures. These findings illustrate the need for strategies to build international consensus on appropriate outcome measures for upper limb function after stroke. PMID:27152853
Teles-Sampaio, Elvira; Maia, Luís; Salgueiro, Paulo; Marcos-Pinto, Ricardo; Dinis-Ribeiro, Mário; Pedroto, Isabel
2016-11-01
Nonvariceal upper gastrointestinal bleeding emerges as a major complication of using antiplatelet agents and/or anticoagulants and represents a clinical challenge in patients undergoing these therapies. To characterize patients with nonvariceal upper gastrointestinal bleeding related to antithrombotics and their management, and to determine clinical predictors of adverse outcomes. Retrospective cohort of adults who underwent upper gastrointestinal endoscopy after nonvariceal upper gastrointestinal bleeding from 2010 to 2012. The outcomes were compared between patients exposed and not exposed to antithrombotics. Five hundred and forty-eight patients with nonvariceal upper gastrointestinal bleeding (67% men; mean age 66.5 ± 16.4 years) were included, of which 43% received antithrombotics. Most patients had comorbidities. Peptic ulcer was the main diagnosis and endoscopic therapy was performed in 46% of cases. The 30-day mortality rate was 7.7% (n = 42), and 36% were bleeding-related. The recurrence rate was 9% and 14% of patients with initial endoscopic treatment needed endoscopic retreatment. There were no significant differences between the exposed and non-exposed groups in most outcomes. Co-morbidities, hemodynamic instability, high Rockall score, low hemoglobin (7.76 ± 2.72 g/dL) and higher international normalized ratio (1.63 ± 1.13) were associated significantly with mortality in a univariate analysis. Adverse outcomes were not associated with antithrombotic use. The management of nonvariceal upper gastrointestinal bleeding constitutes a challenge to clinical performance optimization and clinical cooperation.
] Cervero, Robert; Kockelman, Kara. (1997). "Travel demand and the 3Ds: Density, diversity, and design efficient design of sustainable goods and services." The International Journal of Life Cycle Assessment . Upper Saddle River, NJ: FT Press. [202] Das, Sujit. (2004). "A Comparative Assessment of
ERIC Educational Resources Information Center
Boyer, Regine; And Others
1990-01-01
Analyzes a recent French national survey about the cultural behavior of lycee students. Points out the internal diversity of the lycee population in cultural practices. Argues that an adolescent culture exists; identifies an upper secondary school culture; and defines its relationship with mass, classical, or class cultures. (NL)
2012-10-14
ISS033-E-013091 (14 Oct. 2012) --- Japan Aerospace Exploration Agency astronaut Aki Hoshide, Expedition 33 flight engineer, holds a computer attached to a stand in the Harmony node of the International Space Station. A signed poster of SpaceX personnel floats freely at upper left.
2012-10-14
ISS033-E-013092 (14 Oct. 2012) --- Japan Aerospace Exploration Agency astronaut Aki Hoshide, Expedition 33 flight engineer, holds a computer attached to a stand in the Harmony node of the International Space Station. A signed poster of SpaceX personnel floats freely at upper left.
Burbank uses ARED in the Node 3
2011-12-18
ISS030-E-012727 (18 Dec. 2011) --- NASA astronaut Dan Burbank, Expedition 30 commander, uses the short bar for the advanced Resistive Exercise Device (aRED) equipment to perform upper body strengthening pull-ups in the Tranquility node of the International Space Station.
Burbank uses ARED in the Node 3
2011-12-18
ISS030-E-012724 (18 Dec. 2011) --- NASA astronaut Dan Burbank, Expedition 30 commander, uses the short bar for the advanced Resistive Exercise Device (aRED) equipment to perform upper body strengthening pull-ups in the Tranquility node of the International Space Station.
Burbank uses ARED in the Node 3
2011-12-18
ISS030-E-012725 (18 Dec. 2011) --- NASA astronaut Dan Burbank, Expedition 30 commander, uses the short bar for the advanced Resistive Exercise Device (aRED) equipment to perform upper body strengthening pull-ups in the Tranquility node of the International Space Station.
2018-01-12
iss054e022072 (Jan. 12, 2018) --- The International Space Station orbits above the Falkland Islands off the coast of the southern-most portion of Argentina on the continent of South America. In the upper-right of the photograph is the docked Progress 68 cargo craft.
Social impact of the tangaye (upper volta) photovoltaic demostrtion
DOE Office of Scientific and Technical Information (OSTI.GOV)
Roberts, A.F.
1983-06-01
The Tangaye (Upper Volta) Solar Energy Demonstration was implemented in early 1979 by the US Agency for International Development and the NASA Lewis Research Center. It is the only longitudinal field study of a developing country's renewable energy project, and continues to provide its services of water-pumping and grain-grinding to Tangaye villagers. The demonstration has two research foci: the reliability of a photovoltaic (PV) power system in harsh environmental conditions, and the appropriateness of PV technology from a social perspective as villagers mobilize to manage the system and integrate its services into their lives.
Earth Observations taken by Expedition 30 crewmember
2012-01-30
ISS030-E-060478 (30 Jan. 2012) --- The city lights of Madrid (just right of center) stand out in this photograph from the International Space Station. Recorded by one of the Expedition 30 crew members, the view shows almost the entire Iberian Peninsula (both Spain and Portugal) with the Strait of Gibraltar and Morocco appearing at lower left. What is thought to be a blur of the moon appears in upper left corner. The faint gold or brownish line of airglow?caused by ultraviolet radiation exciting the gas molecules in the upper atmosphere?parallels the horizon or Earth limb.
Studies of heat source driven natural convection
NASA Technical Reports Server (NTRS)
Kulacki, F. A.; Nagle, M. E.; Cassen, P.
1974-01-01
Natural convection energy transport in a horizontal layer of internally heated fluid with a zero heat flux lower boundary, and an isothermal upper boundary, has been studied. Quantitative information on the time-mean temperature distribution and the fluctuating component of temperature about the mean temperature in steady turbulent convection are obtained from a small thermocouple inserted into the layer through the upper bounding plate. Data are also presented on the development of temperature at several vertical positions when the layer is subject to both a sudden increase and to a sudden decrease in power input. For changes of power input from zero to a value corresponding to a Rayleigh number much greater than the critical linear stability theory value, a slight hysteresis in temperature profiles near the upper boundary is observed between the heat-up and cool-down modes.
Oppenheimer, Avi G.; Fulmer, Susan; Shifteh, Keivan; Chang, Ja-Kwei; Brook, Allan; Shanske, Alan L.; Shprintzen, Robert J.
2010-01-01
Purpose Velo-cardio-facial syndrome (VCFS), the most common genetic syndrome causing cleft palate, is associated with internal carotid and vertebral artery anomalies, as well as upper airway asymmetry. Medially displaced internal carotid arteries, often immediately submucosal, present a risk of vascular injury during pharyngeal flap surgery for velopharyngeal insufficiency (VPI). We evaluate the frequency and spectrum of cervical vascular anomalies in a large cohort of VCFS patients correlating MRA with nasopharyngolaryngoscopy in detecting at-risk carotid arteries. Furthermore, we assess the relationship with respect to laterality between cervical vascular patterns and the asymmetric abnormalities of these subjects' upper airways. Methods Cervical MRAs of 86 subjects with VCFS and 50 control subjects were independently reviewed by three neuroradiologists. The course of the internal carotid and vertebral arteries were identified within the pharyngeal soft tissues. Medial deviation, level of bifurcation, dominance, anomalous origin, and vessel tortuosity were recorded. Nasopharyngoscopy examinations were available for retrospective review in 43 patients and were assessed for palatal and posterior pharyngeal wall symmetry, true vocal cord motion and size, and for the presence or absence of carotid pulsations. The endoscopic findings were compared with MRA results. Results Of the 86 subjects, 80 (93%) had one or more vascular anomalies. 42 subjects (49%) were found to have medial deviation of at least one internal carotid artery. In 24 subjects (28%) the anomalous internal carotid artery were directly submucosal; four of these were bilateral (5% of the total sample, 17% of those with a submucosal internal carotid). Other carotid anomalies included low carotid bifurcation (44 subjects or 51%), anomalous origin of the right common carotid (32 cases, or 37%), and two cases of internal carotid agenesis/hypoplasia. Vertebral artery anomalies included vessel tortuosity (34 cases, or 40%), hypoplasia (10 cases, or 12%), looping (4 cases, or 5%), and one case of a double left vertebral artery. Though patients in our study showed an asymmetric distribution of vascular anomalies, no association was found between the laterality of palatal motion, pharyngeal fullness, or laryngeal movement and structure with ipsilateral vertebral or carotid artery anomalies. Of the 33 pulsatile carotid arteries visualized at nasopharyngoscopy, only nine were found to be submucosal on MRA. In contrast, eleven submucosal carotid arteries confirmed at MRA demonstrated no visible pulsations. Positive and negative predictive values of pulsative arteries seen endoscopically for MRA confirmation of a submucosal carotid course was 27% and 79% respectively. Conclusions Carotid and vertebral artery anomalies are common in VCFS including marked medial deviation of the internal carotid artery in close proximity to the donor site for pharyngeal flap surgery. Lack of correlation between laterality of vascular anomalies and upper airway structural asymmetry in VCFS does not support the hypothesis that palatal, pharyngeal, and laryngeal anomalies are due to secondary developmental sequences caused by in utero vascular insufficiency. The presence or absence of carotid pulsations seen by nasopharyngoscopy does not correlate with the carotid arterial depth identified on MRA. Furthermore, identification of the relative medial-lateral retropharyngeal position of a submucosal carotid affords the opportunity to modify the surgical approach. These findings further support the routine use of pre-operative neck MRA in VCFS patients in surgical planning. PMID:20363509
Kang, Yuan-Yuan; Zeng, Wei-Fang; Liu, Ming; Li, Yan; Wang, Ji-Guang
2014-02-01
The present study aimed to evaluate the accuracy of the AVITA BPM63S upper arm blood pressure monitor for home blood pressure monitoring according to the International Protocol of the European Society of Hypertension revision 2010. Systolic and diastolic blood pressures were sequentially measured in 33 adult Chinese (14 women, mean age of 47 years) using a mercury sphygmomanometer (two observers) and the AVITA BPM63S device (one supervisor). Ninety-nine pairs of comparisons were obtained from 33 participants for judgments in two parts with three grading phases. All the blood pressure requirements were fulfilled. The AVITA BPM63S device achieved the targets in part 1 of the validation study. The number of absolute differences between device and observers within 5, 10, and 15 mmHg was 68/99, 89/99, and 96/99, respectively, for systolic blood pressure, and 75/99, 95/99, and 97/99, respectively, for diastolic blood pressure. The device also achieved the criteria in part 2 of the validation study. Twenty-four and 25 participants for systolic and diastolic blood pressure, respectively, had at least two of the three device-observers differences within 5 mmHg (required ≥24). One and two participants for systolic and diastolic blood pressure, respectively, had all three device-observers differences greater than 5 mmHg. The AVITA BPM63S automated oscillometric upper arm blood pressure monitor has passed the requirements of the International Protocol revision 2010, and hence can be recommended for blood pressure measurement at home in adults.
Ultrasound Assessment of Abdominal Muscle Thickness in Postpartum vs Nulliparous Women.
Weis, Carol Ann; Triano, John J; Barrett, Jon; Campbell, Michelle D; Croy, Martine; Roeder, Jessica
2015-06-01
The purpose of this study was to determine the effect size in measurable change of abdominal musculature morphology using ultrasonography in postpartum women within 1 month of a healthy, vaginal delivery. One hundred fifty-six participants were recruited for this study. B-mode ultrasound imaging was used to measure abdominal muscle thickness on 80 nulliparous women and 76 mothers who had delivered within the past 4 weeks. Measures were taken for the upper and lower rectus abdominus, external and internal obliques, and transversus abdominus at rest. Statistically significant differences were found in the thickness of the rectus abdominus muscle at both sites; upper (P < .0001) and lower (P < .0001) as well as the internal oblique (P < .0001). All 3 muscles were thinner in postpartum participants (8.29 ± 1.83 mm, 8.89 ± 2.29 mm, and 7.06 ± 1.82 mm, respectively) within the first month of delivery than in controls (10.82 ± 1.93 mm, 11.13 ± 2.38 mm, and 8.36 ± 1.87 mm, respectively). Large effect sizes were found for the influence of pregnancy on the rectus muscle segments (1.35 for the upper rectus abdominus and 1.00 for the lower rectus abdominus) and a medium effect size for the internal oblique (0.71). No significant differences were observed in the remaining 2 muscles. This study showed that there are differences in morphology of the abdominal muscles in pregnant women vs nonpregnant controls. The large effect sizes reported may provide the basis for future studies examining relationships between morphology, functional change, and back pain during pregnancy. Copyright © 2015 National University of Health Sciences. Published by Elsevier Inc. All rights reserved.
Kurbanaliev, R M; Usupbaev, A Ch; Kolesnichenko, I V; Sadyrbekov, N Zh; Sultanov, B M
2018-05-01
To investigate the functional state of the upper urinary tract in patients undergoing autoplastic surgery for a hydronophrosis of the intrarenal pelvis. The study comprised 78 patients with the intrarenal pelvis and impaired urinary outflow due to stricture of the ureteropelvic junction and vascular conflict (interatrial and arteriovenous narrowing), who underwent pyeloplasty using autologous tunica vaginalis. All patients underwent an incision of ureteropelvic stricture and resection of the parietal layer of the tunica vaginalis which was used to repair the obstruction site and internal stenting of the upper urinary tract. The patients were examined at baseline and during follow-up ranging from 3 months to 3 years. At three months after surgery, there was a decrease in the size of the renal pelvis and calyces with an improvement of all parameters of uro- and hemodynamics. At three years after surgery, the structural and functional parameters of the upper urinary tract were completely restored. Obstructive uropathy, resulting from the intrarenal pelvis, leads to persistently impaired urinary outflow from the upper urinary tract. Surgical intervention is the only curative treatment able to restore the urinary flow. In men with the intrarenal pelvis, the autoplastic surgery of the ureteropelvic junction obstruction using a parietal layer of the tunica vaginalis is an effective surgical modality improving renal pelvis capacity and contributing to the recovery of urinary outflow from the upper urinary tract.
Developmental Flight Instrumentation System for the Crew Launch Vehicle
NASA Technical Reports Server (NTRS)
Crawford, Kevin; Thomas, John
2006-01-01
The National Aeronautics and Space Administration is developing a new launch vehicle to replace the Space Shuttle. The Crew Launch Vehicle (CLV) will be a combination of new design hardware and heritage Apollo and Space Shuttle hardware. The current CLV configuration is a 5 segment solid rocket booster first stage and a new upper stage design with a modified Apollo era J-2 engine. The current schedule has two test flights with a first stage and a structurally identical, but without engine, upper stage. Then there will be two more test flights with a full complement of flight hardware. After the completion of the test flights, the first manned flight to the International Space Station is scheduled for late 2012. To verify the CLV's design margins a developmental flight instrumentation (DFI) system is needed. The DFI system will collect environmental and health data from the various CLV subsystem's and either transmit it to the ground or store it onboard for later evaluation on the ground. The CLV consists of 4 major elements: the first stage, the upper stage, the upper stage engine and the integration of the first stage, upper stage and upper stage engine. It is anticipated that each of CLVs elements will have some version of DFI. This paper will discuss a conceptual DFI design for each element and also of an integrated CLV DFI system.
Upper Ocean Boundary Layer Studies
1991-10-16
of this study has been the demonstration of the extreme sensitivity of our acoustic current meter / vorticity sensor . The instrument performance has... Tiltmeters on the Arctic Ocean were used to measure flexure of the ice forced by an energetic packet of internal waves riding the crest of diurnal
The Academy of Sciences stakes a claim
NASA Technical Reports Server (NTRS)
1980-01-01
The establishment of the National Committe for the International Geophysical year is described. Post-war development of the 1950's in the areas of upper atmosphere research reviewed and included: the further development of satellites; sounding rocket research; and the launching of the Sputnik Satellites.
FE Furukawa exercising with the ARED
2011-07-30
ISS028-E-019507 (30 July 2011) --- Japan Aerospace Exploration Agency astronaut Satoshi Furukawa, Expedition 28 flight engineer, uses the short bar for the advanced Resistive Exercise Device (aRED) equipment to perform upper body strengthening pull-ups in the Tranquility node of the International Space Station.
2007-01-01
where H is the scaling exponent , or called the Hurst exponent . In 1941, Kolmogorov suggested that the velocity increment in high-Reynolds number...turbulent flows should scale with the mean (time-averaged) energy dissipation and the separation length scale. The Hurst exponent H is equal to 1/3. For...the internal solitons change the power exponent of the power spectra drastically especially in the low wave number domain; break down the power law
DOE Office of Scientific and Technical Information (OSTI.GOV)
Romander, C M; Cagliostro, D J
Five experiments were performed to help evaluate the structural integrity of the reactor vessel and head design and to verify code predictions. In the first experiment (SM 1), a detailed model of the head was loaded statically to determine its stiffness. In the remaining four experiments (SM 2 to SM 5), models of the vessel and head were loaded dynamically under a simulated 661 MW-s hypothetical core disruptive accident (HCDA). Models SM 2 to SM 4, each of increasing complexity, systematically showed the effects of upper internals structures, a thermal liner, core support platform, and torospherical bottom on vessel response.more » Model SM 5, identical to SM 4 but more heavily instrumented, demonstrated experimental reproducibility and provided more comprehensive data. The models consisted of a Ni 200 vessel and core barrel, a head with shielding and simulated component masses, and an upper internals structure (UIS).« less
Study on the adverse effects of hydropower development on international shipping
NASA Astrophysics Data System (ADS)
Wang, Changhong
2017-04-01
The Lancang - Mekong river is an important international waterway to Southeast Asia and South Asia, which has important strategic significance for promoting regional economic cooperation and safeguarding national economic and security interests. On the Mekong River, the main aim is to develop hydropower resources utilization and shipping. River Hydropower Stations are in Laos and designed by foreign enterprises according to the construction of BOT. In this study, on the basis of a lot of research work and extensive collection of relevant information, and, through in-depth analysis of research, it reveals that the upper Mekong River hydropower development have many adverse effects on international shipping, put forward related suggestions for the healthy and sustainable development of international shipping.
Barrier island facies models and recognition criteria
NASA Astrophysics Data System (ADS)
Mulhern, J.; Johnson, C. L.
2017-12-01
Barrier island outcrops record transgressive shoreline motion at geologic timescales, providing integral clues to understanding how coastlines respond to rising sea levels. However, barrier island deposits are difficult to recognize. While significant progress has been made in understanding the modern coastal morphodynamics, this insight is not fully leveraged in existing barrier island facies models. Excellent outcrop exposures of the paralic Upper Cretaceous Straight Cliffs Formation of southern Utah provide an opportunity to revise facies models and recognition criteria for barrier island deposits. Preserved barrier islands are composed of three main architectural elements (shorefaces, tidal inlets, and tidal channels) which occur independently or in combination to create larger-scale barrier island deposits. Barrier island shorefaces record progradation, while barrier island tidal inlets record lateral migration, and barrier island tidal channels record aggradation within the tidal inlet. Four facies associations are used to describe and characterize these barrier island architectural elements. Barrier islands occur in association with backarrier fill and internally contain lower and upper shoreface, high-energy upper shoreface, and tidal channel facies. Barrier islands bound lagoons or estuaries, and are distinguished from other shoreface deposits by their internal facies and geometry, association with backbarrier facies, and position within transgressive successions. Tidal processes, in particular tidal inlet migration and reworking of the upper shoreface, also distinguish barrier island deposits. Existing barrier island models highlight the short term heterogeneous and dynamic nature of barrier island systems, yet overlook processes tied to geologic time scales, such as multi-directional motion, erosion, and reworking, and their expressions in preserved barrier island strata. This study uses characteristic outcrop expressions of barrier island successions to exemplify how modern morphodynamic concepts can be combined with geologic time-scale processes to update understanding of ancient barrier island motion and preservation.
Space Radiation Risks for Astronauts on Multiple International Space Station Missions
Cucinotta, Francis A.
2014-01-01
Mortality and morbidity risks from space radiation exposure are an important concern for astronauts participating in International Space Station (ISS) missions. NASA’s radiation limits set a 3% cancer fatality probability as the upper bound of acceptable risk and considers uncertainties in risk predictions using the upper 95% confidence level (CL) of the assessment. In addition to risk limitation, an important question arises as to the likelihood of a causal association between a crew-members’ radiation exposure in the past and a diagnosis of cancer. For the first time, we report on predictions of age and sex specific cancer risks, expected years of life-loss for specific diseases, and probability of causation (PC) at different post-mission times for participants in 1-year or multiple ISS missions. Risk projections with uncertainty estimates are within NASA acceptable radiation standards for mission lengths of 1-year or less for likely crew demographics. However, for solar minimum conditions upper 95% CL exceed 3% risk of exposure induced death (REID) by 18 months or 24 months for females and males, respectively. Median PC and upper 95%-confidence intervals are found to exceed 50% for several cancers for participation in two or more ISS missions of 18 months or longer total duration near solar minimum, or for longer ISS missions at other phases of the solar cycle. However, current risk models only consider estimates of quantitative differences between high and low linear energy transfer (LET) radiation. We also make predictions of risk and uncertainties that would result from an increase in tumor lethality for highly ionizing radiation reported in animal studies, and the additional risks from circulatory diseases. These additional concerns could further reduce the maximum duration of ISS missions within acceptable risk levels, and will require new knowledge to properly evaluate. PMID:24759903
Biomechanical Analysis of the Closed Kinetic Chain Upper-Extremity Stability Test.
Tucci, Helga T; Felicio, Lilian R; McQuade, Kevin J; Bevilaqua-Grossi, Debora; Camarini, Paula Maria Ferreira; Oliveira, Anamaria S
2017-01-01
The closed kinetic chain upper-extremity stability (CKCUES) test is a functional test for the upper extremity performed in the push-up position, where individuals support their body weight on 1 hand placed on the ground and swing the opposite hand until touching the hand on the ground, then switch hands and repeat the process as fast as possible for 15 s. To study scapular kinematic and kinetic measures during the CKCUES test for 3 different distances between hands. Experimental. Laboratory. 30 healthy individuals (15 male, 15 female). Participants performed 3 repetitions of the test at 3 distance conditions: original (36 in), interacromial, and 150% interacromial distance between hands. Participants completed a questionnaire on pain intensity and perceived exertion before and after the procedures. Scapular internal/external rotation, upward/downward rotation, and posterior/anterior tilting kinematics and kinetic data on maximum force and time to maximum force were measured bilaterally in all participants. Percentage of body weight on upper extremities was calculated. Data analyses were based on the total numbers of hand touches performed for each distance condition, and scapular kinematics and kinetic values were averaged over the 3 trials. Scapular kinematics, maximum force, and time to maximum force were compared for the 3 distance conditions within each gender. Significance level was set at α = .05. Scapular internal rotation, posterior tilting, and upward rotation were significantly greater in the dominant side for both genders. Scapular upward rotation was significantly greater in original distance than interacromial distance in swing phase. Time to maximum force in women was significantly greater in the dominant side. CKCUES test kinematic and kinetic measures were not different among 3 conditions based on distance between hands. However, the test might not be suitable for initial or mild-level rehabilitation due to its challenging requirements.
Klein, Lauren R; Money, Joel; Maharaj, Kaveesh; Robinson, Aaron; Lai, Tarissa; Driver, Brian E
2017-11-01
Assessing the likelihood of a variceal versus nonvariceal source of upper gastrointestinal bleeding (UGIB) guides therapy, but can be difficult to determine on clinical grounds. The objective of this study was to determine if there are easily ascertainable clinical and laboratory findings that can identify a patient as low risk for a variceal source of hemorrhage. This was a retrospective cohort study of adult ED patients with UGIB between January 2008 and December 2014 who had upper endoscopy performed during hospitalization. Clinical and laboratory data were abstracted from the medical record. The source of the UGIB was defined as variceal or nonvariceal based on endoscopic reports. Binary recursive partitioning was utilized to create a clinical decision rule. The rule was internally validated and test characteristics were calculated with 1,000 bootstrap replications. A total of 719 patients were identified; mean age was 55 years and 61% were male. There were 71 (10%) patients with a variceal UGIB identified on endoscopy. Binary recursive partitioning yielded a two-step decision rule (platelet count > 200 × 10 9 /L and an international normalized ratio [INR] < 1.3), which identified patients who were low risk for a variceal source of hemorrhage. For the bootstrapped samples, the rule performed with 97% sensitivity (95% confidence interval [CI] = 91%-100%) and 49% specificity (95% CI = 44%-53%). Although this derivation study must be externally validated before widespread use, patients presenting to the ED with an acute UGIB with platelet count of >200 × 10 9 /L and an INR of <1.3 may be at very low risk for a variceal source of their upper gastrointestinal hemorrhage. © 2017 by the Society for Academic Emergency Medicine.
Space radiation risks for astronauts on multiple International Space Station missions.
Cucinotta, Francis A
2014-01-01
Mortality and morbidity risks from space radiation exposure are an important concern for astronauts participating in International Space Station (ISS) missions. NASA's radiation limits set a 3% cancer fatality probability as the upper bound of acceptable risk and considers uncertainties in risk predictions using the upper 95% confidence level (CL) of the assessment. In addition to risk limitation, an important question arises as to the likelihood of a causal association between a crew-members' radiation exposure in the past and a diagnosis of cancer. For the first time, we report on predictions of age and sex specific cancer risks, expected years of life-loss for specific diseases, and probability of causation (PC) at different post-mission times for participants in 1-year or multiple ISS missions. Risk projections with uncertainty estimates are within NASA acceptable radiation standards for mission lengths of 1-year or less for likely crew demographics. However, for solar minimum conditions upper 95% CL exceed 3% risk of exposure induced death (REID) by 18 months or 24 months for females and males, respectively. Median PC and upper 95%-confidence intervals are found to exceed 50% for several cancers for participation in two or more ISS missions of 18 months or longer total duration near solar minimum, or for longer ISS missions at other phases of the solar cycle. However, current risk models only consider estimates of quantitative differences between high and low linear energy transfer (LET) radiation. We also make predictions of risk and uncertainties that would result from an increase in tumor lethality for highly ionizing radiation reported in animal studies, and the additional risks from circulatory diseases. These additional concerns could further reduce the maximum duration of ISS missions within acceptable risk levels, and will require new knowledge to properly evaluate.
Galileo spacecraft integration - International cooperation on a planetary mission in the Shuttle era
NASA Technical Reports Server (NTRS)
Spehalski, R. J.
1983-01-01
The Galileo mission is designed to greatly expand scientific knowledge of Jupiter and its system. The retropropulsion module (RPM) as a major functional element of the Galileo spacecraft is described. The major mission and spacecraft requirements on the RPM are presented. Complexities of the integration process due to the international interface are identified. Challenges associated with integration with new launch vehicles, the Shuttle and upper stage, and their relationships to the RPM are discussed. The results of the integration process involving mission and propulsion performance, reliability, mechanical and thermal interfaces, and safety are described. Finally, considerations and recommendations for future missions involving international cooperation are given.
Poltawski, Leon; Allison, Rhoda; Briscoe, Simon; Freeman, Jennifer; Kilbride, Cherry; Neal, Debbie; Turton, Ailie J; Dean, Sarah
2016-01-01
Upper limb disability following stroke may have multiple effects on the individual. Existing assessment instruments tend to focus on impairment and function and may miss other changes that are personally important. This study aimed to identify personally significant impacts of upper limb disability following stroke. Accounts by stroke survivors, in the form of web-based diaries (blogs) and stories, were sought using a blog search engine and in stroke-related web-sites. Thematic analysis using the World Health Organisation's International Classification of Functioning Disability and Health (ICF) was used to identify personal impacts of upper limb disability following stroke. Ninety-nine sources from at least four countries were analysed. Many impacts were classifiable using the ICF, but a number of additional themes emerged, including emotional, cognitive and behavioural changes. Blogs and other web-based accounts were easily accessible and rich sources of data, although using them raised several methodological issues, including potential sample bias. A range of impacts was identified, some of which (such as use of information technology and alienation from the upper limb) are not addressed in current assessment instruments. They should be considered in post-stroke assessments. Blogs may help in the development of more comprehensive assessments. A comprehensive assessment of the upper limb following stroke should include the impact of upper limb problems on social participation, as well as associated emotional, cognitive and behavioural changes. Using personalised assessment instruments alongside standardised measures may help ensure that these broader domains are considered in discussions between clinicians and patients. Rehabilitation researchers should investigate whether and how these domains could be addressed and operationalised in standard upper limb assessment instruments.
Akpolat, Tekin; Erdem, Emre; Aydogdu, Türkan
2012-01-01
Encouragement of home blood pressure (BP) monitoring has a great potential to improve hypertension control rates. The purpose of this study was to test validation of the Omron M3 Intellisense (HEM-7051-E) upper arm BP measuring monitor for self-measurement according to the European Society of Hypertension International Protocol revision 2010 (ESH-IP2) in stage 3-5 chronic kidney disease (CKD) patients. 66 patients having CKD stage 3-5 were included in the study. Nine consecutive measurements were made according to the ESH-IP2 protocol. The Omron M3 Intellisense device fulfills the validation criteria of the ESH-IP2 for stage 3-5 CKD patients. Although arterial stiffness can affect accurate BP measurement, there are limited data regarding the use of automated oscillometric devices in CKD. To our knowledge, this is the first study investigating validation of an oscillometric device in stage 3-5 predialysis CKD patients. This study validates the Omron M3 Intellisense upper arm device for stage 3-5 CKD patients. New validation studies investigating other oscillometric sphygmomanometers for CKD patients and involvement of nephrologists in these studies have great potential to increase patient care in CKD. Copyright © 2011 S. Karger AG, Basel.
Surface EMG signals based motion intent recognition using multi-layer ELM
NASA Astrophysics Data System (ADS)
Wang, Jianhui; Qi, Lin; Wang, Xiao
2017-11-01
The upper-limb rehabilitation robot is regard as a useful tool to help patients with hemiplegic to do repetitive exercise. The surface electromyography (sEMG) contains motion information as the electric signals are generated and related to nerve-muscle motion. These sEMG signals, representing human's intentions of active motions, are introduced into the rehabilitation robot system to recognize upper-limb movements. Traditionally, the feature extraction is an indispensable part of drawing significant information from original signals, which is a tedious task requiring rich and related experience. This paper employs a deep learning scheme to extract the internal features of the sEMG signals using an advanced Extreme Learning Machine based auto-encoder (ELMAE). The mathematical information contained in the multi-layer structure of the ELM-AE is used as the high-level representation of the internal features of the sEMG signals, and thus a simple ELM can post-process the extracted features, formulating the entire multi-layer ELM (ML-ELM) algorithm. The method is employed for the sEMG based neural intentions recognition afterwards. The case studies show the adopted deep learning algorithm (ELM-AE) is capable of yielding higher classification accuracy compared to the Principle Component Analysis (PCA) scheme in 5 different types of upper-limb motions. This indicates the effectiveness and the learning capability of the ML-ELM in such motion intent recognition applications.
Upper And Lower Limbs Disability And Personality Traits.
Jabeen, Tahira; Kazmi, Syeda Farhana; Rehman, Atiq Ur; Ahmed, Sajjad
2016-01-01
It is believed that the study of personality has the potentials to enhance our prognostic abilities and can better to expose the etiology of mental illness through the relationship of revealed mechanisms. The focus of this study was to investigate and compare the habitual patterns of behavior, thought and emotions of upper and lower limb physically disabled students in terms of personality traits. This cross sectional study consisted of 100 upper limbs and lower limbs disabled students taken from Kingston school Inclusive Education System Abottabad, Mashal special education system Haripur, Syed Ahmed Shaheed special education center Abottabad, Al-Munir Foundation Mansehra and Hera Special Education System Haripur and 100 normal students taken from Islamic International School Abottabad, Falcon Public School Haripur, Iqra Academy Mansehra and Alhamd International School Haripur of Hazara Division by purposive sampling technique. This study was conducted during the month of June 2013 to May 2014. Goldberg five big personality scale was used for measuring personality traits of physically disabled and normal students. The significant difference of personality traits scores between physically disabled students (M = 139.2, SD=12.0) and normal students (M=184.5, SD=13.2), t (198) =25.3, p<.05 was observed. Normal students have high scores as compared to physically disabled students on big five traits, i.e., Extraversion, Agreeableness, Conscientiousness, Emotional Stability and Openness to Experience.
Shang, Fujun; Zhu, Yizheng; Zhu, Zhenlai; Liu, Lei; Wan, Yi
2013-10-01
The aim of this study was to validate the iHealth BP5 wireless upper arm blood pressure (BP) monitor according to the European Society of Hypertension International Protocol (ESH-IP) revision 2010. The ESH-IP revision 2010 for validation of BP measuring devices in adults was followed precisely. A total of 99 pairs of test device and reference BP measurements (three pairs for each of the 33 participants) were obtained in the study. The device produced 71, 89, and 97 measurements within 5, 10, and 15 mmHg for systolic blood pressure (SBP) and 73, 90, and 99 mmHg for diastolic blood pressure (DBP), respectively. The mean ± SD device-observer difference was -1.21 ± 5.87 mmHg for SBP and -1.04 ± 5.28 mmHg for DBP. The number of participants with two or three device-observer differences within 5 mmHg was 25 for SBP and 28 for DBP. In addition, three participants had no device-observer difference within 5 mmHg for SBP and none of the participants had the same for DBP. According to the validation results on the basis of the ESH-IP revision 2010, the iHealth BP5 wireless upper arm BP monitor can be recommended for self/home measurement in an adult population.
ERIC Educational Resources Information Center
Jenkins, Peter
Tree climbing offers a safe, inexpensive adventure sport that can be performed almost anywhere. Using standard procedures practiced in tree surgery or rock climbing, almost any tree can be climbed. Tree climbing provides challenge and adventure as well as a vigorous upper-body workout. Tree Climbers International classifies trees using a system…
Voss in Service module with cycle ergometer
2001-03-23
ISS002-E-5734 (23 March 2001) --- Astronaut James S. Voss, Expedition Two flight engineer, gives his arms and upper body a workout with the bicycle ergometer facility in the Zvezda Service Module aboard the International Space Station (ISS). The image was recorded with a digital still camera.
Tani Exercises on the RED in Node 1
2008-02-06
ISS016-E-027909 (6 Feb. 2008) --- Astronaut Daniel Tani, Expedition 16 flight engineer, uses the short bar for the Interim Resistive Exercise Device (IRED) to perform upper body strengthening pull-ups. The IRED hardware is located in the Unity node of the International Space Station.
Reflection type skin friction meter
NASA Technical Reports Server (NTRS)
Bandyopadhyay, Promode R. (Inventor); Weinstein, Leonard M. (Inventor)
1993-01-01
A housing block is provided having an upper surface conforming to the test surface of a model or aircraft. An oil film is supplied upstream of a transparent wedge window located in this upper surface by an oil pump system located external to the housing block. A light source located within the housing block supplies a light beam which passes through this transparent window and is reflected back through the transparent window by the upper surface of the oil film to a photo-sensitive position sensor located within the housing. This position sensor allows the slope history of the oil film caused by and aerodynamic flow to be determined. The skin friction is determined from this slope history. Internally located mirrors augment and sensitize the reflected beam as necessary before reaching the position sensor. In addition, a filter may be provided before this sensor to filter the beam.
Kim, Jin-young; Kim, Jong-man; Ko, Eun-young
2014-01-01
The purpose this study was to investigate the effect of action observation physical training (AOPT) on the functioning of the upper extremities in children with cerebral palsy (CP), using an evaluation framework based on that of the International Classification of Functioning, Disability and Health (ICF). The subjects were divided into an AOPT group and a physical training (PT) group. AOPT group practiced repeatedly the actions they observed on video clips, in which normal child performed an action with their upper extremities. PT group performed the same actions as the AOPT group did after observing landscape photographs. The subjects participated in twelve 30-min sessions, 3 days a week, for 4 weeks. Evaluation of upper extremity function using the following: the power of grasp and Modified Ashworth Scale for body functions and structures, a Box and Block test, an ABILHAND-Kids questionnaire, and the WeeFIM scale for activity and participation. Measurements were performed before and after the training, and 2 weeks after the end of training. The results of this study showed that, in comparison with the PT group, the functioning of the upper extremities in the AOPT group was significantly improved in body functions and activity and participation according to the ICF framework. This study demonstrates that AOPT has a positive influence on the functioning of the upper extremities in children with CP. It is suggested that this alternative approach for functioning of the upper extremities could be an effective method for rehabilitation in children with CP. PMID:25061598
Integrated Testing Approaches for the NASA Ares I Crew Launch Vehicle
NASA Technical Reports Server (NTRS)
Taylor, James L.; Cockrell, Charles E.; Tuma, Margaret L.; Askins, Bruce R.; Bland, Jeff D.; Davis, Stephan R.; Patterson, Alan F.; Taylor, Terry L.; Robinson, Kimberly L.
2008-01-01
The Ares I crew launch vehicle is being developed by the U.S. National Aeronautics and Space Administration (NASA) to provide crew and cargo access to the International Space Station (ISS) and, together with the Ares V cargo launch vehicle, serves as a critical component of NASA's future human exploration of the Moon. During the preliminary design phase, NASA defined and began implementing plans for integrated ground and flight testing necessary to achieve the first human launch of Ares I. The individual Ares I flight hardware elements - including the first stage five segment booster (FSB), upper stage, and J-2X upper stage engine - will undergo extensive development, qualification, and certification testing prior to flight. Key integrated system tests include the upper stage Main Propulsion Test Article (MPTA), acceptance tests of the integrated upper stage and upper stage engine assembly, a full-scale integrated vehicle ground vibration test (IVGVT), aerodynamic testing to characterize vehicle performance, and integrated testing of the avionics and software components. The Ares I-X development flight test will provide flight data to validate engineering models for aerodynamic performance, stage separation, structural dynamic performance, and control system functionality. The Ares I-Y flight test will validate ascent performance of the first stage, stage separation functionality, validate the ability of the upper stage to manage cryogenic propellants to achieve upper stage engine start conditions, and a high-altitude demonstration of the launch abort system (LAS) following stage separation. The Orion 1 flight test will be conducted as a full, un-crewed, operational flight test through the entire ascent flight profile prior to the first crewed launch.
A survey of overuse problems in patients with acquired or congenital upper limb deficiency.
Burger, Helena; Vidmar, Gaj
2016-08-01
Little is known about secondary impairments and overuse problems in patient with acquired or congenital upper limb deficiency. Our aim was to estimate the frequency of overuse problems in persons after unilateral upper limb deficiency and identify the factors relevant for development of these problems. Cross-sectional study conducted at the University Rehabilitation Institute in Ljubljana. In total, 65 persons after unilateral upper limb deficiency who had visited our subspecialist outpatient clinic during the 2011-2013 period (excluding those with other possible medical causes of overuse-type problems) were interviewed about the frequency, duration and severity of neck, elbow and shoulder pain and the presence of carpal tunnel syndrome and filled in the Orthotics and Prosthetics User Survey-Upper Extremity Functional Status questionnaire. The most frequent problem was carpal tunnel syndrome, followed by shoulder pain, neck pain and elbow pain. No statistically significant association of deficiency level, cause of deficiency, time since deficiency, extent of daily prosthesis use or type of prosthesis with frequency or severity of pain or number of problems was found. The presence of carpal tunnel syndrome decreased from wearing no prosthesis through aesthetic and body-powered to myoelectric prosthesis (p = 0.014). Factors contributing to overuse problems after upper limb deficiency are not straightforward, so a large multicentric study is warranted. Persons with acquired or congenital upper limb deficiency are under a heightened risk of developing overuse problems but the contributing factors are not clear, so regular individual follow-up is required. © The International Society for Prosthetics and Orthotics 2015.
Nuclear and Particle Physics Simulations: The Consortium of Upper-Level Physics Software
NASA Astrophysics Data System (ADS)
Bigelow, Roberta; Moloney, Michael J.; Philpott, John; Rothberg, Joseph
1995-06-01
The Consortium for Upper Level Physics Software (CUPS) has developed a comprehensive series of Nine Book/Software packages that Wiley will publish in FY `95 and `96. CUPS is an international group of 27 physicists, all with extensive backgrounds in the research, teaching, and development of instructional software. The project is being supported by the National Science Foundation (PHY-9014548), and it has received other support from the IBM Corp., Apple Computer Corp., and George Mason University. The Simulations being developed are: Astrophysics, Classical Mechanics, Electricity & Magnetism, Modern Physics, Nuclear and Particle Physics, Quantum Mechanics, Solid State, Thermal and Statistical, and Wave and Optics.
Earth observation taken by the Expedition 29 crew
2011-11-16
ISS029-E-042846 (16 Nov. 2011) --- Parts of the U.S. and Mexico are seen in this image photographed by one of the Expedition 29 crew members from the International Space Station as it flew above the Pacific Ocean on Nov. 16, 2011. The Salton Sea is in the center of the frame, with the Gulf of Cortez, Mexico's Baja California and the Colorado River in the upper right quadrant. The Los Angeles Basin and Santa Catalina and San Clemente islands are at the bottom center edge of the image. Lake Mead and the Las Vegas area of Nevada even made it into the frame in the upper left quadrant.
The precipitation of energetic heavy ions into the upper atmosphere of Jupiter
NASA Technical Reports Server (NTRS)
Horanyi, M.; Cravens, T. E.; Waite, J. H., Jr.
1987-01-01
Evidence for auroral particle precipitation at Jupiter was provided by the ultraviolet spectrometers onboard the Voyagers 1 and 2 spacecraft and by the International Ultraviolet Explorer (IUE). Magnetospheric measurements made by instruments onboard the Voyager spacecraft show that energetic sulfur and oxygen ions are precipitating into the upper atmosphere of Jupiter. A theoretical model has been constructed describing the interaction of precipitating oxygen with the Jovian atmosphere. The auroral energy is deposited in the atmosphere by means of ionization, excitation, and dissociation and heating of the atmospheric gas. Energetic ion and electron precipitation are shown to have similar effects on the atmosphere and ionosphere of Jupiter.
Comparing process-based breach models for earthen embankments subjected to internal erosion
USDA-ARS?s Scientific Manuscript database
Predicting the potential flooding from a dam site requires prediction of outflow resulting from breach. Conservative estimates from the assumption of instantaneous breach or from an upper envelope of historical cases are readily computed, but these estimates do not reflect the properties of a speci...
76 FR 55648 - Sunsations Inc., Provisional Acceptance of a Settlement Agreement and Order
Federal Register 2010, 2011, 2012, 2013, 2014
2011-09-08
...) 504-7809. SUPPLEMENTARY INFORMATION: The text of the Agreement and Order appears below. Dated... upper outerwear products with drawstrings at the hood or neck. Specifically, from March 2008 through... the hood or neck (sweatshirts), manufactured by GJC International and Top Image USA. From May 2009...
Female Political Participation in Afghanistan: Social Realities and Internal Security
2011-04-15
while women hold seventeen percent ofseats in the upper house.38 In Tajikistan, percentage of seats held by women in parliament is in the teens .39...to campaign. 77 Many women candidates 13 received night letters from extremists, warning them not to seek office. Vandals ruined advertisements
ERIC Educational Resources Information Center
Molik, Bartosz; Laskin, James J.; Kosmol, Andrzej; Skucas, Kestas; Bida, Urszula
2010-01-01
Wheelchair basketball athletes are classified using the International Wheelchair Basketball Federation (IWBF) functional classification system. The purpose of this study was to evaluate the relationship between upper extremity anaerobic performance (AnP) and all functional classification levels in wheelchair basketball. Ninety-seven male athletes…
77 FR 48134 - Combined Notice of Filings #2
Federal Register 2010, 2011, 2012, 2013, 2014
2012-08-13
... DEPARTMENT OF ENERGY Federal Energy Regulatory Commission Combined Notice of Filings 2 Take notice that the Commission received the following electric corporate filings: Docket Numbers: EC12-129-000 Applicants: Baja California Power, Inc, Uluru Finance Limited, China Huaneng Group HK Ltd., Upper Horm Investments Ltd., Overseas International Inc....
Federal Register 2010, 2011, 2012, 2013, 2014
2010-07-07
... DEPARTMENT OF THE INTERIOR United States Geological Survey Notice of Availability of the Final... AGENCY: United States Geological Survey, Interior. ACTION: Notice of Availability (NOA). SUMMARY: In... systems consisting of internal sprinkler systems designed to fit each building's unique layout, function...
Tani Exercises on the RED in Node 1
2008-02-06
ISS016-E-027914 (6 Feb. 2008) --- Astronaut Daniel Tani, Expedition 16 flight engineer, prepares to use the short bar for the Interim Resistive Exercise Device (IRED) to perform upper body strengthening pull-ups. The IRED hardware is located in the Unity node of the International Space Station.
ERIC Educational Resources Information Center
Presperin, Jessica J., Ed.
This proceedings document contains approximately 250 papers and posters presented at a conference on the advancement of rehabilitation and assistive technology. Individual sessions focused on the following topics: quantitative functional evaluation, upper limb and therapeutic stimulation, human-computer interface developments, information…
A History of ESL Instruction in Madison, Wisconsin.
ERIC Educational Resources Information Center
Kuntz, Patricia S.
This paper investigates the emergence of English-as-a- Second-Language (ESL) instruction in Madison, Wisconsin. Like other medium-sized, upper-midwest communities, the demand for ESL instruction has exploded. Despite some visa limitations placed on international students who wish to study English in the United States since September 2001, ESL…
Early harvest: The upper atmosphere and cosmic rays
NASA Technical Reports Server (NTRS)
1980-01-01
Achievements in space science through 1958 are summarized. Topics discussed are: the scheduling of V-2 flights; the development of newer rockets; the testing of spaceborne instruments; the seeking of financial support for space research; and the problems of international cooperation. Special emphasis is placed on atmospheric sounding.
The Educational Attitudes of Private School Educators.
ERIC Educational Resources Information Center
Cookson, Peter W., Jr.
Values about education held by private school educators tend to be those best suited to preparing their mostly middle- and upper-middle-class students for managerial and professional careers. Social scientists have hypothesized that schools readying students for social leadership will stress internalized student behavior norms instead of obedience…
NASA Astrophysics Data System (ADS)
Yatagai, Akiyo; Ritschel, Bernd; Iyemori, Tomohiko; Koyama, Yukinobu; Hori, Tomoaki; Abe, Shuji; Tanaka, Yoshimasa; Shinbori, Atsuki; UeNo, Satoru; Sato, Yuka; Yagi, Manabu
2013-04-01
The upper atmospheric observational study is the area which an international collaboration is crucially important. The Japanese Inter-university Upper atmosphere Global Observation NETwork project (2009-2014), IUGONET, is an inter-university program by the National Institute of Polar Research (NIPR), Tohoku University, Nagoya University, Kyoto University, and Kyushu University to build a database of metadata for ground-based observations of the upper atmosphere. In order to investigate the mechanism of long-term variations in the upper atmosphere, we need to combine various types of in-situ observations and to accelerate data exchange. The IUGONET institutions have been archiving observed data by radars, magnetometers, photometers, radio telescopes, helioscopes, etc. in various altitude layers from the Earth's surface to the Sun. The IUGONET has been developing systems for searching metadata of these observational data, and the metadata database (MDB) has already been operating since 2011. It adopts DSPACE system for registering metadata, and it uses an extension of the SPASE data model of describing metadata, which is widely used format in the upper atmospheric society including that in USA. The European Union project ESPAS (2011-2015) has the same scientific objects with IUGONET, namely it aims to provide an e-science infrastructure for the retrieval and access to space weather relevant data, information and value added services. It integrates 22 partners in European countries. The ESPAS also plans to adopt SPASE model for defining their metadata, but search system is different. Namely, in spite of the similarity of the data model, basic system ideas and techniques of the system and web portal are different between IUGONET and ESPAS. In order to connect the two systems/databases, we are planning to take an ontological method. The SPASE keyword vocabulary, derived from the SPASE data model shall be used as standard for the description of near-earth and space data content and context. The SPASE keyword vocabulary is modeled as Simple Knowledge Organizing System (SKOS) ontology. The SPASE keyword vocabulary also can be reused in domain-related but also cross-domain projects. The implementation of the vocabulary as ontology enables the direct integration into semantic web based structures and applications, such as linked data and the new Information System and Data Center (ISDC) data management system.
NASA Astrophysics Data System (ADS)
Pastacaldi, P.; Bracciaferri, F.; Neri, G.; Porciani, M.; Zolesi, V.
Experiments executed on the upper limb are assuming increasing significance in the frame of the Human Physiology in space, for at least two reasons: -the upper limb is the principal means of locomotion for the subject living in aspace station -fatigue can have a significant effect the hand, for the ordinary work on board,and in particular for the extra-vehicular activities. The degradation of the performances affecting the muscular-skeletal apparatus can be easily recognized on the upper limb, by exerting specific scientific protocols, to be repeated through the permanence of the subject in weightlessness conditions. Also, the effectiveness of adequate counter-measures aimed to the reduction of calcium and muscular mass need to be verified, by means of specific assessments on the upper limb. Another aspect relevant to the effect of microgravity on the upper limb is associated with the alteration of the motor control programs due to the different gravity factor, affecting not only the bio-mechanics of the subject, but in general all his/her psycho- physical conditions, induced by the totally different environment. Specific protocols on the upper limb can facilitate the studies on learning mechanisms for the motor control. The results of such experiments can be transferred to the Earth, useful for treatment of subjects with local traumas or diseases of the Central Nervous System.In the frame of the mission of the Italian astronaut Roberto Vittori on board the International Space Station (ISS), the Italian Space Agency (ASI) has promoted the program "Marco Polo", with a number of experiments devoted to the study of the effect of microgravity on the human body. The experiment CHIRO ("Crew's Health: Investigation on Reduced Operability) is a part of the program. Its purpose is the determination of the influence of the altered gravity on the control of the grip force exerted by the hand or by a group of fingers and the adaptive behavior of this control through the permanence of the subject in the reduced gravity. The instrumentation has been lifted on board the International Space Station (ISS) on 24 March 2002. The experiment will be exe cuted by the astronaut during his permanence on board the ISS, from the 25t h April 2002.
Hamilton, Clayon B; Chesworth, Bert M
2013-11-01
The original 20-item Upper Extremity Functional Index (UEFI) has not undergone Rasch validation. The purpose of this study was to determine whether Rasch analysis supports the UEFI as a measure of a single construct (ie, upper extremity function) and whether a Rasch-validated UEFI has adequate reproducibility for individual-level patient evaluation. This was a secondary analysis of data from a repeated-measures study designed to evaluate the measurement properties of the UEFI over a 3-week period. Patients (n=239) with musculoskeletal upper extremity disorders were recruited from 17 physical therapy clinics across 4 Canadian provinces. Rasch analysis of the UEFI measurement properties was performed. If the UEFI did not fit the Rasch model, misfitting patients were deleted, items with poor response structure were corrected, and misfitting items and redundant items were deleted. The impact of differential item functioning on the ability estimate of patients was investigated. A 15-item modified UEFI was derived to achieve fit to the Rasch model where the total score was supported as a measure of upper extremity function only. The resultant UEFI-15 interval-level scale (0-100, worst to best state) demonstrated excellent internal consistency (person separation index=0.94) and test-retest reliability (intraclass correlation coefficient [2,1]=.95). The minimal detectable change at the 90% confidence interval was 8.1. Patients who were ambidextrous or bilaterally affected were excluded to allow for the analysis of differential item functioning due to limb involvement and arm dominance. Rasch analysis did not support the validity of the 20-item UEFI. However, the UEFI-15 was a valid and reliable interval-level measure of a single dimension: upper extremity function. Rasch analysis supports using the UEFI-15 in physical therapist practice to quantify upper extremity function in patients with musculoskeletal disorders of the upper extremity.
Chesworth, Bert M.
2013-01-01
Background The original 20-item Upper Extremity Functional Index (UEFI) has not undergone Rasch validation. Objective The purpose of this study was to determine whether Rasch analysis supports the UEFI as a measure of a single construct (ie, upper extremity function) and whether a Rasch-validated UEFI has adequate reproducibility for individual-level patient evaluation. Design This was a secondary analysis of data from a repeated-measures study designed to evaluate the measurement properties of the UEFI over a 3-week period. Methods Patients (n=239) with musculoskeletal upper extremity disorders were recruited from 17 physical therapy clinics across 4 Canadian provinces. Rasch analysis of the UEFI measurement properties was performed. If the UEFI did not fit the Rasch model, misfitting patients were deleted, items with poor response structure were corrected, and misfitting items and redundant items were deleted. The impact of differential item functioning on the ability estimate of patients was investigated. Results A 15-item modified UEFI was derived to achieve fit to the Rasch model where the total score was supported as a measure of upper extremity function only. The resultant UEFI-15 interval-level scale (0–100, worst to best state) demonstrated excellent internal consistency (person separation index=0.94) and test-retest reliability (intraclass correlation coefficient [2,1]=.95). The minimal detectable change at the 90% confidence interval was 8.1. Limitations Patients who were ambidextrous or bilaterally affected were excluded to allow for the analysis of differential item functioning due to limb involvement and arm dominance. Conclusion Rasch analysis did not support the validity of the 20-item UEFI. However, the UEFI-15 was a valid and reliable interval-level measure of a single dimension: upper extremity function. Rasch analysis supports using the UEFI-15 in physical therapist practice to quantify upper extremity function in patients with musculoskeletal disorders of the upper extremity. PMID:23813086
NASA Astrophysics Data System (ADS)
Djamaluddin, T.
2006-11-01
t_djamal@hotmail.com Since 1980, the National Institute of Aeronautics and Space (LAPAN) has been carrying out integrated observations of solar activities, geomagnetic disturbance, and ionospheric parameters, as well as other solar-terrestrial relationship research. International collaboration, especially with Japan in the field of solar physics, geomagnetism and equatorial atmosphere and with Australia in the field of ionosphere and upper atmosphere, help us in increasing national capacity building. The international data available on the Internet also helps us in comparing our local data with the global one or in fulfilling our needs of data due to lack of facilities, ground based or space based data. Some results will be reviewed. Preparation for IHY-2007 will also be discussed.
Study of a High-Energy Upper Stage for Future Shuttle Missions
NASA Technical Reports Server (NTRS)
Dressler, Gordon A.; Matuszak, Leo W.; Stephenson, David D.
2003-01-01
Space Shuttle Orbiters are likely to remain in service to 2020 or beyond for servicing the International Space Station and for launching very high value spacecraft. There is a need for a new STS-deployable upper stage that can boost certain Orbiter payloads to higher energy orbits, up to and including Earth-escape trajectories. The inventory of solid rocket motor Inertial Upper Stages has been depleted, and it is unlikely that a LOX/LH2-fueled upper stage can fly on Shuttle due to safety concerns. This paper summarizes the results of a study that investigated a low cost, low risk approach to quickly developing a new large upper stage optimized to fly on the existing Shuttle fleet. Two design reference missions (DRMs) were specified: the James Webb Space Telescope (JWST) and the Space Interferometry Mission (SIM). Two categories of upper stage propellants were examined in detail: a storable liquid propellant and a storable gel propellant. Stage subsystems 'other than propulsion were based largely on heritage hardware to minimize cost, risk and development schedule span. The paper presents the ground rules and guidelines for conducting the study, the preliminary conceptual designs margins, assessments of technology readiness/risk, potential synergy with other programs, and preliminary estimates of development and production costs and schedule spans. Although the Orbiter Columbia was baselined for the study, discussion is provided to show how the results apply to the remaining STS Orbiter fleet.
Wear of matrix overdenture attachments after one to eight years of clinical use.
Fromentin, Olivier; Lassauzay, Claire; Nader, Samer Abi; Feine, Jocelyne; de Albuquerque, Rubens F
2012-03-01
Matrices of unsplinted attachment systems are generally reported to be the weak component of implant overdentures, often requiring frequent maintenance. Clinical wear results in reduced retention of the prosthesis, requiring activation or renewal of the matrix to restore the initial level of retention. The purpose of this retrospective study was to measure the wear of the matrix of a ball attachment after various periods of clinical wear. Seventy specimens of 3 groups of matrices of ball attachments that had been in use for mean periods of 12.3 months (1Y group, n=26), 39.0 months (3Y group, n=28) and 95.6 months (8Y group, n=16) were retrieved from 35 patients (2 specimens per patient) and measured on a coordinate measuring machine equipped with a touch trigger probe. Ten unused matrices were used as controls (CTRL group). The external and internal matrix diameters and deviations from circularity were measured. For the various time periods, the decreases in matrix thickness were calculated and compared with controls. Kruskal-Wallis 1-way ANOVA by ranks, followed by the Mann-Whitney post hoc tests, were conducted to test for differences in median values among groups (α =.05). For the internal upper diameter of the matrices tested, the Kruskal-Wallis and Mann-Whitney tests revealed significant differences for the 3 groups compared to the controls. For group 1Y, a significant difference (P<.001) of the internal upper diameter was found compared to the CTRL group. Compared to the controls, the nonparametric analyses for groups 3Y and 8Y showed significant differences for the internal upper diameter (P<.001) and deviations from circularity (P<.001). For groups 1Y, 3Y and 8Y, matrix thickness losses were 07, 47 and 70 μm, respectively. Within the limitations of this study, it was observed that one year of clinical wear had limited effect on the ball attachment matrices. Three to 8 years of clinical use resulted in a significant decrease of matrix thickness, especially at the tip of the retentive lamellae. Copyright © 2012 The Editorial Council of the Journal of Prosthetic Dentistry. Published by Mosby, Inc. All rights reserved.
NASA Astrophysics Data System (ADS)
Poli, Francesca M.; Kessel, Charles E.
2013-05-01
Plasmas with internal transport barriers (ITBs) are a potential and attractive route to steady-state operation in ITER. These plasmas exhibit radially localized regions of improved confinement with steep pressure gradients in the plasma core, which drive large bootstrap current and generate hollow current profiles and negative magnetic shear. This work examines the formation and sustainment of ITBs in ITER with electron cyclotron heating and current drive. The time-dependent transport simulations indicate that, with a trade-off of the power delivered to the equatorial and to the upper launcher, the sustainment of steady-state ITBs can be demonstrated in ITER with the baseline heating configuration.
Internal Interdecadal Variability in CMIP5 Control Simulations
NASA Astrophysics Data System (ADS)
Cheung, A. H.; Mann, M. E.; Frankcombe, L. M.; England, M. H.; Steinman, B. A.; Miller, S. K.
2015-12-01
Here we make use of control simulations from the CMIP5 models to quantify the amplitude of the interdecadal internal variability component in Atlantic, Pacific, and Northern Hemisphere mean surface temperature. We compare against estimates derived from observations using a semi-empirical approach wherein the forced component as estimated using CMIP5 historical simulations is removed to yield an estimate of the residual, internal variability. While the observational estimates are largely consistent with those derived from the control simulations for both basins and the Northern Hemisphere, they lie in the upper range of the model distributions, suggesting the possibility of differences between the amplitudes of observed and modeled variability. We comment on some possible reasons for the disparity.
Solar-Terrestrial Physics in the 1990s: Key Science Objectives for the IACG Mission Set
NASA Technical Reports Server (NTRS)
1991-01-01
The International Solar-Terrestrial Physics (ISTP) program is an internationally coordinated multi-spacecraft mission that will study the production of the supersonic magnetized solar wind, its interaction with the Earth's magnetosphere, and the resulting transport of plasma, momentum and energy through the magnetosphere and into the ionosphere and upper atmosphere. The mission will involve l4spacecraft to be launched between 1992 and 1996, along with complementary ground-based observations and theoretical programs. A list of the spacecraft, their nominal orbits, and responsible agencies is shown.
11th International Conference on Atmospheric Electricity
NASA Technical Reports Server (NTRS)
Christian, H. J. (Compiler)
1999-01-01
This document contains the proceedings from the 11th International Conference on Atmospheric Electricity (ICAE 99), held June 7-11, 1999. This conference was attended by scientists and researchers from around the world. The subjects covered included natural and artificially initiated lightning, lightning in the middle and upper atmosphere (sprites and jets), lightning protection and safety, lightning detection techniques (ground, airborne, and space-based), storm physics, electric fields near and within thunderstorms, storm electrification, atmospheric ions and chemistry, shumann resonances, satellite observations of lightning, global electrical processes, fair weather electricity, and instrumentation.
Walking model with no energy cost.
Gomes, Mario; Ruina, Andy
2011-03-01
We have numerically found periodic collisionless motions of a walking model consisting of linked rigid objects. Unlike previous designs, this model can walk on level ground at noninfinitesimal speed with zero energy input. The model avoids collisional losses by using an internal mode of oscillation: swaying of the upper body coupled to the legs by springs. Appropriate synchronized internal oscillations set the foot-strike collision to zero velocity. The concept might be of use for energy-efficient robots and may also help to explain aspects of human and animal locomotion efficiency.
Compression force on the upper jaw during neonatal intubation: mannequin study.
Doreswamy, Srinivasa Murthy; Almannaei, Khaled; Fusch, Chris; Shivananda, Sandesh
2015-03-01
Neonatal intubation is a technically challenging procedure, and pressure-related injuries to surrounding structures have been reported. The primary objective of this study was to determine the pressure exerted on the upper jaw during tracheal intubation using a neonatal mannequin. Multidisciplinary care providers working at a neonatal intensive care unit were requested to intubate a neonatal mannequin using the standard laryngoscope and 3.0-mm (internal diameter) endotracheal tube. Compression force exerted was measured by using pressure-sensitive film taped on the upper jaw before every intubation attempt. Pressure, area under pressure and time taken to intubate were compared between the different types of health-care professionals. Thirty care providers intubated the mannequin three times each. Pressure impressions were observed on the developer film after every intubation attempt (n = 90). The mean pressure exerted during intubation across all health-care providers was 568 kPa (SD 78). The mean area placed under pressure was 142 mm(2) (SD 45), and the mean time taken for intubation was 14.7 s (SD 4.3). There was no difference in pressure exerted on the upper jaw between frequent and less frequent intubators. It was found that pressure greater than 400 kPa was inadvertently applied on the upper jaw during neonatal intubation, far exceeding the 250 kPa shown to cause tissue injury in animal models. The upper jaw is exposed to a significant compression force during intubation. Although such exposure is brief, it has the potential to cause tissue injury. Contact of the laryngoscope blade with the upper jaw occurred in all intubation attempts with the currently used design of laryngoscope. © 2014 The Authors. Journal of Paediatrics and Child Health © 2014 Paediatrics and Child Health Division (Royal Australasian College of Physicians).
NASA Astrophysics Data System (ADS)
Fielding, Christopher R.
2006-08-01
Fluvial strata dominated internally by sedimentary structures of interpreted upper flow regime origin are moderately common in the rock record, yet their abundance is not appreciated and many examples may go unnoticed. A spectrum of sedimentary structures is recognised, all of which occur over a wide range of scale: 1. cross-bedding with humpback, sigmoidal and ultimately low-angle cross-sectional foreset geometries (interpreted as recording the transition from dune to upper plane bed bedform stability field), 2. planar/flat lamination with parting lineation, characteristic of the upper plane bed phase, 3. flat and low-angle lamination with minor convex-upward elements, characteristic of the transition from upper plane bed to antidune stability fields, 4. convex-upward bedforms, down- and up-palaeocurrent-dipping, low-angle cross-bedding and symmetrical drapes, interpreted as the product of antidunes, and 5. backsets terminating updip against an upstream-dipping erosion surface, interpreted as recording chute and pool conditions. In some fluvial successions, the entirety or substantial portions of channel sandstone bodies may be made up of such structures. These Upper Flow Regime Sheets, Lenses and Scour Fills (UFR) are defined herein as an extension of Miall's [Miall, A.D., 1985. Architectural-element analysis: a new method of facies analysis applied to fluvial deposits. Earth Sci. Rev. 22: 261-308.] Laminated Sand Sheets architectural element. Given the conditions that favour preservation of upper flow regime structures (rapid changes in flow strength), it is suggested that the presence of UFR elements in ancient fluvial successions may indicate sediment accumulation under the influence of a strongly seasonal palaeoclimate that involves a pronounced seasonal peak in precipitation and runoff.
NASA Astrophysics Data System (ADS)
Kohút, Milan; Hofmann, Mandy; Havrila, Milan; Linnemann, Ulf; Havrila, Jakub
2018-01-01
The Late Triassic timescale, especially the Carnian-Norian boundary, is poorly constrained mainly due to a paucity of high-precision radio-isotopic ages that can be related accurately to contradictions between the biostratigraphic and magnetostratigraphic correlations. LA ICP-MS dating of detrital zircons from five samples of the Lunz Formation—the Upper Triassic siliciclastic sediments from the Western Carpathians (Slovakia)—provided a wide spectrum of ages that vary from Late Archaean (ca. 2582 Ma) to Triassic (ca. 216 Ma). These marine delta sediments represent a typical product of the "Carnian Crisis"—a major climate change and biotic turnover that occurred during the Carnian stage in the Tethys Ocean within the carbonate shelf and intrashelf basins in the Northern Calcareous Alps and the Western Carpathians. The supply of clastic material in the studied Lunz Formation was derived from several sources, especially: (i) from the recycled Variscan orogen; (ii) from the remote East European Platform; and (iii) from the contemporaneous Triassic volcanic sources. Syn-sedimentary volcanic zircons with a concordia age of 221.2 ± 1.6 Ma (calculated from 12 single analyses) represent the maximum age of deposition of the Lunz Formation, and demonstrate that the upper limit of the "Carnian Crisis" and/or the Carnian stage in the Alpine-Carpathians realm is younger than the current age of the Carnian-Norian boundary at ca. 227 Ma listed on the International Chronostratigraphic Chart (International Commission on Stratigraphy 2016/12 Edition).
NASA Astrophysics Data System (ADS)
Schultz, Eric D.; Wilde, Paul D.
2013-09-01
For the International Space Station (ISS), it can take 6 to 24 hours to reliably catalog a newly disposed upper stage and up to 33 hours to plan and execute an avoidance maneuver. This creates a gap in the existing collision risk protection for newly launched vehicles, which covers the period when these launched objects are still under propulsive control; specifically, upper stage separation plus 100 minutes for most missions. This gap results in a vulnerability of the ISS from the end of current "Launch Collision Avoidance (COLA)" protection until approximately launch plus 56 hours.In order to help mitigate this gap, conjunction analyses are being developed that identify launch times when the disposed upper stage could violate safe separation distances from the ISS. Launch window cut-out times can be determined from the analysis and implemented to protect the ISS.The COLA Gap is considered to be a risk to ISS operations and vehicle safety. Methods can be used to mitigate the risk, but the criteria and process need to be established and developed in order to reduce operational disruptions and potential risk to ISS vehicle. New requirements and analytical methods can close the current COLA gap with minimal impact to typical launch windows for Geo-Transfer Orbit (GTO) and direct injection missions. Also, strategies can be established to produce common standards in the U.S. and the world to close the current Launch COLA gap.
Uswatte, Gitendra; Taub, Edward; Morris, David; Vignolo, Mary; McCulloch, Karen
2005-11-01
In research on Constraint-Induced Movement (CI) therapy, a structured interview, the Motor Activity Log (MAL), is used to assess how stroke survivors use their more-impaired arm outside the laboratory. This article examines the psychometrics of the 14-item version of this instrument in 2 chronic stroke samples with mild-to-moderate upper-extremity hemiparesis. Participants (n=41) in the first study completed MALs before and after CI therapy or a placebo control procedure. In addition, caregivers independently completed a MAL on the participants. Participants (n=27) in the second study completed MALs and wore accelerometers that monitored their arm movements for 3 days outside the laboratory before and after an automated form of CI therapy. Validity of the participant MAL Quality of Movement (QOM) scale was supported. Correlations between pretreatment-to-posttreatment change scores on the participant QOM scale and caregiver MAL QOM scale, caregiver MAL amount of use (AOU) scale, and accelerometer recordings were 0.70, 0.73, and 0.91 (P<0.01), respectively. Internal consistency (alpha>0.81), test-retest reliability (r>0.91), stability, and responsiveness (ratio>3) of the participant QOM scale were also supported. The participant AOU and caregiver QOM and AOU scales were internally consistent, stable, and sensitive, but were not reliable. The participant MAL QOM scale can be used exclusively to reliably and validly measure real-world, upper-extremity rehabilitation outcome and functional status in chronic stroke patients with mild-to-moderate hemiparesis.
Lüders, Stephan; Krüger, Ralf; Zemmrich, Claudia; Forstner, Klaus; Sturm, Claus-Dieter; Bramlage, Peter
2012-12-01
The present study aimed to validate the automated upper arm blood pressure (BP) measuring device BM 44 for home BP monitoring according to the 2002 Protocol of the European Society of Hypertension. The most important new feature of the new device was an integrated 'WHO indicator', which categorizes the patient's individual result within the WHO recommendations for target BP by a coloured scale. Systolic and diastolic BPs were measured sequentially in 35 adult participants (16 men, 19 women) using a standard mercury y-tubed reference sphygmomanometer (two observers) and the BM 44 device (one supervisor). Ninety-nine pairs of comparisons were obtained from 15 participants in phase 1 and a further 18 participants in phase 2 of the validation study. The BM 44 device passed phase 1 of the validation study successfully with a number of absolute differences between device and observers of 5, 10 and 15 mmHg for at least 28 out of 25, 35 out of 35 and 40 out of 40 measurements, respectively. The device also achieved the targets for phases 2.1 and 2.2, with 23 and 26 participants having had at least two of three device-observers differences within 5 mmHg for systolic and diastolic BP, respectively. The Beurer BM 44 upper arm BP monitor has passed the International Protocol requirements, and hence can be recommended for home use in adults. © 2012 Wolters Kluwer Health | Lippincott Williams & Wilkins.
Castro, Marcelo Peduzzi de; Fonseca, Pedro; Morais, Sara Tribuzi; Borgonovo-Santos, Márcio; Coelho, Eduardo Filipe Cruz; Ribeiro, Daniel Cury; Vilas-Boas, João Paulo
2017-12-04
The aim of the present study was to determine which approach to calculating shoulder ratios is the most sensitive for determining shoulder torque imbalance in handball players. Twenty-six participants (handball athletes, n = 13; healthy controls, n = 13) performed isokinetic concentric and eccentric shoulder internal rotation (IR) and external rotation (ER) assessment at 60, 180 and 300°/s. We used eight approaches to calculating shoulder ratios: four concentric (i.e. concentric ER torque divided by concentric IR torque), and four functional (i.e. eccentric ER torque divided by concentric IR torque) at the velocities of 60, 180 and 300°/s for both IR and ER, and combining 60°/s of ER and 300°/s of IR. A three factorial ANOVA (factors: shoulder ratios, upper limb sides, and groups) along with Tukey's post-hoc analysis, and effect sizes were calculated. The findings suggested the functional shoulder ratio combining 60°/s of ER and 300°/s of IR is the most sensitive to detect differences between upper limbs for handball players, and between players and controls for the dominant side. The functional shoulder ratio combining 60°/s of ER with 300°/s of IR seems to present advantages over the other approaches for identifying upper limb asymmetries and differences in shoulder torque balance related to throwing.
2. VIEW OF RUINS OF FINE ORE MILL (FEATURE 20), ...
2. VIEW OF RUINS OF FINE ORE MILL (FEATURE 20), FACING NORTH-NORTHWEST. PORTION OF HEADFRAME AND STORAGE TANKS (FEATURE 18) VISIBLE IN UPPER RIGHT CORNER OF PHOTOGRAPH. - Copper Canyon Camp of the International Smelting & Refining Company, Ruins of the Fine Ore Mill, Copper Canyon, Battle Mountain, Lander County, NV
ERIC Educational Resources Information Center
Ledman, Kristina; Rosvall, Per-Åke; Nylund, Mattias
2018-01-01
Sweden is internationally commended for a high degree of gender equality, but many divisions in Swedish society, including the labour market, disadvantage women. This paper addresses gendered divisions of preparation for civic participation in the vocational upper secondary national curricula, which may participate in reproduction of the pattern.…
Softball: Nothing Soft about It
ERIC Educational Resources Information Center
Nachtigal, Jon; Kim, Minhyun; Lee, Kyongmin; Seidler, Todd; Stocz, Mike
2016-01-01
Softball is a popular sport in the United States and continues to grow internationally. It is a team sport that enables females and males of all age groups to participate. Softball is an enjoyable and exciting sport and provides significant health benefits, such as enhancing fitness as well as upper- and lower-body strength. Additionally,…
The Northeast Ghana Savannah Project--A Case Study in Project Design.
ERIC Educational Resources Information Center
Matlock, W. Gerald; Johnson, Jack D.
This report examines a project design for land degradation problems in the northern and upper regions of Ghana. The project was jointly sponsored by the Ghana Council for Scientific and Industrial Research and the Agency for International Development. The council is responsible for coordinating the activities of 10 independent research institutes.…
Teaching and Learning Global Urban Geography: An International Learning-Centred Approach
ERIC Educational Resources Information Center
Kenna, Therese
2017-01-01
The recent drive for the internationalization of curricula, together with calls for the internationalization of the sub-discipline of urban geography beyond the "west", and the growing shift towards learning-centred paradigms in higher education, provided impetus for the design and delivery of an upper level undergraduate urban geography…
Earth Observations taken by the Expedition 39 Crew
2014-05-03
ISS039-E-018314 (3 May 2014) --- One of the Expedition 39 crew members aboard the International Space Station recorded this still image of the Aurora Australis when the orbital outpost was passing over the Indian Ocean on May 3, 2014. Hardware on the station is seen as a silhouette in upper left.
The field performance evaluation of the in-situ bioremediation system at Libby, Montana Superfund Site indicated that treatment appears to have occurred in the water phase under the influence of the treatment injection system. Reduced inorganic compounds may have exerted a deman...
Kotov exercises on the SchRED during Expedition 15
2007-05-06
ISS015-E-08320 (6 May 2007) --- Cosmonaut Oleg V. Kotov, Expedition 15 flight engineer representing Russia's Federal Space Agency, uses the short bar for the Interim Resistive Exercise Device (IRED) to perform upper body strengthening pull-ups. The IRED hardware is located in the Unity node of the International Space Station.
Williams exercises with short bar from the IRED in the Node 1 during Expedition 15
2007-05-07
ISS015-E-06911 (7 May 2007) --- Astronaut Sunita L. Williams, Expedition 15 flight engineer, uses the short bar for the Interim Resistive Exercise Device (IRED) to perform upper body strengthening pull-ups. The IRED hardware is located in the Unity node of the International Space Station.
Due to large-volume commercial uses as an intermediate and for water disinfection, chlorine (Cl2) is an important hazardous air pollutant (HAP). Inhaled Cl2 causes irritant effects in the respiratory tract. We conducted studies to characterize determinants...
Assessing the Development of Cultural Proficiency among Upper-Level Social Work Students
ERIC Educational Resources Information Center
Rahill, Guitele J.; Joshi, Manisha; Lucio, Robert; Bristol, Brittany; Dionne, Ariele; Hamilton, Alexis
2016-01-01
Graduate social work pedagogy is challenging to diverse faculty and students who work with diverse clients, often in international practice. We discuss the development, outcomes, and assessment of an assignment designed to stimulate students' research on proverbs as cultural resources for practice and to promote attainment of six competencies…
ERIC Educational Resources Information Center
Moller, Kerstin; Danermark, Berth
2007-01-01
The study describes environmental and personal factors that, from the student perspective, impede participation in education in secondary upper schools by students with postlingual deafblindness. The discussion is framed by the International Classification of Functioning, Disability, and Health. The researchers use the theory of social recognition…
Female Secondary School Principals: Equity in the Development of Professional Identities
ERIC Educational Resources Information Center
Murakami, Elizabeth T.; Törnsen, Monika
2017-01-01
This study examines two female principals in upper secondary schools and the development of their professional identities, focusing on schools in Sweden and Texas, USA. The study is part of a larger international research project with global conversations about what successful leadership means, and asks: in what ways do female secondary school…
ABSTRACT Formaldehyde, a nasal carcinogen, is also an endogenous compound that is present in all living cells. Due to its high solubility and reactivity, quantitative risk estimates for inhaled formaldehyde rely on internal dose calculations in the upper respiratory tract which ...
2003-06-26
VANDENBERG AIR FORCE BASE, CALIF. - At Vandenberg Air Force Base, Calif., the Pegasus launch vehicle is moved toward its hangar. The Pegasus will carry the SciSat-1 spacecraft in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
The Origin of the Optical Flashes: The Case Study of GRB 080319B and GRB 130427A
NASA Astrophysics Data System (ADS)
Fraija, N.; Veres, P.
2018-05-01
Correlations between optical flashes and gamma-ray emissions in gamma-ray bursts (GRBs) have been searched in order to clarify the question of whether these emissions occur at internal and/or external shocks. Among the most powerful GRBs ever recorded are GRB 080319B and GRB 130427A, which at early phases presented bright optical flashes possibly correlated with γ-ray components. Additionally, both bursts were fortuitously located within the field of view of the TeV γ-ray Milagro and HAWC observatories, and although no statistically significant excess of counts were collected, upper limits were placed on the GeV–TeV emission. Considering the synchrotron self-Compton emission from internal shocks and requiring the GeV–TeV upper limits, we found that the optical flashes and the γ-ray components are produced by different electron populations. Analyzing the optical flashes together with the multiwavelength afterglow observation, we found that these flashes can be interpreted in the framework of the synchrotron reverse shock model when outflows have arbitrary magnetizations.
NASA Technical Reports Server (NTRS)
Paden, Cynthia A.; Winant, Clinton D.; Abbott, Mark R.
1991-01-01
SST variability in the northern Gulf of California is examined on the basis of findings of two years of satellite infrared imagery (1984-1986). Empirical orthogonal functions of the temporal and spatial SST variance for 20 monthly mean images show that the dominant SST patterns are generated by spatially varying tidal mixing in the presence of seasonal heating and cooling. Atmospheric forcing of the northern gulf appears to occur over large spatial scales. Area-averaged SSTs for the Guaymas Basin, island region, and northern basin exhibit significant fluctuations which are highly correlated. These fluctuations in SST correspond to similar fluctuations in the air temperature which are related to synoptic weather events over the gulf. A regression analysis of the SST relative to the fortnightly tidal range shows that tidal mixing occurs over the sills in the island region as well as on the shallow northern shelf. Mixing over the sills occurs as a result of large breaking internal waves of internal hydraulic jumps which mix over water in the upper 300-500 m.
NASA Technical Reports Server (NTRS)
Hinson, D. P.
1983-01-01
The refractive index of planetary atmospheres at microwave frequencies is discussed. Physical models proposed for the refractive irregularities in the ionosphere and neutral atmosphere serve to characterize the atmospheric scattering structures, and are used subsequently to compute theoretical scintillation spectra for comparison with the Voyager occultation measurements. A technique for systematically analyzing and interpreting the signal fluctuations observed during planetary occultations is presented and applied to process the dual-wavelength data from the Voyager radio occultations by Jupiter, Saturn, and Titan. Results concerning the plasma irregularities in the upper ionospheres of Jupiter and Saturn are reported. The measured orientation of the irregularities is used to infer the magnetic field direction at several locations in the ionospheres of these two planets; the occultation measurements conflict with the predictions of Jovian magnetic field models, but generally confirm current models of Saturn's field. Wave parameters, including the vertical fluxes of energy and momentum, are estimated, and the source of the internal gravity waves discovered in Titan's upper atmosphere is considered.
NASA Astrophysics Data System (ADS)
Gasco, Ivano; Gattiglio, Marco; Borghi, Alessandro
2013-01-01
Detailed geological mapping combined with micro-structural and petrological investigation allowed to clarify the tectono-metamorphic relationships between continental and oceanic units transition in the Penninic domain of the Western Alps. The three study areas (Gressoney, Orco and Susa sections) take into consideration the same structural level across the axial metamorphic belt of the Western Italian Alps, i.e., a geological section across the Internal Crystalline Massifs vs Piedmont Zone boundary. The units outcropping in these areas can be grouped into two Tectonic Elements according to their tectono-metamorphic evolution. The Lower Tectonic Element (LTE) consists of the Internal Crystalline Massifs and the Lower Piedmont Zone (Zermatt-Saas like units), both showing well preserved eclogite facies relics. Instead, the Upper Tectonic Element (UTE) consists of the Upper Piedmont Zone (Combin like units) lacking evidence of eclogite facies relics. In the Lower Tectonic Element two main Alpine tectono-metamorphic stages were identified: M1/D1 developed under eclogite facies conditions and M2/D2 is related to the development of the regional foliation under greenschist to epidote-albite amphibolite facies conditions. In the Upper Tectonic Element the metamorphic stage M1/D1 developed under bluschist to greenschist facies conditions and M2/D2 stage under greenschist facies conditions. These two Tectonic Elements are separated by a tectonic contact of regional importance generally developed along the boundary between the Lower and the Upper Piedmont zone under greenschist facies conditions. PT data compared to geochronology indicate that the first exhumation of ICM can be explained by buoyancy forces acting along the subduction channel that occurred during the tectonic coupling between the continental and oceanic eclogite units. These buoyancy forces vanished at the base of the crust where the density difference between the subducted crustal units and the surroundings rocks is too low. A stage where compression prevails on the previous exhumation followed, which leads to the development of the regional foliation under greenschist to amphibolite facies metamorphic conditions. Further exhumation occurred after the M2/D2 stage at shallower crustal levels along conjugated shear zones leading to the development of a composite axial dome consisting of eclogite-bearing continental-oceanic units (ICM and Zermatt-Saas Zones) beneath greenschist ones (Combin Zone).
Earth Observations taken by the Expedition 11 crew
2005-05-28
ISS011-E-07380 (28 May 2005) --- The Port of Rotterdam, Netherlands, is featured in this image photographed by an Expedition 11 crewmember on the International Space Station (ISS). The Port of Rotterdam, also known as Europoort (Eurogate), has been an important trading center since approximately 1250 A.D. This image illustrates the close proximity of the Europoort with the surrounding cities of Hoek van Holland, Oostvoorne, Brielle, and agricultural fields to the south. The presence of the port and its seawalls interrupts southward-flowing coastal currents, leading to accumulation of sediment to the south (upper left of image). Numerous ship wakes are visible within the port complex itself and in the upper right of the image.
NASA Technical Reports Server (NTRS)
Bienkowski, G. K.
1983-01-01
A Monte Carlo program was developed for modeling the flow field around the space shuttle in the vicinity of the shuttle upper atmosphere mass spectrometer experiment. The operation of the EXTERNAL code is summarized. Issues associated with geometric modeling of the shuttle nose region and the modeling of intermolecular collisions including rotational energy exchange are discussed as well as a preliminary analysis of vibrational excitation and dissociation effects. The selection of trial runs is described and the parameters used for them is justified. The original version and the modified INTERNAL code for the entrance problem are reviewed. The code listing is included.
An energy/emissions/economic analysis resource for north Moravia, upper Silesia, and Kisuca
DOE Office of Scientific and Technical Information (OSTI.GOV)
Walder, V.
1995-12-31
The United States Agency for International Development (USAID) is sponsoring the Technology Transfer Network (TTN) which is centered in Ostrava, Czech Republic. The primary objective of the TTN is to provide a resource for municipalities, industries, and companies interested in reducing air pollution, improving energy efficiency, and implementing projects in North Moravia, Upper Silesia, and Kisuca. The TTN is providing a communications network (newsletters, mailings, and other media), seminars, workshops, software, access to past and ongoing studies, and a database of U.S. vendors supporting the region. Seminars and major communication material of the TTN will be provided in Czech/Slovak, Polish,more » and English as appropriate.« less
The upper bounds of reduced axial and shear moduli in cross-ply laminates with matrix cracks
NASA Technical Reports Server (NTRS)
Lee, Jong-Won; Allen, D. H.; Harris, C. E.
1991-01-01
The present study proposes a mathematical model utilizing the internal state variable concept for predicting the upper bounds of the reduced axial and shear stiffnesses in cross-ply laminates with matrix cracks. The displacement components at the matrix crack surfaces are explicitly expressed in terms of the observable axial and shear strains and the undamaged material properties. The reduced axial and shear stiffnesses are predicted for glass/epoxy and graphite/epoxy laminates. Comparison of the model with other theoretical and experimental studies is also presented to confirm direct applicability of the model to angle-ply laminates with matrix cracks subjected to general in-plane loading.
Bayle, Priscilla; Macchiarelli, Roberto; Trinkaus, Erik; Duarte, Cidália; Mazurier, Arnaud; Zilhão, João
2010-01-01
Neandertals differ from recent and terminal Pleistocene human populations in their patterns of dental development, endostructural (internal structure) organization, and relative tissue proportions. Although significant changes in craniofacial and postcranial morphology have been found between the Middle Paleolithic and earlier Upper Paleolithic modern humans of western Eurasia and the terminal Pleistocene and Holocene inhabitants of the same region, most studies of dental maturation and structural morphology have compared Neandertals only to later Holocene humans. To assess whether earlier modern humans contrasted with later modern populations and possibly approached the Neandertal pattern, we used high-resolution microtomography to analyze the remarkably complete mixed dentition of the early Upper Paleolithic (Gravettian) child from Abrigo do Lagar Velho, Portugal, and compared it to a Neandertal sample, the late Upper Paleolithic (Magdalenian) child of La Madeleine, and a worldwide extant human sample. Some aspects of the dental maturational pattern and tooth endostructural organization of Lagar Velho 1 are absent from extant populations and the Magdalenian specimen and are currently documented only among Neandertals. Therefore, a simple Neandertal versus modern human dichotomy is inadequate to accommodate the morphostructural and developmental variation represented by Middle Paleolithic and earlier Upper Paleolithic populations. These data reinforce the complex nature of Neandertal-modern human similarities and differences, and document ongoing human evolution after the global establishment of modern human morphology. PMID:20080622
Multi-model attribution of upper-ocean temperature changes using an isothermal approach.
Weller, Evan; Min, Seung-Ki; Palmer, Matthew D; Lee, Donghyun; Yim, Bo Young; Yeh, Sang-Wook
2016-06-01
Both air-sea heat exchanges and changes in ocean advection have contributed to observed upper-ocean warming most evident in the late-twentieth century. However, it is predominantly via changes in air-sea heat fluxes that human-induced climate forcings, such as increasing greenhouse gases, and other natural factors such as volcanic aerosols, have influenced global ocean heat content. The present study builds on previous work using two different indicators of upper-ocean temperature changes for the detection of both anthropogenic and natural external climate forcings. Using simulations from phase 5 of the Coupled Model Intercomparison Project, we compare mean temperatures above a fixed isotherm with the more widely adopted approach of using a fixed depth. We present the first multi-model ensemble detection and attribution analysis using the fixed isotherm approach to robustly detect both anthropogenic and natural external influences on upper-ocean temperatures. Although contributions from multidecadal natural variability cannot be fully removed, both the large multi-model ensemble size and properties of the isotherm analysis reduce internal variability of the ocean, resulting in better observation-model comparison of temperature changes since the 1950s. We further show that the high temporal resolution afforded by the isotherm analysis is required to detect natural external influences such as volcanic cooling events in the upper-ocean because the radiative effect of volcanic forcings is short-lived.
Multi-model attribution of upper-ocean temperature changes using an isothermal approach
NASA Astrophysics Data System (ADS)
Weller, Evan; Min, Seung-Ki; Palmer, Matthew D.; Lee, Donghyun; Yim, Bo Young; Yeh, Sang-Wook
2016-06-01
Both air-sea heat exchanges and changes in ocean advection have contributed to observed upper-ocean warming most evident in the late-twentieth century. However, it is predominantly via changes in air-sea heat fluxes that human-induced climate forcings, such as increasing greenhouse gases, and other natural factors such as volcanic aerosols, have influenced global ocean heat content. The present study builds on previous work using two different indicators of upper-ocean temperature changes for the detection of both anthropogenic and natural external climate forcings. Using simulations from phase 5 of the Coupled Model Intercomparison Project, we compare mean temperatures above a fixed isotherm with the more widely adopted approach of using a fixed depth. We present the first multi-model ensemble detection and attribution analysis using the fixed isotherm approach to robustly detect both anthropogenic and natural external influences on upper-ocean temperatures. Although contributions from multidecadal natural variability cannot be fully removed, both the large multi-model ensemble size and properties of the isotherm analysis reduce internal variability of the ocean, resulting in better observation-model comparison of temperature changes since the 1950s. We further show that the high temporal resolution afforded by the isotherm analysis is required to detect natural external influences such as volcanic cooling events in the upper-ocean because the radiative effect of volcanic forcings is short-lived.
Song, Ji Soo; Kwak, Hyo Sung; Byon, Jung Hee; Jin, Gong Yong
2017-05-01
To compare the apparent diffusion coefficient (ADC) of upper abdominal organs acquired at different time points, and to investigate the usefulness of normalization. We retrospectively evaluated 58 patients who underwent three rounds of magnetic resonance (MR) imaging including diffusion-weighted imaging of the upper abdomen. MR examinations were performed using three different 3.0 Tesla (T) and one 1.5T systems, with variable b value combinations and respiratory motion compensation techniques. The ADC values of the upper abdominal organs from three different time points were analyzed, using the ADC values of the paraspinal muscle (ADC psm ) and spleen (ADC spleen ) for normalization. Intraclass correlation coefficients (ICC) and comparison of dependent ICCs were used for statistical analysis. The ICCs of the original ADC and ADC psm showed fair to substantial agreement, while ADC spleen showed substantial to almost perfect agreement. The ICC of ADC spleen of all anatomical regions showed less variability compared with that of the original ADC (P < 0.005). Normalized ADC using the spleen as a reference organ significantly decreased variability in measurement of the upper abdominal organs in different MR systems at different time points and could be regarded as an imaging biomarker for future multicenter, longitudinal studies. 5 J. MAGN. RESON. IMAGING 2017;45:1494-1501. © 2016 International Society for Magnetic Resonance in Medicine.
Thorborg, K; Bandholm, T; Schick, M; Jensen, J; Hölmich, P
2013-08-01
Handheld dynamometry (HHD) is a promising tool for obtaining reliable hip strength measurements in the clinical setting, but intertester reliability has been questioned, especially in situations where testers exhibit differences in upper-extremity muscle strength (male vs female). The purpose of this study was to examine the intertester reliability concerning strength assessments of hip abduction, adduction, external and internal rotation, flexion and extension using HHD, and to test whether systematic differences in test values exist between testers of different upper-extremity strength. Fifty healthy individuals (29 women), aged 25 ± 5 years were included. Two physiotherapist students (one female, one male) of different upper-extremity strength performed the measurements. The tester order and strength test order were randomized. Intraclass correlation coefficients were used to quantify reliability, and ranged from 0.82 to 0.91 for the six strength test. The female tester systematically measured lower strength values for all isometric strength tests (P < 0.05). In hip strength assessments using HHD, systematic bias exists between testers of different sex, which is likely explained by differences in upper-extremity strength. Hence, to improve intertester reliability, the dynamometer likely needs external fixation, as this will eliminate the influence of differences in upper-extremity strength between testers. © 2011 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.
NASA Astrophysics Data System (ADS)
Pasquet, Simon; Bouruet-Aubertot, Pascale; Reverdin, Gilles; Turnherr, Andreas; Laurent, Lou St.
2016-06-01
The relevance of finescale parameterizations of dissipation rate of turbulent kinetic energy is addressed using finescale and microstructure measurements collected in the Lucky Strike segment of the Mid-Atlantic Ridge (MAR). There, high amplitude internal tides and a strongly sheared mean flow sustain a high level of dissipation rate and turbulent mixing. Two sets of parameterizations are considered: the first ones (Gregg, 1989; Kunze et al., 2006) were derived to estimate dissipation rate of turbulent kinetic energy induced by internal wave breaking, while the second one aimed to estimate dissipation induced by shear instability of a strongly sheared mean flow and is a function of the Richardson number (Kunze et al., 1990; Polzin, 1996). The latter parameterization has low skill in reproducing the observed dissipation rate when shear unstable events are resolved presumably because there is no scale separation between the duration of unstable events and the inverse growth rate of unstable billows. Instead GM based parameterizations were found to be relevant although slight biases were observed. Part of these biases result from the small value of the upper vertical wavenumber integration limit in the computation of shear variance in Kunze et al. (2006) parameterization that does not take into account internal wave signal of high vertical wavenumbers. We showed that significant improvement is obtained when the upper integration limit is set using a signal to noise ratio criterion and that the spatial structure of dissipation rates is reproduced with this parameterization.
Zamaninezhad, Ladan; Hohmann, Volker; Büchner, Andreas; Schädler, Marc René; Jürgens, Tim
2017-02-01
This study introduces a speech intelligibility model for cochlear implant users with ipsilateral preserved acoustic hearing that aims at simulating the observed speech-in-noise intelligibility benefit when receiving simultaneous electric and acoustic stimulation (EA-benefit). The model simulates the auditory nerve spiking in response to electric and/or acoustic stimulation. The temporally and spatially integrated spiking patterns were used as the final internal representation of noisy speech. Speech reception thresholds (SRTs) in stationary noise were predicted for a sentence test using an automatic speech recognition framework. The model was employed to systematically investigate the effect of three physiologically relevant model factors on simulated SRTs: (1) the spatial spread of the electric field which co-varies with the number of electrically stimulated auditory nerves, (2) the "internal" noise simulating the deprivation of auditory system, and (3) the upper bound frequency limit of acoustic hearing. The model results show that the simulated SRTs increase monotonically with increasing spatial spread for fixed internal noise, and also increase with increasing the internal noise strength for a fixed spatial spread. The predicted EA-benefit does not follow such a systematic trend and depends on the specific combination of the model parameters. Beyond 300 Hz, the upper bound limit for preserved acoustic hearing is less influential on speech intelligibility of EA-listeners in stationary noise. The proposed model-predicted EA-benefits are within the range of EA-benefits shown by 18 out of 21 actual cochlear implant listeners with preserved acoustic hearing. Copyright © 2016 Elsevier B.V. All rights reserved.
NASA Technical Reports Server (NTRS)
White, Warren B.; Cayan, Daniel R.; Dettinger, Michael; Sharber, James (Technical Monitor)
2001-01-01
Earlier, we found time sequences of basin- and global-average upper ocean temperature (that is, diabatic heat storage above the main pycnocline) for 40 years from 1955-1994 and of sea surface temperature for 95 years from 1900-1994 associated with changes in the Sun's radiative forcing on decadal and interdecadal timescales, lagging by 10 deg.- 30 deg. of phase and confined to the upper 60-120 m. Yet, the observed changes in upper ocean temperature (approx. 0.1 K) were approximately twice those expected from the Stefan-Boltzmann black-body radiation law for the Earth's surface, with phase lags (0 deg. to 30 deg. of phase) much shorter than the 90 deg. phase shift expected as well. Moreover, White et al. (1997, 1998) found the Earth's global decadal mode in covarying SST and SLP anomalies phase locked to the decadal signal in the Sun's irradiance. Yet, Allan (2000) found this decadal signal also characterized by patterns similar to those observed on biennial and interannual time scales; that is, the Troposphere Biennial Oscillation (TBO) and the El Nino and the Southern Oscillation (ENSO). This suggested that small changes in the Sun's total irradiance could excite this global decadal mode in the Earth's ocean-atmosphere-terrestrial system similar to those excited internally on biennial and interannual period scales. This is a significant finding, proving that energy budget models (that is, models based on globally-averaged radiation balances) yield unrealistic responses. Thus, the true response must include positive and negative feedbacks in the Earth's ocean-atmosphere-terrestrial system as its internal mode (that is, the natural mode of the system) respond in damped resonance to quasi-periodic decadal changes in the Sun's irradiance. Moreover, these responses are not much different from those occurring internally on biennial and interannual period scales.
Wu, Ning; Zhang, Xuezhong; Wang, Wen; Zhang, Hongye
2016-10-01
This study aimed to evaluate the accuracy of the automated oscillometric upper arm blood pressure (BP) monitor Andon KD5031 for home BP monitoring according to the European Society of Hypertension International Protocol revision 2010. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were sequentially measured in 33 participants using the standard mercury sphygmomanometer and the Andon KD5031 device. Ninety-nine pairs of comparisons were obtained from 33 participants for analysis. The KD5031 device achieved the targets in part 1 of the validation study. The number of absolute differences between the device and the observers within a range of 5, 10, and 15 mmHg was 66/99, 93/99, and 98/99, respectively, for SBP and 72/99, 94/99, and 99/99, respectively, for DBP. The device also achieved the targets in part 2 of the validation study. Twenty-six participants for both SBP and DBP had at least two of the three device-observer differences within 5 mmHg (required ≥24). The number of participants without a device-observer difference within 5 mmHg was one for SBP and three for DBP (required ≤3). The Andon upper arm BP monitor KD5031 has passed the International Protocol requirements, and it can be recommended for clinical use and self-measurement in adults.
Wu, Ning; Zhang, Xuezhong; Wang, Wen; Zhang, Hongye
2016-04-01
This study aimed to evaluate the accuracy of the automated oscillometric upper arm blood pressure monitor Andon KD595 for home blood pressure monitoring according to the European Society of Hypertension International Protocol revision 2010. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were sequentially measured in 33 participants using the standard mercury sphygmomanometer and the Andon KD595 device. Ninety-nine pairs of comparisons were obtained from 33 participants for analysis. The KD595 device achieved the targets in part 1 of the validation study. The number of absolute differences between the device and the observers within a range of 5, 10, and 15 mmHg was 72/99, 93/99, and 96/99, respectively, for SBP and 72/99, 96/99, and 99/99, respectively, for DBP. The device also achieved the targets in part 2 of the validation study. A total of 28 and 25 participants had at least two of the three device-observer differences within 5 mmHg (required≥24) for SBP and DBP, respectively. The number of participants without device-observer difference within 5 mmHg was two for SBP and two for DBP (required≤3). The Andon upper arm blood pressure monitor KD595 has passed the International Protocol requirements and it can be recommended for clinical use and self-measurement in adults.
Endoscopic vacuum therapy for various defects of the upper gastrointestinal tract.
Kuehn, Florian; Loske, Gunnar; Schiffmann, Leif; Gock, Michael; Klar, Ernst
2017-09-01
Postoperative, iatrogenic or spontaneous upper gastrointestinal defects result in significant morbidity and mortality of the patients. In the last few years, endoscopic vacuum therapy (EVT) has been recognized as a new promising method for repairing upper gastrointestinal defects of different etiology. However, probably due to insufficient data and no commercially available system for EVT of the upper gastrointestinal tract, until the end of 2014, covering of esophageal defects with self-expanding metal stents (SEMS) were still the mainstay of endoscopic therapy. The aim of this article is to review the data available about EVT for various upper gastrointestinal defects. A selective literature search was conducted in Medline and PubMed (2007-2016), taking into account all the published case series and case reports reporting on the use of EVT in the management of upper gastrointestinal defects. EVT works through intracorporal application of negative pressure at the defect zone with an electronic controlled vacuum device along a polyurethane sponge drainage. This results in closure of the esophageal defect and internal drainage of the septic focus, simultaneously. Compared to stenting, EVT enables regular viewing of wound conditions with control of the septic focus and adjustment of therapy. Moreover, endoscopical negative pressure is applicable in all esophageal regions (cricopharygeal, tubular, gastroesophageal junction) and in anastomotic anatomic variants. EVT can be used solely as a definite treatment or as a complimentary therapy combined with operative revision. In total, there are published data of more than 200 patients with upper gastrointestinal defects treated with EVT, showing succes rates from 70-100%. The available data indicate that EVT is feasible, safe and effective with good short-term and long-term clinical outcomes in the damage control of upper GI-tract leaks. Still, a prospective multi-center study has to be conducted to proof the definite benefit of EVT for patients with esophageal defects.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Li, Hua, E-mail: huli@radonc.wustl.edu; Chen, Hsin
Purpose: For the first time, MRI-guided radiation therapy systems can acquire cine images to dynamically monitor in-treatment internal organ motion. However, the complex head and neck (H&N) structures and low-contrast/resolution of on-board cine MRI images make automatic motion tracking a very challenging task. In this study, the authors proposed an integrated model-driven method to automatically track the in-treatment motion of the H&N upper airway, a complex and highly deformable region wherein internal motion often occurs in an either voluntary or involuntary manner, from cine MRI images for the analysis of H&N motion patterns. Methods: Considering the complex H&N structures andmore » ensuring automatic and robust upper airway motion tracking, the authors firstly built a set of linked statistical shapes (including face, face-jaw, and face-jaw-palate) using principal component analysis from clinically approved contours delineated on a set of training data. The linked statistical shapes integrate explicit landmarks and implicit shape representation. Then, a hierarchical model-fitting algorithm was developed to align the linked shapes on the first image frame of a to-be-tracked cine sequence and to localize the upper airway region. Finally, a multifeature level set contour propagation scheme was performed to identify the upper airway shape change, frame-by-frame, on the entire image sequence. The multifeature fitting energy, including the information of intensity variations, edge saliency, curve geometry, and temporal shape continuity, was minimized to capture the details of moving airway boundaries. Sagittal cine MR image sequences acquired from three H&N cancer patients were utilized to demonstrate the performance of the proposed motion tracking method. Results: The tracking accuracy was validated by comparing the results to the average of two manual delineations in 50 randomly selected cine image frames from each patient. The resulting average dice similarity coefficient (93.28% ± 1.46%) and margin error (0.49 ± 0.12 mm) showed good agreement between the automatic and manual results. The comparison with three other deformable model-based segmentation methods illustrated the superior shape tracking performance of the proposed method. Large interpatient variations of swallowing frequency, swallowing duration, and upper airway cross-sectional area were observed from the testing cine image sequences. Conclusions: The proposed motion tracking method can provide accurate upper airway motion tracking results, and enable automatic and quantitative identification and analysis of in-treatment H&N upper airway motion. By integrating explicit and implicit linked-shape representations within a hierarchical model-fitting process, the proposed tracking method can process complex H&N structures and low-contrast/resolution cine MRI images. Future research will focus on the improvement of method reliability, patient motion pattern analysis for providing more information on patient-specific prediction of structure displacements, and motion effects on dosimetry for better H&N motion management in radiation therapy.« less
Li, Hua; Chen, Hsin-Chen; Dolly, Steven; Li, Harold; Fischer-Valuck, Benjamin; Victoria, James; Dempsey, James; Ruan, Su; Anastasio, Mark; Mazur, Thomas; Gach, Michael; Kashani, Rojano; Green, Olga; Rodriguez, Vivian; Gay, Hiram; Thorstad, Wade; Mutic, Sasa
2016-08-01
For the first time, MRI-guided radiation therapy systems can acquire cine images to dynamically monitor in-treatment internal organ motion. However, the complex head and neck (H&N) structures and low-contrast/resolution of on-board cine MRI images make automatic motion tracking a very challenging task. In this study, the authors proposed an integrated model-driven method to automatically track the in-treatment motion of the H&N upper airway, a complex and highly deformable region wherein internal motion often occurs in an either voluntary or involuntary manner, from cine MRI images for the analysis of H&N motion patterns. Considering the complex H&N structures and ensuring automatic and robust upper airway motion tracking, the authors firstly built a set of linked statistical shapes (including face, face-jaw, and face-jaw-palate) using principal component analysis from clinically approved contours delineated on a set of training data. The linked statistical shapes integrate explicit landmarks and implicit shape representation. Then, a hierarchical model-fitting algorithm was developed to align the linked shapes on the first image frame of a to-be-tracked cine sequence and to localize the upper airway region. Finally, a multifeature level set contour propagation scheme was performed to identify the upper airway shape change, frame-by-frame, on the entire image sequence. The multifeature fitting energy, including the information of intensity variations, edge saliency, curve geometry, and temporal shape continuity, was minimized to capture the details of moving airway boundaries. Sagittal cine MR image sequences acquired from three H&N cancer patients were utilized to demonstrate the performance of the proposed motion tracking method. The tracking accuracy was validated by comparing the results to the average of two manual delineations in 50 randomly selected cine image frames from each patient. The resulting average dice similarity coefficient (93.28% ± 1.46%) and margin error (0.49 ± 0.12 mm) showed good agreement between the automatic and manual results. The comparison with three other deformable model-based segmentation methods illustrated the superior shape tracking performance of the proposed method. Large interpatient variations of swallowing frequency, swallowing duration, and upper airway cross-sectional area were observed from the testing cine image sequences. The proposed motion tracking method can provide accurate upper airway motion tracking results, and enable automatic and quantitative identification and analysis of in-treatment H&N upper airway motion. By integrating explicit and implicit linked-shape representations within a hierarchical model-fitting process, the proposed tracking method can process complex H&N structures and low-contrast/resolution cine MRI images. Future research will focus on the improvement of method reliability, patient motion pattern analysis for providing more information on patient-specific prediction of structure displacements, and motion effects on dosimetry for better H&N motion management in radiation therapy.
Abbaszadeh-Amirdehi, Maryam; Ansari, Noureddin Nakhostin; Naghdi, Soofia; Olyaei, Gholamreza; Nourbakhsh, Mohammad Reza
2013-01-01
Introduction Dry needling (DN) is an effective method for the treatment of myofascial trigger points (MTrPs). There is no report on the neurophysiological effects of DN in patients with MTrPs. The aim of the present study will be to assess the immediate neurophysiological efficacy of deep DN in patients with upper trapezius MTrPs. Methods and analysis A prospective, controlled clinical trial was designed to include patients with upper trapezius MTrPs and volunteered healthy participants to receive one session of DN. The primary outcome measures are neuromuscular junction response and sympathetic skin response. The secondary outcomes are pain intensity and pressure pain threshold. Data will be collected at baseline and immediately after intervention. Ethics and dissemination This study protocol has been approved by the Research Council, School of Rehabilitation and the Ethics Committee of Tehran University of Medical Sciences. The results of the study will be disseminated in a peer-reviewed journal and presented at international congresses. PMID:23793673
Ennaifer, Rym; B'chir Hamzaoui, Saloua; Larbi, Thara; Romdhane, Hayfa; Abdallah, Maya; Bel Hadj, Najet; M'rad, Sander
2015-03-01
Behçet's disease (BD) is a multisystemic disorder that involves vessels of all sizes. Superior vena cava (SVC) thrombosis is a rare complication that can lead to the development of various collateral pathways. A 31-year-old man presented with SVC syndrome. He had a history of recurrent genital aphthosis. Computed tomography revealed extensive thrombosis of the right internal jugular, axillary, and subclavian veins with collateral circulation. The patient was diagnosed with BD, and he was started on anticoagulation and immunosuppressive therapy. One week later, he presented with haematemesis. Upper gastrointestinal endoscopy disclosed varices in the upper third of the oesophagus with stigmata of recent bleeding. Portal hypertension was ruled out. Anticoagulation therapy was discontinued. He was discharged on immunosuppressive therapy. Bleeding from downhill oesophageal varices should be suspected in any patient presenting with upper gastrointestinal bleeding and a history of SVC syndrome due to BD. Copyright © 2015 Arab Journal of Gastroenterology. Published by Elsevier B.V. All rights reserved.
Assessment of the upper motor neuron in amyotrophic lateral sclerosis.
Huynh, William; Simon, Neil G; Grosskreutz, Julian; Turner, Martin R; Vucic, Steve; Kiernan, Matthew C
2016-07-01
Clinical signs of upper motor neuron (UMN) involvement are an important component in supporting the diagnosis of amyotrophic lateral sclerosis (ALS), but are often not easily appreciated in a limb that is concurrently affected by muscle wasting and lower motor neuron degeneration, particularly in the early symptomatic stages of ALS. Whilst recent criteria have been proposed to facilitate improved detection of lower motor neuron impairment through electrophysiological features that have improved diagnostic sensitivity, assessment of upper motor neuron involvement remains essentially clinical. As a result, there is often a significant diagnostic delay that in turn may impact institution of disease-modifying therapy and access to other optimal patient management. Biomarkers of pathological UMN involvement are also required to ensure patients with suspected ALS have timely access to appropriate therapeutic trials. The present review provides an analysis of current and recently developed assessment techniques, including novel imaging and electrophysiological approaches used to study corticomotoneuronal pathology in ALS. Copyright © 2016 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.
Management by the intensivist of gastrointestinal bleeding in adults and children
2012-01-01
Intensivists are regularly confronted with the question of gastrointestinal bleeding. To date, the latest international recommendations regarding prevention and treatment for gastrointestinal bleeding lack a specific approach to the critically ill patients. We present recommendations for management by the intensivist of gastrointestinal bleeding in adults and children, developed with the GRADE system by an experts group of the French-Language Society of Intensive Care (Société de Réanimation de Langue Française (SRLF), with the participation of the French Language Group of Paediatric Intensive Care and Emergencies (GFRUP), the French Society of Emergency Medicine (SFMU), the French Society of Gastroenterology (SNFGE), and the French Society of Digestive Endoscopy (SFED). The recommendations cover five fields of application: management of gastrointestinal bleeding before endoscopic diagnosis, treatment of upper gastrointestinal bleeding unrelated to portal hypertension, treatment of upper gastrointestinal bleeding related to portal hypertension, management of presumed lower gastrointestinal bleeding, and prevention of upper gastrointestinal bleeding in intensive care. PMID:23140348
Magnetostrophic balance in planetary dynamos - Predictions for Neptune's magnetosphere
NASA Technical Reports Server (NTRS)
Curtis, S. A.; Ness, N. F.
1986-01-01
With the purpose of estimating Neptune's magnetic field and its implications for nonthermal Neptune radio emissions, a new scaling law for planetary magnetic fields was developed in terms of externally observable parameters (the planet's mean density, radius, mass, rotation rate, and internal heat source luminosity). From a comparison of theory and observations by Voyager it was concluded that planetary dynamos are two-state systems with either zero intrinsic magnetic field (for planets with low internal heat source) or (for planets with the internal heat source sufficiently strong to drive convection) a magnetic field near the upper bound determined from magnetostrophic balance. It is noted that mass loading of the Neptune magnetosphere by Triton may play an important role in the generation of nonthermal radio emissions.
Page, Stephen J; Hade, Erinn; Persch, Andrew
2015-01-01
There remains a need for a quickly administered, stroke-specific, bedside measure of active wrist and finger movement for the expanding stroke population. The wrist stability and hand mobility scales of the upper extremity Fugl-Meyer Assessment (w/h UE FM) constitute a valid, reliable measure of paretic UE impairment in patients with active wrist and finger movement. The aim of this study was to determine performance on the w/h UE FM in a stable cohort of survivors of stroke with only palpable movement in their paretic wrist flexors. A single-center cohort study was conducted. Thirty-two individuals exhibiting stable, moderate upper extremity hemiparesis (15 male, 17 female; mean age=56.6 years, SD=10.1; mean time since stroke=4.6 years, SD=5.8) participated in the study, which was conducted at an outpatient rehabilitation clinic in the midwestern United States. The w/h UE FM and Action Research Arm Test (ARAT) were administered twice. Intraclass correlation coefficients (ICCs), Cronbach alpha, and ordinal alpha were computed to determine reliability, and Spearman rank correlation coefficients and Bland-Altman plots were computed to establish validity. Intraclass correlation coefficients for the w/h UE FM and ARAT were .95 and .99, respectively. The w/h UE FM intrarater reliability and internal consistency were greater than .80, and concurrent validity was greater than .70. This also was the first stroke rehabilitative study to apply ordinal alpha to examine internal consistency values, revealing w/h UE FM levels greater than .85. Concurrent validity findings were corroborated by Bland-Altman plots. It appears that the w/h UE FM is a promising tool to measure distal upper extremity movement in patients with little active paretic wrist and finger movement. This finding widens the segment of patients on whom the w/h UE FM can be effectively used and addresses a gap, as commonly used measures necessitate active distal upper extremity movement. © 2015 American Physical Therapy Association.
Cruz, Antonio Augusto Velasco E; Akaishi, Patricia M S; Al-Dufaileej, Mohammed; Galindo-Ferreiro, Alicia
2015-01-01
To describe the use of a lid crease incision for upper eyelid margin rotation in cicatricial entropion combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. Surgical description: The main steps of the procedure consisted of exposure of the entire tarsal plate up to the eyelashes followed by tarsotomy through the conjunctiva. A double-armed 6.0 polyglactin suture was then passed through the distal tarsal fragment to the marginal section of the orbicularis oculi muscle. As the sutures were tied, the distal tarsus advanced over the marginal section, and traction was exerted on the marginal strip of the orbicularis muscle. There were no bolsters or external knots. The pretarsal skin-muscle flap was closed with a 6.0 plain gut suture. We used this procedure at a tertiary hospital in Saudi Arabia from 2013 to 2014. Sixty upper lids of 40 patients (23 women and 17 men) were operated on, with an age range of 44-99 years [mean ± standard deviation (SD) = 70.9 ± 13.01 years]. Bilateral surgery was performed on 21 patients. Follow-up ranged from 1 to 12 months (mean 3.0 ± 2.71 months). Forty percent of the patients (24 lids) had more than 3 months' follow-up. The postoperative lid margin position was good in all cases. Trichiasis (two lashes) was observed in only one patient with unilateral entropion on the medial aspect of the operated lid. The upper lid margin can be effectively rotated through a lid crease incision with internal sutures. The technique combines the main mechanisms of the Wies and Trabut approaches and avoids the use of bolsters or external sutures, which require a second consultation to be removed. Some other lid problems, such as ptosis, retraction, or dermatochalasis, can be concomitantly addressed during the procedure.
NASA Astrophysics Data System (ADS)
Webb, A. G.; He, D.; Yu, H.
2015-12-01
This presentation and another presentation led by Dawn Kellett will preface a ten-minute open discussion on how the Himalayan middle crust was developed and emplaced. Current hypotheses are transitioning from a set including wedge extrusion, channel flow with focused denudation, and tectonic wedging to a revised dichotomy: models with intense upper plate out-of-sequence activity (i.e., tunneling of channel flow, and critical taper wedge behavior) versus models in which the upper plate mainly records basal accretion of horses (i.e., duplexing). Critical taper and duplexing offer a simple contrast that can be illustrated via food analogies. If a wedge is critical, it churns internally like a pile of CheeriosTM cereal pushed up an inclined plane. Stacking of a duplex acts like a deli meat-slicing machine: slice after slice is cut from the intact block to a stack of slices, but neither the block (~down-going plate) nor the stack (~upper plate) features much internal deformation. Thus critical taper and channel tunneling models predict much processing via out-of-sequence deformation, whereas duplexing predicts in-sequence thrusting. The two concepts may be considered end-members. Recent work shows that the Himalayan middle crust has been assembled along a series of mainly southwards-younging thrust faults. The thrust faults separate 1-5 km thick panels that experienced similar metamorphic cycles during different time periods. Out-of-sequence deformation is rare, with its apparent significance enhanced because of the high throw-to-heave ratio of out-of-sequence thrusting. Flattening fabrics developed prior to thrusting have been interpreted to record either (1) southwards channel tunneling across the upper plate, or (2) fabric development during metamorphism of the down-going plate. We will argue that the thrust faults dominantly represent in-sequence duplexing, and therefore conclude that the Himalaya and analogous hot orogens behave like other accretionary orogens.
[Surgical strategy for upper cervical vertebrae instability through the anterior approach].
Huang, Wei-bing; Cai, Xian-hua; Chen, Zhuang-hong; Huang, Ji-feng; Liu, Xi-ming; Wei, Shi-jun
2013-07-01
To explore the choice and effect of internal fixation in treating upper cervical vertebrae instability through anterior approach. From March 2000 to September 2010,83 patients with upper cervical vertebrae instability were treated with internal fixation through anterior approach. There were 59 males and 24 females with a mean age of 42 years old (ranged, 20 to 68). Among these patients, 36 patients were treated with odontoid screw fixation, 16 patients with C1,2 transarticular screw fixation, 23 patients with C2,3 steel plate fixation, 5 patients with odontoid screw and transarticular screw fixation,2 patients with odontoid screw and C2.3 steel plate fixation, 1 patient with C1,2 transarticular screw and C2,3 steel plate fixation. One patient with completely cervical vertebrae cord injury died of pulmonary infection after C1,2 transarticular screw fixation. Other patients were followed up from 8 to 36 months with an average of 15 months. Upper cervical vertebrae stability were restored without vertebral artery and spinal cord injury. Thirty-six patients were treated with odontoid screw fixation and 5 patients were treated with screw combined with transarticular screw fixation obtained bone union in the dentations without bone graft. Among the 16 patients treated with C1,2 transarticular screw fixation, 13 patients obtained bone union after bone graft; 1 patient died of pulmonary infection after surgery; 1 patient with comminuted odontoid fracture of type II C and atlantoaxial anterior dislocation did not obtain bone union after bone graft,but the fibrous healing was strong enough to maintain the atlantoaixal joint stability; 1 patient with obsolete atlantoaxial anterior dislocation were re-treated with Brooks stainless steel wire fixation and bone graft through posterior approach, and finally obtained bone union. It could obtain satisfactory effects depending on the difference of cervical vertebrae instability to choose the correctly surgical method.
Static internal performance of a two-dimensional convergent-divergent nozzle with thrust vectoring
NASA Technical Reports Server (NTRS)
Bare, E. Ann; Reubush, David E.
1987-01-01
A parametric investigation of the static internal performance of multifunction two-dimensional convergent-divergent nozzles has been made in the static test facility of the Langley 16-Foot Transonic Tunnel. All nozzles had a constant throat area and aspect ratio. The effects of upper and lower flap angles, divergent flap length, throat approach angle, sidewall containment, and throat geometry were determined. All nozzles were tested at a thrust vector angle that varied from 5.60 tp 23.00 deg. The nozzle pressure ratio was varied up to 10 for all configurations.
ERIC Educational Resources Information Center
Nagy, Gabriel; Trautwein, Ulrich; Baumert, Jurgen; Koller, Olaf; Garrett, Jessica
2006-01-01
Predictions about processes linking gender to students' choices of advanced courses were derived from the internal/external frame of reference (I/E) model and expectancy value (EV) theory. The predictions were tested for the domains of mathematics and biology using data from 1,148 students attending academically oriented secondary schools in…
A World-System Approach to Post-Catastrophe International Relief
ERIC Educational Resources Information Center
Letukas, Lynn; Barnshaw, John
2008-01-01
As our understanding of disaster shifts from an event concentrated in time and space to a social occasion occurring across time and space, so too must our explanations of disaster shift from theories of the middle range to broader theoretical frameworks. We explore the world-system approach in an effort to understand the upper limits of theory for…
More than a Lingua Franca: Functions of English in a Globalised Educational Language Policy
ERIC Educational Resources Information Center
Hult, Francis M.
2017-01-01
The Swedish educational policy for upper secondary English, which took effect in 2011 and adopts a globalised perspective on language, is explored with respect to how skills and awareness related to local, national, and international roles of English are represented in policy documents. A discourse analytic approach to language policy is used to…
14 CFR 93.53 - Description of area.
Code of Federal Regulations, 2014 CFR
2014-01-01
... the surface to the upper limit of each of the segments described in § 93.55. It is bounded by a line... a line bearing 180° from the intersection of the new Seward Highway and International Airport Road; thence due north to O'Malley Road; thence east along O'Malley Road to its intersection with Lake Otis...
14 CFR 93.53 - Description of area.
Code of Federal Regulations, 2011 CFR
2011-01-01
... the surface to the upper limit of each of the segments described in § 93.55. It is bounded by a line... a line bearing 180° from the intersection of the new Seward Highway and International Airport Road; thence due north to O'Malley Road; thence east along O'Malley Road to its intersection with Lake Otis...
14 CFR 93.53 - Description of area.
Code of Federal Regulations, 2012 CFR
2012-01-01
... the surface to the upper limit of each of the segments described in § 93.55. It is bounded by a line... a line bearing 180° from the intersection of the new Seward Highway and International Airport Road; thence due north to O'Malley Road; thence east along O'Malley Road to its intersection with Lake Otis...
14 CFR 93.53 - Description of area.
Code of Federal Regulations, 2013 CFR
2013-01-01
... the surface to the upper limit of each of the segments described in § 93.55. It is bounded by a line... a line bearing 180° from the intersection of the new Seward Highway and International Airport Road; thence due north to O'Malley Road; thence east along O'Malley Road to its intersection with Lake Otis...
Federal Register 2010, 2011, 2012, 2013, 2014
2012-01-20
... system; (2) a single lower reservoir dam constructed of earth fill materials with an internal dam drainage system; (3) concrete inlet-outlet structures at both upper reservoirs equipped with trash racks..., using the eComment system at http://www.ferc.gov/docs-filing/ecomment.asp . You must include your name...
ERIC Educational Resources Information Center
Goldman, Juliette D. G.
2015-01-01
Background: Children and young adolescents are reaching puberty earlier. Providing information about such changes before puberty can help them develop in a more competent and informed manner. Context and Objective: UNESCO's "International Technical Guidance on Sexuality Education" forms a comprehensive, evidence-based, authoritative…
Programme for Learning Enrichment. A Van Leer Project: An Evaluation.
ERIC Educational Resources Information Center
Ghani, Zainal
This paper reports the evaluation of a project undertaken by the Sarawak Education Department to improve the quality of education in upper primary classes in rural Sarawak, Malaysia. The project is known officially as the Programme for Learning Enrichment, and commonly as the Van Leer Project, after the international agency which provides the main…
Assessment of Selected Aspects of Teaching Programming in SK and CZ
ERIC Educational Resources Information Center
Záhorec, Jan; Hašková, Alena; Munk, Michal
2014-01-01
Authors of this paper carried out a broader international research aimed at assessing the computer science education at upper secondary level of education--ISCED 3A. The assessed school subjects were informatics and programming as the most common school subjects taught at secondary schools within computer sciences. The assessment was based on the…
Eva Szabo, MD | Division of Cancer Prevention
Dr. Eva Szabo is Chief of the Lung and Upper Aerodigestive Cancer Research Group at the NCI Division of Cancer Prevention. She graduated from Yale University with a BS in Molecular Biophysics and Biochemistry, received her MD from Duke University, and completed her internal medicine residency at Bellevue-NYU Medical Center. After completing her medical oncology fellowship at
Earth Observations taken by the Expedition Seven crew
2003-06-14
ISS007-E-07388 (14 June 2003) --- Some of the deepest canyons in the world cut west to the Pacific from the high crest of the Andes Mountains in Peru. This view taken by an Expedition 7 crewmember onboard the International Space Station (ISS) provides a birds-eye view down the canyons of the Rio Camana (center left) and the Rio Ocona (upper right). The low early morning sun highlights the extreme topography created by rapidly uplifting mountains and powerful water erosion by water dropping nearly 10,000 feet in this view. At the edge of the image are the snowy flanks of Nevado Coropuna, the highest mountain in the Cordillera Occidental (6613 meters). The coastal city of Camana is visible in the upper left.
Elaphodus cephalophus (Artiodactyla: Cervidae)
Leslie, David M.; Lee, D.; Dolman, Richard W.
2013-01-01
Elaphodus cephalophus Milne-Edwards, 1872 (tufted deer) is usually considered polytypic with 3 or 4 recognized subspecies, depending on the source. It is a small dark chocolate-brown deer typified by a tuft of hair on its crown, sharp upper canines that protrude downward from under the upper lip, and rudimentary antlers on males; it is similar to muntjacs, to which it is closely related. E. cephalophusoccurs in humid, montane forests at elevations of 300–4,750 m in southwestern through southeastern China and perhaps northwestern Myanmar (historical records). Vulnerable to poaching in remote areas and relatively uncommon in zoos, it is considered vulnerable as a Class II species in China and listed as “Near Threatened” by the International Union for Conservation of Nature and Natural Resources.
Internal Arrangement of Skylab Workshop Crew Quarters
NASA Technical Reports Server (NTRS)
1972-01-01
This image depicts a layout of the Skylab workshop 1-G trainer crew quarters. At left, in the sleep compartment, astronauts slept strapped to the walls of cubicles and showered at the center. Next right was the waste management area where wastes were processed and disposed. Upper right was the wardroom where astronauts prepared their meals and foods were stored. In the experiment operation area, upper left, against the far wall, was the lower-body negative-pressure device (Skylab Experiment M092) and the Ergometer for the vectorcardiogram experiment (Skylab Experiment M063). The trainers and mockups were useful in the developmental phase, while engineers and astronauts were still working out optimum designs. They provided much data applicable to the manufacture of the flight articles.
A climate model with cryodynamics and geodynamics
NASA Technical Reports Server (NTRS)
Ghil, M.; Le Treut, H.
1981-01-01
A simplified, zero-dimensional model of the climatic system is presented which attempts to incorporate mechanisms important on the time scale of glaciation cycles: 10,000 to 100,000 years. The ocean-atmosphere radiation balance, continental ice sheet plastic flow, and upper mantle viscous flow are taken into account, with stress on the interaction between the ice sheets and the upper mantle. The model exhibits free, self-sustained oscillations of an amplitude and period comparable to those found in the paleoclimatic record of glaciations, offering mild support for the idea that unforced oscillations can actually exist in the real climatic system itself. The careful study of the interplay between internal mechanisms and external forcing is held to represent an interesting challenge to the theory of ice ages.
Straker, L; Pollock, C; Burgess-Limerick, R; Skoss, R; Coleman, J
2008-08-01
Computer display height and desk design are believed to be important workstation features and are included in international standards and guidelines. However, the evidence base for these guidelines is lacking a comparison of neck/shoulder muscle activity during computer and paper tasks and whether forearm support can be provided by desk design. This study measured the spinal and upper limb muscle activity in 36 young adults whilst they worked in different computer display, book and desk conditions. Display height affected spinal muscle activity with paper tasks resulting in greater mean spinal and upper limb muscle activity. A curved desk resulted in increased proximal muscle activity. There was no substantial interaction between display and desk.
Kwon, Soo-Ha; Lee, Che-Hsiung; Hsu, Angela Ting-Wei; Shafarenko, Mark; Omar, Usama Farghaly; Tzou, Chieh-Han John; Roka-Palkovits, Julia; Beltrán P, Aldo G; Liakos, Dimitri; Chang, Tommy Nai-Jen
2018-02-02
The best reconstructive strategy for upper lip defects is still in debate. The purpose of this study was to analyze the decisions made by international microsurgeons, who were participated through online questionnaire, distributed by email and social media network. A case of a two-thirds upper lip oncologic defect was presented via an online questionnaire and 402 microsurgeons replied their treatment options. The data were then analyzed according to the geographic area, microsurgical fellowship, seniority, and subspecialty. All the data were analyzed using SPSS 22. A total of 27.7% of microsurgeons chose a free flap, while 72.3% chose a local/pedicle flap as their preferred method for reconstruction. The most common choice of free and local/pedicle flaps was radial forearm (73.6%) and Abbé (36.2%), respectively. The microsurgeons in Europe preferred local/pedicle flaps than free flap when compared with Middle/South America, Asia-Pacific, Africa and South Asia/Middle East (11.6% versus 50%, 43.4%, 29.3% and 27.3%, respectively, multivariant p < 0.05). The microsurgeons with microsurgical fellowships preferred to use free flaps (32.9% versus 17.5%, multivariant p = 0.021). There was no difference for the seniority and specialty of the microsurgeons. The online questionnaire is valuable and feasible for obtaining experts' opinions. This study provides a current global overview of surgical preferences for this common complicated clinical scenario. Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.
van Exsel, Denise C E; Pool, Shariselle M W; van Uchelen, Jeroen H; Edens, Mireille A; van der Lei, Berend; Melenhorst, Wynand B W H
2016-07-01
It has been suggested that arnica can reduce postoperative edema and ecchymosis associated with cosmetic surgical procedures and improve outcome. Despite a high incidence of arnica use among upper blepharoplasty patients, evidence to support its treatment effect is lacking. The authors performed a randomized, double-blind, placebo-controlled trial to investigate the efficacy of arnica ointment after upper blepharoplasty. One hundred thirty-six bilateral upper blepharoplasty patients were randomized between arnica ointment 10% and placebo ointment. In both study arms, one periorbital area was designated as the treatment side (either arnica or placebo ointment), and the contralateral side served as an untreated (no ointment) internal control. As the primary endpoint, the overall periorbital appearance as based on light photography and judged by a medical and nonmedical panel, was assessed after 3 days, 7 days, and 6 weeks. Secondary endpoints were swelling, ecchymosis, erythema, pain, and patient satisfaction with recovery and outcome. There was no significant difference between arnica and placebo in overall judgment of periorbital appearance 3 days, 7 days, and 6 weeks after surgery. Furthermore, swelling, ecchymosis, erythema, pain, and patient satisfaction with recovery and outcome did not differ between arnica and placebo. Postoperative outcome in untreated eyelids was not different from eyelids treated with either arnica or placebo on any of the studied outcome measures. The authors' study demonstrates that topical arnica ointment after upper blepharoplasty does not improve postoperative outcome. Therapeutic, II.
The incidence of upper extremity injuries in endoscopy nurses working in the United States.
Drysdale, Susan A
2013-01-01
Numerous studies have addressed musculoskeletal disorders in the international working population. The literature indicates that injuries exist at astounding rates with significant economic impact. Attempts have been made by government, private industry, and special interest groups to address the issues related to the occurrence and prevention of musculoskeletal injuries. Because of the limited research on the gastrointestinal (GI) endoscopy nursing sector, this descriptive, correlational study explored the incidence of upper extremity injuries in GI endoscopy nurses and technicians in the United States. A total of 215 subjects were included in the study. Findings show that upper extremity injuries exist among nurses working in GI endoscopy. Twenty-two percent of respondents missed work for upper extremity injuries. The findings also show that the severity of disability is related to the type of work done, type of assistive aids available at work, and whether or not ergonomic or physiotherapy assessments were provided at the place of employment. In reference to rate of injury and the availability of ergonomics and physiotherapy assessments, those who had ergonomic assessments available to them had scores on the Disabilities of the Arm, Shoulder, and Hand (DASH) inventory (indicating upper extremity disability) that were significantly lower (DASH score, 9.96) than those who did not have the assessments available (DASH score, 14.66). The results suggest that there are a significant number of subjects who are disabled to varying degrees and the majority of these are employed in full-time jobs.
NASA Astrophysics Data System (ADS)
Edgar, C. J.; Cas, R. A. F.; Olin, P. H.; Wolff, J. A.; Martí, J.; Simmons, J. M.
2017-10-01
The 312 ka Fasnia eruption from the Las Cañadas Caldera on Tenerife, Canary Islands, Spain, produced a complex sequence of twenty-two intercalated units, including 7 pumice fall, 7 ignimbrite and 8 ash surge and fall deposits that define two distinct eruption sequences (Lower and Upper Fasnia sequences). The fallout units themselves are internally complex, reflecting waxing and waning of the eruption column, while many of the ignimbrites reflect multiple intra-plinian partial column collapse events associated with the injection of lithic clasts into the eruption column. The Lower and Upper Fasnia eruption phases were each terminated by caldera collapse and complete column collapse events. Probable blockage of the conduit and vent system during Lower Fasnia caldera collapse event briefly terminated the eruption, resulting in a short-lived period of erosion and sedimentation prior to the onset of the Upper Fasnia phase. The transition to the Upper Fasnia eruption phase coincided with the eruption of more geochemically homogeneous pyroclasts. In total, 62 km3 of tephra were erupted, including 49 km3 of juvenile clasts and > 12 km3 of lithic clasts. The DRE volume of magma erupted was 13 km3 (Lower Fasnia > 5 km3, Upper Fasnia > 8 km3), two thirds of which ( 9-10 km3) was deposited purely by fallout. The Fasnia Member is one of the most complex plinian sequences known.
Aaby, Peter; Gomes, Joaquim; Fernandes, Manuel; Djana, Queba; Lisse, Ida; Jensen, Henrik
1999-01-01
Objective To study the effects on children of humanitarian aid agencies restricting help to refugee families (internally displaced people). Design Follow up study of 3 months. Setting Prabis peninsular outside Bissau, the capital of Guinea-Bissau, which has functioned as a refugee area for internally displaced people in the ongoing war, and the study area of the Bandim health project in Bissau. Participants 422 children aged 9-23 months in 30 clusters. Main outcome measures Mid-upper arm circumference and survival in relation to residence status. Results During the refugee situation all children deteriorated nutritionally, and mortality was high (3.0% in a 6 week period). Rice consumption was higher in families resident in Prabis than in refugees from Bissau but there was no difference in food expenditure. Nutritional status, measured by mid- upper arm circumference, was not associated with rice consumption levels in the family, and the decline in circumference was significantly worse for resident than for refugee children; the mid-upper arm circumference of refugee children increased faster than that of resident children. For resident children, mortality was 4.5 times higher (95% confidence interval 1.1 to 30.0) than for refugee children. Mortality for both resident and refugee children was 7.2 times higher (1.3 to 133.9) during the refugee’s stay in Prabis compared with the period after the departure of the refugees. Conclusion In a non-camp setting, residents may be more malnourished and have higher mortality than refugees. Major improvements in nutritional status and a reduction in mortality occurred in resident and refugee children as soon as refugees returned home despite the fact that there was no improvement in food availability. Key messagesDuring the war in Guinea-Bissau, most of the population fled from the capital and moved in with relatives, friends, or strangersInternational agencies insisted on only providing help to refugees (internally displaced people)During the first month of conflict, there were already profound effects on the nutritional status and mortality of young childrenFood consumption was higher in resident families, but resident children were more malnourished and had higher mortality than refugee childrenNutritional status and survival improved for both refugee and resident children once the refugees returned to Bissau PMID:10506040
NASA Astrophysics Data System (ADS)
Soloviev, A.; Maingot, C.; Matt, S.; Fenton, J.; Lehner, S.; Brusch, S.; Perrie, W. A.; Zhang, B.
2011-12-01
The new generation of synthetic aperture radar (SAR) satellites provides high resolution images that open new opportunities for identifying and studying fine features in the upper ocean. The problem is, however, that SAR images of the sea surface can be affected by atmospheric phenomena (rain cells, fronts, internal waves, etc.). Implementation of in-situ techniques in conjunction with SAR is instrumental for discerning the origin of features on the image. This work is aimed at the interpretation of natural and artificial features in SAR images. These features can include fresh water lenses, sharp frontal interfaces, internal wave signatures, as well as slicks of artificial and natural origin. We have conducted field experiments in the summer of 2008 and 2010 and in the spring of 2011 to collect in-situ measurements coordinated with overpasses of the TerraSAR-X, RADARSAT-2, ALOS PALSAR, and COSMO SkyMed satellites. The in-situ sensors deployed in the Straits of Florida included a vessel-mounted sonar and CTD system to record near-surface data on stratification and frontal boundaries, a bottom-mounted Nortek AWAC system to gather information on currents and directional wave spectra, an ADCP mooring at a 240 m isobath, and a meteorological station. A nearby NOAA NEXRAD Doppler radar station provided a record of rainfall in the area. Controlled releases of menhaden fish oil were performed from our vessel before several satellite overpasses in order to evaluate the effect of surface active materials on visibility of sea surface features in SAR imagery under different wind-wave conditions. We found evidence in the satellite images of rain cells, squall lines, internal waves of atmospheric and possibly oceanic origin, oceanic frontal interfaces and submesoscale eddies, as well as anthropogenic signatures of ships and their wakes, and near-shore surface slicks. The combination of satellite imagery and coordinated in-situ measurements was helpful in interpreting fine-scale features on the sea surface observed in the SAR images and, in some cases, linking them to thermohaline features in the upper ocean. Finally, we have been able to reproduce SAR signatures of freshwater plumes and sharp frontal interfaces interacting with wind stress, as well as internal waves by combining hydrodynamic simulations with a radar imaging algorithm. The modeling results are presented in a companion paper (Matt et al., 2011).
NASA Astrophysics Data System (ADS)
Dickinson, Alex; White, N. J.; Caulfield, C. P.
2017-12-01
Bright reflections are observed within the upper 1,000 m of the water column along a seismic reflection profile that traverses the northern margin of the Gulf of Mexico. Independent hydrographic calibration demonstrates that these reflections are primarily caused by temperature changes associated with different water masses that are entrained into the Gulf along the Loop Current. The internal wave field is analyzed by automatically tracking 1,171 reflections, each of which is greater than 2 km in length. Power spectra of the horizontal gradient of isopycnal displacement, ϕξx, are calculated from these tracked reflections. At low horizontal wave numbers (kx<10-2 cpm), ϕξx∝kx-0.2±0.6, in agreement with hydrographic observations of the internal wave field. The turbulent spectral subrange is rarely observed. Diapycnal diffusivity, K, is estimated from the observed internal wave spectral subrange of each tracked reflection using a fine-scale parametrization of turbulent mixing. Calculated values of K vary between 10-8 and 10-4 m2 s-1 with a mean value of K˜4×10-6 m2 s-1. The spatial distribution of turbulent mixing shows that K˜10-7 m2 s-1 away from the shelf edge in the upper 300 m where stratification is strong. Mixing is enhanced by up to 4 orders of magnitude adjacent to the shoaling bathymetry of the continental slope. This overall pattern matches that determined by analyzing nearby suites of CTD casts. However, the range of values recovered by spectral analysis of the seismic image is greater as a consequence of significantly better horizontal resolution.
Spatial Distributions of Young Stars
NASA Astrophysics Data System (ADS)
Kraus, Adam L.; Hillenbrand, Lynne A.
2008-10-01
We analyze the spatial distribution of young stars in Taurus-Auriga and Upper Sco, as determined from the two-point correlation function (i.e., the mean surface density of neighbors). The corresponding power-law fits allow us to determine the fractal dimensions of each association's spatial distribution, measure the stellar velocity dispersions, and distinguish between the bound binary population and chance alignments of members. We find that the fractal dimension of Taurus is D ~ 1.05, consistent with its filamentary structure. The fractal dimension of Upper Sco may be even shallower (D ~ 0.7), but this fit is uncertain due to the limited area and possible spatially variable incompleteness. We also find that random stellar motions have erased all primordial structure on scales of lsim0.07° in Taurus and lsim1.7° in Upper Sco; given ages of ~1 and ~5 Myr, the corresponding internal velocity dispersions are ~0.2 and ~1.0 km s-1, respectively. Finally, we find that binaries can be distinguished from chance alignments at separations of lsim120'' (17,000 AU) in Taurus and lsim75'' (11,000 AU) in Upper Sco. The binary populations in these associations that we previously studied, spanning separations of 3''-30'', is dominated by binary systems. However, the few lowest mass pairs (Mprim <~ 0.3 M⊙) might be chance alignments.
Present state of knowledge of the upper atmosphere 1990: An assessment report
NASA Technical Reports Server (NTRS)
Watson, R. T.; Kurylo, M. J.; Prather, M. J.; Ormond, F. M.
1990-01-01
NASA is charged with the responsibility to report on the state of the knowledge of the Earth's upper atmosphere, particularly the stratosphere. Part 1 of this report, issued earlier this year, summarized the objectives, status, and accomplishments of the research tasks supported under NASA's Upper Atmosphere Research Program during the last two years. New findings since the last report to Congress was issued in 1988 are presented. Several scientific assessments of the current understanding of the chemical composition and physical structure of the stratosphere are included, in particular how the abundance and distribution of ozone is predicted to change in the future. These reviews include: a summary of the most recent international assessment of stratospheric ozone; a study of future chlorine and bromine loading of the atmosphere; a review of the photochemical and chemical kinetics data that are used as input parameters for the atmospheric models; a new assessment of the impact of Space Shuttle launches on the stratosphere; a summary of the environmental issues and needed research to evaluate the impact of the newly re-proposed fleet of stratospheric supersonic civil aircraft; and a list of the contributors to this report and the science assessments which have formed our present state of knowledge of the upper atmosphere and ozone depletion.
Fuel rod assembly to manifold attachment
Donck, Harry A.; Veca, Anthony R.; Snyder, Jr., Harold J.
1980-01-01
A fuel element is formed with a plurality of fuel rod assemblies detachably connected to an overhead support with each of the fuel rod assemblies having a gas tight seal with the support to allow internal fission gaseous products to flow without leakage from the fuel rod assemblies into a vent manifold passageway system on the support. The upper ends of the fuel rod assemblies are located at vertically extending openings in the support and upper threaded members are threaded to the fuel rod assemblies to connect the latter to the support. The preferred threaded members are cap nuts having a dome wall encircling an upper threaded end on the fuel rod assembly and having an upper sealing surface for sealing contact with the support. Another and lower seal is achieved by abutting a sealing surface on each fuel rod assembly with the support. A deformable portion on the cap nut locks the latter against inadvertent turning off the fuel rod assembly. Orienting means on the fuel rod and support primarily locates the fuel rods azimuthally for reception of a deforming tool for the cap nut. A cross port in the fuel rod end plug discharges into a sealed annulus within the support, which serves as a circumferential chamber, connecting the manifold gas passageways in the support.
Responsiveness of outcome measures for upper limb prosthetic rehabilitation.
Resnik, Linda; Borgia, Matthew
2016-02-01
There is limited research on responsiveness of prosthetic rehabilitation outcome measures. To examine responsiveness of the Box and Block test, Jebsen-Taylor Hand Function tests, Upper Extremity Functional Scale, University of New Brunswick skill and spontaneity tests, Activity Measure for Upper Limb Amputation, and the Patient-Specific Functional Scale. This was a quasi-experimental study with repeated measurements in a convenience sample of upper limb amputees. Measures were collected before, during, and after training with the DEKA Arm. Largest effect sizes were observed for Patient-Specific Functional Scale (effect size: 1.59, confidence interval: 1.00, 2.14), Activity Measure for Upper Limb Amputation (effect size: 1.33, confidence interval: 0.73, 1.90), and University of New Brunswick skill test (effect size: 1.18, confidence interval: 0.61, 1.73). Other measures that were responsive to change were Box and Block test, Jebsen-Taylor Hand Function light and heavy can tests, and University of New Brunswick spontaneity test. Responsiveness and pattern of responsiveness varied by prosthetic level. The Box and Block test, Jebsen-Taylor Hand Function light and heavy can tests, University of New Brunswick skill and spontaneity tests, Activities Measure for Upper Limb Amputation, and the Patient-Specific Functional Scale were responsive to change during prosthetic training. These findings have implications for choice of measures for research and practice and inform clinicians about the amount of training necessary to maximize outcomes with the DEKA Arm. Findings on responsiveness of outcome measures have implications for the choice of measures for clinical trials and practice. Findings regarding the responsiveness to change over the course of training can inform clinicians about the amount of training that may be necessary to maximize specific outcomes with the DEKA Arm. © The International Society for Prosthetics and Orthotics 2014.
Byrne, Gerard D; Vllasaliu, Driton; Falcone, Franco H; Somekh, Michael G; Stolnik, Snjezana
2015-11-02
In this work we utilize the combination of label-free total internal reflection microscopy and total internal reflectance fluorescence (TIRM/TIRF) microscopy to achieve a simultaneous, live imaging of single, label-free colloidal particle endocytosis by individual cells. The TIRM arm of the microscope enables label free imaging of the colloid and cell membrane features, while the TIRF arm images the dynamics of fluorescent-labeled clathrin (protein involved in endocytosis via clathrin pathway), expressed in transfected 3T3 fibroblasts cells. Using a model polymeric colloid and cells with a fluorescently tagged clathrin endocytosis pathway, we demonstrate that wide field TIRM/TIRF coimaging enables live visualization of the process of colloidal particle interaction with the labeled cell structure, which is valuable for discerning the membrane events and route of colloid internalization by the cell. We further show that 500 nm in diameter model polystyrene colloid associates with clathrin, prior to and during its cellular internalization. This association is not apparent with larger, 1 μm in diameter colloids, indicating an upper particle size limit for clathrin-mediated endocytosis.
Internal Wave-Convection-Mean Flow Interactions
NASA Astrophysics Data System (ADS)
Lecoanet, D.; Couston, L. A.; Favier, B.; Le Bars, M.
2017-12-01
We present a series of simulations of Boussinesq fluid with a nonlinear equation of state which in thermal equilibrium is convective in the bottom part of the domain, but stably stratified in the upper part of the domain. The stably stratified region supports internal gravity waves, which are excited by the convection. The convection can significantly affected by the stably stratified region. Furthermore, the waves in the stable region can interact nonlinearly to drive coherent mean flows which exhibit regular oscillations, similar to the QBO in the Earth's atmosphere. We will describe the dependence of the mean flow oscillations on the properties of the convection which generate the internal waves. This provides a novel framework for understanding mean flow oscillations in the Earth's atmosphere, as well as the atmospheres of giant planets.
Bux, Shamin; Madaree, Anil
2012-03-01
Keloids are benign tumours composed of fibrous tissue produced during excessive tissue repair triggered by minor injury, trauma or surgical incision. Although it is recognized that keloids have a propensity to form in the upper torso of the body, the predisposing factors responsible for this have not been investigated. It is crucial that the aetiopathoical factors implicated in keloid formation be established to provide guidelines for well-informed more successful treatment. We compared keloid-prone and keloid-protected skin, identified pertinent morphological differences and explored how inherent structural characteristics and intrinsic factors may promote keloid formation. It was determined that keloid prone areas were covered with high tension skin that had low stretch and a low elastic modulus when compared with skin in keloid protected areas where the skin was lax with a high elastic modulus and low pre-stress level. Factors contributing to elevated internal stress in keloid susceptible skin were the protrusion of hard connective tissue such as bony prominences or cartilage into the dermis of skin as well as inherent skin characteristics such as the bundled arrangement of collagen in the reticular dermis, the existent high tension, the low elastic modulus, low stretch ability, contractile forces exerted by wound healing fibroblastic cells and external forces. Stress promotes keloid formation by causing dermal distortion and compression which subsequently stimulate proliferation and enhanced protein synthesis in wound healing fibroblastic cells. The strain caused by stress also compresses and occludes microvessels causing ischaemic effects and reperfusion injury which stimulate growth when blood rich in growth factors returns to the tissue. The growth promoting effects of increased internal stress, primarily, and growth factors released by reperfusing blood, manifest in keloid formation. Other inherent skin characteristics promoting keloid growth during the late stages of wound healing in the upper torso are the thinner epidermis, the presence of vellus hairs, the absence of protective immunoglobulin A (IgA), and the thick fragile quality of upper torso skin. As it is not known why there is a predilection for keloids to form in the upper torso of the body, this hypothesis implicating and associating inherent morphological characteristics and elevated stress in the aetiopathogenesis of keloids is of potential value in terms of prevention, management and treatment of these enigmatic tumours. Copyright © 2011 Elsevier Ltd. All rights reserved.
Crew Earth Observations (CEO) taken during Expedition Six
2003-02-01
ISS006-E-28016 (February 2003) --- The Coal Sack Nebula (bottom center), the Southern Cross (lower right), and the two prominent stars in the upper left, which are the two prominent stars of the southern constellation Centaurus, are visible in this view photographed by astronaut Donald R. Pettit, Expedition Six NASA ISS science officer, on board the International Space Station (ISS).
The Third International Symposium on Space Terahertz Technology: Symposium proceedings
NASA Technical Reports Server (NTRS)
1992-01-01
Papers from the symposium are presented that are relevant to the generation, detection, and use of the terahertz spectral region for space astronomy and remote sensing of the Earth's upper atmosphere. The program included thirteen sessions covering a wide variety of topics including solid-state oscillators, power-combining techniques, mixers, harmonic multipliers, antennas and antenna arrays, submillimeter receivers, and measurement techniques.
Tree species migration studies in the White Mountains of New Hampshire
William B. Leak; Mariko Yamasaki
2012-01-01
The movement of tree species in either latitude or elevation has attracted increased recent attention due to growing national/international concerns over climate change. However, studies on tree species movements began in the early 1970s in the White Mountains of New Hampshire, mostly due to ecological interests in the episodic behavior of upper-elevation tree species...
2014-06-07
ISS040-E-008307 (7 June 2014) --- One of the members of the Expedition 40 crew aboard the International Space Station aimed a camera "around" the docked Russian Soyuz vehicle to record this night image of the United Arab Emirates. Dubai (center) and Abu Dhabi (left) are easily identified. The Straits of Hormuz are at right and the coast of Iran is barely visible in upper right.
ERIC Educational Resources Information Center
Hodgson, Ann; Spours, Ken
2014-01-01
In the context of the international problem of "early school leaving", this paper explores the issue of sustained participation in upper secondary education in England. It focuses in particular on the position of middle attainers, who constitute a large proportion of the cohort and whose progress will be vital in realising the…
Wakata uses Advanced Resistive Exercise Device (ARED) in Node 1 Unity
2009-03-22
ISS018-E-042651 (22 March 2009) --- Japan Aerospace Exploration Agency (JAXA) astronaut Koichi Wakata, Expedition 18 flight engineer, uses the short bar for the advanced Resistive Exercise Device (aRED) equipment to perform upper body strengthening pull-ups in the Unity node of the International Space Station while Space Shuttle Discovery (STS-119) remains docked with the station.
2003-08-09
VANDENBERG AIR FORCE BASE, CALIF. - Workers mate the Pegasus , with its cargo of the SciSat-1 payload to the L-1011 carrier aircraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-29
VANDENBERG AIR FORCE BASE, CALIF. - At Vandenberg AFB, Calif., a solar array is tested before installing on the SciSat-1 spacecraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-29
VANDENBERG AIR FORCE BASE, CALIF. - At Vandenberg AFB, Calif., a solar array is installed on the SciSat-1 spacecraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-08-09
VANDENBERG AIR FORCE BASE, CALIF. - The SciSat-1 payload and Pegasus launch vehicle are lifted and mated to the L-1011 carrier aircraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
Building and Leading the Next Generation of Exploration Launch Vehicles
NASA Technical Reports Server (NTRS)
Cook, Stephen A.; Vanhooser, Teresa
2010-01-01
NASA s Constellation Program is depending on the Ares Projects to deliver the crew and cargo launch capabilities needed to send human explorers to the Moon and beyond. Ares I and V will provide the core space launch capabilities needed to continue providing crew and cargo access to the International Space Station (ISS), and to build upon the U.S. history of human spaceflight to the Moon and beyond. Since 2005, Ares has made substantial progress on designing, developing, and testing the Ares I crew launch vehicle and has continued its in-depth studies of the Ares V cargo launch vehicle. In 2009, the Ares Projects plan to: conduct the first flight test of Ares I, test-fire the Ares I first stage solid rocket motor; build the first integrated Ares I upper stage; continue testing hardware for the J-2X upper stage engine, and continue refining the design of the Ares V cargo launch vehicle. These efforts come with serious challenges for the project leadership team as it continues to foster a culture of ownership and accountability, operate with limited funding, and works to maintain effective internal and external communications under intense external scrutiny.
Upper tract urothelial carcinoma topical issue 2016: treatment of metastatic cancer.
Pham, M N; Apolo, A B; De Santis, M; Galsky, M D; Leibovich, B C; Pisters, L L; Siefker-Radtke, A O; Sonpavde, G; Steinberg, G D; Sternberg, C N; Tagawa, S T; Weizer, A Z; Woods, M E; Milowsky, M I
2017-03-01
To review the management of metastatic upper tract urothelial carcinoma (UTUC) including recent advances in targeted and immune therapies as an update to the 2014 joint international consultation on UTUC, co-sponsored by the Société Internationale d'Urologie and International Consultation on Urological Diseases. A PubMed database search was performed between January 2013 and May 2016 related to the treatment of metastatic UTUC, and 54 studies were selected for inclusion. The management of patients with metastatic UTUC is primarily an extrapolation from evidence guiding the management of metastatic urothelial carcinoma of the bladder. The first-line therapy for metastatic UTUC is platinum-based combination chemotherapy. Standard second-line therapies are limited and ineffective. Patients with UTUC who progress following platinum-based chemotherapy are encouraged to participate in clinical trials. Recent advances in genomic profiling present exciting opportunities to guide the use of targeted therapy. Immunotherapy with checkpoint inhibitors has demonstrated extremely promising results. Retrospective studies provide support for post-chemotherapy surgery in appropriately selected patients. The management of metastatic UTUC requires a multi-disciplinary approach. New insights from genomic profiling using targeted therapies, novel immunotherapies, and surgery represent promising avenues for further therapeutic exploration.
Effects of Cadmium and Mercury on the Upper Part of Skeletal Muscle Glycolysis in Mice
Ortega, Fernando; Westerhoff, Hans V.; Gelpí, Josep Lluis; Centelles, Josep J.; Cascante, Marta
2014-01-01
The effects of pre-incubation with mercury (Hg2+) and cadmium (Cd2+) on the activities of individual glycolytic enzymes, on the flux and on internal metabolite concentrations of the upper part of glycolysis were investigated in mouse muscle extracts. In the range of metal concentrations analysed we found that only hexokinase and phosphofructokinase, the enzymes that shared the control of the flux, were inhibited by Hg2+ and Cd2+. The concentrations of the internal metabolites glucose-6-phosphate and fructose-6-phosphate did not change significantly when Hg2+ and Cd2+ were added. A mathematical model was constructed to explore the mechanisms of inhibition of Hg2+ and Cd2+ on hexokinase and phosphofructokinase. Equations derived from detailed mechanistic models for each inhibition were fitted to the experimental data. In a concentration-dependent manner these equations describe the observed inhibition of enzyme activity. Under the conditions analysed, the integral model showed that the simultaneous inhibition of hexokinase and phosphofructokinase explains the observation that the concentrations of glucose-6-phosphate and fructose-6-phosphate did not change as the heavy metals decreased the glycolytic flux. PMID:24489641
DOE Office of Scientific and Technical Information (OSTI.GOV)
Romander, C. M.; Cagliostro, D. J.
Five experiments were performed to help evaluate the structural integrity of the reactor vessel and head design and to verify code predictions. In the first experiment (SM 1), a detailed model of the head was loaded statically to determine its stiffness. In the remaining four experiments (SM 2 to SM 5), models of the vessel and head were loaded dynamically under a simulated 661 MW-sec hypothetical core disruptive accident (HCDA). Models SM 2 to SM 4, each of increasing complexity, systematically showed the effects of upper internals structures, a thermal liner, core support platform, and torospherical bottom on vessel response.more » Model SM 5, identical to SM 4 but more heavily instrumented, demonstrated experimental reproducibility and provided more comprehensive data. The models consisted of a Ni 200 vessel and core barrel, a head with shielding and simulated component masses, an upper internals structure (UIS), and, in the more complex models SM 4 and SM 5, a Ni 200 thermal liner and core support structure. Water simulated the liquid sodium coolant and a low-density explosive simulated the HCDA loads.« less
DOE Office of Scientific and Technical Information (OSTI.GOV)
Beyer, Christopher; Rosenthal, Anja; Myhill, Robert
We have performed an experimental cross calibration of a suite of mineral equilibria within mantle rock bulk compositions that are commonly used in geobarometry to determine the equilibration depths of upper mantle assemblages. Multiple barometers were compared simultaneously in experimental runs, where the pressure was determined using in-situ measurements of the unit cell volumes of MgO, NaCl, Re and h-BN between 3.6 and 10.4 GPa, and 1250 and 1500 °C. The experiments were performed in a large volume press (LVPs) in combination with synchrotron X-ray diffraction. Noble metal capsules drilled with multiple sample chambers were loaded with a range ofmore » bulk compositions representative of peridotite, eclogite and pyroxenite lithologies. By this approach, we simultaneously calibrated the geobarometers applicable to different mantle lithologies under identical and well determined pressure and temperature conditions. We identified discrepancies between the calculated and experimental pressures for which we propose simple linear or constant correction factors to some of the previously published barometric equations. As a result, we establish internally-consistent cross-calibrations for a number of garnet-orthopyroxene, garnet-clinopyroxene, Ca-Tschermaks-in-clinopyroxene and majorite geobarometers.« less
Kelsey, Harvey M.; Sherrod, Brian L.; Blakely, Richard J.; Haugerud, Ralph A.
2013-01-01
The northern Cascadia forearc takes up most of the strain transmitted northward via the Oregon Coast block from the northward-migrating Sierra Nevada block. The north-south contractional strain in the forearc manifests in upper-plate faults active during the Holocene, the northern-most components of which are faults within the Bellingham Basin. The Bellingham Basin is the northern of four basins of the actively deforming northern Cascadia forearc. A set of Holocene faults, Drayton Harbor, Birch Bay, and Sandy Point faults, occur within the Bellingham Basin and can be traced from onshore to offshore using a combination of aeromagnetic lineaments, paleoseismic investigations and scarps identified using LiDAR imagery. With the recognition of such Holocene faults, the northernmost margin of the actively deforming Cascadia forearc extends 60 km north of the previously recognized limit of Holocene forearc deformation. Although to date no Holocene faults are recognized at the northern boundary of the Bellingham Basin, which is 15 km north of the international border, there is no compelling tectonic reason to expect that Holocene faults are limited to south of the international border.
Incomplete turgor adjustment in Cladophora rupestrisunder fluctuating salinity regimes
NASA Astrophysics Data System (ADS)
Wiencke, Christian; Gorham, John; Tomos, Deri; Davenport, John
1992-04-01
Turgor pressure fluctuates strongly in Cladophora rupestrissubjected to low salinities and shows only a small tendency to readjust to the normal value in full seawater (incomplete turgor adjustment). This was revealed by direct turgor pressure measurements and by chemical analyses of osmotic solutes after exposure of upper and lower shore Cladophorato the different salinity regimes occurring in the intertidal zone or representing steady state osmotic acclimation. The main internal osmotic solutes were K +, Cl -, amino acids, NO 3-and glycine betaine. Na +, SO 42-and PO 43-were of less importance. The sum of the charges on the cations was similar to that for the anions. K +, Cl -and, to a lesser extent, amino acids were responsible for limited turgor pressure adjustment which did occur. The concentrations of the major osmotic solutes were influenced not only by salinity but also by light: those of amino acids and NO 3-were increased while those of K +and Cl -were decreased under illumination. Cladophorapopulations from the upper and lower shore differed in their ability to restore internal K +and Cl -levels on transfer to full seawater after long term exposure to low salinity. This may indicate ecotypic variation.
Li, Yan-Jie; Li, Yi-Fan; Chen, Rong-Hua; Li, Xue-Sheng; Pan, Can-Ping; Song, Jian-Li
2018-05-28
In this study, a self-propelled high-energy ultrasonic atomizer was evaluated in terms of deposition on the canopy, the loss to the ground, and fungicide residues in cherry tomato and tomato. Artificial collectors fixed to the upper side and underside of the leaves at different depths and heights were used to collect the depositions. A reliable analytical method for determination of azoxystrobin and tebuconazole in artificial collectors and residue samples was developed by using liquid chromatography triple-quadrupole mass spectrometry. The results showed that the atomizer distributed the droplets evenly throughout the greenhouse with good uniformity (CVs below 39%). The ratio of depositions on the internal and external sides was 66⁻83%, and the ratio of depositions on the underside and upper side was 39⁻50%. There were no significant differences in depositions between two different height crops. The residues of azoxystrobin and tebuconazole in tomato and cherry tomato fruits were far below the maximum residue limits at harvest time. In general, self-propelled high-energy ultrasonic atomizer used in a greenhouse could increase the depositions, especially on the underside and internal side of the canopies, and lead to a reduction of operator exposure risk.
Risk Assessment Challenges in the Ares I Upper Stage
NASA Technical Reports Server (NTRS)
Stott, James E.; Ring, Robert W.; Elrada, Hassan A.; Hark, Frank
2007-01-01
NASA Marshall Space Flight Center (MSFC) is currently at work developing hardware and systems for the Ares I rocket that will send future astronauts into orbit. Built on cutting-edge launch technologies, evolved powerful Apollo and Space Shuttle propulsion elements, and decades of NASA spaceflight experience, Ares I is the essential core of a safe, reliable, cost-effective space transportation system -- one that will carry crewed missions back to the moon, on to Mars and out into the solar system. Ares I is an in-line, two-stage rocket configuration topped by the Orion crew vehicle and its launch abort system. In addition to the vehicle's primary mission -carrying crews of four to six astronauts to Earth orbit --Ares I may also use its 25-ton payload capacity to deliver resources and supplies to the International Space Station, or to "park" payloads in orbit for retrieval by other spacecraft bound for the moon or other destinations. Crew transportation to the International Space Station is planned to begin no later than 2014. The first lunar excursion is scheduled for the 2020 timeframe. This paper presents the challenges in designing the Ares I upper stage for reliability and safety while minimizing weight and maximizing performance.
The effects of magnesium doping on the modal loss in AlGaN-based deep UV lasers
NASA Astrophysics Data System (ADS)
Martens, M.; Kuhn, C.; Simoneit, T.; Hagedorn, S.; Knauer, A.; Wernicke, T.; Weyers, M.; Kneissl, M.
2017-02-01
Absorption losses in the Mg-doped layers significantly contribute to the modal losses in group-III-nitride-based lasers. In this paper, we investigate the influence of Mg-doping on the modal absorption of optically pumped UVC lasers grown on epitaxially laterally overgrown AlN/sapphire substrates with an averaged threading dislocation density of 1 × 109 cm-2. By varying the setback of the Mg-doping (˜1 × 1020 cm-3) within the upper Al0.70Ga0.30N waveguide layer, the overlap of the optical mode with the Mg-doped region increases. For all structures, internal losses were derived from gain spectra obtained by the variable stripe length method. The internal losses increase from 10 cm-1 for lasers without Mg-doping to 28 cm-1 for lasers with a fully Mg-doped upper waveguide layer. The overlap of the optical mode with the Mg-doped waveguide ΓMg clearly correlates with the modal losses. This allows to calculate the Mg-induced losses in current injection laser diodes by αm o d M g = Γ M g × 50 cm - 1 .
Penner, Andrew M
2008-01-01
Genetic and other biological explanations have reemerged in recent scholarship on the underrepresentation of women in mathematics and the sciences. This study engages this debate by using international data-including math achievement scores from the Third International Mathematics and Sciences Study and country-level data from the World Bank, the United Nations, the International Labour Organization, the World Values Survey, and the International Social Survey Programme-to demonstrate the importance of social factors and to estimate an upper bound for the impact of genetic factors. The author argues that international variation provides a valuable opportunity to present simple and powerful arguments for the continued importance of social factors. In addition, where previous research has, by and large, focused on differences in population means, this work examines gender differences throughout the distribution. The article shows that there is considerable variation in gender differences internationally, a finding not easily explained by strictly biological theories. Modeling the cross-national variation in gender differences with country-level predictors reveals that differences among high achievers are related to gender inequality in the labor market and differences in the overall status of men and women.
Capturing remote mixing due to internal tides using multi-scale modeling tool: SOMAR-LES
NASA Astrophysics Data System (ADS)
Santilli, Edward; Chalamalla, Vamsi; Scotti, Alberto; Sarkar, Sutanu
2016-11-01
Internal tides that are generated during the interaction of an oscillating barotropic tide with the bottom bathymetry dissipate only a fraction of their energy near the generation region. The rest is radiated away in the form of low- high-mode internal tides. These internal tides dissipate energy at remote locations when they interact with the upper ocean pycnocline, continental slope, and large scale eddies. Capturing the wide range of length and time scales involved during the life-cycle of internal tides is computationally very expensive. A recently developed multi-scale modeling tool called SOMAR-LES combines the adaptive grid refinement features of SOMAR with the turbulence modeling features of a Large Eddy Simulation (LES) to capture multi-scale processes at a reduced computational cost. Numerical simulations of internal tide generation at idealized bottom bathymetries are performed to demonstrate this multi-scale modeling technique. Although each of the remote mixing phenomena have been considered independently in previous studies, this work aims to capture remote mixing processes during the life cycle of an internal tide in more realistic settings, by allowing multi-level (coarse and fine) grids to co-exist and exchange information during the time stepping process.
NASA Technical Reports Server (NTRS)
Lee, Jong-Won; Allen, D. H.; Harris, C. E.
1989-01-01
A mathematical model utilizing the internal state variable concept is proposed for predicting the upper bound of the reduced axial stiffnesses in cross-ply laminates with matrix cracks. The axial crack opening displacement is explicitly expressed in terms of the observable axial strain and the undamaged material properties. A crack parameter representing the effect of matrix cracks on the observable axial Young's modulus is calculated for glass/epoxy and graphite/epoxy material systems. The results show that the matrix crack opening displacement and the effective Young's modulus depend not on the crack length, but on its ratio to the crack spacing.
A Case of Lemierre Syndrome Secondary to Otitis Media and Mastoiditis
Turan, Aynur; Cam, Harun; Dadali, Yeliz; Korkmaz, Serdar; Özdek, Ali; Hekimoğlu, Baki
2014-01-01
Lemierre's syndrome is a rare clinical condition that generally develops secondary to oropharyngeal infection caused by Fusobacterium necrophorum, which is an anaerobic bacteria. A 62-year-old patient with diabetes mellitus presented with internal jugular vein and sigmoid sinus-transverse sinus thrombophlebitis, accompanying otitis media and mastoiditis that developed after an upper airway infection. Interestingly, there were air bubbles in both the internal jugular vein and transverse sinus. Vancomycin and meropenem were started and a right radical mastoidectomy was performed. The patient's clinical picture completely resolved in 14 days. High mortality and morbidity may be prevented with a prompt diagnosis of Lemierre's syndrome. PMID:25431696
Yu, Juhua; Ding, Shiming; Zhong, Jicheng; Fan, Chengxin; Chen, Qiuwen; Yin, Hongbin; Zhang, Lei; Zhang, Yinlong
2017-08-15
Sediment dredging is an effective restoration method to control the internal phosphorus (P) loading of eutrophic lakes. However, the core question is that the real mechanism of dredging responsible for sediment internal P release still remains unclear. In this study, we investigated the P exchange across the sediment-water interface (SWI) and the internal P resupply ability from the sediments after dredging. The study is based on a one-year field simulation study in Lake Taihu, China, using a Rhizon soil moisture sampler, high-resolution dialysis (HR-Peeper), ZrO-Chelex diffusive gradients in thin film (ZrO-Chelex DGT), and P fractionation and adsorption isotherm techniques. The results showed low concentration of labile P in the pore water with a low diffusion potential and a low resupply ability from the sediments after dredging. The calculated flux of P from the post-dredged sediments decreased by 58% compared with that of non-dredged sediments. Furthermore, the resupply in the upper 20mm of the post-dredged sediments was reduced significantly after dredging (P<0.001). Phosphorus fractionation analysis showed a reduction of 25% in the mobile P fractions in the post-dredged sediments. Further analysis demonstrated that the zero equilibrium P concentration (EPC 0 ), partitioning coefficient (K p ), and adsorption capacity (Q max ) on the surface sediments increased after dredging. Therefore, dredging could effectively reduce the internal P resupply ability of the sediments. The reasons for this reduction are probably the lower contributions of mobile P fractions, higher retention ability, and the adsorption capacity of P for post-dredged sediments. Overall, this investigation indicated that dredging was capable of effectively controlling sediment internal P release, which could be ascribed to the removal of the surface sediments enriched with total phosphorus (TP) and/or organic matter (OM), coupled with the inactivation of P to iron (Fe) (hydr)oxides in the upper 20mm active layer. Copyright © 2017 Elsevier B.V. All rights reserved.
[Aging at work and musculoskeletal disorders].
Occhipinti, E; Colombini, D
2000-01-01
By means of a critical review of the international literature and of their own published experiences, the Authors discuss the influence of the "age" factor on work related musculoskeletal disorders of the spine and upper limbs. Regarding the spine, the lumbosacral spine in particular, there is evidence (both in relation to pathways and from epidemiological data) of the influence of age in determining a progressive increase in the occurrence of spondyloarthropathy with clear radiological signs. For upper limb disorders the influence of the "age" factor is still under debate and in any case does not seem of great importance. As far prevention is concerned for elderly workers subject to fixed postures and repetitive movements of the upper limbs it seems sufficient, to adopt the general measures used for the whole working population. However, specific measures should be adopted for elderly workers exposed to manual material handling (MMH). These consist in using reference values for the recommended weight that are lower than those adopted for younger workers (aged 18-45 years) and in implementing specific programs of active health surveillance.
Probability of in-vessel steam explosion-induced containment failure for a KWU PWR
DOE Office of Scientific and Technical Information (OSTI.GOV)
Esmaili, H.; Khatib-Rahbar, M.; Zuchuat, O.
During postulated core meltdown accidents in light water reactors, there is a likelihood for an in-vessel steam explosion when the melt contacts the coolant in the lower plenum. The objective of the work described in this paper is to determine the conditional probability of in-vessel steam explosion-induced containment failure for a Kraftwerk Union (KWU) pressurized water reactor (PWR). The energetics of the explosion depends on the mass of the molten fuel that mixes with the coolant and participates in the explosion and on the conversion of fuel thermal energy into mechanical work. The work can result in the generation ofmore » dynamic pressures that affect the lower head (and possibly lead to its failure), and it can cause acceleration of a slug (fuel and coolant material) upward that can affect the upper internal structures and vessel head and ultimately cause the failure of the upper head. If the upper head missile has sufficient energy, it can reach the containment shell and penetrate it. The analysis, must therefore, take into account all possible dissipation mechanisms.« less
Upper-surface-blowing flow-turning performance
NASA Technical Reports Server (NTRS)
Sleeman, W. C., Jr.; Phelps, A. E., III
1976-01-01
Jet exhaust flow-turning characteristics were determined for systematic variations in upper-surface blowing exhaust nozzles and trailing-edge flap configuration variables from experimental wind-off (static) flow studies. For conditions with parallel flow exhausting from the nozzle, jet height (as indicated by nozzle exit height) and flap radius were found to be the most important parameters relating to flow turning. Nonparallel flow from the nozzle, as obtained from an internal roof angle and/or side spread angle, had a large favorable effect on flow turning. Comparisons made between static turning results and wind tunnel aerodynamic studies of identical configurations indicated that static flow-turning results can be indicative of wind-on powered lift performance for both good and poor nozzle-flap combinations but, for marginal designs, can lead to overly optimistic assessment of powered lift potential.
The role of proton precipitation in Jovian aurora: Theory and observation
NASA Technical Reports Server (NTRS)
Waite, J. H., Jr.; Curran, D. B.; Cravens, T. E.; Clarke, J. T.
1992-01-01
It was proposed that the Jovian auroral emissions observed by Voyager spacecraft could be explained by energetic protons precipitating into the upper atmosphere of Jupiter. Such precipitation of energetic protons results in Doppler-shifted Lyman alpha emission that can be quantitatively analyzed to determine the energy flux and energy distribution of the incoming particle beam. Modeling of the expected emission from a reasonably chosen Voyager energetic proton spectrum can be used in conjunction with International Ultraviolet Explorer (IUE) observations, which show a relative lack of red-shifted Lyman alpha emission, to set upper limits on the amount of proton precipitation taking place in the Jovian aurora. Such calculations indicate that less than 10 percent of the ultraviolet auroral emissions at Jupiter can be explained by proton precipitation.
Fluorescent optical liquid level sensor
Weiss, Jonathan D.
2001-01-01
A liquid level sensor comprising a transparent waveguide containing fluorescent material that is excited by light of a first wavelength and emits at a second, longer wavelength. The upper end of the waveguide is connected to a light source at the first wavelength through a beveled portion of the waveguide such that the input light is totally internally reflected within the waveguide above an air/liquid interface in a tank but is transmitted into the liquid below this interface. Light is emitted from the fluorescent material only in those portions of the waveguide that are above the air/liquid interface, to be collected at the upper end of the waveguide by a detector that is sensitive only to the second wavelength. As the interface moves down in the tank, the signal strength from the detector will increase.
TDRS-M: Atlas V 2nd Stage Erection/Off-site Verticle Integration (OVI)
2017-07-13
A United Launch Alliance Atlas V Centaur upper stage arrives at the Vertical Integration Facility at Space Launch Complex 41 at Cape Canaveral Air Force Station in Florida. United Launch Alliance team members monitor the operation progress as the Centaur upper stage is lifted and mated to the Atlas V booster in the vertical position. The rocket is scheduled to help launch the Tracking and Data Relay Satellite, TDRS-M. It will be the latest spacecraft destined for the agency's constellation of communications satellites that allows nearly continuous contact with orbiting spacecraft ranging from the International Space Station and Hubble Space Telescope to the array of scientific observatories. Liftoff atop the ULA Atlas V rocket is scheduled to take place from Cape Canaveral's Space Launch Complex 41 in early August.
Ares I-X Upper Stage Simulator Compartment Pressure Comparisons During Ascent
NASA Technical Reports Server (NTRS)
Downs. William J.; Kirchner, Robert D.; McLachlan, Blair G.; Hand, Lawrence A.; Nelson, Stuart L.
2011-01-01
Predictions of internal compartment pressures are necessary in the design of interstage regions, systems tunnels, and protuberance covers of launch vehicles to assess potential burst and crush loading of the structure. History has proven that unexpected differential pressure loads can lead to catastrophic failure. Pressures measured in the Upper Stage Simulator (USS) compartment of Ares I-X during flight were compared to post-flight analytical predictions using the CHCHVENT chamber-to-chamber venting analysis computer program. The measured pressures were enveloped by the analytical predictions for most of the first minute of flight but were outside of the predictions thereafter. This paper summarizes the venting system for the USS, discusses the probable reasons for the discrepancies between the measured and predicted pressures, and provides recommendations for future flight vehicles.
Model of Semidiurnal Pseudo Tide in the High-Latitude Upper Mesosphere
NASA Technical Reports Server (NTRS)
Talaat, E. R.; Mayr, H. G.
2011-01-01
We present numerical results for the m = 1 meridional winds of semi diurnal oscillations in the high-latitude upper mesosphere, which are generated in the Numerical Spectral Model (NSM) without solar excitations of the tides. Identified with heuristic computer runs, the pseudo tides attain amplitudes that are, at times, as large as the non-migrating tides produced with standard solar forcing. Under the influence of parameterized gravity waves, the nonlinear NSM generates internal oscillations like the quasi-biennial oscillation, that are produced with periods favored by the dynamical properties of the system. The Coriolis force would favor at polar latitudes the excitation of the 12-hour periodicity. This oscillation may help explain the large non-migrating semidiurnal tides that are observed in the region with ground-based and satellite measurements.
Irreversible transport in the stratosphere by internal waves of short vertical wavelength
NASA Technical Reports Server (NTRS)
Danielsen, Edwin F.; Hipskind, R. S.; Starr, Walter L.; Vedder, James F.; Gaines, Steven E.; Kley, Dieter; Kelley, Ken K.
1991-01-01
Measurements performed during stratospheric flights of the U-2 aircraft confirm that cross-jet transport is dominated by waves, not by large-scale circulations. Monotonic gradients of trace constituents normal to the jet axis, with upper stratospheric tracers increasing poleward and tropospheric tracers increasing equatorward, are augmented by large-scale confluence as the jet intensifies during cyclogenesis. These gradients are rotated, intensified, and significantly increased in areas as their mixing ratio surfaces are folded by the differential transport of a very low frequency transverse wave. The quasi-horizontal transport produces a laminar structure with stable layers rich in upper stratospheric tracers alternating vertically with less stable layers rich in tropospheric tracers. The transport proceeds toward irreversibility at higher frequency, shear-gravity waves extend the folding to smaller horizontal scales.
The Ares Projects: Building America's Future in Space
NASA Technical Reports Server (NTRS)
Cook, Stephen A.
2009-01-01
NASA's Constellation Program is depending on the Ares Projects to deliver the crew and cargo launch capabilities needed to send human explorers to the Moon and beyond. In 2009, the Ares Projects plan to conduct the first test flight of Ares I, Ares I-X; the first firing of a five-segment development solid rocket motor for the Ares I first stage; building the first integrated Ares I upper stage; continue component testing for the J-2X upper stage engine; and perform more-detailed design studies for the Ares V cargo launch vehicle. Ares I and V will provide the core space launch capabilities needed to continue providing crew and cargo access to the International Space Station (ISS), and to build upon the U.S. history of human spaceflight to the Moon and beyond.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Li, Wei; Schumacher, Courtney; McFarlane, Sally A.
2013-01-31
Radiative heating profiles of the International Satellite Cloud Climatology Project (ISCCP) cloud regimes (or weather states) were estimated by matching ISCCP observations with radiative properties derived from cloud radar and lidar measurements from the Department of Energy (DOE) Atmospheric Radiation Measurement (ARM) sites at Manus, Papua New Guinea, and Darwin, Australia. Focus was placed on the ISCCP cloud regimes containing the majority of upper level clouds in the tropics, i.e., mesoscale convective systems (MCSs), deep cumulonimbus with cirrus, mixed shallow and deep convection, and thin cirrus. At upper levels, these regimes have average maximum cloud occurrences ranging from 30% tomore » 55% near 12 km with variations depending on the location and cloud regime. The resulting radiative heating profiles have maxima of approximately 1 K/day near 12 km, with equal heating contributions from the longwave and shortwave components. Upper level minima occur near 15 km, with the MCS regime showing the strongest cooling of 0.2 K/day and the thin cirrus showing no cooling. The gradient of upper level heating ranges from 0.2 to 0.4 K/(day∙km), with the most convectively active regimes (i.e., MCSs and deep cumulonimbus with cirrus) having the largest gradient. When the above heating profiles were applied to the 25-year ISCCP data set, the tropics-wide average profile has a radiative heating maximum of 0.45Kday-1 near 250 hPa. Column-integrated radiative heating of upper level cloud accounts for about 20% of the latent heating estimated by the Tropical Rainfall Measuring Mission (TRMM) Precipitation Radar (PR). The ISCCP radiative heating of tropical upper level cloud only slightly modifies the response of an idealized primitive equation model forced with the tropics-wide TRMM PR latent heating, which suggests that the impact of upper level cloud is more important to large-scale tropical circulation variations because of convective feedbacks rather than direct forcing by the cloud radiative heating profiles. However, the height of the radiative heating maxima and gradient of the heating profiles are important to determine the sign and patterns of the horizontal circulation anomaly driven by radiative heating at upper levels.« less
View of stars taken during Expedition Six
2003-03-23
ISS006-E-40544 (March 2003) --- The entire Big Dipper is visible in this photograph taken by astronaut Donald R. Pettit, Expedition Six NASA ISS science officer, on board the International Space Station (ISS). The roughly rectangular bowl (center left) and handle (extending toward the upper right) are shaped by the brightest stars. The Dipper is upside-down, appearing to empty its contents.
ERIC Educational Resources Information Center
Abu-Hilal, Maher M.
A study tested predictions for I/E (internal external) frame of reference model and extended this model to include locus of control. A sample of upper elementary (n=181) and junior high (n=191) students in the United Arab Emirates participated in the study. Structural equation modeling (SEM) analyses provided support to the external comparison…
ERIC Educational Resources Information Center
Dave, R. H., Ed.; And Others
This collection contains four papers discussing the outcomes of an international research project on the concept of lifelong education and its implications for educational reforms and development in developing nations. The following papers are included: "Rural Newspapers and Other Learning Strategies for Post-Literacy and Basic Education in…
2004-05-07
KENNEDY SPACE CENTER, FLA. -- From an upper level of the Fixed Service Structure on Launch Pad 39A, STS-114 Mission Specialists Charles Camarda (center) and Wendy Lawrence (right) look at the surrounding area. Beyond the pad is the aqua blue Atlantic Ocean. The STS-114 mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.
Federal Register 2010, 2011, 2012, 2013, 2014
2011-10-18
... serial number (S/N) fan blades, part number (P/N) 338- 002-114-0. This proposed AD was prompted by a normal quality sampling at CFM that isolated a production batch of fan blades with nonconforming geometry of mid-span shroud tips of the fan blades. This defect would cause the upper panel of the fan blade...
Earth observation taken by the Expedition 28 crew
2011-09-07
ISS028-E-043559 (7 Sept. 2011) --- This view, from the camera of an Expedition 28 crew member onboard the International Space Station, looks from the northwest toward southeast and covers many counties in southeast Texas that have been heavily affected by dozens of wild fires. Houston can be seen near frame center and the Gulf of Mexico takes up the upper right quadrant of the frame.
2012-06-01
turbulence . McPhee-Shaw determined that intrusions typically formed in regions where the incident and reflected wave beams overlap on the slope...Figure 7. Optical backscatter data from the Spray glider. The saturation point for the optical backscatter is 4.096 V. The green and red profiles...plot is a cross shelf section of optical backscatter . ..........................................................................25 Figure 9
How large is the Upper Indus Basin? The pitfalls of auto-delineation using DEMs
NASA Astrophysics Data System (ADS)
Khan, Asif; Richards, Keith S.; Parker, Geoffrey T.; McRobie, Allan; Mukhopadhyay, Biswajit
2014-02-01
Extraction of watershed areas from Digital Elevation Models (DEMs) is increasingly required in a variety of environmental analyses. It is facilitated by the availability of DEMs based on remotely sensed data, and by Geographical Information System (GIS) software. However, accurate delineation depends on the quality of the DEM and the methodology adopted. This paper considers automated and supervised delineation in a case study of the Upper Indus Basin (UIB), Pakistan, for which published estimates of the basin area show significant disagreement, ranging from 166,000 to 266,000 km2. Automated delineation used ArcGIS Archydro and hydrology tools applied to three good quality DEMs (two from SRTM data with 90m resolution, and one from 30m resolution ASTER data). Automatic delineation defined a basin area of c.440,000 km2 for the UIB, but included a large area of internal drainage in the western Tibetan Plateau. It is shown that discrepancies between different estimates reflect differences in the initial extent of the DEM used for watershed delineation, and the unchecked effect of iterative pit-filling of the DEM (going beyond the filling of erroneous pixels to filling entire closed basins). For the UIB we have identified critical points where spurious addition of catchment area has arisen, and use Google Earth to examine the geomorphology adjacent to these points, and also examine the basin boundary data provided by the HydroSHEDS database. We show that the Pangong Tso watershed and some other areas in the western Tibetan plateau are not part of the UIB, but are areas of internal drainage. Our best estimate of the area of the Upper Indus Basin (at Besham Qila) is 164,867 km2 based on the SRTM DEM, and 164,853 km2 using the ASTER DEM). This matches the catchment area measured by WAPDA SWHP. An important lesson from this investigation is that one should not rely on automated delineation, as iterative pit-filling can produce spurious drainage networks and basins, when there are areas of internal drainage nearby.
Cirera, Eva; Pérez, Katherine; Santamariña-Rubio, Elena; Novoa, Ana M; Olabarria, Marta
2014-12-01
In recent years, the incidence of injury in older people has increased. The aim of this study is to address the hypothesis that this increase is due to an increase in the incidence of some injuries that, while less common than hip fractures, are sufficient jointly to counteract the decrease or stabilisation in hip fracture rates observed in most countries. We performed a descriptive study of trends using data from the National Hospital Discharge Register. We included individuals 65 years and older who were discharged from a Spanish hospital during the period 2000-2010 with at least one injury diagnosis in the primary diagnosis field on the discharge form. The dependent variables were the following injury groups, classified using the Barell Matrix: hip fracture, shoulder and upper arm fractures, forearm and elbow fractures, thoracic fractures, lower leg and ankle fractures, and TBI type 1 internal injury. Incidence rates were calculated per 100,000 inhabitants (data from National Statistics Institute) and stratified by sex and age group. Trends, in terms of Annual Percent Change (APC), were assessed using Poisson Regression with discharge year as the independent variable. Hip fracture continues to be the most important injury type in older people. Thoracic fractures and TBI internal injuries are more common in men, while fractures in the upper extremities are more common in women. All injuries increased in frequency with age, except lower leg and ankle fractures, which decreased. While a secular decreasing trend in hip fracture was noted, the incidences of fractures of the shoulder and upper arm, forearm and elbow, and lower leg and ankle, as well as of TBI type 1 internal injuries have increased steadily. Although hip fracture continue to be the most common type of injury in older people, this study has allowed identifying other types of injury that are becoming increasingly common. These trends are driving paradigm changes in the burden of injuries requiring treatment within the hospital system, and must be taken into account in the design of preventative programs and actions. Copyright © 2014 Elsevier Ltd. All rights reserved.
NASA Astrophysics Data System (ADS)
Artemov, V. I.; Minko, K. B.; Yan'kov, G. G.; Kiryukhin, A. V.
2016-05-01
A mathematical model was developed to be used for numerical analysis of heat and mass transfer processes in the experimental section of the air condenser (ESAC) created in the Scientific Production Company (SPC) "Turbocon" and mounted on the territory of the All-Russia Thermal Engineering Institute. The simulations were performed using the author's CFD code ANES. The verification of the models was carried out involving the experimental data obtained in the tests of ESAC. The operational capability of the proposed models to calculate the processes in steam-air mixture and cooling air and algorithms to take into account the maldistribution in the various rows of tube bundle was shown. Data on the influence of temperature and flow rate of the cooling air on the pressure in the upper header of ESAC, effective heat transfer coefficient, steam flow distribution by tube rows, and the dimensions of the ineffectively operating zones of tube bundle for two schemes of steam-air mixture flow (one-pass and two-pass ones) were presented. It was shown that the pressure behind the turbine (in the upper header) increases significantly at increase of the steam flow rate and reduction of the flow rate of cooling air and its temperature rise, and the maximum value of heat transfer coefficient is fully determined by the flow rate of cooling air. Furthermore, the steam flow rate corresponding to the maximum value of heat transfer coefficient substantially depends on the ambient temperature. The analysis of the effectiveness of the considered schemes of internal coolant flow was carried out, which showed that the two-pass scheme is more effective because it provides lower pressure in the upper header, despite the fact that its hydraulic resistance at fixed flow rate of steam-air mixture is considerably higher than at using the one-pass schema. This result is a consequence of the fact that, in the two-pass scheme, the condensation process involves the larger internal surface of tubes, results in lower values of Δ t (the temperature difference between internal and external coolant) for a given heat load.
Uehara, Kosuke; Ogura, Koichi; Akiyama, Toru; Shinoda, Yusuke; Iwata, Shintaro; Kobayashi, Eisuke; Tanzawa, Yoshikazu; Yonemoto, Tsukasa; Kawano, Hirotaka; Kawai, Akira
2017-09-01
The Musculoskeletal Tumor Society (MSTS) scoring system developed in 1993 is a widely used disease-specific evaluation tool for assessment of physical function in patients with musculoskeletal tumors; however, only a few studies have confirmed its reliability and validity. The aim of this study was to validate the MSTS scoring system for the upper extremity (MSTS-UE) in Japanese patients with musculoskeletal tumors for use by others in research. Does the MSTS-UE have: (1) sufficient reliability and internal consistency; (2) adequate construct validity; and (3) reasonable criterion validity in comparison to the Toronto Extremity Salvage Score (TESS) or SF-36? Reliability was performed using test-retest analysis, and internal consistency was evaluated with Cronbach's alpha coefficient. Construct validity was evaluated using a scree plot to confirm the construct number and the Akaike information criterion network. Criterion validity was evaluated by comparing the MSTS-UE with the TESS and SF-36. The test-retest reliability with intraclass correlation coefficient (0.95; 95% CI, 0.91-0.97) was excellent, and internal consistency with Cronbach's α (0.7; 95% CI, 0.53-0.81) was acceptable. There were no ceiling and floor effects. The Akaike Information Criterion network showed that lifting ability, pain, and dexterity played central roles among the components. The MSTS-UE showed substantial correlation with the TESS scoring scale (r = 0.75; p < 0.001) and fair correlation with the SF-36 physical component summary (r = 0.37; p = 0.007). Although the MSTS-UE showed slight correlation with the SF-36 mental component summary, the emotional acceptance component of the MSTS-UE showed fair correlation (r = 0.29; p = 0.039). We can conclude that the MSTS is not an adequate measure of general health-related quality of life; however, this system was designed mainly to be a simple measure of function in a single extremity. To evaluate the mental state of patients with musculoskeletal tumors in the upper extremity, further study is needed.
Kumar, V Santosh; Rao, N Koteswara; Mohan, Kodali Rama; Krishna, Leela; Prasad, B Srinivasa; Ranganadh, N; Lakshmi, Vijaya
2016-01-01
Coronal incision is a popular and versatile surgical approach to the anterior cranial vault and upper and middle third facial skeleton. The flap itself permits widespread exposure of the fractures in this region. The bicoronal flap was first described by Hartley and Kenyon (neurosurgeons) to gain access to the anterior cranium in 1907. It extension as an access flap to the upper and lateral aspect of the face was pioneered by Tessier (1971). Esthetically, it is pleasing as the surgical scar is hidden within the hair. To evaluate the versatility of coronal incision using various modifications advocated in incision, exposure to fractured site, and closure of flap in treating the upper and middle third facial fractures. A total of ten patients diagnosed with upper and middle third facial fractures requiring open reduction and internal fixation/correction of contour defect were selected after preoperative clinical and radiographic (computed tomography scan) evaluation. All the cases were operated by coronal approach to gain the access to the fracture/defect site for reduction/correction of the defect. Advantages and complication are evaluated. Excellent access and anatomical reduction by this approach with least number of complications; if it is performed with healthy knowledge of anatomy of the scalp and temporal region. Certain minimal complications have also been noted using various modifications used in the procedure. Despite of prolonged surgical time for the exposure, it is very advantages in treating upper and middle third facial fractures due to wide access and discreet scar (minimal).
Commercial gaming devices for stroke upper limb rehabilitation: a systematic review.
Thomson, Katie; Pollock, Alex; Bugge, Carol; Brady, Marian
2014-06-01
Rehabilitation using commercial gaming devices is a new concept for stroke care. Commercial gaming devices such as Nintendo Wii or Sony PlayStation encourage high repetition of arm movements and are being introduced into some clinical settings. The evidence base for gaming use in rehabilitation is growing rapidly and there is a need to systematically synthesise research. Our review aims to integrate evidence on how gaming is being used, explore patient/therapist experience and synthesise evidence of effectiveness. An integrative systematic review was undertaken searching Cochrane Central Register of Controlled Trials (2013), Medline (2013), Embase (2013) and twelve additional databases. Two review authors independently selected studies based on pre-defined inclusion criteria, extracted data and assessed risk of bias. Nineteen studies including 215 patients met inclusion criteria. Studies were typically small scale feasibility studies using a range of research designs, limiting the ability to reach generalised conclusions. Results have been tabulated (activities of daily living, upper limb function/ movement) and qualitative themes identified. Findings suggest that most patients enjoy using commercial gaming and can tolerate 180 mins per week without significant adverse effects. A trend towards improvement was noted for upper limb function/ movement. Few studies recorded outcomes related to activities of daily living or focused on understanding patients' experiences of this intervention. Commercial gaming can provide high intensity upper limb practice however there is insufficient high quality evidence to reach generalisable conclusions about risks or benefits on activities of daily living or upper limb function/movement. © 2014 The Authors. International Journal of Stroke © 2014 World Stroke Organization.
Intramural distribution of regulatory peptides in the sigmoid-recto-anal region of the human gut.
Ferri, G L; Adrian, T E; Allen, J M; Soimero, L; Cancellieri, A; Yeats, J C; Blank, M; Polak, J M; Bloom, S R
1988-06-01
The distribution of regulatory peptides was studied in the separated mucosa, submucosa and muscularis externa taken at 10 sampling sites encompassing the whole human sigmoid colon (five sites), rectum (two sites), and anal canal (three sites). Consistently high concentrations of VIP were measured in the muscle layer at most sites (proximal sigmoid: 286 (16) pmol/g, upper rectum: 269 (17), a moderate decrease being found in the distal smooth sphincter (151 (30) pmol/g). Values are expressed as mean (SE). Conversely, substance P concentrations showed an obvious decline in the recto-anal muscle (mid sigmoid: 19 (2.0) pmol/g, distal rectum: 7.1 (1.3), upper anal canal: 1.6 (0.6)). Somatostatin was mainly present in the sigmoid mucosa and submucosa (37 (9.3) and 15 (3.5) pmol/g, respectively) and showed low, but consistent concentrations in the muscle (mid sigmoid: 2.2 (0.7) pmol/g, upper anal canal: 1.5 (0.8]. Starting in the distal sigmoid colon, a distinct peak of tissue NPY was revealed, which was most striking in the muscle (of mid sigmoid: 16 (3.9) pmol/g, upper rectum: 47 (7.8), anal sphincter: 58 (14)). Peptide YY was confined to the mucosa and showed an earlier peak (upper sigmoid: 709 (186) pmol/g, mid-distal sigmoid: 1965 (484)). A clear differential distribution of regulatory peptides was thus shown in the region studied. A possible role is suggested for NPY and VIP containing nerves in the effector control of the human internal anal sphincter.
Intramural distribution of regulatory peptides in the sigmoid-recto-anal region of the human gut.
Ferri, G L; Adrian, T E; Allen, J M; Soimero, L; Cancellieri, A; Yeats, J C; Blank, M; Polak, J M; Bloom, S R
1988-01-01
The distribution of regulatory peptides was studied in the separated mucosa, submucosa and muscularis externa taken at 10 sampling sites encompassing the whole human sigmoid colon (five sites), rectum (two sites), and anal canal (three sites). Consistently high concentrations of VIP were measured in the muscle layer at most sites (proximal sigmoid: 286 (16) pmol/g, upper rectum: 269 (17), a moderate decrease being found in the distal smooth sphincter (151 (30) pmol/g). Values are expressed as mean (SE). Conversely, substance P concentrations showed an obvious decline in the recto-anal muscle (mid sigmoid: 19 (2.0) pmol/g, distal rectum: 7.1 (1.3), upper anal canal: 1.6 (0.6)). Somatostatin was mainly present in the sigmoid mucosa and submucosa (37 (9.3) and 15 (3.5) pmol/g, respectively) and showed low, but consistent concentrations in the muscle (mid sigmoid: 2.2 (0.7) pmol/g, upper anal canal: 1.5 (0.8]. Starting in the distal sigmoid colon, a distinct peak of tissue NPY was revealed, which was most striking in the muscle (of mid sigmoid: 16 (3.9) pmol/g, upper rectum: 47 (7.8), anal sphincter: 58 (14)). Peptide YY was confined to the mucosa and showed an earlier peak (upper sigmoid: 709 (186) pmol/g, mid-distal sigmoid: 1965 (484)). A clear differential distribution of regulatory peptides was thus shown in the region studied. A possible role is suggested for NPY and VIP containing nerves in the effector control of the human internal anal sphincter. PMID:2454876
Fuller, C W; Junge, A; Dvorak, J
2005-08-01
To identify those risk factors that have the greatest impact on the incidence of head and neck injuries in international football. A case-control study of players sustaining head and neck injuries during 20 FIFA tournaments (men and women) from 1998 to 2004. Video recordings of incidents were used to identify a range of parameters associated with the incidents. Team physicians provided medical reports describing the nature of each injury. chi2 tests (p< or =0.01) and 95% confidence intervals were used to assess differences in distribution and incidence of injury, respectively. In total, 248 head and neck injuries were recorded of which 163 were identified and analysed on video sequences. The commonest injuries were contusions (53%), lacerations (20%), and concussions (11%). The incidence of all head and neck injuries was 12.5/1000 player hours (men 12.8, women 11.5) and 3.7 for lost-time injuries (men 3.5, women 4.1). The commonest causes of injury involved aerial challenges (55%) and the use of the upper extremity (33%) or head (30%). The unfair use of the upper extremity was significantly more likely to cause an injury than any other player action. Only one injury (a neck muscle strain) occurred as a result of heading the ball throughout the 20 tournaments equivalent to 0.05 injuries/1000 player hours. Players' actions most likely to cause a head or neck injury were the use of the upper extremity or the head but in the majority of cases these challenges were deemed to be fair and within the laws of the game.
De Baets, Liesbet; van der Straaten, Rob; Matheve, Thomas; Timmermans, Annick
2017-09-01
This review investigates current protocols using Inertial Measurement Units (IMUs) in shoulder research, and outlines future paths regarding IMU use for shoulder research. Different databases were searched for relevant articles. Criteria for study selection were (1) research in healthy persons or persons with shoulder problems, (2) IMUs applied as assessment tool for the shoulder (in healthy subjects and shoulder patients) or upper limb (in shoulder patients), (3) peer-reviewed, full-text papers in English or Dutch. Studies with less than five participants and without ethical approval were excluded. Data extraction included (1) study design, (2) participant characteristics, (3) type/brand of IMU, (4) tasks included in the assessment protocol, and (5) outcomes. Risk of bias was assessed using the Downs and Black checklist. Scapulothoracic/glenohumeral and humerothoracic kinematics were reported in respectively 10 and 27 of the 37 included papers. Only one paper in healthy persons assessed, next to scapulothoracic/glenohumeral kinematics, other upper limb joints. IMUs' validity and reliability to capture shoulder function was limited. Considering applied protocols, 39% of the protocols was located on the International-Classification-of-Functioning (ICF) function level, while 38% and 23% were on the 'capacity' and 'actual performance'-sublevel, of the ICF-activity level. Most available IMU-research regarding the shoulder is clinically less relevant, given the widely reported humerothoracic kinematics which do not add to clinical-decision-making, and the absence of protocols assessing the complete upper limb chain. Apart from knowledge on methodological pitfalls and opportunities regarding the use of IMUs, this review provides future research paths. Copyright © 2017 Elsevier B.V. All rights reserved.
Aaby, P; Gomes, J; Fernandes, M; Djana, Q; Lisse, I; Jensen, H
1999-10-02
To study the effects on children of humanitarian aid agencies restricting help to refugee families (internally displaced people). Follow up study of 3 months. Prabis peninsular outside Bissau, the capital of Guinea-Bissau, which has functioned as a refugee area for internally displaced people in the ongoing war, and the study area of the Bandim health project in Bissau. 422 children aged 9-23 months in 30 clusters. Mid-upper arm circumference and survival in relation to residence status. During the refugee situation all children deteriorated nutritionally, and mortality was high (3.0% in a 6 week period). Rice consumption was higher in families resident in Prabis than in refugees from Bissau but there was no difference in food expenditure. Nutritional status, measured by mid- upper arm circumference, was not associated with rice consumption levels in the family, and the decline in circumference was significantly worse for resident than for refugee children; the mid-upper arm circumference of refugee children increased faster than that of resident children. For resident children, mortality was 4.5 times higher (95% confidence interval 1.1 to 30.0) than for refugee children. Mortality for both resident and refugee children was 7.2 times higher (1.3 to 133.9) during the refugee's stay in Prabis compared with the period after the departure of the refugees. In a non-camp setting, residents may be more malnourished and have higher mortality than refugees. Major improvements in nutritional status and a reduction in mortality occurred in resident and refugee children as soon as refugees returned home despite the fact that there was no improvement in food availability.
Valkhoff, Vera E; Coloma, Preciosa M; Masclee, Gwen M C; Gini, Rosa; Innocenti, Francesco; Lapi, Francesco; Molokhia, Mariam; Mosseveld, Mees; Nielsson, Malene Schou; Schuemie, Martijn; Thiessard, Frantz; van der Lei, Johan; Sturkenboom, Miriam C J M; Trifirò, Gianluca
2014-08-01
To evaluate the accuracy of disease codes and free text in identifying upper gastrointestinal bleeding (UGIB) from electronic health-care records (EHRs). We conducted a validation study in four European electronic health-care record (EHR) databases such as Integrated Primary Care Information (IPCI), Health Search/CSD Patient Database (HSD), ARS, and Aarhus, in which we identified UGIB cases using free text or disease codes: (1) International Classification of Disease (ICD)-9 (HSD, ARS); (2) ICD-10 (Aarhus); and (3) International Classification of Primary Care (ICPC) (IPCI). From each database, we randomly selected and manually reviewed 200 cases to calculate positive predictive values (PPVs). We employed different case definitions to assess the effect of outcome misclassification on estimation of risk of drug-related UGIB. PPV was 22% [95% confidence interval (CI): 16, 28] and 21% (95% CI: 16, 28) in IPCI for free text and ICPC codes, respectively. PPV was 91% (95% CI: 86, 95) for ICD-9 codes and 47% (95% CI: 35, 59) for free text in HSD. PPV for ICD-9 codes in ARS was 72% (95% CI: 65, 78) and 77% (95% CI: 69, 83) for ICD-10 codes (Aarhus). More specific definitions did not have significant impact on risk estimation of drug-related UGIB, except for wider CIs. ICD-9-CM and ICD-10 disease codes have good PPV in identifying UGIB from EHR; less granular terminology (ICPC) may require additional strategies. Use of more specific UGIB definitions affects precision, but not magnitude, of risk estimates. Copyright © 2014 Elsevier Inc. All rights reserved.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Graham, S.A.; Buchman, S.B.
1983-01-01
La Jolla fan, offshore of San Diego, California, is a well-studied example of submarine-fan sedimentation, yet the internal architecture of the fan has remained poorly known. High-resolution seismic data, recorded in a 1 by 2 mi (1.6 by 3.3 km) grid, over much of the fan, allow better understanding of upper and middle fan features and processes, and of structural controls on fan sedimentation. Three bathymetrically prominent conduits supply sediment to the upper La Jolla fan system from stream and nearshore littoral drift-cell sources. La Jolla canyon (and contiguous La Jolla fan valley) is the main feeder to the fan.more » Seismic profiling data confirm the previously reported erosional character of the channel and constructional nature of flanking levees. These data also reveal that the position of the channel is controlled by the geometry of a buried, hard-rock structure. Seismic data demonstrate that the La Jolla fan system comprises a complex interleaved set of sediment wedges derived from multiple sources and woven around the wrench tectonic fabric of uplifts and basins of the southern California borderland. Thus, La Jolla fan system presents an expansion from the simple radial growth pattern of fan sedimentation to a complex fan system built of a number of smaller interwoven radial growth components. Despite these complexities, lithofacies patterns are in part predictable for the La Jolla fan system. Faultbounded uplifts form long-lived barriers to sediment dispersal and enhance channel development along their flanks. Multistory channel complexes, detectable seismically, commonly occur in these structurally controlled positions adjacent to wrench related uplifts.« less
Tampin, Brigitte; Briffa, Noelle Kathryn; Goucke, Roger; Slater, Helen
2013-12-01
The Neuropathic Pain Special Interest Group (NeuPSIG) of the International Association for the Study of Pain has proposed a grading system for the presence of neuropathic pain (NeP) using the following categories: no NeP, possible, probable, or definite NeP. To further evaluate this system, we investigated patients with neck/upper limb pain with a suspected nerve lesion, to explore: (i) the clinical application of this grading system; (ii) the suitability of 2 NeP questionnaires (Leeds Assessment of Neuropathic Symptoms and Signs pain scale [LANSS] and the painDETECT questionnaire [PD-Q]) in identifying NeP in this patient cohort; and (iii) the level of agreement in identifying NeP between the NeuPSIG classification system and 2 NeP questionnaires. Patients (n = 152; age 52 ± 12 years; 53% male) completed the PD-Q and LANSS questionnaire and underwent a comprehensive clinical examination. The NeuPSIG grading system proved feasible for application in this patient cohort, although it required considerable time and expertise. Both questionnaires failed to identify a large number of patients with clinically classified definite NeP (LANSS sensitivity 22%, specificity 88%; PD-Q sensitivity 64%, specificity 62%). These lowered sensitivity scores contrast with those from the original PD-Q and LANSS validation studies and may reflect differences in the clinical characteristics of the study populations. The diagnostic accuracy of LANSS and PD-Q for the identification of NeP in patients with neck/upper limb pain appears limited. Copyright © 2013 International Association for the Study of Pain. Published by Elsevier B.V. All rights reserved.
Machen, Emily
2011-01-01
This article explores the efforts of French Catholic, Protestant, and Jewish women to morally, spiritually, and physically protect immigrant and migrant women and girls in the late nineteenth and early twentieth centuries. Women of faith worried about the dangers posed by the white slave trade, and they feared the loss of spiritual consciousness among women living far from their families and their places of worship. In response to these concerns, they developed numerous faith-based international organizations aimed at protecting vulnerable working-class immigrants. Upper-class women's work in immigrant aid societies allowed them to take on much greater social and religious leadership roles than they had in the past. Likewise, the intricate, international networks that these women developed contributed to the building of international cooperation throughout Europe.
On the Stratospheric Aerosol and Gas Experiment III on the International Space Station
NASA Technical Reports Server (NTRS)
Hernandez, Gloria; Zawodny, Joseph M.; Cisewski, Michael S.; Thornton, Brooke M.; Panetta, Andrew D,; Roell, Marilee M.; Vernier, Jean-Paul
2014-01-01
The Stratospheric Aerosol and Gas Experiment III on International Space Station (SAGE3/ISS) is anticipated to be delivered to Cape Canaveral in the spring of 2015. This is the fourth generation, fifth instrument, of visible/near-IR solar occultation instruments operated by the National Aeronautics and Space Agency (NASA) to investigate the Earth's upper atmosphere. The instrument is a moderate resolution spectrometer covering wavelengths from 290 nm to 1550 nm. The nominal science products include vertical profiles of trace gases, such as ozone, nitrogen dioxide and water vapor, along with multi-wavelength aerosol extinction. The SAGE3/ISS validation program will be based upon internal consistency of the measurements, detailed analysis of the retrieval algorithm, and comparisons with independent correlative measurements. The Instrument Payload (IP), mission architecture, and major challenges are also discussed.
Duriez, P; Devaux, T; Chantelot, C; Baudrier, N; Hery, J-Y; Mainard, D; Favier, T; Massin, P
2016-10-01
Although internal fixation is the reference treatment for extracapsular fracture of the upper femur, indications for arthroplasty are broadening, especially in unstable comminutive fracture in fragile bone. The present study hypothesis was that arthroplasty reduces early mortality and morbidity and provides better recovery of autonomy in over-80 year-old patients than does internal fixation. A prospective multicenter study was conducted on 8 sites. Internal fixation was systematically used in 5 centers; arthroplasty was used systematically in 1 center, and reserved for unstable fracture in 2 centers. A total of 697 patients aged over 80 years (mean age, 85±5 years), presenting with extracapsular fracture, were included; 521 were treated by internal fixation and 176 by arthroplasty. Results were studied on multivariate analysis of ASA score, blood loss, transfusion, and also of treatment modality as an independent factor for early (first 6 months) mortality and morbidity (mechanical, general and nutritional complications) and functional outcome (autonomy and dependence). Overall mortality was 19.2%. Autonomy deteriorated in 56% of patients alive at 6 months and dependence worsened in 44%. Two percent of those managed by internal fixation underwent revision for disassembly (n=8) or infection (n=1). Eight percent of those managed by arthroplasty underwent revision for dislocation (n=4), implant loosening (n=3) or infection (n=7). On univariate analysis, mortality was higher in the arthroplasty group (25%) than with internal fixation (17%; P=0.002), as were blood loss (425±286mL versus 333±223mL; P<0.0001), transfusion rate (61% versus 32%; P<0.0001) and infection (4% versus 0.2%; P<0.001). On multivariate analysis, however, treatment modality no longer showed impact on mortality or on morbidity and autonomy at 6 months. Nutritional status was better conserved at 6 months following arthroplasty, but dependence worsened. Poor preoperative autonomy, ASA score, and nutritional status and time to treatment were independent factors for mortality. Transfusion, associated with onset of mechanical complications, significantly increased dependence. Type of treatment had little impact on mortality, morbidity or functional outcome. Differences seemed more related to preoperative functional and nutritional status. III, prospective case-control study. Copyright © 2016 Elsevier Masson SAS. All rights reserved.
The Tropical Upper Troposphere and Lower Stratosphere in the GEOS-2 GCM
NASA Technical Reports Server (NTRS)
Pawson, S.; Takacs, L.; Molod, A.; Nebuda, S.; Chen, M.; Rood, R.; Read, W. L.; Fiorino, M.
1999-01-01
The structure of the tropical upper troposphere and lower stratosphere in the GEOS-2 General Circulation Model (GCM) is discussed. The emphasis of this study is on the reality of monthly-mean temperature and water vapor distributions in the model, compared to reasonable observational estimates. It is shown that although the zonal-mean temperature is in good agreement with observations, the GCM supports an excessive zonal asymmetry near the tropopause compared to the ECMWF Reanalyses. In reality there is a QBO-related variability in the zonally averaged lower stratospheric temperature which is not captured by the model. The observed upper tropospheric temperature and humidity fields show variations related to those in the sea surface temperature, which are not incorporated in the GCM; nevertheless, there is some interannual variability in the GCM, indicating a component arising from internal processes. The model is too moist in the middle troposphere (500 hPa) but too dry in the upper troposphere, suggesting that there is too little vertical transport or too much drying in the GCM. Transport into the stratosphere shows a pronounced annual cycle, with drier air entering the tropical stratosphere when the tropopause is coldest in northern winter; while the alternating dry and moist air masses can be traced ascending through the tropical lower stratosphere, the progression of the anomalies is too rapid.
Ives, Colleen T; Findlater, Karen; Shoesmith, Christen L; Doherty, Timothy J
2015-07-01
To compare the sensitivity to change of decomposition-enhanced spike-triggered averaging (DE-STA) motor unit number estimation (MUNE) in the upper trapezius (UT) to that of various clinical outcome measures in subjects with amyotrophic lateral sclerosis (ALS). Ten patients with clinically probable or definite ALS were assessed at baseline, 2, 4 and 6months with the following outcome measures: manual muscle testing in five upper extremity muscle groups, scapular elevation and elbow flexion peak force measured with hand-held dynamometry, MUNE, forced vital capacity and the Revised ALS Functional Rating Scale (ALSFRS-R). ALSFRS-R was the only outcome measure for which there was a significant difference between baseline and 6months (p=0.034). ALSFRS-R had the largest standardized response mean (SRM), and was thus the most sensitive to change. MUNE demonstrated a decline over 6months and a moderate SRM (-0.63). This study has demonstrated a moderate degree of sensitivity to change for DE-STA MUNE as applied to the UT in subjects with ALS. In this preliminary study, DE-STA MUNE detected motor unit loss over 6months, with a moderate degree of sensitivity, in the upper trapezius of subjects with ALS. Copyright © 2014 International Federation of Clinical Neurophysiology. Published by Elsevier Ireland Ltd. All rights reserved.
CFD Analysis of Upper Plenum Flow for a Sodium-Cooled Small Modular Reactor
DOE Office of Scientific and Technical Information (OSTI.GOV)
Kraus, A.; Hu, R.
2015-01-01
Upper plenum flow behavior is important for many operational and safety issues in sodium fast reactors. The Prototype Gen-IV Sodium Fast Reactor (PGSFR), a pool-type, 150 MWe output power design, was used as a reference case for a detailed characterization of upper plenum flow for normal operating conditions. Computational Fluid Dynamics (CFD) simulation was utilized with detailed geometric modeling of major structures. Core outlet conditions based on prior system-level calculations were mapped to approximate the outlet temperatures and flow rates for each core assembly. Core outlet flow was found to largely bypass the Upper Internal Structures (UIS). Flow curves overmore » the shield and circulates within the pool before exiting the plenum. Cross-flows and temperatures were evaluated near the core outlet, leading to a proposed height for the core outlet thermocouples to ensure accurate assembly-specific temperature readings. A passive scalar was used to evaluate fluid residence time from core outlet to IHX inlet, which can be used to assess the applicability of various methods for monitoring fuel failure. Additionally, the gas entrainment likelihood was assessed based on the CFD simulation results. Based on the evaluation of velocity gradients and turbulent kinetic energies and the available gas entrainment criteria in the literature, it was concluded that significant gas entrainment is unlikely for the current PGSFR design.« less
Louro, R S; Calasans-Maia, J A; Mattos, C T; Masterson, D; Calasans-Maia, M D; Maia, L C
2018-05-01
The aim of this study was to evaluate the effect of counterclockwise (CCW) rotation and maxillomandibular advancement (MMA) on the upper airway space using three-dimensional images. An electronic search was performed in the PubMed, Cochrane Library, Scopus, Virtual Health Library, Web of Science, and OpenGrey databases (end date July 2016); a hand-search of primary study reference lists was also conducted. The inclusion criteria encompassed computed tomography evaluations of the upper airway spaces of adult patients undergoing orthognathic surgery with CCW rotation and MMA. The articles were evaluated for risk of bias with a tool for before-and-after studies. A meta-analysis was performed with the mean differences using a random-effects model. Heterogeneity was assessed with the Q-test and the I 2 index. The meta-analysis revealed significant (P<0.001) increases in both the total airway volume (effect size of 6832mm 3 and confidence interval of 5554-8109mm 3 ) and the minimum axial area (effect size of 92mm 2 and confidence interval of 70-113mm 2 ). The heterogeneity was low in both comparisons (I 2 =38% and 7%, respectively). The technique of mandibular advancement with CCW rotation produced significant increases in the volumes and areas of the upper airway spaces. Copyright © 2017 International Association of Oral and Maxillofacial Surgeons. Published by Elsevier Ltd. All rights reserved.
NASA Technical Reports Server (NTRS)
Whiteman, David N.; Vermeesch, Kevin C.; Oman, Luke D.; Weatherhead, Elizabeth C.
2011-01-01
Recent published work assessed the amount of time to detect trends in atmospheric water vapor over the coming century. We address the same question and conclude that under the most optimistic scenarios and assuming perfect data (i.e., observations with no measurement uncertainty) the time to detect trends will be at least 12 years at approximately 200 hPa in the upper troposphere. Our times to detect trends are therefore shorter than those recently reported and this difference is affected by data sources used, method of processing the data, geographic location and pressure level in the atmosphere where the analyses were performed. We then consider the question of how instrumental uncertainty plays into the assessment of time to detect trends. We conclude that due to the high natural variability in atmospheric water vapor, the amount of time to detect trends in the upper troposphere is relatively insensitive to instrumental random uncertainty and that it is much more important to increase the frequency of measurement than to decrease the random error in the measurement. This is put in the context of international networks such as the Global Climate Observing System (GCOS) Reference Upper-Air Network (GRUAN) and the Network for the Detection of Atmospheric Composition Change (NDACC) that are tasked with developing time series of climate quality water vapor data.
NASA Astrophysics Data System (ADS)
Whiteman, David N.; Vermeesch, Kevin C.; Oman, Luke D.; Weatherhead, Elizabeth C.
2011-11-01
Recent published work assessed the amount of time to detect trends in atmospheric water vapor over the coming century. We address the same question and conclude that under the most optimistic scenarios and assuming perfect data (i.e., observations with no measurement uncertainty) the time to detect trends will be at least 12 years at approximately 200 hPa in the upper troposphere. Our times to detect trends are therefore shorter than those recently reported and this difference is affected by data sources used, method of processing the data, geographic location and pressure level in the atmosphere where the analyses were performed. We then consider the question of how instrumental uncertainty plays into the assessment of time to detect trends. We conclude that due to the high natural variability in atmospheric water vapor, the amount of time to detect trends in the upper troposphere is relatively insensitive to instrumental random uncertainty and that it is much more important to increase the frequency of measurement than to decrease the random error in the measurement. This is put in the context of international networks such as the Global Climate Observing System (GCOS) Reference Upper-Air Network (GRUAN) and the Network for the Detection of Atmospheric Composition Change (NDACC) that are tasked with developing time series of climate quality water vapor data.
Mantle thermal history during supercontinent assembly and breakup
NASA Astrophysics Data System (ADS)
Rudolph, M. L.; Zhong, S.
2013-12-01
We use mantle convection simulations driven by plate motion boundary conditions to investigate changes in mantle temperature through time. It has been suggested that circum-Pangean subduction prevented convective thermal mixing between sub-continental and sub-oceanic regions. We performed thermo-chemical simulations of mantle convection with velocity boundary conditions based on plate motions for the past 450 Myr using Earth-like Rayleigh number and ~60% internal heating using three different plate motion models for the last 200 Myr [Lithgow-Bertelloni and Richards 1998; Gurnis et al. 2012; Seton et al. 2012; Zhang et al. 2010]. We quantified changes in upper-mantle temperature between 200-1000 km depth beneath continents (defined as the oldest 30% of Earth's surface) and beneath oceans. Sub-continental upper mantle temperature was relatively stable and high between 330 and 220 Ma, coincident with the existence of the supercontinent Pangea. The average sub-continental temperature during this period was, however, only ~10 K greater than during the preceding 100 Myr. In the ~200 Myr since the breakup of Pangea, sub-continental temperatures have decreased only ~15 K in excess of the 0.02 K/Myr secular cooling present in our models. Sub-oceanic upper mantle temperatures did not vary more than 5 K between 400 and 200 Ma and the cooling trend following Pangea breakup is less pronounced. Recent geochemical observations imply rapid upper mantle cooling of O(10^2) K during continental breakup; our models do not produce warming of this magnitude beneath Pangea or cooling of similar magnitude associated with the breakup of Pangea. Our models differ from those that produce strong sub-continental heating in that the circum-Pangean subduction curtain does not completely inhibit mixing between the sub-continental and sub-oceanic regions and we include significant internal heating, which limits the rate of temperature increase. Heat transport in our simulations is controlled to first order by plate motions. Most of the temporal variability in surface heat flow is driven by variations in seafloor spreading rate and the accompanying changes in slab velocities dominate variations in buoyancy flux at all mantle depths. Variations in plume buoyancy flux are small but are correlated with the slab buoyancy flux variations.
NASA Astrophysics Data System (ADS)
Hofmeister, A.; Criss, R. E.
2013-12-01
Because magmatism conveys radioactive isotopes plus latent heat rapidly upwards while advecting heat, this process links and controls the thermal and chemical evolution of Earth. We present evidence that the lower mantle-upper mantle boundary is a profound chemical discontinuity, leading to observed heterogeneities in the outermost layers that can be directly sampled, and construct an alternative view of Earth's internal workings. Earth's beginning involved cooling via explosive outgassing of substantial ice (mainly CO) buried with dust during accretion. High carbon content is expected from Solar abundances and ice in comets. Reaction of CO with metal provided a carbide-rich core while converting MgSiO3 to olivine via oxidizing reactions. Because thermodynamic law (and buoyancy of hot particles) indicates that primordial heat from gravitational segregation is neither large nor carried downwards, whereas differentiation forced radioactive elements upwards, formation of the core and lower mantle greatly cooled the Earth. Reference conductive geotherms, calculated using accurate and new thermal diffusivity data, require that heat-producing elements are sequestered above 670 km which limits convection to the upper mantle. These irreversible beginnings limit secular cooling to radioactive wind-down, permiting deduction of Earth's inventory of heat-producing elements from today's heat flux. Coupling our estimate for heat producing elements with meteoritic data indicates that Earth's oxide content has been underestimated. Density sorting segregated a Si-rich, peridotitic upper mantle from a refractory, oxide lower mantle with high Ca, Al and Ti contents, consistent with diamond inclusion mineralogy. Early and rapid differentiation means that internal temperatures have long been buffered by freezing of the inner core, allowing survival of crust as old as ca.4 Ga. Magmatism remains important. Melt escaping though stress-induced fractures in the rigid lithosphere imparts a lateral component and preferred direction to upper mantle circulation. Mid-ocean magma production over ca. 4 Ga has deposited a slab volume at 670 km that is equivalent to the transition zone, thereby continuing differentiation by creating a late-stage chemical discontinuity near 400 km. This ongoing process has generated the observed lateral and vertical heterogeneity above 670 km.
NASA Astrophysics Data System (ADS)
Almazroui, Mansour; Awad, Adel M.; Nazrul Islam, M.
2017-07-01
This paper investigates the main sources and features of the Mediterranean synoptic cyclones affecting the basin, using the cyclone tracks. The cyclones' tracks are identified using sea level pressure (SLP) from the NCEP/NCAR reanalysis data for the period 1956-2013. The identified cyclones are classified into two categories: basin affected and basin non-affected. Most of the basin-affected (non-affected) cyclones are internal (external), i.e., generated inside (outside) the Mediterranean basin. This study reveals four (five) main sources of internal (external) cyclones. These four (five) main sources generated about 63.76% (57.25%) of the internal (external) cyclones. Seasonal analysis shows that most of the basin-affected internal (external) cyclones were generated in the winter (spring) season. The lowest number of cyclones were found in the summer. Moreover, the synoptic study of the atmospheric systems accompanied the highest- and lowest-generated years demonstrates that the deepening of the north Europe cyclones and the relative positions of Azores- and Siberian-high systems represent the important factors that influence the number of internal cyclones. Essential factors influencing the external cyclones are the strength of the maximum upper wind, Azores high, Siberian high, and orientations of their ridges.
Internal waves in the Gulf of California - Observations from a spaceborne radar
NASA Technical Reports Server (NTRS)
Fu, L.-L.; Holt, B.
1984-01-01
Pronounced signatures of internal waves were detected repeatedly in the Gulf of California by the Seasat synthetic aperture radar (SAR). A series of nine images with exactly repeating ground coverage was used to study the temporal variability of the internal wave field in the area. It was found that the number of observed wave groups was highly correlated with the strength of the local tides: the maximum number occurred during spring tides and the minimum number occurred during neap tides, indicating that the internal waves were tidally forced. Most of the wave activity was found to the north of 28 deg N where the tides were the strongest in the Gulf. The application of a simple, nonlinear internal wave model to the observations indicated that the peak-to-peak amplitude of the observed waves was about 50 m with an uncertainty of a factor of 2. The estimated upper bound for the rate of the loss of tidal energy to internal waves was about 5 x 10 to the 15th erg/s, representing only 10 percent of the rate of the dissipation of the dominant M2 tide in the Gulf.
Construction and Operation of an Internal Coil Device, RT-1, with a High-Temperature Superconductor
NASA Astrophysics Data System (ADS)
Ogawa, Yuichi; Yoshida, Zensho; Morikawa, Junji; Saito, Haruhiko; Watanabe, Sho; Yano, Yoshihisa; Mizumaki, Shoichi; Tosaka, Taizo
An internal coil device called Ring Trap-1 (RT-1) has been constructed to explore an innovative concept for a high-beta plasma based on a new relaxation theory. A high-temperature superconductor (HTS) Bi-2223 tape is employed for the internal coil of RT-1. The coil is cooled to 20 K with helium gas supplied by G-M refrigerators, and charged to a magnetomotive force of 250 kA using an external power supply. For these cooling and charging methods, we have developed several innovative techniques such as a demountable transfer tube system, persistent current switch, detachable electrode, and others. In addition, we have paid much attention to the deterioration of the HTS tape during the fabrication of the internal coil. As a result, we have demonstrated that the decay of the persistent current of the internal coil is ˜1% during 8 h. The internal coil is lifted with a levitation coil located at the upper region of the vacuum vessel. The coil position monitored with laser sensors is feedback controlled through the regulation of the levitation coil current. Stable levitation for a few hours has been demonstrated for various plasma experiments.
Maezawa, Yukio; Cho, Haruhiko; Kano, Kazuki; Nakajima, Tetsushi; Ikeda, Kousuke; Yamada, Takanobu; Sato, Tsutomu; Ohshima, Takashi; Rino, Yasushi; Masuda, Munetaka; Ogata, Takashi; Yoshikawa, Takaki
2017-10-01
A 72-year-old woman had undergone laparoscope-assisted distal gastrectomy with D1 plus lymph node dissection and antecolic Roux-en-Y reconstruction for early gastric cancer. She visited our department outpatient clinic with left upper abdominal pain 1 year and 9 months after the surgery. CT revealed a spiral sign of the superior mesenteric arteriovenous branch. An internal hernia was suspected on hospitalization. Although abdominal symptoms were relieved by conservative treatment, the hernia persisted. Laparoscopic surgery was performed and revealed that almost entire small intestine had been affected due to Petersen's defect. Since no ischemic changes were observed, the defect was repaired laparoscopically with suture closure. There has been no recurrence of internal hernia after the laparoscopic surgery. Internal hernia after distal gastrectomy is relatively rare. However, the risk of internal hernia is high due to the gap between the elevated jejunum and transverse colon mesentery in Roux-en-Y reconstruction and can lead to intestinal necrosis. Since an internal hernia can occur in patients who have undergone gastric resection with Roux-en-Y reconstruction, suture closure of Petersen's defect should be performed to prevent this occurrence.
Lester, Michael B.; van Riper, Charles
2014-01-01
Riparian ecosystems in arid environments provide critical habitat for breeding, migratory, and wintering birds, yet are often at risk of contamination by heavy metals. Birds and other animals living in contaminated areas are susceptible to adverse health effects as a result of long-term exposure and bioaccumulation of heavy metals. We investigated the distribution and cascading extent of heavy metal accumulation in Song Sparrows (Melospiza melodia) in Arizona’s upper Santa Cruz River watershed. This study had three goals: (1) quantify the degree of heavy metal accumulation in sparrows and determine the distributional patterns among study sites, (2) compare concentrations of metals found in this study to those found in studies performed prior to the 2009 international wastewater treatment plant upgrade, and (3) assess sparrow condition among sites with differing potential sources of contamination exposure. We examined six study sites that reflected different potential sources of contamination. Hematocrit values, body mass residuals, and leukocyte counts were used to assess sparrow condition. Cadmium, copper, mercury, nickel, and selenium exceeded background concentrations at some sites, but generally were lower than or similar to concentrations found in earlier studies performed prior to the 2009 international wastewater treatment plant upgrade. Concentrations were higher in recaptured birds in 2012 than in 2011 for 7 metals in feathers and 14 metals in blood, suggesting possible bioaccumulation. We found no cascading effects as a result of heavy metal exposure, but did find that heavy metal concentrations were reduced following the 2009 international wastewater treatment plant upgrade.
NASA Astrophysics Data System (ADS)
Myrow, P.; Chen, J.
2013-12-01
A wide variety of unusual penecontemporaneous deformation structures exist in grainstone and flat-pebble conglomerate beds of the Upper Cambrian strata, western Colorado, including slide scarps, thrusted beds, irregular blocks and internally deformed beds. Slide scarps are characterized by concave-up, sharp surfaces that truncate one or more underlying beds. Thrusted beds record movement of a part of a bed onto itself along a moderate to steeply inclined (generally 25°-40°) ramp. The hanging wall lenses in cases show fault-bend geometries, with either intact or mildly deformed bedding. Irregular bedded to internally deformed blocks isolated on generally flat upper bedding surfaces are similar in composition to the underlying beds. These features represent parts of beds that were detached, moved up onto, and some distances across, the laterally adjacent undisturbed bed surfaces. The blocks moved either at the sediment-water interface or intrastratally at shallow depths within overlying muddy deposits. Finally, internally deformed beds have large blocks, fitted fabrics of highly irregular fragments, and contorted lamination, which represent heterogeneous deformation, such as brecciation and liquefaction. The various deformation structures were most probably triggered by earthquakes, considering the nature of deformation (regional distribution of liquefaction structures, and the brittle segmentation and subsequent transportation of semi-consolidated beds) and the reactivation of Mesoproterozoic, crustal-scale shear zones in the central Rockies during the Late Cambrian. Features produced by initial brittle deformation are unusual relative to most reported seismites, and may represent poorly recognized to unrecognized seismogenic structures in the rock record.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Jeong, Hae-Yong; Ha, Kwi-Seok; Chang, Won-Pyo
The local blockage in a subassembly of a liquid metal-cooled reactor (LMR) is of importance to the plant safety because of the compact design and the high power density of the core. To analyze the thermal-hydraulic parameters in a subassembly of a liquid metal-cooled reactor with a flow blockage, the Korea Atomic Energy Research Institute has developed the MATRA-LMR-FB code. This code uses the distributed resistance model to describe the sweeping flow formed by the wire wrap around the fuel rods and to model the recirculation flow after a blockage. The hybrid difference scheme is also adopted for the descriptionmore » of the convective terms in the recirculating wake region of low velocity. Some state-of-the-art turbulent mixing models were implemented in the code, and the models suggested by Rehme and by Zhukov are analyzed and found to be appropriate for the description of the flow blockage in an LMR subassembly. The MATRA-LMR-FB code predicts accurately the experimental data of the Oak Ridge National Laboratory 19-pin bundle with a blockage for both the high-flow and low-flow conditions. The influences of the distributed resistance model, the hybrid difference method, and the turbulent mixing models are evaluated step by step with the experimental data. The appropriateness of the models also has been evaluated through a comparison with the results from the COMMIX code calculation. The flow blockage for the KALIMER design has been analyzed with the MATRA-LMR-FB code and is compared with the SABRE code to guarantee the design safety for the flow blockage.« less
Weese, J. Scott; Blondeau, Joseph M.; Boothe, Dawn; Breitschwerdt, Edward B.; Guardabassi, Luca; Hillier, Andrew; Lloyd, David H.; Papich, Mark G.; Rankin, Shelley C.; Turnidge, John D.; Sykes, Jane E.
2011-01-01
Urinary tract disease is a common reason for use (and likely misuse, improper use, and overuse) of antimicrobials in dogs and cats. There is a lack of comprehensive treatment guidelines such as those that are available for human medicine. Accordingly, guidelines for diagnosis and management of urinary tract infections were created by a Working Group of the International Society for Companion Animal Infectious Diseases. While objective data are currently limited, these guidelines provide information to assist in the diagnosis and management of upper and lower urinary tract infections in dogs and cats. PMID:21776346
Kimmel, Keith D [Jupiter, FL
2012-05-29
A turbine rotor blade with a spar and shell construction, the spar including an internal cooling supply channel extending from an inlet end on a root section and ending near the tip end, and a plurality of external cooling channels formed on both side of the spar, where a middle external cooling channel is connected to the internal cooling supply channels through a row of holes located at a middle section of the channels. The spar and the shell are held together by hooks that define serpentine flow passages for the cooling air and include an upper serpentine flow circuit and a lower serpentine flow circuit. the serpentine flow circuits all discharge into a leading edge passage or a trailing edge passage.
Underwater (UW) Unexploded Ordnance (UXO) Multi-Sensor Data Base (MSDB) Collection
2009-07-01
11 FIGURE 6 RTG SENSOR. FOUR SENSOR TRIADS ARE SHOWN, EACH WITH A 3-AXIS FLUXGATE MAGNETOMETER ...used by RTG to measure the gradients. Each triad includes a 3-axis fluxgate magnetometer and a set of feedback coils. The outputs of three triad...each with a 3-axis fluxgate magnetometer (internal, not clearly visible) and a set of 3 feedback coils. The upper triad 3-axis magnetometer
Earth Observations taken by the Expedition 13 crew
2006-08-27
ISS013-E-69718 (27 August 2006) --- This vertical view of Hurricane Ernesto was taken by the crew of the International Space Station on Sunday, Aug. 27, 2006, from an altitude of about 215 miles. At that time, Ernesto was approaching Cuba and was expected to eventually make landfall on the coast of southern Florida. Part of a Russian spacecraft, docked to the orbital outpost, is visible in upper left corner.
2004-05-07
KENNEDY SPACE CENTER, FLA. -- From an upper level of the Fixed Service Structure on Launch Pad 39A, STS-114 Mission Specialist Soichi Noguchi, who represents the Japanese Aerospace and Exploration Agency, looks at the surrounding area. Beyond the pad is the aqua blue Atlantic Ocean. The STS-114 mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.
Earth observation taken by the Expedition 35 crew
2013-04-23
ISS035-E-027434 (23 April 2013) --- One of the Expedition 35 crew members aboard the Earth-orbiting International Space Station recorded this widespread image covering parts of Mexico, California and Nevada: Grand Canyon to Lake Mead and Las Vegas area (lower right corner), and westward to include the Gulf of California (beneath the docked Russian vehicle at upper left), the Salton Sea, Los Angeles Basin, and Great Valley.
Proposals for Updating Tai Algorithm
1997-12-01
1997 meeting, the Comiti International des Poids et Mesures (CIPM) decided to change the name of the Comiti Consultatif pour la Difinition de la ...Report of the BIPM Time Section, 1988,1, D1-D22. [2] P. Tavella, C. Thomas, Comparative study of time scale algorithms, Metrologia , 1991, 28, 57...alternative choice for implementing an upper limit of clock weights, Metrologia , 1996, 33, 227-240. [5] C. Thomas, Impact of New Clock Technologies
Doweld, Alexander B
2015-10-29
The genus Rotalites was established by Leleshus (1970: 97) for fossil Upper Silurian heliolitoids (Anthozoa) from Southern Tien Shan. However, the name is preoccupied by Rotalites Lamarck (1801: 401) of Foraminifera (Protista) (cf. Loeblich & Tappan, 1987). In accordance with the International Code of Zoological Nomenclature, Chekhovichia nom. nov. is proposed here as a replacement name for Rotalites Leleshus non Lamarck.
2003-06-26
VANDENBERG AIR FORCE BASE, CALIF. - The SciSat-1 spacecraft is revealed at Vandenberg Air Force Base, Calif. Sci-Sat, which will undergo instrument checkout and spacecraft functional testing, weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-08-09
VANDENBERG AIR FORCE BASE, CALIF. - The Pegasus transporter, with its cargo of the SciSat-1 payload and Pegasus launch vehicle, moves under the L-1011 carrier aircraft for matting. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-08-12
VANDENBERG AIR FORCE BASE, CALIF. - The L-1011 carrier aircraft is in flight with its cargo underneath of the Pegasus launch vehicle and SciSat-1 spacecraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-08-12
VANDENBERG AIR FORCE BASE, CALIF. - The L-1011 carrier aircraft is in flight with its cargo of the Pegasus launch vehicle and SciSat-1 spacecraft underneath. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-08-09
VANDENBERG AIR FORCE BASE, CALIF. - The SciSat-1 payload, with fairing installed and attached to its Pegasus launch vehicle, arrives at the pad for mating to the L-1011 carrier aircraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-29
VANDENBERG AIR FORCE BASE, CALIF. - With its cover removed, the SciSat-1 spacecraft is rotated. The solar arrays will be attached and the communications systems checked out. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-06-26
VANDENBERG AIR FORCE BASE, CALIF.- The cover is being lifted off SciSat-1 spacecraft at Vandenberg Air Force Base, Calif. Sci-Sat, which will undergo instrument checkout and spacecraft functional testing, weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
Reentry heat transfer analysis of the space shuttle orbiter
NASA Technical Reports Server (NTRS)
Ko, W. L.; Quinn, R. D.; Gong, L.
1982-01-01
A structural performance and resizing finite element thermal analysis computer program was used in the reentry heat transfer analysis of the space shuttle. Two typical wing cross sections and a midfuselage cross section were selected for the analysis. The surface heat inputs to the thermal models were obtained from aerodynamic heating analyses, which assumed a purely turbulent boundary layer, a purely laminar boundary layer, separated flow, and transition from laminar to turbulent flow. The effect of internal radiation was found to be quite significant. With the effect of the internal radiation considered, the wing lower skin temperature became about 39 C (70 F) lower. The results were compared with fight data for space transportation system, trajectory 1. The calculated and measured temperatures compared well for the wing if laminar flow was assumed for the lower surface and bay one upper surface and if separated flow was assumed for the upper surfaces of bays other than bay one. For the fuselage, good agreement between the calculated and measured data was obtained if laminar flow was assumed for the bottom surface. The structural temperatures were found to reach their peak values shortly before touchdown. In addition, the finite element solutions were compared with those obtained from the conventional finite difference solutions.
Willeumier, Julie J; van der Wal, C W P G; van der Wal, Robert J P; Dijkstra, P D S; Vliet Vlieland, Thea P M; van de Sande, Michiel A J
2017-01-01
The aim of this study was to translate and culturally adapt the Toronto Extremity Salvage Score (TESS) to Dutch and to validate the translated version. The TESS lower and upper extremity versions (LE and UE) were translated to Dutch according to international guidelines. The translated version was validated in 98 patients with surgically treated bone or soft tissue tumors of the LE or UE. To assess test-retest reliability, participants were asked to fill in a second questionnaire after one week. Construct validity was determined by computing Spearman rank correlations with the Short Form- (SF-) 36. The internal consistency (0.957 and 0.938 for LE and UE, resp.) and test-retest reliability (intraclass correlation coefficients 0.963 and 0.969 for LE and UE, resp.) were good for both questionnaires. The Dutch LE and UE TESS versions correlated most strongly with the SF-36 physical function dimension ( r = 0.737 for LE, 0.726 for UE) and the physical component summary score ( r = 0.811 and 0.797 for LE and UE). The Dutch TESS questionnaire for lower and upper extremities is a consistent, reliable, and valid instrument to measure patient-reported physical function in surgically treated patients with a soft tissue or bone tumor.
Djibouti, the capital city of the country of Djibouti
2000-11-20
ISS001-E-5028 (December 2000) --- Djibouti, the capital city of the country of Djibouti, can be seen in this northeast-looking view taken from the International Space Station (ISS) with a digital still camera using a 400mm lens. Djibouti, scarcely 100 years old, sits on the western shore of an isthmus in the Gulf of Tadjoura, an arm of the Gulf of Aden. Djibouti is surrounded by a rugged and bleak landscape, that has a dry and hot climate. The population of Djibouti has grown from an estimated 96,000 in 1973 to over 330,000 in 1991 mainly due to the influx of refugees from the neighboring, war torn countries of Ethiopia and Somalia. With its strategically located port, Djiboutis economic importance results from the large transit trade it enjoys as the terminus of a railroad line from Addis Ababa in Ethiopia. The city has seen an increase in tourism in the past decade due a large number of cruise ships visiting the port. Besides tourism, salt production and shipbuilding and repair are other major industries. Below the center of the image, the long runway of the Djibouti/Ambouli International Airport is visible. Coral reefs are discernible in the upper left and upper right quadrants of the image.
Sulfadiazine-Induced Obstructive Nephropathy Presenting with Upper Urinary Tract Extravasation.
Kabha, Maharan; Dekalo, Snir; Barnes, Sophie; Mintz, Ishay; Matzkin, Haim; Sofer, Mario
2016-01-01
Background: Obstructive nephropathy is an uncommon side effect of sulfadiazine, which is used for the treatment of toxoplasmosis. We present a case of acute renal colic and urine extravasation of a patient shortly after she was started on this medication. Case Presentation: A 31-year-old female presented with acute renal colic 2 weeks after starting treatment with sulfadiazine and pyrimethamine for ocular toxoplasmosis. Results: A noncontrast computed tomography revealed left hydronephrosis and fluid located around the kidney and in the left gutter. There were no urinary stones. Administration of intravenous contrast revealed significant urine extravasation at the level of the ureteropelvic junction. Intravenous contrast injection confirmed that the extravasation consisted of urine leakage at the ureteropelvic junction. Her clinical condition improved with the insertion of an internal stent, which was left in place for 4 weeks. A retrograde pyelography performed at the time of the internal stent removal ruled out persistent extravasation and filling defects in the left upper urinary tract. Considering the clinical circumstances and the imaging results, it appears that this is a first reported case of sulfadiazine-induced obstructive uropathy associated with urine extravasation. Conclusion: Although rare, obstructive uropathy related to sulfadiazine medication should be promptly suspected, diagnosed, and treated. Patients should be instructed to substantially increase their liquid intake while on that medication.
Laghi, A; Iafrate, F; Paolantonio, P; Iannaccone, R; Baeli, I; Ferrari, R; Catalano, C; Passariello, R
2002-04-01
To assess the normal anatomy of the anal sphincter complex using high-resolution MR imaging with phased -array coil. Twenty patients, 13 males and 7 females, ranging in age between 27 and 56 years underwent MRI evaluation of the pelvic region, using a superconductive 1.5 T magnet (maximum gradient strength, 25 mT/m; minimum rise time 600 microseconds, equipped with phased-array coil. High-resolution T2-weighted Turbo Spin Echo sequences (TR, 4055 ms; TE, 132 ms; matrix 390x512; in-plane resolution, 0.67x0.57 mm) were acquired on multiple axial, sagittal and coronal planes. Images were reviewed by two experienced gastrointestinal radiologists in order to evaluate the normal anal sphincter complex. Optimal image quality of the anal sphincter complex was obtained in all cases. Different muscular layers were observed between the upper and lower aspects of the anal canal. In the lower part of the anal canal, internal and external sphincter muscles could be observed; in the upper part, puborectal and internal sphincter muscles were depicted. Good visualization of intersphincteric space, levator ani muscle and ischioanal space was also obtained in all cases. High-resolution MR images with phased-array coil provide optimal depiction of the anal canal and the anal sphincter complex.
NASA Astrophysics Data System (ADS)
de Andrea González, Ángel; González-Gutiérrez, Leo M.
2017-09-01
The Rayleigh-Taylor instability (RTI) in an infinite slab where a constant density lower fluid is initially separated from an upper stratified fluid is discussed in linear regime. The upper fluid is of increasing exponential density and surface tension is considered between both of them. It was found useful to study stability by using the initial value problem approach (IVP), so that we ensure the inclusion of certain continuum modes, otherwise neglected. This methodology includes the branch cut in the complex plane, consequently, in addition to discrete modes (surface RTI modes), a set of continuum modes (internal RTI modes) also appears. As a result, the usual information given by the normal mode method is now complete. Furthermore, a new role is found for surface tension: to transform surface RTI modes (discrete spectrum) into internal RTI modes belonging to a continuous spectrum at a critical wavenumber. As a consequence, the cut-off wavenumber disappears: i.e. the growth rate of the RTI surface mode does not decay to zero at the cut-off wavenumber, as previous researchers used to believe. Finally, we found that, due to the continuum, the asymptotic behavior of the perturbation with respect to time is slower than the exponential when only the continuous spectrum exists.
Chen, Wan; Zeng, Zhaolin; Li, Lizhi; Wan, Xiaofen; Wan, Yi
2014-10-01
This study aimed to validate the Pangao PG-800B5 upper arm blood pressure monitor according to the European Society of Hypertension International Protocol revision 2010. A total of 33 participants, 16 men and 17 women, were included in the device evaluation. The protocol requirements were followed precisely. The mean age of the participants was 56.4±21.0 years (range 22-84 years). The mean systolic blood pressure was 143.6±25.5 mmHg (range 98-188 mmHg), the mean diastolic blood pressure was 85.7±17.2 mmHg (range 49-125 mmHg), and the mean arm circumference was 26.1±2.2 cm (range 23-32 cm). On average, the device overestimated the systolic blood pressure by 0.9±4.2 mmHg and diastolic blood pressure by 0.7±4.5 mmHg. The device passed all requirements, fulfilling the standards of the protocol. Therefore, the Pangao PG-800B5 upper arm blood pressure monitor can be recommended for clinical use and self-measurement in an adult population.
GCOS reference upper air network (GRUAN): Steps towards assuring future climate records
NASA Astrophysics Data System (ADS)
Thorne, P. W.; Vömel, H.; Bodeker, G.; Sommer, M.; Apituley, A.; Berger, F.; Bojinski, S.; Braathen, G.; Calpini, B.; Demoz, B.; Diamond, H. J.; Dykema, J.; Fassò, A.; Fujiwara, M.; Gardiner, T.; Hurst, D.; Leblanc, T.; Madonna, F.; Merlone, A.; Mikalsen, A.; Miller, C. D.; Reale, T.; Rannat, K.; Richter, C.; Seidel, D. J.; Shiotani, M.; Sisterson, D.; Tan, D. G. H.; Vose, R. S.; Voyles, J.; Wang, J.; Whiteman, D. N.; Williams, S.
2013-09-01
The observational climate record is a cornerstone of our scientific understanding of climate changes and their potential causes. Existing observing networks have been designed largely in support of operational weather forecasting and continue to be run in this mode. Coverage and timeliness are often higher priorities than absolute traceability and accuracy. Changes in instrumentation used in the observing system, as well as in operating procedures, are frequent, rarely adequately documented and their impacts poorly quantified. For monitoring changes in upper-air climate, which is achieved through in-situ soundings and more recently satellites and ground-based remote sensing, the net result has been trend uncertainties as large as, or larger than, the expected emergent signals of climate change. This is more than simply academic with the tropospheric temperature trends issue having been the subject of intense debate, two international assessment reports and several US congressional hearings. For more than a decade the international climate science community has been calling for the instigation of a network of reference quality measurements to reduce uncertainty in our climate monitoring capabilities. This paper provides a brief history of GRUAN developments to date and outlines future plans. Such reference networks can only be achieved and maintained with strong continuing input from the global metrological community.
Golbin, Denis A.; Lasunin, Nikolay V.; Cherekaev, Vasily A.; Polev, Georgiy A.
2016-01-01
Objectives To evaluate the efficacy and safety of using a buccal fat pad for endoscopic skull base defect reconstruction. Design Descriptive anatomical study with an illustrative case presentation. Setting Anatomical study was performed on 12 fresh human cadaver specimens with injected arteries (24 sides). Internal carotid artery was exposed in the coronal plane via the endoscopic transpterygoid approach. The pedicled buccal fat pad was used for reconstruction. Participants: 12 human cadaver head specimens; one patient operated using the proposed technique. Main outcome measures: Proximity of the buccal fat pad flap to the defect, compliance of the flap, comfort and safety of harvesting procedure, and compatibility with the Hadad–Bassagasteguy nasoseptal flap. Results: Harvesting procedure was performed using anterior transmaxillary corridor. The pedicled buccal fat pad flap can be used to pack the sphenoid sinus or cover the internal carotid artery from cavernous to upper parapharyngeal segment. Conclusion The buccal fat pad can be safely harvested through the same approach without external incisions and is compliant enough to conform to the skull base defect. The proposed pedicled flap can replace free abdominal fat in central skull base reconstruction. The volume of the buccal fat pad allows obliteration of the sphenoid sinus or upper parapharyngeal space. PMID:28180047
Van Uffelen, Lora J; Worcester, Peter F; Dzieciuch, Matthew A; Rudnick, Daniel L; Colosi, John A
2010-04-01
Deep acoustic shadow-zone arrivals observed in the late 1990s in the North Pacific Ocean reveal significant acoustic energy penetrating the geometric shadow. Comparisons of acoustic data obtained from vertical line arrays deployed in conjunction with 250-Hz acoustic sources at ranges of 500 and 1000 km from June to November 2004 in the North Pacific, with simulations incorporating scattering consistent with the Garrett-Munk internal-wave spectrum, are able to describe both the energy contained in and vertical extent of deep shadow-zone arrivals. Incoherent monthly averages of acoustic timefronts indicate that lower cusps associated with acoustic rays with shallow upper turning points (UTPs), where sound-speed structure is most variable and seasonally dependent, deepen from June to October as the summer thermocline develops. Surface-reflected rays, or those with near-surface UTPs, exhibit less scattering due to internal waves than in later months when the UTP deepens. Data collected in November exhibit dramatically more vertical extension than previous months. The depth to which timefronts extend is a complex combination of deterministic changes in the depths of the lower cusps as the range-average profiles evolve with seasonal change and of the amount of scattering, which depends on the mean vertical gradients at the depths of the UTPs.
Madeya, S; Börsch, G; Greiner, L; Hahn, H J
1993-03-01
With the aim of analysing the frequency of gastrointestinal (GI) metastases identified by endoscopic procedures, a survey was conducted by questionnaire, which was completed by 34 of 127 medical departments. Peritoneal carcinosis and direct tumor extension were disregarded. One GI metastasis (duodenum) was verified among 3477 upper GI tract endoscopies. Primary site was cutaneous melanoma. In another case metastatic origin is discussed (esophagus). Considering the average frequency of 102 upper GI tract endoscopies performed by the collaborating centers, one case of gastroduodenal metastasis could be expected every 17 (34) months in these institutions. 1634 examinations of the colon and rectum did not reveal any metastatic tumor growth. A longterm study is planned to provide further statistically reliable prevalence data.
NASA Technical Reports Server (NTRS)
Watson, R. T.; Geller, M. A.; Stolarski, R. S.; Hampson, R. F.
1986-01-01
The state of knowledge of the upper atmosphere was assessed as of January 1986. The physical, chemical, and radiative processes which control the spatial and temporal distribution of ozone in the atmosphere; the predicted magnitude of ozone perturbations and climate changes for a variety of trace gas scenarios; and the ozone and temperature data used to detect the presence or absence of a long term trend were discussed. This assessment report was written by a small group of NASA scientists, was peer reviewed, and is based primarily on the comprehensive international assessment document entitled Atmospheric Ozone 1985: Assessment of Our Understanding of the Processes Controlling Its Present Distribution and Change, to be published as the World Meteorological Organization Global Ozone Research and Monitoring Project Report No. 16.
Denys, Sébastien; Fraize-Frontier, Sandrine; Moussa, Oumar; Le Bizec, Bruno; Veyrand, Bruno; Volatier, Jean-Luc
2014-12-01
PFAS are man-made compounds that are highly spread in the environment. Human dietary exposure to such contaminants is of high concern as they may accumulate in the food chain. Different studies already demonstrated the importance of the fish consumption in the dietary exposure of these molecules and the potential increase of internal doses of PFAS following the consumption of PFAS. However, so far few study aimed to study the link between the consumption of fresh water fishes and the internal exposure to PFAS. Objectives of this study were (i) to estimate the internal exposure of populations that are potentially high consumers of fresh water fishes and (ii) to determine whether the consumption of fish caught from fresh water is a significant determinant of the internal exposure of PFAS. In this work, a large sample of adult freshwater anglers from the French metropolitan population (478 individuals) was constituted randomly from participants lists of anglers associations. Questionnaires provided social and demographic information and diet information for each subject. In addition, analyses of blood serum samples provided the internal concentration of 14 PFAS. The survey design allowed to extrapolate the data obtained on the 478 individuals to the freshwater angler population. Descriptive data regarding internal levels of PFAS were discussed at the population level, whereas identification of the determinants were done at the 478 individuals level as sufficient contrast was required in terms of fresh water fish consumption. Only molecules for which the detection frequency were above 80% in blood were considered, i.e., PFOS, PFOA, PFHxS, PFNA, PFHpS, and PFDA. Distribution profiles showed log-normal distribution and PFOS and PFOA were the main contributors of the PFAS sum. For PFOS, the results obtained on the 478 individuals showed that upper percentiles were higher as compared to upper percentiles obtained on occidental general population. This confirmed an over-exposure of a fraction of the 478 individuals. Though, when the results were considered at the population level, the values were close. This was attributed to the low consumption frequency of fresh water fish in the general population. For PFOS, PFNA, PFHxS, PFHpS and PFDA, the fresh water fish consumption was identified as one of the contributors of internal PFAS concentrations. Gender, age, geographical location and consumption of home-grown products as other determinants were also discussed in this paper. Copyright © 2014. Published by Elsevier Ireland Ltd.
Observations of sound-speed fluctuations in the western Philippine Sea in the spring of 2009.
Colosi, John A; Van Uffelen, Lora J; Cornuelle, Bruce D; Dzieciuch, Matthew A; Worcester, Peter F; Dushaw, Brian D; Ramp, Steven R
2013-10-01
As an aid to understanding long-range acoustic propagation in the Philippine Sea, statistical and phenomenological descriptions of sound-speed variations were developed. Two moorings of oceanographic sensors located in the western Philippine Sea in the spring of 2009 were used to track constant potential-density surfaces (isopycnals) and constant potential-temperature surfaces (isotherms) in the depth range 120-2000 m. The vertical displacements of these surfaces are used to estimate sound-speed fluctuations from internal waves, while temperature/salinity variability along isopycnals are used to estimate sound-speed fluctuations from intrusive structure often termed spice. Frequency spectra and vertical covariance functions are used to describe the space-time scales of the displacements and spiciness. Internal-wave contributions from diurnal and semi-diurnal internal tides and the diffuse internal-wave field [related to the Garrett-Munk (GM) spectrum] are found to dominate the sound-speed variability. Spice fluctuations are weak in comparison. The internal wave and spice frequency spectra have similar form in the upper ocean but are markedly different below 170-m depth. Diffuse internal-wave mode spectra show a form similar to the GM model, while internal-tide mode spectra scale as mode number to the minus two power. Spice decorrelates rapidly with depth, with a typical correlation scale of tens of meters.
Application and comparison of different implanted ports in malignant tumor patients.
Li, Yanhong; Cai, Yonghua; Gan, Xiaoqin; Ye, Xinmei; Ling, Jiayu; Kang, Liang; Ye, Junwen; Zhang, Xingwei; Zhang, Jianwei; Cai, Yue; Hu, Huabin; Huang, Meijin; Deng, Yanhong
2016-09-23
The current study aims to compare the application and convenience of the upper arm port with the other two methods of implanted ports in the jugular vein and the subclavian vein in patients with gastrointestinal cancers. Currently, the standard of practice is placement of central venous access via an internal jugular vein approach. Perioperative time, postoperative complications, and postoperative comfort level in patients receiving an implanted venous port in the upper arm were retrospectively compared to those in the jugular vein and the subclavian vein from April 2013 to November 2014. Three hundred thirty-four patients are recruited for this analysis, consisting of 107 in the upper arm vein group, 70 in the jugular vein group, and 167 in the subclavian vein group. The occurrence of catheter misplacement in the upper arm vein is higher than that in the other two groups (13.1 vs. 2.9 vs. 5.4 %, respectively, P = 0.02), while the other complications in the perioperative period were not significantly different. The occurrence of transfusion obstacle of the upper arm vein group is significantly lower than that of the jugular and subclavian groups (0.9 vs. 7.1 vs. 7.2 %, P = 0.01). The occurrence of thrombus is also lower than that of other two groups (0.9 vs. 4.3 vs. 3.6 %, P = 0.03). Regarding the postoperative comfort, the influences of appearance (0 vs. 7.1 vs. 2.9 %, P = 0.006) and sleep (0.9 vs. 4.2 vs. 10.7 %, P = 0.003) are significantly better than those of the jugular and subclavian vein groups. Compared to the jugular and the subclavian vein groups, the implanted venous port in the upper arm vein has fewer complications and more convenience and comfort, and might be a superior novel choice for patients requiring long-term chemotherapy or parenteral nutrition.
Jensen, Jens Christian; Haahr, Jens Peder; Frost, Poul; Andersen, Johan Hviid
2013-10-01
Musculoskeletal pain conditions remain a major cause of care-seeking in general practice. Not all patients with musculoskeletal pain (MP) seek care at their general practitioner (GP), but for those who do, the GP's knowledge of what work-related factors might have influenced the patient's decision to seek care could be important in order to give more well-founded advice to our patients. The objective of this study was to elucidate the effects of workloads on care-seeking for back pain or upper extremity pain during an eighteen-month follow-up period. This is a prospective study with a baseline questionnaire and eighteen-month follow-up. Among the registered patients of 8 GPs, we identified 8,517 persons between 17 and 65 years of age, who all received the questionnaire. A total of 5,068 (59.5 %) persons answered. During the eighteen months of follow-up, we used the International Classification for Primary Care (ICPC) to identify all care-seekers with either back pain or upper extremity pain. Of these, all currently employed persons were included in our analysis, in all 4,325 persons. For analysis, we used Cox proportional hazards regression analysis. Analyses were stratified by gender. High levels of heavy lifting, defined as the upper tertile on a categorical scale, were associated with care-seeking for back pain (HR 1.90 [95 % CI: 1.14-3.15]) and upper extremity pain (HR 2.09 [95 % CI: 1.30-3.38]) among males, but not in a statistically significant way among females. Repetitive work and psychosocial factors did not have any statistically significant impact on care-seeking for neither back pain nor upper extremity pain. Work-related factors such as heavy lifting do, to some extent, contribute to care-seeking with MP. We suggest that asking the patient about physical workloads should be routinely included in consultations dealing with MP.
Understanding Wave-mean Flow Feedbacks and Tropospheric Annular Variability
NASA Astrophysics Data System (ADS)
Lorenz, D. J.
2016-12-01
The structure of internal tropospheric variability is important for determining the impact of the stratosphere on the troposphere. This study aims to better understand the fundamental dynamical mechanisms that control the feedbacks between the eddies and the mean flow, which in turn select the tropospheric annular mode. Recent work using Rossby Wave Chromatography suggests that "barotropic processes", which directly impact the meridional propagation of wave activity (specifically the reflectivity of the poleward flank of the mid-latitude jet), are more important for the positive feedback between the annular mode and the eddies than "baroclinic processes", which involve changes in the generation of wave activity by baroclinic instability. In this study, experiments with a fully nonlinear quasi-geostrophic model are discussed which provide independent confirmation of the importance of barotropic versus baroclinic processes. The experiments take advantage of the steady-state balance at upper-levels between the meridional gradient in diabatic heating and the second derivative of the upper-level EP flux divergence. Simulations with standard Newtonian heating are compared to simulations with constant-in-time heating taken from the climatology of the standard run and it is found that the forced annular mode response to changes in surface friction is very similar. Moreover, as expected from the annular mode response, the eddy momentum fluxes are also very similar. This is despite the fact that the upper-level EP flux divergence is very different between the two simulations (upper-level EP flux divergence must remain constant in the constant heating simulation while in the standard simulation there is no such constraint). The upper-level balances are maintained by a large change in the baroclinic wave source (i.e. vertical EP flux), which is accompanied by little momentum flux change. Therefore the eddy momentum fluxes appear to be relatively insensitive to the wave activity source. A more detailed comparison suggests a helpful rule-of-thumb relating the amplitude of the baroclinic wave source to the upper-level vorticity flux forced by this wave source.
Seismic stratigraphy, tectonics and depositional history in the Halk el Menzel region, NE Tunisia
NASA Astrophysics Data System (ADS)
Sebei, Kawthar; Inoubli, Mohamed Hédi; Boussiga, Haïfa; Tlig, Said; Alouani, Rabah; Boujamaoui, Mustapha
2007-01-01
In the Halk el Menzel area, the proximal- to pelagic platform transition and related tectonic events during the Upper Cretaceous-Lower Miocene have not been taken into adequate consideration. The integrated interpretation of outcrop and subsurface data help define a seismic stratigraphic model and clarify the geodynamic evolution of the Halk el Menzel block. The sedimentary column comprises marls and limestones of the Campanian to Upper Eocene, overlain by Oligocene to Lower Miocene aged siliciclastics and carbonates. Well to well correlations show sedimentary sequences vary considerably in lithofacies and thicknesses over short distances with remarkable gaps. The comparison of sedimentary sequences cut by borehole and seismic stratigraphic modelling as well help define ten third order depositional sequences (S1-S10). Sequences S1 through S6 (Campanian-Paleocene) are mainly characterized by oblique to sigmoid configurations with prograding sedimentary structures, whereas, sequences S7-S10 (Ypresian to Middle Miocene) are organized in shallow water deposits with marked clinoform ramp geometry. Sedimentary discontinuities developed at sequence boundaries are thought to indicate widespread fall in relative sea level. Angular unconformities record a transpressive tectonic regime that operated from the Campanian to Upper Eocene. The geometry of sequences with reduced thicknesses, differential dipping of internal seismic reflections and associated normal faulting located westerly in the area, draw attention to a depositional sedimentary system developed on a gentle slope evolving from a tectonically driven steepening towards the Northwest. The seismic profiles help delimit normal faulting control environments of deposition. In contrast, reef build-ups in the Eastern parts occupy paleohighs NE-SW in strike with bordering Upper Maastrichtian-Ypresian seismic facies onlapping Upper Cretaceous counterparts. During the Middle-Upper Eocene, transpressive stress caused reactivation of faults from normal to reverse play. This has culminated in propagation folds located to the west; whereas, the eastern part of the block has suffered progressive subsidence. Transgressive carbonate depositional sequences have predominated during the Middle Miocene and have sealed pre-existing tectonic structures.
Evolutionary trends of stature in upper Paleolithic and Mesolithic Europe.
Formicola, V; Giannecchini, M
1999-03-01
Long bone lengths of all available European Upper Paleolithic (41 males, 25 females) and Mesolithic (171 males, 118 females) remains have been transformed into stature estimates by means of new regression equations derived from Early Holocene skeletal samples using "Fully's anatomical stature" and the major axis regression technique (Formicola & Franceschi, 1996). Statistical analysis of the data, with reference both to time and space parameters, indicates that: (1) Early Upper Paleolithic samples (pre-Glacial Maximum) are very tall; (2) Late Upper Paleolithic groups (post-Glacial Maximum) from Western Europe, compared to their ancestors, show a marked decrease in height; (3) a further, although not significant, reduction of stature affects Western Mesolithics; (4) no regional differences have been observed during both phases of the Upper Paleolithic; (5) a high level of homogeneity has also been found in the Mesolithic, both in Western and Eastern Europe; (6) the internal homogeneity found during the Mesolithic in Western and Eastern Europe is associated with marked inter-regional variability, with populations of the latter region showing systematically significantly greater stature than their Western contemporaries. Evaluation of possible causes for the great stature of the Early Upper Paleolithic samples points to high nutritional standards as the most important factor. Results obtained on later groups clearly indicate that the Last Glacial Maximum, rather than the Mesolithic transition, is the critical phase in the negative trend affecting Western European populations. While changes in the quality of the diet, and in particular decreased protein intake, provide a likely explanation for that trend, variations in levels of gene flow probably also played a role. Reasons for the West-East Mesolithic dichotomy remain unclear and lack of information for the Late Upper Paleolithic of Eastern Europe prevents insight into the remote origins of this phenomenon. Analysis of regional differentiation of stature, particularly well supported by data from Mesolithic sites, points to the absence of today's latitudinal gradients and suggests a relative homogeneity in dietary, cultural and biodemographic patterns for the last hunter-gatherer populations of Western Europe. Copyright 1999 Academic Press.
de Abajo, Francisco José; Rodríguez, Luis Alberto García; Montero, Dolores
1999-01-01
Objective To examine the association between selective serotonin reuptake inhibitors and risk of upper gastrointestinal bleeding. Design Population based case-control study. Setting General practices included in the UK general practice research database. Subjects 1651 incident cases of upper gastrointestinal bleeding and 248 cases of ulcer perforation among patients aged 40 to 79 years between April 1993 and September 1997, and 10 000 controls matched for age, sex, and year that the case was identified. Interventions Review of computer profiles for all potential cases, and an internal validation study to confirm the accuracy of the diagnosis on the basis of the computerised information. Main outcome measures Current use of selective serotonin reuptake inhibitors or other antidepressants within 30 days before the index date. Results Current exposure to selective serotonin reuptake inhibitors was identified in 3.1% (52 of 1651) of patients with upper gastrointestinal bleeding but only 1.0% (95 of 10 000) of controls, giving an adjusted rate ratio of 3.0 (95% confidence interval 2.1 to 4.4). This effect measure was not modified by sex, age, dose, or treatment duration. A crude incidence of 1 case per 8000 prescriptions was estimated. A small association was found with non-selective serotonin reuptake inhibitors (relative risk 1.4, 1.1 to 1.9) but not with antidepressants lacking this inhibitory effect. None of the groups of antidepressants was associated with ulcer perforation. The concurrent use of selective serotonin reuptake inhibitors with non-steroidal anti-inflammatory drugs increased the risk of upper gastrointestinal bleeding beyond the sum of their independent effects (15.6, 6.6 to 36.6). A smaller interaction was also found between selective serotonin reuptake inhibitors and low dose aspirin (7.2, 3.1 to 17.1). Conclusions Selective serotonin reuptake inhibitors increase the risk of upper gastrointestinal bleeding. The absolute effect is, however, moderate and about equivalent to low dose ibuprofen. The concurrent use of non-steroidal anti-inflammatory drugs or aspirin with selective serotonin reuptake inhibitors greatly increases the risk of upper gastrointestinal bleeding. PMID:10531103
2010-01-01
Background Use of Botulinum toxin-A (BoNT-A) for treatment of upper limb spasticity in children with cerebral palsy has become routine clinical practice in many paediatric treatment centres worldwide. There is now high-level evidence that upper limb BoNT-A injection, in combination with occupational therapy, improves outcomes in children with cerebral palsy at both the body function/structure and activity level domains of the International Classification of Functioning, Disability and Health. Investigation is now required to establish what amount and specific type of occupational therapy will further enhance functional outcomes and prolong the beneficial effects of BoNT-A. Methods/Design A randomised, controlled, evaluator blinded, prospective parallel-group trial. Eligible participants were children aged 18 months to 6 years, diagnosed with spastic hemiplegic cerebral palsy and who were able to demonstrate selective motor control of the affected upper limb. Both groups received upper limb injections of BoNT-A. Children were randomised to either the modified constraint-induced movement therapy group (experimental) or bimanual occupational therapy group (control). Outcome assessments were undertaken at pre-injection and 1, 3 and 6 months following injection of BoNT-A. The primary outcome measure was the Assisting Hand Assessment. Secondary outcomes included: the Quality of Upper Extremity Skills Test; Pediatric Evaluation of Disability Inventory; Canadian Occupational Performance Measure; Goal Attainment Scaling; Pediatric Motor Activity Log; modified Ashworth Scale and; the modified Tardieu Scale. Discussion The aim of this paper is to describe the methodology of a randomised controlled trial comparing the effects of modified constraint-induced movement therapy (a uni-manual therapy) versus bimanual occupational therapy (a bimanual therapy) on improving bimanual upper limb performance of children with hemiplegic cerebral palsy following upper limb injection of BoNT-A. The paper outlines the background to the study, the study hypotheses, outcome measures and trial methodology. It also provides a comprehensive description of the interventions provided. Trial Registration ACTRN12605000002684 PMID:20602795
NASA Astrophysics Data System (ADS)
Roldán, Francisco J.; Azañón, Jose Miguel; Rodríguez-Fernández, Jose; María Mateos, Rosa
2016-04-01
The Guadalquivir Basin (Upper Tortonian-Quaternary sedimentary infilling) has been considered the foreland basin of the Betic Orogen built up during its collision with the Sudiberian margin. The basin is currently restricted to its westernmost sector, in the Cadiz Gulf, because the Neogene-Quaternary uplift of the Betic Cordillera has produced the emersion of their central and eastern parts. The upper Tortonian chronostratigraphic unit is the oldest one and it was indistinctly deposited on the South Iberian paleomargin and the External units from the Betic Cordillera. However, these rocks are undeformed on the Sudiberian paleomargin while they are deeply affected by brittle deformation on the External Betic Zone. Outcrops of Upper Tortonian sedimentary rocks on External Betic Zone are severely fragmented showing allocthonous characters with regard to those located on the Sudiberian paleomargin. This post- Upper Tortonian deformation is not well known in the External Zones of the Cordillera where the most prominent feature is the ubiquity of a highly deformed tecto-sedimentary unit outcropping at the basement of the Guadalquivir sedimentary infilling. This tecto-sedimentary unit belongs to the Mass Wasting Extensional Complex (Rodríguez-Fernández, 2014) formed during the collision and westward migration of the Internal Zone of the Betic Cordillera (15-8,5 Ma). In the present work, we show an ensemble of tectonic, geophysical and cartographic data in order to characterize the post-Upper Tortonian deformation. For this, seismic reflection profiles have been interpreted with the help of hidrocarbon boreholes to define the thickness of the Upper Tortonian sedimentary sequence. All these data provide an estimation of the geometrical and kinematic characteristics of the extensional faults, direction of movement and rate of displacement of these rocks during Messinian/Pliocene times. References Rodríguez-Fernández, J., Roldan, F. J., J.M. Azañón y Garcia-Cortes, A. 2013. EL colapso gravitacional del frente orogénico alpino en el Dominio Subbético durante el Mioceno medio-superior: El Complejo Extensional Subbético. Boletín Geológico y Minero, 124 (3): 477-504
Internal performance characteristics of vectored axisymmetric ejector nozzles
NASA Technical Reports Server (NTRS)
Lamb, Milton
1993-01-01
A series of vectoring axisymmetric ejector nozzles were designed and experimentally tested for internal performance and pumping characteristics at NASA-Langley Research Center. These ejector nozzles used convergent-divergent nozzles as the primary nozzles. The model geometric variables investigated were primary nozzle throat area, primary nozzle expansion ratio, effective ejector expansion ratio (ratio of shroud exit area to primary nozzle throat area), ratio of minimum ejector area to primary nozzle throat area, ratio of ejector upper slot height to lower slot height (measured on the vertical centerline), and thrust vector angle. The primary nozzle pressure ratio was varied from 2.0 to 10.0 depending upon primary nozzle throat area. The corrected ejector-to-primary nozzle weight-flow ratio was varied from 0 (no secondary flow) to approximately 0.21 (21 percent of primary weight-flow rate) depending on ejector nozzle configuration. In addition to the internal performance and pumping characteristics, static pressures were obtained on the shroud walls.
Hepach, Robert; Vaish, Amrisha; Tomasello, Michael
2015-01-01
A central challenge of investigating the underlying mechanisms of and the individual differences in young children’s behavior is the measurement of the internal physiological mechanism and the involved expressive emotions. Here, we illustrate two paradigms that assess concurrent indicators of both children’s social perception as well as their emotional expression. In one set of studies, children view situations while their eye movements are mapped onto a live scene. In these studies, children’s internal arousal is measured via changes in their pupil dilation by using eye tracking technology. In another set of studies, we measured children’s emotional expression via changes in their upper-body posture by using depth sensor imaging technology. Together, these paradigms can provide new insights into the internal mechanism and outward emotional expression involved in young children’s behavior. PMID:26217246
The reliability paradox of the Parent-Child Conflict Tactics Corporal Punishment Subscale.
Lorber, Michael F; Slep, Amy M Smith
2018-02-01
In the present investigation we consider and explain an apparent paradox in the measurement of corporal punishment with the Parent-Child Conflict Tactics Scale (CTS-PC): How can it have poor internal consistency and still be reliable? The CTS-PC was administered to a community sample of 453 opposite sex couples who were parents of 3- to 7-year-old children. Internal consistency was marginal, yet item response theory analyses revealed that reliability rose sharply with increasing corporal punishment, exceeding .80 in the upper ranges of the construct. The results suggest that the CTS-PC Corporal Punishment subscale reliably discriminates among parents who report average to high corporal punishment (64% of mothers and 56% of fathers in the present sample), despite low overall internal consistency. These results have straightforward implications for the use and reporting of the scale. (PsycINFO Database Record (c) 2018 APA, all rights reserved).
Correlations between anomalies of jugular veins and areas of vascular drainage of head and neck.
Vaida, Monica-Adriana; Niculescu, V; Motoc, A; Bolintineanu, S; Sargan, Izabella; Niculescu, M C
2006-01-01
The study conducted on 60 human cadavers preserved in formalin, in the Anatomy Laboratory of the "Victor Babes" University of Medicine and Pharmacy Timisoara, during 2000-2006, observed the internal and external jugular veins from the point of view of their origin, course and affluents. The morphological variability of the jugular veins (external jugular that receives as affluents the facial and lingual veins and drains into the internal jugular, draining the latter's territory--3.33%; internal jugular that receives the lingual, upper thyroid and facial veins, independent--13.33%, via the linguofacial trunk--50%, and via thyrolinguofacial trunk--33.33%) made possible the correlation of these anomalies with disorders in the ontogenetic development of the veins of the neck. Knowing the variants of origin, course and drainage area of jugular veins is important not only for the anatomist but also for the surgeon operating at this level.
Qiu, Guoqin; Wen, Dengshun; DU, Xianghui; Sheng, Liming; Zhou, Xia; Ji, Yongling; Bao, Wuan; Zhang, Danhong; Cheng, Lei
2016-07-01
In the present study, clips were used as markers to evaluate displacement differences between proximal and distal ends of esophageal tumors and to test whether their internal target volume (ITV) margins should be determined separately. A total of 23 patients with mid-upper thoracic esophageal squamous-cell carcinoma, a tumor length of ≤8 cm and an esophageal lumen suitable for endoscopic ultrasonography were recruited for the present study. Clips were implanted endoscopically at the proximal and distal ends of the esophageal tumor (upper and lower clips). In a further exploratory study on 16 of the patients, a third clip was placed at the distal esophagus 2 cm above the gastro-esophageal junction (GEJ) (cardiac clip). The clips were contoured for all 10 phases of the four-dimensional computed tomography and the maximum displacements of the clip centroids among different breathing phases in left-right (LR), superior-inferior (SI) and anterior-posterior (AP) directions were marked as x, y and z, respectively. The ITV margins that covered 95% of the LR, SI and AP motion were 2.89, 5.00 and 2.36 mm, respectively. Axial displacement (y) was greater than radial displacement (x, z; P<0.05). It was also revealed that LR(x), SI(y) and AP(z) displacement of cardiac clips was greater than that of upper or lower clips (P<0.05). Differences in the axial and radial displacement of the upper and lower clips indicated that axial and radial ITV margins should be determined separately. However, further study is required on patients in whom the distal tumor end is located in proximity to the GEJ.
Fowler, Peter M; Duffield, Rob; Lu, Donna; Hickmans, Jeremy A; Scott, Tannath J
2016-10-01
To examine the effects of 24-h travel west across 11 time zones on subjective jet-lag and wellness responses together with self-reported sleep and upper respiratory symptoms in 18 professional rugby league players. Measures were obtained 1 or 2 d before (pretravel) and 2, 6, and 8 d after travel (post-2, post-6, and post-8) from Australia to the United Kingdom (UK) for the 2015 World Club Series. Compared with pretravel, subjective jet-lag remained significantly elevated on post-8 (3.1 ± 2.3, P < .05, d > 0.90), although it was greatest on post-2 (4.1 ± 1.4). Self-reported sleep-onset times were significantly earlier on post-2 than at all other time points (P < .05, d > 0.90), and large effect sizes suggested that wake times were earlier on post-2 than on post-6 and post-8 (d > 0.90). Although significantly more upper respiratory symptoms were reported on post-6 than at pretravel (P < .05, d ˃ 0.90), no incidence of injury and negligible changes in wellness and muscle strength and range of motion (P > .05, d < 0.90) were evident after travel. Results suggest that westward long-haul travel between Australia and the UK exacerbates subjective jet-lag and sleep responses, along with upper respiratory symptoms, in professional rugby league players. Of note, the increase in self-reported upper respiratory symptoms is a reminder that the demands of long-haul travel may be an additional concern in jet-lag for traveling athletes. However, due to the lack of sport-specific performance measures, it is still unclear whether international travel interferes with training to the extent that subsequent competition performance is impaired.
Aircraft measurements of NO and NOy at 12 km over the Pacific Ocean
NASA Technical Reports Server (NTRS)
Koike, M.; Kondo, Y.; Makino, Y.; Sugimura, Y.
1994-01-01
Measurements of nitric oxide (NO) and total reactive nitrogen (NOy) at altitudes about 12 km were made from two aircraft missions over the central and western Pacific Ocean at latitudes between 65 deg N and 65 deg S during the International Strato-Tropospheric Air Chemistry (INSTAC) program. NO measurements were performed during the first mission in late February and early march 1990, while NOy measurements were performed during the second mission in October 1990. Lowest NO and NOy mixing ratios in the upper troposphere were observed near the equator to be about 30 to approximately 70pptv and 150 to approximately 220pptv, respectively. NOy mixing ratios in the upper troposphere were higher in the northern middle latitude than in the southern middle latitude; 300 to approximately 900pptv in 30 deg N to approximately 50 deg N and 250 to approximately 400pptv around 25 deg S and 50 deg S possibly due to the transport of the polluted air from the boundary layer and the emissions from the commercial aircraft in the northern middle latitudes. Near the equator up to 40 deg S, the NO values showed very high variability and reached between 200 and 2000 pptv. NOy(pptv)/ozone(ppbv) ratios in the upper troposphere were between about 3 and 20 and these values seem to be higher in the lower latitude except for the polluted air in the northern middle latitude. These NOy/ozone ratios in the equatorial upper troposphere are higher than those in the lower stratosphere observed by others. These features of NO and NOy in the equatorial upper troposphere suggest that NOx is produced possibly by the lightning.
Upper ocean moored current and density profiler applied to winter conditions near Bermuda
DOE Office of Scientific and Technical Information (OSTI.GOV)
Eriksen, C.C.; Dahlen, J.M.; Shillingford, J.T. Jr.
1982-09-20
A new moored instrument which makes repeated high vertical resolution profiles of current, temperature, and salinity in the upper ocean over extended periods was used to observe midwinter conditions near Bermuda. The operation and performance of the instrument, called the profiling current meter (PCM), in the surface wave environment of winter storms is reported here. The PCM profiles along the upper portion of a slightly subsurface mooring by adjusting its buoyancy under computer control. This design decouples the instrument from vertical motions of the mooring induced by surface waves, so that its electromagnetic current sensor operates in a favorable mean-to-fluctuatingmore » flow regime. Current, temperature, and electrical conductivity are (vector) averaged into contiguous preselected bins several meters wide over the possible profile range of 20- to 250-m depth. The PCM is capable of collecting 1000--4000 profiles in a 6- to 12-month period, depending on depth range and ambient currents. A variety of baroclinic motions are evident in the Bermuda observations. Upper ocean manifestations of both Kelvin and superinertial island-trapped waves dominate longshore currents. Vertical coherence of onshore current and temperature suggest that internal wave vertical wave number energy distribution is independent of frequency but modified by island bathymetry. Kinetic energy in shear integrated over a 115.6-m-thick layer in the upper ocean is limited to values less than or equal to the potential energy required to mix the existing stratification. Mixing events occur when kinetic energy associated with shear drives the bulk Richardson number (defined by the ratio of energy integrals over the range profiles) to unity, where it remains while shear and stratification disappear together.« less
Salerno, Silvana
2018-02-01
In Italy and in Europe occupational diseases (OD) claims are growing among women, and international studies show women's lower compensation rate. Analysis of occupational diseases compensation rate among "Italian" women (country of birth: Italy) and "immigrant" women (country of birth: not Italy) focusing on biomechanical overload of the upper limb, the most common OD in Italy. INAIL (Italian National Institute for Insurance against Accidents at Work) statistical data (2010-2013) on ascertained OD in Industry-Services (I-S) were analyzed by gender and country of birth with particular attention to biomechanical overload of the upper limb and to occupational diseases not included in the official OD list. A significantly lower compensation rate was found among women (Italy: 39% females vs 43% males; not Italy: 32.5% females vs 36% males). Women's lower success rate was also found for biomechanical overload of the upper limb (Italy: 73% females vs 76% males; not Italy: 64% females vs 70% males), including carpal tunnel syndrome (Italy: 72% females vs 74% males; not Italy: 62% females vs 64% males) and supraspinatus muscle tendinitis (Italy: 71% females vs 79% males; not Italy: 62.5% females vs 72.5% males). Women's claims were more frequent for OD not in the official list (Italy: 53% females vs 51% males; not Italy: 54% females vs 53% males) and had a lower rate of recognition and compensation (Italy: 13% females vs 19% males; not Italy 10% females vs 14% males). Since 2010 women compensation rate has shown a reduction after the initial amelioration in 2008 when biomechanical overload of the upper limb was included in the official list of OD. An overall lower compensation rate among "Italian" and "immigrant" women was found for biomechanical overload disorders of the upper limb and for not officially recognized occupational diseases. Good gender-oriented preventive practices should be promoted.
A model study of sediment transport across the shelf break
NASA Astrophysics Data System (ADS)
Marchal, Olivier
2017-04-01
A variety of dynamical processes can contribute to the transport of material (e.g., particulate matter) across the shelf break - the region separating the continental shelf from the continental slope. Among these processes are (i) the reflection of internal waves on the outer shelf and upper slope, and (ii) the instability of hydrographic fronts, roughly aligned with isobaths, that are often present at the shelf break. On the one hand, internal waves reflecting on a sloping boundary can produce bottom shear stresses that are large enough to resuspend non-cohesive sediments into the water column. On the other hand, eddies shed from unstable shelf break fronts can incorporate into their core particle-rich waters from the outer shelf and upper slope, and transport these waters offshore. Here we present numerical experiments with a three-dimensional numerical model of ocean circulation and sediment transport, which illustrate the joint effect of internal waves and eddies on sediment transport across the shelf break. The model is based on the primitive equations and terrain-following coordinates. The model domain is square and idealized, comprising a flat continental shelf, a constant continental slope, and a flat abyssal basin. The model grid has O(1 km) horizontal resolution, so that (sub)mesoscale eddies observed in the vicinity of shelf breaks, such as south of New England, can be represented in detail. Internal waves are excited through the specification of a periodic variation in the across-slope component of velocity at the offshore boundary of the domain, and eddies are generated from the baroclinic instability of a shelf break jet that is initially in strict thermal wind balance. Numerical experiments are conducted that are characterized by (i) different slopes of internal wave characteristics relative to the continental slope, representing sub-critical, critical, and super-critical regimes, and (ii) different values for the dimensionless ratios that emerge from the linear stability analysis of shelf break fronts. Emphasis is placed on the physical conditions that are conducive to the formation and maintenance of bottom and intermediate nepheloid layers - the particle-rich layers that are often observed near oceanic margins in the traces of optical instruments.
Ultrasonographic findings of Kimura's disease presenting in the upper extremities.
Shin, Gi Won; Lee, Sun Joo; Choo, Hye Jung; Park, Young Mi; Jeong, Hae Woong; Lee, Sung-Moon; Suh, Jin-Suck; Jung, Soo-Jin
2014-12-01
To describe ultrasound findings of Kimura's disease arising in the upper extremities. Five patients with Kimura's disease confirmed by surgical resection were retrospectively reviewed by two musculoskeletal radiologists and a pathologist. All six lesions involved the epitrochlear area and appeared as partially (n = 5) or poorly (n = 1) marginated subcutaneous masses with the presence of curvilinear hyperechoic bands intermingled within the hypoechoic components by US. Moderate (n = 4) to severe (n = 2) vascular signals were observed in some proportion of the hyperechoic bands by color Doppler US. The associated findings were the increased echogenicity of surrounding subcutaneous fat (n = 6) and adjacent lymphadenopathy (n = 4). Microscopic examination showed proliferation of lymphoid follicles with prominent germinal centers and intervening fibrosis. In this study, Kimura's disease arising in the upper extremities showed a partially defined hypoechoic subcutaneous mass with internal hyperechoic bands and moderate-to-severe vascularities, increased echogenicity of the surrounding subcutaneous fat and adjacent lymphadenopathy on US. Thus, when these US features are observed in the typical epitrochlear region of an Asian individual, especially if accompanied by peripheral eosinophilia, Kimura's disease should be considered as a possible diagnosis.
Present state of knowledge of the upper atmosphere 1988: An assessment report
NASA Astrophysics Data System (ADS)
Watson, R. T.; Prather, M. J.; Kurylo, M. J.
1988-06-01
This document was issued in response to the Clean Air Act Amendments of 1977, Public Law 95-95, mandating that NASA and other key agencies submit biennial reports to Congress and EPA. NASA is to report on the state of our knowledge of the upper atmosphere, particularly the stratosphere. This is the sixth ozone assessment report submitted to Congress and the concerned regulatory agencies. Part 1 contains an outline of the NASA Upper Atmosphere Research Program and summaries of the research efforts supported during the last two years. An assessment is presented of the state of knowledge as of March 15, 1988 when the Ozone Trends Panel, organized by NASA and co-sponsored by the World Meteorological Organization, NOAA, FAA and the United Nations Environment Program released an executive summary of its findings from a critical in-depth study involving over 100 scientists from 12 countries. Chapter summaries of the International Ozone Trends Panel Report form the major part of this report. Two other sections are Model Predictions of Future Ozone Change and Chemical Kinetics and Photochemical Data for Use in Stratospheric Modeling. Each of these sections and the report in its entirety were peer reviewed.
Multiple sources for late-Holocene tsunamis at Discovery Bay, Washington State, USA
Williams, H.F.L.; Hutchinson, I.; Nelson, A.R.
2005-01-01
Nine muddy sand beds interrupt a 2500-yr-old sequence of peat deposits beneath a tidal marsh at the head of Discovery Bay on the south shore of the Strait of Juan de Fuca, Washington. An inferred tsunami origin for the sand beds is assessed by means of six criteria. Although all the sand beds contain marine diatoms and almost all the beds display internal stratification, the areal extent of the oldest beds is too limited to confirm their origin as tsunami deposits. The ages of four beds overlap with known late-Holocene tsunamis generated by plate-boundary earthquakes at the Cascadia subduction zone. Diatom assemblages in peat deposits bracketing these four beds do not indicate concurrent change in elevation at Discovery Bay. Diatoms in the peat bracketing a tsunami bed deposited about 1000 cal. yr BP indicate a few decimeters of submergence, suggesting deformation on a nearby upper-plate fault. Other beds may mark tsunamis caused by more distant upper-plate earthquakes or local submarine landslides triggered by earthquake shaking. Tsunamis from both subduction zone and upper-plate sources pose a significant hazard to shoreline areas in this region.
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lappin, A.R.; VanBuskirk, R.G.; Enniss, D.O.
1982-03-01
Thermal-conductivity and bulk-property measurements were made on welded and nonwelded silicic tuffs from the upper portion of Hole USW-G1, located near the southwestern margin of the Nevada Test Site. Bulk-property measurements were made by standard techniques. Thermal conductivities were measured at temperatures as high as 280{sup 0}C, confining pressures to 10 MPa, and pore pressures to 1.5 MPa. Extrapolation of measured saturated conductivities to zero porosity suggests that matrix conductivity of both zeolitized and devitrified tuffs is independent of stratigraphic position, depth, and probably location. This fact allows development of a thermal-conductivity stratigraphy for the upper portion of Hole G1.more » Estimates of saturated conductivities of zeolitized nonwelded tuffs and devitrified tuffs below the water table appear most reliable. Estimated conductivities of saturated densely welded devitrified tuffs above the water table are less reliable, due to both internal complexity and limited data presently available. Estimation of conductivity of dewatered tuffs requires use of different air thermal conductivities in devitrified and zeolitized samples. Estimated effects of in-situ fracturing generally appear negligible.« less
Present state of knowledge of the upper atmosphere 1988: An assessment report
NASA Technical Reports Server (NTRS)
Watson, R. T.; Prather, M. J.; Kurylo, M. J.
1988-01-01
This document was issued in response to the Clean Air Act Amendments of 1977, Public Law 95-95, mandating that NASA and other key agencies submit biennial reports to Congress and EPA. NASA is to report on the state of our knowledge of the upper atmosphere, particularly the stratosphere. This is the sixth ozone assessment report submitted to Congress and the concerned regulatory agencies. Part 1 contains an outline of the NASA Upper Atmosphere Research Program and summaries of the research efforts supported during the last two years. An assessment is presented of the state of knowledge as of March 15, 1988 when the Ozone Trends Panel, organized by NASA and co-sponsored by the World Meteorological Organization, NOAA, FAA and the United Nations Environment Program released an executive summary of its findings from a critical in-depth study involving over 100 scientists from 12 countries. Chapter summaries of the International Ozone Trends Panel Report form the major part of this report. Two other sections are Model Predictions of Future Ozone Change and Chemical Kinetics and Photochemical Data for Use in Stratospheric Modeling. Each of these sections and the report in its entirety were peer reviewed.
The fate of water within Earth and super-Earths and implications for plate tectonics
2017-01-01
The Earth is likely to have acquired most of its water during accretion. Internal heat of planetesimals by short-lived radioisotopes would have caused some water loss, but impacts into planetesimals were insufficiently energetic to produce further drying. Water is thought to be critical for the development of plate tectonics, because it lowers viscosities in the asthenosphere, enabling subduction. The following issue persists: if water is necessary for plate tectonics, but subduction itself hydrates the upper mantle, how is the upper mantle initially hydrated? The giant impacts of late accretion created magma lakes and oceans, which degassed during solidification to produce a heavy atmosphere. However, some water would have remained in the mantle, trapped within crystallographic defects in nominally anhydrous minerals. In this paper, we present models demonstrating that processes associated with magma ocean solidification and overturn may segregate sufficient quantities of water within the upper mantle to induce partial melting and produce a damp asthenosphere, thereby facilitating plate tectonics and, in turn, the habitability of Earth-like extrasolar planets. This article is part of the themed issue ‘The origin, history and role of water in the evolution of the inner Solar System’. PMID:28416729
The fate of water within Earth and super-Earths and implications for plate tectonics.
Tikoo, Sonia M; Elkins-Tanton, Linda T
2017-05-28
The Earth is likely to have acquired most of its water during accretion. Internal heat of planetesimals by short-lived radioisotopes would have caused some water loss, but impacts into planetesimals were insufficiently energetic to produce further drying. Water is thought to be critical for the development of plate tectonics, because it lowers viscosities in the asthenosphere, enabling subduction. The following issue persists: if water is necessary for plate tectonics, but subduction itself hydrates the upper mantle, how is the upper mantle initially hydrated? The giant impacts of late accretion created magma lakes and oceans, which degassed during solidification to produce a heavy atmosphere. However, some water would have remained in the mantle, trapped within crystallographic defects in nominally anhydrous minerals. In this paper, we present models demonstrating that processes associated with magma ocean solidification and overturn may segregate sufficient quantities of water within the upper mantle to induce partial melting and produce a damp asthenosphere, thereby facilitating plate tectonics and, in turn, the habitability of Earth-like extrasolar planets.This article is part of the themed issue 'The origin, history and role of water in the evolution of the inner Solar System'. © 2017 The Authors.
Acoustic explorations of the upper ocean boundary layer
NASA Astrophysics Data System (ADS)
Vagle, Svein
2005-04-01
The upper ocean boundary layer is an important but difficult to probe part of the ocean. A better understanding of small scale processes at the air-sea interface, including the vertical transfer of gases, heat, mass and momentum, are crucial to improving our understanding of the coupling between atmosphere and ocean. Also, this part of the ocean contains a significant part of the total biomass at all trophic levels and is therefore of great interest to researchers in a range of different fields. Innovative measurement plays a critical role in developing our understanding of the processes involved in the boundary layer, and the availability of low-cost, compact, digital signal processors and sonar technology in self-contained and cabled configurations has led to a number of exciting developments. This talk summarizes some recent explorations of this dynamic boundary layer using both active and passive acoustics. The resonant behavior of upper ocean bubbles combined with single and multi-frequency broad band active and passive devices are now giving us invaluable information on air-sea gas transfer, estimation of biological production, marine mammal behavior, wind speed and precipitation, surface and internal waves, turbulence, and acoustic communication in the surf zone.
NASA Astrophysics Data System (ADS)
Neri, Gianluca; Zolesi, Valfredo
2000-01-01
Accumulated evidence, based on information gathered on space flight missions and ground based models involving both humans and animals, clearly suggests that exposure to states of microgravity conditions for varying duration induces certain physiological changes; they involve cardiovascular deconditioning, balance disorders, bone weakening, muscle hypertrophy, disturbed sleep patterns and depressed immune responses. The effects of the microgravity on the astronauts' movement and attitude have been studied during different space missions, increasing the knowledge of the human physiology in weightlessness. The purpose of the research addressed in the present paper is to understand and to assess the performances of the upper limb, especially during grasp. Objects of the research are the physiological changes related to the long-term duration spaceflight environment. Specifically, the changes concerning the upper limb are investigated, with particular regard to the performances of the hand in zero-g environments. This research presents also effects on the Earth, improving the studies on a number of pathological states, on the health care and the rehabilitation. In this perspective, a set of experiments are proposed, aimed at the evaluation of the effects of the zero-g environments on neurophysiology of grasping movements, fatigue assessment, precision grip. .
Chałupnik, Stanisław; Wysocka, Małgorzata; Janson, Ewa; Chmielewska, Izabela; Wiesner, Marta
2017-05-01
According to the latest guidelines of the International Atomic Energy Agency (IAEA, 2016), coal mining is one of the most important contributors to occupational exposure. Coal mining contributes about 45% of the total annual collective dose obtained by workers due to the exposure at places of working. One of the sources of exposure in mining are formation brines with elevated concentrations of natural radionuclides, the most common are radium 226 Ra and 228 Ra. Radium isotopes often occur in formation waters in underground collieries in the Upper Silesian region (USCB) in Poland. Significant amounts of radium remain underground in the form of radioactive deposits created as a result of spontaneous deposition or water treatment. This phenomenon leads to the increase of radiation hazard for miners. The remaining activities of 226 Ra and 228 Ra are released into the rivers with mine effluents, causing the contamination of bottom sediments and river banks. The results of radioactivity monitoring of effluents and river waters are presented here to illustrate a trend of long-term changes in environmental contamination, caused by mining industry in the Upper Silesian Region. Copyright © 2017 Elsevier Ltd. All rights reserved.
Multivariate prediction of upper limb prosthesis acceptance or rejection.
Biddiss, Elaine A; Chau, Tom T
2008-07-01
To develop a model for prediction of upper limb prosthesis use or rejection. A questionnaire exploring factors in prosthesis acceptance was distributed internationally to individuals with upper limb absence through community-based support groups and rehabilitation hospitals. A total of 191 participants (59 prosthesis rejecters and 132 prosthesis wearers) were included in this study. A logistic regression model, a C5.0 decision tree, and a radial basis function neural network were developed and compared in terms of sensitivity (prediction of prosthesis rejecters), specificity (prediction of prosthesis wearers), and overall cross-validation accuracy. The logistic regression and neural network provided comparable overall accuracies of approximately 84 +/- 3%, specificity of 93%, and sensitivity of 61%. Fitting time-frame emerged as the predominant predictor. Individuals fitted within two years of birth (congenital) or six months of amputation (acquired) were 16 times more likely to continue prosthesis use. To increase rates of prosthesis acceptance, clinical directives should focus on timely, client-centred fitting strategies and the development of improved prostheses and healthcare for individuals with high-level or bilateral limb absence. Multivariate analyses are useful in determining the relative importance of the many factors involved in prosthesis acceptance and rejection.
A global geochemical model for the evolution of the mantle
NASA Technical Reports Server (NTRS)
Anderson, D. L.
1979-01-01
It is proposed that the upper mantle transition region, 220 to 670 km, is composed of eclogite which has been derived from primitive mantle by about 20 percent partial melting and that this is the source and sink of oceanic crust. The remainder of the upper mantle is garnet peridotite which is the source of continental basalts and hotspot magmas. This region is enriched in incompatible elements by hydrous and CO2 rich metasomatic fluids which have depleted the underlying layers in the L.I.L. elements and L.R.E.E. The volatiles make this a low-velocity, high attenuation, low viscosity region. The eclogite layer is internally heated and its controls the convection pattern in the upper mantle. Plate tectonics is intermittent. The continental thermal anomaly at a depth of 150-220 km triggers kimberlite and carbonatite activity, alkali and flood basalt volcanism, vertical tectonics and continental breakup. Hot spots remain active after the continents leave and build the oceanic islands. Mantle plumes rise from a depth of about 220 km. Midocean ridge basalts rise from the depleted layer below this depth. Material from this layer can also be displaced upwards by subducted oceanic lithosphere to form back-arc basins.
Stakeholder views on flood risk management in Hungary's Upper Tisza Basin.
Vari, Anna; Linnerooth-Bayer, Joanne; Ferencz, Zoltan
2003-06-01
With escalating costs of flood mitigation and relief, a challenge for the Hungarian government is to develop a flood mitigation and insurance/relief system that is viewed as efficient and fair by the many stakeholders involved. To aid policymakers in this task, this article reports on a recent study to elicit stakeholder views on flood risk management in the Upper Tisza Basin, including views on appropriate means of reducing losses and for transferring the residual losses from the direct victims to taxpayers or an insurance pool. This study is part of a project to develop an integrated approach to flood risk management coordinated by the International Institute of Applied Systems Analysis (IIASA) in collaboration with Swedish and Hungarian researchers. The discussion begins by describing the background of flood risk management problems in the Upper Tisza Basin. The results of interviews carried out with selected key stakeholders and the results of a public survey eliciting views on flood risk management are reported. The final section draws conclusions on incorporating stakeholder views into a flood risk management model, which will be used to illustrate policy paths at an upcoming stakeholder workshop. The conclusions are also of direct interest to Hungarian policymakers.
Seisen, Thomas; Colin, Pierre; Hupertan, Vincent; Yates, David R; Xylinas, Evanguelos; Nison, Laurent; Cussenot, Olivier; Neuzillet, Yann; Bensalah, Karim; Novara, Giacomo; Montorsi, Francesco; Zigeuner, Richard; Remzi, Mesut; Shariat, Shahrokh F; Rouprêt, Morgan
2014-11-01
To propose and validate a nomogram to predict cancer-specific survival (CSS) after radical nephroureterectomy (RNU) in patients with pT1-3/N0-x upper tract urothelial carcinoma (UTUC). The international and the French national collaborative groups on UTUC pooled data from 3387 patients treated with RNU. Only 2233 chemotherapy naïve pT1-3/N0-x patients were included in the present study. The population was randomly split into the development cohort (1563) and the external validation cohort (670). To build the nomogram, logistic regressions were used for univariable and multivariable analyses. Different models were generated. The most accurate model was assessed using Harrell's concordance index and decision curve analysis (DCA). Internal validation was then performed by bootstrapping. Finally, the nomogram was calibrated and externally validated in the external dataset. Of the 1563 patients in the nomogram development cohort, 309 (19.7%) died during follow-up from UTUC. The actuarial CSS probability at 5 years was 75.7% (95% confidence interval [CI] 73.2-78.6%). DCA revealed that the use of the best model was associated with benefit gains relative to prediction of CSS. The optimised nomogram included only six variables associated with CSS in multivariable analysis: age (P < 0.001), pT stage (P < 0.001), grade (P < 0.02), location (P < 0.001), architecture (P < 0.001) and lymphovascular invasion (P < 0.001). The accuracy of the nomogram was 0.81 (95% CI, 0.78-0.85). Limitations included the retrospective study design and the lack of a central pathological review. An accurate postoperative nomogram was developed to predict CSS after RNU only in locally and/or locally advanced UTUC without metastasis, where the decision for adjuvant treatment is controversial but crucial for the oncological outcome. © 2014 The Authors. BJU International © 2014 BJU International.
Scaling and Thermal Evolution of Internally Heated Planets: Yield Stress and Thermal History.
NASA Astrophysics Data System (ADS)
Weller, M. B.; Lenardic, A.; Moore, W. B.
2014-12-01
Using coupled 3D mantle convection and planetary tectonics models of bi-stable systems, we show how system behaviors for mobile-lid and stagnant-lid states scale as functions of internal heating rates (Q) and basal Ra (Rab). With parameter ranges for temperature- and depth-dependant viscosities: 1e4 - 3e4, Rab: 1e5- 3e5, Q: 0 - 100, and yield stress: 1e4 - 2e5, it can be shown the internal temperatures, velocities, heat fluxes, and system behaviors for mobile-lid and stagnant-lid states diverge, for equivalent parameter values, as a function of increasing Q. For the mobile-lid regime, yielding behavior in the upper boundary layer strongly influences the dynamics of the system. Internal temperatures, and consequently temperature-dependant viscosities, vary strongly as a function of yield stress for a given Q. The temperature distribution across the upper and lower mantles are sub-adiabatic for low to moderate yield stress, and adiabatic to super-adiabatic for high yield stresses. Across the parameter range considered, and for fixed yield stress, the Nu across the basal boundary (Nub) is positive and only weakly dependant on Q (varies by ~ 9%). Nub varies strongly as a function of yield stress (maximum variation of ~84%). Both mobile-lid velocities and lid-thicknesses are yield stress dependant for a given Q and Ra. In contrast to mobile-lids, the stagnant-lid regime is governed by the relative inefficiency of heat transport through the surface boundary layer. Internal temperatures are yield stress independent, and are on average 30% greater. Nub has a strong dependence on heating rates and surface boundary layer thicknesses. Within the parameter space considered, the maximum stagnant-lid Nub corresponds to the minimum mobile-lid Nub (for high yield stress), and decreases with increasing Q. For high Q, super-heated stagnant-lids may develop, with Nub< 0, and changes in trends for system behaviors. Planets with high levels of internal heating and/or high yield stresses (e.g. Super-Earths), may favor super-heated stagnant-lids early in their evolution. These regimes indicate reduced heat transport efficiencies (from the nominal stagnant-lid), and as a result, increasing heat flux into the core with increasing Q. Implications for terrestrial and Super-Earth planetary evolution will be discussed.
Forced Internal Waves in the Arctic Ocean.
1980-05-01
AND CONCLUSIONS. .. ................. 223 REFERENCES. .. ........................... 237 APPENDICES A. APS SENSOR CALIBRATION AND DATA PROCESSING...and the anemometer mast with sensors at 2 m and 4 m. 7 (1974a), McPhee (1974) and Smith (1978), was to be used to measure tur- bulent flow in the...boundary layer and to detect any velocity fluctua- tions that might occur in the upper pycnocline. Data from all sensors was to be fed to a NOVA 1200
Lowry, R Brian; Bedard, Tanya; Kiefer, Gerhard N; Sass, Kimberly R
2017-05-01
A new classification system was proposed by Tonkin et al as a replacement for the Swanson/International Federation of Societies for Surgery of the Hand system. We have reviewed their aims and have pointed out a number of problems that will make it difficult to be universally accepted. Copyright © 2017 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.
Global Modeling of Internal Tides Within an Eddying Ocean General Circulation Model
2012-06-01
atmosphere and ocean (Yu and Weller, 2007 ). Salinities in the upper ocean are set by the difference between evaporation and precipitation at the ocean...surface (Yu, 2007 ; Schmitt, 2008). Because the buoyancy (density) of seawater at the ocean surface is con- trolled by temperature and salinity, the...days, these currents mean- der and generate highly energetic meso- scale eddies (Schmitz, 1996a,b; Stammer , 1997), the spinning oceanic dynamical
The Great Lakes of the United States, National Security and the Budget
2005-02-14
ship transport. Taconite pellets are shipped to the Duluth-Superior harbor from mines located in the upper peninsula of Michigan, Minnesota ...example, the Port of Duluth-Superior located on the far northwestern portion of Lake Superior is a major hub for cross loading taconite pellets from rail to...northwest Ontario and northern Ontario. Therefore mining activities take place on both USA and Canadian shores and have a commensurate international
2013-06-01
Belvoir, VA 22060-6201 10. SPONSOR/MONITOR’S ACRONYM(S) DTRA J9-NTSN 11 . SPONSORING/MONITORING AGENCY REPORT NUMBER DTRA-TR-12-003 12...average tritium activity in drinking water samples (Bq L-1) ......................... 43 Table 11 . Parameter values and assumptions for estimating...the ground, roads and ship loading areas .......................... 59 11 Table 23. Parameter values and assumptions for the internal dose from
NASA Technical Reports Server (NTRS)
2004-01-01
KENNEDY SPACE CENTER, FLA. -- The STS-114 crew poses on an upper level of Launch Pad 39A during their tour. From left are Pilot James Kelly, Mission Commander Eileen Collins and Mission Specialists Charles Camarda, Soichi Noguchi, Andrew Thomas and Wendy Lawrence. Noguchi represents the Japanese Aerospace and Exploration Agency. The STS-114 mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.
Earth Observations taken by the Expedition Seven crew
2003-06-25
ISS007-E-08251 (25 June 2003) --- This photo featuring the San Francisco Bay area in California was photographed from the International Space Station (ISS) by astronaut Edward T. Lu, Expedition 7 NASA ISS science officer and flight engineer. The San Francisco Bay Bridge, Alcatraz Island, Golden Gate Bridge, and Golden Gate Park are visible at upper right. Stanford University and red salt ponds on the bay near Fremont at lower left.
Selected results from LLNL-Hughes RAR for West Coast Scotland Experiment 1991
DOE Office of Scientific and Technical Information (OSTI.GOV)
Lehman, S K; Johnston, B; Twogood, R
1993-01-05
The joint US -- UK 1991 West Coast Scotland Experiment (WCSEX) was held in two locations. From July 5 to 12, 1991, in Upper Loch Linnhe, and from July 18 to July 26, 1991, in the Sound of Sleat. The LLNL-Hughes team fielded a fully polarimetric X-band hill-side real aperture radar to collect internal wave wake data. We present here a sample data set of the best radar runs.
Atomistic-Dislocation Dynamics Modelling of Fatigue Microstructure and Crack Initiation
2013-01-01
experimental) Brown (Upper Limit’) DD Results Mughrabi & Pschenitzka (Lower Limit) y = 50 nm d, = 1.2 |lm M I 4 Simulations of... Mughrabi . Introduction to the viewpoint set on: Surface effects in cyclic deformation and fatigue. Scr. Metall. Mater., 26(10): 1499-1504, 1992. [3] E...associated with dislocation cores. Acta Materialia, 53:13131321, 2005. [13] H. Mughrabi . The long-range internal stress field in the dislocation wall
NASA Technical Reports Server (NTRS)
2004-01-01
KENNEDY SPACE CENTER, FLA. -- The STS-114 crew poses on an upper level of Launch Pad 39A during their tour. From left are Pilot James Kelly, Mission Commander Eileen Collins and Mission Specialists Charles Camarda, Soichi Noguchi, Andrew Thomas and Wendy Lawrence. Noguchi represents the Japanese Aerospace and Exploration Agency. The STS-114 mission is Logistics Flight 1, which is scheduled to deliver supplies and equipment plus the external stowage platform to the International Space Station.
Bravini, Elisabetta; Franchignoni, Franco; Giordano, Andrea; Sartorio, Francesco; Ferriero, Giorgio; Vercelli, Stefano; Foti, Calogero
2015-01-01
To perform a comprehensive analysis of the psychometric properties and dimensionality of the Upper Limb Functional Index (ULFI) using both classical test theory and Rasch analysis (RA). Prospective, single-group observational design. Freestanding rehabilitation center. Convenience sample of Italian-speaking subjects with upper limb musculoskeletal disorders (N=174). Not applicable. The Italian version of the ULFI. Data were analyzed using parallel analysis, exploratory factor analysis, and RA for evaluating dimensionality, functioning of rating scale categories, item fit, hierarchy of item difficulties, and reliability indices. Parallel analysis revealed 2 factors explaining 32.5% and 10.7% of the response variance. RA confirmed the failure of the unidimensionality assumption, and 6 items out of the 25 misfitted the Rasch model. When the analysis was rerun excluding the misfitting items, the scale showed acceptable fit values, loading meaningfully to a single factor. Item separation reliability and person separation reliability were .98 and .89, respectively. Cronbach alpha was .92. RA revealed weakness of the scale concerning dimensionality and internal construct validity. However, a set of 19 ULFI items defined through the statistical process demonstrated a unidimensional structure, good psychometric properties, and clinical meaningfulness. These findings represent a useful starting point for further analyses of the tool (based on modern psychometric approaches and confirmatory factor analysis) in larger samples, including different patient populations and nationalities. Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.
Overview of decade-long development of plasma-facing components at ASIPP
NASA Astrophysics Data System (ADS)
Luo, G.-N.; Liu, G. H.; Li, Q.; Qin, S. G.; Wang, W. J.; Shi, Y. L.; Xie, C. Y.; Chen, Z. M.; Missirlian, M.; Guilhem, D.; Richou, M.; Hirai, T.; Escourbiac, F.; Yao, D. M.; Chen, J. L.; Wang, T. J.; Bucalossi, J.; Merola, M.; Li, J. G.; EAST Team
2017-06-01
The first EAST (Experimental Advanced Superconducting Tokamak) plasma ignited in 2006 with non-actively cooled steel plates as the plasma-facing materials and components (PFMCs) which were then upgraded into full graphite tiles bolted onto water-cooled copper heat sinks in 2008. The first wall was changed further into molybdenum alloy in 2012, while keeping the graphite for both the upper and lower divertors. With the rapid increase in heating and current driving power in EAST, the W/Cu divertor project was launched around the end of 2012, aiming at achieving actively cooled full W/Cu-PFCs for the upper divertor, with heat removal capability up to 10 MW m-2. The W/Cu upper divertor was finished in the spring of 2014, consisting of 80 cassette bodies toroidally assembled. Commissioning of the EAST upper W/Cu divertor in 2014 was unsatisfactory and then several practical measures were implemented to improve the design, welding quality and reliability, which helped us achieve successful commissioning in the 2015 Spring Campaign. In collaboration with the IO and CEA teams, we have demonstrated our technological capability to remove heat loads of 5000 cycles at 10 MW m-2 and 1000 cycles at 20 MW m-2 for the small scale monoblock mockups, and surprisingly over 300 cycles at 20 MW m-2 for the flat-tile ones. The experience and lessons we learned from batch production and commissioning are undoubtedly valuable for ITER (International Thermonuclear Experimental Reactor) engineering validation and tungsten-related plasma physics.
Bai, Yu; Li, Zhao Shen
2016-02-01
Acute non-variceal upper gastrointestinal bleeding (ANVUGIB) is one of the most common medical emergencies in China and worldwide. In 2009, we published the "Guidelines for the diagnosis and treatment of acute non-variceal upper gastrointestinal bleeding" for the patients in China; however, during the past years numerous studies on the diagnosis and treatment of ANVUGIB have been conducted, and the management of ANVUGIB needs to be updated. The guidelines were updated after the databases including PubMed, Embase and CNKI were searched to retrieve the clinical trials on the management of ANVUGIB. The clinical trials were evaluated for high-quality evidence, and the advances in definitions, diagnosis, etiology, severity evaluation, treatment and prognosis of ANVUGIB were carefully reviewed, the recommendations were then proposed. After several rounds of discussions and revisions among the national experts of digestive endoscopy, gastroenterology, radiology and intensive care, the 2015 version of "Guidelines for the diagnosis and treatment of acute non-variceal upper gastrointestinal bleeding" was successfully developed by the Chinese Journal of Internal Medicine, National Medical Journal of China, Chinese Journal of Digestion and Chinese Journal of Digestive Endoscopy. It shall be noted that although much progress has been made, the clinical management of ANVUGIB still needs further improvement and refinement, and high-quality randomized trials are required in the future. © 2016 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology, Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine and John Wiley & Sons Australia, Ltd.
Biddiss, Elaine; McKeever, Patricia; Lindsay, Sally; Chau, Tom
2011-06-01
While sparsely researched, funding structures may play an important role in use of and satisfaction with prostheses and related health services. The objectives of this study were to (1) quantify the direct costs of prosthesis wear, (2) explore variations in funding distribution, and (3) describe the role of affordability in prosthesis selection and wear. An anonymous, online cross-sectional descriptive survey was administered. Analyses were conducted of qualitative and quantitative data extracted from an international sample of 242 individuals with upper limb absence. Access to prosthesis funding was variable and fluctuated with age, level of limb absence and country of care. Of individuals who gave details on prosthetic costs, 63% (n = 69) were fully reimbursed for their prosthetic expenses, while 37% (n = 40) were financially disadvantaged by the cost of components (mean [SD] US$9,574 [$9,986]) and their ongoing maintenance (US$1,936 [$3,179]). Of the 71 non-wearers in this study, 48% considered cost an influential factor in their decision not to adopt prosthesis use. Prosthesis funding is neither homogeneous nor transparent and can be influential in both the selection and use of a prosthetic device. Inequitable access to prosthesis funding is evident in industrialized nations and may lead to prosthesis abandonment and/or diminished quality of life for individuals with upper limb absences. Increased efforts are required to ensure equitable access to upper limb prosthetics and related services in line with individuals' needs.
Somatosensory temporal discrimination in essential tremor and isolated head and voice tremors.
Conte, Antonella; Ferrazzano, Gina; Manzo, Nicoletta; Leodori, Giorgio; Fabbrini, Giovanni; Fasano, Alfonso; Tinazzi, Michele; Berardelli, Alfredo
2015-05-01
The aim of this study was to investigate the somatosensory temporal discrimination threshold in patients with essential tremor (sporadic and familial) and to evaluate whether somatosensory temporal discrimination threshold values differ depending on the body parts involved by tremor. We also investigated the somatosensory temporal discrimination in patients with isolated voice tremor. We enrolled 61 patients with tremor: 48 patients with essential tremor (31 patients with upper limb tremor alone, nine patients with head tremor alone, and eight patients with upper limb plus head tremor; 22 patients with familial vs. 26 sporadic essential tremor), 13 patients with isolated voice tremor, and 45 healthy subjects. Somatosensory temporal discrimination threshold values were normal in patients with familial essential tremor, whereas they were higher in patients with sporadic essential tremor. When we classified patients according to tremor distribution, somatosensory temporal discrimination threshold values were normal in patients with upper limb tremor and abnormal only in patients with isolated head tremor. Temporal discrimination threshold values were also abnormal in patients with isolated voice tremor. Somatosensory temporal discrimination processing is normal in patients with familial as well as in patients with sporadic essential tremor involving the upper limbs. By contrast, somatosensory temporal discrimination is altered in patients with isolated head tremor and voice tremor. This study with somatosensory temporal discrimination suggests that isolated head and voice tremors might possibly be considered as separate clinical entities from essential tremor. © 2015 International Parkinson and Movement Disorder Society.
International energy outlook 1996
DOE Office of Scientific and Technical Information (OSTI.GOV)
NONE
1996-05-01
This International Energy Outlook presents historical data from 1970 to 1993 and EIA`s projections of energy consumption and carbon emissions through 2015 for 6 country groups. Prospects for individual fuels are discussed. Summary tables of the IEO96 world energy consumption, oil production, and carbon emissions projections are provided in Appendix A. The reference case projections of total foreign energy consumption and of natural gas, coal, and renewable energy were prepared using EIA`s World Energy Projection System (WEPS) model. Reference case projections of foreign oil production and consumption were prepared using the International Energy Module of the National Energy Modeling Systemmore » (NEMS). Nuclear consumption projections were derived from the International Nuclear Model, PC Version (PC-INM). Alternatively, nuclear capacity projections were developed using two methods: the lower reference case projections were based on analysts` knowledge of the nuclear programs in different countries; the upper reference case was generated by the World Integrated Nuclear Evaluation System (WINES)--a demand-driven model. In addition, the NEMS Coal Export Submodule (CES) was used to derive flows in international coal trade. As noted above, foreign projections of electricity demand are now projected as part of the WEPS. 64 figs., 62 tabs.« less
NASA Astrophysics Data System (ADS)
Khalid, Izzati Khalidah; Mokhtar, Nor Fadzillah Mohd; Bakri, Nur Amirah; Siri, Zailan; Ibrahim, Zarina Bibi; Gani, Siti Salwa Abd
2017-11-01
The onset of oscillatory magnetoconvection for an infinite horizontal nanofluid layer subjected to Soret effect and internal heat source heated from below is examined theoretically with the implementation of linear stability theory. Two important properties that are thermophoresis and Brownian motion are included in the model and three types of lower-upper bounding systems of the model: rigid-rigid, rigid-free as well as free-free boundaries are examined. Eigenvalue equations are gained from a normal mode analysis and executed using Galerkin technique. Magnetic field effect, internal heat source effect, Soret effect and other nanofluid parameters on the oscillatory convection are presented graphically. For oscillatory mode, it is found that the effect of internal heat source is quite significant for small values of the non-dimensional parameter and elevating the internal heat source speed up the onset of convection. Meanwhile, the increasing of the strength of magnetic field in a nanofluid layer reduced the rate of thermal instability and sustain the stabilization of the system. For the Soret effect, the onset of convection in the system is accelerated when the values of the Soret effect is increased.
Limits on uranium and thorium bulk content in GERDA Phase I detectors
NASA Astrophysics Data System (ADS)
Collaboration, Gerda; Agostini, M.; Allardt, M.; Bakalyarov, A. M.; Balata, M.; Barabanov, I.; Baudis, L.; Bauer, C.; Becerici-Schmidt, N.; Bellotti, E.; Belogurov, S.; Belyaev, S. T.; Benato, G.; Bettini, A.; Bezrukov, L.; Bode, T.; Borowicz, D.; Brudanin, V.; Brugnera, R.; Caldwell, A.; Cattadori, C.; Chernogorov, A.; D'Andrea, V.; Demidova, E. V.; di Vacri, A.; Domula, A.; Doroshkevich, E.; Egorov, V.; Falkenstein, R.; Fedorova, O.; Freund, K.; Frodyma, N.; Gangapshev, A.; Garfagnini, A.; Grabmayr, P.; Gurentsov, V.; Gusev, K.; Hakemüller, J.; Hegai, A.; Heisel, M.; Hemmer, S.; Hofmann, W.; Hult, M.; Inzhechik, L. V.; Janicskó Csáthy, J.; Jochum, J.; Junker, M.; Kazalov, V.; Kihm, T.; Kirpichnikov, I. V.; Kirsch, A.; Kish, A.; Klimenko, A.; Kneißl, R.; Knöpfle, K. T.; Kochetov, O.; Kornoukhov, V. N.; Kuzminov, V. V.; Laubenstein, M.; Lazzaro, A.; Lebedev, V. I.; Lehnert, B.; Liao, H. Y.; Lindner, M.; Lippi, I.; Lubashevskiy, A.; Lubsandorzhiev, B.; Lutter, G.; Macolino, C.; Majorovits, B.; Maneschg, W.; Medinaceli, E.; Mingazheva, R.; Misiaszek, M.; Moseev, P.; Nemchenok, I.; Palioselitis, D.; Panas, K.; Pandola, L.; Pelczar, K.; Pullia, A.; Riboldi, S.; Rumyantseva, N.; Sada, C.; Salamida, F.; Salathe, M.; Schmitt, C.; Schneider, B.; Schönert, S.; Schreiner, J.; Schütz, A.-K.; Schulz, O.; Schwingenheuer, B.; Selivanenko, O.; Shevchik, E.; Shirchenko, M.; Simgen, H.; Smolnikov, A.; Stanco, L.; Stepaniuk, M.; Vanhoefer, L.; Vasenko, A. A.; Veresnikova, A.; von Sturm, K.; Wagner, V.; Walter, M.; Wegmann, A.; Wester, T.; Wiesinger, C.; Wojcik, M.; Yanovich, E.; Zhitnikov, I.; Zhukov, S. V.; Zinatulina, D.; Zuber, K.; Zuzel, G.
2017-05-01
Internal contaminations of 238U, 235U and 232Th in the bulk of high purity germanium detectors are potential backgrounds for experiments searching for neutrinoless double beta decay of 76Ge. The data from GERDA Phase I have been analyzed for alpha events from the decay chain of these contaminations by looking for full decay chains and for time correlations between successive decays in the same detector. No candidate events for a full chain have been found. Upper limits on the activities in the range of a few nBq/kg for 226Ra, 227Ac and 228Th, the long-lived daughter nuclides of 238U, 235U and 232Th, respectively, have been derived. With these upper limits a background index in the energy region of interest from 226Ra and 228Th contamination is estimated which satisfies the prerequisites of a future ton scale germanium double beta decay experiment.
The upper pennsylvanian pittsburgh coal bed: Resources and mine models
Watson, W.D.; Ruppert, L.F.; Tewalt, S.J.; Bragg, L.J.
2001-01-01
The U.S. Geological Survey recently completed a digital coal resource assessment model of the Upper Pennsylvanian Pittsburgh coal bed, which indicates that after subtracting minedout coal, 16 billion short tons (14 billion tonnes) remain of the original 34 billion short tons (31 billion tonnes) of coal. When technical, environmental, and social restrictions are applied to the remaining Pittsburgh coal model, only 12 billion short tons (11 billion tonnes) are available for mining. Our assessment models estimate that up to 0.61 billion short tons (0.55 billion tonnes), 2.7 billion short tons (2.4 billion tonnes), and 8.5 billion short tons (7.7 billion tonnes) could be available for surface mining, continuous mining, and longwall mining, respectively. This analysis is an example of a second-generation regional coal availability study designed to model recoverability characteristics for all the major coal beds in the United States. ?? 2001 International Association for Mathematical Geology.
Neurologic complications in common wrist and hand surgical procedures
Verdecchia, Nicole; Johnson, Julie; Baratz, Mark; Orebaugh, Steven
2018-01-01
Nerve dysfunction after upper extremity orthopedic surgery is a recognized complication, and may result from a variety of different causes. Hand and wrist surgery require incisions and retraction that necessarily border on small peripheral nerves, which may be difficult to identify and protect with absolute certainty. This article reviews the rates and ranges of reported nerve dysfunction with respect to common surgical interventions for the distal upper extremity, including wrist arthroplasty, wrist arthrodesis, wrist arthroscopy, distal radius open reduction and internal fixation, carpal tunnel release, and thumb carpometacarpal surgery. A relatively large range of neurologic complications is reported, however many of the studies cited involve relatively small numbers of patients, and only rarely are neurologic complications included as primary outcome measures. Knowledge of these neurologic outcomes should help the surgeon to better counsel patients with regard to perioperative risk, as well as provide insight into workup and management of any adverse neurologic outcomes that may arise.
TDRS-M Atlas V Booster and Centaur Stages Arrival, Offload, and Transport (Booster) to ASOC
2017-06-26
The United Launch Alliance (ULA) Mariner arrives at Port Canaveral in Florida carrying an Atlas V rocket booster and centaur upper stage bounded for Cape Canaveral Air Force Station. The centaur upper stage is transported from the company's Mariner ship to the Delta Operations Center. The booster stage is transported to the Atlas Spaceflight Operations Center. The rocket is scheduled to launch the Tracking and Data Relay Satellite, TDRS-M. It will be the latest spacecraft destined for the agency's constellation of communications satellites that allows nearly continuous contact with orbiting spacecraft ranging from the International Space Station and Hubble Space Telescope to the array of scientific observatories. Liftoff atop the ULA Atlas V rocket is scheduled to take place from Cape Canaveral's Space Launch Complex 41 on Aug. 3, 2017 at 9:02 a.m. EDT.
The Upper Atmosphere Research Satellite (UARS) mission
NASA Technical Reports Server (NTRS)
Reber, Carl A.; Trevathan, Charles E.; Mcneal, Robert J.; Luther, Michael R.
1993-01-01
The Upper Atmosphere Research Satellite (UARS) is a NASA program aimed at improving our knowledge of the physical and chemical processes controlling the stratosphere, mesosphere, and lower thermosphere, emphasizing those levels that are known to be particularly susceptible to change by human activities. The spacecraft was launched by the Space Shuttle Discovery on September 12, 1991 into a near-circular orbit at 585 km altitude and 57 deg inclination. Measurements include vertical profiles of temperature, many trace gases, and horizontal wind velocities, as well as solar energy inputs. Many of the limb-scanning instruments can measure to as high as 80 deg latitude, providing near-global coverage. The mission is supported by a large international correlative measurement program, yielding data both for validation of the UARS measurements and for complementary scientific studies. A dedicated data system provides rapid processing to geophysical quantities and makes these data available to UARS scientists.
Photographer : JPL Range : 3.4 million km This pair of images shows two of the long-lived white oval
NASA Technical Reports Server (NTRS)
1979-01-01
Photographer : JPL Range : 3.4 million km This pair of images shows two of the long-lived white oval clouds which have resided in the Jovian southern hemisphere for nearly 40 years. The upper picture shows the cloud that is at a longitude west of the Great Red Spot, and the lower frame, the cloud at a longitude east of this feature. The third oval is currently just south of the Great Red Spot. The clouds show very similar internal structures. To the east of each of them, recirculation currents are clearly seen. In the lower frame, a similar structure is seen to the west of the cloud. Although a recirculation current is associated with the upper western region of the cloud, it is further away from this feature and not seen in the image. This photo was taken by Voyager 2.
Müller, Rolf; Kunz, Anne; Hurst, Dale F; Rolf, Christian; Krämer, Martina; Riese, Martin
2016-02-01
Water vapor is the most important greenhouse gas in the atmosphere although changes in carbon dioxide constitute the "control knob" for surface temperatures. While the latter fact is well recognized, resulting in extensive space-borne and ground-based measurement programs for carbon dioxide as detailed in the studies by Keeling et al. (1996), Kuze et al. (2009), and Liu et al. (2014), the need for an accurate characterization of the long-term changes in upper tropospheric and lower stratospheric (UTLS) water vapor has not yet resulted in sufficiently extensive long-term international measurement programs (although first steps have been taken). Here, we argue for the implementation of a long-term balloon-borne measurement program for UTLS water vapor covering the entire globe that will likely have to be sustained for hundreds of years.
NASA Astrophysics Data System (ADS)
Fu, Q. G.; Liu, X. W.; Xu, S. G.; Li, M.; Zhang, C. C.
2009-08-01
In this article, the stress-shielding effect of a Nitinol swan-like memory compressive connector (SMC) is evaluated. Patients with fracture healing of an upper limb after SMC internal fixation or stainless steel plate fixation were randomly selected and observed comparatively. With the informed consent of the SMC group, minimal cortical bone under the swan-body and swan-neck was harvested; and in the steel plate fixation group, minimal cortical bone under the steel plate and opposite side to the steel plate was also harvested for observation. Main outcome measurements were taken such as osteocyte morphology, Harversian canal histological observation under light microscope; radiographic observation of fracture healing, and computed tomography quantitative scanning of cortical bone. As a conclusion, SMC has a lesser stress-shielding effect to fixed bone than steel plate. Finally, the mechanism of the lesser stress-shielding effect of SMC is discussed.
Ultraviolet observations of the Io torus from the IUE observatory
NASA Technical Reports Server (NTRS)
Moos, H. W.; Clarke, J. T.
1981-01-01
The short wavelength spectrograph on the International Ultraviolet Explorer (IUE) has been used to obtain 11 A resolution spectra of the Io torus from 1175-1950 A. The four spectra, obtained in the springs of 1979 and 1980, show emissions (about 40R) of S II A1256A and S III A1199A. An unidentified feature is also present at 1729 A; a tentative identification as an intercombination line of S III is proposed. Weak features, probably due to O III A1664A and S IV A1406A, appear in some of the spectra. Abundances of the ions are determined from the brightnesses of the observed features. Upper limits are also set for the abundances of a number of ionic and neutral species. An observation of Io itself does not show any additional or enhanced spectral features, permitting upper limits to be set on the injection rate for a number of species.
Upper mantle electrical conductivity for seven subcontinental regions of the Earth
Campbell, W.H.; Schiffmacher, E.R.
1988-01-01
Spherical harmonic analysis coefficients of the external and internal parts of the quiet-day geomagnetic field variations (Sq) separated for the 7 continental regions of the observatories have been used to determine conductivity profiles to depths of about 600 km by the Schmucker equivalent substitute conductor method. The profiles give evidence of increases in conductivity between about 150 and 350 km depth, then a general increase in conductivity thereafter. For South America we found a high conductivity at shallow depths. The European profile showed a highly conducting layer near 125 km. At the greater depths, Europe, Australia and South America had the lowest values of conductivity. North America and east Asia had intermediate values whereas the African and central Asian profiles both showed the conductivities rising rapidly beyond 450 km depth. The regional differences indicate that there may be considerable lateral heterogeneity of electrical conductivity in the Earth's upper mantle. -Authors
Internal performance of two nozzles utilizing gimbal concepts for thrust vectoring
NASA Technical Reports Server (NTRS)
Berrier, Bobby L.; Taylor, John G.
1990-01-01
The internal performance of an axisymmetric convergent-divergent nozzle and a nonaxisymmetric convergent-divergent nozzle, both of which utilized a gimbal type mechanism for thrust vectoring was evaluated in the Static Test Facility of the Langley 16-Foot Transonic Tunnel. The nonaxisymmetric nozzle used the gimbal concept for yaw thrust vectoring only; pitch thrust vectoring was accomplished by simultaneous deflection of the upper and lower divergent flaps. The model geometric parameters investigated were pitch vector angle for the axisymmetric nozzle and pitch vector angle, yaw vector angle, nozzle throat aspect ratio, and nozzle expansion ratio for the nonaxisymmetric nozzle. All tests were conducted with no external flow, and nozzle pressure ratio was varied from 2.0 to approximately 12.0.
Linear control of the flywheel inverted pendulum.
Olivares, Manuel; Albertos, Pedro
2014-09-01
The flywheel inverted pendulum is an underactuated mechanical system with a nonlinear model but admitting a linear approximation around the unstable equilibrium point in the upper position. Although underactuated systems usually require nonlinear controllers, the easy tuning and understanding of linear controllers make them more attractive for designers and final users. In a recent paper, a simple PID controller was proposed by the authors, leading to an internally unstable controlled plant. To achieve global stability, two options are developed here: first by introducing an internal stabilizing controller and second by replacing the PID controller by an observer-based state feedback control. Simulation and experimental results show the effectiveness of the design. Copyright © 2013 ISA. Published by Elsevier Ltd. All rights reserved.
Quality of 99mTcO4- from 99Mo Produced by 100Mo(n,2n)99Mo
NASA Astrophysics Data System (ADS)
Nagai, Yasuki; Nakahara, Yuto; Kawabata, Masako; Hatsukawa, Yuichi; Hashimoto, Kazuyuki; Saeki, Hideya; Motoishi, Shoji; Ohta, Akio; Shiina, Takayuki; Kawauchi, Yukimasa
2017-05-01
The pharmaceutical quality of 99mTc pertechnetate solution obtained from 99Mo, the 100Mo(n,2n) reaction product, was investigated for the first time with an emphasis on the nonradioactive Mo content and endotoxin concentration. They were less than the tolerance dose given in international guidelines and the established upper limit in an international pharmacopoeia, respectively. Four other quality control tests commonly used for a commercially available 99mTc pertechnetate solution also demonstrated to meet the United States Pharmacopeia requirements. The results strongly support that the thermochromatographic separation method used to separate 99mTc from 99Mo can be a promising substitute for the fission product 99Mo.
Puvanachandra, Narman; Heran, Manraj K; Lyons, Christopher J
2008-10-01
We describe a 6-week-old girl with a right upper lid capillary hemangioma, ipsilateral morning glory disk anomaly, microphthalmos, Mittendorf dot, and Horner syndrome. The ipsilateral internal carotid artery was also found to be absent. To our knowledge, this is the first patient to be reported with this group of findings. We suggest that this represents an overlap between morning glory disk and intracranial vascular abnormalities, a recognized association, and PHACES syndrome (posterior fossa malformations, hemangiomas, arterial anomalies, cardiac defects, eye, and sternal abnormalities). We discuss the common embryological basis for these abnormalities, which point to a widespread but highly variable disorder of mesodermal differentiation.
NASA Astrophysics Data System (ADS)
Ribó, Marta; Puig, Pere; Muñoz, Araceli; Lo Iacono, Claudio; Masqué, Pere; Palanques, Albert; Acosta, Juan; Guillén, Jorge; Gómez Ballesteros, María
2016-01-01
Detailed analysis of recently acquired swath bathymetry, together with high-resolution seismic profiles and bottom sediment samples, revealed the presence of large-scale fine-grained sediment waves over the Gulf of Valencia continental slope. As many other deep-water sediment waves, these features were previously attributed to gravitational slope failure, related to creep-like deformation, and are here reinterpreted as sediment wave fields extending from 250 m depth to the continental rise, at 850 m depth. Geometric parameters were computed from the high-resolution multibeam dataset. Sediment wave lengths range between 500 and 1000 m, and maximum wave heights of up to 50 m are found on the upper slope, decreasing downslope to minimum values of 2 m high. Sediment waves on the lower part of the slope are quasi-stationary vertically accreting, whereas they show an upslope migrating pattern from the mid-slope to the upper part of the continental slope. High-resolution seismic profiles show continuous internal reflectors, with sediment waves merging down-section and sediment wave packages decreasing in thickness downslope. These sediment packages are thicker on the crest of each individual sediment wave and thinner on the downslope flank. 210Pb analyses conducted on sediment cores collected over the sediment wave fields also indicate slightly higher sediment accumulation rates on the wave crests. Sediment wave formation processes have been inferred from contemporary hydrodynamic observations, which reveal the presence of near-inertial internal waves interacting with the Gulf of Valencia continental slope. Internal wave activity is suggested to be the preferential mechanism for the transport and deposition of sediment, and the maintenance of the observed sediment wave fields.
NASA Astrophysics Data System (ADS)
Tagliabue, Alessandro; Hawco, Nicholas J.; Bundy, Randelle M.; Landing, William M.; Milne, Angela; Morton, Peter L.; Saito, Mak A.
2018-04-01
Cobalt is an important micronutrient for ocean microbes as it is present in vitamin B12 and is a co-factor in various metalloenzymes that catalyze cellular processes. Moreover, when seawater availability of cobalt is compared to biological demands, cobalt emerges as being depleted in seawater, pointing to a potentially important limiting role. To properly account for the potential biological role for cobalt, there is therefore a need to understand the processes driving the biogeochemical cycling of cobalt and, in particular, the balance between external inputs and internal cycling. To do so, we developed the first cobalt model within a state-of-the-art three-dimensional global ocean biogeochemical model. Overall, our model does a good job in reproducing measurements with a correlation coefficient of >0.7 in the surface and >0.5 at depth. We find that continental margins are the dominant source of cobalt, with a crucial role played by supply under low bottom-water oxygen conditions. The basin-scale distribution of cobalt supplied from margins is facilitated by the activity of manganese-oxidizing bacteria being suppressed under low oxygen and low temperatures, which extends the residence time of cobalt. Overall, we find a residence time of 7 and 250 years in the upper 250 m and global ocean, respectively. Importantly, we find that the dominant internal resupply process switches from regeneration and recycling of particulate cobalt to dissolution of scavenged cobalt between the upper ocean and the ocean interior. Our model highlights key regions of the ocean where biological activity may be most sensitive to cobalt availability.
Design and performance of a horizontal mooring for upper-ocean research
Grosenbaugh, Mark; Anderson, Steven; Trask, Richard; Gobat, Jason; Paul, Walter; Butman, Bradford; Weller, Robert
2002-01-01
This paper describes the design and performance of a two-dimensional moored array for sampling horizontal variability in the upper ocean. The mooring was deployed in Massachusetts Bay in a water depth of 84 m for the purpose of measuring the horizontal structure of internal waves. The mooring was instrumented with three acoustic current meters (ACMs) spaced along a 170-m horizontal cable that was stretched between two subsurface buoys 20 m below the sea surface. Five 25-m-long vertical instrument strings were suspended from the horizontal cable. A bottom-mounted acoustic Doppler current profiler (ADCP) was deployed nearby to measure the current velocity throughout the water column. Pressure sensors mounted on the subsurface buoys and the vertical instrument strings were used to measure the vertical displacements of the array in response to the currents. Measurements from the ACMs and the ADCP were used to construct time-dependent, two-dimensional current fields. The current fields were used as input to a numerical model that calculated the deformation of the array with respect to the nominal zero-current configuration. Comparison of the calculated vertical offsets of the downstream subsurface buoy and downstream vertical instrument string with the pressure measurements were used to verify the numerical code. These results were then used to estimate total deformation of the array due to the passage of the internal waves. Based on the analysis of the three internal wave events with the highest measured vertical offsets, it is concluded that the geometry of the main structure (horizontal cable and anchor legs) was kept to within ±2.0 m, and the geometry of the vertical instrument strings was kept to within ±4.0 m except for one instance when the current velocity reached 0.88 m s−1.
Matsumoto, Kazumasa; Novara, Giacomo; Gupta, Amit; Margulis, Vitaly; Walton, Thomas J; Roscigno, Marco; Ng, Casey; Kikuchi, Eiji; Zigeuner, Richard; Kassouf, Wassim; Fritsche, Hans-Martin; Ficarra, Vincenzo; Martignoni, Guido; Tritschler, Stefan; Rodriguez, Joaquin Carballido; Seitz, Christian; Weizer, Alon; Remzi, Mesut; Raman, Jay D; Bolenz, Christian; Bensalah, Karim; Koppie, Theresa M; Karakiewicz, Pierre I; Wood, Christopher G; Montorsi, Francesco; Iwamura, Masatsugu; Shariat, Shahrokh F
2011-10-01
•To assess the impact of differences in ethnicity on clinico-pathological characteristics and outcomes of patients with upper urinary tract urothelial carcinoma (UTUC) in a large multi-center series of patients treated with radical nephroureterectomy (RNU). •We retrospectively collected the data of 2163 patients treated with RNU at 20 academic centres in America, Asia, and Europe. •Univariable and multivariable Cox regression models addressed recurrence-free survival (RFS) and cancer-specific survival (CSS). •In all, 1794 (83%) patients were Caucasian and 369 (17%) were Japanese. All the main clinical and pathological features were significantly different between the two ethnicities. •The median follow-up of the whole cohort was 36 months. At last follow-up, 554 patients (26%) developed disease recurrence and 461 (21%) were dead from UTUC. •The 5-year RFS and CSS estimates were 71.5% and 74.2%, respectively, for Caucasian patients compared with 68.8% and 75.4%, respectively, for Japanese patients. •On univariable Cox regression analyses, ethnicity was not significantly associated with either RFS (P= 0.231) or CSS (P= 0.752). •On multivariable Cox regression analyses that adjusted for the effects of age, gender, surgical type, T stage, grade, tumour architecture, presence of concomitant carcinoma in situ, lymphovascular invasion, tumour necrosis, and lymph node status, ethnicity was not associated with either RFS (hazard ratio [HR] 1.1; P= 0.447) or CSS (HR 1.0; P= 0.908). •There were major differences in the clinico-pathological characteristics of Caucasian and Japanese patients. •However, RFS and CSS probabilities were not affected by ethnicity and race was not an independent predictor of either recurrence or cancer-related death. © 2011 THE AUTHORS; BJU INTERNATIONAL © 2011 BJU INTERNATIONAL.
NASA Astrophysics Data System (ADS)
Kastner, M.; Elderfield, H.; Martin, J. B.
1991-05-01
The nature and origin of fluids in convergent margins can be inferred from geochemical and isotopic studies of the venting and pore fluids, and is attempted here for the Barbados Ridge, Nankai Trough and the convergent margin off Peru. Venting and pore fluids with lower than seawater Cl- concentrations characterize all these margins. Fluids have two types of source: internal and external. The three most important internal sources are: (1) porosity reduction; (2) diagenetic and metamorphic dehydration; and (3) the breakdown of hydrous minerals. Gas hydrate formation and dissociation, authigenesis of hydrous minerals and the alteration of volcanic ash and/or the upper oceanic crust lead to a redistribution of the internal fluids and gases in vertical and lateral directions. The maximum amount of expelled water calculated can be ca. 7 m3 a-1 m-1, which is much less than the tens to more than 100 m3 a-1 m-1 of fluid expulsion which has been observed. The difference between these figures must be attributed to external fluid sources, mainly by transport of meteoric water enhanced by mixing with seawater. The most important diagenetic reactions which modify the fluid compositions, and concurrently the physical and even the thermal properties of the solids through which they flow are: (1) carbonate recrystallization, and more importantly precipitation; (2) bacterial and thermal degradation of organic matter; (3) formation and dissociation of gas hydrates; (4) dehydration and transformation of hydrous minerals, especially of clay minerals and opal-A; and (5) alteration, principally zeolitization and clay mineral formation, of volcanic ash and the upper oceanic crust.
Wu, Ning; Zhang, Xuezhong; Wang, Wen; Zhang, Hongye
2015-08-01
This study aimed to evaluate the accuracy of the automated oscillometric upper arm blood pressure (BP) monitor Konsung QD217A for home BP monitoring according to the European Society of Hypertension International Protocol revision 2010. Three trained observers validated the performance of these devices by comparing the measurements obtained from these devices with those taken using a standard mercury sphygmomanometer. Systolic blood pressure (SBP) and diastolic blood pressure (DBP) were sequentially measured in 33 participants using a standard mercury sphygmomanometer and the Konsung QD217A device. A total of 99 pairs of comparisons were obtained from 33 participants. The QD217A device achieved the targets in part 1 of the validation study. The number of absolute differences between the device and the observers within a range of 5, 10 and 15 mmHg was 70/99, 92/99 and 96/99, respectively, for SBP and 80/99, 94/99 and 99/99, respectively, for DBP. The device also achieved the targets in part 2 of the validation study. A total of 27 and 31 participants for SBP and DBP, respectively, showed at least two of the three device-observers differences within 5 mmHg (required≥24). The number of participants without device-observer difference within 5 mmHg was one for SBP and one for DBP (required≤3). The Konsung upper arm BP monitor QD217A has passed the International Protocol requirements and it can be recommended for clinical use and self-measurement in adults. Copyright © 2015 Wolters Kluwer Health, Inc. All rights reserved.
Chen, Qi; Lei, Lei; Li, Yan; Wang, Ji-Guang
2017-10-01
The present study aimed to evaluate the accuracy of the automated oscillometric upper-arm blood pressure monitor YuWell YE690A for blood pressure measurement according to the International Protocol of the European Society of Hypertension revision 2010. Systolic and diastolic blood pressures were measured sequentially in 33 adult Chinese (12 women, 44.2 years of mean age) using a mercury sphygmomanometer (two observers) and the YE690A device (one supervisor). A total of 99 pairs of comparisons were obtained from 33 participants for judgments in two parts with three grading phases. All the blood pressure requirements were fulfilled. The YuWell YE690A device achieved the targets in part 1 of the validation study. The number of absolute differences between device and observers within 5, 10, and 15 mmHg was 79/99, 96/99, and 97/99, respectively, for systolic blood pressure and 72/99, 95/99, and 98/99, respectively, for diastolic blood pressure. The device also fulfilled the criteria in part 2 of the validation study. Thirty-one and 25 participants for systolic and diastolic blood pressure, respectively, had at least two of the three device-observer differences within 5 mmHg (required ≥24). No participant for systolic and two participants for diastolic blood pressure had all the three device-observer comparisons greater than 5 mmHg. The YuWell blood pressure monitor YE690A has passed the requirements of the International Protocol revision 2010 and hence can be recommended for blood pressure measurement in adults.
NASA Technical Reports Server (NTRS)
Quick, Jason
2009-01-01
The Upper Stage (US) section of the National Aeronautics and Space Administration's (NASA) Ares I rocket will require internal access platforms for maintenance tasks performed by humans inside the vehicle. Tasks will occur during expensive critical path operations at Kennedy Space Center (KSC) including vehicle stacking and launch preparation activities. Platforms must be translated through a small human access hatch, installed in an enclosed worksite environment, support the weight of ground operators and be removed before flight - and their design must minimize additional vehicle mass at attachment points. This paper describes the application of a user-centered conceptual design process and the unique challenges encountered within NASA's systems engineering culture focused on requirements and "heritage hardware". The NASA design team at Marshall Space Flight Center (MSFC) initiated the user-centered design process by studying heritage internal access kits and proposing new design concepts during brainstorming sessions. Simultaneously, they partnered with the Technology Transfer/Innovative Partnerships Program to research inflatable structures and dynamic scaffolding solutions that could enable ground operator access. While this creative, technology-oriented exploration was encouraged by upper management, some design stakeholders consistently opposed ideas utilizing novel, untested equipment. Subsequent collaboration with an engineering consulting firm improved the technical credibility of several options, however, there was continued resistance from team members focused on meeting system requirements with pre-certified hardware. After a six-month idea-generating phase, an intensive six-week effort produced viable design concepts that justified additional vehicle mass while optimizing the human factors of platform installation and use. Although these selected final concepts closely resemble heritage internal access platforms, challenges from the application of the user-centered process provided valuable lessons for improving future collaborative conceptual design efforts.
NASA Astrophysics Data System (ADS)
Karlsson, Nanna B.; Holt, John W.; Hindmarsh, Richard C. A.; Choudhary, Prateek
2010-05-01
The North Polar Layered Deposits (NPLD) is one of the largest reservoirs of surface water on Mars and, via an active exchange of water vapour with the atmosphere, it plays an important role in the Martian climate. The impact of ice flow on the overall shape of the NPLD is still widely debated. A study by Winebrenner et al. (2008) found evidence for relict flow lines in the southernmost part of the NPLD called Gemina Lingula (GL). Other studies have concluded that the upper part of the NPLD shows no evidence of flow (Fishbaugh and Hvidberg, 2006) and that surface mass balance alone can produce the topography (Greve et al., 2004 and Greve and Mahajan, 2005) . This paper presents results from an analysis of radar data from the SHARAD (SHallow RADar) instrument on board NASA's Mars Reconnaissance Orbiter. The SHARAD instrument operates with a 20MHz centre frequency and a 10MHz bandwidth and one of its primary mission goals is to map the state and distribution of water on Mars. For more details on the SHARAD instrument please refer to Seu et al. (2007). In the SHARAD data we identified and mapped six internal horizons from over 80 radar lines retrieved over GL. All horizons were easily identifiable in the majority of the data and were on average present in over 80% of the radar data considered. The observed layers were then compared to modelled layers from a 3D ice flow model. The model uses a smoothed surface topography, where troughs and scarps have been filled in, and assumes that the shape and the mass balance of the NPLD are constant in time. The shape of the internal layers are then calculated as they would appear in a flowing ice cap given those parameters. More information on the model can be found in Hindmarsh et al. (2009). The overall fit between modelled and observed layers is reasonably good, but the goodness of the fit varies both between the different horizons and the different regions of GL. Horizons in the upper part of the ice fit less well than horizons in the lower part. The upper horizons also generally achieve a better fit in the western part of GL while the fit for the lower horizons has a less distinct geographical variation. These differences could indicate a time gap in the deposition of the layers and may be explained by the existence of an angular unconformity previously identified within GL (Holt and Safaeinili, 2009). It is possible that the lower layers experienced a significantly different history than the upper, and/or that the geometry of the upper layers is primarily the result of draping the unconformity surface which is an elongated dome. Only taking into account individual layer geometry, our comparison between modelled and observed internal layering indicates that it is possible that ice flow has influenced the shape of NPLD. However, if this is the case GL must have extended farther to the southeast, or alternatively the accumulation pattern must have been significantly different to what is assumed in the model. Fishbaugh and Hvidberg. Journal of Geophysical Research, 111, 2006. Greve et al. Planetary and Space Science, 52, p. 775-787, 2004. Greve and Mahajan. Icarus, 174, p. 475-485, 2005. Hindmarsh et al. Annals of Glaciology, 50, 130140, 2009. Holt and Safaeinili. LPSC XXXX, # 1721, 2009. Phillips et al. Science, 320, 1182, 2008. Putzig et al. Icarus, 204, p. 443-457, 2009. Seu et al. Journal of Geophysical Research, 112, 2007. Winebrenner et al. Icarus, 195, p. 90-105, 2008.
Doronchuk, D N; Trapeznikova, M F; Dutov, V V
2010-01-01
A sociological study was made of quality of life of 60 patients with nephrostomic drainage and 71 patients with an ureteral stent according to standard international questionnaires SF-36 and EORTC QLQ-C30, version 3.0. It was found that both internal and external drain significantly aggravate quality of life in the same degree. Younger patients of both groups suffered less. Quality of life was higher in both groups in drainage duration up to 1 month (p < 0.05), in 1 to 6 month draining quality of life is worse in both groups. Internal drainage is worse tolerated by males aged 25-44 years and elderly women aged 60-75 years, especially in long-term drain (over 6 months). Internal drainage is worse tolerated by elderly females (60-75 years of age) and senile women (over 75 years) in 6 month and longer drainage. The study of large number of patients revealed significant differences in quality of life in patients with nephrostomic drain and ureteral stent.
12. Photocopy of drawing dated May 26, 1902, on file, ...
12. Photocopy of drawing dated May 26, 1902, on file, City of New York Department of Ports, International Trade, and Commerce. ERECTION DIAGRAM/44TH ST. PIER - S. BROOKLYN - N.Y./WATER FRONT IMPROVEMENTS FOR THE BUSH COMPANY LT'D. American Bridge Company, Brooklyn Plant, Drawing No. 1431, Order No. A1343, Sheet No. 5. - Bush Terminal Company, Pier 5, Opposite end of Forty-first Street on Upper New York Bay, Brooklyn, Kings County, NY
2016-04-20
ISS047e069406 (04/20/2016) ---Earth observation image taken by the Expedition 47 crew aboard the International Space Station. This is an oblique south-looking view of the main Bahama island chain. Cuba is across the entire top of the image, the Florida Peninsula on the right margin. In the Bahamas, the main Andros island is just distinguishable under cloud upper left of center. Under less cloud is the Abaco Islands in the foreground (middle of pic nearest camera left of center.)
2016-12-01
2016 Dissertation Supervisors: Wieslaw Maslowski John Colosi THIS PAGE INTENTIONALLY LEFT BLANK i REPORT DOCUMENTATION PAGE Form Approved...level is 4% of the standard GM value. Frequency spectra of spice show a form similar to the internal-wave spectra but with a steeper spectral slope...Standard Form 298 (Rev. 2-89) Prescribed by ANSI Std. 239-18 ii THIS PAGE INTENTIONALLY LEFT BLANK iii Approved for public release
Global Modeling of Internal Tides Within an Eddying Ocean General Circulation Model
2012-05-31
heat between the atmosphere and ocean (Yu and Weller, 2007 ). Salinities in the upper ocean are set by the difference between evaporation and...precipitation at the ocean surface (Yu, 2007 ; Schmitt, 2008). Because the buoyancy (density) of seawater at the ocean surface is con- trolled by...timescales of about 10–200 days, these currents mean- der and generate highly energetic meso- scale eddies (Schmitz, 1996a,b; Stammer , 1997), the spinning
TDRS-M Spacecraft Lift and Mate
2017-08-09
NASA's Tracking and Data Relay Satellite (TDRS-M) is stacked atop the United Launch Alliance Atlas V Centaur upper stage. It will be the latest spacecraft destined for the agency's constellation of communications satellites that allows nearly continuous contact with orbiting spacecraft ranging from the International Space Station and Hubble Space Telescope to the array of scientific observatories. Liftoff atop the ULA Atlas V rocket is scheduled to take place from Cape Canaveral's Space Launch Complex 41 on Aug. 18, 2017.
Earth Observations taken by the Expedition 31 Crew
2012-06-02
ISS031-E-84006 (2 June 2012) --- This digital image from the Expedition 31 crew aboard the International Space Station is one of a series from a mounted, automated, and nighttime session of a still camera when viewed in sequence shows the flame-ring associated with wild fires in the Southwest slip by in the upper right while the lights of the El Paso-Las Cruces rise from bottom center. A Russian spacecraft is docked to the station
A Revised Model for Dosimetry in the Human Small Intestine
DOE Office of Scientific and Technical Information (OSTI.GOV)
John Poston; Nasir U. Bhuiyan; R. Alex Redd
2005-02-28
A new model for an adult human gastrointestinal tract (GIT) has been developed for use in internal dose estimations to the wall of the GIT and to the other organs and tissues of the body from radionuclides deposited in the lumenal contents of the five sections of the GIT. These sections were the esophasgus, stomach, small intestine, upper large intestine, and the lower large intestine. The wall of each section was separated from its lumenal contents.
Analysis of Long Bone and Vertebral Failure Patterns.
1983-03-01
apophyseal joints, lumbar spondylosis and low back pain in Jayson, M.I.V. (ed) The Lumbar Spine and Back Pain, Pitman Medical, pp. 83-114. PUBLICATIONS...NOTES Material in this report was presented at the International Society for the Study of the Lumbar Spine, Toronto, Canada, June 6-10, 1982. 19. KEY...intervertebral disc and end plate fragments were observed in the vertebral bodies (G84 L2 -3 ) of the upper lumbar levels. Also fragments of trabecular bone
Development of Anthropometric Specifications for the Warrior Injury Assessment Manikin (WIAMan)
2013-10-01
kg/m2 (mean 26.7 kg/m2). Body Landmark Data in Vehicle Seat Conditions Soldiers were instructed to sit comfortably in the seat . Lower and upper...landmark locations from 100 soldiers with a wide range of body size obtained in a single squad seating condition were analyzed using regression methods to...establish target surface landmark and internal joint center locations. Laser scan data from 126 men in up to four seated postures were analyzed
2003-08-09
VANDENBERG AIR FORCE BASE, CALIF. - The SciSat-1 payload, with fairing installed and attached to its Pegasus launch vehicle, begins rollout to the hot pad and mating to the L-1011 carrier aircraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-08-09
VANDENBERG AIR FORCE BASE, CALIF. - The L-1011 carrier aircraft is ready for flight after undergoing a Combined Systems Test, an integrated test involving the Pegasus launch vehicle, SciSat-1 spacecraft and L-1011 aircraft. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-12
VANDENBERG AIR FORCE BASE, CALIF.- At Vandenberg Air Force Base, Calif., spacecraft functional testing is underway on the SciSat-1. The solar arrays are being attached and the communications systems are also being checked out. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-29
VANDENBERG AIR FORCE BASE, CALIF. - At Vandenberg Air Force Base, Calif. a covered SciSat-1 spacecraft is lifted onto a rotation stand. The solar arrays will be attached and the communications systems checked out. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-29
VANDENBERG AIR FORCE BASE, CALIF.- The covered SciSat-1 spacecraft is lowered onto a test stand at Vandenberg Air Force Base, Calif., for functional testing. The solar arrays will be attached and the communications systems checked out. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
2003-07-29
VANDENBERG AIR FORCE BASE, CALIF.- A covered SciSat-1 spacecraft sits on a test stand at Vandenberg Air Force Base, Calif. The solar arrays will be attached and the communications systems checked out. The SciSat-1 weighs approximately 330 pounds and after launch will be placed in a 400-mile-high polar orbit to investigate processes that control the distribution of ozone in the upper atmosphere. The data from the satellite will provide Canadian and international scientists with improved measurements relating to global ozone processes and help policymakers assess existing environmental policy and develop protective measures for improving the health of our atmosphere, preventing further ozone depletion. The mission is designed to last two years.
Sivan, Manoj; Gallagher, Justin; Holt, Ray; Weightman, Andrew; O'Connor, Rory; Levesley, Martin
2016-01-01
The purpose of this study was to evaluate the International Classification of Functioning, Disability and Health (ICF) as a framework to ensure that key aspects of user feedback are identified in the design and testing stages of development of a home-based upper limb rehabilitation system. Seventeen stroke survivors with residual upper limb weakness, and seven healthcare professionals with expertise in stroke rehabilitation, were enrolled in the user-centered design process. Through semi-structured interviews, they provided feedback on the hardware, software and impact of a home-based rehabilitation device to facilitate self-managed arm exercise. Members of the multidisciplinary clinical and engineering research team, based on previous experience and existing literature in user-centred design, developed the topic list for the interviews. Meaningful concepts were extracted from participants' interviews based on existing ICF linking rules and matched to categories within the ICF Comprehensive Core Set for stroke. Most of the interview concepts (except personal factors) matched the existing ICF Comprehensive Core Set categories. Personal factors that emerged from interviews e.g. gender, age, interest, compliance, motivation, choice and convenience that might determine device usability are yet to be categorised within the ICF framework and hence could not be matched to a specific Core Set category.
Litho-kinematic facies model for large landslide deposits in arid settings
DOE Office of Scientific and Technical Information (OSTI.GOV)
Yarnold, J.C.; Lombard, J.P.
1989-04-01
Reconnaissance field studies of six large landslide deposits in the S. Basin and Range suggest that a set of characteristic features is common to the deposits of large landslides in an arid setting. These include a coarse boulder cap, an upper massive zone, a lower disrupted zone, and a mixed zone overlying disturbed substrate. The upper massive zone is dominated by crackel breccia. This grades downward into a lower disrupted zone composed of a more matrix-rich breccia that is internally sheared, intruded by clastic dikes, and often contains a cataclasite layer at its base. An underlying discontinuous mixed zone ismore » composed of material from the overlying breccia mixed with material entrained from the underlying substrate. Bedding in the substrate sometimes displays folding and contortion that die out downward. The authors work suggests a spatial zonation of these characteristic features within many landslide deposits. In general, clastic dikes, the basal cataclasite, and folding in the substrate are observed mainly in distal parts of landslides. In most cases, total thickness, thickness of the basal disturbed and mixed zones, and the degree of internal shearing increase distally, whereas maximum clast size commonly decreases distally. Zonation of these features is interpreted to result from kinematics of emplacement that cause generally increased deformation in the distal regions of the landslide.« less
Absence of Bilateral Differences in Child Baseball Players with Throwing-related Pain.
Mickevičius, M; Rutkauskas, S; Sipavičienė, S; Skurvydas, A; Jürimäe, J; Degens, H; Kamandulis, S
2016-11-01
The aim of this study was to assess whether side-to-side differences in morphology and function of the upper limbs in 11-12 year-old male baseball players with throwing-related pain (n=14) were more pronounced than that of age-matched healthy untrained subjects (n=16). Baseball players 1) had played baseball≥4.5 h·wk -1 for ≥ 4 years and (2) suffered from moderate-intensity (3-6 points on 10-point questionnaire scale) throwing-related pain in the shoulder or elbow in at least 2 training sessions within the past month. The range of motion (ROM), function and structure of the elbows and shoulders were assessed using goniometry, isokinetic dynamometry and ultrasonography. While the ROM and eccentric external peak torque of internal shoulder rotation were lower, the thickness of the supraspinatus tendon, the ulnar collateral ligament and articular cartilage of the humeral head were larger in baseball players than controls. There were, however, no significant side-to-side differences in any parameter in either group. In conclusion, it is unlikely that side-to-side differences in shoulder and upper limb structure and function contributed to the throwing-related pain in young baseball players, but low shoulder eccentric external peak torque and range of internal rotation may predispose to throwing-related pain. © Georg Thieme Verlag KG Stuttgart · New York.
NASA Astrophysics Data System (ADS)
Mihaly, S. F.
2016-02-01
We analyse two six month sets of data collected from a vertical profiler on Ocean Networks Canada's NEPTUNE observatory over the summer and early fall of 2012 and 2014. The profiler is in 400 m of water on the upper slope of the continental shelf. The site is away from direct influence of canyons, but is in a region of strong internal tide generation. Both seasonally varying semidiurnal internal tidal currents and diurnal shelf waves are observed. The near surface mean flow is weak and seasonally alternates between the California and Alaskan Currents. Mid-depth waters are influenced by the poleward flowing Californian undercurrent and the deep waters by seasonally varying wind-driven Ekman transport. The profiling package consists of a CTD, an oxygen optode, a pCO2 sensor, Chlorophyll fluorometer/turbidity, CDOM and is co-located with an upward-looking bottom-mounted 75kHz ADCP that measures currents to 30 m below sea surface. With these first deep-sea profiled time series measurements of pCO2, we endeavor to model how the local physical dynamics exert control over the variability of water properties over the slope and shelf and what the variability of the non-conservative tracers of pCO2 and O2 can tell us about the biogeochemistry of the region.
Yi, Jun; Wan, Yi; Pan, Feng; Yu, Xiaorong; Zhao, Huadong; Shang, Fujun; Xu, Yongyong
2011-08-01
The validation of sphygmomanometer is important in accurate blood pressure measurement. This study presents the validation results by the Medipro MediCare 100f upper arm blood pressure monitor according to the European Society of Hypertension International Protocol (ESH-IP) revision 2010. The ESH-IP revision 2010 for the validation of blood pressure measuring devices in adults was followed precisely. A total of 99 couples of test device and reference blood pressure measurements were obtained during the study (three pairs for each of the 33 participants). The device produced 73, 93, and 98 measurements within 5, 10, and 15 mmHg for systolic blood pressure (SBP) and 79, 93, and 96 for diastolic blood pressure (DBP), respectively. The mean standard deviation device-observer difference was 1.4 ± 5.2 mmHg for SBP and 0.02±5.8 mmHg for DBP. The number of participants with two or three of the device-observer differences within 5 mmHg was 24 for SBP and 30 for DBP, whereas there was no participant with none of the device-observer differences within 5 mmHg. According to the results of the validation study based on the ESH-IP revision 2010, the Medipro MediCare 100f can be recommended for self-measurement in an adult population.
NASA Astrophysics Data System (ADS)
Mendaza, T.; Blanco-Ávalos, J. J.; Martín-Torres, J.
2017-11-01
The solar activity induces long term and short term periodical variations in the dynamics and composition of Earth's atmosphere. The Sun also shows non periodical (i.e., impulsive) activity that reaches the planets orbiting around it. In particular, Interplanetary Coronal Mass Ejections (ICMEs) reach Earth and interact with its magnetosphere and upper neutral atmosphere. Nevertheless, the interaction with the upper atmosphere is not well characterized because of the absence of regular and dedicated in situ measurements at high altitudes; thus, current descriptions of the thermosphere are based on semi empirical models. In this paper, we present the total neutral mass densities of the thermosphere retrieved from the orbital data of the International Space Station (ISS) using the General Perturbation Method, and we applied these densities to routinely compiled trajectories of the ISS in low Earth orbit (LEO). These data are explicitly independent of any atmospheric model. Our density values are consistent with atmospheric models, which demonstrates that our method is reliable for the inference of thermospheric density. We have inferred the thermospheric total neutral density response to impulsive solar activity forcing from 2001 to the end of 2006 and determined how solar events affect this response. Our results reveal that the ISS orbital parameters can be used to infer the thermospheric density and analyze solar effects on the thermosphere.
Mottet, Christian; Vader, John-Paul; Felley, Christian; Froehlich, Florian; Gonvers, Jean-Jacques; Juillerat, Pascal; Stockbrügger, Reinhold; Angelucci, Erika; Seibold, Frank; Michetti, Pierre; Pittet, Valérie
2009-12-01
High-grade evidence is lacking for most therapeutic decisions in Crohn's disease. Appropriateness criteria were developed for upper gastro-intestinal, extra-intestinal manifestations and drug safety during conception, pregnancy and breastfeeding in patients with Crohn's disease, to assist the physician in clinical decision making. The European Panel on the Appropriateness of Crohn's Disease Therapy (EPACT II), a multidisciplinary international European expert panel, rated clinical scenarios based on evidence from the published literature and panelists' own clinical expertise. Median ratings (on a 9-point scale) were stratified into three categories: appropriate (7-9), uncertain (4-6 with or without disagreement) and inappropriate (1-3). Experts were also asked to rank appropriate medications by priority. Proton pump inhibitors, steroids, azathioprine/6-mercaptopurine and infliximab are appropriate for upper gastro-duodenal Crohn's disease; for stenosis, endoscopic balloon dilation is the first-line therapy, although surgery is also appropriate. Ursodeoxycholic acid is the only appropriate treatment for primary sclerosing cholangitis. Infliximab is appropriate for Pyoderma gangrenosum, ankylosing spondylitis and uveitis, steroids for Pyoderma gangrenosum and ankylosing spondylitis, adalimumab for Pyoderma gangrenosum and ankylosing spondylitis, cyclosporine-A/tacrolimus for Pyoderma gangrenosum. Mesalamine, sulfasalazine, prednisone, azathioprine/6-mercaptopurine, ciprofloxacin, and probiotics, may be administered safely during pregnancy or for patients wishing to conceive, with the exception that male patients considering conception should avoid sulfasalazine. Metronidazol is considered safe in the 2nd and 3rd trimesters whereas infliximab is rated safe in the 1st trimester but uncertain in the 2nd and 3rd trimesters. Methotrexate is always contraindicated at conception, during pregnancy or during breastfeeding, due to its known teratogenicity. Mesalamine, prednisone, probiotics and infliximab are considered safe during breastfeeding. EPACT II recommendations are freely available online (www.epact.ch). The validity of these criteria should now be tested by prospective evaluation.
Namdari, Surena; Alosh, Hassan; Baldwin, Keith; Mehta, Samir; Keenan, Mary Ann
2011-07-01
Shoulder adduction and internal rotation contractures commonly develop in patients with spastic hemiplegia after upper motor neuron (UMN) injury. Contractures are often painful, macerate skin, and impair axillary hygiene. We hypothesize that shoulder tenotomies are an effective means of pain relief and passive motion restoration in patients without active upper extremity motor function. A consecutive series of 36 adults (10 men, 26 women) with spastic hemiplegia from UMN injury, shoulder adduction, and internal rotation contractures, and no active movement, who underwent shoulder tenotomies of the pectoralis major, latissimus dorsi, teres major, and subscapularis were evaluated. Patients were an average age of 52.2 years. Pain, passive motion, and satisfaction were considered preoperatively and postoperatively. Average follow-up was 14.3 months. Preoperatively, all patients had limited passive motion that interfered with passive functions. Nineteen patients had pain. After surgery, passive extension, flexion, abduction, and external rotation improved from 50%, 27%, 27%, and 1% to 85%, 70%, 66%, and 56%, respectively, compared with the normal contralateral side (P < .001). All patients with preoperative pain had improved pain relief at follow-up, with 18 (95%) being pain-free. Thirty-five (97%) were satisfied with the outcome of surgery, and all patients reported improved axillary hygiene and skin care. Age, gender, etiology, and chronicity of UMN injury were not associated with improvement in motion. We observed improvements in passive ROM and high patient satisfaction with surgery at early follow-up. Patients who had pain with passive motion preoperatively had significant improvements in pain after shoulder tenotomy. Shoulder tenotomy to relieve spastic contractures resulting from UMN injury can be an effective means of pain relief and improved passive range of motion in patients without active motor function. Copyright © 2011 Journal of Shoulder and Elbow Surgery Board of Trustees. Published by Mosby, Inc. All rights reserved.